CA2454187A1

CA2454187A1 - Compounds useful for treatment or prevention of disease mediated by alpha-2b-adrenoceptor

Info

Publication number: CA2454187A1
Application number: CA002454187A
Authority: CA
Inventors: Topi Joutsamo; Andrei Yurievitch Tauber; Harri Salo; Anna-Marja Hoffren; Siegfried Wurster
Original assignee: Individual
Current assignee: Juvanita Pharma Ltd Oy
Priority date: 2001-07-20
Filing date: 2002-07-22
Publication date: 2003-01-30
Also published as: HUP0401076A2; MXPA04000615A; IL159511A0; WO2003008387A1; JP2004535467A; EP1417182A1; NZ530366A; PL367040A1; RU2004105035A

Abstract

The invention relates to compounds of formula (I) or a pharmaceutically acceptable salt thereof wherein R1, R2, R3, R4 and R5 are independently of each other H, a straight or branched alkyl or alkoxy group with 1 to 4 carbon atoms, or a halogen; X is H, a straight or branched alkyl chain with 1 to 4 carbon atoms, phenyl, -OH or =O; Z is H, acetyl, -CH2-Ph-O-CF3 or CH2-Ph-CF3, Y is a ring structure optionally linked to formula (I) with an alkyl chain having one or two carbon atoms. This invention further relates to the use of said compounds for the manufacture of a pharmaceutical preparation useful for the treatment or prevention of a disease mediated by the alpha-2B-adrenoceptor in a mammal.

Description

COMPOUNDS USEFUL FOR TREATMENT OR PREVENTION OF

The present invention relates to the use of selective alpha-2B-adrenoceptor antagonists for the manufacture of a pharmaceutical preparation useful for the treatment or prevention of diseases mediated by the alpha-2B-adrenoceptor in mammals.
BACKGROUND OF THE INVENTION
The publications and other materials used herein to illuminate the background of the invention, and in particular, cases to provide additional details respecting the practice, are incorporated by reference.
It is known that alpha-2B-adrenoceptors mediate vascular contractions.
Therefore, alpha-2B-antagonists are useful in the treatment or prevention of diseases involving vascular contraction. It has also been found that certain individuals have a genetic polymorphism in the alpha-2B-adrenoceptor gene. It has been observed that the alpha-2B-adrenoceptor protein in some subjects has a deletion of 3 glutamates from the glutamic acid repeat element of 12 glutamates (amino acids 297-309), in an acid stretch of 17 amino acids, located in the third intracellular loop of the receptor polypeptide (WO 01/29082; Heinonen et al., 1999).
OBJECTS AND SUMMARY OF THE INVENTION
An object of this invention is to provide compounds useful for the treatment or prevention of a disease mediated by the alpha-2B-adrenoceptor in a mammal.
Thus this invention concerns a novel compound of formula (I)

2 R R4~Rs

3 -N
R2 ~ ~~ NH II ~ ~ N (I) N O ~--- Y
R X

or a pharmaceutically acceptable salt thereof.
R1 , R2 , R3 , R4 and RS are independently of each other H , a straight or branched alkyl or alkoxy group with 1 to 4 carbon atoms, or a halogen;
X is H , a straight or branched alkyl chain with 1 to 4 carbon atoms, phenyl or -OH;
Z is H , acetyl, -CH2-Ph-O-CF3 or -CH2-Ph-CF3 , where Ph is phenyl;
Y is a ring structure optionally linked to formula (I) with an alkyl chain having one or two carbon atoms, wherein the ring structure is a) phenyl optionally mono- or disubstituted and each substituent is independently selected from the group consisting of a halogen, a straight or branched alkyl or alkoxy chain with 1 to 4 carbon atoms, a halogen substituted methyl or methoxy group, a nitrile, an amide, amino, or a vitro group;
1 S b) 2-benzimidazolyl, 2-imidazolyl, or 2- or 3-indolyl, wherein one N
optionally has a substituent that is a straight or branched alkyl or alkoxy chain with 1 to 4 carbon atoms, or benzyl; and wherein the 2-benzimidazolyl, 2-imidazolyl, or 2- or 3-indolyl is optionally mono- or disubstituted and each substituent can independently be a straight or branched alkyl or alkoxy group with 1 to 4 carbon atoms, or a halogen;
(c) pyridinyl optionally mono- or disubstituted and each substituent can independently be a straight or branched alkyl or alkoxy group with 1 to 4 carbon atoms, or a halogen; or (d) naphthyl optionally mono- or disubstituted and each substituent can independently be a straight or branched alkyl or alkoxy group with 1 to 4 carbon atoms, or a halogen.
The following previously known compounds are excluded: 4-[(IH-benzimidazol-2-ylmethyl)-amino]-N (4,6-dimethylpyrimidin-2-yl)-benzenesulfonamide (Kumar & Reddy, 1985), N (4,6-dimethylpyrimidin-2-yl)-4-[(1-methyl-1H-benzimidazol-2-ylmethyl)-amino] -benzenesulfonamide (No 653716, ChemBridge Corporation, 16981 Via Tazon, Suite G, San Diego CA 92127) and N-(4,6-dimethylpyrimidin-2-yl)-4-[(1-ethyl-1H-benzimidazol-2-ylmethyl)-amino]-benzenesulfonamide (No AE-848/34956037, SPECS and BioSPECS B. V., Fleminglaan 16, 2289 CP Rijswijk, The Netherlands) and N-(4-methyl-2-pyrimidinyl)-4-[(1H-benzimidazol-2-ylinethyl)-amino]-benzenesulfonamide (Farag & El-Mouafi & Khalifa, 1991).
This invention further concerns use of compound of formula (I) Ra~ Rs O _~_ /Z
NH-II ~ ~ (I) -- Y
R X
or a pharmaceutically acceptable salt thereof for the manufacture of a pharmaceutical preparation useful for the treatment or prevention of a disease mediated by the alpha-2B-adrenoceptor in a mammal wherein Rl , R2 , R3 , R4 and RS are independently of each other H , a straight or branched alkyl or alkoxy group with 1 to 4 carbon atoms, or a halogen;
X is H , a straight or branched alkyl chain with 1 to 4 carbon atoms, phenyl, -OH or =O ;
Z is H, acetyl, -CH2-Ph-O-CF3 or -CH2-Ph-CF3 , where Ph is phenyl;

4 Y is a ring structure optionally linked to formula (I) with an alkyl chain having one or two carbon atoms, wherein the ring structure is a) phenyl optionally mono- or disubstitued and each substituent is independently selected from the group consisting of a halogen, a straight or branched alkyl or alkoxy chain with 1 to 4 carbon atoms, a halogen substituted methyl or methoxy group, an acetyl, a nitrile, an amide, amino, or a intro group;
b) 2-benzimidazolyl, 2-imidazolyl, or 2- or 3-indolyl, wherein one N
optionally has a substituent that is a straight or branched alkyl or alkoxy chain with 1 to 4 carbon atoms, or benzyl; and wherein the 2-benzimidazolyl, 2-imidazolyl, or 2- or 3-indolyl is optionally mono- or disubstituted and each substituent can independently be a straight or branched alkyl or alkoxy group with 1 to 4 carbon atoms, or a halogen;
(c) pyridinyl optionally mono- or disubstituted and each substituent can independently be a straight or branched alkyl or alkoxy group with 1 to 4 carbon atoms, or a halogen; or (d) naphthyl optionally mono- or disubstituted and each substituent can independently be a straight or branched alkyl or alkoxy group with 1 to 4 carbon atoms, or a halogen.
The following compounds previously known to be selective alpha-2B-adrenoceptor antagonists are excluded: N (4,6-dimethylpyrimidin-2-yl)-4-[(1-methyl-1H-benzimidazol-2-ylmethyl)-amino] -benzenesulfonamide (No 653716, ChemBridge Corporation, 16981 Via Tazon, Suite G, San Diego CA 92127), N-(4,6-dimethylpyrimidin-2-yl)-4-[(1-ethyl-1H-benzimidazol-2-yl methyl)-amino] -benzenesulfonamide (No AE-848/34956037, SPECS and BioSPECS B. V., Fleminglaan 16, 2289 CP Rijswijk, The Netherlands) and N-[4-(4,6-dimethylpyrimidin-2-ylsulfamoyl)-phenyl]-4-ethoxy-benzamide (No AF-399/36012031, SPECS and BioSPECS B. V., Fleminglaan 16, 2289 CP Rijswijk, The Netherlands).
DETAILED DESCRIPTION OF THE INVENTION
Preferred compounds of the invention are compounds of formula (I) R R4~ R5 -N
R2 ~ ~~- NH S ~ ~ N (I)~
N ~ ~Y
R X

5 as defined in the preceding summary or pharmaceutically acceptable salts thereof wherein Ri and R3 are methyl and R2 , R4 and RS are H.
In some preferable compounds X is H, Y is a phenyl optionally mono- or disubstituted with a straight or branched alkoxy group and Z is H. Compounds fulfilling all of the aforementioned characteristics and wherein said phenyl is substituted and said alkoxy substituent is methoxy are 4-(2,4-dimethoxybenzylamino)-N-(4,6-dimethylpyrimidin-2-yl)-benzenesulfon-amide, N (4,6-dimethylpyrimidin-2-yl)-4-(3-methoxybenzylamino)-benzenesulfon-amide, 4-(3,5-dimethoxybenzylamino)-N (4,6-dimethylpyrimidin-2-yl)-benzenesulfonamide, 4-(2,5-dimethoxybenzylamino)-N-(4,6-dimethylpyrimidin-2-yl)-benzenesulfonamide and N (4,6-dimethylpyrimidin-2-yl)-4-(2-methoxybenzyl-amino)-benzenesulfonamide.
In other preferred compounds X is H, Y is a phenyl optionally mono- or disubstituted with a straight or branched alkyl and/or a halogen and Z is H.
These comprise compounds such as 4-benzylamino-N-(4,6-dimethylpyrimidin-2-yl)-benzenesulfonamide, N (4,6-dimethylpyrimidin-2-yl)-4-(2-methylbenzyl-

6 amino)-benzenesulfonamide, 4-(2,4-dimethylbenzylamino)-N (4,6-dimethyl-pyrimidin-2-yl)-benzenesulfonamide, N (4,6-dimethylpyrimidin-2-yl)-4-(3-methyl-benzylamino)-benzenesulfonamide, N (4,6-dimethylpyrimidin-2-yl)-4-(4-methyl-benzylamino)-benzenesulfonamide, 4-(2,5-dimethylbenzylamino)-N-(4,6-dimethylpyrimidin-2-yl)-benzenesulfonamide, 4-(2,6-dimethylbenzylamino)-N
(4,6-dimethylpyrimidin-2-yl)-benzenesulfonamide, 4-(4-bromobenzylamino)-N
(4,6-dimethylpyrimidin-2-yl)-benzenesulfonamide and 4-(2,6-dichlorobenzylamino)-N-(4,6-dimethylpyrimidin-2-yl)-benzenesulfonamide.
Further preferred compounds are N (4,6-dimethylpyrimidin-2-yl)-4-[(1-ethyl-1H-indol-3-ylmethyl)-amino]-benzenesulfonamide, N-(4,6-dimethylpyrimidin-2-yl)-4-[(1-isobutyl-1H-benzimidazol-2-ylmethyl) -amino] -benzenesulfonamide, N-(4,6-dimethylpyrimidin-2-yl)-4-(1-phenylethylamino)-benzenesulfonamide, N-(4,6-dimethylpyrimidin-2-yl)-4-[2-(2-methoxyphenyl)-ethylamino]-benzenesulfon-amide and N-(4,6-dimethylpyrimidin-2-yl)-4-[(naphthalen-2-ylmethyl)-amino]-benzenesulfonamide.
According to one embodiment of the invention the compound is N-(4-methyl-2-pyrimidinyl)-4-[ [( 1-methyl-1H-benzimidazol-2-yl)-methyl]amino]-benzenesulfon-amide.
The invention also relates to the use of selective alpha-2B-adrenoceptor antagonists of formula (I) Ra~ Rs 0 ~Z
NH-II ~ ~ (I)~
--- Y
X

7 PCT/FI02/00643 as defined in the preceding summary, or a pharmaceutically acceptable salt thereof for the manufacture of a pharmaceutical preparation.
In many preferable compounds to be used Rl and R3 are typically methyl and R2, R4 and R5 are typically H.
In some compounds preferably used X is H, Y is a phenyl optionally mono- or disubstituted with a straight or branched alkoxy group and Z is H. Especially preferable for use are compounds in which said phenyl is substituted and said alkoxy substituent is methoxy. Such compound comprise 4-(2,4-dimethoxybenzylamino)-N-(4,6-dimethylpyrimidin-2-yl)-benzenesulfonamide, N
(4,6-dimethylpyrimidin-2-yl)-4-(3-methoxybenzylamino)-benzenesulfonamide, 4-(3,5-dimethoxybenzylamino)-N-(4,6-dimethylpyrimidin-2-yl)-benzenesulfonamide, 4-(2,5-dimethoxybenzylamino)-N-(4,6-dimethylpyrimidin-2-yl)-benzenesulfonamide and N-(4,6-dimethylpyrimidin-2-yl)-4-(2-methoxybenzyl-amino)-benzenesulfonamide.
In other compounds preferably used X is H, Y is a phenyl optionally mono- or disubstituted with a straight or branched alkyl and/or a halogen and Z is H.
Such compound comprise 4-benzylamino-N-(4,6-dimethylpyrimidin-2-yl)-benzene-sulfonamide, N (4,6-dimethylpyrimidin-2-yl)-4-(2-methylbenzylamino)-benzene-sulfonamide, 4-(2,4-dimethylbenzylamino)-N (4,6-dimethylpyrimidin-2-yl)-benzenesulfonamide, N (4,6-dimethylpyrimidin-2-yl)-4-(3-methylbenzylamino)-benzenesulfonamide, N (4,6-dimethylpyrimidin-2-yl)-4-(4-methylbenzylamino)-benzenesulfonamide, 4-(2,5-dimethylbenzylamino)-N (4,6-dimethylpyrimidin-2-yl)-benzenesulfonamide, 4-(2,6-dimethylbenzylamino)-N (4,6-dimethylpyrimidin-2-yl)-benzenesulfonamide, 4-(4-bromobenzylamino)-N (4,6-dimethylpyrimidin-2-yl)-benzenesulfonamide and 4-(2,6-dichlorobenzylamino)-N (4,6-dimethylpyrimidin-2-yl)-benzenesulfonamide.

8 Further preferred compounds to be used comprise 4-[(1H-benzimidazol-2-ylmethyl)-amino]-N (4,6-dimethylpyrimidin-2-yl)-benzenesulfonamide, N-(4,6-dimethylpyrimidin-2-yl)-4- [ ( 1-ethyl-1 H-indol-3-ylmethyl)-amino] -ben-zenesulfonamide, N-(4,6-dimethylpyrimidin-2-yl)-4-[(1-isobutyl-1H-benz imidazol-2-ylmethyl)-amino] -benzenesulfonamide, N (4,6-dimethylpyrimidin-2 yl)-4-(1-phenylethylamino)-benzenesulfonamide, N-(4,6-dimethylpyrimidin-2-yl) 4-[2-(2-methoxyphenyl)-ethylamino]-benzenesulfonamide and N (4,6-dimethyl pyrimidin-2-yl)-4-[(naphthalen-2-ylmethyl)-amino]-benzenesulfonamide.
Alpha-2B-adrenoceptor antagonists are useful in the treatment and/or prevention of many diseases.
Individuals having a deletion in the alpha-2B-adrenoceptor protein (WO
01/29082;
Heinonen et al., 1999), particularly the deletion/deletion genotype (D/D
genotype) is an important target group, which benefits from administration of selective alpha-2B-adrenoceptor antagonists. These individuals have a deletion of 3 glutamates from the glutamic acid repeat element of 12 glutamates (amino acids 297-309), in an acid stretch of 17 amino acids, located in the third intracellular loop of the receptor polypeptide.
It has been found that in a population-based cohort of Finnish middle-aged men that subjects with a D/D genotype of the alpha-2B-adrenoceptor gene have a significantly elevated risk for acute myocardial infarction (AMI) in a five-year follow-up study. The risk for AMI was increased in subjects who had no previously diagnosed coronary heart disease (CHD) at the study outset.
Therefore, it has been postulated that the D/D genotype is related to an impaired capacity to down-regulate alpha-2B-adrenoceptor function during sustained receptor activation. Therefore, alpha-2B-adrenoceptors are believed to be involved in the pathogenesis of a significant fraction of all cases of AMI, especially in subjects

9 with the D/D genotype, but also in I/D and I/I subjects (I means "insertion"
and stands for the "normal" allele).
The alpha-2B-adrenoceptor antagonists as disclosed in this invention would be particularly useful in the treatment or prevention of coronary heart diseases.
As examples can be mentioned a) Acute AMI
If alpha-2B-adrenoceptor dependent vasoconstriction is a causative factor in some cases of AMI, then antagonism of these receptors should restore coronary circulation and reduce the ischemic myocardial damage.
b) Unstable angina pectoris An alpha-2B-adrenoceptor antagonist will relieve the vasoconstrictive component in the sustained ischemic episode, thus alleviating the symptoms and preventing AMI.
c) Prinzmetal's variant form of angina pectoris Vasoconstriction is a key factor in the pathogenesis of Prinzmetal's angina, and an alpha-2B- adrenoceptor antagonist may resolve and prevent attacks.
d) Other forms of chronic angina pectoris and CHD
An alpha-2B-adrenoceptor antagonist will help to alleviate the vasoconstrictive component in all types of CHD, providing both symptomatic relief and protection from AMI. A general reduction in vascular tone will contribute to this by reducing venous return, cardiac workload and oxygen consumption (a nitrate-type effect; see below).
e) Prevention of restenosis after coronary angioplasty in cases where vasoconstriction plays a role in restenosis.
Furthermore, the alpha-2B-adrenoceptor antagonists as disclosed in this invention would be useful in the treatment or prevention of essential hypertension, especially in subjects with increased sympathetic activity and a hyperdynamic circulatory system.
In the study mentioned above, the D/D variant of the alpha-2B-adrenoceptor gene was not clearly associated with blood pressure. The inventors believe that this was 5 due to two main factors, 1 ) antihypertensive treatment, and 2) complex regulation of systemic blood pressure. In another study (Heinonen et al.), it was observed that the D/D genotype was associated with reduced basal metabolic rate and reduced heart rate. These associations probably reflect increased vascular resistance in these subjects.

10 In transgenic mice with targeted inactivation of the alpha-2B-adrenoceptor gene, intravenously administered alpha-2-adrenoceptor agonists fail to induce the characteristic blood pressure elevation, which is seen in normal animals and also in humans after large doses of such drugs (Link et al., 1996). The hypotensive effect of these drugs was markedly accentuated. This demonstrates that alpha-adrenoceptors mediate vascular contraction. Thus, an antagonist should reduce blood pressure. This effect has not been seen with alpha-2B-non-selective alpha-2-adrenoceptor antagonists, because antagonism of alpha-2A-adrenoceptors increases sympathetic outflow, cardiac output and blood pressure. In mice with dysfunctional alpha-2A-adrenoceptors, alpha-2-adrenoceptor agonists caused an accentuated hypertensive response and no hypotension (MacMillan et al., 1996).
An alpha-2B-adrenoceptor antagonist is postulated to have favourable effects in hypertensive subjects through their effects on renal function, muscle blood flow, and also on vascular resistance in other vascular beds. The anti-AMI effect of such a drug will be an additional benefit, as hypertension is a significant risk factor for AMI. This protection is due to three factors: 1) a reduction in systemic blood pressure, 2) decreased risk of coronary vasoconstriction, and 3) a nitrate-like effect on venous return, myocardial workload and oxygen consumption.

11 Moreover, the alpha-2B-adrenoceptor antagonists as disclosed in this invention would be useful in the treatment or prevention of other vascular diseases.
Specifically, benefits can be expected in the treatment or prevention of - vasoconstriction and hypoxic brain damage subsequent to subarachnoid haemorrhage, - migraine, - Raynaud's disease and cold intolerance, - pre-eclampsia, - male erectile dysfunction, and - obesity and the metabolic syndrome.
The last mentioned effect is due to the fact that reduced muscle blood flow and reduced basal metabolic rate contribute to the development of obesity and hypertension. An alpha-2B-adrenoceptor antagonist will, by increasing the muscle blood flow, increase energy expenditure and shift the caloric balance to a favourable direction.
The alpha-2B-adrenoceptor antagonists disclosed in this invention are also useful in anaesthesia and analgesia to potentiate the clinical efficacy of alpha-2-adrenoceptor agonists, which are not selective for the alpha-2B-adrenoceptor subtype. By blocking the vasoconstriction induced by these agonists, a simultaneously administered alpha-2B-adrenoceptor antagonist will allow the use of larger doses of said agonists, up to anaesthetic dose levels which have not previously been possible in man, only in veterinary anaesthetic practice.

12 EXPERIMENTAL SECTION
Human alpha-2-adrenoceptor binding affinity The affinity of test compounds for the three human oc2-adrenoceptor subtypes (a2A, oczB and oc2~) was determined in competition binding assays with 3H-rauwolscine.
The biological material for these experiments consisted of membranes from Shionogi S 115 cells stably transfected with any of the three human a2 subtypes (Marjamaki et al. 1992). Membrane (5-10 pg of total protein per sample) and 1-nM 3H-rauwolscine (specific activity 78 Ci/mmol) were incubated in 50 mM
KIi2PO4, pH 7.5 with 6 concentrations of the compounds. Each concentration was run in duplicate. Non-specific binding was defined by 100 pM oxymetazoline and corresponded to 5-15% of total binding. After 30 min at room temperature, incubations were terminated by rapid vacuum filtration through GF/B glass fiber filter and three 5 ml washes with ice-cold incubation buffer. The filters were then dried, impregnated with scintillate and their radioactivity was measured by scintillation counting. The analysis of the experiments was carned out by non-linear least square curve fitting. Experimentally determined IC50 values were converted to Ki's by making use of the Cheng-Prusoff equation (Cheng and Prusoff, 1973). Experiments were repeated a minimum of three times.
Table 1: Human oc2-adrenoceptor subtypes binding affinities. Data is presented as Ki's in nM (Mean ~ SEM).
Compound alpha-2A alpha-2B alpha-2C

A >13000 160 20 >30000 B >4500 34 2 >10000 C 2000 400 10 2 > 10000 D >10000 440 70 >10000 E >5100 20 4 > 10000

13 F >4300 43 7 > 10000 G 2200 600 32 5 >10000 H >30000 8000 500 >30000 Results expressed in the form of " > " means that no numerical values for Ki's could be established due to lack of displacement or due to incomplete competition curves. However, the experimental data indicated that, at a minimum, the Ki's must be larger than the numbers given.
Antagonist activity on human alpha-2-adrenoceptor subtypes Antagonist potencies were determined as the ability of test compounds to competitively inhibit epinephrine-stimulated 35S-GTPyS binding to G proteins (Tian et al., 1993; Wieland and Jakobs, 1994; Jasper et al., 1998) in membranes of CHO cells stably transfected with one of the three human ocz subtypes (Pohjanoksa et al., 1997; Marjamaki et al., 1998). Membranes (2-6 pg of protein per sample) and 12 concentrations of test compound were preincubated for 30 min with a fixed concentration fo epinephrine (5 ~M for oc2A" 15 ~M for a2$, 5 pM for oc2c) in mM Tris, 5 mM MgCl2, 150 mM NaCI, 1 mM DTT, 1 mM EDTA, 10 pM GDP, 30 ~M ascorbic acid, pH 7.4 at room temperature. Binding of radiolabel was started by the addition of trace amounts of 35S-GTPyS (0.08-0.15 nM, specific activity 1250 Ci/mmol) to the incubation mixture. After an additional 60 min at room temperature, the incubation was terminated by rapid vacuum filtration through glass fibre filter. Filters were washed three times with 5 ml ice cold wash buffer (20 mM Tris, 5 mM MgCl2, 1 mM EDTA pH 7.4 at room temperature), dried and counted for radioactivity in a scintiallation counter. Analysis of experiments was carried out by non-linear least square fitting. Results are based on a minimum of three experiments.

14 Table 2: Antagonist effect on human oc2-adrenoceptor subtypes. Data is presented as KB's in nM (Mean ~ SEM).
Compound alpha-2A alpha-2B alpha-2C

For the purpose of the invention, the alpha-2B-adrenoceptor antagonist or its pharmaceutically acceptable salt can be administered by various routes. The suitable administration forms include, for example, oral formulations;
parenteral injections including intravenous, intramuscular, intradermal and subcutanous injections; transdermal or rectal administration forms. The required dosage of the compounds of the alpha-2B-adrenoceptor antagonist will vary with the particular condition being treated, the severity of the condition, the duration of the treatment, the administration route and the specific compound being employed. The suitable dose varies in the range 5 ~,g to 100 mg per kg body weight and day for an adult person.

EXAMPLES
Example 1 N (4 6-Dimethylpyrimidin-2-yl)-4-f(1-ethyl-1H-benzimidazol-2-ylmethyl)-aminol -benzenesulfonamide 5 Step l: Alkylation of 2-hydroxymethylbenzimidazole 99.2 mg (0.67 mmol) 2-hydroxymethylbenzimidazole was dissolved in 3 ml methanol. Potassium carbonate (103.1 g, 0.75 mmol) and diethylsulfate (442 ~l 3.38 mmol) were added to the reaction mixture. Solution was stirred and refluxed overnight. The reaction mixture was then evaporated to dryness and purified on 10 silica using gradient elution (chloroform to 5% methanol in chloroform) to obtain white crystals of 1-ethyl-2-hydroxymethylbenzimidazole, 41 mg (32%).
Step IL Chlorination of 1-ethyl 2-hydroxymethylbenzimidazole mg (0.11 mmol) 1-ethyl-2-hydroxymethylbenzimidazole was dissolved in 2 ml dichloromethane. Thionyl chloride (24 ~1, 0.33 mmol) was diluted 20 times with

15 dichloromethane and the solution was added to the reaction mixture.
Reaction mixture was stirred at room temperature for two hours, evaporated to dryness and washed with water to yield 1-ethyl-2-chloromethylbenzimidazole as pale yellow crystals, 36 mg (95%).
Step III: Coupling reaction between 1-ethyl 2-chloromethylbenzimidazole and 20 sulfamethazine 32.4 mg (0,12 mmol) sulfamethazine and 36 mg (0.18 mmol) 1-ethyl-2-chloromethylbenzimidazole were dissolved in 4 ml methanol. 64 ~l (0.44 mmol) triethylamine and catalytic amount of sodium iodide were added to the reaction ~ ~~SG91' , ~~
;' ~?=1'li~t~otl. ~ 4' 0~~2003' , , Y :5 ,x.

16 mixture. Solution was stirred and .refluxed overnight. The reaction mixture was then evaporated to dryness, and purified on silica using gradient elution (chloroform to 5 % methanol in chloroform) to provide white crystals of the title compound, 10 mg (20%).1H NMR (DMSO-dd, 500 MHz): 7.68 (2H, m), 7.60 (1H, m), 7.52 (1H, m), 7.22 (1H, m), 7.17 (IH, m), 7.00 (1H, br, s), 6.78 (3H, m), 6.60 (1H, br, s), 4.60 (2H, m), 4.30 (2H, q, 7.2 Hz), 2.18 (6H, s), 1.28 (3H, t, 7.2 Hz);
MS (ESI~): m/z 437 (M + H)~.
Example 2 4-f (1H Benzimidazol-2-ylmethyl)-aminol-1V X4,6-dimeth~pyrimidin-2-benzenesulfonamide Following the procedure outlined in Step III of example 1, but without triethylamine and substituting 1-ethyl-2-chloromethylbenzimidazole by 2-chloromethylbenzimidazole afforded the title compound with the yield of 51 %.
. 1H NMR (DMSO-ds, 500 MHz): 7.70 (2H, m),, 7.48 (2H, br, m), 7.13 (2H, m), 7.I1 (1H, t, 5.8 Hz), 6.70 (3H, m), 4.52 (2H, d, 5.8 Hz), 2.21 (6H, s); MS
(ESI~):
m/z 409 (M + H)+.
Example 3 N (4 6-Dimethylpyrimidin-2-~ -) ~.-f (pyridin-4-ylmethyll-aminol-benzenesulfonamide . ' Following the procedure outlined in Step III of example 1 without triethylamine and substituting 1-ethyl-2-chloxomethylbenzimidazole by 4-picolylchloride hydrochloride afforded the title compound with the yield of 54%. MS (ESI~):
m/z 392 (M + Na)~, 370 (M + H)~. .
1'~~ RECTIFIED SHEET (RULE 91 ) ~ , t~'~'~4~"Q~,;~Q4~

CA 02454187 2004-O1-15, ~ /'~ ~ ,; ;ig ~~'~"''~~~~~~ ~1t4 n ~ , sz Et~.:2 '~,. 5~. ,f:.~ ' ~, 1.,i " s :"tt,l: ': t '~.,..:; ~~nt , ..na;w pf yq; ; ~,.6-. ~, . "w, ~..~:.:~ i~ ' ec ~ E ~ it ,~:y-t r ' ; T'~ !
w,.u.~ ..~.. '0~~48~02; F1~3~~~~~.
_ . .t- ,.».,.,.,..,..: . ' t ;s.~,..,a.: l~ z e~° v ~s _ . Du.~..a.;~. ~. ~s~,.,u.: s. ,m"
J

17 Example 4 N 4 6-Dimeth I 'din-2- 1 -4- 1-isobut 1-IH benzimidazol-2- lmeth 1 -am_inol -benzenesulfonamide (Compound A) Following the procedure outlined in example 1, but substituting in step I
ethyl 5~brom~.de for isobutyl iodide, affoirded the title compound with stepwise yields of ~15%, 95% and 15%. 1H NMR {DMSO-d6, 500 MHz): '7.76 (2H; m), 7.70 {1H, m), 7.60 (1H, m), 7.27 (1H, m), 7.22 (IH, m), 7.15 (1H, br, t, 5.3 Hz), 6.86 (2H, m), 6.77 (1H, s), 4.65 (2H, d, 5.3 Hz), 4.13 (2H, d, 7.5 Hz), 2.27 (6H, s), 2.25 (IH, m), 0.91 (6H, d, 6.7 Hz); MS (ESI~): m/z 487 (M + Na)~, 465 (M + H)~.
Example 5 4- I-Benz 1-1H benzimidazol-2- lmeth 1 -amino -N ~ 4 6-diineth' 1 'midin-2-yl)- benzenesulfonamide Following the procedure outlined ~in example 1, but substituting in step I
'ethyl bromide for benzyl bromide, afforded the title compound with stepwise yields of I5 23%, 90%,and 18%. rH NMR (DMSO-d6, 500 MHz): 7.81 (2H, m), 7.52 (1H, m), 7.45 -(1H, m), 7.30 (5H, m), 7..16 (2H, m), 6.75 (1H, s), 6.54 (2H, m), 6.02 (1H, br, s), 5.66 (2H, s), 5.63 (2H, s), 2:21 (6H, s); MS (ESI+): rn/z 521 (M +
1'~ta)~, 499 (M
+ H)~*.
Example 6 4-~(1-Ethy1-1FI benzimidazol-2-ylmethyl) ami,nol N (S methoxynyrinudin 2 v11 benzenesulfonamide , Following the procedure outlined in example 1 step III, but substituting sulfamethazine by 5-methoxysulfadxazine, afforded the title compound with the ,2'rRECTIFIED SHEET (RULE 91 ) , ~y~ ,0~~ .~0~ ~; 2t:
..:,:L::, ..:...:_ ,.:'.i r-

18 yield of 8%. Dimethylformamide was used as a solvent and additional silica gel chromatography purification with 2:1 petrol ether:ethylacetate was needed. MS
(ESI+): m/z 461 (M + Na)+, 439 (M + H)+.
Example 7 4-f(1H-Benzimidazol-2- l~yl)-aminol-N-(pyrimidin-2-yl)-benzenesulfonamide 628 mg (3.8 mmol) sulfadiazine and 728 mg (3.0 mmol) 2-chloro-methylbenzimidazole were dissolved in 10 ml 1 M NaOH. Solution was stirred and refluxed for four hours. Reaction mixture was neutralised with addition of acetic acid until product precipitated. Crystals were filtered and purified on silica using gradient elution (chloroform to 5% methanol in chloroform) to obtain the title compound as white crystals with 38% yield. 1H NMR (DMSO-d6, 500 MHz):
8.46 (2H, m), 7.70 (2H, m) 7.49 (2H, br, m), 7.14 (1H, t, 5.7 Hz) 7.13 (2H, m), 6.98 (1H, m), 6.72 (2H, m), 4.53 (2H, 5.7 Hz); MS (ESI+): m/z 381 (M + H)+.
Example 8 N-(1H-Benzimidazol-2-~yl)-N f4-(4,6-dimeth~pyrimidin-2-ylsulfamoyl)-phenyll-acetamide 18 mg (0.044 mmol) 4-[(1H-benzimidazol-2-ylinethyl)-amino]-N (4,6-dimethyl-pyrimidin-2-yl)-benzenesulfonamide was dissolved in 2 ml of 15% pyridine in dichloromethane. Acetyl chloride (31 ~ 1, 0.44 mmol) was diluted with 1 ml dichloromethane and solution was added to the reaction mixture. After three hours reaction mixture was washed with acidic water and organic layer was evaporated to dryness. Crystals were purified on silica using gradient elution (chloroform to 5% methanol in chloroform) to obtain white crystals with 30% yield. 1H NMR
(DMSO-d6, 500 MHz): 7.97 (2H, m), 7.60 (2H, m), 7.48 (2H, m), 7.14 (2H, m),

19 6.68 (1H, s), 5.08 (2H, s), 2.18 (6H, s), 1.93 (3H, s); MS (ESI+): m/z 473 (M
+
Na)+, 451 (M + H)+.
Example 9 N-( 1-Acetyl-1 H-benzimidazol-2-ylmethyl)-N- f 4-(4, 6-dimethylpyrimidin-2-ylsulfamo.~phenyll-acetamide Title compound was purified from the reaction mixture produced according to example 8 with a yield of 14%. 1H NMR (DMSO-d6, 500 MHz): 8.15 (2H, m), 7.80 (2H, m), 7.55 (2H, m), 7.48 (1H, s), 7.21 (3H, m), 5.17 (2H, s), 2.54 (6H, s), 2.03 (3H, s), 1.83 (3H, s); MS (ESI+): m/z 493 (M + H)+.
Example 10 4-f (1-Acetyl-1H-benzimidazol-2-ylmethXl)-aminol-N-(4,6-dimethylpyrimidin-2-yl)-benzenesulfonamide Following the procedure of example 8, but instead of 15 % pyridine in dichloromethane only few drops of pyridine in dichloromethane were used as a solvent. Method afforded the title compound with a yield similar to that for N-(1H-benzimidazol-2-ylmethyl)-N-[4-(4,6-dimethylpyrimidin-2-ylsulfamoyl)-phenyl]-acetamide. MS (ESI+): m/z 451 (M + H)+.
Example 11 4-BenzKlamino-N (4,6-dimethylpyrimidin-2-yl)-benzenesulfonamide 100 mg (0.36 mmol) sulfamethazine and 70.8 p1 (0.60 mmol) benzyl bromide were dissolved in 4 ml methanol. Caesium carbonate (113.4 mg, 0.35 mmol) was added and solution was refluxed overnight with stirring. The reaction mixture was then ?. y~~~~ fj R r ~4f~t~~~~~~;~. ,7 4 ~~ u.k~-4 f h,~t t A '.l C rv . . R '~ F : Y
~,F~ .~J1 E f ~~~,c~~ Et ~S 3~ ~, ~ ~y ~ I'y~y 2f-'- f~J~A~~~9..[t ,. a, r~,. ,A. ~,::,," .. r. ,.... .. ax,.:".. .. a ~ w E i ,m:v~ ~ ~r.N : ~ 0~~7~.8~a~:~F~~a.~0~4~-T . "s,~. ;. _ , . ~ F r . m.'r°u..,~.~,ri>':.e., t ~e~m 1 .dk~,.....ue..~,y ~..xF,.hf~saa evaporated to dryness, -and purified on silica using gradient elution (chloroform to 2% methanol in chloroform) to obtain white crystals in a yield similar to that described in example 1 for step III. 1H NMR (CDCl3, 500 MHz): 7.93 (2H, m), 7.31 (5H, m), 6.58 (3H, m), 4.36 (2H, s), 2.34 (6H, s); MS (ESh'): m/z 369 (M
+
H)+. , ' , Example I2 4-(4-Bromobenzylamino) N (4 6-dimethylpyrimidin 2 y1) benzenesulfonamide Following the procedure outlined in example 11, but substituting benzyl bromide by 4-bromobenzyl bromide, afforded .the title compound with a yield of 8%. 1H
NMR (CDC13, 500 MHz): 7.91 (2H, m}, 7.45 (2H, m), 7.19 (2H~ m), 6.59 (1H,..s) 6.55 (2H, m), 4.32 (2H, s), 2.34 (6H, s); MS (ESI'~): mlz 469 (M + Na)+, 447 (M +
H)~.
Example 13 N (4,6-Dimethyltwrimidin-2-yl)-4-(2-meth lbenzylamino) benzenesulfonamide (Compound B) Following the procedure outlined in example 11, but substituting benzyl bxomide by 2-methylbenzyl bromide, afforded the title compound in a yield similar to that described,in example 1 for step III. 1H NMR (CDCl3, 500 MHz): 7.95 (2H, m), 7.22 (4H, m), 6.58 (3H, m), 4.30 (2H, s), 2.35 (3H, s), 2.34 (6H, s); MS
(ESI~):
m/z 405 (M + Na)+.
3~ RECTIFIED SHEET (RULE 91 ) . , ~4 ,09, X002;
r r sYf r 7 i:.4'.~ ;7 , A, ,~~~r~~~tec~l~~i4 (~4~2OO~'~5 ~ ~? ~ >: ~ ~f~'~* ,.:f ~: r:..~~ ~~,~_,~
~ ~.ar:,~ .,.:: ?;~:: " ~ c a ~, ~,., 4 ~..,~ , >na:,i;:f ' x ~ ~ ..x k ~~.
CT~~~8~Q2, FI~~006~.3 r ''C~ .~.~..F.,.,a:d~~x xn.,.a.NA . ~f a.."..-ash; ~ ~ "
_ Ai..~ av.-, ~21 Example 14 N(4,6-Dimethylpyrun,_'din-2-yI)-4-(4 methylbenz lamino) benzenesulfonamide Following the procedure outlined in example 11, but substituting benzyl bromide by 4-methylbenzyl bromide, afforded the title compound in a yield similar to that described: in example I for step III. iH NMR (CDC13, 500 MHz): 7.92 (2H, m), 7.20 (2H, m), 7.15 (2H, m), 6.58. (3H, m), 4.31 (2H, s)~ 2.34 (3H, s}, 2.33 (6H, s};
MS (ESI~): m/z 405 (M + Na)*, 383 (M + H)~.
Example 15 N (4,6-Dimethylpyrimidin-2-yl)-4-(1 phen 1y ethylamino) benzenesulfonamide Following the procedure outlined in example 11, but substituting benzyl bromide by (1-bromoethyl)-benzene, afforded the title compound with a yield of 12%. 1H
NMR (CDC13, 500 MHz): 7.84 (2H, m), 7.31 (5H, m), 6.57 (1H, s), 6.46 (2H, m), 4.53 (1H, q,..6.7 Hz), 2.30 (6H, s), 1.54 (3H, d, 6.7 Hz); MS (ESI~'): rn/z 405 (M +
Na}'~, 383 (M + H)+.
Example 16 N (4,6-Dimethyloyrimidin-2-yl)-4-(2-methoxybenzvlamino) benzenesulfonamide Following the procedure outlined in example 11, but substituting benzyl bromide by 2-methoxybenzyl bromide, afforded the title compound in a yield similar to that described in example 1 for step In. 1H NMR (CDC13, 500 MHz): 7.92 (2H, m), 7.25 (21~, m), 6.90 (2H, m), 6.59 (3H, m}, 4.36 (2H, s), 3.86 (3H, s), 2.32 (6H, s);
MS (ESh''): m/z 421 (M + Na)+, 399 (M + H)~.
"1P
", L4~~ RECTIFIED SHEET (RULE 91) ~'a'".E:~..~,'1. . ~~~'~,~f ,._ tx ~ a It'~6 ~ ~ ~'~~' ~ ~ ;-~s3 x. r ~~ ., s.:: t~~4 -x ~ ~A rir~ted ~h~ '= ' ~ 5 h,n~F , , ~ F 6 ~ 4 h~
4 04~ X005:, t ~~ ,.,;; ~. E~: ~ ~ ,.~ ,s..~ ~, ,I~ESC9~ yf s0~748~ . r~ , , , ~ . ..
~..,.ct..,:l: t,1" ".u:r. .,Mk..:~.~~
~2 FIil2~l ~'~ ~.,.:i~ z.w..~..v:. x5 ,ix..roas Y.~ a~.=,r~~ .. e.f.,.z ~~~~ <u..~'r. ~~~
p Example 17 4-(2.4-Dimethylbenzylamino)-N (4 6-dimeth~pyrimidin 2 benzenesulfonamide Following the procedure outlined in example 11, Gut substituting benzyl bromide 5~by 2;4=dlmet~ylbenzy~~romi ed , a~'fordecT~t a t a m oun ith a yield of 23%.
1H NMR (CDC13, 500 MHz): 7.94 (2H, m), 7.14 (1H, m), 7.03 (IH, s), 6.98 (1H, m), 6.58 (3H, m), 4.26 ~(2H, s), 2.34 (6H, s), 2.31 {3H, s), 2.30 (3H, s); MS
(ESI~):
m/z 419 (M + Na)+, 397 (M + H)+.
Example 18 N (4 6-Dimethyl~yrimidin-2-yl)-4-(3-methylbenz~amino) benzenesulfonamide Following the procedure outlined in example 11, but substituting benzyl bromide by 3-methylbenzyl bromide, afforded the title compound with a yield of 10%. 1H
NMR (CDC13, 500 MHz): 7.93 (2H, m), 7.23 (1H, m), 7.11 (3H, m), 6:62 (1H, s), 6.58 (2H, m), 4.31 (2H, s), 2.36 (6H, s), 2.34 (3H, s); MS (ESI+): m/z 405 {M
+
Na)+, 383 {M + H)~.
Example 19 4-(2,6-Dichlorobenzylamino)-N (4 6-dimethy~~rimidin 2 y1) benzenesulfonarnide (Compound C) Following the procedure outlined in example 11, but substituting benzyl bromide by 2,6-dichlorobenzyl bromide, afforded the title compound with the yield of 10%.
1H NMR (CDCl3, 500 MHz): 7.96 (2H, m), 7.34 (2H, m), 7.20 (1H, m), 6.71 (2H, m), 6.59 (1H, s), 4.63 (2H, s), 2.34 (6H, s); MS (ESI+): 437 (M + H)~.
., 5,~ RECTIFIED SHEET (RULE 91 ) ~,~~~~09 ~ 2{102;
r ,;4. . "_.;...,..,. ,:....r ~i~~r~~~ ~~~'''~ 4 ~4. 4~0 ~- J's . ' i :i: ~ i ~ .;, r t ~ ~- e::z ~dyt.- ~~ FTS:..~..xw ~I ~~..,. , f 03, ~t ,SC9fli x ~",rxv. t ' X902 FIIO~Q'0~~~~
~4.rM,r~ , a~ t "f., ~.~.~_ar . -..~i~s~~..~: ~n~S. _.,r.u.. : ~.~~, ~,. m '1~;~'.

Example 20 .~V (4,6-Dimethyltwrimidin-2-yl)-4 f(naphthalen 2 ylmethyl) aminol benzenesulfonamide (Compound Dl Following the procedure outlined in example I1, but substituting benzyl bromide ~5 bye-b~omo~methytnaph~alene, affo~ded~.e tli~.e compound wit~the yield of

20%.
1H NMR (DMSO-d6, 500 MHz): 7.85 (4H, m), 7.68 (2H, m), 7.47 (3H, m), 7.19 (1H, t, 5.8 Hz), 6.70 (IH, s), 6.66 (2H, m), 4.49 (2H, d; 5.8 Hz), 2.21 (6H, s); MS
(EST): m/z 44I (M + H)~.
Example 21 N (4.6_Dimethylpyrimi.din-2-vl)-4-(3-methoxvhenzylarnino) benzenesulfonamide (Compound E) Following the procedure outlined in example I I, but substituting benzyl bromide by 3-methoxybenzyl bromide, afforded the.title compound with the yield of 28%.
1H NMR (CDCl3, 500 MHz): 7.93 (2H, m), 6.86 (3H, m),, 6.58 (3H, m), 4.33 (2H, s), 3.78 (3H, s), 2.33 (6H, s); MS (ESI~: m/z 42I (M + Na)~, 399 (M + H)f.
Example 22 N (4,6-Dimethylpyrimidin-2-yl)-4 (4 nitrobenz~ no) benzenesulfonamlde . . .
Following the procedure outlined in example II, but substituting benzyl bromide by 4-nitrobenzyl bromide, afforded the title compound with a yield lower than I %.
MS (ESI+): m/z 414 (M + H)'~.
" ..,,,,}
RECTIFIED SHEET (RULE 91 ) . I ~4,' ~~Q~9 ~0(72~'=
. .,. :.,......, ,..,....,..:~
,_ a E . ~ ~ t ~ a . v a E
~ F';rl~~~d ~s4 04 20~~ ~ ' E ~ . , ~ ~ b ~ ~:~<n , .ad....a t :(..,~~.- F ~ p y d o ,. .~1.2.,.... . ,.v~.':5~,.i' ~.~.i.'.~x ., S , 4 t DESC~~ , r E F (3~7~!':80 ~ ~' FI'0~~b~, '~~
~- , a,ky .:~.~an..,v t ...!..",e t't ,.....'~. ~ F ~ .,.N~~m..
_ .~ ~ax,.:.,.. ~...

Example 23 N (4,6-Dimethylpyrimidin-2- 1y )~4-(4-trifluoromethylbenz~oL
benzenesulfonamide Following the procedure outlined in example 11, but substituting benzyl bromide _.._...._..._._~.. ~~y 4-~tluoromeThy~benzy ~bromid:e; affo~.e~tbe t~f a mpound in y ~~1~: _-to that described in example 1 for step III. MS (ESI~): m/z 459 (M + Na)~, 437 (M
+ H)+.
Example 24 4-fBis-(4-trzfluoromethylbenzyl)-aminol N (4 6 dimeth l~yrimidin 2 y1) benzenesulfonamide Title compound was purified from the reaction mixture produced according to example 23 with the yield of 20%. MS (ESI~): 617 m/z (M + Na)~, 595 (M + H)~".
Example 25 N (4,6-Dimethylpyrimidin-2-y1)~4-(4-trifluoromethoxybenzylamino) benzenesulfonamide Following the procedure outlined in example 11, but substituting benzyl bromide by 4-trifluoromethoxybenzyl bromide, afforded the title compound with a yield of 25%. MS (ESI+): zn/z 475 (M + Na)+, 453 (M + H)*.
r. a ....
RECTIFIED SHEET (RULE 91 ) j ~~,~0'9 ~ao~~
a ,: .... ,.._..,.._. A..

[..3,y'yy~~ Y 5 'n <~ t il~~~~~~~"I. ~ ~F4~! va .i a~ r f Fet u,Y.: ~ i. r t S ><.a: ,1 't t ', x~
1,~'~'7 5 , a i.~c;JFS~ 7 ~... F t3~ ~ .. ~~~~ '~~.rz.i ~"f . (~ :;.
....a..a~.,s- ..t s . ,..r .adz . .. r~ "r.' f ' f V
~t lm,.!xo,xM~ s~L~,uHs;D.~ t a wi;~F
-='.~y".,. ~,~ ':rx Example 26 4-fBis-(4-trifluoromethoxybenzyl)-aminol N (4,6-dimeth~p~irimidin 2 ~) benzenesulfonanude Title compound was purified from the reaction mixture produced according to - ' example 2~ wnh a yell of 1~%: lVfS~E~~ ~ : n z 64-9~1V.~+~a)T; 627 (.M +
I~)':~~__....' Example 27 4-(2,5-Dimethylbenzylatnino)-N (4,6-dimeth~p rimidin benzenesulfonamide.
Following the procedure outlined in example 11 without caesium carbonate and IO substituting benzyl bromide by 2,5-dimethylbenzyl bromide afforded the title compound with. a yield of 35%. 1H NMR (CDCl3, 500 MHz): 7.93 (2H, m), 7.07 (3H, m), 6.59 (3H, m), 4.25 (2H, s), 2.33 (6H, s), 2.30 {3H, s), 2.28 (3H, s);
MS
(ESI~): m/z 419 (M + Na)~.
Example 28 15 4-(2,6-Dimethylbenzylamino) N (4 6-dimeth~pyrimidin-2-yl) benzenesulfonamide Following the procedure, outlined in example 1I ~vvithout caesium carbonate and substituting benzyl bromide by 2,6-dimethylbenzyl bromide afforded the title compound with a yield of 25%. 1H NMR (CDC13, 500 MHz): 7.99 (2H, m), 7.0~
20 (3H, m), 6.62 (3H, rn), 4.26 (2H, s), 2.37 (12H, m); MS (EST: m/z 419 (M +
Na)+.
~O~y RECTIFIED SHEET (RULE 91) ~ ~~~~~~~j~~~~~0~
a..,..F.~M~_",..:~f..~.u,. ..:,..._...
,.

~ ~~~~ , ~ ~~,~~ off. ~00~,a~sC9~ ~~~~~ .~F K o~~4 .90 _y , ~ F my ..r..: ~.u... ~, ~ Fo~o~~4~
~~..a . ~.~.~~.r.~Y
~....~.~.~~

Example 29 4-(3,5-Dirnethoxybenzylamino)-N (4 6-dimethvl p~2~) benzenesulfonamide Following the procedure outlined in example 11 without caesium carbonate and substituting benzy~bromide by 3;5-dimethoxybenzyl chloride afforded the title compound with a yield of 15%. 1H NMR (CDC13, 500 MHz): 7.92 (2H, m), 6.60 (IH, s), 6.58 (2H, m), 6.46 (2H, m), 6.38 (1H, m), 4.30 (2H, s), 3.76 (6H, s), 2.33 (6H, s); MS (ESI*): mlz 429 {M + H)~.
Example 30 4-(2,5-Dimethoxybenzylarnino)-N~4 6-dimethylpyrLmsdin-2-yI) benzenesulfonamide Following the procedure outlined in example 1I without caesium carbonate and substituting benzyl bromide by 2,5-methoxybenzyl chloride afforded the title compound with the yield of I3%. Reaction time was three days.1H NMR (CDCl3, IS 500 MHz): 7.91 (2H, m), 6.79 (3H, m), 6.58 {3H, m), 4.33 {2H, s), 3.8I (3H, s), 3.7I (3H, s), 2.33 (6H, s); MS (EST+): m/z 429 (M + H)~.
Example 31 2,6-Dichloro-N f4-(4,6-dimethylnyrimidin-2- lsulfamo 1)- henyll benzamide Following the procedure outlined in example 1I, but substituting benzyl bromide by 2,6-dichlorobenzoyl chloride, afforded the title compound with almost quantitative yield. 1H NMR (CDC13, 500 MHz): 8.I I (2H, m), 7.80 (2H, m), 7.33 (3H, m), 6.59 (1H, s), 2.34 (6H, s); MS (ESh'): m/z 473 (M + H)~, 451 (M +
H)'''.
i19~ RECTIFIED SHEET (RULE 91 ) ~ ~4 ~'0'~ ~p,~ ~~, ,., , ,._ CA 02454187 2004-O1-15 -.._ 14 ,~~'w n ~~,~~~,~~y(1~:':7~t i ,.~ y'!~~ t':~(si ' t ;~:" y ..-"i_ ~ t .y:, r ,t. ~~ .~t:itt~, .. 5~::,... t t F 4 e,A, 77~.~i~~~~~~9~t~f4 ~:~~~i - f 1 d kx.k . ~ j'~ k 'l.rt ~ ,.. ..;
-t _ N. . ". ~u ~ - k~. ~> . ,.r,>,~~. rra ,k~~.,: t .~,.. t,~~a:' Example 32 4-(2-Cyariobenzylamino) N (4 6-dimeth~pyrimidin-2-yl)-benzenesulfonamide Following the procedure outlined in example 11, but substituting benzyl bromide by cc-bromo-o-tolunitrile, afforded the title compound with a yield of 21 %.

___~._ 5 NMR (DMSO-d6, 500 MHz): 7.83 (1H, m), 7.71 (2H, m), 7.65 (1H, rn), 7.47 (2H, m), 7.15 (1H, br, t, 5.8 Hz), 6.73 (1H, m), 6.63 (2H, m), 4.50 {2H, d, 5.8 Hz), 2.24 {6H, s); MS (ESI+): mlz 416 (M + Na)+, 394 (M + H)~".
Example 33 4-(2,4-Dimethox benz l~~no)~4 6-dimethylpyrimidin-2-,~, benzenesulfonamide 62 mg (0.37 mmol) 2,4-dimethoxybenzylaldehyde and 100.9 mg . (0.36 mmol) sulfamethazine were dissolved in 4 ml of 1,2-dichloroethane. Acetic acid (168 ~.I, 2.8 mmol) was added to the reaction mixture and solution was stirred with reflex overnight. Sodium triacetoxyborohydride {162.9 mg, 0.77 mmol) was dissolved to the reaction solution and refluxing was continued for three hours. The reaction mixture was then evaporated to dryness, and purified on silica using gradient elution {chloroform to 2% methanol in chloroform) and 2:1 petrol ether:ethylacetate to obtain the title compound as white crystals with a yield of 10%. . 1H NMR (CDC13, 500 MHz): 7.91 (2H, m), 7.13 (1H, m), 6.58 (3H, m), .
6.47 (1H, m), 6.42 (1H, m), 4.53 (1H, t, 5.0 Hz), 4.30 (2H, d, 5.0 Hz), 3.82 (3H, s), 3.79 (3H, s), 2.33 (6H, s); MS (ESIk): m/z 429 (M + H)~.
r 1~0",~ RECTIFIED SHEET (RULE 91 ) '~4"~09"200~~i a ,,.

r~~''~' j ' ' t ' - ' ~:P ~.; ~-"i r y: ' ' ~ sr.
;.. _;~ t vs t -. r .. r . ';. ~~ ! r E"Pt .,~ , s: .t- r , " ~:; . t' a t .~. i t : n ~, $~ r.:'.'' ~Ek ~t~~;'>.'~..
,~ r''~ef1~14 Q~, ~~(}~r 7;17E~C91 ' y~~
k~a;: , "",.,_....1.. ' ~ i:......> .x.'.E,x;:,:-:.:'a ~i;.S a ~x c ...:,.::f . '9.u.»~''.4,: F ~ ~~~~p9 ~.ust.e ..: -,st ,oxt_F.,i.»ai_._...w:-..M~a..,w;.Y7.
Example 34 N:(4,6-Dimethylpyrimidin-2-yl)-4-((1-ethyl-lHindol-3- l~yl)-aminol-benzenesulfonamide (Compound F~
1-ethylindole-3-carboxaldehyde was prepared from alkylation reaction of indole-carboxaldehyde. Indole-3-carbaxaldehyde (900 ing; 6.2 mmol~as clissolved in 5 m1 dimethylformamide, ethyl bromide (918 p1, 12 mmol) and sodium hydride (282.8 mg, 12 mmol) were added to the reaction miXture. Solution was stirred and refluxed for three hours. The reaction mixture was then evaporated to dryness and washed with water. Pale brown crystals were obtained with 80% yield.
Following , the procedure outlined in example 33, but substituting 2,4-dimethoxybenzylaldehyde by 1-ethylindole-3-carboxaldehyde, afforded the title compound with a yield similar to that of 4-(2,4-dimethoxybenzylamino) N
(4,6-dimethylpyrimidin-2-yl}-benzenesulfonamide. Instead of sodium triacetoxyborohydride sodium borohydride was used to .reduce the imine intermediate. 1H NMR (CDCl3, 500 MHz): 7.88 (2H, m), 7.52 (1H, m), 7.29 (1H, m), 7.18 (1H, m), 7.05 (1H, m}, 7.03 (1H, s}, 6.56 (2H, m), 6.52 (1H, s), 4.41 (2H, d, 4.7 Hz), 4.33 (1H, t, 4.7 Hz), 4.08.(2H, q, 7.3 Hz), 2.27 (6H, s), 1.38 (3H, t, 7.3 Hz); MS (ESI+): mlz 458 (M + Na)+.
Example 35 N (4-(4,6-Dimeth~pyrimidin-2-ylsulfamo 1)-phenyll-2-(2-methoxXphenyl)-acetamide 2-Methoxyphenylacetic acid (33 mg, 0.20 mmol) and sulfamethazine (55 mg, 0.20 lnlriol) were dissolved in 4 ml of chloroform. Triethylarnine (70 p.1, 0.55 rnmol) and diisopropylcarbodiimide (50 ~1, 0.20 mmol) were added to the reaction mixture. Solution was stirred and refluxed overnight. The reaction mixture was t ll,;~ai''~ RECTIFIED SHEET (RULE 91 ) ' ~~q, pg' ~ptj~;~
E ~__.. ".~~ ' ~ .,._~f ~.~~'~~a~~~3~~~~ ~ f p ~e~.~:,z a .'.~." sd.,:.~.,..'' ., t -~ ...,~,.-~"
v then evaporated to dryness, washed with water and purified on silica using gradient elution (chloroform to 2% methanol in chloroform) to obtain white crystals with the yield of 40%. 1H NMR (CDCl3, 500 MHz): 8.04 (2H, m), 7.54 (2H, m), 7.30 (2H, m), 6.98 {2H, m), 6.60 {1H, s), 3.95 (3H, s), 3.72 (2H, s), 2.33 (6H, s); MS (ESI+): m/z 449 {M + Na)~'', 427 (M + H)~.
Example 36 2-Acetyl N f4-(4,6-dimeth~rlpyrimidin-2-ylsulfamo~~phenyll-benzamide Following the procedure outlined in example 35, but substituting 2-meth-oxyphenylacetic. acid by 2-acetylbenzoic acid, afforded the title compound with a yield of 11 %. MS (ESI~): m/z 447 (M + Na)*, 425 (M + H)+.
Example 37 1-Methyl-1H indole-2-carboxylic acid [4-(4,6-dimethylpyrimidin-2-vlsulfamoyl)-phenyll-amide Following the procedure outlined in example 35, but substituting 2-methoxyphenylacetic acid by 1-niethylindole-2-carboxylic acid and using dimethylformamide as a solvent afforded the title compound with a yield similar to that of N [4-(4,6-dimethylpyrimidin-2-ylsulfarnoyl)-phenyl]-2-(2-methoxyphenyl)-acetamide. MS (ESI'"): m/z 458 (M + Na)+.
°i ;i, , -, ~ . ~: r ~
I
RECTIFIED SHEET (RULE 91) j,~~ 09' 200~i c i k ;ni;.a, , . a .... ~... r ~ "..,.

fi) ~ e~ 't7. ~ p 4 ' tk -° ~i d,~'3~ ~-', ~ ~~ 1..t ~- -t," a ~ ~. h 'S~~ ~ f,'4 ~pI~~~ted 14 04 20t~~'~ . ~C)ESC9'L ~ =fl~~489fl~=F(. ' fl~ fl843 sM..,d~..,vYac 5~w~r._: 3 ..:...n... u's ....,t'..z.n_w~r 4 r. ~~. ~ ~., Ue.' ... rMw ~ ~~ ~ 1. b"~;.s~~ f ~ '. ~ y ~5E F
. ,crs.:cii-.w"w,.r" ~""":::. z ~~ ,D.xw..»::. ~r ~.",~.f Example 38 2-(3,5-Dimethoxyphenyl) N f4-(4 6-dimethyl~yrimidin-2-ylsulfamoyl)-phenyll-acetarnide Following the procedure outlined in example 35, but substituting 2-meth-5 oXyphen~iacetic acia by 3;5=dimethoxyphenyiacetic acid; affo~deci the title compound with a yield of 54%. MS (ESI+}: m/z 457 (M + H)~.
Example 39 N (4,6-Dimethylpyrimidin-2-yl)-4-(2-(2-methoxyphenyl)-eth~aminol-benzenesulfonamide (Compound G) 10 33 mg (0.08 mmol) N [4-(4,6-dimethylpyrimidin-2-ylsulfomoyl)-phenyl]-2-(2-methoxyphenyl)-acetamide was dissolved in 2 ml tetrahydrofurane. 340 ~.l of 1 M
borane tetrahydrofurane complex was added to the reaction mixture under nihogen atmosphere and solution was stirred overnight with reflex. Reaction~was quenched with 6 M HCl and the reaction mixture was neutralised with 1 M NaOH. Product 15. was extracted with chloroform' and purified on silica using gradient elution (chloroform to 2% methanol in chloroform) to obtain white crystals with a yield of 20%. iH NMR. (CDCl3, 500 MHz): 7.92 (2H, m}, 7.22 (1H, m}, 7.12 (1H, m), 6.89 (2H, m}, 6.60 (1H, br, s), 6.54 (2H, m), 3.85 (3H, s), 3.38 (2H, t, 6.9 Hz), 2.93 (2H, ~t, 6.9 Hz), 2.33 (6H, s); MS (ESI+): mlz 435 (M + Na)~, .413 (M + H}+. .
~,~1,3~;~ RECTIFIED SHEET (RULE 91) ;~'~q, p~ ~p,~~~'~
,.,..... . , i . ""rt.

Example 40 t~ rt ( - '~ ~~. ~ i ;.~ ~-s yw~~~' jP~
f 0~~~aso~, ~~0~~~~4~t t ~..r~.M~.~ s~ x~+r.., "~ 3~f ~_,h ,~. ~x~,.~.:~»
4-f2-(3,5-Dimethoxyphen l~ylaminolN (4 6-dimeth~p ry i~din-2-Xl)-benzenesulfonamide Following the procedure outlined in example 39, but substituting N [4_(4,6-di-~~°-~ a iiieihylpyrimzdin=2=yi5uiiamoyi j plienyi j=2=~~-meihoxypiienyi)-acetaniiae icy 2-~--(3,5-dimethoxyphenyl)-N-[4-(4,6-dimethylpyrimidin-2-ylsulfamoyl)-phenyl]-acetamide, afforded the title compound with a yield of 11%. IH NMR (CDCl3, 500 MHz): 7.92 (2H, m), 6.58 (1H, s), 6.54 (2H, m), 6.34 (3H, s), 4.20 (1H, t, 5.8 Hz), 3.76 (6H, s), 3.42 (2H, m), 2.85 (2H, t, 6.9 Hz), 2.34 (6H, s); MS (ESI~: m/z ~ (M + Na)~, 443 (M + H)+.
Example 41 4-(Benzhy~lamino)-N X4,6-dimethylpyrimidin-2-y1)-benzenesulfonamide (Compound H) Sulfamethazine (105 mg, 0.38 mmol) and diphenylchloromethane (77 ~.1, 0.38 mmol) were dissolved in 3 ml pyridine. Solution was stirred and refluxed overnight. The reaction mixture was evaporated to dryness and dissolved to 1 M
NaOH. Product was precipitated with 1 M acetic acid. Precipitation cycle was repeated for three times to give white crystals of the title compound with a yield of 8%. MS {ESI+): mlz 467(M + Na)+, 445 (M + H)''~. , . , , Example 42 4-(4-Aminobenzylamino)-N (4,6-dimethylp~din-2-yl~benzenesulfonamide 18 mg (0.04 mmol) of N (4,6-dimethylpyrimidin-2-y1)-4-(4-nitrobenzylamino)-benzenesulfonamide was dissolved in 1 ml of tetrahydrofurane. Hydrazinium (~ 14~ RECTIFIED SHEET (RULE 91 ) ~'2;~~Qg,;2p~~

hydrate (50 p l, 1.5 mmol) and catalytic amount of palladium on charcoal were added to the reaction mixture. Solution was stirred overnight. The reaction mixture was evaporated to dryness and purified on silica using gradient elution (chloroform to 4% methanol in chloroform) to obtain with a yield of 59%. MS
(ESI+): m/z 406 (M + H)+, 384 (M + H)+.
Example 43 4-( f4-(4,6-Dimeth~pyrimidin-2-ylsulfamoyl~-phenylaminol-methyl}-benzamide 4-{ [4-(4,6-Dimethylpyrimidin-2-ylsulfamoyl)-phenylamino]-methyl}-benzoic acid methyl ester was prepared like described on example 11 and was treated with 25 %
ammonia to obtain the title compound with a yield lower than 1 %. 1H NMR
(CDCl3, 500 MHz): 7.81 (2H, m), 7.67 (2H, m), 7.37 (2H, m), 7.12 (1H, br, t, 6.0 Hz), 6.72 (1H, s), 6.60 (2H, m), 4.37 (2H, d, 6.0 Hz), 2.33 (6H, s); MS
(ESI+): m/z 412 (M + H)+.
Example 44 4-( f (2,6-Dichloro-phenyl)-hydroxy-methyll-amino 1-N-(4,6-dimeth ly~~rrimidin-xl)-benzenesulfonamide 11 mg (0.02 mmol) of 2,6-dichloro-N [4-(4,6-dimethylpyrimidin-2-ylsulfamoyl)-phenyl]-benzamide was dissolved in 2 ml tetrahydrofurane. Lithium aluminium hydride (6 mg, 0.16 mmol) was added to the reaction mixture under nitrogen atmosphere and solution was stirred overnight. The reaction mixture was filtered, evaporated to dryness and purified by on silica using gradient elution (chloroform to 4% methanol in chloroform) to obtain the title compound with a yield of 18%.
MS (ESI+): m/z 475 (M + Na)+.

It will be appreciated that the methods of the present invention can be incorporated in the form of a variety of embodiments, only a few of which are disclosed herein.
It will be apparent for the specialist in the field that other embodiments exist and do not depart from the spirit of the invention. Thus, the described embodiments are illustrative and should not be construed as restrictive.
REFERENCES
Cheng, Y., and Prusoff, W.H., 1973. Biochem. Pharmacol. 22: 3099 Jasper, J.R., Lesnick, J.D., Chang, L.K., Yamanashi, S.S., Chang, T.C., Hsu, S.A.O., Daunt, D.A., Bonhaus, D.W., and Egen, R.M., 1998. Biochem. Pharmacol.
55: 1035 Marjamaki, A., Ala-Uotila, S., Luomala, K., Perala, M., Jansson, C., Jalkanen, M., Regan, J.W., and Scheinin, M., 1992. Biochem. Biophys. Acta 1134: 169 Marjamaki, A., Pihlavisto, M., Cockcroft, V., Heinonen, P., Savola, J.-M., and Scheinin, M., 1998. Mol. Pharmacol. 53: 370 Pohjanoksa, K., Jansson, C.C., Luomala, K., Marjamaki, A., Savola, J.-M., and Scheinin, M., 1997. Eur. J. Pharmacol. 35: 53 Tian, W.-N., Duzic, E., Zanier, S.M., and Deth, R.C., 1993. Mol. Pharmacol.
45:

Kumar, V.B., Reddy, M.V., Indian J. Chem., Sect. B (1985), 24B(12), 1298-1301 Farag, A.M., El-Mouafi, H.M., Khalifa, M., 1991. Egypt. J. Pharm. Sci. 32 (3-4), Wieland, T., and Jakobs, K.H., 1994. Meth. Enzymol. 237: 3 Heinonen et a1.1999, The Journal of Clinical Endocrinology & Metabolism, 84:2429 Link R E et al., 1996, Science 273:803 MacMillan L B et al., 1996, Science 273:801

Claims

1. A compound of formula (I) or a pharmaceutically acceptable salt thereof wherein R1 , R2 , R3 , R4 and R5 are independently of each other H , a straight or branched alkyl or alkoxy group with 1 to 4 carbon atoms, or a halogen;
X is H , a straight or branched alkyl chain with 1 to 4 carbon atoms, phenyl or -OH;
Z is H , acetyl, -CH2-Ph-O-CF3 or -CH2-Ph-CF3 , were Ph is phenyl;
Y is a ring structure optionally linked to formula (I) with an alkyl chain having one or two carbon atoms, wherein the ring structure is a) phenyl optionally mono- or disubstituted and each substituent is independently selected from the group consisting of a halogen, a straight or branched alkyl or alkoxy chain , with 1 to 4 carbon atoms, a halogen substituted methyl or methoxy group, a nitrile, an amide, amino, or a nitro group;
b) 2-benzimidazolyl, 2-imidazolyl, or 2- or 3-indolyl, wherein one N
optionally has a substituent that is a straight or branched alkyl or alkoxy chain with 1 to 4 carbon atoms, or benzyl; and wherein the 2-benzimidazolyl, 2-imidazolyl, or 2- or 3-indolyl is optionally mono- or disubstituted and each substituent can independently be, a straight or branched alkyl or alkoxy group with 1 to 4 carbon atoms, or a halogen;
(c) pyridinyl optionally mono- or disubstituted and each substituent can independently be a straight or branched alkyl or alkoxy group with 1 to 4 carbon atoms, or a halogen; or (d) naphthyl optionally mono- or disubstituted and each substituent can independently be a straight or branched alkyl or alkoxy group with 1 to 4 carbon atoms, or a halogen;
excluding 4-[(1H-benzimidazol-2-ylmethyl)-amino]-N-(4,6-dimethylpyrimidin-2-yl)-benzenesulfonamide, N-(4,6-dimethylpyrimidin-2-yl)-4-[(1-methyl-1H-benz-imidazol-2-ylmethyl)-amino]-benzenesulfonamide, N-(4,6-dimethylpyrimidin-2-yl)-4-[(1-ethyl-1H-benzimidazol-2-ylmethyl)-amino]-benzenesulfonamide, N-(4-methyl-2-pyrimidinyl)-4-[(1H-benzimidazol-2-ylmethyl)-amino]-benzenesulfon-amide and N-(4-methyl-2-pyrimidinyl)-4-[[(1-methyl-1H-benzimidazol-2-yl)-methyl]amino]-benzenesulfonamide.

2. A compound of formula (I) according to claim I wherein R1 and R3 are methyl and R2 , R4 and R5 are H.

3. A compound of formula (I) according to claim 1 or 2 wherein X is H , Y is a phenyl optionally mono- or disubstituted with a straight or branched alkoxy group and Z is H.

4. A compound of formula (I) according to claim 2 and 3, wherein said phenyl is substituted and said alkoxy substituent is methoxy selected from the group consisting of 4-(2,4-dimethoxybenzylamino)-N-(4,6-dimethylpyrimidin-2-yl)-ben-zenesulfonamide, N-(4,6-dimethylpyrimidin-2-yl)-4-(3-methoxybenzylamino)-ben-zenesulfonamide, 4-(3,5-dimethoxybenzylamino)-N-(4,6-dimethylpyrimidin-2-yl)-benzenesulfonamide, 4-(2,5-dimethoxybenzylamino)-N-(4,6-dimethylpyrimidin-2-yl)-benzenesulfonamide and N-(4,6-dimethylpyrimidin-2-yl)-4-(2-methoxybenzyl-amino)-benzenesulfonamide

Y is a phenyl optionally mono- or disubstituted with a straight or branched alkyl and/or a halogen and Z is H.

6. A compound of formula (I) according to claim 2 and 5 wherein said compound is selected from the group consisting of 4-benzylamino-N-(4,6-dimethylpyrimidin-2-yl)-benzenesulfonamide, N-(4,6-dimethylpyrimidin-2-yl)-4-(2-methylbenzylamino)-benzenesulfonamide, 4-(2,4-dimethylbenzylamino)-N-(4,6-dimethylpyrimidin-2-yl)-benzenesulfonamide, N-(4,6-dimethylpyrimidin-2-yl)-4-(3-methylbenzylamino)-benzenesulfonamide, N-(4,6-dimethylpyrimidin-2-yl)-4-(4-methylbenzylamino)-benzenesulfonamide, 4-(2,5-dimethylbenzylamino)-N (4,6-dimethylpyrimidin-2-yl)-benzenesulfonamide, 4-(2,6-dimethylbenzyl-amino)-N-(4,6-dimethylpyrimidin-2-yl)-benzenesulfonamide, 4-(4-bromo-benzylamino)-N-(4,6-dimethylpyrimidin-2-yl)-benzenesulfonamide and 4-(2,6-dichlorobenzylamino)-N-(4,6-dimethylpyrimidin-2-yl)-benzenesulfonamide.

7. A compound of formula (I) according to claim 2 selected from the group consisting of N-(4,6-dimethylpyrimidin-2-yl)-4-[(1-ethyl-1H-indol-3-ylmethyl)-amino]-benzenesulfonamide, N-(4,6-dimethylpyrimidin-2-yl)-4-[(1-isobutyl-1H-benzimidazol-2-ylmethyl)-amino] -benzenesulfonamide, N-(4,6-dimeth-ylpyrimidin-2-yl)-4-(1-phenylethylamino)-benzenesulfonamide, N-(4,6-dimethyl-pyrimidin-2-yl)-4-[2-(2-methoxyphenyl)-ethylamino]-benzenesulfonamide and N-(4,6-dimethylpyrimidin-2-yl)-4-[(naphthalen-2-ylmethyl)-amino]-benzene-sulfonamide.

8. Use of a compound of formula (I) or a pharmaceutically acceptable salt thereof for the manufacture of a pharmaceutical preparation useful for the treatment or prevention of a disease mediated by the alpha-2B-adrenoceptor in a mammal wherein R1 , R2 , R3 , R4 and R5 are independently of each other H , a straight or branched alkyl or alkoxy group with 1 to 4 carbon atoms, or a halogen;
X is H , a straight or branched alkyl chain with 1 to 4 carbon atoms, phenyl or -OH or =O ;
Z is H, acetyl, -CH2-Ph-O-CF3 or -CH2-Ph-CF3 , were Ph is phenyl;
Y is a ring structure optionally linked to formula (I) with an alkyl chain having one or two carbon atoms, wherein the ring structure is a) phenyl optionally mono- or disubstitued and each substituent is independently selected from the group consisting of a halogen, a straight or branched alkyl or alkoxy chain with 1 to 4 carbon atoms, a halogen substituted methyl or methoxy group, an acetyl, a nitrite, an amide, amino, or a nitro group;
b) 2-benzimidazolyl, 2-imidazolyl, or 2- or 3-indolyl, wherein one N
optionally has a substituent that is a straight or branched alkyl or alkoxy chain with 1 to 4 carbon atoms, or benzyl; and wherein the 2-benzimidazolyl, 2-imidazolyl or 2- or 3-indolyl is optionally mono- or disubstituted and each substituent can independently be a straight or branched alkyl or alkoxy group with 1 to 4 carbon atoms, or a halogen;
(c) pyridinyl optionally mono- or disubstituted and each substituent can independently be a straight or branched alkyl or alkoxy group with 1 to 4 carbon atoms, or a halogen; or (d) naphthyl optionally mono- or disubstituted and each substituent can independently be a straight or branched alkyl or alkoxy group with 1 to 4 carbon atoms, or a halogen;
excluding N (4,6-dimethylpyrimidin-2-yl)-4-[(1-methyl-1H-benzimidazol-2-ylmethyl)-amino] -benzenesulfonamide, N (4,6-dimethylpyrimidin-2-y1)-4-[(1-eth-yl-1H-benzimidazol-2-ylmethyl)-amino] -benzenesulfonamide and N-[4-(4,6-dimethylpyrimidin-2-ylsulfamoyl)-phenyl]-4-ethoxy-benzamide.

9. Use of compound of formula (I) or a pharmaceutically acceptable salt thereof according to claim 8 wherein R1 and R3 are methyl and R2 , R4 and R5 are H.

10. Use of compound of formula (I) or a pharmaceutically acceptable salt thereof according to claim 8 or 9 wherein X is H , Y is a phenyl optionally mono- or disubstituted with a straight or branched alkoxy group and Z is H .

11. Use of compound of formula (I) or a pharmaceutically acceptable salt thereof according to claim 9 and 10 wherein said phenyl is substituted and said alkoxy substituent is methoxy and said compound is selected from the group consisting of 4-(2,4-dimethoxybenzylamino)-N-(4,6-dimethylpyrimidin-2-yl)-benzenesulfon-amide, N-(4,6-dimethylpyrimidin-2-yl)-4-(3-methoxybenzylamino)-benzenesulfon-amide, 4-(3,5-dimethoxybenzylamino)-N-(4,6-dimethylpyrimidin-2-yl)-benzene-sulfonamide, 4-(2,5-dimethoxybenzylamino)-N-(4,6-dimethylpyrimidin-2-yl)-ben-zenesulfonamide and N-(4,6-dimethylpyrimidin-2-yl)-4-(2-methoxybenzylamino)-benzenesulfonamide.

12. Use of compound of formula (I) or a pharmaceutically acceptable salt thereof according to claim 8 or 9 wherein X is H , Y is a phenyl optionally mono- or disubstituted with a straight or branched alkyl and/or a halogen, and Z is H .

13. Use of compound of formula (I) or a pharmaceutically acceptable salt thereof according to claim 9 and 12 wherein said compound is selected from the group consisting of 4-benzylamino-N-(4,6-dimethylpyrimidin-2-yl)-benzenesulfonamide, N-(4,6-dimethylpyrimidin-2-yl)-4-(2-methylbenzylamino)-benzenesulfonamide, 4-(2,4-dimethylbenzylamino)-N-(4,6-dimethylpyrimidin-2-yl)-benzenesulfon-amide, N (4,6-dimethylpyrimidin-2-yl)-4-(3-methylbenzylamino)-benzenesulfonamide, N-(4,6-dimethylpyrimidin-2-yl)-4-(4-methylbenzylamino)-benzenesulfonamide, 4-(2,5-dimethylbenzylamino)-N (4,6-dimethylpyrimidin-2-yl)-benzenesulfonamide, 4-(2,6-dimethylbenzylamino)-N-(4,6-dimethylpyrimidin-2-yl)-benzenesulfonamide, 4-(4-bromobenzylamino)-N-(4,6-dimethylpyrimidin-2-yl)-benzenesulfonamide and 4-(2,6-dichlorobenzylamino)-N-(4,6-dimethylpyrimidin-2-yl)-benzenesulfonamide.

14. Use of a compound of formula (I) or a pharmaceutically acceptable salt thereof according to claim 9 wherein said compound is selected from the group consisting of 4-[(1H-benzimidazol-2-ylmethyl)-amino]-N-(4,6-dimethylpyrimidin-2-yl)-benzenesulfonamide, N-(4,6-dimethylpyrimidin-2-yl)-4-[(1-ethyl-1H-indol-3-ylmethyl)-amino]-benzenesulfonamide, N-(4,6-dimethylpyrimidin-2-yl)-4-[(1-isobutyl-1H-benzimidazol-2-ylmethyl)-amino] -benzenesulfonamide, N-(4,6-dimethylpyrimidin-2-yl)-4-(1-phenylethylamino)-benzenesulfonamide, N-(4,6-dimethylpyrimidin-2-yl)-4-[2-(2-methoxyphenyl)-ethylamino]-benzenesulfon-amide and N-(4,6-dimethylpyrimidin-2-yl)-4-[(naphthalen-2-ylmethyl)-amino]-benzenesulfonamide.

15. The use according to any of claims 8 to 14, wherein the disease is a coronary heart disease (CHD).

16. The use according to any of claims 8 to 14, wherein the disease is - acute myocardial infarction (AMI), - unstable angina pectoris, - Printmetal's variant form of angina pectoris, - other forms of chronic angina pectoris and CHD, or - restenosis after coronary angioplasty.

17. The use according to any of claims 8 to 14, wherein the disease is essential hypertension.

18. The use according to any of claims 8 to 14, wherein the disease is a vascular disesase, which is vasoconstriction or hypoxic brain damage subsequent to subarachnoid haemorrhage, migraine, Raynaud's disease or cold intolerance, pre-eclampsia, male erectile dysfunction, or obesity.

19. The use according to any of claims 8 to 14, wherein said alpha-2B-adrenoceptor antagonist is administered to a mammal to potentiate the clinical efficacy of an anaesthetic and/or analgetic alpha-2-adrenoceptor agonist, said

20. The use according to any of claims 8 to 14, wherein said alpha-2B-adrenoceptor antagonist is administered to an individual having a deletion of glutamates from the glutamic acid repeat element of 12 glutamates (amino acids 297-309), in an acid stretch of 17 amino acids, located in the third intracellular loop of the receptor polypeptide.

21. The use according to claim 20 wherein said individual is a deletion/deletion genotype.