<div class="application article clearfix" id="description">
<p class="printTableText" lang="en">New Zealand Paient Spedficaiion for Paient Number £40938 <br><br>
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Cor»f,i«u> Gjrccincsilcn r:':± IV.VUftl. Class: CPTl.OM.SvicV,OS*. ^p-fPWuipi?/ ;Cfltf B«hS5lpR£ . Cp^&^ssfps1,; (&fosido, ?. 4<P.< „ V?3. , ;...?.P.AUP..t9Sft. ;-r-' f>; ... ,...1,/^3.,. ;P.O. Jcurr.:., t: ;NOpR/W/IUGS ;NEW ZEALAND ;PATENTS ACT, 1953 ;No.: Date: ;N.Z. PATr.KTG"^ ;Y\ DSC 1991 ;rxcnv£!l ;COMPLETE SPECIFICATION ;PHARMACEUTICALS ;We, BEECHAM GROUP p.l.c., British Company of Four New Horizons Court, Harlequin Avenue, Brentford, Middlesex TW8 9EP, England, ;hereby declare the invention for which we pray that a patent may be granted to us, and the method by which it is to be performed, to be particularly described in and by the following statement:- ;- 1 -(followed by page la) ;B3115 ;240 9 3 ;-lCL ;PHARMACEUTICALS ;This invention relates to novel compounds having pharmacological activity, to a process for their preparation 5 and their use as pharmaceuticals. ;UK Patent No. 1571447 (Societe D'Etudes Scientifiques et Industrielles de L'Ile-de-France) describes a group of benzamide derivatives having dopamine antagonist activity. ;10 ;A group of novel compounds have now been discovered, which compounds are 5-HT3 receptor antagonists. ;Accordingly, the present invention provides a compound of 15 formula (I), or a pharmaceutically acceptable salt thereof: ;CO-L-Z ;wherein ;25 R-l is hydrogen, halo, nitro, amino, alkyl or C-^_g alkoxy; ;R2 is halo, C^_g alkyl or C-^_g alkoxy; A is (poly)methylene of 1-3 carbon atoms, optionally substituted by one or two C-^.g alkyl group(s); 30 L is 0 or NH; and ;Z is a di-azacyclic or azabicyclic side chain; ;having 5-HT3 receptor antagonist activity. ;B3115 ;240 9 3 ;-2- ;Suitable examples of alkyl moieties in and R2 and A include methyl, ethyl, n- and iso-propyl, n-, iso^, sec- and tert-butyl. ;5 Suitable examples of halo moieties include fluoro, chloro and bromo, preferably chloro or bromo. ;Often R-^ is hydrogen and R2 is chloro or bromo. ;10 A is preferably unsubstituted polymethylene of 1 or 2 carbon atoms (i.e. O-A-O is methylenedioxy or ethylenedioxy). ;Suitable examples of Z are described in the art relating to 5-HT3 receptor antagonists, ie. as follows: ;15 ;i) GB 2125398A (Sandoz Limited) ;ii) GB 2152049A (Sandoz Limited) ;iii) EP-A-215545 (Beecham Group p.l.c.) ;iv) EP-A-214772 (Beecham Group p.l.c.) ;20 v) EP-A-377967 (Beecham Group p.l.c.) ;vi) PCT/GB91/01629 (Beecham Group p.l.c.) ;vii) EP-A-358903 (Dianippon) ;Particular side chains of interest are depicted thus: ;Tropane ;30 ;Granatane ;35 ;B3115 ;£40 ;-3- ;Oxa/thia/aza-granatane ;Quinuclidine ;10 ;15 IsoQuinuclidine ;20 ;IsoQranatane ;Oxa/thia-isogranatane ;30 ;B3115 ;2409 ;-4- ;Isotropane ;5 ;or wherein ;R is hydrogen or methyl; and X is oxygen, sulphur or 10 nitrogen optionally substituted by C^_g alkyl, C3-Q ;cycloalkyl, cycloalkyl C]__4 alkyl, phenyl, naphthyl, ;phenyl alkyl or naphthyl C-l_4 alkyl wherein a phenyl or naphthyl moiety is optionally substituted by one or more of halo, C^_g alkoxy or C-^_g alkyl. ;15 ;Side chains Z of particular interest include tropane, oxagranatane and azagranatane, where R is methyl. Suitable values for N-substituents when X is N are as described in PCT/GB91/01629, for example, iso-propyl or ethyl. ;20 ;L is preferably NH. ;Alternatively, COL in formula (I) may be replaced by a bioisostere therefor, for example, 1,2,4-oxadiazole and the 25 other groups of structure h) described in EP-A-377967 (Beecham Group p.l.c.). ;The pharmaceutically acceptable salts of the compounds of the formula (I) include acid addition salts with 30 conventional acids such as hydrochloric, hydrobromic, boric, phosphoric, sulphuric acids and pharmaceutically acceptable organic acids such as acetic, tartaric, maleic, citric, succinic, benzoic, ascorbic, methanesulphonic, a-keto glutaric, a-glycerophosphoric, and glucose-1-phosphoric 35 acids. ;240 9 ;-5- ;The pharmaceutically acceptable salts of the compounds of the formula (I) are usually acid addition salts with acids such as hydrochloric, hydrobromic, phosphoric, sulphuric, citric, tartaric, lactic and acetic acid. ;5 ;Preferably the acid addition salt is the hydrochloride salt. ;Examples of pharmaceutically acceptable salts include quaternary derivatives of the compounds of formula (I) such 10 as the compounds quaternised by compounds RX~T wherein Rx is C-^_g alkyl, phenyl-C-L_g alkyl or C^_7 cycloalkyl, and T is a radical corresponding to an anion of an acid. Suitable examples of Rx include methyl, ethyl and n- and iso-propyl; and benzyl and phenethyl. Suitable examples of T include 15 halide such as chloride, bromide and iodide. ;Examples of pharmaceutically acceptable salts also include internal salts such as N-oxides. ;20 The compounds of the formula (I), their pharmaceutically acceptable salts, (including quaternary derivatives and N-oxides) may also form pharmaceutically acceptable solvates, such as hydrates, which are included wherever a compound of formula (I) or a salt thereof is herein referred 25 to. ;It will of course be realised that some of the compounds of the formula (I) have chiral or prochiral centres and thus are capable of existing in a number of stereoisomeric forms 30 including enantiomers. The invention extends to each of these stereoisomeric forms (including enantiomers), and to mixtures thereof (including racemates). The different stereoisomeric forms may be separated one from the other by the usual methods. ;The invention also provides a process for the preparation of a compound of formula (I), or a pharmaceutically acceptable salt thereof, which process comprises reacting a compound of formula (II) : ;10 ;(II) ;with a compound of formula (III): ;15 HLZ' (III) ;or a reactive derivative thereof, when L is 0; ;wherein R-^' , R2' and/or Z' are R-^, R2 and/or Z respectively 20 or groups or atoms convertible thereto; is a leaving group; and the remaining variables are as hereinbefore defined; and thereafter optionally converting R-^' , R2' ;and/or Z' to another group or atom R-^, R2 or Z; and optionally forming a pharmaceutically acceptable salt of the 25 resultant compound of formula (I). ;Examples of leaving groups Qj, displaceable by a nucleophile, include halogen such as chloro and bromo, alkoxy, such as CH3O and C2H5O-, PhO-, activated 30 hydrocarbyloxy, such as Cl^CgO- or CI3CO-, or a nitrogen-linked heterocycle, such as imidazole. ;If a group Q-^ is a halide, then the reaction is preferably carried out at non-extreme temperatures in an inert 35 non-hydroxylic solvent, such as benzene, dichlor toluene, diethyl ether, tetrahydrofuran (THF) or ;B3115 ;240 9 3 ;-7- ;dimethylformamide (DMF). It is also preferably carried out in the presence of an acid acceptor, such as an organic base, in particular a tertiary amine, such as triethylamine, trimethylamine, pyridine or picoline, some of which can also 5 function as the solvent. Alternatively, the acid acceptor can be inorganic, such as calcium carbonate, sodium carbonate or potassium carbonate. Temperatures of 0°-100°C, in particular 10-80°C are suitable. ;10 If a group Q-^ is C^_4 alkoxy, phenoxy or activated hydrocarbyloxy then the reaction is preferably carried out in an inert polar solvent, such as toluene ordimethylformamide. It is also preferred that the group is CI3CO- and that the reaction is carried out in toluene at 15 reflux temperature. ;When L is 0 the compound of formula (III) may be in the form of a reactive derivative thereof, which is often a salt, ;such as the lithium, sodium or potassium salt. ;20 ;It will be apparent that compounds of the formula (I) containing an or R2 group which is convertible to another such group are useful novel intermediates. i.e. a hydrogen substituent is convertible to a halogen substituent by 25 halogenation using conventional halogenating agents. ;Z' when other than Z may be wherein R is replaced by R' ;which is a hydrogenolysable protecting group which is benzyl optionally substituted by one or two groups selected from 30 halo, C*l_4 alkoxy and C1-4 alkyl. Such benzyl groups may, for example, be removed, when R^/R2 is not halogen, by conventional transition metal catalysed hydrogenolysis to give compounds of the formula (I) wherein R is hydrogen. <br><br>
35 This invention also provides a further process for the preparation of a compound of the formula (I) wherein R is <br><br>
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methyl or a pharmaceutically acceptable salt thereof, which comprises N-methylating a compound of formula (I) wherein R is hydrogen, and optionally forming a pharmaceutically acceptable salt of the resulting compound of the formula 5 (I). In this further process of the invention <br><br>
'N-methylation' may be achieved by reaction with a compound CH3Q3 wherein Q3 is a leaving group. <br><br>
Suitable values for Q3 include groups displaced by 10 nucleophiles such as CI, Br, I, OSO2CH3 or OSC^Cgl^pCI^, preferably CI, Br or I. <br><br>
The reaction may be carried out under conventional alkylation conditions for example in an inert solvent such 15 as dimethylformamide in the presence of an acid acceptor such as potassium carbonate. Generally the reaction is carried out at non-extreme temperature such as at ambient or slightly above. <br><br>
20 Alternatively, 'N-methylation' may be effected under conventional reductive alkylation conditions. <br><br>
Interconverting R in the compound of the formula (III) <br><br>
before coupling with the compound of the formula (II) is 25 also possible. Such interconversions are effected conveniently under the above conditions. It is desirable to protect any amine function with a group readily removable by acidolysis such as a C2_7 alkanoyl group, before R/Z interconversion. <br><br>
30 <br><br>
It is often convenient in the preparation of such a compound of formula (III) to prepare the corresponding compound wherein the methyl group is replaced by alkoxycarbonyl. <br><br>
Such compounds may then be reduced using a strong reductant 35 such as lithium aluminium hydride to the corresponding <br><br>
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compound of formula (II). <br><br>
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The compounds of formula (II) are known or are preparable analogously to, or routinely from, known compounds, such as 5 described in UK 1571278. <br><br>
Compounds of the formula (III) are generally prepared from the corresponding exocyclic keto derivative of the azabicyclic side chain, prepared by condensation methods, 10 often using a substituted piperidine. <br><br>
They may be prepared by processes described in the aforementioned Patent Publications relating to values of the side chain Z. <br><br>
15 <br><br>
It will be realised that in the compounds of the formula (I) having a tropane, granatane or oxa/thia/aza-granatane side chain, the -COL- linkage has an endo orientation with respect to the ring of the bicyclic moiety to which it is 20 attached. A mixture of endo and exo isomers of the compound of the formula (I) may be synthesised non-stereospecifically and the desired isomer separated conventionally therefrom e.g. by chromatography; or alternatively the endo isomer may if desired by synthesised from the corresponding endo form 25 of the compound of the formula (II). Corresponding geometric isomeric pairs are possible for the isoquinuclidine, isogranatane, oxa/thia-isogranatane and isotropane side chains. <br><br>
30 Pharmaceutically acceptable salts of the compounds of this invention may be formed conventionally. <br><br>
The salts may be formed for example by reaction of the base compound of formula (I) with a pharmaceutically acceptable 35 organic or inorganic acid. <br><br>
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The compounds of the present invention are 5-HT3 receptor antagonists and it is thus believed may generally be used in the treatment or prophylaxis of pain, emesis, CNS disorders and gastrointestinal disorders. Pain includes migraine, 5 cluster headache, trigeminal neuralgia and visceral pain; emesis, includes, in particular, that of preventing vomiting and nausea associated with cancer therapy, post-operative emesis, and nausea associated with migraine. Examples of such cancer therapy include that using cytotoxic agents, 10 such as platinum complexes including cisplatin, and also doxorubicin and cyclophosphamide, particularly cisplatin; and also radiation treatment. CNS disorders include anxiety, psychosis, cognitive disorders such as senile dementia and age associated memory impairment (AAMI), and 15 drug dependence. Gastrointestinal disorders include irritable bowel syndrome and diarrohea. <br><br>
5-HT3 receptor antagonists may also be of potential use in the treatment of obesity, arrhythmia, and/or disorders 20 associated with myocardial instability. <br><br>
The invention also provides a pharmaceutical composition comprising a compound of formula (I), or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable 25 carrier. <br><br>
Such compositions are prepared by admixture and are usually adapted for oral or parenteral administration, and as such may be in the form of tablets, capsules, oral liquid 30 preparations, powders, granules, lozenges, reconstitutable powders, injectable and infusable solutions or suspensions or suppositories. Orally administrable compositions are preferred, since they are more convenient for general use. <br><br>
35 Tablets and capsules for oral administration are usually presented in a unit dose, and contain conventional <br><br>
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excipients such as binding agents, fillers, diluents, tabletting agents, lubricants, disintegrants, colourants, flavourings, and wetting agents. The tablets may be coated according to well known methods in the art, for example with 5 an enteric coating. <br><br>
Suitable fillers for use include cellulose, mannitol, <br><br>
lactose and other similar agents. Suitable disintegrants include starch, polyvinylpolypyrrolidone and starch 10 derivatives such as sodium starch glycollate. Suitable lubricants include, for example, magnesium stearate. <br><br>
Suitable pharmaceutically acceptable wetting agents include sodium lauryl sulphate. Oral liquid preparations may be in 15 the form of, for example, aqueous or oily suspensions, solutions, emulsions, syrups, or elixirs, or may be presented as a dry product for reconstitution with water or other suitable vehicle before use. Such liquid preparations may contain conventional additives such as suspending 20 agents, for example sorbitol, syrup, methyl cellulose, gelatin, hydroxyethylcellulose, carboxymethylcellulose, aluminium stearate gel or hydrogenated edible fats, emulsifying agents, for example lecithin, sorbitan monooleate, or acacia; non-aqueous vehicles (which may 25 include edible oils), for example, almond oil, fractionated coconut oil, oily esters such as esters of glycerine, propylene glycol, or ethyl alcohol; preservatives, for example methyl or propyl p-hydroxybenzoate or sorbic acid, and if desired conventional flavouring or colouring agents. <br><br>
30 <br><br>
Oral liquid preparations are usually in the form of aqueous or oily suspensions, solutions, emulsions, syrups, or elixirs or are presented as a dry product for reconstitution with water or other suitable vehicle before use. Such 35 liquid preparations may contain conventional additives such <br><br>
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as suspending agents, emulsifying agents, non-aqueous vehicles (which may include edible oils) , preservatives, and flavouring or colouring agents. <br><br>
5 The oral compositions may be prepared by conventional methods of blending, filling or tabletting. Repeated blending operations may be used to distribute the active agent throughout those compositions employing large quantities of fillers. Such operations are, of course, 10 conventional in the art. <br><br>
For parenteral administration, fluid unit dose forms are prepared containing a compound of the present invention and a sterile vehicle. The compound, depending on the vehicle 15 and the concentration, can be either suspended or dissolved. Parenteral solutions are normally prepared by dissolving the compound in a vehicle and filter sterilising before filling into a suitable vial or ampoule and sealing. <br><br>
Advantageously, adjuvants such as a local anaesthetic, 20 preservatives and buffering agents are also dissolved in the vehicle. To enhance the stability, the composition can be frozen after filling into the vial and the water removed under vacuum. <br><br>
25 Parenteral suspensions are prepared in substantially the same manner except that the compound is suspended in the vehicle instead of being dissolved and sterilised by exposure of ethylene oxide before suspending in the sterile vehicle. Advantageously, a surfactant or wetting agent is 30 included in the composition to facilitate uniform distribution of the compound of the invention. <br><br>
The invention further provides a method of treatment or prophylaxis of pain, emesis, CNS disorders and/or 35 gastrointestinal disorders in mammals, such as humans, which comprises the administration of an effective amount of a <br><br>
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compound of the formula (I) or a pharmaceutically acceptable salt thereof. <br><br>
An amount effective to treat the disorders herein- before 5 described depends on the relative efficacies of the compounds of the invention, the nature and severity of the disorder being treated and the weight of the mammal. <br><br>
However, a unit dose for a 70kg adult will normally contain 0.05 to lOOOmg for example 0.5 to 500mg, of the compound of 10 the invention. Unit doses may be administered once or more than once a day, for example, 2, 3 or 4 times a day, more usually 1 to 3 times a day, that is in the range of approximately 0.0001 to 50mg/kg/day, more usually 0.0002 to 25 mg/kg/day. <br><br>
15 <br><br>
No adverse toxicological effects are indicated within the aforementioned dosage ranges. <br><br>
The invention also provides a compound of formula (I) or a 20 pharmaceutically acceptable salt thereof for use as an active therapeutic substance, in particular for use in the treatment of pain, emesis, CNS disorders and/or gastrointestinal disorders. <br><br>
25 The following Examples illustrate the preparation of compounds of formula (I). <br><br>
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Example 1 <br><br>
endo-N-(9-Methvl-9-azabicvclo f 3.3.11nonan-3-yl)-7-chloro-1,4-benzodioxan-5-carboxamide (El) <br><br>
A solution of 7-chloro-l,4-benzodioxan-5-carboxylic acid (UK patent 1,571,278, Societe D'Etudes Scientifiques et Industrielles de L'Ile-de-France) (0.25g) in SOCI2 (5 mL) 15 was stirred at room temperature for 2h. The reaction mixture was evaporated to dryness and re-evaporated with xylene (2 x 20 mL). The residue was dissolved in CH2CI2 (20 mL) and treated with a solution of endo-9-methy1-9-azabicyclo[3.3.1]nonan-3-amine (0.2g) in CH2CI2 (10 mL). 20 After standing at room temperature overnight, the reaction mixture was washed with sat. NaHCC>3 (50 mL) , dried (K2CO3) and evaporated to dryness. The residue was purified by column chromatography (AI2O3, eluting with CH2CI2) to give the title compound, converted to its HC1 salt with ethanolic 25 HC1, precipitation with Et20. (0.31 g) . <br><br>
10 <br><br>
5 <br><br>
30 <br><br>
^•H NMR (d6-DMSO) 88.40, 8.20 (2-d, 1H) <br><br>
7.10 (s, 2H) <br><br>
4.65-4.15 (m, 5H including 4.30, brs, 4H) 3.65-3.45 (m, 2H) <br><br>
2.81, 2.79 (2-s, 3H) <br><br>
35 <br><br>
2.55-2.30 (m, 4H) <br><br>
2.20-1.95 (m, 2H) <br><br>
1.82-1.53 (m, 2H) <br><br>
1.55-1.35 (m, 2H) <br><br>
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Prepared similarly was: <br><br>
Example 2 <br><br>
5 endo-N-(9-Methyl-9-azabicvclo T3.3.11nonan-3-yl)-6-chloro-1,3-benzodioxole-4-carboxamide (E2) <br><br>
NMR (CDCI3)87.51 (d, 1H) <br><br>
6.88 (d, 1H) <br><br>
6.72 (brd, 1H) 20 6.13 (s, 2H) <br><br>
4.58-4.38 (m, 1H) <br><br>
3.09 (brd, 2H) <br><br>
2.60-2.40 (m, 5H including 2.50 s, 3H) 1.98 (brd 3H) 25 1.59-1.42 (m, 1H) <br><br>
1.31 (dt, 2H) <br><br>
1.03 (brd, 2H) <br><br></p>
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