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WO2000071518A2 - Composes heterocycliques analgesiques et procedes d'utilisation de ces derniers - Google Patents

Composes heterocycliques analgesiques et procedes d'utilisation de ces derniers Download PDF

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Publication number
WO2000071518A2
WO2000071518A2 PCT/US2000/014579 US0014579W WO0071518A2 WO 2000071518 A2 WO2000071518 A2 WO 2000071518A2 US 0014579 W US0014579 W US 0014579W WO 0071518 A2 WO0071518 A2 WO 0071518A2
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alkyl
aryl
heteroaryl
occunence
compound
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PCT/US2000/014579
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WO2000071518A3 (fr
Inventor
Gregory D. Cuny
Liming Shao
James R. Hauske
Michele L. R. Heffernan
Brian M. Aquila
Xinhe Wu
Fengjian Wang
Thomas D. Bannister
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Sepracor, Inc.
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Priority to CA002372887A priority Critical patent/CA2372887A1/fr
Priority to EP00937830A priority patent/EP1187810A2/fr
Priority to JP2000619775A priority patent/JP2003500392A/ja
Priority to AU52953/00A priority patent/AU777760B2/en
Publication of WO2000071518A2 publication Critical patent/WO2000071518A2/fr
Publication of WO2000071518A3 publication Critical patent/WO2000071518A3/fr

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    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07D—HETEROCYCLIC COMPOUNDS
    • C07D221/00—Heterocyclic compounds containing six-membered rings having one nitrogen atom as the only ring hetero atom, not provided for by groups C07D211/00 - C07D219/00
    • C07D221/02—Heterocyclic compounds containing six-membered rings having one nitrogen atom as the only ring hetero atom, not provided for by groups C07D211/00 - C07D219/00 condensed with carbocyclic rings or ring systems
    • C07D221/04—Ortho- or peri-condensed ring systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00—Drugs for disorders of the nervous system
    • A61P25/04—Centrally acting analgesics, e.g. opioids
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00—Drugs for disorders of the nervous system
    • A61P25/30—Drugs for disorders of the nervous system for treating abuse or dependence
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P27/00—Drugs for disorders of the senses
    • A61P27/16—Otologicals
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
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    • C07—ORGANIC CHEMISTRY
    • C07D—HETEROCYCLIC COMPOUNDS
    • C07D211/00—Heterocyclic compounds containing hydrogenated pyridine rings, not condensed with other rings
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    • C07D211/06—Heterocyclic compounds containing hydrogenated pyridine rings, not condensed with other rings with only hydrogen or carbon atoms directly attached to the ring nitrogen atom having no double bonds between ring members or between ring members and non-ring members
    • C07D211/08—Heterocyclic compounds containing hydrogenated pyridine rings, not condensed with other rings with only hydrogen or carbon atoms directly attached to the ring nitrogen atom having no double bonds between ring members or between ring members and non-ring members with hydrocarbon or substituted hydrocarbon radicals directly attached to ring carbon atoms
    • C07D211/18—Heterocyclic compounds containing hydrogenated pyridine rings, not condensed with other rings with only hydrogen or carbon atoms directly attached to the ring nitrogen atom having no double bonds between ring members or between ring members and non-ring members with hydrocarbon or substituted hydrocarbon radicals directly attached to ring carbon atoms with substituted hydrocarbon radicals attached to ring carbon atoms
    • C07D211/26—Heterocyclic compounds containing hydrogenated pyridine rings, not condensed with other rings with only hydrogen or carbon atoms directly attached to the ring nitrogen atom having no double bonds between ring members or between ring members and non-ring members with hydrocarbon or substituted hydrocarbon radicals directly attached to ring carbon atoms with substituted hydrocarbon radicals attached to ring carbon atoms with hydrocarbon radicals, substituted by nitrogen atoms
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    • C07—ORGANIC CHEMISTRY
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    • C07D211/00—Heterocyclic compounds containing hydrogenated pyridine rings, not condensed with other rings
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    • C07D211/06—Heterocyclic compounds containing hydrogenated pyridine rings, not condensed with other rings with only hydrogen or carbon atoms directly attached to the ring nitrogen atom having no double bonds between ring members or between ring members and non-ring members
    • C07D211/36—Heterocyclic compounds containing hydrogenated pyridine rings, not condensed with other rings with only hydrogen or carbon atoms directly attached to the ring nitrogen atom having no double bonds between ring members or between ring members and non-ring members with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
    • C07D211/40—Oxygen atoms
    • C07D211/42—Oxygen atoms attached in position 3 or 5
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    • C07D211/06—Heterocyclic compounds containing hydrogenated pyridine rings, not condensed with other rings with only hydrogen or carbon atoms directly attached to the ring nitrogen atom having no double bonds between ring members or between ring members and non-ring members
    • C07D211/36—Heterocyclic compounds containing hydrogenated pyridine rings, not condensed with other rings with only hydrogen or carbon atoms directly attached to the ring nitrogen atom having no double bonds between ring members or between ring members and non-ring members with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
    • C07D211/56—Nitrogen atoms
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    • C07D223/00—Heterocyclic compounds containing seven-membered rings having one nitrogen atom as the only ring hetero atom
    • C07D223/02—Heterocyclic compounds containing seven-membered rings having one nitrogen atom as the only ring hetero atom not condensed with other rings
    • C07D223/04—Heterocyclic compounds containing seven-membered rings having one nitrogen atom as the only ring hetero atom not condensed with other rings with only hydrogen atoms, halogen atoms, hydrocarbon or substituted hydrocarbon radicals, directly attached to ring carbon atoms
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
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    • C07D241/00—Heterocyclic compounds containing 1,4-diazine or hydrogenated 1,4-diazine rings
    • C07D241/02—Heterocyclic compounds containing 1,4-diazine or hydrogenated 1,4-diazine rings not condensed with other rings
    • C07D241/04—Heterocyclic compounds containing 1,4-diazine or hydrogenated 1,4-diazine rings not condensed with other rings having no double bonds between ring members or between ring members and non-ring members
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    • C07D243/06—Heterocyclic compounds containing seven-membered rings having two nitrogen atoms as the only ring hetero atoms having the nitrogen atoms in positions 1 and 4
    • C07D243/08—Heterocyclic compounds containing seven-membered rings having two nitrogen atoms as the only ring hetero atoms having the nitrogen atoms in positions 1 and 4 not condensed with other rings
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    • C07D265/00—Heterocyclic compounds containing six-membered rings having one nitrogen atom and one oxygen atom as the only ring hetero atoms
    • C07D265/28—1,4-Oxazines; Hydrogenated 1,4-oxazines
    • C07D265/30—1,4-Oxazines; Hydrogenated 1,4-oxazines not condensed with other rings
    • C—CHEMISTRY; METALLURGY
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    • C07D—HETEROCYCLIC COMPOUNDS
    • C07D267/00—Heterocyclic compounds containing rings of more than six members having one nitrogen atom and one oxygen atom as the only ring hetero atoms
    • C07D267/02—Seven-membered rings
    • C07D267/08—Seven-membered rings having the hetero atoms in positions 1 and 4
    • C07D267/10—Seven-membered rings having the hetero atoms in positions 1 and 4 not condensed with other rings
    • C—CHEMISTRY; METALLURGY
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    • C07D—HETEROCYCLIC COMPOUNDS
    • C07D401/00—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom
    • C07D401/02—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings
    • C07D401/06—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings linked by a carbon chain containing only aliphatic carbon atoms
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    • C07—ORGANIC CHEMISTRY
    • C07D—HETEROCYCLIC COMPOUNDS
    • C07D401/00—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom
    • C07D401/02—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings
    • C07D401/12—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings linked by a chain containing hetero atoms as chain links
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07D—HETEROCYCLIC COMPOUNDS
    • C07D405/00—Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom
    • C07D405/02—Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom containing two hetero rings
    • C07D405/12—Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom containing two hetero rings linked by a chain containing hetero atoms as chain links
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07D—HETEROCYCLIC COMPOUNDS
    • C07D405/00—Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom
    • C07D405/14—Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom containing three or more hetero rings
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07D—HETEROCYCLIC COMPOUNDS
    • C07D409/00—Heterocyclic compounds containing two or more hetero rings, at least one ring having sulfur atoms as the only ring hetero atoms
    • C07D409/02—Heterocyclic compounds containing two or more hetero rings, at least one ring having sulfur atoms as the only ring hetero atoms containing two hetero rings
    • C07D409/06—Heterocyclic compounds containing two or more hetero rings, at least one ring having sulfur atoms as the only ring hetero atoms containing two hetero rings linked by a carbon chain containing only aliphatic carbon atoms
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    • C07D409/12—Heterocyclic compounds containing two or more hetero rings, at least one ring having sulfur atoms as the only ring hetero atoms containing two hetero rings linked by a chain containing hetero atoms as chain links
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    • C07D491/02—Heterocyclic compounds containing in the condensed ring system both one or more rings having oxygen atoms as the only ring hetero atoms and one or more rings having nitrogen atoms as the only ring hetero atoms, not provided for by groups C07D451/00 - C07D459/00, C07D463/00, C07D477/00 or C07D489/00 in which the condensed system contains two hetero rings
    • C07D491/10—Spiro-condensed systems

Definitions

  • Pain is an unpleasant sensation varying in severity in a local part of the body or several parts of the body resulting from injury, disease, or emotional disorder. Pain can be classified according to its duration. Acute pain, which lasts less than one month, usually has a readily identifiable cause and signals tissue damage. In addition, acute pain syndromes can be episodic, for example recurrent discomfort from arthritis. Chronic pain can be defined as pain that persists more than one month beyond the usual course of an acute illness or injury, or pain that recurs at intervals over months or years, or pain that is associated with a chronic pathologic process. In contrast to acute pain, chronic pain loses its adaptive biologic function. Depression is common, and abnormal illness behavior often compounds the patient's impairment.
  • nonsteriodal anti-inflammatories include drugs such as aspirin, ibuprofen, diclofenac, acetaminophen, celecoxib, and rofecoxib.
  • the opioid class includes morphine, oxycodone, fentanyl, and pentazocine.
  • Adjuvant analgesics include various antidepressants, anticonvulsants, neuroleptics, and cortico steroids.
  • Opioids are the major class of analgesics used in the management of moderate to severe pain because of their effectiveness, ease of titration, and favorable risk-to-benefit ratio. Opioids produce analgesia by binding to specific receptors both within and outside the CNS. Opioid analgesics are classified as full agonists, partial agonists, or mixed agonist-antagonists, depending on the receptors to which they bind and their intrinsic activities at each receptor.
  • ⁇ -, K-, and ⁇ -opioid receptors Three subclasses of opioid receptor have been identified in humans, namely the ⁇ -, K-, and ⁇ -opioid receptors.
  • Analgesia is thought to involve activation of ⁇ and/or K receptors. Notwithstanding their low selectivity for ⁇ over K receptors, it is likely that morphine and morphine-like opioid agonists produce analgesia primarily through interaction with ⁇ receptors; selective agonists of K receptors in humans produce analgesia, because rather than the euphoria associated with morphine and congeners, these compounds often produce dysphoria and psycho tomimetic effects. The consequences of activating ⁇ receptors in humans remain unclear.
  • opioids can be very effective in pain management, they do cause several side effects, such as respiratory depression, constipation, physical dependence, tolerance, withdraw. These unwanted effects can severely limit their use.
  • Opioids are known to produce respiratory depression that is proportional to their analgesia. This respiratory depression can be life threatening. This results in a narrow range between the effective dose and a dose that produces respiratory depression. Because of this narrow therapeutic index, patients receiving opioid therapy must be closely monitored for signs of respiratory failure. Opioids can also cause constipation in individuals receiving them. This side effect can be severe and may require prolonged hospitalization, or even surgical intervention.
  • full agonists include morphine, hydromorphone, meperidine, methadone, levorphanol, and fentanyl. These opioids are classified as full agonists because there is not a ceiling to their analgesic efficacy, nor will they reverse or antagonize the effects of other opioids within this class when given simultaneously. Side effects include respiratory depression, constipation, nausea, urinary retention, confusion, and sedation. Morphine is the most commonly used opioid for moderate to severe pain because of its availability in a wide variety of dosage forms, its well-characterized pharmacokinetics and pharmacodynamics, and its relatively low cost.
  • Meperidine may be useful for brief courses (e.g., a few days) to treat acute pain and to manage rigors (shivering) induced by medication, but it generally should be avoided in patients with cancer because of its short duration of action (2.5 to 3.5 hours) and its toxic metabolite, normeperidine. This metabolite accumulates, particularly when renal function is impaired, and causes CNS stimulation, which may lead to dysphoria, agitation, and seizures; meperidine, therefore, should not be used if continued opioid use is anticipated.
  • Addiction is a compulsive disorder in which an individual becomes preoccupied with obtaining and using a substance, the continued use of which results in a decreased quality of life.
  • opioid addicts can benefit from the carefully supervised, judicious use of opioids for the treatment of pain due to cancer, surgery, or recurrent painful illnesses such as sickle cell disease.
  • the known opioids have been very effective in pain management. However, they have restricted use because of several potentially severe side effects. Therefore, there is a current need for pharmaceutical agents that retain the analgesic properties of the known opioid, but that have reduced side effect profiles.
  • One aspect of the present invention relates to novel heterocyclic compounds.
  • a second aspect of the present invention relates to the use of the novel heterocyclic compounds as ligands for various cellular receptors, including opiate receptors, other G- protein-coupled receptors, and ion channels.
  • An additional aspect of the present invention relates to the use ofthe novel heterocyclic compounds as analgesics.
  • Figure 1 depicts schematically the combinatorial library described in Example 77, and the reactants, reagents and conditions used to prepare it.
  • Figure 2 presents the ED 50 s for certain compounds of the present invention, morphine and fentanyl when administered i.v. to mice and rats (See Example 79).
  • Figure 3 depicts the changes in pO 2 and ⁇ CO 2 levels in rats caused by the i.v. administration of certain compounds of the present invention, morphine and fentanyl. Changes in these blood gases can be used as an indication of respiratory depression in the rats.
  • Pain is an unpleasant sensation varying in severity in a local part of the body or several parts of the body resulting from injury, disease, or emotional disorder. Pain can be classified according to its duration. Acute pain, which lasts less than one month, usually has a readily identifiable cause (e.g., hip fracture) and signals tissue damage. The associated effect is often anxiety, and the concomitant physiologic findings are those of sympathetic stimulation (e.g., tachycardia, tachypnea, diaphoresis). In addition, acute pain syndromes can be episodic, for example recurrent discomfort from arthritis.
  • Chronic pain can be defined as pain that persists more than one month beyond the usual course of an acute illness or injury, or pain that recurs at intervals over months or years, or pain that is associated with a chronic pathologic process. In contrast to acute pain, chronic pain loses its adaptive biologic function. Depression is common, and abnormal illness behavior often compounds the patient's impairment. Chronic pain can be divided broadly into that which is inferred to be predominantly somatogenic and that which is inferred to be predominantly psychogenic. A similar classification based on inferred pathophysiology designates chronic pain as nociceptive (commensurate with ongoing activation of pain-sensitive nerve fibers), neuropathic (due to aberrant somatosensory processing in afferent neural pathways), or psychogenic.
  • Nociceptive pain can be somatic or visceral. Most chronic pain in the elderly is nociceptive and somatic; arthritis, cancer pain, and myofascial pain are most common. Relief is likely with removal of the peripheral cause (e.g., reducing periarticular inflammation), and analgesic drugs are often effective.
  • neuropathic pain A common subtype of neuropathic pain, known collectively as peripheral neuropathic pain, is presumably sustained by mechanisms that involve disturbances in the peripheral nerve or nerve root; neuroma formation after axonal injury and nerve compression are the two major processes.
  • Another subtype of neuropathic pain is related to the reorganization of nociceptive information processing by the CNS; it persists without ongoing activation of pain-sensitive fibers.
  • This type of pain known collectively as the deafferentation syndromes, includes postherpetic neuralgia, central pain (which can result from a lesion at any level of the CNS), phantom limb pain, and others.
  • a third subtype of neuropathic pain can be ameliorated by interruption of sympathetic nerves to the painful area; the prototypic disorder is reflex sympathetic dystrophy.
  • the precise mechanisms involved in these disorders are conjectural, but all can produce an unfamiliar pain, often described as burning and stabbing.
  • this type of pain responds poorly to analgesics.
  • Some patients have persistent pain without either nociceptive foci or evidence of a neuropathic mechanism for the pain. Many others have nociceptive lesions that do not sufficiently explain the degree of pain and disability.
  • Psychopathologic processes account for these complaints in some patients. If no evidence for a psychological cause is found, the pain is referred to as idiopathic.
  • idiopathic pain syndrome that is best described by the generic diagnosis chronic nonmalignant pain syndrome, a term denoting pain and disability disproportionate to an identifiable somatic cause and usually related to a more pervasive set of abnormal illness behaviors. Some of these patients may be labeled by the more formal psychiatric diagnosis of somatoform pain disorder. Others have complaints that constitute a specific pain diagnosis, most commonly the failed low back syndrome or atypical facial pain. Still others have significant organic lesions (e.g., lumbar arachnoiditis) but also have a clear psychological contribution associated with excessive disability. Diagnosis may be difficult, but the relative contributions of both organic and psychological components ofthe pain can be defined.
  • chronic pain may be part of a medical illness (e.g., cancer or arthritis).
  • a mixture of pathophysiologic mechanisms may be involved; e.g., tumor invasion of nerve and bone may cause neuropathic and somatic nociceptive pains, respectively, and psychological factors may be prominent.
  • the nonsteriodal anti-inflammatories class includes drugs such as aspirin, ibuprofen, diclofenac, acetaminophen, and rofecoxib.
  • the opioid class includes morphine, oxycodone, fentanyl, and pentazocine.
  • Adjuvant analgesics include various antidepressants, anticonvulsants, neuroleptics, and corticosteroids.
  • opioid are usually most efficacious for treating moderate to severe pain. Although opioids can be very effective in pain management, they do cause several side effects, such as respiratory depression, constipation, physical dependence, tolerance, withdraw. These unwanted effects can severely limit their use. Therefore, there is a current need for pharmaceutical agents that retain the analgesic properties of the known opioid, but have reduced side effect profiles for the treatment of pain. Opioids, specifically ligands for the ⁇ -opioid receptor, are the major class of analgesics used in the management of moderate to severe pain because of their effectiveness, ease of titration, and favorable risk-to-benefit ratio. Unfortunately, the opioids currently available have several unwanted side-effects, such as respiratory depression and constipation.
  • the ⁇ -opioid receptor is a member of a family of cell surface proteins that permit intracellular transduction of extracellular signals.
  • Cell surface proteins provide eukaryotic and prokaryotic cells a means to detect extracellular signals and transduce such signals intracellularly in a manner that ultimately results in a cellular response or a concerted tissue or organ response.
  • Cell surface proteins by intracellularly transmitting information regarding the extracellular environment via specific intracellular pathways induce an appropriate response to a particular stimulus. The response may be immediate and transient, slow and sustained, or some mixture thereof.
  • eukaryotic cells are extraordinarly sensitive to their environment.
  • Extracellular signal molecules such as growth hormones, vasodilators and neurotransmitters exert their effects, at least in part, via interaction with cell surface proteins. For example, some extracellular signal molecules cause changes in transcription of target gene via changes in the levels of secondary messengers, such as cAMP. Other signals, indirectly alter gene expression by activating the expression of genes, such as immediate- early genes that encode regulatory proteins, which in turn activate expression of other genes that encode transcriptional regulatory proteins. For example, neuron gene expression is modulated by numerous extracellular signals, including neurotransmitters and membrane electrical activity. Transsynaptic signals cause rapid responses in neurons that occur over a period of time ranging from milleseconds, such as the opening of ligandgated channels, to seconds and minutes, such as second messenger-mediated events.
  • Genes in neural cells that are responsive to transsynaptic stimulation and membrane electrical activity include genes, called immediate early genes, whose transcription is activated rapidly, within minutes, and transiently (see, e.g., Sheng et al. (1990) Neuron 4: 477-485), and genes whose expression requires protein synthesis and whose expression is induced or altered over the course of hours.
  • Cell surface receptors and ion channels are among the cell surface proteins that respond to extracellular signals and initiate the events that lead to this varied gene expression and response. Ion channels and cell surface-localized receptors are ubiquitous and physiologically important cell surface membrane proteins. They play a central role in regulating intracellular levels of various ions and chemicals, many of which are important for cell viability and function.
  • Cell surface-localized receptors are membrane spanning proteins that bind extracellular signalling molecules or changes in the extracellular environment and transmit the signal via signal transduction pathways to effect a cellular response.
  • Cell surface receptors bind circulating signal polypeptides, such as neurotransmitters, growth factors and hormones, as the initiating step in the induction of numerous intracellular pathways.
  • Receptors are classified on the basis of the particular type of pathway that is induced. Included among these classes of receptors are those that bind growth factors and have intrinsic tyrosine kinase activity, such as the heparin binding growth factor (HBGF) receptors, and those that couple to effector proteins through guanine nucleotide binding regulatory proteins, which are referred to as G protein coupled receptors and G proteins, respectively.
  • HBGF heparin binding growth factor
  • G protein transmembrane signaling pathways consist of three proteins: receptors, G proteins and effectors.
  • G proteins which are the intermediaries in transmembrane signaling pathways, are heterodimers and consist of alpha , beta and gamma subunits. Among the members of a family of G proteins the alpha subunits differ. Functions of G proteins are regulated by the cyclic association of GTP with the alpha subunit followed by hydrolysis of GTP to GDP and dissociation of GDP.
  • G protein coupled receptors are a diverse class of receptors that mediate signal transduction by binding to G proteins.
  • Signal transduction is initiated via ligand binding to the cell membrane receptor, which stimulates binding of the receptor to the G protein.
  • the receptor G protein interaction releases GDP, which is specifically bound to the G protein, and permits the binding of GTP, which activates the G protein.
  • Activated G protein dissociates from the receptor and activates the effector protein, which regulates the intracellular levels of specific second messengers. Examples of such effector proteins include adenyl cyclase, guanyl cyclase, phospholipase C, and others.
  • G protein-coupled receptors which are glycoproteins, are known to share certain structural similarities and homologies (see, e-g., Gilman, A.G., Ann. Rev. Biochem.56: 615- 649 (1987), Strader, CD. et al. The FASEB Journal 3: 1825-1832 (1989), Kobilka, B.K., et al. Nature 329:75-79 (1985) and Young et al. Cell 45: 711-719 (1986)).
  • G protein-coupled receptors that have been identified and cloned are the substance P receptor, the angiotensin receptor, the alpha - and beta -adrenergic receptors and the serotonin receptors.
  • G protein-coupled receptors share a conserved structural motif.
  • the general and common structural features of the G protein-coupled receptors are the existence of seven hydrophobic stretches of about 20-25 amino acids each surrounded by eight hydrophilic regions of variable length. It has been postulated that each ofthe seven hydrophobic regions forms a transmembrane alpha helix and the intervening hydrophilic regions form alternately intracellularly and extracellularly exposed loops.
  • the third cytosolic loop between transmembrane domains five and six is the intracellular domain responsible for the interaction with G proteins.
  • G protein-coupled receptors are known to be inducible. This inducibility was originally described in lower eukaryotes.
  • the cAMP receptor of the cellular slime mold, Dictyostelium is induced during differentiation (Klein et al., Science 241: 1467-1472 (1988).
  • cAMP induces high level expression of its G protein-coupled receptor. This receptor transduces the signal to induce the expression of the other genes involved in chemotaxis, which permits multicellular aggregates to align, organize and form stalks (see, Firtel, R.A., et al. Cell 58: 235-239 (1989) and Devreotes, P., Science 245: 1054-1058 (1989)).
  • CNS central nervous system of an organism.
  • cell surface proteins includes molecules that occur on the surface of cells, interact with the extracellular environment, and transmit or transduce information regarding the environment intracellularly.
  • extracellular signals includes a molecule or a change in the environment that is transduced intracellularly via cell surface proteins that interact, directly or indirectly, with the signal.
  • An extracellular signal is any compound or substance that in some manner specifically alters the activity of a cell surface protein. Examples of such signals include, but are not limited to, molecules such as acetylcholine, growth factors, hormones and other mitogenic substances, such as phorbol mistric acetate (PMA), that bind to cell surface receptors and ion channels and modulate the activity of such receptors and channels.
  • Extracellular signals also includes as yet unidentified substances that modulate the activity of a cell surface protein and thereby affect intracellular functions and that are potential pharmacological agents that may be used to treat specific diseases by modulating the activity of specific cell surface receptors.
  • ED 50 means the dose of a drug which produces 50% of its maximum response or effect. Alternatively, the dose which produces a pre-determined response in 50% of test subjects or preparations.
  • LD 50 means the dose of a drug which is lethal in 50% of test subjects.
  • therapeutic index refers to the therapeutic index of a drug defined as LD50/ED50.
  • SAR structure-activity relationship
  • agonist refers to a compound that mimics the action of natural transmitter or, when the natural transmitter is not known, causes changes at the receptor complex in the absence of other receptor ligands.
  • inverse agonist and “negative antagonist” refer to compounds that are selective ligands for an inactive form of a cellular receptor which exists as an equilibrating mixture of active and inactive forms.
  • antagonist refers to a compound that binds to a receptor site, but does not cause any physiological changes unless another receptor ligand is present.
  • competitive antagonist refers to a compound that binds to a receptor site; its effects can be overcome by increased concentration ofthe agonist.
  • partial agonist refers to a compound that binds to a receptor site but does not produce the maximal effect regardless of its concentration.
  • ligand refers to a compound that binds at the receptor site.
  • heteroatom as used herein means an atom of any element other than carbon or hydrogen. Preferred heteroatoms are boron, nitrogen, oxygen, phosphorus, sulfur and selenium.
  • electron- withdrawing group is recognized in the art, and denotes the tendency of a substituent to attract valence electrons from neighboring atoms, i.e., the substituent is electronegative with respect to neighboring atoms.
  • ⁇ Hammett sigma
  • Exemplary electron-withdrawing groups include nitro, acyl, formyl, sulfonyl, trifluoromethyl, cyano, chloride, and the like.
  • Exemplary electron- donating groups include amino, methoxy, and the like.
  • alkyl refers to the radical of saturated aliphatic groups, including straight-chain alkyl groups, branched-chain alkyl groups, cycloalkyl (alicyclic) groups, alkyl substituted cycloalkyl groups, and cycloalkyl substituted alkyl groups.
  • a straight chain or branched chain alkyl has 30 or fewer carbon atoms in its backbone (e.g., C1-C30 for straight chain, C3-C30 for branched chain), and more preferably
  • alkyl (or "lower alkyl) as used throughout the specification, examples, and claims is intended to include both “unsubstituted alkyls” and “substituted alkyls", the latter of which refers to alkyl moieties having substituents replacing a hydrogen on one or more carbons of the hydrocarbon backbone.
  • Such substituents can include, for example, a halogen, a hydroxyl, a carbonyl (such as a carboxyl, an alkoxycarbonyl, a formyl, or an acyl), a thiocarbonyl (such as a thioester, a thioacetate, or a thioformate), an alkoxyl, a phosphoryl, a phosphonate, a phosphinate, an amino, an amido, an amidine, an imine, a cyano, a nitro, an azido, a sulfhydryl, an alkylthio, a sulfate, a sulfonate, a sulfamoyl, a sulfonamido, a sulfonyl, a heterocyclyl, an aralkyl, or an aromatic or heteroaromatic moiety.
  • a halogen such as a carboxy
  • the moieties substituted on the hydrocarbon chain can themselves be substituted, if appropriate.
  • the substituents of a substituted alkyl may include substituted and unsubstituted forms of amino, azido, imino, amido, phosphoryl (including phosphonate and phosphinate), sulfonyl (including sulfate, sulfonamido, sulfamoyl and sulfonate), and silyl groups, as well as ethers, alkylthios, carbonyls (including ketones, aldehydes, carboxylates, and esters), - CF3, -CN and the like.
  • Cycloalkyls can be further substituted with alkyls, alkenyls, alkoxys, alkylthios, aminoalkyls, carbonyl- substituted alkyls, -CF3, -CN, and the like.
  • aralkyl refers to an alkyl group substituted with an aryl group (e.g., an aromatic or heteroaromatic group).
  • alkenyl and alkynyl refer to unsaturated aliphatic groups analogous in length and possible substitution to the alkyls described above, but that contain at least one double or triple bond respectively.
  • lower alkyl as used herein means an alkyl group, as defined above, but having from one to ten carbons, more preferably from one to six carbon atoms in its backbone structure. Likewise, “lower alkenyl” and “lower alkynyl” have similar chain lengths. Preferred alkyl groups are lower alkyls. In preferred embodiments, a substituent designated herein as alkyl is a lower alkyl.
  • aryl as used herein includes 5-, 6- and 7-membered single-ring aromatic groups that may include from zero to four heteroatoms, for example, benzene, pyrrole, furan, thiophene, imidazole, oxazole, thiazole, triazole, pyrazole, pyridine, pyrazine, pyridazine and pyrimidine, and the like.
  • aryl groups having heteroatoms in the ring structure may also be referred to as "aryl heterocycles" or “heteroaromatics.”
  • the aromatic ring can be substituted at one or more ring positions with such substituents as described above, for example, halogen, azide, alkyl, aralkyl, alkenyl, alkynyl, cycloalkyl, hydroxyl, alkoxyl, amino, nitro, sulfhydryl, imino, amido, phosphonate, phosphinate, carbonyl, carboxyl, silyl, ether, alkylthio, sulfonyl, sulfonamido, ketone, aldehyde, ester, heterocyclyl, aromatic or heteroaromatic moieties, -CF3, -CN, or the like.
  • aryl also includes polycyclic ring systems having two or more cyclic rings in which two or more carbons are common to two adjoining rings (the rings are "fused rings") wherein at least one of the rings is aromatic, e.g., the other cyclic rings can be cycloalkyls, cycloalkenyls, cycloalkynyls, aryls and or heterocyclyls.
  • heterocyclyl or “heterocyclic group” refer to 3- to 10-membered ring structures, more preferably 3- to 7-membered rings, whose ring structures include one to four heteroatoms. Heterocycles can also be polycycles.
  • Heterocyclyl groups include, for example, azetidine, azepine, thiophene, thianthrene, furan, pyran, isobenzofuran, chromene, xanthene, phenoxathiin, pyrrole, imidazole, pyrazole, isothiazole, isoxazole, pyridine, pyrazine, pyrimidine, pyridazine, indolizine, isoindole, indole, indazole, purine, quinolizine, isoquinoline, quinoline, phthalazine, naphthyridine, quinoxaline, quinazoline, cinnoline, pteridine, carbazole, carboline, phenanthridine, acridine, pyrimidine, phenanthroline, phenazine, phenarsazine, phenothiazine, fiirazan, phen
  • the heterocyclic ring can be substituted at one or more positions with such substituents as described above, as for example, halogen, alkyl, aralkyl, alkenyl, alkynyl, cycloalkyl, hydroxyl, amino, nitro, sulfhydryl, imino, amido, phosphonate, phosphinate, carbonyl, carboxyl, silyl, ether, alkylthio, sulfonyl, ketone, aldehyde, ester, a heterocyclyl, an aromatic or heteroaromatic moiety, -CF3, -CN, or the like.
  • substituents as described above, as for example, halogen, alkyl, aralkyl, alkenyl, alkynyl, cycloalkyl, hydroxyl, amino, nitro, sulfhydryl, imino, amido, phosphonate, phosphinate, carbonyl, carboxyl,
  • polycyclyl or “polycyclic group” refer to two or more rings (e.g., cycloalkyls, cycloalkenyls, cycloalkynyls, aryls and or heterocyclyls) in which two or more carbons are common to two adjoining rings, e.g., the rings are "fused rings". Rings that are joined through non-adjacent atoms are termed "bridged" rings.
  • Each of the rings of the polycycle can be substituted with such substituents as described above, as for example, halogen, alkyl, aralkyl, alkenyl, alkynyl, cycloalkyl, hydroxyl, amino, nitro, sulfhydryl, imino, amido, phosphonate, phosphinate, carbonyl, carboxyl, silyl, ether, alkylthio, sulfonyl, ketone, aldehyde, ester, a heterocyclyl, an aromatic or heteroaromatic moiety, -CF3, -CN, or the like.
  • nitro means -NO2; the term “halogen” designates -F, -CI, -Br or -I; the term “sulfhydryl” means -SH; the term “hydroxyl” means -OH; and the term “sulfonyl” means -SO2-.
  • amine and “amino” are art-recognized and refer to both unsubstituted and substituted amines, e.g., a moiety that can be represented by the general formula:
  • R9, RJQ and R'10 each independently represent a hydrogen, an alkyl, an alkenyl, -(CH2) m -Rg . or R9 and R ⁇ o taken together with the N atom to which they are attached complete a heterocycle having from 4 to 8 atoms in the ring structure;
  • Rg represents an aryl, a cycloalkyl, a cycloalkenyl, a heterocycle or a polycycle; and
  • m is zero or an integer in the range of 1 to 8.
  • only one of R9 or RI Q can be a carbonyl, e.g.,
  • R9, R ⁇ o and the nitrogen together do not form an imide.
  • R9 and R ⁇ Q (and optionally R'10) eacn independently represent a hydrogen, an alkyl, an alkenyl, or -(CH2) m -Rg.
  • alkylamine as used herein means an amine group, as defined above, having a substituted or unsubstituted alkyl attached thereto, i.e., at least one of R9 and R ⁇ Q is an alkyl group.
  • acylamino is art-recognized and refers to a moiety that can be represented by the general formula:
  • R ⁇ is as defined above, and R' ⁇ ⁇ represents a hydrogen, an alkyl, an alkenyl or -(CH2) m - -8 > where m and Rg are as defined above.
  • amido is art recognized as an amino-substituted carbonyl and includes a moiety that can be represented by the general formula: wherein R9, R1 Q are as defined above. Preferred embodiments ofthe amide will not include imides which may be unstable.
  • alkylthio refers to an alkyl group, as defined above, having a sulfur radical attached thereto.
  • the "alkylthio" moiety is represented by one of -S-alkyl, -S-alkenyl, -S-alkynyl, and -S-(CH2) m -Rg, wherein m and Rg are defined above.
  • Representative alkylthio groups include methylthio, ethyl thio, and the like.
  • carbonyl is art recognized and includes such moieties as can be represented by the general formula:
  • X is a bond or represents an oxygen or a sulfur
  • R ⁇ ⁇ represents a hydrogen, an alkyl, an alkenyl, -(CH2) m -R or a pharmaceutically acceptable salt
  • R'n represents a hydrogen, an alkyl, an alkenyl or -(CH2) m - g, where m and Rg are as defined above.
  • alkoxyl or "alkoxy” as used herein refers to an alkyl group, as defined above, having an oxygen radical attached thereto.
  • Representative alkoxyl groups include methoxy, ethoxy, propyloxy, tert-butoxy and the like.
  • An "ether” is two hydrocarbons covalently linked by an oxygen. Accordingly, the substituent of an alkyl that renders that alkyl an ether is or resembles an alkoxyl, such as can be represented by one of -O-alkyl, -O- alkenyl, -O-alkynyl, -O-(CH2) m -Rs, where m and Rg are described above.
  • R41 is an electron pair, hydrogen, alkyl, cycloalkyl, or aryl.
  • triflyl, tosyl, mesyl, and nonaflyl are art-recognized and refer to trifluoromethanesulfonyl, ⁇ -toluenesulfonyl, methanesulfonyl, and nonafluorobutanesulfonyl groups, respectively.
  • triflate, tosylate, mesylate, and nonaflate are art-recognized and refer to trifluoromethanesulfonate ester, />-toluenesulfonate ester, methanesulfonate ester, and nonafluorobutanesulfonate ester functional groups and molecules that contain said groups, respectively.
  • Me, Et, Ph, Tf, Nf, Ts, Ms represent methyl, ethyl, phenyl, trifluoromethanesulfonyl, nonafluorobutanesulfonyl, /.-toluenesulfonyl and methanesulfonyl, respectively.
  • a more comprehensive list of the abbreviations utilized by organic chemists of ordinary skill in the art appears in the first issue of each volume of the Journal of Organic Chemistry; this list is typically presented in a table entitled Standard List of Abbreviations. The abbreviations contained in said list, and all abbreviations utilized by organic chemists of ordinary skill in the art are hereby incorporated by reference.
  • R_ ⁇ is as defined above.
  • sulfonamido is art recognized and includes a moiety that can be represented by the general formula:
  • sulfonyl refers to a moiety that can be represented by the general formula:
  • R44 is selected from the group consisting of hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, heterocyclyl, aryl, or heteroaryl.
  • sulfoxido refers to a moiety that can be represented by the general formula:
  • R44 is selected from the group consisting of hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, heterocyclyl, aralkyl, or aryl.
  • a "phosphoryl” can in general be represented by the formula: Qi _ll_
  • OR 46 wherein Q ⁇ represented S or O, and R46 represents hydrogen, a lower alkyl or an aryl.
  • the phosphoryl group of the phosphorylalkyl can be represented by the general formula:
  • Q ⁇ represented S or O, and each R46 independently represents hydrogen, a lower alkyl or an aryl, Q2 represents O, S or N.
  • Q ⁇ represents an S
  • the phosphoryl moiety is a "phosphorothioate”.
  • a “selenoalkyl” refers to an alkyl group having a substituted seleno group attached thereto.
  • Exemplary “selenoethers” which may be substimted on the alkyl are selected from one of -Se-alkyl, -Se-alkenyl, -Se-alkynyl, and -Se-(CH2) m -R7, m and R7 being defined above.
  • Analogous substitutions can be made to alkenyl and alkynyl groups to produce, for example, aminoalkenyls, aminoalkynyls, amidoalkenyls, amidoalkynyls, iminoalkenyls, iminoalkynyls, thioalkenyls, thioalkynyls, carbonyl-substituted alkenyls or alkynyls.
  • each expression e.g. alkyl, m, n, etc., when it occurs more than once in any structure, is intended to be independent of its definition elsewhere in the same structure.
  • substitution or “substituted with” includes the implicit proviso that such substitution is in accordance with permitted valence of the substimted atom and the substituent, and that the substitution results in a stable compound, e.g., which does not spontaneously undergo transformation such as by rearrangement, cyclization, elimination, etc.
  • the term "substimted" is contemplated to include all permissible substituents of organic compounds.
  • the permissible substituents include acyclic and cyclic, branched and unbranched, carbocyclic and heterocyclic, aromatic and nonaromatic substituents of organic compounds.
  • Illustrative substituents include, for example, those described herein above.
  • the permissible substituents can be one or more and the same or different for appropriate organic compounds.
  • the heteroatoms such as nitrogen may have hydrogen substituents and/or any permissible substituents of organic compounds described herein which satisfy the valences of the heteroatoms. This invention is not intended to be limited in any manner by the permissible substituents of organic compounds.
  • protecting group means temporary substituents which protect a potentially reactive functional group from undesired chemical transformations.
  • protecting groups include esters of carboxylic acids, silyl ethers of alcohols, and acetals and ketals of aldehydes and ketones, respectively.
  • the field of protecting group chemistry has been reviewed (Greene, T.W.; Wuts, P. G.M. Protective Groups in Organic Synthesis, 2 nd ed.; Wiley: New York, 1991).
  • Certain compounds of the present invention may exist in particular geometric or stereoisomeric forms.
  • the present invention contemplates all such compounds, including cis- and tr ⁇ ws-isomers, R- and S-enantiomers, diastereomers, (D)-isomers, (L)-isomers, the racemic mixtures thereof, and other mixtures thereof, as falling within the scope of the invention.
  • Additional asymmetric carbon atoms may be present in a substituent such as an alkyl group. All such isomers, as well as mixtures thereof, are intended to be included in this invention.
  • a particular enantiomer of a compound of the present invention may be prepared by asymmetric synthesis, it may be isolated using chiral chromatography methods, or by derivation with a chiral auxiliary, where the resulting diastereomeric mixture is separated and the auxiliary group cleaved to provide the pure desired enantiomers.
  • the molecule contains a basic functional group, such as amino, or an acidic functional group, such as carboxyl
  • diastereomeric salts are formed with an appropriate optically-active acid or base, followed by resolution of the diastereomers thus formed by fractional crystallization or chromatographic means well known in the art, and subsequent recovery ofthe pure enantiomers.
  • Contemplated equivalents of the compounds described above include compounds which otherwise correspond thereto, and which have the same general properties thereof (e.g., functioning as analgesics), wherein one or more simple variations of substituents are made which do not adversely affect the efficacy of the compound in binding to opioid receptors.
  • the compounds of the present invention may be prepared by the methods illustrated in the general reaction schemes as, for example, described below, or by modifications thereof, using readily available starting materials, reagents and conventional synthesis procedures. In these reactions, it is also possible to make use of variants which are in themselves known, but are not mentioned here.
  • hydrocarbon is contemplated to include all permissible compounds having at least one hydrogen and one carbon atom.
  • permissible hydrocarbons include acyclic and cyclic, branched and unbranched, carbocyclic and heterocyclic, aromatic and nonaromatic organic compounds which can be substituted or unsubstituted.
  • R represents alkyl, aryl, heteroaryl, or cycloalkyl
  • R 2 represents independently for each occurrence H, alkyl, fiuoroalkyl, aryl, heteroaryl, or cycloalkyl; R_ and R 2 may be connected through a covalent bond;
  • R 3 represents independently for each occurrence H, alkyl, aryl, OR 2 , OC(O)R 2 , CH 2 OR 2 , or CO 2 R 2 ; wherein any two instances of R 3 may be connected by a covalent tether whose backbone consists of 1, 2, 3, or 4 carbon atoms; R 4 represents independently for each occurrence H, alkyl, aryl, heteroaryl, alkenyl, or cycloalkyl;
  • R 5 represents independently for each occurrence H, alkyl, CH 2 Y, aryl, heteroaryl, F, OR 2 , or OC(O)R 2 ;
  • R 6 represents independently for each occurrence H, alkyl, CH 2 Y, aryl, heteroaryl, F, OR 2 , or OC(O)R 2 ;
  • Y represents independently for each occurrence OR 2 , N(R 2 ) 2 , SR 2 , S(O)R 2 , S(O) 2 R 2 , or P(O)(OR 2 ) 2 ;
  • a covalent bond may connect R 4 and an instance of R 5 or R ⁇ that is attached to the carbon chain between R 4 and the ring nitrogen explicitly shown in A; any two geminal or vicinal instances of R 5 and R 6 may be connected through a covalent bond;
  • X represents C(R 3 ) 2 , O, S, SO, SO 2 , NR 2 , NC(O)OR 2 , or CO; and the stereochemical configuration at any stereocenter of a compound represented by A is R S, or a mixture of these configurations.
  • the compounds of the present invention are represented by A and the attendant definitions, wherein X is C(R 3 ) 2 , O, or NR 2 . In certain embodiments, the compounds of the present invention are represented by
  • the compounds of the present invention are represented by A and the attendant definitions, wherein m is 2 or 3.
  • the compounds of the present invention are represented by A and the attendant definitions, wherein n is 1.
  • the compounds of the present invention are represented by A and the attendant definitions, wherein y is 1.
  • the compounds of the present invention are represented by A and the attendant definitions, wherein R, represents aryl or heteroaryl.
  • the compounds of the present invention are represented by A and the attendant definitions, wherein R 2 represents independently for each occurrence alkyl.
  • the compounds of the present invention are represented by A and the attendant definitions, wherein R 3 represents independently for each occurrence H or alkyl. In certain embodiments, the compounds of the present invention are represented by
  • R 4 represents cycloalkyl, aryl, or heteroaryl.
  • the compounds of the present invention are represented by A and the attendant definitions, wherein R 5 represents independently for each occurrence H, alkyl, aryl, heteroaryl, or F. In certain embodiments, the compounds of the present invention are represented by
  • R ⁇ represents independently for each occurrence H, alkyl, aryl, heteroaryl, or F.
  • X is C(R 3 ) 2 , O, or NR 2 ; and n is 1.
  • the compounds of the present invention are represented by A and the attendant definitions, wherein X is C(R 3 ) 2 ; and n is 1.
  • the compounds of the present invention are represented by A and the attendant definitions, wherein X is C(R 3 ) 2 , O, or NR 2 ; and y is 1.
  • the compounds of the present invention are represented by A and the attendant definitions, wherein X is C(R 3 ) 2 , O, or NR 2 ; and R, represents aryl or heteroaryl.
  • the compounds of the present invention are represented by A and the attendant definitions, wherein X is C(R 3 ) 2 ; and R, represents aryl or heteroaryl.
  • the compounds of the present invention are represented by A and the attendant definitions, wherein X is C(R 3 ) 2 , O, or NR 2 ; and R 2 represents independently for each occurrence alkyl.
  • the compounds of the present invention are represented by A and the attendant definitions, wherein X is C(R 3 ) 2 ; and R 2 represents independently for each occurrence alkyl.
  • X is C(R 3 ) 2 , O, or NR 2 ; n is 1; and R, represents aryl or heteroaryl.
  • the compounds of the present invention are represented by A and the attendant definitions, wherein X is C(R 3 ) 2 ; n is 1; and R [ represents aryl or heteroaryl.
  • the compounds of the present invention are represented by A and the attendant definitions, wherein X is C(R 3 ) 2 , O, or NR 2 ; n is 1; Rj represents aryl or heteroaryl; and R 2 represents independently for each occurrence alkyl.
  • the compounds of the present invention are represented by A and the attendant definitions, wherein X is C(R 3 ) 2 ; n is 1 ; R_ represents aryl or heteroaryl; and R 2 represents independently for each occurrence alkyl. In certain embodiments, the compounds of the present invention are represented by
  • the compounds of the present invention are represented by A and the attendant definitions, wherein X is C(R 3 ) 2 , O, or NR 2 ; n is 1; R, represents aryl or heteroaryl; R 2 represents independently for each occurrence alkyl; and R 3 represents independently for each occurrence H or alkyl.
  • the compounds of the present invention are represented by A and the attendant definitions, wherein X is C(R 3 ) 2 ; n is 1; R, represents aryl or heteroaryl; R 2 represents independently for each occurrence alkyl; and R 3 represents independently for each occurrence H or alkyl.
  • the compounds of the present invention are represented by
  • the compounds of the present invention are represented by
  • X is C(R 3 ) 2 , O, or NR 2 ; n is 1; R, represents aryl or heteroaryl; R 2 represents independently for each occurrence alkyl; R 3 represents independently for each occurrence H or alkyl; and R 4 represents cycloalkyl, aryl, or heteroaryl.
  • the compounds of the present invention are represented by A and the attendant definitions, wherein X is C(R 3 ) 2 ; n is 1 ; R, represents aryl or heteroaryl; R 2 represents independently for each occurrence alkyl; R 3 represents independently for each occurrence H or alkyl; and R 4 represents cycloalkyl, aryl, or heteroaryl.
  • X is C(R 3 ) 2 , O, or NR 2 ; n is 1; R, represents aryl or heteroaryl; R 2 represents independently for each occurrence alkyl; R 3 represents independently for each occurrence H or alkyl; R 4 represents cycloalkyl, aryl, or heteroaryl; and R 5 represents independently for each occurrence H, alkyl, aryl, heteroaryl, or F.
  • the compounds of the present invention are represented by
  • X is C(R 3 ) 2 ; n is 1; R l represents aryl or heteroaryl; R 2 represents independently for each occurrence alkyl; R 3 represents independently for each occurrence H or alkyl; R 4 represents cycloalkyl, aryl, or heteroaryl; and R 5 represents independently for each occurrence H, alkyl, aryl, heteroaryl, or F.
  • the compounds of the present invention are represented by
  • the compounds of the present invention are represented by A and the attendant definitions, wherein X is C(R 3 ) 2 , O, or NR 2 ; n is 1 ; R, represents aryl or heteroaryl; R 2 represents independently for each occurrence alkyl; R 3 represents independently for each occunence H or alkyl; R 4 represents cycloalkyl, aryl, or heteroaryl; R 5 represents independently for each occunence H, alkyl, aryl, heteroaryl, or F; and R 6 represents independently for each occunence H, alkyl, aryl, heteroaryl, or F.
  • the compounds of the present invention are represented by A and the attendant definitions, wherein X is C(R 3 ) 2 ; n is 1; R, represents aryl or heteroaryl; R 2 represents independently for each occunence alkyl; R 3 represents independently for each occunence H or alkyl; R 4 represents cycloalkyl, aryl, or heteroaryl; R 5 represents independently for each occunence H, alkyl, aryl, heteroaryl, or F; and R 6 represents independently for each occunence H, alkyl, aryl, heteroaryl, or F. In certain embodiments, the compounds of the present invention are represented by
  • X is C(R 3 ) 2 ; m is 2; n is 1; R_ represents aryl; R 2 represents independently for each occunence alkyl; R 3 represents independently for each occunence H; R 4 represents aryl; R 5 represents independently for each occunence H or alkyl; and R 6 represents independently for each occunence H or alkyl.
  • certain compounds according to general structure A have IC 50 values less than 10 ⁇ M against at least one subclass of opioid receptor, more preferably less than 5 ⁇ M, and most preferably less than 1 ⁇ M.
  • the compounds ofthe present invention are represented by
  • R represents H, alkyl, aryl, heteroaryl, or cycloalkyl
  • R 2 represents independently for each occunence H, alkyl, fluoroalkyl, aryl, heteroaryl, or cycloalkyl
  • R_ and R 2 may be connected through a covalent bond
  • R 3 represents independently for each occunence H, alkyl, aryl, OR 2 , OC(O)R 2 , CH 2 OR 2 , or CO 2 R 2 ; wherein any two instances of R 3 may be connected by a covalent tether whose backbone consists of 1, 2, 3, or 4 carbon atoms; R 4 represents independently for each occunence H, alkyl, aryl, heteroaryl, alkenyl, or cycloalkyl;
  • R 5 represents independently for each occunence H, alkyl, CH 2 Y, aryl, heteroaryl, F, OR 2 , or OC(O)R 2 ;
  • R_ represents independently for each occunence H, alkyl, CH 2 Y, aryl, heteroaryl, F,
  • Y represents independently for each occunence OR 2 , N(R 2 ) 2 , SR 2 , S(O)R 2 , S(O) 2 R 2 , or P(O)(OR 2 ) 2 ;
  • a covalent bond may connect R 4 and an instance of R 5 or R_ that is attached to the carbon chain between R 4 and the ring nitrogen explicitly shown in B; any two geminal or vicinal instances of R 5 and R 6 may be connected through a covalent bond;
  • the compounds of the present invention are represented by B and the attendant definitions, wherein X is C(R 3 ) 2 , O, or NR 2 .
  • the compounds of the present invention are represented by B and the attendant definitions, wherein X is C(R 3 ) 2 .
  • the compounds of the present invention are represented by B and the attendant definitions, wherein m is 2 or 3. In certain embodiments, the compounds of the present invention are represented by
  • n 1
  • the compounds of the present invention are represented by B and the attendant definitions, wherein R ; represents aryl or heteroaryl.
  • the compounds of the present invention are represented by B and the attendant definitions, wherein R 2 represents independently for each occunence alkyl. In certain embodiments, the compounds of the present invention are represented by B and the attendant definitions, wherein R 3 represents independently for each occunence H or alkyl.
  • the compounds of the present invention are represented by B and the attendant definitions, wherein R 4 represents cycloalkyl, aryl, or heteroaryl.
  • the compounds of the present invention are represented by B and the attendant definitions, wherein R 5 represents independently for each occunence H, alkyl, aryl, heteroaryl, or F.
  • the compounds of the present invention are represented by B and the attendant definitions, wherein R 6 represents independently for each occunence H, alkyl, aryl, heteroaryl, or F.
  • the compounds of the present invention are represented by B and the attendant definitions, wherein X is C(R 3 ) 2 , O, or NR 2 ; and n is 1.
  • the compounds of the present invention are represented by B and the attendant definitions, wherein X is C(R 3 ) 2 ; and n is 1.
  • the compounds of the present invention are represented by B and the attendant definitions, wherein X is C(R 3 ) 2 , O, or NR 2 ; and R, represents aryl or heteroaryl.
  • the compounds of the present invention are represented by B and the attendant definitions, wherein X is C(R 3 ) 2 ; and R, represents aryl or heteroaryl.
  • the compounds of the present invention are represented by B and the attendant definitions, wherein X is C(R 3 ) 2 , O, or NR 2 ; and R 2 represents independently for each occunence alkyl.
  • the compounds of the present invention are represented by B and the attendant definitions, wherein X is C(R 3 ) 2 ; and R, represents independently for each occunence alkyl. In certain embodiments, the compounds of the present invention are represented by
  • the compounds of the present invention are represented by B and the attendant definitions, wherein X is C(R 3 ) 2 , O, or NR 2 ; n is 1; and R, represents aryl or heteroaryl.
  • the compounds of the present invention are represented by B and the attendant definitions, wherein X is C(R 3 ) 2 ; n is 1; and R[ represents aryl or heteroaryl.
  • the compounds of the present invention are represented by B and the attendant definitions, wherein X is C(R 3 ) 2 , O, or NR 2 ; n is 1; R t represents aryl or heteroaryl; and R 2 represents independently for each occunence alkyl. In certain embodiments, the compounds of the present invention are represented by
  • X is C(R 3 ) 2 ; n is 1; R_ represents aryl or heteroaryl; and R 2 represents independently for each occunence alkyl.
  • the compounds of the present invention are represented by B and the attendant definitions, wherein X is C(R 3 ) 2 , O, or NR 2 ; n is 1 ; R, represents aryl or heteroaryl; R 2 represents independently for each occunence alkyl; and R 3 represents independently for each occunence H or alkyl.
  • the compounds of the present invention are represented by B and the attendant definitions, wherein X is C(R 3 ) 2 ; n is 1; R, represents aryl or heteroaryl; R 2 represents independently for each occunence alkyl; and R 3 represents independently for each occunence H or alkyl.
  • the compounds of the present invention are represented by
  • the compounds of the present invention are represented by
  • X is C(R 3 ) 2 , O, or NR 2 ; n is 1 ; R, represents aryl or heteroaryl; R 2 represents independently for each occunence alkyl; R 3 represents independently for each occunence H or alkyl; and R 4 represents cycloalkyl, aryl, or heteroaryl.
  • the compounds of the present invention are represented by
  • X is C(R 3 ) 2 ; n is l; R_ represents aryl or heteroaryl; R 2 represents independently for each occunence alkyl; R 3 represents independently for each occunence H or alkyl; and R 4 represents cycloalkyl, aryl, or heteroaryl.
  • the compounds of the present invention are represented by B and the attendant definitions, wherein X is C(R 3 ) 2 , O, or NR 2 ; n is 1 ; R, represents aryl or heteroaryl; R 2 represents independently for each occunence alkyl; R 3 represents independently for each occunence H or alkyl; R 4 represents cycloalkyl, aryl, or heteroaryl; and R 5 represents independently for each occunence H, alkyl, aryl, heteroaryl, or F.
  • the compounds of the present invention are represented by B and the attendant definitions, wherein X is C(R 3 ) 2 ; n is 1 ; R, represents aryl or heteroaryl;
  • R 2 represents independently for each occunence alkyl
  • R 3 represents independently for each occunence H or alkyl
  • R 4 represents cycloalkyl, aryl, or heteroaryl
  • R 5 represents independently for each occunence H, alkyl, aryl, heteroaryl, or F.
  • the compounds of the present invention are represented by B and the attendant definitions, wherein X is C(R 3 ) 2 , O, or NR 2 ; n is 1; R, represents aryl or heteroaryl; R 2 represents independently for each occunence alkyl; R 3 represents independently for each occunence H or alkyl; R 4 represents cycloalkyl, aryl, or heteroaryl; R 5 represents independently for each occunence H, alkyl, aryl, heteroaryl, or F; and R 6 represents independently for each occunence H, alkyl, aryl, heteroaryl, or F.
  • the compounds of the present invention are represented by B and the attendant definitions, wherein X is C(R 3 ) 2 ; n is 1; R, represents aryl or heteroaryl; R 2 represents independently for each occunence alkyl; R 3 represents independently for each occunence H or alkyl; R 4 represents cycloalkyl, aryl, or heteroaryl; R 5 represents independently for each occunence H, alkyl, aryl, heteroaryl, or F; and R 6 represents independently for each occunence H, alkyl, aryl, heteroaryl, or F.
  • certain compounds according to general structure B have IC 50 values less than 10 ⁇ M against at least one subclass of opioid receptor, more preferably less than 5 ⁇ M, and most preferably less than 1 ⁇ M.
  • the compounds ofthe present invention are represented by
  • R_ represents H, alkyl, aryl, heteroaryl, or cycloalkyl
  • R 2 represents independently for each occunence H, alkyl, fluoroalkyl, aryl, heteroaryl, or cycloalkyl;
  • R_ and R 2 may be connected through a covalent bond;
  • R 3 represents independently for each occunence H, alkyl, aryl, OR 2 , OC(O)R 2 ,
  • R 4 represents H, alkyl, aryl, heteroaryl, alkenyl, or cycloalkyl
  • R 5 represents independently for each occunence H, alkyl, CH 2 Y, aryl, heteroaryl, F, OR 2 , or OC(O)R 2 ;
  • Rg represents independently for each occunence H, alkyl, CH 2 Y, aryl, heteroaryl, F,
  • Y represents independently for each occunence OR 2 , N(R 2 ) 2 , SR 2 , S(O)R 2 , S(O) 2 R 2 , or P(O)(OR 2 ) 2 ; a covalent bond may connect R 4 and an instance of R 5 or R 6 that is attached to the carbon chain between R 4 and the ring nitrogen explicitly shown in C; any two geminal or vicinal instances of R 5 and R 6 may be connected through a covalent bond; and the stereochemical configuration at any stereocenter of a compound represented by C is R, S, or a mixture of these configurations.
  • the compounds of the present invention are represented by C and the attendant definitions, wherein m is 2 or 3.
  • the compounds of the present invention are represented by C and the attendant definitions, wherein y is 1.
  • the compounds of the present invention are represented by C and the attendant definitions, wherein R, represents aryl or heteroaryl.
  • the compounds of the present invention are represented by C and the attendant definitions, wherein R 2 represents independently for each occunence alkyl.
  • the compounds of the present invention are represented by C and the attendant definitions, wherein R 3 represents independently for each occunence H or alkyl.
  • the compounds of the present invention are represented by C and the attendant definitions, wherein R 4 represents cycloalkyl, aryl, or heteroaryl.
  • the compounds of the present invention are represented by C and the attendant definitions, wherein R 5 represents independently for each occurrence H, alkyl, aryl, heteroaryl, or F.
  • the compounds of the present invention are represented by C and the attendant definitions, wherein Rg represents independently for each occunence H, alkyl, aryl, heteroaryl, or F.
  • the compounds of the present invention are represented by C and the attendant definitions, wherein R, represents aryl or heteroaryl; and R 2 represents independently for each occunence alkyl. In certain embodiments, the compounds of the present invention are represented by
  • R j represents aryl or heteroaryl
  • R 2 represents independently for each occunence alkyl
  • R 3 represents independently for each occurrence H or alkyl.
  • the compounds of the present invention are represented by C and the attendant definitions, wherein R represents aryl or heteroaryl; R 2 represents independently for each occunence alkyl; R 3 represents independently for each occunence H or alkyl; and R 4 represents cycloalkyl, aryl, or heteroaryl.
  • the compounds of the present invention are represented by
  • R represents aryl or heteroaryl
  • R 2 represents independently for each occunence alkyl
  • R 3 represents independently for each occunence H or alkyl
  • R 4 represents cycloalkyl, aryl, or heteroaryl
  • R 5 represents independently for each occunence H, alkyl, aryl, heteroaryl, or F.
  • the compounds of the present invention are represented by C and the attendant definitions, wherein R_ represents aryl or heteroaryl; R 2 represents independently for each occunence alkyl; R 3 represents independently for each occunence H or alkyl; R 4 represents cycloalkyl, aryl, or heteroaryl; R 5 represents independently for each occunence H, alkyl, aryl, heteroaryl, or F; and R 6 represents independently for each occunence H, alkyl, aryl, heteroaryl, or F.
  • R_ represents aryl or heteroaryl
  • R 2 represents independently for each occunence alkyl
  • R 3 represents independently for each occunence H or alkyl
  • R 4 represents cycloalkyl, aryl, or heteroaryl
  • R 5 represents independently for each occunence H, alkyl, aryl, heteroaryl, or F
  • R 6 represents independently for each occunence H, alkyl, aryl, heteroaryl, or F.
  • certain compounds according to general structure C have IC 50 values less than 10 ⁇ M against at least one subclass of opioid receptor, more preferably less than 5 ⁇ M, and most preferably less than 1 ⁇ M.
  • the compounds ofthe present invention are represented by
  • R represents H, alkyl, aryl, heteroaryl, or cycloalkyl
  • R 2 represents independently for each occunence H, alkyl, fluoroalkyl, aryl, heteroaryl, or cycloalkyl;
  • R_ and R 2 may be connected through a covalent bond
  • R 3 represents independently for each occunence H, alkyl, aryl, OR 2 , OC(O)R 2 , CH 2 OR 2 , or CO 2 R 2 ;
  • R 4 represents H, alkyl, aryl, heteroaryl, alkenyl, or cycloalkyl;
  • R 5 represents independently for each occunence H, alkyl, CH 2 Y, aryl, heteroaryl, F,
  • R 6 represents independently for each occunence H, alkyl, CH 2 Y, aryl, heteroaryl, F, OR 2 , or OC(O)R 2 ;
  • Y represents independently for each occunence OR 2 , N(R 2 ) 2 , SR 2 , S(O)R 2 , S(O) 2 R 2 , or P(O)(OR 2 ) 2 ;
  • a covalent bond may connect R 4 and an instance of R 5 or R 6 that is attached to the carbon chain between R 4 and the ring nitrogen explicitly shown in D; any two geminal or vicinal instances of R 5 and R 6 may be connected through a covalent bond; and the stereochemical configuration at any stereocenter of a compound represented by
  • D is R or S.
  • the compounds of the present invention are represented by D and the attendant definitions, wherein m is 2 or 3. In certain embodiments, the compounds of the present invention are represented by
  • the compounds of the present invention are represented by D and the attendant definitions, wherein R_ represents aryl or heteroaryl.
  • the compounds of the present invention are represented by D and the attendant definitions, wherein R 2 represents independently for each occunence alkyl. In certain embodiments, the compounds of the present invention are represented by D and the attendant definitions, wherein R 3 represents independently for each occunence H or alkyl.
  • the compounds of the present invention are represented by D and the attendant definitions, wherein R 4 represents cycloalkyl, aryl, or heteroaryl.
  • the compounds of the present invention are represented by D and the attendant definitions, wherein R 5 represents independently for each occunence H, alkyl, aryl, heteroaryl, or F.
  • the compounds of the present invention are represented by D and the attendant definitions, wherein R 6 represents independently for each occunence H, alkyl, aryl, heteroaryl, or F.
  • the compounds of the present invention are represented by D and the attendant definitions, wherein R j represents aryl or heteroaryl; and R 2 represents independently for each occurrence alkyl. In certain embodiments, the compounds of the present invention are represented by
  • R represents aryl or heteroaryl
  • R 2 represents independently for each occunence alkyl
  • R 3 represents independently for each occunence H or alkyl.
  • the compounds of the present invention are represented by D and the attendant definitions, wherein R, represents aryl or heteroaryl; R 2 represents independently for each occunence alkyl; R 3 represents independently for each occunence H or alkyl; and R 4 represents cycloalkyl, aryl, or heteroaryl.
  • the compounds of the present invention are represented by
  • R_ represents aryl or heteroaryl
  • R 2 represents independently for each occunence alkyl
  • R 3 represents independently for each occunence H or alkyl
  • R 4 represents cycloalkyl, aryl, or heteroaryl
  • R 5 represents independently for each occunence H, alkyl, aryl, heteroaryl, or F.
  • the compounds of the present invention are represented by
  • R_ represents aryl or heteroaryl
  • R 2 represents independently for each occunence alkyl
  • R 3 represents independently for each occunence H or alkyl
  • R 4 represents cycloalkyl, aryl, or heteroaryl
  • R 5 represents independently for each occunence H, alkyl, aryl, heteroaryl, or F
  • R 6 represents independently for each occunence H, alkyl, aryl, heteroaryl, or F.
  • certain compounds according to general structure D have IC 50 values less than 10 ⁇ M against at least one subclass of opioid receptor, more preferably less than 5 ⁇ M, and most preferably less than 1 ⁇ M.
  • the compounds ofthe present invention are represented by E:
  • R represents H, alkyl, aryl, heteroaryl, or cycloalkyl
  • R 2 represents independently for each occunence H, alkyl, fluoroalkyl, aryl, heteroaryl, or cycloalkyl;
  • R, and R 2 may be connected through a covalent bond;
  • R 3 represents independently for each occunence H, alkyl, aryl, OR 2 , OC(O)R 2 ,
  • R 4 represents H, alkyl, aryl, heteroaryl, alkenyl, or cycloalkyl
  • R 5 represents independently for each occunence H, alkyl, CH 2 Y, aryl, heteroaryl, F, OR 2 , or OC(O)R 2 ;
  • R g represents independently for each occunence H, alkyl, CH 2 Y, aryl, heteroaryl, F, OR 2 , or OC(O)R 2 ;
  • Y represents independently for each occunence OR 2 , N(R 2 ) 2 , SR 2 , S(O)R 2 , S(O) 2 R 2 , or P(O)(OR 2 ) 2 ;
  • a covalent bond may connect R 4 and an instance of R 5 or R 6 that is attached to the carbon chain between R 4 and the ring nitrogen explicitly shown in E; any two geminal or vicinal instances of R 5 and R 6 may be connected through a covalent bond;
  • the compounds of the present mvention are represented by E and the attendant definitions, wherein X is C(R 3 ) 2 , O, or NR 2 .
  • the compounds of the present invention are represented by E and the attendant definitions, wherein X is C(R 3 ) 2 .
  • the compounds of the present invention are represented by E and the attendant definitions, wherein m is 2 or 3. In certain embodiments, the compounds of the present invention are represented by
  • the compounds of the present invention are represented by E and the attendant definitions, wherein R, represents aryl or heteroaryl.
  • the compounds of the present invention are represented by E and the attendant definitions, wherein R 2 represents independently for each occunence alkyl.
  • the compounds of the present invention are represented by E and the attendant definitions, wherein R 3 represents independently for each occunence H or alkyl. In certain embodiments, the compounds of the present invention are represented by E and the attendant definitions, wherein R 4 represents cycloalkyl, aryl, or heteroaryl.
  • the compounds of the present invention are represented by E and the attendant definitions, wherein R 5 represents independently for each occunence H, alkyl, aryl, heteroaryl, or F. In certain embodiments, the compounds of the present invention are represented by
  • R 6 represents independently for each occunence H, alkyl, aryl, heteroaryl, or F.
  • the compounds of the present invention are represented by E and the attendant definitions, wherein X is C(R 3 ) 2 ; and n is 1.
  • the compounds of the present invention are represented by E and the attendant definitions, wherein X is C(R 3 ) 2 , O, or NR 2 ; and R, represents aryl or heteroaryl. In certain embodiments, the compounds of the present invention are represented by
  • the compounds of the present invention are represented by E and the attendant definitions, wherein X is C(R 3 ) 2 , O, or NR 2 ; n is 1; and R, represents aryl or heteroaryl.
  • the compounds of the present invention are represented by E and the attendant definitions, wherein X is C(R 3 ) 2 ; n is 1 ; and R, represents aryl or heteroaryl. In certain embodiments, the compounds of the present invention are represented by
  • the compounds of the present invention are represented by E and the attendant definitions, wherein X is C(R 3 ) 2 , O, or NR 2 ; n is 1 ; R, represents aryl or heteroaryl; and R 2 represents independently for each occunence alkyl.
  • the compounds of the present invention are represented by E and the attendant definitions, wherein X is C(R 3 ) 2 ; n is 1; R, represents aryl or heteroaryl; and R 2 represents independently for each occunence alkyl.
  • the compounds of the present invention are represented by E and the attendant definitions, wherein X is C(R 3 ) 2 , O, or NR 2 ; n is 1; R, represents aryl or heteroaryl; R 2 represents independently for each occunence alkyl; and R 3 represents independently for each occunence H or alkyl.
  • the compounds of the present invention are represented by E and the attendant definitions, wherein X is C(R 3 ) 2 ; n is 1; R, represents aryl or heteroaryl; R 2 represents independently for each occunence alkyl; and R 3 represents independently for each occunence H or alkyl.
  • the compounds of the present invention are represented by
  • X is C(R 3 ) 2 , O, or NR 2 ; n is 1; R_ represents aryl or heteroaryl; R 2 represents independently for each occunence alkyl; R 3 represents independently for each occunence H or alkyl; and R 4 represents cycloalkyl, aryl, or heteroaryl.
  • the compounds of the present invention are represented by
  • X is C(R 3 ) 2 ; n is 1 ; R, represents aryl or heteroaryl; R 2 represents independently for each occunence alkyl; R 3 represents independently for each occunence H or alkyl; and R 4 represents cycloalkyl, aryl, or heteroaryl.
  • the compounds of the present invention are represented by E and the attendant definitions, wherein X is C(R 3 ) 2 , O, or NR 2 ; n is 1; R_ represents aryl or heteroaryl; R 2 represents independently for each occunence alkyl; R 3 represents independently for each occunence H or alkyl; R 4 represents cycloalkyl, aryl, or heteroaryl; and R 5 represents independently for each occunence H, alkyl, aryl, heteroaryl, or F.
  • the compounds of the present invention are represented by E and the attendant definitions, wherein X is C(R 3 ) 2 ; n is 1 ; R_ represents aryl or heteroaryl;
  • R 2 represents independently for each occunence alkyl
  • R 3 represents independently for each occunence H or alkyl
  • R 4 represents cycloalkyl, aryl, or heteroaryl
  • R 5 represents independently for each occunence H, alkyl, aryl, heteroaryl, or F.
  • the compounds of the present invention are represented by E and the attendant definitions, wherein X is C(R 3 ) 2 , O, or NR 2 ; n is 1 ; R_ represents aryl or heteroaryl; R 2 represents independently for each occunence alkyl; R 3 represents independently for each occunence H or alkyl; R 4 represents cycloalkyl, aryl, or heteroaryl; R 5 represents independently for each occunence H, alkyl, aryl, heteroaryl, or F; and R 6 represents independently for each occunence H, alkyl, aryl, heteroaryl, or F.
  • the compounds of the present invention are represented by E and the attendant definitions, wherein X is C(R 3 ) 2 ; n is 1; R_ represents aryl or heteroaryl; R 2 represents independently for each occunence alkyl; R 3 represents independently for each occunence H or alkyl; R 4 represents cycloalkyl, aryl, or heteroaryl; R 5 represents independently for each occunence H, alkyl, aryl, heteroaryl, or F; and R 6 represents independently for each occunence H, alkyl, aryl, heteroaryl, or F.
  • certain compounds according to general strucmre E have IC 50 values less than 10 ⁇ M against at least one subclass of opioid receptor, more preferably less than 5 ⁇ M, and most preferably less than 1 ⁇ M.
  • the compounds ofthe present invention are represented by
  • R represents H, alkyl, aryl, heteroaryl, or cycloalkyl
  • R 2 represents independently for each occunence H, alkyl, fluoroalkyl, aryl, heteroaryl, or cycloalkyl
  • R [ and R 2 may be connected through a covalent bond
  • R 3 represents independently for each occunence H, alkyl, aryl, OR 2 , OC(O)R 2 , CH 2 OR 2 , or CO 2 R 2 ;
  • R 4 represents independently for each occurrence H, alkyl, aryl, heteroaryl, alkenyl, or cycloalkyl;
  • R 5 represents independently for each occunence H, alkyl, CH 2 Y, aryl, heteroaryl, F, OR 2 , or OC(O)R 2 ;
  • R 6 represents independently for each occunence H, alkyl, CH 2 Y, aryl, heteroaryl, F, OR 2 , or OC(O)R 2 ;
  • Y represents independently for each occunence OR 2 , N(R 2 ) 2 , SR 2 , S(O)R 2 , S(O) 2 R 2 , or P(O)(OR 2 ) 2 ;
  • a covalent bond may connect R 4 and an instance of R 5 or R 6 that is attached to the carbon chain between R 4 and the ring nitrogen explicitly shown in F; any two geminal or vicinal instances of R 5 and R 6 may be connected through a covalent bond;
  • the compounds of the present invention are represented by F and the attendant definitions, wherein X is O or NR 2 . In certain embodiments, the compounds of the present invention are represented by
  • the compounds of the present invention are represented by F and the attendant definitions, wherein m is 2 or 3.
  • the compounds of the present invention are represented by F and the attendant definitions, wherein y is 1.
  • the compounds of the present invention are represented by F and the attendant definitions, wherein R [ represents aryl or heteroaryl.
  • the compounds of the present invention are represented by F and the attendant definitions, wherein R 2 represents independently for each occunence alkyl.
  • the compounds of the present invention are represented by F and the attendant definitions, wherein R 3 represents independently for each occunence H or alkyl.
  • the compounds of the present invention are represented by F and the attendant definitions, wherein R 4 represents cycloalkyl, aryl, or heteroaryl.
  • the compounds of the present invention are represented by F and the attendant definitions, wherein R 5 represents independently for each occunence H, alkyl, aryl, heteroaryl, or F.
  • the compounds of the present invention are represented by F and the attendant definitions, wherein R 6 represents independently for each occunence H, alkyl, aryl, heteroaryl, or F. In certain embodiments, the compounds of the present invention are represented by
  • the compounds of the present invention are represented by F and the attendant definitions, wherein X is O or NR 2 ; and y is 1.
  • the compounds of the present invention are represented by F and the attendant definitions, wherein X is NR 2 ; and y is 1.
  • the compounds of the present invention are represented by F and the attendant definitions, wherein X is O or NR 2 ; and R t represents aryl or heteroaryl. In certain embodiments, the compounds of the present invention are represented by F and the attendant definitions, wherein X is NR 2 ; and R, represents aryl or heteroaryl.
  • the compounds of the present invention are represented by F and the attendant definitions, wherein X is O or NR 2 ; and R 2 represents independently for each occunence alkyl.
  • the compounds of the present invention are represented by F and the attendant definitions, wherein X is NR 2 ; and R 2 represents independently for each occunence alkyl.
  • X is O or NR 2 ;
  • R_ represents aryl or heteroaryl; and
  • R 2 represents independently for each occunence alkyl.
  • the compounds of the present invention are represented by F and the attendant definitions, wherein X is NR 2 ; R, represents aryl or heteroaryl; and R 2 represents independently for each occunence alkyl.
  • X is O or NR 2 ;
  • R represents aryl or heteroaryl;
  • R 2 represents independently for each occunence alkyl;
  • R 3 represents independently for each occunence H or alkyl.
  • the compounds of the present invention are represented by F and the attendant definitions, wherein X is NR 2 ; R, represents aryl or heteroaryl; R 2 represents independently for each occunence alkyl; and R 3 represents independently for each occunence H or alkyl.
  • the compounds of the present invention are represented by
  • R represents aryl or heteroaryl;
  • R 2 represents independently for each occunence alkyl;
  • R 3 represents independently for each occunence H or alkyl; and
  • R 4 represents cycloalkyl, aryl, or heteroaryl.
  • the compounds of the present invention are represented by F and the attendant definitions, wherein X is O or NR 2 ; R_ represents aryl or heteroaryl; R 2 represents independently for each occunence alkyl; R 3 represents independently for each occunence H or alkyl; and R 4 represents cycloalkyl, aryl, or heteroaryl.
  • the compounds of the present invention are represented by F and the attendant definitions, wherein X is NR 2 ; R, represents aryl or heteroaryl; R 2 represents independently for each occunence alkyl; R 3 represents independently for each occunence H or alkyl; and R 4 represents cycloalkyl, aryl, or heteroaryl.
  • X is NR 2 ; R, represents aryl or heteroaryl; R 2 represents independently for each occunence alkyl; R 3 represents independently for each occunence H or alkyl; and R 4 represents cycloalkyl, aryl, or heteroaryl.
  • the compounds of the present invention are represented by
  • R ! represents aryl or heteroaryl;
  • R 2 represents independently for each occunence alkyl;
  • R 3 represents independently for each occunence H or alkyl;
  • R 4 represents cycloalkyl, aryl, or heteroaryl;
  • R 5 represents independently for each occunence H, alkyl, aryl, heteroaryl, or F.
  • the compounds of the present invention are represented by
  • X is O or NR 2 ;
  • R represents aryl or heteroaryl;
  • R 2 represents independently for each occunence alkyl;
  • R 3 represents independently for each occunence H or alkyl;
  • R 4 represents cycloalkyl, aryl, or heteroaryl;
  • R 5 represents independently for each occunence H, alkyl, aryl, heteroaryl, or F.
  • the compounds of the present invention are represented by
  • X is NR 2 ; R, represents aryl or heteroaryl; R 2 represents independently for each occunence alkyl; R 3 represents independently for each occunence H or alkyl; R 4 represents cycloalkyl, aryl, or heteroaryl; and R 5 represents independently for each occunence H, alkyl, aryl, heteroaryl, or F.
  • the compounds of the present invention are represented by
  • R ! represents aryl or heteroaryl;
  • R represents independently for each occunence alkyl;
  • R 3 represents independently for each occunence H or alkyl;
  • R 4 represents cycloalkyl, aryl, or heteroaryl;
  • R 5 represents independently for each occunence H, alkyl, aryl, heteroaryl, or F;
  • R 6 represents independently for each occunence H, alkyl, aryl, heteroaryl, or F.
  • the compounds of the present invention are represented by
  • X is O or NR 2 ;
  • R represents aryl or heteroaryl;
  • R 2 represents independently for each occunence alkyl;
  • R 3 represents independently for each occunence H or alkyl;
  • R 4 represents cycloalkyl, aryl, or heteroaryl;
  • R 5 represents independently for each occunence H, alkyl, aryl, heteroaryl, or F;
  • R 6 represents independently for each occunence H, alkyl, aryl, heteroaryl, or F.
  • the compounds of the present invention are represented by F and the attendant definitions, wherein X is NR 2 ; R, represents aryl or heteroaryl; R 2 represents independently for each occunence alkyl; R 3 represents independently for each occunence H or alkyl; R 4 represents cycloalkyl, aryl, or heteroaryl; R 5 represents independently for each occurrence H, alkyl, aryl, heteroaryl, or F; and R 6 represents independently for each occunence H, alkyl, aryl, heteroaryl, or F.
  • certain compounds according to general structure F have IC 50 values less than 10 ⁇ M against at least one subclass of opioid receptor, more preferably less than 5 ⁇ M, and most preferably less than 1 ⁇ M.
  • the present invention relates to a compound represented by A, C, E, or F and the conesponding attendant defintions, wherein said compound is a single stereoisomer.
  • the present invention relates to a formulation, comprising a compound represented by A, B, C, D, E, or F and the conesponding attendant defintions; and a pharmaceutically acceptable excipient.
  • the present invention relates to a method of treating pain, drug addiction, or tinnitus in a mammal, comprising the step of administering to a mammal with pain, drug addiction, or tinnitus an effective amount of a formulation comprising a compound represented by A, B, C, D, E, or F and the conesponding attendant defintions; and a pharmaceutically acceptable excipient.
  • said mammal is a primate, equine, canine or feline.
  • said mammal is a human.
  • said formulation is administered orally.
  • said formulation is administered intravenously.
  • said formulation is administered sublingually.
  • said formulation is administered ocularly.
  • the present invention relates to ligands for G-protein- coupled or opioid receptors, wherein the ligands are represented by any of generalized structures A, B, C, D, E and F, and any of the sets of definitions associated with one of those structures.
  • the ligands of the present invention are antagonists, agonists, partial agonists or inverse agonists of one or more G-protein-coupled or opioid receptor.
  • the ligands of the present invention preferably exert their effect on the receptors at a concentration less than about 10 micromolar, more preferably at a concentration less than about 1 micromolar, and most preferably at a concentration less than 100 nanomolar.
  • the ligands of the present invention bind to multiple families of G- protein-coupled receptors. In certain embodiments, the ligands ofthe present invention bind selectively to a single family of G-protein-coupled or opioid receptors. In other embodiments, the ligands of the present invention bind selectively to a subtype of receptor within a family of G-protein-coupled or opioid receptors.
  • the selectivity of a ligand for a specific family or subtype of receptor renders that ligand an effective therapeutic agent for an acute or chronic ailment, disease or malady.
  • the selectivity of a ligand for a specific family or subtype of receptor consists of a binding affinity for that family or subtype of receptor at least a factor of ten greater than its binding affinity for other families or subtypes of G- protein-coupled or opioid receptors.
  • the selectivity of a ligand for a specific family or subtype of receptor consists of a binding affinity for that family or subtype of receptor at least a factor of one hundred greater than its binding affinity for other families or subtypes of G-protein-coupled or opioid receptors. In certain embodiments, the selectivity of a ligand for a specific family or subtype of receptor consists of a binding affinity for that family or subtype of receptor at least a factor of one thousand greater than its binding affinity for other families or subtypes of G-protein-coupled or opioid receptors.
  • the present invention contemplates pharmaceutical formulations (see below) of the ligands of the present invention.
  • the pharmaceutical formulations will comprise ligands ofthe present invention that effect only a specific family or subtype of G-protein-coupled or opioid receptor, and thereby have a therapeutic effect on an acute or chronic ailment, disease or malady that is at least in part due to biochemical or physiological processes associated with the receptor(s).
  • the pharmaceutical formulations will comprise ligands of the present invention that effect only a subtype of receptor, and thereby have a therapeutic effect on an acute or chronic ailment, disease or malady that is at least in part due to biochemical or physiological processes associated with the specific subtype of receptor.
  • the Background of the Invention teaches examples of acute or chronic ailments, diseases or maladies that are caused or exacerbated by biochemical or physiological processes associated with specific G-protein-coupled or opioid receptors.
  • One of ordinary skill in the art will be able to accumulate, by reference to the scientific literature, a more comprehensive list of acute or chronic ailments, diseases or maladies that are caused or exacerbated by biochemical or physiological processes associated with specific G-protein-coupled or opioid receptors.
  • the present invention contemplates pharmaceutical formulations of ligands of the present invention that will be of medicinal value against the aforementioned acute or chronic ailments, diseases or maladies.
  • Assaying processes are well known in the art in which a reagent is added to a sample, and measurements of the sample and reagent are made to identify sample attributes stimulated by the reagent.
  • one such assay process concerns determining in a chromogenic assay the amount of an enzyme present in a biological sample or solution.
  • Such assays are based on the development of a colored product in the reaction solution. The reaction develops as the enzyme catalyzes the conversion of a colorless chromogenic substrate to a colored product.
  • Another assay useful in the present invention concerns determining the ability of a ligand to bind to a biological receptor utilizing a technique well known in the art refened to as a radioligand binding assay.
  • This assay accurately determines the specific binding of a radioligand to a targeted receptor through the delineation of its total and nonspecific binding components.
  • Total binding is defined as the amount of radioligand that remains following the rapid separation of the radioligand bound in a receptor preparation (cell homogenates or recombinate receptors) from that which is unbound.
  • the nonspecific binding component is defined as the amount of radioligand that remains following separation of the reaction mixture consisting of receptor, radioligand and an excess of unlabeled ligand.
  • radioligand binding assay for ⁇ -opioid receptor, see Wang, J. B. et al. FEBS Letters 1994, 338, 217.
  • Assays useful in the present invention concern determining the activity of receptors the activation of which initiates subsequent intracellular events in which intracellular stores of calcium ions are released for use as a second messenger.
  • Activation of some G-protein- coupled receptors stimulates the formation of inositol triphosphate (IP3, a G-protein-coupled receptor second messenger) through phospholipase C-mediated hydrolysis of phosphatidylinositol, Berridge and Irvine (1984). Nature 312:315-21.
  • IP3 in turn stimulates the release of intracellular calcium ion stores.
  • G-protein-coupled receptor function A change in cytoplasmic calcium ion levels caused by release of calcium ions from intracellular stores is used to determine G-protein-coupled receptor function. This is another type of indirect assay.
  • G-protein-coupled receptors are muscarinic acetylcholine receptors (mAChR), adrenergic receptors, sigma receptors, serotonin receptors, dopamine receptors, angiotensin receptors, adenosine receptors, bradykinin receptors, metabotropic excitatory amino acid receptors and the like.
  • Cells expressing such G-protein-coupled receptors may exhibit increased cytoplasmic calcium levels as a result of contribution from both intracellular stores and via activation of ion channels, in which case it may be desirable although not necessary to conduct such assays in calcium-free buffer, optionally supplemented with a chelating agent such as EGTA, to distinguish fluorescence response resulting from calcium release from internal stores.
  • Another type of indirect assay involves determining the activity of receptors which, when activated, result in a change in the level of intracellular cyclic nucleotides, e.g., cAMP, cGMP. For example, activation of some dopamine, serotonin, metabotropic glutamate receptors and muscarinic acetylcholine receptors results in a decrease in the cAMP or cGMP levels ofthe cytoplasm.
  • cyclic nucleotide-gated ion channels e.g., rod photoreceptor cell channels and olfactory neuron channels [see, Altenhofen, W. et al. (1991) Proc. Natl. Acad. Sci U.S.A. 88:9868-9872 and Dhallan et al. (1990) Nature 347:184-187] that are permeable to cations upon activation by binding of cAMP or cGMP.
  • a change in cytoplasmic ion levels caused by a change in the amount of cyclic nucleotide activation of photo-receptor or olfactory neuron channels is used to determine function of receptors that cause a change in cAMP or cGMP levels when activated.
  • activation of the receptor results in a decrease in cyclic nucleotide levels, it may be preferable to expose the cells to agents that increase intracellular cyclic nucleotide levels, e.g., forskolin, prior to adding a receptor-activating compound to the cells in the assay.
  • Cell for this type of assay can be made by co-transfection of a host cell with DNA encoding a cyclic nucleotide-gated ion channel and a DNA encoding a receptor (e.g., certain metabotropic glutamate receptors, muscarinic acetylcholine receptors, dopamine receptors, serotonin receptors and the like, which, when activated, causes a change in cyclic nucleotide levels in the cytoplasm.
  • a receptor e.g., certain metabotropic glutamate receptors, muscarinic acetylcholine receptors, dopamine receptors, serotonin receptors and the like, which, when activated, causes a change in cyclic nucleotide levels in the cytoplasm.
  • Any cell expressing a receptor protein which is capable, upon activation, of directly increasing the intracellular concentration of calcium, such as by opening gated calcium channels, or indirectly affecting the concentration of intracellular calcium as by causing initiation of a reaction which utilizes Ca ⁇ 2+> as a second messenger (e.g., G-protein- coupled receptors), may form the basis of an assay.
  • Cells endogenously expressing such receptors or ion channels and cells which may be transfected with a suitable vector encoding one or more such cell surface proteins are known to those of skill in the art or may be identified by those of skill in the art.
  • HEK human embryonic kidney
  • Prefened cells for heterologous cell surface protein expression are those that can be readily and efficiently transfected.
  • Prefened cells include HEK 293 cells, such as those described in U.S. Pat. No. 5,024,939.
  • Any compound which is known to activate ion channels or receptors of interest may be used to initiate an assay. Choosing an appropriate ion channel- or receptor-activating reagent depending on the ion channel or receptor of interest is within the skill of the art.
  • Direct depolarization of the cell membrane to determine calcium channel activity may be accomplished by adding a potassium salt solution having a concentration of potassium ions such that the final concentration of potassium ions in the cell-containing well is in the range of about 50-150 mM (e.g., 50 mM KCl).
  • ligands are known which have affinity for and activate such receptors.
  • nicotinic acetyloholine receptors are known to be activated by nicotine or acetylcholine; similarly, muscarinic and acetylcholine receptors may be activated by addition of muscarine or carbamylcholine.
  • Agonist assays may be carried out on cells known to possess ion channels and/or receptors to determine what effect, if any, a compound has on activation or potentiation of ion channels or receptors of interest. Agonist assays also may be carried out using a reagent known to possess ion channel- or receptor-activating capacity to determine whether a cell expresses the respective functional ion channel or receptor of interest.
  • a functional receptor or ion channel with agonist typically activates a transient reaction; and prolonged exposure to an agonist may desensitize the receptor or ion channel to subsequent activation.
  • assays for determining ion channel or receptor function should be initiated by addition of agonist (i.e., in a reagent solution used to initiate the reaction).
  • the potency of a compound having agonist activity is determined by the detected change in some observable in the cells (typically an increase, although activation of certain receptors causes a decrease) as compared to the level of the observable in either the same cell, or substantially identical cell, which is treated substantially identically except that reagent lacking the agonist (i.e., control) is added to the well.
  • an agonist assay is performed to test whether or not a cell expresses the functional receptor or ion channel of interest
  • known agonist is added to test-cell-containing wells and to wells containing control cells (substantially identical cell that lacks the specific receptors or ion channels) and the levels of observable are compared.
  • cells lacking the ion channel and/or receptor of interest should exhibit substantially no increase in observable in response to the known agonist.
  • a substantially identical cell may be derived from the same cells from which recombinant cells are prepared but which have not been modified by introduction of heterologous DNA. Alternatively, it may be a cell in which the specific receptors or ion channels are removed. Any statistically or otherwise significant difference in the level of observable indicates that the test compound has in some manner altered the activity of the specific receptor or ion channel or that the test cell possesses the specific functional receptor or ion channel.
  • individual wells contain a distinct cell type, or distinct recombinant cell line expressing a homogeneous population of a receptor or ion channel of interest, so that the compound having unidentified activity may be screened to determine whether it possesses modulatory activity with respect to one or more of a variety of functional ion channels or receptors. It is also contemplated that each of the individual wells may contain the same cell type so that multiple compounds (obtained from different reagent sources in the apparatus or contained within different wells) can be screened and compared for modulating activity with respect to one particular receptor or ion channel type.
  • Antagonist assays may be carried out by incubating cells having functional ion channels and/or receptors in the presence and absence of one or more compounds, added to the solution bathing the cells in the respective wells of the micro titer plate for an amount of time sufficient (to the extent that the compound has affinity for the ion channel and/or receptor of interest) for the compound(s) to bind to the receptors and/or ion channels, then activating the ion channels or receptors by addition of known agonist, and measuring the level of observable in the cells as compared to the level of observable in either the same cell, or substantially identical cell, in the absence of the putative antagonist.
  • assays are thus useful for rapidly screening compounds to identify those that modulate any receptor or ion channel in a cell.
  • assays can be used to test functional ligand-receptor or ligand-ion channel interactions for cell receptors including ligand-gated ion channels, voltage-gated ion channels, G-protein-coupled receptors and growth factor receptors.
  • assays may encompass measuring a detectable change of a solution as a consequence of a cellular event which allows a compound, capable of differential characteristics, to change its characteristics in response to the cellular event.
  • various assays may be performed. For example, assays for determining the capacity of a compound to induce cell injury or cell death may be carried out by loading the cells with a pH-sensitive fluorescent indicator such as BCECF (Molecular Probes, Inc., Eugene, Oreg. 97402, Catalog #B1150) and measuring cell injury or cell death as a function of changing fluorescence over time.
  • BCECF pH-sensitive fluorescent indicator
  • the function of receptors whose activation results in a change in the cyclic nucleotide levels of the cytoplasm may be directly determined in assays of cells that express such receptors and that have been injected with a fluorescent compound that changes fluorescence upon binding cAMP.
  • the fluorescent compound comprises cAMP-dependent-protein kinase in which the catalytic and regulatory subunits are each labelled with a different fluorescent-dye [Adams et al. (1991) Nature 349:694-697].
  • cAMP binds to the regulatory subunits, the fluorescence emission spectrum changes; this change can be used as an indication of a change in cAMP concentration.
  • the function of certain neurotransmitter transporters which are present at the synaptic cleft at the junction between two neurons may be determined by the development of fluorescence in the cytoplasm of such neurons when conjugates of an amine acid and fluorescent indicator (wherein the fluorescent indicator ofthe conjugate is an acetoxymethyl ester derivative e.g., 5-(aminoacetamido)fluorescein; Molecular Probes, Catalog #A1363) are transported by the neurotransmitter transporter into the cytoplasm of the cell where the ester group is cleaved by esterase activity and the conjugate becomes fluorescent.
  • the fluorescent indicator ofthe conjugate is an acetoxymethyl ester derivative e.g., 5-(aminoacetamido)fluorescein; Molecular Probes, Catalog #A1363
  • a reporter gene construct is inserted into an eukaryotic cell to produce a recombinant cell which has present on its surface a cell surface protein of a specific type.
  • the cell surface receptor may be endogenously expressed or it may be expressed from a heterologous gene that has been introduced into the cell.
  • Methods for introducing heterologous DNA into eukaryotic cells are-well known in the art and any such method may be used.
  • DNA encoding various cell surface proteins is known to those of skill in the art or it may be cloned by any method known to those of skill in the art.
  • the recombinant cell is contacted with a test compound and the level of reporter gene expression is measured.
  • the contacting may be effected in any vehicle and the testing may be by any means using any protocols, such as serial dilution, for assessing specific molecular interactions known to those of skill in the art.
  • the level of gene expression is measured.
  • the amount of time to effect such interactions may be empirically determined, such as by running a time course and measuring the level of transcription as a function of time.
  • the amount of transcription may be measured using any method known to those of skill in the art to be suitable. For example, specific mRNA expression may be detected using Northern blots or specific protein product may be identified by a characteristic stain.
  • the amount of transcription is then compared to the amount of transcription in either the same cell in the absence of the test, compound or it may be compared with the amount of transcription in a substantially identical cell that lacks the specific receptors.
  • a substantially identical cell may be derived from the same cells from which the recombinant cell was prepared but which had not been modified by introduction of heterologous DNA. Alternatively, it may be a cell in which the specific receptors are removed. Any statistically or otherwise significant difference in the amount of transcription indicates that the test compound has in some manner altered the activity ofthe specific receptor.
  • the assay may be repeated and modified by the introduction of a step in which the recombinant cell is first tested for the ability of a known agonist or activator of the specific receptor to activate transcription if the transcription is induced, the test compound is then assayed for its ability to inhibit, block or otherwise affect the activity of the agonist.
  • the transcription based assay is useful for identifying compounds that interact with any cell surface protein whose activity ultimately alters gene expression.
  • the assays can be used to test functional ligand-receptor or ligand-ion channel interactions for a number of categories of cell surface-localized receptors, including: ligand-gated ion channels and voltage-gated ion channels, and G protein-coupled receptors.
  • Any transferable cell that can express the desired cell surface protein in a manner such the protein functions to intracellularly transduce an extracellular signal may be used.
  • the cells may be selected such that they endogenously express the cell surface protein or may be genetically engineered to do so. Many such cells are known to those of skill in the art. Such cells include, but are not limited to Ltk ⁇ - > cells, PC 12 cells and COS-7 cells.
  • cell surface protein that is known to those of skill in the art or that may be identified by those of skill in the art may used in the assay.
  • the cell surface protein may endogenously expressed on the selected cell or it may be expressed from cloned DNA.
  • Exemplary cell surface proteins include, but are not limited to, cell surface receptors and ion channels.
  • Cell surface receptors include, but are not limited to, muscarinic receptors (e.g., human M2 (GenBank accession #M16404); rat M3 (GenBank accession #M16407); human M4 (GenBank accession #M16405); human M5 (Bonner et al.
  • Neuronal nicotinic acetylcholine receptors e.g., the alpha 2, alpha 3 and beta 2 subtypes disclosed in U.S. Ser. No. 504,455 (filed Apr. 3, 1990), hereby expressly incorporated by reference herein in its entirety
  • the rat alpha 2 subunit Wanga et al. (1988) Science 240:330-334
  • the rat alpha 3 subunit Boulter et al. (1986) Nature 319:368-374
  • the rat alpha 4 subunit Goldman et al. (1987) cell 48:965-973
  • the rat alpha 5 subunit Boulter et al.
  • adrenergic receptors e.g., human beta 1 (Frielle et al. (1987) Proc. Natl. Acad. Sci. 84.:7920-7924); human alpha 2 (Kobilka et al. (1987) Science 238:650-656); hamster beta 2 (Dixon et al. (1986) Nature 321 :75-79); and the like); dopamine receptors (e.g., human D2 (Stormann et al. (1990) Molec. Pharm.37:l- 6); rat (Bunzow et al.
  • NGF receptors e.g., human NGF receptors (Johnson et al. (1986) Cell 47:545-554); and the like); serotonin receptors (e.g., human 5HTla (Kobilka et al. (1987) Nature 329:75-79); rat 5HT2 (Julius et al. (1990) PNAS 87:928-932); rat 5HTlc (Julius et al. (1988) Science 241:558-564); and the like).
  • Reporter gene constructs are prepared by operatively linking a reporter gene with at least one transcriptional regulatory element. If only one transcriptional regulatory element is included it must be a regulatable promoter, At least one of the selected transcriptional regulatory elements must be indirectly or directly regulated by the activity of the selected cell-surface receptor whereby activity of the receptor can be monitored via transcription of the reporter genes.
  • the construct may contain additional transcriptional regulatory elements, such as a FIRE sequence, or other sequence, that is not necessarily regulated by the cell surface protein, but is selected for its ability to reduce background level transcription or to amplify the transduced signal and to thereby increase the sensitivity and reliability ofthe assay.
  • additional transcriptional regulatory elements such as a FIRE sequence, or other sequence, that is not necessarily regulated by the cell surface protein, but is selected for its ability to reduce background level transcription or to amplify the transduced signal and to thereby increase the sensitivity and reliability ofthe assay.
  • a reporter gene includes any gene that expresses a detectable gene product, which may be RNA or protein. Prefened reporter genes are those that are readily detectable.
  • the reporter gene may also be included in the construct in the form of a fusion gene with a gene that includes desired transcriptional regulatory sequences or exhibits other desirable properties.
  • reporter genes include, but are not limited to CAT (chloramphenicol acetyl transferase) (Alton and Napnek (1979), Nature 282: 864-869) luciferase, and other enzyme detection systems, such as beta-galactosidase; firefly luciferase (deWet et al. (1987), Mol. Cell. Biol. 7:725-737); bacterial luciferase (Engebrecht and Silverman (1984), PNAS 1: 4154-4158; Baldwin et al. (1984), Biochemistry 23: 3663-3667); alkaline phosphatase (Toh et al. (1989) Eur. J. Biochem. 182: 231-238, Hall et al. (1983) J. Mol. Appl. Gen. 2: 101).
  • CAT chloramphenicol acetyl transferase
  • Transcriptional control elements include, but are not limited to, promoters, enhancers, and repressor and activator binding sites, Suitable transcriptional regulatory elements may be derived from the transcriptional regulatory regions of genes whose expression is rapidly induced, generally within minutes, of contact between the cell surface protein and the effector protein that modulates the activity of the cell surface protein. Examples of such genes include, but are not limited to, the immediate early genes (see, Sheng et al. (1990) Neuron 4: 477-485), such as c-fos, Immediate early genes are genes that are rapidly induced upon binding of a ligand to a cell surface protein.
  • the transcriptional control elements that are prefened for use in the gene constructs include transcriptional control elements from immediate early genes, elements derived from other genes that exhibit some or all ofthe characteristics of the immediate early genes, or synthetic elements that are constructed such that genes in operative linkage therewith exhibit such characteristics.
  • the characteristics of prefened genes from which the transcriptional control elements are derived include, but are not limited to, low or undetectable expression in quiescent cells, rapid induction at the transcriptional level within minutes of extracellular simulation, induction that is transient and independent of new protein synthesis, subsequent shut-off of transcription requires new protein synthesis, and mRNAs transcribed from these genes have a short half-life. It is not necessary for all of these properties to be present.
  • the "tail flick” test can be performed by applying a noxious thermal stimulus to the rat's tail and determining the time until the nociceptive tail flick occurs. Analgesia is demonstrated by an increase in time to occunence of a tail flick response.
  • the "hot plate” test is similarly performed, except that the noxious thermal stimulus is applied to the rat's paws.
  • An experimental procedure, well known in the art, useful in the present invention to assess the ability of compounds to cause respiratory depression is to monitor blood gases. This method employees measuring the partial pressures of oxygen and carbon dioxide in blood samples taken from animals following compound administration. A decrease in the partial pressures of oxygen and an increase in the partial pressure of carbon dioxide may be indicative of respiratory depression.
  • Tolerance can be defined as a condition characterized by unresponsiveness or decreased responsiveness following prolonged or multiple exposure to a compound compared to the responsiveness demonstrated upon initial exposure.
  • test compounds to cause physical dependence was accessed by giving animals escalating doses of test compounds for five days. After the final dose the animals were given naloxone, an opioid antagonist and observed for behavioral signs of dependence, such as vertical jumping.
  • the present invention provides pharmaceutically acceptable compositions which comprise a therapeutically-effective amount of one or more of the compounds described above, formulated together with one or more pharmaceutically acceptable carriers (additives) and or diluents.
  • the pharmaceutical compositions of the present invention may be specially formulated for administration in solid or liquid form, including those adapted for the following: (1) oral administration, for example, drenches (aqueous or non-aqueous solutions or suspensions), tablets, e.g., those targeted for buccal, sublingual, and systemic absorption, boluses, powders, granules, pastes for application to the tongue; (2) parenteral administration, for example, by subcutaneous, intramuscular, intravenous or epidural injection as, for example, a sterile solution or suspension, or sustained-release formulation; (3) topical application, for example, as a cream, ointment, or a controlled-release patch or spray applied to the skin; (4) intravaginally or intrarectally, for example,
  • terapéuticaally-effective amount means that amount of a compound, material, or composition comprising a compound of the present invention which is effective for producing some desired therapeutic effect in at least a sub-population of cells in an animal at a reasonable benefit/risk ratio applicable to any medical treatment.
  • pharmaceutically acceptable is employed herein to refer to those compounds, materials, compositions, and/or dosage forms which are, within the scope of sound medical judgment, suitable for use in contact with the tissues of human beings and animals without excessive toxicity, irritation, allergic response, or other problem or complication, commensurate with a reasonable benefit/risk ratio.
  • pharmaceutically-acceptable carrier means a pharmaceutically-acceptable material, composition or vehicle, such as a liquid or solid filler, diluent, excipient, or solvent encapsulating material, involved in carrying or transporting the subject compound from one organ, or portion ofthe body, to another organ, or portion ofthe body.
  • a pharmaceutically-acceptable material such as a liquid or solid filler, diluent, excipient, or solvent encapsulating material, involved in carrying or transporting the subject compound from one organ, or portion ofthe body, to another organ, or portion ofthe body.
  • Each carrier must be “acceptable” in the sense of being compatible with the other ingredients of the formulation and not injurious to the patient.
  • materials which can serve as pharmaceutically-acceptable carriers include: (1) sugars, such as lactose, glucose and sucrose; (2) starches, such as corn starch and potato starch; (3) cellulose, and its derivatives, such as sodium carboxymethyl cellulose, ethyl cellulose and cellulose acetate; (4) powdered tragacanth; (5) malt; (6) gelatin; (7) talc; (8) excipients, such as cocoa butter and suppository waxes; (9) oils, such as peanut oil, cottonseed oil, safflower oil, sesame oil, olive oil, corn oil and soybean oil; (10) glycols, such as propylene glycol; (11) polyols, such as glycerin, sorbitol, mannitol and polyethylene glycol; (12) esters, such as ethyl oleate and ethyl laurate; (13) agar; (14) buffering agents, such as magnesium hydroxide and aluminum hydrox
  • certain embodiments of the present compounds may contain a basic functional group, such as amino or alkylamino, and are, thus, capable of forming pharmaceutically-acceptable salts with pharmaceutically-acceptable acids.
  • pharmaceutically-acceptable salts refers to the relatively non-toxic, inorganic and organic acid addition salts of compounds ofthe present invention. These salts can be prepared in situ in the administration vehicle or the dosage form manufacturing process, or by separately reacting a purified compound of the invention in its free base form with a suitable organic or inorganic acid, and isolating the salt thus formed during subsequent purification.
  • Representative salts include the hydrobromide, hydrochloride, sulfate, bisulfate, phosphate, nitrate, acetate, valerate, oleate, palmitate, stearate, laurate, benzoate, lactate, phosphate, tosylate, citrate, maleate, fumarate, succinate, tartrate, napthylate, mesylate, glucoheptonate, lactobionate, and laurylsulphonate salts and the like.
  • sulfate bisulfate
  • phosphate nitrate
  • acetate valerate
  • oleate palmitate
  • stearate laurate
  • benzoate lactate
  • phosphate tosylate
  • citrate maleate
  • fumarate succinate
  • tartrate napthylate
  • mesylate glucoheptonate
  • lactobionate lactobionate
  • laurylsulphonate salts and the like See, for example,
  • the pharmaceutically acceptable salts of the subject compounds include the conventional nontoxic salts or quaternary ammonium salts of the compounds, e.g., from non-toxic organic or inorganic acids.
  • such conventional nontoxic salts include those derived from inorganic acids such as hydrochloride, hydrobromic, sulfuric, sulfamic, phosphoric, nitric, and the like; and the salts prepared from organic acids such as acetic, propionic, succinic, glycolic, stearic, lactic, malic, tartaric, citric, ascorbic, palmitic, maleic, hydroxymaleic, phenylacetic, glutamic, benzoic, salicyclic, sulfanilic, 2-acetoxybenzoic, fumaric, toluenesulfonic, methanesulfonic, ethane disulfonic, oxalic, isothionic, and the like.
  • the compounds of the present invention may contain one or more acidic functional groups and, thus, are capable of forming pharmaceutically-acceptable salts with pharmaceutically-acceptable bases.
  • pharmaceutically-acceptable salts refers to the relatively non-toxic, inorganic and organic base addition salts of compounds of the present invention. These salts can likewise be prepared in situ in the administration vehicle or the dosage form manufacturing process, or by separately reacting the purified compound in its free acid form with a suitable base, such as the hydroxide, carbonate or bicarbonate of a pharmaceutically-acceptable metal cation, with ammonia, or with a pharmaceutically-acceptable organic primary, secondary or tertiary amine.
  • a suitable base such as the hydroxide, carbonate or bicarbonate of a pharmaceutically-acceptable metal cation, with ammonia, or with a pharmaceutically-acceptable organic primary, secondary or tertiary amine.
  • Representative alkali or alkaline earth salts include the lithium, sodium, potassium, calcium, magnesium, and aluminum salts and the like.
  • Representative organic amines useful for the formation of base addition salts include ethylamine, diethylamine, ethylenediamine, ethanolamine, diethanolamine, piperazine and the like. (See, for example, Berge et al., supra)
  • wetting agents such as sodium lauryl sulfate and magnesium stearate, as well as coloring agents, release agents, coating agents, sweetening, flavoring and perfuming agents, preservatives and antioxidants can also be present in the compositions.
  • antioxidants examples include: (1) water soluble antioxidants, such as ascorbic acid, cysteine hydrochloride, sodium bisulfate, sodium metabisulfite, sodium sulfite and the like; (2) oil-soluble antioxidants, such as ascorbyl palmitate, butylated hydroxyanisole (BHA), butylated hydroxytoluene (BHT), lecithin, propyl gallate, alpha-tocopherol, and the like; and (3) metal chelating agents, such as citric acid, ethylenediamine tetraacetic acid (EDTA), sorbitol, tartaric acid, phosphoric acid, and the like.
  • water soluble antioxidants such as ascorbic acid, cysteine hydrochloride, sodium bisulfate, sodium metabisulfite, sodium sulfite and the like
  • oil-soluble antioxidants such as ascorbyl palmitate, butylated hydroxyanisole (BHA), butylated hydroxytoluene (BHT), le
  • Formulations of the present invention include those suitable for oral, nasal, topical (including buccal and sublingual), rectal, vaginal and/or parenteral administration.
  • the formulations may conveniently be presented in unit dosage form and may be prepared by any methods well known in the art of pharmacy.
  • the amount of active ingredient which can be combined with a carrier material to produce a single dosage form will vary depending upon the host being treated, the particular mode of administration.
  • the amount of active ingredient which can be combined with a carrier material to produce a single dosage form will generally be that amount of the compound which produces a therapeutic effect. Generally, out of one hundred per cent, this amount will range from about 1 per cent to about ninety-nine percent of active ingredient, preferably from about 5 per cent to about 70 per cent, most preferably from about 10 per cent to about 30 per cent.
  • Methods of preparing these formulations or compositions include the step of bringing into association a compound of the present invention with the carrier and, optionally, one or more accessory ingredients.
  • the formulations are prepared by uniformly and intimately bringing into association a compound ofthe present invention with liquid carriers, or finely divided solid carriers, or both, and then, if necessary, shaping the product.
  • Formulations of the invention suitable for oral administration may be in the form of capsules, cachets, pills, tablets, lozenges (using a flavored basis, usually sucrose and acacia or tragacanth), powders, granules, or as a solution or a suspension in an aqueous or non- aqueous liquid, or as an oil-in-water or water-in-oil liquid emulsion, or as an elixir or syrup, or as pastilles (using an inert base, such as gelatin and glycerin, or sucrose and acacia) and/or as mouth washes and the like, each containing a predetermined amount of a compound of the present invention as an active ingredient.
  • a compound of the present invention may also be administered as a bolus, electuary or paste.
  • the active ingredient is mixed with one or more pharmaceutically-acceptable carriers, such as sodium citrate or dicalcium phosphate, and/or any of the following: (1) fillers or extenders, such as starches, lactose, sucrose, glucose, mannitol, and/or silicic acid; (2) binders, such as, for example, carboxymethylcellulose, alginates, gelatin, polyvinyl pynolidone, sucrose and/or acacia; (3) humectants, such as glycerol; (4) disintegrating agents, such as agar-agar, calcium carbonate, potato or tapioca starch, alginic acid, certain silicates, and sodium carbonate; (5) solution retarding agents, such as paraffin; (6) absorption accelerators, such as quaternary ammonium compounds; (7) wetting agents, such as, for example
  • the pharmaceutical compositions may also comprise buffering agents.
  • Solid compositions of a similar type may also be employed as fillers in soft and hard-shelled gelatin capsules using such excipients as lactose or milk sugars, as well as high molecular weight polyethylene glycols and the like.
  • a tablet may be made by compression or molding, optionally with one or more accessory ingredients.
  • Compressed tablets may be prepared using binder (for example, gelatin or hydroxypropylmethyl cellulose), lubricant, inert diluent, preservative, disintegrant (for example, sodium starch glycolate or cross-linked sodium carboxymethyl cellulose), surface-active or dispersing agent.
  • Molded tablets may be made by molding in a suitable machine a mixture ofthe powdered compound moistened with an inert liquid diluent.
  • the tablets, and other solid dosage forms of the pharmaceutical compositions of the present invention may optionally be scored or prepared with coatings and shells, such as enteric coatings and other coatings well known in the pharmaceutical-formulating art. They may also be formulated so as to provide slow or controlled release of the active ingredient therein using, for example, hydroxypropylmethyl cellulose in varying proportions to provide the desired release profile, other polymer matrices, liposomes and/or microspheres. They may be formulated for rapid release, e.g., freeze-dried.
  • compositions may be sterilized by, for example, filtration through a bacteria-retaining filter, or by incorporating sterilizing agents in the form of sterile solid compositions which can be dissolved in sterile water, or some other sterile injectable medium immediately before use.
  • These compositions may also optionally contain opacifying agents and may be of a composition that they release the active ingredient(s) only, or preferentially, in a certain portion of the gastrointestinal tract, optionally, in a delayed manner.
  • embedding compositions which can be used mclude polymeric substances and waxes.
  • the active ingredient can also be in micro-encapsulated form, if appropriate, with one or more of the above-described excipients.
  • Liquid dosage forms for oral administration of the compounds of the invention include pharmaceutically acceptable emulsions, microemulsions, solutions, suspensions, syrups and elixirs.
  • the liquid dosage forms may contain inert diluents commonly used in the art, such as, for example, water or other solvents, solubilizing agents and emulsifiers, such as ethyl alcohol, isopropyl alcohol, ethyl carbonate, ethyl acetate, benzyl alcohol, benzyl benzoate, propylene glycol, 1,3-butylene glycol, oils (in particular, cottonseed, groundnut, corn, germ, olive, castor and sesame oils), glycerol, tetrahydrofuryl alcohol, polyethylene glycols and fatty acid esters of sorbitan, and mixtures thereof.
  • inert diluents commonly used in the art, such as, for example, water or other solvents, solubilizing agents and
  • the oral compositions can also include adjuvants such as wetting agents, emulsifying and suspending agents, sweetening, flavoring, coloring, perfuming and preservative agents.
  • adjuvants such as wetting agents, emulsifying and suspending agents, sweetening, flavoring, coloring, perfuming and preservative agents.
  • Suspensions in addition to the active compounds, may contain suspending agents as, for example, ethoxylated isostearyl alcohols, polyoxyethylene sorbitol and sorbitan esters, microcrystalline cellulose, aluminum metahydroxide, bentonite, agar-agar and tragacanth, and mixtures thereof.
  • suspending agents as, for example, ethoxylated isostearyl alcohols, polyoxyethylene sorbitol and sorbitan esters, microcrystalline cellulose, aluminum metahydroxide, bentonite, agar-agar and tragacanth, and mixtures thereof.
  • Formulations of the pharmaceutical compositions of the invention for rectal or vaginal administration may be presented as a suppository, which may be prepared by mixing one or more compounds of the invention with one or more suitable nonirritating excipients or carriers comprising, for example, cocoa butter, polyethylene glycol, a suppository wax or a salicylate, and which is solid at room temperature, but liquid at body temperature and, therefore, will melt in the rectum or vaginal cavity and release the active compound.
  • suitable nonirritating excipients or carriers comprising, for example, cocoa butter, polyethylene glycol, a suppository wax or a salicylate, and which is solid at room temperature, but liquid at body temperature and, therefore, will melt in the rectum or vaginal cavity and release the active compound.
  • Formulations of the present invention which are suitable for vaginal administration also include pessaries, tampons, creams, gels, pastes, foams or spray formulations containing such carriers as are known in the art to be appropriate.
  • Dosage forms for the topical or transdermal administration of a compound of this invention include powders, sprays, ointments, pastes, creams, lotions, gels, solutions, patches and inhalants.
  • the active compound may be mixed under sterile conditions with a pharmaceutically-acceptable carrier, and with any preservatives, buffers, or propellants which may be required.
  • the ointments, pastes, creams and gels may contain, in addition to an active compound of this invention, excipients, such as animal and vegetable fats, oils, waxes, paraffins, starch, tragacanth, cellulose derivatives, polyethylene glycols, silicones, bentonites, silicic acid, talc and zinc oxide, or mixtures thereof.
  • Powders and sprays can contain, in addition to a compound of this invention, excipients such as lactose, talc, silicic acid, aluminum hydroxide, calcium silicates and polyamide powder, or mixtures of these substances.
  • Sprays can additionally contain customary propellants, such as chlorofluorohydrocarbons and volatile unsubstituted hydrocarbons, such as butane and propane.
  • Transdermal patches have the added advantage of providing controlled delivery of a compound of the present invention to the body.
  • dosage forms can be made by dissolving or dispersing the compound in the proper medium.
  • Absorption enhancers can also be used to increase the flux of the compound across the skin. The rate of such flux can be controlled by either providing a rate controlling membrane or dispersing the compound in a polymer matrix or gel.
  • Ophthalmic formulations are also contemplated as being within the scope of this invention.
  • compositions of this invention suitable for parenteral administration comprise one or more compounds of the invention in combination with one or more pharmaceutically-acceptable sterile isotonic aqueous or nonaqueous solutions, dispersions, suspensions or emulsions, or sterile powders which may be reconstituted into sterile injectable solutions or dispersions just prior to use, which may contain sugars, alcohols, antioxidants, buffers, bacteriostats, solutes which render the formulation isotonic with the blood ofthe intended recipient or suspending or thickening agents.
  • aqueous and nonaqueous carriers examples include water, ethanol, polyols (such as glycerol, propylene glycol, polyethylene glycol, and the like), and suitable mixtures thereof, vegetable oils, such as olive oil, and injectable organic esters, such as ethyl oleate.
  • polyols such as glycerol, propylene glycol, polyethylene glycol, and the like
  • vegetable oils such as olive oil
  • injectable organic esters such as ethyl oleate.
  • Proper fluidity can be maintained, for example, by the use of coating materials, such as lecithin, by the maintenance of the required particle size in the case of dispersions, and by the use of surfactants.
  • compositions may also contain adjuvants such as preservatives, wetting agents, emulsifying agents and dispersing agents. Prevention of the action of microorganisms upon the subject compounds may be ensured by the inclusion of various antibacterial and antifungal agents, for example, paraben, chlorobutanol, phenol sorbic acid, and the like. It may also be desirable to include isotonic agents, such as sugars, sodium chloride, and the like into the compositions. In addition, prolonged absorption of the injectable pharmaceutical form may be brought about by the inclusion of agents which delay abso ⁇ tion such as aluminum monostearate and gelatin.
  • adjuvants such as preservatives, wetting agents, emulsifying agents and dispersing agents.
  • the absorption of the drug in order to prolong the effect of a drug, it is desirable to slow the absorption of the drug from subcutaneous or intramuscular injection. This may be accomplished by the use of a liquid suspension of crystalline or amorphous material having poor water solubility. The rate of abso ⁇ tion of the drug then depends upon its rate of dissolution which, in turn, may depend upon crystal size and crystalline form. Alternatively, delayed abso ⁇ tion of a parenterally-administered drug form is accomplished by dissolving or suspending the drug in an oil vehicle.
  • Injectable depot forms are made by forming microencapsule matrices of the subject compounds in biodegradable polymers such as polylactide-polyglycolide. Depending on the ratio of drug to polymer, and the nature ofthe particular polymer employed, the rate of drug release can be controlled. Examples of other biodegradable polymers include poly(orthoesters) and poly(anhydrides). Depot injectable formulations are also prepared by entrapping the drug in liposomes or microemulsions which are compatible with body tissue.
  • the compounds of the present invention are administered as pharmaceuticals, to humans and animals, they can be given per se or as a pharmaceutical composition containing, for example, OJ to 99.5% (more preferably, 0.5 to 90%) of active ingredient in combination with a pharmaceutically acceptable carrier.
  • the preparations of the present invention may be given orally, parenterally, topically, or rectally. They are of course given in forms suitable for each administration route. For example, they are administered in tablets or capsule form, by injection, inhalation, eye lotion, ointment, suppository, etc. administration by injection, infusion or inhalation; topical by lotion or ointment; and rectal by suppositories. Oral administrations are prefened.
  • parenteral administration and “administered parenterally” as used herein means modes of administration other than enteral and topical administration, usually by injection, and includes, without limitation, intravenous, intramuscular, intraarterial, intrathecal, intracapsular, intraorbital, intracardiac, intradermal, intraperitoneal, transtracheal, subcutaneous, subcuticular, intraarticulare, subcapsular, subarachnoid, intraspinal and intrasternal injection and infusion.
  • systemic administration means the administration of a compound, drug or other material other than directly into the central nervous system, such that it enters the patient's system and, thus, is subject to metabolism and other like processes, for example, subcutaneous administration.
  • These compounds may be administered to humans and other animals for therapy by any suitable route of administration, including orally, nasally, as by, for example, a spray, rectally, intravaginally, parenterally, intracisternally and topically, as by powders, ointments or drops, including buccally and sublingually.
  • a suitable route of administration including orally, nasally, as by, for example, a spray, rectally, intravaginally, parenterally, intracisternally and topically, as by powders, ointments or drops, including buccally and sublingually.
  • Actual dosage levels of the active ingredients in the pharmaceutical compositions of this invention may be varied so as to obtain an amount of the active ingredient which is effective to achieve the desired therapeutic response for a particular patient, composition, and mode of administration, without being toxic to the patient.
  • the selected dosage level will depend upon a variety of factors including the activity of the particular compound of the present invention employed, or the ester, salt or amide thereof, the route of administration, the time of administration, the rate of excretion or metabolism of the particular compound being employed, the duration of the treatment, other drugs, compounds and/or materials used in combination with the particular compound employed, the age, sex, weight, condition, general health and prior medical history of the patient being treated, and like factors well known in the medical arts.
  • a physician or veterinarian having ordinary skill in the art can readily determine and prescribe the effective amount of the pharmaceutical composition required. For example, the physician or veterinarian could start doses of the compounds of the invention employed in the pharmaceutical composition at levels lower than that required in order to achieve the desired therapeutic effect and gradually increase the dosage until the desired effect is achieved.
  • a suitable daily dose of a compound of the invention will be that amount of the compound which is the lowest dose effective to produce a therapeutic effect. Such an effective dose will generally depend upon the factors described above. Generally, intravenous, intracerebroventricular and subcutaneous doses of the compounds of this invention for a patient, when used for the indicated analgesic effects, will range from about 0.0001 to about 100 mg per kilogram of body weight per day. If desired, the effective daily dose of the active compound may be administered as two, three, four, five, six or more sub-doses administered separately at appropriate intervals throughout the day, optionally, in unit dosage forms.
  • composition While it is possible for a compound of the present invention to be administered alone, it is preferable to administer the compound as a pharmaceutical formulation (composition).
  • the present invention provides pharmaceutically acceptable compositions which comprise a therapeutically-effective amount of one or more of the subject compounds, as described above, formulated together with one or more pharmaceutically acceptable carriers (additives) and/or diluents.
  • the pharmaceutical compositions of the present invention may be specially formulated for administration in solid or liquid form, including those adapted for the following: (1) oral administration, for example, drenches (aqueous or non-aqueous solutions or suspensions), tablets, boluses, powders, granules, pastes for application to the tongue; (2) parenteral administration, for example, by subcutaneous, intramuscular or intravenous injection as, for example, a sterile solution or suspension; (3) topical application, for example, as a cream, ointment or spray applied to the skin, lungs, or oral cavity; or (4) intravaginally or intravectally, for example, as a pessary, cream or foam; (5) sublingually; (6) ocularly;
  • the compounds according to the invention may be formulated for administration in any convenient way for use in human or veterinary medicine, by analogy with other pharmaceuticals.
  • treatment is intended to encompass also prophylaxis, therapy and cure.
  • the patient receiving this treatment is any animal in need, including primates, in particular humans, and other mammals such as equines, cattle, swine and sheep; and poultry and pets in general.
  • the compound of the invention can be administered as such or in admixtures with pharmaceutically acceptable earners and can also be administered in conjunction with antimicrobial agents such as penicillins, cephalosporins, aminoglycosides and glycopeptides.
  • Conjunctive therapy thus includes sequential, simultaneous and separate administration of the active compound in a way that the therapeutical effects of the first administered one is not entirely disappeared when the subsequent is administered.
  • the addition of the active compound of the invention to animal feed is preferably accomplished by preparing an appropriate feed premix containing the active compound in an effective amount and inco ⁇ orating the premix into the complete ration.
  • an intermediate concentrate or feed supplement containing the active ingredient can be blended into the feed.
  • feed premixes and complete rations are described in reference books (such as "Applied
  • a combinatorial library for the pu ⁇ oses of the present invention is a mixture of chemically related compounds which may be screened together for a desired property; said libraries may be in solution or covalently linked to a solid support.
  • the preparation of many related compounds in a single reaction greatly reduces and simplifies the number of screening processes which need to be carried out. Screening for the appropriate biological, pharmaceutical, agrochemical or physical property may be done by conventional methods. Diversity in a library can be created at a variety of different levels.
  • the substrate aryl groups used in a combinatorial approach can be diverse in terms of the core aryl moiety, e.g., a variegation in terms of the ring structure, and/or can be varied with respect to the other substituents.
  • a library of substituted diversomers can be synthesized using the subject reactions adapted to the techniques described in the Still et al. PCT publication WO 94/08051, e.g., being linked to a polymer bead by a hydrolyzable or photolyzable group, e.g., located at one of the positions of substrate.
  • the library is synthesized on a set of beads, each bead including a set of tags identifying the particular diversomer on that bead.
  • the beads can be dispersed on the surface of a permeable membrane, and the diversomers released from the beads by lysis of the bead linker.
  • the diversomer from each bead will diffuse across the membrane to an assay zone, where it will interact with an enzyme assay.
  • MS mass spectrometry
  • a compound selected from a combinatorial library can be provided on an insoluble support matrix, discrete populations of compounds can be first released from the support and characterized by MS.
  • MS techniques as MALDI can be used to release a compound from the matrix, particularly where a labile bond is used originally to tether the compound to the matrix.
  • a bead selected from a library can be inadiated in a MALDI step in order to release the diversomer from the matrix, and ionize the diversomer for MS analysis.
  • Geysen and co-workers introduced a method for generating compound libraries by a parallel synthesis on polyacrylic acid-grated polyethylene pins anayed in the microtitre plate format.
  • the Geysen technique can be used to synthesize and screen thousands of compounds per week using the multipin method, and the tethered compounds may be reused in many assays.
  • Appropriate linker moieties can also been appended to the pins so that the compounds may be cleaved from the supports after synthesis for assessment of purity and further evaluation (c.f, Bray et al. (1990) Tetrahedron Lett 31:5811-5814; Valerio et al. (1991) Anal Biochem 197:168-177; Bray et al. (1991) Tetrahedron Lett 32:6163-61661
  • a variegated library of compounds can be provided on a set of beads utilizing the strategy of divide-couple-recombine (see, e.g., Houghten (1985) PNAS 82:5131-5135; and U.S. Patents 4,631,211; 5,440,016; 5,480,971).
  • the beads are divided into separate groups equal to the number of different substituents to be added at a particular position in the library, the different substituents coupled in separate reactions, and the beads recombined into one pool for the next iteration.
  • the divide-couple-recombine strategy can be carried out using an analogous approach to the so-called "tea bag” method first developed by Houghten, where compound synthesis occurs on resin sealed inside porous polypropylene bags (Houghten et al. (1986) PNAS 82:5131-5135). Substituents are coupled to the compound- bearing resins by placing the bags in appropriate reaction solutions, while all common steps such as resin washing and deprotection are performed simultaneously in one reaction vessel. At the end ofthe synthesis, each bag contains a single compound.
  • a scheme of combinatorial synthesis in which the identity of a compound is given by its locations on a synthesis substrate is termed a spatially-addressable synthesis.
  • the combinatorial process is carried out by controlling the addition of a chemical reagent to specific locations on a solid support (Dower et al. (1991) Annu Rep Med Chem 26:271-280; Fodor, S.P.A. (1991) Science 251:767; Pirrung et al. (1992) U.S. Patent No. 5,143,854; Jacobs et al. (1994) Trends Biotechnol 12:19-26).
  • the spatial resolution of photolithography affords miniaturization.
  • a synthesis substrate is prepared for coupling through the covalent attachment of photolabile nitroveratryloxycarbonyl (NVOC) protected amino linkers or other photolabile linkers.
  • NVOC photolabile nitroveratryloxycarbonyl
  • Light is used to selectively activate a specified region of the synthesis support for coupling. Removal of the photolabile protecting groups by light (deprotection) results in activation of selected areas. After activation, the first of a set of amino acid analogs, each bearing a photolabile protecting group on the amino terminus, is exposed to the entire surface.
  • Coupling only occurs in regions that were addressed by light in the preceding step.
  • the reaction is stopped, the plates washed, and the substrate is again illuminated through a second mask, activating a different region for reaction with a second protected building block.
  • the pattern of masks and the sequence of reactants define the products and their locations. Since this process utilizes photolithography techniques, the number of compounds that can be synthesized is limited only by the number of synthesis sites that can be addressed with appropriate resolution. The position of each compound is precisely known; hence, its interactions with other molecules can be directly assessed.
  • the subject method utilizes a compound library provided with an encoded tagging system.
  • a recent improvement in the identification of active compounds from combinatorial libraries employs chemical indexing systems using tags that uniquely encode the reaction steps a given bead has undergone and, by inference, the structure it carries.
  • this approach mimics phage display libraries, where activity derives from expressed peptides, but the structures of the active peptides are deduced from the conesponding genomic DNA sequence.
  • the first encoding of synthetic combinatorial libraries employed DNA as the code.
  • a variety of other forms of encoding have been reported, including encoding with sequenceable bio-oligomers (e.g., oligonucleotides and peptides), and binary encoding with additional non-sequenceable tags.
  • a combinatorial library of nominally 77 ( 823,543) peptides composed of all combinations of Arg, Gin, Phe, Lys, Val, D-Val and Thr (three-letter amino acid code), each of which was encoded by a specific dinucleotide (TA, TC, CT, AT, TT, CA and AC, respectively), was prepared by a series of alternating rounds of peptide and oligonucleotide synthesis on solid support.
  • the amine linking functionality on the bead was specifically differentiated toward peptide or oligonucleotide synthesis by simultaneously preincubating the beads with reagents that generate protected OH groups for oligonucleotide synthesis and protected NH2 groups for peptide synthesis (here, in a ratio of 1:20).
  • the tags each consisted of 69-mers, 14 units of which carried the code.
  • the bead-bound library was incubated with a fluorescently labeled antibody, and beads containing bound antibody that fluoresced strongly were harvested by fluorescence-activated cell sorting (FACS).
  • FACS fluorescence-activated cell sorting
  • compound libraries can be derived for use in the subject method, where the oligonucleotide sequence of the tag identifies the sequential combinatorial reactions that a particular bead underwent, and therefore provides the identity ofthe compound on the bead.
  • oligonucleotide tags permits extraordinarly sensitive tag analysis.
  • the method requires careful choice of orthogonal sets of protecting groups required for alternating co-synthesis of the tag and the library member.
  • chemical lability of the tag particularly the phosphate and sugar anomeric linkages, may limit the choice of reagents and conditions that can be employed for the synthesis of non-oligomeric libraries.
  • the libraries employ linkers permitting selective detachment ofthe test compound library member for assay.
  • Peptides have also been employed as tagging molecules for combinatorial libraries.
  • Two exemplary approaches are described in the art, both of which employ branched linkers to solid phase upon which coding and ligand strands are alternately elaborated.
  • orthogonality in synthesis is achieved by employing acid-labile protection for the coding strand and base-labile protection for the compound strand.
  • branched linkers are employed so that the coding unit and the test compound can both be attached to the same functional group on the resin.
  • a cleavable linker can be placed between the branch point and the bead so that cleavage releases a molecule containing both code and the compound (Ptek et al. (1991) Tetrahedron Lett 32:3891-3894).
  • the cleavable linker can be placed so that the test compound can be selectively separated from the bead, leaving the code behind. This last construct is particularly valuable because it permits screening of the test compound without potential interference of the coding groups. Examples in the art of independent cleavage and sequencing of peptide library members and their conesponding tags has confirmed that the tags can accurately predict the peptide strucmre.
  • An alternative form of encoding the test compound library employs a set of non-sequencable electrophoric tagging molecules that are used as a binary code (Ohlmeyer et al. (1993) PNAS 90:10922-10926).
  • Exemplary tags are haloaromatic alkyl ethers that are detectable as their trimethylsilyl ethers at less than femtomolar levels by electron capture gas chromatography (ECGC). Variations in the length of the alkyl chain, as well as the nature and position of the aromatic halide substituents, permit the synthesis of at least 40 such tags, which in principle can encode 2 ⁇ 0 (e.g., upwards of 10*2) different molecules.
  • Both libraries were constructed using an orthogonal attachment strategy in which the library member was linked to the solid support by a photolabile linker and the tags were attached through a linker cleavable only by vigorous oxidation. Because the library members can be repetitively partially photoeluted from the solid support, library members can be utilized in multiple assays. Successive photoelution also permits a very high throughput iterative screening strategy: first, multiple beads are placed in 96-well micro titer plates; second, compounds are partially detached and transferred to assay plates; third, a metal binding assay identifies the active wells; fourth, the corresponding beads are reanayed singly into new microtiter plates; fifth, single active compounds are identified; and sixth, the structures are decoded.
  • N-Boc-piperidin-3-yl-formaldehyde 3 ( 5.20 g, 24.4 mmol) in 50 mL of dry methanol and 50 mL of trimethylortho formate was added aniline (2.50 g, 1.1 eq.), and the mixture was stined at room temperature for 30 minutes.
  • NaBH 3 CN (95%, 1.84 g, 1.1 eq.) was introduced in one portion, and the mixture was stined at room temperature overnight. The mixture was quenched with 30 mL of aqueous potassium carbonate (sat.), then extracted with ethyl acetate (3 x 100 mL).
  • N,N-diisopropylethylamine (1.40 mL, 15.8 mmol) in 25 mL of dry methylene chloride was added propionyl chloride (1.40 mL, 15.8 mmol) dropwise at 0 °C.
  • the reaction mixture was quenched with 30 mL of H 2 O and extracted with ethyl acetate (3 x 100 mL). The extracts were combined and washed with aqueous HCl (5%, 20 mL), NaHCO 3 (sat., 2 x 30 mL), brine (50 mL), and dried over anhydrous sodium sulfate.
  • Trifluoroacetic acid (5 mL) was added dropwise to a solution of N-(l-Boc-piperidin- 3-ylmethyl)-N-phenyl-propionamide 5 (1.21 g, 3.49 mmol) in 5 mL of dry CH 2 C1 2 at 0 °C (ice-water).
  • the reaction mixture was stined at room temperature for 30 minutes. TLC showed the reaction was complete. After removal of the solvents, the residue was dried under vacuum for 3 hrs.
  • the crude compound was dissolved in DMF (5.0 mL) and phenylacetaldehyde (5.3 mL, 2M/in DMF, 5.3 mmol) was added. The mixture was stined at room temperature for 30 min.
  • IR film, cm '1
  • IR film, cm '1
  • 2854 2800, 2765, 1662, 1495, 1452, 1401, 1262, 1203, 1150, 1106, 966, 1033, 775, 749; LRMS 351.
  • Trifluoroacetic acid (0.5 mL) was added dropwise to a solution of N-(l-Boc- piperidin-3-ylmethyl)-N-phenyl-propionamide 5 (31 mg, 0.090 mmol) in 0.5 mL of dry CH 2 C1 2 at 0 °C (ice- water).
  • the reaction mixture was stined at room temperature for 30 minutes. TLC showed the reaction was complete. After removal of the solvents, the residue was dried under vacuum for 3 hrs.
  • the crude compound was dissolved in DMF (0.5 mL) and benzaldehyde (13.6 ⁇ L, 1.5 eq.) was added. The mixture was stined at room temperature for 30 min.
  • NaB(OAc) 3 H (95%, 28.45 mg, 1.5 eq.) was introduced in one portion, and the mixture was shaken at room temperature overnight. The mixture was quenched with 5 mL of aqueous potassium carbonate (sat.), then extracted with ethyl acetate (3 x 10 mL). The extracts were combined and washed with aqueous NaHCO 3 (sat., 2 x 5 mL), brine (10 mL), and dried over anhydrous sodium sulfate.
  • Trifluoroacetic acid (0.5 mL) was added dropwise to a solution of N-(l-Boc- piperidin-3-ylmethyl)-N-phenyl-propionamide 5 (31 mg, 0.090 mmol) in 0.5 mL of dry CH 2 C1 2 at 0 °C (ice-water).
  • the reaction mixture was stined at room temperature for 30 minutes. TLC showed the reaction was complete. After removal ofthe solvents, the residue was dried under vacuum for 3 hrs.
  • the crude compound was dissolved in DMF (0.5 mL) and 2-thiophene carboxaldehyde (12.5 ⁇ L, 1.5 eq.) was added. The mixture was stined at room temperature for 30 min.
  • NaB(OAc) 3 H (95%, 28.45 mg, 1.5 eq.) was introduced in one portion, and the mixture was shaken at room temperature overnight. The mixture was quenched with 5 mL of aqueous potassium carbonate (sat.), then extracted with ethyl acetate (3 x 10 mL). The extracts were combined and washed with aqueous NaHCO 3 (sat., 2 x 5 mL), brine (10 mL), and dried over anhydrous sodium sulfate.
  • Trifluoroac(.:;, acid (0.5 mL) was added dropwise to a solution of N-(l-Boc- piperidin-3-ylmethyl)-N-phenyl-propionamide 5 (31 mg, 0.090 mmol) in 0.5 mL of dry CH 2 C1 2 at 0 °C (ice-water).
  • the reaction mixture was stined at room temperature for 30 minutes. TLC showed the reaction was complete. After removal of the solvents, the residue was dried under vacuum for 3 hrs.
  • the crude compound was dissolved in DMF (0.5 mL) and 4-pyridinecarboxaldehyde N-oxide (17 mg, 1.5 eq.) was added. The mixture was stined at room temperature for 30 min.
  • Trifluoroacetic acid (0.5 mL) was added dropwise to a solution of N-(l-Boc- piperidin-3-ylmethyl)-N-phenyl-propionamide 5 (31 mg, 0.090 mmol) in 0.5 mL of dry CH 2 C1 2 at 0 °C (ice-water).
  • the reaction mixture was stined at room temperature for 30 minutes. TLC showed the reaction was complete. After removal of the solvents, the residue was dried under vacuum for 3 hrs.
  • the crude compound was dissolved in DMF (0.5 mL) and 4-anisaldehyde (16.7 ⁇ L, 1.5 eq.) was added. The mixture was stined at room temperature for 30 min.
  • NaB(OAc) 3 H (95%, 28.45 mg, 1.5 eq.) was introduced in one portion, and the mixture was shaken at room temperature overnight. The mixture was quenched with 5 mL of aqueous potassium carbonate (sat.), then extracted with ethyl acetate (3 x 10 mL). The extracts were combined and washed with aqueous NaHCO 3 (sat., 2 x 5 mL), brine (10 mL), and dried over anhydrous sodium sulfate.
  • Trifluoroacetic acid (0.5 mL) was added dropwise to a solution of N-(l-Boc- piperidin-3-ylmethyl)-N-phenyl-propionamide 5 (21 mg, 0.061 mmol) in 0.5 mL of dry CH 2 C1 2 at 0 °C (ice-water).
  • the reaction mixture was stined at room temperature for 30 minutes. TLC showed the reaction was complete. After removal ofthe solvents, the residue was dried under vacuum for 3 hrs.
  • the crude compound was dissolved in DMF (0.5 mL) and 2-imidazole carboxaldehyde (8.7 mg, 1.5 eq.) was added. The mixture was stined at room temperature for 30 min.
  • NaB(OAc) 3 H (95%, 20.3 mg, 1.5 eq.) was introduced in one portion, and the mixture was shaken at room temperature overnight. The mixture was quenched with 5 mL of aqueous potassium carbonate (sat.), then extracted with ethyl acetate (3 x 10 mL). The extracts were combined and washed with aqueous NaHCO 3 (sat., 2 x 5 mL), brine (10 mL), and dried over anhydrous sodium sulfate.
  • Trifluoroacetic acid (0.5 mL) was added dropwise to a solution of N-(l-Boc- piperidin-3-ylmethyl)-N-phenyl-propionamide 5 (21 mg, 0.061 mmol) in 0.5 mL of dry
  • Trifluoroacetic acid (0.5 mL) was added dropwise to a solution of furan-2-carboxylic acid N-(l-Boc-piperidin-3-ylmethyl)-N-phenyl amide 13 (46 mg, 0J2 mmol) in 0.5 mL of dry CH 2 C1 2 at 0 °C (ice-water).
  • the reaction mixture was stined at room temperature for 30 minutes. TLC showed the reaction was complete. After removal of the solvents, the residue was dried under vacuum for 3 hrs (LRMS 285).
  • the crude compound was dissolved in DMF (0.5 mL) and was added phenylacetaldehyde (150 ⁇ L, 2M/in DMF).
  • Trifluoroacetic acid (0.5 mL) was added dropwise to a solution of thiophene-2- carboxylic acid N-(l-Boc-piperidin-3-ylmethyl)-N-phenyl amide 15 (46.7 mg, 0J2 mmol) in 0.5 mL of dry CH 2 C1 2 at 0 °C (ice-water).
  • the reaction mixture was stined at room temperature for 30 minutes. TLC showed the reaction was complete. After removal of the solvents, the residue was dried under vacuum for 3 hrs (LRMS 301).
  • the crude compound was dissolved in DMF (0.5 mL) and phenylacetaldehyde (150 ⁇ L, 2M/in DMF) was added.
  • Trifluoroacetic acid (0.5 mL) was added dropwise to a solution of N-(l-Boc- piperidin-3-ylmethyl)-N-(pyridin-3-yl) propionamide 18 (42.5 mg, 0J2 mmol) in 0.5 mL of dry CH 2 C1 2 at 0 °C (ice-water).
  • the reaction mixture was stined at room temperature for 30 minutes. After removal of the solvents, the residue was dried under vacuum for 3 hrs (LRMS 248).
  • the crude compound was dissolved in DMF (0.5 mL) and phenylacetaldehyde (122 ⁇ L, 2M/in DMF) was added. The mixture was stined at room temperature for 30 min.
  • NaB(OAc) 3 H (95%, 58 mg, 2 eq.) was introduced in one portion, and the mixture was shaken at room temperature overnight. The mixture was quenched with 5 mL of aqueous potassium carbonate (sat.), then extracted with ethyl acetate (3 x 10 mL). The extracts were combined and washed with aqueous NaHCO 3 (sat., 2 x 5 mL), brine (10 mL), and dried over anhydrous sodium sulfate.
  • Trifluoroacetic acid (0.5 mL) was added dropwise to a solution of furan-2-carboxylic acid N-(l-Boc-piperidin-3-ylmethyl)-N-(pyridin-3-yl) amide 20 (37 mg, 0.096 mmol) in 0.5 mL of dry CH 2 C1 2 ⁇ 9 °C (ice- water).
  • the reaction mixture was stined at room temperature for 30 minutes. After removal of the solvents, the residue was dried under vacuum for 3 hrs (LRMS 286).
  • the crude compound was dissolved in DMF (0.5 mL) and phenylacetaldehyde (95 ⁇ L, 2M/in DMF) was added. The mixture was stined at room temperature for 30 min.
  • NaB(OAc) 3 H (95%, 45 mg, 2 eq.) was introduced in one portion, and the mixture was shaken at room temperature overnight. The mixture was quenched with 5 mL of aqueous potassium carbonate (sat.), then extracted with ethyl acetate (3 x 10 mL). The extracts were combined and washed with aqueous NaHCO 3 (sat., 2 x 5 mL), brine (10 mL), and dried over anhydrous sodium sulfate.
  • Trifluoroacetic acid (0.5 mL) was added dropwise to a solution of Cyclopropanecarboxylic acid N-(l-Boc-piperidin-3-ylmethyl)-N-(pyridin-3-yl) amide 22 (46 mg, 0J28 mmol) in 0.5 mL of dry CH 2 C1 2 at 0 °C (ice-water).
  • the reaction mixture was stined at room temperature for 30 minutes. After removal of the solvents, the residue was dried under vacuum for 3 hrs (LRMS 260).
  • the crude compound was dissolved in DMF (0.5 mL) and phenylacetaldehyde (130 ⁇ L, 2M/in DMF) was added.
  • mice 1 mg/kg was administered to four male mice via tail vein injections. The mice showed no adverse effects from the compound. Furthermore, a dose of 10 mg/kg was administered to four male mice via intraperitoneal injections. Likewise, the mice showed no adverse effects from the compound at this concentration.
  • Trifluoroacetic acid (0.5 mL) was added dropwise to l-Boc-piperidine-3 -carboxylic acid phenyl amide 34 (62 mg, 0.20 mmol) in 0.5 mL of dry CH 2 C1 2 at 0 °C (ice-water).
  • the reaction mixture was stined at room temperature for 30 minutes. After removal of the solvents, the residue was dried under vacuum for 3 hrs.
  • the crude product was used in the next step without purification.
  • the crude compound from the previous step was dissolved in DMF (0.5 mL) and phenylacetaldehyde (400 ⁇ L, 2 M/in DMF) was added. The mixture was stined at room temperature for 30 min.
  • NaB(OAc) 3 H (95%, 90 mg, 2 eq.) was introduced in one portion, and the mixture was shaken at room temperature overnight. The mixture was quenched with 5 mL of aqueous potassium carbonate (sat.), then extracted with ethyl acetate (3 x 10 mL). The extracts were combined and washed with aqueous NaHCO 3 (sat., 2 x 5 mL), brine (10 mL), and dried over anhydrous sodium sulfate.
  • N-Boc-nipecotic acid 33 113 mg, 0.493 mmol
  • ethylaniline 62 ⁇ L, 1.0 eq.
  • DCC-resin 480 mg
  • the reaction mixture was shaken at room temperature overnight. Filtration and removal of the solvent gave an oily crude product, which was purified by flash column chromatography (silica gel, hexane:ethyl acetate) to afford l-Boc-piperidine-3 -carboxylic acid N-phenyl-N-ethhylamide 36 as a colorless oil (150 mg, 92%).
  • Trifluoroacetic acid (0.5 mL) was added dropwise to a l-Boc-piperidine-3- carboxylic acid N-phenyl-N-ethhylamide 36 (56 mg, 0J68 mmol) in 0.5 mL of dry CH 2 C1 2 at 0 °C (ice-water). The reaction mixture was stined at room temperature for 30 minutes.
  • the crude compound from the previous step was dissolved in DMF (0.5 mL) and phenylacetaldehyde (67 mg, 3 eq.) was added. The mixture was stined at room temperature for 30 min. NaB(OAc) 3 H (95%, 112 mg, 3 eq.) was introduced in one portion, and the mixture was shaken at room temperature overnight. The mixture was quenched with 5 mL of aqueous potassium carbonate (sat.), then extracted with ethyl acetate (3 x 10 mL). The extracts were combined and washed with aqueous NaHCO 3 (sat., 2 x 5 mL), brine (10 mL), and dried over anhydrous sodium sulfate.
  • aqueous NaHCO 3 sat., 2 x 5 mL
  • brine 10 mL
  • Trifluoroacetic acid (0.5 mL) was added dropwise to a solution of methoxyacetic acid N-(l-Boc-piperidin-3-ylmethyl)-N-phenyl amide 38 (61.8 mg, 0.17 mmol) in 0.5 mL of dry CH 2 C1 2 at 0 °C (ice-water).
  • the reaction mixture was stined at room temperature for 20 minute. TLC showed the reaction was complete. After removal of the solvents, the residue was dried under vacuum for 3 hrs. The crude product was used in the next step without purification.
  • the crude compound from the previous step was dissolved in DMF (1.0 mL) and phenylacetaldehyde (68.3 mg, 3 eq.) was added. The mixture was stined at room temperature for 30 min. NaB(OAc) 3 H (95%, 108 mg, 3 eq.) was introduced in one portion, and the mixture was shaken at room temperature overnight. The mixture was quenched with 5 mL of aqueous potassium carbonate (sat.), then extracted with ethyl acetate (3 x 10 mL). The extracts were combined and washed with aqueous NaHCO 3 (sat., 2 x 5 mL), brine (10 mL), and dried over anhydrous sodium sulfate.
  • aqueous NaHCO 3 sat., 2 x 5 mL
  • brine 10 mL
  • Trifluoroacetic acid (0.5 mL) was added dropwise to a solution of compound N-(l- Boc-piperidin-3-ylmethyl)-N-phenylpropionamide 5 (58 mg, 0J67 mmol) in 0.5 mL of dry CH 2 C1 2 at 0 °C (ice-water).
  • the reaction mixture was stined at room temperature for 30 minutes. TLC showed the reaction was complete. After removal ofthe solvents, the residue was dried under vacuum for 3 hrs.
  • the crude product was used in the next step without purification.
  • the crude compound from the previous step was dissolved in DMF (0.5 mL) and benzaldehyde (46 ⁇ L, 2 eq.) was added.
  • N-Boc-3-Azetidinecarboxylic acid 46 (0.50 g, 2.48 mmol) and aniline (274 ⁇ L, 1.1 eq.) in 5 mL of dry CH 2 C1 2 was added DCC (730 mg, 1.1 eq.) in one portion at 0 °C. The mixture was stined at room temperature for 3 hours. Filtration and removal of the solvent gave an oily crude product, which was purified by flash column chromatography (silica gel, hexane:ethyl acetate) to afford l-Boc-Azetidine-3-carboxylic acid phenylamide 47 as a colorless oil (660 mg, 96%).
  • l-Boc-Azetidine-3-carboxylic acid phenylamide 47 (650 mg, 2.35 mmol) in 5 mL of dry THF was added slowly to 5 mL of 1.0 M borane in THF while stirring in an ice bath. The mixture was refluxed for 3 hours, then cooled in ice bath and quenched with 5 mL of aqueous HCl (10%), then treated with NaOH (10%) to pH -10. The mixture was extracted with ethyl acetate (3 x 20 mL). The extracts were combined and washed with brine (2 x 10 mL), and dried over anhydrous sodium sulfate.
  • N-(l-Boc-Azetidine-3-ylmethyl)aniline 48 (218.6 mg, 0.791 mmol) and piperidinomethyl polystyrene resin (250 mg) in 2 mL of dry CH 2 C1 2 was added propionyl chloride (77 ⁇ L, 1 eq.) at room temperature. After being shaken at room temperature overnight, the reaction mixture was passed through an aminopropyl NH 2 cartridge and washed with CH 2 C1 2 Removal of CH 2 C1 2 afforded N-(l-Boc-azetidine-3- ylmethyl)-N-phenylpropionamide 49 (241 mg, 96%).
  • Trifluoroacetic acid (2 mL) was added dropwise to a solution of N-(l-Boc-azetidine- 3-ylmethyl)-N-phenylpropionamide 49 (241 mg, 0.757 mmol) in 2 mL of dry CH 2 C1 2 at 0 °C (ice-water).
  • the reaction mixture was stined at room temperature for 20 minute. After removal of the solvents, the residue was dried under vacuum for 2 hrs.
  • the crude product 6 was used in the next step without purification.
  • Trifluoroacetic acid (2 mL) was added dropwise to a solution of cyclopropanecarboxylic acid N-(l-Boc-piperidin-3-ylmethyl)-N-phenamide 51 (87.5 mg, 0.265 mmol) in 2 mL of dry CH 2 C1 2 at 0 °C (ice-water).
  • the reaction mixture was stined at room temperature for 20 minute. After removal of the solvents, the residue was dried under vacuum for 2 hrs. The crude product was used in the next step without purification.
  • the crude compound from the previous step was dissolved in DMF (3 mL) and phenylacetaldehyde (106 mg, 3 eq.) was added. The mixture was stined at room temperature for 30 min. NaB(OAc) 3 H (95%, 168 mg, 3 eq.) was introduced in one portion, and the mixture was stined at room temperature overnight. The mixture was quenched with 5 mL of aqueous potassium carbonate (sat.), then extracted with ethyl acetate (3 x 10 mL). The extracts were combined and washed with aqueous NaHCO 3 (sat., 2 x 5 mL), brine (10 mL), and dried over anhydrous sodium sulfate.
  • aqueous NaHCO 3 sat., 2 x 5 mL
  • brine 10 mL
  • N-Boc-2-carboxymorpholine 53 (20 g, 86.95 mmol), aniline (8.71 ml, 95.58 mmol) in CH 2 C1 2 (200 ml) at 0 °C was added DCC (21.19 g, 102.69 mmol) in several portions. The mixture was stined at room temperature for 3 hrs. The white precipitate was removed by filtration. The filtrate was washed with 5% HCl, sat. NaHCO 3 and then dried over Na ⁇ O ⁇ filtered and evaporated. The residue was dried by azotropic evaporation with benzene to give 54 as a white solid.
  • N-(l-Boc-morpholin-2-yl-methyl)-aniline 55 (7.49 g, 25.65 mmol)
  • pyridine 3.1 ml, 38.48 mmol
  • propionyl chloride 2.45 ml, 28.20 mmol
  • the mixture was washed with sat. NaHCO 3 , dried over N- ⁇ SO ⁇ filtered and evaporated to give a colorless oil, which crystallized upon standing at room temperature to give a white solid 56 (5.49 g, 60%).
  • N-(l-Boc-morpholin-2-yl-methyl)-N-phenyl-propionamide 56 5.40 g, 15.50 mmol
  • CH 2 C1 2 10 ml
  • TFA 10 ml
  • solvent and excess TFA was removed by evaporation.
  • the residue was dissolved in 20 ml of CH 2 C1 2 , neutralized with sat. NaHCO 3 . Organic layer was separated, washed with sat.
  • the enantiomers of 57 were separated using a preparative HPLC procedure.
  • the absolute configuration of the chiral centers was not determined.
  • Trifluoroacetic acid (0.5 mL) was added dropwise to a solution of Cyclopropane- carboxylic acid N-(2'-Boc-morpholin-2-yl-methyl)-N-phenyl amide 58 (63.2 mg, 0J75 mmol) in 0.5 mL of dry CH 2 C1 2 at 0 °C (ice-water).
  • the reaction mixture was stined at room temperature for 20 minute. After removal ofthe solvents, the residue was dried under vacuum for 2 hrs. The crude product was used in the next step without purification.
  • the crude product was dissolved in 2 ml of CH 3 CN, to which K 2 CO 3 (75 mg) and (2- bromoethyl) benzene (47 ⁇ L, 2 eq.) was added. The mixture was stined at 50 °C for 4 hrs. After cool down to room temperature, 2 mL of NaHCO 3 (sat.) and 10 mL of EtOAc were added. The organic layer was separated. Aqueous layer was extracted with EtOAc (2x 5 mL). The combined organic solution was dried over N- ⁇ SO . ,, filtered and evaporated.
  • reaction mixture stined for 1 h.
  • the solvents were removed in vacuo and the resulting oil was dried for 3 h under vaccum.
  • the resulting crude amine salt was used directly without purification.
  • N-benzylpropanolamine (77) (5.00 g, 30.3 mmol) was dissolved in epichlorohydrin (23.7 mL, 303 mmol) and heated to 40°C. When the reaction was judged complete by TLC (3 h), the epichlorohydrin was removed under high vacuum overnight. (Intermediate 78: LRMS: 257.58.) H 2 SO 4 (9.2 mL, 3.3M) was added, with stirring at room temperature, and the reaction was heated to 150°C in a preheated oil bath until the reaction was judged 5 complete by TLC (0.5 h). The reaction was removed from heat and cooled by the addition of ice. CH 2 C1 2 was added, and the organic layer was removed and discarded.
  • EtOAc was added to the acidic aqueous layer, and 10% KOH was added dropwise until the aqueous layer was basic. The organic layer was removed; the aqueous layer was extracted with EtOAc (2x), and the combined organics were dried over sodium sulfate, filtered and
  • Phenylacetaldehyde (0J7mL, 1.42 mmol) was added to 4-benzyl- l,4-oxazepan-2- ylmethyl)-N-phenylpropionamide (81) (O.H5g, 0.326 mmol) dissolved in MeOH (9.5 mL). 10 % Pd/C (OJOlg) was added, and the mixture was shaken under 40 psi H 2 until the consumption of H 2 ceased and the reaction was judged complete by TLC (4.25h).
  • Phenylacetaldehyde (0.091 mL, 0.780 mmol) was added to N-benzylamine 86 (0.055g, 0.156 mmol) dissolved in MeOH (5.2mL, 0.03M). 10 % Pd/C (0.0557g) was added, and the mixture was shaken under 40 psi H 2 until the consumption of H 2 ceased and the reaction was judged complete by TLC.
  • Triethylamine (29.0 mL, 208 mmol) was added to a solution of l,4-dioxa-8-aza- spiro[4.5]-decane-6-carboxylic acid methyl ester (91) (16.6, 82.5 mmol) in CH 2 C1 2 (159 mL, 0.5 M). The solution was cooled to 0 °C in an ice bath, then benzoylchloroformate (12.8 mL, 89.9 mmol) was added dropwise, with stirring, over 40 minutes.
  • Phenylacetaldehyde (0.87 mL, 7.40 mmol) was added to a solution of (8- benzyloxycarbonyl-l,4-dioxa-8-aza-spiro[4.5]-decane-6-ylmethyl)-N-phenylpropionamide (96) in MeOH (49.4 mL, 0.03M) in a hydrogenation flask. 20% Pd/C (0.53g) was added, and the mixture was shaken under 40 psi H 2 until the consumption of H 2 ceased and the reaction was judged complete by TLC (3.5 h).
  • Trifluoroacetic acid (0.38 mL, 4.99 mmol) in CH 2 C1 2 (0.38 mL) was added dropwise to a 0 °C stirring solution of 101 in CH 2 C1 2 (0.40 mL).
  • the solvent and excess trifluoroacetic acid were removed in vacuo.
  • the crude residue was dissolved in DMF (1.54 mL, 0.18M), then phenylacetaldehyde (0.10 mL, 0.832 mmol), acetic acid (0.078 mL), and Na(OAc) 3 BH (0.118g, 0.555 mmol) were added sequentially.
  • Trifluoroacetic acid (0.38 mL, 4.99 mmol) in CH 2 C1 2 (0.38 mL) was added dropwise to a 0 °C stirring solution of 101 (0.115g, 0.318 mmol) in CH 2 C1 2 (0.40 mL).
  • the solvent and excess trifluoroacetic acid were removed in vacuo.
  • the crude residue was dissolved in DMF (1.54 mL, 0J8M), then phenylacetaldehyde (0.10 mL, 0.832 mmol), acetic acid (0.078 mL), and Na(OAc) 3 BH (0.118g, 0.555 mmol) were added sequentially.
  • Trimethylsulfonium iodide (2J3g, 10.4 mmol) in DMSO (15 mL) was added to NaH (0.4907g, 20.4 mmol) in DMSO (70 mL).
  • l-benzyl-3-piperidone hydrochloride hydrate (109) (0.996g, 4.41 mmol) was taken up in DMSO (15 mL) and was added to the reaction mixture at room temperature.
  • TLC 0.5 h
  • the reaction was poured over ice and the product was extracted with CH 2 C1 2 . The organics were washed with H 2 O, dried over sodium sulfate, filtered and concentrated in vacuo.
  • Phenylacetaldehyde (0J7 mL, 1.42 mmol) and Pd/C (OJOlg) were added to a solution of 112 (0.0793g, 0.225 mmol) in MeOH (9.45 mL) in a hydrogenation flask, and the mixture was shaken under 40 psi of H 2 until the consumption of H 2 ceased and the reaction was judged complete by TLC.
  • a library of 96 compounds was synthesized from twelve anilines, eight acid chlorides, and (2-bromoethyl)benzene.
  • the reductive animation and acylation reactions were carried out using solid-phase chemistry, while the alkylation of piperidine with (2- bromoethyl)benzene was performed in solution.
  • the resulting resin (114) was washed with DMF (3 X 100 ml), MeOH (4 X 100 ml), and CH 2 C1 2 (4 X 100 ml) and dried in vacuo.
  • To the alcohol resin 114 was added 100 ml solution of sulfur trioxide pyridine complex (5.35 g, 33.6 mmol) and triethylamine (4.68 ml, 33.6 mmol) in DMSO, and the resulting slurry was shaken at room temperature for 1 hour.
  • the resulting aldehyde-functionalized resin 115 was washed with DMF (3 X 100 ml), MeOH (4 X 100 ml), and CH 2 C1 2 (4 X 100 ml) and dried in vacuo.
  • Resin 115 was equally divided into 12 reactors, in which the aldehyde would react with 12 anilines, respectively.
  • NaCNBH 3 (700 mg, 11.2 mmol) was added into the mixture followed by 0.08 ml AcOH.
  • the reaction block was shaken at room temperature for 3 hours and the resins were washed with DMF (3 X 1 ml well), MeOH (4 X 1 ml/well), and CH 2 C1 2 (4 X 1 ml/well) and dried in vacuo.
  • the resulting resins 117 were treated with a solution of 50% TFA in CH 2 C1 2 at 1 ml per well at room temperature for 30 min to release the polymer-bond piperidines 118 into a 96-deep well plate. After washing the resins with CH 2 C1 2 (2 X 0.5 ml/well), the volatiles were removed under high vacuum to afford the crude compounds.
  • the mixtures were shaken at 50° C for another 24 hours.
  • the solutions were filtered into a 96- well format SPE plate with NH 2 sorbent, washed the resins with CH 2 C1 2 (2 X 0.6 ml/well), collected the CH 2 C1 2 washes into the SPE plate.
  • the compounds were eluted and collected in a 96-deep well plate. The volatiles were removed under high vacuum to afford 96 final compounds 119, which were submitted to HPLC and mass spectra analyses.
  • the opioid ( ⁇ , K, ⁇ ) receptor-binding capabilities of compounds described herein were determined according to the procedures outlined by Wang et al. (FEBS Letters 1994, 338, 217), Maguire et al. (Eur. J. Pharmacol. 1992, 213, 219), and Simonin et al. (Mol. Pharmacol. 1994, 46, 1015). Certain results from these assays are tabulated below.
  • This Example establishes in vivo analgesia in mice and rats for compounds 6, 30, 32, 66, and 69.
  • a "tail-flick" analgesia model known in the art was utilized (D'Amour et al. J. Pharmacol. Exp. Ther. 1941, 72, 74).
  • Groups of four male mice (weighing -22 g) or rats were used for each dose.
  • Three doses (1, 0.5, and 0J mg/kg) of compounds 6, 30, 32, 66, and 69 were dissolved in a vehicle of 50 mM aqueous sodium acetate, and were administered intravenously.
  • the control group received vehicle alone.
  • pre-selection was done by using a focused beam of radiant heat applied to the middle dorsal surface of the animal tail to elicit a tail flick response within 6-7.5 seconds.
  • Compounds 6, 30, 32, 66, and 69 were then administered i.v. for 1 minute before stimulation by the focused beam of radiant heat.
  • the time required to elicit the tail-flick response was recorded for each animal and a maximum cut-off of 15 seconds was set. Prolongation by 50% or more of the time required to elicit a tail-flick response relative to control animals indicated analgesic activity.
  • Boc-piperidin-3-ylmethyl)-N-phenylpropionamide (108 mg, 0.31 mmol) in 1.0 mL of dry CH 2 C1 2 at 0 °C (ice-water).
  • the reaction mixture was stined at room temperature for 30 minutes. TLC showed the reaction was complete.
  • the crude product was used in the next step without purification.
  • the crude compound from the previous step was dissolved in DMF (0.5 mL) and 4- phenylbutyraldehyde (49 ⁇ L, 1J equiv) was added. The mixture was stined at room temperature for 60 min.
  • NaB(OAc) 3 H (95%, 340 mg, 5 eq.) was introduced in one portion, and the mixture was shaken at room temperature overnight. The mixture was quenched with 5 mL of with NaOH (10%), then extracted with ethyl acetate (3 x 10 mL). The extracts were combined and washed with aqueous NaHCO 3 (sat., 2 x 5 mL), brine (10 mL), and dried over anhydrous sodium sulfate.
  • Trifluoroacetic acid (0.5 mL) was added dropwise to a solution of 3- [(isobutyrylphenylamino)methylpiperidine-l -carboxylic acid tert-butyl ester (2) (106 mg, 0.29 mmol) in 0.5 mL of dry CH 2 C1 2 at 0 °C (ice-water).
  • the reaction mixture was stined at room temperature for 30 minutes. TLC showed the reaction was complete. After removal of the solvents, the residue was dried under vacuum for 3 hrs. The crude product was used for the next step without purification.
  • the crude compound from the previous step was dissolved in 1.0 mL of CH 3 CN, to which K 2 CO 3 (122 mg) and (2-bromoethyl) benzene (82 ⁇ l, 2 eq.) were added. The mixture was stined at 50 °C overnight. After cooling down to room temperature, 5 mL of 10% NaOH was added. The organic layer was separated. The aqueous layer was extracted with EtOAc (2x 10 ml). The combined organic layers were dried with Na 2 SO 4 , filtered and evaporated.
  • N-Phenyl-N-[l-(3-Phenylpropylyl)piperidin-3-ylmethyl)] isobutyramide (124) was synthesized using the procedure outlined in Example 84. LRMS 379.
  • Example 84
  • Trifluoroacetic acid (1.0 mL) was added dropwise to a solution of (R)- ⁇ -(l-Boc- piperidin-3-ylmethyJ-N-phenylpropionamide (101 mg, 0.29 mmol) in 1.0 mL of dry CH 2 C1 2 at 0 °C (ice-water). The reaction mixture was stined at room temperature for 30 min. TLC showed the reaction was complete. After removal of the solvents, the crude product was used for the next step without purification.
  • the crude compound was dissolved in acetonitrile (1.0 mL) and 2-bromo-l -phenyl propane (293 ⁇ L), and K 2 CO 3 (120 mg) were added.
  • the mixture was stined at 50 °C overnight.
  • the mixture was quenched with 5 mL of aqueous KOH (10%), then extracted with ethyl acetate (3 x 10 mL).
  • the extracts were combined and washed with aqueous NaHCO 3 (sat., 2 x 5 mL), brine (10 mL), and dried over anhydrous sodium sulfate.

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Abstract

Un premier aspect de la présente invention concerne de nouveaux composés hétérocycliques. Un deuxième aspect de cette invention se rapporte à l'utilisation de ces nouveaux composés hétérocycliques en tant que ligands destinés à divers récepteurs cellulaires, y compris des récepteurs opiacés, d'autres récepteurs couplés à la protéine G et des canaux ioniques. Un autre aspect de l'invention concerne l'utilisation de ces nouveaux composés hétérocycliques en tant qu'analgésiques.
PCT/US2000/014579 1999-05-25 2000-05-25 Composes heterocycliques analgesiques et procedes d'utilisation de ces derniers WO2000071518A2 (fr)

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JP2000619775A JP2003500392A (ja) 1999-05-25 2000-05-25 複素環式鎮痛性化合物およびその使用方法
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WO2001092226A1 (fr) * 2000-05-25 2001-12-06 Sepracor, Inc. Composes analgesiques heterocycliques et technique d'utilisation de ceux-ci
WO2000072835A3 (fr) * 1999-05-27 2002-03-21 Khoury George F El Application topique d'agents muscariniques et opioides conçus pour traiter les bourdonnements d'oreilles
WO2002022572A2 (fr) * 2000-09-11 2002-03-21 Sepracor, Inc. Ligands pour les recepteurs de monoamine et transporteurs, et procedes d'utilisation de ces derniers
WO2002026722A1 (fr) * 2000-09-29 2002-04-04 Glaxo Group Limited Derives de morpholine-acetamide permettant de traiter les maladies inflammatoires
WO2002046157A2 (fr) * 2000-12-04 2002-06-13 Sepracor, Inc. Procedes de synthese stereoselective de piperidines substituees
WO2002046187A1 (fr) * 2000-12-04 2002-06-13 Sepracor, Inc. Diazabicyclo[4.3.0]nonanes analgesiques
WO2002069895A2 (fr) * 2001-03-02 2002-09-12 Sepracor, Inc. Composes heterocycliques analgesiques et leur procede d'utilisation
WO2002080928A1 (fr) * 2001-04-03 2002-10-17 Merck & Co., Inc. Antagonistes de nmda/nr2b nonaryl-heterocyclo amidyle n-substitues
WO2003082862A1 (fr) * 2002-03-28 2003-10-09 Glaxo Group Limited Derives de morpholine-acetamide anti-inflammatoires
WO2003097618A1 (fr) * 2002-05-22 2003-11-27 Glaxo Group Limited Antagonistes du recepteur de morpholinylmethyluree ccr-3
WO2003099798A1 (fr) * 2002-05-29 2003-12-04 Glaxo Group Limited Morpholinylmethylure utilisee comme antagonistes du recepteur ccr-3
US6677332B1 (en) 1999-05-25 2004-01-13 Sepracor, Inc. Heterocyclic analgesic compounds and methods of use thereof
US6946477B2 (en) 2000-03-14 2005-09-20 Sepracor Inc. 3-Substituted piperidines comprising urea functionality, and methods of use thereof
US7294637B2 (en) 2000-09-11 2007-11-13 Sepracor, Inc. Method of treating addiction or dependence using a ligand for a monamine receptor or transporter
US7361666B2 (en) 1999-05-25 2008-04-22 Sepracor, Inc. Heterocyclic analgesic compounds and methods of use thereof
US7485732B2 (en) 2003-06-11 2009-02-03 Merck & Co., Inc. Substituted 3-alkyl and 3-alkenyl azetidine derivatives
US7906652B2 (en) 2005-11-28 2011-03-15 Merck Sharp & Dohme Corp. Heterocycle-substituted 3-alkyl azetidine derivatives
US8258305B2 (en) 2005-02-23 2012-09-04 Prexa Pharmaceuticals, Inc. Dopamine transporter inhibitors for use in treatment of movement disorders and other CNS indications
WO2019031990A1 (fr) 2017-08-07 2019-02-14 Закрытое Акционерное Общество "Биокад" Nouveaux composés hétérocycliques comme inhibiteurs de cdk8/19
US10703712B2 (en) 2015-09-16 2020-07-07 Metacrine, Inc. Farnesoid X receptor agonists and uses thereof
US10927082B2 (en) 2017-03-15 2021-02-23 Metacrine, Inc. Farnesoid X receptor agonists and uses thereof
US11084817B2 (en) 2018-09-18 2021-08-10 Metacrine, Inc. Farnesoid X receptor agonists and uses thereof
US11236071B1 (en) 2017-03-15 2022-02-01 Metacrine, Inc. Farnesoid X receptor agonists and uses thereof

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DE102012006884A1 (de) * 2012-04-04 2013-10-10 Merck Patent Gmbh Cyclische Amide als MetAP-2 Inhibitoren

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