WO2011159553A1 - Heterocyclic fused phenanthrolinone m1 receptor positive allosteric modulators - Google Patents

Abstract

The present invention is directed to heterocyclic fused phenanthrolinone compounds of formula (I) which are M1 receptor positive allosteric modulators and that are useful in the treatment of diseases in which the M1 receptor is involved, such as Alzheimer's disease, schizophrenia, pain or sleep disorders. The invention is also directed to pharmaceutical compositions comprising the compounds, and to the use of the compounds and compositions in the treatment of diseases mediated by the M1 receptor.

Description

TITLE OF THE INVENTION

HETEROCYCLIC FUSED PHENANTHROLINONE Ml RECEPTOR POSITIVE

ALLOSTERIC MODULATORS FIELD OF THE INVENTION

The invention is directed to a class of heterocyclic fused phenanthrolinone compounds, their salts, pharmaceutical compositions comprising them and their use in therapy of the human body. In particular, the invention is directed to a class of heterocyclic fused phenanthrolinone compounds which are muscarinic Ml receptor positive allosteric modulators, and hence are useful in the treatment of Alzheimer's Disease and other diseases mediated by the muscarinic Ml receptor.

BACKGROUND OF THE INVENTION

Alzheimer's Disease is a common neurodegenerative disease affecting the elderly, resulting in progressive memory impairment, loss of language and visuospatial skills, and behavior deficits. Characteristics of the disease include degeneration of cholinergic neurons in the cerebral cortex, hippocampus, basal forebrain, and other regions of the brain, neurofibrillary tangles, and accumulation of the amyloid (Αβ). Αβ is a 39-43 amino acid produced in the brain by processing of the beta-amyloid precursor protein (APP) by the beta-amyloid protein cleaving enzyme ("beta secretase" or "BACE") and gamma-secretase. The processing leads to

accumulation of Αβ in the brain.

Cholinergic neurotransmission involves the binding of acetylcholine either to the nicotinic acetylcholine receptor (nAChR) or to the muscarinic acetylcholine receptor (mAChR). It has been hypothesized that cholinergic hypofunction contributes to the cognitive deficits of patients suffering from Alzheimer's Disease. Consequently, acetyl cholinesterase inhibitors, which inhibit acetylcholine hydrolysis, have been approved in the United States for use in the treatment of the cognitive impairments of Alzheimer's Disease patients. While acetyl cholinesterase inhibitors have provided some cognitive enhancement in Alzheimer's Disease patients, the therapy has not been shown to change the underlying disease pathology.

A second potential pharmacotherapeutic target to counteract cholinergic hypofunction is the activation of muscarinic receptors. Muscarinic receptors are prevalent throughout the body. Five distinct muscarinic receptors (M1-M5) have been identified in mammals. In the central nervous system, muscarinic receptors are involved in cognitive, behavior, sensory, motor and autonomic functions. The muscarinic Ml receptor, which is prevalent in the cerebral cortex, hippocampus and striatum, has been found to have a major role in cognitive processing and is believed to have a role in the pathophysiology of Alzheimer's Disease. See Eglen et al, TRENDS in Pharmacological Sciences, 2001, 22:8, 409-414. In addition, unlike acetyl cholinesterase inhibitors, which are known to provide only symptomatic treatment, Ml agonists also have the potential to treat the underlying disease mechanism of Alzheimer's Disease. The cholinergic hypothesis of Alzheimer's Disease is linked to both β-amyloid and hyperphosphorylated tau protein. Formation of β-amyloid may impair the coupling of the muscarinic receptor with G-proteins. Stimulation of the Ml muscarinic receptor has been shown to increase formation of the neuroprotective aAPPs fragment, thereby preventing the fonnation of the Αβ peptide. Thus, Ml agonists may alter APP processing and enhance aAPPs secretion. See Fisher, Jpn J Pharmacol, 2000, 84:101-112.

However, Ml ligands which have been developed and studied for Alzheimer's Disease have produced side effects common to other muscarinic receptor ligands, such as sweating, nausea and diarrhea. See Spalding et al, Mol Pharmacol, 2002, 61 :6, 1297-1302.

The muscarinic receptors are known to contain one or more ailosteric sites, which may alter the affinity with which muscarinic ligands bind to the primary binding or

orthosteric sites. See, e.g., S. Lazareno et al, Mol Pharmacol, 2002, 62:6, 1491-1505; S.

Lazareno et al, Mol Pharmacol, 2000, 58, 194-207. See also WO2005056552,

WO2005030188, WO2007067489, US Patent Appln. Nos. US61/329,690; US61/199740;

61/288,567; 61/286,122; 61/253,629; 61/247,705; 61/238,457; 61/208,331; and 61/170,744; and Attorney Docket Nos., MRL-NOP-00095-US-PSP; MRL-NOP-1 15-US-PSP; and MRL- NOP-125-US-PSP.

Thus the compounds of the invention, which are muscarinic Ml receptor positive ailosteric modulators, are believed to be useful in the treatment of Alzheimer's Disease and other diseases mediated by the muscarinic Ml receptor.

SUMMARY OF THE INVENTION

The present invention is directed to novel heterocyclic fused phenanthrolinone compounds of generic formula (I)

or a pharmaceutically acceptable salt thereof, which is useful as an Ml receptor positive ailosteric modulator.

The invention is further directed to methods of treating a patient (preferably a human) for diseases or disorders in which the Ml receptor is involved, such as Alzheimer's disease, cognitive impairment, schizophrenia, pain disorders and sleep disorders, by administering to the patient a therapeutically effective amount of a compound of general formula (I), or a

pharmaceutically acceptable salt thereof. The invention is also directed to pharmaceutical compositions which include an effective amount of a compound of formula (I), or a

pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable carrier, and the use of the compounds and pharmaceutical compositions of the invention in the treatment of such diseases.

DETAILED DESCRIPTION OF THE INVENTION

In one embodiment, the invention is directed to heterocyclic fused phenanthrolinone compounds of general formula (I)

(I)

and pharmaceutically acceptable salts thereof, wherein

X represents -CH, or -O;

R represents Cg-lO aryl or C5-I0 heterocyclyl; wherein said aryl and heterocyclyl is optionally substituted with one or more of Rx

Rx represents:

(a) halogen,

(b) hydroxy,

(c) -O-C1 _6 alkyl, said alkyl optionally substituted with 1 to 3 groups of halo;

(d) -Ci-6 alkyl, said alkyl optionally substituted with 1 to 3 groups of halo;

(e) cyano,

(f) -NRARB

(g) -C(0)-RC

(h) -S(0)_n- C;

(i) C5-10 heterocyclyl, said heterocyclyl optionally substituted with 1 to 3 groups of RC; RA and RB are independently selected from the group consisting of

(i) hydrogen,

(ii) -C 1-6 alkyl,

or RA and RB are linked together with the nitrogen to which they are both attached to form a 2- 6 membered carbocyclic ring, wherein one or two of the ring carbon atoms is optionally replaced by a nitrogen, oxygen or sulfur, and the carbocyclic is optionally substituted with one or more C alkyl, selected from the group consisting of

(i) hydrogen, or

(ii) -C 1-6 alkyl, and n is 0, 1 or 2.

In one embodiment the invention is directed to a compound wherein R is pyridyl optionally substituted with 1 to 3 gr d by structural formula II:

Wherein N is pyridyl, and all other variables are as originally described. A sub-embodiment of this invention is realized when R^x is selected from the group consisting of halo en, -0-Ci_6 alkyl, -C _ alkyl, said alkyl optionally substituted with 1 to 3 groups of halo, and

C5-10 heterocyclyl, said alkyl optionally substituted with 1 to 3 groups of halo; and said heterocyclyl optionally substituted with 1 to 3 groups of RC.

In another embodiment of this invention R is phenyl optionally substituted with 1 to 3 groups of RX and represented by s

wherein all other variables are as originally described. A sub-embodiment of this invention is realized when R^x is selected from the group consisting of halogen,™0-Ci_6 alkyl, ~Ci_6 alkyl, said alkyl optionally substituted with 1 to 3 groups of halo, -S(0)n-R^, and C5-10 heterocyclyl, said alkyl optionally substituted with 1 to 3 groups of halo; and said heterocyclyl optionally substituted with 1 to 3 groups of RC.

Still in another embodiment of the invention X is CIT_j. A subembodiment of this invention is realized when R j_s pyridyl or aryl optionally substituted with 1 to 3 groups of R* and x is selected from the group consisting of halogen, -0-Ci_6 alkyl, -Ci-6 alkyl, -S(0)_n- R , and C5-10 heterocyclyl, said alkyl optionally substituted with 1 to 3 groups of halo; and said heterocyclyl optionally substituted with 1 to 3 groups of RC. A further subembodiment of this invention is realized when R is pyridyl.

In another embodiment of the invention X is -0-. A subembodiment of this invention is realized when R j_s pyridyl or aryl optionally substituted with 1 to 3 groups of R^x and R^x is selected from the group consisting of halogen, -O-Ci-6 alkyl, -Ci_6 alkyl, -S(0)_n-RC, and C5-

10 heterocyclyl, said alkyl optionally substituted with 1 to 3 groups of halo; and said heterocyclyl optionally substituted with 1 to 3 groups of RC A further subembodiment of this invention is realized when R is pyridyl.

Yet in another embodiment of the invention x is selected from the group consisting of halogen, ~~0-Ci _6 alkyl, -Ci-6 alkyl, -S(0)_n-RC_s and C5-10 heterocyclyl, said alkyl optionally substituted with 1 to 3 groups of halo; and said heterocyclyl optionally substituted with 1 to 3 groups of R

Another embodiment, the invention is directed to methods of treating a patient

(preferably a human) for diseases in which the Ml receptor is involved, such as Alzheimer's Disease, cognitive impairment, schizophrenia, pain disorders and sleep disorders, by

administering to the patient a therapeutically effective amount of a compound of general formula

(D-

The invention is also directed to the use of a compound of formula (I) for treating diseases or disorders in which the Ml receptor is involved, such as Alzheimer's disease, cognitive impairment, schizophrenia, pain disorders and sleep disorders.

The invention is also directed to medicaments or pharmaceutical compositions for treating diseases or disorders in which the Ml receptor is involved, such as Alzheimer's disease, cognitive impairment, schizophrenia, pain disorders and sleep disorders, which comprise a compound of formula (I), or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable carrier. The invention is further directed to a method for the manufacture of a medicament or a composition for treating diseases or disorders in which the Ml receptor is involved, such as

Alzheimer's disease, cognitive impairment, schizophrenia, pain disorders and sleep disorders, comprising combining a compound of formula (I) with one or more pharmaceutically acceptable carriers.

Examples of compounds of formula (I) are:

S-tCe-Chlo o yridin-S-y methyll-S-tC^^^- -hydroxycyclohexylj-l.S- enanthrolin-TCSH)- one;

1 _f5-Anhydro-2,3-dideoxy-3- { 5-[(6-methoxypyridin-3-yl)methyl]-7-oxo-l ,8-phenanthrolin- 8(7H)-yl}-L-i/2reo-pentitol

8-[(i5', 5)-2-Hydroxycyclohexyl]-5-{ [6-methylsulfanyl)pyridin-3-yl]methyl}- 1 ,8-phenanthrolin-

7(8H)-one;

5-{[2-Difluoromethoxy)pyridine-4-yl]methyl}-8-I(i5^,,2S -2-hydroxycyclohexyl]~l,8- phenanthrolin-7(8H)-one;

8-[(15,2,S)-2-hydroxycyclohexyl]-5-{[6-(l-methyl-l)-2-hydroxycyclohexyl]-5-{[6-(l-methyl-l- pyrazol-4-yl)pyridin-3 -yl] methyl } - 1 ,8-phenanthrolin-7(8H)-one;

8 - [( 1 iS^,,25)-2-hydroxycyclohexyl] - 5 -(pyridin-3 -ylmethyl)- 1 , 8 -phenanthroHn-7 (8H)-one;

and pharmaceutically acceptable salts thereof.

The invention is also directed to methods of treating a patient (preferably a human) for diseases or disorders in which the Ml receptor is involved, such as Alzheimer's Disease, cognitive impairment, schizophrenia, pain disorders and sleep disorders, by administering to the patient a therapeutically effective amount of a compound of formula (I) or a pharmaceutically acceptable salt thereof.

The invention is also directed to the use of a compound of formula (I) for treating a disease or disorder in which the Ml receptor is involved, such as Alzheimer's Disease, cognitive impairment, schizophrenia, pain disorders and sleep disorders, by administering to the patient a compound of formulae (I), or a pharmaceutically acceptable salt thereof.

The invention is also directed to medicaments or pharmaceutical compositions for the treatment of diseases or disorders in a patient (preferably a human) in which the Ml receptor is involved, such as Alzheimer's Disease, cognitive impairment, schizophrenia, pain disorders, and sleep disorders, which comprise a compound of formula (I), or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable carrier.

The invention is also directed to a method for the manufacture of a medicament or a pharmaceutical composition for treating diseases in which Ml receptor is involved, such as Alzheimer's Disease, cognitive impairment, schizophrenia, pain disorders, and sleep disorders, comprising combining a compound of formula (I), or a pharmaceutically acceptable salt thereof, with a pharmaceutically acceptable carrier.

The invention also encompasses a pharmaceutical composition comprising a compound of Formula I in combination with a pharmaceutically acceptable carrier.

The invention also encompasses a method for treating a neurological or psychiatric disorder associated with glutamate dysfunction in a patient in need thereof comprising administering to the patient a therapeutically effective amount of a compound of Formula I. The invention also encompasses this method wherein the neurological or psychiatric disorder associated with glutamate dysfunction is schizophrenia.

When any variable (e.g. aryl, heterocycle, R^, etc.) occurs more than one time in any constituent, its definition on each occurrence is independent at every other occurrence. Also, combinations of substituents/or variables are permissible only if such combinations result in stable compounds.

As used herein, "alkyl" encompasses groups having the prefix "alk" such as, for example, alkoxy, alkanoyl, alkenyl, and alkynyl and means carbon chains which may be linear or branched or combinations thereof. Examples of alkyl groups include methyl, ethyl, propyl, isopropyl, butyl, sec- and tert-butyl, pentyl, hexyl, and heptyl. "Alkenyl" refers to a hydrocarbon radical straight, branched or cyclic containing from 2 to 10 carbon atoms and at least one carbon to carbon double bond. Preferred alkenyl groups include ethenyl, propenyl, butenyl and cyclohexenyl. Preferably, alkenyl is C2-C6 alkenyl. Preferred alkynyls are C2-C6 alkynyl.

"Alkenyl," "alkynyl" and other like terms include carbon chains containing at least one unsaturated C-C bond.

As used herein, "fluoroalkyr refers to an alkyl substituent as described herin containing at least one fluorine substituent.

The term "cycloalkyl" refers to a saturated hydrocarbon containing one ring having a specified number of carbon atoms. Examples of cycloalkyl include cyclopropyl, cyclobutyl, cyclopentyl, and cyclohexyl.

The term "Ci-g" includes alkyls containing 6, 5, 4, 3, 2, or 1 carbon atoms

The term "alkoxy" as used herein, alone or in combination, includes an alkyl group connected to the oxy connecting atom. The term "alkoxy" also includes alkyl ether groups, where the term 'alkyl' is defined above, and 'ether' means two alkyl groups with an oxygen atom between them. Examples of suitable alkoxy groups include methoxy, ethoxy, n- propoxy, i-propoxy, n-butoxy, s-butoxy, t-butoxy, methoxymethane (also referred to as 'dimethyl ether'), and methoxyethane (also referred to as 'ethyl methyl ether').

As used herein, "aryl" is intended to mean any stable monocyclic or bicyclic carbon ring of up to 7 members in each ring, wherein at least one ring is aromatic. Examples of such aryl elements include phenyl, napthyl, tetrahydronapthyl, indanyl, or biphenyl.

The term heterocycle, heterocyclyl, or heterocyclic, as used herein, represents a stable 5- to 7-membered monocyclic or stable 8- to 11-membered bicyclic heterocyclic ring which is either saturated or unsaturated, and which consists of carbon atoms and from one to four heteroatoms selected from the group consisting of N, O, and S, and including any bicyclic group in which any of the above-defined heterocyclic rings is fused to a benzene ring. The heterocyclic ring may be attached at any heteroatom or carbon atom which results in the creation of a stable structure. The term heterocycle or heterocyclic includes heteroaryl moieties. Examples of such heterocyclic elements include, but are not limited to, azepinyl, benzimidazolyl, benzisoxazolyl, benzofurazanyl, benzopyranyl, benzothiopyranyl, benzofuryl, benzothiazolyl, benzothienyl, benzoxazolyl, chromanyL cirmolinyl, dihydrobenzofuryl, dihydrobenzothienyl,

dihydrobenzothiopyranyl, dihydrobenzothiopyranyl sulfone, 1 ,3-dioxolanyl, furyl,

imidazolidinyl, imidazolinyl, imidazolyl, indolinyl, indolyl, isochromanyl, isoindolinyl, isoquinolinyl, isothiazolidinyl, isothiazolyl, isothiazolidinyl, morpholinyl, naphthyridinyl, oxadiazolyl, 2-oxoazepinyl, oxazolyl, 2-oxopiperazinyl, 2-oxopiperdinyl, 2-oxopyrrolidinyl, piperidyl, piperazinyl, pyridyl, pyrazinyl, pyrazolidinyl, pyrazolyl, pyridazinyl, pyrimidinyl, pyrrolidinyl, pyrrolyl, quinazolinyl, quinolinyl, quinoxalinyl, telrahydrofuryl,

tetrahydroisoquinolinyl, tetrahydroquinolinyl, thiamoipholinyl, thiamorpholinyl sulfoxide, thiazolyl, thiazolinyl, thienofuryl, thienothienyl, thienyl and triazolyl.

In certain embodiments, the heterocyclic group is a heteroaryl group. As used herein, the term "heteroaryl" refers to groups having 5 to 14 ring atoms, preferably 5, 6, 9. or 10 ring atoms; having 6, 10, or 14 π electrons shared in a cyclic array; and having, in addition to carbon atoms, between one and about three heteroatoms selected from the group consisting of N, 0, and S. The heterocyclic ring may be attached at any heteroatom or carbon atom which results in the creation of a stable structure. Examples of such heteroaryl groups include, but are not limited to, benzimidazole, benzisothiazole, benzisoxazole, benzofuran, benzothiazole, benzothiophene, benzotriazole, benzoxazole, carboline, cinnoline, furan, furazan, imidazole, indazole, indole, indolizine, isoquinoline, isothiazole, isoxazole,

naphthyridine, oxadiazole, oxazole, phthalazine, pteridine, purine, pyran, pyrazine, pyrazole, pyridazine, pyridine, pyrimidine, pyrrole, quinazoline, quinoline, quinoxaline, tetrazole, thiadiazole, thiazole, thiophene, triazine, triazole, and N-oxides thereof.

In certain other embodiments, the heterocyclic group is fused to an aryl or heteroaryl group. Examples of such fused heterocycles include, without limitation,

tetrahydroquinolinyl and dihydrobenzofuranyl.

The term "heteroatom" means O, S or N, selected on an independent basis.

A moiety that is substituted is one in which one or more hydrogens have been independently replaced with another chemical substituent. As a non-limiting example, substituted phenyls include 2-fiurophenyl, 3,4-dichlorophenyl, 3-chloro-4-fluoro-phenyl, 2,4fluor-3-propylphenyl. As another non-limiting example, substituted n-octyls include 2,4 dimethyl-5-ethyl-octyl and 3-cyclopentyloctyl. Included within this definition are methylenes (- CH₂-) substituted with oxygen to form carbonyl (-CO-).

Unless otherwise stated, as employed herein, when a moiety (e.g., cycloalkyl, hydrocarbyl, aryl, alkyl, heteroaryl, heterocyclic, urea, etc.) is described as "optionally

substituted" it is meant that the group optionally has from one to four, preferably from one to three, more preferably one or two, non-hydrogen substituents. Suitable substituents include, without limitation, halo, hydroxy, oxo (e.g., an annular -CH- substituted with oxo is -C(O)-), nitro, halohydrocarbyl, hydrocarbyl, aryl, aralkyl, alkoxy, aryloxy, amino, acylamino,

alkylcarbamoyl, arylcarbamoyl, aminoalkyl, acyl, carboxy, hydroxyalkyl, , alkanesulfonyl, arenesulfonyl, alkanesulfonamido, arenesulfonamido, aralkylsulfonamido, alkylcarbonyl, acyloxy, cyano, and ureido groups. Preferred substituents, which are themselves not further substituted (unless expressly stated otherwise) are:

(a) halo, cyano, oxo, carboxy, formyl, nitro, amino, amidino, guanidino, and

(b) Ci -C6 alkyl or alkenyl or arylalkyl imino, carbamoyl, azido, carboxamido, mercapto, hydroxy, hydroxyalkyl, alkylaryl, arylalkyl, Ci-Cs alkyl, SO2CF3, CF3, S02Me, C1-C8 alkenyl, Ci-Cg alkoxy, Q-Cs alkoxycarbonyl, aryloxycarbonyl, C2-C8 acyl, C2-C8 acylamino, C]-C8 alkylthio, arylalkylthio, arylthio, Ci-Cgalkylsulfinyl, arylalkylsulfhyl, arylsulfnyl, Q-Cg alkylsulfonyl, arylalkylsulfonyl, arylsulfonyl, C0-C6 N-alkylcarbamoyl, C2-C15 N,N dialkylcarbamoyl, C3-C7 cycloalkyl, aroyl, aryloxy, arylalkyl ether, aryl, aryl fused to a cycloalkyl or heterocycle or another aryl ring, C3-C7 heterocycle, or any of these rings fused or spiro-fused to a cycloalkyl, heterocyclyl, or aryl, wherein each of the foregoing is further optionally substituted with one more moieties listed in (a), above.

"Halogen" and "halo" refer to fluorine, chlorine, bromine and iodine.

The term "mammal" "mammalian" or "mammals" includes humans, as well as animals, such as dogs, cats, horses, pigs and cattle.

All patents, patent applications and publications cited herein, whether supra or infra, are hereby incorporated by reference in their entirety and are deemed representative of the prevailing state of the art.

As used in this specification and the appended claims, the singular forms " a, an and "the" include plural references unless the content clearly dictates otherwise. Thus, for example, reference to "a primer" includes two or more such primers, reference to "an amino acid" includes more than one such amino acid, and the like.

Compounds described herein may contain one or more double bonds and may thus give rise to cis/trans isomers as well as other conformational isomers. The present invention includes all such possible isomers as well as mixtures of such isomers unless specifically stated otherwise.

The compounds of the present invention may contain one or more asymmetric centers and may thus occur as racemates, racemic mixtures, single enantiomers, diastereomeric mixtures, and individual diastereomers.

In the compounds of generic Formula I, the atoms may exhibit their natural isotopic abundances, or one or more of the atoms may be artificially enriched in a particular isotope having the same atomic number, but an atomic mass or mass number different from the atomic mass or mass number predominantly found in nature. The present invention is meant to include all suitable isotopic variations of the compounds of generic Formula I. For example, different isotopic forms of hydrogen (H) include protium (lH) and deuterium (^H). Protium is the predominant hydrogen isotope found in nature. Enriching for deuterium may afford certain therapeutic advantages, such as increasing in vivo half-life or reducing dosage requirements, or may provide a compound useful as a standard for characterization of biological samples.

Isotopically-enriched compounds within generic Formula I can be prepared without undue experimentation by conventional techniques well known to those skilled in the art or by processes analogous to those described in the Schemes and Examples herein using appropriate isotopically-enriched reagents and/or intermediates.

It will be understood that, as used herein, references to the compounds of structural formula I are meant to also include the pharmaceutically acceptable salts, and also salts that are not pharmaceutically acceptable when they are used as precursors to the free compounds or in other synthetic manipulations.

The compounds of the present invention may be administered in the form of a pharmaceutically acceptable salt. The term "pharmaceutically acceptable salts" refers to salts prepared from pharmaceutically acceptable non-toxic bases or acids. When the compound of the present invention is acidic, its corresponding salt can be conveniently prepared from

pharmaceutically acceptable non-toxic bases, including inorganic bases and organic bases. Salts derived from such inorganic bases include aluminum, ammonium, calcium, copper (ic and ous), ferric, ferrous, lithium, magnesium, manganese (ic and ous), potassium, sodium, zinc and the like salts. Salts derived from pharmaceutically acceptable organic non-toxic bases include salts of primary, secondary, and tertiary amines, as well as cyclic amines and substituted amines such as naturally occurring and synthesized substituted amines. Other pharmaceutically acceptable organic non-toxic bases from which salts can be formed include ion exchange resins such as, for example, arginine, betaine, caffeine, choline, N, N'-dibenzylethylenediamine, diethylamine, 2- diethylaminoethanol, 2-dimethylaminoethanol, ethanolamine, ethylenediamine, N- ethylmorpholine, N-ethylpiperidine, glucamine, glucosamine, histidine, hydrabamine, isopropylamine, lysine, methylglucamine, morpholine, piperazine, piperidine, polyamine resins, procaine, purines, theobromine, triethylamine, trimethylamine, tripropyl amine, and tromethamine.

When the compound of the present invention is basic, its corresponding salt can be conveniently prepared from pharmaceutically acceptable non-toxic acids, including inorganic and organic acids. Such acids include, for example, acetic, benzenesulfonic, benzoic, camphor sulfonic, citric, ethanesulfonic, fumaric, gluconic, glutamic, hydrobromic, hydrochloric, isethionic, lactic, maleic, malic, mandelic, methanesulfonic, mucic, nitric, pamoic, pantothenic, phosphoric, succinic, sulfuric, tartaric, p-toluenesulfonic acid and the like.

The compounds of the invention may be prepared according to the following reaction Schemes, in which variables are as defined before or are derived, using readily available starting materials, from reagents and conventional synthetic procedures. It is also possible to use variants which are themselves known to those of ordinary skill in organic synthesis art, but are not mentioned in greater detail.

The present invention also provides a method for the synthesis of compounds useful as intermediates in the preparation of compounds of the invention.

During any of the above synthetic sequences it may be necessary or desirable to protect sensitive or reactive groups on any of the molecules concerned. This may be achieved by means of conventional protecting groups, such as those described in Protective Groups in Organic Chemistr , ed. J.F.W.McOmie, Plenum Press, 1973, and T.W. Greene & P/G.M. Wuts, Protective Groups in Organic Synthesis, John Wiley & Sons, 1999. The protecting groups may be removed at a convenient sequent stage using methods known from the art.

Specific embodiments of the compounds of the invention, and methods of making them, are described in the Examples herein.

The term "substantially pure" means that the isolated material is at least 90% pure, and preferably 95% pure, and even more preferably 99% pure as assayed by analytical techniques known in the art.

As used herein, the term "muscarinic Ml receptor " refers to one of the five subtypes of the muscarinic acetylcholine receptor, which is from the superfamily of G-protein coupled receptors. The family of muscarinic receptors is described, for example, in

Pharmacol Ther, 1993, 58:319-379; Eur J Pharmacol, 1996, 295:93-102, and Mol

Pharmacol, 2002, 61 :1297-1302. The muscarinic receptors are known to contain one or more allosteric sites, which may alter the affinity with which muscarinic ligands bind to the primary binding or orthosteric sites. See, e.g., S. Lazareno et al, Mol Pharmacol, 2002, 62:6, 1491-1505.

As used herein, the terms "positive allosteric modulator" and "allosteric potentiator" are used interchangeably, and refer to a ligand which interacts with an allosteric site of a receptor to activate the primary binding site. The compounds of the invention are positive allosteric modulators of the muscarinic Ml receptor. For example, a modulator or potentiator may directly or indirectly augment the response produced by the endogenous ligand (such as acetylcholine or xanomeline) at the orthosteric site of the muscarinic Ml receptor in an animal, in particular, a human.

The actions of ligands at allosteric receptor sites may also be understood according to the "allosteric ternary complex model," as known by those skilled in the art.

The allosteric ternary complex model is described with respect to the family of muscarinic receptors in Birdsall et al, Life Sciences, 2001, 68:2517-2524. For a general description of the role of allosteric binding sites, see Christopoulos, Nature Reviews: Drug Discovery,

2002, 1 :198-210.

It is believed that the compounds of the invention bind to an allosteric binding site that is distinct from the orthosteric acetylcholine site of the muscarinic Ml receptor, thereby augmenting the response produced by the endogenous ligand acetylcholine at the orthosteric site of the Ml receptor. It is also believed that the compounds of the invention bind to an allosteric site which is distinct from the xanomeline site of the muscarinic Ml receptor, thereby augmenting the response produced by the endogenous ligand xanomeline at the orthosteric site of the Ml receptor.

The present invention is directed to the use of the compounds of formulae (I) to (III) disclosed herein as Ml allosteric modulators in a patient or subject such as a mammal in need of such activity, comprising the administration of an effective amount of the compound. In addition to humans, a variety of other mammals can be treated according to the method of the present invention.

The compounds of the present invention have utility in treating or ameliorating Alzheimer's disease. The compounds may also be useful in treating or ameliorating other diseases mediated by the muscarinic Ml receptor, such as schizophrenia, sleep disorders, pain disorders (including acute pain, inflammatory pain and neuropathic pain) and cognitive disorders (including mild cognitive impairment). Other conditions that may be treated by the compounds of the invention include Parkinson's Disease, pulmonary hypertension, chronic obstructive pulmonary disease (COPD), asthma, urinary incontinence, glaucoma, schizophrenia, Trisomy 21 (Down Syndrome), cerebral amyloid angiopathy, degenerative dementia, Hereditary Cerebral

Hemorrhage with Amyloidosis of the Dutch-Type (HCHWA-D), Creutzfeld-Jakob disease, prion disorders, amyotrophic lateral sclerosis, progressive supranuclear palsy, head trauma, stroke, pancreatitis, inclusion body myositis, other peripheral amyloidoses, diabetes, autism and atherosclerosis.

In preferred embodiments, the compounds of the invention are useful in treating

Alzheimer's Disease, cognitive disorders, schizophrenia, pain disorders and sleep disorders. For example, the compounds may be useful for the prevention of dementia of the Alzheimer's type, as well as for the treatment of early stage, intermediate stage or late stage dementia of the Alzheimer's type.

Potential schizophrenia conditions or disorders for which the compounds of the invention may be useful include one or more of the following conditions or diseases:

schizophrenia or psychosis including schizophrenia (paranoid, disorganized, catatonic or undifferentiated), schizophreniform disorder, schizoaffective disorder, delusional disorder, brief psychotic disorder, shared psychotic disorder, psychotic disorder due to a general medical condition and substance-induced or drug-induced (phencyclidine, ketanine and other dissociative anaesthetics, amphetamine and other psychostimulants and cocaine) psychosispsychotic disorder, psychosis associated with affective disorders, brief reactive psychosis, schizoaffective psychosis, "schizophrenia- spectrum" disorders such as schizoid or schizotypal personality disorders, or illness associated with psychosis (such as major depression, manic depressive (bipolar) disorder, Alzheimer's disease and post-traumatic stress syndrome), including both the positive and the negative symptoms of schizophrenia and other psychoses; cognitive disorders including dementia (associated with Alzheimer's disease, ischemia, multi-infarct dementia, trauma, vascular problems or stroke, HIV disease, Parkinson's disease, Huntington's disease, Pick's disease, Creutzfeldt- Jacob disease, perinatal hypoxia, other general medical conditions or substance abuse); delirium, amnestic disorders or age related cognitive decline.

In another specific embodiment, the present invention provides a method for treating schizophrenia or psychosis comprising administering to a patient in need thereof an effective amount of a compound of the present invention. Particular schizophrenia or psychosis pathologies are paranoid, disorganized, catatonic or undifferentiated schizophrenia and substance-induced psychotic disorder. At present, the text revision of the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) (2000, American

Psychiatric Association, Washington DC) provides a diagnostic tool that includes paranoid, disorganized, catatonic or undifferentiated schizophrenia and substance-induced psychotic disorder. As used herein, the term "schizophrenia or psychosis" includes treatment of those mental disorders as described in DSM-IV-TR. The skilled artisan will recognize that there are alternative nomenclatures, nosologies and classification systems for mental disorders, and that these systems evolve with medical and scientific progress. Thus the term "schizophrenia or psychosis" is intended to include like disorders that are described in other diagnostic sources.

Examples of combinations of the compounds include combinations with agents for the treatment of schizophrenia, for example in combination with sedatives, hypnotics, anxiolytics, antipsychotics, antianxiety agents, cyclopyrrolones, imidazopyridines,

pyrazolopyrimidines, minor tranquilizers, melatonin agonists and antagonists, melatonergic agents, benzodiazepines, barbiturates, 5HT-2 antagonists, and the like, such as: adinazolam, allobarbital, alonimid, alprazolam, amisulpride, amitriptyline, amobarbital, amoxapine, axipiprazole, bentazepam, benzoctamine, brotizolam, bupropion, busprione, butabarbital, butalbital, capuride, carbocloral, chloral betaine, chloral hydrate, clomipramine, clonazepam, cloperidone, clorazepate, chlordiazepoxide, clorethate, chlorpromazine, clozapine, cyprazepam, desipramine, dexclamol, diazepam, dichloralphenazone, divalproex, diphenhydramine, doxepin, estazolam, ethchlorvynol, etomidate, fenobam, flunitrazepam, flupentixol, fluphenazine, flurazepam, fluvoxamine, fluoxetine, fosazepam, glutethimide, halazepam, haloperidol, hydroxyzine, imipramine, lithium, lorazepam, lormetazepam, maprotiline, mecloqualone, melatonin, mephobarbital, meprobamate, methaqualone, midaflur, midazolam, nefazodone, nisobamate, nitrazepam, nortriptyline, olanzapine, oxazepam, paraldehyde, paroxetine, pentobarbital, perlapine, perphenazine, phenelzine, phenobarbital, prazepam, promethazine, propofol, protriptyline, quazepam, quetiapine, reclazepam, risperidone, roletamide, secobarbital, sertraline._* suproelone, temazepam, thioridazine, thiothixene, tracazolate, tranylcypromaine, trazodone, triazolam, trepipam, tricetamide, triclofos, trifluoperazine, trimetozine, trimipramine, uldazepam, venlafaxine, zaleplon, ziprasidone, zolazepam, Zolpidem, and salts thereof, and combinations thereof, and the like, or the subject compound may be administered in conjunction with the use of physical methods such as with light therapy or electrical stimulation.

In another embodiment, the subject compound may be employed in combination with levodopa (with or without a selective extracerebral decarboxylase inhibitor such as carbidopa or benserazide), anticholinergics such as biperiden (optionally as its hydrochloride or lactate salt) and trihexyphenidyl (benzhexol) hydrochloride, COMT inhibitors such as entacapone, MOA-B inhibitors, antioxidants, A2a adenosine receptor antagonists, cholinergic agonists, NMDA receptor antagonists, serotonin receptor antagonists and dopamine receptor agonists such as alentemol, bromocriptine, fenoldopam, lisuride, naxagolide, pergolide and pramipexole. It will be appreciated that the dopamine agonist may be in the form of a pharmaceutically acceptable salt, for example, alentemol hydrobromide, bromocriptine mesylate, fenoldopam mesylate, naxagolide hydrochloride and pergolide mesylate.

In another embodiment, the subject compound may be employed in combination with a compound from the phenothiazine, thioxanthene, heterocyclic dibenzazepine, butyrophenone, diphenylbutylpiperidine and indolone classes of neuroleptic agent. Suitable examples of phenothiazines include chlorpromazine, mesoridazine, thioridazine, acetophenazine,

fluphenazine, perphenazine and trifluoperazine. Suitable examples of thioxanthenes include chlorprothixene and thiothixene. An example of a dibenzazepine is clozapine. An example of a butyrophenone is haloperidol. An example of a diphenylbutylpiperidine is pimozide. An example of an indolone is molindolone. Other neuroleptic agents include loxapine, sulpiride and risperidone. It will be appreciated that the neuroleptic agents when used in combination with the subject compound may be in the form of a pharmaceutically acceptable salt, for example, chlorpromazine hydrochloride, mesoridazine besylate, thioridazine hydrochloride, acetophenazine maleate, fluphenazine hydrocliloride, flurphenazine enathate, fluphenazine decanoate, trifluoperazine hydrochloride, thiothixene hydrochloride, haloperidol decanoate, loxapine succinate and molindone hydrochloride. Perphenazine, chlorprothixene, clozapine, haloperidol, pimozide and risperidone are commonly used in a non-salt form. Thus, the subject compound may be employed in combination with acetophenazine, alentemol, aripiprazole, amisuipride, benzhexol, bromocriptine, biperiden, chlorpromazine, chlorprothixene, clozapine, diazepam, fenoldopam, fluphenazine, haloperidol, levodopa, levodopa with benserazide, levodopa with carbidopa, lisuride, loxapine, mesoridazine, molindolone, naxagolide, olanzapine, pergolide, perphenazine, pimozide, pramipexole, quetiapine, risperidone, sulpiride,

tetrabenazine, trihexyphenidyl, thioridazine, thiothixene, trifluoperazine or ziprasidone.

Potential sleep conditions or disorders for which the compounds of the invention may be useful include improving sleep quality; augmenting sleep maintenance; increasing the value which is calculated from the time that a subject sleeps divided by the time that a subject is attempting to sleep; decreasing sleep latency or onset (the time it takes to fall asleep); decreasing difficulties in falling asleep; increasing sleep continuity; decreasing the number of awakenings during sleep; decreasing nocturnal arousals; decreasing the time spent awake following the initial onset of sleep; increasing the total amount of sleep; reducing the fragmentation of sleep; altering the timing, frequency or duration of REM sleep bouts; altering the timing, frequency or duration of slow wave (i.e. stages 3 or 4) sleep bouts; increasing the amount and percentage of stage 2 sleep; promoting slow wave sleep; enhancing EEG-delta activity during sleep; increasing daytime alertness; reducing daytime drowsiness; treating or reducing excessive daytime sleepiness; insomnia; hypersomnia; narcolepsy; interrupted sleep; sleep apnea; wakefulness; nocturnal myoclonus; REM sleep interruptions; jet-lag; shift workers' sleep disturbances;

dyssomnias; night terror; insomnias associated with depression, emotional/mood disorders, as well as sleep walking and enuresis, and sleep disorders which accompany aging; Alzheimer's sundowning; conditions associated with circadian rhythmicity as well as mental and physical disorders associated with travel across time zones and with rotating shift- work schedules;

conditions due to drugs which cause reductions in REM sleep as a side effect; syndromes which are manifested by non-restorative sleep and muscle pain or sleep apnea which is associated with respiratory disturbances during sleep; and conditions which result from a diminished quality of sleep.

Pain disorders for which the compounds of the invention may be useful include neuropathic pain (such as postherpetic neuralgia, nerve injury, the "dynias", e.g., vulvodynia, phantom limb pain, root avulsions, painful diabetic neuropathy, painful traumatic

mononeuropathy, painful polyneuropathy); central pain syndromes (potentially caused by virtually any lesion at any level of the nervous system); postsurgical pain syndromes (eg, postmastectomy syndrome, postthoracotomy syndrome, stump pain); bone and joint pain (osteoarthritis), repetitive motion pain, dental pain, cancer pain, myofascial pain (muscular injury, fibromyalgia); perioperative pain (general surgery, gynecological), chronic pain, dysmennorhea, as well as pain associated with angina, and inflammatory pain of varied origins (e.g. osteoarthritis, rheumatoid arthritis, rheumatic disease, teno- synovitis and gout), headache, migraine and cluster headache, headache, primary hyperalgesia, secondary hyperalgesia, primary aliodynia, secondary allodynia, or other pain caused by central sensitization.

Compounds of the invention may also be used to treat or prevent dyskinesias. Furthermore, compounds of the invention may be used to decrease tolerance and/or dependence to opioid treatment of pain, and for treatment of withdrawal syndrome of e.g., alcohol, opioids, and cocaine.

The subject or patient to whom the compounds of the present invention is administered is generally a human being, male or female, in whom Ml allosteric modulation is desired, but may also encompass other mammals, such as dogs, cats, mice, rats, cattle, horses, sheep, rabbits, monkeys, chimpanzees or other apes or primates, for which treatment of the above noted disorders is desired.

The compounds of the present invention may be used in combination with one or more other drugs in the treatment of diseases or conditions for which the compounds of the present invention have utility, where the combination of the drugs together are safer or more effective than either drug alone. Additionally, the compounds of the present invention may be used in combination with one or more other drugs that treat, prevent, control, ameliorate, or reduce the risk of side effects or toxicity of the compounds of the present invention. Such other drugs may be administered, by a route and in an amount commonly used therefor,

contemporaneously or sequentially with the compounds of the present invention. Accordingly, the pharmaceutical compositions of the present invention include those that contain one or more other active ingredients, in addition to the compounds of the present invention. The combinations may be administered as part of a unit dosage form combination product, or as a kit or treatment protocol wherein one or more additional drugs are administered in separate dosage forms as part of a treatment regimen.

Examples of combinations of the compounds of the present invention include combinations with anti- Alzheimer's Disease agents, for example beta-secretase inhibitors; alpha 7 nicotinic agonists, such as ABT089, SSR180711 and MEM63908; ADAM 10 ligands or activators; gamma-secretase inhibitors, such as LY450139 and TA 070; gamma secretase modulators; tau phosphorylation inhibitors; glycine transport inhibitors; LXR β agonists; ApoE4 conformational modulators; NR2B antagonists; androgen receptor modulators; blockers of Αβ oligomer formation; 5-HT4 agonists, such as PRX-03140; 5-HT6 antagonists, such as GS 742467, SGS-518, FK-962, SL-65.0155, SRA-333 and xaliproden; 5-HTla antagonists, such as lecozotan; p25/CDK5 inhibitors; NK1 N 3 receptor antagonists; COX-2 inhibitors; HMG-CoA reductase inhibitors; NSAIDs including ibuprofen; vitamin E; anti-amyloid antibodies (including anti-amyloid humanized monoclonal antibodies), such as bapineuzumab, ACCOOl, CAD 106, AZD3102, H12A11V1 ; anti-inflammatory compounds such as (R)-flurbiprofen_s

nitroflurbiprofen, ND-1251, VP-025, HT-0712 and EHT-202; PPAR gamma agonists, such as pioglitazone and rosiglitazone; CB-1 receptor antagonists or CB-1 receptor inverse agonists, such as AVE 1625; antibiotics such as doxycycline and rifampin; N-methyl-D- aspartate (NMD A) receptor antagonists, such as memantine, neramexane and EVT101 ; cholinesterase inhibitors such as galantamine, rivastigmine, donepezil, tacrine, phenserine, ladostigil and ABT-089;

growth hormone secretagogues such as ibutamoren, ibutamoren mesylate, and capromorelin; histamine H3 receptor antagonists such as ABT-834, ABT 829, GS 189254 and CEP 16795;

AMPA agonists or AMPA modulators, such as CX-717, LY 451395, LY404187 and S-18986; PDE IV inhibitors, including MEM1414, HT0712 and AVE8112; GABAA inverse agonists;

GSK3p inhibitors, including AZD1080, SAR502250 and CEP16805; neuronal nicotinic agonists; selective Ml agonists; H AC inhibitors; and microtubule affinity regulating kinase (MARK) ligands; or other drugs that affect receptors or enzymes that either increase the efficacy, safety, convenience, or reduce unwanted side effects or toxicity of the compounds of the present invention.

Examples of combinations of the compounds include combinations with agents for the treatment of pain, for example non-steroidal anti-inflammatory agents, such as aspirin, diclofenac, duflunisal, fenoprofen, flurbiprofen, ibuprofen, indomethacin, ketoprofen, ketorolac, naproxen, oxaprozin, piroxicam, sulindac and tolmetin; COX-2 inhibitors, such as celecoxib, rofecoxib, valdecoxib, 406381 and 644784; CB-2 agonists, such as 842166 and SAB378; VR-l antagonists, such as AMG517, 705498, 782443, PAC20030, VI 14380 and A425619; bradykinin Β 1 receptor antagonists, such as SSR240612 and NVPSAA164; sodium channel blockers and antagonists, such as VX409 and SPI860; nitric oxide synthase (NOS) inhibitors (including iNOS and nNOS inhibitors), such as SD6010 and 274150; glycine site antagonists, including lacosamide; neuronal nicotinic agonists, such as ABT 894; NMDA antagonists, such as

AZD4282; potassium channel openers; AMPA/kainate receptor antagonists; calcium channel blockers, such as ziconotide and NMED160; GABA-A receptor IO modulators (e.g., a GABA- A receptor agonist); matrix metalloprotease (MMP) inhibitors; thrombolytic agents; opioid analgesics such as codeine, fentanyl, hydromorphone, levorphanol, meperidine, methadone, morphine, oxycodone, oxymorphone, pentazocine, propoxyphene; neutrophil inhibitory factor (NIF); pramipexole, ropinirole; anticholinergics; amantadine; monoamine oxidase B15 ("MAO- B") inhibitors; 5HT receptor agonists or antagonists; mGlu5 antagonists, such as AZD9272; alpha agonists, such as AGNXX/YY; neuronal nicotinic agonists, such as ABT894; NMDA receptor agonists or antagonists, such as AZD4282; NKJ antagonists; selective serotonin reuptake inhibitors ("SSRI") and/or selective serotonin and norepinephrine reuptake inhibitors ("SSN I"), such as duloxetine; tricyclic antidepressant drugs, norepinephrine modulators;

lithium; valproate; gabapentin; pregabalin; rizatriptan; zolmitriptan; naratriptan and sumatriptan.

The compounds of the present invention may be administered in combination with compounds useful for enhancing sleep quality and preventing and treating sleep disorders and sleep disturbances, including e.g., sedatives, hypnotics, anxiolytics, antipsychotics, antianxiety agents, antihistamines, benzodiazepines, barbiturates, cyclopyrrolones, orexin antagonists, alpha- 1 antagonists, GABA agonists, 5HT-2 antagonists including 5HT-2A antagonists and 5HT- 2A/2C antagonists, histamine antagonists including histamine H3 antagonists, histamine H3 inverse agonists, imidazopyridines, minor tranquilizers, melatonin agonists and antagonists, melatonergic agents, other orexin antagonists, orexin agonists, prokineticin agonists and antagonists, pyrazolopyrimidines, T-type calcium channel antagonists, tnazolopyridines, and the like, such as: adinazolam, allobarbital, alonimid, alprazolam, amitriptyline, amobarbital, amoxapine, armodafinil, APD-125, bentazepam, benzoctamine, brotizolam, bupropion, busprione, butabarbital, butalbital, capromorelin, capuride, carbocloral, chloral betaine, chloral hydrate, chlordiazepoxide, clomipramine, clonazepam, cloperidone, clorazepate, clorethate, clozapine, conazepam, cyprazepam, desipramme, dexclamol, diazepam, dichloralphenazone, divalproex, diphenhydramine, doxepin, EMD-281014, eplivanserin, estazolam, eszopiclone, ethchlorynol, etomidate, fenobam, flunitrazepam, flurazepam, fluvoxamine, fluoxetine, fosazepam, gaboxadol, glutethimide, halazepam, hydroxyzine, ibutamoren, imipramine, indiplon, lithium, lorazepam, lormetazepam, LY-156735, maprotiline, MDL-100907, mecloqualone, melatonin, mephobarbital, meprobamate, methaqualone, methyprylon, roidaflur, midazolam, modafmil, nefazodone, NGD-2-73, nisobamate, nitrazepam, nortriptyline, oxazepam,

paraldehyde, paroxetine, pentobarbital, perlapine, perphenazine, phenelzine, phenobarbital, prazepam, promethazine, propofol, protriptyline, quazepam, ramelteon, reclazepam, roletamide, secobarbital, sertraline, suproclone, TA -375, temazepam, thioridazine, tiagabine, tracazolate, tranylcypromaine, trazodone, triazolam, trepipam, tricetamide, triclofos, trifluoperazine, trimetozine, trimipramine, uldazepam, venlafaxine, zaleplon, zolazepam, zopiclone, Zolpidem, and salts thereof, and combinations thereof, and the like, or the compound of the present invention may be administered in conjunction with the use of physical methods such as with light therapy or electrical stimulation.

In another embodiment, the subject compound may be employed in combination with levodopa (with or without a selective extracerebral decarboxylase inhibitor such as carbidopa or benserazide), anticholinergics such as biperiden (optionally as its hydrochloride or lactate salt) and trihexyphenidyl (benzhexol) hydrochloride, COMT inhibitors such as

entacapone, MOA-B inhibitors, antioxidants, A2a adenosine receptor antagonists, cholinergic agonists and dopamine receptor agonists such as alentemol, bromocriptine, fenoldopam, lisuride, naxagolide, pergolide and pramipexole. The term "composition" as used herein is intended to encompass a product comprising specified ingredients in predetermined amounts or proportions, as well as any product which results, directly or indirectly, from combination of the specified ingredients in the specified amounts. This term in relation to pharmaceutical compositions is intended to encompass a product comprising one or more active ingredients, and an optional carrier comprising inert ingredients, as well as any product which results, directly or indirectly, from combination, complexation or aggregation of any two or more of the ingredients, or from dissociation of one or more of the ingredients, or from other types of reactions or interactions of one or more of the ingredients.

In general, pharmaceutical compositions are prepared by uniformly and intimately bringing the active ingredient into association with a liquid carrier or a finely divided solid carrier or both, and then, if necessary, shaping the product into the desired formulation. In the pharmaceutical composition the active compound, which is a compound of formulae (I) to (III), is included in an amount sufficient to produce the desired effect upon the process or condition of diseases. Accordingly, the pharmaceutical compositions of the present invention encompass any composition made by admixing a compound of the present invention and a pharmaceutically acceptable carrier.

The carrier may take a wide variety of forms depending on the form of preparation desired for administration, e.g., oral or parenteral (including intravenous). Thus, the

pharmaceutical compositions of the present invention can be presented as discrete units suitable for oral administration such as capsules, cachets or tablets each containing a predetermined amount of the active ingredient. Further, the compositions can be presented as a powder, as granules, as a solution, as a suspension in an aqueous liquid, as a non-aqueous liquid, as an oil- in-water emulsion or as a water-in-oil liquid emulsion. In addition to the common dosage forms set out above, the compounds of the invention, or pharmaceutically acceptable salts thereof, may also be administered by controlled release means and/or delivery devices.

Pharmaceutical compositions intended for oral use may be prepared according to any method known to the art for the manufacture of pharmaceutical compositions and such compositions may contain one or more agents selected from the group consisting of sweetening agents, flavoring agents, coloring agents and preserving agents in order to provide

pharmaceutically elegant and palatable preparations. Tablets may contain the active ingredient in admixture with non-toxic pharmaceutically acceptable excipients which are suitable for the manufacture of tablets. These excipients may be, for example, inert diluents, such as calcium carbonate, sodium carbonate, lactose, calcium phosphate or sodium phosphate; granulating and disintegrating agents, for example, com starch, or alginic acid; binding agents, for example starch, gelatin or acacia, and lubricating agents, for example magnesium stearate, stearic acid or talc. The tablets may be uncoated or they may be coated by known techniques to delay disintegration and absorption in the gastrointestinal tract and thereby provide a sustained action over a longer period.

A tablet containing the composition of this invention may be prepared by compression or molding, optionally with one or more accessory ingredients or adjuvants.

Compressed tablets may be prepared by compressing, in a suitable machine, the active ingredient in a free-flowing form such as powder or granules, optionally mixed with a binder, lubricant, inert diluent, surface active or dispersing agent. Molded tablets may be made by molding in a suitable machine, a mixture of the powdered compound moistened with an inert liquid diluent. Each tablet preferably contains from about 0.1 mg to about 500 mg of the active ingredient and each cachet or capsule preferably containing from about 0.1 mg to about 500 mg of the active ingredient.

Compositions for oral use may also be presented as hard gelatin capsules wherein the active ingredient is mixed with an inert solid diluent, for example, calcium carbonate, calcium phosphate or kaolin, or as soft gelatin capsules wherein the active ingredient is mixed with water or an oil medium, for example peanut oil, liquid paraffin, or olive oil.

Other pharmaceutical compositions include aqueous suspensions, which contain the active materials in admixture with excipients suitable for the manufacture of aqueous suspensions. In addition, oily suspensions may be formulated by suspending the active ingredient in a vegetable oil, for example arachis oil, olive oil, sesame oil or coconut oil, or in a mineral oil such as liquid paraffin. Oily suspensions may also contain various excipients. The pharmaceutical compositions of the invention may also be in the form of oil-in- water emulsions, which may also contain excipients such as sweetening and flavoring agents.

The pharmaceutical compositions may be in the form of a sterile injectable aqueous or oleaginous suspension, or in the form of sterile powders for the extemporaneous preparation of such sterile injectable solutions or dispersions. In all cases, the final injectable form must be sterile and must be effectively fluid for easy syringability. The pharmaceutical compositions must be stable under the conditions of manufacture and storage; thus, preferably should be preserved against the contaminating action of microorganisms such as bacteria and fungi.

Pharmaceutical compositions of the present invention can be in a form suitable for topical use such as, for example, an aerosol, cream, ointment, lotion, dusting powder, or the like. Further, the compositions can be in a form suitable for use in transdermal devices. These formulations may be prepared via conventional processing methods. As an example, a cream or ointment is prepared by mixing hydrophilic material and water, together with about 5 wt% to about 10 wt% of the compound, to produce a cream or ointment having a desired consistency.

Pharmaceutical compositions of this invention can also be in a form suitable for rectal administration wherein the carrier is a solid. It is preferable that the mixture forms unit dose suppositories. Suitable carriers include cocoa butter and other materials commonly used in the art.

By "pharmaceutically acceptable" it is meant the carrier, diluent or excipient must be compatible with the other ingredients of the formulation and not deleterious to the recipient thereof.

The terms "administration of or "administering a" compound should be understood to mean providing a compound of the invention to the individual in need of treatment in a form that can be introduced into that individual's body in a therapeutically useful form and therapeutically useful amount,, including, but not limited to: oral dosage forms, such as tablets, capsules, syrups, suspensions, and the like; injectable dosage forms, such as IV, IM, or IP, and the like; transdermal dosage forms, including creams, jellies, powders, or patches; buccal dosage forms; inhalation powders, sprays, suspensions, and the like; and rectal suppositories.

The terms "effective amount" or "therapeutically effective amount" means the amount of the subject compound that will elicit the biological or medical response of a tissue, system, animal or human that is being sought by the researcher, veterinarian, medical doctor or other clinician.

As used herein, the term "treatment" or "treating" means any administration of a compound of the present invention and includes (1) inhibiting the disease in an animal that is experiencing or displaying the pathology or symptomatology of the diseased (i.e., arresting further development of the pathology and/or symptomatology), or (2) ameliorating the disease in an animal that is experiencing or displaying the pathology or symptomatology of the diseased (i.e., reversing the pathology and/or symptomatology).

The compositions containing compounds of the present invention 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 term "unit dosage form" is taken to mean a single dose wherein all active and inactive ingredients are combined in a suitable system, such that the patient or person administering the drug to the patient can open a single container or package with the entire dose contained therein, and does not have to mix any components together from two or more containers or packages. Typical examples of unit dosage forms are tablets or capsules for oral administration, single dose vials for injection, or suppositories for rectal administration. This list of unit dosage forms is not intended to be limiting in any way, but merely to represent typical examples of unit dosage forms.

The compositions containing compounds of the present invention may

conveniently be presented as a kit, whereby two or more components, which may be active or inactive ingredients, carriers, diluents, and the like, are provided with instructions for preparation of the actual dosage form by the patient or person administering the drug to the patient. Such kits may be provided with all necessary materials and ingredients contained therein, or they may contain instructions for using or making materials or components that must be obtained independently by the patient or person administering the drug to the patient.

When treating or ameliorating a disorder or disease for which compounds of the present invention are indicated, generally satisfactory results are obtained when the compounds of the present invention are administered at a daily dosage of from about 0.1 mg to about 100 mg per kg of animal body weight, preferably given as a single daily dose or in divided doses two to six times a day, or in sustained release form. The total daily dosage is from about 1.0 mg to about 2000 mg, preferably from about 0.1 mg to about 20 mg per kg of body weight. In the case of a 70 kg adult human, the total daily dose will generally be from about 7 mg to about 1 ,400 mg. This dosage regimen may be adjusted to provide the optimal therapeutic response. The compounds may be administered on a regimen of 1 to 4 times per day, preferably once or twice per day.

The amount of active ingredient that may be combined with the carrier materials to produce a single dosage form will vaiy depending upon the host treated and the particular mode of administration. For example, a formulation intended for the oral administration to humans may conveniently contain from about 0.005 mg to about 2.5 g of active agent, compounded with an appropriate and convenient amount of carrier material. Unit dosage forms will generally contain between from about 0.005 mg to about 1000 mg of the active ingredient, typically 0.005, 0.01 mg, 0.05 mg, 0.25 mg, 1 mg, 5 mg, 25 mg, 50 mg, 100 mg, 200 mg, 300 mg, 400 mg, 500 mg, 600 mg, 800 mg or 1000 mg, administered once, twice or three times a day.

It will be understood, however, that the specific dose level and frequency of dosage for any particular patient may be varied and will depend upon a variety of factors including the activity of the specific compound employed, the metabolic stability and length of action of that compound, the age, body weight, general health, sex, diet, mode and time of administration, rate of excretion, drug combination, the severity of the particular condition, and the host undergoing therapy.

Several methods for preparing the compounds of this invention are illustrated in the schemes and examples herein. Starting materials are made according to procedures known in the art or as illustrated herein. The following examples are provided so that the invention might be more fully understood.

The following examples are provided to illustrate the invention and are not to be construed as limiting the scope of the invention in any manner.

EXAMPLE 1

5-[(6-Chloropyridin-3-yl)methyl]-8-[(7S, 2,S)~2-hydroxycyclohexyl]-l ,8-phenanthrolin-7(8H)- one

Bredereck's reagent

140°C wave

To a solution of methyl 8-hydroxyquinoline-7-carboxylate in 20 mL of pyridine cooled to -5 °C was added trifluoromethanesulfonic anhydride (4.03 mL 23.9 mmol). The mixture was warmed to rt₅ and after 1 h, poured into 150 mL of ice water. After stirring for 30 min, a solid was collected via filtration, washed 3x with water, and dried to provide methyl 8- {[(trifluoromethyI)sulfonyl]oxy}quinoline-7-carboxylate that gave a proton NMR spectra consistent with theory.

To a solution of the above compound (1.60 gO, 4.77 mmol) in 15 mL of DMF under an atmosphere of nitrogen was added lithium chloride (1.01 g, 23.9 mmol), tetramethyl tin (1.46 mL, 10.5 mmol), and bis(triphenylphosphine)palladium(II) chloride (0.167 g, 0.239 mmol). The mixture was heated to 110 °C for 3 h, then cooled to rt and diluted with ethyl acetate. The organic solution was washed lx with saturated aqueous sodium bicarbonate, 3x with water, and lx with brine, dried over magnesium sulfate, filtered, and concentrated in vacuo. The residue was purified via silica gel chromatography, eluting with 0-30% ethyl acetate in hexanes to provide methyl 8-methylquinoline-7-carboxylate that gave a mass ion (ES+) of 202.0 for [M+H]⁺. To a solution of the above compound (0.200 g, 0.497 mmol) and silver sulfate (0.077 g, 0.25 mmol) in 0.5 mL of concentrated sulfuric acid was added bromine (0.026 mL, 0.50 mmol). After 1 h, the mixture was poured into 100 mL of ice water and neutralized with 5.0 N aqueous sodium hydroxide to pH > 9. After 5 min, a white solid was collected via filtration and washed 5x with dichloromethane to provide methyl 5~bromo-8-methylquinoline-7-carboxylate that gave a proton NMR spectra consistent with theory.

A suspension of the above compound (0.309 g, 1.10 mmol) in tert- butoxybis(dimethylamino)methane (Bredereck's reagent, 2.98 mL, 14.3 mmol) was irradiated in a microwave reactor at 140 °C for 1.5 h, cooled to rt, and concentrated in vacuo to provide methyl 5 -bromo- 8- [(2-(dimethylamino)ethenyl] quinoline- 7-carboxylate.

To a solution of the above compound (0.150 g, 0.447 mmol) in 2 mL of DMF was added (IS, 25 -2~aminocyclohexanol (0.103 g, 0.895 mmol). The mixture was heated to 90 °C for 15 h, cooled to rt, filtered, and diluted with ethyl acetate. The organic solution was washed with water and brine, dried over sodium sulfate, filtered, and concentrated in vacuo. The residue was heated in a 20% solution of ethyl acetate in hexanes, cooled to rt, and collected via filtration to provide S-bromo-S-f iS, 2iS)-2-hydroxycyclohexyl]-l,8-phenanthrolin-7(8H)-one that gave a mass ion (ES+) of 375.2 (81 Br) for [M+H]⁺.

To a round bottom flask containing a solution of the above compound (0.150 g, 0.402 mmol) in 5 mL of THF under an atmoshpere of nitrogen was added (2-chloro-5-pyridyl)methylzinc chloride (0.5 M in THF, 1.00 mL, 0.502 mmol) and bis(tri-tert-butylphosphine)palladium(0) (0.010 g, 0.020 mmol). The reaction was heated to 60 °C for 4 h, then cooled to rt and diluted with dichloromethane and water. A beige solid was removed via filtration, and the filtrate was partitioned. The aqueous layer was extracted with dichloromethane and the combined organic fractions were washed with brine, dried over sodium sulfate, filtered, and concentrated in vacuo. The residue was purified via silica gel chromatography, eluting with 20-80% ethyl acetate in hexanes, to provide the title compound that gave proton NMR spectra consistent with theory and a mass ion (ES+) of 420.0 for [M+H]⁺: 1H NMR (400 MHz, CD₃OD) δ 9.00 (dd, J = 4.0, 1.6 Hz, 1H)_} 8.36 (d, J - 2.4 Hz, 1H), 8.33 (s, 1H), 8.20 (dd, J = 8.8, 2.0 Hz, 1H), 7.96 (d, J - 7.6 Hz, 1H), 7.54 (dd, J= 8.4, 4.4 Hz, 1H), 7.49 (d, J - 7.6 Hz, 1H), 7.38 (dd, J = 8.4, 2.8 Hz, 1H), 7.18 (d, J= 8.4 Hz, 1H), 4.98 (br s, 1H), 4.46 (s, 2H), 3.87 (br s, 1H), 2.24-2.28 (m, 1H), 2.23 (d, J= 7.2 Hz, 1H), 2.02-2.05 (m, 1H), 1.89-1.92 (m, 2H), 1.75-1.84 (m, 1H), 1.41-1.61 (m, 2H).

EXAMPLE 2

Synthesis of (3R, ^S)-4-aminotetrahydro-2H-pyran~3-ol.

O 10 vol% DMSO o

A jacketed flask equipped with an overhead stirrer and a thermocouple was charged with 23.0 L of MeOH, and cooled to 5 °C. Potassium hydroxide (1.574 kg, 28.05 mol) was added to the flask, and the resulting solution was aged until homogeneous and recooled to 5 °C. Tetrahydro- H-pyran-4-one (1.00 kg, 10.0 mol) was then added at a steady rate over 20 min, and the resulting solution was aged for 20-30 min. A solution of iodine (2.778 kg, 10.95 mol) in 18.5 L of MeOH was then added via mechanical pump at a steady rate over 90-100 minutes. After an additional 30 min, the solution was warmed to rt and toluene (42.0 L) was added. The resulting slurry was concentrated in vacuo to a volume of ~8.4 L. Additional toluene (8.4 L) was added and the resulting solution was concentrated to a volume of 8.4 L 2x. The resulting slurry was then filtered, and the filter cake was rinsed 2x with toluene (4.0 L). The combined toluene streams were concentrated to ~6 L, and the product is extracted 2x with water (3.0 L) to provide 4,4-dimethyoxytetrahydro-2H-pyran-3-ol.

To a solution of the above compound (1.00 kg, 6.17 mol) in 5 L of water was added acetic acid to pH 5.2-5.4. The mixture was diluted with acetonitrile (4.0 L) and ruthenium trichloride hydrate (6.4 g„ 0.028 mol) was added and rinsed in with additional acetonitrile (1.0 L). The flask was placed in a rt water bath and a solution of sodium bromate (650 g, 4.31 mol) in water (1.95 L) was added slowly over -30 rnin, keeping the temperature below 30 °C. After 2 h, potassium bicarbonate (430 g, 4.30 mol), sodium thiosulfate (1.07 kg, 4.31 mol), potassium chloride (500 g, 6.71 mol) and acetonitrile (5 L) were added sequentially. The layers were separated and the aqueous layer was extracted 3x with acetonitrile (10 L). The combined organic extracts were concentrated to ~4 L. Toluene (5 L) was then added and the mixture reconcentrated to 4 L 4x. The mixture was diluted with toluene (7 L) and filtered to remove solids. The filtercake was washed 3x with toluene (2 L) and the combined filtrate and washes were concentrated to a total volume of 3 L to provide an organic solution of 4,4-dimethoxydihydro-2H-pyran-3(ⁱ H)-one.

To a 3L 3 -neck RB flask with overhead stirring, thermocouple and heating mantle was added sodium dihydrogenphosphate (96.0 g, 800 mmol) in 1.6 L of water. Sodium hydroxide (29 mL, 50 wt%) was added to H 7.13, followed by hydrochloric acid (5 mL, 6 iV) to pH 7.02.

The above organic solution of 4,4-dimethoxydihydro-2H-pyran-3('iH)-one was extracted 3x with phosphate buffered water (0.55 L). To the combined aqueous extracts was added D-glucose (180 g, 100 mmol), and the solution was heated to 30 °C. When the solution exceeded 27 °C upon heating B-NADP+ (1.60 g, 499 mmol), GDH-103 (1.60 g, 499 mmol), and KRED-130 (1.60 g, 499 mmol) were added and the mixture was stirred for 17 h at 30 °C. Potassium chloride (200g, 2.68 mol) and acetonitrile (1.3 L) were added. After 30 min, the reaction mixture was transferred to 6 L sep funnel and additional MeCN (0.67 L) and toluene (0.87 L) were added. The aqueous layer was back extracted Ix with a mixture of acetonitrile (1.95 L) and toluene (0.65 L), and lx with acetonitrile (1.5 L). The combined organic extracts were concentrated in vacuo to provide (3^-4,4-dimethoxytetrahydro-2H-pyran-3~ol.

To a 2L RB flask with overhead stirring, thermocouple, heating mantle and N₂ inlet was added a solution of the above compound (72.0 g, 0.444 mol) in 750 mL of THF. After 15 h_s sodium tert- butoxide (48.3 g, 492 mmol) was added in one portion, and the mixture was heated to 35 °C for 1 h, and aged at 22 °C for lhr. Telxabutylammonium iodide (8.19 g, 22.2 mmol) and benzyl bromide (56.5 ml, 466 mmol) were added, and the mixture was heated to 50°C for 2 h. The solution was cooled to 25 °C, and water (750 mL) and MtBE (2.25 L) were added. The organic layer was separated from the aqueous and concentrated in vacuo. The resultant brown oil was purified via silica gel chromatography, eluting with 0-15% ethyl acetate in hexanes to provide (3S)-3 -(benzylyoxy)-4 ,4-dimethoxytetrahydro-2H-pyran. To a solution of the above compound (61.1 g, 225 mmol ) in 300 mL of THF was added 2 N HC1 (300 mL, 0.600 mol). After 1.5 h, saturated aqueous potassium carbonate (60 mL) was added via addition funnel to pH 7.4. The aqueous layer was extracted 3x with MtBE (300 mL) and the combined organic extracts were concentrated in vacuo to provide crude (3S)-3~ (benzyloxy)tetrahydro-4H-pyran-4-one.

To a solution of L- Alanine (200 g, 2.24 mol), sodium formate (76.0 g, 1.12 mmol), and sodium phosphate dibasic (28.7 g, 202 mmol) in 2.25 L of water adjusted to pH 7.5 was added NAD (2.2 g, 3.21 mmol), pyridoxal- 5 -phosphate (2.2 g, 8,90 mmol), LDH (0,45 g, 0.22 mol), FDH (4.5 g, 0.20 mol), and TA P1G5 (4.5 g, 0.22 mol). After all the components were completely dissolved, (J5 -3-(benzyloxy)tetrahydro- H-pyran-4~one (45 g, 0.22 mol) was added and the pH was adjusted to pH 7.25 with 6 N HC1 and aged at 30 °C. After 15 h, potassium carbonate (700 g, 5.06 mol) was added slowly, followed by ethyl acetate (2.2 L). The mixture was filtered through a bed of Solka Floe and the cake was washed with ethyl acetate (250 mL). The combined filtrates were separated and the aqueous layer was extracted a second time with ethyl acetate (2 L). The combined organic extracts were concentrated in vacuo to provide crude (3R, 4S)-3- (benzyloxy)tetrahydro-2H-pyran-4-amine.

To a solution of the above compound (38.8 g, 0.187 mol) in 730 mL of methanol was added concentrated hydrochloric acid (23.3 mL). The solution was subjected to hydrogenation at 40 psi ¾, 25 °C over 5.8 g of 10% Pd/C (5.8 g). After 15 h, the mixture was filtered through solka floe and the filtercake was washed 5x with methanol (100 mL). The combined filtrate and washes were concentrated in vacuo to provide (3R, 45)-4-aminotetrahydro-2H-pyran-3-ol that gave proton NMR spectra consistent with theory. Synthesis of 5-(chloromethyl)-2-methoxypyridine.

To a solution of metliyl 6-methoxynicotinate (1.00 g, 5.98 mmol) in 20 mL of THF at 0 °C under an atmosphere of nitrogen was added lithium aluminum hydride (1.0 M in THF, 9.0 mL, 9.0 mmoi) dropwise. After 30 min, the reaction was warmed to rt, and after 30 min, the reaction was recooled to 0 °C, diluted with diethyl ether, and treated with water (0.34 mL), 15% aqueous sodium hydroxide (0.34 mL), and additional water (1.02 mL). The mixture was dried over magnesium sulfate and wanned to rt. After 15 min, the mixture was filtered through celite and concentrated in vacuo to provide (6-methoxypyridin-3-yl)methanol that gave a proton NMR spectra consistent with theory.

To a solution of the above compound (1.00 g, 7,19 mmoi) in 25 mL of dichloromethane at 0 °C was added thionyl chloride (1.57 mL, 21.6 mmoi). After 15 h, the mixture was concentrated in vacuo to provide 5-(chloromethyl)-2-methoxypyridine.

1 ,5-Anhydro-3-(5-bromo-7-oxo-l ,8-phenanthrolin-8(7H)-yl)-2_i3-dideoxy-L-t ireo-pentitol was prepared by the procedure described for the synthesis of 5-bromo-8-[(iS', 2S)-2- hydroxycyclohexyl]-l,8-phenanthrolin-7(8H)-one in ^"Example 1, substituting(5J?, 4S)-4- aminotetrahydro-2H-pyran-3-ol for (IS, 25)-2-aminocyclohexanol.

To a solution of l,5-anhydro-3-(5-bromo-7-oxo-l_J8-phenantlirolin-8(7H)-yl)-2,3-dideoxy-L- r/zreo-pentitol (0.080 g, 0.21 mmoi) in a mixture of 4 mL of 1,2-dimethoxyethane and 0.030 mL of water under an atmostphere of nitrogen was added potassium acetate (0.084 g, 0.85 mmoi), bis(pinacolato)diboron (0.068 g, 0.27 mmoi), and [l,l '-bis(diphenylphosphino)- ferrocene]dichloro-palladium(II), 1 : 1 complex with dichloromethane (0.017 g, 0.021 mmoi). The reaction was heated to 100 °C for 15 h, cooled to rt, and diluted with dichloromethane and water. The mixture was filtered through celite and the filtrate was partitioned. The organic fraction was dried over sodium sulfate, filtered, and concentrated in vacuo. The residue was purified via silica gel chromatography, eluting with 0-10% methanol in dichloromethane, to provide 1₅5-anhydro-2,3-dideoxy-3-[7-oxo-5-(4,4,5,5-tetramethyI- 1 ,3 ,2-dioxaborolan-2-yl)~l ,8- phenanthroline-8(7H)-yl]-threo-pentitol that gave a mass ion (ES+) of 423.3 for [M+H]⁺.

To a solution of the above compound (0.033 g, 0.078 mmoi) in a mixture of 1.4 mL of THF and 0.15 mL of water under an atmosphere of nitrogen was added 5-(chlororaethyl)-2- methoxypyridine hydrochloride (0.024 g, 0.12 mmoi), cesium carbonate (0.061 g, 0.19 mmoi), and [l, -bis(diphenylphosphino)ferrocene]dichloro-palladium(II), 1 : 1 complex with dichloromethane (9.0 mg, 0.011 mmoi). The mixture was heated to 100 °C for 15 h, cooled to rt, and diluted with ethyl acetate. The organic solution was washed with saturated aqueous sodium bicarbonate and brine, dried over sodium sulfate, filtered, and concentrated in vacuo. The residue was purified via silica gel chromatography, eluting with 15-80% ethyl acetate in hexanes, to provide the title compound that gave a proton NMR spectra consistent with theory and a mass ion (ES+) of 418.0 for [M+Hf : Ή NMR (400 MHz, CDC1₃) δ 8.99 (dd, J = 4.0, 1.6 Hz, 1H), 8.27 (dd, J = 7.2, 1.2 Hz, 1H), 8.25 (s, 1H), 8.07 (d, J = 2.4 Hz, 1H), 7.99 (d, J = 7.6 Hz, 1H), 7.52 (dd, J= 8.4, 4.4 Hz, 1H), 7.48 (d, J= 7.6 Hz, 1H), 7.33 (dd, J= 8.4, 2.4 Hz, 1H), 6.62 (d, J - 8.8 Hz, 1H), 5.17-5.24 (m, 1H), 4.38 (s, 2H), 4.23 (dd, J - 10.8, 5.2 Hz, 1H), 4.12 (dd, 7 = 10.8, 3.6 Hz, 1H), 3.95-4.01 (m, 1H), 3.89 (s, 3H), 3.58-3.64 (m, 1H), 3.38 (t, J= 10.8 Hz, 1H), 2.1 1-2.21 (m, 1H), 1.98-2.05 (m, 1H).

EXAMPLE 3

8-[(7£, 2S)-2-Hydroxycyclohexyl] - 5 - { [6-methylsulfanyl)pyridin- 3 ~yl]methyl } - 1 , 8 -phenanthro lin-

7(8H)-one

Synthesis of 5~(chloromethyl)-2-(methylthio)pyridine.

To a solution of 6-fluoronicotinic acid (0.995 g, 7.05 mmol) in 14 mL of DMSO was added sodium thiomethoxide (1.24 g, 17.6 mmol). The mixture was heated 80 °C for 1 h, cooled to rt, and treated with concentrated hydrochloric acid (4.5 mL, 0.054 mol). After 15 min, the mixture was diluted with ethyl acetate and concentrated in vacuo to provide 6-(methylthio)nicotinic acid that gave a mass ion (ES+) of 170.1 for [M+H]⁺. To a solution of the above compound (1.19 g, 7.05 mmol) in a mixture of 20 mL of dichloromethane and 10 mL of methanol was added (trimethylsilyl)diazomethane (2.0 M in hexanes, 17.6 mL, 35.3 mmol). After 16 h_} the mixture was diluted with water and extracted 2x with ethyl acetate. The combined organic fractions were washed with brine, dried over sodium sulfate, filtered, and concentrated in vacuo to provide methyl 6-(methylthio)nicotinate that gave proton NMR spectra consistent with theory and a mass ion (ES+) of 184.0 for [M+H]⁺.

To a solution of the above compound (0.484 g, 2.64 mmol) in a mixture of 5 mL of diethyl ether and 5 mL of dichloromethane at 0 °C was added lithium borohydride (0.086 g, 4.0 mmol) and methanol (0.16 mL, 4.0 mmol). After 5 min, the reaction was warmed to rt, and after 3 h, additional lithium borohydride (0.086 g, 4.0 mmol) and methanol (0.16 mL, 4.0 mmol) were added. After 2 h, the mixture was treated with saturated aqueous sodium bicarbonate and extracted 3x with dichloromethane. The combined organic solution was dried over sodium sulfate, filtered, and concentrated in vacuo. The residue was purified via silica gel chromatography, eluting with 0-100% ethyl acetate in hexanes to provide [6- (methylthio)pyridine-3-yl]methanol that gave proton NMR spectra consistent with theory and a mass ion (ES+) of 156.0 for [M+H]⁺.

To a solution of the above compound (0.155 g, 0.999 mmol) in 10 mL of dichloromethane at 0 °C was added thionyl chloride (0.087 mL, 1.2 mmol). After 45 min, the mixture was concentrated in vacuo to provide 5-(chloromethyl)-2-(methylthio)pyridine that gave proton NMR spectra consistent with theory and a mass ion (ES+) of 174.0 for [M+H]⁺.

The title compound was prepared by the procedure described for the synthesis of 1,5-anhydro- 2₅3-dideoxy-3~{5-[(6-methoxypyridin~3-yl)m

pentitol in Example 2, substituting (IS, 2S)-2-aminocyclohexanol for (3R, 4S)-4- aminotetrahydro-2H-pyran-3-ol and substituting 5-(chloromethyl)-2-(methylthio)pyridine for 5- (chloromethyl)-2-methoxypyridine. The resultant yellow solid gave a proton NMR spectra consistent with theory and a mass ion (ES+) of 431.95 for [M+H]⁺: 1H NMR (400 MHz, CDC1₃) 5 8.97 (dd, J - 4.0, 1.6 Hz, 1H), 8.38 (d, J - 2.0 Hz, 1H), 8.27 (s, 1H), 8.20 (dd, J - 8.4, 1.2 Hz, 1H), 7.92 (d, J= 7.6 Hz, 1H), 7.46-7.50 (m, 2H), 7.22 (dd, J= 8.4, 2.4 Hz, 1H), 7.02 (dd, J= 8.4, 0.8 Hz, 1H), 4.97 (br s, 1H), 4.37 (s, 2H), 3.87 (br s, 1H), 2.58 (d, J= 5.6 Hz, 1H), 2.52 (s, 3H), 2.25-2.29 (m, 1H), 2.01-2.04 (m, 1H), 1.88 (d, J - 12.4 Hz, 2H), 1.74-1.84 (m, 1H), 1.37-1.64 (m, 3H).

EXAMPLE 4 5 - { [2-Diftuoromethoxy)pyridine-4-yl] methyl } - 8 - [(IS, 25)-2-hydroxycyclohexyl] -1,8- phenanthrolin-7(8H)-one

Synthesis of [2-(difluoromethoxy)pyridine-4-yl]methanol.

To a solution of 2-oxo-l₅2-dihydropyridine-4-carbaldehyde (1.72 g, 11.3 mmol) in 25 mL of acetonitrile was added sodium chlorodifluoroacetate (0.925 g, 7.51 mmol). The reaction was heated to reflux under an atmosphere of nitrogen for 15 h, and then DMF (3 mL) was added. The mixture was heated to 100 °C for 3 d, cooled to it, and diluted with ethyl acetate. The organic solution was washed with brine, dried over sodium sulfate, filtered, and concentrated in vacuo to provide 3 -(difluoromethoxy)benzaldehyde .

To a solution of the above compound (1.30 g, 7.51 mmol) in 20 mL of methanol was added sodium borohydride (0.284 g, 7.51 mmol). After 3h, the reaction was diluted with brine, and the methanol was removed in vacuo. The remaining solution was diluted with dichloromethane, washed with brine, dried over sodium sulfate, filtered, and concentrated in vacuo. The residue was purified via silica gel chromatography, eluting with 0-30% ethyl acetate in hexanes to provide [2-(difluoromethoxy)pyridine-4-yl]methanol that gave proton NMR spectra consistent with theory and a mass ion (ES+) of 176.1 for [M+H]⁺.

The title compound was prepared by the procedure described for the synthesis of 1,5-anhydro- 2,3-dideoxy-3 - { 5 - [(6-methoxypyridin-3-yI)methyl] -7-oxo- 1 ,8-phenanthrolin-8(7H)-yl } -L-threo- pentitol in Example 2, substituting (IS, 25)-2-aminocycIohexanol for (3R, 4S)-4- aminotetrahydro-2H-pyran-3-ol and substituting [2-(difiuoromethoxy)pyridine-4-yl3methanol for (6-methoxypyridin-3-yl)methanol. The resultant yellow solid gave a proton NMR spectra consistent with theory and a mass ion (ES+) of 451.9 for [M+H]⁺: 1H NMR (400 MHz, CDC1₃) 5 9.00 (dd, J = 4.0, 2.4 Hz, 1H), 8.34 (s, 1H), 8.12 (d, J= 8.4 Hz, 1H), 8.04 (d, J - 5.2 Hz, 1H), 7.96 (d, J = 7.6 Hz, 1H), 7.48-7.54 (m, 2H), 7.41 (t, J = 73.2 Hz, 1H), 6.91 (d, J- 5.2 Hz, 1H), 6.68 (s, 1H), 4.98 (br s_s 1H), 4.46 (s, 2H), 3.88 (br s, 1H), 2.34 (d, J- 7.2 Hz, 1H), 2.26-2.29 (m, 1H), 2.02 (br s, 1H), 1.90 (d, J= 9.2 Hz, 2H), 1.74-1.84 (m, 1H), 1.41-1.63 (m, 3H).

EXAMPLE 5

8-[(15,25 -2-hydroxycyclohexyl]-5-{[6-(l-methyl-l)-2-hydroxycyclohexyl]-5-{[6-(l-methyl - pyrazol-4-yl)pyri lin-7(8H)-one

To a pressure vessel was charged Pd(dppf)Cl₂ (CH2C12 adduct, 341 mg, 0.418 mmol) and potassium phosphate (1.48 g, 6.97 mmol). Nitrogen was blown over the solids and THF (8 n L) and H₂0 (1.6 mL) were added. A solution of 2-chloro-5-hydroxymethyipyridine (500 mg, 3.48 mmol) and 1 -methylpyrazole-4-boronic acid pinacol ester (797 mg, 3.83 mmol) was added; the resulting solution was capped and heated at 80 °C overnight, then cooled to rt and diluted with ethyl acetate. The organic solution was washed lx with saturated aqueous sodium bicarbonate and lx with brine, dried over sodium sulfate, filtered, and concentrated in vacuo. The residue was purified via silica gel chromatography, eluting with 30-100% ethyl acetate in hexanes to provide [6-(l-methyl-lH-pyrazoi-4-yl)pyridin-3-yl]metlianol that gave a mass ion (ES+) of 190.1 for [M+Hf .

The title compound was prepared by the procedure described for the synthesis of 1 ,5-anhydro- 2 , 3 -dideoxy-3- { 5- [(6-methoxypyridin-3 -yl)methyl] -7-oxo- 1 , 8 -phenanthrolin-8(7H)-yl } -L-threo- pentitol in Example 2, substituting (IS, 25)-2-aminocyclohexanol for (3R, 4S)~4- aminotetrahydro-2H-pyran-3-ol and substituting 6-(l -methyl- lH-pyrazol-4-yl)pyridin-3- yl]methanol for (6-methoxypyridin-3-yl)methanol. The crude residue was purified via silica gel chromatography, eluting with 15-80% ethyl acetate in hexanes, followed by reversed phase chromatography, eluting with 15-80% MeCN in water. The resultant white solid gave a proton NMR spectra consistent with theory and a mass ion (ES+) of 466.0 for [M+H]⁺: 1H NMR (400 MHz, CDC1₃) δ 9.97 (dd, J= 4.4, 2.0 Hz, 1H), 8.49 (d, J- 1.6 Hz, 1H), 8.30 (s, 1H), 8.23 (dd, J = 8.4, 1.6 Hz, 1H), 7.93 (d, J = 7.6 Hz, 1H), 7.85 (d, J - 8.4 Hz, 2H), 7.46-7.50 (m, 2H), 7.34 (dd, J= 8.0, 2.4 Hz, 1H), 7.25-7.28 (m, 1H), 4.98 (br s, 1H), 4.42 (s, 2H), 3.93 (s, 3H), 3.88 (br s, 1H), 2.72 (br s, 1H), 2÷25-2.29 (m, 1H), 2.01-2.04 (m, IE), 1.89 (d, J = 12.4 Hz, 2H), 1.71-1.91 (m, 1H)_S 1.37-1.62 (m, 3H).

EXAMPLE 6

A solution of S-KiS', 2₍S)-2-hydroxycyclohexyl]-5-{[6-methylsulfanyl)pyridin-3-yl]methyl}-l,8- phenanthroIin-7(8H)-one (40 mg, 0.093 mmol) in EtOH (1.9 mL) was treated with 0.22 g of Raney nickel slurry and heated at reflux for 3 h. Additional Raney nickel slurry (0.25 g) was added and heating continued for 1 hour (h). The gray suspension was filtered through Celite. The resulting filtrate was concentrated and dried in vacuo. The crude material was was purified via silica gel chromatography, eluting with 25-100% ethyl acetate in hexanes, followed by elution with 0-15% MeOH in CH₂CI₂. The resultant off-white solid gave a proton NMR spectra consistent with theory and a mass ion (ES+) of 386.0 for [M+H]⁺: 1H NMR (400 MHz, CDC1₃) δ 8.95 (dd, J = 4.4, 1.6 Hz, 1H), 8.55 (d, J = 1.6 Hz, 1H), 8.42 (dd, J- 4.4, 1.2 Hz, 1H), 8.21 (s, 1H), 8.13 (dd, J = 8.4, 1.6 Hz, 1H), 7.90 (d, J- 7.2 Hz, 1H), 7.48 (d, J- 7.6 Hz, 1H), 7.44 (dd, J = 8.4, 4.0 Hz, 1H), 7.34-7.36 (m, 1H), 7.1 1 (dd, J = 8.0, 4.8 Hz, 1H), 4.97 (br s, 1H), 4.39 (s, 2H), 3.90 (br s, 1H), 2.25-2.30 (m, 1H), 2.00-2.04 (m, 1H), 1.87 (d, J = 8.0 Hz, 1H), 1.69-1.78 (m, 1H), 1.37-1.64 (m, 3H). The following compounds in Table 1 were prepared according to the general procedure described in the Examples 1, 2, 3, and/or 4, substituting the appropriate reagents. The starting materials are either commercially available, known in the literature or may be prepared from commercially available reagents using conventional reactions well known in the art.

Table 1

Biological Utility

The utility of the compounds as Ml receptor positive allosteric modulators may be demonstrated by methodology known in the art, including by the assay described below. The assay is designed to select compounds that possess modulator activity at the acetylcholine muscarinic Ml receptor or other muscarinic receptors expressed in CHOnfat cells by measuring the intracellular calcium with a FLIPR.384 Fluorometric Imaging Plate Reader System. The assay studies the effect of one or several concentrations of test compounds on basal or acetylcholine-stimulated Ca2+ levels using FLIPR.

Compounds are prepared and subjected to a preincubation period of 4 min. Thereafter, a single EC20 concentration of acetylcholine is added to each well (3 nM final). The intracellular Ca2+ level of each sample is measured and compared to an acetylcholine control to determine any modulatory activity.

Cells: CHOnfat/hMl, hM2, hM3 or hM4 cells are plated 24 hr before the assay at a density of 18,000 cells/well (100 μΐ) in a 384 well plate. CHOnfat/hMl and CHOnfat hM3 Growth Medium: 90% DMEM (Hi Glucose); 10% HI FBS; 2 mM L-glutamine; 0.1 mM NEAA; Pen-Strep; and lmg/ml Geneticin, are added. For M2Gqi5CHOnfat and M4Gqi5CHOnfat cells, an additional 600 ug/ml hygromycin is added.

Equipment: 384 well plate, 120 ί addition plate; 96-well Whatman 2 ml Uniplate Incubator, 37 °C, 5% CO2; Skatron EMBLA-384 Plate Washer; Multimek Pipetting System;

Genesis Freedom 200 System; Mosquito System; Temo Nanolitre Pipetting System; and

FLIPR384 Fluorometric Imaging Plate Reader System are used.

Buffers. Assay Buffer: Hanks Balanced Salt Solution, with 20 mM Hepes, 2.5 mM Probenecid (Sigma P-8761) first dissolved in 1 N NaOH, 1% Bovine Serum Albumm (Sigma A- 9647). Dye Loading Buffer: Assay Buffer plus 1% Fetal Bovine Serum and Fluo-4AM Pluronic Acid Mixture. 2 mM Fluo-4AM ester stock in DMSO (Molecular Probes F- 14202)

Concentration of 2 μΜ in buffer for a final concentration of 1 μΜ in Assay. 20% Pluronic Acid Solution stock, with concentration of 0.04% in Buffer, 0.02% in Assay.

65 xL of 2 mM Fluo-4AM are mixed with 130 of 20%» Pluronic Acid. The resulting solution and 650 iL FBS is added to the assay buffer for a total volume of 65 mL. Positive Controls: 4-Br- A23187: 10 mM in DMSO; final concentration 10 μΜ. Acetylcholine: 10 mM in water, working stock at both 20 μΜ and 30 μΜ in assay buffer, final concentration of 10 μΜ. This is used to check the maximum stimulation of the CHOKl/hMl cells. 20 μΜ (2x) acetylcholine is added in the preincubation part of the assay, and the 30 μΜ (3x) stock is added in the second part. (EC20)Acetylcholine: 10 mM in water, working stock of 9 nM (3x)₅ and final concentration in assay is 3 nM. This is used after the preincubation with test compounds. Addition of the EC20 Acetylcholine to each well with a test compound will ascertain any modulator activity. 24 wells contain 3nM Acetylcholine alone as a control.

Determining Activity of Putative Compounds:

Screening Plate: Compounds are titrated in 96-well plates (columns 2-11), 100% DMSO, started at a concentration of 15 mM (150x stock concentration), and 3 -fold serial dilutions using Genesis Freedom200 System. Four 96-well plates are combined into a 384-well plate using Mosquito Nanolitre Pipetting System by transferring 1 μΐ of serial diluted compounds to each well, and 1 mM acetylcholine (lOOx stock concentration) were added as a control. Using Temo, 49 μΐ assay buffer is added to each well of the 384-well plate right before assay.

In a 96-well Whatman 2ml Uniplate, 9 nM Acetylcholine (3x) is pipetted into wells corresponding to the screening compounds, and into control wells. The 30 μΜ acetylcholine control (3x) is added into control wells, and the 3x agonist plate is transferred into a 384 well plate.

Cells are washed three times with 100 μΐυ of buffer, leaving 30μΙ, of buffer in each well. Using Multimek, 30 μΐ, of Dye Loading Buffer is added into each well and incubated at 37 °C, 5% CO2 for up to one hr.

After 60 min, the cells are washed three times with 100 μΐ, of buffer, leaving 30 μί of buffer i each well. The cell plate, screening plate, and agonist addition plates are placed on the platform in the FLIPR and the door closed. A signal test to check background fluorescence and basal fluorescence signal is performed. Laser intensity is adjusted if necessary.

4 min of preincubation with the test compounds is provided to determine any agonist activity on the Ml receptor by comparison to the 1 mM acetylcholine control. After

preincubation, the EC20 value of acetylcholine (3 nM final) is added to determine any modulator activity.

A further description of the muscarinic FLIPR assay can be found in International patent application WO2004/073639.

In particular, the compounds of the following examples had activity in the

aforementioned assay, generally with an IP (inflection point) of 10 μΜ (10,000 nM) or less. The inflection point is calculated from the FLIPR values, and is a measure of activity. Such a result is indicative -of the intrinsic activity of the compounds in use as Ml allosteric modulators.

IP values from the aforementioned assay for representative exemplary compounds of the invention (as described herein) are provided below in Table 1 below:

The following abbreviations are used throughout the text:

Me: methyl

Et: ethyl

Bu: butyl

t-Bu: fert-butyl

Ar: aryl

Ph: phenyl

Bn: benzyl

DMF: dimethylformamide

Ac: acetyl

DMSO: dimethylsulfoxide

DMEM: Dulbecco's Modified Eagle Medium (High Glucose)

FBS: fetal bovine serum

rt: room temperature

aq: aqueous

HPLC: high performance liquid chromatography

MS: mass spectrometry

LDH lactate dehydrogenase

FDH formate dehydrogenase

NAD nicotinamide adenine dinucleotide

B-NADP beta-nicotinamide adenine dinucleotide phosphate

CDX TA P1G5 **

GDH-103 **

KRED-130 **

"Codex Transaminase panel enzyme P1G5 (commercially available from Codex (Redwood City, California,USA) panel products. While the invention has been described and illustrated with reference to certain particular embodiments thereof, those skilled in the art will appreciate that various adaptations, changes, modifications, substitutions, deletions, or additions of procedures and protocols may be made without departing from the spirit and scope of the invention. It is intended, therefore, that the invention be defined by the scope of the claims that follow and that such claims be interpreted as broadly as is reasonable.

Claims

What is claimed is:

1. A compound of formula (I):

and pharmaceutically acceptable salts thereof, wherein X represents -CH, or -O;

R represents C^-IO aryl or C5-10 heterocyclyl; wherein said aryl and heterocyclyl is optionally substituted with one or more of RX R^x represents:

of C;

RA and RB are independently selected from the group consisting of

(i) hydrogen,

(ii) -Ci-6 alkyl,

or RA and RB are linked together with the nitrogen to which they are both attached to form a 2- 6 membered carbocyclic ring, wherein one or two of the ring carbon atoms is optionally replaced by a nitrogen, oxygen or sulfur, and the carbocyclic is optionally substituted with one or more C 1-6 alkyl,

RC is selected from the group consisting of

(i) hydrogen, or

(ii) -Ci-6 alkyl, and n is 0, 1 or 2. 2. The compound according to claim 1 wherein R is pyridyl optionally substituted with 1 to 3 groups of R.

3. The compound according to claim 1 wherein R is phenyl optionally substituted with 1 to 3 groups of Rx

4. The compound according to claim 1 wherein X is CtT_?.

5. The compound according to claim 1 wherein X is O. 6. The compound according to claim 2 wherein X is CH2_> and Rx is selected from the group consisting of halogen, -O-Ci-6 alkyl, -Ci-g alkyl, said alkyl optionally substituted with 1 to 3 groups of halo, -S(0)_n-R^, and C5-10 heterocyclyl, said alkyl optionally substituted with 1 to 3 groups of halo; and said heterocyclyl optionally substituted with 1 to 3 groups of RC. The compound according to claim 2 wherein X is O, and Rx is selected from the group consisting of halogen, -0-Ci_6 alkyl, -Ci-<> alkyl, said alkyl optionally substituted with 1 to 3 groups of halo, -S(0)_n-RC₅ and C5- 10 heterocyclyl, said alkyl optionally substituted with 1 to 3 groups of halo; and said heterocyclyl optionally substituted with 1 to 3 groups of RC. 8. The compound according to claim 3 wherein X is CI¾, and R^x is selected from the group consisting of halogen, -O-Ci-6 alkyl, -C\~ alkyl, said alkyl optionally substituted with 1 to 3 groups of halo, -S(0)n-R^_! and C5-10 heterocyclyl, said alkyl optionally substituted with 1 to 3 groups of halo; and said heterocyclyl optionally substituted with 1 to 3 groups of RC. 9. The compound according to claim 3 wherein X is O, and R^x is selected from the group consisting of halogen, -O-Cj-6 alkyl, -€\-β alkyl, said alkyl optionally substituted with 1 to 3 groups of halo, -S(0)_n-RC, and C5-10 heterocyclyl, said alkyl optionally substituted with 1 to 3 groups of halo; and said heterocyclyl optionally substituted with 1 to 3 groups of R.C.

10. A compound of formula (I) of claim 1 which is found in Table 1 as well as those listed immediately below:

5-[(6-Chloropyridin-3-yl)methyl]-8-[(/5,2^-2-hydroxycyclohexyl]-l_s8-phenanthrolin-7(8H)- one;

1 ,5-Anhydro-2,3-dideoxy-3- { 5-[(6-methoxypyridin-3-yl)methyl]-7-oxo- 1 ,8-phenanthrolin- 8(7H yl}-L-t¾r<?0-pentitol

8-[(/5, 2^-2-Hydroxycyclohexyl]-5-{[6-methylsulfanyl)pyridin-3-yl]methyl}-l₅8-phenan:tlirolin- 7(8H)-one;

5 - { [2-Difluoromethoxy)pyridine-4-yl]methyl} -8- t(i5_s2S)-2-hydroxycyclohexyl]- 1 ,8- phenanthrolin-7(8H)-one;

8-[(l_iS,25 -2-hydroxycyclohexyl]-5-{[6-(l-methyl-l)-2-hydroxycyclohexyl]-5-{[6-(l-methyl-l- pyrazol-4~yl)pyridin-3-yl]methyl } - 1 -phenantl rolm-7(8H)-one;

8- [( 1 S,2,S)-2~hydroxycyclohexyl] -5- pyridin-3 -ylmethyl)- 1 , 8-phenanthrolin-7(8H)-one;

and pharmaceutically acceptable salts thereof.

1 1. The compound of claim 10 which is:

5-[(6-Chloropyridin-3-yl)methyl]-8-[(75_}2S)-2-hydroxycyclohexyl]-l,8-phenanthrolin~7(8H)- one;

l,5-Aimydro-2 -dideoxy-3-{5-[(6-methoxypyridin-3-yl)methyl]-7-oxo-l,8-phenanthrolin- 8(7H)-yl } -L-f Areo-pentitol

8- [Q S, 2^-2-HydroxycyclohexyI] -5 - { [6-methylsulfanyl)pyridin-3 ~yl] methyl } - 1 , 8-phenanthrolin- 7(8H)-one;

5-{[2-Difluoromethoxy)pyridine-4-yl]methyl}-8-[(i5',25)-2-hydroxycyclohexyl]-l₅8- phenanthroIin-7(8H)-one;

8-[(l^,25)-2-hydroxycyclohexyl]-5-{[6-(l-methyl-l)-2-hydroxycyclohexyl]-5-{[6-(l-methyl-l- pyrazol-4-yl)pyridin-3-yI]methyl} - 1 ,8-phenanthiolin-7(8H)-one;

8-[(15',2^-2-hydroxycyclohexyl]-5-(pyridin-3-ylmethyl)-l_J8-phenanthrolin-7(8H)-one;

and pharmaceutically acceptable salts thereof.

12. A pharmaceutical composition comprising a therapeutically effective amount of a compound of any of claims 1-11, or a pharmaceutically acceptable salt thereof, and a

pharmaceutically acceptable carrier.

13. A pharmaceutical composition for the treatment of a disease or disorder mediated by the muscarinic Ml receptor, wherein said disease or disorder is selected from the group consisting of Alzheimer's disease, schizophrenia, pain or sleep disorders, comprising a therapeutically effective amount of a compound of any of claims 1-1 1, or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable carrier.

14. Use of a pharmaceutical composition of claim 13 for the treatment of a disease or disorder mediated by the muscarinic Ml receptor, wherein said disease or disorder is selected from the group consisting of Alzheimer's disease, schizophrenia, pain or sleep disorders.

15. Use of a compound of any of claims 1-11, or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable carrier, for the manufacture of a medicament for the treatment of a disease or disorder mediated by the muscarinic Ml receptor, wherein said disease or disorder is selected from the group consisting of Alzheimer's disease, schizophrenia, pain or sleep disorders.

16. A method of treating a disease or disorder mediated by the muscarinic Ml receptor, wherein said disease or disorder is selected from the group consisting of Alzheimer's disease, schizophrenia, pain or sleep disorders in a patient in need thereof, comprising administering to the patient a therapeutically effective amount of a compound of any of claims 1 - 1 1 , or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable carrier.