WO1992012149A1 - Azabicydic and azatricydic derivatives, process and intermediates for their preparation and pharmaceutical compositions containing them - Google Patents

Azabicydic and azatricydic derivatives, process and intermediates for their preparation and pharmaceutical compositions containing them Download PDF

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Publication number
WO1992012149A1
WO1992012149A1 PCT/GB1992/000050 GB9200050W WO9212149A1 WO 1992012149 A1 WO1992012149 A1 WO 1992012149A1 GB 9200050 W GB9200050 W GB 9200050W WO 9212149 A1 WO9212149 A1 WO 9212149A1
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Prior art keywords
hydrogen
alkyl
compound according
formula
alkoxy
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PCT/GB1992/000050
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French (fr)
Inventor
Francis David King
Original Assignee
Smithkline Beecham Plc
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Priority claimed from GB919100370A external-priority patent/GB9100370D0/en
Priority claimed from GB919100580A external-priority patent/GB9100580D0/en
Application filed by Smithkline Beecham Plc filed Critical Smithkline Beecham Plc
Priority to JP4502573A priority Critical patent/JPH06506443A/en
Publication of WO1992012149A1 publication Critical patent/WO1992012149A1/en

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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D451/00Heterocyclic compounds containing 8-azabicyclo [3.2.1] octane, 9-azabicyclo [3.3.1] nonane, or 3-oxa-9-azatricyclo [3.3.1.0<2,4>] nonane ring systems, e.g. tropane or granatane alkaloids, scopolamine; Cyclic acetals thereof
    • C07D451/02Heterocyclic compounds containing 8-azabicyclo [3.2.1] octane, 9-azabicyclo [3.3.1] nonane, or 3-oxa-9-azatricyclo [3.3.1.0<2,4>] nonane ring systems, e.g. tropane or granatane alkaloids, scopolamine; Cyclic acetals thereof containing not further condensed 8-azabicyclo [3.2.1] octane or 3-oxa-9-azatricyclo [3.3.1.0<2,4>] nonane ring systems, e.g. tropane; Cyclic acetals thereof
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D453/00Heterocyclic compounds containing quinuclidine or iso-quinuclidine ring systems, e.g. quinine alkaloids
    • C07D453/02Heterocyclic compounds containing quinuclidine or iso-quinuclidine ring systems, e.g. quinine alkaloids containing not further condensed quinuclidine ring systems

Definitions

  • This invention relates to novel compounds having useful pharmacological properties, to a process for their
  • EP-A-337547 (Merck Sharp and Dohme Limited), EP-A-329932
  • Patents 4920219 and 4920227 disclose classes of compounds which have a saturated azabicyclic moiety, such as tropanyl, granatyl or quinuclidinyl, and are 5-HT 3 receptor antagonists.
  • X is a phenyl group or a monocyclic 5 or 6 membered
  • heteroaryl group either of which group is optionally fused to a saturated or unsaturated 5-7 membered carbocyclic or heterocyclic ring;
  • A is a linking moiety
  • R is hydrogen or methyl
  • X may be unsubstituted or substituted, usually by one or more substituents selected from halogen, C 1 - 6 alkoxy, C 1-6 alkylthic, C 1- 6 alkyl, hydroxy, amino, C 1-6 alkylamino, C 1 -7 alkanoylamino, or two substituents on X (when fused), may be linked to form a saturated or unsaturated optionally
  • Heteroatoms for heteroaryl and heterocyclic groups are selected from oxygen, nitrogen and sulphur.
  • Halo includes bromo, chloro and fluoro.
  • X may be joined to A by an aromatic carbon atom, or (when X is fused), by a carbocyclic ring carbon atom, or by a heterocyclic ring carbon or nitrogen atom. When X is fused, and A is attached at an aromatic carbon atom, it is
  • Suitable examples of X are as described in the
  • Suitable examples of A include CONH (amide), COO (ester), NHCONH (ureide), CONHCONH (extended ureide), or a group of structure (j):
  • the present invention provides a compound of formula (IA), or a pharmaceutically acceptable salt thereof:
  • Y is NH or O (or is joined to R 10 as defined below);
  • X 1 is a group of formula (a), (b), (c), (d), (e), (f), (g)
  • R a to R e and R g to R h are selected from hydrogen, halogen or hydroxy
  • R 1 is hydrogen and R 2 is hydrogen or C 1 -4 alkyl
  • R 1 and R 2 together are a bond
  • R 3 to R 7 are independently hydrogen or C 1 -6 alkyl
  • R 4 together with R 2 may be C 2-7 polymethylene or C 2 - 6
  • R 8 and R 9 are independently selected from hydrogen or
  • R 11 is hydrogen, halo, C 1-6 alkoxy or C 1-6 alkyl
  • R 10 and R 1 1 are joined to form -OCH (R 15 R 16 )-E- wherein E is
  • R 12 is
  • R 13 is halo, C 1-6 alkyl, C 1-6 alkoxy or C 1-6 alkylthio
  • R 14 is hydrogen or C 1-6 alkyl
  • CO-Y- is in the 1-position and either R 15 is in the
  • R 15 is in the 4-position and is hydrogen, halogen, CF 3 , C 1- 6 alkyl , C 1-7 acyl , C 1- 7 acylamino , phenyl optionally substituted by one or two C 1-6 alkyl, C 1-6 alkoxy or halogen groups, or amino, aminocarbonyl or aminosulphonyl, optionally substituted by one or two C 1-6 alkyl or C 3-8 cycloalkyl groups or by C 4-5 polymethylene or by phenyl, C 1-6 alkylsulphonyl, C 1-6 alkylsulphinyl , C 1- 6 alkoxy, C 1 -6 alkylthio, hydroxy or nitro; or
  • CO-Y- is in the 3-position and either R 15 is in the
  • R 15 is in the 4-position and is hydrogen or C 1-6 alkoxy;
  • L is CH or N
  • moieties in alkyl or alkyl containing groups in Z or in R 1 to R 15 include methyl, ethyl, n- and iso-propyl, n-, iso-, sec- and tert-butyl, preferably methyl.
  • Cycloalkyl moieties include C 3 , C 4 , C 5 , C 6 , C 7 and C 8 cycloalkyl.
  • Halo moieties include fluoro, chloro, bromo and iodo.
  • R 2 and R 4 or R 8 and R 9 when joined include C 2 , C 3 , C 4 , C 5 or C 6 polymethylene, preferably C 2 , C 3 , C 4 or C 5 Polymethylene .
  • R a to R e and R g to R h are preferably selected from hydrogen, fluoro, chloro and hydroxy, most preferably hydrogen.
  • R b may be 5-, 6- or 7-chloro or fluoro.
  • R 1 and R 3 is preferably hydrogen and one or both of R 2 and R 4 (most preferably both) are alkyl groups, such as methyl, or are joined to form C 2-7 polymethylene; or when one of R 2 and R 4 is hydrogen, the other is preferably ethyl or n- or iso- propyl.
  • R 5 is preferably hydrogen or a methyl or ethyl group.
  • R 7 is preferably methyl.
  • R 8 and R 9 are preferably both methyl groups.
  • R 10 is C 1-6 alkoxy or is joined to Y
  • R 12 is preferably amino and R 13 is preferably chloro or bromo, most preferably chloro.
  • R 10 is preferably methoxy when C 1-6 alkoxy.
  • R 11 and R 13 are preferably chloro or methyl and R 10 is preferably hydrogen.
  • R 14 is preferably hydrogen or methyl.
  • R 15 when in the 4-position, include the following: hydrogen, chloro, bromo, methyl, ethyl, amino, methylamino, dimethylamino, phenyl, C 1 _ 4 alkanoylamino such as formylamino, acetylamino, propionylamino, n- and
  • aminosulphonyl optionally substituted by one or two methyl, ethyl, n- or iso-propyl, n-, sec-, iso- or tert-butyl or phenyl groups; nitro, n- and iso-propoxy, methylthio, ethylthio, n- and iso-propylthio, hydroxy, methylsulphonyl and ethylsulphonyl or when R 15 is in the 3-position suitable examples, include the following groups, hydrogen, methyl, ethyl, n- or iso-propyl, methoxy, and ethoxy.
  • R 15 when in the 1-position include hydrogen, methyl, ethyl, n- or iso- propyl, or when R 15 is in the 4-position, suitable examples include the following: hydrogen, methoxy and ethoxy.
  • Preferred R 15 groups, in any of the positions specified above, include hydrogen, methyl and methoxy.
  • CO-Y- is preferably in the 1-position.
  • Y is preferably NH.
  • the pharmaceutically acceptable salts of the compounds of the formula (I) include acid addition salts with
  • Examples of pharmaceutically acceptable salts include quaternary derivatives of the compounds of formula (I) such as the compounds quaternised by compounds R x -T wherein R x is C 1-6 alkyl, phenyl-C 1-6 alkyl or C 5 -7 cycloalkyl, and T is a radical corresponding to an anion of an acid.
  • R ⁇ include methyl, ethyl and n- and iso-propyl; and benzyl and phenethyl.
  • Suitable examples of T include halide such as chloride, bromide and iodide.
  • Examples of pharmaceutically acceptable salts also include internal salts such as N-oxides.
  • the compounds of the formula (I), their pharmaceutically acceptable salts, (including quaternary derivatives and N-oxides) may also form pharmaceutically acceptable
  • X-CO-Y- in compounds of formula (I) may adopt an ⁇ or ⁇ or configuration with respect to Z.
  • the compounds of formula (I) are prepared by linking
  • azabicyclic side chain intermediates may be prepared from the corresponding ketones of formula (II) and (III):
  • the ketones of the formula (II) may be prepared according to the method described by G. H. Dewar, R.T. Parfitt, L. Sheh; Eur. J. Med. Chem., 1985, 20 , 228, and the ketone of formula (III) may be prepared according to the method described in the Description 2 hereinafter.
  • the compounds of the present invention are 5-HT 3 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, 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.
  • cancer therapy examples include that using cytotoxic agents, 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 drug dependence.
  • Gastrointestinal disorders include irritable bowel syndrome and diarrohea.
  • 5-HT 3 receptor antagonists may also be of potential use in the treatment of obesity, arrhythmia, and/or disorders associated with myocardial instability.
  • the invention also provides a pharmaceutical composition
  • a pharmaceutical composition comprising a compound of formula (I), or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable carrier.
  • 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 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.
  • Tablets and capsules for oral administration are usually presented in a unit dose, and contain conventional
  • 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 an enteric coating.
  • Suitable fillers for use include cellulose, mannitol, lactose and other similar agents.
  • Suitable disintegrants include starch, polyvinylpolypyrrolidone and starch
  • Suitable lubricants include, for example, magnesium stearate.
  • Suitable pharmaceutically acceptable wetting agents include sodium lauryl sulphate.
  • Oral liquid preparations may be in the form of, for example, aqueous or oily suspensions, solutions, emulsions, syrups, or elixirs, or may be
  • Such liquid preparations may contain conventional additives such as suspending agents, for example sorbitol, syrup, methyl cellulose, gelatin, hydroxyethylcellulose, carboxymethylcellulose, aluminium stearate gel or hydrogenated edible fats,
  • suspending agents for example sorbitol, syrup, methyl cellulose, gelatin, hydroxyethylcellulose, carboxymethylcellulose, aluminium stearate gel or hydrogenated edible fats,
  • emulsifying agents for example lecithin, sorbitan
  • non-aqueous vehicles which may 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.
  • 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 liquid preparations may contain conventional additives such as suspending agents, emulsifying agents, non-aqueous vehicles (which may include edible oils), preservatives, and flavouring or colouring agents.
  • 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
  • fluid unit dose forms are prepared containing a compound of the present invention and a sterile vehicle.
  • the compound depending on the vehicle 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.
  • adjuvants such as a local anaesthetic, preservatives and buffering agents are also dissolved in the vehicle.
  • the composition can be frozen after filling into the vial and the water removed under vacuum.
  • 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
  • a surfactant or wetting agent is included in the composition to facilitate uniform
  • the invention further provides a method of treatment or prophylaxis of pain, emesis, CNS disorders and/or
  • gastrointestinal disorders in mammals such as humans, which comprises the administration of an effective amount of a compound of the formula (I) or a pharmaceutically acceptable salt thereof.
  • a unit dose for a 70kg adult will normally contain 0.05 to 1000mg for example 0.5 to 500mg, of the compound of 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.
  • the invention also provides a compound of formula (I) or a 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
  • the oxime (1.97g, 0.012mol) was dissolved in amyl alcohol (80ml) and heated to reflux under N 2 .
  • Sodium metal (6.5g, 0.28mol) was added portionwise over a 20 minute period and heating was continued for a further 1.5h.
  • the solution was allowed to cool slightly and water (20ml) was added
  • Compounds are given intravenously and the concentration required to reduce the 5-HT-evoked response to 50% of the control response (ED 50 ) is then determined.

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  • Chemical & Material Sciences (AREA)
  • Organic Chemistry (AREA)
  • Nitrogen Condensed Heterocyclic Rings (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)

Abstract

Compounds of the formula (I): X-A-Z, and pharmaceutically acceptable salt thereof, wherein Z is of structure (a) or (b), wherein X is a phenyl group or a monocyclic 5 or 6 membered heteroaryl group, either of which group is optionally fused to a saturated or unsaturated 5-7 membered carbocyclic or heterocyclic ring; A is a linking moiety; and R is hydrogen or methyl; having 5-HT3 receptor antagonist activity.

Description

AZABICYDIC AND AZATRICYDIC DERIVATIVES, PROCESS AND INTERMEDIATESFOR THEIR PREPARATION AND PHARMACEUTICAL COMPOSITIONS CONTAINING THEM
This invention relates to novel compounds having useful pharmacological properties, to a process for their
preparation, and to their use as pharmaceuticals.
EP-A-158265, EP-A-200444, EP-A-247266, EP-A-235878,
EP-A-254584, EP-A-255297, EP-A-289170, EP-A-315390, PCT GB91/00636, PCT/GB91/02173 and PCT/GB91/02210 (Beecham Group p.l.c.), EP-A-158532 (A.H. Robins Company, Inc.), EP-A-67770 (Merrell Toraude et Compagnie), GB 2125398A and GB 2145416A (Sandoz Limited), EP-A-322016 (Duphar international Research B.V.), EP-A-307172 (Eli Lilly and Company), EP-A-323077, EP-A-306148, GB 2208385A and WO91/05783 (John Wyeth and Brother Limited), EP-A-234872 (Adria Laboratories Inc.), EP-A-294292 (Adir et Compagnie), EP-A-339950 (Rorer
International (overseas), Inc.), EP-A-309423 (Instituto de Angeli S.p.A.), EP-A-313393 and EP-A-407137 (Yoshitomi
Pharmaceutical industries Limited), EP-A-328200 and
EP-A-337547 (Merck Sharp and Dohme Limited), EP-A-329932
(Merrell Dow Pharmaceuticals Inc.), WO 90/06039, WO 91/16888 (Rorer International (Overseas), Inc.), EP-A-378111 (Zambon Group S.p.A.), EP-A-403882 (Fujisawa Pharmaceutical Co.
Ltd.), EP-A-419397 (A/S Ferrosan) and EP-A-458636 (Kyoma Hakko Kogyo Kabu Shiki Kaisha) and USA Patents 4920219 and 4920227 (Rorer Pharmaceutical Corp.) disclose classes of compounds which have a saturated azabicyclic moiety, such as tropanyl, granatyl or quinuclidinyl, and are 5-HT3 receptor antagonists.
A class of novel, structurally distinct compounds has now been discovered in which the saturated azabicyclic moiety is 8-azabicyclo [3.2.1] octan-6-yl or 6- azatricyclo [4.3.04,9]decan-8-yl. These compounds have 5-HT3 receptor antagonist activity. Accordingly, the present invention provides a compound of formula (I), or a pharmaceutically acceptable salt thereof:
X-A-Z (I) wherein Z is of structure (a) or (b) :
Figure imgf000004_0001
Figure imgf000004_0002
wherein
X is a phenyl group or a monocyclic 5 or 6 membered
heteroaryl group, either of which group is optionally fused to a saturated or unsaturated 5-7 membered carbocyclic or heterocyclic ring;
A is a linking moiety; and
R is hydrogen or methyl;
having 5-HT3 receptor antagonist activity.
X may be unsubstituted or substituted, usually by one or more substituents selected from halogen, C1 - 6 alkoxy, C1-6 alkylthic, C1- 6 alkyl, hydroxy, amino, C1-6 alkylamino, C1 -7 alkanoylamino, or two substituents on X (when fused), may be linked to form a saturated or unsaturated optionally
substituted carbocyclic ring. Heteroatoms for heteroaryl and heterocyclic groups are selected from oxygen, nitrogen and sulphur.
Halo includes bromo, chloro and fluoro. X may be joined to A by an aromatic carbon atom, or (when X is fused), by a carbocyclic ring carbon atom, or by a heterocyclic ring carbon or nitrogen atom. When X is fused, and A is attached at an aromatic carbon atom, it is
preferably attached at the aromatic carbon adjacent a
'fused' carbon atom, which is attached to the heteroatom of a heterocyclic ring in formula (I). Z may be attached to A in a 'spiro' configuration.
X may also be further joined to A as defined in formula (IA) hereinafter, when Y-R10 is N-B=N.
Suitable examples of X are as described in the
aforementioned patent publications relating to 5-HT3
receptor antagonists, the subject matter of which is
incorporated herein by reference.
Suitable examples of A include CONH (amide), COO (ester), NHCONH (ureide), CONHCONH (extended ureide), or a group of structure (j):
Figure imgf000005_0001
wherein the dotted circle represents two double bonds in any position in the 5 membered ring; two of G, H and I are
selected from oxygen, sulphur, nitrogen and carbon and the other is oxygen, sulphur or nitrogen; and E is a bond or
C1-5 alkylene optionally substituted by phenyl or hydroxy; or E is absent and heterocycle in structure (j) is joined to Z in a 'spiro' configuration.
For the avoidance of doubt, the suitable X values in formula (I) which are described in the referenced patent
publications, are that part of the structure remaining when the saturated azabicyclic moiety and A (where A is one of the suitable examples listed above), are disregarded. In a particular aspect, the present invention provides a compound of formula (IA), or a pharmaceutically acceptable salt thereof:
X1-L-CO-Y-Z
(IA) wherein
Y is NH or O (or is joined to R10 as defined below);
X1 is a group of formula (a), (b), (c), (d), (e), (f), (g)
or (h):
Figure imgf000006_0001
Figure imgf000007_0001
Figure imgf000007_0002
Figure imgf000007_0003
Figure imgf000007_0004
Figure imgf000008_0001
Figure imgf000008_0002
Figure imgf000008_0003
wherein
Ra to Re and Rg to Rh are selected from hydrogen, halogen or hydroxy;
R1 is hydrogen and R2 is hydrogen or C1 -4 alkyl; or
R1 and R2 together are a bond;
R3 to R7 are independently hydrogen or C1 -6 alkyl; and
R4 together with R2 may be C2-7 polymethylene or C2 - 6
polymethylene interrupted by an -O- linkage when R1 is hydrogen;
R8 and R9 are independently selected from hydrogen or
C1-6 alky-L or R8 and R9 together are C2 -6
polymethylene or C2 - 5 polymethylene interrupted by an -O- linkage; either R 1 0 is hydrogen, C1 - 6 alkoxy, C3- 8 cycloalkyloxy or C3-8 cycloalkyl C1 - 4 alkyloxy; or R10 is joined to Y so that Y-R10 is N-B=N where B is N or CH; and
R11 is hydrogen, halo, C1-6 alkoxy or C1-6 alkyl; or
R10 and R1 1 are joined to form -OCH (R15R16)-E- wherein E is
(CH2)n, (CH2)pO NR17CO(CH2)m wherein n is 1 or 2, p is 0 or 1 and m is 0 or 1 and R15, R16 and R17 are independently selected from hydrogen or C1-6 alkyl; R12 is hydrogen, C1-6 alkoxy or; amino optionally
substituted by a C1-6 alkyl group, or R12 is
alkanoylamino; and
R13 is halo, C1-6 alkyl, C1-6 alkoxy or C1-6 alkylthio;
R14 is hydrogen or C1-6 alkyl;
in formula (h):
CO-Y- is in the 1-position and either R15 is in the
3-position and is hydrogen, C1-6 alkyl or C1-6 alkoxy, or R15 is in the 4-position and is hydrogen, halogen, CF3 , C 1- 6 alkyl , C1-7 acyl , C1- 7 acylamino , phenyl optionally substituted by one or two C1-6 alkyl, C1-6 alkoxy or halogen groups, or amino, aminocarbonyl or aminosulphonyl, optionally substituted by one or two C1-6 alkyl or C3-8 cycloalkyl groups or by C4-5 polymethylene or by phenyl, C1-6 alkylsulphonyl, C1-6 alkylsulphinyl , C1- 6 alkoxy, C1 -6 alkylthio, hydroxy or nitro; or
CO-Y- is in the 3-position and either R15 is in the
1-position and is hydrogen, C1-6 alkyl or C1-6 alkoxy, or R15 is in the 4-position and is hydrogen or C1-6 alkoxy;
L is CH or N; and
Z and R are as defined in formula (I).
Examples of moieties in alkyl or alkyl containing groups in Z or in R1 to R15 include methyl, ethyl, n- and iso-propyl, n-, iso-, sec- and tert-butyl, preferably methyl.
Cycloalkyl moieties include C3, C4, C5, C6, C7 and C8 cycloalkyl. Halo moieties include fluoro, chloro, bromo and iodo.
Suitable examples of R2 and R4 or R8 and R9 when joined include C2, C3, C4, C5 or C6 polymethylene, preferably C2, C3, C4 or C5 Polymethylene . Ra to Re and Rg to Rh are preferably selected from hydrogen, fluoro, chloro and hydroxy, most preferably hydrogen. Rb may be 5-, 6- or 7-chloro or fluoro.
When X is of sub-formula (a), one of R1 and R3 is preferably hydrogen and one or both of R2 and R4 (most preferably both) are alkyl groups, such as methyl, or are joined to form C2-7 polymethylene; or when one of R2 and R4 is hydrogen, the other is preferably ethyl or n- or iso- propyl. When X is of sub-formula (b), R5 is preferably hydrogen or a methyl or ethyl group.
When X is of sub-formula (c), one of CO-Y and R6 is attached at the 1-position and the other is attached at the
3-position as depicted in sub-formula (c), and R6 is
preferably methyl or ethyl.
When X is of sub-formula (d), R7 is preferably methyl. When X is of sub-formula (e), R8 and R9 are preferably both methyl groups.
When X is of sub-formula (f), and R10 is C1-6 alkoxy or is joined to Y, R12 is preferably amino and R13 is preferably chloro or bromo, most preferably chloro. R10 is preferably methoxy when C1-6 alkoxy.
When X is of sub-formula (f), and R10 is hydrogen, R11 and R13 are preferably chloro or methyl and R10 is preferably hydrogen.
Other values of X within sub-formula (f) of interest are those described in EP-A-307172 (Eli Lilly and Company), EP-A-313393 (Yoshitomi Pharmaceutical Industries Limited), PCT/GB91/02173 and 02210 (Beecham Group p.I.c.).
When X is of sub-formula (g), R14 is preferably hydrogen or methyl. When X is of sub-formula (h), and CO-Y- is in the 1-position suitable examples of R15 when in the 4-position, include the following: hydrogen, chloro, bromo, methyl, ethyl, amino, methylamino, dimethylamino, phenyl, C1_4 alkanoylamino such as formylamino, acetylamino, propionylamino, n- and
iso-butyrvlamino, aminosulphonyl, and amino and
aminosulphonyl optionally substituted by one or two methyl, ethyl, n- or iso-propyl, n-, sec-, iso- or tert-butyl or phenyl groups; nitro, n- and iso-propoxy, methylthio, ethylthio, n- and iso-propylthio, hydroxy, methylsulphonyl and ethylsulphonyl or when R15 is in the 3-position suitable examples, include the following groups, hydrogen, methyl, ethyl, n- or iso-propyl, methoxy, and ethoxy.
When X is at sub-formula (h), and the CO-Y- is in the
3-position, suitable examples of R15 when in the 1-position, include hydrogen, methyl, ethyl, n- or iso- propyl, or when R15 is in the 4-position, suitable examples include the following: hydrogen, methoxy and ethoxy. Preferred R15 groups, in any of the positions specified above, include hydrogen, methyl and methoxy. CO-Y- is preferably in the 1-position. Y is preferably NH.
The pharmaceutically acceptable salts of the compounds of the formula (I) include acid addition salts with
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, α-keto glutaric, α-glycerophosphoric, and glucose-1-phosphoric acids.
Examples of pharmaceutically acceptable salts include quaternary derivatives of the compounds of formula (I) such as the compounds quaternised by compounds Rx-T wherein Rx is C1-6 alkyl, phenyl-C1-6 alkyl or C5 -7 cycloalkyl, and T is a radical corresponding to an anion of an acid. Suitable examples of Rχ include methyl, ethyl and n- and iso-propyl; and benzyl and phenethyl. Suitable examples of T include halide such as chloride, bromide and iodide.
Examples of pharmaceutically acceptable salts also include internal salts such as N-oxides.
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 to.
It will also be realised that X-CO-Y- in compounds of formula (I) may adopt an α or β or configuration with respect to Z. The compounds of formula (I) are prepared by linking
together X and the azabicyclic side chain, usually by an ester or amide couplinσ when A is CO2 or CONH, as described in the aforementioned patent publication references, in particular those in the name of Beecham Group p.I.e.
The azabicyclic side chain intermediates may be prepared from the corresponding ketones of formula (II) and (III):
Figure imgf000013_0001
Figure imgf000013_0002
according to the methods described in the aforementioned patent references i.e. by reduction to form the
corresponding alcohol, or by formation of the corresponding oxime followed by reduction, to form the corresponding amine.
The ketones of the formula (II) may be prepared according to the method described by G. H. Dewar, R.T. Parfitt, L. Sheh; Eur. J. Med. Chem., 1985, 20 , 228, and the ketone of formula (III) may be prepared according to the method described in the Description 2 hereinafter. 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, 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, 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 drug dependence. Gastrointestinal disorders include irritable bowel syndrome and diarrohea.
5-HT3 receptor antagonists may also be of potential use in the treatment of obesity, arrhythmia, and/or disorders associated with myocardial instability.
The invention also provides a pharmaceutical composition comprising a compound of formula (I), or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable carrier.
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 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.
Tablets and capsules for oral administration are usually presented in a unit dose, and contain conventional
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 an enteric coating.
Suitable fillers for use include cellulose, mannitol, lactose and other similar agents. Suitable disintegrants include starch, polyvinylpolypyrrolidone and starch
derivatives such as sodium starch glycollate. Suitable lubricants include, for example, magnesium stearate.
Suitable pharmaceutically acceptable wetting agents include sodium lauryl sulphate. Oral liquid preparations may be in 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 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 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.
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 liquid preparations may contain conventional additives such as suspending agents, emulsifying agents, non-aqueous vehicles (which may include edible oils), preservatives, and flavouring or colouring agents. 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, conventional in the art. 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 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.
Advantageously, adjuvants such as a local anaesthetic, 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.
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 included in the composition to facilitate uniform
distribution of the compound of the invention.
The invention further provides a method of treatment or prophylaxis of pain, emesis, CNS disorders and/or
gastrointestinal disorders in mammals, such as humans, which comprises the administration of an effective amount of a compound of the formula (I) or a pharmaceutically acceptable salt thereof.
An amount effective to treat the disorders hereinbefore 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.
However, a unit dose for a 70kg adult will normally contain 0.05 to 1000mg for example 0.5 to 500mg, of the compound of 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.
No adverse toxicological effects are indicated within the aforementioned dosage ranges.
The invention also provides a compound of formula (I) or a 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.
The following Examples illustrate the preparation of
compounds of formula (I); the following Descriptions relate to the preparation of intermediates.
Description 1 a) 8-Methyl-8-azabicyclo[3.2.1]octan-6-one oxime
hydrochloride
To a stirred solution of the ketone (G.H. Dewar, R.T.
Parfitt , L . Sheh; Eur . J . Med . Chem . , 1985, 20 , 228 ) (5 . 3g) in EtOH (100ml) was added hydroxylamine hydrochloride (4.0g) and the reaction was then heated on a steam bath for 1½h.
The reaction mixture was allowed to cool to room
temperature, concentrated to half volume, and further cooled to -10°C. The crystals of the title compound were
collected, washed with Et2O and dried under vacuum (5.8g, 80%). b) 6-Amino-8-methyl-8-azabicvclo[3.2.1]octane
Following the procedure outlined in Description 2f), the oxime (2.5g) was reduced with sodium in amyl alcohol to give the title compound (1.0g, 53%) isolated as the free base as a mixture of isomers.
1H NMR (CDCl3) 270MHz: 3.71, 3.30 (m, 1H), 3.17, 3.02 (m, 1H), 2.79, 2.70 (m, 1H), 2.47, 2.24 (s, 3H), 1.95-0.90 (m, 10H).
Description 2 a) 3-Benzyl-3-azabicyclo[3,2,1]octan-8-one Cyclopentanone (126, 1.5mol) and 40% aqueous formaldehyde (340mol) were heated under reflux in glacial acetic acid (2800ml) with benzylamine hydrochloride (216g, 1.5mol) for four hours. The reaction mixture was allowed to cool to room temperature and 12N HCl (120ml) was added. The
solution was concentrated on a rotary evaporator and water (400ml) added. The aqueous was washed with ethyl acetate (2 × 500ml), saturated with potassium carbonate and the product extracted into pentane (3 × 800ml) and dried (K2CO3). This solution was filtered through a bed of silica gel (500g) eluting with pentane/Et2O 70:30. Distillation gave the title compound (20g, 6%) Bp 128-32°, 0.3mmHg.
1H NMR 60MHz (CDCI3) δ: 7.30 (s, 5H), 3.60 (s, 2H), 3.0-2.80 (m, 2H), 2.70-2.40 (m, 2H), 2.30-1.80 (m, 6H). b) 3-Benzyl-8-cyano-3-azabicyclo[3.2.1]octane
The ketone (19.9g, 0.093mol) and Tosmic (23.4g, 0.12 mol) were dissolved in a mixture of dry DME (140ml) and t-butanol (70ml). The stirred solution was cooled to 0°C and
potassium-t-butoxide (22g, 0.19mol) added portionwise. The reaction was stirred for a further two hours and poured into pentane (1000ml). The mixture was filtered through
Kieselguhr and evaporated to dryness. The residue was purified by flash column chromatography through tlc silica eluting with petrol/ CH2Cl2 75:25, to give the title
compound (11. Og, 53%). c) Ethyl-3-benzyl-3-azabicyclo[3.2.1]octane-8-carboxylate
A solution of the nitrile (11g, 0.058mole) in ethanol (80ml) and C. H2S04 (20ml) was heated under reflux for 20h. The mixture was poured onto ice water (400ml) and 40% NaOH solution (60ml) added. The product was extracted into ether and the ethereal extracts washed with saturated brine, dried over Na2SO4 and evaporated to dryness. The residue was distilled to give the title compound (10.3g, 78%) Bpt
144-8°, 0.5mmHg.
1H NMR, 60MHz (CDCI3) δ: 7.20 (s, 5H), 4.30-3.80 (m, 2H), 3.40 (s, 2H), 2.70-1.60 (m, 11H), 1.20 (m, 3H). d) Ethyl-3-carbethoxymethyl-3-azabicyclo[3.2.1]octane-8-carboxylate The N-benzyl ester (10.0g, 0.037mol) was hydrogenated at atmosphere pressure in ethanol (200ml) and glacial acetic acid (25ml) over 10% Pd/C catalyst for one hour. Filtration through Kieselguhr and evaporation of the filtrate to dryness gave the NH product. A solution of the NH product, and ethyl bromoacetate (4.2ml, 0.037mol) in acetone (250ml) was stirred and heated under reflux with K2CO3 (16g, 0.11mol) for 16h. The reaction was cooled, filtered and evaporated to dryness. Distillation of the residue gave the title compound (6.1g, 62%) Bpt 126-8°, 0.5mmHH. e) 6-Azatricyclo [4, 3, 1, 04.9] decan-8-one oxime
The di-ester (6.1g, 0.023mol) in dry toluene (100ml) was added to a suspension of potassium-t-butoxide (6.4g,
0.057mol) in dry toluene (500ml) heated under reflux under N2. The mixture was heated under reflux for a further three hours and allowed to cool. Dilute HCl (150ml) was added with vigorous stirring, the aqueous layer was separated and heated under reflux for 72 hours. The resulting solution was concentrated to a small volume and saturated with potassium carbonate. The product was extracted into ether (2 × 300ml) dried over Na2SO4 and evaporated to dryness to give the ketone (2.14g, 62%) which was then converted to the oxime derivative (1.97g, 84%) with hydroxylamine
hydrochloride. f) 8-Amino-6-azatricyclo[4 , 3 , 1 , 04 , 9] decane
The oxime (1.97g, 0.012mol) was dissolved in amyl alcohol (80ml) and heated to reflux under N2. Sodium metal (6.5g, 0.28mol) was added portionwise over a 20 minute period and heating was continued for a further 1.5h. The solution was allowed to cool slightly and water (20ml) was added
carefully. The aqueous layer was separated and the organic layer extracted with dilute HCl (3 × 25ml). The extract was evaporated to dryness to give the title compound (3.5g, 100%).
Example 1
(±) 4-Acetamido-5-chloro-2-methoxy-N-(8-methyl-8-azabicvclo[3.2.1]octan-6-yl)benzamide (E1)
4-Acetamido-5-chloro-2-methoxybenzoic acid (1.70g) was dissolved in thionyl chloride (8ml) and stirred at room temperature for 30 min. Petrol (15ml) was added and the precipitated acid chloride, filtered off and washed with petrol.
To a stirred solution of the acid chloride in CH2Cl2 (30ml) cooled to 0°C were added dropwise the amine (D8) (1.0g) and Et3N (1.0ml). The reaction mixture was allowed to warm to room temperature and stirred overnight.
The mixture was washed with saturated aqueous NaHCO3, dried (Na2S04) filtered and concentrated under reduced pressure. The residue was chromatographed on alumina using CH2Cl2 to 1:1 CH2Cl2:CHCl3 as eluant, followed by recrystallisation from EtOAc/petrol to yield the title compound (1.2g, 45%).
1H NMR (CDCI3) 270MHz δ: 8.30 (s, 1H), 8.20 (s, 1H), 8.09 (d, 1H), 7.80 (s, 1H), 4.90 (m, 1H), 3.97 (s, 3H), 3.32 (m, 1H), 3.09 (s, 1H), 2.53 (s, 3H), 2.27 (s, 3H), 2.00-1.15 (m, 8H).
Example 2 (±) 4-Amino-5-chloro-2-methoxy-N-(8-methyl-8-azabicyclo[3.2.1]octan-6-yl)benzamide hydrochloride (E2)
To a stirred solution of the amide (E2) (1.2g) in EtOH
(20ml) was added NaOH (aq) (10%) (3.2ml) and the reaction heated to reflux overnight. The reaction was allowed to cool and evaporated under reduced pressure. The residue was taken up in H2O and the product extracted into CH2Cl2. The organic layer was dried (Na2SO4), filtered and evaporated under reduced pressure.
The residual oil was taken up in a small volume of EtOH and ethanolic HCl added. Ether was added and the precipitate filtered off, washed with Et2O and dried under reduced pressure to yield the title compound (E2) (0.6g, 53%). m.p. 238-240°.
1H-NMR (DMSO) 270MHz δ: 8.22 (d, 1H), 7.80 (s, 1H), 6.63 (s, 1H), 6.15 (s, 2H), 4.9, 4.49 (m, 1H), 3.96 (s, 3H), 3.47 (s, 3H), 2.45-1.40 (m, 10H). Example 3
N-(6-Azatricvclo[4,3,1,04,9]decan-8-yl)-1-methylindazole-3-carboxamide hydrochloride (E3) 1-Methylindazol-3-oyl chloride (0.86g, 0.0044mol) was dissolved in dry CH2Cl2 (50ml) and the amine dihydrochloride D6 (1.0g, 0.0044mol) added followed by triethylamine (2.0ml, 0.014mol). The mixture was stirred at room temperature for 2 hours. The reaction mixture was washed with 5% NaHCO3 solution and the organic layer separated and dried (Na2S04). After evaporation, the residue was purified by
chromatography on silica (30g) eluting with CHCI3 (0.4g, 26%). Mpt 280-2°. Treatment with ethanolic HCl afforded the title compound.
1H NMR, 270MHz (DMSO-d6) δ: 8.95 (d, 1H), 8.25 (d, 1H), 7.85 (d, 1H), 7.60-7.53 (m, 1H), 7.41-7.33 (m, 1H), 4.85-4.76 (m, 1H), 4.27 (s, 3H), 3.80-3.40 (m, 4H), 3.28-3.20 (m, 1H), 2.99-2.83 (m, 2H), 2.60-2.48 (m, 1H), 2.25-2.19 (m, 1H), 2.09-1.81 (m, 2H), 2.75-2.64 (m, 2H). 5-HT3 Receptor Antagonist Activity
Compounds are evaluated for antagonism of the von
Bezold-Jarisch reflex evoked by 5-HT in the anaesthetised rat according to the following method:
Male rats 250-350g, are anaesthetised with urethane
(1.25g/kg intraperitoneally) and blood pressure and heart rate are recorded as described by Fozard J.R. et al., J. Cardiovasc. Pharmacol. 2, 229-245 (1980). A submaximal dose of 5-HT (usually 6μg/kg) is given repeatedly by the
intravenous route and changes in heart rate quantified.
Compounds are given intravenously and the concentration required to reduce the 5-HT-evoked response to 50% of the control response (ED50) is then determined.

Claims

Claims
1. A compound of formula (I) or a pharmaceutically acceptable salt thereof:
X-A-Z (I) wherein Z is of structure (a) or (b) :
Figure imgf000024_0001
Figure imgf000024_0002
wherein
X is a phenyl group or a monocyclic 5 or 6 membered
heteroaryl group, either of which group is optionally fused to a saturated or unsaturated 5-7 membered carbocyclic or heterocyclic ring;
A is a linking moiety; and
R is hydrogen or methyl;
having 5-HT3 receptor antagonist activity.
2. A compound according to claim 1 wherein A is CONH, COO, NHCONH, CONHCONH or a group of structure (j):
Figure imgf000025_0001
wherein the dotted circle represents two double bonds in any position in the 5 membered ring; two of G, H and I are selected from oxygen, sulphur, nitrogen and carbon and the other is oxygen, sulphur or nitrogen; and E is a bond or C1-5 alkylene optionally substituted by phenyl or hydroxy.
3. A compound according to claim 1, of formula (IA), or a pharmaceutically acceptable salt thereof:
X1-CO-Y-
(IA) wherein
Y is NH or O (or is joined to R10 as defined below);
X1 is a group of formula (a), (b), (c), (d), (e), (f), (g) or (h):
Figure imgf000026_0001
Figure imgf000026_0002
Figure imgf000026_0003
Figure imgf000026_0004
Figure imgf000027_0001
Figure imgf000027_0002
Figure imgf000027_0003
Figure imgf000027_0004
wherein
Ra to Re and Rg to Rh are selected from hydrogen, halogen or hydroxy;
R1 is hydrogen and R2 is hydrogen or C1-4 alkyl; or
R1 and R2 together are a bond;
R3 to R7 are independently hydrogen or C1-6 alkyl; and
R4 together with R2 may be C2-7 polymethylene or C2-6
polymethylene interrupted by an -O- linkage when R1 is hydrogen;
R8 and R9 are independently selected from hydrogen or
C1-6 alkyl or R8 and R9 together are C2-6
polymethylene or C2-5 polymethylene interrupted by an -O- linkage;
either R10 is hydrogen, C1-6 alkoxy, C3-8 cycloalkyloxy or C3-8 cycloalkyl C1-4 alkyloxy; or R10 is joined to Y so that Y-R10 is N-B=N where B is N or CH; and
R11 is hydrogen, halo, C1- 6 alkoxy or C1 - 6 alkyl; or
R10 and R11 are joined to form -OCH(R15R16)-E- wherein E is
(CH2)n, (CH2)pO NR17CO(CH2)m wherein n is 1 or 2, p is 0 or 1 and m is 0 or 1 and R15, R16 and R17 are independently selected from hydrogen or C1-6 alkyl; R12 is hydrogen, C1-6 alkoxy or; amino optionally
substituted by a C1 -6 alkyl group, or R12 is
alkanoylamino; and
R13 is halo, C1-6 alkyl, C1-6 alkoxy or C1-6 alkylthio;
R14 is hydrogen or C1-6 alkyl;
in formula (h):
CO-Y- is in the 1-position and either R15 is in the
3-position and is hydrogen, C1-6 alkyl or C1-6 alkoxy, or Ra is in the 4-position and is hydrogen, halogen, CF3' C1-6 alkyl, C1 -7 acyl, C1-7 acylamino, phenyl optionally substituted by one or two C1-6 alkyl, C1-6 alkoxy or halogen groups, or amino, aminocarbonyl or aminosulphonyl, optionally substituted by one or two C1-6 alkyl or C3-8 cycloalkyl groups or by C4-5 polymethylene or by phenyl, C1-6 alkylsulphonyl, C1-6 alkylsulphinyl, C1-6 alkoxy, C1-6 alkylthio, hydroxy or nitro; or
CO-Y- is in the 3-position and either R15 is in the
1-position and is hydrogen, C1-6 alkyl or C1- 6 alkoxy, or R15 is in the 4-position and is hydrogen or C1-6 alkoxy;
L is CH or N; and
Z and R are as defined in claim 1.
4. A compound according to claim 3 wherein X is of sub-formula (a), one of R1 and R3 is hydrogen and R2 and R4 are both C1-6 alkyl groups or are joined to form C2-7 polymethylene.
5. A compound according to claim 3 wherein X is of sub-formula (b), and R5 is hydrogen or a methyl or ethyl group.
6. A compound according to claim 3 wherein X is of sub-formula (d) and R7 is methyl.
7. A compound according to claim 3 wherein X is of sub-formula (f) wherein R10 is methoxy, R12 is amino and R13 is chloro or bromo.
8. A compound according to claim 3 wherein X is of sub-formula (g) wherein R14 is hydrogen or methyl.
9. (±) 4-Amino-5-chloro-2-methoxy-N-(8-methyl-8-aza-bicyclo[3.2.1]octan-6-yl) benzamide.
10. N- (6-Azatricyclo [4, 3, 1, 04,9]decan-8-yl)-1-methyl-indazole-3-carboxamide.
11. A pharmaceutically acceptable salt of a compound according to claim 9 or 10.
12. A compound according to claim 1, substantially as described herein with reference to any one of the Examples.
13. A process for the preparation of a compound according to claim 1 which process comprises linking together X and the azabicyclic side chain according to known methods.
14. 6-Amino-8-methyl-8-azabicyclo [3.2.1] octane.
15. 8-Amino-6-azatricyclo [4, 3, 1, 0 4, 9] decane.
16. A pharmaceutical composition comprising a compound according to any one of claims 1 to 12, and a
pharmaceutically acceptable carrier.
17. A pharmaceutical composition for use in the treatment of pain, emesis, CNS disorders or gastrointestinal disorders comprising an effective amount of a compound according to claim 1, and a pharmaceutically acceptable carrier.
18. A compound according to any one of claims 1 to 12, for use as an active therapeutic substance.
19. A compound according to any one of claims 1 to 12, for use in the treatment of pain, emesis, CNS disorders or gastrointestinal disorders.
20. Use of a compound according to any one of claims 1 to 12, in the manufacture of a medicament for the treatment of pain, emesis, CNS disorders or gastrointestinal disorders.
21. A method of treatment of pain, emesis, CNS disorders or gastrointestinal disorders in mammals, which comprises the administration of an effective amount of a compound according to claim 1.
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