ZA200502216B - Heterocyclic substituted piperazines for the treatment of schizophrenia. - Google Patents

Heterocyclic substituted piperazines for the treatment of schizophrenia. Download PDF

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Publication number
ZA200502216B
ZA200502216B ZA200502216A ZA200502216A ZA200502216B ZA 200502216 B ZA200502216 B ZA 200502216B ZA 200502216 A ZA200502216 A ZA 200502216A ZA 200502216 A ZA200502216 A ZA 200502216A ZA 200502216 B ZA200502216 B ZA 200502216B
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South Africa
Prior art keywords
disorders
disorder
quinolin
piperazin
dihydro
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ZA200502216A
Inventor
Tonja Lynn Andreana
James Michael Graham
Howard Harry Ralph Jr
Sham Shridhar Nikam
Stephen Sung Yong Cho
Trac Fay Gregory
Brian Edward Kornberg
Derek Andrew Pflum
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Warner Lambert Co
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Description

HETEROCYCLIC SUBSTITUTED PIPERAZINES FOR THE
TREATMENT OF SCHIZOPHRENIA
BACKGROUND OF THE INVENTION
) 5
This invention relates to heterocyclic substituted piperazines, pharmaceutical compositions containing them and their use for the treatment of schizophrenia and other central nervous system (CNS).
The heterocyclic substituted piperazine derivatives of this invention exhibit activity as antagonists of dopamine D2 receptors and of serotonin 2A (BHT2A) receptors.
Other heterocyclic piperazine derivatives that are useful for the treatment of schizophrenia are referred to in United States patent 5,350,747, which issued on September 27, 1994, and in United States patent 6,127,357, which issued on October 3, 2000. These patents are incorporated herein by reference in their entireties.
Other piperazine and piperidine derivatives that have been stated to be useful as antipsychotic agents are those referred to in PCT patent publication WO 93/04684, which published on March 18, 1983, and
European patent application EP 402644A, which was published on
December 19, 1990. These patent applications are incorporated herein by reference in their entireties.
SUMMARY OF THE INVENTION
The present invention relates to compounds of the formula 1 i
Rr’ wW2—W! «A =o . ~N
RY —— TN _A as : F 7 wi Rr? = R! ood R® 1 wherein X is sulfur, oxygen, SO, SO, CH, or NR;
Y is nitrogen or CH;
Z is nitrogen or CH;
A is ~(CH2)mCHz-, -(CH2)mO-, -(CH2)mNR''-, or ~(CH2)mC(R"R™)-, wherein R' and R™ are independently selected from (C4-C,) alkyl optionally substituted with from one to three fluorine atoms, (C1-C4) alkoxy optionally substituted with from one to three fluorine atoms, hydroxy, and aminoalkyl; or R'2 and R™, together with the carbon to which they are attached, form a carbonyl group; m is an integer from one to four;
R* and R® are independently selected from hydrogen, (C+-Ca) alkyl optionally substituted with from one to three fluorine atoms, (C4-C4) alkoxy optionally substituted with from one to three fluorine atoms, halogen, nitro, cyano, amino, (C4-Cy) alkylamino and di-(C+-C4) alkylamino; or, when X is NR', one of R* and R® can form, together with the carbon to which it is attached, and together with R'® and the nitrogen to . 20 which it is attached, a heterocyclic ring containing from 4 to 7 ring members of which from 1 to 3 ring members are heteroatoms selected . from nitrogen, oxygen and sulfur, and of which the remaining ring members are carbon, with the proviso that when R" forms a ring with one of R* and R®, the other of R* and R® is absent;
R'® and R" are independently selected from hydrogen, (C-Cy) alkyl optionally substituted with from one to three fluorine atoms and (C4- : C,) alkoxy optionally substituted with from one to three fluorine atoms.
R' is hydrogen, (C4-C4) alkyl optionally substituted with from one to ’ 5 three fluorine atoms, aryl, -C(O)R™ wherein R' is aryl, (C;-Cy) alkyl, aryl- (C4-Cy4) alkyl-, or heteroaryl-(C+-C,)alkyl-, wherein the alkyl moieties of the aryl-(C-C4) alkyl- groups and the heteroaryl-(C+-Ca) alkyl- groups can be optionally substituted with from one to three fluoro atoms, and wherein the aryl and heteroaryl moieties of these groups can optionally be substituted with one or more substituents, preferably with from zero to two substituents, independently selected from halo, nitro, amino, cyano, (Cs-
Ce) alkyl optionally substituted with from one to three fluorine atoms and (C4-Cs) alkoxy optionally substituted with from one to three fluorine atoms;
R? and R® are independently selected from hydrogen, halo, (C1-Cy) alkyl, (C1-C4) alkoxy, aryl, aryl-(C4+-C,4) alkyl-, heteroaryl and heteroaryl- (C4-Cy) alkyl-, wherein the alkyl moieties of the (C1-C,) alkyl and (C4-Cy) alkoxy groups can be optionally substituted with from one to three fluoro atoms and can also be independently optionally substituted with an amino or hydroxy substituent, and wherein alkyl moieties of the aryi-(C4-C,) alkyl- and heteroaryl-(C4-C,) alkyl groups can be optionally substituted with from one to three fluoro atoms, and wherein the aryl and heteroaryl moieties of these groups can optionally be substituted with one or more substituents, preferably from zero to two substituents, independently selected from halo, nitro, amino, cyano, (C4-Cg) alkyl optionally substituted with from one to three fluorine atoms and (C-Cs) alkoxy optionally substituted with from one to three fluorine atoms; or one of R? and R® can form, together with the carbon to which it is ’ attached, and together with the quinolinone ring carbon of W', a saturated or unsaturated heterocyclic ring containing from 4 to 7 ring members of which from 1 to 3 ring members can be heteroatoms selected from nitrogen, oxygen and sulfur, and of which the remaining ring members are carbon, with the proviso that when W' forms a ring with one of R? and R®, the other of R? and R® is absent; :
W' is CR°R® and W? is CR’R®, and the broken line extending from
W’ to W2 represents an optional double bond, with the proviso that when : the there is a double bond between W' and W?, R® and R’ are absent;
R°, R®, R’, and R® selected, independently, from hydrogen, halogen, ’ 5 nitro, cyano, amino, (C4-C,) alkylamino, di-(C4-C,) alkylamino, (C-C4) alkyl optionally substituted with from one to three fluorine atoms, and (Cs-Cs) alkoxy optionally substituted with from one to three fluorine atoms; or any two of R°, R®, R’, and R® that are attached to carbon atoms, taken together with the carbon or carbons to which they are attached, form a (Cs-C7) saturated or unsaturated carbocyclic ring or a (Cs-C,) saturated or unsaturated heterocyclic ring wherein one or two of the ring members are selected from nitrogen, oxygen and sulfur, with the proviso that the quinolinone ring carbon of W' can not form a ring with two of R®, R®, R’, and R® and also form a ring with R2 or R®; and the pharmaceutically acceptable salts of such compounds. ~ Another more specific embodiment of this invention relates to compounds of the formula 1, and their pharmaceutically acceptable salts, wherein A is -(CHy),O-.
Another more specific embodiment of this invention relates to compounds of the formula 1, and their pharmaceutically acceptable salts, wherein Ais -(CHz)mNR!'-.
Another more specific embodiment of this invention relates to compounds of the formula 1, and their pharmaceutically acceptable salts, wherein A is -(CHz)mC(R'2R"3)-.
Another more specific embodiment of this invention relates to compounds of the formula 1, and their pharmaceutically acceptable salts, wherein A is -(CHz)mCHo-. » Another more specific embodiment of this invention relates to compounds of the formula 1, and their pharmaceutically acceptable salts, wherein X is sulfur.
Another more specific embodiment of this invention relates to compounds of the formula 1, and their pharmaceutically acceptable salts, wherein X is SO or SO,

Claims (25)

1. A compound of the formula 1 & W2—w' A =o oF TA Nad Hn SF 7 N 3. | NE J RBoEn OR X—Y R” 1 wherein X is sulfur, oxygen, SO, SOz, CH; or NR"; Y is nitrogen or CH, Z is nitrogen or CH; A is (CHo)mCHz-, ~(CH2)mO-, -(CHz)mNR'™-, or ~(CH2)mC(R™*R™)-, wherein R'2 and R' are independently selected from (C4-Cs) alkyl optionally substituted with from one to three fluorine atoms, (C1-C4) alkoxy optionally substituted with from one to three fluorine atoms, hydroxy, and aminoalkyl; or R'2 and R™, together with the carbon to which they are attached, form a carbonyl group; m is an integer from one to four; R* and R® are independently selected from hydrogen, (C+-Cy) alkyl optionally substituted with from one to three fluorine atoms, (C1-Cs) alkoxy optionally substituted with from one to three fluorine atoms, halogen, nitro, cyano, amino, (C-Ca) atkylamino and di-(C+-C,) alkylamino; or, when X is NR'™, one of R* and R® can form, together with the carbon to which it is attached, and together with R' and the nitrogen to which it is attached, a heterocyclic ring containing from 4 to 7 ring members of which from 1 to 3 ring members are heteroatoms selected
PCT/IB2003/003902 3 -143- from nitrogen, oxygen and sulfur, and of which the remaining ring members are carbon, with the proviso that when R'® forms a ring with one of R* and RS, the other of R* and R® is absent; : R' and R'' are independently selected from hydrogen, (C1-Cs) alkyl optionally substituted with from one to three fluorine atoms and (C- C,) alkoxy optionally substituted with from one to three fluorine atoms; R' is hydrogen, (C1-Cs) alkyl! optionally substituted with from one to three fluorine atoms, aryl, -C(O)R' wherein R'is aryl, (C1-Ca4) alkyl, aryl- (C1-Ca)-alkyl-, or heteroaryl-(C;-C4)alkyl-, and wherein the alkyl moieties of the aryl-(C1-Ca) alkyl- groups and the heteroaryl-(C4-C4) alkyl- groups can be optionally substituted with from one to three fluoro atoms, and wherein the aryl and heteroaryl moieties of these groups can optionally be substituted with one or more substituents, preferably with from zero to two substituents, independently selected from halo, nitro, amino, cyano, (C;- Ce) alkyl optionally substituted with from one to three fluorine atoms and (C+-Ce) alkoxy optionally substituted with from one to three fluorine atoms; R? and R?® are independently selected from hydrogen, (C+-C4) alkyl, (C4-C4) alkoxy, halo, aryl, aryl-(C4-C.) alkyl-, heteroaryl and heteroaryl- (C4-C4) alkyl-, wherein the alkyl moieties of the (C4-C4) alkyl and (C4-Cy) alkoxy groups can be optionally substituted with from one to three fluoro atoms and can also be independently optionally substituted with an amino or hydroxy substituent, and wherein alkyl moieties of the aryl-(C4-C,) alkyl- and heteroaryl-(C:-C4) alkyl groups can be optionally substituted with from one to three fluoro atoms, and wherein the aryl and heteroaryl moieties of these groups can optionally be substituted with one or more substituents, preferably from zero to two substituents, independently selected from halo, nitro, amino, cyano, (C;-Cg) alkyl optionally substituted with from one to three fluorine atoms and (C1-Ce) alkoxy optionally substituted with from one to three fluorine atoms; or one of R? and R® can form, together with the carbon to which it is attached, and together with the quinolinone ring carbon of W', a saturateq or unsaturated heterocyclic ring containing from 4 to 7 ring members of which from 1 to 3 ring members can be heteroatoms selected from AMENDED SHEET nitrogen, oxygen and sulfur, and of which the remaining ring members are carbon, with the proviso that when W' forms a ring with one of R? and R?®, the other of R? and R® is absent; : W' is CR°R® and W? is CR’R®, and the broken line extending from W' to W? represents an optional double bond, with the proviso that when the there is a double bond between W' and W?, R® and R are absent; RS, R% R’, and R®selected, independently, from hydrogen, halogen, nitro, cyano, amino, (C1-C4) alkylamino, di-(C4-C4) alkylamino, (C+-Ca) alkyl optionally substituted with from one to three fluorine atoms, and (C4-Ca) - alkoxy optionally substituted with from one to three fluorine atoms; ~ or any two of R®, R®, R’, and R® that are attached to carbon atoms, taken together with the carbon or carbons to which they are attached, form a (Cs-Cy) saturated or unsaturated carbocyclic ring, with the proviso that the quinolinone ring carbon of W' can not form a ring with two of R®, R®, R’, and R® and also form a ring with R? or R%; or a pharmaceutically acceptable salt of such compound.
2. A compound or salt according to claim 1, wherein A is -(CHz)mCHz-.
3. A compound or salt according to claim 1, wherein X is sulfur and Y is nitrogen.
4, A compound or salt that is selected from the following compounds and their pharmaceutically acceptable salts: 6-[2-(4-benzo|d]isoxazol-3-yl-piperazin-1-yl)-ethyl]-4-methyl-3,4- dihydro-1H-quinolin-2-one; 6-[2-(4-benzold]isoxazol-3-yl-piperazin-1-yl)-ethyi]-4S-methyl-3,4~ dihydro-1H-quinolin-2-one; 6-[2-(4-benzo[d]isoxazol-3-yi-piperazin-1-yl)-ethyl]-4R-methyl-3,4- dihydro-1H-quinolin-2-one; 6-[2-(4-benzo[d]isoxazol-3-yl-piperazin-1-yl)-ethyl}-1,4-dimethyl-3,4- dihydro-1H-quinolin-2-one;
6-[2-(4-benzo[d]isoxazol-3-yl-piperazin-1-yl)-ethyl]-4,4-dimethyl-3,4- dihydro-1H-quinolin-2-one; 6-[2-(4-benzo[d]isoxazol-3-yl-piperazin-~1-yl}-ethyl]-1,4,4-trimethyl- 3,4-dihydro-1H-quinolin-2-one; 6-[2-(4-benzo[d]isothiazol-3-yl-piperazin-1-yl)-ethyl]-4,4,8-trimethyl- 3,4-dihydro-1H-quinolin-2-one; 6-[2-(4-benzo[d]isoxazol-3-yl-piperazin-1-yl)-ethyl]-3-methyl-3,4- dihydro-1H-quinolin-2-one; 6-[2-(4-benzo[d]isoxazol-3-yl-piperazin-1-yl)-ethyl]-3,3-dimethyl-3,4- dihydro-1H-quinolin-2-one; 6-[2-(4-benzo[d]isoxazol-3-yl-piperazin-1-yl)-ethyi]-3,4-dimethyl-3,4- dihydro-1H-quinolin-2-one; 8-[2-(4-benzo[dlisoxazol-3-yl-piperazin-1-yl)-ethyl]-1,3,3,4,4- pentamethyl-3,4-dihydro-1H-quinolin-2-one; 6-[2-(4-benzo[d]isoxazol-3-yl-piperazin-1-yl)-ethyl}-3,3,4-trimethyl- - 3,4-dihydro-1H-quinolin-2-one; : 6-{2-[4-(1H-indazol-3-yl)-piperazin-1-yl}-ethyl}-4-methyl-3,4-dihydro- 1H-quinolin-2-one; 6-{2-[4-(1H-indazol-3-yl)-piperazin-1-yl]-ethyl}-4,4-dimethyl-3,4- dihydro-1H-quinolin-2-one; 6-{2-[4-(1H-indazol-3-yl)-piperazin-1-yl}-ethyl}-3-methyl-3,4-dihydro- 1H-quinolin-2-one; 6-{2-[4-(1H-indazol-3-yl)-piperazin-1-yl}-ethyl}-3,3-dimethyl-3,4- dihydro-1H-quinolin-2-one; 6-{2-[4-(1 H-indazol-3-yl)-piperazin-1 -yl}-ethyl}-3,4-dimethyl-3,4- dihydro-1H-quinolin-2-one; 6-[2-(4-benzo[d]isothiazol-3-yl-piperazin-1-yl)-ethyi]-1,3,3,4,4- pentamethyl-3,4-dihydro-1H-quinolin-2-one; 6-[2-(4-benzo[djisothiazol-3-yl-piperazin-1-yl)-ethyl]-3,3,4-trimethyl- 3,4-dihydro-1H-quinolin-2-one; 6-[2-(4-Benzo[d]isothiazol-3-yl-piperazin-1-yl)-ethyl]-4,4,8-trimethyl- 3,4-dihydro-1H-quinolin-2-one, mesylate salt;
-14B- 6-[2-(4-Benzo[dlisothiazol-3-yl-piperazin-1-yl)-ethyl]-7-chloro-4,4,8- trimethyl-3,4-dihydro-1H-quinolin-2-one methanesulfonate;, 6-[2-(4-Benzo[dlisothiazol-3-yl-piperazin-1-yl)-ethyl]-7-fluoro- 4,4,8-trimethyi-3,4-dihydro-1H-quinolin-2-one hydrochloride; 6-{3-[4-(1H-indazol-3-yl)-piperazin-1-yl}-propyl}-4,4-dimethyl-3,4- dihydro-1H-quinolin-2-one; 7-chloro-6-[3-(4-1,2-benzisothiazol-3-yl-piperazin-1-yl)-propyl]-4,4- dimethyl-3,4-dihydro-1H-quinolin-2-one; 7-chloro-6-[3-(4-1,2-benzisoxazol-3-yl-piperazin-1-yl)-propyl]-4,4- dimethyl-3,4-dihydro-1H-quinolin-2-one; 6-[3-(4-1,2-benzisothiazol-3-yl-piperazin-1-yl)-propyl]-4-methyl-3,4- dihydro-1H-quinolin-2-one; 6-[3-(4-1,2-benzisoxazol-3-yl-piperazin-1-yl)-propyl}-4-methyi-3,4- dihydro-1H-quinolin-2 one; 6-{3-[4-(1H-indazol-3-yl)-piperazin-1-yl}-propyl}-4-methyl-3,4- dihydro-1H-quinolin-2-one; 6-[3-(4-1,2-benzisothiazol-3-yl-piperazin-1-yl)-propyl}-3,3-dimethyl- 3,4-dihydro-1H-quinolin-2-one; 6-[3-(4-1,2-benzisoxazol-3-yl-piperazin-1-yl)-propyl]-3,3-dimethyi- 3,4-dihydro-1H-quinolin-2 one; + 6~{3-[4-(1H-indazol-3-yl)-piperazin-1-yl]-propyl}-3,3-dimethyl-3,4- dihydro-1H-quinolin-2-one; 6-{3-(4-1,2-benzisothiazol-3-yl-piperazin-1-yl)-propyl]-3-methyl-3,4- dihydro-1H-quinolin-2-one; : 6-[3-(4-1,2-benzisoxazol-3-yl-piperazin-1-yl)-propyl]-3-methyl-3,4- dihydro-1H-quinolin-2 one; and 6-{3-[4-(1H-indazol-3-yl)-piperazin-1-yl]-propyl}-3-methyl-3,4- dihydro-1H-quinolin-2-one.
5. A compound according to claim 1 wherein R* is hydrogen and one or both of RZ and R® are hydrogen.
PCT/IB2003/003902 PS 147-
6. A compound according to claim 1 wherein R', R, R®, R and R® are : selected, independently, from hydrogen and (C4-Cs)alkyl. a
7. A pharmaceutical composition for use in a method for 5: treating a disorder or condition selected from single episodic or : recurrent major depressive disorders, dysthymic disorders, depressive neurosis and neurotic depression, melancholic depression including anorexia, weight loss, insomnia, early morning waking or psychomotor retardation; atypical depression (or reactive depression) including increased appetite, hypersomnia, psychomotor agitation or irritability, seasonal affective disorder and : pediatric depression; bipolar disorders or manic depression, for example, bipolar | disorder, bipolar {I disorder and cyclothymic disorder; conduct oo disorder; disruptive behavior disorder; attention deficit hyperactivity + 15 disorder (ADHD); behavioral disturbances associated with mental retardation, autistic disorder, and conduct disorder; anxiety disorders such as panic disorder with or without agoraphobia, agoraphobia without history oo of panic disorder, specific phobias, for example, specific animal phobias, oo social anxiety, social phobia, obsessive-compulsive disorder, stress disorders including post-traumatic stress disorder and acute stress disorder, and generalized anxiety disorders; borderline personality disorder; schizophrenia and other psychotic disorders, for example, schizophreniform disorders, schizoaffective disorders, delusional disorders brief psychotic disorders, shared psychotic disorders, psychotic disorders N with delusions or hallucinations, psychotic episodes of anxiety, anxiety associated with psychosis, psychotic mood disorders such as severe : major depressive disorder; mood disorders associated with psychotic . disorders such as acute mania and depression associated with bipolar : disorder; mood disorders associated with schizophrenia; delirium, ~ dementia, and amnestic and other cognitive or neurodegenerative } disorders, such as Parkinson's disease (PD), Huntington's disease (HD), Alzheimer's disease, senile dementia, dementia of the Alzheimer's type, memory disorders, loss of executive function, vascular dementia, and other dementias, for example, due to HiV disease, head trauma, AMENDED SHEET
PCT/1B2003/003902 o -148- Parkinson's disease, Huntington's disease, Pick's disease, Creutzfeldt- Jakob disease, or due to multiple etiologies; movement disorders such as akinesias, dyskinesias, including familial paroxysmal dyskinesias, oo oo spasticities, Tourette's syndrome, Scott syndrome, PALSYS and akinetic- -rigid syndrome; extra-pyramidal movement disorders such as medication- induced movement disorders, for example, neuroleptic-induced : Parkinsonism, neuroleptic malignant syndrome, neuroleptic-induced acute dystonia, neuroleptic-induced acute akathisia, neuroleptic-induced tardive dyskinesia and medication-induced postural tremour; chemical dependencies and addictions (e.g., dependencies on, or addictions to, alcohol, heroin, cocaine, benzodiazepines, nicotine, or phenobarbitol) and : behavioral addictions such as an addiction to gambling; and ocular : disorders such as glaucoma and ischemic retinopathy in a mammal, including a human, said composition comprising a compound according to ~ any of clams 1 - 6, or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable carrier, and said method comprising administering an effective amount of said composition that is effective in treating such disorder or condition.
8. Use of a compound according to any of claims 1 - 6, or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for treating a disorder or condition selected from Ny single episodic or recurrent major depressive disorders, dysthymic disorders, depressive neurosis and neurotic depression, melancholic depression including anorexia, weight loss, insomnia, early morning waking | : or psychomotor retardation; atypical depression (or reactive depression) including increased appetite, hypersomnia, psychomotor agitation or irritability, seasonal affective disorder and pediatric depression; bipolar disorders or manic depression, for example, bipolar | disorder, bipolar i - disorder and cyclothymic disorder; conduct disorder; disruptive behavior disorder; attention deficit hyperactivity disorder (ADHD); behavioral disturbances associated -with mental retardation, autistic disorder, and conduct disorder; anxiety disorders such as panic disorder with or without AMENDED SHEET
PCT/IB2003/003902 ® -149- agoraphobia, agoraphobia without history of panic disorder, specific phobias, for example, specific animal phobias, social anxiety, social phobia, obsessive-compulsive disorder, stress disorders including post- traumatic stress disorder and acute stress disorder, and generalized anxiety disorders; borderline personality disorder; schizophrenia and other psychotic disorders, for example, schizophreniform disorders, schizoaffective disorders, delusional disorders brief psychotic disorders, shared psychotic disorders, psychotic disorders with delusions or hallucinations, psychatic episodes of anxiety, anxiety associated with psychosis, psychotic mood disorders such as severe major depressive disorder; mood disorders associated with psychotic disorders such as acute mania and depression associated with bipolar disorder; mood disorders associated with schizophrenia; delirium, dementia, and amnestic and other cognitive or neurodegenerative disorders, such as Parkinson's disease (PD), Huntington's disease (HD), Alzheimer's disease, senile dementia, dementia of the Alzheimer's type, memory disorders, loss of executive function, vascular dementia, and other dementias, for example, : due to HIV disease, head trauma, Parkinson's disease, Huntington's disease, Pick's disease, Creutzfeldt-Jakob disease, or due to multiple etiologies; movement disorders such as akinesias, dyskinesias, including familial paroxysmal dyskinesias, spasticities, Tourette's syndrome, Scott syndrome, PALSYS and akinetic-rigid syndrome; extra-pyramidal movement disorders such as medication-induced movement disorders, for example, neuroleptic-induced Parkinsonism, neuroleptic malignant syndrome, neuroleptic-induced acute dystonia, neuroleptic-induced acute akathisia, neuroleptic-induced tardive dyskinesia and medication-induced postural tremour; chemical dependencies and addictions (e.g., dependencies on, or addictions to, alcohol, heroin, cocaine, benzodiazepines, nicotine, or phenobarbitol) and behavioral addictions such as an addiction to gambling; and ocular disorders such as glaucoma and ischemic retinopathy in a mammal, including a human.
AMENDED SHEET
PCT/IB2003/003902 ® | -150-
9. Use according to claim 8, wherein the disorder or condition that is being treated is selected from schizophrenia, schizoaffective disorder, delusional disorder, substance-induced psychotic disorder, brief psychotic disorder, shared psychotic disorder, psychotic disorder due to general "medical condition, and schizophreniform disorder.
10. Use according to claim 8, wherein said medicament is administrable to a human for the treatment of any two or more comorbid disorders or conditions selected from those disorders and conditions referred to in claim
8.
11. Use according to claim 10, wherein the disorder or condition to be treated is schizophrenia with concomitant depression.
12. Use according to claim 10, wherein the disorder or condition to be treated is schizophrenia with concomitant anxiety.
13. Use of a compound according to any one of claims 1-6, or a pharmaceutically acceptable salt thereof, and another pharmaceutically active compound that is an antidepressant or an anti-anxiety agent, or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for treating a disorder or condition selected from single episodic or recurrent major depressive disorders, dysthymic disorders, depressive neurosis and neurotic depression, melancholic depression including anorexia, weight loss, insomnia, early morning waking or psychomotor retardation, atypical depression (or reactive depression) including increased appetite, hypersomnia, psychomotor agitation or irritability, seasonal affective disorder and pediatric depression; bipolar disorders or manic depression, for example, bipolar | disorder, bipolar II disorder and cyclothymic disorder; conduct disorder; disruptive behavior disorder; attention deficit hyperactivity disorder (ADHD); behavioral disturbances associated with mental retardation, autistic disorder, and conduct disorder; anxiety disorders such as panic disorder with or without AMENDED SHEET
PCT/IB2003/003902 agoraphobia, agoraphobia without history of panic disorder, specific phobias, for example, specific animal phobias, social anxiety, social phobia, obsessive-compulsive disorder, stress disorders including post- traumatic stress disorder and acute stress disorder, and generalized anxiety disorders; borderline personality disorder; schizophrenia and other psychotic disorders, for | example, schizophreniform disorders, schizoaffective disorders, delusional disorders, brief psychotic disorders, : shared psychotic disorders, psychotic disorders with delusions or hallucinations, psychotic episodes of anxiety, anxiety associated with psychosis, psychotic mood disorders such as severe major depressive disorder; mood disorders associated with psychotic disorders such as acute mania and depression associated with bipolar disorder; mood disorders associated with schizophrenia; delirium, dementia, and amnestic and other cognitive or neurodegenerative disorders, such as Parkinson's disease (PD), Huntington's disease (HD), Alzheimer's disease, senile ~ dementia, dementia of the Alzheimer's type, memory disorders, loss of executive function, vascular dementia, and other dementias, for example, due to HIV disease, head trauma, Parkinson's disease, Huntington's disease, Pick's disease, Creutzfeldt-Jakob disease, or due to multiple etiologies; movement disorders such as akinesias, dyskinesias, including familial paroxysmal dyskinesias, spasticities, Tourette’s syndrome, Scott syndrome, PALSYS and akinetic-rigid syndrome; extra-pyramidal movement disorders such as medication-induced movement disorders, for example, neuroleptic-induced Parkinsonism, neuroleptic malignant syndrome, neuroleptic-induced acute dystonia, neuroleptic-induced acute - akathisia, neuroleptic-induced tardive dyskinesia and medication-induced postural tremour, chemical dependencies and addictions (e.g, dependencies on, or addictions to, alcohol, heroin, cocaine, benzodiazepines, nicotine, or phenobarbitol) and behavioral addictions : such as an addiction to gambling; and ocular disorders such as glaucoma and ischemic retinopathy in a mammal, including a human. i AMENDED SHEET
PCT/IB2003/003902 ® -152-
14. Use of a compound according to any one of claims 1 - 6, or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for use with another pharmaceutically active compound that is an antidepressant or an anti-anxiety agent, or a pharmaceutically acceptable salt thereof, for treating a disorder or condition selected from those listed in claim 13.
15. A pharmaceutical composition for use in a method for ‘treating a disorder or condition selected from single episodic or recurrent major depressive disorders, dysthymic disorders, depressive neurosis and neurotic depression, melancholic depression including anorexia, weight loss, insomnia, early morning waking or psychomotor retardation; atypical depression (or reactive depression) including increased appetite, hypersomnia, psychomotor agitation or irritability, seasonal affective disorder and pediatric depression; bipolar disorders or manic depression, for example, bipolar | disorder, bipolar Il disorder and cyclothymic disorder; conduct disorder; disruptive behavior disorder; attention deficit hyperactivity : disorder (ADHD); behavioral disturbances associated with mental retardation, autistic disorder, and conduct disorder; anxiety disorders such as panic disorder with or without agoraphobia, agoraphobia without history of panic disorder, specific phobias, for example, specific animal phobias, social anxiety, social phobia, obsessive-compulsive disorder, stress disorders including post-traumatic stress disorder and acute stress disorder, and generalized anxiety disorders; borderline personality disorder; schizophrenia and other psychotic disorders, for example, schizophreniform disorders, schizoaffective disorders, delusional disorders "brief psychotic disorders, shared psychotic disorders, psychotic disorders with delusions or hallucinations, psychotic episodes of anxiety, anxiety associated with psychosis, psychotic mood disorders such as severe major depressive disorder; mood disorders associated with psychotic disorders such as acute mania and depression associated with bipolar disorder; mood disorders associated with schizophrenia; delirium, : AMENDED SHEET
PCT/1B2003/003902 C -153- dementia, and amnestic and other cognitive or neurodegenerative disorders, such as Parkinson's disease (PD), Huntington's disease (HD), Alzheimer's disease, senile-dementia, dementia of the Alzheimer's type, memory disorders, loss of executive function, vascular dementia, and other dementias, for example, due to HIV disease, head trauma, : Parkinson's disease, Huntington's disease, Pick's disease, Creutzfeldt- Jakob disease, or due to multiple etiologies; movement disorders such as . akinesias, dyskinesias, including familial paroxysmal dyskinesias, spasticities, Tourette’s syndrome, Scott syndrome, PALSYS and akinetic- rigid syndrome; extra-pyramidal movement disorders such as medication- induced movement disorders, for example, neuroleptic-induced Parkinsonism, neuroleptic malignant syndrome, neuroleptic-induced acute dystonia, neuroleptic-induced acute akathisia, neuroleptic-induced tardive dyskinesia and medication-induced postural tremour; chemical dependencies and addictions (e.g., dependencies on, or addictions to, alcohol, heroin, cocaine, benzodiazepines, nicotine, or phenobarbitol) and behavioral addictions such as an addiction to gambling; and ocular disorders such as glaucoma and ischemic retinopathy in a mammal, said composition comprising a compound according to any of claims 1 -6 or a pharmaceutically acceptable salt thereof, and another pharmaceutically active agent that is an antidepressant or an anti-anxiety agent, and said method comprising administering said composition.
Co
16. A pharmaceutical composition for use with another pharmaceutically active agent that is an antidepressant or an anti-anxiety agent; in a method for treating a disorder or condition selected from those listed in claim 15, said composition comprising a compound according to any one of claims 1 - 6 or a pharmaceutically acceptable salt thereof, and said method comprising administering said composition and said another active agent.
AMENDED SHEET
. PCT/IB2003/003902
17. Use according to claim 13, wherein the disorder or condition being treated is schizophrenia.
18. A compound or salt which is 6-[2-(4-benzo[d]isothiazol-3-yl-piperazin-1- yl)-ethyl}-7-chioro-4,4,8-trimethyl-3,4-dihydro-1H-quinolin-2-one.
19. A compound which is 6-[2-(4-benzo[d]isothiazol-3-yl-piperazin-1-yl)- ethyl]-7-chloro-4,4,8-trimethyi-3,4-dihydro-1H-quinolin-2-one methanesulfonate.
20. A compound or salt which is 6-[2-(4-benzo[d]isothiazol-3-yl-piperazin-1- yh-ethyl}-8-chloro-4,4-dimethyl-3,4-dihydro-1H-quinolin-2-one.
21. A compound which is 6-[2-(4-benzo[d]isothiazol-3-yl-piperazin-1-yl)- ethyl]-8-chloro-4,4-dimethyl-3,4-dihydro-1H-quinolin-2-one hydrochloride.
22. A compound according to any one of claims 1 to 6, substantially as herein described and illustrated.
23. A composition for use in a method of treatment according to claim 7, claim 15 or claim 16, substantially as herein described and illustrated.
24. Use according to any one of claims 8 to 14 or 17, substantially as herein described and illustrated.
25. A new compound, a composition for a new use in a method of treatment, a new use of a compound as claimed in any one of claims 1 to 6 or 18 to 21, or a new use of a compound as claimed in any one of claims 1 to 6 and another pharmaceutically active agent, substantially as herein described. AMENDED SHEET
ZA200502216A 2002-09-17 2005-03-16 Heterocyclic substituted piperazines for the treatment of schizophrenia. ZA200502216B (en)

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