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    • 专利摘要:
    Treatment of dementia with cannabinoid agonists. The invention relates to the medical treatment of irreversible type dementias, and more particularly to the use of a family of cannabinoid agonists to treat the impaired cognitive abilities resulting from said dementias. (Machine-translation by Google Translate, not legally binding)
    公开号:ES2638057A1
    申请号:ES201730284
    申请日:2017-03-02
    公开日:2017-10-18
    发明作者:Rafael RODRÍGUEZ PUERTAS；Iván MANUEL VICENTE；Laura LOMBARDERO ITURRIZAGA；Alberto LLORENTE OVEJERO；Marta MORENO RODRÍGUEZ；Jonatan MARTÍNEZ GARDEAZABAL；Estibaliz GONZÁLEZ DE SAN ROMÁN MARTÍN
    申请人:Euskal Herriko Unibertsitatea；
    IPC主号:
    专利说明:

    Dementia treatment with cannabinoid agonists FIELD OF THE INVENTION
    The present invention falls within the field of medical treatment of dementias of irreversible type, and more particularly refers to the use of cannabinoid agonists for this purpose. BACKGROUND OF THE INVENTION
    Dementia is characterized by multiple cognitive deficits that involve a deterioration of learning and / or memory and at least one of the following cognitive disorders: aphasia, apraxia, agnosia or an impaired ability to execute. Subjects with dementia have impaired ability to learn new information and forget previously learned material. The alteration is severe enough to significantly interfere with work and social activities and may represent a deficit with respect to the higher previous level of activity of the subject. For example, subjects with
    15 dementia can lose valuables such as the wallet or keys, forget the food they are cooking and can get lost in neighborhoods that they are not familiar with. In advanced forms the deterioration of memory is so intense that the subject forgets his occupation, the degree of schooling, anniversaries, family members or, sometimes, even his own name.
    20 Dementia can be reversible or irreversible. Reversible dementias are those due to, for example, the abuse of substances such as alcohol, nutritional deficits such as a vitamin deficit, head trauma, or fever or depression. In such cases, dementia usually reverts with the elimination of the causative factor.
    Irreversible dementias, however, are related to clinical conditions.
    25 specific (diseases) that lead to a deterioration of the cognitive capacity of the subject, such as Alzheimer's dementia. In such cases, the cause of mental deterioration or brain damage cannot be reversed but the affected cognitive activity of the subject can be enhanced, for example through the use of drugs. However, the poor effectiveness of the treatments that are used is evident
    30 currently as are cholinesterase (AChE) inhibitors such as donepezil, rivastigmine and galantamine, as well as NMDA glutamatergic receptor blockers such as memantine.


    It is estimated that in adult populations the prevalence of irreversible dementia is almost 3%, and up to 4% in populations over 65, reaching a prevalence of 20% or more in populations over 85 years. .
    The high prevalence of irreversible dementias as well as the strong impact they have
    5 on the quality of life of the subjects who suffer from them and the people on which said subjects depend carry a continuous and prevailing need to develop new treatments for dementias of irreversible type.
    Although there is some controversy at the molecular level about the effect produced by cannabinoid compounds in cognitive processes, the effect normally attributed to
    10 cannabinoids is negative. In this sense, Gessa et al. (Eur J Pharmacol 1998; 355 (2-3): 119-24) state that the administration of certain cannabinoid compounds leads to a decrease in the release of acetylcholine in the prefrontal and hippocampal cortex.
    The authors of the present invention have now surprisingly discovered a group of
    15 cannabinoid agonists that are useful in the treatment of irreversible dementias, specifically to enhance the affected cognitive abilities that result from such dementias. SUMMARY OF THE INVENTION
    The present invention is directed in its main aspect to the use of a cannabinoid agonist for the prevention or treatment of an irreversible dementia.
    A cannabinoid agonist is also the object of the present invention for use in the prevention or treatment of an irreversible dementia.
    It is also the object of the present invention to use a cannabinoid agonist to
    25 prepare a medicine intended for the prevention or treatment of an irreversible dementia.
    It is also the object of the present invention a method of prevention or treatment of an irreversible dementia comprising: a) providing a subject that requires prevention or treatment of an irreversible dementia; and b) administer to said
    30 subject a cannabinoid agonist.


    BRIEF DESCRIPTION OF THE FIGURES Figure 1. Time spent by each experimental group in the target quadrant, where the exhaust hole is located. SHAM (needle injection); CSF (CSF administration); SAP (administration of toxin 192 IgG saporin); and CSF + WIN (administration of
    5 CSF + 5 administrations of WIN55,212-2 0.5 mg / kg i.p.) and SAP + WIN (administration of toxin 192 IgG saporin + 5 administrations of WIN55,212-2 0.5 mg / kg i.p.). Figure 2. Time spent by each experimental group in the target quadrant, where
    Find the escape hole. SAP * (administration of toxin 192 IgG saporin) and SAP *
    + WIN (administration of toxin 192 IgG saporin + 5 administrations of WIN55,212-2 10 0.5 mg / kg i.p.). DETAILED DESCRIPTION OF THE INVENTION
    The term "cannabinoid agonist" refers to a compound that binds to one or more cannabinoid receptors to exert a partial agonist or agonist effect. In one embodiment, the cannabinoid agonist is selected from the group consisting of: compounds of formula (Ia) or (Ib) O O R3 R3
    NR4
    R4
    X
    R2 R2
    R1R1
    (Ia) (Ib)
    where X is N or CH; 20 R1 is selected from
    • C2-C6 alkyl;
    • an unsubstituted or substituted piperidinyl, pyrrolidinyl or oxazinanyl group on its nitrogen atom with methyl; Y


    • a -CH2-morpholinyl, -CH2-thiomorpholinyl or -CH2-piperidinyl group;
    R2 is selected from H, C1-C6 alkyl, halogen, -CN and -OH;
    R3 is selected from unsubstituted aryl and substituted aryl in one or more of its available positions with C1-C6 alkyl, -O-C1-C6 alkyl, halogen, -CN,
    5 NO2 or -OH. It is understood that the substitutions in each available position are independent of each other, and the aryl may thus present substituents of different types;
    R4 is H, and in the compound of formula (Ia) it can also be a group -CH2-Y, where Y is O, S, or NR5, where Y joins directly to the position
    10 7 of the indole ring (X is N) or indene (X is CH), and wherein R5 is H or C1-C6 alkyl;
    (Ia)
    and wherein in the compound of formula (Ia) the phenyl portion of the indole ring (X is N) or indene (X is CH) is unsubstituted or substituted in one or more of its
    15 positions available with C1-C6 alkyl, -O-C1-C6 alkyl or halogen. It is understood that the substitutions at each available position are independent of one another, and the phenyl portion may thus present substituents of different types;
    or a salt or solvate thereof;
    20 -the following other synthetic agonists of CB1:
    Name IUPAC nameDisclosure in Ref.
    Pravadolina (WIN 48,098) (4-Methoxyphenyl) {2-methyl-1- [2- (4morpholinyl) ethyl] -1H-indole-3-yl} methanone[1], [2]
    JWH-007 1-pentyl-2-methyl-3- (1-naphthoyl) indole[1], [2]
    JWH-015 (2-Methyl-1-propyl-1H-indol-3-yl) -1naphthalenylmethanone[1], [2], [8]


    JWH-016 (1-Butyl-2-methyl-1H-indol-3-yl) -1-naphthalenylmethanone[1], [2]
    JWH-018 (AM-678) Naftalen-1-yl- (1-pentylindole-3-yl) methanone[1], [2], [8]
    JWH-019 1-hexyl-3- (naphthalen-1-oil) indole[1], [2]
    JWH-030 1-Pentyl-3- (1-naphthoyl) pyrrole[1], [2]
    JWH-047 (1-Butyl-2-methyl-1H-indol-3-yl) (7-methyl-1naphthalenyl) methanone[1], [2]
    JWH-048 (1-pentyl-2-methyl-1H-indol-3-yl) (7-methyl-1naphthalenyl) methanone[1], [2]
    JWH-051 ((6aR, 10aR) -6,6-dimethyl-3- (2-methylctan2-yl) -6a, 7,10,10-tetrahydrobenzo [c] chromen-9-yl) methanol[1], [2]
    JWH-073 Naftalen-1-yl- (1-butylindole-3-yl) methanone[1], [2]
    JWH-081 4-methoxynaphthalen-1-yl- (1-pentylindole-3-yl) methanone[1], [2]
    JWH-098 4-methoxynaphthalen-1-yl- (1-pentyl-2-methylindole-3-yl) methanone[1], [2]
    JWH-120 (4-methyl-1-naphthalenyl) (1-propyl-1H-indole-3yl) methanone[1], [2]
    JWH-122 (4-methyl-1-naphthyl) - (1-pentylindole-3il) methanone[1], [2]
    JWH-147 (1-hexyl-5-phenyl-1H-pyrrol-3-yl) -1-naphthalenylmethanone[1], [2]
    JWH-148 (4-methyl-1-naphthalenyl) (2-methyl-1-propyl-1 Hindol-3-yl) methanone[1], [2]
    JWH-149 (4-methyl-1-naphthalenyl) (2-methyl-1-pentyl-1 Hindol-3-yl) methanone[1], [2]
    JWH-164 7-methoxynaphthalen-1-yl- (1-pentylindole-3-yl) methanone[1], [2]
    JWH-167 2-phenyl-1- (1-pentylindole-3-yl) ethanone[1], [2]
    JWH-175 (1-pentylindole-3-yl) naphthalen-1-ylmethane[1], [2]
    JWH-176 1 - ([(1E) -3-pentylinden-1ilidine] methyl) naphthalene[1], [2]
    JWH-181 (2-Methyl-1-pentyl-1H-indol-3-yl) (4-propyl-1naphthalenyl) methanone[1], [2]
    JWH-182 4-ethylnaphthalen-1-yl- (1-pentylindole-3-yl) methanone[1], [2]
    JWH-184 3 - [(4-methyl-1-naphthalenyl) methyl] -1-pentyl-1 Hindol[1], [2]
    JWH-185 3 - [(4-methoxy-1-naphthalenyl) methyl] -1-pentyl1H-indole[1], [2]
    JWH-192 (1- (2-morpholin-4-ylethyl) indole-3-yl) -4-methylnaphthalen-1-ylmethane[1], [2]
    JWH-193 (1- (2-morpholin-4-ylethyl) indole-3-yl) -4-methylnaphthalen-1-ylmetanone[1], [2]

    JWH-194 2-methyl-1-pentyl-1H-indol-3-yl- (4-methyl-1naphthyl) methane[1], [2]
    JWH-195 (1- (2-morpholin-4-ylethyl) indole-3-yl) -naphthalen-1-ylmethane[1], [2]
    JWH-196 2-methyl-3- (1-naphthalenylmethyl) -1-pentyl-1H-indole[1], [2]
    JWH-197 2-methyl-1-pentyl-1H-indol-3-yl- (4-methoxy-1naphthyl) methane[1], [2]
    JWH-198 (1- (2-morpholin-4-ylethyl) indole-3-yl) -4methoxynaphthalen-1-ylmetanone[1], [2]
    JWH-199 (1- (2-morpholin-4-ylethyl) indole-3-yl) -4methoxynaphthalen-1-ylmethane[1], [2]
    JWH-200 (1- (2-Morpholin-4-ylethyl) indole-3-yl) -naphthalen-1-ylmetanone[1], [2]
    JWH-201 2- (4-methoxyphenyl) -1- (1-pentyl-1H-indole-3il) -ethanone[1], [2]
    JWH-202 1-pentyl-2-methyl-3- (4-methoxyphenylacetyl) indole[1], [2]
    JWH-203 2- (2-chlorophenyl) -1- (1-pentylindole-3il) ethanone[1], [2]
    JWH-204 2- (2-Chlorophenyl) -1- (2-methyl-1-pentyl-1 Hindol-3-yl) ethanone[1], [2]
    JWH-205 1- (2-Methyl-1-pentyl-1H-indol-3-yl) -2-phenyletanone[1], [2]
    JWH-206 2- (4-Chlorophenyl) -1- (1-pentyl-1H-indole-3il) ethanone[1], [2]
    JWH-207 2- (4-Chlorophenyl) -1- (2-methyl-1-pentyl-1 Hindol-3-yl) ethanone[1], [2]
    JWH-208 2- (4-Methylphenyl) -1- (1-pentyl-1H-indole-3il) ethanone[1], [2]
    JWH-209 1- (2-Methyl-1-pentyl-1H-indol-3-yl) -2- (4methylphenyl) ethanone[1], [2]
    JWH-210 4-ethylnaphthalen-1-yl- (1-pentylindole-3-yl) methanone[1], [2]
    JWH-211 (4-Ethyl-1-naphthyl) (2-methyl-1-propyl-1H-indole-3yl) methanone[1], [2]
    JWH-212 (4-Ethyl-1-naphthyl) (1-propyl-1H-indole-3yl) methanone[1], [2]
    JWH-213 (4-Ethyl-1-naphthyl) (2-methyl-1-pentyl-1H-indole-3yl) methanone[1], [2]
    JWH-234 (7-Ethyl-1-naphthyl) (1-pentyl-1H-indole-3yl) methanone[1], [2]
    JWH-235 (7-Ethyl-1-naphthyl) (1-propyl-1H-indole-3yl) methanone[1], [2]
    JWH-236 (7-Ethyl-1-naphthyl) (2-methyl-1-propyl-1H-indole-3yl) methanone[1], [2]
    JWH-237 2- (3-Chlorophenyl) -1- (1-pentyl-1H-indole-3il) ethanone[1], [2]

    JWH-239 (4-Butyl-1-naphthyl) (1-propyl-1H-indole-3yl) methanone[1], [2]
    JWH-240 (4-Butyl-1-naphthyl) (1-pentyl-1H-indole-3il) methanone[1], [2]
    JWH-241 (4-Butyl-1-naphthyl) (2-methyl-1-propyl-1H-indole-3yl) methanone[1], [2]
    JWH-242 (4-Butyl-1-naphthyl) (2-methyl-1-pentyl-1H-indole-3yl) methanone[1], [2]
    JWH-243 [5- (4-Methoxyphenyl) -1-pentyl-1H-pyrrole-3-yl] (1naphthyl) methanone[1], [2]
    JWH-244 [5- (4-Methylphenyl) -1-pentyl-1H-pyrrole-3-yl] (1naphthyl) methanone[1], [2]
    JWH-245 [5- (4-Chlorophenyl) -1-pentyl-1H-pyrrole-3-yl] (1naphthyl) methanone[1], [2]
    JWH-246 [5- (3-Chlorophenyl) -1-pentyl-1H-pyrrole-3-yl] (1naphthyl) methanone[1], [2]
    JWH-248 2- (4-Bromophenyl) -1- (1-pentyl-1H-indole-3il) ethanone[1], [2]
    JWH-249 (1-pentyl-3- (2-bromophenylacetyl) indole)[1], [2]
    JWH-250 2- (2-methoxyphenyl) -1- (1-pentylindole-3il) ethanone[1], [2]
    JWH-251 2- (2-Methylphenyl) -1- (1-pentyl-1H-indole-3il) ethanone[1], [2]
    JWH-252 1- (2-Methyl-1-pentyl-1H-indol-3-yl) -2- (2-methylphenyl) ethanone[1], [2]
    JWH-253 2- (3-Methoxyphenyl) -1- (2-methyl-1-pentyl-1 Hindol-3-yl) ethanone[1], [2]
    JWH-258 (4-Ethoxy-1-naphthyl) (1-pentyl-1H-indole-3il) methanone[1], [2]
    JWH-259 (4-Ethoxy-1-naphthyl) (1-propyl-1H-indole-3yl) methanone[1], [2]
    JWH-260 (4-Ethoxy-1-naphthyl) (2-methyl-1-pentyl-1H-indol3-yl) methanone[1], [2]
    JWH-261 (4-Ethoxy-1-naphthyl) (2-methyl-1-propyl-1H-indol3-yl) methanone[1], [2]
    JWH-262 (7-Ethyl-1-naphthyl) (2-methyl-1-pentyl-1H-indole-3yl) methanone[1], [2]
    JWH-265 (2-Methoxy-1-naphthyl) (1-propyl-1H-indole-3yl) methanone[1], [2]
    JWH-267 (2-Methoxy-1-naphthyl) (1-pentyl-1H-indole-3il) methanone[1], [2]
    JWH-268 (2-Methoxy-1-naphthyl) (2-methyl-1-pentyl-1H-indol3-yl) methanone[1], [2]
    JWH-292 [5- (2-Methoxyphenyl) -1-pentyl-1H-pyrrole-3-yl] (1naphthyl) methanone[1], [2]
    JWH-293 1-Naphthyl [5- (3-nitrophenyl) -1-pentyl-1H-pyrrole-3yl] methanone[1], [2]
    JWH-302 2- (3-Methoxyphenyl) -1- (1-pentyl-1H-indole-3il) ethanone[1], [2]

    JWH-303 2- (3-Chlorophenyl) -1- (2-methyl-1-pentyl-1 Hindol-3-yl) ethanone[1], [2]
    JWH-305 2- (2-Bromophenyl) -1- (2-methyl-1-pentyl-1 Hindol-3-yl) ethanone[1], [2]
    JWH-306 2- (2-Methoxyphenyl) -1- (2-methyl-1-pentyl-1 Hindol-3-yl) ethanone[1], [2]
    JWH-307 [5- (2-Fluorophenyl) -1-pentyl-1H-pyrrole-3-yl] (1naphthyl) methanone[1], [2], [9]
    JWH-308 [5- (4-Fluorophenyl) -1-pentyl-1H-pyrrole-3-yl] (1naphthyl) methanone[1], [2], [9]
    JWH-311 2- (2-Fluorophenyl) -1- (1-pentyl-1H-indole-3il) ethanone[1], [2]
    JWH-312 2- (3-Fluorophenyl) -1- (1-pentyl-1H-indole-3il) ethanone[1], [2]
    JWH-313 2- (4-Fluorophenyl) -1- (1-pentyl-1H-indole-3il) ethanone[1], [2]
    JWH-314 2- (2-Fluorophenyl) -1- (2-methyl-1-pentyl-1 Hindol-3-yl) ethanone[1], [2]
    JWH-315 2- (3-Fluorophenyl) -1- (2-methyl-1-pentyl-1 Hindol-3-yl) ethanone[1], [2]
    JWH-346 [5- (3-Methylphenyl) -1-pentyl-1H-pyrrole-3-yl] (1naphthyl) methanone[1], [2], [9]
    JWH-348 1-Naphthyl {1-pentyl-5- [4- (trifluoromethyl) phenyl] 1H-pyrrole-3-yl} methanone[1], [2]
    JWH-359 (6aR, 10aR) -3 - [(3R) -2,3-Dimethyl-2pentanyl] -1-methoxy-6,6,9-trimethyl6a, 7,10,10a-tetrahydro-6Hbenzo [c] chromene[1], [2]
    JWH-363 1-Naphthyl {1-pentyl-5- [3- (trifluoromethyl) phenyl] 1H-pyrrole-3-yl} methanone[1], [2], [9]
    JWH-364 [5- (4-Ethylphenyl) -1-pentyl-1H-pyrrol-3-yl] (1naphthyl) methanone[1], [2], [9]
    JWH-365 [5- (2-Ethylphenyl) -1-pentyl-1H-pyrrole-3-yl] (1naphthyl) methanone[1], [2], [9]
    JWH-367 [5- (3-Methoxyphenyl) -1-pentyl-1H-pyrrole-3-yl] (1naphthyl) methanone[1], [2], [9]
    JWH-368 [5- (3-Fluorophenyl) -1-pentyl-1H-pyrrole-3-yl] (1naphthyl) methanone[1], [2]
    JWH-369 [5- (2-Chlorophenyl) -1-pentyl-1H-pyrrole-3-yl] (1naphthyl) methanone[1], [2]
    JWH-370 [5- (2-Methylphenyl) -1-pentyl-1H-pyrrole-3-yl] (1naphthyl) methanone[1], [2], [9]
    JWH-371 [5- (4-Butylphenyl) -1-pentyl-1H-pyrrole-3-yl] (1naphthyl) methanone[1], [2], [9]
    JWH-373 [5- (2-Butylphenyl) -1-pentyl-1H-pyrrole-3-yl] (1naphthyl) methanone[1], [2]
    JWH-387 (4-Bromo-1-naphthyl) (1-pentyl-1H-indole-3il) methanone[1], [2], [8]
    JWH-392 (1R, 3R, 4R) -4- (3-Hydroxypropyl) -3- [4- (2methyl-2-pentanyl) phenyl] cyclohexanol[1], [2]

    JWH-394 2-Methyl-N-pentyl-3- (4-bromo-1-naphthoyl)[1], [2], [8]
    JWH-395 2-Methyl-N-propyl-3- (4-bromo-1naphthoyl) indole[1], [2], [8]
    JWH-397 2-Methyl-N-pentyl-3- (4-chloro-1-naphthoyl) indole[1], [2], [8]
    JWH-398 (4-Chloro-1-naphthyl) (1-pentyl-1H-indole-3il) methanone[1], [2], [8]
    JWH-399 2-Methyl-N-propyl-3- (4-chloro-1-naphthoyl) indole[1], [2], [8]
    JWH-400 N-Propyl-3- (4-chloro-1-naphthoyl) indole[1], [2], [8]
    JWH-412 (4-Fluoro-1-naphthyl) (1-pentyl-1H-indole-3il) methanone[1], [2], [8]
    JWH-413 2-Methyl-N-pentyl-3- (4-fluoro-1-naphthoyl) indole[1], [2], [8]
    JWH-414 N-propyl-3- (4-fluoro-1-naphthoyl) indole[1], [2], [8]
    JWH-415 2-methyl-N-propyl-3- (4-fluoro-1-naphthoyl) indole[1], [2], [8]
    AM-087 (6aR, 10aR) -3- (6-Bromo-2-methyl-2hexanyl) -6,6,9-trimethyl-6a, 7,10,10-tetrahydro-6H-benzo [c] chromen-1-ol[2]
    AM-411 (6aR, 10aR) -3- (Adamantan-1-yl) -6,6,9trimethyl-6a, 7,10,10a-tetrahydro-6Hbenzo [c] chromen-1-ol[2]
    AM-679 1-pentyl-3- (2-iodobenzoyl) indole[2]
    AM-694 [1- (5-Fluoropentyl) -1H-indol-3-yl] (2iodophenyl) methanone[2]
    AM-905 (6aR, 9R, 10aR) -3 - [(1E) -1-Hepten-1-yl] -9 (hydroxymethyl) -6,6-dimethyl-6a, 7,8,9,10,10ahexahydro-6H-benzo [c] cromen-1-ol[Four. Five]
    AM-906 (6aR, 9R, 10aR) -3 - [(1Z) -1-Hepten-1-yl] -9 (hydroxymethyl) -6,6-dimethyl-6a, 7,8,9,10,10ahexahydro-6H-benzo [c] cromen-1-ol[4]
    AM-919 (6aR, 9R, 10aR) -9- (hydroxymethyl) -6- (3-hydroxypropyl) -6-methyl-3- (2-methyl octan-2-yl) 6a, 7,8,9,10,10a-hexahydro-6Hbenzo [c] cromen-1-ol[5]
    AM-938 (6R, 6aR, 9R, 10aR) -9- (Hydroxymethyl) -6- (3-hydroxy-1-propyn-1-yl) -6-methyl-3- (2-methyl-2octanyl) -6a, 7.8, 9,10,10a-hexahydro-6Hbenzo [c] chromen-1-ol[5]
    AM-1220 (1 - {[(2R) -1-Methyl-2-piperidinyl] methyl} -1 Hindol-3-yl) (1-naphthyl) methanone[6]
    AM-2201 [1- (5-Fluoropentyl) -1H-indole-3-yl] (1naphthyl) methanone[7]
    AM-2232 5- [3- (1-Naftoil) -1H-indole-1il] pentanenitrile[10]

    AM-2233 (2-Iodophenyl) {1 - [(1-methyl-2piperidinyl) methyl] -1H-indole-3-yl} methanone[eleven]
    AM-2389 (6aR, 9R, 10aR) -3- (1-Hexylcyclobutyl) -6,6-dimethyl-6a, 7,8,9,10,10a-hexahydro-6Hbenzo [c] chromene-1,9-diol[12]
    AM-4030 (6S, 6aR, 9R, 10aR) -9- (Hydroxymethyl) -6 - [(1E) 3-hydroxy-1-propen-1-yl] -6-methyl-3- (2-methyl-2-octanyl) -6a, 7,8,9,10,10a-hexahydro-6Hbenzo [c] chromen-1-ol[13]
    APICA (SBD-001) N - [(3s, 5s, 7s) -Adamantan-1-yl] -1-pentyl-1Hindole-3-carboxamide[14]
    CP55940 2 - [(1R, 2R, 5R) -5-hydroxy-2- (3-hydroxypropyl) cyclohexyl] -5- (2-methyl octan-2yl) phenol[1], [2]
    Otenabant (CP-945,598) 1- [8- (2-chlorophenyl) -9- (4-chlorophenyl) purin-6il] -4-ethylaminopiperidine-4-carboxamide[one]
    Nabilone (Cesamet®) 1-hydroxy-6,6-dimethyl-3- (2-methylctan-2-yl) -7,8,10,10a-tetrahydro-6aHbenzo [c] chromen-9-one[one]
    Δ9-tetrahydrocann abinol (Marinol®) (6aR, 10aR) -6,6,9-trimethyl-3-pentyl6a, 7,8,10a-tetrahydrobenzo [c] chromen-1ol[1], [2]
    Δ 8 tetrahydrocann abinol 6,6,9-trimethyl-3-pentyl-6a, 7,10,10-tetrahydrobenzo [c] chromen-1-ol[1], [2]
    Cannabinol 6,6,9-trimethyl-3-pentylbenzo [c] chromen-1-ol[one]
    HU-210 (6aR, 10aR) -9- (hydroxymethyl) -6,6-dimethyl-3 (2-methyl octan-2-yl) -6a, 7,10,10-tetrahydrobenzo [c] chromen-1-ol[1], [2]
    Y-the following endocannabinoids:
    Name IUPAC nameRef.
    Anandamide (AEA) (5Z, 8Z, 11Z, 14Z) -N- (2-Hydroxyethyl) 5,8,11,14-icosatetraenamide[1], [2]
    2-Arachidonoilglycerol (2-AG) 1,3-Dihydroxy-2-propanyl (5Z, 8Z, 11Z, 14Z) -5,8,11,14icosatetraenoate[1], [2]
    N-Docosatetraenoylethane olamine (7Z, 10Z, 13Z, 16Z) -N- (2-Hydroxyethyl) 7,10,13,16-docosatetraenamide[1], [2]
    N-dihomo-γlinolenoylethanolamine (8Z, 11Z, 14Z) -N- (2-hydroxyethyl) icosa8,11,14-trienamide[1], [2]
    2-Arachidonil glyceryl ether (Noladin ether) 2 - [(5Z, 8Z, 11Z, 14Z) -5,8,11,14 Icosatetraen-1-yloxy] -1,3-propanediol[1], [2]
    Virodhamina 2-Aminoethyl (5Z, 8Z, 11Z, 14Z) -5,8,11,14[2]


    icosatetraenoate
    N-Palmitoylethanolamine (PEA) N- (2-Hydroxyethyl) hexadecanamide[2]
    Oleamide (ODA) (9Z) -9-Octadecenamide[2]
    N-Arachidonoyldopamine (5Z, 8Z, 11Z, 14Z) -N- [2- (3,4-Dihydroxyphenyl) ethyl] -5,8,11,14icosatetraenamide[2]
    N-Stearoylethanolamine (SEA) N- (2-Hydroxyethyl) octadecanamide[2]
    N-Oleoylethanolamine (OAS) (9E) -N- (2-Hydroxyethyl) -9octadecenamide[2]
    N-Docosahexaenoiletan olamine (DHEA) (2E, 4E, 6E, 8E, 10E, 12E) -N- (2 Hydroxyethyl) -2,4,6,8,10,12docosahexaenamide[2]
    N-Arachidonoylcyclopropyl amine (ACPA) (5Z, 8Z, 11Z, 14Z) -N-cyclopropylase 5,8,11,14-tetraenamide[2]
    arachidonyl-2-chloroethylamide (ACEA) (5Z, 8Z, 11Z, 14Z) -N- (2-Chloroethyl) icosa5,8,11,14-tetraenamide[2]
    O-1812 (5Z, 8Z, 11Z, 14Z) -20-cyano-N - [(2R) -1hydroxypropan-2-yl] -16,16-dimethylicosa5,8,11,14-tetraenamide[2]
    In a preferred embodiment, the cannabinoid agonist is a compound of formula (Ia) or (Ib) as defined above, or a salt or solvate thereof. In a particularly preferred embodiment, it is a compound of formula (Ia).
    In a preferred embodiment, X is N.
    In one embodiment, R 1 is a piperidinyl, pyrrolidinyl or oxazinanyl group, and more preferably it is a 2-piperidinyl, 2-pyrrolidinyl or 4-oxazinanyl group, as depicted below:
    HN
    HNHN
    OR.
    In a more particular embodiment, the nitrogen atom of the piperidinyl, pyrrolidinyl and oxazinanyl rings is substituted with methyl.
    In a preferred embodiment, R1 is a -CH2-morpholinyl, -CH2-thiomorpholinyl or -CH2piperidinyl group, and more preferably it is a -CH2- (4-morpholinyl), -CH2- (4-thiomorpholinyl) or -CH2- ( 1-piperidinyl), as depicted below:


    N
    N
    N
    OR
    S
    Even more preferably, R1 is a -CH2-morpholinyl group, preferably -CH2- (4
    morpholinyl).
    In a preferred embodiment, R2 is H or C1-C6 alkyl, preferably H or methyl, even more preferably methyl.
    In a preferred embodiment, R3 is phenyl or naphthyl. Preferably it is naphthyl, even more preferably 1-naphthyl.
    In a preferred embodiment, R3 is unsubstituted aryl. In a preferred embodiment, R3 is unsubstituted phenyl or unsubstituted naphthyl. Preferably it is unsubstituted naphthyl, even more
    10 preferably unsubstituted 1-naphthyl.
    In a preferred embodiment, R4 in the compound of formula (Ia) is a group -CH2-Y, where Y is O, S, or NR5, where Y is attached directly to the 7-position of the indole ring (X is N) or indene (X is CH), and wherein R5 is H or C1-C6 alkyl. That is, the compound (Ia) is a compound of the formula:
    OR
    Y
    R3
    X R2 15 R1 wherein R1, R2, R3, X and Y are as defined in any embodiment described herein.
    In an even more preferred embodiment, R4 in the compound of formula (Ia) is a group -CH2-Y, where Y is O and is attached directly to position-7 of the indole ring (X is N) or indene 20 ( X is CH).
    In a preferred embodiment, in the compound of formula (Ia) the phenyl portion of the indole ring (X is N) or indene (X is CH) is unsubstituted.
    The above structural embodiments can be freely combined with each other to generate new, more specific embodiments.


    In a particular preferred embodiment, the cannabinoid agonist is
    also known as WIN 55212, or a salt or solvate thereof. Preferably, the cannabinoid agonist is WIN 55212. In a particularly preferred particular embodiment, the cannabinoid agonist is
    also known as WIN 55212-2, or a salt or solvate thereof. Preferably, the cannabinoid agonist is WIN 55212-2.
    The cannabinoid agonists mentioned above can be obtained from sources
    10 or prepared by chemical synthesis procedures described in the state of the art or variations thereof that fall within the common knowledge of the person skilled in the art. The document D’Ambra et al. (J. Med. Chem. 1992, 35, 124-135) describes the synthesis of the compounds of formula (Ia) or (Ib). On the other hand, for example the compound WIN 55212-2 is marketed, among many others, by Sigma-Aldrich in the form of
    15 mesylate salt (CAS no .: 131543-23-2), Tocris Bioscience (Ref. 1038), Adooq Bioscience (Ref. A11932), or MedChem Express (Ref. HY-13291).
    "Alkyl" refers to a linear or branched hydrocarbon chain radical consisting of the number of carbons indicated in each case, which does not contain any unsaturation, and which is attached to the rest of the molecule by a single bond, for example, methyl ethyl
    N-propyl, i-propyl, n-butyl, t-butyl, n-pentyl, etc.


    "Aryl" refers to single and multiple aromatic ring radicals, including multiple ring radicals containing separate and / or condensed aryl groups. Typical aryl groups contain from 1 to 3 separate or condensed rings and from 6 to about 18 carbon ring atoms, such as phenyl, naphthyl, indenyl, phenanthryl or anthracil radical.
    "Halogen" refers to bromine, chlorine, iodine or fluorine.
    In the context of the present invention, the cannabinoid agonist salt is a pharmaceutically acceptable salt. By "pharmaceutically acceptable salt" is understood in the context of the present invention any salt that is physiologically tolerated (usually meaning that it is not toxic, particularly as a result of the counterion) when used appropriately for a treatment, applied or used, particularly, in humans and / or mammals. The term "salt" should be understood as any form of a cannabinoid agonist according to this invention in which said compound is in ionic form, for example anionic or cationic, and coupled to a counterion, for example and respectively to a cation or anion. Preferably, in the salt the cannabinoid agonist according to the invention is protonated, for example in nitrogen or oxygen, and the counterion is an anion. Examples of such salts are those formed from a cannabinoid agonist of the invention, and hydrochloric acid, hydrobromic acid, sulfuric acid, methanesulfonic acid, formic acid, acetic acid, oxalic acid, succinic acid, malic acid, tartaric acid, Mandelic acid, fumaric acid, lactic acid or citric acid.
    The term "solvate" according to this invention should be understood as meaning any form of the cannabinoid agonist according to the invention in which said compound is linked by a non-covalent bond to another molecule (usually a polar solvent), especially including hydrates and alcoholates, as per example, methanolate. A preferred solvate is hydrate.
    The cannabinoid agonists of the invention, or their salts or solvates preferably have a pharmaceutically acceptable level of purity excluding normal pharmaceutical additives such as diluents and carriers. The purity levels are preferably greater than 50%, more preferably greater than 70%, even more preferably greater than 90%. In a preferred embodiment, they are greater than 95%.
    As used herein, the terms "treat," "treatment," and derivatives include the reversal, relief, or control of dementia of the irreversible type, and more.


    particularly the cognitive effects associated with dementia, and even more particularly the deterioration of learning and / or memory associated with dementia.
    As used herein, the terms "prevention", "prevent" and derivatives refer to the ability of cannabinoid agonists of the invention to prevent, minimize or hinder the onset of dementia in patients suffering from a clinical picture. normally associated with the appearance of said dementia.
    The present invention further provides medicaments or pharmaceutical compositions comprising a cannabinoid agonist of this invention as an active ingredient, together with a pharmaceutically acceptable excipient, for use in the prevention or treatment of an irreversible type dementia.
    The term "excipient" refers to components of a pharmacological compound other than the active substance (s) (definition obtained from the European Medicines Agency, AEM). They preferably include a "carrier, adjuvants and / or vehicle". Carriers are ways in which substances are incorporated to improve the administration and efficacy of drugs. Pharmacological carriers are used in drug delivery systems such as controlled release technology to prolong pharmacological actions in vivo, decrease drug metabolism and reduce drug toxicity. Carriers are also used in designs to increase the efficacy of drug administration to the target sites of pharmacological actions. The adjuvant is a substance added to a pharmacological product that affects the action of the active substance in a predictable manner. The vehicle is an excipient or a substance, preferably without therapeutic action, used as a means to provide volume for the administration of medications. Such carriers, adjuvants or pharmaceutical vehicles may be sterile liquids, such as water and oils, including those of petroleum, animal, vegetable or synthetic origin, such as peanut oil, soybean oil, mineral oil, sesame oil and similar, excipients, disintegrants, wetting agents or diluents. Suitable pharmaceutical carriers are described in "Remington's Pharmaceutical Sciences" by E.W. Martin. The selection of these excipients and the amounts to be used will depend on the form of application of the pharmaceutical composition.
    The pharmaceutical composition according to the present invention can be in any form suitable for application to humans and / or animals, preferably humans, including infants, children and adults, and can be produced by methods


    conventional techniques known to those skilled in the art, for example those described or mentioned in the Spanish and US pharmacopoeias and similar reference texts. Common examples of pharmaceutical forms are solid (tablets, pills, capsules, etc.) or liquid (solutions, suspensions or emulsions).
    The administration of the compounds of the present invention may be intraperitoneal, intramuscular, intra-articular, intravenous, intra-arterial, intravesical, intraosseous, intracavernous, pulmonary, buccal, sublingual, ocular, intravitreal, intranasal, percutaneous, rectal, vaginal, oral , epidural, intrathecal, intraventricular, intracerebral, intracerebroventricular, intracisternal, intraspinal, perispinal, intracranial, administration by means of needles or catheters with or without pump devices, topical administration, particularly dermal, transdermal or subcutaneous, or other routes of application.
    In one embodiment, administration is oral, intravenous, intraperitoneal, intracerebral, or intracerebroventricular. In another embodiment, the administration is intravenous, intraperitoneal, intracerebral, or intracerebroventricular. In a preferred embodiment, the administration is intraperitoneal, intracerebral, or intracerebroventricular. More preferably, the administration is intraperitoneal.
    In one embodiment, the cannabinoid agonist is administered together with ingredients that increase its solubility, for example organic solvents such as dimethyl sulfoxide, propylene glycol, polyethylene glycol, ethanol, glycerol, polyethylene glycol ricinoleate (Cremophor) or polysorbates, preferably, cremophor and / or dimethylsulfoxide, even more preferably cremophor and dimethyl sulfoxide at a ratio of between 2: 1 to 1: 2, more preferably 1: 1. In one embodiment, the cannabinoid agonist is administered in a saline solution comprising at least one ingredient that increases the solubility of the cannabinoid agonist selected from those mentioned above. Preferably the saline: solubilizing ingredients ratio is 2: 2 to 2:30, preferably 2:18.
    In the context of the present invention, it is understood that the use of the cannabinoid agonist is in therapeutically effective amounts. The doctor will determine the dosage of the cannabinoid compounds that is the most appropriate and will vary with the method of administration and the particular compound chosen, and will also vary with the patient under treatment, the age of the patient, the type of disease or condition that is I'm trying When the composition is administered orally, larger amounts of the active agent will be required to produce the same effect as a smaller amount administered parenterally. The compounds are useful in the same way as therapeutic agents


    comparable and the dosage level is of the same order of magnitude that is generally used with these other therapeutic agents.
    In one embodiment, the cannabinoid agonist is administered one or more times a day for example 1, 2, 3 or 4 times daily. In a particular embodiment it is administered once a day.
    In one embodiment, administration is carried out prior to a learning or memorization process, for example between 3 hours and 10 minutes before the learning or memorization process. In a specific embodiment, the administration is carried out prior to a learning process. In another embodiment, the administration is carried out prior to a memorization process.
    In one embodiment, the cannabinoid agonist is administered in a dose or in total daily doses in the range between 0.001 µg / kg and 30 mg / kg, preferably between 0.001 mg / kg and 10 mg / kg, more preferably between 0 , 01 mg / kg and 10 mg / kg, preferably between 0.01 mg / kg and 5 mg / kg, preferably between 0.01 mg / kg and 1 mg / kg, more preferably between 0.1 mg / kg and 10 mg / kg, preferably between 0.1 mg / kg and 5 mg / kg, preferably between 0.1 mg / kg and 1 mg / kg, and especially preferably between 0.45 and 0.55 mg / kg, and more preferably 0.49 and 0.51 mg / kg. In another embodiment, the cannabinoid agonist is administered in a dose or in total daily doses of 0.4 to 10 mg / kg, preferably 0.4 to 5 mg / kg, more preferably 0.4 to 1 mg / kg. In the most specific embodiment, the cannabinoid agonist is administered in a dose or in total daily doses of 0.5 mg / kg. Intraperitoneal administration at these doses is particularly preferred.
    In one embodiment, the cannabinoid agonist is administered in a dose or in total daily doses of between 0.001 mg / kg and less than 5 mg / kg, preferably between 0.01 mg / kg and less than 5 mg / kg, preferably of between 0.1 mg / kg and less than 5 mg / kg, and especially preferably between 0.45 and less than 5 mg / kg. Intraperitoneal administration at these doses is particularly preferred.
    In one embodiment, the cannabinoid agonist is administered in a dose or in total daily doses of between 0.001 mg / kg and less than 1 mg / kg, preferably between 0.01 mg / kg and less than 1 mg / kg, preferably of between 0.1 mg / kg and less than 1 mg / kg, and especially preferably between 0.45 and less than 1 mg / kg. Intraperitoneal administration at these doses is particularly preferred.
    The inventors have discovered that the beneficial effects of the cannabinoid agonist on cognitive deficits are specifically mediated by the CB1 receptor.


    More than one of the cannabinoid agonists mentioned in this application may be used,
    or together with the cannabinoid agonist (s) mentioned in this application, at least one other active ingredient against irreversible dementia can be used to provide a combination therapy. The additional cannabinoid agent or the at least one other active ingredient may be part of the same composition, or be provided as a separate composition for administration at the same time or at a different time. In one embodiment, the at least one other active ingredient against dementia of the irreversible type is selected from: cholinesterase inhibitors (AChE), for example donepezil, rivastigmine and galantamine; and NMDA glutamatergic receptor blockers, for example memantine.
    In the context of the present invention, dementia is understood as a state that shows impairment of learning and / or memory accompanied by at least one other cognitive deficit, as defined in the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) of the American Psychiatric Association, whose contents are incorporated by reference to this application.
    In a preferred embodiment, dementia is a state that exhibits impairment of learning and / or memory accompanied by at least one other cognitive deficit that is selected from aphasia, apraxia, agnosia and an impaired ability to execute. In the context of the present invention, aphasia, apraxia, agnosia and an alteration in the ability to execute are understood as meaning given in the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) of the American Association of Psychiatry.
    Dementias treated according to the present invention are irreversible dementias, that is to say that dementias caused by causes that can be eliminated are excluded, such as dementias due for example to the abuse of substances such as alcohol, to nutritional deficits such as a deficit vitamin, head trauma, or fever or depression. In a preferred embodiment, irreversible dementias are dementias due to a medical illness. Preferably, they are irreversible dementias due to neurodegenerative disease.
    In one embodiment, irreversible dementia is selected from: Alzheimer type dementia, vascular dementia, dementia due to Parkinson's disease, dementia due to Huntington's disease, dementia due to Pick's disease, dementia


    due to Creutzfeldt-Jakob disease, dementia due to HIV disease, and a combination of these.
    In one embodiment, irreversible dementia is not vascular dementia, and in a more particular embodiment it is not vascular dementia due to cerebral apoplexy or craniocerebral trauma.
    In one embodiment, irreversible type dementia is selected from: Alzheimer type dementia, dementia due to Parkinson's disease, dementia due to Huntington's disease, dementia due to Pick's disease, dementia due to Creutzfeldt-Jakob disease, dementia due to HIV disease, or a combination of these.
    In a preferred embodiment, the irreversible dementia is Alzheimer's dementia or dementia due to Parkinson's disease. In a more preferred embodiment, the irreversible type dementia is Alzheimer's type dementia.
    In one embodiment, Alzheimer's type dementia is early onset, more particularly uncomplicated early onset, with delusions or depressed mood; or of late onset, more particularly of uncomplicated late onset, with delusional ideas or depressed mood.
    In one embodiment, vascular dementia is uncomplicated vascular dementia, with delusions or depressed mood.
    In the context of the present invention, each of the above dementias is understood as meaning given in the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) of the American Psychiatric Association.
    In one embodiment, the use of the cannabinoid agonist is for the prevention or treatment of a cognitive deficit associated with irreversible dementia, where the cognitive deficit is chosen from: impairment of learning and / or memory, aphasia, apraxia, agnosia and an alteration of the capacity of execution. In a preferred embodiment, the cognitive deficit is impairment of learning and / or memory. In one embodiment, it is memory impairment, preferably spatial memory. In an even more preferred embodiment, it is learning impairment.
    In one embodiment, the use of the cannabinoid agonist is for the prevention or treatment of dementia due to a basal forebrain injury, preferably a cholinergic basal forebrain injury. Cholinergic injury is understood as an injury that prevents cholinergic innervation to the areas responsible for cognitive processes.


    In the most preferred embodiment, in any of the embodiments described above, the cannabinoid agent is a compound of formula (Ia) or (Ib) or a salt or solvate thereof.
    Examples
    Example 1A: Use of cannabinoid agonist in an Alzheimer's type dementia animal model (1 round of workouts)
    The animal model used is the injury of cholinergic cells of the magnocellular basal nucleus in rats to produce a loss of memory maintained over time. It is a recognized model of dementia of the irreversible type, specifically Alzheimer's dementia.
    More specifically, a bilateral lesion was made in the magnocellular basal nucleus in the brain of male Sprague Dawley rats (male 150-200 gr) using stereotactic coordinates (bregma -1.5 mm anteroposterior, ± 3 mm laterodorsal and -8 mm ventral from the surface of the skull) by injecting the 192 IgG saporin toxin (Merck-Millipore. Ref: MAB390) (SAP, n = 30) (135 ng / µl / hemisphere; 0.25 µl / min) dissolved in artificial cerebrospinal fluid (CSF, n = 28) (148 mM NaCl, 2.7 mM KCl, 0.85 MgCl2.6H2O, 1.2 mM CaCl2.2H2O; pH 7.4 adjusted with 1 mM K2HPO4) and for the lesion control group the same procedure was performed but in this case injected only CSF (1µl / hemisphere). Finally, as a control of the latter, another group of animals was used where they only received the needle injection without any administration (SHAM, n = 7). To stabilize the injury process, the animals remained a week without manipulation. The animals were operated on day zero, left for a week off and then on day eight, training and treatment began, they received a dose of 0.5 mg / kg of WIN55,212-2 (Tocris. Ref. 1038) one hour before each workout and another dose on the day of the test. The compound is dissolved in DMSO: Cremophor: saline following the ratio [1: 1: 18]. Each animal receives a single daily intraperitoneal administration of compound WIN55,212-2 dissolved in vehicle in a volume of 5 ml / kg, making a total of 0.5 mg / kg of WIN55,212-2 per day.
    The test used to assess the cognitive deficit of these models was the Barnes labyrinth, which measures spatial memory. It is a circular labyrinth that has 20 holes on the periphery and only one of them has an escape box. When the animal finds this drawer it is returned to its cage. This procedure is performed four times a day for four days (16 workouts). On the fifth day the hole leading to the escape box is covered and the animal explores the labyrinth for three minutes in order to find


    This hole (Test). In the test, the time in the target quadrant will be evaluated. This parameter tells us if the animal remembers exactly where its escape hole is located since it will spend more time in the quadrant that contains said hole (target quadrant). This parameter was analyzed using SMART video tracking software
    3.0. This test has the advantage, compared to other types of behavior tests that evaluate memory in rodents, that there is no aversive stimulus in which effects on fear and anxiety can interfere, avoiding confusing anxiolytic effects with cognitive enhancing effects.
    The results showed clearly and surprisingly that the injured group treated with the cannabinoid agonist (SAP + WIN, n = 12) had no memory deficits and also that the same compound had no effect on the CSF group (CSF + WIN, n = 12 ) (see Figure 1).
    It is thus demonstrated that, unexpectedly, at the dosage levels used, which are levels at which the cannabinoid agonist does not produce any type of effect in animals in which an Alzheimer type dementia has not been induced, the cannabinoid agonist is capable of counteracting cognitive deficits of animals in which Alzheimer's dementia has been induced.
    Example 1A: Use of cannabinoid agonist in animal model of Alzheimer's type dementia (2 training sessions)
    In this case, the procedure was performed as in the previous example except that on day 8 training began in this case without treatment. The results show that the saporin group (SAP *, n = 20), as it had happened in previous experiments, shows a cognitive deficit in the Barnes test, but they are allowed a week off and on day 18 they start with new workouts changing the escape hole and are given the four days of training and on the day of the test a dose of 0.5 mg / kg of WIN55,212-2 one hour before exposing the animal to the test (SAP * + WIN). The results show that the same animals that were previously not able to remember the escape hole, in this case with the help of the treatment they are able to remember it (see Figure 2).

    权利要求:
    Claims (1)
    [1]
    1-Use of a compound of formula (Ia) or (Ib) O
    Or R3
    R3
    N R4 R4
    X
    R2 R2
    R1 R1
    (Ia) (Ib)
    where5 X is N or CH;R1 is selected from
    • C2-C6 alkyl;
    • an unsubstituted or substituted piperidinyl, pyrrolidinyl or oxazinanyl group on its nitrogen atom with methyl; and • a -CH2-morpholinyl, -CH2-thiomorpholinyl or -CH2-piperidinyl group;
    R2 is selected from H, C1-C6 alkyl, halogen, -CN and -OH;R3 is selected from unsubstituted aryl and substituted aryl in one or more of itsPositions available with C1-C6 alkyl, -O-C1-C6 alkyl, halogen, -CN, -NO2 or –OH;
    R4 is H, and in the compound of formula (Ia) it can also be a group - CH2-Y, where Y is O, S, or NR5, where Y joins directly to position-7 of the indole ring or indene, and wherein R5 is H or C1-C6 alkyl;
    and wherein in the compound of formula (Ia) the phenyl portion of the indole ring (X is N) or indene (X is CH) is unsubstituted or substituted in one or more of its available positions with C1-C6 alkyl, - O-C1-C6 alkyl or halogen;
    or a salt or solvate thereof;

    to prepare a medicine intended for the prevention or treatment of a
    dementia of irreversible type.
    2- Use according to claim 2, wherein the compound is a compound of formula
    (Ia).
    5 3-Use according to any of the preceding claims, wherein X is N.
    4- Use according to any of the preceding claims, wherein R1 is a group
    -CH2-morpholinyl, -CH2-thiomorpholinyl or -CH2-piperidinyl.
    5- Use according to any of the preceding claims, wherein R2 is H or
    C1-C6 alkyl.
    10 6-Use according to any of the preceding claims, wherein R3 is naphthyl.
    7- Use according to any of claims 2-6, wherein R4 is a group -CH2 -
    And, where Y is O and joins directly to position-7 of the indole or indene ring.
    8- Use according to any of the preceding claims, wherein the compound
    is
    or a salt or solvate thereof.9-Use according to claim 8, wherein the compound is
    24

    or a salt or solvate thereof.
    10-Use according to any of the preceding claims, wherein the compound of formula (Ia) or (Ib) or its salt or solvate is administered in a dose of less than 5 mg / kg.
    Use 11 according to claim 10, wherein the dose is less than 1 mg / kg.
    12-Use according to any of the preceding claims, wherein the compound of formula (Ia) or (Ib) or its salt or solvate is administered intraperitoneally.
    13-Use according to any of the preceding claims wherein the irreversible dementia is selected from: Alzheimer type dementia, dementia
    10 vascular, dementia due to Parkinson's disease, dementia due to Huntington's disease, dementia due to Pick's disease, dementia due to Creutzfeldt-Jakob disease, dementia due to HIV disease, and a combination thereof.
    14-Use according to any of the preceding claims wherein the irreversible type dementia is Alzheimer type dementia.
    Use according to any of the preceding claims, wherein the compound of formula (Ia) or (Ib) is used together with at least one active ingredient selected from a cholinesterase inhibitor and an NMDA glutamatergic receptor blocker.
    25

    Figure 1
    26

    Figure 2
    27
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