CA2370241A1 - Tetrahydroisoquinolinyl-indole derivatives for the treatment of depression - Google Patents

Abstract

Compounds are provided which have formula (I) wherein: R1, R2, R3, and R4 are, independently, hydrogen, halogen, alkoxy, or carboxamide; R5 is hydrogen, halogen, CF3, CN, carbamide or alkoxy; and X is (CH2)n or a 4-6 membered carbocyclic ring, wherein n is an integer of 2 to 4; or pharmaceutically acceptable salts thereof.

Description

TETRAHYDROISOQUINOLINYL-INDOLE DERIVATIVES FOR THE
TREATMENT OF DEPRESSION
FIELD OF INVENTION
This invention relates to compounds which are useful for the treatment of diseases affected by disorders of the serotonin-affected neurological systems, such as depression and anxiety. More specifically, the present invention is directed to dihydroisoquinolinyl-indole derivatives useful in the treatment of such disorders.
BACKGROUND OF INVENTION
Pharmaceuticals which enhance neurotransmission of serotonin (5-HT) are useful for the treatment of many psychiatric disorders, including depression and anxiety. The first generation of non-selective serotonin-affecting drugs operated through a variety of physiological functions which caused them to possess numerous undesired side-effects. The more recently prescribed drugs, the selective serotonin reuptake inhibitors (SSRIs), act predominately by inhibiting 5-HT, which is released at the synapses, from being actively removed from the synaptic cleft via a presynaptic serotonin transport carrier. Since SSRIs require several weeks before they exert their full therapeutic effect, this 5-HT blockade mechanism cannot fully account for their therapeutic activity. It is speculated that this two week induction, which occurs before a full antidepressant effect is observed, is due to the involvement of the 5-HT1A autoreceptors which suppress the firing activity of 5-HT neurons, causing a dampening of the therapeutic effect. Studies suggest that after several weeks of SSRI
administration, a desensitization of the 5-HT autoreceptors occurs allowing a full antidepressant effect in most patients (see, e.g., LePaul et al., Arch.
Pharmacol., 352:141 (1995)). Hence, it is believed that overriding this negative feedback by using SHT1A antagonists would potentially increase and accelerate the clinical antidepressant response. Recent studies by Artigas et al., Trends Neurosci., 19:378-383 (1996) suggested a combination of 5-HT1A activity and inhibition of 5-HT
uptake within a single molecular entity can achieve a more robust and fast-acting antidepressant effect.

The present invention relates to a new class of molecules which have the ability to act at the 5-HT1A autoreceptors and concommitantly with the 5-HT
transporter. Such compounds are therefore potentially useful for the treatment of depression as well as other serotonin disorders.
U.S. Patent No. 5,468,767 discloses a series of substituted indoles of the following formula useful for the treatment of disorders associated with dysfunction in serotonergic neurotransmission, including depression.
wherein:
R, is hydrogen or C,~, alkyl; and R.: is C,~ alkyl or (CHZ)PAr.
WO 9415928 discloses reports a series of piperazine derivatives of the following formula for the treatment of CNS disorders, including depression.
R
n R1-~ R2 "' wherein:
R is hydrogen or alkyl;
R, and RZ are each mono or bicyclic aryl or heteroaryl radicals;
R3 is hydrogen, alkyl, or a spirocycloalkyl group; and n is 1 or 2; and m is 1 or 3.

WO 93/10092 discloses a series of substituted cyclohexenes of the following formula for the treatment of dopaminergic disorders.
R2-( CH2) n / C H2)m-R1 wherein:
R' is aryl; 2-, 3- or 4 pyridinyl; 2-, 4- or 5- pyrimidinyl; 2-pyrazinyl; 2-or 3-thienyl;
2-or 3-furanyl; or 2-, 4- or 5-thiazolyl;
m is zero or an integer from 1 to 2;
Rz is -N~R1 R1 or ~J
~\~OH
and n is zero or an integer of 1 to 4.
According to the present invention there is provided dihydroisoquinolino-indole derivatives represented by Formula I:
I
wherein:
R,, R" R3 and RQ are, independently, hydrogen, halogen, alkoxy, or carboxamide;
RS is hydrogen, halogen, CF3, CN, carbamide, or alkoxy; and X is (CH2)~ or a 4-6-membered carbocyclic ring, wherein n is an integer of 2 to 4;
or pharmaceutically acceptable salts thereof.

Preferably, the compounds of the present invention are those of Formula I, wherein:
R,, Rz, R3, and R4 are, independently, hydrogen or alkoxy;
RS is halogen or CN; and X is (CHz)~ or a 6-membered carbocyclic ring, wherein n is an integer of 2 to 3;
or pharmaceutically acceptable salts thereof.
Most preferably, the compounds of the present invention are selected from:
3-[( 1,4-cis)-4-(7-Methoxy-3,4-dihydro-1 H-isoquinolin-2-yl)-cyclohexyl]-1 H-indole-5-carbonitrile;
3-[( 1,4-traps)-4-(7-Methoxy-3,4-dihydro-1H-isoquinolin-2-yl)-cyclohexyl]-1H-indole-5-carbonitrile;
3-[( 1,4-cis)-4-(8-Methoxy-3,4-dihydro-1 H-isoquinolin-2-yl)-cyclohexyl]-1 H-indole-5-carbonitrile;
3-[(1,4-traps)-4-(8-Methoxy-3,4-dihydro-1H-isoquinolin-2-yl)-cyclohexyl]-1H-indole-5-carbonitrile;
3-[( 1,4-cis)-4-(6-Methoxy-3,4-dihydro-1 H-isoquinolin-2-yl)-cyclohexyl]-1 H-indole-5-carbonitrile;
3-[( 1,4-traps)-4-(6-Methoxy-3,4-dihydro-1 H-isoquinolin-2-yl)cyclohexyl]-1 H-indole-5-carbonitrile;
3-[( 1,4-cis)-4-(5-Methoxy-3,4-dihydro-1 H-isoquinolin-2-yl)-cyclohexyl]-1 H-indole-5-carbonitrile;
3-[( 1,4-traps)-4-(5-Methoxy-3,4-dihydro-1 H-isoquinolin-2-yl)-cyclohexyl]-1 H-indole-5-carbonitrile;
3-[(1,4-cis)-4-(3,4-Dihydro-1H-isoquinolin-2-yl)-cyclohexyl]-1H-indole-carbonitrile;
3-[( 1,4-traps)-4-(3,4-Dihydro-1 H-isoquinolin-2-yl)-cyclohexyl]-1 H-indole-carbonitrile;
2-[3-(5-Fluoro-1H-indol-3-yl)-propyl]-5-methoxy-1,2,3,4-tetrahydroisoquinoline;
2-[3-(5-Fluoro-1H-indol-3-yl)-propyl]-6-methoxy-1,2,3,4-tetrahydroisoquinoline;
and 2-[3-(5-Fluoro-1H-indol-3-yl)-propyl]-1,2,3,4-tetrahydroisoquinoline.

As used herein, the term "alkoxy" includes both straight and branched alkyl chains and preferably contains 1 to 6 carbon atoms, more preferably 1 to 4 carbon atoms. Most preferably it is methoxy. The term "halogen" includes fluorine, chlorine, bromine and iodine. The term "carbocyclic ring" means saturated or unsaturated carbon rings such as aryl or cycloalkyl. Examples are phenyl and cycloalkyl of 4 to 6 carbon atoms. Preferably, the carbocyclic ring is a cycloalkyl of 4 to 6 carbon atoms. Most preferably, it is cyclohexyl.
The most preferred value of n is 3.
The compounds of Formula I also may be used in the form of a pharmaceutically acceptable acid addition salt having the utility of the free base.
Such salts, prepared by methods well known to the art are formed with both inorganic or organic acids, for example: fumaric, malefic, benzoic, ascorbic, pamoic, succinic, bismethylenesalicylic, methanesulfonic, ethanedisulfonic, acetic, oxalic, propionic, tartaric, salicyclic, citric, gluconic, lactic, malic, mandelic, cinnamic, citraconic, aspartic, stearic, palmitic, itaconic, glycolic, p-aminobenzoic, glutamic, benzene-sulfonic, hydrochloric hydrobromic, sulfuric, cyclohexylsulfamic, phosphoric and nitric acids.
The compounds of the present invention may be prepared by any suitable method which will be recognized by those skilled in the art. However, the present compounds may be advantageously prepared according to Scheme I below.

Scheme 1 I ~ NHz ' \ N~CH3~ / I
\ NH
/ I / O Ri R' R~ Rz O
Rz R
z (1) (2) Ra a N Rs \ N

R, \ I NH ..~ \ I ~ R~ Rz Rz '--N/H ~ H
Ex 1 R~=OMe Rz=R3=Ra=H
Ex 2 Rz=OMe R3=R~=Ra=H
Ex 3 R3=OMe R~=Rz=Ra=H
Ex 4 Ra=OMe R~=Rz=R3=H
Ex 5 Ri=Rz=R3=Ra=H

y ~ I~ 1 p 1 iN / iN / NH
(5) (6) R~ H
R~ Rz \
R \ ~- ~ ~ Br ~ I / N
I v / NH N I ~
H Ex 6 R~=OMe Rz=H
Ex 7 R~=H Rz=OMe Ex 8 R~=Rz=H
Processes according to the above Scheme form a further aspect of the invention. Specific exemplification of the preparation of representative compounds of this invention is provided in the following procedures.
INTERMEDIATE la N-(Methoxycarbonyl)-2-(4-methoxyphenyl)ethylamine To a solution of 4-methoxy-phenethylamine (5.81 mL, 39.7 mmol) in anhydrous THF (200 mL) was added Et3N (6.6 mL, 48 mmol). The solution was cooled to 0°C and methyl chloroformate (15.38 mL, 199 mmol) was added slowly via _7_ syringe. The reaction was stirred at 0°C for 2 hours and then allowed to warm to room temperature and stirred overnight. To the reaction mixture was added H20 (50 mL) and the resulting solution was extracted into Et20 ( 1 x 100 mL) and then into EtOAc (2 x 75 mL). The combined organic fractions were washed with brine (200 mL) and 1 M HCl (200 mL), dried over NazS04, filtered and concentrated under vacuum, affording 7.98 g (96%) of the title compound as a pale yellow solid.
INTERMEDIATE lb N-(Methoxycarbonyl)-2-(3-methoxyphenyl)ethylamine This compound was prepared in the manner described for Intermediate la, replacing 4-methoxy-phenethylamine with 3-methoxy-phenethylamine ( 10 g, 66 mmol) affording 13.6 g (98°l0) of the title compound as a gold oil.
INTERMEDIATE 2a 7-Methoxy-3,4-dihydro-2H-isoquinolin-1-one To a stirred solution of polyphosphoric acid (SOg) at 145°C was added N-(methoxycarbonyl)-2-(4-methoxyphenyl)ethylamine (4.5 g, 21.5 mmol). The resulting brown solution was stirred at 140°C for 40 min. The hot reaction mixture was poured onto ice, and extracted in CH2Cl2 (3 X 200 mL). The organic fractions were combined, dried over Na2S04, filtered, and concentrated. The crude oil was purified by column chromatography with 10 % MeOH/ CH2C12 as the eluent, affording 1.11 g (30°Io) of the title compound as a pale yellow solid:
mp 90-93°C.
Elemental Analysis for C,oH"NOz:
Calc'd: C, 67.78; H, 6.26; N, 7.90 Found: C, 67.88; H, 6.54; N, 7.90 INTERMEDIATE 2b 6-Methoxy-3,4-dihydro-2H-isoquinolin-1-one This compound was prepared in the same manner as Intermediate 2a, replacing N-(methoxycarbonyl)-2-(4-methoxyphenyl)ethylamine with N-(methoxycarbonyl)-2-(3-_g_ methoxyphenyl)ethylamine (6 g, 28.7 mmol) affording 2.42 g (48%) of the title compound as a white solid: mp 131-133 °C.
Elemental Analysis for C,oH"NOz Calc'd: C, 67.78; H, 6.26; N, 7.90 Found: C, 67.55; H, 6.36; N, 7.86 INTERMEDIATE 2c 8-Methoxy-3,4-dihydro-2H-isoquinolin-1-one This compound was isolated at the same time as Intermediate 2b, affording 0.67 g (13%) as a white solid: mp 140-142°C.
Elemental Analysis for C,oH"NO~~O.1H20 Calc'd: C, 67.10; H, 6.31; N, 7.82 Found: C, 66.92; H, 6.49; N, 7.70 INTERMEDIATE 3a 7-Methoxy-1,2,3,4-tetrahydro-isoquinoline A solution of Intermediate 2a ( 1 g, 5.6 mmol) dissolved in anhydrous THF
(30 mL) was dripped slowly into a LAH solution (7.35 mL, 1 M in THF) at 0°C under a N2 atmosphere. The resulting solution was heated at reflux for 2 hours. The reaction mixture was cooled to 0°C and H20 was added dropwise to quench. The resulting solution was basified with 1 M NaOH ( 100 mL), filtered through a bed of celite, and extracted into EtOAc (3 X 150 mL). The organic fractions were combined, dried over Na2S04, filtered and concentrated yielding 0.88 g (96%) of a pale yellow oil. The HCl salt was made in EtOAc affording a white solid: mp 227°C.
Elemental Analysis for C,oH,3N~HCl Calc'd: C, 60.15; H, 7.07; N, 7.01-Found: C, 60.11; H, 7.12; N, 6.87 INTERMEDIATE 3b 6-Methoxy-1,2,3,4-tetrahydro-isoquinoline This compound was prepared in the same manner as Intermediate 3a by replacing Intermediate 2a with Intermediate 2b ( 1 g, 5.6 mmol) affording 0.87 g (95%) of the title compound as a pale yellow oil. The HCl salt was made in EtOAc affording a white solid: mp 236-238 °C.
Elemental Analysis for C,oH,3N~HCl Calc'd: C, 60.15; H, 7.07; N, 7.01 Found: C, 60.12; H, 6.99; N, 6.82 INTERMEDIATE 3c 8-Methoxy-1,2,3,4-tetrahydro-isoquinoline This compound was prepared in the same manner as Intermediate 3a by replacing Intermediate 2a with Intermediate 2c (0.600 g, 3.4 mmol) affording 0.41 g (74%) of the title compound as a pale yellow oil. The HCl salt was made in EtOAc affording a white solid: mp dec >210°C.
Elemental Analysis for C,oH,3N~HCl Calc' d: C, 60.15; H, 7.07; N, 7.01 Found: C, 59.98; H, 6.97; N, 6.83 5-Methoxy-isoquinoline To an oven dry three neck flask was added 5-hydroxy-quinoline (5 g, 34.5 mmol), and triphenylphosphine. The solids were dissolved in THF ( 100 mL) and DEAD (8.19 mL, 51.7 mmol) was added slowly. The maroon reaction mixture was stirred at room temperature overnight and then poured into H20 (100 mL) and extracted into EtOAc (3 x 150 mL). The combined organic fractions were dried over Na2S04, filtered, concentrated, and purified by column chromatography using 20 %
EtOAc/hexanes as the eluent. The title compound was isolated as 3.5 g (64%) of a white solid.

5-Methoxy-1,2,3,4-tetrahydro-isoquinoline To a Parr hydrogenation flask was added PtOZ ( 165 mg) and the solid was purged with N2 for 10 minutes. A solution of 5-methoxy-isoquinoline in HOAc (40 mL) was added to the flask and hydrogenated at 40 psi overnight. The resulting solution was filtered through celite, concentrated and basified with 1 M NaOH
(100 mL) and extracted into EtOAc (3 x 150 mL). The organic fractions were combined, dried over Na2S04, filtered, concentrated and purified by column chromatography with 10%MeOH/CH2CH2/NH40H as the eluent. The title compound was obtained as 2.49 g (70%) of a white solid: mp 124-126; MS EI m/e 163 M+.
EXAMPLE la 3-[(1,4-cis)-4-(7-Methoxy-3,4-dihydro-1H-isoquinolin-2-yl)-cyclohexyl)-1H
indole-5-carbonitrile To a solution of 7-methoxy-1,2,3,4-tetrahydro-isoquinoline (500 mg, 3.lmmol),4-(5-cyano-1H-3-indolyl)-cyclohexanone (730 mg, 3.1 mmol), and sodium triacetoxyborohydride (975 mg, 4.6 mmol) in dichloroethane (50 mL) was added acetic acid (0.35 mL, 6.1 mmol) and the mixture was stirred overnight at room temperature. The reaction was quenched with 1 M NaOH ( 100 mL) and extracted in CH2Cl2 (3 x 100 mL) and EtOAc (2 x 100 mL). The organic fractions were combined, dried over NazS04, concentrated, filtered and chromatographed (5%
MeOH/EtOAc) yielding 480 mg (40%) of the cis isomer as a gold oil. The HCl salt was generated from EtOAc yielding a pale yellow solid: mp dec > 145 °C.
Elemental Analysis for CZSHz,N30~HCl~0.25H20 Calc'd: C, 70.41; H, 6.74; N, 9.85 Found: C, 69.91; H, 6.69; N, 9.75 EXAMPLE lb 3-[(1,4-trans)-4-(7-Methoxy-3,4-dihydro-1H-isoquinolin-2-yl)-cyclohexyl]-1H
indole-5-carbonitrile The trans isomer was isolated at the same time as Example la, affording 320 mg (27%) as a pale yellow solid: mp dec > 140°C.
Elemental Analysis for CZSH2,N30~0.25Hz0 Calc'd: C, 76.99; H, 7.11; N, 10.77 Found: C, 76.79; H, 7.09; N, 10.50 EXAMPLE 2a 3-[(1,4-cis)-4-(8-Methoxy-3,4-dihydro-1H-isoquinolin-2-yl)-cyclohexyl]-1H
indole-5-carbonitrile This compound was prepared in the same manner as Example la replacing 7-methoxy-1,2,3,4-tetrahydro-isoquinoline with 8-methoxy-1,2,3,4-tetrahydro-iso-quinoline (300 mg, 1.85 mmol) to afford 300 mg (44%) of the title compound as a yellow oil. The HCl salt was prepared from EtOAc yielding a white solid: mp dec >155°C.
Elemental Analysis for CZSHZ,N30~HCl~0.50H20 Calc'd: C, 69.67; H, 6.78; N, 9.75 Found: C, 69.91; H, 6.77; N, 9.89 EXAMPLE 2b 3-[(1,4-trans)-4-(8-Methoxy-3,4-dihydro-1H-isoquinolin-2-yl)-cyclohexyl]-1H
indole-5-carbonitrile The trans isomer was isolated at the same time as the cis isomer of Example 2a, affording 200 mg (28%) as a pale yellow solid. The HCl salt was generated from EtOAc affording a white solid: mp dec > 250°C.
Elemental Analysis for CZSHz,N30~HCI~0.25H20 Calc' d: C, 70.41; H, 6.74; N, 9.85 Found: C, 70.48; H, 6.65; N, 9.69 EXAMPLE 3a 3-[(1,4-cis)-4-(6-Methoxy-3,4-dihydro-1H-isoquinolin-2-yl)-cyclohexyl]-1H
indole-5-carbonitrile This compound was prepared in the same manner as Example 1 a, replacing 7-methoxy-1,2,3,4-tetrahydro-isoquinoline with 6-methoxy-1,2,3,4-tetrahydro-isoquinoline (500 mg, 3.1 mmol) to afford 520 mg (44%) of the title compound as a yellow oil. The HCl salt was prepared from EtOAc yielding a white solid: mp dec > 180 °C.
Elemental Analysis for CZSHZ,N30~HCl~0.25H20 Calc'd: C, 70.41; H, 6.74; N, 9.85 Found: C, 70.21; H, 6.80; N, 9.63 EXAMPLE 3b 3-[(1,4-trans)-4-(6-Methoxy-3,4-dihydro-1H-isoquinolin-2-yl)-cyclohexyl]-1H-indole-5-carbonitrile The trans isomer was isolated at the same time as the cis isomer of Example 3a, affording 250 mg (21%) as a pale yellow solid: mp dec > 200°C.
Elemental Analysis for C2SHz,N30~0.25H20 Calc'd: C, 76.99; H, 7.11; N, 10.77 Found: C, 76.81; H, 7.08; N, 10.56 EXAMPLE 4a 3-[(1,4-cis)-4-(5-Methoxy-3,4-dihydro-1H-isoquinolin-2-yl)-cyclohexyl]-1H
indole-5-carbonitrile This compound was prepared in the same manner as Example la, replacing 7-methoxy-1,2,3,4-tetrahydro-isoquinoline with 5-methoxy-1,2,3,4-tetrahydroiso-quinoline (500 mg, 3.1 mmol) to afford 400 mg (34%) of the title compound as a pale yellow solid: mp 223-226 °C.
Elemental Analysis for CZSHz,N30~0.85H20 Calc'd: C, 74.91; H, 7.22; N, 10.48 Found: C, 75.30; H, 7.15; N, 10.08 EXAMPLE 4b 3-[(1,4-trans)-4-(5-Methoxy-3,4-dihydro-1H-isoquinolin-2-yl)-cyclohexyl]-1H
indole-S-carbonitrile The trans isomer was isolated at the same time as the cis isomer of Example 4a affording 200 mg (17%) as a white solid. The HCl salt was generated in EtOAc yielding a white solid: mp dec > 181°C.
Elemental Analysis for CZSHZ,N30~HCl~1H20 Calc'd: C, 68.25; H, 6.87; N, 9.55 Found: C, 68.23; H, 6.64; N, 9.33 EXAMPLE 5a 3-[(1,4-cis)-4-(3,4-Dihydro-1H-isoquinolin-2-yl)-cyclohexyl]-1H-indole-carbonitrile This compound was prepared in the same manner as Example la replacing 7-methoxy-1,2,3,4-tetrahydro-isoquinoline with commercially available 1,2,3,4-tetra-hydro-isoquinoline (250 mg, 2.1 mmol) to afford 330 mg (44%) of the title compound as a yellow solid. The HCl salt was generated from EtOAc yielding an off white solid: mp 188-191 °C.
Elemental Analysis for CZQHz5N3~HCl~0.75Hz0 Calc'd: C, 71.10; H, 6.84; N, 10.36 Found: C, 71.37; H, 6.82; N, 9.89 EXAMPLE Sb 3-[(1,4-trans)-4-(3,4-Dihydro-1H-isoquinolin-2-yl)-cyclohexyl]-1H-indole-carbonitrile The trans isomer was isolated at the same time as the cis isomer of Example Sa affording 250 mg (21 %) as a pale yellow solid: mp 196-200 °C.
Elemental Analysis for Cz,H25N3~0.25Hz0 Calc'd: C, 80.08; H, 7.14; N, 11.67 Found: C, 80.01; H, 7.14; N, 11.37 2-[3-(S-Fluoro-1H-indol-3-yl)-propyl]-5-methoxy-1,2,3,4-tetrahydroisoquinoline A solution of 5-methoxy-1,2,3,4-tetrahydro-isoquinoline (500 mg, 3.1 mmol), 3-(5-fluoro-indolyl)-propylbromide (604 mg, 2.36 mmol) and Et3N (0.86 mL, 6.2 mmol) was dissolved in DMSO (20 mL) and heated at 100°C for 5 hours then at room temperature overnight. The reaction was poured into H20 ( 150 mL) and extracted into EtOAc (2 x 100 mL). The organic fractions were combined and washed with NaHC03 (150 mL), dried over Na2S04, filtered, and concentrated. The resulting oil was purified by column chromatography using 5°lo MeOH/EtOAc as the eluent yielding 570 mg (71 %) of a gold oil. The HCl salt was generated from EtOAc affording a white solid: mp 183-186°C.
Elemental Analysis for CZ,H23FNz0~HCl Calc'd: C, 67.28; H, 6.45; N, 7.47 Found: C, 67.00; H, 6.52; N, 7.30 2-[3-(5-Fluoro-1H-indol-3-yl)-propyl]-6-methoxy-1,2,3,4-tetrahydroisoquinoline This compound was prepared in the same manner as Example 6, replacing 5-methoxy-1,2,3,4-tetrahydro-isoquinoline with 6-methoxy-1,2,3,4-tetrahydroiso-quinoline ( 190 mg, 1.16 mmol) affording the title compound as a brown oil.
The HCl salt was generated from EtOAc yielding a hygroscopic tan solid: mp dec > 90 °C.
Elemental Analysis for CZ,H23FNZ0~HCl~HZO
Calc' d: C, 64.20; H, 6.67; N, 7.13 Found: C, 64.18; H, 6.51; N, 6.90 2-[3-(5-Fluoro-1H-indol-3-yl)-propyl]-1,2,3,4-tertrahydroisoquinoline This compound was prepared in the same manner as Example 6, replacing 5-methoxy-1,2,3,4-tetrahydro-isoquinoline with commercial 1,2,3,4-tetrahydro-isoquinoline (500 mg, 4.2 mmol) affording 730 mg as a waxy orange solid. The HCl salt was generated from EtOAc yielding a pale yellow solid: mp 235-238°C.
Elemental Analysis for CZOH2,FN2~HCl Calc'd: C, 69.66; H, 6.43; N, 8.12 Found: C, 69.55; H, 6.34; N, 7.84 The activity of the present compounds is demonstrated by the following standard pharmacological test procedures.
The PCR cloning of the human 5-HT,A receptor subtype from a human genomic library has been described previously by Chanda et al., Mol.
Pharmacol., 43:516 (1993). A stable Chinese hamster ovary cell line expressing the human 5-HT,A
receptor subtype (5-HT,A.CHO cells) was employed throughout this study. Cells were maintained in DMEM supplemented with 10% fetal calf serum, non-essential amino acids and penicillin/ streptomycin.
Cells were grown to 95-100% confluency as a monolayer before membranes were harvested for binding studies. Cells were gently scraped from the culture plates, transferred to centrifuge tubes, and washed twice by centrifugation (2000 rpm for 10 min., 4°C) in buffer (50 mM Tris; pH 7.5). The resulting pellets were aliquoted and maintained at -80°C. On the day of assay, the cells were thawed on ice, and resuspended in buffer. Studies were conducted using [3HJ8-OH-DPAT as the radioligand. The binding assay was performed in 96 well microtiter plates in a final total volume of 250 ~,L of buffer. Comparison experiments were performed by using 7 concentrations of unlabelled drug and a final ligand concentration of 1.5 nM
. Non-specific binding was determined in the presence of 10 ~.M SHT. Saturation analysis was conducted by using [3H]8-OH-DPAT at concentrations ranging from 0.3-30 nM.
Following a 30 minute incubation at room temperature, the reaction was terminated by the addition of ice cold buffer and rapid filtration using a M-96 Brandel Cell Harvester (Gaithersburg, MD) through a GFB filter presoaked for 30 minutes in 0.5% polyethyleneimine.

A protocol similar to that used by Cheetham et al., Neuropharmacol. , 32:737 (1993) was used to determine the affinity of compounds for the serotonin transporter.
Briefly, frontal cortical membranes prepared from male Sprague-Dawley rats were incubated with'H-paroxetine (0.1 nM) for 60 min at 25°C. All tubes also contained either vehicle, test compound (one to eight concentrations), or a saturating concentration of fluoxetine (10 p,M) to define specific binding. All reactions were terminated by the addition of ice cold Tris buffer followed by rapid filtration using a Tom Tech filtration device to separate bound from free 3H-paroxetine. Bound radioactivity was quantitated using a Wallac 1205 Beta Plate~ counter.
Nonlinear regression analysis was used to determine ICSO values which were converted to Ki values using the method set forth in Cheng and Prusoff, Biochem. Pharmacol., 22:3099 (1973) (Ki = IC50/((Radioligand conc.)/(1 + KD)).
The [35S]-GTFyS binding assay was similar to that used by Lazareno and Birdsall, Br. J. Pharmacol. 109:1120 (1993). Briefly, 5-HT,A cloned receptor membrane fragments (as used for 5-HT,A receptor binding assays) were stored at -70°C. When needed, membranes were rapidly thawed, centrifuged at 40,000 x g for 10 minutes and resuspended at 4°C for 10 minutes in assay buffer (25 mM
HEPES, 3 mM MgCl2, 100 mM NaCI, 1 mM EDTA, 10 uM GDP, 500 mM DTT, pH 8.0).
These membranes were then incubated for 30 min at 30 °C with [35S]GTPgS
(1 nM) in the presence of vehicle, test compound (one to eight concentrations), or excess 8-OH-DPAT to define maximum agonist response. All reactions were terminated by the addition of ice cold Tris buffer followed by rapid filtration using a Tom Tech~
filtration device to separate bound from free [35S]GTPgS. Agonists produced an increase in the amount of [35S]GTPgS bound whereas antagonists produced no increase in binding. Bound radioactivity was counted and analyzed as above.
The following assays were performed by incubating the cells with DMEM
containing 25 mM HEPES, 5 mM theophylline and 10 ~,M pargyline for a period of 20 minutes at 37°C. Functional activity was assessed by treating the cells with forskolin (1 uM final concentration) followed immediately by test compound (6 concentrations) for an additional 10 min at 37°C. In separate experiments, 6 concentrations of antagonist were preincubated for 20 min prior to the addition of nM 8-OH-DPAT and forskolin. The reaction was terminated by removal of the 5 media and addition of 0.5 ml ice cold assay buffer. Plates were stored at -20°C prior to assessment of cAMP formation by a cAMP SPA assay (Amersham).
TABLE A
Example No. 5-HT,A ST GTPgS ED50 (K;, nM,) (%EMax) [Ki, nM: (% inh @
1 uM)]

la (26 %) 0.8 lb (48 %) 12 2a (14 %) 1.0 2b (46 %) 7.5 3a (21 %) 0.1 3b 300 8.0 (0 %) 4a (7 %) 0.61 (12 %) 4b (47 %) 12.0 350 (33 %) Sa (0 %) 1.3 Sb (10 %) 10.0 6 243 1.9 1346 (23 %) 7 288 1.4 (100 %) 8 (48 %) 4.85 (13 %) As demonstrated by the results set forth above, the compounds of the present invention are active towards SHT,A receptors and generally elevate serotonin levels by inhibiting 5-HT transport. Accordingly, the present compounds should be useful in treating disorders related to defects in serotonin concentration.
The compounds of formula I for use in methods of treatment or therapy form further aspects of the present invention.

The compounds of this invention may be administered orally or parenterally, neat or in combination with conventional pharmaceutical carriers. Applicable solid Garners can include one or more substances which may also act as flavoring agents, lubricants, solubilizers, suspending agents, fillers, glidants, compression aids, binders or tablet-disintegrating agents or an encapsulating material. In powders, the Garner is a finely divided solid which is in admixture with the finely divided active ingredient.
In tablets, the active ingredient is mixed with a carrier having the necessary compression properties in suitable proportions and compacted in the shape and size desired. The powders and tablets preferably contain up to 99% of the active ingredient. Any of the solid Garners known to those skilled in the art may be used with the compounds of this invention. Particularly suitable solid Garners include, for example, calcium phosphate, magnesium stearate, talc, sugars, lactose, dextrin, starch, gelatin, cellulose, methyl cellulose, sodium carboxymethyl cellulose, polyvinylpyrrolidone, low melting waxes and ion exchange resins.
Liquid Garners may be used in preparing solutions, suspensions, emulsions, syrups and elixirs of the compounds of this invention. The compounds of this invention can be dissolved or suspended in a pharmaceutically acceptable liquid carrier such as water, an organic solvent, a mixture of both or pharmaceutically acceptable oils or fat. The liquid Garner can contain other suitable pharmaceutical additives such as solubilizers, emulsifiers, buffers, preservatives, sweeteners, flavoring agents, suspending agents, thickening agents, colors, viscosity regulators, stabilizers or osmo-regulators. Suitable examples of liquid Garners for oral and parenteral administration include water (particularly containing additives as above, e.g., cellulose derivatives, preferably sodium carboxymethyl cellulose solution), alcohols (including monohydric alcohols and polyhydric alcohols, e.g., glycols) and their derivatives and oils (e.g., fractionated coconut oil and arachis oil).
For parenteral administration, the carrier can also be an oily ester such as ethyl oleate and isopropyl myristate. Sterile liquid carriers are used in compositions for parenteral administration.
Liquid pharmaceutical compositions which are sterile solutions or suspensions can be utilized by, for example, intramuscular, intraperitoneal or subcutaneous injection. Sterile solutions can also be administered intravenously.
Compositions for oral administration may be either liquid or solid composition form.

Preferably, the pharmaceutical compositions containing the compounds of this invention are in unit dosage form, e.g., tablets or capsules. In such form, the compositions may be sub-divided in unit doses containing appropriate quantities of the present compounds. The unit dosage forms can be packaged compositions, for example, packeted powders, vials, ampoules, prefilled syringes or sachets containing liquids. Alternatively, the unit dosage form can be, for example, a capsule or tablet itself, or it can be the appropriate number of any such compositions in package form.
Pharmaceutical compositions comprising compounds of formula I and a pharmaceutically acceptable carrier form a further aspect of the present invention.
The therapeutically effective amount of the compounds of this invention that is administered and the dosage regimen depends on a variety of factors, including the weight, age, sex, and medical condition of the subject, the severity of the disease, the route and frequency of administration, and the specific compound employed, and thus may vary widely. However, it is believed that the pharmaceutical compositions may contain the compounds of this invention in the range of about 0.1 to about 2000 mg, preferably in the range of about 0.5 to about 500 mg and more preferably between about 1 and about 100 mg. Projected daily dosages of active compound are about 0.01 to about 100 mg/kg body weight. The daily dose can be conveniently administered two to four times per day.
The present invention may be embodied in other specific forms without departing from the spirit and essential attributes thereof and accordingly, reference should be made to the appended claims, rather than to the foregoing specification, as indicating the scope of the invention.

Claims (22)

WHAT IS CLAIMED IS:

1. A compound of the formula:

wherein:

R1, R2, R3, and R4 are, independently, hydrogen, halogen, alkoxy, or carboxamide;
R5 is hydrogen, halogen, CF3, CN, carbamide or alkoxy; and X is (CH2)n or a 4-6-membered carbocyclic ring, wherein n is an integer of 2 to 4;
or pharmaceutically acceptable salts thereof.

2. A compound as claimed in claim 1, wherein R1, R2, R3, and R4 are, independently, hydrogen or alkoxy;
R5 is halogen or CN; and X is (CH2)n or a 6-membered carbocyclic ring, wherein n is an integer of 2 to 3; or pharmaceutically acceptable salts thereof.

3. A compound as claimed in claim 1 which is 3-[(1,4-cis)-4-(7-Methoxy-3,4-dihydro-1H-isoquinolin-2-yl)-cyclohexyl]-1H-indole-5-carbonitrile.

4. A compound as claimed in claim 1 which is 3-[(1,4-trans)-4-(7-Methoxy-3,4-dihydro-1H-isoquinolin-2-yl)-cyclohexyl]-1H-indole-5-carbonitrile.

5. A compound as claimed in claim 1 which is 3-[(1,4-cis)-4-(8-Methoxy-3,4-dihydro-1H-isoquinolin-2-yl)-cyclohexyl]-1H-indole-5-carbonitrile.

6. A compound as claimed in claim 1 which is 3-[(1,4-trans)-4-(8-Methoxy-3,4-dihydro-1H-isoquinolin-2-yl)-cyclohexyl]-1H-indole-5-carbonitrile.

7. A compound as claimed in claim 1 which is 3-[(1,4-cis)-4-(6-Methoxy-3,4-dihydro-1H-isoquinolin-2-yl)-cyclohexyl]-1H-indole-5-carbonitrile.

8. A compound as claimed in claim 1 which is 3-[(1,4-trans)-4-(6-Methoxy-3,4-dihydro-1H-isoquinolin-2-yl)cyclohexyl]-1H-indole-5-carbonitrile.

9. A compound as claimed in claim 1 which is 3-[(1,4-cis)-4-(5-Methoxy-3,4-dihydro-1H-isoquinolin-2-yl)-cyclohexyl]-1H-indole-5-carbonitrile.

10. A compound as claimed in claim 1 which is 3-[(1,4-trans)-4-(5-Methoxy-3,4-dihydro-1H-isoquinolin-2-yl)-cyclohexyl]-1H-indole-5-carbonitride.

11. A compound as claimed in claim 1 which is 3-[(1,4-cis)-4-(3,4-Dihydro-1H-isoquinolin-2-yl)-cyclohexyl]-1H-indole-carbonitrile.

12. A compound as claimed in claim 1 which is 3-[(1,4-trans)-4-(3,4-Dihydro-1H-isoquinolin-2-yl)-cyclohexyl]-1H-indole-carbonitrile.

13. A compound as claimed in claim 1 which is 2-[3-(5-Fluoro-1H-indol-3-yl)-propyl]-5-methoxy-1,2,3,4-tetrahydroisoquinoline.

14. A compound as claimed in claim 1 which is 2-[3-(5-Fluoro-1H-indol-3-yl)-propyl]-6-methoxy-1,2,3,4-tetrahydroisoquinoline.

15. A compound as claimed in claim 1 which is 2-[3-(5-Fluoro-1H-indol-3-yl)-propyl]-1,2,3,4-tetrahydroisoquinoline.

16. A pharmaceutical composition comprising a compound of the formula:

wherein:

R1, R2, R3, and R4 are, independently, hydrogen, halogen, alkoxy, or carboxamide;
R5 is hydrogen, halogen, CF3, CN, carbamide or alkoxy; and X is (CH2)n or a 4-6 membered carbocyclic ring, wherein n is an integer of 2 to 4;
or pharmaceutically acceptable salts thereof; and a pharmaceutically acceptable carrier.

17. A compound of the formula:

wherein:

R1, R2, R3, and R4 are, independently, hydrogen, halogen, alkoxy, or carboxamide;
R5 is hydrogen, halogen, CF3, CN, carbamide or alkoxy; and X is (CH2)n or a 4-6-membered carbocyclic ring, wherein n is an integer of 2 to 4, or pharmaceutically acceptable salts thereof; for use in therapy.

18. A compound according to claim 17 wherein the use is for treatment of diseases affected by disorders of the serotonin-affected neurological systems.

19. A method of treating depression in a patient in need thereof, comprising administering to said patient an antidepressant effective amount of a compound of the formula:

wherein:

R1, R2, R3, and R4 are, independently, hydrogen, halogen, alkoxy, or carboxamide;
R5 is hydrogen, halogen, CF3, CN, carbamide or alkoxy; and X is (CH2)n or a 4-6 membered carbocyclic ring, wherein n is an integer of 2 to 4;
or pharmaceutically acceptable salts thereof.

20. Process for the preparation of compounds of formula where R1, R2, R3, R4 and R5 are as defined in any of claims 1 to 15 and X is a membered carbocyclic ring;
which comprises reacting a tetrahydro-isoquinoline of formula where R1, R2, R3, and R4 are as previously defined, with a compound of formula where X and R5 are as previously defined; and optionally forming a pharmaceutical salt thereof.

21. Process as claimed in claim 20 in which the tetrahydro-isoquinoline of formula is prepared by reacting a compound of formula with methyl chloroformate to form the compound of formula and cyclising to form the compound of formula and then reducing in presence of a reducing agent.

22. Process for the preparation of compounds of formula where R1, R2 and R5 are as defined in claims 1 or 2, R3 and R4 are both hydrogen, and X is (CH2)n ; which comprises reacting a compound of formula in which R1 and R2 are as defined above, with a compound of formula