WO2006024627A2 - N-2 adamantanyl-2-phenoxy-acetamide derivatives as 11-beta hydroxysteroid dehydrogenase inhibitors - Google Patents

N-2 adamantanyl-2-phenoxy-acetamide derivatives as 11-beta hydroxysteroid dehydrogenase inhibitors Download PDF

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WO2006024627A2
WO2006024627A2 PCT/EP2005/054197 EP2005054197W WO2006024627A2 WO 2006024627 A2 WO2006024627 A2 WO 2006024627A2 EP 2005054197 W EP2005054197 W EP 2005054197W WO 2006024627 A2 WO2006024627 A2 WO 2006024627A2
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Prior art keywords
alkyl
hydroxy
hydrogen
halo
dec
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PCT/EP2005/054197
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French (fr)
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WO2006024627A3 (en
WO2006024627A9 (en
Inventor
Libuse Jaroskova
Joannes Theodorus Maria Linders
Louis Jozef Elisabeth Van Der Veken
Gustaaf Henri Maria Willemsens
François Paul BISCHOFF
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Janssen Pharmaceutica N.V.
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Priority to AT05782678T priority Critical patent/ATE452631T1/en
Priority to EA200700519A priority patent/EA012263B1/en
Priority to EP05782678A priority patent/EP1796657B1/en
Priority to KR1020077006712A priority patent/KR101197674B1/en
Priority to BRPI0515121-0A priority patent/BRPI0515121A/en
Priority to CA2576839A priority patent/CA2576839C/en
Priority to DE602005018509T priority patent/DE602005018509D1/en
Application filed by Janssen Pharmaceutica N.V. filed Critical Janssen Pharmaceutica N.V.
Priority to JP2007528861A priority patent/JP5208505B2/en
Priority to MX2007002449A priority patent/MX2007002449A/en
Priority to CN2005800331910A priority patent/CN101300005B/en
Priority to AU2005279208A priority patent/AU2005279208B2/en
Priority to US11/661,470 priority patent/US8344181B2/en
Priority to NZ553159A priority patent/NZ553159A/en
Publication of WO2006024627A2 publication Critical patent/WO2006024627A2/en
Priority to IL181582A priority patent/IL181582A/en
Priority to NO20071697A priority patent/NO20071697L/en
Publication of WO2006024627A3 publication Critical patent/WO2006024627A3/en
Publication of WO2006024627A9 publication Critical patent/WO2006024627A9/en
Priority to HK09102100.4A priority patent/HK1124528A1/en

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    • A61K31/165—Amides, e.g. hydroxamic acids having aromatic rings, e.g. colchicine, atenolol, progabide
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    • C07C311/01—Sulfonamides having sulfur atoms of sulfonamide groups bound to acyclic carbon atoms
    • C07C311/02—Sulfonamides having sulfur atoms of sulfonamide groups bound to acyclic carbon atoms of an acyclic saturated carbon skeleton
    • C07C311/07—Sulfonamides having sulfur atoms of sulfonamide groups bound to acyclic carbon atoms of an acyclic saturated carbon skeleton having the nitrogen atom of at least one of the sulfonamide groups bound to a carbon atom of a ring other than a six-membered aromatic ring
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    • C07C311/01—Sulfonamides having sulfur atoms of sulfonamide groups bound to acyclic carbon atoms
    • C07C311/02—Sulfonamides having sulfur atoms of sulfonamide groups bound to acyclic carbon atoms of an acyclic saturated carbon skeleton
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    • C07C311/15—Sulfonamides having sulfur atoms of sulfonamide groups bound to carbon atoms of six-membered aromatic rings
    • C07C311/20—Sulfonamides having sulfur atoms of sulfonamide groups bound to carbon atoms of six-membered aromatic rings having the nitrogen atom of at least one of the sulfonamide groups bound to a carbon atom of a ring other than a six-membered aromatic ring
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    • C07D207/18—Heterocyclic compounds containing five-membered rings not condensed with other rings, with one nitrogen atom as the only ring hetero atom with only hydrogen or carbon atoms directly attached to the ring nitrogen atom having one double bond between ring members or between a ring member and a non-ring member
    • C07D207/22—Heterocyclic compounds containing five-membered rings not condensed with other rings, with one nitrogen atom as the only ring hetero atom with only hydrogen or carbon atoms directly attached to the ring nitrogen atom having one double bond between ring members or between a ring member and a non-ring member with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
    • C07D207/24—Oxygen or sulfur atoms
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    • C07D263/08—Heterocyclic compounds containing 1,3-oxazole or hydrogenated 1,3-oxazole rings not condensed with other rings having one double bond between ring members or between a ring member and a non-ring member
    • C07D263/16—Heterocyclic compounds containing 1,3-oxazole or hydrogenated 1,3-oxazole rings not condensed with other rings having one double bond between ring members or between a ring member and a non-ring member with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
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    • C07D295/22—Heterocyclic compounds containing polymethylene-imine rings with at least five ring members, 3-azabicyclo [3.2.2] nonane, piperazine, morpholine or thiomorpholine rings, having only hydrogen atoms directly attached to the ring carbon atoms with hetero atoms directly attached to ring nitrogen atoms
    • C07D295/28—Nitrogen atoms
    • C07D295/32—Nitrogen atoms acylated with carboxylic or carbonic acids, or their nitrogen or sulfur analogues
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    • C07D307/77—Heterocyclic compounds containing five-membered rings having one oxygen atom as the only ring hetero atom ortho- or peri-condensed with carbocyclic rings or ring systems
    • C07D307/78—Benzo [b] furans; Hydrogenated benzo [b] furans
    • C07D307/82—Benzo [b] furans; Hydrogenated benzo [b] furans with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to carbon atoms of the hetero ring
    • C07D307/84—Carbon atoms having three bonds to hetero atoms with at the most one bond to halogen
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Definitions

  • the metabolic syndrome is a disease with increasing prevalence not only in the
  • Glucocorticoids and 1 l ⁇ -HSDl are known to be important factors in differentiation of adipose stromal cells into mature adipocytes.
  • 1 l ⁇ -HSDl mRNA level is increased compared with subcutaneous tissue.
  • adipose tissue over-expression of 1 l ⁇ -HSDl in transgenic mice is associated with increased corticosterone levels in the adipose tissue, visceral obesity, insulin sensitivity, Type 2 diabetes, hyperlipidemia and hyperphagia (H. Masuzaki et al (2001), Science, 294, 2166-2170). Therefore, 1 l ⁇ -HSDl is most likely be involved in the development of visceral obesity and the metabolic syndrome.
  • Glucocorticoids and glaucoma The impact of the effect of decreased 1 l ⁇ -HSDl activity is highlighted by the ⁇ -HSDl knockout mouse that has increased plasma levels of endogenous active glucocorticoid, but inspite of this remains protected from insulin resistance induced by stress and obesity. Additionally, these knockout mouse present an anti-atherogenic plasmid lipid profile and benefits from decreased age-related cognitive impairement. Glucocorticoids and glaucoma
  • Glucocorticoids increase the risk of glaucoma by raising the intraocular pressure when administered exogenously and in certain conditions of increased production like in Cushing's syndrome.
  • Corticosteroid- induced elevation of intra ocular pressure is caused by increased resistance to aqueous outflow due to glucocorticoid induced changes in the trabecular meshwork and its intracellular matrix.
  • Zhou et al. (Int J MoI Med (1998) 1, 339-346) also reported that corticosteroids increase the amounts of fibronectin as well as collagen type I and type IV in the trabecular meshwork of organ- cultured bovine anterior segments.
  • 1 l ⁇ -HSDl is expressed in the basal cells of the corneal epithelium and the non- pigmented epithelial cells.
  • Glucocorticoid receptor mRNA was only detected in the trabecular meshwork, whereas in the non-pigmented epithelial cells mRNA for the glucocorticoid-, mineralocorticoid receptor and 1 l ⁇ -HSDl was present.
  • Carbenoxolone administration to patients resulted in a significant decrease in intra-ocular pressure (S. Rauz et al. (2001), Invest. Ophtalmol. Vis. Science, 42, 2037-2042), suggesting a role for HSDl -inhibitors in treating glaucoma.
  • the underlying problem to be solved by the present invention was to identify potent 11 ⁇ -HSD inhibitors, with a high selectivity for 11 ⁇ -HSDl , and the use thereof in treating pathologies associated with excess Cortisol formation, i.e. disorders where a decreased level of active glucocorticoid is desirable, such as metabolic syndrome, type 2 diabetes, impaired glucose tolerance (IGT), impaired fasting glucose (IFG), dyslipidemia, hypertension, obesity, diabetes, obesity related cardiovascular diseases, arteriosclerosis, atherosclerosis, myopathy, osteoporosis, neurodegenerative and psychiatric disorders, stress related disorders and glaucoma.
  • the 2-adamantanylacetamides of formula (I) were found to be useful as a medicine, in particular in the manufacture of a medicament for the treatment of pathologies associated with excess Cortisol formation.
  • Salim S.S. et al. provides the synthesis of some new iV-(3-methyl-2-quinoxaloyl) amino alcohols and in particular discloses 2- Quinoxalinecarboxamide, 3-methyl-iV-tricyclo[3.3.1.1 3 ' 7 ]dec-2-yl-.
  • the 1,4-dioxides of said quinoxalines were shown to have antibacterial activity, where the parent quinoxalines were inactive as antibacterial agents.
  • PCT International patent application WO 01/23399 discloses N-2- adamantyl-2-phenoxy-acetamides as intermediates in the preparation of nucleosides as adenosine receptors, antidiabetics, enzyme inhibitors and for the treatment of ischemia. See in particular scheme IV, p41, and the examples 70, 73, B32 and B35.
  • Figure 1 provides a comparison of the cellular 3T3-L1 activity (pIC50 values - see example C hereinbelow) of the bicyclic adamantyl acetamides disclosed in PCT International patent application WO 2004/056745 with the bicyclic ethers of the present application and the single ethers of the present application.
  • this invention concerns compounds of formula (I)
  • n 1, 2, 3, or 4;
  • Z represents O, S, NR 6 , SO or SO 2 ;
  • R 1 represent hydrogen, cyano, hydroxy, or Ci ⁇ alkyl optionally substituted with halo,
  • R 2 represents hydrogen, Ci ⁇ alkyl, or Ci ⁇ alkyloxy-
  • Ci- 4 alkyl represents hydrogen, halo, hydroxy, cyano, amino, NR 11 R 12 , optionally substituted with one or where possible two or three substituents selected from hydroxy and halo or
  • R 4 represents Ci ⁇ alkyl optionally substituted with one or where possible two or three substituents selected from hydroxy and halo;
  • R 6 represents hydrogen or C 1-6 alkyl
  • R 11 and R 12 each independently represent hydrogen
  • R 13 and R 14 each independently represent hydrogen, Ci ⁇ alkyl, C 1-6 alkyl-S ⁇ 2 -, mono- wherein said C 1-6 alkyl-S ⁇ 2 -, are each independently and optionally substituted with one, two or three substituents selected from halo,
  • R 15 and R 16 each independently represent hydrogen
  • R 17 and R 18 each independently represent hydrogen
  • R 19 and R 20 each independently represent hydrogen, optionally substituted with one or more substituents selected from halo or hydroxy
  • R 21 and R 22 each independently represent hydrogen, Ar 2 or Ci ⁇ alkyl optionally substituted with one or more substituents selected from halo or hydroxy
  • R 23 and R 24 each independently represent hydrogen, Het 4 or Ci- 4 alkyl optionally substituted with one or more substituents selected from halo or hydroxy
  • Het 1 represents pyrrolinyl, pyrrolidinyl, pyrrolyl, oxazolyl, isoxazolyl or a radical of formula
  • R 1 re -prese ⁇ nts hy ⁇ drog>en or Ci ⁇ alkyl and o is
  • Het 2 represents morpholinyl, piperidinyl, piperazinyl, thiomo ⁇ holinyl or pyrrolidinyl
  • Het 3 represents morpholinyl, piperidinyl, piperazinyl, thiomo ⁇ holinyl or pyrrolidinyl;
  • Het 4 represents piperidinyl, mo ⁇ holinyl, piperazinyl, thiomo ⁇ holinyl or pyrrolidinyl;
  • Ar 1 represents phenyl optionally substituted with Ci ⁇ alkyl
  • Ar 2 represents phenyl optionally substituted with Ci ⁇ alkyl, for use as a medicine, provided however that said compound of formula (I) is other than N-adamantyl- 2-yl-2-ortho-tolyloxy-acetamide.
  • the present invention provides the use of the aforementioned compounds in the manufacture of a medicament for treating pathologies associated with excess Cortisol formation such as for example, obesity, diabetes, obesity related cardiovascular diseases, dementia, cognition, osteoporosis and glaucoma.
  • R 1 , R 2 , R 3 , R 4 , R 13 , R 14 , R 15 , R 16 , R 17 , R 18 , Z and n are defined as hereinbefore and wherein R 5 represents represents halo, cyano, amino, phenyl, hydroxy, optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci ⁇ alkyloxy or NR 15 R 16 or R 5 represents Ci ⁇ alkyloxy optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci ⁇ alkyloxy or NR 17 R 18 , in particular R 5 represents halo, cyano, amino, phenyl, hydroxy, C 1- 4 alkyloxycarbonyl-, hydroxycarbonyl, NR 13 R 14 or Ci ⁇ alkyl substitute
  • halo is generic to fluoro, chloro, bromo and iodo
  • C 14 alkyl defines straight and branched chain saturated hydrocarbon radicals having from 1 to 4 carbon atoms such as, for example, methyl, ethyl, propyl, butyl, 1-methylethyl, 2-methylpropyl, 2,2-dimethylethyl and the like
  • C l 6 alkyl defines straight and branched chain saturated hydrocarbon radicals having from 1 to 6 carbon atoms such as the groups defined for and pentyl, hexyl, 2-methylbutyl and the like
  • Ci ⁇ alkyloxy defines straight or branched saturated hydrocarbon radicals having form 1 to 4 carbon atoms such as methoxy, ethoxy, propyloxy, butyloxy, 1-methylethyloxy, 2-methylpropyloxy and the like.
  • the pharmaceutically acceptable addition salts as mentioned hereinabove are meant to comprise the therapeutically active non-toxic acid addition salt forms, which the compounds of formula (I), are able to form.
  • the latter can conveniently be obtained by treating the base form with such appropriate acid.
  • Appropriate acids comprise, for example, inorganic acids such as hydrohalic acids, e.g. hydrochloric or hydrobromic acid; sulfuric; nitric; phosphoric and the like acids; or organic acids such as, for example, acetic, propanoic, hydroxyacetic, lactic, pyruvic, oxalic, malonic, succinic (i.e.
  • butanedioic acid maleic, fumaric, malic, tartaric, citric, methanesulfonic, ethanesulfonic, benzenesulfonic, /7-toluenesulfonic, cyclamic, salicylic, / ⁇ -aminosalicylic, pamoic and the like acids.
  • the pharmaceutically acceptable addition salts as mentioned hereinabove are meant to comprise the therapeutically active non-toxic base addition salt forms which the compounds of formula (I), are able to form.
  • base addition salt forms are, for example, the sodium, potassium, calcium salts, and also the salts with pharmaceutically acceptable amines such as, for example, ammonia, alkylamines, benzathine, JV-methyl-D-glucamine, hydrabamine, amino acids, e.g. arginine, lysine.
  • salt forms can be converted by treatment with an appropriate base or acid into the free acid or base form.
  • addition salt as used hereinabove also comprises the solvates which the compounds of formula (I), as well as the salts thereof, are able to form.
  • solvates are for example hydrates, alcoholates and the like.
  • stereochemically isomeric forms as used hereinbefore defines the possible different isomeric as well as conformational forms which the compounds of formula (I), may possess.
  • chemical designation of compounds denotes the mixture of all possible stereochemically and conformationally isomeric forms, said mixtures containing all diastereomers, enantiomers and/or conformers of the basic molecular structure.
  • All stereochemically isomeric forms of the compounds of formula (I), both in pure form or in admixture with each other are intended to be embraced within the scope of the present invention.
  • iV-oxide forms of the compounds of formula (I) are meant to comprise those compounds of formula (I) wherein one or several nitrogen atoms are oxidized to the so-called iV-oxide.
  • a particular group of compounds are those compounds of formula (I) wherein one or more of the following restrictions apply; (i) n is 1, 2, 3, or 4; (ii) Z represents O, S, NR 6 , SO or SO 2 ; (iii) R 1 represent hydrogen, cyano, hydroxy, or Ci ⁇ alkyl optionally substituted with halo,
  • R 2 represents hydrogen, Ci ⁇ alkyl, or Ci ⁇ alkyloxy-;
  • R 4 represents hydrogen, halo, hydroxy, cyano, amino, NR 11 R 12 ,
  • Ci ⁇ alkyloxy- optionally substituted with one or where possible two or three substituents selected from hydroxy and halo or R 4 represents Ci ⁇ alkyl optionally substituted with one or where possible two or three substituents selected from hydroxy and halo;
  • R 5 represents hydrogen, halo, cyano, amino, phenyl, hydroxy, substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci ⁇ alkyloxy or NR 15 R 16 ; in particular R 5 represents halo, cyano, amino, phenyl, hydroxy, hydroxycarbonyl, NR 13 R 14 or Ci ⁇ alkyl substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci ⁇ alkyloxy or NR 15 R 16 ;
  • R 6 represents hydrogen;
  • R 11 and R 12 each independently represent hydrogen, Ci ⁇ alkyl or
  • a first group of compounds consists of those compounds of formula (I) wherein one or more of the following restrictions apply : n is 1, 2, 3, or 4;
  • Z represents O, S, NR 6 , SO or SO 2 ;
  • R 1 represent hydrogen, cyano, hydroxy, or
  • Ci-4alkyl optionally substituted with halo
  • R 2 represents hydrogen, Ci ⁇ alkyl, or Ci ⁇ alkyloxy-
  • R 7 , R 8 , R 9 and R 10 are each independently selected from hydrogen or Ci- 4 alkyl;
  • R 4 represents hydrogen, halo, hydroxy, cyano, amino, NR 11 R 12 , Ci ⁇ alkyloxy- optionally substituted with one or where possible two or three substituents selected from hydroxy and halo or R 4 represents Ci ⁇ alkyl optionally substituted with one or where possible two or three substituents selected from hydroxy and halo;
  • R 5 represents hydrogen, halo, cyano, amino, phenyl, hydroxy, hydroxycarbonyl, NR 13 R 14 or Ci ⁇ alkyl optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci ⁇ alkyloxy or NR 15 R 16 or
  • R 5 represents Ci ⁇ alkyloxy optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci ⁇ alkyloxy or NR 17 R 18 ; in particular R 5 represents halo, cyano, amino, phenyl, hydroxy, hydroxycarbonyl, NR 13 R 14 or Ci ⁇ alkyl optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci ⁇ alkyloxy or NR 15 R 16 or
  • R 5 represents Ci ⁇ alkyloxy optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci ⁇ alkyloxy or NR 17 R 18
  • R 6 represents hydrogen or Ci ⁇ alkyl
  • R 11 and R 12 each independently represent hydrogen
  • R 13 and R 14 each independently represent hydrogen
  • R 15 and R 16 each independently represent hydrogen, Ci ⁇ alkyl or Ci ⁇ alkylcarbonyl-;
  • R 17 and R 18 each independently represent hydrogen, for use as a medicine, provided however that said compound is other than N- adamantyl-2-yl-2-ortho-tolyloxy-acetamide.
  • a second group of compounds consists of those compounds of formula (I) wherein one or more of the following restrictions apply : (i) n is 1, 2, 3, or 4;
  • Z represents O, S, NR 6 , SO or SO 2 ;
  • R 1 represent hydrogen, cyano, hydroxy, or
  • Ci ⁇ alkyl optionally substituted with halo
  • R 2 represents hydrogen, Ci ⁇ alkyl, or Ci ⁇ alkyloxy-
  • R 4 represents hydrogen, halo, hydroxy, cyano, amino, NR 11 R 12 , optionally substituted with one or where possible two or three substituents selected from hydroxy and halo or R 4 represents Ci ⁇ alkyl optionally substituted with one or where possible two or three substituents selected from hydroxy and halo;
  • R 11 and R 12 each independently represent hydrogen, Ci ⁇ alkyl, Ci ⁇ alkyloxy- carbonyl or or
  • R 13 and R 14 each independently represent hydrogen, Ci ⁇ alkyl, C 1-6 alkyl-SO 2 -, mono- or di(C 1-4 alkyl)amino-SO 2 -, Ar ! -SO 2 , wherein said C 1-6 alkyl-SO 2 -, or are each independently and optionally substituted with one, two or three substituents selected from halo,
  • R 15 and R 16 each independently represent hydrogen, Ci ⁇ alkyl, Ci ⁇ alkyl- oxycarbonyl or or (xiii) R 17 and R 18 each independently represent hydrogen, Ci ⁇ alkyl, Ci ⁇ alkyloxy- carbonyl or or (xiv) R 19 and R 20 each independently represent hydrogen, or
  • Ci-4alkyl optionally substituted with one or more substituents selected from halo or hydroxy; in particular optionally substituted with hydroxy;
  • R 21 and R 22 each independently represent hydrogen, Ar 2 or Ci ⁇ alkyl optionally substituted with one or more substituents selected from halo or hydroxy; in particular optionally substituted with hydroxy;
  • R 23 and R 24 each independently represent hydrogen, Het 4 or Ci-4alkyl optionally substituted with hydroxy;
  • Het 1 represents pyrrolinyl, pyrrolidinyl, pyrrolyl, oxazolyl, isoxazolyl or a radical of formula
  • R 1 represents hydrogen or Ci ⁇ alkyl and o is 1 or 2; in particular
  • Het 1 represents a radical of formula
  • R 1 represents hydrogen or Ci ⁇ alkyl and o is 1 or 2;
  • Het 2 represents morpholinyl, piperidinyl, piperazinyl, thiomorpholinyl or pyrrolidinyl; in particular Het 2 represents morpholinyl;
  • Het 3 represents morpholinyl, piperidinyl, piperazinyl, thiomorpholinyl or pyrrolidinyl; in particular Het 3 represents morpholinyl;
  • Het 4 represents piperidinyl, morpholinyl, piperazinyl, thiomorpholinyl or pyrrolidinyl; in particular Het 4 represents piperidinyl;
  • Ar 1 represents phenyl optionally substituted with Ci ⁇ alkyl
  • Ar 2 represents phenyl optionally substituted with Ci ⁇ alkyl.
  • a third group of compounds consists of those compounds of formula (I) wherein one or more of the following restrictions apply :
  • n is 1, 2, 3, or 4;
  • Z represents O, S, NR 6 , SO or SO 2 ;
  • R 1 represent hydrogen, cyano, hydroxy, or
  • Ci-4alkyl optionally substituted with halo
  • R 2 represents hydrogen, Ci ⁇ alkyl, or Ci ⁇ alkyloxy-;
  • R 3 represents hydrogen, Ci ⁇ alkyl, Ci ⁇ alkyloxy- or R 3 combined with R 2 form together a divalent radical selected from the group consisting of
  • R 4 represents hydrogen, halo, hydroxy, cyano, amino, NR 11 R 12 , Ci ⁇ alkyloxy- optionally substituted with one or where possible two or three substituents selected from hydroxy and halo or R 4 represents Ci ⁇ alkyl optionally substituted with one or where possible two or three substituents selected from hydroxy and halo;
  • R 5 represents halo, cyano, amino, phenyl, hydroxy, hydroxycarbonyl, NR 13 R 14 or Ci ⁇ alkyl optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci ⁇ alkyloxy or NR 15 R 16 or R 5 represents Ci ⁇ alkyloxy optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci ⁇ alkyloxy or NR 17 R 18 ;
  • R 6 represents hydrogen or Ci ⁇ alkyl
  • R 11 and R 12 each independently represent hydrogen, Ci ⁇ alkyl or
  • R 13 and R 14 each independently represent hydrogen, Ci ⁇ alkyl or
  • R 15 and R 16 each independently represent hydrogen, Ci ⁇ alkyl or
  • R 17 and R 18 each independently represent hydrogen, Ci ⁇ alkyl or C i galley lcarbony 1- .
  • R 5 represents hydrogen , halo, amino, phenyl, hydroxy, hydroxycarbonyl, Het 1 ,
  • Ci ⁇ alkyloxy optionally substituted with one or more substituents selected from NR 17 R 18 or R 5 represents -0(O)-C 1 ⁇ aIkVl substituted with halo or Het 3 ;
  • R 11 and R 12 each independently represent hydrogen, Ci ⁇ alkyl or
  • R 13 and R 14 each independently represent hydrogen, Ci ⁇ alkyl, C 1-6 alkyl-S ⁇ 2-, carbonyl-, wherein said
  • C 1-6 alkyl-S ⁇ 2- are each independently and optionally substituted with one, two or three substituents selected from halo, NR 19 R 20 and Het 2 ;
  • R 17 and R 18 each independently represent Ci ⁇ alkyl;
  • R 19 and R 20 each independently represent hydrogen or Ci ⁇ alkyl optionally substituted with hydroxy;
  • R 21 and R 22 each independently represent hydrogen or Ar 2 ;
  • R 23 and R 24 each independently represent hydrogen or Het 4 ;
  • R 1 represents hydrogen or Ci ⁇ alkyl and o is 1 or 2;
  • Het 2 represents morpholinyl;
  • Het 3 represents morpholinyl;
  • Het 4 represents piperidinyl;
  • Ar 1 and Ar 2 each independently represent phenyl optionally substituted with Ci- 4 alkyl, for use as a medicine, provided however that said compound of formula (I) is other then N-adamantyl-2-yl-2-ortho-tolyloxy-acetamide.
  • n 1, 2, 3, or 4;
  • Z represents O, S or SO 2 ; in particular O;
  • R 1 represents hydrogen or Ci ⁇ alkyl;
  • R 2 represents hydrogen or Ci ⁇ alkyl;
  • R 4 represents hydrogen, hydroxy, amino, -NR 11 R 12 , Ci ⁇ alkyloxy- or
  • Ci ⁇ alkyl optionally substituted with one or where possible two or three halo substituents
  • R 5 represents hydrogen or hydroxy; in particular hydroxy;
  • R 11 and R 12 each independently represent hydrogen, Ci ⁇ alkyl or
  • n 1, 2, 3, or 4;
  • R 1 represents a hydrogen
  • R 3 combined with R 2 form together a divalent radical selected from the group consisting of
  • R 7 , R 8 , R 9 and R 10 are each independently selected from hydrogen or Ci ⁇ alkyl;
  • R 4 represents hydrogen, halo, hydroxy, Ci ⁇ alkyloxy-, or Ci ⁇ alkyl; in particular R 4 represents methyl, ethyl, methoxy, fluor, chloro or bromo;
  • R 5 represents halo, cyano, amino, phenyl, hydroxy, Ci ⁇ alkyloxy- carbonyl-, hydroxycarbonyl, NR 13 R 14 or Ci ⁇ alkyl optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, C ⁇ alkyloxy or NR 15 R 16 or R 5 represents Ci ⁇ alkyloxy optionally substituted with one or more substituents selected from
  • Another group of interesting compounds consists of those compounds of formula (I) wherein one or more of the following restrictions apply: (i) n is 1 or 2;
  • R 1 represents a Ci ⁇ alkyl, in particular methyl
  • R 2 represents a Ci ⁇ alkyl, in particular methyl
  • R 3 represents hydrogen
  • R 4 represents hydrogen, halo, -NR 11 R 12 , Ci ⁇ alkyloxy-, or Ci ⁇ alkyl; in particular R 4 represents methyl, ethyl, methoxy, fluor, chloro or bromo;
  • R 5 represents hydrogen, halo, cyano, amino, phenyl, hydroxy, C 1- 4 alkyloxycarbonyl-, hydroxycarbonyl, NR 13 R 14 or Ci ⁇ alkyl optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci ⁇ alkyloxy or NR 15 R 16 or R 5 represents Ci ⁇ alkyloxy optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci ⁇ alkyloxy or NR 17 R 18 ; in particular R 5 represents hydrogen, halo, cyano, amino, phenyl, hydroxy, optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci ⁇ alkyloxy or
  • R 13 represents hydrogen or Ci ⁇ alkyl and R 14 represents SO2-; even more particular R 13 represents hydrogen or methyl and R 14 represents methyl, methyl-SCV, ethyl-SCV or mono- or di(methyl)amino-S ⁇ 2-
  • R 17 and R 18 each independently represent hydrogen or Ci ⁇ alkyl; in particular R 17 and R 18 represent methyl;
  • R 19 and R 20 each independently represent hydrogen or Ci ⁇ alkyl optionally substituted with hydroxy; in particular R 19 and R 20 each independently represent hydrogen, methyl or hydroxyethyl;
  • R 21 and R 22 each independently represent hydrogen or Ar 2 ; in particular
  • R 21 and R 22 each independently represent hydrogen or methylphenyl;
  • R 23 and R 24 each independently represent hydrogen or Het 4 ; in particular
  • R 23 and R 24 each independently represent hydrogen or piperidinyl; ( ⁇ i ⁇ ) Het 2 represents morpholinyl;
  • Het 3 represents morpholinyl
  • Het 4 represents piperidinyl
  • Ar 1 represents phenyl substituted with Ci ⁇ alkyl
  • Ar 2 represents phenyl substituted with Ci ⁇ alkyl
  • n 1, 2, 3, or 4;
  • R 1 represent hydrogen, cyano, hydroxy, or
  • R 7 , R 8 , R 9 and R 10 are each independently selected from hydrogen or Ci- 4 alkyl;
  • R 4 represents hydrogen, halo, hydroxy, cyano, amino, NR 11 R 12 , optionally substituted with one or where possible two or three substituents selected from hydroxy and halo or
  • R 4 represents Ci ⁇ alkyl optionally substituted with one or where possible two or three substituents selected from hydroxy and halo;
  • R 5 represents hydrogen, halo, cyano, amino, phenyl, hydroxy,
  • R 6 represents hydrogen or Ci ⁇ alkyl
  • R 11 and R 12 each independently represent hydrogen
  • R 13 and R 14 each independently represent hydrogen, Ci ⁇ alkyl, C 1-6 alkyl-S ⁇ 2 -, mono-
  • oxycarbonyl or are each independently and optionally substituted with one, two or three substituents selected from halo, C ⁇ alkyloxycarbonyl, NR 19 R 20 and Het 2 ;
  • R 15 and R 16 each independently represent hydrogen, or or Ci ⁇ alkylcarbonyl-;
  • R 17 and R 18 each independently represent hydrogen, or
  • R 19 and R 20 each independently represent hydrogen, optionally substituted with one or more substituents selected from halo or hydroxy; in particular optionally substituted with hydroxy;
  • R 21 and R 22 each independently represent hydrogen, Ar 2 or Ci ⁇ alkyl optionally substituted with one or more substituents selected from halo or hydroxy; in particular optionally substituted with hydroxy;
  • R 23 and R 24 each independently represent hydrogen, Het 4 or Ci-4alkyl optionally substituted with hydroxy
  • Het 1 represents pyrrolinyl, pyrrolidinyl, pyrrolyl, oxazolyl, isoxazolyl or a radical of formula
  • R 1 represents hydrogen or Ci ⁇ alkyl and o is 1 or 2; in particular Het 1 represents a radical of formula
  • R 1 represents hydrogen or Ci ⁇ alkyl and o is 1 or 2;
  • Het 2 represents morpholinyl, piperidinyl, piperazinyl, thiomorpholinyl or pyrrolidinyl; in particular Het 2 represents morpholinyl;
  • Het 3 represents morpholinyl, piperidinyl, piperazinyl, thiomorpholinyl or pyrrolidinyl; in particular Het 3 represents morpholinyl;
  • Het 4 represents piperidinyl, morpholinyl, piperazinyl, thiomorpholinyl or pyrrolidinyl; in particular Het 4 represents piperidinyl;
  • Ar 1 represents phenyl optionally substituted with Ci ⁇ alkyl; and
  • Ar 2 represents phenyl optionally substituted with Ci ⁇ alkyl; provided however that said compound of formula (I 1 ) is other than
  • R 1 represent hydrogen, cyano, hydroxy, or Ci- 4 alkyl optionally substituted with halo,
  • R 2 represents hydrogen, Ci ⁇ alkyl, or Ci ⁇ alkyloxy-;
  • R 4 represents hydrogen, halo, hydroxy, cyano, amino, NR 11 R 12 , Ci ⁇ alkyloxy- optionally substituted with one or where possible two or three substituents selected from hydroxy and halo or R 4 represents Ci ⁇ alkyl optionally substituted with one or where possible two or three substituents selected from hydroxy and halo;
  • R 5 represents hydrogen, halo, cyano, amino, phenyl, hydroxy, hydroxycarbonyl, NR 13 R 14 or Ci ⁇ alkyl optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci ⁇ alkyloxy or NR 15 R 16 or R 5 represents Ci ⁇ alkyloxy optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci ⁇ alkyloxy or NR 17 R 18 ; in particular R 5 represents halo, cyano, amino, phenyl, hydroxy, hydroxycarbonyl, NR 13 R 14 or Ci ⁇ alkyl optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci ⁇ alkyloxy or NR 15 R 16 or R 5 represents Ci ⁇ alkyloxy optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci ⁇ alkyloxy or NR 17 R 18
  • R 6 represents hydrogen or Ci ⁇ alkyl
  • R 11 and R 12 each independently represent hydrogen
  • R 13 and R 14 each independently represent hydrogen
  • R 15 and R 16 each independently represent hydrogen
  • R 17 and R 18 each independently represent hydrogen, provided however that when R 5 represents hydrogen in said compound of formula (I 1 ) then R 1 and R 2 represent Ci ⁇ alkyl.
  • a particularly preferred group of compounds are those compounds of formula (I) wherein one or more of the following restrictions apply;
  • n is 1, 2 or 3; in particular n is 1
  • Z represents O, S, NR 6 , SO or SO 2 ; in particular Z represents O;
  • R 1 represents hydrogen or Ci ⁇ alkyl; in particular R 1 represents Ci ⁇ alkyl; even more particular methyl;
  • R 2 represents hydrogen or Ci ⁇ alkyl; in particular R 2 represents Ci ⁇ alkyl; even more particular methyl;
  • R 4 represents hydrogen, halo, NR 11 R 12 , hydroxycarbonyl, Ci ⁇ alkyloxy- or C 1- 4 alkyl optionally substituted with one or where possible two or three halo substituents; in particular R 4 represents Cl, F, Br, dimethylamino, methylcarbonylamine, methoxy, methyl or trifluoromethyl;
  • R 5 represents hydrogen, amino, hydroxy, Het 1 or NR 13 R 14 ; in particular R 5 represents amino, hydroxy, methylsulfonylamine, ethylsulfonylamine, dimethylaminesulfonylamine, hydroxycarbonyl, 3-methyl-2-oxo- pyrrolidinyl or 2-oxo-oxazolidinyl;
  • R 11 represents hydrogen or Ci ⁇ alkyl; in particular R 11 represents hydrogen or methyl;
  • R 13 represents hydrogen or Ci ⁇ alkyl; in particular R 13 represents hydrogen or methyl;
  • R 14 represents (x ⁇ ) Het 1 a radical of formula
  • the compounds of formula (I) are selected from the group consisting of;
  • the compounds of formula (I) are selected from the group consisting of;
  • the present invention provides any of the aforementioned group of compounds for use as a medicine.
  • the present invention provides the use of any of the aforementioned group of compounds in the manufacture of a medicament for treating pathologies associated with excess Cortisol formation such as obesity, diabetes, obesity related cardiovascular diseases, stress and glaucoma.
  • PCT International patent application WO 2004/089416 provides the benefits of a combination therapy comprising the administration of a 1 l ⁇ -HSDl inhibitor and an antihypertensive agent in the treatment of e.g.insulin resistance, dyslipidemia, obesity and hypertension, in particular in the treatment of hypertension.
  • an antihypertensive agent such as for example alprenolol, atenolol, timolol, pindolol, propranolol, metoprolol, bisoprololfumerate, esmolol, acebutelol, acebutolol, betaxolol, celiprolol, nebivolol, tertatolol, oxprenolol, amusolalul, carvedilol, labetalol, S-atenolol, OPC- 1085, quinapril, lisinopril, enalapril, captopril, benazepril, perindopril, trandolapril, fosinopril, ramipril, cilazapril,
  • an antihypertensive agent such as for example alprenolol, atenol
  • PCT International application WO 2004/089415 provides the benefits of a combination therapy comprising the administration of a 1 l ⁇ -HSDl inhibitor and a glucocorticoid receptor agonist for the reduction of undesirable side effects occurring during glucocorticoid receptor agonist therapy and for treating some forms of cancer, diseases and disorders having inflammation as a component.
  • Examples for the indications wherein a combination of a 1 l ⁇ -HSDl compound of the present invention with a glucocorticoid receptor agonists may be beneficial are: Cushing's disease, Cushing's syndrome, asthma, atopic dermatitis, cystic fibrosis, emphysema, bronchitis, hypersensitivity, pneumonitis, eosinophilic pneumonias, pulmonary fibrosis, Crohn's disease, Ulcerative colitis, reactive arthritis, rheumatoid arthritis, Sjogren's syndrome, systemic lupus erythematosus, lupus nephritis, Henoch- Schnlein purpura, Wegener's granulomatosis, temporal arteritis, systemic sclerosis, vasculitis, sarcoidosis, dermatomyositis-polymyositis, pemphigus vulgaris, hyperthyroidism, hypoald
  • the glucocorticoid receptor agonist is, for example, selected from the group consisting of: betametasone, dexamethasone, hydrocortisone, methylprednisolone, prednisolone, prednisone, beclomethasone, butixicort, clobetasol, flunisolide, flucatisone (and analogues), momethasone, triamcinolonacetonide, triamcinolonhexacetonide GW-685698, NXC-1015, NXC-1020, NXC-1021, NS-126, P-4112, P-4114, RU-24858 and T-25 series.
  • the iV-2-adamantyl-2-phenoxy-acetamide derivatives of the present invention are generally prepared by treatment of the appropriate alkylhalide (II) with the alcohol of formula (III) under art known conditions (Scheme 1).
  • This reaction is usually performed by mixing the halide and phenol directly with solid KOH in Me 2 SO or with HgO and HBF 4 in CH 2 Cl 2 .
  • the reactive aroxide is obtained directly in the reaction mixture by mixing the halide and phenol in an appropriate solvent such as dioxane, in the presence of sodium hydride.
  • the reaction temperature and the reaction time may be altered depending on the starting material or reagents but is usually performed overnight at at a temperature in the range of 60°C - 120°C, typically 90°C.
  • R 1 , R 2 , R 3 , R 4 , R 5 are defeined as for the compounds of formula (I) hereinbefore and wherein X represents a halo atom, in particular, chloro or bromo.
  • the appropriate alkylhalide of formula (II) hereinbefore is generally prepared by condensation of 2-adamantyl-amine (IV) with the appropriate carboxylic acid (V) in the presence of a coupling reagent, such as for example N,iV-dicyclohexylcarbodiimide (DCC), iV,iV-carbonyldiimidazole (CDI), POCl 3 , TiCl 4 , sulfur chloride fluoride (SO2CIF) or l-(3-dimethylaminopropyl)-3-ethylcarbodiimide (EDCI) either in the presence or absence of hydroxybenzotriazole (HOBt) (Scheme 2).
  • the reaction is typically performed by stirring the reaction mixture for a couple of hours (2 - 8 hours) at room temperature.
  • those compounds wherein Z represents S, SO, SO 2 or NR 6 are prepared by reaction of the alkyl halide of formula (II) with the corresponding benzothiol, benzamine or benzene sulfinic acid ion using art known procedures, such as for example described in "Advanced Organic Chemistry” Jerry March - John Wiley & Sons, Inc. - third edition - New York - Section 0.38 - page 360-361; Section 0.42 - page 363 and Section 0.45 - page 364-365 respectively.
  • the bicyclic adamantyl-amide derivatives of formula (I") can be prepared by any of several standard synthetic processes commonly used by those skilled in the art of organic chemistry and described for instance in; "Introduction to organic chemistry” Streitweiser and Heathcock - Macmillan Publishing Co., Inc. - second edition - New York - Section 24.7 (partA) p.753-756.
  • the amides can be prepared through a base-catalyzed nucleophilic addition between the appropriate carboxylic acid (VI) with the amino-adamantyl derivatives of formula (VII) (scheme 3) or via a nucleophilic substitution reaction wherein the appropriate amine reacts with either the corresponding acyl halide (scheme 4), anhydride or ester, to yield the required amide.
  • Standard coupling reagents such as iV,iV-dicyclohexylcarbodiimide (DCC), iV,iV-carbonyl- diimidazole (CDI), POCl 3 , TiCl 4 , sulfur chloride fluoride (SO 2 ClF) or l-(3- dimethylaminopropyl)-3-ethylcarbodiimide (EDCI) are used in the presence or absence of hydroxybenzotrialzole (HOBt).
  • DCC iV,iV-dicyclohexylcarbodiimide
  • CDI iV,iV-carbonyl- diimidazole
  • POCl 3 TiCl 4
  • sulfur chloride fluoride SO 2 ClF
  • EDCI l-(3- dimethylaminopropyl)-3-ethylcarbodiimide
  • carboxylic acids are converted into the corresponding halides by reaction with, for example, thionyl chloride or oxalyl chloride. Subsequently said acyl halide (VIII) is added to the amino-adamantyl derivatives of formula (VII) to yield the amide of formula (I") using art known reaction procedures such as the Schotten-Baumann method.
  • the carboxylic acids of formula (VI) are readily available, for example commercially from Aldrich Chemicals, or when they are not commercially available, they may be readily prepared from available precursors using straightforward transformations that are well known to the person skilled in the art of organic chemistry.
  • the bicyclic carboxylic acids of formula (VI) are prepared by coupling of aromatic 1,2-di- hydroxy or 1,2-amino-hydroxy-benzo-derivatives of formula (IX) with 2,3-dibromo- ethyl-propionate in boiling acetone. Subsequently, an acidic or basic hydrolysis of the thus obtained esters (X) yields the bicyclic carboxylic acid intermediates of formula
  • R refers to Ci ⁇ alkyl optionally substituted with one or more amino, hydroxy, Het 3 or halo substituents, wherein Het 3 is defined as for the compounds of formula (I) hereinbefore;
  • R 25 , R 26 and R 27 each independently represent hydrogen, halo, or Ci ⁇ alkyl wherein said Ci ⁇ alkyl is optionally substituted with one, two or three substituents selected from halo, NR 19 R 20 and Het 2 , wherein R 19 , R 20 and Het 2 are defined as for the compounds of formula (I) hereinbefore;
  • R 28 and R 29 each independently represent hydrogen or Ci ⁇ alkyl
  • R 30 represents hydrogen or Ci ⁇ alkyl wherein said Ci ⁇ alkyl is optionally substituted with one, two or three substituents selected from halo, C ⁇ alkyloxycarbonyl, NR 19 R 20 and Het 2 , wherein R 19 , R 20 and Het 2 are defined as for the compounds of formula (I) hereinbefore;
  • R 31 represents C 1-6 alkyl wherein said C 1-6 alkyl is optionally substituted with one, two or three substituents selected from halo, C ⁇ alkyloxycarbonyl, NR 19 R 20 and Het 2 , wherein R 19 , R 20 and Het 2 are defined as for the compounds of formula (I) hereinbefore; and - Z, R 1 , R 2 , R 3 , R 4 , R 13 , R 14 , n, o, and R 1 are defined as for the compounds of formula (I) hereinbefore.
  • Functional groups which it is desirable to protect include hydroxy, amino and carboxylic acid.
  • Suitable protecting groups for hydroxy include trialkylsilyl groups (e.g. tert-butyldimethylsilyl, tert-butyldiphenylsilyl or trimethylsilyl), benzyl and tetrahydropyranyl.
  • Suitable protecting groups for amino include tert-butvloxvcarbonvl or benzyloxycarbonyl.
  • Suitable protecting groups for carboxylic acid include C (1-6) alkyl or benzyl esters.
  • the protection and deprotection of functional groups may take place before or after a reaction step.
  • N-atoms in compounds of formula (I) can be methylated by art- known methods using CH 3 -I in a suitable solvent such as, for example 2-propanone, tetrahydr outran or dimethylformamide.
  • the compounds of formula (I), may also be converted to the corresponding JV-oxide forms following art-known procedures for converting a trivalent nitrogen into its iV-oxide form.
  • Said iV-oxidation reaction may generally be carried out by reacting the starting material of formula (I) with 3-phenyl-2-(phenylsulfonyl)oxaziridine or with an appropriate organic or inorganic peroxide.
  • Appropriate inorganic peroxides comprise, for example, hydrogen peroxide, alkali metal or earth alkaline metal peroxides, e.g.
  • organic peroxides may comprise peroxy acids such as, for example, benzenecarboperoxoic acid or halo substituted benzenecarboperoxoic acid, e.g. 3-chlorobenzenecarboperoxoic acid, peroxoalkanoic acids, e.g. peroxoacetic acid, alkylhydroperoxides, e.g. t-butyl hydroperoxide.
  • Suitable solvents are, for example, water, lower alkanols, e.g. ethanol and the like, hydro- carbons, e.g. toluene, ketones, e.g. 2-butanone, halogenated hydrocarbons, e.g. dichloromethane, and mixtures of such solvents.
  • Diastereomers may be separated by physical methods such as selective crystallization and chromatographic techniques, e.g. counter-current distribution, liquid chromatography and the like.
  • Some of the compounds of formula (I), and some of the intermediates in the present invention may contain an asymmetric carbon atom.
  • Pure stereochemically isomeric forms of said compounds and said intermediates can be obtained by the application of art-known procedures.
  • diastereoisomers can be separated by physical methods such as selective crystallization or chromatographic techniques, e.g. counter current distribution, liquid chromatography and the like methods.
  • Enantiomers can be obtained from racemic mixtures by first converting said racemic mixtures with suitable resolving agents such as, for example, chiral acids, to mixtures of diastereomeric salts or compounds; then physically separating said mixtures of diastereomeric salts or compounds by, for example, selective crystallization or chromatographic techniques, e.g.
  • the compounds of the present invention are useful because they possess pharmacological properties. They can therefore be used as medicines, in particular to treat pathologies associated with excess Cortisol formation, i.e. disorders where a decreased level of active glucocorticoid is desirable, such as metabolic syndrome, type 2 diabetes, impaired glucose tolerance (IGT), impaired fasting glucose (IFG), dyslipidemia, hypertension, obesity, diabetes, obesity related cardiovascular diseases, arteriosclerosis, atherosclerosis, myopathy, osteoporosis, neurodegenerative and psychiatric disorders, stress related disorders and glaucoma.
  • pathologies such as for example, obesity, diabetes, type 2 diabetes, obesity related cardiovascular diseases, stress and glaucoma.
  • the inhibitory effect of the present compounds on the 1 l ⁇ -HSDl -reductase activity has been demonstrated in vitro, in an enzymatic assay using the recombinant 11 ⁇ - HSDl enzyme, by measuring the conversion of cortison into Cortisol using HPLC purification and quantification methods.
  • 11 ⁇ -HSDl -reductase inhibition was also demonstrated in vitro, in a cell based assay comprising contacting the cells, expressing 1 l ⁇ -HSDl with the compounds to be tested and assessing the effect of said compounds on the formation of Cortisol in the cellular medium of these cells.
  • the cells preferably used in an assay of the present invention are selected from the group consisting of mouse fibroblast 3T3-L1 cells, HepG2 cells, pig kidney cell, in particular LCC-PKl cells and rat hepatocytes. Accordingly, the present invention provides the compounds of formula (I) and their pharmaceutically acceptable iV-oxides, addition salts, quaternary amines and stereochemically isomeric forms for use in therapy. In particular to treat pathologies associated with excess Cortisol formation, i.e.
  • disorders where a decreased level of active glucocorticoid such as metabolic syndrome, type 2 diabetes, impaired glucose tolerance (IGT), impaired fasting glucose (IFG), dyslipidemia, hypertension, obesity, diabetes, obesity related cardiovascular diseases, arteriosclerosis, atherosclerosis, myopathy, osteoporosis, neurodegenerative and psychiatric disorders, stress related disorders and glaucoma.
  • ITT impaired glucose tolerance
  • IGF impaired fasting glucose
  • dyslipidemia hypertension
  • obesity diabetes, obesity related cardiovascular diseases, arteriosclerosis, atherosclerosis, myopathy, osteoporosis, neurodegenerative and psychiatric disorders, stress related disorders and glaucoma.
  • pathologies such as for example, obesity, diabetes, type 2 diabetes, obesity related cardiovascular diseases, stress and glaucoma.
  • pathologies associated with excess Cortisol formation such as obesity, diabetes, obesity related cardiovascular diseases and glaucoma.
  • a method for the treatment of an animal for example, a mammal including humans, suffering from a pathology associated with excess Cortisol formation, which comprises administering an effective amount of a compound according to the present invention.
  • Said method comprising the systemic or topical administration of an effective amount of a compound according to the invention, to warm-blooded animals, including humans.
  • a compound according to the present invention for use as a medicine.
  • the compound according to the present invention in the manufacture of a medicament for treating pathologies associated with excess Cortisol formation such as for example, metabolic syndrome, type 2 diabetes, impaired glucose tolerance (IGT), impaired fasting glucose (IFG), dyslipidemia, hypertension, obesity, diabetes, obesity related cardiovascular diseases, arteriosclerosis, atherosclerosis, myopathy, osteoporosis, neurodegenerative and psychiatric disorders, stress related disorders and glaucoma, in particular obesity, diabetes, obesity related cardiovascular diseases, stress and glaucoma.
  • ITT impaired glucose tolerance
  • IGF impaired fasting glucose
  • dyslipidemia hypertension
  • obesity diabetes, obesity related cardiovascular diseases, arteriosclerosis, atherosclerosis, myopathy, osteoporosis
  • neurodegenerative and psychiatric disorders stress related disorders and glaucoma
  • the amount of a compound according to the present invention, also referred to here as the active ingredient, which is required to achieve a therapeutical effect will be, of course, vary with the particular compound, the route of administration, the age and condition of the recipient, and the particular disorder or disease being treated.
  • a suitable daily dose would be from 0.001 mg/kg to 500 mg/kg body weight, in particular from 0.005 mg/kg to 100 mg/kg body weight.
  • a method of treatment may also include administering the active ingredient on a regimen of between one and four intakes per day.
  • the present invention further provides a pharmaceutical composition comprising a compound according to the present invention, together with a pharmaceutically acceptable carrier or diluent.
  • a pharmaceutically acceptable carrier or diluent must be "acceptable" in the sense of being compatible with the other ingredients of the composition and not deleterious to the recipients thereof.
  • compositions of this invention may be prepared by any methods well known in the art of pharmacy, for example, using methods such as those described in Gennaro et al. Remington's Pharmaceutical Sciences (18 th ed., Mack Publishing Company, 1990, see especially Part 8 : Pharmaceutical preparations and their
  • a therapeutically effective amount of the particular compound, in base form or addition salt form, as the active ingredient is combined in intimate admixture with a pharmaceutically acceptable carrier, which may take a wide variety of forms depending on the form of preparation desired for administration.
  • a pharmaceutically acceptable carrier which may take a wide variety of forms depending on the form of preparation desired for administration.
  • These pharmaceutical compositions are desirably in unitary dosage form suitable, preferably, for systemic administration such as oral, percutaneous, or parenteral administration; or topical administration such as via inhalation, a nose spray, eye drops or via a cream, gel, shampoo or the like.
  • any of the usual pharmaceutical media may be employed, such as, for example, water, glycols, oils, alcohols and the like in the case of oral liquid preparations such as suspensions, syrups, elixirs and solutions: or solid carriers such as starches, sugars, kaolin, lubricants, binders, disintegrating agents and the like in the case of powders, pills, capsules and tablets.
  • solid carriers such as starches, sugars, kaolin, lubricants, binders, disintegrating agents and the like in the case of powders, pills, capsules and tablets.
  • the carrier will usually comprise sterile water, at least in large part, though other ingredients, for example, to aid solubility, may be included.
  • Injectable solutions may be prepared in which the carrier comprises saline solution, glucose solution or a mixture of saline and glucose solution. Injectable suspensions may also be prepared in which case appropriate liquid carriers, suspending agents and the like may be employed.
  • the carrier optionally comprises a penetration enhancing agent and/or a suitable wettable agent, optionally combined with suitable additives of any nature in minor proportions, which additives do not cause any significant deleterious effects on the skin. Said additives may facilitate the administration to the skin and/or may be helpful for preparing the desired compositions.
  • These compositions may be administered in various ways, e.g., as a transdermal patch, as a spot-on or as an ointment.
  • compositions usually employed for topically administering drugs e.g. creams, gellies, dressings, shampoos, tinctures, pastes, ointments, salves, powders and the like.
  • Application of said compositions may be by aerosol, e.g. with a propellant such as nitrogen, carbon dioxide, a freon, or without a propellant such as a pump spray, drops, lotions, or a semisolid such as a thickened composition which can be applied by a swab.
  • a propellant such as nitrogen, carbon dioxide, a freon
  • a propellant such as a pump spray
  • drops lotions
  • a semisolid compositions such as salves, creams, gellies, ointments and the like will conveniently be used.
  • Dosage unit form as used in the specification and claims herein refers to physically discrete units suitable as unitary dosages, each unit containing a predetermined quantity of active ingredient calculated to produce the desired therapeutic effect in association with the required pharmaceutical carrier.
  • dosage unit forms are tablets (including scored or coated tablets), capsules, pills, powder packets, wafers, injectable solutions or suspensions, teaspoonfuls, tablespoonfuls and the like, and segregated multiples thereof.
  • DIPE diisopropylether
  • EtOAc ethyl acetate
  • DMF N,N-dimethylformamide
  • TEA iV,iV-diethylethanamine
  • DMAP N,N- dimethyl-4-pyridinamine
  • EDCI stands for l-(3-dimethylaminopropyl)- 3-ethylcarbodiimide
  • HBt stands for hydroxybenzotriazole
  • NMM stands for 4-methylmorpholine
  • DICDI stands for JV, JNT-diisopropyl-carbodiimide
  • DIPEA stands for JV, JV-diisopropylethylamine.
  • ExtrelutTM is a product of Merck KgaA (Darmstadt, Germany) and is a short column comprising diatomaceous earth. Supelco is a prepacked silicagel liquid chromatography column.
  • the chemical formula was used, e.g. CH2CI2 for dichloromethane, CH3OH for methanol, HCl for hydrochloric acid, H 2 SO 4 for sulfuric acid, and NaHC ⁇ 3 for sodium hydrogen carbonate.
  • the precipitate was purified by high-performance liquid chromatography (eluent: CH 2 C1 2 /CH 3 OH 100/0 to 98.4/1.6). The product fractions were collected and the solvent was evaporated. The residue was purified again by high-performance liquid chromatography (eluent: CH 2 C1 2 /CH 3 OH 100/0 to 98.4/1.6). The product fractions were collected and the solvent was evaporated, yielding 0.842 g (37%) of compound 40.
  • the residue was purified by column chromatography over silica gel (Biotage) (eluent: CT ⁇ Ck/hexane/EtOAc 50/48/2). Two product fraction groups were collected and their solvents were evaporated. The residue was purified by high- performance liquid chromatography. The product fractions were collected and the solvent was evaporated, yielding 0.4 g of compound 48 and 0.175 g of compound 52.
  • Table F-I lists the compounds that were prepared according to one of the above Examples. Table F-I
  • Table F-2 provides the 1 H NMR chemical shifts data for the compounds of the present invention using CDCl 3 as a solvent.
  • the HPLC gradient was supplied by a Waters Alliance HT 2790 system with a columnheater set at 40°C. Flow from the column was split to a Waters 996 photodiode array (PDA) detector and a Waters-Micromass ZQ mass spectrometer with an electrospray ionization source operated in positive and negative ionization mode.
  • PDA photodiode array
  • Reversed phase HPLC was carried out on a Xterra MS Cl 8 column (3.5 mm, 4.6 x 100 mm) with a flow rate of 1.6 ml/min.
  • Three mobile phases (mobile phase A 95% 25mM ammoniumacetate + 5% acetonitrile; mobile phase B: acetonitrile; mobile phase C: methanol) were employed to run a gradient condition from 100 % A to 50% B and 50% C in 6.5 minutes, to 100 % B in 1 minute, 100% B for 1 minute and reequilibrate with 100 % A for 1.5 minutes.
  • An injection volume of 10 uL was used.
  • Example Cl Cellular assays to test the effect of compounds on 11 ⁇ -hydroxysteroid dehydrogenase type 1 and type 2
  • Mouse fibroblast 3T3-L1 cells (ATCC-CL-173) were seeded at a density of 16500 cells/ml in 12 well plates and grown for 7 days in DMEM medium (supplemented with 10 % heat inactivated foetal calf serum, 2mM glutamine and 25 mg gentamycin) at 37°C in a humidified 5% CO 2 atmosphere. Medium was refreshed twice a week.
  • Fibroblasts were differentiated into adipocytes at 37°C in a 5% CO 2 humidified atmosphere in growth medium containing 2 ⁇ g/ml insulin, 55 ⁇ g/ml IBMX and 39.2 ⁇ g/ml dexamethasone.
  • hepatocytes from male rats were seeded on normal Falcon 12 well plates at a density of 250000 cells /well and incubated for 16 hours at 37°C in a 5% CO 2 humidified atmosphere in DMEM-HAM' s F12 medium containing 5% Nu-serum, 100 U/ml penicillin, 100 ⁇ g/ml streptomycin , 0.25 ⁇ g/ml amphotericin B, 50 ⁇ g/ml gentamycin sulfate, 5 ⁇ g/ml insulin and 392 ng/ml dexamethasone.
  • HepG2-cells (ATCC HB-8065) were seeded in 12 well plates at a density of 100,000 cells/ml and grown at 37°C in a humidified 5% CO 2 atmosphere in MEM-Rega-3 medium supplemented with 10% heat inactivated foetal calf serum, 2 mM L-glutamine and sodium bicarbonate). Medium was refreshed twice a week.
  • Pig kidney cells (LCC-PKl , ATCC CRL- 1392) were seeded at a density of 150,000 cells/ml in 12 well plates and grown at 37°C in a humidified 5% CO 2 atmosphere in Medium 199 supplemented with Earls modified salt solution, 100 U/ml penicillin, 100 ⁇ g/ml streptomycin and 10 % foetal calf serum. Medium was refreshed twice a week. Twenty four hours prior to the onset of the experiment, medium was changed by medium containing 10% charcoal stripped foetal calf serum.
  • compositions suitable for systemic or topical administration to animal and human subjects in accordance with the present invention.
  • Active ingredient as used throughout these examples relates to a compound of formula (I) or a pharmaceutically acceptable addition salt thereof.
  • Example D.I film-coated tablets Preparation oftaWet . core
  • a mixture of A.I. (100 g), lactose (570 g) and starch (200 g) was mixed well and thereafter humidified with a solution of sodium dodecyl sulfate (5 g) and polyvinyl ⁇ pyrrolidone (10 g) in about 200 ml of water.
  • the wet powder mixture was sieved, dried and sieved again.
  • microcrystalline cellulose (100 g) and hydrogenated vegetable oil (15 g) The whole was mixed well and compressed into tablets, giving 10.000 tablets, each comprising 10 mg of the active ingredient.

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Abstract

The N-oxide forms, the pharmaceutically acceptable addition salts and the stereochemically isomeric forms thereof, wherein n is 1, 2, 3, or 4; Z represents O, S, NR6, SO or SO2; R1 represent hydrogen, cyano, hydroxy, or C1-4alkyl optionally substituted with halo, R2 represents hydrogen, C1-4alkyl, or C1-4alkyloxy-; R3 represents hydrogen, C1-4alkyl, C1-4alkyloxy- or R3 combined with R2 form together a divalent radical selected from the group consisting of -O-CH2- (a), -NR7-CH2- (b), -(CR8R9)m- (c) and -CR10= (d) wherein m represents 1 or 2 and R7, R8, R9 and R10 are each independently selected from hydrogen or C1-4alkyl; R4 represents hydrogen, halo, hydroxy, cyano, amino, NR11R12, C1-4alkyloxy- optionally substituted with one or where possible two or three substituents selected from hydroxy and halo or R4 represents C1-4alkyl optionally substituted with one or where possible two or three substituents selected from hydroxy and halo; R5 represents hydrogen, halo, cyano, amino, phenyl, hydroxy, C1-4alkyloxycarbonyl, hydroxycarbonyl, NR13R14 or C1-4alkyl substituted with one or more substituents selected from hydroxycarbonyl, phenyl, C1-4alkyloxy or NR15R16; R6 represents hydrogen; R11 and R12 each independently represent hydrogen, C1-4 alkyl or C1-4 alkylcarbonyl-; R13 and R14 each independently represent hydrogen, C1-4 alkyl or C1-4 alkylcarbonyl-; R15 and R16 each independently represent hydrogen, C1-4 alkyl or C1-4 alkylcarbonyl-; R17 and R18 each independently represent hydrogen, C1-4 alkyl or C1-4 alkylcarbonyl-.

Description

N-2 ADAMANTANYL-2-PHENOXY- ACETAMIDE DERIVATIVES AS 11 -BETA HYDROXYSTEROID DEHYDROGENASE INHIBITORS
The metabolic syndrome is a disease with increasing prevalence not only in the
Western world but also in Asia and developing countries. It is characterised by obesity in particular central or visceral obesity, type 2 diabetes, hyperlipidemia, hypertension, arteriosclerosis, coronary heart diseases and eventually chronic renal failure (CT. Montague et al. (2000), Diabetes, 49, 883-888).
Glucocorticoids and 1 lβ-HSDl are known to be important factors in differentiation of adipose stromal cells into mature adipocytes. In the visceral stromal cells of obese patients, 1 lβ-HSDl mRNA level is increased compared with subcutaneous tissue. Further, adipose tissue over-expression of 1 lβ-HSDl in transgenic mice is associated with increased corticosterone levels in the adipose tissue, visceral obesity, insulin sensitivity, Type 2 diabetes, hyperlipidemia and hyperphagia (H. Masuzaki et al (2001), Science, 294, 2166-2170). Therefore, 1 lβ-HSDl is most likely be involved in the development of visceral obesity and the metabolic syndrome.
Inhibition of 1 lβ-HSDl results in a decrease in differentiation and an increase in proliferation of adipose stromal cells. Moreover, glucocorticoid deficiency (adrenalectomy) enhances the ability of insulin and leptin to promote anorexia and weight loss, and this effect is reversed by glucocorticoid administration (P.M. Stewart et al (2002), Trends Endocrin. Metabol, 13, 94-96). These data suggest that enhanced reactivation of cortisone by 1 lβ-HSDl may exacerbate obesity and it may be beneficial to inhibit this enzyme in adipose tissue of obese patients. Obesity is also linked to cardiovascular risks. There is a significant relationship between Cortisol excretion rate and HDL cholesterol in both men and women, suggesting that glucocorticoids regulate key components of cardiovascular risk. In analogy, aortic stiffness is also associated with visceral adiposity in older adults.
The impact of the effect of decreased 1 lβ-HSDl activity is highlighted by the β-HSDl knockout mouse that has increased plasma levels of endogenous active glucocorticoid, but inspite of this remains protected from insulin resistance induced by stress and obesity. Additionally, these knockout mouse present an anti-atherogenic plasmid lipid profile and benefits from decreased age-related cognitive impairement. Glucocorticoids and glaucoma
Glucocorticoids increase the risk of glaucoma by raising the intraocular pressure when administered exogenously and in certain conditions of increased production like in Cushing's syndrome. Corticosteroid- induced elevation of intra ocular pressure is caused by increased resistance to aqueous outflow due to glucocorticoid induced changes in the trabecular meshwork and its intracellular matrix. Zhou et al. (Int J MoI Med (1998) 1, 339-346) also reported that corticosteroids increase the amounts of fibronectin as well as collagen type I and type IV in the trabecular meshwork of organ- cultured bovine anterior segments.
1 lβ-HSDl is expressed in the basal cells of the corneal epithelium and the non- pigmented epithelial cells. Glucocorticoid receptor mRNA was only detected in the trabecular meshwork, whereas in the non-pigmented epithelial cells mRNA for the glucocorticoid-, mineralocorticoid receptor and 1 lβ-HSDl was present. Carbenoxolone administration to patients resulted in a significant decrease in intra-ocular pressure (S. Rauz et al. (2001), Invest. Ophtalmol. Vis. Science, 42, 2037-2042), suggesting a role for HSDl -inhibitors in treating glaucoma.
Accordingly, the underlying problem to be solved by the present invention was to identify potent 11 β-HSD inhibitors, with a high selectivity for 11 β-HSDl , and the use thereof in treating pathologies associated with excess Cortisol formation, i.e. disorders where a decreased level of active glucocorticoid is desirable, such as metabolic syndrome, type 2 diabetes, impaired glucose tolerance (IGT), impaired fasting glucose (IFG), dyslipidemia, hypertension, obesity, diabetes, obesity related cardiovascular diseases, arteriosclerosis, atherosclerosis, myopathy, osteoporosis, neurodegenerative and psychiatric disorders, stress related disorders and glaucoma. As shown hereinbelow, the 2-adamantanylacetamides of formula (I) were found to be useful as a medicine, in particular in the manufacture of a medicament for the treatment of pathologies associated with excess Cortisol formation.
Salim S.S. et al. (J.Chem.Eng. Data (1984), 29, 229-231) provides the synthesis of some new iV-(3-methyl-2-quinoxaloyl) amino alcohols and in particular discloses 2- Quinoxalinecarboxamide, 3-methyl-iV-tricyclo[3.3.1.13'7]dec-2-yl-. The 1,4-dioxides of said quinoxalines were shown to have antibacterial activity, where the parent quinoxalines were inactive as antibacterial agents. Masamune H. et al. (PCT International patent application WO 01/23399) discloses N-2- adamantyl-2-phenoxy-acetamides as intermediates in the preparation of nucleosides as adenosine receptors, antidiabetics, enzyme inhibitors and for the treatment of ischemia. See in particular scheme IV, p41, and the examples 70, 73, B32 and B35.
However, in none of the above-cited documents the therapeutic application of the N-2- adamantyl-acetamide derivatives of the present invention has been disclosed.
The use of adamantyl acetamides as 11-β hydroxysteroid dehydrogenase inhibitors was disclosed in Linders J. et al (PCT International patent application WO 2004/056745). Compared to the compounds disclosed in said publication, the compounds of the present invention differ in that they comprise an additional heteroatom, represented as - Z- in formula (I) below. The presence of this additional heteroatom, together with the particular backbone configuration (represented in bold hereinbelow), significantly improved the overal activity of the adamantly acetamides as 11- β hydroxysteroid dehydrogenase inhibitors (Figure 1).
Figure 1 provides a comparison of the cellular 3T3-L1 activity (pIC50 values - see example C hereinbelow) of the bicyclic adamantyl acetamides disclosed in PCT International patent application WO 2004/056745 with the bicyclic ethers of the present application and the single ethers of the present application.
The pharmaceutical use of substituted amides for modulating the activity of 11 β-HSDl either alone or in combination with a glucocorticoid receptor agonist or an antihypertensive agent has been disclosed in PCT International patent applications
WO2004/089470, WO 2004/089415 and WO 2004/089416. In said patent publications only one compound, i.e N-adamantan-2-yl-2-o-tolyloxy-acetamide, within the scope of the present application has been disclosed and is accordingly disclaimed from the first and further medical use claims in the present application. Further compounds within the scope of the present application, but previously not described for use as a medicine are;
Cas Number CA Index Name
[721907-95-5] Acetamide, N-tricyclo[3.3.1.13'7]dec-2-yl-2-[3-(trifluoromethyl)- phenoxy]- (9CI)
[701966-64-5] Acetamide, 2- [4-( 1 -methylpropyl)phenoxy] -N-tricyclo[3.3.1.13'7]- dec-2-yl- (9CI) [693829-07-1] Butanamide, 2-phenoxy-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) [693264-73-2] Acetamide, 2-(2-bromo-4-ethylphenoxy)-N-tricyclo[3.3.1.13>7]dec-
2-yl- (9CI)
[690979-00- 1 ] Acetamide, N-tricyclo[3.3.1.13'7]dec-2-yl-2-(2,3,5-trimethylphenoxy)- (9CI)
[667874-33-1] Acetamide, 2-(2,3-dimethylphenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl-
(9CI) [638150-96-6] Acetamide, 2-(2,4-dibromo-6-methylphenoxy)-N-tricyclo[3.3.1.13'7] - dec-2-yl- (9CI) [638150-94-4] Acetamide, 2-(4-chloro-2-methylphenoxy)-N-tricyclo[3.3.1.13'7]dec-
2-yl- (9CI) [638150-88-6] Acetamide, 2-(3,5-dimethylphenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl-
(9CI)
[638150-85-3] Acetamide, 2-(2-chlorophenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) [638150-82-0] Acetamide, 2-[4-(l,l-dimethylethyl)phenoxy]-N-tricyclo[3.3.1.13'7]- dec-2-yl- (9CI) [638150-79-5] Acetamide, 2-[(4-chlorophenyl)thio]-N-tricyclo[3.3.1.13'7]dec-2-yl-
(9CI)
[593240-71-2] Acetamide, 2-[5-methyl-2-(l-methylethyl)phenoxy]-N- tricyclo[3.3.1.13'7] dec-2-yl- (9CI)
[593240-69-8] Acetamide, 2-(4-ethylphenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) [496921 -25-6] Acetamide, 2-(2,5-dimethylphenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl-
(9CI)
[461446-43-5] Acetamide, 2-(3 ,4-dimethylphenoxy)-N-tricyclo[3.3.1.13>7]dec-2-yl- (9CI)
[438477-86-2] Acetamide, 2-(2,4-dimethylphenoxy)-N-tricyclo[3.3.1. l3'7]dec-2-yl-
(9CI) [433948-36-8] Acetamide, 2-(4-bromo-2-methylphenoxy)-N-tricyclo[3.3.1.13'7]dec-
2-yl- (9CI) [433947-37-6] Acetamide, 2-(4-bromo-3,5-dimethylphenoxy)-N-tricyclo[3.3.1.13'7]- dec-2-yl- (9CI) [432539-68-9] Acetamide, 2-[4-(l-methylethyl)phenoxy]-N-tricyclo[3.3.1.13'7]dec-
2-yl- (9CI)
[430462-84-3] Acetamide, 2-(4-bromo-2-chlorophenoxy)-N-tricyclo[3.3.1.13'7]dec- 2-yl- (9CI)
[429631 -57-2] Acetamide, 2-(4-chloro-3-methylphenoxy)-N-tricyclo[3.3.1.13>7]dec-
2-yl- (9CI) [429626- 19-7] Acetamide, 2-(4-methoxyphenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl-
(9CI) [426250-14-8] Propanamide, 2-(2,4-dichlorophenoxy)-N-tricyclo[3.3.1. l3'7]dec-2-yl-
(9CI) [424814-81-3] Acetamide, 2-(2-bromo-4-methylphenoxy)-N-tricyclo[3.3.1.13'7]dec-
2-yl- (9CI) [424814-50-6] Acetamide, 2-(4-chloro-3 ,5-dimethylphenoxy)-N-tricyclo[3.3.1.13'7] - dec-2-yl- (9CI)
[424814-18-6] Acetamide, 2-(4-bromo-3-methylphenoxy)-N-tricyclo[3.3.1.13'7]dec- 2-yl- (9CI)
[405076-76-8] Acetamide, 2-(2,4-dichlorophenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl-
(9CI)
[405076-63-3] Acetamide, 2-phenoxy-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) [339060-39-8] Acetamide, 2-(4-bromophenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) [332399-46-9] Acetamide, 2-(4-methylphenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) [305341-04-2] Acetamide, 2-(3-bromophenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) [298701-43-6] Acetamide, 2-(4-chlorophenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) [351418-76-3] Acetamide, 2-(3-methylphenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI)
Accordingly, in a first aspect this invention concerns compounds of formula (I)
Figure imgf000007_0001
the iV-oxide forms, the pharmaceutically acceptable addition salts and the stereochemical^ isomeric forms thereof, wherein
n is 1, 2, 3, or 4;
Z represents O, S, NR6, SO or SO2;
R1 represent hydrogen, cyano, hydroxy, or Ci^alkyl optionally substituted with halo,
R2 represents hydrogen, Ci^alkyl, or Ci^alkyloxy-;
R3 represents hydrogen, Ci^alkyl, Ci^alkyloxy- or R3 combined with R2 form together a divalent radical selected from the group consisting of -Q-CH2- (a), -NR7-CH2- (b), -(CR8R9)m- (c) and -CR10= (d) wherein m represents 1 or 2 and R7, R8, R9 and R10 are each independently selected from hydrogen or
Ci-4alkyl; R4 represents hydrogen, halo, hydroxy, cyano, amino, NR11R12,
Figure imgf000008_0001
optionally substituted with one or where possible two or three substituents selected from hydroxy and halo or
R4 represents Ci^alkyl optionally substituted with one or where possible two or three substituents selected from hydroxy and halo; R5 represents hydrogen, halo, cyano, amino, phenyl, hydroxy,
Figure imgf000008_0002
hydroxycarbonyl-, Het1, -NR13R14, -0-(C=O)-NR21R22, -O-(C=O)-C1.4alkyl, carbonyl-NR23R24 or Ci^alkyl optionally substituted with one or more substituents selected from hydroxy, halo, hydroxycarbonyl, phenyl, Ci^alkyloxy or NR15R16 or R5 represents Ci^alkyloxy optionally substituted with one or more substituents selected from hydroxy, halo, hydroxycarbonyl, phenyl, Ci^alkyloxy or NR17R18, or R5 represents -O-(C=O)-C1-4alkyl substituted with one or more amino, hydroxy, Het3 or halo substituents;
R6 represents hydrogen or C1-6alkyl; R11 and R12 each independently represent hydrogen,
Figure imgf000008_0003
Figure imgf000008_0004
R13 and R14 each independently represent hydrogen, Ci^alkyl, C1-6alkyl-Sθ2-, mono-
Figure imgf000008_0005
wherein said C1-6alkyl-Sθ2-,
Figure imgf000008_0006
are each independently and optionally substituted with one, two or three substituents selected from halo,
C^alkyloxycarbonyl, NR19R20 and Het2; R15 and R16 each independently represent hydrogen,
Figure imgf000008_0008
R17 and R18 each independently represent hydrogen,
Figure imgf000008_0009
R19 and R20 each independently represent hydrogen,
Figure imgf000008_0007
Figure imgf000008_0010
optionally substituted with one or more substituents selected from halo or hydroxy; R21 and R22 each independently represent hydrogen, Ar2 or Ci^alkyl optionally substituted with one or more substituents selected from halo or hydroxy; R23 and R24 each independently represent hydrogen,
Figure imgf000008_0011
Het4 or Ci-4alkyl optionally substituted with one or more substituents selected from halo or hydroxy; Het1 represents pyrrolinyl, pyrrolidinyl, pyrrolyl, oxazolyl, isoxazolyl or a radical of formula
Figure imgf000009_0001
wherein R1 re -prese ^nts hyΛdrog>en or Ci^alkyl and o is Het2 represents morpholinyl, piperidinyl, piperazinyl, thiomoφholinyl or pyrrolidinyl; Het3 represents morpholinyl, piperidinyl, piperazinyl, thiomoφholinyl or pyrrolidinyl;
Het4 represents piperidinyl, moφholinyl, piperazinyl, thiomoφholinyl or pyrrolidinyl;
Ar1 represents phenyl optionally substituted with Ci^alkyl; and Ar2 represents phenyl optionally substituted with Ci^alkyl, for use as a medicine, provided however that said compound of formula (I) is other than N-adamantyl- 2-yl-2-ortho-tolyloxy-acetamide.
In a further aspect the present invention provides the use of the aforementioned compounds in the manufacture of a medicament for treating pathologies associated with excess Cortisol formation such as for example, obesity, diabetes, obesity related cardiovascular diseases, dementia, cognition, osteoporosis and glaucoma.
It is also an object of the present invention to provide compounds of formula (I) the N- oxide forms, the pharmaceutically acceptable addition salts and the stereochemically isomeric forms thereof, wherein R1, R2, R3, R4, R13, R14, R15, R16, R17, R18, Z and n are defined as hereinbefore and wherein R5 represents represents halo, cyano, amino, phenyl, hydroxy,
Figure imgf000009_0002
optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci^alkyloxy or NR15R16 or R5 represents Ci^alkyloxy optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci^alkyloxy or NR17R18, in particular R5 represents halo, cyano, amino, phenyl, hydroxy, C1- 4alkyloxycarbonyl-, hydroxycarbonyl, NR13R14 or Ci^alkyl substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci^alkyloxy or NR15R16.
As used in the foregoing definitions and hereinafter, halo is generic to fluoro, chloro, bromo and iodo; C14alkyl defines straight and branched chain saturated hydrocarbon radicals having from 1 to 4 carbon atoms such as, for example, methyl, ethyl, propyl, butyl, 1-methylethyl, 2-methylpropyl, 2,2-dimethylethyl and the like; Cl 6alkyl defines straight and branched chain saturated hydrocarbon radicals having from 1 to 6 carbon atoms such as the groups defined for
Figure imgf000010_0001
and pentyl, hexyl, 2-methylbutyl and the like; Ci^alkyloxy defines straight or branched saturated hydrocarbon radicals having form 1 to 4 carbon atoms such as methoxy, ethoxy, propyloxy, butyloxy, 1-methylethyloxy, 2-methylpropyloxy and the like.
The pharmaceutically acceptable addition salts as mentioned hereinabove are meant to comprise the therapeutically active non-toxic acid addition salt forms, which the compounds of formula (I), are able to form. The latter can conveniently be obtained by treating the base form with such appropriate acid. Appropriate acids comprise, for example, inorganic acids such as hydrohalic acids, e.g. hydrochloric or hydrobromic acid; sulfuric; nitric; phosphoric and the like acids; or organic acids such as, for example, acetic, propanoic, hydroxyacetic, lactic, pyruvic, oxalic, malonic, succinic (i.e. butanedioic acid), maleic, fumaric, malic, tartaric, citric, methanesulfonic, ethanesulfonic, benzenesulfonic, /7-toluenesulfonic, cyclamic, salicylic, /^-aminosalicylic, pamoic and the like acids.
The pharmaceutically acceptable addition salts as mentioned hereinabove are meant to comprise the therapeutically active non-toxic base addition salt forms which the compounds of formula (I), are able to form. Examples of such base addition salt forms are, for example, the sodium, potassium, calcium salts, and also the salts with pharmaceutically acceptable amines such as, for example, ammonia, alkylamines, benzathine, JV-methyl-D-glucamine, hydrabamine, amino acids, e.g. arginine, lysine.
Conversely said salt forms can be converted by treatment with an appropriate base or acid into the free acid or base form.
The term addition salt as used hereinabove also comprises the solvates which the compounds of formula (I), as well as the salts thereof, are able to form. Such solvates are for example hydrates, alcoholates and the like.
The term stereochemically isomeric forms as used hereinbefore defines the possible different isomeric as well as conformational forms which the compounds of formula (I), may possess. Unless otherwise mentioned or indicated, the chemical designation of compounds denotes the mixture of all possible stereochemically and conformationally isomeric forms, said mixtures containing all diastereomers, enantiomers and/or conformers of the basic molecular structure. All stereochemically isomeric forms of the compounds of formula (I), both in pure form or in admixture with each other are intended to be embraced within the scope of the present invention.
The iV-oxide forms of the compounds of formula (I), are meant to comprise those compounds of formula (I) wherein one or several nitrogen atoms are oxidized to the so-called iV-oxide.
A particular group of compounds are those compounds of formula (I) wherein one or more of the following restrictions apply; (i) n is 1, 2, 3, or 4; (ii) Z represents O, S, NR6, SO or SO2; (iii) R1 represent hydrogen, cyano, hydroxy, or Ci^alkyl optionally substituted with halo,
(iv) R2 represents hydrogen, Ci^alkyl, or Ci^alkyloxy-; (v) R3 represents hydrogen, Ci^alkyl, Ci^alkyloxy- or R3 combined with R2 form together a divalent radical selected from the group consisting of -0-CH2- (a), -NR7-CH2- (b), -(CR8R9)m- (c) and -CR10= (d) wherein m represents 1 or 2 and R7, R8, R9 and R10 are each independently selected from hydrogen or Ci^alkyl; (vi) R4 represents hydrogen, halo, hydroxy, cyano, amino, NR11R12,
Ci^alkyloxy- optionally substituted with one or where possible two or three substituents selected from hydroxy and halo or R4 represents Ci^alkyl optionally substituted with one or where possible two or three substituents selected from hydroxy and halo; (vii) R5 represents hydrogen, halo, cyano, amino, phenyl, hydroxy,
Figure imgf000011_0001
substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci^alkyloxy or NR15R16 ; in particular R5 represents halo, cyano, amino, phenyl, hydroxy,
Figure imgf000011_0002
hydroxycarbonyl, NR13R14 or Ci^alkyl substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci^alkyloxy or NR15R16; (viii) R6 represents hydrogen; (ix) R11 and R12 each independently represent hydrogen, Ci^alkyl or
Ci^alkylcarbonyl-; (x) R13 and R14 each independently represent hydrogen, Ci^alkyl or
Figure imgf000012_0001
(xi) R15 and R16 each independently represent hydrogen, Ci^alkyl or
C i galley lcarbony 1- .
A first group of compounds consists of those compounds of formula (I) wherein one or more of the following restrictions apply : n is 1, 2, 3, or 4;
Z represents O, S, NR6, SO or SO2; R1 represent hydrogen, cyano, hydroxy, or
Ci-4alkyl optionally substituted with halo, R2 represents hydrogen, Ci^alkyl, or Ci^alkyloxy-; R3 represents hydrogen, Ci^alkyl, Ci^alkyloxy- or R3 combined with R2 form together a divalent radical selected from the group consisting of -0-CH2- (a), -NR7-CH2- (b), -(CR8R9)m- (c) and -CR10= (d) wherein m represents
1 or 2 and R7, R8, R9 and R10 are each independently selected from hydrogen or Ci-4alkyl;
R4 represents hydrogen, halo, hydroxy, cyano, amino, NR11R12, Ci^alkyloxy- optionally substituted with one or where possible two or three substituents selected from hydroxy and halo or R4 represents Ci^alkyl optionally substituted with one or where possible two or three substituents selected from hydroxy and halo; R5 represents hydrogen, halo, cyano, amino, phenyl, hydroxy,
Figure imgf000012_0002
hydroxycarbonyl, NR13R14 or Ci^alkyl optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci^alkyloxy or NR15R16 or
R5 represents Ci^alkyloxy optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci^alkyloxy or NR17R18; in particular R5 represents halo, cyano, amino, phenyl, hydroxy,
Figure imgf000012_0003
hydroxycarbonyl, NR13R14 or Ci^alkyl optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci^alkyloxy or NR15R16 or
R5 represents Ci^alkyloxy optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci^alkyloxy or NR17R18 R6 represents hydrogen or Ci^alkyl;
R11 and R12 each independently represent hydrogen, R13 and R14 each independently represent hydrogen,
Figure imgf000012_0004
R15 and R16 each independently represent hydrogen, Ci^alkyl or Ci^alkylcarbonyl-; R17 and R18 each independently represent hydrogen,
Figure imgf000013_0001
for use as a medicine, provided however that said compound is other than N- adamantyl-2-yl-2-ortho-tolyloxy-acetamide.
A second group of compounds consists of those compounds of formula (I) wherein one or more of the following restrictions apply : (i) n is 1, 2, 3, or 4;
(ii) Z represents O, S, NR6, SO or SO2;
(iii) R1 represent hydrogen, cyano, hydroxy, or
(iv) Ci^alkyl optionally substituted with halo, (v) R2 represents hydrogen, Ci^alkyl, or Ci^alkyloxy-;
(vi) R3 represents hydrogen, Ci^alkyl, Ci^alkyloxy- or R3 combined with R2 form together a divalent radical selected from the group consisting of -0-CH2- (a), -NR7-CH2- (b), -(CR8R9)m- (c) and -CR10= (d) wherein m represents 1 or 2 and R7, R8, R9 and R10 are each independently selected from hydrogen or Ci-4alkyl;
(vii) R4 represents hydrogen, halo, hydroxy, cyano, amino, NR11R12,
Figure imgf000013_0002
optionally substituted with one or where possible two or three substituents selected from hydroxy and halo or R4 represents Ci^alkyl optionally substituted with one or where possible two or three substituents selected from hydroxy and halo;
(viii) R5 represents halo, cyano, amino, phenyl, hydroxy,
Figure imgf000013_0003
hydroxycarbonyl-, Het1, -NR13R14, -0-(C=O)-NR21R22, -0-(C=O)-C1^aIkVl, carbonyl-NR23R24 or C^alkyl optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl,
Ci^alkyloxy or NR15R16 or R5 represents Ci^alkyloxy optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, C^alkyloxy or NR17R18, or R5 represents -0-(C=O)-C1^aIkVl substituted with one or more Het3 or halo substituents; (ix) R6 represents hydrogen or Ci^alkyl;
(x) R11 and R12 each independently represent hydrogen, Ci^alkyl, Ci^alkyloxy- carbonyl or
Figure imgf000013_0004
or
Figure imgf000013_0005
(xi) R13 and R14 each independently represent hydrogen, Ci^alkyl, C1-6alkyl-SO2-, mono- or di(C1-4alkyl)amino-SO2-, Ar!-SO2,
Figure imgf000013_0006
Figure imgf000013_0007
wherein said C1-6alkyl-SO2-,
Figure imgf000013_0008
or
Figure imgf000014_0001
are each independently and optionally substituted with one, two or three substituents selected from halo,
C^alkyloxycarbonyl, NR19R20 and Het2;
(xii) R15 and R16 each independently represent hydrogen, Ci^alkyl, Ci^alkyl- oxycarbonyl or
Figure imgf000014_0002
or
Figure imgf000014_0003
(xiii) R17 and R18 each independently represent hydrogen, Ci^alkyl, Ci^alkyloxy- carbonyl or
Figure imgf000014_0004
or
Figure imgf000014_0005
(xiv) R19 and R20 each independently represent hydrogen,
Figure imgf000014_0006
or
Ci-4alkyl optionally substituted with one or more substituents selected from halo or hydroxy; in particular optionally substituted with hydroxy; (xv) R21 and R22 each independently represent hydrogen, Ar2 or Ci^alkyl optionally substituted with one or more substituents selected from halo or hydroxy; in particular optionally substituted with hydroxy;
(xvi) R23 and R24 each independently represent hydrogen,
Figure imgf000014_0007
Het4 or Ci-4alkyl optionally substituted with hydroxy; (xvii) Het1 represents pyrrolinyl, pyrrolidinyl, pyrrolyl, oxazolyl, isoxazolyl or a radical of formula
Figure imgf000014_0008
wherein R1 represents hydrogen or Ci^alkyl and o is 1 or 2; in particular
Het1 represents a radical of formula
Figure imgf000014_0009
wherein R1 represents hydrogen or Ci^alkyl and o is 1 or 2; (xviii) Het2 represents morpholinyl, piperidinyl, piperazinyl, thiomorpholinyl or pyrrolidinyl; in particular Het2 represents morpholinyl; (xix) Het3 represents morpholinyl, piperidinyl, piperazinyl, thiomorpholinyl or pyrrolidinyl; in particular Het3 represents morpholinyl;
(xx) Het4 represents piperidinyl, morpholinyl, piperazinyl, thiomorpholinyl or pyrrolidinyl; in particular Het4 represents piperidinyl;
(xxi) Ar1 represents phenyl optionally substituted with Ci^alkyl; and (xxii) Ar2 represents phenyl optionally substituted with Ci^alkyl. A third group of compounds consists of those compounds of formula (I) wherein one or more of the following restrictions apply :
(i) n is 1, 2, 3, or 4; (ii) Z represents O, S, NR6, SO or SO2;
(iii) R1 represent hydrogen, cyano, hydroxy, or
(iv) Ci-4alkyl optionally substituted with halo,
(v) R2 represents hydrogen, Ci^alkyl, or Ci^alkyloxy-;
(vi) R3 represents hydrogen, Ci^alkyl, Ci^alkyloxy- or R3 combined with R2 form together a divalent radical selected from the group consisting of
-0-CH2- (a), -NR7-CH2- (b), -(CR8R9)m- (c) and -CR10= (d) wherein m represents 1 or 2 and R7, R8, R9 and R10 are each independently selected from hydrogen or Ci^alkyl;
(vii) R4 represents hydrogen, halo, hydroxy, cyano, amino, NR11R12, Ci^alkyloxy- optionally substituted with one or where possible two or three substituents selected from hydroxy and halo or R4 represents Ci^alkyl optionally substituted with one or where possible two or three substituents selected from hydroxy and halo;
(viii) R5 represents halo, cyano, amino, phenyl, hydroxy,
Figure imgf000015_0001
hydroxycarbonyl, NR13R14 or Ci^alkyl optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci^alkyloxy or NR15R16 or R5 represents Ci^alkyloxy optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci^alkyloxy or NR17R18;
(ix) R6 represents hydrogen or Ci^alkyl; (x) R11 and R12 each independently represent hydrogen, Ci^alkyl or
Figure imgf000015_0002
(xi) R13 and R14 each independently represent hydrogen, Ci^alkyl or
Figure imgf000015_0003
(xii) R15 and R16 each independently represent hydrogen, Ci^alkyl or
Figure imgf000015_0004
(xiii) R17 and R18 each independently represent hydrogen, Ci^alkyl or C i galley lcarbony 1- .
A group of interesting compounds consists of those compounds of formula (I) wherein one or more of the following restrictions apply; (i) n is 1, 2, 3, or 4; (ii) Z represents O, S, NR6 or SO2; in particular O or NR6; (iii) R1 represents hydrogen or Ci^alkyl; (iv) R2 represents hydrogen or Ci^alkyl; (v) R3 represents hydrogen, Ci^alkyl, Ci^alkyloxy- or R3 combined with R2 form together a divalent radical selected from the group consisting of -0-CH2- (a), -NR7-CH2- (b), -(CR8R9)m- (c) and -CR10= (d) wherein m represents 1 or 2 and R7, R8, R9 and R10 are each independently selected from hydrogen or Ci^alkyl; (vi) R4 represents hydrogen, halo, hydroxy, amino, -NR11R12, Ci^alkyloxy-,
Figure imgf000016_0001
optionally substituted with one or where possible two or three halo substituents;
(vii) R5 represents hydrogen , halo, amino, phenyl, hydroxy, hydroxycarbonyl, Het1,
NR13R14, -O-(C=O)-C1.4alkyl, -carbonyl-NR23R24 or R5 represents
Ci^alkyloxy optionally substituted with one or more substituents selected from NR17R18 or R5 represents -0(O)-C1^aIkVl substituted with halo or Het3;
(viii) R11 and R12 each independently represent hydrogen, Ci^alkyl or
Figure imgf000016_0002
(ix) R13 and R14 each independently represent hydrogen, Ci^alkyl, C1-6alkyl-Sθ2-,
Figure imgf000016_0003
carbonyl-,
Figure imgf000016_0004
wherein said
C1-6alkyl-Sθ2-,
Figure imgf000016_0005
are each independently and optionally substituted with one, two or three substituents selected from halo,
Figure imgf000016_0006
NR19R20 and Het2; (x) R17 and R18 each independently represent Ci^alkyl; (xi) R19 and R20 each independently represent hydrogen or Ci^alkyl optionally substituted with hydroxy;
(xii) R21 and R22 each independently represent hydrogen or Ar2; (xiii) R23 and R24 each independently represent hydrogen or Het4; (xiv) Het1
Figure imgf000016_0007
wherein R1 represents hydrogen or Ci^alkyl and o is 1 or 2; (xv) Het2 represents morpholinyl; (xvi) Het3 represents morpholinyl; (xvii) Het4 represents piperidinyl; (xviii) Ar1 and Ar2 each independently represent phenyl optionally substituted with Ci-4alkyl, for use as a medicine, provided however that said compound of formula (I) is other then N-adamantyl-2-yl-2-ortho-tolyloxy-acetamide.
Another interesting group of compounds consists of those compounds of formula (I) wherein one or more of the following restrictions apply : (i) n is 1, 2, 3, or 4;
(ii) Z represents O, S or SO2; in particular O; (iii) R1 represents hydrogen or Ci^alkyl; (iv) R2 represents hydrogen or Ci^alkyl;
(v) R3 represents hydrogen, Ci^alkyl, Ci^alkyloxy- or R3 combined with R2 form together a divalent radical selected from the group consisting of -0-CH2- (a), -NR7-CH2- (b), -(CR8R9)m- (c) and -CR10= (d) wherein m represents 1 or 2 and R7, R8, R9 and R10 are each independently selected from hydrogen or Ci-4alkyl;
(vi) R4 represents hydrogen, hydroxy, amino, -NR11R12, Ci^alkyloxy- or
Ci^alkyl optionally substituted with one or where possible two or three halo substituents;
(vii) R5 represents hydrogen or hydroxy; in particular hydroxy; (viii) R11 and R12 each independently represent hydrogen, Ci^alkyl or
Figure imgf000017_0001
Another group of interesting compounds consists of those compounds of formula (I) wherein one or more of the following restrictions apply: (i) n is 1, 2, 3, or 4;
(ii) R1 represents a hydrogen;
(iii) R3 combined with R2 form together a divalent radical selected from the group consisting of
-0-CH2- (a), -NR7-CH2- (b), -(CR8R9)m- (c) and -CR10= (d) wherein m represents 1 or 2 and R7, R8, R9 and R10 are each independently selected from hydrogen or Ci^alkyl; (iv) R4 represents hydrogen, halo, hydroxy, Ci^alkyloxy-, or Ci^alkyl; in particular R4 represents methyl, ethyl, methoxy, fluor, chloro or bromo; (v) R5 represents halo, cyano, amino, phenyl, hydroxy, Ci^alkyloxy- carbonyl-, hydroxycarbonyl, NR13R14 or Ci^alkyl optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, C^alkyloxy or NR15R16 or R5 represents Ci^alkyloxy optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci^alkyloxy or NR17R18, in particular R5 represents halo, cyano, amino, phenyl, hydroxy,
Figure imgf000018_0001
substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci^alkyloxy or NR15R16; even more particular R5 represents hydrogen or hydroxy; in particular hydroxy; (vi) R13 and R14 each independently represent hydrogen, Ci^alkyl or
Figure imgf000018_0002
(vii) R R15 a anndd R R16 e eaacchh i inncdependently represent hydrogen, Ci^alkyl or
Figure imgf000018_0003
(viii) R R1177 a anndd R R1188 e eaacchh h ini(dependently represent hydrogen, Ci^alkyl or C i -4alky lcarbony 1- .
Another group of interesting compounds consists of those compounds of formula (I) wherein one or more of the following restrictions apply: (i) n is 1 or 2;
(ii) R1 represents a Ci^alkyl, in particular methyl; (iii) R2 represents a Ci^alkyl, in particular methyl; (iv) R3 represents hydrogen;
(v) R4 represents hydrogen, halo, -NR11R12, Ci^alkyloxy-, or Ci^alkyl; in particular R4 represents methyl, ethyl, methoxy, fluor, chloro or bromo; (vi) R5 represents hydrogen, halo, cyano, amino, phenyl, hydroxy, C1- 4alkyloxycarbonyl-, hydroxycarbonyl, NR13R14 or Ci^alkyl optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci^alkyloxy or NR15R16 or R5 represents Ci^alkyloxy optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci^alkyloxy or NR17R18; in particular R5 represents hydrogen, halo, cyano, amino, phenyl, hydroxy,
Figure imgf000018_0004
optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci^alkyloxy or NR15R16 or R5 represents Ci^alkyloxy optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci^alkyloxy or NR17R18; more in particular R5 represents halo, cyano, amino, phenyl, hydroxy,
Figure imgf000018_0005
substituted with one or more substituents selected from hydroxy- carbonyl, phenyl, Ci^alkyloxy or NR15R16; even more particular R5 represents hydrogen or hydroxy; in particular hydroxy or amino, (vii) R11 and R12 each independently represent hydrogen, Ci^alkyl or
Figure imgf000019_0001
in particular R11 and R12 represent methyl; (viii) R13 and R14 each independently represent hydrogen, Ci^alkyl, C1-6alkyl-
SO2-, mono- or
Figure imgf000019_0002
Ar!-Sθ2, mono- or di-
Figure imgf000019_0003
wherein said C1-6alkyl-Sθ2-,
Figure imgf000019_0004
carbonyl- are each independently and optionally substituted with one, two or three substituents selected from halo,
Figure imgf000019_0005
NR19R20 and Het2; in particular R13 represents hydrogen or Ci^alkyl and R14 represents
Figure imgf000019_0006
SO2-; even more particular R13 represents hydrogen or methyl and R14 represents methyl, methyl-SCV, ethyl-SCV or mono- or di(methyl)amino-Sθ2-
(ix) R17 and R18 each independently represent hydrogen or Ci^alkyl; in particular R17 and R18 represent methyl; (x) R19 and R20 each independently represent hydrogen or Ci^alkyl optionally substituted with hydroxy; in particular R19 and R20 each independently represent hydrogen, methyl or hydroxyethyl;
(xi) R21 and R22 each independently represent hydrogen or Ar2; in particular
R21 and R22 each independently represent hydrogen or methylphenyl; (xii) R23 and R24 each independently represent hydrogen or Het4; in particular
R23 and R24 each independently represent hydrogen or piperidinyl; (χiϋ) Het2 represents morpholinyl;
(xiv) Het3 represents morpholinyl; (xv) Het4 represents piperidinyl;
(xvi) Ar1 represents phenyl substituted with Ci^alkyl; and (xvii) Ar2 represents phenyl substituted with Ci^alkyl.
Also of interest are those compounds of formula (I) wherein Z represents O, hereinafter referred to as the compounds of formula (I1),
Figure imgf000019_0007
the iV-oxide forms, the pharmaceutically acceptable addition salts and the stereochemical^ isomeric forms thereof, wherein
n is 1, 2, 3, or 4; R1 represent hydrogen, cyano, hydroxy, or
Ci-4alkyl optionally substituted with halo, R2 represents hydrogen, Ci^alkyl, or Ci^alkyloxy-; R3 represents hydrogen, Ci^alkyl, Ci^alkyloxy- or R3 combined with R2 form together a divalent radical selected from the group consisting of -O-CH2- (a), -NR7-CH2- (b), -(CR8R9)m- (c) and -CR10= (d) wherein m represents
1 or 2 and R7, R8, R9 and R10 are each independently selected from hydrogen or Ci-4alkyl; R4 represents hydrogen, halo, hydroxy, cyano, amino, NR11R12,
Figure imgf000020_0001
optionally substituted with one or where possible two or three substituents selected from hydroxy and halo or
R4 represents Ci^alkyl optionally substituted with one or where possible two or three substituents selected from hydroxy and halo; R5 represents hydrogen, halo, cyano, amino, phenyl, hydroxy,
Figure imgf000020_0002
, hydroxycarbonyl-, Het1, -NR13R14, -0-(C=O)-NR21R22, -O-(C=O)-C1.4alkyl, carbonyl-NR23R24 or Ci^alkyl optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci^alkyloxy or NR15R16 or R5 represents Ci^alkyloxy optionally substituted with one or more substituents selected from halo, hydroxy, hydroxycarbonyl, phenyl, Ci^alkyloxy or NR17R18, or R5 represents -O-(C=O)-C1-4alkyl substituted with one or more amino, hydroxy, Het3 or halo substituents;
R6 represents hydrogen or Ci^alkyl; R11 and R12 each independently represent hydrogen,
Figure imgf000020_0003
Figure imgf000020_0004
R13 and R14 each independently represent hydrogen, Ci^alkyl, C1-6alkyl-Sθ2-, mono-
Figure imgf000020_0005
oxycarbonyl or
Figure imgf000020_0006
are each independently and optionally substituted with one, two or three substituents selected from halo, C^alkyloxycarbonyl, NR19R20 and Het2; R15 and R16 each independently represent hydrogen,
Figure imgf000020_0007
or
Figure imgf000020_0008
or Ci^alkylcarbonyl-; R17 and R18 each independently represent hydrogen,
Figure imgf000021_0001
or
Figure imgf000021_0002
R19 and R20 each independently represent hydrogen,
Figure imgf000021_0003
optionally substituted with one or more substituents selected from halo or hydroxy; in particular optionally substituted with hydroxy;
R21 and R22 each independently represent hydrogen, Ar2 or Ci^alkyl optionally substituted with one or more substituents selected from halo or hydroxy; in particular optionally substituted with hydroxy;
R23 and R24 each independently represent hydrogen,
Figure imgf000021_0004
Het4 or Ci-4alkyl optionally substituted with hydroxy;
Het1 represents pyrrolinyl, pyrrolidinyl, pyrrolyl, oxazolyl, isoxazolyl or a radical of formula
Figure imgf000021_0005
wherein R1 represents hydrogen or Ci^alkyl and o is 1 or 2; in particular Het1 represents a radical of formula
Figure imgf000021_0006
wherein R1 represents hydrogen or Ci^alkyl and o is 1 or 2; Het2 represents morpholinyl, piperidinyl, piperazinyl, thiomorpholinyl or pyrrolidinyl; in particular Het2 represents morpholinyl; Het3 represents morpholinyl, piperidinyl, piperazinyl, thiomorpholinyl or pyrrolidinyl; in particular Het3 represents morpholinyl; Het4 represents piperidinyl, morpholinyl, piperazinyl, thiomorpholinyl or pyrrolidinyl; in particular Het4 represents piperidinyl; Ar1 represents phenyl optionally substituted with Ci^alkyl; and Ar2 represents phenyl optionally substituted with Ci^alkyl; provided however that said compound of formula (I1) is other than
Acetamide, N-tricyclo[3.3.1.13'7]dec-2-yl-2-[3-(trifluoromethyl)phenoxy]- (9CI) Acetamide, 2-[4-(l -methylpropyl)phenoxy]-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Butanamide, 2-phenoxy-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-(2-bromo-4-ethylphenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI)
Acetamide, N-tricyclo[3.3.1.13'7]dec-2-yl-2-(2,3,5-trimethylphenoxy)- (9CI) Acetamide, 2-(2,3-dimethylphenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-(2,4-dibromo-6-methylphenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-(4-chloro-2-methylphenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-(3,5-dimethylphenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-(2-chlorophenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-[4-(l,l-dimethylethyl)phenoxy]-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI)
Acetamide, 2-[(4-chlorophenyl)thio]-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-[5-methyl-2-(l-methylethyl)phenoxy]-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-(4-ethylphenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-(2,5-dimethylphenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-(3,4-dimethylphenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI)
Acetamide, 2-(2,4-dimethylphenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-(4-bromo-2-methylphenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-(4-bromo-3,5-dimethylphenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-[4-(l -methylethyl)phenoxy]-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-(4-bromo-2-chlorophenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI)
Acetamide, 2-(4-chloro-3-methylphenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-(4-methoxyphenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Propanamide, 2-(2,4-dichlorophenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-(2-bromo-4-methylphenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-(4-chloro-3,5-dimethylphenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI)
Acetamide, 2-(4-bromo-3-methylphenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-(2,4-dichlorophenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-phenoxy-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-(4-bromophenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-(4-methylphenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI)
Acetamide, 2-(3-bromophenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-(4-chlorophenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-(3-methylphenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) N-adamantan-2-yl-2-o-tolyloxy-acetamide ; or when R5 represents hydrogen in said compound of formula (I1), then R1 and R2 represent Ci^alkyl.
In particular those compounds of formula (I1) whereinn is 1, 2, 3, or 4;
R1 represent hydrogen, cyano, hydroxy, or Ci-4alkyl optionally substituted with halo,
R2 represents hydrogen, Ci^alkyl, or Ci^alkyloxy-; R3 represents hydrogen, Ci^alkyl, Ci^alkyloxy- or R3 combined with R2 form together a divalent radical selected from the group consisting of -O-CH2- (a), -NR7-CH2- (b), -(CR8R9)m- (c) and -CR10= (d) wherein m represents 1 or 2 and R7, R8, R9 and R10 are each independently selected from hydrogen or C1-4alkyl;
R4 represents hydrogen, halo, hydroxy, cyano, amino, NR11R12, Ci^alkyloxy- optionally substituted with one or where possible two or three substituents selected from hydroxy and halo or R4 represents Ci^alkyl optionally substituted with one or where possible two or three substituents selected from hydroxy and halo;
R5 represents hydrogen, halo, cyano, amino, phenyl, hydroxy,
Figure imgf000023_0001
hydroxycarbonyl, NR13R14 or Ci^alkyl optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci^alkyloxy or NR15R16 or R5 represents Ci^alkyloxy optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci^alkyloxy or NR17R18; in particular R5 represents halo, cyano, amino, phenyl, hydroxy,
Figure imgf000023_0002
hydroxycarbonyl, NR13R14 or Ci^alkyl optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci^alkyloxy or NR15R16 or R5 represents Ci^alkyloxy optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci^alkyloxy or NR17R18
R6 represents hydrogen or Ci^alkyl;
R11 and R12 each independently represent hydrogen, R13 and R14 each independently represent hydrogen, R15 and R16 each independently represent hydrogen, R17 and R18 each independently represent hydrogen,
Figure imgf000023_0003
provided however that when R5 represents hydrogen in said compound of formula (I1) then R1 and R2 represent Ci^alkyl.
A particularly preferred group of compounds are those compounds of formula (I) wherein one or more of the following restrictions apply;
(i) n is 1, 2 or 3; in particular n is 1
(ii) Z represents O, S, NR6, SO or SO2; in particular Z represents O; (iii) R1 represents hydrogen or Ci^alkyl; in particular R1 represents Ci^alkyl; even more particular methyl; (iv) R2 represents hydrogen or Ci^alkyl; in particular R2 represents Ci^alkyl; even more particular methyl; (v) R3 represents hydrogen or Ci^alkyl; in particular R3 represents Ci^alkyl; even more particular methyl; or R3 combined with R2 form together a divalent radical selected from the group consisting of -O-CH2- (a), -NR7-CH2- (b), ■ (CR8R9V (c) and -CR10= (d) wherein m represents 1 or 2 and R7, R8, R9 and R10 are each independently selected from hydrogen or Ci^alkyl;
(vi) R4 represents hydrogen, halo, NR11R12, hydroxycarbonyl, Ci^alkyloxy- or C1- 4alkyl optionally substituted with one or where possible two or three halo substituents; in particular R4 represents Cl, F, Br, dimethylamino, methylcarbonylamine, methoxy, methyl or trifluoromethyl; (vii) R5 represents hydrogen, amino, hydroxy, Het1 or NR13R14; in particular R5 represents amino, hydroxy, methylsulfonylamine, ethylsulfonylamine, dimethylaminesulfonylamine, hydroxycarbonyl, 3-methyl-2-oxo- pyrrolidinyl or 2-oxo-oxazolidinyl;
(viii) R11 represents hydrogen or Ci^alkyl; in particular R11 represents hydrogen or methyl;
(ix) R12 represents
Figure imgf000024_0001
(x) R13 represents hydrogen or Ci^alkyl; in particular R13 represents hydrogen or methyl;
(xi) R14 represents
Figure imgf000024_0002
(xϋ) Het1 a radical of formula
Figure imgf000024_0003
In a more preferred embodiment the compounds of formula (I) are selected from the group consisting of;
2,3-dihydro-iV-[(lR,3S)-5-hydroxytricyclo[3.3.1.13'7]dec-2-yl]-l,4-benzodioxin-
2-carboxamide, iV-[(lR,3S)-5-hydroxytricyclo[3.3.1.13'7]dec-2-yl]-2-methyl-2-(2-methylphenoxy)- propanamide, iV-[(lR,3S)-5-hydroxytricyclo[3.3.1.13'7]dec-2-yl]-2-methyl-2-(4-methylphenoxy)- propanamide,
2-(3,5-dimethylphenoxy)-iV-[(lR,3S)-5-hydroxytricyclo[3.3.1.13'7]dec-2-yl]-2-methyl- propanamide, iV-[(lR,3S)-5-hydroxytricyclo[3.3.1.13'7]dec-2-yl]-3-methyl-2-benzofurancarboxamide,
3,4-dihydro-iV-[(lR,3S)-5-hydroxytricyclo[3.3.1.13'7]dec-2-yl]-2H-l-benzopyran-
2-carboxamide,
2-(4-chloro-2-methylphenoxy)-iV-[(lR,3S)-5-hydroxytricyclo[3.3.1.13'7]dec-2-yl]-
2-methyl-propanamide,
6-fluoro-3,4-dihydro-iV-[(lR,3S)-5-hydroxytricyclo[3.3.1.13'7]dec-2-yl]-,
(2R)-2H- 1 -benzopyran-2-carboxamide, iV-[(lR,3S)-5-hydroxytricyclo[3.3.1.13'7]dec-2-yl]-2-benzoftιrancarboxamide,
2,3-dihydro-iV-[(lR,3S)-5-hydroxytricyclo[3.3.1.13'7]dec-2-yl]-2-benzoftiran- carboxamide, iV-[(lR,3S)-5-hydroxytricyclo[3.3.1.13'7]dec-2-yl]-7-methoxy-2-benzoftiran- carboxamide, iV-[(lR,3S)-5-hydroxytricyclo[3.3.1.13'7]dec-2-yl]-2-methyl-2-[(4-methylphenyl)amino]- propanamide,
3,4-dihydro-6-hydroxy-iV-[(lR,3S)-5-hydroxytricyclo[3.3.1.13'7]dec-2-yl]-
2,5,7,8-tetramethyl-2H-l-benzopyran-2-carboxamide,
2-[(4-chlorophenyl)sulfonyl]-iV-[(lR,3S)-5-hydroxytricyclo[3.3.1.13'7]dec-2-yl]-
2-methyl-propanamide,
2-[(4-chlorophenyl)thio]-iV-[(lR,3S)-5-hydroxytricyclo[3.3.1.13'7]dec-2-yl]-2-methyl- propanamide,
2,2-difluoro-iV-[(lR,3S)-5-hydroxytricyclo[3.3.1.13'7]dec-2-yl]-2-(3-methylphenoxy)- acetamide,
2-(3,5-dimethylphenoxy)-2-methyl-iV-tricyclo[3.3.1.13'7]dec-2-yl-propanamide,
iV-[(lR,3S)-5-hydroxytricyclo[3.3.1.13'7]dec-2-yl]-2-methyl-2-(3-methylphenoxy)- propanamide,
3,4-dihydro-iV-[(lR,3S)-5-hydroxytricyclo[3.3.1.13'7]dec-2-yl]-6-methyl-
2H- 1 ,4-benzoxazine-2-carboxamide, iV-[(lR,3S)-5-hydroxytricyclo[3.3.1.13'7]dec-2-yl]-2-(3-methoxyphenoxy)-2-methyl- propanamide,
2-(2-bromophenoxy)-iV-[(lR,3S)-5-hydroxytricyclo[3.3.1.13'7]dec-2-yl]-2-methyl- propanamide,
2-(3,5-dimethoxyphenoxy)-iV-[(lR,3S)-5-hydroxytricyclo[3.3.1.13'7]dec-2-yl]-2-methyl- propanamide,
2- [3 -(dimethylamino)phenoxy] -JV- [( 1 R,3 S)-5-hydroxytricyclo[3.3.1.13'7]dec-2-yl] -
2-methyl-propanamide, 2-[3-(acetylamino)phenoxy]-iV-[(lR,3S)-5-hydroxytricyclo[3.3.1.13'7]dec-2-yl]-
2-methyl-propanamide,
N-[(lR,3S)-5-hydroxytricyclo[3.3.1.13'7]dec-2-yl]-2-methyl-2-[3-(trifluoromethyl)- phenoxy] -propanamide,
2-[(4-chlorophenyl)sulfinyl]-iV-[(lR,3S)-5-hydroxytricyclo[3.3.1.13'7]dec-2-yl]-
2-methyl-propanamide,
2-(4-Chloro-phenoxy)-iV-[(lR,3S)-5-hydroxytricyclo[3.3.1.13'7]dec-2-yl]-2-methyl- propionamide, iV-[(lR,3S)-5-aminotricyclo[3.3.1. l3'7]dec-2-yl]-2-(2-chloro-phenoxy)-2-methyl- propionamide, iV-[(lR,3S)-5-aminotricyclo[3.3.1. l3'7]dec-2-yl]-2-methyl-2-(2-trifluoromethyl- phenoxy)-propionamide, iV-[(lR,3S)-5-aminotricyclo[3.3.1. l3'7]dec-2-yl]-2-(4-chloro-2-methyl-phenoxy)- 2-methyl-propionamide, iV-[(lR,3S)-5-aminotricyclo[3.3.1. l3'7]dec-2-yl]-2-(4-chloro-phenoxy)-2-methyl- propionamide, iV-[(lR,3S)-5-aminotricyclo[3.3.1. l3'7]dec-2-yl]-2-(2-chloro-5-trifluoromethyl- phenoxy)-2-methyl-propionamide, iV-[(lR,3S)-5-aminotricyclo[3.3.1. l3'7]dec-2-yl]-2-methyl-2-o-tolyloxy-propionamide, iV-[(lR,3S)-5-aminotricyclo[3.3.1. l3'7]dec-2-yl]-2-(2-chloro-4-methoxy-phenoxy)- 2-methyl-propionamide, iV-[(lR,3S)-5-aminotricyclo[3.3.1. l3'7]dec-2-yl]-2-(4-fluoro-2-methoxy-phenoxy)- 2-methyl-propionamide,
(3R,5S)-4-[2-(4-Chloro-2-methyl-phenoxy)-2-methyl-propionylamino]tricyclo- [3.3.1.13>7]decane- 1 -carboxylic acid,
2-(4-Chloro-2-methyl-phenoxy)-iV-[(lR,3S)-5-(dimethylamino)sulfonylaminotricyclo- [3.3.1.13>7]dec-2-yl] -2-methyl-propionamide,
2-(4-Chloro-2-methyl-phenoxy)-2-methyl-iV-[(lR,3S)-5-(3-methyl-2-oxo-pyrrolidin- 1 -yl)tricyclo[3.3.1.13>7]dec-2-yl]]-propionamide, iV-[(lR,3S)-5-methanesulfonylaminotricyclo[3.3.1.13'7]dec-2-yl]-2-methyl-2-(3-trifluoro- methyl-phenoxy)-propionamide, iV-[(lR,3S)-5-(dimethylamino)sulfonylaminotricyclo[3.3.1.13'7]dec-2-yl]-2-methyl- 2-(3-trifluoromethyl-phenoxy)-propionamide,
N-[(\ R,3 S)-5-Ethanesulfonylaminotricyclo[3.3.1.13>7]dec-2-yl] -2-methyl-2-(3 -trifluoro- methyl-phenoxy)-propionamide,
2-(4-Chloro-2-methyl-phenoxy)-iV-[(lR,3S)-5-methanesulfonylamino- tricyclo[3.3.1. l3'7]dec-2-yl]-2-methyl-propionamide, 2-(3 -Bromo-phenoxy)-iV- [( 1 R,3 S)-5-methanesulfonylaminotricyclo [3.3.1.13'7]dec-2-yl] -
2-methyl-propionamide,
2-(4-Chloro-phenoxy)-iV- [( 1 R,3 S)-5-methanesulfonylaminotricyclo [3.3.1.13'7]dec-2-yl] -
2-methyl-propionamide,
2-(3 -Bromo-phenoxy)-2-methyl-iV- [( 1 R,3 S)-5-(2-oxo-oxazolidin-3 -yl)tricyclo-
[3.3.1.13'7]dec-2-yl]] -propionamide.
In an even more preferred embodiment the compounds of formula (I) are selected from the group consisting of;
2,3-dihydro-iV-[(lR,3S)-5-hydroxytricyclo[3.3.1.13'7]dec-2-yl]-l,4-benzodioxin-
2-carboxamide, iV-[(lR,3S)-5-hydroxytricyclo[3.3.1.13'7]dec-2-yl]-2-methyl-2-(2-methylphenoxy)- propanamide, iV-[(lR,3S)-5-hydroxytricyclo[3.3.1.13'7]dec-2-yl]-2-methyl-2-(4-methylphenoxy)- propanamide,
2-(3,5-dimethylphenoxy)-iV-[(lR,3S)-5-hydroxytricyclo[3.3.1.13'7]dec-2-yl]-
2-methyl-propanamide, iV-[(lR,3S)-5-hydroxytricyclo[3.3.1.13'7]dec-2-yl]-3-methyl-2-benzofuran- carboxamide,
3,4-dihydro-iV-[(lR,3S)-5-hydroxytricyclo[3.3.1.13'7]dec-2-yl]-2H-l-benzopyran-
2-carboxamide,
2-(4-chloro-2-methylphenoxy)-iV-[(lR,3S)-5-hydroxytricyclo[3.3.1. l3'7]dec-2-yl]-
2-methyl-propanamide,
2-(4-Chloro-2-methyl-phenoxy)-iV-[(lR,3S)-5-methanesulfonylamino- tricyclo[3.3.1. l3'7]dec-2-yl]-2-methyl-propionamide,
2-(4-Chloro-2-methyl-phenoxy)-iV-[(lR,3S)-5-(dimethylamino)sulfonylamino- tricyclo[3.3.1. l3'7]dec-2-yl]-2-methyl-propionamide,
2-(4-Chloro-phenoxy)-iV-[(lR,3S)-5-hydroxytricyclo[3.3.1.13'7]dec-2-yl]-
2-methyl-propionamide, iV-[(lR,3S)-5-(dimethylamino)sulfonylaminotricyclo[3.3.1.13'7]dec-2-yl]-
2-methyl-2-(3-trifluoromethyl-phenoxy)-propionamide, iV-[(lR,3S)-5-methanesulfonylaminotricyclo[3.3.1.13'7]dec-2-yl]-2-methyl-
2-(3-trifluoromethyl-phenoxy)-propionamide, iV-[(lR,3S)-5-aminotricyclo[3.3.1. l3'7]dec-2-yl]-2-(2-chloro-phenoxy)-2-methyl- propionamide, iV-[(lR,3S)-5-aminotricyclo[3.3.1. l3'7]dec-2-yl]-2-methyl-2-(2-trifluoromethyl- phenoxy)-propionamide, iV-[(lR,3S)-5-Ethanesulfonylaminotricyclo[3.3.1.13'7]dec-2-yl]-2-methyl-
2-(3-trifluoromethyl-phenoxy)-propionamide,
(3R,5S)-4-[2-(4-Chloro-2-methyl-phenoxy)-2-methyl-propionylamino]- tricyclo[3.3.1.13'7]decane- 1 -carboxylic acid, iV-[(lR,3S)-5-aminotricyclo[3.3.1. l3'7]dec-2-yl]-2-(4-chloro-2-methyl-phenoxy)-
2-methyl-propionamide,
2-(4-Chloro-2-methyl-phenoxy)-2-methyl-iV-[(lR,3S)-5-(3-methyl-2-oxo- pyrrolidin- 1 -yl)tricyclo[3.3.1.13'7]dec-2-yl]]-propionamide,
2-(3 -Bromo-phenoxy)-2-methyl-iV- [( 1 R,3 S)-5-(2-oxo-oxazolidin-3 -yl)- tricyclo[3.3.1. l3'7]dec-2-yl]]-propionamide,
2-(3 -Bromo-phenoxy)-iV- [( 1 R,3 S)-5-methanesulfonylamino- tricyclo[3.3.1. l3'7]dec-2-yl]-2-methyl-propionamide, or
2-(4-Chloro-phenoxy)-iV- [( 1 R,3 S)-5-methanesulfonylaminotricyclo [3.3.1.13'7]dec-
2-yl] -2-methyl-propionamide.
In a further aspect the present invention provides any of the aforementioned group of compounds for use as a medicine. In particular in the treatment or prevention of pathologies associated with excess Cortisol formation such as obesity, diabetes, obesity related cardiovascular diseases, stress and glaucoma. It is accordingly a further aspect of the present invention to provide the use of any of the aforementioned group of compounds in the manufacture of a medicament for treating pathologies associated with excess Cortisol formation such as obesity, diabetes, obesity related cardiovascular diseases, stress and glaucoma.
PCT International patent application WO 2004/089416 provides the benefits of a combination therapy comprising the administration of a 1 lβ-HSDl inhibitor and an antihypertensive agent in the treatment of e.g.insulin resistance, dyslipidemia, obesity and hypertension, in particular in the treatment of hypertension. It is accordingly an object of the present invention to provide any of the aforementioned group of compounds in a combination therapy with an antihypertensive agent, such as for example alprenolol, atenolol, timolol, pindolol, propranolol, metoprolol, bisoprololfumerate, esmolol, acebutelol, acebutolol, betaxolol, celiprolol, nebivolol, tertatolol, oxprenolol, amusolalul, carvedilol, labetalol, S-atenolol, OPC- 1085, quinapril, lisinopril, enalapril, captopril, benazepril, perindopril, trandolapril, fosinopril, ramipril, cilazapril, delapril, imidapril, moexipril, spirapril, temocapril, zofenopril, S-5590, fasidotril, Hoechst-Marion Roussel : 100240 (EP00481522), omapatrilatjgemopatrilat and GW-660511, nifedipine, felodipine, nicardipine, isradipine, nimodipine,diltiazem, amlodipine, nitrendipine, verapamil, lacidipine, lercanidipine, aranidipine, cilnidipine, clevidipine, azelnidipine, barnidipine, efonodipine, iasidipine, iemildipine, iercanidipine, manidipine, nilvadipine, pranidipine, furnidipine, doxazosin,urapidil, prazosin, terazosin, bunazosin and OPC-28326,bendroflumetazide, chlorothalidone, hydrochlorothiazide and clopamide, bumetanide, furosemide, torasemide, amiloride, spironolactone, ABT-546, ambrisetan, atrasentan, SB-234551, CI- 1034, S-0139, YM-598, bosentan, J-104133, aliskiren, OPC-21268, tolvaptan, SR- 121463 , OPC-31260, Nesiritide, irbesartan, candesartancilexetil, losartan, valsartan, telmisartan, eprosartan, candesartan, CL- 329167, eprosartan, iosartan, olmesartan, pratosartan, TA-606, YM-358, fenoldopam, ketanserin, naftopidil, N-0861, FK-352, KT2-962, ecadotril, LP-805, MYD-37,nolomirole, omacor, treprostinil, beraprost, ecraprost, PST-2238, KR-30450, PMD-3117,Indapamides, CGRP-unigene, guanylate cyclase stimulators, hydralazines,methyidopa, docarpamine, moxonidine, CoAprovel, and MondoBiotech- 811. In said aspect of the invention a pharmaceutical composition which, comprises the combination of a 1 lβ-HSDl inhibitor of the present invention and an antihypertensive agent, is provided.
PCT International application WO 2004/089415 provides the benefits of a combination therapy comprising the administration of a 1 lβ-HSDl inhibitor and a glucocorticoid receptor agonist for the reduction of undesirable side effects occurring during glucocorticoid receptor agonist therapy and for treating some forms of cancer, diseases and disorders having inflammation as a component. In particular in reducing the adverse effects of glucocorticoid receptor agonist therapy in indications of Cushing's disease, Cushing's syndrome, allergic-inflammatory diseases, adverse effects ofglucocorticoid receptor agonist treatment of disorders of the respiratory system, adverse effects of glucocorticoid receptor agonist treatment of inflammatory bowel disease; adverse effects of glucocorticoid receptor agonist treatment of disorders of the immune system, connective tissue and joints; adverse effects ofglucocorticoid receptor agonist treatment of endocrinological diseases; adverse effects ofglucocorticoid receptor agonist treatment of hematological diseases; adverse effects of glucocorticoid receptor agonist treatment of cancer, chemotherapy- induced nausea, adverse effects ofglucocorticoid receptor agonist treatment of diseases of muscle and at the neuro¬ muscular joint; adverse effects of glucocorticoid receptor agonist treatment in the context of surgery; transplantation; adverse effects of glucocorticoid receptor agonist treatment of brain absess, nausea/vomiting, infections, hypercalcemia, adrenal hyperplasia, autoimmune hepatitis, spinal cord diseases, saccular aneurysms.
Examples for the indications wherein a combination of a 1 lβ-HSDl compound of the present invention with a glucocorticoid receptor agonists may be beneficial are: Cushing's disease, Cushing's syndrome, asthma, atopic dermatitis, cystic fibrosis, emphysema, bronchitis, hypersensitivity, pneumonitis, eosinophilic pneumonias, pulmonary fibrosis, Crohn's disease, Ulcerative colitis, reactive arthritis, rheumatoid arthritis, Sjogren's syndrome, systemic lupus erythematosus, lupus nephritis, Henoch- Schnlein purpura, Wegener's granulomatosis, temporal arteritis, systemic sclerosis, vasculitis, sarcoidosis, dermatomyositis-polymyositis, pemphigus vulgaris, hyperthyroidism, hypoaldosteronism, hypopituitarism, hemolytic anemia, thrombocytopenia, paroxysmal nocturnal hemoglobinuria, neoplastic compression of the spinal cord, brain tumours, acutelymphoblastic leukemia, Hodgkin's disease, chemotherapy- induced nausea, myasthenia gravis, heriditary myopathies, Duchenne muscular dystrophy, trauma, post-surgical stress, surgical stress, renal transplantation, liver transplantation, lung transplantation, pancreatic islet transplantation, blood stem cell transplantation, bone marrow transplantation, heart transplantation, adrenal gland transplantation, trachea transplantation, intestinal transplantation, corneal transplantation, skin grafting, keratoplasty, lens implantation, brain absess, nausea/vomiting, infections,hypercalcemia, adrenal hyperplasia, autoimmune hepatitis, spinal cord diseases, and saccular aneurysms. It is accordingly an object of the present invention to provide any of the aforementioned group of compounds in a combination therapy with a glucocorticoid receptor agonist, as well as pharmaceutical formulations comprising said combination of a compound of the present invention with a glucocorticoid receptor agonist. The glucocorticoid receptor agonist is, for example, selected from the group consisting of: betametasone, dexamethasone, hydrocortisone, methylprednisolone, prednisolone, prednisone, beclomethasone, butixicort, clobetasol, flunisolide, flucatisone (and analogues), momethasone, triamcinolonacetonide, triamcinolonhexacetonide GW-685698, NXC-1015, NXC-1020, NXC-1021, NS-126, P-4112, P-4114, RU-24858 and T-25 series.
The iV-2-adamantyl-2-phenoxy-acetamide derivatives of the present invention, hereinafter referred to as the compounds of formula (F), are generally prepared by treatment of the appropriate alkylhalide (II) with the alcohol of formula (III) under art known conditions (Scheme 1). This reaction is usually performed by mixing the halide and phenol directly with solid KOH in Me2SO or with HgO and HBF4 in CH2Cl2. Alternatively, as described in the examples hereinafter, the reactive aroxide is obtained directly in the reaction mixture by mixing the halide and phenol in an appropriate solvent such as dioxane, in the presence of sodium hydride. The reaction temperature and the reaction time may be altered depending on the starting material or reagents but is usually performed overnight at at a temperature in the range of 60°C - 120°C, typically 90°C.
Figure imgf000031_0001
wherein R1, R2, R3, R4, R5 are defeined as for the compounds of formula (I) hereinbefore and wherein X represents a halo atom, in particular, chloro or bromo.
The appropriate alkylhalide of formula (II) hereinbefore, is generally prepared by condensation of 2-adamantyl-amine (IV) with the appropriate carboxylic acid (V) in the presence of a coupling reagent, such as for example N,iV-dicyclohexylcarbodiimide (DCC), iV,iV-carbonyldiimidazole (CDI), POCl3, TiCl4, sulfur chloride fluoride (SO2CIF) or l-(3-dimethylaminopropyl)-3-ethylcarbodiimide (EDCI) either in the presence or absence of hydroxybenzotriazole (HOBt) (Scheme 2). The reaction is typically performed by stirring the reaction mixture for a couple of hours (2 - 8 hours) at room temperature.
Scheme 2
Figure imgf000031_0002
CH2C r.u
Figure imgf000031_0004
I2
Figure imgf000031_0003
wherein R1, R2 and R5 are defined as for the compounds of formula (I) hereinbefore and X represents a halo atom, in particular chloro or bromo.
In analogy with the preparation of the iV-2-adamantyl-2-phenoxy-acetamide derivatives of the present invention (F), those compounds wherein Z represents S, SO, SO2 or NR6 are prepared by reaction of the alkyl halide of formula (II) with the corresponding benzothiol, benzamine or benzene sulfinic acid ion using art known procedures, such as for example described in "Advanced Organic Chemistry" Jerry March - John Wiley & Sons, Inc. - third edition - New York - Section 0.38 - page 360-361; Section 0.42 - page 363 and Section 0.45 - page 364-365 respectively.
The bicyclic adamantyl-amide derivatives of formula (I") can be prepared by any of several standard synthetic processes commonly used by those skilled in the art of organic chemistry and described for instance in; "Introduction to organic chemistry" Streitweiser and Heathcock - Macmillan Publishing Co., Inc. - second edition - New York - Section 24.7 (partA) p.753-756. In general the amides can be prepared through a base-catalyzed nucleophilic addition between the appropriate carboxylic acid (VI) with the amino-adamantyl derivatives of formula (VII) (scheme 3) or via a nucleophilic substitution reaction wherein the appropriate amine reacts with either the corresponding acyl halide (scheme 4), anhydride or ester, to yield the required amide.
When coupling the acids to the amines (as in Scheme 2 hereinbefore), standard coupling reagents such as iV,iV-dicyclohexylcarbodiimide (DCC), iV,iV-carbonyl- diimidazole (CDI), POCl3, TiCl4, sulfur chloride fluoride (SO2ClF) or l-(3- dimethylaminopropyl)-3-ethylcarbodiimide (EDCI) are used in the presence or absence of hydroxybenzotrialzole (HOBt). In general, adding the carboxylic acids of formula (VI) to the amino-adamantyl derivative of formula (VII) under base catalyzed reaction conditions results in the formation of the amine salt which is in equilibrium with its weak acid and base. To force the equilibrium to the formation of the amide of formula (I"), a dehydrogenating agent such as carbodiimides, for example DCC and CDI are added to the reaction mixture. Scheme 3
Figure imgf000033_0001
(T) wherein R >25 τR»35 τR»4 and R are defined as for the compounds of formula (I)
In an alternative embodiment the carboxylic acids are converted into the corresponding halides by reaction with, for example, thionyl chloride or oxalyl chloride. Subsequently said acyl halide (VIII) is added to the amino-adamantyl derivatives of formula (VII) to yield the amide of formula (I") using art known reaction procedures such as the Schotten-Baumann method.
Scheme 4
Figure imgf000033_0002
(vm) (VJT)
H2O NaOH
Figure imgf000033_0003
(T) The carboxylic acids of formula (VI) are readily available, for example commercially from Aldrich Chemicals, or when they are not commercially available, they may be readily prepared from available precursors using straightforward transformations that are well known to the person skilled in the art of organic chemistry. For those compounds of formula (I) wherein Z represents O and R3 combined with R2 represent the bivalent radical represented by formula (a) or (b), for said compounds the bicyclic carboxylic acids of formula (VI) are prepared by coupling of aromatic 1,2-di- hydroxy or 1,2-amino-hydroxy-benzo-derivatives of formula (IX) with 2,3-dibromo- ethyl-propionate in boiling acetone. Subsequently, an acidic or basic hydrolysis of the thus obtained esters (X) yields the bicyclic carboxylic acid intermediates of formula
(VI).
Scheme 5
Figure imgf000034_0001
(VH) wherein R1 represents hydroxy or amino and wherein R2, R3 and R4 are defined as for the compounds of formula (I).
In analogy with the above, those compounds of the present invention wherein both R1 and R2 represent methyl, hereinafter referred to as the compounds of formula (F"), can be prepared according to scheme 6. In a first step 2-bromo-2-methylpropanoic acid ethyl ester [CAS No 600-00-0] is reacted with the corresponding benzothiol, benzamine or benzene sulfinic acid ion using art known procedures, such as for example described in "Advanced Organic Chemistry" Jerry March - John Wiley & Sons, Inc. - third edition - New York - Section 0.38 - page 360-361; Section 0.42 - page 363 and Section 0.45 - page 364-365 respectively. Subsequently coupling the thus obtained intermediate (XI) with the appropriate aminoadamantyl (VII) using standard coupling reagents such as iV,i\T-dicyclohexylcarbodiimide (DCC), iV,iV'-carbonyldiimidazole (CDI), POCl3, TiCl4, sulfur chloride fluoride (SO2ClF) or l-(3-dimethylaminopropyl)-3-ethylcarbodiimide (EDCI) in the presence or absence of hydroxybenzotrialzole (HOBt), yields the compounds of formula (F") Scheme 6
Figure imgf000035_0001
(VH) wherein Z, R >3 , r R.4 and R are defined as for the compounds of formula (I) hereinbefore.
As provided in more detail in the experimental part hereinafter, most of the R5 alternatives were obtained by converting the hydroxyl of general formula I using art known conversion reactions as schematically represented the scheme hereinafter. As used therein;
R refers to Ci^alkyl optionally substituted with one or more amino, hydroxy, Het3 or halo substituents, wherein Het3 is defined as for the compounds of formula (I) hereinbefore;
R25, R26 and R27 each independently represent hydrogen, halo, or Ci^alkyl wherein said Ci^alkyl is optionally substituted with one, two or three substituents selected from halo,
Figure imgf000035_0002
NR19R20 and Het2, wherein R19, R20 and Het2 are defined as for the compounds of formula (I) hereinbefore;
R28 and R29 each independently represent hydrogen or Ci^alkyl; R30 represents hydrogen or Ci^alkyl wherein said Ci^alkyl is optionally substituted with one, two or three substituents selected from halo, C^alkyloxycarbonyl, NR19R20 and Het2, wherein R19, R20 and Het2 are defined as for the compounds of formula (I) hereinbefore;
R31 represents C1-6alkyl wherein said C1-6alkyl is optionally substituted with one, two or three substituents selected from halo, C^alkyloxycarbonyl, NR19R20 and Het2, wherein R19, R20 and Het2 are defined as for the compounds of formula (I) hereinbefore; and - Z, R1, R2, R3, R4, R13, R14, n, o, and R1 are defined as for the compounds of formula (I) hereinbefore.
Figure imgf000036_0001
HCOOH
Figure imgf000036_0002
Figure imgf000036_0003
Further examples for the synthesis of compounds of formula (I) using anyone of the above-mentioned synthesis methods, are provided in the experimental part hereinafter. Where necessary or desired, any one or more of the following further steps in any order may be performed:
(i) removing any remaining protecting group(s);
(ii) converting a compound of formula (I) or a protected form thereof into a further compound of formula (I) or a protected form thereof;
(iii) converting a compound of formula (I) or a protected form thereof into a iV-oxide, a salt, a quaternary amine or a solvate of a compound of formula (I) or a protected form thereof;
(iv) converting a iV-oxide, a salt, a quaternary amine or a solvate of a compound of formula (I) or a protected form thereof into a compound of formula (I) or a protected form thereof; (v) converting a iV-oxide, a salt, a quaternary amine or a solvate of a compound of formula (I) or a protected form thereof into another JV-oxide, a pharmaceutically acceptable addition salt a quaternary amine or a solvate of a compound of formula (I) or a protected form thereof;
(vi) where the compound of formula (I) is obtained as a mixture of (R) and (S) enantiomers resolving the mixture to obtain the desired enantiomer;
It will be appreciated by those skilled in the art that in the processes described above the functional groups of intermediate compounds may need to be blocked by protecting groups.
Functional groups which it is desirable to protect include hydroxy, amino and carboxylic acid. Suitable protecting groups for hydroxy include trialkylsilyl groups (e.g. tert-butyldimethylsilyl, tert-butyldiphenylsilyl or trimethylsilyl), benzyl and tetrahydropyranyl. Suitable protecting groups for amino include tert-butvloxvcarbonvl or benzyloxycarbonyl. Suitable protecting groups for carboxylic acid include C(1-6)alkyl or benzyl esters.
The protection and deprotection of functional groups may take place before or after a reaction step.
The use of protecting groups is fully described in 'Protective Groups in Organic Synthesis' 2nd edition, T W Greene & P G M Wutz, Wiley Interscience (1991). Additionally, the N-atoms in compounds of formula (I) can be methylated by art- known methods using CH3-I in a suitable solvent such as, for example 2-propanone, tetrahydr outran or dimethylformamide.
The compounds of formula (I), can also be converted into each other following art- known procedures of functional group transformation of which some examples are mentioned hereinabove.
The compounds of formula (I), may also be converted to the corresponding JV-oxide forms following art-known procedures for converting a trivalent nitrogen into its iV-oxide form. Said iV-oxidation reaction may generally be carried out by reacting the starting material of formula (I) with 3-phenyl-2-(phenylsulfonyl)oxaziridine or with an appropriate organic or inorganic peroxide. Appropriate inorganic peroxides comprise, for example, hydrogen peroxide, alkali metal or earth alkaline metal peroxides, e.g. sodium peroxide, potassium peroxide; appropriate organic peroxides may comprise peroxy acids such as, for example, benzenecarboperoxoic acid or halo substituted benzenecarboperoxoic acid, e.g. 3-chlorobenzenecarboperoxoic acid, peroxoalkanoic acids, e.g. peroxoacetic acid, alkylhydroperoxides, e.g. t-butyl hydroperoxide. Suitable solvents are, for example, water, lower alkanols, e.g. ethanol and the like, hydro- carbons, e.g. toluene, ketones, e.g. 2-butanone, halogenated hydrocarbons, e.g. dichloromethane, and mixtures of such solvents.
Pure stereochemically isomeric forms of the compounds of formula (I), may be obtained by the application of art-known procedures. Diastereomers may be separated by physical methods such as selective crystallization and chromatographic techniques, e.g. counter-current distribution, liquid chromatography and the like.
Some of the compounds of formula (I), and some of the intermediates in the present invention may contain an asymmetric carbon atom. Pure stereochemically isomeric forms of said compounds and said intermediates can be obtained by the application of art-known procedures. For example, diastereoisomers can be separated by physical methods such as selective crystallization or chromatographic techniques, e.g. counter current distribution, liquid chromatography and the like methods. Enantiomers can be obtained from racemic mixtures by first converting said racemic mixtures with suitable resolving agents such as, for example, chiral acids, to mixtures of diastereomeric salts or compounds; then physically separating said mixtures of diastereomeric salts or compounds by, for example, selective crystallization or chromatographic techniques, e.g. liquid chromatography and the like methods; and finally converting said separated diastereomeric salts or compounds into the corresponding enantiomers. Pure stereochemically isomeric forms may also be obtained from the pure stereochemically isomeric forms of the appropriate intermediates and starting materials, provided that the intervening reactions occur stereospecifically.
An alternative manner of separating the enantiomeric forms of the compounds of formula (I) and intermediates involves liquid chromatography, in particular liquid chromatography using a chiral stationary phase.
Some of the intermediates and starting materials as used in the reaction procedures mentioned hereinabove are known compounds and may be commercially available or may be prepared according to art-known procedures.
The compounds of the present invention are useful because they possess pharmacological properties. They can therefore be used as medicines, in particular to treat pathologies associated with excess Cortisol formation, i.e. disorders where a decreased level of active glucocorticoid is desirable, such as metabolic syndrome, type 2 diabetes, impaired glucose tolerance (IGT), impaired fasting glucose (IFG), dyslipidemia, hypertension, obesity, diabetes, obesity related cardiovascular diseases, arteriosclerosis, atherosclerosis, myopathy, osteoporosis, neurodegenerative and psychiatric disorders, stress related disorders and glaucoma. In particular to treat pathologies such as for example, obesity, diabetes, type 2 diabetes, obesity related cardiovascular diseases, stress and glaucoma.
As described in the experimental part hereinafter, the inhibitory effect of the present compounds on the 1 lβ-HSDl -reductase activity (conversion of cortison into Cortisol) has been demonstrated in vitro, in an enzymatic assay using the recombinant 11 β- HSDl enzyme, by measuring the conversion of cortison into Cortisol using HPLC purification and quantification methods. 11 β-HSDl -reductase inhibition was also demonstrated in vitro, in a cell based assay comprising contacting the cells, expressing 1 lβ-HSDl with the compounds to be tested and assessing the effect of said compounds on the formation of Cortisol in the cellular medium of these cells. The cells preferably used in an assay of the present invention are selected from the group consisting of mouse fibroblast 3T3-L1 cells, HepG2 cells, pig kidney cell, in particular LCC-PKl cells and rat hepatocytes. Accordingly, the present invention provides the compounds of formula (I) and their pharmaceutically acceptable iV-oxides, addition salts, quaternary amines and stereochemically isomeric forms for use in therapy. In particular to treat pathologies associated with excess Cortisol formation, i.e. disorders where a decreased level of active glucocorticoid is desirable, such as metabolic syndrome, type 2 diabetes, impaired glucose tolerance (IGT), impaired fasting glucose (IFG), dyslipidemia, hypertension, obesity, diabetes, obesity related cardiovascular diseases, arteriosclerosis, atherosclerosis, myopathy, osteoporosis, neurodegenerative and psychiatric disorders, stress related disorders and glaucoma. More particular to treat pathologies such as for example, obesity, diabetes, type 2 diabetes, obesity related cardiovascular diseases, stress and glaucoma. Even more particular in the treatment or prevention of pathologies associated with excess Cortisol formation such as obesity, diabetes, obesity related cardiovascular diseases and glaucoma.
In view of the utility of the compounds according to the invention, there is provided a method for the treatment of an animal, for example, a mammal including humans, suffering from a pathology associated with excess Cortisol formation, which comprises administering an effective amount of a compound according to the present invention. Said method comprising the systemic or topical administration of an effective amount of a compound according to the invention, to warm-blooded animals, including humans.
It is thus an object of the present invention to provide a compound according to the present invention for use as a medicine. In particular to use the compound according to the present invention in the manufacture of a medicament for treating pathologies associated with excess Cortisol formation such as for example, metabolic syndrome, type 2 diabetes, impaired glucose tolerance (IGT), impaired fasting glucose (IFG), dyslipidemia, hypertension, obesity, diabetes, obesity related cardiovascular diseases, arteriosclerosis, atherosclerosis, myopathy, osteoporosis, neurodegenerative and psychiatric disorders, stress related disorders and glaucoma, in particular obesity, diabetes, obesity related cardiovascular diseases, stress and glaucoma.
The amount of a compound according to the present invention, also referred to here as the active ingredient, which is required to achieve a therapeutical effect will be, of course, vary with the particular compound, the route of administration, the age and condition of the recipient, and the particular disorder or disease being treated. A suitable daily dose would be from 0.001 mg/kg to 500 mg/kg body weight, in particular from 0.005 mg/kg to 100 mg/kg body weight. A method of treatment may also include administering the active ingredient on a regimen of between one and four intakes per day.
While it is possible for the active ingredient to be administered alone, it is preferable to present it as a pharmaceutical composition. Accordingly, the present invention further provides a pharmaceutical composition comprising a compound according to the present invention, together with a pharmaceutically acceptable carrier or diluent. The carrier or diluent must be "acceptable" in the sense of being compatible with the other ingredients of the composition and not deleterious to the recipients thereof.
The pharmaceutical compositions of this invention may be prepared by any methods well known in the art of pharmacy, for example, using methods such as those described in Gennaro et al. Remington's Pharmaceutical Sciences (18th ed., Mack Publishing Company, 1990, see especially Part 8 : Pharmaceutical preparations and their
Manufacture). A therapeutically effective amount of the particular compound, in base form or addition salt form, as the active ingredient is combined in intimate admixture with a pharmaceutically acceptable carrier, which may take a wide variety of forms depending on the form of preparation desired for administration. These pharmaceutical compositions are desirably in unitary dosage form suitable, preferably, for systemic administration such as oral, percutaneous, or parenteral administration; or topical administration such as via inhalation, a nose spray, eye drops or via a cream, gel, shampoo or the like. For example, in preparing the compositions in oral dosage form, any of the usual pharmaceutical media may be employed, such as, for example, water, glycols, oils, alcohols and the like in the case of oral liquid preparations such as suspensions, syrups, elixirs and solutions: or solid carriers such as starches, sugars, kaolin, lubricants, binders, disintegrating agents and the like in the case of powders, pills, capsules and tablets. Because of their ease in administration, tablets and capsules represent the most advantageous oral dosage unit form, in which case solid pharma- ceutical carriers are obviously employed. For parenteral compositions, the carrier will usually comprise sterile water, at least in large part, though other ingredients, for example, to aid solubility, may be included. Injectable solutions, for example, may be prepared in which the carrier comprises saline solution, glucose solution or a mixture of saline and glucose solution. Injectable suspensions may also be prepared in which case appropriate liquid carriers, suspending agents and the like may be employed. In the compositions suitable for percutaneous administration, the carrier optionally comprises a penetration enhancing agent and/or a suitable wettable agent, optionally combined with suitable additives of any nature in minor proportions, which additives do not cause any significant deleterious effects on the skin. Said additives may facilitate the administration to the skin and/or may be helpful for preparing the desired compositions. These compositions may be administered in various ways, e.g., as a transdermal patch, as a spot-on or as an ointment. As appropriate compositions for topical application there may be cited all compositions usually employed for topically administering drugs e.g. creams, gellies, dressings, shampoos, tinctures, pastes, ointments, salves, powders and the like. Application of said compositions may be by aerosol, e.g. with a propellant such as nitrogen, carbon dioxide, a freon, or without a propellant such as a pump spray, drops, lotions, or a semisolid such as a thickened composition which can be applied by a swab. In particular, semisolid compositions such as salves, creams, gellies, ointments and the like will conveniently be used.
It is especially advantageous to formulate the aforementioned pharmaceutical compositions in dosage unit form for ease of administration and uniformity of dosage. Dosage unit form as used in the specification and claims herein refers to physically discrete units suitable as unitary dosages, each unit containing a predetermined quantity of active ingredient calculated to produce the desired therapeutic effect in association with the required pharmaceutical carrier. Examples of such dosage unit forms are tablets (including scored or coated tablets), capsules, pills, powder packets, wafers, injectable solutions or suspensions, teaspoonfuls, tablespoonfuls and the like, and segregated multiples thereof.
In order to enhance the solubility and/or the stability of the compounds of formula (I) in pharmaceutical compositions, it can be advantageous to employ α-, β- or γ-cyclo- dextrins or their derivatives. Also co-solvents such as alcohols may improve the solubility and/or the stability of the compounds of formula (I) in pharmaceutical compositions. In the preparation of aqueous compositions, addition salts of the subject compounds are obviously more suitable due to their increased water solubility.
Experimental part
In the procedures described hereinafter the following abbreviations were used : "DIPE" stands for diisopropylether; "EtOAc" stands for ethyl acetate; "DMF" stands for N,N-dimethylformamide, "TEA" for iV,iV-diethylethanamine "DMAP" for N,N- dimethyl-4-pyridinamine, "EDCI" stands for l-(3-dimethylaminopropyl)- 3-ethylcarbodiimide, "HOBt" stands for hydroxybenzotriazole, "NMM" stands for 4-methylmorpholine, "DIPCDI" stands for JV, JNT-diisopropyl-carbodiimide and "DIPEA" stands for JV, JV-diisopropylethylamine.
Extrelut™ is a product of Merck KgaA (Darmstadt, Germany) and is a short column comprising diatomaceous earth. Supelco is a prepacked silicagel liquid chromatography column.
For some chemicals the chemical formula was used, e.g. CH2CI2 for dichloromethane, CH3OH for methanol, HCl for hydrochloric acid, H2SO4 for sulfuric acid, and NaHCθ3 for sodium hydrogen carbonate.
A. Preparation of the intermediates Example A.I
Preparation of
Figure imgf000043_0001
intermediate 1
4-chloro-2-methylphenol [1570-64-5] (0.0049 mol) was stirred in dioxane (15 ml). Sodium hydride (0.0049 mol) was added and the mixture was stirred for 30 minutes. 2- Bromo-2-methylpropanoic acid, 1,1-dimethylethyl ester [23877-12-5] (0.005 mol) was added and the reaction mixture was stirred overnight at 6O0C. Water (5 ml) was added. The mixture was washed with dichloromethane. The layers were separated. The aqueous layer was acidified with HCl, then extracted with dichloromethane. The separated organic layer was washed, filtered through Extrelut, and the filtrate was evaporated. The residue was purified over silica gel (Supelco) on a glass filter (eluent : CH2Cl2). The product fractions were collected and the solvent was evaporated, yielding 0.145 g of intermediate 1.
Example A.2
Preparation of intermediate 2
Figure imgf000043_0002
A mixture of 2-bromo-2-methyl-propanoic acid [2052-01-9] (0.01 mol), N- (ethylcarbonimidoyl)-iV,iV-dimethyl-l,3-propanediamine, monohydrochloride [25952- 53-8] (0.011 mol) and 1 -hydroxy- lH-benzotriazo Ie (0.011 mol) in dichloromethane (50 ml) was stirred for 30 minutes at room temperature, then JV,iV-diethylethanamine (0.03 mol) was added, followed by tricyclo[3.3.1.13'7]decan-2-amine, hydrochloride [10523- 68-9] (0.013 mol). The reaction mixture was stirred for 5 hours at room temperature and then washed with a 15 % citric acid solution, with a 5 % NaHCO3 solution with water and with brine. After drying, the solvent was evaporated, yielding 2.5 g of intermediate 2. Example A.3
a) Preparation of intermediate 3
Figure imgf000044_0001
intermediate 4
2,3-Dibromopropanoic acid, ethyl ester (0.05 mol) was added to a suspension of 2-aminophenol (0.046 mol) and potassium carbonate (0.135 mol) in 2-propanone (250 ml) and then the reaction mixture was stirred and refluxed over the weekend. The mixture was filtered and the filtrate was evaporated, yielding a mixture of intermediate 3 [22244-22-0 and intermediate 4 [177202-60-7].
b) Preparation of intermediate 5
Figure imgf000044_0002
Potassium carbonate (0.03 mol) and iodomethane (0.03 mol) were added to a solution of a mixture of intermediate 3 and intermediate 4 (0.01 mol) in 2-propanone. The reaction mixture was stirred and refluxed overnight. The resulting precipitate was filtered off, washed with 2-propanone and the filtrate was evaporated. The obtained residue (3.2g) was dissolved in 2-propanol (50 ml) and in DIPE (50 ml). Then the solution was washed with water and with brine and concentrated again, yielding 1.9 g of intermediate 5 [54442-28-3].
c) Preparation of intermediate 6
Figure imgf000044_0003
A solution of intermediate 5 [54442-28-3] (0.0086 mol) in hydrochloric acid and 2- propanol was stirred and refluxed for 3 hours. Then the reaction mixture was cooled and diluted with ice-water. Potassium hydroxide was added until pH 8 and the mixture was extracted with EtOAC and with dichloromethane. The aqueous layer was acidified with HCl and extracted with dichloromethane. The extracts were combined, washed with brine and concentrated, yielding intermediate 6 [212578-38-6]. Example A.4
a) Preparation of intermediate 7
Figure imgf000045_0001
5-(Phenylmethoxy)-tricyclo[3.3.1.13'7]decanone[167856-60-2] (1.5 g) was dissolved in ethanol (25 ml). Hydroxylamine.hydrochloride (0.9 g) was added followed by 2N KOH (10 ml). The mixture was stirred overnight. The volatiles were removed by evaporation, and the residue was extracted with dichloromethane. The organic layer was washed with brine, dried (MgSO4) and evaporated, yielding 1.4 g of intermediate 7.
b) Preparation of
Figure imgf000045_0002
intermediate 8 Intermediate 7 was dissolved in 7M NH3/MeOH (40 ml), Raney Nickel (0.5 g) was added, and the mixture was hydrogenated at 14°C. The mixture was filtered, and evaporated, yielding 1.3 g of intermediate 8 as a 1 to 1 mixture of its cis and trans isomers.
B. Preparation of the compounds Example B.I
Preparation of compound 1
Figure imgf000045_0003
1 -Hydroxy- lH-benzotriazo Ie (0.0007 mol) was added to a solution of intermediate 1 (0.0006 mol) in dichloromethane (10 ml) and DMF (5 ml) and the mixture was stirred for 10 minutes. Then JV"-(ethylcarbonimidoyl)-iV,iV-dimethyl- 1,3-propanediamine, monohydrochloride [25952-53-8] (0.0007 mol) was added and the mixture was stirred for 20 minutes. After addition of (lα,3α,4α,5β,7α)- 4-aminotricyclo[3.3.1.13'7]decan-l-ol [62058-03-1] (0.0007 mol), the reaction mixture was stirred overnight and the solvent was evaporated. The obtained residue was dissolved in dichloromethane and then washed with a 15 % citric acid solution and with a Na2CO3 solution. The organic layer was dried through Extrelut and the solvent was evaporated, yielding 0.17O g of compound 1. Example B .2
Preparation of compound 2
Figure imgf000046_0001
Sodium hydride (60%)(0.0009 mol) was added to a stirred solution of 3,5- dimethylphenol (0.00098 mol) in dioxane (5 ml). The mixture was stirred for 45 minutes before intermediate 2 (0.0011 mol) was added. The reaction mixture was stirred for 4 hours at 90°C, then overnight at room temperature. Water (2 ml) was added and the mixture was extracted with dichloromethane. The organic layer was separated, dried, filtered off and the solvent was evaporated. The residue was purified by column chromatography over silica gel (Supelco) (eluent: CH2CyCH3OH 98/2). The product fractions were collected and the solvent was evaporated. The residue was dissolved in dichloromethane and washed 2 times with a potassium hydroxide solution. The organic layer was separated, dried, filtered off and the solvent was evaporated, yielding 0.175 g of compound 2.
Example B .3
Preparation of compound 3
Figure imgf000046_0002
A mixture of 2-[(p-chlorophenyl)sulfonyl]-2-methylpropionic acid [28361-38-8]
(0.00028 mol) in dichloromethane (5 ml) and DMF (5 ml) was stirred and 1-hydroxy- lH-benzotriazole (O.OOO33 mol) was added. Then the mixture was stirred for 10 minutes and iV-(ethylcarbonimidoyl)-iV,iV-dimethyl-l,3-propanediamine, monohydrochloride [25952-53-8] (O.OOO33 mol) was added. The resulting mixture was stirred for 10 minutes and (lα,3α,4α,5β,7α) -4-aminotricyclo[3.3.1.13'7]decan-l-ol [62058-03-1] (O.OOO33 mol) was added. The reaction mixture was stirred overnight at room temperature and then the solvent was evaporated. The residue was purified by column chromatography over silica gel (eluent: CH2CyCH3OH 98/2). The product fractions were collected and the solvent was evaporated, yielding 0.094 g of compound 3.
Example B .4
a) Preparation of compound 4
Figure imgf000046_0003
A mixture of 2-[(4-chlorophenyl)thio]-2-methylpropanoic acid [17413-74-0] (0.0007 mol) in dichloromethane (5 ml), DMF (5 ml) and DIPEA (0.5 ml) was stirred and l-[bis(dimethylamino)methylene]-lH-benzotriazolium, hexafluorophosphate(l-), 3-oxide (ΗBTU)(0.0075 mol) was added. After stirring for 15 minutes (lα,3α,4α,5β,7α) -4-aminotricyclo[3.3.1.13'7]decan-l-ol [62058-03-1] (0.00075 mol) was added. The reaction mixture was stirred overnight at 40°C and the solvent was evaporated. The residue was dissolved in dichloromethane and then the solution was washed with a 15 % citric acid solution and with a sodium carbonate solution. The organic layer was separated, dried, filtered off and the solvent was evaporated. The obtained residue was purified by column chromatography over silica gel (Supelco) (eluent: dichloromethane). The product fractions were collected and the solvent was evaporated, yielding 0.164 g of compound 4.
b) Preparation of compound 5
Figure imgf000047_0001
A mixture of compound 4( (0.00043 mol) in dichloromethane (15 ml) was stirred at - 50°C and 3-chlorobenzenecarboperoxoic acid (0.0005 mol) was added. The reaction mixture was stirred overnight at room temperature and washed with a sodium carbonate solution. The organic layer was dried by filtration through Extrelut and the solvent was evaporated, yielding 0.13 g of compound 5.
Example B .5
Preparation of compound 6
Figure imgf000047_0002
iV-(ethylcarbonimidoyl)-iV,iV-dimethyl-l,3-propanediamine, monohydrochloride [25952-53-8] (0.0022 mol) and 1 -hydroxy- lH-benzotriazole (0.0022 mol) were added to a solution of intermediate 6 [212578-38-6] (0.002 mol) in DMF (25 ml) and the mixture was stirred and warmed (40°C). Then a solution of 4-amino- (lα,3α,4α,5β,7α) tricyclo[3.3.1.13'7]decan-l-ol [62058-03-1] (0.0024 mol) in hot DMF was added and the reaction mixture was stirred overnight at room temperature. The mixture was poured out into ice-water and was extracted with EtOAc. The obtained extract was washed with water and with brine and then dried and concentrated, yielding 0.040 g of compound 6. Example B .6
Preparation of compound 7
Figure imgf000048_0001
1 -Hydroxy- lH-benzotriazo Ie (0.001 mol) was added to a stirred mixture of 3-methylbenzofurancarboxylic acid [24673-56-1] (0.0009 mol) in dichloromethane (5 ml) and DMF (5 ml). The mixture was stirred for 10 minutes and iV-(ethyl- carbonimidoyl)-iV,iV-dimethyl-l,3-propanediamine, monohydrochloride
[25952-53-8] (0.001 mol) was added. The resulting mixture was stirred for 1 hour before (lα,3α,4α,5β,7α)-4-aminotricyclo[3.3.1.13'7]decan-l-ol [62058-03-1] (0.001 mol) was added. The reaction mixture was stirred at room temperature overnight and then (Polystyrylmethyl)-trimethylammonium bicarbonate (I g; Novabiochem Cat. No.: 01-64-0419) and Methylisocyanate polystyrene
(I g; Novabiochem Cat. No.: 01-64-0169) were added. The resulting mixture was shaken for 1 hour and filtered. The filtrate was evaporated and the obtained residue was purified by flash column chromatography (eluent: CH2CyCH3OH 90/10). The product fractions were collected and the solvent was evaporated, yielding 0.144 g of compound 7.
Example B .7
Preparation of compound 29
Figure imgf000048_0002
A mixture of compound (1) () (0.00026 mol) and acetonitrile (2 ml) was stirred. H2SO4 (0.05 ml) was added dropwise and the reaction mixture was stirred overnight. The mixture was poured out on ice. The mixture was neutralized with a Na2CO3 solution. The mixture was extracted with CH2Cl2. The organic layer was separated, dried, filtered and the solvent was evaporated. The residue was purified by column chromatography over silica gel (Supelco)(eluent: CH2C12/CH3OH 98/2). The product fractions were collected and the solvent was evaporated, yielding 0.057 g of compound 29. Example B.8
Preparation of compound 30
Figure imgf000049_0001
N
A mixture of compound 32 () (0.1 g), CH2Cl2 (10 ml) and TEA (2 ml) was stirred. iV,iV-dimethylaminosulfonyl chloride (0.15 ml) was added dropwise. The reaction mixture was stirred overnight. DMAP (cat. quant.) was added and the mixture was stirred at 45°C overnight. The mixture was cooled washed with a 15% citric acid solution. The organic layer was separated, dried, filtered and the solvent was evaporated. The residue was purified by column chromatography over silica gel (Supelco)(eluent: CH2CyCH3OH 99/1). The product fractions were collected and the solvent was evaporated, yielding 0.046 g of compound 30.
Example B .9
a) Preparation of compound 31
Figure imgf000049_0002
A mixture of compound (1) () (0.005 mol) and chloroacetonitrile (5 ml) was stirred. H2SO4 (0.5 ml) was added and the mixture was stirred over weekend. H2SO4 (0.5 ml) was added and the mixture was stirred overnight. The mixture was poured out on ice. The mixture was neutralized with a Na2CO3 solution. The mixture was extracted with CH2Cl2. The organic layer was separated, dried, filtered and the solvent was evaporated. The residue was crystallized from DIPE. The precipitate was filtered off and dried, yielding 1.9g (84%) of compound 31.
b) Preparation of compound 32
Figure imgf000049_0003
A mixture of compound 31 () (0.0042 mol), thiourea (0.006 mol), ethanol (20 ml) and acetic acid (4 ml) was stirred and refluxed overnight. The mixture was poured out into water. The mixture was neutralized with a Na2CO3 solution. The mixture was extracted with CH2Cl2. The organic layer was separated, dried, filtered and the solvent was evaporated. The residue was crystallized from DIPE. The precipitate was filtered off and dried, yielding 1 g (63.6%) of compound 32. Example B.lO
Preparation of compound 33
Figure imgf000050_0001
A mixture of compound 32) (0.00026 mol), CH2Cl2 (10 ml) and TEA (1 ml) was stirred. Methanesulfonyl chloride (0.0006 mol) was added dropwise. The reaction mixture was stirred overnight. DMAP (cat. quant.) was added. The mixture was washed with water. The organic layer was separated, dried, filtered and the solvent was evaporated. The residue was purified by high-performance liquid chromatography. The product fractions were collected and the solvent was evaporated, yielding 0.027g of compound 33.
Example B.11
Preparation of compound 34
Figure imgf000050_0002
To a mixture of 2-methyl-iV-o-tolyl-alanine [117755-95-0] (0.006 mol), EDCI (0.009 mol), HOBt (0.009 mol), NMM (0.024 mol) and CH2Cl2 (80 ml), a solution of (lα,3α,4α,5β,7α)-4-amino-tricyclo[3.3.1.13'7]decan-l-ol [62058-03-1] (0.006 mol) in DMF (20 ml) was added after 10 minutes. The reaction mixture was stirred for 16 hours at 20°C under N2 flow. The mixture was poured out into a column comprising diatomaceous earth. Then the column was washed with CH3OH/CH2C12 5/95. The filtrate was purified by flash chromatography (eluent: CH3OH(2-3%)/CH2Cl2) over SiO2, yielding 0.89 g (44%) of compound 34
Example B.12
Preparation of compound 35
Figure imgf000050_0003
Compound 34 (0.009 mol) was dissolved in CH2Cl2 (30 ml). The mixture was cooled to -70°C under N2 flow. (iV-ethylethanaminato)trifluoro-sulfur [38078-09-0] (0.002 mol) was added. The reaction mixture was stirred at -70°C for 2 hours. The mixture was washed with a saturated aqueous NaHCO3 solution (30 ml) and dried (MgSO4). The solvent was evaporated. The residue was filtered through silica gel. The precipitate was treated with diethyl ether, yielding 0.20Og of compound 35.
Example B.13 -49- ^- V. U .o f
a) Preparation of compound 36
Figure imgf000051_0001
A mixture of compound 27 (0.00146 mol) and hydrobromic acid (48%) (15 ml) was heated to 800C overnight. The reaction mixture was evaporated to dryness under reduced pressure. The reaction was repeated, yielding compound 36 (crude).
b) Preparation of compound 37
Figure imgf000051_0002
A mixture of compound 36 (crude) and acetamide (q.s.) was heated to 1300C for 48 hours. The mixture was diluted with water, stirred for 30 minutes and then extracted with CH2Cl2. The organic layer was separated, dried (Na2SO4) and the solvent was evaporated under reduced pressure. The residue (still starting material A) was dissolved in CH3CN. Acetamide (q.s.) was added. The reaction mixture was heated for 4 hours at 1700C in a sealed tube in the microwave. The mixture was poured out into water. The mixture was stirred for 30 minutes and then extracted with CH2Cl2. The organic layer was separated, dried (Na2SO4) and the solvent was evaporated. The residue was purified by column chromatography (eluent: hexane/EtOAc 50/50 to 0/100). The product fractions were collected and the solvent was evaporated, yielding 0.07g of compound 37.
Example B.14
Preparation of compound 38
Figure imgf000051_0003
A mixture of compound (1) () (0.00026 mol) and cyano-acetic acid, methyl ester (2 ml) was stirred. H2SO4 (0.05 ml) was added dropwise and the reaction mixture was stirred overnight. The mixture was poured out on ice. The mixture was neutralized with a Na2CO3 solution. The mixture was extracted with CH2Cl2. The organic layer was separated, dried, filtered and the solvent was evaporated. The residue was purified by column chromatography over silica gel (Supelco)(eluent: CH2C12/CH3OH 98/2). The product fractions were collected and the solvent was evaporated, yielding 0.066 g of compound 38. Example B.15
Preparation of compound 39
Figure imgf000052_0001
A mixture of compound 32) (0.00013 mol) and dihydro-2(3H)-furanone (1.5 ml) was stirred in a microwave at 240°C for 5000 sec. The mixture was cooled. The solvent was evaporated. The residue was purified by column chromatography over silica gel (Supelco)(eluent: CH2C12/CH3OH 100/0 to 0/100). The product fractions were collected and the solvent was evaporated. The residue was purified by column chromatography over silica gel (Supelco)(eluent: CH2CyCH3OH 98/2). The product fractions were collected and the solvent was evaporated, yielding 0.108 g (45%) of compound 39.
Example B.16
a) Preparation of compound 13
Figure imgf000052_0002
To a mixture of 2-methyl-2-(4-methylphenoxy)propanoic acid [23438-11-1] (0.015 mol) and DMF (100 ml), HOBt (0.0165 mol) was added at room temperature. The reaction mixture was stirred until complete dissolution. EDCI (0.0165 mol) was added and the mixture was stirred at room temperature for 30 minutes. (lα,3α,4α,5β,7α)- 4-amino-tricyclo[3.3.1.13'7]decan-l-ol [62058-03-1] (0.0165 mol) was added and the mixture was stirred at room temperature for 3 hours. The solvent was evaporated. The residue was purified by column chromatography (eluent: CH2CyCH3OH 100/0 to 98/2). The product fractions were collected and the solvent was evaporated, yielding 0.29Og (54%) of compound 13
b) Preparation of compound 40
Figure imgf000052_0003
To a mixture of compound 13 (0.00466 mol) and bromoacetic acid (0.00513 mol) in CH2Cl2 (15 ml) at 5°C, DMAP (0.200 g) was added. A solution of DIPCDI (0.00606 mol) in CH2Cl2 (3 ml) was added dropwise. The reaction mixture was stirred until the temperature reached room temperature. Extra bromoacetic acid (0.00513 mol), DMAP (0.200 g) and DIPCDI (0.00606 mol) were added at 5°C. The reaction mixture was stirred for 2 hours until the temperature reached room temperature. The mixture was filtered. The precipitate was purified by high-performance liquid chromatography (eluent: CH2C12/CH3OH 100/0 to 98.4/1.6). The product fractions were collected and the solvent was evaporated. The residue was purified again by high-performance liquid chromatography (eluent: CH2C12/CH3OH 100/0 to 98.4/1.6). The product fractions were collected and the solvent was evaporated, yielding 0.842 g (37%) of compound 40.
c) Preparation of compound 41
Figure imgf000053_0001
A mixture of compound 40 (0.00174 mol), morpholine (0.00209 mol), potassium carbonate (0.00348 mol), acetonitrile (20 ml) and potassium iodide (cat. quant.) was stirred at 50°C for 2 hours. The solvent was evaporated. The residue was dissolved in CH2Cl2 and washed with water. The organic layer was separated, dried (MgSO4), filtered and the solvent was evaporated. The residue was crystallized from 2-propanol and DIPE. The precipitate was filtered off, washed with 2-propanol and dried, yielding 0.290 g (33%) of compound 41.
Example B.17
Preparation of compound 42
Figure imgf000053_0002
A mixture of compound 31 (0.00022 mol), acetonitrile (10 ml) and sodium carbonate (0.06 g) was stirred. 2-(Methylamino)ethanol [109-83-1] (0.0003 mol) was added. The reaction mixture was stirred overnight. The solvent was evaporated. The residue was purified by column chromatography over silica gel (Supelco) (eluent: CH2C12/CH3OH 98/2). The product fractions were collected and the solvent was evaporated, yielding 0.031 g of compound 42.
Example B.18
a) Preparation of compound 43
Figure imgf000053_0003
To a mixture of 2-(3-chlorophenoxy)-2-methyl-propanoic acid [17413-73-9] (0.010 mol) and CH2Cl2 (70 ml), HOBt (0.012 mol) was added at room temperature. The mixture was stirred until complete dissolution of HOBt. EDCI (0.012 mol) was added and the mixture was stirred at room temperature for 30 minutes. (lα,3α,4α,5β,7α)- 4-aminotricyclo[3.3.1.13'7]decan-l-ol [62058-03-1] (0.012 mol) was added and the mixture was stirred at room temperature overnight. The solvent was evaporated. The residue was dissolved in CH2CI2 and washed with 15% citric acid solution, IM Na2CO3 and water. The organic layer was separated, dried (MgSO4), filtered and the solvent was evaporated. The residue was purified by column chromatography (eluent: CH2C12/CH3OH 100/0 to 98/2). Two product fraction groups were collected and the solvents were evaporated. The residue was crystallized from DIPE. The precipitate was filtered off and dried, yielding 1.97g of compound 43.
b) Preparation of compound 44
Figure imgf000054_0001
To a mixture of compound 43 (0.00055 mol) and 3-chloro-iV,iV-dimethyl-l- propanamine, hydrochloride [5407-04-5] (0.000826 mol) in DMF (8 ml) and toluene (2 ml), a dispersion of sodium hydride in mineral oil (60%) (0.0165 mol) was added in 4 portions over 90 minutes. The reaction mixture was stirred at 70°C for 24 hours. The solvent was evaporated. Water was added. The mixture was extracted with CH2Cl2.
The organic layer was separated, dried (MgSO4), filtered and the solvent was evaporated. The residue was purified by high-performance liquid chromatography.
The product fractions were collected and the solvent was evaporated, yielding 0.038g
(15%) of compound 44.
Example B.19
Preparation of compound 45
Figure imgf000054_0002
A mixture of compound 32) (0.00026 mol), CH2Cl2 (3 ml) and sodium carbonate (0.1 g) was stirred. Carbonochloridic acid, ethyl ester [541-41-3](0.001 mol) was added dropwise. The reaction mixture was stirred over weekend. The mixture was washed with water. The mixture was filtered through Extrelut and the filtrate was evaporated. The residue was purified by chromatography over silica gel (Supelco)(eluent: CH2C12/CH3OH 98/2). The product fractions were collected and the solvent was evaporated, yielding O.lg of compound 45. Example B .20
Preparation of compound 46
Figure imgf000055_0001
A mixture of compound 32) (0.1 g), paraformaldehyde (0.1 g), platinum on activated carbon (5%) (0.010 g), thiophene (0.1 ml), methanol (40 ml) and hydrogen (1 equivalent) was stirred at 50°C overnight. The mixture was filtered and the filtrate was evaporated. The residue was suspended in CH2CI2 and washed with water. The mixture was filtered through Extrelut filter and the filtrate was evaporated. The residue was purified by high-performance liquid chromatography. The product fractions were collected and the solvent was evaporated, yielding 0.038 g of compound 46.
Example B .21
Preparation of compound 47
Figure imgf000055_0002
A mixture of compound 13 ( )(0.00058 mol), l-isocyanato-4-methyl-benzene [622-58- 2] (0.000758 mol), chlorotrimethylsilane [75-77-4] (0.000058 mol) and 1,2- dichloroethane (5 ml) was stirred overnight at 50°C. The solvent was evaporated. The residue was purified by column chromatography (Supelco). The product fractions were collected and the solvent was evaporated, yielding 0.045g (16%) of compound 47.
Example B .22
Preparation of compound 48
compound 52
Figure imgf000055_0003
A mixture of 2-methyl-2-(4-methylphenoxy)propanoic acid [23438-1 l-l](0.004 mol), CH2Cl2 (25 ml) and DMF (7 ml) was stirred. HOBt (0.004 mol) was added and the mixture was stirred until dissolution. EDCI (0.004 mol) was added and the mixture was stirred for 30 minutes. A solution of intermediate 8 (0.0027 mol) in CH2Cl2 (25 ml) and DMF (7 ml) was added dropwise. The reaction mixture was stirred overnight. The solvent was evaporated. The residue was dissolved in CH2Cl2 and washed with a Na2CO3 solution. The organic layer was separated, dried, filtered and the solvent was evaporated. The residue was purified by column chromatography over silica gel (Biotage) (eluent: CT^Ck/hexane/EtOAc 50/48/2). Two product fraction groups were collected and their solvents were evaporated. The residue was purified by high- performance liquid chromatography. The product fractions were collected and the solvent was evaporated, yielding 0.4 g of compound 48 and 0.175 g of compound 52.
Example B .23
Preparation of compound 49
Figure imgf000056_0001
A mixture of 2-methyl-2-(4-methylphenoxy)propanoic acid [23438-11-1] (0.004 mol), CH2Cl2 (25 ml) and DMF (7 ml) was stirred. HOBt (0.004 mol) was added and the mixture was stirred until dissolution. EDCI (0.004 mol) was added and the mixture was stirred for 30 minutes. A solution of 5-phenyl-tricyclo[3.3.1.13'7]decan-2-amine [733695-05-1] (0.0035 mol) in CH2Cl2 (25 ml) and DMF (7 ml) was added dropwise. The reaction mixture was stirred overnight. The solvent was evaporated. The residue was dissolved in CH2Cl2 and washed with a Na2CO3 solution. The organic layer was separated, dried, filtered and the solvent was evaporated. The residue was purified by column chromatography over silica gel (eluent: CH2Cl2/EtOAc 98/2). The product fractions were collected and the solvent was evaporated. The residue was crystallized from DIPE. The precipitate was filtered off and dried, yielding of compound 49.
Example B .24
a) Preparation of compound 50
Figure imgf000056_0002
H2SO4 (30 ml) was stirred on ice. A solution of compound (1) (0.00265 mol) in formic acid (30 ml) was added dropwise. The reaction mixture was stirred for 5 days. Then the mixture was stirred at 60°C for 3 days. Extra H2SO4 (10 ml) was added at 60°C. The mixture was poured out on ice. The mixture was extracted with CH2Cl2. The organic layer was separated, washed twice with water, dried, filtered and the solvent was evaporated, yielding 0.8g of compound 50.
b) Preparation of compound 51
Figure imgf000056_0003
A mixture of compound 50 (0.00024 mol), CH2Cl2 (5 ml) and DMF (2 ml) was stirred. HOBt (0.00025 mol) was added. EDCI (0.00025 mol) was added and the mixture was stirred for 1 hour. 1-Piperidinamine (0.00025 mol) was added and the mixture was stirred overnight. The mixture was poured out into water. The mixture was extracted with CH2Cl2. The organic layer was separated, washed, dried, filtered and the solvent was evaporated. The residue was purified by column chromatography over silica gel (eluent: CH2C12/CH3OH 98/2). The product fractions were collected and the solvent was evaporated. The residue was purified by high- performance liquid chromatography. The product fractions were collected and the solvent was evaporated, yielding 0.05 Ig of compound 51.
Table F-I lists the compounds that were prepared according to one of the above Examples. Table F-I
Figure imgf000057_0001
Co. No. 6; Ex. B.5 Co. No. 20; Ex. B.2
Figure imgf000057_0002
Co. No. 8; Ex. B.5 Co. No. 7; Ex. B.6
Figure imgf000057_0003
Co. No. 9; Ex. B.5 Co. No. 21; Ex. B.6
Figure imgf000057_0004
Co. No. 2; Ex. B.2 Co. No. 22; Ex. B.6
Figure imgf000057_0005
Co. No. 10; Ex. B.2 Co. No. 23; Ex. B.6
Figure imgf000058_0001
Figure imgf000059_0001
Figure imgf000060_0001
Figure imgf000061_0001
Figure imgf000062_0001
Figure imgf000063_0001
Table F-2 provides the 1H NMR chemical shifts data for the compounds of the present invention using CDCl3 as a solvent.
Table F-2
Figure imgf000063_0002
Figure imgf000064_0001
Further compound identification
LCMS-method:
The HPLC gradient was supplied by a Waters Alliance HT 2790 system with a columnheater set at 40°C. Flow from the column was split to a Waters 996 photodiode array (PDA) detector and a Waters-Micromass ZQ mass spectrometer with an electrospray ionization source operated in positive and negative ionization mode.
Reversed phase HPLC was carried out on a Xterra MS Cl 8 column (3.5 mm, 4.6 x 100 mm) with a flow rate of 1.6 ml/min. Three mobile phases (mobile phase A 95% 25mM ammoniumacetate + 5% acetonitrile; mobile phase B: acetonitrile; mobile phase C: methanol) were employed to run a gradient condition from 100 % A to 50% B and 50% C in 6.5 minutes, to 100 % B in 1 minute, 100% B for 1 minute and reequilibrate with 100 % A for 1.5 minutes. An injection volume of 10 uL was used.
Table : retention time (RT in minutes) and molecular weight as the MH+
CompoundNo. Rt MHX
6 4.77 343.2
8 5.15 328.1
9 5.58 342
2 7.52 342.3
10 6.12 344
11 5.31 343
12 6.17 344
13 6.19 344
14 5.72 360
15 6.28 425
16 6.45 358
17 5.72 390
18 5.72 279
19 4.71 404
20 6.21 415
7 5.98 651
21 5.54 404
22 5.55 404
23 5.39 623
24 5.09 353 CompoundNo. Rt MHT
25 5.29 359
26 5.55 328.1
27 5.52 343
28 5.65 400
3 5.54 279
1 6.54 376.2
4 6.42 380
5 5.04 396
49 7.52 404
48 7.28 434
52 7.38 434
53 4.98 359
54 5.08 329
55 5.44 343
56 6.02 361
57 6.37 345
58 4.95 359
59 5.98 361
31 6.78 470
60 5.68 397
61 6.49 399
62 6.41 345
29 6.59 170
63 6.51 433
64 7.01 288
38 6.32 477
41 6.72 471
34 5.61 343
65 5.78 455
66 5.15 400
47 7.21 477
67 6.22 125
32 5.62 377
35 6.48 345
68 6.14 331
69 5.78 330
70 5.55 384
45 6.99 466
71 6.99 476
43 6.17 346
72 6.78 462
73 6.79 504
42 6.52 492
74 6.18 464
75 5.02 387
46 5.68 405
76 5.09 400 CompoundNo. Rt MHT
33 6.55 453.2
77 7.11 548
78 6.02 389
79 4.78 387
80 6.48 490
30 6.82 501
44 5.91 449
81 5.32 397
82 4.21 375
83 6.24 492
39 6.88 462
37 5.61 384
86 3.12 373
87 6.38 506
88 6.54 541.1
89 6.85 568
90 6.17 482
91 7.05 476
92 6.52 521
93 5.32 409
94 6.48 456
50 6.12 306
95 5.22 363
96 5.84 389
97 3.35 431
98 6.29 512
99 5.11 363
100 5.61 431
102 4.98 397
103 5.14 343
104 5.02 222
105 4.95 377
106 6.44 496
51 6.85 488
108 6.34 502
109 6.25 441
C. Pharmacological examples
Example Cl : Cellular assays to test the effect of compounds on 11 β-hydroxysteroid dehydrogenase type 1 and type 2
The effects on 11 β-HSDl activity was measured in differentiated 3T3-L1 cells and rat hepatocytes. Mouse fibroblast 3T3-L1 cells (ATCC-CL-173) were seeded at a density of 16500 cells/ml in 12 well plates and grown for 7 days in DMEM medium (supplemented with 10 % heat inactivated foetal calf serum, 2mM glutamine and 25 mg gentamycin) at 37°C in a humidified 5% CO2 atmosphere. Medium was refreshed twice a week. Fibroblasts were differentiated into adipocytes at 37°C in a 5% CO2 humidified atmosphere in growth medium containing 2μg/ml insulin, 55 μg/ml IBMX and 39.2 μg/ml dexamethasone.
Primary hepatocytes from male rats were seeded on normal Falcon 12 well plates at a density of 250000 cells /well and incubated for 16 hours at 37°C in a 5% CO2 humidified atmosphere in DMEM-HAM' s F12 medium containing 5% Nu-serum, 100 U/ml penicillin, 100 μg/ml streptomycin , 0.25 μg/ml amphotericin B, 50 μg/ml gentamycin sulfate, 5μg/ml insulin and 392 ng/ml dexamethasone. Following a 4 hour pre-incubation with test compound, 0.5 μCi 3H-cortisone or dehydrocorticosterone, was added to the 3T3-L1 cultures. One hour later, the medium was extracted on Extrelut3- columns with 15 ml diethyl ether and the extract was analysed by HPLC as described above. The effects of JNJ-compounds on rat hepatocyte HSDl activity was measured after an incubation period of 90 minutes with 0.5μCi3H-dehydrocorticosterone. Corticosterone formation was analysed by HPLC.
The effects on 11 β-HSD2 activity was studied in HepG2 and LCC-PKl -cells
HepG2-cells (ATCC HB-8065) were seeded in 12 well plates at a density of 100,000 cells/ml and grown at 37°C in a humidified 5% CO2 atmosphere in MEM-Rega-3 medium supplemented with 10% heat inactivated foetal calf serum, 2 mM L-glutamine and sodium bicarbonate). Medium was refreshed twice a week. Pig kidney cells (LCC-PKl , ATCC CRL- 1392) were seeded at a density of 150,000 cells/ml in 12 well plates and grown at 37°C in a humidified 5% CO2 atmosphere in Medium 199 supplemented with Earls modified salt solution, 100 U/ml penicillin, 100 μg/ml streptomycin and 10 % foetal calf serum. Medium was refreshed twice a week. Twenty four hours prior to the onset of the experiment, medium was changed by medium containing 10% charcoal stripped foetal calf serum.
Following a 4 hour pre-incubation with test compound, 0.5 μCi 3H-cortisol or corticosterone, was added to the cultures. One hour later, the medium was extracted on Extrelut3 -columns with 15 ml diethyl ether and the extract was analysed by HPLC as described above.
As for the enzymatic assays, the compounds to be tested were taken from a stock solution and tested at a final concentration ranging from - 10"5M to 10"10M. From the thus obtained dose response curves, the pIC50 value was calculated and scored as follows; Score 1 = pIC50 value < 5, Score 2 = pIC50 value in the range of 5 to 6, Score 3 = pIC50 value >6. Some of the thus obtained results are summarized in the table below, (in this table NT stands for Not Tested).
Figure imgf000069_0001
Figure imgf000070_0001
Figure imgf000071_0001
D. Composition examples
The following formulations exemplify typical pharmaceutical compositions suitable for systemic or topical administration to animal and human subjects in accordance with the present invention.
"Active ingredient" (A.I.) as used throughout these examples relates to a compound of formula (I) or a pharmaceutically acceptable addition salt thereof.
Example D.I : film-coated tablets Preparation oftaWet.core
A mixture of A.I. (100 g), lactose (570 g) and starch (200 g) was mixed well and thereafter humidified with a solution of sodium dodecyl sulfate (5 g) and polyvinyl¬ pyrrolidone (10 g) in about 200 ml of water. The wet powder mixture was sieved, dried and sieved again. Then there was added microcrystalline cellulose (100 g) and hydrogenated vegetable oil (15 g). The whole was mixed well and compressed into tablets, giving 10.000 tablets, each comprising 10 mg of the active ingredient. Coating To a solution of methyl cellulose (10 g) in denaturated ethanol (75 ml) there was added a solution of ethyl cellulose (5 g) in CH2Cl2 (150 ml). Then there were added CH2Cl2 (75 ml) and 1,2,3-propanetriol (2.5 ml). Polyethylene glycol (10 g) was molten and dissolved in dichloromethane (75 ml). The latter solution was added to the former and then there were added magnesium octadecanoate (2.5 g), polyvinyl-pyrrolidone (5 g) and concentrated color suspension (30 ml) and the whole was homogenated. The tablet cores were coated with the thus obtained mixture in a coating apparatus.

Claims

Claims
1. A compound having the formula
Figure imgf000073_0001
the iV-oxide forms, the pharmaceutically acceptable addition salts and the stereochemically isomeric forms thereof, wherein
n is 1, 2, 3, or 4;
Z represents O, S, NR6, SO or SO2;
R1 represent hydrogen, cyano, hydroxy, or
Ci^alkyl optionally substituted with halo, R2 represents hydrogen, Ci^alkyl, or Ci^alkyloxy-; R3 represents hydrogen, Ci^alkyl, Ci^alkyloxy- or R3 combined with R2 form together a divalent radical selected from the group consisting of -0-CH2- (a), -NR7-CH2- (b), -(CR8R9)m- (c) and -CR10= (d) wherein m represents 1 or 2 and R7, R8, R9 and R10 are each independently selected from hydrogen or Ci-4alkyl; R4 represents hydrogen, halo, hydroxy, cyano, amino, NR11R12,
Figure imgf000073_0002
optionally substituted with one or where possible two or three substituents selected from hydroxy and halo or R4 represents Ci^alkyl optionally substituted with one or where possible two or three substituents selected from hydroxy and halo; R5 represents hydrogen, halo, cyano, amino, phenyl, hydroxy,
Figure imgf000073_0003
, hydroxycarbonyl-, Het1, -NR13R14, -0-(C=O)-NR21R22, -O-(C=O)-C1.4alkyl, carbonyl-NR23R24 or Ci^alkyl optionally substituted with one or more substituents selected from hydroxy, halo, hydroxycarbonyl, phenyl, Ci^alkyloxy or NR15R16 or R5 represents Ci^alkyloxy optionally substituted with one or more substituents selected from hydroxy, halo, hydroxycarbonyl, phenyl, Ci^alkyloxy or NR17R18, or R5 represents -O-(C=O)-C1-4alkyl substituted with one or more amino, hydroxy, Het3 or halo substituents; R6 represents hydrogen or C1-6alkyl; R11 and R12 each independently represent hydrogen,
Figure imgf000074_0001
Figure imgf000074_0002
R13 and R14 each independently represent hydrogen, Ci^alkyl, C1-6alkyl-Sθ2-, mono-
Figure imgf000074_0003
wherein said C1-6alkyl-Sθ2-,
Figure imgf000074_0004
are each independently and optionally substituted with one, two or three substituents selected from halo,
C^alkyloxycarbonyl, NR19R20 and Het2;
R15 and R16 each independently represent hydrogen,
Figure imgf000074_0006
R17 and R18 each independently represent hydrogen,
Figure imgf000074_0007
R19 and R20 each independently represent hydrogen,
Figure imgf000074_0005
Figure imgf000074_0008
optionally substituted with one or more substituents selected from halo or hydroxy;
R21 and R22 each independently represent hydrogen, Ar2 or Ci^alkyl optionally substituted with one or more substituents selected from halo or hydroxy; R23 and R24 each independently represent hydrogen,
Figure imgf000074_0009
Het4 or
Ci-4alkyl optionally substituted with one or more substituents selected from halo or hydroxy;
Het1 represents pyrrolinyl, pyrrolidinyl, pyrrolyl, oxazolyl, isoxazolyl or a radical of formula
Figure imgf000074_0010
wherein R1 represents hydrogen or Ci^alkyl and o is 1 or 2; Het2 represents morpholinyl, piperidinyl, piperazinyl, thiomorpholinyl or pyrrolidinyl; Het3 represents morpholinyl, piperidinyl, piperazinyl, thiomorpholinyl or pyrrolidinyl;
Het4 represents piperidinyl, morpholinyl, piperazinyl, thiomorpholinyl or pyrrolidinyl;
Ar1 represents phenyl optionally substituted with Ci^alkyl; and Ar2 represents phenyl optionally substituted with Ci^alkyl, for use as a medicine, provided however that said compound of formula (I) is other than N-adamantyl- 2-yl-2-ortho-tolyloxy-acetamide. 2. A compound according to claim 1, wherein n is 1, 2, 3, or 4;
Z represents O, S, NR6, SO or SO2; R1 represent hydrogen, cyano, hydroxy, or
Ci-4alkyl optionally substituted with halo, R2 represents hydrogen, Ci^alkyl, or Ci^alkyloxy-; R3 represents hydrogen, Ci^alkyl, Ci^alkyloxy- or R3 combined with R2 form together a divalent radical selected from the group consisting of -O-CH2- (a), -NR7-CH2- (b), -(CR8R9)m- (c) and -CR10= (d) wherein m represents
1 or 2 and R7, R8, R9 and R10 are each independently selected from hydrogen or Ci-4alkyl;
R4 represents hydrogen, halo, hydroxy, cyano, amino, NR11R12, Ci^alkyloxy- optionally substituted with one or where possible two or three substituents selected from hydroxy and halo or R4 represents Ci^alkyl optionally substituted with one or where possible two or three substituents selected from hydroxy and halo; R5 represents hydrogen, halo, cyano, amino, phenyl, hydroxy,
Figure imgf000075_0001
hydroxycarbonyl, NR13R14 or Ci^alkyl optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci^alkyloxy or NR15R16 or
R5 represents Ci^alkyloxy optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci^alkyloxy or NR17R18; R6 represents hydrogen or Ci^alkyl;
R11 and R12 each independently represent hydrogen, R13 and R14 each independently represent hydrogen,
R15 and R16 each independently represent hydrogen, and R17 and R18 each independently represent hydrogen,
Figure imgf000075_0002
for use as a medicine, provided however that said compound is other than N-adamantyl-2-yl-2-ortho-tolyloxy-acetamide.
3. A compound of formula (I), the iV-oxide forms, the pharmaceutically acceptable addition salts and the stereochemically isomeric forms thereof, wherein n is 1, 2, 3, or 4; Z represents O, S, NR6, SO or SO2;
R1 represent hydrogen, cyano, hydroxy, or Ci^alkyl optionally substituted with halo, R2 represents hydrogen, Ci^alkyl, or Ci^alkyloxy-;
R3 represents hydrogen, Ci^alkyl, Ci^alkyloxy- or R3 combined with R2 form together a divalent radical selected from the group consisting of -O-CH2- (a), -NR7-CH2- (b), -(CR8R9)m- (c) and -CR10= (d) wherein m represents 1 or 2 and R7, R8, R9 and R10 are each independently selected from hydrogen or Ci^alkyl; R4 represents hydrogen, halo, hydroxy, cyano, amino, NR11R12,
Figure imgf000076_0001
optionally substituted with one or where possible two or three substituents selected from hydroxy and halo or R4 represents Ci^alkyl optionally substituted with one or where possible two or three substituents selected from hydroxy and halo;
R5 represents halo, cyano, amino, phenyl, hydroxy,
Figure imgf000076_0002
hydroxycarbonyl-, Het1, -NR13R14, -0-(C=O)-NR21R22, -O-(C=O)-C1.4alkyl, carbonyl-NR23R24 or Ci^alkyl optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci^alkyloxy or NR15R16 or
R5 represents Ci^alkyloxy optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci^alkyloxy or NR17R18, or R5 represents -O-(C=O)-C1-4alkyl substituted with one or more Het3 or halo substituents; R6 represents hydrogen or Ci^alkyl;
R11 and R12 each independently represent hydrogen,
Figure imgf000076_0003
R13 and R14 each independently represent hydrogen, Ci^alkyl, C1-6alkyl-Sθ2-, mono-
Figure imgf000076_0004
oxycarbonyl or
Figure imgf000076_0005
are each independently and optionally substituted with one, two or three substituents selected from halo, C^alkyloxycarbonyl, NR19R20 and Het2; R15 and R16 each independently represent hydrogen,
Figure imgf000076_0007
R17 and R18 each independently represent hydrogen,
Figure imgf000076_0008
R19 and R20 each independently represent hydrogen,
Figure imgf000076_0006
optionally substituted with one or more substituents selected from halo or hydroxy; R21 and R22 each independently represent hydrogen, Ar2 or Ci^alkyl optionally substituted with one or more substituents selected from halo or hydroxy; R23 and R24 each independently represent hydrogen,
Figure imgf000076_0009
Het4 or Ci-4alkyl optionally substituted with hydroxy;
Het1 represents pyrrolinyl, pyrrolidinyl, pyrrolyl, oxazolyl, isoxazolyl or a radical of formula
Figure imgf000077_0001
wherein R1 represents hydrogen or Ci^alkyl and o is 1 or 2;
Het2 represents morpholinyl, piperidinyl, piperazinyl, thiomorpholinyl or pyrrolidinyl; Het3 represents morpholinyl, piperidinyl, piperazinyl, thiomorpholinyl or pyrrolidinyl; Het4 represents piperidinyl, morpholinyl, piperazinyl, thiomorpholinyl or pyrrolidinyl;
Ar1 represents phenyl optionally substituted with Ci^alkyl; and Ar2 represents phenyl optionally substituted with Ci^alkyl.
A compound according to claim 3 wherein n is 1, 2, 3, or 4;
Z represents O, S, NR6, SO or SO2; R1 represent hydrogen, cyano, hydroxy, or Ci-4alkyl optionally substituted with halo, R2 represents hydrogen, Ci^alkyl, or Ci^alkyloxy-;
R3 represents hydrogen, Ci^alkyl, Ci^alkyloxy- or R3 combined with R2 form together a divalent radical selected from the group consisting of -0-CH2- (a), -NR7-CH2- (b), -(CR8R9)m- (c) and -CR10= (d) wherein m represents 1 or 2 and R7, R8, R9 and R10 are each independently selected from hydrogen or Ci^alkyl;
R4 represents hydrogen, halo, hydroxy, cyano, amino, NR11R12, Ci^alkyloxy- optionally substituted with one or where possible two or three substituents selected from hydroxy and halo or R4 represents Ci^alkyl optionally substituted with one or where possible two or three substituents selected from hydroxy and halo;
R5 represents halo, cyano, amino, phenyl, hydroxy,
Figure imgf000077_0002
hydroxycarbonyl, NR13R14 or Ci^alkyl optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci^alkyloxy or NR15R16 or R5 represents Ci^alkyloxy optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci^alkyloxy or NR17R18;
R >6 represents hydrogen or Ci^alkyl; R11 and R12 each independently represent hydrogen, R13 and R14 each independently represent hydrogen, R15 and R16 each independently represent hydrogen, and R17 and R18 each independently represent hydrogen,
Figure imgf000078_0001
5. A compound
Figure imgf000078_0002
the iV-oxide forms, the pharmaceutically acceptable addition salts and the stereochemically isomeric forms thereof, wherein
n is 1, 2, 3, or 4;
R1 represent hydrogen, cyano, hydroxy, or
Ci-4alkyl optionally substituted with halo, R2 represents hydrogen, Ci^alkyl, or Ci^alkyloxy-; R3 represents hydrogen, Ci^alkyl, Ci^alkyloxy- or R3 combined with R2 form together a divalent radical selected from the group consisting of -0-CH2- (a), -NR7-CH2- (b), -(CR8R9)m- (c) and -CR10= (d) wherein m represents 1 or 2 and R7, R8, R9 and R10 are each independently selected from hydrogen or Ci-4alkyl; R4 represents hydrogen, halo, hydroxy, cyano, amino, NR11R12,
Figure imgf000078_0003
optionally substituted with one or where possible two or three substituents selected from hydroxy and halo or R4 represents Ci^alkyl optionally substituted with one or where possible two or three substituents selected from hydroxy and halo; R5 represents hydrogen, halo, cyano, amino, phenyl, hydroxy,
Figure imgf000078_0004
hydroxycarbonyl-, Het1, -NR13R14, -0-(C=O)-NR21R22, -O-(C=O)-C1.4alkyl, carbonyl-NR23R24 or Ci^alkyl optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci^alkyloxy or NR15R16 or R5 represents Ci^alkyloxy optionally substituted with one or more substituents selected from halo, hydroxy, hydroxycarbonyl, phenyl, Ci^alkyloxy or NR17R18, or R5 represents -O-(C=O)-C1-4alkyl substituted with one or more amino, hydroxy, Het3 or halo substituents; R6 represents hydrogen or Ci^alkyl; R11 and R12 each independently represent hydrogen,
Figure imgf000079_0001
Figure imgf000079_0002
R13 and R14 each independently represent hydrogen, Ci^alkyl, C1-6alkyl-Sθ2-, mono-
Figure imgf000079_0003
wherein said C1-6alkyl-Sθ2-,
Figure imgf000079_0004
are each independently and optionally substituted with one, two or three substituents selected from halo,
C^alkyloxycarbonyl, NR19R20 and Het2; R15 and R16 each independently represent hydrogen, R17 and R18 each independently represent hydrogen,
Figure imgf000079_0007
R19 and R20 each independently represent hydrogen,
Figure imgf000079_0008
optionally substituted with halo or hydroxy; R21 and R22 each independently represent hydrogen, Ar2 or Ci^alkyl optionally substituted with halo or hydroxy;
R23 and R24 each independently represent hydrogen,
Figure imgf000079_0009
Het4 or
Ci-4alkyl optionally substituted with halo or hydroxy;
Het1 represents pyrrolinyl, pyrrolidinyl, pyrrolyl, oxazolyl, isoxazolyl or a radical of formula
Figure imgf000079_0010
wherein R1 represents hydrogen or Ci^alkyl and o is 1 or 2; Het2 represents morpholinyl, piperidinyl, piperazinyl, thiomorpholinyl or pyrrolidinyl;
Het3 represents morpholinyl, piperidinyl, piperazinyl, thiomorpholinyl or pyrrolidinyl;
Het4 represents piperidinyl, morpholinyl, piperazinyl, thiomorpholinyl or pyrrolidinyl;
Ar1 represents phenyl optionally substituted with Ci^alkyl; and Ar2 represents phenyl optionally substituted with Ci^alkyl; provided however that said compound of formula (I1) is other than
Acetamide, N-tricyclo[3.3.1.13'7]dec-2-yl-2-[3-(trifluoromethyl)phenoxy]- (9CI) Acetamide, 2-[4-(l -methylpropyl)phenoxy]-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Butanamide, 2-phenoxy-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-(2-bromo-4-ethylphenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI)
Acetamide, N-tricyclo[3.3.1.13'7]dec-2-yl-2-(2,3,5-trimethylphenoxy)- (9CI) Acetamide, 2-(2,3-dimethylphenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-(2,4-dibromo-6-methylphenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-(4-chloro-2-methylphenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-(3,5-dimethylphenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI)
Acetamide, 2-(2-chlorophenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-[4-(l , 1 -dimethylethyl)phenoxy]-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-[(4-chlorophenyl)thio]-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-[5-methyl-2-(l-methylethyl)phenoxy]-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-(4-ethylphenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI)
Acetamide, 2-(2,5-dimethylphenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-(3,4-dimethylphenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-(2,4-dimethylphenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-(4-bromo-2-methylphenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-(4-bromo-3,5-dimethylphenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI)
Acetamide, 2-[4-(l -methylethyl)phenoxy]-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-(4-bromo-2-chlorophenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-(4-chloro-3-methylphenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-(4-methoxyphenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Propanamide, 2-(2,4-dichlorophenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI)
Acetamide, 2-(2-bromo-4-methylphenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-(4-chloro-3,5-dimethylphenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-(4-bromo-3-methylphenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-(2,4-dichlorophenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-phenoxy-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI)
Acetamide, 2-(4-bromophenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-(4-methylphenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-(3-bromophenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-(4-chlorophenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) Acetamide, 2-(3-methylphenoxy)-N-tricyclo[3.3.1.13'7]dec-2-yl- (9CI) or
N-adamantan^-yl^-o-tolyloxy-acetamide. 6. A compound according to claim 5, wherein n is 1, 2, 3, or 4;
R1 represent hydrogen, cyano, hydroxy, or Ci-4alkyl optionally substituted with halo, R2 represents hydrogen, Ci^alkyl, or Ci^alkyloxy-;
R3 represents hydrogen, Ci^alkyl, Ci^alkyloxy- or R3 combined with R2 form together a divalent radical selected from the group consisting of -0-CH2- (a), -NR7-CH2- (b), -(CR8R9)m- (c) and -CR10= (d) wherein m represents 1 or 2 and R7, R8, R9 and R10 are each independently selected from hydrogen or C1-4alkyl;
R4 represents hydrogen, halo, hydroxy, cyano, amino, NR11R12, Ci^alkyloxy- optionally substituted with one or where possible two or three substituents selected from hydroxy and halo or R4 represents Ci^alkyl optionally substituted with one or where possible two or three substituents selected from hydroxy and halo;
R5 represents hydrogen, halo, cyano, amino, phenyl, hydroxy,
Figure imgf000081_0001
hydroxycarbonyl, NR13R14 or Ci^alkyl optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci^alkyloxy or NR15R16 or R5 represents Ci^alkyloxy optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci^alkyloxy or NR17R18; in particular R5 represents halo, cyano, amino, phenyl, hydroxy,
Figure imgf000081_0002
hydroxycarbonyl, NR13R14 or Ci^alkyl optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci^alkyloxy or NR15R16 or R5 represents Ci^alkyloxy optionally substituted with one or more substituents selected from hydroxycarbonyl, phenyl, Ci^alkyloxy or NR17R18
R6 represents hydrogen or Ci^alkyl;
R11 and R12 each independently represent hydrogen, R13 and R14 each independently represent hydrogen, R15 and R16 each independently represent hydrogen, and
R17 and R18 each independently represent hydrogen,
Figure imgf000081_0003
provided however that when R5 represents hydrogen in said compound of formula (I1), then R1 and R2 represent Ci^alkyl.
7. A compound of formula (I), the iV-oxide forms, the pharmaceutically acceptable addition salts and the stereochemically isomeric forms thereof, wherein; n is 1, 2, 3, or 4; Z represents O, S, NR6 or SO2; in particular O or NR6;
R1 represents hydrogen or Ci^alkyl;
R2 represents hydrogen or Ci^alkyl;
R3 represents hydrogen, Ci^alkyl, Ci^alkyloxy- or R3 combined with R2 form together a divalent radical selected from the group consisting of
-0-CH2- (a), -NR7-CH2- (b), -(CR8R9)m- (c) and -CR10= (d) wherein m represents 1 or 2 and R7, R8, R9 and R10 are each independently selected from hydrogen or Ci-4alkyl; R4 represents hydrogen, halo, hydroxy, amino, -NR11R12, Ci^alkyloxy-,
Figure imgf000082_0001
optionally substituted with one or where possible two or three halo substituents;
R5 represents hydrogen , halo, amino, phenyl, hydroxy, hydroxycarbonyl, Het1,
NR13R14, -O-(C=O)-C1.4alkyl, -carbonyl-NR23R24 or R5 represents Ci^alkyloxy optionally substituted with one or more substituents selected from NR17R18 or R5 represents -0(O)-C1^aIkVl substituted with halo or Het3;
R11 and R12 each independently represent hydrogen, Ci^alkyl or
Figure imgf000082_0002
R13 and R14 each independently represent hydrogen, Ci^alkyl, C1-6alkyl-SO2-, mono- or di(C1-4alkyl)amino-SO2-, Ar!-SO2, mono- or
Figure imgf000082_0003
carbonyl-,
Figure imgf000082_0004
wherein said C1-6alkyl-SO2-,
Figure imgf000082_0005
are each independently and optionally substituted with one, two or three substituents selected from halo, C^alkyloxycarbonyl, NR19R20 and Het2;
R17 and R18 each independently represent Ci^alkyl;
R19 and R20 each independently represent hydrogen or Ci^alkyl optionally substituted with hydroxy;
R21 and R22 each independently represent hydrogen or Ar2; R23 and R24 each independently represent hydrogen or Het4;
Het1 represents a radical of formula
Figure imgf000082_0006
wherein R1 represents hydrogen or Ci^alkyl and o is 1 or 2; Het2 represents morpholinyl; Het3 represents morpholinyl; Het4 represents piperidinyl;
Ar1 and Ar2 each independently represent phenyl optionally substituted with Ci^alkyl, for use as a medicine, provided however that said compound of formula (I) is other then N-adamantyl-2-yl-2-ortho-tolyloxy-acetamide.
8. A compound of formula (I), the iV-oxide forms, the pharmaceutically acceptable addition salts and the stereochemically isomeric forms thereof, wherein; n is 1, 2, 3, or 4; Z represents O, S or SO2; in particular O;
R1 represents hydrogen or Ci^alkyl;
R2 represents hydrogen or Ci^alkyl;
R3 represents hydrogen, Ci^alkyl, Ci^alkyloxy- or R3 combined with R2 form together a divalent radical selected from the group consisting of -0-CH2- (a), -NR7-CH2- (b), -(CR8R9)m- (c) and -CR10= (d) wherein m represents 1 or 2 and R7, R8, R9 and R10 are each independently selected from hydrogen or
Ci-4alkyl;
R4 represents hydrogen, hydroxy, amino, -NR11R12, Ci^alkyloxy- or Ci^alkyl optionally substituted with one or where possible two or three halo substituents; R5 represents hydrogen or hydroxy; in particular hydroxy; and
R11 and R12 each independently represent hydrogen,
Figure imgf000083_0001
for use as a medicine, provided however that said compound of formula (I) is other then N-adamantyl-2-yl-2-ortho-tolyloxy-acetamide.
9. A compound of formula (I), the iV-oxide forms, the pharmaceutically acceptable addition salts and the stereochemically isomeric forms thereof, wherein; n is 1, 2, 3, or 4; Z represents O;
R1 represents a hydrogen or Ci^alkyl, in particular hydrogen or methyl; R3 combined with R2 form together a divalent radical selected from the group consisting Of -O-CH2- (a), -NR7-CH2- (b), -(CR8R9)m- (c) and -CR10= (d) wherein m represents 1 or 2 and R7, R8, R9 and R10 are each independently selected from hydrogen or Ci^alkyl;
R4 represents hydrogen, halo, hydroxy, Ci^alkyloxy-, or Ci^alkyl; in particular R4 represents methyl, ethyl, methoxy, fluor, chloro or bromo; and
R5 represents hydrogen, amino or hydroxy; in particular amino or hydroxy. 10. A compound according to claim 9, wherein; n is 1, 2, 3, or 4;
R1 represents a hydrogen;
R3 combined with R2 form together a divalent radical selected from the group consisting of
-0-CH2- (a), -NR7-CH2- (b), -(CR8R9)m- (c) and -CR10= (d) wherein m represents 1 or 2 and R7, R8, R9 and R10 are each independently selected from hydrogen or Ci^alkyl;
R4 represents hydrogen, halo, hydroxy, Ci^alkyloxy-, or Ci^alkyl; in particular R4 represents methyl, ethyl, methoxy, fluor, chloro or bromo; and
R5 represents hydrogen or hydroxy; in particular hydroxy.
11. A compound of formula (I), the iV-oxide forms, the pharmaceutically acceptable addition salts and the stereochemically isomeric forms thereof, wherein; n is 1, 2 or 3;
R1 represents a Ci^alkyl, in particular methyl; R2 represents a Ci^alkyl, in particular methyl;
R3 represents hydrogen, Ci^alkyl or Ci^alkyloxy, in particular hydrogen, methyl or methoxy; R4 represents hydrogen, halo, -NR11R12,
Figure imgf000084_0001
hydroxycarbonyl or Ci^alkyl optionally substituted with one or where possible two or three halo substituents; in particular R4 represents methyl, ethyl, dimethylamine, trifluoromethyl, methoxycarbonyl, methoxy, fluor, chloro or bromo; R5 represents hydrogen, halo, amino, phenyl, hydroxy, hydroxycarbonyl, Het1,
-NR13R14, -0-(C=O)-NR21R22,
Figure imgf000084_0002
-carbonyl-NR23R24 or Ci^alkyloxy optionally substituted with NR17R18 or R5 represents -O-(C=O)-C1-4alkyl substituted with one or more Het3 or halo substituents; in particular R5 represents hydroxy, amino, methylsulfonylamine, ethylsulfonyl- amine, methylcarbonylamine, ethylcarbonylamine, dimethylaminosulfonyl- amine, chloromethylcarbonylamine, trifluoroethylsulfonylamine or methyl- phenylsulfonylamine;
R11 and R12 each independently represent hydrogen,
Figure imgf000084_0003
in particular R11 and R12 represent methyl; R13 and R14 each independently represent hydrogen, Ci^alkyl, C1-6alkyl-Sθ2-,
Figure imgf000084_0004
carbonyl-,
Figure imgf000084_0005
wherein said C1-6alkyl-Sθ2-,
Figure imgf000085_0001
are each independently and optionally substituted with one, two or three substituents selected from halo,
Figure imgf000085_0002
NR19R20 and Het2;
R17 and R18 each independently represent hydrogen or Ci^alkyl; in particular R17 and R18 represent methyl;
R19 and R20 each independently represent hydrogen or Ci^alkyl optionally substituted with hydroxy; in particular R19 and R20 each independently represent hydrogen, methyl or hydroxyethyl;
R and R each independently represent hydrogen or Ar; in particular R and R22 each independently represent hydrogen or methylphenyl;
R23 and R24 each independently represent hydrogen or Het4; in particular R23 and R24 each independently represent hydrogen or piperidinyl;
Het2 represents morpholinyl;
Het3 represents morpholinyl; Het4 represents piperidinyl;
Ar1 represents phenyl substituted with Ci^alkyl; and
Ar2 represents phenyl substituted with Ci^alkyl.
12. A compound according to claim 11, wherein; n is 1 or 2;
R1 represents a Ci^alkyl, in particular methyl; R2 represents a Ci^alkyl, in particular methyl; R3 represents hydrogen;
R4 represents hydrogen, halo, -NR11R12, Ci^alkyloxy-, or Ci^alkyl; in particular R4 represents methyl, ethyl, methoxy, fluor, chloro or bromo;
R5 represents hydrogen or hydroxy; in particular hydroxy; and R11 and R12 each independently represent hydrogen,
Figure imgf000085_0003
13. A compound as claimed in claim 1 wherein the compound is selected from the group consisting of;
2,3-dihydro-iV-[(lR,3S)-5-hydroxytricyclo[3.3.1.13'7]dec-2-yl]-l,4-benzodioxin-
2-carboxamide, iV-[(lR,3S)-5-hydroxytricyclo[3.3.1.13'7]dec-2-yl]-2-methyl-2-(2-methylphenoxy)- propanamide, iV-[(lR,3S)-5-hydroxytricyclo[3.3.1.13'7]dec-2-yl]-2-methyl-2-(4-methylphenoxy)- propanamide, 2-(3,5-dimethylphenoxy)-iV-[(lR,3S)-5-hydroxytricyclo[3.3.1.13'7]dec-2-yl]-
2-methyl-propanamide,
N-[(lR,3S)-5-hydroxytricyclo[3.3.1.13'7]dec-2-yl]-3-methyl-2-benzoftiran- carboxamide,
3,4-dihydro-iV-[(lR,3S)-5-hydroxytricyclo[3.3.1.13'7]dec-2-yl]-2H-l-benzopyran-
2-carboxamide,
2-(4-chloro-2-methylphenoxy)-iV-[(lR,3S)-5-hydroxytricyclo[3.3.1.13'7]dec-2-yl]-
2-methyl-propanamide,
2-(4-Chloro-2-methyl-phenoxy)-iV-[(lR,3S)-5- methanesulfonylaminotricyclo[3.3.1.13'7]dec-2-yl]-2-methyl-propionamide,
2-(4-Chloro-2-methyl-phenoxy)-iV-[(lR,3S)-5-
(dimethylamino)sulfonylaminotricyclo[3.3.1.13'7]dec-2-yl] -2-methyl- propionamide,
2-(4-Chloro-phenoxy)-iV-[(lR,3S)-5-hydroxytricyclo[3.3.1.13'7]dec-2-yl]-
2-methyl-propionamide, iV-[(lR,3S)-5-(dimethylamino)sulfonylaminotricyclo[3.3.1.13'7]dec-2-yl]-
2-methyl-2-(3-trifluoromethyl-phenoxy)-propionamide, iV-[(lR,3S)-5-methanesulfonylaminotricyclo[3.3.1.13'7]dec-2-yl]-2-methyl-
2-(3-trifluoromethyl-phenoxy)-propionamide, iV-[(lR,3S)-5-aminotricyclo[3.3.1. l3'7]dec-2-yl]-2-(2-chloro-phenoxy)-2-methyl- propionamide, iV-[(lR,3S)-5-aminotricyclo[3.3.1. l3'7]dec-2-yl]-2-methyl-2-(2-trifluoromethyl- phenoxy)-propionamide, iV-[(lR,3S)-5-Ethanesulfonylaminotricyclo[3.3.1.13'7]dec-2-yl]-2-methyl-
2-(3-trifluoromethyl-phenoxy)-propionamide,
(3R,5S)-4-[2-(4-Chloro-2-methyl-phenoxy)-2-methyl- propionylamino]tricyclo[3.3.1.13'7]decane- 1 -carboxylic acid, iV-[(lR,3S)-5-aminotricyclo[3.3.1. l3'7]dec-2-yl]-2-(4-chloro-2-methyl-phenoxy)-
2-methyl-propionamide,
2-(4-Chloro-2-methyl-phenoxy)-2-methyl-iV-[(lR,3S)-5-(3-methyl-2-oxo- pyrrolidin- 1 -yl)tricyclo[3.3.1.13'7]dec-2-yl]]-propionamide,
2-(3 -Bromo-phenoxy)-2-methyl-iV- [( 1 R,3 S)-5-(2-oxo-oxazolidin-3 -yl)tricyclo-
[3.3.1.13'7]dec-2-yl]] -propionamide,
2-(3 -Bromo-phenoxy)-iV- [( 1 R,3 S)-5-methanesulfonylaminotricyclo [3.3.1.13'7] - dec-2-yl] -2-methyl-propionamide, or
2-(4-Chloro-phenoxy)-iV- [( 1 R,3 S)-5-methanesulfonylaminotricyclo [3.3.1.13'7] - dec-2-yl] -2-methyl-propionamide. 14. A pharmaceutical composition comprising a pharmaceutically acceptable carrier and, as active ingredient, an effective 1 lβ-HSDl inhibitory amount of a compound as described in any one of claims 1 to 13.
15. A process of preparing a pharmaceutical composition as defined in claim 14, characterized in that, a pharmaceutically acceptable carrier is intimately mixed with an effective 1 lβ-HSDl inhibitory amount of a compound as described in any one of claims 1 to 13.
16. A compound as claimed in any one of claims 3, 4, 5, 6, 9, 10, 11 or 12 for use as a medicine.
17. Use of a compound as claimed in any one of claims 1 to 13 in the manufacture of a medicament for treating pathologies associated with excess Cortisol formation such as for example, obesity, diabetes, obesity related cardiovascular diseases, dementia, cognition, osteoporosis, stress and glaucoma.
18. Use of a compound as claimed in any one of claims 1 to 13 in combination with an antihypertensive agent in the manufacture of a medicament for the treatment of insulin resistance, dyslipidemia, obesity and hypertension.
19. Use of a compound as claimed in any one of claims 1 to 13 in combination with a glucocorticoid receptor agonist in the manufacture of a medicament for the reduction of undesirable side effects occurring during glucocorticoid receptor agonist therapy and for treating some forms of cancer, diseases and disorders having inflammation as a component.
PCT/EP2005/054197 2004-08-30 2005-08-26 N-2 adamantanyl-2-phenoxy-acetamide derivatives as 11-beta hydroxysteroid dehydrogenase inhibitors WO2006024627A2 (en)

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NZ553159A NZ553159A (en) 2004-08-30 2005-08-26 N-Adamantan-2-yl-2-phenoxy-acetamide derivatives as 11-beta hydroxysteroid dehydrogenase inhibitors
EP05782678A EP1796657B1 (en) 2004-08-30 2005-08-26 N-2 adamantanyl-2-phenoxy-acetamide derivatives as 11-beta hydroxysteroid dehydrogenase inhibitors
KR1020077006712A KR101197674B1 (en) 2004-08-30 2005-08-26 N-2 adamantanyl-2-phenoxy-acetamide derivatives as 11-beta hydroxysteroid dehydrogenase inhibitors
BRPI0515121-0A BRPI0515121A (en) 2004-08-30 2005-08-26 n-2 adamantyl-2-phenoxy acetamide derivatives as 11-beta hydroxysteroid dehydrogenase inhibitors
CA2576839A CA2576839C (en) 2004-08-30 2005-08-26 N-2 adamantanyl-2-phenoxy-acetamide derivatives as 11-beta hydroxysteroid dehydrogenase inhibitors
DE602005018509T DE602005018509D1 (en) 2004-08-30 2005-08-26 N-2-ADAMANTANYL-2-PHENOXY-ACETAMIDE DERIVATIVES AS 11-BETAHYDROXYSTEROID DEHYDROGENASE INHIBITORS
CN2005800331910A CN101300005B (en) 2004-08-30 2005-08-26 N-2 adamantanyl-2-phenoxy-acetamide derivatives as 11-beta hydroxysteroid dehydrogenase inhibitors
JP2007528861A JP5208505B2 (en) 2004-08-30 2005-08-26 N-2 adamantanyl-2-phenoxy-acetamide derivatives as 11-beta hydroxysteroid dehydrogenase inhibitors
MX2007002449A MX2007002449A (en) 2004-08-30 2005-08-26 N-2 adamantanyl-2-phenoxy-acetamide derivatives as 11-beta hydroxysteroid dehydrogenase inhibitors.
AT05782678T ATE452631T1 (en) 2004-08-30 2005-08-26 N-2-ADAMANTANYL-2-PHENOXY-ACETAMIDE DERIVATIVES AS 11-BETAHYDROXYSTEROID DEHYDROGENASE INHIBITORS
AU2005279208A AU2005279208B2 (en) 2004-08-30 2005-08-26 N-2 adamantanyl-2-phenoxy-acetamide derivatives as 11-beta hydroxysteroid dehydrogenase inhibitors
US11/661,470 US8344181B2 (en) 2004-08-30 2005-08-26 N-2 adamantanyl-2-phenoxy-acetamide derivatives as 11-beta hydroxysteroid dehydrogenase inhibitors
EA200700519A EA012263B1 (en) 2004-08-30 2005-08-26 N-2 adamantanyl-2-phenoxy-acetamide derivatives as 11-beta hydroxysteroid dehydrogenase inhibitors
IL181582A IL181582A (en) 2004-08-30 2007-02-27 N-2 adamantanyl-2-phenoxy-acetamide derivatives, pharmaceutical compositions containing them and a process for preparation of such compositions and their use in the manufacture of medicaments
NO20071697A NO20071697L (en) 2004-08-30 2007-03-30 N-2 Adamantanyl-2-phenoxyacetamide derivatives as 11-beta-hydroxysteroid dehydrogenase inhibitors
HK09102100.4A HK1124528A1 (en) 2004-08-30 2009-03-04 N-2 adamantanyl-2-phenoxy-acetamide derivatives as 11-beta hydroxysteroid dehydrogenase inhibitors

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