WO2008079848A1 - Compounds and uses thereof - Google Patents

Compounds and uses thereof Download PDF

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Publication number
WO2008079848A1
WO2008079848A1 PCT/US2007/088055 US2007088055W WO2008079848A1 WO 2008079848 A1 WO2008079848 A1 WO 2008079848A1 US 2007088055 W US2007088055 W US 2007088055W WO 2008079848 A1 WO2008079848 A1 WO 2008079848A1
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alkyl
arylalkyl
aryl
haloalkyl
heterocycloalkyl
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PCT/US2007/088055
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French (fr)
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Peter Bernstein
James B. Campbell
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Astrazeneca Ab (Se/Se)
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Priority to EP07865847A priority Critical patent/EP2120957A4/en
Priority to US12/520,167 priority patent/US20100056492A1/en
Priority to JP2009543168A priority patent/JP2010514684A/en
Publication of WO2008079848A1 publication Critical patent/WO2008079848A1/en
Priority to US12/726,619 priority patent/US8389510B2/en

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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D281/00Heterocyclic compounds containing rings of more than six members having one nitrogen atom and one sulfur atom as the only ring hetero atoms
    • C07D281/02Seven-membered rings
    • C07D281/04Seven-membered rings having the hetero atoms in positions 1 and 4
    • C07D281/08Seven-membered rings having the hetero atoms in positions 1 and 4 condensed with carbocyclic rings or ring systems
    • C07D281/12Seven-membered rings having the hetero atoms in positions 1 and 4 condensed with carbocyclic rings or ring systems condensed with two six-membered rings
    • C07D281/16[b, f]-condensed
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P13/00Drugs for disorders of the urinary system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/04Centrally acting analgesics, e.g. opioids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/06Antimigraine agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/08Antiepileptics; Anticonvulsants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/14Drugs for disorders of the nervous system for treating abnormal movements, e.g. chorea, dyskinesia
    • A61P25/16Anti-Parkinson drugs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/18Antipsychotics, i.e. neuroleptics; Drugs for mania or schizophrenia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/20Hypnotics; Sedatives
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/22Anxiolytics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/24Antidepressants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/28Drugs for disorders of the nervous system for treating neurodegenerative disorders of the central nervous system, e.g. nootropic agents, cognition enhancers, drugs for treating Alzheimer's disease or other forms of dementia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system

Definitions

  • the present invention relates to novel derivatives of 11-piperazin-l- yldibenzo[b,f][l,4]thiazepine, pharmaceutical compositions containing the same, processes for preparing the same, and methods of treating at least one symptom or condition associated with schizophrenia and other psychotic disorders (e.g., psychotic disorder, psychosis), dementia and other cognitive disorders, anxiety disorders (e.g., generalized anxiety disorder), mood disorders (e.g., depressive disorders, major depressive disorders, bipolar disorders including bipolar I and II, bipolar mania, bipolar depression), sleep disorders, disorders usually first diagnosed in infancy, childhood, or adolescence (e.g., attention-deficit disorder and disruptive behavior disorders) and neurodegenerative disorders, comprising administering to a mammal a therapeutically effective amount of a compound of the invention.
  • psychotic disorders e.g., psychotic disorder, psychosis
  • dementia and other cognitive disorders anxiety disorders (e.g., generalized anxiety disorder), mood disorders (e
  • Quetiapine described in U.S. Pat. No. 4,879,288, has been shown to be effective as a treatment for both the positive (hallucinations, delusions) and negative symptoms (emotional withdrawal, apathy) of psychosis as well as reduction of hostility and aggression.
  • these amines are generally good nucleophiles and may also present chemical instability problem in the presence of labile groups in the molecules. Accordingly, there is a need to prepare prodrugs of these amines to circumvent the problems of absorption and instability. It has been reported that the carbamate prodrugs of secondary amines are chemically stable and are readily and quantitative hydroglyzed by esterases to release the parent amines. See, Lin et. al., Biorganic and Medicinal Chemistry Letters, 1997, 7, 2909-2912. Moreover, drugs of secondary amines have been converted in the past to prodrugs such as amides, enamines and Mannich bases for these purposes.
  • R 1 is H, Ci_io alkyl, Ci_io haloalkyl, C 2-10 alkenyl, C 2-10 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, or heterocycloalkylalkyl, wherein each of the C 1-10 alkyl, C 1-10 haloalkyl, C 2-10 alkenyl, C 2-10 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, and heterocycloalkylalky is optionally substituted by 1, 2, 3, 4, or 5 R 3 ;
  • R 2 is H, C 1-10 alkyl, C 1-10 haloalkyl, C 2-10 alkenyl, C 2-10 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, or heterocycloalkylalkyl, wherein each of the C 1-10 alkyl, C 1-10 haloalkyl, C 2-10 alkenyl, C 2-10 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, and heterocycloalkylalky is optionally substituted by 1, 2, 3, 4, or 5 R 4 ; each R 3 is, independently, halo, Ci_ 6 alkyl, Ci_ 6 haloalkyl, aryl, cycloalkyl, heteroaryl, heterocycloalky
  • compositions containing a compound of Formula I described herein, or a pharmaceutically acceptable salt thereof comprise a pharmaceutically acceptable carrier diluent or excipient.
  • the compositions comprise at least one benzodiazepine, 5-HT IA ligand, 5-HT IB ligand, 5-HTi D ligand, mGluR2A agonist, mGluR5 antagonist, antipsychotic, NKl receptor antagonist, antidepressant, or serotonin reuptake inhibitor.
  • the present invention further provides methods of treating at least one symptom or condition associated with schizophrenia and other psychotic disorders (e.g., psychotic disorder, psychosis), dementia and other cognitive disorders, anxiety disorders (e.g., generalized anxiety disorder), mood disorders (e.g., depressive disorders, major depressive disorders, bipolar disorders including bipolar I and II, bipolar mania, bipolar depression), sleep disorders, disorders usually first diagnosed in infancy, childhood, or adolescence (e.g., attention-deficit disorder and disruptive behavior disorders) and neurodegenerative disorders, comprising administering to a mammal a therapeutically effective amount of a compound of the invention.
  • psychotic disorders e.g., psychotic disorder, psychosis
  • dementia and other cognitive disorders e.g., anxiety disorders (e.g., generalized anxiety disorder), mood disorders (e.g., depressive disorders, major depressive disorders, bipolar disorders including bipolar I and II, bipolar mania, bipolar depression), sleep disorders, disorders usually first diagnosed in infancy, childhood,
  • the present invention further provides a compound of the invention for use in treating the symptoms or conditions provided herein.
  • the present invention further provides the compounds of the invention for use in the manufacture of a medicament for the treatment of symptoms or conditions provided herein.
  • the present invention further provides processes for preparing the compounds of formulas described herein.
  • the present invention further provides methods of delivering 11 -piperazin- 1 - yldibenzo[b,fj[l,4]thiazepine by administering to a mammal the compounds of formulas described herein.
  • R 1 is H, Ci_io alkyl, Ci_io haloalkyl, C2-10 alkenyl, C2-10 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, or heterocycloalkylalkyl, wherein each of the Ci_io alkyl, Ci_io haloalkyl, C2-10 alkenyl, C2-10 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, and heterocycloalkylalky is optionally substituted by 1, 2, 3, 4, or 5 R 3 ;
  • R 2 is H, Ci_io alkyl, Ci_io haloalkyl, C 2-10 alkenyl, C 2-10 alkynyl,
  • R 1 is H, C 1-10 alkyl, C 1-10 haloalkyl, C 2 _i 0 alkenyl, C 2 _i 0 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, or heterocycloalkylalkyl, wherein each of the C 1-10 alkyl, C 1-10 haloalkyl, C 2 _i 0 alkenyl, C 2 _i 0 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, and heterocycloalkylalky is optionally substituted by 1, 2, 3, 4, or 5 substituents independently selected from halo, Ci_ 4 alkyl, Ci_ 4 haloalkyl, aryl,
  • R 1 is selected from a subset of its group defined herein. In some embodiments, the subsitutients on R 1 are selected from a subset of the substitution group defined herein.
  • R 1 is H, C 1-10 alkyl, C 1-10 haloalkyl, C 2-10 alkenyl, C 2-10 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, or heterocycloalkylalkyl, wherein each of the C 1-10 alkyl, C 1-10 haloalkyl, C 2-10 alkenyl, C 2-10 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, and heterocycloalkylalkyl is optionally substituted by 1, 2, or 3 substituents independently selected from halo, Ci_ 4 alkyl, Ci_ 4 haloalkyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl,
  • R 1 is H, C 1-10 alkyl, C 1-10 haloalkyl, C 2-10 alkenyl, C 2-10 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, or heterocycloalkylalkyl.
  • R 1 is H, C 1-10 alkyl or C 1-10 haloalkyl. In some further embodiments, R 1 is H, Ci_6 alkyl or Ci_6 haloalkyl. In yet further embodiments, R 1 is H, Ci_4 alkyl, or Ci_ 4 haloalkyl. In some embodiments, R 1 is H, Ci_4 alkyl or C 1-4 perhaloalkyl. In some further embodiments, R 1 is H, Ci_ 4 alkyl or Ci_ 4 perfluoroalkyl. In yet further embodiments, R 1 is H, methyl, or trifluoromethyl.
  • R 2 is H, C 1-10 alkyl, C 1-10 haloalkyl, C 2-10 alkenyl, C 2 -I 0 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, or heterocycloalkylalkyl, wherein each of the C 1-10 alkyl, C 1-10 haloalkyl, C 2 _i 0 alkenyl, C 2 _i 0 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, and heterocycloalkylalky is optionally substituted by 1, 2, 3, 4, or 5 substituents independently selected from halo, Ci_ 4 alkyl, Ci_ 4 haloalkyl, aryl, cycloalkyl, ary
  • R 2 is C 1-10 alkyl, C 1-10 haloalkyl, C 2 _i 0 alkenyl, C 2 _i 0 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, or heterocycloalkylalkyl, each optionally substituted by 1, 2, 3, 4, or 5 substituents independently selected from halo, Ci_ 4 alkyl, Ci_ 4 haloalkyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, heterocycloalkylalkyl, CN, NO 2 , OH, Ci_ 4 alkoxy, Ci_ 4 haloalkoxy, amino, Ci_4 alkylamino, C 2 _g dialkyla
  • R 2 is H, C LIO alkyl, C LIO haloalkyl, C 2 _io alkenyl, C 2 _io alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, or heterocycloalkylalkyl, wherein each of the C LIO alkyl, C LIO haloalkyl, C 2 _io alkenyl, C 2 _io alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, and heterocycloalkylalkyl is optionally substituted by 1, 2, or 3 substituents independently selected from halo, C 1-4 alkyl, C L4 haloalkyl, aryl, cycloalkyl
  • R 2 is CLIO alkyl, CLIO haloalkyl, C 2 _io alkenyl, C 2 _io alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, or heterocycloalkylalkyl, each optionally substituted by 1, 2, or 3 substituents independently selected from halo, C L4 alkyl, C L4 haloalkyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, heterocycloalkylalkyl, CN, NO 2 , OH, Ci_4 alkoxy, Ci_4 haloalkoxy, amino, Ci_4 alkylamino, and C2-8 dialkylamino.
  • R 2 is H, C 1-10 alkyl, or C 1-10 haloalkyl. In some further embodiments, R 2 is Ci_ 6 alkyl or Ci_ 6 haloalkyl. In some embodiments, R 2 is Ci_4 alkyl. In some further embodiments, R 2 is methyl, ethyl, or isopropyl.
  • R 1 is H, Ci_4 alkyl or Ci_4 haloalkyl; and R 2 is Ci_4 alkyl.
  • each of R 1 , R 2 , R 3 , and R 4 is, independently, selected from a subset of any of its groups defined herein respectively. In some embodiments, the subsitutients on each of R 1 , R 2 , R 3 , and R 4 are, independently, selected from a subset of any of their corresponding groups defined herein.
  • substitution means the entire application.
  • substitution means that substitution is optional and therefore it is possible for the designated atom or moiety to be unsubstituted. In the event a substitution is desired then such substitution means that any number of hydrogens on the designated atom or moiety is replaced with a selection from the indicated group, provided that the normal valency of the designated atom or moiety is not exceeded, and that the substitution results in a stable compound. For example, if a methyl group (i.e., CH3) is optionally substituted, then 3 hydrogens on the carbon atom can be replaced.
  • a variety of compounds in the present invention may exist in particular stereoisomeric forms.
  • the present invention takes into account all such compounds, including cis- and trans isomers, R- and S- enantiomers, diastereomers, (D)-isomers, (L)-isomers, the racemic mixtures thereof, and other mixtures thereof, as being covered within the scope of this invention.
  • Additional asymmetric carbon atoms may be present in a substituent such as an alkyl group. All such isomers, as well as mixtures thereof, are intended to be included in this invention.
  • the compounds herein described may have asymmetric centers. Compounds of the present invention containing an asymmetrically substituted atom may be isolated in optically active or racemic forms.
  • optically active forms such as by resolution of racemic forms or by synthesis from optically active starting materials.
  • separation of the racemic material can be achieved by methods known in the art.
  • Cis and trans isomers of the compounds of the present invention are described and may be isolated as a mixture of isomers or as separated isomeric forms. All chiral, diastereomeric, racemic forms and all stereoisomeric forms of a structure are intended, unless the specific stereochemistry or isomeric form is specifically indicated.
  • a variety of compounds in the present invention may exist in particular stereoisomeric forms.
  • the present invention takes into account all such compounds, including cis- and trans isomers, R- and S- enantiomers, diastereomers, (D)-isomers, (L)-isomers, the racemic mixtures thereof, and other mixtures thereof, as being covered within the scope of this invention.
  • Additional asymmetric carbon atoms may be present in a substituent such as an alkyl group. All such isomers, as well as mixtures thereof, are intended to be included in this invention.
  • the compounds herein described may have asymmetric centers. Compounds of the present invention containing an asymmetrically substituted atom may be isolated in optically active or racemic forms.
  • optically active forms such as by resolution of racemic forms or by synthesis from optically active starting materials.
  • separation of the racemic material can be achieved by methods known in the art.
  • the optically active forms of the compound of the invention may be prepared, for example, by chiral chromatographic separation of a racemate, by synthesis from optically active starting materials or by asymmetric synthesis based on the procedures described thereafter.
  • Cis and trans isomers of the compounds of the present invention are described and may be isolated as a mixture of isomers or as separated isomeric forms. All chiral, diastereomeric, racemic forms and all stereoisomeric forms of a structure are intended, unless the specific stereochemistry or isomeric form is specifically indicated.
  • Optical isomers can be obtained in pure form by standard procedures known to those skilled in the art, and include, but are not limited to, diastereomeric salt formation, kinetic resolution, and asymmetric synthesis. See, for example, Jacques, et al., Enantiomers, Racemates and Resolutions (Wiley Interscience, New York, 1981); Wilen, S.H., et al., Tetrahedron 33:2725 (1977); Eliel, EX. Stereochemistry of Carbon Compounds (McGraw-Hill, NY, 1962); Wilen, S. H. Tables of Resolving Agents and Optical Resolutions p. 268 (EX. Eliel, Ed., Univ.
  • alkyl As used herein, “alkyl”, “alkylenyl” or “alkylene” used alone or as a suffix or prefix, is intended to include both branched and straight-chain saturated aliphatic hydrocarbon groups having from 1 to 12 carbon atoms or if a specified number of carbon atoms is provided then that specific number would be intended.
  • “Ci_6 alkyl” denotes alkyl having 1, 2, 3, 4, 5, or 6 carbon atoms.
  • alkyl examples include, but are not limited to, methyl, ethyl, n-propyl, i-propyl, n-butyl, i-butyl, sec-butyl, t-butyl, pentyl, and hexyl, or any subset thereof.
  • "Ci_ 3 alkyl” whether a terminal substituent or an alkylene (or alkylenyl) group linking two substituents, is understood to specifically include both branched and straight-chain methyl, ethyl, and propyl.
  • alkenyl refers to an alkyl group having one or more double carbon-carbon bonds. Examples of alkenyl groups include, but are not limited to, ethenyl, propenyl, cyclohexenyl, and the like.
  • alkenylenyl refers to a divalent linking alkenyl group.
  • alkynyl refers to an alkyl group having one or more triple carbon-carbon bonds. Examples of alkynyl groups include, but are not limited to, ethynyl, propynyl, and the like.
  • alkynylenyl refers to a divalent linking alkynyl group.
  • aromatic refers to hydrocarbyl groups having one or more polyunsaturated carbon rings having aromatic characters, (e.g., 4n + 2 delocalized electrons) and comprising up to about 14 carbon atoms.
  • aryl refers to an aromatic ring structure made up of from 5 to 14 carbon atoms. Ring structures containing 5, 6, 7, or 8 carbon atoms would be single-ring aromatic groups, for example, phenyl. Ring structures containing 8, 9, 10, 11, 12, 13, or 14 would be a polycyclic moiety in which at least one carbon is common to any two adjoining rings therein (for example, the rings are "fused rings"), for example naphthyl.
  • the aromatic ring can be substituted at one or more ring positions with such substituents as described above.
  • aryl also includes polycyclic ring systems having two or more cyclic rings in which two or more carbons are common to two adjoining rings (the rings are "fused rings") wherein at least one of the rings is aromatic, for example, the other cyclic rings can be cycloalkyls, cycloalkenyls or cycloalkynyls.
  • ortho, meta and para apply to 1,2-, 1,3-, and 1 ,4-disubstituted benzenes, respectively.
  • the names 1 ,2-dimethylbenzene and ortho-dimethylbenzene are synonymous.
  • cycloalkyl refers to non-aromatic cyclic hydrocarbons including, but are not limited to, cyclized alkyl, alkenyl, and alkynyl groups, having the specified number of carbon atoms (wherein the ring comprises 3 to 20 ring-forming carbon atoms). Cycloalkyl groups can include mono- or polycyclic (e.g., having 2, 3, or 4 fused or bridged rings) groups.
  • cycloalkyl groups include, but are not limited to, cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl, cyclopentenyl, cyclohexenyl, cyclohexadienyl, cycloheptatrienyl, norbornyl, norpinyl, norcarnyl, and adamantyl, and the like, or any subset thereof.
  • cycloalkyl moieties that have one or more aromatic rings fused (i.e., having a bond in common with) to the cycloalkyl ring, for example, benzo derivatives of cyclopentane (i.e., indanyl), cyclopentene, cyclohexane, and the like.
  • cycloalkyl further includes saturated ring groups, having the specified number of carbon atoms. These may include fused or bridged polycyclic systems. Suitable cycloalkyls have from 3 to 10 carbon atoms in their ring structure, and more preferably have 3, 4, 5, or 6 carbons in the ring structure.
  • C3-6 cycloalkyl denotes such groups as cyclopropyl, cyclobutyl, cyclopentyl, or cyclohexyl.
  • Counterrion is used to represent a small, negatively or positively charged species such as chloride (Cl “ ), bromide (Br “ ), hydroxide (OH “ ), acetate (CH 3 COO “ ), sulfate (SO 4 2” ), tosylate (CH3-phenyl-SO3 “ ), benezensulfonate (phenyl-SOs ), sodium ion (Na + ), potassium (K + ), ammonium (NH 4 + ), and the like, or any subset thereof.
  • heterocyclyl or “heterocyclic” or “heterocycle” refers to a ring-containing monovalent and divalent structures having one or more heteroatoms, independently selected from N, O, and S, as part of the ring structure and comprising from 3 to 20 atoms in the rings, or 3- to 7-membered rings.
  • the number of ring-forming atoms in heterocyclyl are given in ranges herein.
  • Cs_io heterocyclyl refers to a ring strcture comprising from 5 to 10 ring-forming atoms wherein at least one of the ring-forming atoms is N, O, or S.
  • Heterocyclic groups may be saturated or partially saturated or unsaturated, containing one or more double bonds, and heterocyclic groups may contain more than one ring as in the case of poly cyclic systems.
  • the heterocyclic rings described herein may be substituted on carbon or on a heteroatom atom if the resulting compound is stable. If specifically noted, nitrogen in the heterocyclyl may optionally be quaternized. It is understood that when the total number of S and O atoms in the heterocyclyl exceeds 1, then these heteroatoms are not adjacent to one another.
  • heterocyclyls include, but are not limited to, lH-indazole, 2-pyrrolidonyl,
  • heteroaryl refers to an aromatic heterocycle (wherein the ring comprises up to about 20 ring-forming atoms) having at least one heteroatom ring member such as sulfur, oxygen, or nitrogen.
  • Heteroaryl groups include monocyclic and polycyclic (e.g., having 2, 3, or 4 fused rings) systems. Examples of heteroaryl groups include without limitation, pyridyl (i.e., pyridinyl), pyrimidinyl, pyrazinyl, pyridazinyl, triazinyl, furyl (i.e.
  • furanyl quinolyl, isoquinolyl, thienyl, imidazolyl, thiazolyl, indolyl, pyrryl, oxazolyl, benzofuryl, benzothienyl, benzthiazolyl, isoxazolyl, pyrazolyl, triazolyl, tetrazolyl, indazolyl, 1,2,4-thiadiazolyl, isothiazolyl, benzothienyl, purinyl, carbazolyl, benzimidazolyl, and indolinyl, and the like, or any subset thereof.
  • the heteroaryl group has from 1 to about 20 carbon atoms, and in further embodiments from about 3 to about 20 carbon atoms. In some embodiments, the heteroaryl group contains from 3 to about 14, from 4 to about 14, from 3 to about 7, or from 5 to 6 ring-forming atoms. In some embodiments, the heteroaryl group has from 1 to about 4, from 1 to about 3, or from 1 to 2 heteroatoms. In some embodiments, the heteroaryl group has 1 heteroatom.
  • heterocycloalkyl refers to non-aromatic heterocycles (wherein the ring comprises about 3 to about 20 ring-forming atoms) including cyclized alkyl, alkenyl, and alkynyl groups where one or more of the ring-forming carbon atoms is replaced by a heteroatom such as an O, N, or S atom .
  • Hetercycloalkyl groups can be mono or polycyclic (e.g., both fused and spiro systems).
  • Suitable "heterocycloalkyl” groups include, but are not limited to, morpholino, thiomorpholino, piperazinyl, tetrahydrofuranyl, tetrahydrothienyl, 2,3-dihydrobenzofuryl, 1,3- benzodioxole, benzo-l,4-dioxane, piperidinyl, pyrrolidinyl, isoxazolidinyl, isothiazolidinyl, pyrazolidinyl, oxazolidinyl, thiazolidinyl, and imidazolidinyl, and the like.
  • Ring-forming carbon atoms and heteroatoms of a heterocycloalkyl group can be optionally substituted by oxo or sulfido.
  • Also included in the definition of heterocycloalkyl are moieties that have one or more aromatic rings fused (i.e., having a bond in common with) to the nonaromatic heterocyclic ring, for example phthalimidyl, naphthalimidyl, and benzo derivatives of heterocycles such as indolene and isoindolene groups.
  • the heterocycloalkyl group has from 1 to about 20 carbon atoms, and in further embodiments from about 3 to about 20 carbon atoms.
  • the heterocycloalkyl group contains from 3 to about 14, from 3 to about 7, or from 5 to 6 ring-forming atoms. In some embodiments, the heterocycloalkyl group has from 1 to about 4, from 1 to about 3, or from 1 to 2 heteroatoms. In some embodiments, the heterocycloalkyl group contains from 0 to 3 double bonds. In some embodiments, the heterocycloalkyl group contains from 0 to 2 triple bonds.
  • alkoxy or “alkyloxy” represents an alkyl group as defined above with the indicated number of carbon atoms attached through an oxygen bridge.
  • alkoxy examples include, but are not limited to, methoxy, ethoxy, n-propoxy, isopropoxy, n-butoxy, isobutoxy, t-butoxy, n-pentoxy, isopentoxy, cyclopropylmethoxy, allyloxy, and propargyloxy, or any subset thereof.
  • alkylthio or “thioalkoxy” represent an alkyl group as defined above with the indicated number of carbon atoms attached through a sulphur bridge.
  • X is a bond or represents an oxygen or sulfur
  • R represents a hydrogen, an alkyl, an alkenyl, -(CH2) m -R' ' or a pharmaceutically acceptable salt
  • R' represents a hydrogen, an alkyl, an alkenyl or -(CH2) m -R", where m is an integer less than or equal to ten
  • R" is alkyl, cycloalkyl, alkenyl, aryl, or heteroaryl.
  • X is an oxygen and R and R' is not hydrogen, the formula represents an "ester".
  • R is represented by, but not limited to, hydrogen, alkyl, cycloalkyl, alkenyl, aryl, heteroaryl, aralkyl, or heteroaralkyl.
  • amino refers to NH 2 .
  • alkylamino refers to an amino group substituted by an alkyl group.
  • dialkylamino refers to an amino group substituted by two alkyl groups.
  • halo or halogen includes fluoro, chloro, bromo, and iodo, or any subset thereof.
  • haloalkyl refers to an alkyl group having one or more halogen substituents.
  • haloalkyl groups include, but are not limited to, CF 3 , C 2 F 5 , CH 2 CF 3 , CHF 2 , CCl 3 , CHCl 2 , and C 2 Cl 5 , and the like, or any subset thereof.
  • perhaloalkyl is intended to denote an alkyl group in which all of the hydrogen atoms are replaced with halogen atoms.
  • perhaloalkyl is CCl 3 or CF 3 .
  • perfluoroalkyl is intended to denote an alkyl group in which all of the hydrogen atoms are replaced with fluorine atoms.
  • perhaloalkyl is CF 3 (i.e., trifluoromethyl).
  • alkoxy or “alkyloxy” refers to an -O-alkyl group. Examples of alkoxy groups include, but are not limited to, methoxy, ethoxy, propoxy (e.g., n-propoxy and isopropoxy), t-butoxy, and the like, or any subset thereof.
  • haloalkoxy refers to an -O-haloalkyl group.
  • An example of a haloalkoxy group is OCF 3 .
  • aryloxy refers to -O-aryl.
  • An example of a heteroaryloxy is phenoxy.
  • heteroaryloxy refers to -O-heteroaryl.
  • An example of a heteroaryloxy is pyridine-2-yloxy [i.e., -O-(pyridine-2-yl)].
  • arylalkyl refers to C 1-10 alkyl substituted by aryl and "cycloalkylalkyl” refers to C 1-10 alkyl substituted by cycloalkyl.
  • An example of a arylalkyl group is benzyl.
  • heteroarylalkyl refers to C 1-10 alkyl substituted by heteroaryl and
  • heterocycloalkylalkyl refers to C 1-10 alkyl substituted by heterocycloalkyl.
  • arylalkyloxy refers to -O-(arylakyl) and "heteroarylalkyloxy” refers to -O-(heteroarylakyl).
  • An example of an arylalkyloxy group is benzyloxy and an example of a heteroarylalkyloxy group is (pyridin-2-yl)-methoxy.
  • some substituents are discribled in a combination of two or more groups.
  • protecting group means temporary substituents which protect a potentially reactive functional group from undesired chemical transformations. Examples of such protecting groups include, but are not limited to, esters of carboxylic acids, silyl ethers of alcohols, and acetals and ketals of aldehydes and ketones respectively.
  • the field of protecting group chemistry has been reviewed (Greene, T. W.; Wuts, P. G. M. Protective Groups in Organic Synthesis, 3 rd ed.; Wiley: New York, 1999).
  • pharmaceutically acceptable is employed herein to refer to those compounds, materials, compositions, and/or dosage forms which are, within the scope of sound medical judgment, suitable for use in contact with the tissues of human beings and animals without excessive toxicity, irritation, allergic response, or other problem or complication, commensurate with a reasonable benefit/risk ratio.
  • pharmaceutically acceptable salts refer to derivatives of the disclosed compounds wherein the parent compound is modified by making acid or base salts thereof (i.e., also include counterions).
  • pharmaceutically acceptable salts include, but are not limited to, mineral or organic acid salts of basic residues such as amines; alkali or organic salts of acidic residues such as carboxylic acids; and the like.
  • the pharmaceutically acceptable salts include the conventional non-toxic salts or the quaternary ammonium salts of the parent compound formed, for example, from non-toxic inorganic or organic acids.
  • such conventional non-toxic salts include those derived from inorganic acids such as hydrochloric, phosphoric, and the like; and the salts prepared from organic acids such as lactic, maleic, citric, benzoic, methanesulfonic, and the like.
  • the pharmaceutically acceptable salts of the present invention can be synthesized from the parent compound that contains a basic or acidic moiety by conventional chemical methods.
  • such salts can be prepared by reacting the free acid or base forms of these compounds with a stoichiometric amount of the appropriate base or acid in water or in an organic solvent, or in a mixture of the two; nonaqueous media like ether, ethyl acetate, ethanol, isopropanol, or acetonitrile can be used.
  • a corresponding alkali metal such as sodium, potassium, or lithium
  • an alkaline earth metal such as a calcium
  • a compound of the present invention having a suitably acidic proton, such as a carboxylic acid or a phenol with one equivalent of an alkali metal or alkaline earth metal hydroxide or alkoxide (such as the ethoxide or methoxide), or a suitably basic organic amine (such as choline or meglumine) in an aqueous medium, followed by conventional purification techniques.
  • tautomer means other structural isomers that exist in equilibrium resulting from the migration of a hydrogen atom. For example, keto-enol tautomerism where the resulting compound has the porperties of both a ketone and an unsturated alchol.
  • stable compound and “stable structure” are meant to indicate a compound that is sufficiently robust to survive isolation to a useful degree of purity from a reaction mixture, and formulation into an efficacious therapeutic agent.
  • the present invention further includes isotopically-labeled compounds of the invention.
  • An “isotopically” or “radio-labeled” compound is a compound of the invention where one or more atoms are replaced or substituted by an atom having an atomic mass or mass number different from the atomic mass or mass number typically found in nature (i.e., naturally occurring).
  • Suitable radionuclides that may be incorporated in compounds of the present invention include, but are not limited to, 2 H (also written as D for deuterium), 3 H (also written as T for tritium), 11 C, 13 C, 14 C, 13 N, 15 N, 15 O, 17 O, 18 O, 18 F, 35 S, 36 Cl, 82 Br, 75 Br, 76 Br, 77 Br, 123 I, 124 I, 125 I, and 131 I, or any subset thereof.
  • the radionuclide that is incorporated in the instant radio-labeled compounds will depend on the specific application of that radio-labeled compound.
  • a "radio-labeled compound” is a compound that has incorporated at least one radionuclide.
  • the radionuclide is selected from the group consisting of 3 H, 14 C, 125 1 , 35 S, and 82 Br.
  • Salts of the compounds of the invention are preferably physiologically well tolerated and non toxic. Many examples of salts are known to those skilled in the art. All such salts are within the scope of this invention, and references to compounds include the salt forms of the compounds.
  • Compounds having acidic groups can form salts with alkaline or alkaline earth metals such as Na, K, Mg, and Ca, and with organic amines such as triethylamine and Tris (2-hydroxyethyl)amine. Salts can be formed between compounds with basic groups, e.g. amines, with inorganic acids such as, for example, hydrochloric acid, phosphoric acid, or sulfuric acid, or organic acids such as, for example, acetic acid, citric acid, benzoic acid, fumaric acid, or tartaric acid. Compounds having both acidic and basic groups can form internal salts.
  • Acid addition salts may be formed with a wide variety of acids, both inorganic and organic.
  • acid addition salts include, but are not limited to, salts formed with hydrochloric, hydrobromic, hydriodic, phosphoric, nitric, sulphuric, citric, lactic, succinic, maleic, malic, isethionic, fumaric, benzenesulphonic, toluenesulphonic, methanesulphonic, ethanesulphonic, naphthalenesulphonic, valeric, tartaric, acetic, propanoic, butanoic, malonic, glucuronic, and lactobionic acids.
  • a salt may be formed with a suitable cation.
  • suitable inorganic cations include, but are not limited to, alkali metal ions such as Na + and K + , alkaline earth cations such as Ca 2+ and Mg 2+ , and other cations such as Al 3+ .
  • suitable organic cations include, but are not limited to, ammonium ion (i.e., NH 4 + ) and substituted ammonium ions (e.g., NH 3 R + , NH 2 R 2 + , NHR 3 + , NR 4 + ).
  • substituted ammonium ions examples include those derived from: ethylamine, diethylamine, dicyclohexylamine, triethylamine, butylamine, ethylenediamine, ethanolamine, diethanolamine, piperazine, benzylamine, phenylbenzylamine, choline, meglumine, and tromethamine, as well as amino acids, such as lysine and arginine, or any subset thereof.
  • An example of a common quaternary ammonium ion is N(CHs) 4 + .
  • the compounds may contain an amine function, these may form quaternary ammonium salts, for example by reaction with an alkylating agent according to methods well known to the skilled person. Such quaternary ammonium compounds are within the scope of the invention.
  • Compounds containing an amine function may also form N-oxides.
  • a reference herein to a compound that contains an amine function also includes the N-oxide.
  • N-oxides are the N-oxides of a tertiary amine or a nitrogen atom of a nitrogen-containing heterocycle.
  • N-Oxides can be formed by treatment of the corresponding amine with an oxidizing agent such as hydrogen peroxide or a per-acid (e.g. a peroxycarboxylic acid), see for example Advanced Organic Chemistry, by Jerry March, 4 th Edition, Wiley Interscience, pages. More particularly, N-oxides can be made by the procedure of Deady (Syn. Comm., 1977, 7, 509-514) in which the amine compound is reacted with m-chloroperoxybenzoic acid (MCPBA), for example, in an inert solvent such as dichloromethane.
  • MCPBA m-chloroperoxybenzoic acid
  • Esters can be formed between hydroxyl or carboxylic acid groups present in the compound and an appropriate carboxylic acid or alcohol reaction partner, using techniques well known in the art.
  • R is an acyloxy substituent, for example, a Ci_7 alkyl group, a C 3 _ 2 o heterocyclyl group, or a C5-20 aryl group, preferably a Ci_ 7 alkyl group.
  • Derivatives which are prodrugs of the compounds are convertible in vivo or in vitro into one of the
  • prodrug form of the compound typically, at least one of the biological activities of compound will be reduced in the prodrug form of the compound, and can be activated by conversion of the prodrug to release the compound or a metabolite of it.
  • prodrugs are activated enzymatically to yield the active compound, or a compound which, upon further chemical reaction, yields the active compound (for example, as in ADEPT, GDEPT, LIDEPT, etc.).
  • the prodrug may be a sugar derivative or other glycoside conjugate, or may be an amino acid ester derivative.
  • Coupled derivatives include coupling partners of the compounds in which the compounds is linked to a coupling partner, e.g. by being chemically coupled to the compound or physically associated with it.
  • Examples of coupling partners include a label or reporter molecule, a supporting substrate, a carrier or transport molecule, an effector, a drug, an antibody or an inhibitor.
  • Coupling partners can be covalently linked to compounds of the invention via an appropriate functional group on the compound such as a hydroxy 1 group, a carboxyl group or an amino group.
  • Other derivatives include formulating the compounds with liposomes.
  • Compounds may exist in a number of tautomeric forms and references to compounds include all such forms. For the avoidance of doubt, where a compound can exist in one of several tautomeric forms and only one is specifically described or shown, all others are nevertheless embraced by the scope of this invention.
  • Compounds of the present invention also include pharmaceutically acceptable salts and tautomers of the compounds of any of the formulas described herein.
  • Compounds of the invention further include hydrates and solvates. It will also be understood that certain compounds of the present invention may exist in solvated, for example hydrated, as well as unsolvated forms. It will further be understood that the present invention encompasses all such solvated forms of the compounds of the invention.
  • the compounds of the invention may be derivatised in various ways.
  • “derivatives” of the compounds includes salts (e.g. pharmaceutically acceptable salts), any complexes (e.g. inclusion complexes or clathrates with compounds such as cyclodextrins, or coordination complexes with metal ions such as Mn 2+ and Zn 2+ ), esters such as in vivo hydro lysable esters, polymorphic forms of the compounds, solvates (e.g. hydrates), or lipids, and compounds having coupling partners and protecting groups (such as protecting groups for amino and/or hydroxy 1 group).
  • salts e.g. pharmaceutically acceptable salts
  • any complexes e.g. inclusion complexes or clathrates with compounds such as cyclodextrins, or coordination complexes with metal ions such as Mn 2+ and Zn 2+
  • esters such as in vivo hydro lysable esters
  • polymorphic forms of the compounds
  • a compound of Formula I, or a pharmaceutically acceptable salt or solvate thereof, or a pharmaceutical composition or formulation comprising a compound of Formula I or its pharmaceutically acceptable salt or solvate can be administered concurrently, simultaneously, sequentially or separately with another compound or compounds selected from the following:
  • antidepressants such as, for example, amitriptyline, amoxapine, bupropion, citalopram, clomipramine, desipramine, doxepin duloxetine, elzasonan, escitalopram, fluvoxamine, fluoxetine, gepirone, imipramine, ipsapirone, maprotiline, nortriptyline, nefazodone, paroxetine, phenelzine, protriptyline, reboxetine, robaizotan, sertraline, sibutramine, thionisoxetine, tranylcypromaine, trazodone, trimipramine, and venlafaxine, and equivalents and pharmaceutically active isomer(s) and/or metabolite(s) thereof;
  • antidepressants such as, for example, amitriptyline, amoxapine, bupropion, citalopram, clomipramine, des
  • atypical antipsychotics including, for example, quetiapine and pharmaceutically active isomer(s) and/or metabolite(s) thereof;
  • antipsychotics including, for example, amisulpride, aripiprazole, asenapine, benzisoxidil, bifeprunox, carbamazepine, clozapine, chlorpromazine, debenzapine, divalproex, duloxetine, eszopiclone, haloperidol, iloperidone, lamotrigine, loxapine, mesoridazine, olanzapine, paliperidone, perlapine, perphenazine, phenothiazine, phenylbutlypiperidine, pimozide, prochlorperazine, risperidone, sertindole, sulpiride, suproclone, suriclone, thiorida
  • anxiolytics including, for example, alnespirone, azapirones,benzodiazepines, and barbiturates, and equivalents and pharmaceutically active isomer(s) and/or metabolite(s) thereof.
  • anxiolytics include, but are not limited to, adinazolam, alprazolam, balezepam, bentazepam, bromazepam, brotizolam, buspirone, clonazepam, clorazepate, chlordiazepoxide, cyprazepam, diazepam, diphenhydramine, estazolam, fenobam, flunitrazepam, flurazepam, fosazepam, lorazepam, lormetazepam, meprobamate, midazolam, nitrazepam, oxazepam, prazepam, quazepam, reclazepam,
  • anticonvulsants including, for example, carbamazepine, valproate, lamotrogine, and gabapentin, and equivalents and pharmaceutically active isomer(s) and/or metabolite(s) thereof;
  • Alzheimer's therapies including, for example, donepezil, memantine, and tacrine, and equivalents and pharmaceutically active isomer(s) and/or metabolite(s) thereof;
  • Parkinson's therapies including, for example, deprenyl, L-dopa, Requip, Mirapex,
  • MAOB inhibitors such as selegine and rasagiline, comP inhibitors such as Tasmar, A-2 inhibitors, dopamine reuptake inhibitors, NMDA antagonists, Nicotine agonists, and Dopamine agonists and inhibitors of neuronal nitric oxide synthase, and equivalents and pharmaceutically active isomer(s) and/or metabolite(s) thereof;
  • migraine therapies including, for example, almotriptan, amantadine, bromocriptine, butalbital, cabergoline, dichloralphenazone, eletriptan, frovatriptan, lisuride, naratriptan, pergolide, pramipexole, rizatriptan, ropinirole, sumatriptan, zolmitriptan, and zomitriptan, and equivalents and pharmaceutically active isomer(s) and/or metabolite(s) thereof;
  • (ix) stroke therapies including, for example, abciximab, activase, NXY-059, citicoline, crobenetine, desmoteplase,repinotan, and traxoprodil, and equivalents and pharmaceutically active isomer(s) and/or metabolite(s) thereof;
  • urinary incontinence therapies including, for example, darafenacin, falvoxate, oxybutynin, propiverine, robalzotan, solifenacin, and tolterodine, and equivalents and pharmaceutically active isomer(s) and/or metabolite(s) thereof;
  • neuropathic pain therapies including, for example, gabapentin, lidoderm, and pregablin, and equivalents and pharmaceutically active isomer(s) and/or metabolite(s) thereof;
  • nociceptive pain therapies such as, for example, celecoxib, etoricoxib, lumiracoxib, rofecoxib, valdecoxib, diclofenac, loxoprofen, naproxen, and paracetamol, and equivalents and pharmaceutically active isomer(s) and/or metabolite(s) thereof;
  • insomnia therapies including, for example, allobarbital, alonimid, amobarbital, benzoctamine, butabarbital, capuride, chloral, cloperidone, clorethate, dexclamol, ethchlorvynol, etomidate, glutethimide, halazepam, hydroxyzine, mecloqualone, melatonin, mephobarbital, methaqualone, midaflur, nisobamate, pentobarbital, phenobarbital, propofol, roletamide, triclofos,secobarbital, zaleplon, and Zolpidem, and equivalents and pharmaceutically active isomer(s) and/or metabolite(s) thereof;
  • mood stabilizers including, for example, carbamazepine, divalproex, gabapentin, lamotrigine, lithium, olanzapine, quetiapine, valproate, valproic acid, and verapamil, and equivalents and pharmaceutically active isomer(s) and/or metabolite(s) thereof;
  • 5HT IB ligands such as, for example, compounds disclosed in WO99/05134 and
  • alpha 7 nicotinic agonists such as, for example, compounds disclosed in WO96/006098, WO97/030998, WO99/003859, WO00/042044, WO01/029034, WO01/160821, WO01/136417, WO02/096912, WO03/087102, WO03/087103, WO03/087104, WO04/016617, WO04/016616, and WO04/019947;
  • (xix) delta opioid agonists such as, for example, compounds disclosed in WO97/23466 and WO02/094794.
  • Such combination products employ the compounds of this invention within the dosage range described herein and the other pharmaceutically active agent within approved dosage ranges and/or the dosage such as described in the publication reference.
  • the present invention provides a compound of any of the formulas described herein or a pharmaceutically acceptable salt thereof for the therapeutic treatment (including prophylactic treatment) of mammals including humans, and it is normally formulated in accordance with standard pharmaceutical practice as a pharmaceutical composition.
  • the present invention further encompasses pharmaceutical compositions containing one or more compounds of the present invention.
  • the pharmaceutical composition of this invention may also contain, or be co-administered (simultaneously or sequentially) with, one or more pharmacological agents of value in treating one or more disease conditions referred to herein.
  • the term composition is intended to include the formulation of the active component or a pharmaceutically acceptable salt with a pharmaceutically acceptable carrier.
  • inert, pharmaceutically acceptable carriers can be either solid or liquid.
  • this invention may be formulated by means known in the art into the form of, for example, tablets, capsules, aqueous or oily solutions, suspensions, emulsions, creams, ointments, gels, nasal sprays, suppositories, finely divided powders or aerosols or nebulisers for inhalation, and for parenteral use (including intravenous, intramuscular or infusion) sterile aqueous or oily solutions or suspensions or sterile emulsions.
  • Liquid form compositions include solutions, suspensions, and emulsions.
  • Sterile water or water-propylene glycol solutions of the active compounds may be mentioned as an example of liquid preparations suitable for parenteral administration.
  • Liquid compositions can also be formulated in solution in aqueous polyethylene glycol solution.
  • Aqueous solutions for oral administration can be prepared by dissolving the active component in water and adding suitable colorants, flavoring agents, stabilizers, and thickening agents as desired.
  • Aqueous suspensions for oral use can be made by dispersing the finely divided active component in water together with a viscous material such as natural synthetic gums, resins, methyl cellulose, sodium carboxymethyl cellulose, and other suspending agents known to the pharmaceutical formulation art.
  • Solid form compositions include powders, tablets, dispersible granules, capsules, cachets, and suppositories.
  • a solid carrier can be one or more substances, which may also act as diluents, flavoring agents, solubilizers, lubricants, suspending agents, binders, or tablet disintegrating agents; it can also be an encapsulating material.
  • the carrier is a finely divided solid, which is in a mixture with the finely divided active component.
  • the active component is mixed with the carrier having the necessary binding properties in suitable proportions and compacted in the shape and size desired.
  • a low-melting wax such as a mixture of fatty acid glycerides and cocoa butter is first melted and the active ingredient is dispersed therein by, for example, stirring. The molten homogeneous mixture is then poured into convenient sized molds and allowed to cool and solidify.
  • conventional non-toxic solid carriers include, for example, pharmaceutical grades of mannitol, lactose, cellulose, cellulose derivatives, starch, magnesium stearate, sodium saccharin, talcum, glucose, sucrose, magnesium carbonate, and the like may be used.
  • Liquid pharmaceutically administrable compositions can, for example, be prepared by dissolving, dispersing, etc, an active compound as defined above and optional pharmaceutical adjuvants in a carrier, such as, for example, water, saline aqueous dextrose, glycerol, ethanol, and the like, to thereby form a solution or suspension.
  • a carrier such as, for example, water, saline aqueous dextrose, glycerol, ethanol, and the like
  • the pharmaceutical composition to be administered may also contain minor amounts of non-toxic auxiliary substances such as wetting or emulsifying agents, pH buffering agents and the like, for example, sodium acetate, sorbitan monolaurate, triethanolamine sodium acetate, sorbitan monolaurate, triethanolamine oleate, etc.
  • wetting or emulsifying agents such as wetting or emulsifying agents, pH buffering agents and the like, for example, sodium acetate, sorbit
  • the pharmaceutical compositions can be in unit dosage form.
  • the composition is divided into unit doses containing appropriate quantities of the active component.
  • the unit dosage form can be a packaged preparation, the package containing discrete quantities of the preparations, for example, packeted tablets, capsules, and powders in vials or ampoules.
  • the unit dosage form can also be a capsule, cachet, or tablet itself, or it can be the appropriate number of any of these packaged forms.
  • Compositions may be formulated for any suitable route and means of administration.
  • Pharmaceutically acceptable carriers or diluents include those used in formulations suitable for oral, rectal, nasal, topical (including buccal and sublingual), vaginal or parenteral (including subcutaneous, intramuscular, intravenous, intradermal, intrathecal and epidural) administration.
  • the formulations may conveniently be presented in unit dosage form and may be prepared by any of the methods well known in the art of pharmacy.
  • the quantity of the compound to be administered will vary for the patient being treated and will vary from about 100 ng/kg of body weight to 100 mg/kg of body weight per day and preferably will be from 10 pg/kg to 10 mg/kg per day.
  • dosages can be readily ascertained by those skilled in the art from this disclosure and the knowledge in the art.
  • the skilled artisan can readily determine the amount of compound and optional additives, vehicles, and/or carrier in compositions and to be administered in methods of the invention.
  • the pharmaceutical composition includes the compound of the invention in combination with a pharmaceutically acceptable carrier and at least one further active ingredient.
  • further active ingredients include, but are not limited to, benzodiazepines, 5-HTIA ligands, 5-HTi B ligands, 5-HTi D ligands, mGluR2A agonists, mGluR5 antagonists, antipsychotics, NKl receptor antagonists, antidepressants, and serotonin reuptake inhibitors.
  • compositions of the invention can accordingly be obtained by conventional procedures using conventional pharmaceutical excipients.
  • the active ingredient is typically mixed with an excipient, diluted by an excipient or enclosed within such a carrier in the form of, for example, a capsule, sachet, paper, or other container.
  • the excipient serves as a diluent, it can be a solid, semi-solid, or liquid material, which acts as a vehicle, carrier or medium for the active ingredient.
  • compositions can be in the form of tablets, pills, powders, lozenges, sachets, cachets, elixirs, suspensions, emulsions, solutions, syrups, aerosols (as a solid or in a liquid medium), ointments containing, for example, up to 10 % by weight of the active compound, soft and hard gelatin capsules, suppositories, sterile injectable solutions, and sterile packaged powders.
  • Pharmaceutical compositions intended for oral use can further contain, for example, one or more coloring, sweetening, flavoring and/or preservative agents.
  • composition of the invention can be administered by any route including orally, intramuscularly, subcutaneously, topically, intranasally, intraperitoneally, intrathoracially, intravenously, epidurally, intrathecally, intracerebroventricularly and by injection into the joints.
  • amount of active ingredient that is combined with one or more excipients to produce a single dosage form will necessarily vary depending upon the host treated and the particular route of administration.
  • the size of the dose for therapeutic or prophylactic purposes of the active compound(s) will naturally vary according to the nature and severity of the symptoms or conditions, the age and sex of the animal or patient and the route of administration, according to well known principles of medicine.
  • the present invention further provides methods of treating at least one symptom or condition associated with schizophrenia and other psychotic disorders (e.g., psychotic disorder, psychosis), dementia and other cognitive disorders, anxiety disorders (e.g., generalized anxiety disorder), mood disorders (e.g., depressive disorders, major depressive disorders, bipolar disorders including bipolar I and II, bipolar mania, bipolar depression), sleep disorders, disorders usually first diagnosed in infancy, childhood, or adolescence (e.g., attention-deficit disorder and disruptive behavior disorders) and neurodegenerative disorders comprising administering to a mammal a pharmaceutically effective amount of the salt of the invention or composition containing one or more of the same.
  • the symptoms and conditions include, but are not limited to ,anxiety, agitation, hostility, panic, eating disorder, affective symptom, mood symptom, negative and positive psychotic symptom commonly associated with psychosis, and neurodegenerative disorder.
  • the present invention further provides methods of treating at least one symptom or condition associated with schizophrenia and other psychotic disorders (e.g., psychotic disorder, psychosis), dementia and other cognitive disorders, anxiety disorders (e.g., generalized anxiety disorder), mood disorders (e.g., depressive disorders, major depressive disorders, bipolar disorders including bipolar I and II, bipolar mania, bipolar depression), sleep disorders, disorders usually first diagnosed in infancy, childhood, or adolescence (e.g., attention-deficit disorder and disruptive behavior disorders) and neurodegenerative disorders comprising administering to a mammal a pharmaceutically effective amount of a compound of the invention, or composition containing one or more of the same, and a therapeutically effective amount of at least one other therapeutically active agent selected from benzodiazepines, 5-HTi A ligands, 5-HTi B ligands, 5-HTiD ligands, mGluR2A agonists, mGluR5 antagonists, antipsychotics, NKl receptor antagonists, antide
  • Exemplary benzodiazepines include, but are not limited to, adinazolam, alprazolam, bromazepam, clonazepam, chlorazepate, chlordiazepoxide, diazepam, estazolam, flurazepam, balezepam, lorazepam, midazolam, nitrazepam, oxazepam, quazepam, temazepam, and triazolam, and equivalents thereof.
  • Exemplary 5-HT IA and/or 5HTi B ligands include, but are not limited to, buspirone, alnespirone, elzasonan, ipsapirone, gepirone, and zopiclone, and equivalents thereof.
  • Exemplary mGluR2 agonists include, but are not limited to, (1S,3R)-1- aminocyclopentane-l,3-dicarboxylic acid, (2S,3S,4S)alpha-(carboxycyclopropyl)glycine, and 3 ,5 -dihydroxyphenylglycine .
  • antidepressants include, but are not limited to, maprotiline, amitriptyline, clomipramine, desipramine, doxepin, imipramine, nortryptyline, protriptyline, trimipramine, SSRIs and SNRIs such as fluoxetine, paroxetine, citalopram, escitalopram, sertraline, venlafaxine, fluoxamine, and reboxetine.
  • antipsychotics include, but are not limited to, clozapine, risperidone, quetiapine, olanzapine, amisulpride, sulpiride, zotepine, chlorpromazine, haloperidol, ziprasidone, and sertindole.
  • Administration of two or more active agents can be carried out in combination, e.g., as part of the same pharmaceutical composition, or separately (e.g., serially or consecutively) as part of an appropriate dose regimen designed to obtain the benefits of combination therapy.
  • the appropriate dose regimen, the amount of each dose of an active agent administered, and the specif ⁇ c intervals between doses of each active agent will depend upon the subject being treated, the specific active agent being administered and the nature and severity of the specific disorder or condition being treated.
  • the compounds of this invention when used as either a single active agent or when used in combination with another active agent, will be administered to a subject in an amount up to about 750 mg per day (e.g., 1 mg to 600 mg per day), in single or divided doses.
  • Such compounds may be administered on a regimen of up to 6 times per day, preferably 1 to 4 times per day. Variations can occur depending upon the subject being treated and the individual response to the treatment, as well as on the type of pharmaceutical formulation chosen and the time period and interval at which such administration is carried out. In some instances, dosage levels below the lower limit of the aforesaid range may be more than adequate, while in other cases larger doses may be employed to achieve the desired effect, provided that such larger doses are first divided into several small doses for administration throughout the day.
  • the compound of the invention is administered as a predetermined dosage to a mammal between one and four times a day, wherein the predetermined dosage is between 1 mg and 600 mg.
  • the present invention also provides a method of treating the symptoms or conditions provided herein comprising the step of administering an initial predetermined dosage of a compound of the invention to a human patient twice a day, wherein the predetermined dosage is between 1 mg and 30 mg with increases in increments of 1 to 50 mg twice daily on the second and third day as tolerated. Thereafter, further dosage adjustments can be made at intervals of 2 days or greater.
  • the present invention further provides a method of delivering 11-piperazin-l- yldibenzo[b,fj[l,4]thiazepine to a mammal.
  • the present invention provides a method of delivering 1 l-piperazin-l-yldibenzo[b,f][l,4]thiazepine comprising administering to a mammal a therapeutically effective amount of a compound of the present invention.
  • the present invention provides a method of delivering 11- piperazin-l-yldibenzo[b,f][l,4]thiazepine comprising administering to a mammal a composition which comprises a therapeutically effective amount of a compound of the present invention.
  • the present invention provides a method of delivering 11- piperazin-l-yldibenzo[b,f][l,4]thiazepine in the treatment of at least one symptom or condition associated with schizophrenia and other psychotic disorder, dementia and other cognitive disorder, anxiety disorder, mood disorder, sleep disorder, disorder usually first diagnosed in infancy, childhood, or adolescence, and neurodegenerative disorder, comprising administering to a mammal a therapeutically effective amount of a compound of the present invention, or a composition which comprises a therapeutically effective amount of a compound of the present invention.
  • a “therapeutically effective amount” refers to amount of active compound or pharmaceutical agent that elicits the biological or medicinal response in a tissue, system, animal, individual or human that is being sought by a researcher, veterinarian, medical doctor or other clinician and can be readily determined by a clinician by using numerous methods already known in the art, an example of which is the BPRS cluster score that can be used to assess levels of hostility and positive symptoms.
  • the term “treating” within the context of the present invention is meant to encompass the administration of a therapeutically effective amount of a compound of the present invention to mitigate or inhibit either a pre-existing disease state, acute or chronic, or a recurring symptom or condition. Also encompassed are prophylactic therapies for prevention of recurring conditions and continued therapy for chronic disorders.
  • the term "mammal” is meant to refer to any warm-blooded animal, preferably a human.
  • the mammal is in need of treatment because it is suffering from or prone to developing one or more of the symptoms, diseases or disorders described above.
  • the compounds of the present invention can be prepared in a number of ways well known to one skilled in the art of organic synthesis.
  • the compounds of the present invention can be synthesized using the methods described below, together with synthetic methods known in the art of synthetic organic chemistry, or variations thereon as appreciated by those skilled in the art.
  • the starting materials and precursors used in the processes described herein were either commercially available or readily prepared by established organic synthesis methods. It is understood by one skilled in the art of organic synthesis that the functionality present on various portions of the molecule must be compatible with the reagents and reactions proposed. Such restrictions to the substituents which are compatible with the reaction conditions will be readily apparent to one skilled in the art and alternate methods should then be used.
  • a novel Mannich-base-typed compound of the present invention (formula 7-4) can be synthesized by reacting PDBTZ 1-1 with an aldehyde 1-2 (wherein R 1 can be H, alkyl, cycloalkyl, aryl, hetereoaryl, heterocylcloalky and the like) and a nucleophile such as an amide 1-3 (wherein R 2 can be alkyl, cycloalkyl, aryl, hetereoaryl, heterocylcloalky and the like) under suitable conditions such as reflux.
  • PDBTZ, formaldehyde aqueous solution and an amide 1-3 can be heated to reflux in an alcohol solvent such as ethanol to form a compound of formula 1-4 wherein R 1 is H.
  • a CN group can be hydro lyzed to afford an amide group; a carboxylic acid can be converted to an amide; a carboxylic acid can be converted to a ester, which in turn can be reduced to an alcohol, which in turn can be further modified.
  • an OH group can be converted into a better leaving group such as mesylate, which in turn is suitable for nucleophilic substitution, such as by CN.
  • a compound of formula I (such as compound 1-4 of Scheme 1) having a sustituent which contains a function group can be converted to another compound of formula I having a different substituent group.
  • reacting refers to the bringing together of designated chemical reactants such that a chemical transformation takes place generating a compound different from any initially introduced into the system. Reacting can take place in the presence or absence of solvent.
  • R a can be Ci_8 alkyl, C3_7 cycloalkyl, aryl, heteroaryl, or heterocycloalkyl
  • R b can be Ci_ 8 alkyl, aryl (optionally substituted by one or more halo, cyano, nitro, Ci_ 4 alkyl, Ci_ 4 haloalkyl, Ci_ 4 alkoxy, or Ci_ 4 haloalkoxy), or heteroaryl (optionally substituted by one or more halo, cyano, nitro, Ci_4 alkyl, Ci_4 haloalkyl, C 1 -C 4 alkoxy, or Ci_4 haloalkoxy), and wherein R c can be Ci_8 alkyl.
  • Examples of leaving groups include, but are not limited to, chloro, bromo, iodo, 4-nitrophenylcarbonate, mesylate, tosylate,
  • in vivo antipsychotic activity of the compounds and compositions of the invention can be tested in mice according to the standard apomorphine climbing mouse assay (see e.g. Strupczewski et.al, J. Med. Chem., 1995, 38, 1119).
  • the compounds and compositions of the invention can be compared with quetiapine based on alpha receptor binding assays using the following receptors.
  • Receptor Quetiapine Affinity (nM) (the compounds of invention) Affinity (nM) ⁇ lA 22 ⁇ lB 39 ⁇ lD — ⁇ 2C 28
  • the affinity values can be derived from the below methods and criteria. Table 1
  • BIOCHEMICAL SPECIES CONC BIOCHEMICAL SPECIES CONC.
  • Adrenergic (X 1 * rat 0.1 ⁇ M Adrenergic ⁇ 2 * rat 10 ⁇ M
  • Receptor binding methods ⁇ -adrenergic subtype specific, are provided below.
  • Receptor binding methods ⁇ -adrenergic nonselective, are provided below.
  • Anxiolytic activity of the compounds and compositions of the invention can be tested in rats according to the Geller-Seifter conflict test.
  • Subjects 30 Male Long Evans rats are used. Subjects weigh 350-450 g at the time of testing, and are food restricted to 85% of free feeding weight by post session feeding with approximately 15 g of standard rat chow per day. All animals have free access to water except during experimental testing. Subjects are individually housed throughout the course of the experiment under a 12 hr light/dark cycle.
  • Standard 2-lever operant chambers are used (Med Associates).
  • the chambers are fitted with two retractable response levers and a stimulus lamp over each of the 2 levers.
  • a pellet food dispenser delivers 45 mg food pellets, (Bio Serv) to a cup located inside of the chamber below and between the 2 response levers.
  • a lamp at the top and back of the chamber serves as houselights.
  • the grid floors of the operant chambers are interfaced to shock generators and scramblers (Med Associates). All events in the chambers are controlled and monitored by a microprocessor.
  • Procedure There are two components in the procedure: 1) unsuppressed responding components (unpunished) with 2 minutes in duration and 2) suppressed responding components (punished) with 3 minutes in duration.
  • the level of the current is adjusted for each individual subject until responding is reduced in the suppressed component to a level that is about 5-10% that of the unpunished component, and ranges from 0.2 mA to 0.75 mA.
  • Unpunished and punished components are separated by 10 s time-out periods in which both response levers are retracted and all stimulus lamps turn off. 2-Min unpunished and 3-min unpunished components alternate until 5 of each are completed. Daily sessions always begin with unpunished responding component.
  • Rats whose responding is most stable are chosen from a larger pool of trained rats. Several doses are tested on a given day in different subjects. Each dose, then, is tested in a different sub-set of rats. The dependent variables recorded are the rate of responding in unpunished and punished components (total responses/total time under the component), the number of shocks delivered. A selective anxiolytic effect is defined as an increase in responding in the unpunished components with relatively less or no effect on responding in unpunished components. t-Tests are used to compare mean of the control's rate of responding on vehicle day of the rats used for a specific dose to the same rats means following delivery of each dose of compound (for only the rats used within each dose). Brains, CSF and plasma are collected in a satellite group of rats that match the Geller-Seifter rats to evaluate exposure levels.
  • Test compounds Once animals are trained to a stable baseline for 3 consecutive days, the testing begin. Test compounds are administered on Tuesdays and Fridays s.c. in a volume of 1 mL/kg. Doses of 0.3, 1, 2, 5, and 10 mg/kg are dissolved in saline and the highest stock solution is prepared, and appropriate concentration prepared by serial dilutions into saline. Diazepam (for comparison purposes) can be supplied in an Abbott's cocktail (10% ethanol, 40% propylene glycol, 50% water) solution in a concentration of 5 mg/mL, and is prepared by serial dilution (0.3, 1, and 3 mg/kg) into 50% concentration of Abbott's cocktail. The test compound has a 15 minute pre-treatment time whereas diazepam is dosed 30 min prior to testing. On average 6-10 rats are for each dose of drug and 3-5 for the diazepam.
  • Exposure sampling In weight and feeding status-matched subjects, terminal plasma, whole brain and CSF samples are collected. Four rats are used for each of the 4 doses of the test compound, with samples obtained 15 min after dosing.
  • Absolute rate of responding in punished and unpunished components is the endpoint measured for individual subjects, and the means reported.
  • the % control rate of responding is calculated as the (rate of responding following drug administration/rate following vehicle administration) x 100. This calculation is performed for individual subjects, and the means reported.
  • the Student t-Test is used to compare mean control rates for a given set of rats to their corresponding rate of responding after the test compound administration.
  • Antipsychotic activity of the compounds and compositions of the invention can be tested in rats according to the D-amphetamine locomotor activity test.
  • Locomotor activity can be assessed in male Long Evans rats using a paradigm that included a habituation phase followed by administration of D-amphetamine at various doses. Animals are allowed to acclimatize to the testing room for 1 hour before being weighed and placed into activity chambers. Forty-five min after LMA measurements begin, animals are briefly removed, dosed with drug (1, 2, 5, or 10 mg/kg) or vehicle at 1 mL/kg and returned to the chambers. After a further 15 min animals are again removed and dosed with vehicle or D- amphetamine at 1 mg/kg via s.c. route. After returning the animals to the activity chambers, LMA is assessed for a further 60 min. Statistical analysis is made of total distance traveled after D-amphetamine administration using ANOVA and Tukey's post hoc analysis where appropriate.
  • Antidepressant activity of the compounds and compositions of the invention can be assessed in mice according to the tail suspension test.

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Abstract

This invention relates to novel compounds having the structural Formula (I) below: and their pharmaceutically acceptable salts or tautomers, compositions and methods of use thereof. These novel compounds provide a treatment or prophylaxis of at least one symptom or condition associated with schizophrenia and other psychotic disorders, dementia and other cognitive disorders, anxiety disorders, mood disorders, sleep disorders, disorders usually first diagnosed in infancy, childhood, or adolescence and neurodegenerative disorders.

Description

COMPOUNDS AND USES THEREOF
Field of the Invention
The present invention relates to novel derivatives of 11-piperazin-l- yldibenzo[b,f][l,4]thiazepine, pharmaceutical compositions containing the same, processes for preparing the same, and methods of treating at least one symptom or condition associated with schizophrenia and other psychotic disorders (e.g., psychotic disorder, psychosis), dementia and other cognitive disorders, anxiety disorders (e.g., generalized anxiety disorder), mood disorders (e.g., depressive disorders, major depressive disorders, bipolar disorders including bipolar I and II, bipolar mania, bipolar depression), sleep disorders, disorders usually first diagnosed in infancy, childhood, or adolescence (e.g., attention-deficit disorder and disruptive behavior disorders) and neurodegenerative disorders, comprising administering to a mammal a therapeutically effective amount of a compound of the invention.
Background of the Invention
One of the goals of antipsychotic drug development has been to develop agents with increased efficacy and safety along with fewer of the side effects commonly associated with older antipsychotic medications. Quetiapine, described in U.S. Pat. No. 4,879,288, has been shown to be effective as a treatment for both the positive (hallucinations, delusions) and negative symptoms (emotional withdrawal, apathy) of psychosis as well as reduction of hostility and aggression. J. Goldstein, Quetiapine Fumarate (Seroquel): a new atypical antipsychotic, 35(3) Drugs of Today 193-210 (1999). Quetiapine is also associated with fewer neurological and endocrine related side effects compared to older agents. In particular, side effects such as EPS, acute dystonia, acute dyskinesia, as well as tardive dyskinesia are less prevalent. Quetiapine has also helped to enhance patient compliance with treatment, ability to function, and overall quality of life while reducing recidivism. P. Weiden et al., Atypical antipsychotic drugs and long-term outcome in schizophrenia, 11 J. Clin. Psychiatry, 53-60, 57 (1996). Because of quetiapine 's enhanced tolerability profile, its use is particularly advantageous in the treatment of patients that are hypersensitive to the adverse effects of antipsychotic (such as elderly patients). Quetiapine metabolism has been reported in C. L. Devane et al. Clin. Pharmacokinet., 40(7), 509-522 (2001) proposing an N-dealkylation pathway to the compound 11-piperazin-l- yldibenzo[b,fj[l,4]thiazepine ("PDBTZ," see formula shown below). This compound is also reported by E. Warawa et al. in "Behavioral approach to nondyskinetic dopamine antagonists: identification of Seroquel," 44 J. Med. Chem., 372-389 (2001) and U.S. Pat. No. 4,879,288. It is now known that 1 l-piperazin-l-yldibenzo[b,f][l,4]thiazepine is a circulating metabolite of quetiapine in humans.
Figure imgf000003_0001
1 l-Piperazin-l-yldibenzo[b,f][l,4]thiazepine (PDBTZ)
Chemical modification of drugs and their metabolites into labile derivatives (prodrugs) with improved physiochemical properties that enable better transport through biological barriers is a useful approach for improving drug delivery. See, e.g., Alexander et. al, J. Med. Chem., 1988, 31, 318-322. The pKa of secondary amines is generally in the range of 10 to 11.2. In the intestine with pH of 7.2, only one-tenth of one percent of these amines is in the uncharged form. It is generally accepted that only the uncharged form of drugs containing these amines can diffuse through the phospholipids bilayer. Therefore, it is evident that these drugs cannot be absorbed in the stomach and are poorly absorbed in the intestine. In addition, these amines are generally good nucleophiles and may also present chemical instability problem in the presence of labile groups in the molecules. Accordingly, there is a need to prepare prodrugs of these amines to circumvent the problems of absorption and instability. It has been reported that the carbamate prodrugs of secondary amines are chemically stable and are readily and quantitative hydroglyzed by esterases to release the parent amines. See, Lin et. al., Biorganic and Medicinal Chemistry Letters, 1997, 7, 2909-2912. Moreover, drugs of secondary amines have been converted in the past to prodrugs such as amides, enamines and Mannich bases for these purposes. See, e.g., Kyncl et al., Adv. Biosci., 1979, 20, 369; Cadwell et al., J. Pharm. ScL, 1971, 60, 1810; Bundgaard et al., J. Pharm. Sci., 1980, 69, 44; and Firestone et al., J. Med. Chem., 1984, 27, 1037.
Because pharmaceutically active compounds and compositions having, for example, improved properties over existing forms are consistently sought, there is an ongoing need for improved forms of existing drug molecules and their active, circulating metabolites. The novel derivatives of 1 l-piperazin-l-yldibenzo[b,f][l,4]thiazepine described herein are directed toward this and other ends. Summary of the Invention
Provided herein are novel compounds of structural Formula I:
Figure imgf000004_0001
I or pharmaceutically acceptable salts thereof, wherein:
R1 is H, Ci_io alkyl, Ci_io haloalkyl, C2-10 alkenyl, C2-10 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, or heterocycloalkylalkyl, wherein each of the C1-10 alkyl, C1-10 haloalkyl, C2-10 alkenyl, C2-10 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, and heterocycloalkylalky is optionally substituted by 1, 2, 3, 4, or 5 R3;
R2 is H, C1-10 alkyl, C1-10 haloalkyl, C2-10 alkenyl, C2-10 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, or heterocycloalkylalkyl, wherein each of the C1-10 alkyl, C1-10 haloalkyl, C2-10 alkenyl, C2-10 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, and heterocycloalkylalky is optionally substituted by 1, 2, 3, 4, or 5 R4; each R3 is, independently, halo, Ci_6 alkyl, Ci_6 haloalkyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, CN, NO2, ORa, SRa, C(=O)Rb, C(=0)NRcRd, C(=O)ORa, OC(=O)Rb, 0C(=0)NRcRd, NRcRd, NRcC(=0)Rb, NRcC(=0)0Ra, NRc'S(=O)2Rb, S(=O)Rb, S(=O)NRcRd, S(=O)2Rb, or S(=O)2NRcRd; each R4 is, independently, halo, Ci_6 alkyl, Ci_6 haloalkyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, CN, NO2, ORa', SRa', C(=O)Rb', C(=0)NRc Rd', C(=O)ORa', OC(=O)Rb', 0C(=0)NRc Rd', NRc Rd', NRc C(=0)Rb', NRc C(=0)0Ra', NRc S(=O)2Rb', S(=O)Rb', S(=O)NRc Rd', S(=O)2Rb', or S(=O)2NRc Rd'; each Ra and Ra is, independently, selected from H, Ci_6 alkyl, Ci_6 haloalkyl, C2_6 alkenyl, C2_6 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl and heterocycloalkylalkyl, wherein each of said Ci_6 alkyl, Ci_6 haloalkyl, C2_6 alkenyl, C2_6 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl and heterocycloalkylalkyl is optionally substituted by OH, Ci_6 alkoxy, amino, halo, Ci_6 alkyl, Ci_6 haloalkyl, Ci_6 haloalkyl, aryl, arylalkyl, heteroaryl, heteroarylalkyl, cycloalkyl, or heterocycloalkyl; each R > b a „„nd i τ R-> b' is, independently, selected from H, Ci_6 alkyl, Ci_6 haloalkyl, C2-, 6 alkenyl, C2_6 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, and heterocycloalkylalkyl, wherein each of said Ci_6 alkyl, Ci_6 haloalkyl, C2-6 alkenyl, C2_6 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, and heterocycloalkylalkyl is optionally substituted by OH, Ci_6 alkoxy, amino, halo, Ci_6 alkyl, Ci_6 haloalkyl, Ci_6 haloalkyl, aryl, arylalkyl, heteroaryl, heteroarylalkyl, cycloalkyl, or heterocycloalkyl; each Rc and R > d is, independently, selected from H, Ci_io alkyl, Ci_6 haloalkyl, C2_ 6, alkenyl, C2_6 alkynyl, aryl, heteroaryl, cycloalkyl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, and heterocycloalkylalkyl, wherein each of said Ci_io alkyl, Ci_6 haloalkyl, C2_6 alkenyl, C2_6 alkynyl, aryl, heteroaryl, cycloalkyl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, and heterocycloalkylalkyl is optionally substituted by OH, Ci_6 alkoxy, amino, halo, Ci_6 alkyl, Ci_6 haloalkyl, Ci_6 haloalkyl, aryl, arylalkyl, heteroaryl, heteroarylalkyl, cycloalkyl, or heterocycloalkyl; or Rc and Rd together with the N atom to which they are attached form a A-, 5-, 6-, or 7-membered heterocycloalkyl group; and each Rc and R > d' is, independently, selected from H, Ci_io alkyl, Ci_6 haloalkyl, C2_, 6 alkenyl, C2_6 alkynyl, aryl, heteroaryl, cycloalkyl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, and heterocycloalkylalkyl, wherein each of said Ci_io alkyl, Ci_6 haloalkyl, C2_6 alkenyl, C2_6 alkynyl, aryl, heteroaryl, cycloalkyl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, and heterocycloalkylalkyl is optionally substituted by OH, Ci_6 alkoxy, amino, halo, Ci_6 alkyl, Ci_6 haloalkyl, Ci_6 haloalkyl, aryl, arylalkyl, heteroaryl, heteroarylalkyl, cycloalkyl, or heterocycloalkyl; or Rc and Rd together with the N atom to which they are attached form a A-, 5-, 6-, or 7-membered heterocycloalkyl group.
The present invention further provides compositions containing a compound of Formula I described herein, or a pharmaceutically acceptable salt thereof. In some embodiments, the compositions comprise a pharmaceutically acceptable carrier diluent or excipient. In further embodiments, the compositions comprise at least one benzodiazepine, 5-HTIA ligand, 5-HTIB ligand, 5-HTiD ligand, mGluR2A agonist, mGluR5 antagonist, antipsychotic, NKl receptor antagonist, antidepressant, or serotonin reuptake inhibitor. The present invention further provides methods of treating at least one symptom or condition associated with schizophrenia and other psychotic disorders (e.g., psychotic disorder, psychosis), dementia and other cognitive disorders, anxiety disorders (e.g., generalized anxiety disorder), mood disorders (e.g., depressive disorders, major depressive disorders, bipolar disorders including bipolar I and II, bipolar mania, bipolar depression), sleep disorders, disorders usually first diagnosed in infancy, childhood, or adolescence (e.g., attention-deficit disorder and disruptive behavior disorders) and neurodegenerative disorders, comprising administering to a mammal a therapeutically effective amount of a compound of the invention.
The present invention further provides a compound of the invention for use in treating the symptoms or conditions provided herein.
The present invention further provides the compounds of the invention for use in the manufacture of a medicament for the treatment of symptoms or conditions provided herein.
The present invention further provides processes for preparing the compounds of formulas described herein. The present invention further provides methods of delivering 11 -piperazin- 1 - yldibenzo[b,fj[l,4]thiazepine by administering to a mammal the compounds of formulas described herein.
Detailed Description of Embodiments Provided herein are novel compounds of structural formula I:
Figure imgf000006_0001
I or pharmaceutically acceptable salts thereof, wherein:
R1 is H, Ci_io alkyl, Ci_io haloalkyl, C2-10 alkenyl, C2-10 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, or heterocycloalkylalkyl, wherein each of the Ci_io alkyl, Ci_io haloalkyl, C2-10 alkenyl, C2-10 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, and heterocycloalkylalky is optionally substituted by 1, 2, 3, 4, or 5 R3; R2 is H, Ci_io alkyl, Ci_io haloalkyl, C2-10 alkenyl, C2-10 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, or heterocycloalkylalkyl, wherein each of the C1-10 alkyl, C1-10 haloalkyl, C2-10 alkenyl, C2-10 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, and heterocycloalkylalky is optionally substituted by 1, 2, 3, 4, or 5 R4; each R3 is, independently, halo, Ci_6 alkyl, Ci_6 haloalkyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, CN, NO2, ORa, SRa, C(=O)Rb, C(=0)NRcRd, C(=O)ORa, OC(=O)Rb, 0C(=0)NRcRd, NRcRd, NRcC(=O)Rb, NRcC(=0)0Ra, NRc'S(=O)2Rb, S(=O)Rb, S(=O)NRcRd, S(=O)2Rb, or S(=O)2NRcRd; each R4 is, independently, halo, Ci_6 alkyl, Ci_6 haloalkyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, CN, NO2, ORa', SRa', C(=O)Rb', C(=0)NRc Rd', C(=O)ORa', OC(=O)Rb', 0C(=0)NRc Rd', NRc Rd', NRc C(=O)Rb', NRc C(=0)0Ra', NRc S(=O)2Rb', S(=O)Rb', S(=O)NRc Rd', S(=O)2Rb', or S(=O)2NRc Rd'; each Ra and Ra is, independently, selected from H, Ci_6 alkyl, Ci_6 haloalkyl, C2_6 alkenyl, C2_6 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, and heterocycloalkylalkyl, wherein each of said Ci_6 alkyl, Ci_6 haloalkyl, C2_6 alkenyl, C2_6 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, and heterocycloalkylalkyl is optionally substituted by OH, Ci_6 alkoxy, amino, halo, Ci_6 alkyl, Ci_6 haloalkyl, Ci_6 haloalkyl, aryl, arylalkyl, heteroaryl, heteroarylalkyl, cycloalkyl, or heterocycloalkyl; each Rb and Rb is, independently, selected from H, Ci_6 alkyl, Ci_6 haloalkyl, C2_6 alkenyl, C2_6 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, and heterocycloalkylalkyl, wherein each of said Ci_6 alkyl, Ci_6 haloalkyl, C2_6 alkenyl, C2_6 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, and heterocycloalkylalkyl is optionally substituted by OH, Ci_6 alkoxy, amino, halo, Ci_6 alkyl, Ci_6 haloalkyl, Ci_6 haloalkyl, aryl, arylalkyl, heteroaryl, heteroarylalkyl, cycloalkyl, or heterocycloalkyl; each Rc and Rd is, independently, selected from H, C1-10 alkyl, Ci_6 haloalkyl, C2_6 alkenyl, C2_6 alkynyl, aryl, heteroaryl, cycloalkyl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, and heterocycloalkylalkyl, wherein each of said C1-10 alkyl, Ci_6 haloalkyl, C2_6 alkenyl, C2_6 alkynyl, aryl, heteroaryl, cycloalkyl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, and heterocycloalkylalkyl is optionally substituted by OH, Ci_6 alkoxy, amino, halo, C1-6 alkyl, C1-6 haloalkyl, C1-6 haloalkyl, aryl, arylalkyl, heteroaryl, heteroarylalkyl, cycloalkyl, or heterocycloalkyl; or Rc and Rd together with the N atom to which they are attached form a A-, 5-, 6-, or 7-membered heterocycloalkyl group; and each Rc and R > d' is, independently, selected from H, C1-10 alkyl, Ci_6 haloalkyl, C2-, 6 alkenyl, C2_6 alkynyl, aryl, heteroaryl, cycloalkyl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, and heterocycloalkylalkyl, wherein each of said C1-10 alkyl, Ci_6 haloalkyl, C2-6 alkenyl, C2_6 alkynyl, aryl, heteroaryl, cycloalkyl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, and heterocycloalkylalkyl is optionally substituted by OH, Ci_6 alkoxy, amino, halo, Ci_6 alkyl, Ci_6 haloalkyl, Ci_6 haloalkyl, aryl, arylalkyl, heteroaryl, heteroarylalkyl, cycloalkyl, or heterocycloalkyl; or Rc and Rd together with the N atom to which they are attached form a A-, 5-, 6-, or
7-membered heterocycloalkyl group.
In some embodiments, R1 is H, C1-10 alkyl, C1-10 haloalkyl, C2_i0 alkenyl, C2_i0 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, or heterocycloalkylalkyl, wherein each of the C1-10 alkyl, C1-10 haloalkyl, C2_i0 alkenyl, C2_i0 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, and heterocycloalkylalky is optionally substituted by 1, 2, 3, 4, or 5 substituents independently selected from halo, Ci_4 alkyl, Ci_4 haloalkyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, heterocycloalkylalkyl, CN, NO2, OH, Ci_4 alkoxy, Ci_4 haloalkoxy, amino, Ci_4 alkylamino, C2_8 dialkylamino, SH, -S-(C1-4 alkyl), C(=O)H, CC=O)-(C1-4 alkyl), C(=O)-(aryl), C(=O)-(arylalkyl), C(=0)NH2, C(=0)NH(CM alkyl), C(O)N(C1-4 alkyl)2, C(O)OH, C(O)O-(C1-4 alkyl), C(=O)O-(arylalkyl), OC(O)H, OC(O)-(CM alkyl), 0C(O)-(aiyl), OC(=O)-(arylalkyl), OC(=O)NH2, OC(O)NH(C1-4 alkyl), OC(=O)NH-(arylalkyl), OC(O)N(C1-4 alkyl)2, NHC(O)-(C1-4 alkyl), NHC(O)-(aiyl), NHC(=O)-(arylalkyl), N(CM alkyl)C(O)-(CM alkyl), N(Ci_4 alkyl)C(=O)-(aryl), N(CM alkyl)C(=O)-(arylalkyl), NHC(=O)O-(arylalkyl), NHC(O)O-(CM alkyl), NHC(=O)O-(arylalkyl), NHC(O)NH(CM alkyl), NHC(=O)NH-(aryl), NHC(=O)NH-(arylalkyl), NHC(O)NH(CM alkyl)2, N(CM alkyl)C(=O)NH(Ci_4 alkyl), N(CM alkyl)C(=O)NH-(aryl), N(CM alkyl)C(=O)NH-(arylalkyl), N(CM alkyl)C(=0)NH(Ci_4 alkyl)2, NHS(O)2-(CM alkyl), NHS(O)2-(aiyl), NHS(=O)2-(arylalkyl), S(O)2-(CM alkyl), S(O)2-(aiyl), S(=O)2-(arylalkyl),
S(O)2NH(CM alkyl), S(=O)2NH(aryl), and S(=O)2NH(arylalkyl). In some embodiments, R1 is selected from a subset of its group defined herein. In some embodiments, the subsitutients on R1 are selected from a subset of the substitution group defined herein. In some embodiments, R1 is H, C1-10 alkyl, C1-10 haloalkyl, C2-10 alkenyl, C2-10 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, or heterocycloalkylalkyl, wherein each of the C1-10 alkyl, C1-10 haloalkyl, C2-10 alkenyl, C2-10 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, and heterocycloalkylalkyl is optionally substituted by 1, 2, or 3 substituents independently selected from halo, Ci_4 alkyl, Ci_4 haloalkyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, heterocycloalkylalkyl, CN, NO2, OH, Ci_4 alkoxy, Ci_4 haloalkoxy, amino, Ci_4 alkylamino, and C2_g dialkylamino.
In some embodiments, R1 is H, C1-10 alkyl, C1-10 haloalkyl, C2-10 alkenyl, C2-10 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, or heterocycloalkylalkyl.
In some embodiments, R1 is H, C1-10 alkyl or C1-10 haloalkyl. In some further embodiments, R1 is H, Ci_6 alkyl or Ci_6 haloalkyl. In yet further embodiments, R1 is H, Ci_4 alkyl, or Ci_4 haloalkyl. In some embodiments, R1 is H, Ci_4 alkyl or C1-4perhaloalkyl. In some further embodiments, R1 is H, Ci_4 alkyl or Ci_4perfluoroalkyl. In yet further embodiments, R1 is H, methyl, or trifluoromethyl.
In some embodiments, R2 is H, C1-10 alkyl, C1-10 haloalkyl, C2-10 alkenyl, C2-I0 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, or heterocycloalkylalkyl, wherein each of the C1-10 alkyl, C1-10 haloalkyl, C2_i0 alkenyl, C2_i0 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, and heterocycloalkylalky is optionally substituted by 1, 2, 3, 4, or 5 substituents independently selected from halo, Ci_4 alkyl, Ci_4 haloalkyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, heterocycloalkylalkyl, CN, NO2, OH, Ci_4 alkoxy, Ci_4 haloalkoxy, amino, Ci_4 alkylamino, C2_8 dialkylamino, SH, -S-(C1-4 alkyl), C(=O)H, CC=O)-(C1-4 alkyl), C(=O)-(aryl), C(=O)-(arylalkyl), C(=0)NH2, C(=0)NH(C1-4 alkyl), C(K))N(C1-4 alkyl)2, C(K))OH, C(K))O-(C1-4 alkyl), C(=O)O-(arylalkyl), OC(K))H, OC(K)HC1-4 alkyl), OC(=O)-(aiyl), OC(=O)-(arylalkyl), OC(K))NH2, OC(K))NH(C1-4 alkyl), OC(=O)NH-(arylalkyl), OC(K))N(C1-4 alkyl)2, NHC(O)-(C i_4 alkyl), NHC(=0)-(aiyl), NHC(=O)-(arylalkyl), N(C1-4 alkyl)C(=O)-(C1-4 alkyl), N(C1-4 alkyl)C(=O)-(aryl), N(CM alkyl)C(=O)-(arylalkyl), NHC(=O)O-(arylalkyl), NHC(=0)0-(CM alkyl), NHC(=O)O-(arylalkyl), NHC(=0)NH(CM alkyl), NHC(=O)NH-(aryl), NHC(=O)NH-(arylalkyl), NHC(=0)NH(CM alkyl)2, N(CM alkyl)C(=O)NH(Ci_4 alkyl), N(CM alkyl)C(=O)NH-(aryl), N(CM alkyl)C(=O)NH-(arylalkyl), N(CM alkyl)C(=O)NH(Ci_4 alkyl)2, NHS(=O)2-(CM alkyl), NHS(=O)2-(aryl), NHS(=O)2-(arylalkyl), S(=O)2-(CM alkyl), S(=O)2-(aryl), S(=O)2-(arylalkyl), St=O)2NH(C1-4 alkyl), S(=O)2NH(aryl), and S(=O)2NH(arylalkyl).
In some embodiments, R2 is C1-10 alkyl, C1-10 haloalkyl, C2_i0 alkenyl, C2_i0 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, or heterocycloalkylalkyl, each optionally substituted by 1, 2, 3, 4, or 5 substituents independently selected from halo, Ci_4 alkyl, Ci_4 haloalkyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, heterocycloalkylalkyl, CN, NO2, OH, Ci_4 alkoxy, Ci_4 haloalkoxy, amino, Ci_4 alkylamino, C2_g dialkylamino, SH, -S-(C1-4 alkyl), C(=O)H, C(=0)-(CM alkyl), C(=O)-(aiyl), C(=O)-(arylalkyl), C(=0)NH2, C(=0)NH(C1-4 alkyl), C(=0)N(CM alkyl)2, C(=O)OH, C(=O)O-(CM alkyl), C(=O)O-(arylalkyl), OC(=O)H, 0C(=0)-(CM alkyl), OC(=O)-(aryl), OC(=O)-(arylalkyl), 0C(=0)NH2, 0C(=0)NH(CM alkyl), OC(=O)NH-(arylalkyl), OC(=O)N(CM alkyl)2, NHC(=0)-(CM alkyl), NHC(=O)-(aryl), NHC(=O)-(arylalkyl), N(CM alkyl)C(=O)-(Ci_4 alkyl), N(CM alkyl)C(=O)-(aryl), N(CM alkyl)C(=O)-(arylalkyl), NHC(=O)O-(arylalkyl), NHC(=0)0-(Ci_4 alkyl), NHC(=O)O-(arylalkyl), NHC(=0)NH(Ci_4 alkyl), NHC(=O)NH-(aryl), NHC(=O)NH-(arylalkyl), NHC(=0)NH(CM alkyl)2, N(CM alkyl)C(=O)NH(Ci_4 alkyl), N(CM alkyl)C(=O)NH-(aryl), N(CL4 alkyl)C(=O)NH-(arylalkyl), N(CL4 alkyl)C(=O)NH(Ci_4 alkyl)2, NHS(=0)2-(CM alkyl), NHS(=O)2-(aiyl), NHS(=O)2-(arylalkyl), S(=O)2-(CM alkyl), S(=O)2-(aiyl), S(=O)2-(aiylalkyl), S(O)2NH(C1-4 alkyl), S(=O)2NH(aryl), and S(=O)2NH(arylalkyl).
In some embodiments, R2 is H, CLIO alkyl, CLIO haloalkyl, C2_io alkenyl, C2_io alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, or heterocycloalkylalkyl, wherein each of the CLIO alkyl, CLIO haloalkyl, C2_io alkenyl, C2_io alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, and heterocycloalkylalkyl is optionally substituted by 1, 2, or 3 substituents independently selected from halo, C1-4 alkyl, CL4 haloalkyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, heterocycloalkylalkyl, CN, NO2, OH, CL4 alkoxy, CL4 haloalkoxy, amino, CL4 alkylamino, and C2_8 dialkylamino. In some embodiments, R2 is CLIO alkyl, CLIO haloalkyl, C2_io alkenyl, C2_io alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, or heterocycloalkylalkyl, each optionally substituted by 1, 2, or 3 substituents independently selected from halo, CL4 alkyl, CL4 haloalkyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, heterocycloalkylalkyl, CN, NO2, OH, Ci_4 alkoxy, Ci_4 haloalkoxy, amino, Ci_4 alkylamino, and C2-8 dialkylamino.
In some embodiments, R2 is H, C1-10 alkyl, or C1-10 haloalkyl. In some further embodiments, R2 is Ci_6 alkyl or Ci_6 haloalkyl. In some embodiments, R2 is Ci_4 alkyl. In some further embodiments, R2 is methyl, ethyl, or isopropyl.
In some embodiments, R1 is H, Ci_4 alkyl or Ci_4 haloalkyl; and R2 is Ci_4 alkyl. In some embodiments, R1 is H, Ci_4 alkyl or Ci_4perfluoroalkyl; R2 is NHC(=O)-R3; and R3 is C1.4 alkyl. In some embodiments, each R3 is, independently, halo, Ci_4 alkyl, Ci_4 haloalkyl, aryl, cycloalkyl, heteroaryl, CN, NO2, OH, Ci_4 alkoxy, C 1-4 haloalkoxy, amino, Ci_4 alkylamino, C2-8 dialkylamino, SH, -S-(C1-4 alkyl), C(=O)H, C(=O)-(CM alkyl), C(=O)-(aiyl), C(=O)-(arylalkyl), C(=O)NH2, C(=O)NH(Ci_4 alkyl), C(K))N(C1-4 alkyl)2, C(K))OH, C(=O)O-(Ci_4 alkyl), C(=O)O-(arylalkyl), OC(=O)H, OC(=O)-(Ci_4 alkyl), OC(=O)-(aiyl), OC(=O)-(arylalkyl), OC(K))NH2, OC(K))NH(C 1.4 alkyl), OC(=O)NH-(arylalkyl), OC(K))N(C 1-4 alkyl)2,
NHC(=O)-(Ci_4 alkyl), NHC(=O)-(aryl), NHC(=O)-(arylalkyl), N(CM alkyl)C(=O)-(CM alkyl), N(CM alkyl)C(=O)-(aryl), N(CM alkyl)C(=O)-(arylalkyl), NHC(=O)O-(arylalkyl), NHC(K))O-(C 1.4 alkyl), NHC(=O)O-(arylalkyl), NHC(K))NH(CM alkyl), NHC(=O)NH-(aryl), NHC(=O)NH-(arylalkyl), NHC(K))NH(C M alkyl)2, N(CM alkyl)C(=O)NH(Ci_4 alkyl), N(CM alkyl)C(=O)NH-(aryl), N(CM alkyl)C(=O)NH-(arylalkyl),
N(CM alkyl)C(=O)NH(Ci_4 alkyl)2, NHS(=0)2-(CM alkyl), NHS(=O)2-(aryl), NHS(=O)2-(arylalkyl), S(=0)2-(CM alkyl), S(=O)2-(aryl), S(=O)2-(arylalkyl), S(=O)2NH(Ci_4 alkyl), S(=O)2NH(aryl), or S(=O)2NH(arylalkyl).
In some embodiments, each R4 is independently halo, Ci_4 alkyl, Ci_4 haloalkyl, aryl, cycloalkyl, heteroaryl, CN, NO2, OH, Ci_4 alkoxy, Ci_4 haloalkoxy, amino, Ci_4 alkylamino, C2-8 dialkylamino, SH, -S-(CL4 alkyl), C(K))H, C(=O)-(C1-4 alkyl), C(=O)-(aryl), C(=O)-(arylalkyl), C(K))NH2, C(K))NH(CM alkyl), C(K))N(CM alkyl)2, C(K))OH, C(K))O-(CM alkyl), C(=O)O-(arylalkyl), OC(K))H, 0C(=0)-(CM alkyl), OC(=O)-(aryl), OC(=O)-(arylalkyl), OC(K))NH2, OC(K))NH(C 1.4 alkyl), OC(=O)NH-(arylalkyl), OC(K))N(C M alkyl)2, NHC(=O)-(Ci_4 alkyl), NHC(=O)-(aryl), NHC(=O)-(arylalkyl), N(CM alkyl)C(=O)-(Ci_4 alkyl), N(CM alkyl)C(=O)-(aryl), N(CM alkyl)C(=O)-(arylalkyl), NHC(=O)O-(arylalkyl), NHC(K))O-(C 1.4 alkyl), NHC(=O)O-(arylalkyl), NHC(=0)NH(Ci_4 alkyl), NHC(=O)NH-(aryl), NHC(=O)NH-(arylalkyl), NHC(K))NH(C M alkyl)2, N(CM alkyl)C(=O)NH(Ci_4 alkyl), N(CM alkyl)C(=O)NH-(aryl), N(CM alkyl)C(=O)NH-(arylalkyl), N(CM alkyl)C(=O)NH(Ci_4 alkyl)2, NHS(=O)2-(CM alkyl), NHS(=O)2-(aryl), NHS(=O)2-(arylalkyl), S(=O)2-(CM alkyl), S(=O)2-(aryl), S(=O)2-(arylalkyl), St=O)2NH(C1-4 alkyl), S(=O)2NH(aryl), or S(=O)2NH(arylalkyl).
In some embodiments, each of R1, R2, R3, and R4 is, independently, selected from a subset of any of its groups defined herein respectively. In some embodiments, the subsitutients on each of R1, R2, R3, and R4 are, independently, selected from a subset of any of their corresponding groups defined herein.
The definitions set forth in this application are intended to clarify terms used throughout this application. The term "herein" means the entire application. As used in this application, the term "optionally substituted," as used herein, means that substitution is optional and therefore it is possible for the designated atom or moiety to be unsubstituted. In the event a substitution is desired then such substitution means that any number of hydrogens on the designated atom or moiety is replaced with a selection from the indicated group, provided that the normal valency of the designated atom or moiety is not exceeded, and that the substitution results in a stable compound. For example, if a methyl group (i.e., CH3) is optionally substituted, then 3 hydrogens on the carbon atom can be replaced. Examples of suitable substituents include, but are not limited to: halogen, CN, NH2, OH, SO, SO2, COOH, OC1-6 alkyl, CH2OH, SO2H, C1-6 alkyl, OC1-6 alkyl, C(K))C1-6 alkyl, C(K))O-C1-6 alkyl, C(=0)NH2, C(O)NHC 1.6 alkyl, C(K))N(C1-6 alkyl)2, SO2CL6 alkyl, SO2NH-CL6 alkyl, SO2N(C1-6alkyl)2, NH(C1-6alkyl), N(C1-6 alkyl)2, NHC(K))C1-6 alkyl, NC(K))(C1-6 alkyl)2, aryl, O-aiyl, C(=O)-aiyl, C(=O)O-aryl, C(=0)NH-aiyl, C(=O)N(aryl)2, SO2-aryl, SO2NH-aiyl, SO2N(aryl)2, NH(aryl), N(aryl)2, NC(=O)aiyl, NC(=O)(aryl)2, heterocyclyl, O-heterocyclyl, C(=O)-heterocyclyl, C(=O)O-heterocyclyl, C(=O)NH-heterocyclyl, C(=O)N(heterocyclyl)2, SO2-heterocyclyl, SO2NH-heterocyclyl, SO2N(heterocyclyl)2, NH(heterocyclyl), N(heterocyclyl)2, NC(=O)-heterocyclyl, and NC(=O)(heterocyclyl)2, or any subset thereof.
A variety of compounds in the present invention may exist in particular stereoisomeric forms. The present invention takes into account all such compounds, including cis- and trans isomers, R- and S- enantiomers, diastereomers, (D)-isomers, (L)-isomers, the racemic mixtures thereof, and other mixtures thereof, as being covered within the scope of this invention. Additional asymmetric carbon atoms may be present in a substituent such as an alkyl group. All such isomers, as well as mixtures thereof, are intended to be included in this invention. The compounds herein described may have asymmetric centers. Compounds of the present invention containing an asymmetrically substituted atom may be isolated in optically active or racemic forms. It is well known in the art how to prepare optically active forms, such as by resolution of racemic forms or by synthesis from optically active starting materials. When required, separation of the racemic material can be achieved by methods known in the art. Many stereoisomers of olefins, C=N double bonds, and the like can also be present in the compounds described herein, and all such stable isomers are contemplated in the present invention. Cis and trans isomers of the compounds of the present invention are described and may be isolated as a mixture of isomers or as separated isomeric forms. All chiral, diastereomeric, racemic forms and all stereoisomeric forms of a structure are intended, unless the specific stereochemistry or isomeric form is specifically indicated.
A variety of compounds in the present invention may exist in particular stereoisomeric forms. The present invention takes into account all such compounds, including cis- and trans isomers, R- and S- enantiomers, diastereomers, (D)-isomers, (L)-isomers, the racemic mixtures thereof, and other mixtures thereof, as being covered within the scope of this invention. Additional asymmetric carbon atoms may be present in a substituent such as an alkyl group. All such isomers, as well as mixtures thereof, are intended to be included in this invention. The compounds herein described may have asymmetric centers. Compounds of the present invention containing an asymmetrically substituted atom may be isolated in optically active or racemic forms. It is well known in the art how to prepare optically active forms, such as by resolution of racemic forms or by synthesis from optically active starting materials. When required, separation of the racemic material can be achieved by methods known in the art. The optically active forms of the compound of the invention may be prepared, for example, by chiral chromatographic separation of a racemate, by synthesis from optically active starting materials or by asymmetric synthesis based on the procedures described thereafter. Many stereoisomers of olefins, C=N double bonds, and the like can also be present in the compounds described herein, and all such stable isomers are contemplated in the present invention. Cis and trans isomers of the compounds of the present invention are described and may be isolated as a mixture of isomers or as separated isomeric forms. All chiral, diastereomeric, racemic forms and all stereoisomeric forms of a structure are intended, unless the specific stereochemistry or isomeric form is specifically indicated.
Optical isomers can be obtained in pure form by standard procedures known to those skilled in the art, and include, but are not limited to, diastereomeric salt formation, kinetic resolution, and asymmetric synthesis. See, for example, Jacques, et al., Enantiomers, Racemates and Resolutions (Wiley Interscience, New York, 1981); Wilen, S.H., et al., Tetrahedron 33:2725 (1977); Eliel, EX. Stereochemistry of Carbon Compounds (McGraw-Hill, NY, 1962); Wilen, S. H. Tables of Resolving Agents and Optical Resolutions p. 268 (EX. Eliel, Ed., Univ. of Notre Dame Press, Notre Dame, IN 1972), each of which is incorporated herein by reference in their entireties. It is also understood that this invention encompasses all possible regioisomers, and mixtures thereof, which can be obtained in pure form by standard separation procedures known to those skilled in the art, and include, but are not limited to, column chromatography, thin-layer chromatography, and high-performance liquid chromatography. It will also be appreciated that certain compounds of the present invention may exist as geometrical isomers, for example E and Z isomers of alkenes. The present invention includes any geometrical isomer of a compound of the invention.
When a bond to a substituent is shown to cross a bond connecting two atoms in a ring, then such substituent may be bonded to any atom on the ring. When a substituent is listed without indicating the atom via which such substituent is bonded to the rest of the compound of a given formula, then such substituent may be bonded via any atom in such substituent. Combinations of substituents and/or variables are permissible only if such combinations result in stable compounds. As used herein, "alkyl", "alkylenyl" or "alkylene" used alone or as a suffix or prefix, is intended to include both branched and straight-chain saturated aliphatic hydrocarbon groups having from 1 to 12 carbon atoms or if a specified number of carbon atoms is provided then that specific number would be intended. For example "Ci_6 alkyl" denotes alkyl having 1, 2, 3, 4, 5, or 6 carbon atoms. Examples of alkyl include, but are not limited to, methyl, ethyl, n-propyl, i-propyl, n-butyl, i-butyl, sec-butyl, t-butyl, pentyl, and hexyl, or any subset thereof. As used herein, "Ci_3 alkyl", whether a terminal substituent or an alkylene (or alkylenyl) group linking two substituents, is understood to specifically include both branched and straight-chain methyl, ethyl, and propyl.
As used herein, "alkenyl" refers to an alkyl group having one or more double carbon-carbon bonds. Examples of alkenyl groups include, but are not limited to, ethenyl, propenyl, cyclohexenyl, and the like. The term "alkenylenyl" refers to a divalent linking alkenyl group.
As used herein, "alkynyl" refers to an alkyl group having one or more triple carbon-carbon bonds. Examples of alkynyl groups include, but are not limited to, ethynyl, propynyl, and the like. The term "alkynylenyl" refers to a divalent linking alkynyl group.
As used herein, "aromatic" refers to hydrocarbyl groups having one or more polyunsaturated carbon rings having aromatic characters, (e.g., 4n + 2 delocalized electrons) and comprising up to about 14 carbon atoms. As used herein, the term "aryl" refers to an aromatic ring structure made up of from 5 to 14 carbon atoms. Ring structures containing 5, 6, 7, or 8 carbon atoms would be single-ring aromatic groups, for example, phenyl. Ring structures containing 8, 9, 10, 11, 12, 13, or 14 would be a polycyclic moiety in which at least one carbon is common to any two adjoining rings therein (for example, the rings are "fused rings"), for example naphthyl. The aromatic ring can be substituted at one or more ring positions with such substituents as described above. The term "aryl" also includes polycyclic ring systems having two or more cyclic rings in which two or more carbons are common to two adjoining rings (the rings are "fused rings") wherein at least one of the rings is aromatic, for example, the other cyclic rings can be cycloalkyls, cycloalkenyls or cycloalkynyls. The terms ortho, meta and para apply to 1,2-, 1,3-, and 1 ,4-disubstituted benzenes, respectively. For example, the names 1 ,2-dimethylbenzene and ortho-dimethylbenzene are synonymous.
As used herein, "cycloalkyl" refers to non-aromatic cyclic hydrocarbons including, but are not limited to, cyclized alkyl, alkenyl, and alkynyl groups, having the specified number of carbon atoms (wherein the ring comprises 3 to 20 ring-forming carbon atoms). Cycloalkyl groups can include mono- or polycyclic (e.g., having 2, 3, or 4 fused or bridged rings) groups. Examples of cycloalkyl groups include, but are not limited to, cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl, cyclopentenyl, cyclohexenyl, cyclohexadienyl, cycloheptatrienyl, norbornyl, norpinyl, norcarnyl, and adamantyl, and the like, or any subset thereof. Also included in the definition of cycloalkyl are moieties that have one or more aromatic rings fused (i.e., having a bond in common with) to the cycloalkyl ring, for example, benzo derivatives of cyclopentane (i.e., indanyl), cyclopentene, cyclohexane, and the like. The term "cycloalkyl" further includes saturated ring groups, having the specified number of carbon atoms. These may include fused or bridged polycyclic systems. Suitable cycloalkyls have from 3 to 10 carbon atoms in their ring structure, and more preferably have 3, 4, 5, or 6 carbons in the ring structure. For example, "C3-6 cycloalkyl" denotes such groups as cyclopropyl, cyclobutyl, cyclopentyl, or cyclohexyl.
"Counterion" is used to represent a small, negatively or positively charged species such as chloride (Cl"), bromide (Br"), hydroxide (OH"), acetate (CH3COO"), sulfate (SO4 2"), tosylate (CH3-phenyl-SO3"), benezensulfonate (phenyl-SOs ), sodium ion (Na+), potassium (K+), ammonium (NH4 +), and the like, or any subset thereof.
As used herein, the term "heterocyclyl" or "heterocyclic" or "heterocycle" refers to a ring-containing monovalent and divalent structures having one or more heteroatoms, independently selected from N, O, and S, as part of the ring structure and comprising from 3 to 20 atoms in the rings, or 3- to 7-membered rings. The number of ring-forming atoms in heterocyclyl are given in ranges herein. For example, Cs_io heterocyclyl refers to a ring strcture comprising from 5 to 10 ring-forming atoms wherein at least one of the ring-forming atoms is N, O, or S. Heterocyclic groups may be saturated or partially saturated or unsaturated, containing one or more double bonds, and heterocyclic groups may contain more than one ring as in the case of poly cyclic systems. The heterocyclic rings described herein may be substituted on carbon or on a heteroatom atom if the resulting compound is stable. If specifically noted, nitrogen in the heterocyclyl may optionally be quaternized. It is understood that when the total number of S and O atoms in the heterocyclyl exceeds 1, then these heteroatoms are not adjacent to one another. Examples of heterocyclyls include, but are not limited to, lH-indazole, 2-pyrrolidonyl,
2H, 6H-1, 5,2-dithiazinyl, 2H-pyrrolyl, 3H-indolyl, 4-piperidonyl, 4aH-carbazole, 4H-quinolizinyl, 6H- 1, 2,5-thiadiazinyl, acridinyl, azabicyclo, azetidine, azepane, aziridine, azocinyl, benzimidazolyl, benzodioxol, benzofuranyl, benzothiofuranyl, benzothiophenyl, benzoxazolyl, benzthiazolyl, benzotriazolyl, benzotetrazolyl, benzisoxazolyl, benzisothiazolyl, benzimidazalonyl, carbazolyl, 4aH-carbazolyl, b-carbolinyl, chromanyl, chromenyl, cinnolinyl, diazepane, decahydroquinolinyl, 2H,6H-1, 5,2-dithiazinyl, dioxolane, furyl, 2,3-dihydrofuran, 2,5-dihydrofuran, dihydrofuro[2,3-b]tetrahydrofuran, furanyl, furazanyl, homopiperidinyl, imidazolidine, imidazolidinyl, imidazolinyl, imidazolyl, lH-indazolyl, indolenyl, indolinyl, indolizinyl, indolyl, isobenzofuranyl, isochromanyl, isoindazolyl, isoindolinyl, isoindolyl, isoquinolinyl, isothiazolyl, isoxazolyl, morpholinyl, naphthyridinyl, octahydroisoquinolinyl, oxadiazolyl, 1,2,3-oxadiazolyl, 1,2,4-oxadiazolyl, 1,2,5-oxadiazolyl, 1,3,4-oxadiazolyl, oxazolidinyl, oxazolyl, oxirane, oxazolidinylperimidinyl, phenanthridinyl, phenanthrolinyl, phenarsazinyl, phenazinyl, phenothiazinyl, phenoxathiinyl, phenoxazinyl, phthalazinyl, piperazinyl, piperidinyl, pteridinyl, piperidonyl, 4-piperidonyl, purinyl, pyranyl, pyrrolidinyl, pyrroline, pyrrolidine, pyrazinyl, pyrazolidinyl, pyrazolinyl, pyrazolyl, pyridazinyl, pyridooxazole, pyridoimidazole, pyridothiazole, pyridinyl, N-oxide-pyridinyl, pyridyl, pyrimidinyl, pyrrolidinyl, pyrrolidinyl dione, pyrrolinyl, pyrrolyl, pyridine, quinazolinyl, quinolinyl, 4H-quinolizinyl, quinoxalinyl, quinuclidinyl, carbolinyl, tetrahydrofuranyl, tetramethylpiperidinyl, tetrahydroquinoline, tetrahydroisoquinolinyl, thiophane, thiotetrahydroquinolinyl, 6H-1, 2,5-thiadiazinyl, 1,2,3-thiadiazolyl, 1,2,4-thiadiazolyl, 1,2,5-thiadiazolyl, 1,3,4-thiadiazolyl, thianthrenyl, thiazolyl, thienyl, thienothiazolyl, thienooxazolyl, thienoimidazolyl, thiopheneyl, thiirane, triazinyl, 1,2,3-triazolyl, 1,2,4-triazolyl, 1,2,5-triazolyl, 1,3,4-triazolyl, and xanthenyl, or any subset thereof. As used herein, "heteroaryl" refers to an aromatic heterocycle (wherein the ring comprises up to about 20 ring-forming atoms) having at least one heteroatom ring member such as sulfur, oxygen, or nitrogen. Heteroaryl groups include monocyclic and polycyclic (e.g., having 2, 3, or 4 fused rings) systems. Examples of heteroaryl groups include without limitation, pyridyl (i.e., pyridinyl), pyrimidinyl, pyrazinyl, pyridazinyl, triazinyl, furyl (i.e. furanyl), quinolyl, isoquinolyl, thienyl, imidazolyl, thiazolyl, indolyl, pyrryl, oxazolyl, benzofuryl, benzothienyl, benzthiazolyl, isoxazolyl, pyrazolyl, triazolyl, tetrazolyl, indazolyl, 1,2,4-thiadiazolyl, isothiazolyl, benzothienyl, purinyl, carbazolyl, benzimidazolyl, and indolinyl, and the like, or any subset thereof. In some embodiments, the heteroaryl group has from 1 to about 20 carbon atoms, and in further embodiments from about 3 to about 20 carbon atoms. In some embodiments, the heteroaryl group contains from 3 to about 14, from 4 to about 14, from 3 to about 7, or from 5 to 6 ring-forming atoms. In some embodiments, the heteroaryl group has from 1 to about 4, from 1 to about 3, or from 1 to 2 heteroatoms. In some embodiments, the heteroaryl group has 1 heteroatom. As used herein, "heterocycloalkyl" refers to non-aromatic heterocycles (wherein the ring comprises about 3 to about 20 ring-forming atoms) including cyclized alkyl, alkenyl, and alkynyl groups where one or more of the ring-forming carbon atoms is replaced by a heteroatom such as an O, N, or S atom . Hetercycloalkyl groups can be mono or polycyclic (e.g., both fused and spiro systems). Suitable "heterocycloalkyl" groups include, but are not limited to, morpholino, thiomorpholino, piperazinyl, tetrahydrofuranyl, tetrahydrothienyl, 2,3-dihydrobenzofuryl, 1,3- benzodioxole, benzo-l,4-dioxane, piperidinyl, pyrrolidinyl, isoxazolidinyl, isothiazolidinyl, pyrazolidinyl, oxazolidinyl, thiazolidinyl, and imidazolidinyl, and the like. Ring-forming carbon atoms and heteroatoms of a heterocycloalkyl group can be optionally substituted by oxo or sulfido. Also included in the definition of heterocycloalkyl are moieties that have one or more aromatic rings fused (i.e., having a bond in common with) to the nonaromatic heterocyclic ring, for example phthalimidyl, naphthalimidyl, and benzo derivatives of heterocycles such as indolene and isoindolene groups. In some embodiments, the heterocycloalkyl group has from 1 to about 20 carbon atoms, and in further embodiments from about 3 to about 20 carbon atoms. In some embodiments, the heterocycloalkyl group contains from 3 to about 14, from 3 to about 7, or from 5 to 6 ring-forming atoms. In some embodiments, the heterocycloalkyl group has from 1 to about 4, from 1 to about 3, or from 1 to 2 heteroatoms. In some embodiments, the heterocycloalkyl group contains from 0 to 3 double bonds. In some embodiments, the heterocycloalkyl group contains from 0 to 2 triple bonds. As used herein, "alkoxy" or "alkyloxy" represents an alkyl group as defined above with the indicated number of carbon atoms attached through an oxygen bridge. Examples of alkoxy include, but are not limited to, methoxy, ethoxy, n-propoxy, isopropoxy, n-butoxy, isobutoxy, t-butoxy, n-pentoxy, isopentoxy, cyclopropylmethoxy, allyloxy, and propargyloxy, or any subset thereof. Similarly, "alkylthio" or "thioalkoxy" represent an alkyl group as defined above with the indicated number of carbon atoms attached through a sulphur bridge.
As used herein, the term "carbonyl" is art recognized and includes the -C(=O) groups of such moieties as can be represented by the general formula:
O O
-X-R , or — X— U— R' wherein X is a bond or represents an oxygen or sulfur, and R represents a hydrogen, an alkyl, an alkenyl, -(CH2)m-R' ' or a pharmaceutically acceptable salt, R' represents a hydrogen, an alkyl, an alkenyl or -(CH2)m-R", where m is an integer less than or equal to ten, and R" is alkyl, cycloalkyl, alkenyl, aryl, or heteroaryl. Where X is an oxygen and R and R' is not hydrogen, the formula represents an "ester". Where X is an oxygen, and R is as defined above, the moiety is referred to herein as a carboxyl group, and particularly when R' is a hydrogen, the formula represents a "carboxylic acid." Where X is oxygen, and R' is a hydrogen, the formula represents a "formate." In general, where the oxygen atom of the above formula is replaced by sulfur, the formula represents a "thiolcarbonyl" group. Where X is a sulfur and R and R' is not hydrogen, the formula represents a "thiolester." Where X is sulfur and R is hydrogen, the formula represents a "thiolcarboxylic acid." Where X is sulfur and R' is hydrogen, the formula represents a "thiolformate." On the other hand, where X is a bond, and R is not a hydrogen, the above formula represents a "ketone" group. Where X is a bond, and R is hydrogen, the above formula is represents an "aldehyde" group.
As used herein, the term "sulfonyl" refers to the -S(=O)2- of a moiety that can be represented by the general formula:
O Il
— S-R Il O wherein R is represented by, but not limited to, hydrogen, alkyl, cycloalkyl, alkenyl, aryl, heteroaryl, aralkyl, or heteroaralkyl.
As used herein, "amino" refers to NH2. As used herein, "alkylamino" refers to an amino group substituted by an alkyl group.
As used herein, "dialkylamino" refers to an amino group substituted by two alkyl groups. As used herein, "halo" or "halogen" includes fluoro, chloro, bromo, and iodo, or any subset thereof.
As used herein, "haloalkyl" refers to an alkyl group having one or more halogen substituents. Examples of haloalkyl groups include, but are not limited to, CF3, C2F5, CH2CF3, CHF2, CCl3, CHCl2, and C2Cl5, and the like, or any subset thereof. The term "perhaloalkyl" is intended to denote an alkyl group in which all of the hydrogen atoms are replaced with halogen atoms. One example of perhaloalkyl is CCl3 or CF3. The term "perfluoroalkyl" is intended to denote an alkyl group in which all of the hydrogen atoms are replaced with fluorine atoms. One example of perhaloalkyl is CF3 (i.e., trifluoromethyl). As used herein, "alkoxy" or "alkyloxy" refers to an -O-alkyl group. Examples of alkoxy groups include, but are not limited to, methoxy, ethoxy, propoxy (e.g., n-propoxy and isopropoxy), t-butoxy, and the like, or any subset thereof.
As used here, "haloalkoxy" refers to an -O-haloalkyl group. An example of a haloalkoxy group is OCF3. As used herein, "aryloxy" refers to -O-aryl. An example of a heteroaryloxy is phenoxy.
As used herein, "heteroaryloxy" refers to -O-heteroaryl. An example of a heteroaryloxy is pyridine-2-yloxy [i.e., -O-(pyridine-2-yl)].
As used herein, "arylalkyl" refers to C1-10 alkyl substituted by aryl and "cycloalkylalkyl" refers to C1-10 alkyl substituted by cycloalkyl. An example of a arylalkyl group is benzyl. As used herein, "heteroarylalkyl" refers to C1-10 alkyl substituted by heteroaryl and
"heterocycloalkylalkyl" refers to C1-10 alkyl substituted by heterocycloalkyl.
As used herein, "arylalkyloxy" refers to -O-(arylakyl) and "heteroarylalkyloxy" refers to -O-(heteroarylakyl). An example of an arylalkyloxy group is benzyloxy and an example of a heteroarylalkyloxy group is (pyridin-2-yl)-methoxy. As used herein, some substituents are discribled in a combination of two or more groups.
For example, the expression of "C(=O)-C3_9 cycloalkylRd" is meant to refer to a structure:
Figure imgf000019_0001
wherein p is 1, 2, 3, 4, 5, 6, or 7 (i.e., C3_9 cycloalkyl); the C3_9 cycloalkyl is substituted by R > d ;. and the point of attachment of the "C(=O)-C3_9 cycloalkylRd" is through the carbon atom of the carbonyl group, which is on the left of the expression. As used herein, the phrase "protecting group" means temporary substituents which protect a potentially reactive functional group from undesired chemical transformations. Examples of such protecting groups include, but are not limited to, esters of carboxylic acids, silyl ethers of alcohols, and acetals and ketals of aldehydes and ketones respectively. The field of protecting group chemistry has been reviewed (Greene, T. W.; Wuts, P. G. M. Protective Groups in Organic Synthesis, 3rd ed.; Wiley: New York, 1999).
As used herein, "pharmaceutically acceptable" is employed herein to refer to those compounds, materials, compositions, and/or dosage forms which are, within the scope of sound medical judgment, suitable for use in contact with the tissues of human beings and animals without excessive toxicity, irritation, allergic response, or other problem or complication, commensurate with a reasonable benefit/risk ratio.
As used herein, "pharmaceutically acceptable salts" refer to derivatives of the disclosed compounds wherein the parent compound is modified by making acid or base salts thereof (i.e., also include counterions). Examples of pharmaceutically acceptable salts include, but are not limited to, mineral or organic acid salts of basic residues such as amines; alkali or organic salts of acidic residues such as carboxylic acids; and the like. The pharmaceutically acceptable salts include the conventional non-toxic salts or the quaternary ammonium salts of the parent compound formed, for example, from non-toxic inorganic or organic acids. For example, such conventional non-toxic salts include those derived from inorganic acids such as hydrochloric, phosphoric, and the like; and the salts prepared from organic acids such as lactic, maleic, citric, benzoic, methanesulfonic, and the like.
The pharmaceutically acceptable salts of the present invention can be synthesized from the parent compound that contains a basic or acidic moiety by conventional chemical methods. Generally, such salts can be prepared by reacting the free acid or base forms of these compounds with a stoichiometric amount of the appropriate base or acid in water or in an organic solvent, or in a mixture of the two; nonaqueous media like ether, ethyl acetate, ethanol, isopropanol, or acetonitrile can be used.
It may also be possible to make a corresponding alkali metal (such as sodium, potassium, or lithium) or an alkaline earth metal (such as a calcium) salt by treating a compound of the present invention having a suitably acidic proton, such as a carboxylic acid or a phenol with one equivalent of an alkali metal or alkaline earth metal hydroxide or alkoxide (such as the ethoxide or methoxide), or a suitably basic organic amine (such as choline or meglumine) in an aqueous medium, followed by conventional purification techniques. As used herein, "tautomer" means other structural isomers that exist in equilibrium resulting from the migration of a hydrogen atom. For example, keto-enol tautomerism where the resulting compound has the porperties of both a ketone and an unsturated alchol.
As used herein "stable compound" and "stable structure" are meant to indicate a compound that is sufficiently robust to survive isolation to a useful degree of purity from a reaction mixture, and formulation into an efficacious therapeutic agent.
The present invention further includes isotopically-labeled compounds of the invention. An "isotopically" or "radio-labeled" compound is a compound of the invention where one or more atoms are replaced or substituted by an atom having an atomic mass or mass number different from the atomic mass or mass number typically found in nature (i.e., naturally occurring). Suitable radionuclides that may be incorporated in compounds of the present invention include, but are not limited to, 2H (also written as D for deuterium), 3H (also written as T for tritium), 11C, 13C, 14C, 13N, 15N, 15O, 17O, 18O, 18F, 35S, 36Cl, 82Br, 75Br, 76Br, 77Br, 123I, 124I, 125I, and 131I, or any subset thereof. The radionuclide that is incorporated in the instant radio-labeled compounds will depend on the specific application of that radio-labeled compound. For example, for in vitro receptor labeling and competition assays, compounds that incorporate 3H, 14C, 82Br, 1251 , 131I, or 35S will generally be most useful. For radio-imaging applications 11C, 18F, 125I, 123I, 124I, 131I, 75Br, 76Br, or 77Br will generally be most useful.
It is understood that a "radio-labeled compound" is a compound that has incorporated at least one radionuclide. In some embodiments the radionuclide is selected from the group consisting of 3H, 14C, 1251 , 35S, and 82Br.
Salts of the compounds of the invention are preferably physiologically well tolerated and non toxic. Many examples of salts are known to those skilled in the art. All such salts are within the scope of this invention, and references to compounds include the salt forms of the compounds.
Compounds having acidic groups, such as carboxylate, phosphates or sulfates, can form salts with alkaline or alkaline earth metals such as Na, K, Mg, and Ca, and with organic amines such as triethylamine and Tris (2-hydroxyethyl)amine. Salts can be formed between compounds with basic groups, e.g. amines, with inorganic acids such as, for example, hydrochloric acid, phosphoric acid, or sulfuric acid, or organic acids such as, for example, acetic acid, citric acid, benzoic acid, fumaric acid, or tartaric acid. Compounds having both acidic and basic groups can form internal salts.
Acid addition salts may be formed with a wide variety of acids, both inorganic and organic. Examples of acid addition salts include, but are not limited to, salts formed with hydrochloric, hydrobromic, hydriodic, phosphoric, nitric, sulphuric, citric, lactic, succinic, maleic, malic, isethionic, fumaric, benzenesulphonic, toluenesulphonic, methanesulphonic, ethanesulphonic, naphthalenesulphonic, valeric, tartaric, acetic, propanoic, butanoic, malonic, glucuronic, and lactobionic acids. If the compound is anionic, or has a functional group which may be anionic (e.g., COOH may be COO), then a salt may be formed with a suitable cation. Examples of suitable inorganic cations include, but are not limited to, alkali metal ions such as Na+ and K+, alkaline earth cations such as Ca2+ and Mg2+, and other cations such as Al3+. Examples of suitable organic cations include, but are not limited to, ammonium ion (i.e., NH4 +) and substituted ammonium ions (e.g., NH3R+, NH2R2 +, NHR3 +, NR4 +). Examples of some suitable substituted ammonium ions are those derived from: ethylamine, diethylamine, dicyclohexylamine, triethylamine, butylamine, ethylenediamine, ethanolamine, diethanolamine, piperazine, benzylamine, phenylbenzylamine, choline, meglumine, and tromethamine, as well as amino acids, such as lysine and arginine, or any subset thereof. An example of a common quaternary ammonium ion is N(CHs)4 +.
Where the compounds contain an amine function, these may form quaternary ammonium salts, for example by reaction with an alkylating agent according to methods well known to the skilled person. Such quaternary ammonium compounds are within the scope of the invention.
Compounds containing an amine function may also form N-oxides. A reference herein to a compound that contains an amine function also includes the N-oxide.
Where a compound contains several amine functions, one or more than one nitrogen atom may be oxidised to form an N-oxide. Particular examples of N-oxides are the N-oxides of a tertiary amine or a nitrogen atom of a nitrogen-containing heterocycle.
N-Oxides can be formed by treatment of the corresponding amine with an oxidizing agent such as hydrogen peroxide or a per-acid (e.g. a peroxycarboxylic acid), see for example Advanced Organic Chemistry, by Jerry March, 4th Edition, Wiley Interscience, pages. More particularly, N-oxides can be made by the procedure of Deady (Syn. Comm., 1977, 7, 509-514) in which the amine compound is reacted with m-chloroperoxybenzoic acid (MCPBA), for example, in an inert solvent such as dichloromethane. Esters can be formed between hydroxyl or carboxylic acid groups present in the compound and an appropriate carboxylic acid or alcohol reaction partner, using techniques well known in the art. Examples of esters are compounds containing the group C(=O)OR, wherein R is an ester substituent, for example, a Ci_7 alkyl group, a C3_2o heterocyclyl group, or a C520 aryl group, preferably a Cn alkyl group. Particular examples of ester groups include, but are not limited to, C(=O)OCH3, C(=O)OCH2CH3, C(=O)OC(CH3)3, and -C(=O)OPh. Examples of acyloxy (reverse ester) groups are represented by OC(=O)R, wherein R is an acyloxy substituent, for example, a Ci_7 alkyl group, a C3_2o heterocyclyl group, or a C5-20 aryl group, preferably a Ci_7 alkyl group. Particular examples of acyloxy groups include, but are not limited to, OC(=O)CH3 (acetoxy), OC(=O)CH2CH3, OC(=O)C(CH3)3, OC(=O)Ph, and OC(=O)CH2Ph. Derivatives which are prodrugs of the compounds are convertible in vivo or in vitro into one of the parent compounds. Typically, at least one of the biological activities of compound will be reduced in the prodrug form of the compound, and can be activated by conversion of the prodrug to release the compound or a metabolite of it. Some prodrugs are esters of the active compound (e.g., a physiologically acceptable metabolically labile ester). During metabolism, the ester group (-C(=O)OR) is cleaved to yield the active drug. Such esters may be formed by esterification, for example, of any of the carboxylic acid groups (-C(=O)OH) in the parent compound, with, where appropriate, prior protection of any other reactive groups present in the parent compound, followed by deprotection if required. Examples of such metabolically labile esters include, but are not limited to, those of the formula -C(=O)OR wherein R is: d_7alkyl (e.g., Me, Et, -nPr, -iPr, -nBu, -sBu, -iBu, tBu); Ci_7aminoalkyl (e.g., aminoethyl; 2-(N,N-diethylamino)ethyl; 2(4morpholino)ethyl); and acyloxy-Ci_7alkyl (e.g., acyloxymethyl; acyloxyethyl; pivaloyloxymethyl; acetoxymethyl; 1 acetoxy ethyl; 1 -( 1 -methoxy- 1 -methyl)ethyl-carbonyloxy ethyl; 1 -(benzoyloxy)ethyl; isopropoxy-carbonyloxymethyl; lisopropoxy-carbonyloxy ethyl; cyclohexyl-carbonyloxymethyl; 1 cyclohexyl-carbonyloxyethyl; cyclohexyloxy-carbonyloxymethyl; 1 -eye lohexyloxy-carbonyloxy ethyl; (4-tetrahydropyranyloxy) carbonyloxymethyl; 1 -(4-tetrahydropyranyloxy)carbonyloxyethyl;(4-tetrahydropyranyl)carbonyloxymethyl; and 1 (4- tetrahydropyranyl)carbonyloxyethyl), or any subset thereof. Also, some prodrugs are activated enzymatically to yield the active compound, or a compound which, upon further chemical reaction, yields the active compound (for example, as in ADEPT, GDEPT, LIDEPT, etc.). For example, the prodrug may be a sugar derivative or other glycoside conjugate, or may be an amino acid ester derivative.
Other derivatives include coupling partners of the compounds in which the compounds is linked to a coupling partner, e.g. by being chemically coupled to the compound or physically associated with it. Examples of coupling partners include a label or reporter molecule, a supporting substrate, a carrier or transport molecule, an effector, a drug, an antibody or an inhibitor. Coupling partners can be covalently linked to compounds of the invention via an appropriate functional group on the compound such as a hydroxy 1 group, a carboxyl group or an amino group. Other derivatives include formulating the compounds with liposomes.
Where the compounds contain chiral centres, all individual optical forms such as enantiomers, epimers and diastereoisomers, as well as racemic mixtures of the compounds are within the scope of the invention.
Compounds may exist in a number of tautomeric forms and references to compounds include all such forms. For the avoidance of doubt, where a compound can exist in one of several tautomeric forms and only one is specifically described or shown, all others are nevertheless embraced by the scope of this invention. Compounds of the present invention also include pharmaceutically acceptable salts and tautomers of the compounds of any of the formulas described herein. Compounds of the invention further include hydrates and solvates. It will also be understood that certain compounds of the present invention may exist in solvated, for example hydrated, as well as unsolvated forms. It will further be understood that the present invention encompasses all such solvated forms of the compounds of the invention.
The compounds of the invention may be derivatised in various ways. As used herein "derivatives" of the compounds includes salts (e.g. pharmaceutically acceptable salts), any complexes (e.g. inclusion complexes or clathrates with compounds such as cyclodextrins, or coordination complexes with metal ions such as Mn2+ and Zn2+), esters such as in vivo hydro lysable esters, polymorphic forms of the compounds, solvates (e.g. hydrates), or lipids, and compounds having coupling partners and protecting groups (such as protecting groups for amino and/or hydroxy 1 group).
A compound of Formula I, or a pharmaceutically acceptable salt or solvate thereof, or a pharmaceutical composition or formulation comprising a compound of Formula I or its pharmaceutically acceptable salt or solvate, can be administered concurrently, simultaneously, sequentially or separately with another compound or compounds selected from the following:
(i) antidepressants such as, for example, amitriptyline, amoxapine, bupropion, citalopram, clomipramine, desipramine, doxepin duloxetine, elzasonan, escitalopram, fluvoxamine, fluoxetine, gepirone, imipramine, ipsapirone, maprotiline, nortriptyline, nefazodone, paroxetine, phenelzine, protriptyline, reboxetine, robaizotan, sertraline, sibutramine, thionisoxetine, tranylcypromaine, trazodone, trimipramine, and venlafaxine, and equivalents and pharmaceutically active isomer(s) and/or metabolite(s) thereof;
(ii) atypical antipsychotics including, for example, quetiapine and pharmaceutically active isomer(s) and/or metabolite(s) thereof; (iii) antipsychotics including, for example, amisulpride, aripiprazole, asenapine, benzisoxidil, bifeprunox, carbamazepine, clozapine, chlorpromazine, debenzapine, divalproex, duloxetine, eszopiclone, haloperidol, iloperidone, lamotrigine, loxapine, mesoridazine, olanzapine, paliperidone, perlapine, perphenazine, phenothiazine, phenylbutlypiperidine, pimozide, prochlorperazine, risperidone, sertindole, sulpiride, suproclone, suriclone, thioridazine, trifluoperazine, trimetozine, valproate, valproic acid, zopiclone, zotepine, and ziprasidone, and equivalents and pharmaceutically active isomer(s) and/or metabolite(s) thereof;
(iv) anxiolytics including, for example, alnespirone, azapirones,benzodiazepines, and barbiturates, and equivalents and pharmaceutically active isomer(s) and/or metabolite(s) thereof. Examples of anxiolytics include, but are not limited to, adinazolam, alprazolam, balezepam, bentazepam, bromazepam, brotizolam, buspirone, clonazepam, clorazepate, chlordiazepoxide, cyprazepam, diazepam, diphenhydramine, estazolam, fenobam, flunitrazepam, flurazepam, fosazepam, lorazepam, lormetazepam, meprobamate, midazolam, nitrazepam, oxazepam, prazepam, quazepam, reclazepam, tracazolate, trepipam, temazepam, triazolam, uldazepam, and zolazepam;
(v) anticonvulsants including, for example, carbamazepine, valproate, lamotrogine, and gabapentin, and equivalents and pharmaceutically active isomer(s) and/or metabolite(s) thereof;
(vi) Alzheimer's therapies including, for example, donepezil, memantine, and tacrine, and equivalents and pharmaceutically active isomer(s) and/or metabolite(s) thereof; (vii) Parkinson's therapies including, for example, deprenyl, L-dopa, Requip, Mirapex,
MAOB inhibitors such as selegine and rasagiline, comP inhibitors such as Tasmar, A-2 inhibitors, dopamine reuptake inhibitors, NMDA antagonists, Nicotine agonists, and Dopamine agonists and inhibitors of neuronal nitric oxide synthase, and equivalents and pharmaceutically active isomer(s) and/or metabolite(s) thereof; (viii) migraine therapies including, for example, almotriptan, amantadine, bromocriptine, butalbital, cabergoline, dichloralphenazone, eletriptan, frovatriptan, lisuride, naratriptan, pergolide, pramipexole, rizatriptan, ropinirole, sumatriptan, zolmitriptan, and zomitriptan, and equivalents and pharmaceutically active isomer(s) and/or metabolite(s) thereof;
(ix) stroke therapies including, for example, abciximab, activase, NXY-059, citicoline, crobenetine, desmoteplase,repinotan, and traxoprodil, and equivalents and pharmaceutically active isomer(s) and/or metabolite(s) thereof;
(x) urinary incontinence therapies including, for example, darafenacin, falvoxate, oxybutynin, propiverine, robalzotan, solifenacin, and tolterodine, and equivalents and pharmaceutically active isomer(s) and/or metabolite(s) thereof; (xi) neuropathic pain therapies including, for example, gabapentin, lidoderm, and pregablin, and equivalents and pharmaceutically active isomer(s) and/or metabolite(s) thereof;
(xii) nociceptive pain therapies such as, for example, celecoxib, etoricoxib, lumiracoxib, rofecoxib, valdecoxib, diclofenac, loxoprofen, naproxen, and paracetamol, and equivalents and pharmaceutically active isomer(s) and/or metabolite(s) thereof;
(xiii) insomnia therapies including, for example, allobarbital, alonimid, amobarbital, benzoctamine, butabarbital, capuride, chloral, cloperidone, clorethate, dexclamol, ethchlorvynol, etomidate, glutethimide, halazepam, hydroxyzine, mecloqualone, melatonin, mephobarbital, methaqualone, midaflur, nisobamate, pentobarbital, phenobarbital, propofol, roletamide, triclofos,secobarbital, zaleplon, and Zolpidem, and equivalents and pharmaceutically active isomer(s) and/or metabolite(s) thereof;
(xiv) mood stabilizers including, for example, carbamazepine, divalproex, gabapentin, lamotrigine, lithium, olanzapine, quetiapine, valproate, valproic acid, and verapamil, and equivalents and pharmaceutically active isomer(s) and/or metabolite(s) thereof; (xv) 5HTIB ligands such as, for example, compounds disclosed in WO99/05134 and
WO02/08212;
(xvi) mGluR2 agonists;
(xvii) alpha 7 nicotinic agonists such as, for example, compounds disclosed in WO96/006098, WO97/030998, WO99/003859, WO00/042044, WO01/029034, WO01/160821, WO01/136417, WO02/096912, WO03/087102, WO03/087103, WO03/087104, WO04/016617, WO04/016616, and WO04/019947;
(xviii) chemokine receptor CCRl inhibitors; and
(xix) delta opioid agonists such as, for example, compounds disclosed in WO97/23466 and WO02/094794. Such combination products employ the compounds of this invention within the dosage range described herein and the other pharmaceutically active agent within approved dosage ranges and/or the dosage such as described in the publication reference.
In some embodiments, the present invention provides a compound of any of the formulas described herein or a pharmaceutically acceptable salt thereof for the therapeutic treatment (including prophylactic treatment) of mammals including humans, and it is normally formulated in accordance with standard pharmaceutical practice as a pharmaceutical composition. The present invention further encompasses pharmaceutical compositions containing one or more compounds of the present invention. In addition to the compounds of the present invention, the pharmaceutical composition of this invention may also contain, or be co-administered (simultaneously or sequentially) with, one or more pharmacological agents of value in treating one or more disease conditions referred to herein. The term composition is intended to include the formulation of the active component or a pharmaceutically acceptable salt with a pharmaceutically acceptable carrier. For preparing pharmaceutical compositions from the compounds of this invention, inert, pharmaceutically acceptable carriers can be either solid or liquid. For example this invention may be formulated by means known in the art into the form of, for example, tablets, capsules, aqueous or oily solutions, suspensions, emulsions, creams, ointments, gels, nasal sprays, suppositories, finely divided powders or aerosols or nebulisers for inhalation, and for parenteral use (including intravenous, intramuscular or infusion) sterile aqueous or oily solutions or suspensions or sterile emulsions.
Liquid form compositions include solutions, suspensions, and emulsions. Sterile water or water-propylene glycol solutions of the active compounds may be mentioned as an example of liquid preparations suitable for parenteral administration. Liquid compositions can also be formulated in solution in aqueous polyethylene glycol solution. Aqueous solutions for oral administration can be prepared by dissolving the active component in water and adding suitable colorants, flavoring agents, stabilizers, and thickening agents as desired. Aqueous suspensions for oral use can be made by dispersing the finely divided active component in water together with a viscous material such as natural synthetic gums, resins, methyl cellulose, sodium carboxymethyl cellulose, and other suspending agents known to the pharmaceutical formulation art.
Solid form compositions include powders, tablets, dispersible granules, capsules, cachets, and suppositories.A solid carrier can be one or more substances, which may also act as diluents, flavoring agents, solubilizers, lubricants, suspending agents, binders, or tablet disintegrating agents; it can also be an encapsulating material.
In powders, the carrier is a finely divided solid, which is in a mixture with the finely divided active component. In tablets, the active component is mixed with the carrier having the necessary binding properties in suitable proportions and compacted in the shape and size desired.
For preparing suppository compositions, a low-melting wax such as a mixture of fatty acid glycerides and cocoa butter is first melted and the active ingredient is dispersed therein by, for example, stirring. The molten homogeneous mixture is then poured into convenient sized molds and allowed to cool and solidify. For solid compositions, conventional non-toxic solid carriers include, for example, pharmaceutical grades of mannitol, lactose, cellulose, cellulose derivatives, starch, magnesium stearate, sodium saccharin, talcum, glucose, sucrose, magnesium carbonate, and the like may be used. Liquid pharmaceutically administrable compositions can, for example, be prepared by dissolving, dispersing, etc, an active compound as defined above and optional pharmaceutical adjuvants in a carrier, such as, for example, water, saline aqueous dextrose, glycerol, ethanol, and the like, to thereby form a solution or suspension. If desired, the pharmaceutical composition to be administered may also contain minor amounts of non-toxic auxiliary substances such as wetting or emulsifying agents, pH buffering agents and the like, for example, sodium acetate, sorbitan monolaurate, triethanolamine sodium acetate, sorbitan monolaurate, triethanolamine oleate, etc. Actual methods of preparing such dosage forms are known, or will be apparent, to those skilled in this art; for example, see Remington's Pharmaceutical Sciences, Mack Publishing Company, Easton, Pennsylvania, 15th Edition, 1975.
The pharmaceutical compositions can be in unit dosage form. In such form, the composition is divided into unit doses containing appropriate quantities of the active component. The unit dosage form can be a packaged preparation, the package containing discrete quantities of the preparations, for example, packeted tablets, capsules, and powders in vials or ampoules. The unit dosage form can also be a capsule, cachet, or tablet itself, or it can be the appropriate number of any of these packaged forms. Compositions may be formulated for any suitable route and means of administration.
Pharmaceutically acceptable carriers or diluents include those used in formulations suitable for oral, rectal, nasal, topical (including buccal and sublingual), vaginal or parenteral (including subcutaneous, intramuscular, intravenous, intradermal, intrathecal and epidural) administration. The formulations may conveniently be presented in unit dosage form and may be prepared by any of the methods well known in the art of pharmacy.
The quantity of the compound to be administered will vary for the patient being treated and will vary from about 100 ng/kg of body weight to 100 mg/kg of body weight per day and preferably will be from 10 pg/kg to 10 mg/kg per day. For instance, dosages can be readily ascertained by those skilled in the art from this disclosure and the knowledge in the art. Thus, the skilled artisan can readily determine the amount of compound and optional additives, vehicles, and/or carrier in compositions and to be administered in methods of the invention.
In further embodiments, the pharmaceutical composition includes the compound of the invention in combination with a pharmaceutically acceptable carrier and at least one further active ingredient. Examples of further active ingredients include, but are not limited to, benzodiazepines, 5-HTIA ligands, 5-HTiB ligands, 5-HTiD ligands, mGluR2A agonists, mGluR5 antagonists, antipsychotics, NKl receptor antagonists, antidepressants, and serotonin reuptake inhibitors.
The pharmaceutical compositions of the invention can accordingly be obtained by conventional procedures using conventional pharmaceutical excipients. In making the compositions of the invention, the active ingredient is typically mixed with an excipient, diluted by an excipient or enclosed within such a carrier in the form of, for example, a capsule, sachet, paper, or other container. When the excipient serves as a diluent, it can be a solid, semi-solid, or liquid material, which acts as a vehicle, carrier or medium for the active ingredient. Thus, the compositions can be in the form of tablets, pills, powders, lozenges, sachets, cachets, elixirs, suspensions, emulsions, solutions, syrups, aerosols (as a solid or in a liquid medium), ointments containing, for example, up to 10 % by weight of the active compound, soft and hard gelatin capsules, suppositories, sterile injectable solutions, and sterile packaged powders. Pharmaceutical compositions intended for oral use can further contain, for example, one or more coloring, sweetening, flavoring and/or preservative agents.
The composition of the invention can be administered by any route including orally, intramuscularly, subcutaneously, topically, intranasally, intraperitoneally, intrathoracially, intravenously, epidurally, intrathecally, intracerebroventricularly and by injection into the joints. The amount of active ingredient that is combined with one or more excipients to produce a single dosage form will necessarily vary depending upon the host treated and the particular route of administration. The size of the dose for therapeutic or prophylactic purposes of the active compound(s) will naturally vary according to the nature and severity of the symptoms or conditions, the age and sex of the animal or patient and the route of administration, according to well known principles of medicine. The present invention further provides methods of treating at least one symptom or condition associated with schizophrenia and other psychotic disorders (e.g., psychotic disorder, psychosis), dementia and other cognitive disorders, anxiety disorders (e.g., generalized anxiety disorder), mood disorders (e.g., depressive disorders, major depressive disorders, bipolar disorders including bipolar I and II, bipolar mania, bipolar depression), sleep disorders, disorders usually first diagnosed in infancy, childhood, or adolescence (e.g., attention-deficit disorder and disruptive behavior disorders) and neurodegenerative disorders comprising administering to a mammal a pharmaceutically effective amount of the salt of the invention or composition containing one or more of the same. In some embodiments, the symptoms and conditions include, but are not limited to ,anxiety, agitation, hostility, panic, eating disorder, affective symptom, mood symptom, negative and positive psychotic symptom commonly associated with psychosis, and neurodegenerative disorder.
The present invention further provides methods of treating at least one symptom or condition associated with schizophrenia and other psychotic disorders (e.g., psychotic disorder, psychosis), dementia and other cognitive disorders, anxiety disorders (e.g., generalized anxiety disorder), mood disorders (e.g., depressive disorders, major depressive disorders, bipolar disorders including bipolar I and II, bipolar mania, bipolar depression), sleep disorders, disorders usually first diagnosed in infancy, childhood, or adolescence (e.g., attention-deficit disorder and disruptive behavior disorders) and neurodegenerative disorders comprising administering to a mammal a pharmaceutically effective amount of a compound of the invention, or composition containing one or more of the same, and a therapeutically effective amount of at least one other therapeutically active agent selected from benzodiazepines, 5-HTiA ligands, 5-HTiB ligands, 5-HTiD ligands, mGluR2A agonists, mGluR5 antagonists, antipsychotics, NKl receptor antagonists, antidepressants, and serotonin reuptake inhibitors. Exemplary benzodiazepines include, but are not limited to, adinazolam, alprazolam, bromazepam, clonazepam, chlorazepate, chlordiazepoxide, diazepam, estazolam, flurazepam, balezepam, lorazepam, midazolam, nitrazepam, oxazepam, quazepam, temazepam, and triazolam, and equivalents thereof.
Exemplary 5-HTIA and/or 5HTiB ligands include, but are not limited to, buspirone, alnespirone, elzasonan, ipsapirone, gepirone, and zopiclone, and equivalents thereof.
Exemplary mGluR2 agonists include, but are not limited to, (1S,3R)-1- aminocyclopentane-l,3-dicarboxylic acid, (2S,3S,4S)alpha-(carboxycyclopropyl)glycine, and 3 ,5 -dihydroxyphenylglycine .
Exemplary antidepressants include, but are not limited to, maprotiline, amitriptyline, clomipramine, desipramine, doxepin, imipramine, nortryptyline, protriptyline, trimipramine, SSRIs and SNRIs such as fluoxetine, paroxetine, citalopram, escitalopram, sertraline, venlafaxine, fluoxamine, and reboxetine.
Exemplary antipsychotics include, but are not limited to, clozapine, risperidone, quetiapine, olanzapine, amisulpride, sulpiride, zotepine, chlorpromazine, haloperidol, ziprasidone, and sertindole.
Administration of two or more active agents can be carried out in combination, e.g., as part of the same pharmaceutical composition, or separately (e.g., serially or consecutively) as part of an appropriate dose regimen designed to obtain the benefits of combination therapy. The appropriate dose regimen, the amount of each dose of an active agent administered, and the specifϊc intervals between doses of each active agent will depend upon the subject being treated, the specific active agent being administered and the nature and severity of the specific disorder or condition being treated.
In general, the compounds of this invention, when used as either a single active agent or when used in combination with another active agent, will be administered to a subject in an amount up to about 750 mg per day (e.g., 1 mg to 600 mg per day), in single or divided doses. Such compounds may be administered on a regimen of up to 6 times per day, preferably 1 to 4 times per day. Variations can occur depending upon the subject being treated and the individual response to the treatment, as well as on the type of pharmaceutical formulation chosen and the time period and interval at which such administration is carried out. In some instances, dosage levels below the lower limit of the aforesaid range may be more than adequate, while in other cases larger doses may be employed to achieve the desired effect, provided that such larger doses are first divided into several small doses for administration throughout the day.
In some embodiments, the compound of the invention is administered as a predetermined dosage to a mammal between one and four times a day, wherein the predetermined dosage is between 1 mg and 600 mg.
The present invention also provides a method of treating the symptoms or conditions provided herein comprising the step of administering an initial predetermined dosage of a compound of the invention to a human patient twice a day, wherein the predetermined dosage is between 1 mg and 30 mg with increases in increments of 1 to 50 mg twice daily on the second and third day as tolerated. Thereafter, further dosage adjustments can be made at intervals of 2 days or greater.
The present invention further provides a method of delivering 11-piperazin-l- yldibenzo[b,fj[l,4]thiazepine to a mammal. In some embodiments, the present invention provides a method of delivering 1 l-piperazin-l-yldibenzo[b,f][l,4]thiazepine comprising administering to a mammal a therapeutically effective amount of a compound of the present invention. In some embodiments, the present invention provides a method of delivering 11- piperazin-l-yldibenzo[b,f][l,4]thiazepine comprising administering to a mammal a composition which comprises a therapeutically effective amount of a compound of the present invention. In some embodiments, the present invention provides a method of delivering 11- piperazin-l-yldibenzo[b,f][l,4]thiazepine in the treatment of at least one symptom or condition associated with schizophrenia and other psychotic disorder, dementia and other cognitive disorder, anxiety disorder, mood disorder, sleep disorder, disorder usually first diagnosed in infancy, childhood, or adolescence, and neurodegenerative disorder, comprising administering to a mammal a therapeutically effective amount of a compound of the present invention, or a composition which comprises a therapeutically effective amount of a compound of the present invention.
A "therapeutically effective amount" refers to amount of active compound or pharmaceutical agent that elicits the biological or medicinal response in a tissue, system, animal, individual or human that is being sought by a researcher, veterinarian, medical doctor or other clinician and can be readily determined by a clinician by using numerous methods already known in the art, an example of which is the BPRS cluster score that can be used to assess levels of hostility and positive symptoms. The term "treating" within the context of the present invention is meant to encompass the administration of a therapeutically effective amount of a compound of the present invention to mitigate or inhibit either a pre-existing disease state, acute or chronic, or a recurring symptom or condition. Also encompassed are prophylactic therapies for prevention of recurring conditions and continued therapy for chronic disorders. The term "mammal" is meant to refer to any warm-blooded animal, preferably a human.
In some embodiments, the mammal is in need of treatment because it is suffering from or prone to developing one or more of the symptoms, diseases or disorders described above.
In order that the invention disclosed herein may be more efficiently understood, examples are provided below. It should be understood that these examples are for illustrative purposes only and are not to be construed as limiting the invention in any manner.
Synthesis
The compounds of the present invention can be prepared in a number of ways well known to one skilled in the art of organic synthesis. The compounds of the present invention can be synthesized using the methods described below, together with synthetic methods known in the art of synthetic organic chemistry, or variations thereon as appreciated by those skilled in the art. The starting materials and precursors used in the processes described herein were either commercially available or readily prepared by established organic synthesis methods. It is understood by one skilled in the art of organic synthesis that the functionality present on various portions of the molecule must be compatible with the reagents and reactions proposed. Such restrictions to the substituents which are compatible with the reaction conditions will be readily apparent to one skilled in the art and alternate methods should then be used.
As shown in Sheme 1, a novel Mannich-base-typed compound of the present invention (formula 7-4) can be synthesized by reacting PDBTZ 1-1 with an aldehyde 1-2 (wherein R1 can be H, alkyl, cycloalkyl, aryl, hetereoaryl, heterocylcloalky and the like) and a nucleophile such as an amide 1-3 (wherein R2 can be alkyl, cycloalkyl, aryl, hetereoaryl, heterocylcloalky and the like) under suitable conditions such as reflux. For example, PDBTZ, formaldehyde aqueous solution and an amide 1-3 can be heated to reflux in an alcohol solvent such as ethanol to form a compound of formula 1-4 wherein R1 is H.
Scheme 1
Figure imgf000033_0001
1-1
1-3 1-4
It should noted that in all of the schemes described herein, if there are functional (reactive) groups present on a substituent group such as R1, R2, etc., further modification can be made if appropriate and/or desired. For example, a CN group can be hydro lyzed to afford an amide group; a carboxylic acid can be converted to an amide; a carboxylic acid can be converted to a ester, which in turn can be reduced to an alcohol, which in turn can be further modified. In another example, an OH group can be converted into a better leaving group such as mesylate, which in turn is suitable for nucleophilic substitution, such as by CN. One skilled in the art will recognize further such modifications. Thus, a compound of formula I (such as compound 1-4 of Scheme 1) having a sustituent which contains a function group can be converted to another compound of formula I having a different substituent group.
As used herein, the term "reacting" refers to the bringing together of designated chemical reactants such that a chemical transformation takes place generating a compound different from any initially introduced into the system. Reacting can take place in the presence or absence of solvent.
As used herein, the term "leaving group" refers to a moiety that can be displaced by another moiety, such as by nucleophilic attack, during a chemical reaction. Leaving groups are well known in the art and include, for example, halogen, hydroxy, alkoxy, -O(C=O)Ra,
-OSO2-Rb, and -OSi(Rc)3 wherein Ra can be Ci_8 alkyl, C3_7 cycloalkyl, aryl, heteroaryl, or heterocycloalkyl, wherein Rb can be Ci_8 alkyl, aryl (optionally substituted by one or more halo, cyano, nitro, Ci_4 alkyl, Ci_4 haloalkyl, Ci_4 alkoxy, or Ci_4 haloalkoxy), or heteroaryl (optionally substituted by one or more halo, cyano, nitro, Ci_4 alkyl, Ci_4 haloalkyl, C1-C4 alkoxy, or Ci_4 haloalkoxy), and wherein Rc can be Ci_8 alkyl. Examples of leaving groups include, but are not limited to, chloro, bromo, iodo, 4-nitrophenylcarbonate, mesylate, tosylate, trimethylsilyl, and the like.
EXAMPLES
Example 1: N-(4-Dibenzo[b,f| [l,4]thiazepin-ll-yl-piperazin-l-ylmethyl)-acetamide
Figure imgf000034_0001
A mixture of l l-iperazin-l-yldibenzo[b,f][l,4]thiazepine ("PDBTZ", 1 mmol), 37% aqueous formaldehyde (1 mmol), and acetamide (1 mmol) in ethanol (5 mL) is refluxed for four hours. The reaction mixture is evaporated, the residue resuspended in water, and the resulting aqueous material extracted with chloroform. The organic portion is washed (water, brine), dried (sodium sulfate), and evaporated. The crude material is purified by flash chromatography to provide the title compound.
Example 2 : N- [l-(4-Dibenzo [b,f] [l,4] thiazepin- 11-yl-piperazin- l-yl)-ethyl] -2,2,2-trifluoro- acetamide
Figure imgf000034_0002
A mixture of PDBTZ (1 mmol), acetaldehyde (1 mmol), and 2,2,2-trifluoro-acetamide (1 mmol) in ethanol (5 mL) is refluxed for four hours. The reaction mixture is evaporated, the residue resuspended in water, and the resulting aqueous material extracted with chloroform. The organic portion is washed (water, brine), dried (sodium sulfate), and evaporated. The crude material is purified by flash chromatography to provide the title compound. Example 3: Murine Assays
An assessment of dopamine antagonism for the compounds and compositions of the invention can be made in rodent models. The methods and procedures used can be found in J. Med. Chem., 2001, 44, 372-389, which is incorporated herein by reference in its entirety. The results of the binding affinity for brain serotonin 5-HT2 receptor and for dopamine Di and D2 receptors are ascertained. It is postulated that the combination of serotonin and dopamine receptor antagonism, with higher relative 5-HT2 to D2 receptor affinity that indicates the compound as a potent atypical antipsychotic. J. Goldstein, "Quetiapine Fumarate (Seroquel): a new atypical antipsychotic," 35(2) Drugs of Today 1993-210 (1999), which is incorporated herein by reference in its entirety.
Additionally, in vivo antipsychotic activity of the compounds and compositions of the invention can be tested in mice according to the standard apomorphine climbing mouse assay (see e.g. Strupczewski et.al, J. Med. Chem., 1995, 38, 1119).
Example 4: Alpha Receptor Binding Assays
The compounds and compositions of the invention can be compared with quetiapine based on alpha receptor binding assays using the following receptors. Receptor Quetiapine Affinity (nM) (the compounds of invention) Affinity (nM) αlA 22 αlB 39 αlD — α2C 28
The affinity values can be derived from the below methods and criteria. Table 1
PRIMARY
BIOCHEMICAL SPECIES CONC.
ASSAY
Adrenergic (X1A rat 0.3 μM
Adrenergic (X1B rat 0.1 μM
Adrenergic am hum 0.3 μM
Adrenergic a2A hum 3 μM
Adrenergic a2β hum 1 μM
Adrenergic a2c hum 10 μM
Adrenergic (X1* rat 0.1 μM Adrenergic α2* rat 10 μM
Receptor binding methods, α-adrenergic subtype specific, are provided below.
Figure imgf000036_0001
Figure imgf000036_0002
203400 Adrener ic am
Figure imgf000036_0003
Receptor binding methods, α-adrenergic nonselective, are provided below.
Figure imgf000037_0001
Example 5: In vivo anxiolytic assays
Anxiolytic activity of the compounds and compositions of the invention can be tested in rats according to the Geller-Seifter conflict test.
Subjects: 30 Male Long Evans rats are used. Subjects weigh 350-450 g at the time of testing, and are food restricted to 85% of free feeding weight by post session feeding with approximately 15 g of standard rat chow per day. All animals have free access to water except during experimental testing. Subjects are individually housed throughout the course of the experiment under a 12 hr light/dark cycle.
Apparatus: Standard 2-lever operant chambers are used (Med Associates). The chambers are fitted with two retractable response levers and a stimulus lamp over each of the 2 levers. A pellet food dispenser delivers 45 mg food pellets, (Bio Serv) to a cup located inside of the chamber below and between the 2 response levers. A lamp at the top and back of the chamber serves as houselights. The grid floors of the operant chambers are interfaced to shock generators and scramblers (Med Associates). All events in the chambers are controlled and monitored by a microprocessor. Procedure: There are two components in the procedure: 1) unsuppressed responding components (unpunished) with 2 minutes in duration and 2) suppressed responding components (punished) with 3 minutes in duration. In unpunished components, the houselights and both stimulus lamps over the response levers are turned on, the lever on the left-hand side of the chamber extends, and a food pellet is delivered following an average of 17 responses on the lever in the chamber (range 3 to 40 responses) - a variable ratio 17 schedule (VRl 7). The punished components follow unpunished components, and during these, the right-hand lever is extended into the chamber, and the stimulus lamps and houselights are turned on and off at 1 s intervals, in succession, which serve as a cue for this component. In the punished component, food is also available under a VRl 7 schedule, but in addition, electrical current (0.5 s duration) is delivered to the grid floor of the chamber under an independent VR17 schedule. The level of the current is adjusted for each individual subject until responding is reduced in the suppressed component to a level that is about 5-10% that of the unpunished component, and ranges from 0.2 mA to 0.75 mA. Unpunished and punished components are separated by 10 s time-out periods in which both response levers are retracted and all stimulus lamps turn off. 2-Min unpunished and 3-min unpunished components alternate until 5 of each are completed. Daily sessions always begin with unpunished responding component.
Rats whose responding is most stable are chosen from a larger pool of trained rats. Several doses are tested on a given day in different subjects. Each dose, then, is tested in a different sub-set of rats. The dependent variables recorded are the rate of responding in unpunished and punished components (total responses/total time under the component), the number of shocks delivered. A selective anxiolytic effect is defined as an increase in responding in the unpunished components with relatively less or no effect on responding in unpunished components. t-Tests are used to compare mean of the control's rate of responding on vehicle day of the rats used for a specific dose to the same rats means following delivery of each dose of compound (for only the rats used within each dose). Brains, CSF and plasma are collected in a satellite group of rats that match the Geller-Seifter rats to evaluate exposure levels.
Test compounds: Once animals are trained to a stable baseline for 3 consecutive days, the testing begin. Test compounds are administered on Tuesdays and Fridays s.c. in a volume of 1 mL/kg. Doses of 0.3, 1, 2, 5, and 10 mg/kg are dissolved in saline and the highest stock solution is prepared, and appropriate concentration prepared by serial dilutions into saline. Diazepam (for comparison purposes) can be supplied in an Abbott's cocktail (10% ethanol, 40% propylene glycol, 50% water) solution in a concentration of 5 mg/mL, and is prepared by serial dilution (0.3, 1, and 3 mg/kg) into 50% concentration of Abbott's cocktail. The test compound has a 15 minute pre-treatment time whereas diazepam is dosed 30 min prior to testing. On average 6-10 rats are for each dose of drug and 3-5 for the diazepam.
Exposure sampling: In weight and feeding status-matched subjects, terminal plasma, whole brain and CSF samples are collected. Four rats are used for each of the 4 doses of the test compound, with samples obtained 15 min after dosing.
Statistics: Absolute rate of responding in punished and unpunished components is the endpoint measured for individual subjects, and the means reported. The % control rate of responding is calculated as the (rate of responding following drug administration/rate following vehicle administration) x 100. This calculation is performed for individual subjects, and the means reported. The Student t-Test is used to compare mean control rates for a given set of rats to their corresponding rate of responding after the test compound administration.
Example 6: In vivo antipsychotic activity of ll-piperazin-l-yldibenzo[b,f] [l,4]thiazepine
Antipsychotic activity of the compounds and compositions of the invention can be tested in rats according to the D-amphetamine locomotor activity test.
Locomotor activity (LMA) can be assessed in male Long Evans rats using a paradigm that included a habituation phase followed by administration of D-amphetamine at various doses. Animals are allowed to acclimatize to the testing room for 1 hour before being weighed and placed into activity chambers. Forty-five min after LMA measurements begin, animals are briefly removed, dosed with drug (1, 2, 5, or 10 mg/kg) or vehicle at 1 mL/kg and returned to the chambers. After a further 15 min animals are again removed and dosed with vehicle or D- amphetamine at 1 mg/kg via s.c. route. After returning the animals to the activity chambers, LMA is assessed for a further 60 min. Statistical analysis is made of total distance traveled after D-amphetamine administration using ANOVA and Tukey's post hoc analysis where appropriate.
Example 7: In vivo Antidepressant Activity Assays
Antidepressant activity of the compounds and compositions of the invention can be assessed in mice according to the tail suspension test.
In a first experiment, mice (n=10/group) are treated with vehicle, 2.0, 5.0, or 10.0 mg/kg of the test compound s.c. 15 minutes prior to the test session. Mice are suspended from their tails for 7 minutes. During the last 5 min of the test, the duration of immobility is recorded. In a second experiment, mice (n=10/group) are treated with vehicle, 30 mg/kg of the test compound, or 30 mg/kg of fluoxetine p.o. 60 minutes prior to the test session. Mice are suspended from their tails for 7 minutes. During the last 5 minutes of the test, the duration of immobility is recorded. Various modifications of the invention, in addition to those described herein, will be apparent to those skilled in the art from the foregoing description. Such modifications are also intended to fall within the scope of the appended claims. Each reference, including all patents, patent applications, and journal literature, cited in the present application is incorporated herein by reference in its entirety. U.S. Application Serial No. 60/870,982 is incorporated herein by reference in its entirety.

Claims

What is Claimed is:
1. A compound of Formula I :
Figure imgf000041_0001
I or a pharmaceutically acceptable salt thereof, wherein:
R1 is H, Ci_io alkyl, Ci_io haloalkyl, C2-10 alkenyl, C2-10 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, or heterocycloalkylalkyl, wherein each of the C1-10 alkyl, C1-10 haloalkyl, C2-10 alkenyl, C2-10 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, and heterocycloalkylalky is optionally substituted by 1, 2, 3, 4, or 5 R3;
R2 is H, C1-10 alkyl, C1-10 haloalkyl, C2-10 alkenyl, C2-10 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, or heterocycloalkylalkyl, wherein each of the C1-10 alkyl, C1-10 haloalkyl, C2-10 alkenyl, C2-10 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, and heterocycloalkylalky is optionally substituted by 1, 2, 3, 4, or 5 R4; each R3 is, independently, halo, Ci_6 alkyl, Ci_6 haloalkyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, CN, NO2, ORa, SRa, C(=O)Rb, C(=0)NRcRd, C(=O)ORa, OC(=O)Rb, 0C(=0)NRcRd, NRcRd, NRcC(=0)Rb, NRcC(=0)0Ra, NRc'S(=O)2Rb, S(=O)Rb, S(=O)NRcRd, S(=O)2Rb, or S(=O)2NRcRd; each R4 is, independently, halo, Ci_6 alkyl, Ci_6 haloalkyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, CN, NO2, ORa', SRa', C(=O)Rb', C(=0)NRc Rd', C(=O)ORa', OC(=O)Rb', 0C(=0)NRc Rd', NRc Rd', NRc C(=0)Rb', NRc C(=0)0Ra', NRc S(=O)2Rb', S(=O)Rb', S(=O)NRc Rd', S(=O)2Rb', or S(=O)2NRc Rd'; each Ra and Ra is, independently, selected from H, Ci_6 alkyl, Ci_6 haloalkyl, C2_6 alkenyl, C2_6 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, and heterocycloalkylalkyl, wherein each of said Ci_6 alkyl, Ci_6 haloalkyl, C2_6 alkenyl, C2_6 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, and heterocycloalkylalkyl is optionally substituted by OH, Ci_6 alkoxy, amino, halo, Ci_6 alkyl, Ci_6 haloalkyl, Ci_6 haloalkyl, aryl, arylalkyl, heteroaryl, heteroarylalkyl, cycloalkyl, or heterocycloalkyl; each Rb and Rb is, independently, selected from H, Ci_6 alkyl, Ci_6 haloalkyl, C2-6 alkenyl, C2-6 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, and heterocycloalkylalkyl, wherein each of said Ci_6 alkyl, Ci_6 haloalkyl, C2-6 alkenyl, C2-6 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, and heterocycloalkylalkyl is optionally substituted by OH, Ci_6 alkoxy, amino, halo, Ci_6 alkyl, Ci_6 haloalkyl, Ci_6 haloalkyl, aryl, arylalkyl, heteroaryl, heteroarylalkyl, cycloalkyl, or heterocycloalkyl; each Rc and Rd is, independently, selected from H, C1-10 alkyl, Ci_6 haloalkyl, C2-6 alkenyl, C2-6 alkynyl, aryl, heteroaryl, cycloalkyl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, and heterocycloalkylalkyl, wherein each of said C1-10 alkyl, Ci_6 haloalkyl, C2-6 alkenyl, C2-6 alkynyl, aryl, heteroaryl, cycloalkyl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, and heterocycloalkylalkyl is optionally substituted by OH, Ci_6 alkoxy, amino, halo, Ci_6 alkyl, Ci_6 haloalkyl, Ci_6 haloalkyl, aryl, arylalkyl, heteroaryl, heteroarylalkyl, cycloalkyl, or heterocycloalkyl; or Rc and Rd together with the N atom to which they are attached form a A-, 5-, 6-, or 7-membered heterocycloalkyl group; and each Rc and Rd is, independently, selected from H, C1-10 alkyl, Ci_6 haloalkyl, C2-6 alkenyl, C2-6 alkynyl, aryl, heteroaryl, cycloalkyl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, and heterocycloalkylalkyl, wherein each of said C1-10 alkyl, Ci_6 haloalkyl, C2-6 alkenyl, C2-6 alkynyl, aryl, heteroaryl, cycloalkyl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, and heterocycloalkylalkyl is optionally substituted by OH, Ci_6 alkoxy, amino, halo, Ci_6 alkyl, C1-6 haloalkyl, C1-6 haloalkyl, aryl, arylalkyl, heteroaryl, heteroarylalkyl, cycloalkyl, or heterocycloalkyl; or Rc and Rd together with the N atom to which they are attached form a A-, 5-, 6-, or 7-membered heterocycloalkyl group.
2. The compound of claim 1 wherein R1 is H, C1-10 alkyl, C1-10 haloalkyl, C2-10 alkenyl, C2-10 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, or heterocycloalkylalkyl, wherein each of the C1-10 alkyl, C1-10 haloalkyl, C2-10 alkenyl, C2-I0 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, and heterocycloalkylalky is optionally substituted by 1, 2, 3, 4, or 5 substituents independently selected from halo, Ci_4 alkyl, Ci_4 haloalkyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, heterocycloalkylalkyl, CN, NO2, OH, Ci_4 alkoxy, Ci_4 haloalkoxy, amino, Ci_4 alkylamino, C2-8 dialkylamino, SH, -S-(C1-4 alkyl), C(=O)H, C(=O)-(Ci_4 alkyl), C(=O)-(aryl), C(=O)-(arylalkyl), C(=0)NH2, C(=O)NH(Ci_4 alkyl), C(=O)N(Ci_4 alkyl)2, C(=O)OH, C(=O)O-(Ci_4 alkyl), C(=O)O-(arylalkyl), OC(=O)H, OC(=O)-(Ci_4 alkyl), OC(=O)-(aryl), OC(=O)-(arylalkyl), 0C(=0)NH2, OC(=O)NH(Ci_4 alkyl), OC(=O)NH-(arylalkyl), OC(=O)N(Ci_4 alkyl)2, NHC(=O)-(Ci_4 alkyl), NHC(=O)-(aryl), NHC(=O)-(arylalkyl), N(CL4 alkyl)C(=O)-(Ci-4 alkyl), N(Ci-4 alkyl)C(=O)-(aryl), N(Ci-4 alkyl)C(=O)-(arylalkyl), NHC(=O)O-(arylalkyl), NHC(=O)O-(Ci_4 alkyl), NHC(=O)O-(arylalkyl), NHC(=0)NH(Ci_4 alkyl), NHC(=O)NH-(aryl), NHC(=O)NH-(arylalkyl), NHC(=0)NH(Ci_4 alkyl)2, N(Ci-4 alkyl)C(=O)NH(Ci_4 alkyl), N(Ci-4 alkyl)C(=O)NH-(aryl), N(Ci-4 alkyl)C(=O)NH-(arylalkyl), N(Ci-4 alkyl)C(=O)NH(Ci_4 alkyl)2, NHS(=O)2-(Ci_4 alkyl), NHS(=O)2-(aryl), NHS(=O)2-(arylalkyl), S(=O)2-(Ci_4 alkyl), S(=O)2-(aryl), S(=O)2-(arylalkyl), S(=O)2NH(Ci_4 alkyl), S(=O)2NH(aryl), and S(=O)2NH(arylalkyl).
3. The compound of claim 1 wherein R1 is H, Ci_io alkyl, Ci_io haloalkyl, C2-io alkenyl, C2-io alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl or heterocycloalkylalkyl, wherein each of the Ci_io alkyl, Ci_io haloalkyl, C2-10 alkenyl, C2-10 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, and heterocycloalkylalkyl is optionally substituted by 1, 2, or 3 substituents independently selected from halo, Ci-4 alkyl, Ci-4 haloalkyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, heterocycloalkylalkyl, CN, NO2, OH, Ci-4 alkoxy, Ci-4 haloalkoxy, amino, Ci-4 alkylamino, and C2-8 dialkylamino.
4. The compound of claim 1 wherein R1 is H, C1-10 alkyl, C1-10 haloalkyl, C2-10 alkenyl, C2-10 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, or heterocycloalkylalkyl.
5. The compound of claim 1 wherein R1 is H, C1-10 alkyl, or C1-10 haloalkyl.
6. The compound of claim 1 wherein R1 is H, Ci-6 alkyl, or Ci-6 haloalkyl.
7. The compound of claim 1 wherein R1 is H, Ci-4 alkyl, or Ci-4 haloalkyl.
8. The compound of claim 1 wherein R1 is H, Ci_4 alkyl, or Ci_4 perhaloalkyl.
9. The compound of claim 1 wherein R1 is H, Ci_4 alkyl, or Ci_4 perfluoroalkyl.
10. The compound of claim 1 wherein R1 is H, methyl, or trifluoromethyl.
11. The compound of any one of claims 1 to 10 wherein R > 2 is H, C1-10 alkyl, C1-10 haloalkyl, C2-10 alkenyl, C2-10 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, or heterocycloalkylalkyl, wherein each of the C1-10 alkyl, C1-10 haloalkyl, C2-10 alkenyl, C2-10 alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, and heterocycloalkylalky is optionally substituted by 1, 2, 3, 4, or 5 substituents independently selected from halo, Ci_4 alkyl, Ci_4 haloalkyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, heterocycloalkylalkyl, CN, NO2, OH, Ci_4 alkoxy, Ci_4 haloalkoxy, amino, Ci_4 alkylamino, C2_8 dialkylamino, SH, -S-(CL4 alkyl), C(=O)H, C(O)-(C1-4 alkyl), C(=O)-(aryl), C(=O)-(arylalkyl), C(=0)NH2, C(=O)NH(Ci_4 alkyl), C(O)N(C1-4 alkyl)2, C(=0)0H, C(=O)O-(Ci_4 alkyl), C(=O)O-(arylalkyl), 0C(=0)H, OC(=O)-(Ci_4 alkyl), OC(=O)-(aryl), OC(=O)-(arylalkyl), 0C(=0)NH2, 0C(O)NH(CM alkyl), OC(=O)NH-(arylalkyl), OC(O)N(CM alkyl)2, NHC(O)-(CM alkyl), NHC(=O)-(aryl), NHC(=O)-(arylalkyl), N(CM alkyl)C(=O)-(Ci_4 alkyl), N(CL4 alkyl)C(=O)-(aryl), N(CM alkyl)C(=O)-(arylalkyl), NHC(=O)O-(arylalkyl), NHC(=O)O-(Ci_4 alkyl), NHC(=O)O-(arylalkyl), NHC(=O)NH(Ci_4 alkyl), NHC(=O)NH-(aryl), NHC(=O)NH-(arylalkyl), NHC(=O)NH(Ci_4 alkyl)2, N(CL4 alkyl)C(O)NH(C1-4 alkyl), N(CL4 alkyl)C(=O)NH-(aryl), N(CL4 alkyl)C(=O)NH-(arylalkyl),
N(CL4 alkyl)C(O)NH(CM alkyl)2, NHS(O)2-(CM alkyl), NHS(=O)2-(aryl), NHS(=O)2-(arylalkyl), S(O)2-(CM alkyl), S(=O)2-(aryl), S(=O)2-(arylalkyl), S(O)2NH(CM alkyl), S(=O)2NH(aryl), and S(=O)2NH(arylalkyl).
12. The compound of any one of claims 1 to 10 wherein R2 is C1-10 alkyl, C1-10 haloalkyl, C2_io alkenyl, C2_io alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, or heterocycloalkylalkyl, each optionally substituted by 1, 2, 3, 4, or 5 substituents independently selected from halo, CL4 alkyl, CL4 haloalkyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, heterocycloalkylalkyl, CN, NO2, OH, Ci_4 alkoxy, Ci_4 haloalkoxy, amino, CL4 alkylamino, C2_g dialkylamino, SH, -S-(CL4 alkyl), C(O)H, C(O)-(CM alkyl), C(=O)-(aryl), C(=O)-(arylalkyl), C(=O)NH2, C(K))NH(C1-4 alkyl), C(K))N(CL4 alkyl)2, C(K))OH, C(=O)O-(Ci_4 alkyl), C(=O)O-(aiylalkyl), OC(=O)H, OC(=O)-(Ci_4 alkyl), OC(=O)-(aiyl), OC(=O)-(arylalkyl), OC(K))NH2, OC(K))NH(C 1.4 alkyl), OC(=O)NH-(arylalkyl), OC(K))N(C 1-4 alkyl)2, NHC(K)MC1-4 alkyl), NHC(=O)-(aryl), NHC(=O)-(arylalkyl), N(C1-4 alkyl)C(=O)-(CM alkyl), N(CM alkyl)C(=O)-(aryl), N(CM alkyl)C(=O)-(arylalkyl), NHC(=O)O-(arylalkyl), NHC(K))O-(C i_4 alkyl), NHC(=O)O-(arylalkyl), NHC(K))NH(CL4 alkyl), NHC(=O)NH-(aryl), NHC(=O)NH-(arylalkyl), NHC(K))NH(C M alkyl)2, N(CM alkyl)C(=O)NH(Ci_4 alkyl), N(CL4 alkyl)C(=O)NH-(aryl), N(CM alkyl)C(=O)NH-(arylalkyl), N(CL4 alkyl)C(=O)NH(Ci_4 alkyl)2, NHS(=O)2-(CM alkyl), NHS(=O)2-(aryl), NHS(=O)2-(arylalkyl), S(=O)2-(CM alkyl), S(=O)2-(aryl), S(=O)2-(arylalkyl), S(KD)2NH(C1-4 alkyl), S(=O)2NH(aryl), and S(=O)2NH(arylalkyl).
13. The compound of any one of claims 1 to 10 wherein R2 is H, CLIO alkyl, CLIO haloalkyl, C2_io alkenyl, C2_io alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, or heterocycloalkylalkyl, wherein each of the CLIO alkyl, CLIO haloalkyl, C2_io alkenyl, C2_io alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, and heterocycloalkylalkyl is optionally substituted by 1, 2, or 3 substituents independently selected from halo, C1-4 alkyl, CL4 haloalkyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, heterocycloalkylalkyl, CN, NO2, OH, Ci_4 alkoxy, Ci_4 haloalkoxy, amino, CL4 alkylamino, and C2_8 dialkylamino.
14. The compound of any one of claims 1 to 10 wherein R2 is CLIO alkyl, CLIO haloalkyl, C2_io alkenyl, C2_io alkynyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, or heterocycloalkylalkyl, each optionally substituted by 1, 2, or 3 substituents independently selected from halo, CL4 alkyl, CL4 haloalkyl, aryl, cycloalkyl, heteroaryl, heterocycloalkyl, heterocycloalkyl, arylalkyl, heteroarylalkyl, cycloalkylalkyl, heterocycloalkylalkyl, CN, NO2, OH, Ci_4 alkoxy, Ci_4 haloalkoxy, amino, CL4 alkylamino, and C2_8 dialkylamino.
15. The compound of any one of claims 1 to 10 wherein R2 is H, CLIO alkyl, or CLIO haloalkyl.
16. The compound of any one of claims 1 to 10 wherein R2 is CL6 alkyl or CL6 haloalkyl.
17. The compound of any one of claims 1 to 10 wherein R2 is Ci_4 alkyl
18. The compound of any one of claims 1 to 10 wherein R2 is methyl, ethyl, or isopropyl.
19. The compound of any one of claims 1 to 10 wherein R1 is H, Ci_4 alkyl, or Ci_4 haloalkyl; and R2 is Ci_4 alkyl.
20. The compound of any one of claims 1 to 10 wherein R1 is H, Ci_4 alkyl, or Ci_4 perfluoroalkyl; R2 is NHC(=O)-R3; and R3 is C1-4 alkyl.
21. A composition comprising a compound of any one of claims 1 to 20.
22. The composition of claim 21 further comprising a pharmaceutically acceptable carrier.
23. The composition of claim 21 or claim 22 further comprising at least one antidepressant, atypical antipsychotic, antipsychotic, anxiolytic, anticonvulsant, Alzheimer's therapy, Parkinson's therapy, migraine therapy, stroke therapy, urinary incontinence therapy, neuropathic pain therapy, nociceptive pain therapy, insomnia therapy, mood stabilizer, 5HTIB ligand, mGluR2 agonist, alpha 7 nicotinic agonist, chemokine receptor CCRl inhibitor, or delta opioid agonist.
24. The composition of any one of claims 21 to 23 further comprising at least one benzodiazepine, 5-HTIA ligand, 5-HTIB ligand, 5-HTID ligand, mGluR2A agonist, mGluR5 antagonist, antipsychotic, NKl receptor antagonist, antidepressant, or serotonin reuptake inhibitor.
25. A method of treating at least one symptom or condition associated with schizophrenia and other psychotic disorder, dementia and other cognitive disorder, anxiety disorder, mood disorder, sleep disorder, disorder usually first diagnosed in infancy, childhood, or adolescence, or neurodegenerative disorder, comprising administering to a mammal a therapeutically effective amount of a compound of any one of claims 1 to 20.
26. The method of claim 25 wherein said symptom or condition comprises anxiety, agitation, hostility, panic, eating disorder, affective symptom, mood symptom, or negative or positive psychotic symptom.
27. The method of claim 25 or claim 26 further comprising administering to said mammal a therapeutically effective amount of one antidepressant, atypical antipsychotic, antipsychotic, anxiolytic, anticonvulsant, Alzheimer's therapy, Parkinson's therapy, migraine therapy, stroke therapy, urinary incontinence therapy, neuropathic pain therapy, nociceptive pain therapy, insomnia therapy, mood stabilizer, 5HTIB ligand, mGluR2 agonist, alpha 7 nicotinic agonist, chemokine receptor CCRl inhibitor, or delta opioid agonist.
28. The method of any one of claims 25 to 27 further comprising administering to said mammal a therapeutically effective amount of a benzodiazepine, 5-HTIA ligand, 5-HTIB ligand, 5-HTiD ligand, mGluR2A agonist, mGluR5 antagonist, antipsychotic, NKl receptor antagonist, antidepressant, or serotonin reuptake inhibitor.
29. Use of a compound of any one of claims 1 to 20 for the treatment of at least one symptom or condition associated with schizophrenia and other psychotic disorder, dementia and other cognitive disorder, anxiety disorder, mood disorder, sleep disorder, disorder usually first diagnosed in infancy, childhood, or adolescence, or neurodegenerative disorder.
30. Use of a compound of any one of claims 1 to 20 for the preparation of a medicament for the treatment of at least one symptom or condition associated with schizophrenia and other psychotic disorder, dementia and other cognitive disorder, anxiety disorder, mood disorder, sleep disorder, disorder usually first diagnosed in infancy, childhood, or adolescence, or neurodegenerative disorder.
31. A method of delivering 1 l-piperazin-l-yldibenzo[b,f][l,4]thiazepine to a mammal comprising administering to said mammal a therapeutically effective amount of a compound of any one of claims 1 to 20.
32. A method of delivering 1 l-piperazin-l-yldibenzo[b,f][l,4]thiazepine to a mammal in the treatment of at least one symptom or condition associated with schizophrenia and other psychotic disorder, dementia and other cognitive disorder, anxiety disorder, mood disorder, sleep disorder, disorder usually first diagnosed in infancy, childhood, or adolescence, or neurodegenerative disorder, comprising administering to said mammal a therapeutically effective amount of a compound of any one of claims 1 to 20.
33. A method of delivering 1 l-piperazin-l-yldibenzo[b,f][l,4]thiazepine to a mammal comprising administering to said mammal a composition which comprises a therapeutically effective amount of a compound of any one of claims 1 to 20.
34. A method of delivering 1 l-piperazin-l-yldibenzo[b,f][l,4]thiazepine to a mammal in the treatment of at least one symptom or condition associated with schizophrenia and other psychotic disorder, dementia and other cognitive disorder, anxiety disorder, mood disorder, sleep disorder, disorder usually first diagnosed in infancy, childhood, or adolescence, or neurodegenerative disorder, comprising administering to said mammal a composition which comprises a therapeutically effective amount of a compound of any one of claims 1 to 20.
35. Use of a compound of any one of claims 1 to 20 for the delivery of 11 -piperazin- 1 - yldibenzo[b,fj[l,4]thiazepine to a mammal.
36. Use of a compound of any one of claims 1 to 20 for the delivery of 11 -piperazin- 1 - yldibenzo[b,fj[l,4]thiazepine to a mammal in the treatment of at least one symptom or condition associated with schizophrenia and other psychotic disorder, dementia and other cognitive disorder, anxiety disorder, mood disorder, sleep disorder, disorder usually first diagnosed in infancy, childhood, or adolescence, or neurodegenerative disorder.
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