CA2208077A1 - Use or retinoids to lower plasma levels of lipoprotein (a) - Google Patents

Use or retinoids to lower plasma levels of lipoprotein (a)

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Publication number
CA2208077A1
CA2208077A1 CA002208077A CA2208077A CA2208077A1 CA 2208077 A1 CA2208077 A1 CA 2208077A1 CA 002208077 A CA002208077 A CA 002208077A CA 2208077 A CA2208077 A CA 2208077A CA 2208077 A1 CA2208077 A1 CA 2208077A1
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Prior art keywords
benzoic acid
acid
phenyl
methyl
tetrahydro
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CA002208077A
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French (fr)
Inventor
Helen Tsenwhei Lee
Joseph Armand Picard
Randy Ranjee Ramharack
Bruce David Roth
Drago Robert Sliskovic
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Warner Lambert Co LLC
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/11—Aldehydes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/045—Hydroxy compounds, e.g. alcohols; Salts thereof, e.g. alcoholates
    • A61K31/07—Retinol compounds, e.g. vitamin A
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/185—Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
    • A61K31/19—Carboxylic acids, e.g. valproic acid
    • A61K31/20—Carboxylic acids, e.g. valproic acid having a carboxyl group bound to a chain of seven or more carbon atoms, e.g. stearic, palmitic, arachidic acids
    • A61K31/203—Retinoic acids ; Salts thereof
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/21—Esters, e.g. nitroglycerine, selenocyanates
    • A61K31/215—Esters, e.g. nitroglycerine, selenocyanates of carboxylic acids
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P7/00—Drugs for disorders of the blood or the extracellular fluid

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  • Chemical & Material Sciences (AREA)
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  • Pharmacology & Pharmacy (AREA)
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  • Diabetes (AREA)
  • Hematology (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • General Chemical & Material Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Organic Chemistry (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)

Abstract

Retinoids are effective to lower plasma levels of Lp(a) in mammals.

Description

-W 096/24344 PCTrUS95/16305 USE OF RETINOIDS TO LOWER PLASMA LEVELS OF LIPOPROTEIN (a) FIELD OF THE INVENTION

This invention relates to a method for lowering plasma levels of a lipoprotein known as lipoprotein(a), Lp(a), in ~n;m~ls comprising administering a retinoid compound.

BACKGROUND OF THE INVENTION

Heart disease r~m~;n~ one of the leading causes of death. The high incidence of heart disease has led to the identification of various risk factors that may be controlled in an effort to reduce such disease. One risk factor is hypercholesterolemia, which is a condition of high blood levels of cholesterol.
Cholesterol is a fatty substance that is made by the liver, and also is present in many foods. Cholesterol circulates in the blood associated with several forms of lipoproteins. Some of these forms are now referred to as "good'l forms of cholesterol, while others are "bad". For example, one such lipoprotein with which cholesterol associates is referred to as low-density lipoprotein or LDL. LDL-cholesterol (LCL-C) is the form in which cholesterol leaves the liver destined for cells throughout the body. High levels of LDL-C are bad, because they have been shown to cause rapid clogging of coronary ar~eries with fatty deposits, resulting in the disease known as atherosclerosis, which often leads to heart attacks. A great deal of effort is currently underway to get people to reduce their levels of LDL-C, for example, by modifying diet and exercise.

W O 96/24344 PCT~US95/16305 In contrast, a good form of cholesterol is that associated with high-density lipoprotein, ie, HDL-cholesterol (HDL-C). This is the form in which cholesterol is pulled out of cells and goes back to the liver for disposal.
A modified form of LDL is known as lipoprotein(a), "Lp(a)". It consists of LDL covalently linked through a disulfide bond to apolipoprotein(a), "apo(a)". Lp(a) cholesterol appears to be a bad form of cholesterol, since elevated levels of Lp(a) have been associated with the development of atherosclerosis, coronary heart disease, myocardial infarction, cerebral infarction, and restenosis following balloon angioplasty. In fact, Lp(a) appears to be an excellent predictor for stroke.
Accordingly, high concentrations of Lp(a) is one of the major risk factors leading to death from heart disease.
We have now discovered that retinoids are effective in lowering plasma concentrations of Lp(a).
This invention thus provides a method for lowering plasma levels of Lp(a) comprising ~m; n; stering a retinoid.
Retinoids are a class of natural and synthetic - organic molecules which modulate the activity of retinoid responsive genes, mRNAs, and proteins. Some activities of retinoids occur by interaction with families of nuclear receptors, including the retinoic acid receptors and the retinoid X receptors. Vitamin A
is a natural retinoid known as retinol. "Vitamin A
acid~ is retinoic acid. Retinoids have been reported to have a number of biological activities. For example, they are said to be potent agents for control of both cellular differentiation and proliferation.
They have been reported to moderate the growth of tumors and to affect the immune s~stem, see Gale, Proqress in Medicinal Chem. 1993;30, Ellis and Luscom.be ed., Elsevier Publishers.

Retinoids have also been reported to have effects on plasma concentrations of lipoproteins. For example, Lyons, et al., Br. J. Dermatoloqy 1982;107:591-5, reported a decrease in HDL-C levels in patients given 13-cis-retinoic acid. Ringer, et al., Am. J. Chem.
Nutr. 1991;53:688-94, reported an increase in HDL
concentrations in patients given ~-carotene, but did not find any changes in apolipoprotein A or B levels.
Katocs, et al., US Patent 5,219,888, reported that retinoids increase plasma HDL levels.
There have been no reports that retinoids effect plasma levels of Lp(a). We have now discovered that plasma Lp(a) can be lowered by ~m; n; stering retinoids, and accordingly an object of this invention is to provide a method for lowering Lp(a), and thereby treating and preventing coronary artery disease.

SUMMARY OF THE INVENTION
This invention provides a method for lowering plasma levels of Lp(a) using a retinoid. More particularly, the invention is a method for lowering plasma levels of Lp(a) in ~n;m~l S comprising administering to an ~nlm~l an Lp(a) lowering amount of a retinoid. By lowering Lp(a) levels, the ~nlm~l S are protected against developing premature atherosclerosis and consequent coronary artery disease.
Numerous compounds are known which are characterized as retinoids. A comprehensive discussion of retinoids is given by Dawson and Hobbs, in Chapter 2 of The Retinoids: Bioloqyr Chemistry and Medicine, 2nd ed., Sporn, Roberts, and Goodman, Raven Press, Ltd., New York, 1994. That reference is incorporated herein by reference for its teaching of the synthesis of retinoids. All that is required by this invention -W 096/24344 PCTrUS95/16305 is that a compound characterized as a retinoid is ~m;n;stered to an ~n;m~l in an Lp(a) lowering amount.
Preferred retinoids to be utilized in the present invention include retinoic acid of the formula ~ ~ COOH

Retinoic acid derivatives also are preferred, for example compounds of the formula A ~ COOester wherein Ar is an aryl group and "ester" is an organic ester forming group.
Retinoids which are dienyl benzoic acid and enzynylaryl carboxylic acids also are preferred. For ~example, compounds of the formula ~ COOH

Rl ~ R2 where R1 is cycloalkyl or aryl, and R2 is a typical phenyl substituted group such as halo, alkyl, alkoxy, alkylthio, and the like.
Compounds such as ~ R3 W 096124344 PCT~US95/16305 where R3 is, for instance COOH

~ COOEt ~ COOEt or also are preferred.
All of the retinoids required for this invention are known and available by well-known synthetic methodologies.
A further embodiment of this invention is a method for identifying ~n;m~ls who are likely to encounter a stroke. Such ~n;m~ls have a higher than normal plasma level of Lp(a). The method comprising determ;n; ng plasma level of Lp(a) and comparing it to levels that are normal for the particular age and sex group to which the subject belongs.

DETAI~ED DESCRIPTION OF THE INVENTION
All that is required for this invention is to administer an ~p(a) lowering amount of a retinoid to an ~n;m~l in order to ~lm;n;sh plasma levels of ~p(a).
Preferred retinoids to be utilized are benzoic acids and carboxylic acids and esters thereof, particularly Cl-C6 alkyl esters, such as methyl, ethyl, isopropyl, isopentyl, and n-hexyl.
Typical benzoic acids to be utilized include those of the formula ~ ~ COOH

RI~R ' wherein Rl is cycloalkyl or aryl and R2 independently are:

W 096/24344 PCTrUS9S/16305 R2 substituent group such as halo, hydroxy, amine, mono- and dialkyl amino, C1-C6 alkyl, C1-C6 alkoxy, or C1-C6 alkylthio, and n is 0 or 1. The cycloalkyl group can be a single ring, for instance a C3-C7 cycloalkyl ring, optionally substituted with halo, alkyl, alkoxy, alkylthio, or the like, or bicyclic. Similarly, the aryl can be monocyclic or bicyclic, for instance, phenyl or naphthyl, it can be cycloalkyl fused to an aromatic ring, for instance, a benzocyclohexane or benzocycloheptane, and any of the ring systems can contain heteroatoms, for instance, 1, 2, or 3 heteroatoms selected from sulfur, oxygen, and nitrogen. The rings can also be substituted, for example, with 1, 2, or 3 groups such as R2 and R2 .
Many of the retinoids have an alkylene chain which can exist as cis and trans isomers~ Both the all cis and all trans, as well as mixtures, can be used herein.
Examples of preferred retinoids to be utilized in the method of this invention include those having the following structures:
~ COOH

Rl~--~J~R
where R1 is, for instance ~ , ~ , and ~ , and R2 is hydrogen, halo, or alkoxy;

~ "_~' \

W 096/24344 PCTrUS95116305 where R1 is COOEt ~ COOEt , or ~ CO~H

~ COOH

R ~
where R1 is alkyl or dialkylphenyl, or a bi- or tricyclic ring such as:

R2 R2 R2 ~

R2~ >Cs ;

~ N
1 2 R2 R~

~ R ~

W 096/24344 PCTrUS95/16305 The typical specific retinoids which can be utilized in the method of the invention include the following:
4-[4-(4,4-Dimethyl-thiochroman-6-yl)-2-methyl-buta-1,3-dienyl]-benzoic acid;
3-Fluoro-4-[2-methyl-4-(2,6,6-trimethyl-cyclohex-1-enyl)-buta-1,3-dienyl]-benzoic acid;
3-Methoxy-4-[2-methyl-4-(2,6,6-trimethyl-cyclohex-1-enyl)-buta-1,3-dienyl]-benzoic acid;
5-[4-(2,6,6-Trimethyl-cyclohex-1-enyl)-but-3-en-1-ynyl]-thiophene-2-carboxylic acid ethyl ester;
5-[4-(2,6,6-Trimethyl-cyclohex-1-enyl)-but-3-en-1-ynyl]-furan-2-carboxylic acid ethyl ester;
6-[4-(2,6,6-Trimethyl-cyclohex-1-enyl)-but-3-en-1-ynyl]-nicotinic acid;
4-[2-(3-tert-Butyl-phenyl)-propenyl]-benzoic acid;
4-[2-(4-tert-Butyl-phenyl)-propenyl]-benzoic acid;
4-[2-(3,4-Dimethyl-phenyl)-propenyl]-benzoic acid;
4-[2-(3,4-Diethyl-phenyl)-propenyl]-benzoic acid;
4-[2-(3,4-Diisopropyl-phenyl)-propenyl]-benzoic acid;
4-[2-(5-Isobutyl-tricyclo[6.2.1.0~2,7_]undeca-2,4,6-trien-4-yl)-propenyl]-benzoic acid;
4-[2-(3,6-Dimethoxy-tricyclo[6.2.1.0~2,7_]undeca-2,4,6-trien-4-yl)-propenyl]-benzoic acid;
Benzoic acid, 4-[2-(2,3,4,4a-tetrahydro-4a,10,10-trimethyl-lH-3,9b-methanodibenzo~uran-8-yl)ethenyl]-;
4-[2-(6,7,8,9-Tetrahydro-5H-benzocyclohepten-2-yl)propenyl]-benzoic acid;
4-[2-(7-Methyl-6,7,8,9-tetrahydro-5H-benzocyclohepten-2-yl)-propenyl]-benzoic acid ethyl ester;
4-[2-(5,5-Dimethyl-6,7,8,9-tetrahydro-5H-benzocyclohepten-2-yl)-propenyl]-benzoic acid ethyl ester;

CA 02208077 1997-06-lX
W 096/24344 PCTAUS9~/16305 4-[2-(3,7,7-Trimethyl-6,7,8,9-tetrahydro-5H-benzocyclohepten-2-yl)-propenyl]-benzoic acid methyl ester;
4-[2-(7,7-Dimethyl-3-octyl-6,7,8,9-tetrahydro-5X-benzocyclohepten-2-yl)-propenyl]-benzoic acid;
4-[2-(7-Ethyl-7-methyl-6,7,8,9-tetrahydro-5H-benzocyclohepten-2-yl)-propenyl]-benzoic acid ethyl ester;
Benzoic acid, 4-[2-(5,6,8,9-tetrahydro-spiro[7H-benzocycloheptene-7,1~-cyclopropane]-2-yl)-1-propenyl]-, ethyl ester;
Benzoic acid, 4-[2-(5,6,8,9-tetrahydro-spiro-[7H-benzocycloheptene-7,1'-cyclopentane]-2-yl)-1-propenyl]-, ethyl ester;
4-[2-(7-Oxo-6,7,8,9-tetrahydro-5H-benzocyclo-hepten-2-yl)-propenyl]-benzoic acid ethyl ester;
4-[2-(9-Methyl-6,7,8,9-tetrahydro-5H-benzocyclo-hepten-2-yl)-propenyl]-benzoic acid ethyl ester;
4-[2-(5,5,9-Trimethyl-6,7,8,9-tetrahydro-5H-benzo-cyclohepten-2-yl)-propenyl]-benzoic acid ethyl ester;
4-[2-(7,7,9-Trimethyl-6,7,8,9-tetrahydro-5H-benzo-cyclohepten-2-yl)-propenyl]-benzoic acid ethyl ester;
4-[2-(5,9,9-Trimethyl-6,7,8,9-tetrahydro-5H-benzo-cyclohepten-2-yl)-propenyl]-benzoic acid ethyl ester;
4-[2-(7,7,9,9-Tetramethyl-6,7,8,9-tetrahydro-5H-benzocyclohepten-2-yl)-propenyl]-benzoic acid;
4-[2-(6,6,8,8-Tetramethyl-7-oxo-6,7,8,9-tetra-hydro-5H-benzocyclohepten-2-yl)-propenyl]-benzoic acid ethyl ester;
4-[2-(4,4-Dimethyl-chroman-7-yl)-propenyl]-benzoic acid;
~ 4-[2-(4,4-Dimethyl-1,1-dioxo-thiochroman-7-yl)-propenyl]-benzoic acid;
~ 4-[2-(1,4,4-Trimethyl-1,2,3,4-tetrahydro-quinolin-7-yl)-propenyl]-benzoic acid;

W 096/24344 PCTrUS95/16305 4-[2-(2,3-Dihydro-benzo[1,4]dioxin-6-yl)-propenyl]-benzo~ic acid;
4-[2-(2,3-Dihydro-benzo[1,4]dithiin-6-yl)-propenyl]-benzoic acid;
54-[2-(1,4-Dimethyl-1,2,3,4-tetrahydro-quinoxalin-6-yl)-propenyl]-benzoic acid;
4-[2-(2,3,4,5-Tetrahydro-benzo[b]oxepin-8-yl)-propenyl]-benzoic acid;
4-[2-(2,3,4,5-Tetrahydro-benzo[b]oxepin-7-yl)-propenyl]-benzoic acid;
4-[2-(2,3,4,5-Tetrahydro-benzo[b]thiepin-8-yl)-propenyl]-benzoic acidi 4-[2-(5-Methyl-2,3,4,5-tetrahydro-benzo[b]thiepin-8-yl)-propenyl]-benzoic acid;
4-[2-(5,5-Dimethyl-2,3,4,5-tetrahydro-benzo[b]thiepin-8-yl)-propenyl]-benzoic acid;
4-[2-(3,3-Dimethyl-2,3,4,5-tetrahydro-benzo[b]thiepin-8-yl)-propenyl]-benzoic acid;
4-[2-(2,3,4,5-Tetrahydro-benzoEb]thiepin-7-yl)-20propenyl]-benzoic acidi 4-[2-(5-Methyl-2,3,4,5-tetrahydro-benzo[b]thiepin-7-yl)-propenyl]-benzoic acid;
4-[2-(3-Methyl-2,3,4,5-tetrahydro-benzo[b]thiepin-7-yl)-propenyl]-benzoic acid;
254-[2-(3,5,5-Trimethyl-2,3,4,5-tetrahydro-benzo[b]thiepin-7-yl)-propenyl]-benzoic acid;
4-[2-(3,3-Dimethyl-2~3,4,5-tetrahydro-benzo[b]thiepin-7-yl)-propenyl]-benzoic acid;
4-[2-(1,1-Dioxo-2,3,4,5-tetrahydro-30benzo[b]thiepin-8-yl)-propenyl]-benzoic acid;
4-[2-(1,1-Dioxo-2,3,4,5-tetrahydro-benzo[b]thiepin-7-yl)-propenyl]-benzoic acid;
4-[2-(5,5-Dimethyl-1,1-dioxo-2,3,4,5-tetrahydro-benzo[b]thiepin-7-yl)-propenyl]-benzoic acid;
354-[2-(3-Methyl-1,1-dioxo-2,3,4,5-tetrahydro-benzo[b]thiepin-7-yl)-propenyl]-benzoic acid;

W 096/24344 PCTrUS95/16305 4-[2-(3,4-Dihydro-2H-benzo[b][1,4]dioxepin-7-yl)-propenyl]-benzoic acid;
4-[2-(3-Methyl-3,4-dihydro-2H-benzo[b][1,4]-dioxepin-7-yl)-propenyl]-benzoic acid;
4-[2-(7,7-Dimethyl-7,8-dihydro-6H-5-oxa-9-thia-benzocyclohepten-2-yl)-propenyl]-benzoic acid;
4-[2-(7,8-Dihydro-6H-5,9-dithia-benzocyclohepten-2-yl)-propenyl]-benzoic acid;
4-[2-(7-Methyl-7,8-dihydro-6H-5,9-dithia-benzocyclohepten-2-yl)-propenyl]-benzoic acid;
4-[2-(5-Methyl-2,3,4,5-tetrahydro-benzo[b][1,4]thiazepin-8-yl)-propenyl]-benzoic acid;
4-[2-(3,5-Dimethyl-2,3,4,5-tetrahydro-benzo[b][1,4]thiazepin-8-yl)-propenyl]-benzoic acid;
4-[2-(2,2-Dimethyl-benzo[1,3]dioxol-5-yl)-propenyl]-benzoic acid;
4-[2-(2,2-Dimethyl-benzo[1,3]dithiol-5-yl)-propenyl]-benzoic acid;
4-Styryl-benzoic acid;
4-[2-(4-tert-Butyl-phenyl)-vinyl]-benzoic acid;
4-(2-Tricyclo[6.2.1.0~2,7_]undeca-2,4,6-trien-4-yl-vinyl)-benzoic acid;
Benzoic acid, 4-[2-(2,3,4,4a-tetrahydro-4a,10,10-trimethyl-lH-3,9b-methanodibenzofuran-8-yl)-ethenyl]-;
4-[2-(4-Methoxy-2,3,6-trimethyl-phenyl)-vinyl]-benzoic acid;
4-{2-[4-(3-Methyl-but-2-enyloxy)-phenyl]-vinyl}-benzoic acid ethyl ester;
4-{2-[2-Methyl-4-(3-methyl-but-2-enyloxy)-phenyl]-vinyl}-benzoic acid ethyl ester;
- 4-{2-[2-Methyl-4-(3-methyl-but-2-enylsulfanyl)-~ phenyl]-vinyl}-benzoic acid ethyl ester;
4-[2-(5,5,8,8-Tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-vinyl]-benzoic acid;

W O 96/24344 PCTrUS95116305 4-[2-(1-Methoxy-4,5,5,8,8-pentamethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-vinyl]-benzoic acid;
4-[2-(1-Methoxy-3,5,5,8,8-pentamethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-vinyl]-benzoic acid;
4-[2-(1,4-Dimethoxy-5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-vinyl]-benzoic acid;
4-[2-(1,3-Dimethoxy-5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-vinyl]-benzoic acid;
4-[2-(1-Ethoxy-3-methoxy-5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-vinyl]-benzoic acid;
4-[2-(1-Isopropoxy-3-methoxy-5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-vinyl]-benzoic acid;
4-[2-(3-Methoxy-5,5,8,8-tetramethyl-1-propoxy-5,6,7,8-tetrahydro-naphthalen-2-yl)-vinyl]-benzoic acid;
4-[2-(1-Butoxy-3-methoxy-5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-vinyl]-benzoic acid;
4-[2-(1-Hexyloxy-3-methoxy-5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-vinyl]-benzoic acid;
4-(1,1,3,3-Tetramethyl-indan-5-ylethynyl)-benzoic acid;
4-(1,1,2,3,3-Pentamethyl-indan-5-ylethynyl)-benzoic acid;
4-(3,8,8-Trimethyl-5,6,7,8-tetrahydro-naphthalen-2-ylethynyl)-benzoic acid;
4-(3-Methoxy-5,5,8,8-tetramethyl-5,6,7,8-tetra-hydro-naphthalen-2-ylethynyl)-benzoic acid;

CA 02208077 l997-06-l8 6-(4,4,7-Trimethyl-chroman-6-ylethynyl)-nicotinic acid ethyl ester;
6-(3,3,4,4-Tetramethyl-chroman-6-ylethynyl)-nicotinic acid ethyl ester;
6-(3,3,4,4,7-Pentamethyl-chroman-6-ylethynyl)-nicotinic acid ethyl ester;
6-(4,4-Dimethyl-thiochroman-6-ylethynyl)-nicotinic acid ethyl ester;
6-(4,4,7-Trimethyl-thiochroman-6-ylethynyl)-nicotinic acid ethyl ester;
4-[5-(1,1,2,3,3-Pentamethyl-indan-5-yl)-lH-pyrazol-3-yl]-benzoic acid methyl ester;
4-[5-(3-Methyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-lH-pyrazol-3-yl]-benzoic acid methyl ester;
4-[3-(5,5,8,8-Tetramethyl-5,6,7 ! 8-tetrahydro-naphthalen-2-yl)-pyrazol-1-yl]-benzoic acid;
4-[2-(5,5,8,8-Tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-lH-imidazol-4-yl]-benzoic acid ethyl ester;
4-[5-(5,5,8,8-Tetramethyl-5,6,7,8-tetrahydro-~naphthalen-2-yl)-lH-imidazol-2-yl]-benzoic acid methyl ester;
4-[5-Oxo-3-(5,5,8,8-tetramethyl-5,6,7,8-tetra-hydro-naphthalen-2-yl)-4,5-dihydro-pyrazol-1-yl]-benzoic acid;
4-[2-Mercapto-4-(5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-imidazol-1-yl]-benzoic acid;
4-[4-(5,5,8,8-Tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-oxazol-2-yl]-benzoic acid methyl ester;
- 4-[5-(5,5,8,8-Tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-oxazol-2-yl]-benzoic acid methyl ester;

W096/24344 PCT~S95/16305 4-[5-(5,5,8,8-Tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-oxazolidin-3-yl]-benzoic acid ethyl ester;
4-[3-(7-Hydroxy-5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-isoxazol-5-yl]-benzoic acid;
4-[4-(5,5,8,8-Tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-thiazol-2-yl]-benzoic acid methyl ester;
4-[3-(5,5,8,8-Tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-[1,2,4]o~ 7.ol-5-yl]-benzoic acid methyl ester;
4-[6-(5,5,8,8-Tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-pyridazin-4-yl]-benzoic acid methyl ester;
4-[6-(5,5,8,8-Tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-pyridazin-3-yl]-benzoic acid methyl ester;
4-[2-Hydroxy-6-(5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-pyrimidin-4-yl]-benzoic acid butyl ester;
6-m-Tolyl-naphthalene-2-carboxylic acid;
6-(3-tert-Butyl-phenyl)-naphthalene-2-carboxylic acid;
6-(3-tert-Butyl-4-methoxy-phenyl)-naphthalene-2-carboxylic acid;
6-(3-A~m~ntan-1-yl-4-methoxy-phenyl)-naphthalene-2-carboxylic acid;
6-(3-A~m~ntan-1-yl-4-hexyloxy-phenyl)-naphthalene-2-carboxylic acid;
6-(3-A~m~ntan-1-yl-4-decyloxy-phenyl)-naphthalene-2-carboxylic acid, 2-Naphthalenecarboxylic acid, 6-(2,3,4,4a-tetra-hydro-4a,10,10-trimethyl-lH-3,9b-methanodibenzofuran-8-yl)-;

W 096/24344 P~T~US95/16305 6-[4-(Methoxy-3-(1-methyl-1-nonyloxy-ethyl)-phenyl]-naphthalene-2-carboxylic acid;
6-(3,4-Dimethoxy-phenyl)-naphthalene-2-carboxylic acid;
6-[4-(~m~ntan-1-ylsulfanyl)-phenyl]-naphthalene-2-carboxylic acid;
8-Methoxy-5', 5', 8',8'-tetramethyl-5',6',7',8'-tetrahydro-[2,2']binaphthalenyl-6-carboxylic acid;
6-(3-~m~ntan-1-yl-4-methoxy-phenyl)-4-hydroxy-1-methyl-naphthalene-2-carboxylic acid;
2-(4-tert-Butyl-phenyl)-benzofuran-6-carboxylic acid;
2-(4-tert-Butyl-phenyl)-benzo[b]thiophene-6-carboxylic acid;
2-(4-tert-Butyl-phenyl)-lH-indole-6-carboxylic acid;
2-(3-tert-Butyl-4-methoxy-phenyl)-benzofuran-6-carboxylic acid;
2-(5,5,8,8-Tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-benzofuran-6-carboxylic acidi 2-(5,5,8,8-Tetramethyl- 5/ 6,7,8-tetrahydro-naphthalen-2-yl)-benzooxazole-6-carboxylic acidi 2-( 5, 5,8,8-Tetramethyl-5l6,7,8-tetrahydro-2 5 naphthalen-2-yl)-3H-benzoimidazole-5-carboxylic acid;
2-(3-A~m~ntan-1-yl-4-methoxy-phenyl)-benzofuran-6-carboxylic acid;
2-(3-~A~m~ntan-1-yl-4-methoxy-phenyl)-benzo[b]thiophene-6-carboxylic acid;
2-(3-~m~ntan-1-yl-4-methoxy-phenyl)-3H-benzo-imidazole-5-carboxylic acidi 2-(3-~A~m~ntan-1-yl-4-hydroxy-phenyl)-3H-benzo-imidazole-5-carboxylic acid;
2-(3-~A~m~ntan-1-yl-4-decyloxy-phenyl)-benzooxazole-6-carboxylic acid;

W 096/24344 PCTrUS95/16305 Benzo[b]thiophene-6-carboxylic acid, 2-(2,3,4,4a-tetrahydro-4a,10,10-trimethyl-lH-3,9b-metha-nodibenzofuran-8-yl)-;
6-[Hydroxy-(5,5,8,8-tetramethyl-5,6,7,8-tetra-hydro-naphthalen-2-yl)-methyl]-naphthalene-2-carboxyl ic acid;
6-[Acetoxy-(5,5,8,8-tetramethyl-5,6,7,8-tetra-hydro-naphthalen-2-yl)-methyl]-naphthalene-2-carboxyl ic acid;
6-(1,1,3,3-Tetramethyl-indane-5-carbonyl)-naphthalene-2-carboxylic acid;
6-[Hydroxy-(1,1,2,3,3-pentamethyl-indan-5-yl)-methyl]-naphthalene-2-carboxylic acid;
6-(6,7-Dimethyl-naphthalene-2-carbonyl)-naphthalene-2-carboxylic acid;
6-(6-Methoxy-naphthalene-2-carbonyl)-naphthalene-2-carboxylic acid;
6-(6-Methoxy-5,8-dimethyl-naphthalene-2-carbonyl)-naphthalene-2-carboxylic acid;
6-[Hydroxy-(6-methoxy-5,8-dimethyl-naphthalen-2-yl)-methyl]-naphthalene-2-carboxylic acid;
6-(6-Methoxy-5,8-dimethyl-naphthalen-2-ylmethyl)-naphthalene-2-carboxylic acid;
6-(4,4-Dimethyl-chroman-6-carbonyl)-naphthalene-2-carboxylic acid;
6-[(4,4-Dlmethyl-chroman-6-yl)-hydroxy-methyl]-naphthalene-2-carboxylic acid;
6-(4,4-Dimethyl-chroman-6-ylmethyl)-naphthalene-2-carboxylic acid;
2-Naphthalenecarboxylic acid, 6-[(2,3,4,4a-tetra-hydro-4a,10,10-trimethyl-lH-3,9b-methanodibenzofuran-8-yl)carbonyl]-;
6-(2,2-Dimethyl-chroman-6-carbonyl)-naphthalene-2-carboxylic acid;
6-(4-tert-Butyl-benzoyl)-naphthalene-2-carboxylic acid;

W 096/24344 PCTrUS95/16305 6-[(2,4-Di-tert-butyl-phenyl)-hydroxy-methyl]-naphthalene-2-carboxylic acid;
6-(2,4-Diisopropyl-benzoyl)-naphthalene-2-carboxylic acid;
56-(2,4-Diisopropyl-benzyl)-naphthalene-2-carboxylic acid;
6-(4-Cyclohexyl-benzoyl)-naphthalene-2-carboxylic acid;
6-(4-Phenoxy-benzoyl)-naphthalene-2-carboxylic 10acid;
6-(4-Methoxy-benzoyl)-naphthalene-2-carboxylic acid;
6-(6-Methoxy-biphenyl-3-carbonyl)-naphthalene-2-carboxylic acid;
156-(3-~m~ntan-1-yl-4-methoxy-benzoyl)-naphthalene-2-carboxylic acid;
6-(4-Methoxy-2,3,6-trimethyl-benzoyl)-naphthalene-2-carboxylic acid;
2-(1,1,3,3-Tetramethyl-indane-5-carbonyl)-benzoic 20 acid;
2-(1,1,2,3,3-Pentamethyl-indane-5-carbonyl)-benzoic acid;
2-(3,6-Dimethoxy-tricyclo[6.2.1.0~2, 7_] undeca-2 (7), 3,5-triene-4-carbonyl)-benzoic acid;
252-(1,1,2,3,3-Pentamethyl-indane-5-carbonyl)-cyclohex-1-enecarboxylic acid;
2-(5,5,8,8-Tetramethyl-5,6, 7, 8-tetrahydro-naphthalene-2-carbonyl)-cyclohexanecarboxylic acid;
2-(1,1,2,3,3-Pentamethyl-indane-5-carbonyl)-30cyclohexanecarboxylic acid;
4-(Tricyclo[6.2.1.0~2,7_]undeca-2 (7) ,3,5-triene-- 4-carbonyl)-benzoic acid;
4-(1,1,2,3,3-Pentamethyl-indane-5-carbonyl)-benzoic acid;
354-[Hydroxy-(5,5,8,8-tetramethyl-5,6, 7, 8-tetrahydro-naphthalen-2-yl)-methyl]-benzoic acid;

=

W 096/24344 PCTrUS95/16305 4-(2,4-Diisopropyl-benzoyl)-benzoic acid;
4-[(2,4-Diisopropyl-phenyl)-hydroxy-methyl]-benzoic acid;
4-(3,5-Di-tert-butyl-4-hydroxy-benzoyl)-benzoic acid;
4-[Hydroxy-(6-methoxy-5,8-dimethyl-naphthalen-2-yl)-methyl]-benzoic acid;
4-[(4,4-dimethyl-thiochroman-6-yl)-hydroxy-methyl]-benzoic acid;
4-(3-Oxo-3-phenyl-propenyl)-benzoic acid;
4-[3-(3,4-Diethyl-phenyl)-3-oxo-propenyl]-benzoic acid;
4-[3-(3,4-Diisopropyl-phenyl)-3-oxo-propenyl]-benzoic acid;
4-[3-(4-tert-Butyl-phenyl)-3-oxo-propenyl]-benzoic acid;
4-[3-(3-tert-Butyl-phenyl)-3-oxo-propenyl]-benzoic acid;
4-[3-(3,5-Di-tert-butyl-phenyl)-3-oxo-propenyl]-benzoic acid;
4-[3-(2,5-Di-tert-butyl-phenyl)-3-oxo-propenyl]-benzoic acid;
4-[3-Oxo-3-(5,5,8,8-tetramethyl-5,6,7,8-tetra-hydro-naphthalen-2-yl)-propenyl]-benzoic acid;
4-[3-Oxo-3-(3,5,5,8,8-pentamethyl-5,6,7,8-tetra-hydro-naphthalen-2-yl).-propenyl]-benzoic acid;
2-Hydroxy-4-[3-oxo-3-(5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-propenyl]-benzoic acid;
4-[3-(4,4-Dimethyl-chroman-6-yl)-3-oxo-propenyl]-benzoic acid;
4-[3-(4,4-Dimethyl-chroman-7-yl)-3-oxo-propenyl]-benzoic acid;
4-[3-(4,4-Dimethyl-thiochroman-6-yl)-3-oxo-propenyl]-benzoic acid;

4-[3-(3,4-Dimethoxy-phenyl)-3-oxo-propenyl]-benzoic acid;
4-[1-Hydroxy-3-(2-hydroxy-phenyl)-3-oxo-propenyl]-benzoic acid;
4-[3-(5-tert-Butyl-2-hydroxy-phenyl)-1-hydroxy-3-oxo-propenyl]-benzoic acid; and 4-[3-(4-tert-butyl-2-hydroxy-phenyl)-1-hydroxy-3-oxo-propenyl]-benzoic acid.
Other retinoids which can be utilized to lower plasma levels of Lp(a) include polyolefinic carboxylic acids, aldehydes, and alcohols having the general formula Rl ~ COOH

Rl ~ , and Rl~ CH~OH

where R1 includes the cycloalkyl and aryl groups such as those described above, and n is 0 or 1.
Typical R1 groups additionally include the followingr alkyl such as ethyl and hexyl; cycloalkyl such as cyclohexyl, alkylcyclohexyl, dialkylcyclohexyl, cyclohexenyl, cyclopentyl, dialkylcyclopentyl, cyclopentenyl, mono- and dialkylcyclopentyl; and aryl such as phenyl, hydroxyphenyl, methoxyphenyl, halophenyl, thienyl, furanyl, pyridyl, and polycyclic systems, such as W O 96/24344 PCTrUS95/16305 S b~
R2~ R2~ ~R2 ' ~ ~ ~
25 ~ , ~ ' ~ ' 30 ~ , ~ , ~ O

R ' , and ~

W 096/24344 PCTrUS95/16305 The retinoids to be utilized in this invention also include the various stereochemical isomers, for example, the all transisomers (E,E,E,E), the 9-cis isomers (E,E,Z,E), and the 13-cis isomers (Z,E,E,E).
Typical retinoids of the above class which can be utilized to lower Lp(a) include the following:
3,7-Dimethyl-undeca-2,4,6,8-tetraenal;
9-Cyclohexyl-3,7-dimethyl-nona-2,4,6,8-tetraenal;
3,7-Dimethyl-9-(2,2,6-trimethyl-cyclohexyl)-nona-2,4,6,8-tetraenal;
9-Cyclohex-l-enyl-3,7-dimethyl-nona-2,4,6,8-tetraenal;
3,7-Dimethyl-9-(2-methyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenal;
9-(6,6-Dimethyl-cyclohex-l-enyl)-3,7-dimethyl-nona-2,4,6,8-tetraenal;
3,7-Dimethyl-9-t2,6,6-trimethyl-cyclohex-l-enyl)-nona-2,4,6,8-tetraenal;
9-(2,6-Dimethyl- cyclohex-l-enyl)-3,7-dimethyl-nona-2,4,6,8-tetraenal;
3-Methyl-9-(2,5,5-trimethyl-cyclopent-1-enyl)-nona-2,4,6,8-tetraenal;
10-Isopropyl-3-methyl-dodeca-2,4,6,8,10-pentaenal;
3-Methyl-dodeca-2,4,6,8,10-pentaenal;
3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohexa-1,3-dienyl)-nona-2,4,6,8-tetraenal;
3,7-Dimethyl-9-phenyl-nona-2,4,6,8-tetraenal;
9-(3-Hydroxy-2,6,6-trimethyl-cyclohex-1-enyl)-3,7-dimethyl-nona-2,4,6,8-tetraenal;
3,7-Dimethyl-9-(2,6,6-trimethyl-3-oxo-cyclohex-l-enyl)-nona-2,4,6,8-tetraenal;
3,7-Dimethyl-9-(2,2,6-trimethyl-7-oxa-bicyclo[4.1.0]hept-1-yl)-nona-2,4,6,8-tetraenal;
3,7-Dimethyl-9-(2,2,6-trimethyl-7-oxa-bicyclo[4.1.0]hept-4-en-1-yl)-nona-2,4,6,8-tetraenal;

W 096/24344 PCT~US95/1630 9-(4-Methoxy-2,3,6-trimethyl-phenyl)-3,7-dimethyl-nona-2,4,6,8-tetraenal;
3-Methyl-9-(2,4,5-trimethyl-thiophen-3-yl)-nona-2,4,6,8-tetraenal;
53,7-dimethyl-9-(2,6,6-trimethylcyclohex-1-enzyl)-nona-2,4,6,7-tetraen-1-ol;
All trans-9-(4-Dimethylamino-phenyl)-3,7-dimethyl-nona-2,4,6,8-tetraenal;
3,7,11-Trimethyl-dodeca-2,4,6,8,10-pentaenal;
103,7-Dimethyl-9-(2,2,6-trimethyl-cyclohexylidene)-nona-2,4,6,8-tetraenal;
3-Methyl-7-(4,4,7a-trimethyl-2,4,5,6,7,7a-hexa-hydro-benzofuran-3-yl)-octa-2,4,6-trienal;
9-(2,2-Dimethyl-6-methylene-cyclohexyl)-153,7-dimethyl-nona-2,4,6,8-tetraenal;
9 -~m~ n tan-2-ylidene-3,7-dimethyl-nona-2,4,6,8-tetraenal;
5,9-Dimethyl-11-(2,6,6-trimethyl-cyclohex-1-enyl)-undeca-2,4,6,8,10-pentaenal;
203,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-~nona-2,4,8-trienal;
3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,8-dienal;
3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-25nona-2,4,6-trienal;
3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,6,8-trien-1-ol;
2,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenal;
3013-(2,6,6-Trimethyl-cyclohex-1-enyl)-trideca-2,4,6,8,10~12-hexaenal;
17 (2,6,6-Trimethyl-cyclohex-1-enyl)-heptadeca-2,4,6,8,10,12,14,16-octaenal;
7-Ethyl-3-methyl-9-(2,6,6-trimethyl-cyclohex-351-enyl)-nona-2,4,6,8-tetraenal;

W 096/24344 PCTrUS95116305 2,3,7-Trimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenal;
7-Methyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenal;
2,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraen-1-ol;
(E,E,E)-3,7-dimethyl-undeca-2,6,8-trien-4-yn-1-ol;
(Z,E,E)-3,7-dimethyl-undeca-2,6,8-trien-4-yn-1-ol;
(E,E,E)-2,2,7-trimethyl-3-methylene-undeca-4,6,8-trienoic acid;
(Z,E,E,E)-2,3,7-trimethyl-undeca-2,4,6,8-tetraenoic acid;
7-Methyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenal;
{5-[1-Methyl-3-(2,6,6-trimethyl-cyclohex-1-enyl)-allylidene]-cyclohept-3-enylidene}-acetaldehyde;
{4-[1-Methyl-3-(2,6,6-trimethyl-cyclohex-1-enyl)-allylidene]-cyclohept-2-enylidene}-acetaldehyde;
3-Bromo-7-methyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenal;
6-Fluoro-7-methyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenal;
7-Methyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-4,6,8-trien-2-ynal;
6,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenal;
3-Methyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenal;
9-(2,6,6-Trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenal;
7-Methyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenal;
{5-[1-Methyl-3-(2,6,6-trimethyl-cyclohex-1-enyl)-allylidene]-cyclohept-3-enylidene}-acetaldehyde;
{4-[1-Methyl-3-(2,6,6-trimethyl-cyclohex-1-enyl)-allylidene]-cyclohept-2-enylidene}-acetaldehyde;

W 096/24344 PCTrUS95/16305 4,8-Dimethyl-10-(2,6,6-trimethyl-cyclohex-1-enyl)-deca-3,5,7,9-tetraen-2-one;
2-Bromo-3,7-dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenal;
2-Fluoro-3,7-dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenal;
3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenoic acid;
3-Methyl-6-(1,1,4,4-tetramethyl-1,4,5,6,7,7a-hexa-hydro-inden-2-ylidene)-hexa-2,4-dienoic acid;
3-Methyl-6-(1,1,4,4-tetramethyl-1,4,5,6,7,7a-hexa-hydro-inden-2-ylidene)-hexa-2,4-dienoic acid;
(E,Z,E,B)-3-tert.-butyl-7-methyl-undec-2,4,6,8-tetraen-l-ol;
3-Methyl-6-(1,1,4,4-tetramethyl-4,5,6,7-tetra-hydro-lH-inden-2-yl)-hexa-3,5-dienoic acid;
3-Methyl-6-(1,1,4,4-tetramethyl-4,5,6,7-tetra-hydro-lH-inden-2-yl)-hexa-3,5-dienoic acid;
3-Methyl-6-(3,3a,7,7-tetramethyl-4,5,6,7-tetra-hydro-3aH-inden-2-yl)-hexa-3,5-dienoic acid;
3-Methyl-6-(3,3a,7,7-tetramethyl-4,5,6,7-tetra-hydro-3aH-inden-2-yl)-hexa-3,5-dienoic acid;
3-Methyl-6-(2,4,4-trimethyl-1-methylene-2,3,4,5,6,7-hexahydro-lH-inden-2-yl)-hexa-2,4-dienoic acid;
2,3,7-trimethyl-9-(2,6,6-trimethyl-cyclohexa-1,3-dienyl)-nona-2,4,6,8-tetraenoic acid;
9-(4-dimethylaminophenyl)-2,3,7-trimethyl-nona-2,4,6,8-tetraenoic acid; and 3-Methyl-6-(2,4,4-trimethyl-1-methylene-2,3,4,5,6,7-hexahydro-lH-inden-2-yl)-hexa-2,4-dienoic acid. ~
Additional retinoids which can be utilized are aryldienoic acids of the general formula ~ I
R ~ COOH (or alkyl) , W 096/24344 PCTrUS95/16305 where Rl is aryl, especially phenyl substituted with further aryl, cycloalkyl, and fused cycloalkylaryl groups.
Preferred retinoids have the formula ~ COOH (or alkyl such as methyl) R~

where Rl, is aryl, cycloalkyl, or polycyclo of the following general formulas:

~ , ~ (c ~~' ~ ~
MeO ' MeO
OH ~
~Y ~ ~ .

MeC

~ ~ MeO

Specific retinoids included within the above general formulas include the following:

W 096/24344 PCT~US95/16305 5-(4-Cycloundecylidenemethyl-phenyl)-3-methyl-penta-2,4-dienoic acid;
5-(4-Bicyclo[2.2.1]hept-2-ylidenemethyl-phenyl)-3-methyl-penta-2,4-dienoic acid;
5-{4-[2-(4-Methoxy-2,3,6-trimethyl-phenyl)-vinyl]-phenyl}-3-methyl-penta-2,4-dienoic acid;
2,4-Pentadienoic acid, 3-methyl-5-(2,3,4,4a-tetra-hydro-4a,10,10-trimethyl-lH-3,9b-methanodibenzofuran-8-yl)-i 3-{4-[2-(4-Methoxy-2,3,6-trimethyl-phenyl)-vinyl]-phenyl}-acrylic acid;
3-{4-[4-(4-Methoxy-2,3,6-trimethyl-phenyl)-2-methyl-buta-1,3-dienyl]-phenyl}-acrylic acid;
3-{4-[2-(1,3-Dimethoxy-5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-vinyl]-phenyl}-acrylic acid;
3-{4-[Hydroxy-(5,5,8,8-tetramethyl-5,6,7,8-tetra-hydro-naphthalen-2-yl)-methyl]-phenyl}-acrylic acid;
3-{4-[(4,4-Dimethyl-thiochroman-6-yl)-hydroxy-methyl]-phenyl}-2-methyl-acrylic acid;
3-[4-(1,2,3,4-Tetrahydro-1,4-methano-naphthalene-6-carbonyl)-phenyl]-acrylic acid;
3-[4-(2,4-Diisopropyl-benzoyl)-phenyl]-2-methyl-acrylic acid;
3-[4-(5,5,8,8-Tetramethyl-5,6,7,8-tetrahydro-naphthalene-2-carbonyl)-phenyl]-acrylic acid;
2-Methyl-3-[4-(5,5,8,8-tetramethyl-5,6,7,8-tetra-hydro-naphthalene-2-carbonyl)-phenyl]-acrylic acid;
2-Methyl-3-[4-(1,1,2,3,3-pentamethyl-indane-5-carbonyl-carbonyl)-phenyl]-acrylic acid;
3-[4-(4-Methoxy-2,5-dimethyl-benzoyl)-phenyl]-2-methyl-acrylic acid;
{2-[3-Methyl-5-(2,6,6-trimethyl-cyclohex-1-enyl)-penta-2,4-dienylidene]-cycloheptylidene}-acetaldehyde;
-W 096/24344 PCT~US95/16305 2-Methyl-3-[3-methyl-5-(2,6,6-trimethyl-cyclohex-1-enyl)-penta-2,4-dienylidene]-cyclopent-1-enecarbaldehyde;
3-Methyl-4-{3-[2-(2,6,6-trimethyl-cyclohex-1-enyl)-vinyl]-cyclohex-2-enylidene}-but-2-enal;
{2-[3-Methyl-5-(2,6,6-trimethyl-cyclohex-1-enyl)-penta-2,4-dienylidene]-cyclohexylidene}-acetaldehyde;
{3-[2-Methyl-4-(2,6,6-trimethyl-cyclohex-1-enyl)-buta-1,3-dienyl]-cyclohex-2-enylidene}-acetaldehyde;
{4-[1-Methyl-3-(2,6,6-trimethyl-cyclohex-1-enyl)-allylidene]-cyclohept-2-enylidene}-acetaldehyde; and {4-[1-Methyl-3-(2,6,6-trimethyl-cyclohex-1-enyl)-allylidene]-cyclopent-2-enylidene}-acetaldehyde.
Still other compounds which are included within the general class of retinoids are retinoidal oxiranes, such as (CH3) n ~

R ~ OOH (or aklyl ester) with preferred oximes having the formula:

(CH3)0 or 1 ~
~ COOH (or aklyl ester) R ~

Typical retinoidal oxiranes include - 4-[3-(4-tert-Butyl-phenyl)-oxiranyl]-benzoic acid;
4-[3-(3-tert-Butyl-phenyl)-oxiranyl]-benzoic acid;
4-[3-(3,4-Diethyl-phenyl)-3-methyl-oxiranyl]-benzoic acid; and CA 02208077 1997-06-lX
W 096124344 PCTrUS95/16305 4-[3-Methyl-3-(5,5,8,8-tetra-methyl-5,6,7,8-tetra-hydro-naph~halen-2-yl)-oxiranyl]-benzoic acid.
Related compounds are diketones, diols, and acetonides of the formula ~ ~ ~OOH (or ester) ~
R ~ OOH (or ester) OH

Rl ~ OOE (or ester) Certain retinoids have a carboxyamide linkage rather than an alkylene or oxidized alkylene. For example, carboxamide retinoids which can be utilized include those of the formula o ~

Rl NH ~ ~ ~OOH (or alkyl es=er) , W 096/24344 PCTrUS95/16305 where R1 is an organic radical and includes groups such as S ~ ~ >cS~

R2 R~ ' ~, ~N~

lS ~ , and ~ .

Typical carboxamide retinoids which can be utilized include 4-benzoylamino-benzoic acid;
4-(3-tert-Butyl-benzoylamino)-benzoic acid;
4-(4-tert-Butyl-benzoylamino)-benzoic acid;
4-(3,5-Di-tert-butyl-benzoylamino)-benzoic acid;
4-(3,4-Diisopropyl-benzoylamino)-benzoic acid;
2 5 4-[(5,5,8,8-Tetramethyl-5,6,7,8-tetrahydro-naphthalene-2-carbonyl)-amino]-benzoic acid;
4-[Methyl-5,5,8,8-tetramethyl-5,6,7,8-tetra-hydro-naphthalene-2-carbonyl)-amino]-benzoic acid;
4-[(4,4-Dimethyl-chroman-7-carbonyl)-amino]-benzoic acid;
4-[(5-Chloro-4,4-dimethyl-chroman-7-carbonyl)-~ amino]-benzoic acid;
4-[(2,3-Dihydro-benzo[~,4]dioxine-6-carbonyl)-amino]-benzoic acid;
4-[(3,3-Dimethyl-3,4-dihydro-2H-benzo[b]-[1,4]dioxepine-7-carbonyl)-amino]-benzoic acid;

W 096/24344 PCT~US95/16305 4-[(5-Methyl-2,3,4,5-tetrahydro-benzo[b]thiepine-8-carbonyl)-amino]-benzoic acid;
4-[(4,4-Dimethyl-thiochroman-7-carbonyl)-amino]-benzoic acid 4-[(Thiochroman-6-carbonyl)-amino]-benzoic acid;
4-[(2,3-Dihydro-benzo[1,4]dithiine-6-carbonyl)-amino]-benzoic acid;
4-[(4,4-Dimethyl-1,1-dioxo-11~6_-thiochroman-7-carbonyl)-amino]-benzoic acid;
4-[(3-Methyl-1,1-dioxo-11~6_-thiochrom~n-6-carbonyl)-amino]-benzoic acid;
4-[(1,4,4-Trimethyl-1,2,3,4-tetrahydro-quinoline-7-carbonyl)-amino]-benzoic acid;
4-[(1-Decyl-4,4-dimethyl-1,2,3,4-tetrahydro-quinoline-7-carbonyl)-amino]-benzoic acid;
4-(3-tert-Butyl-4-methoxy-benzoylamino)-benzoic acid;
4-(3-~m~ntan-1-yl-4-hydroxy-benzoylaminO)-benzoic acid;
4-(3-~m~ntan-l-yl-4-methoxy-benzoylamino) benzoic acid;
4-(3-A~m~ntan-1-yl-4-methoxy-benzoylamino)-2-hydroxy-benzoic acid;
4-(3-A~m~ntan-1-yl-4-hexyloxy-benzoylamino)-benzoic acid;
4-(3-~m~ntan-1-yl-4-decyloxy-benzoylamino)-benzoic acid;
4-[3-(1,1-Dimethyl-decyl)-4-methoxy-benzoylamino]-benzoic acid;
N-Phenyl-terephthalamic acid;
N-m-Tolyl-terephthalamic acid;
N-(3-Ethyl-phenyl)-tereph~halamic acid;
N-(3-Isopropyl-phenyl)-terephthalamic acid;
N-(4-Isopropyl-phenyl)-terephthalamic acid;
N-(3-tert-Butyl-phenyl)-terephthalamic acid;
N-(4-tert-Butyl-phenyl)-terephthalamic acid;

W O 96/24344 PCTrUS95/16305 N-(3-Cyclohexyl-phenyl)-terephthalamic acid;
N-Biphenyl-3-yl-terephthalamic acid;
N-(3-Bromo-phenyl)-terephthalamic acid;
N-(3-Dimethylamino-phenyl)-terephthalamic acid;
N-(3-Trifluoromethyl-phenyl)-terephthalamic acid;
N-(3,4-Diethyl-phenyl)-terephthalamic acid;
N-(2-Isopropyl-phenyl)-terephthalamic acid;
N-(2,4-Diisopropyl-phenyl)-terephthalamic acid;
N-(2,5-Diisopropyl-phenyl)-terephthalamic acidi N-(2,6-Diisopropyl-phenyl)-terephthalamic acid;
N-(3,4-Diisopropyl-phenyl)-terephthalamic acid;
N-(3,5-Diisopropyl-phenyl)-terephthalamic acidi N-(2,4-Di-tert-butyl-phenyl)-terephthalamic acid;
N-(3,5-Di-tert-butyl-phenyl)-terephthalamic acid;
N-(3,4-Dichloro-phenyl)-terephthalamic acid;
N-(5,6,7,8-Tetrahydro-naphthalen-l-yl)-tereph-thalamic acid;
N-(5,6,7,8-Tetrahydro-naphthalen-2-yl)-tereph-thalamic acid;
N-(5,5,8,8-Tetramethyl-5,6,7,8-tetrahydro-naph-thalen-l-yl)-terephthalamic acid;
N-(5,5,8,8-Tetramethyl-5,6,7,8-tetrahydro-naph-thalen-2-yl)-terephthalamic acid;
N-(3,5,5,8,8-Pentamethyl-5,6,7,8-tetrahydro-naph-thalen-2-yl)-terephthalamic acid;
N-Methyl-N-(5,5,8,8-tetramethyl-5,6,7,8-tetra-hydro-naphthalen-2-yl)-terephthalamic acid;
N-Isopropyl-N-(5,5,8,8-tetramethyl-5,6,7,8-tetra-hydro-naphthalen-2-yl)-terephthalamic acid; and N-(3-Bromo-5,5,8,8-tetramethyl-5~6,7,8-tetrahydro-naphthalen-2-yl)-terephthalamic acid.
- Retinoids similar to the carboxamides are carboxy esters such as Rl O ~ ;(O~H (or ester) W O 96/24344 PCTrUS95/16305 and Rl S ~ COOH (or ester) for example, where Rl includes ~ , ~ and As noted before, any of these groups can be substituted in the ring system by R2 and R2 , as well as by other art-recognized substituent groups.
Typical (aroyloxy) benzoic acids and thio acids which can be utilized include Benzoic acid, 3,5-bis(1,1-dimethylethyl)-4-hydroxy-, carboxyphenyl ester;
Benzoic acid, 4-ethyl-3-(tricyclo[3.3.1.13~7]dec-1-yl)-, 4-carboxyphenyl ester;
Benzoic acid, 4-ethenyl-3-(tricyclo[3.3.1.13~7]-dec-1-yl)-, 4-carboxyphenyl ester;
Benzoic acid, 4-methoxy-3-(tricyclo[3.3.1.13~7]-dec-1-yl)-, 4-carboxyphenyl ester;
Benzoic acid, 4-methoxy-3-(tricyclo[3.3.1.13' 7]-dec-1-yl)-, 4-carboxy-3-methylphenyl ester;
Benzoic acid, 4-methoxy-3-(tricyclo[3.3.1.13'7]-dec-1-yl)-, 4-carboxy-2-(hydroxymethyl)phenyl ester;
4-(4-~m~ntan-1-yl-3-methoxy-benzoyloxy)-isophthalic acid;
Benzoic acid, 4-methoxy-3-(tricyclo[3.3.1.13'7]-dec-1-yl)-, 4-carboxy-3-hydroxyphenyl esteri Benzoic acid, 2,4-dimethoxy-5-(tricyclo-[3.3.1.13' 7] dec-1-yl)-, 4-carboxyphenyl ester;
Benzoic acid, 4-methoxy-3-(tricyclo[3.3.1.13~ 7]-dec-1-yl)-, 4-carboxy-2-methoxyphenyl ester;
5 , Benzoic acid, 4-methoxy-3-(tricyclo[3.3.1.13~7]-dec-1-yl)-, 4-carboxy-3-methoxyphenyl ester;
Benzoic acid, 2-fluoro-4-methoxy-5-(tricyclo-[3.3.1.13~7]dec-1-yl)-, 4-carboxyphenyl ester;
Benzoic acid, 4-methoxy-3-(tricyclo[3.3.1.13~7]-dec-1-yl)-, 4-carboxy-3-fluorophenyl ester;
Benzoic acid, 4-(2-propenyloxy)-3-(tricyclo-[3.3.1.13~7]dec-1-yl)-, 4-carboxyphenyl ester;
Benzoic acid, 4-(acetyloxy)-3-(tricyclo-[3.3.1.13~7]dec-1-yl)-, 4-carboxyphenyl ester;
Benzoic acid, 4-(2-methoxy-2-oxoethoxy)-3-(tricyclo[3.3.1.13~7]dec-1-yl)-, 4-carboxyphenyl ester;
Benzoic acid, 4-~2-(phenylmethoxy)-2-oxoethoxy]-3-(tricyclo[3.3.1.13~7]dec-1-yl)-, 4-carboxyphenyl ester;
Benzoic acid, 4-(methylsulfonyl)-3-(tricyclo-[3.3.1.13~7]dec-1-yl)-, 4-carboxyphenyl ester;
4,4-Dimethyl-chroman-6-carboxylic acid;
4-ethoxycarbonyl-phenyl ester;
2,2,4,4-Tetramethyl-chroman-6-carboxylic acid;
4-ethoxycarbonyl-phenyl ester;
2,2,4,4,7-Pentamethyl-chroman-6-carboxylic acid 4-ethoxycarbonyl-phenyl ester;
4,4,7-Trimethyl-thiochroman-6-carboxylic acid;
4-ethoxycarbonyl-phenyl ester;
2,2,4,4-Tetramethyl-thiochroman-6-carboxylic acid;
4-ethoxycarbonyl-phenyl ester;
4-(5,5,8,8-Tetramethyl-5,6,7,8-tetrahydro-naph-thalene-2-carbonylsulfanyl)-benzoic acid;
4-(3-Isopropyl-4-methoxy-benzoylsulfanyl)-benzoic acid;
4-(3-Isopropylsulfanyl-4-methyl-benzoylsulfanyl)-benzoic acid;

W O 96/24344 PCT~US95116305 4-(3-~m~ntan-1-yl-benzoylsulfanyl)-benzoiC acid;
4-(s-~A~m~ntan-l-yl-2-fluoro-4-methoxy-ben sulfanyl)-benzoic acid;
4-(s-~m~ntan-l-yl-4-methoxy-2-methyl-ben sulfanyl)-benzoic acid;
4-(3-~m~ntan-1-yl-4-allyloxy-benzoylsulfanyl)-benzoic acid;
4-(3-~m~ntan-l-yl-4-methylsulfanyl-ben sulfanyl)-benzoic acid; and 4- (3, 5-Bis-trifluoromethyl-benzoylsulfanyl)-benzoic acid.
Other benzoic acid derivatives which are retinoids and which can be utilized to lower Lp(a) according to this invention include (arylmethyl)amino benzoic acid, for example, compounds of the formulas Aryl N ~ Aryl ~ COOH

where aryl is an aromatic radical such as phenyl, naphthyl, thienyl, or the like, optionally substituted with from 1 to 5 substituents such as alkyl, alkenyl, alkynyl, halo, nitro, amino, mono- or dialkylamino, hydroxy, and the like, and R3 and R4 are hydrogen, alkyl, alkenyl, alkynyl, or the like.
Typical aryl methylamino benzoic acid retinoids from this class include 4-(4-tert-Butyl-benzylamino)-benzoic acid;
4-( 3, 5-Di-tert-butyl-4-hydroxy-benzylamino)-benzoic acid;
4-(4-tert-Butoxy-3-methoxy-benzylamino)-benzoic acid;
4-[4-(1-Methoxy-1-methyl-ethyl)-benzylamino]-benzoic acid;
-W096/24344 PCT~S95116305 4-[(5,5,8,8-Tetramethyl-5,6,7,8-tetrahydro-naph-thalen-2-ylmethyl)-amino]-benzoic acid;
4-[(3-Fluoro-5,5,8,8-tetramethyl-5,6,7,8-tetra-hydro-naphthalen-2-ylmethyl)-amino]-benzoic acid;
4-[(3-Methoxy-5,5,8,8-tetramethyl-5,6,7,8-tetra-hydro-naphthalen-2-ylmethyl)-amino]-benzoic acid;
4-[(1,3-Dimethoxy-5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-ylmethyl)-amino]-benzoic acid;
4-[(1-Butoxy-3,5,5,8,8-pentamethyl-5,6,7,8-tetra-hydro-naphthalen-2-ylmethyl)-amino]-benzoic acid;
4-[(5,5,8,8-Tetramethyl-5,8-dihydro-naphthalen-2-ylmethyl)-amino]-benzoic acid;
4-~(5,5,8,8-Tetramethyl-7-oxo-5,6,7,8-tetrahydro-naphthalen-2-ylmethyl)-amino]-benzoic acid;
4-[(7-Hydroxy-5,5,8,8-tetramethyl-5,6,7,8-tetra-hydro-naphthalen-2-ylmethyl)-amino]-benzoic acid;
4-[1-(7-Hydroxy-5,5,8,8-tetramethyl-5,6,7,8-tetra-hydro-naphthalen-2-yl)-ethylamino]-benzoic acid;
4-[Methyl-(5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-ylmethyl)-amino]-benzoic acid;
4-[Acetyl-(5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-ylmethyl)-amino]-benzoic acid;
4-[(5-tert-Butyl-2-methyl-phenylamino)-methyl]-benzoic acid;
4-~(3,5-Di-tert-butyl-phenylamino)-methyl]-benzoic acid;
4-[(4-tert-Butyl-2,6-dimethyl-phenylamino)-methyl]-benzoic acid;
4-[(1,1,2,3,3-Pentamethyl-indan-5-ylamino)-methyl]-benzoic acid;
4-[1-(5,5,8,8-Tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-ylamino)-ethyl]-benzoic acid;
4-[(1,4-Dichloro-5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-ylamino)-methyl]-benzoic acid;

W 096/24344 PCTrUS95/1630 4-[(1,4-Dimethoxy-5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-ylamino)-methyl]-benzoic acid;
and 4-{[Acetyl-(1,4-dimethoxy-5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-amino]-methyl}-benzoic acid.
Another preferred group of retinoids that are effective in lowering Lp(a) include (aryloxy)methyl benzoic acid of the formulas A 1~~ ~ and ~ ~ COOH

Typical members of this class include 4-(4-tert-Butyl-phenoxymethyl)-benzoic acid;
4-(3-tert-Butyl-phenoxymethyl)-be~zoic acid;
4-[4-(1,1-Dimethyl-propyl)-phenoxymethyl]-benzoic acid;
4-(2-tert-Butyl-4-methyl-phenoxymethyl)-benzoic acid;
4-(4-tert-Butyl-2-methyl-phenoxymethyl)-benzoic 25 acid;
4-(2,4-Di-tert-butyl-phenoxymethyl)-benzoic acid;
4-(2,6-Di-tert-butyl-phenoxymethyl)-benzoic acid;
4-(2,5-Di-tert-butyl-phenoxymethyl)-benzoic acid;
4-(3,5-Di-tert-butyl-phenoxymethyl)-benzoic acid;
4-(2-sec-Butyl-4-tert-butyl-phenoxymethyl)-benzoic acid;
4-(2,4-Di-tert-butyl-5-methyl-phenoxymethyl)-benzoic acid; ' 4-(2,4,6-Tri-tert-butyl-phenoxymethyl)-benzoic acid;

W 096/24344 PCTrUS95/16305 4-( 3, 5-Di-tert-butyl-2-hydroxy-phenoxymethyl)-benzoic acid;
4-(5,5,8,8-Tetramethyl-3-nitro-5,6, 7, 8-tetrahydro-naphthalen-2-yloxymethyl)-benzoic acid;
54-(1,4-Dihydroxy-5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yloxymethyl)-benzoic acid;
4-(1,4-Diacetoxy-5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yloxymethyl)-benzoic acid;
4-(2,2,5,7,8-Pentamethyl-chroman-6-yloxymethyl)-10benzoic acid;
4-[2-(2-Hydroxy-ethyl)-2,5,7,8-tetramethyl-chroman-6-yloxymethyl]-benzoic acid; and 4-[2-(2-Acetoxy-ethyl)-2,5,7,8-tetramethyl-chroman-6-yloxymethyl]-benzoic acid.
15Similar compounds which have sulfur in the linkage instead of oxygen include the following 4-(4-tert-Butyl-phenylsulfanylmethyl)-benzoic acid;
4-(4-tert-Butyl-2-methyl-phenylsulfanylmethyl)-20benzoic acidi 4-(4-tert-Butyl-2-methyl-phenylsulfanylmethyl)-benzoic acid;
4-(4-tert-Butyl-2-methyl-phenylsulfanylmethyl)-benzoic acid;
254-(4-tert-Butyl-2-methyl-phenylsulfanylmethyl)-benzoic acid; and 4-(4-tert-Butyl-2-methyl-phenylsulfanylmethyl)-benzoic acid.
~ike the carboxamides and esters, some retinoids 30have more than one nitrogen in the linking chain, for example, there are arylazobenzoic acids such as ~ COOH
.' ' . I
, N~ ~ 2 ~2 W O 96/24344 PCTrUS95/16305 and hydrazone-bridge benzoic acids such as R ~ N ~ COOH

Typical members of this class include 4-(3,4-Diethyl-phenylazo)-benzoic acid;
4-(2-Isopropyl-phenylazo)-benzoic acid;
4-(3-Isopropyl-phenylazo)-benzoic acid;
4-(4-Isopropyl-phenylazo)-benzoic acid;
4-(2,4-Diisopropyl-phenylazo)-benzoic acid;
4-(2,6-Diisopropyl-phenylazo)-benzoic acid;
4-(3,4-Diisopropyl-phenylazo)-benzoic acid;
4-(3,5-Diisopropyl-phenylazo)-benzoic acid;
4-(3-tert-Butyl-phenylazo)-benzoic acid;
4-(3-Cyclohexyl-phenylazo)-benzoic acid;
4-(Biphenyl-3-ylazo)-benzoic acid;
4-(4,4-Dimethyl-thiochroman-6-ylazo)-benzoic acid;
4-[2-Hydroxy-2-(5,5,8,8-tetramethyl-5,6, 7, 8- tetra-hydro-naphthalen-2-yl)-ethylamino]-benzoic acid;
4-[2-Hydroxy-2-(5,5,8,8-tetramethyl-5,6, 7, 8- tetra-hydro-naphthalen-2-yl)-ethylsulfanyl]-benzoic acid;
4-[2-Hydroxy-2-(5,5,8,8-tetramethyl-5,6, 7, 8- tetra-hydro-naphthalen-2-yl)-ethoxy]-benzoic acid;
4-[N'-(5,5,8,8-Tetramethyl-5,6, 7, 8-tetrahydro-naphthalen-2-ylmethylene)-hydrazino]-benzoic acid; and 4-{N'-[Cyclopropyl-(1,1,2,3,3-pentamethyl-indan-5-yl)-methylene]-hydrazino}-benzoic acid.
A particular preferred class of retinoid compounds to be utilized to lower Lp(a) according to this invention include polyenoic acids and esters such as 1 l Aryl ~ COOH (ester) W 096124344 PCTrUS95116305 where aryl is an unsubstituted or substituted aromatic or cyclic radical such as phenyl, naphthyl, piperidyl, morpholinyl, or the like, and ester is preferably an alkyl group such as methyl, ethyl, isobutyl, or the like. Typical polyenoic retinoids include the following 3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenoic acid methyl ester;
3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenoic acid 2-{2-[2-(2-hydroxy-ethoxy)-ethoxy]-ethoxy}-ethyl esteri 3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenoic acid 2-{2-[2-(2-hydroxy-ethoxy)-ethoxy]-ethoxy}-ethyl esteri 3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenoic acid 2-(2-oxo-pyrrolidin-1-yl)-ethyl ester;
3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenoic acid 2-(2-oxo-pyrrolidin-1-yl)-ethyl ester;
9-(4-Methoxy-2,3,6-trimethyl-phenyl)-3,7-dimethyl-nona-2,4,6,8-tetraenoic acid 2-{2-[2-(2-hydroxy-ethoxy)-ethoxy]-ethoxy}-ethyl esteri 9-(4-Methoxy-2,3,6-trimethyl-phenyl)-3,7-dimethyl-nona-2,4,6,8-tetraenoic acid 2-piperidin-1-yl-ethyl ester;
9-(4-Methoxy-2,3,6-trimethyl-phenyl)-3,7-dimethyl-nona-2,4,6,8-tetraenoic acid 2-morpholin-4-yl-ethyl ester;
9-(4-Methoxy-2,3,6-trimethyl-phenyl)-3,7-dimethyl-nona-2,4,6,8-tetraenoic acid 2-piperidin-1-yl-ethyl ~ ester;
. 9-(4-Methoxy-2,3,6-trimethyl-phenyl)-3,7-dimethyl-~ nona-2,4,6,8-tetraenoic acid 2-(2,5-dioxo-pyrrolidin-1-yl)-ethyl esteri W096/24344 PCT~S95/16305 9-(4-Methoxy-2,3,6-trimethyl-phenyl)-3,7-dimethyl-nona-2,4,6,8-tetraenoic acid 2-(2,6-dioxo-cyclohexyl)-ethyl ester;
9-(4-Methoxy-2,3,6-trimethyl-phenyl)-3,7-dimethyl-nona-2,4,6,8-tetraenoic acid 2-methanesulfonyl-ethyl ester;
9-(4-Methoxy-2,3,6-trimethyl-phenyl)-3,7-dimethyl-nona-2,4,6,8-tetraenoic acid methoxycarbonylmethyl ester;
9-(4-Methoxy-2,3,6-trimethyl-phenyl)-3,7-dimethyl-nona-2,4,6,8-tetraenoic acid tert-butoxycarbonylmethyl ester;
9-(4-Methoxy-2,3,6-trimethyl-phenyl)-3,7-dimethyl-nona-2,4,6,8-tetraenoic acid phenoxycarbonylmethyl ester;
9-(4-Methoxy-2,3,6-trimethyl-phenyl)-3,7-dimethyl-nona-2,4,6,8-tetraenoic acid 2-acetoxy-phenoxycarbonyl-methyl ester;
9-(4-Methoxy-2,3,6-trimethyl-phenyl)-3,7-dimethyl-nona-2,4,6,8-tetraenoic acid styryloxycarbonylmethyl ester;
9-(4-Methoxy-2,3,6-trimethyl-phenyl)-3,7-dimethyl-nona-2,4,6,8-tetraenoic acid 2-(4-methoxy-phenyl)-vinyloxycarbonylmethyl ester;
9-(4-Methoxy-2,3,6-trimethyl-phenyl)-3,7-dimethyl-nona-2,4,6,8-tetraenoic acid 2-(benzoyl-carbonyl)-5-methoxy-phenoxymethoxycarbonyl-methyl ester;
9-(4-Methoxy-2,3,6-trimethyl-phenyl)-3,7-dimethyl-nona-2,4,6,8-tetraenoic acid l-phenoxycarbonyl-ethyl ester;
9-(4-Methoxy-2,3,6-trimethyl-phenyl)-3,7-dimethyl-nona-2,4,6,8-tetraenoic acid l-ethoxycarbonyloxy-ethyl ester;
3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenoic acid 2-butoxy-4-dimethylamino-6-methyl-tetrahydro-pyran-3-yl ester;

CA 02208077 l997-06-l8 W 096/24344 PCTtUS95tl6305 3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2, 4, 6,8-tetraenoic acid 2-butoxy-4-dimethylamino-6-methyl-tetrahydro-pyran-3-yl ester;
3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenoic acid 2-butoxy-4-dimethylamino-6-methyl-tetrahydro-pyran-3-yl ester;
3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2, 4, 6,8-tetraenoic acid 4-dimethylamino-6-methyl-2-(2-octyl-hexadecyloxy)-tetrahydro-pyran-3-yl ester;
9-(4-Methoxy-2,5,6-trimethyl-cyclohex-1-enyl)-3,7-dimethyl-nona-2,4,6,8-tetraenoic acid 2-butoxy-4-dimethylamino-6-methyl-tetrahydro-pyran-3-yl ester;
9-(4-Methoxy-2,5,6-trimethyl-cyclohex-1-enyl)-3,7-dimethyl-nona-2,4,6,8-tetraenoic acid 2-butoxy-4-dimethylamino-6-methyl-tetrahydro-pyran-3-yl ester;
and 9-(4-Methoxy-2,5,6-trimethyl-cyclohex-1-enyl)-3,7-dimethyl-nona-2,4,6,8-tetraenoic acid 2-butoxy-4-dimethylamino-6-methyl-tetrahydro-pyran-3-yl ester.
In addition to retinoic acids and esters, the method of this invention can be practiced with retinoid amides, for example, any of the foregoing compounds in an amide form, eg, the general formula R ~ CONR3R4 where R3 and R4 independently and hydrogen, C1-C6 alkyl, phenyl, or R2R2 substituted or disubstituted - phenyl, or taken together with the nitrogen to which they are attached, R3 and R4 complete a ring which can have 1 or 2 heteroatoms, such as oxygen, sulfur, or nitrogen. Typical retinoids of this type include W 096/24344 PCTrUS95/1630S

Rl~ ~2 R2 R, ~ \~,J~,CO~

/~ ~250N~J

~ CONH ~ F' COOH
~ ~ CONH

~ H
O

RI~LCON N--~CH2) nOH

R 1 NH ~ C~NR3R~

W O 96/24344 PCT~US95/16305 Examples of specific retinoids having the above structures include the following 4-[4-(2,6,6-Trimethyl-cyclohex-1-enyl)-but-3-en-1-ynyl]-benzamide;
3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenoic acid amide;
[6-(3-~m~ntan-1-yl-4-methoxy-phenyl)-naphthalen-2-yl]-morpholin-4-yl-methanone;
N-(3,5-Bis-trifluoromethyl-phenyl)-4-(5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalene-2-carbonyl)-ben ~m; de;
N-(4-Hydroxy-phenyl)-4-[2-(S,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-vinyl]-benzamide;
N-(3,5-Bis-trifluoromethyl-phenyl)-4-(5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalene-2-carbonyl)-benzamide;
[3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenoylamino]-acetic acid;
[3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenoylamino]-acetic acid methyl ester;
2-[3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenoylamino]-4-methyl-pentanoic acid;
2-[3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenoylamino]-3-phenyl-propionic acid;
2-[3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenoylamino]-3-(4-hydroxy-phenyl)-propionic acid;
2-[3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenoylamino]-pentanedioic acid;
[3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenoylamino]-acetic acid;
2-[3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenoylamino]-propionic acid;

W 096/24344 PCTrUS95/16305 2-[3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenoylamino]-4-methyl-pentanoic acid;
2-[3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenoylamino]-3-phenyl-propionic acid;
4-[3,7-Dimethyl-9-(3,3,6,6-tetramethyl-cyclohex-1-enyl)-nona-2,4,6-trien-8-ynoylamino]-benzoic acid;
2-[3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenoyl]-benzo[d]isothiazol-3-one;
4-[2-(8,8-Dimethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-propenyl]-N-(lH-tetrazol-5-yl)-b~n ~m; de;
[3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenoylamino]-acetic acid;
4-Methyl-7-(5,5,8,8-tetramethyl-5,6,7,8-tetra-hydro-naphthalen-2-yl)-octa-2,4,6-trienoic acid ethylamide;
{4-[4-(2-Hydroxy-ethyl)-piperazine-1-carbonyl]-phenyl}-(5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-methanone;
6-(5,5,8,8-Tetramethyl-5,6,7,8-tetrahydro-naph-thalene-2-carbonyl)-naphthalene-2-carboxylic acid;
[2-(2-hydroxy-ethoxy)-ethyl]-amide;
6-(5,5,8,8-Tetramethyl-5,6,7,8-tetrahydro-naph-thalene-2-carbonyl)-naphthalene-2-carboxylic acid (4-hydroxy-phenyl)-amide;
4-Methylsulfanyl-2-{[6-(5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalene-2-carbonyl)-naphthalene-2-carbonyl]-amino}-butyric acid;
s-(4-~A~m~ntan-2-ylideneme~hyl-phenyl)-3-methyl-penta-2,4-dienoic acid (2-ethyl-hexyl)-amide;
2-[5-(4-~m~ntan-2-ylidenemethyl-phenyl)-3-methyl-penta-2,4-dienoylamino]-4-methylsulfanyl-butyric acid ethyl ester;

W O 96124344 PCTtUS9Stl6305 4-[2-(1,3-Dimethoxy-5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-vinyl]-N-(2-hydroxy-ethyl)-benzamide;
N-Butyl-2-(5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalene-2-carbonyl)-benzamide;
N-(2-Hydroxy-ethyl)-2-(5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalene-2-carbonyl)-benzamide;
and {2-[4-(2-Hydroxy-ethyl)-piperazine-1-carbonyl-carbonyl]-phenyl}-( 5,5, 8,8-tetramethyl- 5, 6,7,8-tetra-hydro-naphthalen-2-yl)-methanone.
An especially preferred group of retinoids for lowering Lp(a) are ~m~ntyl substituted benzamides which can be prepared by reacting a compound such as 3-adamantan-1-yl-4-methoxy-benzoyl chloride with a 4-aminobenzamide according to the following sequence .h~ "cocl R2N~CONR,~, .h~,5' 1 -~CONRIR, where R1 and R2 can be organic radicals such as C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C6 cycloalkyl, and the like, or together with the nitrogen form a cyclic ring such as pyrrolidine or the like.
Typical amino benzamide starting materials include 4-Amino-N-tert-butyl-benzamide;
4-Amino-N-phenyl-benzamide;
4-Amino-N-benzyl-benzamide;
4-Amino-N-(2-hydroxy-ethyl)-benzamide;
(4-Amino-phenyl)-pyrrolidin-1-yl-methanone;
(4-Amino-phenyl)-piperidin-1-yl-methanone; and (4-Amino-phenyl)-morpholin-4-yl-methanone.
Typical retinoids prepared as described above include W 096/24344 PCTrUS95/1630 Benzamide, N-[4-[[(1,1-dimethylethyl)amino]-carbonyl]phenyl]-4-methoxy-3-(tricyclo[3.3.1.13~7]dec-l-yl~ -;
Benzamide, N-[4-[(phenylamino)carbonyl]phenyl]-4-methoxy-3-(tricyclo[3.3.1.13~7]dec-1-yl)-;
Benzamide, N-[4-[[(phenylmethyl)amino]carbonyl]-phenyl]-4-methoxy-3-(tricyclo[3.3.1.13~7]dec-1-yl)-;
Benzamide, N-[4-[[(2-hydroxyethyl)amino]carbonyl]-phenyl]-4-methoxy-3-(tricyclo[3.3.1.13~7]dec-l-yl)-;
3-~m~ntan-1-yl-4-methoxy-N-[4-(pyrrolidine-1-carbonyl-carbonyl)-phenyl]-benzamide;
3-~m~ntan-1-yl-4-methoxy-N-[4-(piperidine-1-carbonyl-carbonyl)-phenyl]-benzamide; and 3-~m~ntan-1-yl-4-methoxy-N-[4-(morpholine-4-carbonyl-carbonyl)-phenyl]-benzamide.
The following specific retinoids are also useful in the method of this invention:
4-[3-(4-tert-Butyl-phenyl)-oxiranyl]-benzoic acid;
4-[3-(3-tert-Butyl-phenyl)-oxiranyl]-benzoic acid;
4-[3-(3,4-Diethyl-phenyl)-3-methyl-oxiranyl]-benzoic acid;
4-[3-Methyl-3-(5,5,8,8-tetramethyl-5,6,7,8-tetra-hydro-naphthalen-2-yl)-oxiranyl]-benzoic acid;
4-Benzoylamino-benzoic acidi 4-(3-tert-Butyl-benzoylamino)-benzoic acid;
4-(4-tert-Butyl-benzoylamino)-benzoic acid;
4-(3,5-Di-tert-butyl-benzoylamino)-benzoic acid;
4-(3,4-Diisopropyl-benzoylamino)-benzoic acid;
4-[(5,5,8,8-Tetramethyl-5,6,7,8-tetrahydro-naphthalene-2-carbonyl)-amino]-benzoic acid;
4-[Methyl-(5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalene-2-carbonyl)-amino]-benzoic acid;
4-[(4,4-Dimethyl-chroman-7-carbonyl)-amino]-benzoic acid;
4-[(5-Chloro-4,4-dimethyl-chroman-i-carbonyl)-amino]-benzoic acid;

W 096/2434~ PCT/US95116305 4-[(2,3-Dihydro-benzo[1,4]dioxine-6-carbonyl)-amino]-benzoic acid;
4-[(3,3-Dimethyl-3,4-dihydro-2H-benzo[b][1,4]-dioxepine-7-carbonyl)-amino]-benzoic acid;
4-[(5-Methyl-2,3,4,5-tetrahydro-benzo[b]thiepine-8-carbonyl)-amino]-benzoic acid;
4-[(4,4-Dimethyl-thiochroman-7-carbonyl)-amino]-benzoic acid;
4-[(Thiochroman-6-carbonyl)-amino]-benzoic acid;
4-[(2,3-Dihydro-benzo[1,4]dithiine-6-carbonyl)-amino]-benzoic acid;
4-[(4,4-Dimethyl-1,1-dioxo-11~6_-thiochroman-7-carbonyl)-amino]-benzoic acid;
' 4-[(3-Methyl-1,1-dioxo-11>6_-thiochroman-6-carbonyl)-amino]-benzoic acid;
4-[(1,4,4-Trimethyl-1,2,3,4-tetrahydro-quinoline-7-carbonyl)-amino]-benzoic acid;
4-[(1-Decyl-4,4-dimethyl-1,2,3,4-tetrahydro-quinoline-7-carbonyl)-amino]-benzoic acid;
4-(3-tert-Butyl-4-methoxy-benzoylamino)-benzoic acid;
4-(3-~A~m~ntan-1-yl-4-hydroxy-benzoylaminO)-benzoic acid;
4-(3-~A~m~ntan-1-yl-4-methoxy-benzoylaminO)-benzoic acid;
4-(3-~m~ntan-1-yl-4-methoxy-benzoylamino)-2-hydroxy-benzoic acid;
4-(3-~m~ntan-l-yl-4-hexyloxy-benzoylamino) benzoic acid;
4-(3-AA~m~ntan-1-yl-4-decyloxy-benzoylamino)-benzoic acid;
IUPAC: 4-[3-(1,1-Dimethyl-decyl)-4-methoxy-benzoylamino]-benzoic;
. acid;
N-Phenyl-terephthalamic acid;
N-m-Tolyl-terephthalamic acid;

W O 96/24344 PCTrUS95/16305 N-(3-Bthyl-phenyl)-terephthalamic acid;
N-(3-Isopropyl-phenyl)-terephthalamic acid;
N-(4-Isopropyl-phenyl)-terephthalamic acid;
N-(3-tert-Butyl-phenyl)-terephthalamic acid;
N-(4-tert-Butyl-phenyl)-terephthalamic acidi N-(3-Cyclohexyl-phenyl)-terephthalamic acid;
N-Biphenyl-3-yl-terephthalamic acid;
N-(3-Bromo-phenyl)-terephthalamic acid;
N-(3-Dimethylamino-phenyl)-terephthalamic acid;
N-(3-Trifluoromethyl-phenyl)-terephthalamic acid;
N-(3,4-Diethyl-phenyl)-terephthalamic acid;
N-(2-Isopropyl-phenyl)-terephthalamic acid;
N-(2,4-Diisopropyl-phenyl)-terephthalamic acid;
N-(2,5-Diisopropyl-phenyl)-terephthalamic acid;
N-(2,6-DIIsopropyl-phenyl)-terephthalamic acid;
N-(3,4-Diisopropyl-phenyl)-terephthalamic acid;
N-(3,5-Diisopropyl-phenyl)-terephthalamic acid;
N-(2,4-Di-tert-butyl-phenyl)-terephthalamic acid;
N-(3,5-Di-tert-butyl-phenyl)-terephthalamic acid;
N-(3,4-Dichloro-phenyl)-terephthalamic acidi N-(5,6,7,8-Tetrahydro-naphthalen-1-yl)-terephthalamic acid;
N-(5,6,7,8-Tetrahydro-naphthalen-2-yl)-terephthalamic acid;
N-(5,5,8,8-Tetramethyl-5,6,7,8-tetrahydro-naphthalen-1-yl)-terephthalamic acid;
N-(5,5,8,8-Tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-terephthalamic acid;
N-(3,5,5,8,8-Pentamethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-terephthalamic acid;
N-Methyl-N-(5,5,8,8-tetramethyl-5,6,7,8-tetra-hydro-naphthalen-2-yl)-terephthalamic acid;
N-Isopropyl-N-(5,5,8,8-tetramethyl-5 r 6,7,8-tetra-hydro-naphthalen-2-yl)-terephthalamic acid;
N-(3-Bromo-5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-terephthalamic acid;

CA 02208077 l997-06-l8 W 096/24344 PCT~US9SI16305 N-(3-Amino-5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-terephthalamic acid;
N-(5,5,8,8-Tetramethyl-3-nitro-5,6,7,8-tetrahydro-naphthalen-2-yl)-terephthalamic acid;
N-(4,4-Dimethyl-chroman-6-yl)-terephthalamic acid;
N-(4,4-Dimethyl-thiochroman-6-yl)-terephthalamic acid;
Benzoic acid, 3,5-bis(1,1-dimethylethyl)-4-hydroxy-, carboxyphenyl ester;
Benzoic acid, 4-ethyl-3-(tricyclo[3.3.1. 13'7] dec-1-yl)-, 4-carboxyphenyl ester;
Benzoic acid, 4-ethenyl-3-(tricyclo[3.3 .1.13'7]-dec-1-yl)-, 4-carboxyphenyl ester;
Benzoic acid, 4-methoxy-3-(tricyclo[3.3.1.13'7]-dec-1-yl)-, 4-carboxyphenyl ester;
Benzoic acid, 4-methoxy-3-(tricyclo[3.3 .1.13'7]-dec-1-yl)-, 4-carboxy-3-methylphenyl ester;
Benzoic acid, 4-methoxy-3-(tricyclo[3.3.1.13~7]-dec-1-yl)-, 4-carboxy-2-(hydroxymethyl)phenyl ester;
4-(4-~m~ntan-l-yl-3-methoxy-benzoyloxy) isophthalic acid;
Benzoic acid, 4-methoxy-3-(tricyclo[3.3 .1.13~7]-dec-1-yl)-, 4-carboxy-3-hydroxyphenyl ester;
Benzoic acid, 2,4-dimethoxy-5-(tricyclo-[3.3.1. 13'7] dec-1-yl)-, 4-carboxyphenyl ester;
Benzoic acid, 4-methoxy-3-(tricyclo[3.3.1.13'7]-dec-1-yl)-, 4-carboxy-2-methoxyphenyl ester;
Benzoic acid, 4-methoxy-3-(tricyclo[3.3.1.13~7]-dec-1-yl)-, 4-carboxy-3-methoxyphenyl ester;
Benzoic acid, 2-fluoro-4-methoxy-5-(tricyclo-[3.3.1. 13'7] dec-1-yl)-, 4-carboxyphenyl ester;
Benzoic acid, 4-methoxy-3-(tricyclo[3.3 .1.13~7]-dec-1-yl)-, 4-carboxy-3-fluorophenyl ester;
Benzoic acid, 4-(2-propenyloxy)-3-(tricyclo-[3.3.1. 13'7] dec-1-yl)-, 4-carboxyphenyl ester;

W 096/24344 PCTrUS95/16305 Benzoic acid, 4-(acetyloxy)-3-(tricyclo-[3.3.1.13~ 7] dec-1-yl)-, 4-carboxyphenyl ester;
Benzoic acid, 4-(2-methoxy-2-oxoethoxy)-3-(tricyclo[3.3.1.13~7]dec-1-yl)-, 4-carboxyphenyl ester;
Benzoic acid, 4-[2-(phenylmethoxy)-2-oxoethoxy]-3-(tricyclo[3.3.1.13~ 7] dec-1-yl)-, 4-carboxyphenyl ester;
Benzoic acid, 4-(methylsulfonyl)-3-(tricyclo-[3.3.1.13~ 7] dec-1-yl)-, 4-carboxyphenyl ester;
4,4-Dimethyl-chroman-6-carboxylic acid 4-ethoxycarbonyl-phenyl ester;
2,2,4,4-Tetramethyl-chroman-6-carboxylic acid 4-ethoxycarbonyl-phenyl ester;
2,2,4,4,7-Pentamethyl-chroman-6-carboxylic acid 4-ethoxycarbonyl-phenyl ester;
4,4,7-Trimethyl-thiochroman-6-carboxylic acid 4-ethoxycarbonyl-phenyl ester;
2,2,4,4-Tetramethyl-thiochroman-6-carboxylic acid 4-ethoxycarbonyl-phenyl ester;
4-(5,5,8,8-Tetramethyl-5,6,7,8-tetrahydro-naphthalene-2-carbonylsulfanyl)-benzoic acid;
4-(3-Isopropyl-4-methoxy-benzoylsulfanyl)-benzoic acid;
4-(3-Isopropylsulfanyl-4-methyl-benzoylsulfanyl)-benzoic acid;
4-(3-~m~ntan-l-yl-benzoylsulfanyl)-benzoic acid;
4-(5- A~m~ ntan-1-yl-2-fluoro-4-methoxy-benzoyl-sulfanyl)-benzoic acid;
4-(s-~m~ntan-l-yl-4-methoxy-2-meth benzoylsulfanyl)-benzoic acid;
4-(3-~m~ntan-1-yl-4-allyloxy-benzoylsulfanyl)-benzoic acid;
4-(3-~m~ntan-1-yl-4-methylsulfanyl-benzoylsulfanyl)-benzoic acid;
4-(3,5-Bis-trifluoromethyl-benzoylsulfanyl)-benzoic acid;
4-(4-tert-Butyl-benzylamino)-benzoic acid;

W 096/24344 PCTrUS95/1630 4-(3,5-Di-tert-butyl-4-hydroxy-benzylamino)-benzoic acid;
4-(4-tert-Butoxy-3-methoxy-benzylamino)-benzoic acid;
4-[4-(1-Methoxy-l-methyl-ethyl)-benzylamino]-benzoic acid;
4-[(5,5,8,8-Tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-ylmethyl)-amino]-benzoic acid;
4-[(3-Fluoro-5,5,8,8-tetramethyl-5,6,7,8-tetra-hydro-naphthalen-2-ylmethyl)-amino]-benzoic acid;
4-[(3-Methoxy-5,5,8,8-tetramethyl-5,6,7,8-tetra-hydro-naphthalen-2-ylmethyl)-amino]-benzoic acid;
4-[(1,3-Dimethoxy-5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-ylmethyl)-amino]-benzoic acid;
4-[(1-Butoxy-3,5,5,8,8-pentamethyl-5,6,7,8-tetra-hydro-naphthalen-2-ylmethyl)-amino]-benzoic acid;
4-[(5,5,8,8-Tetramethyl-5,8-dihydro-naphthalen-2-ylmethyl)-amino]-benzoic acid;
4-[(5,5,8,8-Tetramethyl-7-oxo-5,6,7,8-tetrahydro-naphthalen-2-ylmethyl)-amino]-benzoic acid;
4-[(7-Hydroxy-5,5,8,8-tetramethyl-5,6,7,8-tetra-hydro-naphthalen-2-ylmethyl)-amino]-benzoic acid;
4-[1-(7-Hydroxy-5,5,8,8-tetramethyl-5,6,7,8-tetra-hydro-naphthalen-2-yl)-ethylamino]-benzoic acid;
4-[Methyl-(5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-ylmethyl)-amino]-benzoic acid;
4-[Acetyl-(5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-ylmethyl)-amino]-benzoic acid;
4-[(5-tert-Butyl-2-methyl-phenylamino)-methyl]-benzoic acid;
~ 4-[(3,5-Di-tert-butyl-phenylamino)-methyl]-benzoic acid;
4-[(4-tert-Butyl-2r6-dimethyl-phenylamino)-methyl]-benzoic acid;

W 096/24344 PCT~US95/16305 4-[(1,1,2,3,3-Pentamethyl-indan-5-ylamino)-methyl]-benzoic acid;
4-[1-(5,5,8,8-Tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-ylamino)-ethyl]-benzoic acid;
4-[(1,4-Dichloro-5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-ylamino)-methyl]-benzoic acid;
4-[(1,4-Dimethoxy-5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-ylamino)-methyl]-benzoic acid;
4-{[Acetyl-(1,4-dimethoxy-5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-amino]-methyl}-benzoic acid;
4-(4-tert-Butyl-phenoxymethyl)-benzoic acid;
4-(3-tert-Butyl-phenoxymethyl)-benzoic acid;
4-[4-(1,1-Dimethyl-propyl)-phenoxymethyl]-benzoic acid;
4-(2-tert-Butyl-4-methyl-phenoxymethyl)-benzoic acid;
4-(4-tert-Butyl-2-methyl-phenoxymethyl)-benzoic acid;
4-(2,4-Di-tert-butyl-phenoxymethyl)-benzoic acid;
4-(2,6-Di-tert-butyl-phenoxymethyl)-benzoic acid;
4-(2,5-Di-tert-butyl-phenoxymethyl)-benzoic acid;
4-(3,5-Di-tert-butyl-phenoxymethyl)-benzoic acid;
4-(2-sec-Butyl-4-tert-butyl-phenoxymethyl)-benzoic acid;
4-(2,4-Di-tert-butyl-5-methyl-phenoxymethyl)-benzoic acid;
4-(2,4,6-Tri-tert-butyl-phenoxymethyl)-benzoic acid;
4-(3,5-Di-tert-butyl-2-hydroxy-phenoxymethyl)-benzoic acid;
4-(5,5,8,8-Tetramethyl-3-nitro-5,6,7,8-tetrahydro-naphthalen-2-yloxymethyl)-benzoic acid;

W 096124344 PCT~US95/16305 4-(1,4-Dihydroxy-5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yloxymethyl)-benzoic acid;
4-(1,4-Diacetoxy-5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yloxymethyl)-benzoic acid;
4-(2,2,5,7,8-Pentamethyl-chroman-6-yloxymethyl)-benzoic acid;
4-[2-(2-Hydroxy-ethyl)-2,5,7,8-tetramethyl-chroman-6-yloxymethyl]-benzoic acid;
4-[2-(2-Acetoxy-ethyl)-2,5,7,8-tetramethyl-chroman-6-yloxymethyl]-benzoic acid;
4-(4-tert-Butyl-phenylsulfanylmethyl)-benzoic acid;
4-(4-tert-Butyl-2-methyl-phenylsulfanylmethyl)-benzoic acid;
4-(4-tert-Butyl-2-methyl-phenylsulfanylmethyl)-benzoic acid;
4-(4-tert-Butyl-2-methyl-phenylsulfanylmethyl)-benzoic acid;
4-(4-tert-Butyl-2-methyl-phenylsulfanylmethyl)-benzoic acid;
4-(4-tert-Butyl-2-methyl-phenylsulfanylmethyl)-benzoic acid;
4-(3,4-Diethyl-phenylazo)-benzoic acid;
4-(2-Isopropyl-phenylazo)-benzoic acid;
4-(3-Isopropyl-phenylazo)-benzoic acid;
4-(4-Isopropyl-phenylazo)-benzoic acid;
4-(2,4-Diisopropyl-phenylazo)-benzoic acid;
4-(2,6-Diisopropyl-phenylazo)-benzoic acid;
4-(3,4-Diisopropyl-phenylazo)-benzoic acid;
~ 4-(3,5-Diisopropyl-phenylazo)-benzoic acid;
4-(3-tert-Butyl-phenylazo)-benzoic acid;
. 4-(3-Cyclohexyl-phenylazo)-benzoic acid;
4-(Biphenyl-3-ylazo)-benzoic acid;
4-(4,4-Dimethyl-thiochroman-6-ylazo)-benzoic acid;

W 096/24344 PCTrUS95/16305 4-[2-Hydroxy-2-(5,5,8,8-tetramethyl-5,6,7,8-tetra-hydro-naphthalen-2-yl)-ethylamino]-benzoic acid;
4-[2-Hydroxy-2-(5,5,8,8-tetramethyl-5,6,7,8-tetra-hydro-naphthalen-2-yl)-ethylsul~anyl]-benzoic acid;
4-[2-Hydroxy-2-(5,5,8,8-tetramethyl-5,6,7,8-tetra-hydro-naphthalen-2-yl)-ethoxy]-benzoic acid;
4-[N'-(5,5,8,8-Tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-ylmethylene)-hydrazino]-benzoic acid;
4-{N'-[Cyclopropyl-(1,1,2,3,3-pentamethyl-indan-5-yl)-methylene]-hydrazino}-benzoic acid;
3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenoic acid 2-{2-[2-(2-hydroxy-ethoxy)-ethoxy]-ethoxy}-ethyl ester;
3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenoic acid 2-{2-[2-(2-hydroxy-ethoxy)-ethoxy]-ethoxy}-ethyl ester;
3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenoic acid 2-(2-oxo-pyrrolidin-1-yl)-ethyl ester;
3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenoic acid 2-(2-oxo-pyrrolidin-1-yl)-ethyl ester;
9-(4-Methoxy-2,3,6-trimethyl-phenyl)-3,7-dimethyl-nona-2,4,6,8-tetraenoic acid 2-{2-[2-(2-hydroxy-ethoxy)-ethoxy]-ethoxy}-ethyl ester;
9-(4-Methoxy-2,3,6-trimethyl-phenyl)-3,7-dimethyl-nona-2,4,6,8-tetraenoic acid 2-piperidin-1-yl-ethyl ester;
9-(4-Methoxy-2,3,6-trimethyl-phenyl)-3,7-dimethyl-nona-2,4,6,8-tetraenoic acid 2-morpholin-4-yl-ethyl ester;
9-(4-Methoxy-2,3,6-trimethyl-phenyl)-3,7-dimethyl-nona-2,4,6,8-tetraenoic acid 2-piperidin-1-yl-ethyl ester;

:

W 0~6/24344 PCTrUS9~/1630 9-(4-Methoxy-2,3,6-trimethyl-phenyl)-3,7-dimethyl-nona-2,4,6,8-tetraenoic acid 2-(2, 5- dioxo-pyrrolidin-1-yl)-ethyl ester;
9-(4-Methoxy-2,3,6-trimethyl-phenyl)-3,7-dimethyl-nona-2,4,6,8-tetraenoic acid 2-(2,6-dioxo-cyclohexyl)-ethyl ester;
9-(4-Methoxy-2,3,6-trimethyl-phenyl)-3,7-dimethyl-nona-2,4,6,8-tetraenoic acid 2-methanesulfonyl-ethyl ester;
9-(4-Methoxy-2,3,6-trimethyl-phenyl)-3,7-dimethyl-nona-2,4,6,8-tetraenoic acid methoxycarbonylmethyl ester;
9-(4-Methoxy-2,3,6-trimethyl-phenyl)-3,7-dimethyl-nona-2,4,6,8-tetraenoic acid tert-butoxycarbonylmethyl ester;
9-(4-Methoxy-2,3,6-trimethyl-phenyl)-3,7-dimethyl-nona-2,4,6,8-tetraenoic acid phenoxycarbonylmethyl ester;
9-(4-Methoxy-2,3,6-trimethyl-phenyl)-3,7-dimethyl-nona-2,4,6,8-tetraenoic acid 2-acetoxy-phenoxy-carbonylmethyl ester;
9-(4-Methoxy-2,3,6-trimethyl-phenyl)-3,7-dimethyl-nona-2,4,6,8-tetraenoic acid styryloxycarbonylmethyl ester;
9-(4-Methoxy-2,3,6-trimethyl-phenyl)-3,7-dimethyl-nona-2,4,6,8-tetraenoic acid 2-(4-methoxy-phenyl)-vinyloxycarbonylmethyl ester;
9-(4-Methoxy-2,3,6-trimethyl-phenyl)-3,7-dimethyl-nona-2,4,6,8-tetraenoic acid 2-(benzoyl-carbonyl)-5-methoxy-phenoxymethoxycarbonyl-methyl ester;
9-(4-Methoxy-2,3,6-trimethyl-phenyl)-3,7-dimethyl-nona-2,4,6,8-tetraenoic acid 1-phenoxycarbonyl-ethyl ester;
9-(4-Methoxy-2,3,6-trimethyl-phenyl)-3,7-dimethyl-nona-2,4,6,8-tetraenoic acid 1-ethoxycarbonyloxy-ethyl ester;

W096/24344 PCT~S95/16305 3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenoic acid 2-butoxy-4-dimethylamino-6-methyl-tetrahydro-pyran-3-yl ester;
3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenoic acid 2-butoxy-4-dimethylamino-6-methyl-tetrahydro-pyran-3-yl ester;
3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenoic acid 2-butoxy-4-dimethylamino-6-methyl-tetrahydro-pyran-3-yl ester;
3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenoic acid 4-dimethylamino-6-methyl-2-(2-octyl-hexadecyloxy)-tetrahydro-pyran-3-yl ester;
9-(4-Methoxy-2,5,6-trimethyl-cyclohex-1-enyl)-3,7-dimethyl-nona-2,4,6,8-tetraenoic acid 2-butoxy-4-dimethylamino-6-methyl-tetrahydro-pyran-3-yl ester;
9-(4-Methoxy-2,5,6-trimethyl-cyclohex-1-enyl)-3,7-dimethyl-nona-2,4,6,8-tetraenoic acid 2-butoxy-4-dimethylamino-6-methyl-tetrahydro-pyran-3-yl ester;
9-(4-Methoxy-2,5,6-trimethyl-cyclohex-1-enyl)-3,7-dimethyl-nona-2,4,6,8-tetraenoic acid 2-butoxy-4-dimethylamino-6-methyl-tetrahydro-pyran-3-yl ester;
4-[4-(2,6,6-Trimethyl-cyclohex-1-enyl)-but-3-en-1-ynyl]-benzamide;
3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenoic acid amide;
[6-(3-A~m~ntan-1-yl-4-methoxy-phenyl)-naphthalen-2-yl]-morpholin-4-yl-methanone;
N-(3,5-Bis-trifluoromethyl-phenyl)-4-(5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalene-2-carbonyl)-benzamide;
N-(4-Hydroxy-phenyl)-4-[2-(5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-vinyl]-benzamide;
N-(3,5-Bis-trifluoromethyl-phenyl)-4-(5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalene-2-carbonyl)-benzamide;

-W 096124344 PCTrUS95/16305 [3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenoylamino]-acetic acid;
[3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenoylamino]-acetic acid;
2-[3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-l-enyl)-nona-2,4,6,8-tetraenoylamino]-4-methyl-pentanoic acid;
2-[3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-l-enyl)-nona-2,4,6,8-tetraenoylamino]-3-phenyl-propionic acid;
2-[3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-l-enyl)-nona-2,4,6,8-tetraenoylamino]-3-(4-hydroxy-phenyl)-propionic acid;
2-[3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenoylaminol-~entanediOiG
acid;
[3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenoylamino]-acetic acid;
2-[3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenoylamino]-propionic acid;
2-[3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-l-enyl)-nona-2,4,6,8-tetraenoylamino]-4-methyl-pentanoic acid;
2-[3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenoylamino]-3-phenyl-propionic acid;
4-[3,7-Dimethyl-9-(3,3,6,6-tetramethyl-cyclohex-l-enyl)-nona-2,4,6-trien-8-ynoylamino]-benzoic acid;
2-[3,7-Dimethyl-9-~2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenoyl]-benzo[d]isothlazol-3-one;
~ 4-[2-(8,8-Dimethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-propenyl]-N-(lH-tetrazol-5-yl)-benzamide;
[3,7-Dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenoylamino]-acetic acid;

W 096/24344 PCTrUS95/16305 4-Methyl-7-(5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-octa-2,4,6-trienoic acid ethylamide;
{4-[4-(2-Hydroxy-ethyl)-piperazine-1-carbonyl]-phenyl}-(5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-methanone;
6-(5,5,8,8-Tetramethyl-5,6,7,8-tetrahydro-naphthalene-2-carbonyl)-naphthalene-2-carboxylic acid [2-(2-hydroxy-ethoxy)-ethyl]-amide;
6-(5,5,8,8-Tetramethyl-5,6,7,8-tetrahydro-naphthalene-2-carbonyl)-naphthalene-2-carboxylic acid (4-hydroxy-phenyl)-amide;
4-Methylsulfanyl-2-{[6-(5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalene-2-carbonyl)-naphthalene-2-carbonyl]-amino}-butyric acid;
5-(4-AA~m~ntan-2-ylidenemethyl-phenyl)-3-methyl-penta-2,4-dienoic acid (2-ethyl-hexyl)-amide;
2-[5-(4-A~m~ntan-2-ylidenemethyl-phenyl)-3-methyl-penta-2,4-dienoylamino]-4-methylsulfanyl-butyric acid ethyl ester;
4-[2-(1,3-Dimethoxy-5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-vinyl]-N-(2-hydroxy-ethyl)-benzamide;
N-Butyl-2-(5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalene-2-carbonyl)-benzamide;
N-(2-Hydroxy-ethyl)-2-(5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalene-2-carbonyl)-benzamide;
{2-[4-(2-Hydroxy-ethyl)-piperazine-1-carbonyl-carbonyl]-phenyl}-(5,5,8,8-te~ramethyl-5,6,7,8-tetra-hydro-naphthalen-2-yl)-methanone;
3-~m~ n tan-1-yl-4-methoxy-benzoyl chloridei 4-Amino-N-tert-butyl-benzamide;
4-Amino-N-phenyl-benzamide;
4-Amino-N-benzyl-benzamide;
4-Amino-N-(2-hydroxy-ethyl)-benzamide;
(4-Amino-phenyl)-pyrrolidin-1-yl-methanone;

CA 02208077 l997-06-l8 W 096/24344 PCTrUS9S/1630S

(4-Amino-phenyl)-piperidin-1-yl-methanone;
(4-Amino-phenyl)-morpholin-4-yl-methanone;
Benzamide, N-[4-[[(1,1-dimethylethyl)amino]-carbonyl]phenyl]-4-methoxy-3-(tricyclo[3.3.1.13'7] dec-1-yl)-;
Benzamide, N-[4-[(phenylamino)carbonyl]phenyl]-4-methoxy-3-(tricyclo[3.3.1.13'7] dec-1-yl)-;
Benzamide, N-[4-[[(phenylmethyl)amino]carbonyl]-phenyl]-4-methoxy-3-(tricyclo[3.3.1. 13'7] dec-1-yl)-;
Benzamide, N-[4-[[(2-hydroxyethyl)amino]carbonyl]-phenyl]-4-methoxy-3-(tricyclo[3.3.1. 13~7] dec-1-yl)-;
3-A~m~ntan-1-yl-4-methoxy-N-[4-(pyrrolidine-1-carbonyl-carbonyl)-phenyl]-benzamide;
3-A~m~ntan-1-yl-4-methoxy-N-[4-(piperidine-1- carbonyl-carbonyl)-phenyl]-benzamide;
3-A~m~ntan-1-yl-4-methoxy-N-[4-(morpholine-4-carbonyl-carbonyl)-phenyl]-b~n~am;de;
1,1,3,3-Tetramethyl-5-(1-methyl-2-phenyl-vinyl)-indan;
6-(1-Methyl-2-phenyl-vinyl)-1,2,3,4-tetrahydro-naphthalene;
6-(1-Methyl-2-phenyl-vinyl)-1,2,3,4-tetrahydro-naphthalene;
1,1-Dimethyl-6-(1-methyl-2-phenyl-vinyl)-1,2,3,4-tetrahydro-naphthalene;
1,1,4,4-Tetramethyl-6-(1-methyl-2-phenyl-vinyl)-1,2,3,4-tetrahydro-naphthalene;
1,1,4,4,6-Pentamethyl-7-(1-methyl-2-phenyl-vinyl)-1,2,3,4-tetrahydro-naphthalene;
1,1,4,4-Tetramethyl-6-(1-methyl-2-phenyl-vinyl)-7-octyl-1,2,3,4-tetrahydro-naphthalene;
6-Methoxy-1,1,4,4-tetramethyl-7-(1-methyl-2-phenyl-vinyl)-1,2,3,4-tetrahydro-naphthalene;
t ' 6-Chloro-1,1,4,4-tetramethyl-7-(1-methyl-2-phenyl-vinyl)-1,2,3,4-tetrahydro-naphthalene;

W 096/24344 PCT~US95116305 (Z)-1,1,4,4-Tetramethyl-6-(1-methyl-2-phenyl-vinyl)-1,2,3,4-tetrahydro-naphthalene;
1,1,4,4-Tetramethyl- 6-(1- methyl-2-phenyl-vinyl)-1,2,3,4-tetrahydro-naphthalen-2-ol;
1,1,4,4, 6- Pentamethyl-7-(1-methyl-2-phenyl-vinyl)-1,2,3,4-tetrahydro-naphthalen-2-ol;
1,1,3,3-Tetramethyl-5-(1-methyl-2-phenyl-vinyl)-indan-2-one;
1,4,4-Trimethyl-7-(1-methyl-2-phenyl-vinyl)-1,2,3,4-tetrahydro-quinolinei 1,4,4-Trimethyl-6-(1-methyl-2-phenyl-vinyl)-1,2,3,4-tetrahydro-quinoline;
4,4-Dimethyl-7-(1-methyl-2-phenyl-vinyl)-chroman;
4,4-Dimethyl- 6-(1-methyl-2-phenyl-vinyl)-chroman;
450) IUPAC: 4,4-Dimethyl-7-(1-methyl-2-phenyl-vinyl)-thiochroman;
4,4-Dimethyl-6-(1-methyl-2-phenyl-vinyl)-thiochroman;
4,4-Dimethyl-7-(1-methyl-2-phenyl-vinyl)-thiochroman l,l-dioxide;
4,4-Dimethyl-6-(1-methyl-2-phenyl-vinyl)-thiochroman l,l-dioxide;
2,2-Dimethyl-5-(1-methyl-2-phenyl-vinyl)-benzo[l,3]dithiole;
7,7-Dimethyl-2-(1-methyl-2-phenyl-vinyl)-7,8-dihydro-6H-5,9-dithia-benzocycloheptene;
1,1,3,3-Tetramethyl-indan-5-carboxylic acid phenylamide;
5,5,8,8-Tetramethyl-5,6,7,8-tetrahydro-naphthalene-2-carboxylic acid phenylamide;
s,s~7,7,g,g-~ mPthyl-6,7~8,9-tetrahydro-5H-benzocycloheptene-2-carboxylic acid phenylamide;
459) IUPAC: N-(1,1,3,3-Tetramethyl-indan-5-yl)-ben7.~m'de;
N-(5,5,8,8-Tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-benzamide;

-3-A~m~ntan-1-yl-4-methoxy-benzoic acid phenyl ester;
3-A~m~ntan-1-yl-4-methoxy-thiobenzoic acid S-phenyl ester;
4-12-(5,5,8,8-Tetramethyl-s,6,7,8-tetrahydro-naphthalen-2-yl)-propenyl]-phenol;
Acetic acid 4-[2-(5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-propenyl]-phenyl ester;
1-(2-{4-[2-(5,5,8,8-Tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-propenyl]-phenoxy}-ethyl)-piperidine;
4-(2-{4-[2-(5,5,8,8-Tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-propenyl]-phenoxy}-ethyl)-morpholine;
4-(2-{4-[2-(5,5,8,8-Tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-propenyl]-phenoxy}-ethyl)-thiomorpholine 1,1-dioxide;
4-[2-(3-Chloro-5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-propenyl]-phenol;
4-[2-(6-Methoxy-1,1,3,3-tetramethyl-indan-5-yl)-propenyl]-phenol;
5-[2-(4-Hydroxy-phenyl)-1-methyl-vinyl]-1,1,3,3-tetramethyl-indan-2-one;
5,5,8,8-Tetramethyl-5,6,7,8-tetrahydro-naphthalene-2-carboxylic acid (4-hydroxy-phenyl)-amide 7,7-Dimethyl-6,7,8,9-tetrahydro-5H-benzocyclo-heptene-2-carboxylic acid (4-hydroxy-phenyl)-amide;
3-Ethyl-7,7-dimethyl-6,7,8,9-tetrahydro-5H-benzo-cycloheptene-2-carboxylic acid (4-hydroxy-phenyl)-amide;
4-Hydroxy-N-(5,5,8,8-tetramethyl-5,6,7,8-tetra-hydro-naphthalen-2-yl)-benzamide;
3-~m~ntan-1-yl-4-methoxy-benzoic acid 4-hydroxy-phenyl ester;

W O 96/24344 PCTrUS95/16305 3-p~m~ntan-1-yl-4-methoxy-thiobenzoic acid S-(4-hydroxy-phenyl) ester;
5-[2-Methyl-4-(2,6,6-trimethyl-cyclohex-1-enyl)-buta-1,3-dienyl]-lH-tetrazole;
5-{4-[2-(5,5,8,8-Tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-propenyl]-phenyl}-lH-tetrazole;
5-[4-(5,5,8,8-Tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-ylethynyl)-phenyl]-lH tetrazole;
Methyl-{4-[2-(5,5,8,8-tetramethyl-5,6,7,8-tetra-hydro-napht~ n - 2-yl)-propenyl]-phenyl}-phosphinic acid ethyl ester;
Phenyl-{4-[2-(5,5,8,8-tetramethyl-5,6,7,8-tetra-hydro-naphthalen-2-yl)-propenyl]-phenyl}-phosphinic acid ethyl ester;
{4-[2-(5,5,8,8-Tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-propenyl]-phenyl}-phosphonic acid dimethyl ester;
{4-[2-(5,5,8,8-Tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-propenyl]-phenyl}-phosphonic acid diethyl ester/
{4-[2-(5,5,8,8-Tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-propenyl]-phenyl}-phosphonic acid dibutyl ester;
{4-[2-(1,1,2,3,3-Pentamethyl-indan-5-yl)-propenyl]-phenyl}-phosphonic acid diethyl ester;
6-(2-Biphenyl-4-yl-1-methyl-vinyl)-1,1,4,4-tetra-methyl-1,2,3,4-tetrahydro-naphthalene;
6-[2-(2-Fluoro-phenyl)-1-methyl-vinyl]-1,1,4,4-tetramethyl-1,2,3,4-tetrahydro-naphthalene;
6-[2-(2-Fluoro-phenyl)-1-methyl-vinyl]-1,1,4,4-tetramethyl-1,2,3,4-tetrahydro-naphthalene;
6-[2-(4-Chloro-phenyl)-1-methyl-vinyl]-~ 4~4-tetramethyl-l~2l3~4-tetrahydro-naphthalene;
~ 6-[2-(2-Bromo-phenyl)-1-methyl-vinyl]-1,1,4,4-tetramethyl-1,2,3,4-tetrahydro-naphthalene;

W 096/24344 PCTrUS95/16305 6-~2-(3-Bromo-phenyl)-l-methyl-vinyl~-l,l,4,4-tetramethyl-l,2,3,4-tetrahydro-naphthalene;
6-l2-(4-Iodo-phenyl)-l-methyl-vinyl]-l,l,4,4-tetramethyl-l,2,3,4-tetrahydro-naphthalene;
l,l,4,4-Tetramethyl-6-[l-methyl-2-(4-nitro-phenyl)-vinyl]-1,2,3,4-tetrahydro-naphthalene;
l,l,3,3-Tetramethyl-indan-5-carboxylic acid (4-fluoro-phenyl)-amide;
5,5,8,8-Tetramethyl-5,6,7,8-tetrahydro-naphthalene-2-carboxylic acid (4-fluoro-phenyl)-amide;
9,9-Dimethyl-6,7,8,9-tetrahydro-5H-benzocyclo-heptene-2-carboxylic acid (4-fluoro-phenyl)-amide;
7,7-Dimethyl-6,7,8,9-tetrahydro-5H-benzocyclo-heptene-2-carboxylic acid (4-fluoro-phenyl)-amide;
4-Fluoro-N-(l,l,3,3-tetramethyl-indan-5-yl)-benzamide;
4-Fluoro-N-(5,5,8,8-tetramethyl-5, 6, 7,8-tetra-hydro-naphthalen-2-yl)-benzamide;
N>l_,N~l_-Dimethyl-N~2_-{4-[2-(5,5,8,8-tetra-methyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-propenyl]-phenyl}-ethane-l,2-diamine;
Methyl-(2-morpholin-4-yl-ethyl)-{4-[2-(5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-naphthalen-2-yl)-propenyl]-phenyl}-amine;
6-{2-[4-(2-Methoxy-ethylsulfanyl)-phenyl]-l-methyl-vinyl}-l,l,4,4-tetramethyl-l,2,3,4-tetrahydro-naphthalene; and l,l,4,4-Tetramethyl-6-{l-methyl-2-[4-(2-methyl-sulfanyl-ethylsulfanyl)-phenyll-vinyl}-l,2,3,4-tetra-hydro-naphthalene.
As can be seen from the foregoing, this invention contemplates the use of any compound which falls within the generic term "retinoids". All that is required to lower plasma levels of ~p(a) according to this invention is to administer to an ~n1m~1 an ~p(a) lowering amount of a retinoid. All of the retinoids to W 096/24344 PCTrUS9S/16305 be utilized are either known or are readily prepared as described by Dawson and Hobbs, ibid., which is incorporated herein by reference.
We have evaluated several specific retinoids for their ability to lower Lp(a) levels in ~n;m~ls The compounds were evaluated according to the following protocol.
Hepatocytes were isolated from male monkeys (Cynomolgus macaca) of approximately 6.5 kg as described by Ulrich RG, Aspar DG, Cramer CT, Kletzien RF, Ginsberg LC, In Vitro Cell Dev. Biol.
1990;26:815-23, except that the final cell suspension was purified by Percoll density gradient centrifugation. The resulting cell pellet, containing the viable hepatocytes, was washed, counted, and resuspended in fetal bovine serum (FBS), 90~, and DMSO, 10~, at a concentration of 106 cells/mL. Cells were frozen in the FBS/DMSO medium at a rate of 1/minute using a controlled-rate liquid nitrogen freezer and stored in a liquid nitrogen freezer. Only previously frozen cells were used. Frozen cells were thawed in a 37~C water bath, pelleted by centrifugation, resuspended in Dulbecco's modified eagle medium (DMEM) containing FBS, 10~, and plated at a concentration 3 x 106 cells/60-mm plate. The medium was changed 4 hours later. The next day (Day 0) the medium was replaced with fresh medium not cont~;n;ng FBS and a further 24-hour incubation was carried out. All subsequent incubations were performed in the absence of FBS, however, the culture medium was supplemented with 0.2~
bovine serum albumin (BSA). On Day 1 fr~esh medium was added to the cells. The following day (Day 2) drug treatment was initiated by incubating the cells for 24 hours with the test compounds or the appropriate concentration of the DMSO vehicle (0.3~-0.5~).
Triplicate wells were used for each retinol or DMSO

CA 02208077 l997-06-l8 W 096/24344 PCTrUS95/1630 dose. Every 24 hours for the next 2 days (Days 2 and 3) fresh medium conta;n;ng the test compounds or DMSO was added to the cells. On Day 5 the medium was collected, frozen at -70~C, and within 1 week analyzed for Lp(a) levels using a specific ~p(a) ELISA. The data is presented in Table 1 and is expressed as percent inhibition at a single concentration, relative to cells treated with vehicle only.

W 096/24344 PCTrUS95/16305 TABLE I
Percent ~owering Compound at 10 ~M of Lp(a) All trans-Retinoic acid 80 All trans-Retinoic acid, methyl ester 37 All trans-Retinal 80 All trans-Retinol 77 9-cis-retinoic acid .42 13-cis-retinol 59 13-cis-retinal 66 9-cis-retinal 76 3-methyl-5-(2,6,6-trimethyl-1-cyclohexan- 34 1-yl)-2,4-pentadienoic acid 3-methyl-5-(2,6,6-trimethyl-1-cyclohexan- 68 1-yl)-2,4-pentadienoic acid, methyl ester 3-methyl-5-(2,6,6-trimethyl-1-cyclohexen- 46 1-yl)-2,4-pentadienoic acid, ethyl ester 3-methyl-5-(2,6,6-trimethyl-1-cyclohexen- 50 1-yl)-2,4-pentadien-1-ol 3-methyl-5-(2,6,6-trimethyl)-1-cyclohexen- 72 1-yl)-2,4-pentadienal 3-methyl-5-(2,6,6-trimethyl-1-cyclohexen- 28 1-yl)-pentanoic acid 5,5,6-trimethyl-3-cyclohexen- 20 1-carboxaldehyde For use in the method of this invention, the retinoids preferably are co-mbined with one or more pharmaceutically acceptable diluents, carriers, excipients, or the like, for convenient oral, parenteral, and topical ~tlm;nlstration to ~nlm~ls, preferably humans. The retinoids are ideally suited to formulation for oral administration in the form of tablets, capsules, dispersible powders, granules, suspensions, elixirs, buccal seals, and the like. The W 096/24344 PCT~US95/16305 formulations typically will contain from about 1~ to about 90~ by weight of active retinoid, and more commonly from about 5~ to about 60~ by weight.
Oral formulations can contain, for suspensions, from about 0.05~ to about 5~ by weight of a suspending agent, such as talc or the like, and syrups will contain from about 10~ to about 50~ by weight of a sugar such as dextrose. Tablets may contain normal amounts of binders, stabilizers, and common diluents such as corn starch and sugars. Parenteral formulations, for instance, solutions for IV injection, will be made by dissolving or suspending the retinoid in a solvent such as isotonic saline or 5~ glucose in sterile water.
The dose of retinoid to be administered is that amount which is effective for lowering plasma levels of Lp(a) in an ~n;m~l .
The effective dosage of active ingredient employed may vary depending on the particular compound employed, the mode of administration, and the severity of the condition being treated. However, in general, satisfactory results are obtained when the retinoids are administered at a daily dosage of from about 0.5 to about 500 mg/kg of ~nlm~l body weight, preferably given in divided doses two to four times a day, or in sustained-release form. For most large m~mm~l S, such as humans, the total daily dosage is form about 1 to 100 mg, preferably from about 2 to 80 mg. Dosage forms suitable for internal use comprise from about 0.5 to 500 mg of the active compound in intimate admixture with a solid or li~uid pharmaceutically acceptable carrier. This dosage regimen may be adjusted to provide the optimal therapeutic response. For example, several divided doses may be administered daily or the dose may be proportionally reduced as indicated by the exigencies of the therapeutic situation.

W 096/24344 PCTrUS95/16305 The retinoids may be administered orally as well as by intravenous, intramuscular, or subcutaneous routes. Solid carriers include starch, lactose, dicalcium phosphate, microcrystalline cellulose, sucrose, and kaolin, while liquid carriers include sterile water, polyethylene glycols, nonionic surfactants, and edible oils such as corn, peanut, and sesame oils, as are appropriate to the nature of the active ingredient and the particular form of administration desired. Adjuvants customarily employed in the preparation of pharmaceutical compositions may be advantageously included, such as flavoring agents, coloring agents, preserving agents, and antioxidants, for example, vitamin E, ascorbic acid, BHT, and BHA.
The preferred pharmaceutical compositions from the stand point of ease of preparation and ~m; n; stration are solid compositions, particularly tablets and hard-filled or liquid-filled capsules. Oral ~m;n;stration of the compounds is preferred.
These active compounds may also be ~mi n; stered parenterally or intraperitoneally. Solutions or suspensions of these active compounds as a free base or pharmacologically acceptable salt can be prepared in water suitably mixed with a surfactant such as hydroxy-propylcellulose. Dispersions can also be prepared in glycerol, liquid polyethylene glycols, and mixtures thereof in oils. Under ordinary conditions of storage and use, these preparations contain a preservative to prevent the growth of microorganisms.
The pharmaceutical forms suitable for injectable use include sterile aqueous solutions or dispersions and sterile powders for the extemporaneous preparation of sterile injectable solutions or dispersions. In all cases, the form must be sterile and must be fluid to 3S the extent that easy syringability exists. It must be stable under the conditions of manufacture and storage W 096/24344 PCT~US95/16305 and must be preserved against the contaminating action of microorganisms such as bacterial and fungi. The carrier can be a solvent or dispersion medium containing, for example, water, ethanol, polyol (eg, glycerol, propylene glycol, and liquid polyethylene glycol), suitable mixtures thereof, and vegetable oils.
The compounds may also be encapsulated in liposomes to allow an intravenous administration of the drug. The liposomes suitable for use in the invention are lipid vesicles and may include plurilamellar lipid vesicles, small sonicated multimellar vesicles, reverse phase evaporation vesicles, large multilamellular vesicles, and the like, wherein the lipid vesicles are formed by one or more phospholipids such as phospho-tidylcholine, phosphatidylglycerol, sphingomyelin, phospholactic acid, and the like. In addition, the liposomes may also comprise a sterol component such as cholesterol.
Some typical formulations which can be administered to humans are as follows:

Tablet Formulation 4-[2-(3,4-di-n-butylphenyl)-propenyl]-benzoic acid (250 mg) is blended to uniformity with 100 mg of corn starch and 50 mg of lactose. The mixture is compressed into a tablet. Such tablets are administered orally at the rate of one to three times a day.

CA 02208077 l997-06-l8 W 096l24344 PCTrUS95/16305 Preparation of Oral Suspension Ingredient Amount 4,4-dimethyl-7-(1-methyl-2-phenylvinyl)chroman500 mg Sorbitol solution (70~ NF) 40 mL
Sodium benzoate 150 mg Saccharin 10 mg Red dye ~ 10 mg Cherry flavor 50 mg 15 Distilled water qs OD 100 mL

The sorbitol solution is added to 40 mL of distilled water and the retinoid is suspended thereon.
The saccharin, sodium benzoate, flavor, and dye are added and dissolved. The volume is adjusted to 100 mL
with distilled water. Each milliliter of syrup contains 5 mg of retinoid.

Suppositories A mixture of 400 mg of 4-(2,4-diisopropylbenzoyl)-benzoic acid and 600 mg of theobroma oil is stirred at 60~C to uniformity. The mixture is cooled and allowed to harden ina tapered mold to provide a 1-g suppository.

Parenteral Solution In a solution of 700 mL of propylene glycol and 200 mL of sterile water is suspended 20.0 g of retinoic acid. The pH is adjusted to pH 6.5 with dilute sodium hydroxide, and the volume is made up to 100 mL with water for injection. The formulation is sterilized, 40 filled into 5.0-mL ampoules each cont~;n;ng 2.0 mL

W 096124344 PCTrUS95/1630 (representing 40 mg of drug), and sealed under nitrogen.
Preferred formulations are those incorporating any of the preferred retinoids to be utilized to lower Lp(a). Specifically preferred are all trans isomers of retinoic acid, retinal, and retinol. Also preferred are the 9-cis isomers of retinoic acid, retinal, and retinol, as well as the 13-cis isomers of retinoic acid, retinal, and retinol. Certain retinoid esters also are preferred, for example, 3,7-dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenoic acid, methyl ester.

Claims (11)

1. A method of lowering plasma Lp(a) levels in a mammal comprising administering an Lp(a) lowering amount of a retinoid.
2. A method of Claim 1 employing all trans-retinoic acid.
3. A method of Claim 1 employing 3,7-dimethyl-9-(2,6,6-trimethyl-cyclohex-1-enyl)-nona-2,4,6,8-tetraenoic acid, methyl ester.
4. A method of Claim 1 employing all trans-retinal.
5. A method of Claim 1 employing all trans-retinol.
6. A method of Claim 1 employing 9-cis-retinoic acid.
7. A method of Claim 1 employing 13-cis-retinol.
8. A method of Claim 1 employing 13-cis-retinal.
9. A method of Claim 1 employing 9-cis-retinol.
10. A method of Claim 1 employing 13-cis-retinoic acid.
11. A method of Claim 1 employing 9-cis-retinal.
CA002208077A 1995-02-10 1995-12-08 Use or retinoids to lower plasma levels of lipoprotein (a) Abandoned CA2208077A1 (en)

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