IL100584A

IL100584A - 1-alkyl-2-benzhydryl-3-arylmethylamino quinuclidinium salts and pharmaceutical compositions containing them

Info

Publication number: IL100584A
Application number: IL10058492A
Authority: IL
Original assignee: Pfizer
Priority date: 1991-01-10
Filing date: 1992-10-05
Publication date: 1995-10-31
Also published as: FI933167A0; IL100584A0; NZ241261A; CA2100163A1; FI933167A; JPH05508866A; KR930703311A; HUT65612A; EP0566589A1; AU9094791A; IE920071A1; ZA92148B; AU652407B2; JPH0733385B2; MX9200057A; PT100003A; HU9301988D0; WO1992012151A1

Description

REF : 2024/91 100584/2 on us, d^^n nmpii ^ vLoni 1 -ALKYL-2-BENZHYDRYL-3-ARYLMETHYLAMINO QUINUCLIDINIUM SALTS, AND PHARMACEUTICAL COMPOSITIONS CONTAINING THEM 100584/3 Background of the Invention The present invention relates to novel N-alkyl quinuclidinium salts, pharmaceutical compositions comprising such compounds and the use of such compounds in the preparation of medicaments for the treatment and prevention of inflammatory and gastrointestinal disorders, as well as several other disorders. The pharmaceutically active compounds of this invention are substance P antagonists.

Substance P is a naturally occurring undecapeptide belonging to the tachykinin family of peptides, the latter being named because of their prompt stimulatory action on smooth muscle tissue. More specifically, substance P is a pharmacologically active neuropeptide that is produced in mammals (having originally been isolated from gut) and possesses a characteristic amino acid sequence that is illustrated by D. F. Veber ei al. in U.S. Patent No. 4,680,283. The wide involvement of substance P and other tachykinins in the pathophysiology of numerous diseases has been amply demonstrated in the art. For Instance, substance P has recently been shown to be involved in the transmission of pain or migraine (see B.E.B. Sandberg el al, Journal of Medicinal Chemistry, 25, 1009 (1982)), as well as in central nervous system disorders such as anxiety and schizophrenia, in respiratory and inflammatory diseases such as asthma and rheumatoid arthritis, respectively, in rheumatic diseases such as fibrositis, and in gastrointestinal disorders and diseases of the Gl tract such as ulcerative colitis and Crohn's disease, etc. (see D. Regoli in "Trends in Cluster Headache", edited by F. Sicuteri el ai., Elsevier Scientific Publishers, Amsterdam, pp. 85-95 ( 1987)).

Quinuclidine derivatives and related compounds that exhibit activity as substance P receptor antagonists are referred to in WO 90/05729 and WO 92/01688, both of which are assigned in common with the present application. Similar compounds are referred to in WO 91/18899 and WO 92/01688. These applications are also assigned in common with the present application.

WO 90/05525 and WO 90/05729 broadly mention salts of quinuclidine derivatives, but do not suggest the salts disclosed in the present invention.

Piperidine derivatives and related heterocyclic nitrogen containing compounds that are useful as substance P antagonists are referred to in WO 91/09844 and WO 92/06079, both of which are assigned in common with the present application.

Summary of the Invention The present invention relates to compounds of the formula group consisting of phenyl, thienyl, furyl and pyridyl, each of the foregoing R2 groups being optionally substituted with from one to three substituents independently selected from the group consisting of cyano, nitro, amino, N-mono- (C-rC^alkylamino, fluorine, chlorine, bromine, trifluoromethyl, (C CsJalkyl, (C C3)alkoxy, allyloxy, (C1-C3)alkoxy-carbonyl, carboamoyl and N,N-di-(C-t-C3)alkyl- carbamoyl; and X" is a pharmaceutically acceptable counterion, (e.g., chloride, bromide, fluoride, iodide, mesylate, tosylate or trifluoromethanesulfonate).

Examples of pharmaceutically acceptable counterions are halides (e.g., fluoride, chloride, bromide or iodide), (C C3)alkyl-mono or di-carboxylates, mesylate, tosylate, arylcarboxylates, (CrC3)alkylsulfonates wherein the alkyl moiety may optionally be substituted with one or more fluorine atoms, arylsulfonates, citrate, maleate, fumarate, lactate, malate, sulfates, phosphates, nitrates, tartrate, saccharate and pamoate.

The term "alkyl", as used herein, unless otherwise indicated, includes saturated monovalent hydrocarbon radicals having straight, branched or cyclic moieties or combinations thereof.

Preferred compounds of the formula I are those wherein R2 is 2- 25 methoxyphenyl.

The present invention also relates to a pharmaceutical composition for treating or preventing a condition selected from the group consisting of inflammatory diseases (e .g ., arthritis, psoriasis, asthma and inflammatory bowel disease), colitis, pain, allergies. such as eczema and rhinitis, chronic obstructive airways disease, hypersensitivity disorders such as caused by poison ivy, vasospastic diseases such as angina, migraine and Reynaud's disease, fibrosing and collagen diseases such as scleroderma and eosinophilicfascioliasis, reflex sympathetic dystrophy such as shoulder/hand syndrome, peripheral neuropathy, disorders related to immune enhancement or suppression such as systemic lupus erythematosus, and rheumatic diseases such as fibrositis in a mammal, including a human, comprising an amount of a compound of the formula I, or a pharmaceutically acceptable salt thereof, effective in treating or preventing such condition, and a pharmaceutically acceptable carrier.

The compounds of formula I according to the present invention are useful in the preparation of medicaments for treating or preventing a condition selected from the group consisting of inflammatory diseases (e.g., arthritis, psoriasis, asthma and inflammatory bowel disease), colitis, pain, allergies such as eczema and rhinitis, chronic obstructive airways disease, hypersensitivity disorders such as caused by poison ivy, vasospastic diseases such as angina, migraine and Reynaud's disease, fibrosing and collagen diseases such as scleroderma and eosinophitic fascioliasis, reflex sympathetic dystrophy such as shoulder/hand syndrome, peripheral neuropathy, disorders related to immune enhancement or suppression such as systemic lupus erythematosus, and rheumatic diseases such as fibrositis in a mammal, including a human. Said compounds of formula I, or a pharmaceutically acceptable salt thereof, effective in treating or preventing such condition, are administered to the mammal.

The present invention also relates to a pharmaceutical composition for antagonizing the effects of substance P in a mammal, including a human, comprising a substance P antagonizing amount of a compound of the formula I, or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable carrier.

The compounds of formula I according to the present invention are useful as medicaments for antagonizing the effects of substance P in a mammal, including a human. Typically, a substance P antagonizing amount of a compound of the formula I, or a pharmaceutically acceptable salt thereof, are administered to said mammal.

The present invention also relates to a pharmaceutical composition for treating or preventing a disorder in a mammal, including a human, resulting from an excess of substance P, comprising a substance P antagonizing amount of a compound of the formula I, or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable carrier.

The compounds of formula I according to the present invention are useful as medicaments for treating or preventing a disorder in a mammal, including a human, resulting from an excess of substance P. Typically, a substance P antagonizing amount of a compound of the formula I, or a pharmaceutically acceptable salt thereof, is adminisered to said mammal.

The present inventionalso relates to a pharmaceutical composition for treating or preventing a condition selected from the group consisting of inflammatory diseases (e.g., arthritis, psoriasis, asthma and inflammatory bowel disease), colitis, pain, allergies such as eczema and rhinitis, chronic obstructive airways disease, hypersensitivity disorders such as caused by poison ivy, vasospastic diseases such as angina, migraine and Reynaud's disease, fibrosing and collagen diseases such as scleroderma and eosinophilic fascioliasis, reflex sympathetic dystrophy such as shoulder/hand syndrome, peripheral neuropathy, disorders related to immune enhancement or suppression such as systemic lupus erythematosus, and rheumatic diseases such as fibrositis in a mammal, including a human, comprising an amount of a compound of the formula I, or a pharmaceutically acceptable salt thereof, effective in antagonizing the effect of substance P at its receptor site, and a pharmaceutically acceptable carrier.

The compounds of formula I according to the present invention are useful as medicaments for treating or preventing a condition selected from the group consisting of inflammatory diseases (e.g., arthritis, psoriasis, asthma and inflammatory bowel disease), colitis, pain, allergies such as eczema and rhinitis, chronic obstructive airways disease, hypersensitivity disorders such as caused by poison ivy, vasospastic diseases such as angina, migraine and Reynaud's disease, fibrosing and collagen diseases such as scleroderma and eosinophilic fascioliasis, reflex sympathetic dystrophy such as shoulder/hand syndrome, peripheral neuropathy, disorders related to immune enhancement or suppression such as systemic lupus erythematosus, and rheumatic diseases such as fibrositis in a mammal, including a human. Typically, an amount of a compound of the formula I, or a pharmaceutically acceptable salt thereof, effective in antagonizing the effect of substance P at its receptor site, is administered to said mammal.

The present invention also relates to a pharmaceutical composition for treating or preventing a disorder in a mammal, including a human, the treatment or prevention of which is effected or facilitated by a decrease in substance P mediated neurotransmission, comprising an amount of a compound of the formula I, or a pharmaceutically acceptable salt thereof, effective in antagonizing the effect of substance P at its receptor site, and a pharmaceutically acceptable carrier.

The compounds of formula I according to the present invention are also useful in the preparation of medicaments for treating or preventing a disorder in mammal, including a human, the treatment or prevention of which is effected or facilitated by a decrease in substance P mediated neurotransmission. Typically, an amount of a compound of the formula I, or a pharmaceutically acceptable salt thereof, effective in antagonizing the effect of substance P at its receptor site, is administered to said mammal.

The present invention also relates to a pharmaceutical composition for treating or preventing a disorder in a mammal, including a human, the treatment or prevention of which is effected or facilitated by a decrease in substance P mediated neurotransmission, comprising an amount of a compound of the formula I, or a pharmaceutically acceptable salt thereof, effective in treating or preventing such disorder, and a pharmaceutically acceptable carrier.

The compounds of formula I according to the present invention are also useful as medicaments for treating or preventing a disorder in mammal, including a human, the treatment or prevention of which is effected or facilitated by a decrease in substance P mediated neurotransmission. Typically, an amount of a compound of the formula I, or a pharmaceutically acceptable salt thereof, effective in treating or preventing such disorder, is administered to said mammal.

The compounds of the formula I have chiral centers and therefore exist in different enantiomeric forms. This invention relates to all optical isomers and all stereoisomers of compounds of the formula I, and mixtures thereof.

The optically active compounds of formula I are additionally useful as intermediate in the synthesis of the corresponding racemic mixtures and opposite enantiomers.

Formula I above includes compounds identical to those depicted but for the fact that one or more hydrogen or carbon atoms are replaced by radioactive isotopes thereof, (e.g., tritium, carbon-1 or nitrogen-15 isotopes thereof. Such radiotabelled compounds are useful as research and diagnostic tools in metabolism pharmacokinetic studies and in binding assays. Specific applications in research include radioligand binding assays, autoradiography studies and an vivo binding 100584/3 -€- studies, while specific applications in the diagnostic area include studies of the substance P receptor in humans in in vivo binding in the relevant tissues for inflammation, e.g. immune-type cells or cells that are directly involved in inflammatory bowel disorders and the like.

Detailed Description of the Invention Compounds of the formula I may be prepared by reacting the co esponding compound of the formula wherein R2 is defined as above, with a compound of the formula R1X, wherein R1 is defined as, above and X is defined as above. The reaction is generally earned out in a polar solvent such as ethanol, acetone, dimethylformamide or tetrahydrofuran, at a temperature from about 0°C to about 150°C, preferably at about the reflux temperature of the solvent.

Pressures from about 0.5 atmospheres to about 5 atmospheres are generally acceptable, and ambient pressure, i.e. about 1 atmosphere, is preferred as a matter of. convenience.

The novel compounds of the formula I and the pharmaceutically acceptable salts thereof are useful as substance P antagonists, i.e., they possess the ability to antagonize the effects of substance P at its receptor site in mammals, and therefore they are able to function as therapeutic agents in the treatment of the aforementioned disorders and diseases in an afflicted mammal.

The compounds of the formula I which are basic in nature are capable of forming a wide variety of different salts with various inorganic and organic acids. Although such salts must be pharmaceutically acceptable for administration to animals, it is often desirable in practice to initially isolate a compound of the Formula I from the reaction mixture as a pharmaceutically unacceptable salt and then simply convert such 100584/3 -7- salt to an alternate, pharmaceutically acceptable salt by standard ion exchange methods known to those skilled in the art. In addition, compounds of this invention are readily prepared by treating the appropriate compound of formula I with a substantially equivalent amount of the chosen mineral or organic acid in an aqueous solvent medium or in a suitable organic solvent, such as methanol or ethanol. Upon careful evaporation of the solvent, the desired solid salt is readily obtained.

The compounds of Formula I and their pharmaceutically acceptable salts exhibit substance P receptor-binding activity and therefore are of value in the treatment and prevention of a wide variety of clinical conditions the treatment or prevention of which are effected or facilitated by a decrease in substance P mediated neurotransmission. Such conditions include inflammatory diseases (e. g., arthritis, psoriasis, asthma and inflammatory bowel disease), colitis, pain, allergies such as eczema and rhinitis, chronic obstructive airways disease, hypersensitivity disorders such as caused by poison ivy, vasospastic diseases such as angina, migraine and Reynaud's disease, fibrosing and collagen diseases such as scleroderma and eosinophilic fascioliasis, reflex sympathetic dystrophy such as shoulder/hand syndrome, peripheral neuropathy, disorders related to immune enhancement or suppression such as systemic lupus erythematosus, and rheumatic diseases such as fibrositis. Hence, these compounds are readily adapted to therapeutic use as substance P antagonists for the control and/or treatment of any of the aforesaid clinical conditions in mammals, including humans.

The compounds of the formula I and the pharmaceutically acceptable salts thereof can be administered via either the oral, parenteral or topical routes. In general, these compounds are most desirably administered in dosages ranging from about 5.0 mg up to about 1500 mg per day, although variations will necessarily occur depending upon the weight and condition of the subject being treated and the particular route of administration chosen. However, a dosage level that is in the range of about 0.07 mg to about 21 mg per kg of body weight per day is most desirably employed. Variations may nevertheless occur depending upon the species of animal being treated and its individual response to said medicament, as well as on the type of pharmaceutical formulation chosen and the time period and interval at which such administration is carried out. In some instances, dosage levels below the lower limit of the aforesaid range may be more than adequate, while in other cases still larger doses may be employed without causing any harmful side effect, provided that such larger doses are first divided into several small doses for administration throughout the day.

The compounds of the invention may be administered alone or in combination with pharmaceutically acceptable carriers or diluents by either of the three routes previously indicated, and such administration may be earned out in single or multiple doses. More particularly, the novel therapeutic agents of this invention can be administered in a wide variety of different dosage forms, i.e., they may be combined with various pharmaceutically acceptable inert carriers in the form of tablets, capsules, lozenges, troches, hard candies, powders, sprays, creams, salves, suppositories, jellies, gels, pastes, lotions, ointments, aqueous suspensions, injectable solutions, elixirs, syrups, and the like. Such carriers include solid diluents or fillers, sterile aqueous media and various non-toxic organic solvents, etc. Moreover, oral pharmaceutical compositions can be suitably sweetened and/or flavored. In general, the therapeutically-effective compounds of this invention are present in such dosage forms at concentration levels ranging from about 5.0% to about 70% by weight.

For oral administration, tablets containing various excipients such as microcrystalline cellulose, sodium citrate, calcium carbonate, dicalcium phosphate and glycine may be employed along with various dislntegrants such as starch (and preferably corn, potato or tapioca starch), alginic acid and certain complex silicates, together with granulation binders like polyvinylpyrrolidone, sucrose, gelatin and acacia. Additionally, lubricating agents such as magnesium stearate, sodium lauryl sulfate and talc are often very useful for tabletting purposes. Solid compositions of a similar type may also be employed as fillers in gelatin capsules; preferred materials in this connection also include lactose or milk sugar as well as high molecular weight polyethylene glycols. When aqueous suspensions and/or elixirs are desired for oral administration, the active ingredient may be combined with various sweetening or flavoring agents, coloring matter or dyes, and, If so desired, emulsifying and/or suspending agents as well, together with such diluents as water, ethanol, propylene glycol, glycerin and various like combinations thereof.

For parenteral administration, solutions of a therapeutic compound of the present invention in either sesame or peanut oil or in aqueous propylene glycol may be employed. The aqueous solutions should be suitably buffered (preferably pH greater than 8) if necessary and the liquid diluent first rendered isotonic. These aqueous solutions are suitable for intravenous injection purposes. The oily solutions are suitable for intraarticular, intramuscular and subcutaneous injection purposes. The preparation of all these solutions under sterile conditions is readily accomplished by standard pharmaceutical techniques well known to those skilled in the art.

Additionally, it is also possible to administer the compounds of the present invention topically when treating inflammatory conditions of the skin and this may preferably be done by way of creams, jellies, gels, pastes, ointments and the like, in accordance with standard pharmaceutical practice.

The activity of the compounds of the present invention as substance P antagonists is determined by their ability to inhibit the binding of substance P at its receptor sites in bovine caudate tissue, employing radioactive ligands to visualize the tachykinin receptors by means of auto-radiography. The substance P antagonizing activity of the herein described compounds may be evaluated by using the standard assay procedure described by M. A. Cascieri et al., as reported in the Journal of Biological Chemistry. Vol. 258, p. 5158 (1983). This method essentially involves determining the concentration of the individual compound required to reduce by 50% the amount of radiolabelled substance P ligands at their receptor sites in said isolated cow tissues, thereby affording characteristic IC50 values for each compound tested. In this procedure, bovine caudate tissue is removed from a -70 °C freezer and homogenized in 50 volumes (w./v.) of an ice-cold 50 m Tris (i.e., trimethamine which is 2-amino-2-hydroxymethyl-1 ,3-propanediol) hydrochloride buffer having a pH of 7.7. The homogenate is centrifuged at 30,000 x G for a period of 20 minutes. The pellet is resuspended in 50 volumes of Tris buffer, rehomogenized and then recentrifuged at 30,000 x G for another twenty- minute period. The pellet is then resuspended in 40 volumes of ice-cold 50 mM Tris buffer (pH 7.7) containing 2 mM of calcium chloride, 2 mM of magnesium chloride, 40 g/ml of bacitracin, 4/yg/ml of leupeptin, 2 g of chymostatin and 200 g/ml of bovine serum albumin. This step completes the production of the tissue preparation.

The radioligand binding procedure is then carried out in the following manner, viz., by initiating the reaction via the addition of 100 /I of the test compound made up to a concentration of 1 μΜ, followed by the addition of 100 fA of radioactive ligand made up to a final concentration 0.5 mM and then finally by the addition of 800 μ\ of the tissue preparation produced as described above. The final volume is thus 1.0 ml, 100584/2 -10- and the reaction mixture is next vortexed and incubated at room temperature (ca. 20°C) for a period of 20 minutes. The tubes are then filtered using a cell harvester, and the glass fiber filters (Whatman GF/B) are washed four times with 50 mM of Tris buffer (pH 7.7), with the filters having previously been presoaked for a period of two hours prior to the filtering procedure. Radioactivity is then determined in a Beta counter at 53% counting efficiency, and the IC50, values are calculated by using standard statistical methods.

The present invention is illustrated by the following example. It will be understood, however, that the invention is not limited to the specific details of this example.

EXAMPLE 1 (2S,3S)-cis-1 -Methyl-2-(diphenylmethyn-N-(f2-methoxyphenyl)methyl)-1-a2onia-bicvclo[2.2.2]octan-3-amine iodide: To a 50 mL round-bottomed flask equipped with condenser and N2 inlet were added 500 mg (1 .21 mmol) (2S,3S)-cis-2-(diphenylmethyl)-N-((2-methoxyphenyl)methyl)-1-azabicyclo[2.2.2]octan -3-amine and 6 mL ethanol. The solution was heated to near boiling, and 207 mg (1.46 mmol) methyl iodide was added. Heating was continued for 10 min, then the solution was cooled to afford a precipitate, which was filtered and dried. The resulting solid gave mp 239-244°C, 328 mg (49% yield). H-NMR (δ, CDCI3): 1.8-2.0 (m, 2H), 2.1-2.3 (m, 2H), 2.47 (s, 3H), 2.59 (m, 1 H), 3.04 (dd, J=13,84, 2H) (m, 1 H), 3.50 (m, 1 H), 3.63 (s, 3H), 3.67 (s, 1 H), 3.95 (m, 1 H), 4.12 (m, 1 H), 4.46 (d, J= 1.5, 1 H), 5.42 (dd, J=6.5, 1 1.5, 1 H), 6.33, 6.68, and 7.07-7.2 (multiplets, 14H), 7.7-7.9 (broad m, 2H). 3C-NMR (δ, CDCI3): 20.0, 22.4, 23,8, 46.1 , 49.4, 53.9, 54.6, 55.3, 55.6, 61.2, 71 .5, 1 10.2, 120.4, 126.9, 127.2, 127.9, 128.5, 129.6, 141.7, 143.5, 157.1.

Mass Spec. (%): 426 (1 , parent), 259 (31 ), 245 (46), 142 (45), 121 (100), 91 (62).

The title compounds of Examples 2-8 were prepared by a procedure similar to that of Example 1.

EXAMPLE 2 (2S.3SVcis-1-(4-Carbethoxybutvn-2-(diDhenylmethvn-N-((2-methoxy-phenvnmethyl).-1-azoniabicvclof2.2.2]octan-3-amine iodide: Prepared in 13% yield, m.p. 85°C.

Mass Spec: 541 (1 , parent), 373 (89), 359 (56), 121 (100), 91 (45).

EXAMPLE 3 f2S.3S cis-1-(4-CarboethoxyDhenylmethvn-2-diDhenylmethyl)-N-((2-methoxy-phenvnmethyl)-1-azoniabicvclof2.2.21octan-3-amine iodide: Prepared in 13% yield, m.p. 140-145°C.

Anal. Calc'd for C3aH43N?03l» 1/3H90: C 64.40, H 6.21 , N 3.95. Found: C 64.05, H6.16, N 3.88.

EXAMPLE 4 (2S.3S)-cis-1-(5-Carbomethoxypentvn-2-rdiphenylmethvn-N-((2-methoxy-phenyl)methyl)-1-azoniabicvclof2.2.21octan-3-amine triflate: Prepared (using acetonitrile instead of ethanol as solvent) in 5% yield, as an oil. Anal. Calc'd for C3RH4SN?OfiSF3.HCI.1/2H?0: C 57.32, H 6.55, N 3.71. Found: C 57.29, H 6.48, N 3.68. Found: C 57.29, H 6.48, N 3.68.

EXAMPLE 5 (2S.3SVcis-1-(5-Carboxypentvn-2-diphenylmethvn-N-((2-methoxyphenyflmethvI 1-azoniabicvclo[2.2.21octan-3-amine triflate: Prepared by hydrolysis of the above compound with potassium hydroxide in ethanol.

High Res. Mass Spec: Calc'd for C35H43N?OfiSF4: 527.3278. Found: 527.3268.

EXAMPLE 6 f2S.3S cis-1-Allyl-2-diDhenylmethvn-N-(f2-methoxyDhenvnmethyl 1-azonia-bicvclo[2.2.2]octan-3-amine bromide: Prepared in 58% yield, m.p. 150-160°C.

Anal. Calc'd for C3iH37N?OBr.1.25H?0: C 66.96, H 7.16, N 5.04. Found: C 66.95, H 7.06, N 4.97.

EXAMPLE 7 (2S.3S)cis-1 -Benzyl-2-fdiphenylmethvn-N -((2-methoxyDhenvnmethvn-1-azonia-bicvclo[2.2.21octan-3-amine bromide: Prepared in 53% yield, m.p. 206-208°C.

Anal. Caic'd for C35H39 2OBr.H20: C 69.87, H 6.87, N 4.66. Found: C 69.48, H 6.84, N 4.52.

EXAMPLE 8 (2S.3S)-cis-1-(Carboethoxymethyl)-2-diphenylmethvn-N-((2-methoxy-phenvhmethvn-1 -azoniabicvclof2.2,2]octan-3-amine bromide: Prepared in 17% yield, m.p. 125-135°C.

Anal. Caic'd for C32H39 203Br.H20: C 64.32, H 6.92, N 4.69. Found: C 64.14, H 6.88, N 4.62.

Claims

100584/3 -13- CLAIMS:

1. A compound of the formula group consisting of phenyl, thienyl, furyl and pyridyl, each of the foregoing R2 groups being optionally substituted with from one to three substituents independently selected from the group consisting of cyano, nitro, amino, N-mono- (C1-C3)alkylamino, fluorine, chlorine, bromine, trif!uoromethyf, (C Csjalk l, (C 10 C3)a!koxy, allyloxy, (C-i-C^alkoxy-arbonyl, carbamoyl and N,N di-{C1 -Chalky I- carbamoyl; and X is a pharmaceutically acceptable counterion, or a pharmaceutically acceptable salt thereof.

2. A compound according to claim 1 wherein R2 is 2-methoxyphenyl.

3. A compound according to claim 2 wherein R1 is methyl. 15

4. A compound according to claim 3 wherein X" is iodide.

5. A pharmaceutical composition for treating or preventing a condition selected from the group consisting of inflammatory diseases, arthritis, colitis, pain, allergies, chronic obstructive airways disease, hypersensitivity disorders, vasospastic diseases, fibrosing and collagen diseases, reflex sympathetic 20 dystrophy, peripheral neuropathy, disorders related to immune enhancement or suppression and rheumatic diseases in a mammal, comprising an amount of a compound according to claim 1 effective in preventing or treating such condition and a pharmaceutically acceptable carrier.

6. Use of a compound of formula I as defined in claim 1, in. the preparation of a medicament, substantially as described in the specification.

7. Use of a compound of. formula I as defined in claim 1 , in the preparation of a medicament for treating or preventing a condition selected from the group consisting of inflammatory diseases arthritis, colitis, pain, allergies, chronic obstructive airways disease, hypersensitivity disordefs, vasospastic diseases, 14 100584/2 fibrosing and collagen diseases, reflex sympathetic dystrophy, peripheral neuropathy, disorders related to immune enhancement or suppression and rheumatic diseases in a mammal, substantially as described in the specification.

8. A pharmaceutical composition for antagonizing the effects of substance P in a mammal, comprising a substance P antagonizing effective amount of a compound according to claim 1 and a pharmaceutically acceptable carrier.

9. Use of a compound of formula I as defined in claim 1 , in the preparation of a medicament for antagonizing the effects of substance P in a mammal, substantially as described in the specification.

10. A pharmaceutical composition for treating or preventing a condition in a mammal, the treatment or prevention of which is effected or facilitated by a decrease in substance P mediated neurotransmission, comprising an amount of a compound according to claim 1 effective in antagonizing the effect of substance P at its receptor site and a pharmaceutically acceptable carrier.

11. Use of a compound of formula I as defined in claim 1 or a pharmaceutically acceptable salt thereof, in the preparation of a medicament for treating or preventing a condition in a mammal, the treatment or prevention of which is effected or facilitated by a decrease in substance P mediated neurotransmission, substantially as described in the specification.

12. A pharmaceutical composition for treating or preventing a condition in a mammal, the treatment or prevention of which is effected or facilitated by a decrease in substance P mediated neurotransmission, comprising an amount of a compound according to claim 1 , or a pharmaceutically acceptable salt thereof, effective in treating or preventing such condition and a pharmaceutically acceptable carrier.

13. A compound of formula I as defined in claim 1 , for use as a medicament.

14. A compound of formula I as defined in claim 1 , for use as a medicament for treating or preventing a condition selected from the group consisting of inflammatory diseases arthritis, colitis, pain, allergies, chronic obstructive airways disease, hypersensitivity disordefs, vasospastic diseases, fibrosing and collagen diseases, reflex sympathetic dystrophy, peripheral neuropathy, disorders related to immune enhancement or suppression and rheumatic diseases in a mammal.

15. A compound of formula I as defined in claim 1 , for use as a medicament for antagonizing the effects of substance P in a mammal.

16. A compound of formula I as defined in claim 1 , for use as a medicament for treating or preventing a condition in a mammal, the treatment or 15 100584/1 prevention of which is effected or facilitated by a decrease in substance P mediated neurotransmission. LUZZATTO & LUZZATTO