Title of Invention

BENZISOXAZOLE PIPERAZINE COMPOUND

Abstract The invention describes a benzisoxazole piperazine compound.
Full Text

FIELD OF THE INVENTION
The invention relates to methods for treating sleep disorders and compositions useful in
such methods.
BACKGROUND OF THE INVENTION
Difficulty falling asleep or remaining asleep is a significant medical issue that arises for
a variety of reasons. Sometimes, these problems arise from endogenous conditions such as
sleep apnea or insomnia. Other times, these problems arise from exogenous stresses such as
the disruptive effect of shift work schedules and "jet lag." Whether caused by an endogenous
or exogenous source, difficulty falling asleep or remaining asleep can result in problem
sleepiness, which impairs the health, quality of life, and safety of those affected.
Existing pharmaceutical treatments for inducing sleep include sedatives or hypnotics
such as benzodiazepine and barbiturate derivatives. These treatments have numerous
drawbacks, including rebound insomnia, delayed onset of desired sedative effects, persistence
of sedative effects after the desired sleep period, and side effects due to nonspecific activity
such as psychomotor and memory deficits, myorelaxation, and disturbed sleep architecture,
including REM sleep inhibition. Additionally, sedatives and hypnotics can be habit forming,
can lose their effectiveness after extended use, and may be metabolized more slowly by some
people.
Consequently, physicians often recommend or prescribe antihistamines as a milder
treatment for sleep disorders when hypnotics are less appropriate. However, many
antihistamines suffer from a number of side effects. These side effects include prolongation of
the QT interval in a subject's electrocardiogram, as well as central nervous system (CNS) side
effects such as decreased muscle tone and drooping eyelids. Finally, such compounds can bind
to muscarinic receptors, which leads to anti-cholinergic side effects such as blurred vision, dry
mouth, constipation, urinary problems, dizziness and anxiety.
As a result, there is a need for sleep-promoting treatments with reduced side effects.
Additionally, while known sleep-inducing compounds are effective for treating sleep-onset

insomnia, i.e., a subject's difficulty in falling asleep, there are no drugs currently indicated for
treating sleep maintenance insomnia, i.e., maintaining a subject's sleep throughout a normal
sleep period after falling asleep. Therefore, there is also a need for improved pharmaceutical
treatments for maintaining sleep in subjects in need of such treatment.
SUMMARY OF THE INVENTION
The present invention relates to benzisoxazole compounds which modulate sleep. In
one aspect, the invention relates to a compound of Formula I:

or a pharmaceutically effective salt, solvate, hydrate, or prodrug thereof, wherein m n, o, p, q
are, individually, 0,1, 2,3,4, 5, or 6; X and Y are, individually, absent, O, S, C(O), SO or
SO2; R1, R2, R3, and R4 are, independently selected from H, F, Cl, Br, I, CF3, C1, C2,C3, C4, C5
or C6 straight chain alkyl, C3, C4, C5 or C6 branched alkyl, C3, C4, C5, C6, C7 or C8 cycloalkyl,
C3, C4, C5, C6, or C7 heterocyclyl, OCF3, CH2OCH3, CH2CH2OCH3, CH2OCH2CH3, C1, C2,
C3, C4, C5 or C6 alkoxy, and C1, C2, C3, C4, C5 or C6 hydroxyalkyl; R5, R6, R7, and R8 are,
independently, H, C1, C2, C3, C4, C5, or C6 straight chain alkyl, C3, C4, C5 or C6 branched alkyl;
R5 and R6 together with the carbon to which they are attached, are connected to form a spiro
ring of size 3,4, 5, 6, or 7;
R7 and R8 together with the carbon to which they are attached, are connected to form a spiro
ring of size 3, 4, 5, 6, or 7; or substituents on two different atoms are connected to form a ring
of size 3,4, 5, 6, or 7; and Z is selected from CO2H, CO2R9, where R9 is C1, C2, C3, C4, C5 or
C6 alkyl, CONHS(O)2-alkyl, CONHS(O)2-cycIoalkyl, CONHS(O)2-heteroalkyl, CONHS(O)2-
aryl, CONHS(O)2-heteroaryl, S(O)2NHCO-alkyl, S(O)2NHCO-cycloalkyl, S(O)2NHCO-
heteroalkyl, S(O)2NHCO-aryl, S(O)2NHCO-heteroaryl, CONHS(O)2N-alkyl, CONHS(O)2N-

cycloalkyl, CONHS(O)2N-heteroalkyl, CONHS(O)2N-aryl, CONHS(O)2N-heteroaryl, SO3H,
SO2H, S(O)NHCO-alkyl, S(O)NHCO-aryl, S(O)NHCO-heteroaryl, P(O)(OH)2, P(O)OH,

In one embodiment, R1, R2, R3, and R4 are each H. In another embodiment, R1, R3, and
R4 are each H. In another embodiment, R1, R2, and R4 are each H. In another embodiment, at
least one of R2 and R3 is not H. In another embodiment, R1 is H. In another embodiment, R2
and R3 are not H. In one embodiment, at least one of R2 and R3 is selected from C1-C6 alkyl or
C1-C6 alkoxy. In another embodiment, at least one of R2 and R3 is selected from CH3 or
OCH3. In one embodiment, R2 is C1-C6 alkyl. In another embodiment, R2 is CH3. In another
embodiment, R3 is CH3. In one embodiment, R3 is C1-C6 alkoxy. In another embodiment, R3
is OCH3.
In one embodiment, X and Y are absent. In another embodiment, R5 and R6 together
with the carbon to which they are attached are absent. In one embodiment, R5 and R6 are each
H. In one embodiment, R5 and R6 are each C1-C6 alkyl. In another embodiment, R5 and R6 are
each methyl. In another embodiment, R5 and R6 are each ethyl. In another embodiment, R5
and R6 together with the carbon to which they are attached are connected to form a spiro
cyclopropyl ring.
In one embodiment, the sum of m, n, o, p, and q is 1,2,3,4, 5, or 6. In another
embodiment, the sum of m, n, o, p, and q is 1, 2, 3, or 4. In another embodiment, the sum of
m, n, o, p, and q is 1, 2, or 3. In another embodiment, the sum of m, n, o, p, and q is 1. In
another embodiment, the sum of m, n, o, p, and q is 2. In another embodiment, the sum of m,
n, o, p, and q is 3. In one embodiment, q is 0.
In one embodiment, any hydrogen in the CH2 groups in the linker is substituted with a
substituent selected from H, F, Cl, Br, I, CF3, CH3, C2 C3, C4, C5, or C6 straight chain alkyl, C3,
C4, C5, or C6 branched alkyl, C3, C4, C5, C6, C7 or Cg cycloalkyl, C3, C4, C5, C6, C7 or C8
heterocyclyl, C1, C2, C3, C4, C5, C6 alkoxy, OCF3, CH2OCH3, CH2CH2OCH3, CH2OCH2CH3,
or C1, C2, C3, C4, C5 or C6 hydroxyalkyl.
In one embodiment, R7 and R8 are each H. In one embodiment, R7 and R8 are each C1-
C6 alkyl. In another embodiment, R7 and R8 are each methyl. In another embodiment, R7 and
R8 are each ethyl. In another embodiment, R7 and R8 together with the carbon to which they
are attached are connected to form a spiro cyclopropyl ring.

In one embodiment, Z is COOH. In another embodiment, Z is selected from
CONHS(O)2-alkyl, CONHS(O)2-cycloalkyl, CONHS(O)2-heteroalkyl, CONHS(O)2-aryl, and
CONHS(O)2-heteroaryl. In another embodiment, Z is selected from CONHSO2-alkyl and
CONHSO2-heteroalkyl. In one embodiment, Z is CONHSO2CH3. In another embodiment, Z

In one embodiment, the salt is an acid addition salt. In another embodiment, the salt is
a hydrochloride salt.
In another aspect, the invention relates to a compound of Formula II:

or a pharmaceutically effective salt, solvate, hydrate, or prodrug thereof, wherein m, n, and o
are, individually, 0, 1,2, 3,4, 5, or 6; X is absent, O, S, C(O), SO or SO2; R1, R2, R3, and R4
are, independently selected from H, F, Cl, Br, CF3, CH3, CH2CH3, CH(CH3)2, cyclopropyl,
OCH3, OCF3, CH2OCH3 and CH2OCH2CH3; R5, and R6, are, independently, H, C1-C5 straight
chain alkyl; C3-C6 branched alkyl, or R5 and R6 together with the carbon to which they are
attached, are connected to form a spiro ring of size 3,4, 5,6, or 7; and Z is COOH, COOR9,
where R9 is C1-C6 alkyl, CONHS(O)2-alkyl, CONHS(O)2-cycloalkyl,CONHS(O)2-heteroalkyl,
CONHS(O)2-aryl, CONHS(O)2-heteroaryl, S(O)2NHCO-alkyl, S(O)2NHCO-heteroalkyl,
S(O)2NHCO-aryl, S(O)2NHCO-heteroaryl, CONHS(O)2N-alkyl; CONHS(O)2N-heteroalkyl;
CONHS(O)2N-aryl; CONHS(O)2N-heteroaryl; or tetrazole, provided that when m is zero, X is
absent.
In one embodiment, R1, R2, R3, and R4 are each H. In another embodiment, R1, R3, and
R4 are each H. In another embodiment, R1, R2, and R4 are each H. In another embodiment, at
least one of R2 and R3 is not H. In another embodiment, R2 and R3 are not H. In another
embodiment, R1 is H. In one embodiment, at least one of R2 and R3 is selected from CH3 or


OCH3. In another embodiment, R2 is CH3. In another embodiment, R3 is CH3. In another
embodiment, R3 is OCH3.
In one embodiment, X is absent. In one embodiment, the sum of m, n, and o is 1. In
another embodiment, the sum of m, n, and o is 2. In one embodiment, o is zero.
In one embodiment, R5 and R6 are each H. In one embodiment, R5 and R6 are each C1-
C5 alkyl. In another embodiment, R5 and R6 are each methyl. In another embodiment, R5 and
R6 are each ethyl. In another embodiment, R5 and R6 together with the carbon to which they
are attached are connected to form a spiro cyclopropyl ring.
In one embodiment, Z is COOH. In another embodiment, Z is selected from
CONHS(O)2-alkyl, CONHS(O)2-cycloalkyl, CONHS(O)2-heteroalkyl, CONHS(O)2-aryl, and
CONHS(O)2-heteroaryl. In another embodiment, Z is selected from CONHSO2-alkyl and
CONHSO2-heteroalkyl. In one embodiment, Z is CONHSO2CH3. In another embodiment, Z

In one embodiment, the salt is an acid addition salt. In another embodiment, the salt is
a hydrochloride salt.
In another aspect, the invention relates to a compound of Formula III:

or a pharmaceutically effective salt, solvate, hydrate, or prodrug, thereof, wherein m and n are,
individually, 0,1, 2, 3, or 4; X is absent, O, S, C(O), SO or SO2; R1, R2, R3, and R4 are,
independently, selected from H, F, Cl, Br, CF3, CH3, CH2CH3, CH(CH3)2, cyclopropyl, OCH3,
OCF3, CH2OCH3, and CH2OCH2CH3; R5, and R6, are, independently, H, C1, C2, C3, C4, C5
straight chain alkyl; C3, C4, C5, C6 branched alkyl, or R5, and R6, together with the carbon to
which they are attached, are connected to form a spiro ring of size 3,4, 5,6, or 7; and Z is
selected from CO2H, CONHS(O)2-alkyl, CONHS(O)2-cycloalkyl, CONHS(O)2-heteroalkyl,

CONHS(O)2-aryl, CONHS(O)2-heteroaryl, and tetrazole; provided that when m is zero, X is
absent.
In one embodiment, R1, R2, R3, and R4 are each H. In another embodiment, R1, R3, and
R4 are each H. In another embodiment, R1, R2, and R4 are each H. In one embodiment, at least
one of R2 and R3 is not H. In another embodiment, R2 and R3 are not H. In another
embodiment, R1 is H. In another embodiment, at least one of R2 and R3 is selected from CH3
or OCH3. In another embodiment, R2 is CH3. In another embodiment, R3 is CH3. In another
embodiment, R3 is OCH3.
In one embodiment, X is absent. In one embodiment, the sum of m and n is 1. In
another embodiment, the sum of m and n is 2.
In one embodiment, R5 and R6 are each H. In one embodiment, R5 and R6 are each C1-
C6 alkyl. In another embodiment, R5 and R6 are each methyl. In another embodiment, R5 and
R6 are each ethyl. In another embodiment, R5 and R6 together with the carbon to which they
are attached are connected to form a spiro cyclopropyl ring.
In one embodiment, Z is COOH. In another embodiment, Z is selected from
CONHS(O)2-alkyl, CONHS(O)2-cycloalkyl, CONHS(O)2-heteroalkyl, CONHS(O)2-aryl, and
CONHS(O)2-heteroaryl. In another embodiment, Z is selected from CONHSO2-alkyl and
CONHSO2-heteroalkyl. In one embodiment, Z is CONHSO2CH3. In one embodiment, Z is

In one embodiment, the salt is an acid addition salt. In another embodiment, the salt is
a hydrochloride salt.
In another aspect, the invention relates to a compound of Formula IV:

or a pharmaceutically effective salt, solvate, hydrate, or prodrug thereof wherein t is 1,2,3,4,
5, or 6; R,, R2, R3, and R4 are, independently, H, F, Cl, Br, CF3, CH3, OH, OCH3, CH2OCH3,
or CH2OCH2CH3; R5-R6 are H, CH3, CH2CH3, or R5 and R6, together with the carbon to which

they are attached, are connected to form a spiro ring of size 3, 4, 5, 6, or 7; and Z is selected
from C02H, CONHS(O)2-alkyl, CONHS(O)2-cycloalkyl, CONHS(O)2-heteroaIkyI, and
tetrazole.
In one embodiment, R1, R2, R3, and R4 are each H. In another embodiment, R1, R3, and
R4 are each H. In another embodiment, R1, R2, and R4 are each H. In another embodiment, at
least one of R2 and R3 is not H. In another embodiment, R2 and R3 are not H. In another
embodiment, R1 is H. In another embodiment, at least one of R2 and R3 is selected from CH3
or OCH3. In another embodiment, R2 is CH3. In another embodiment, R3 is CH3. In another
embodiment, R3 is OCH3.
In one embodiment, t is 1. In another embodiment, t is 2.
In one embodiment, R5 and R6 are each H. In another embodiment, R5 and R6 are each
methyl. In another embodiment, R5 and R6 are each ethyl. In another embodiment, R5 and R6
together with the carbon to which they are attached are connected to form a spiro cyclopropyl
ring.
In one embodiment, Z is COOH. In another embodiment, Z is selected from
CONHSO2-alkyl and CONHSO2-heteroalkyl. In another embodiment, Z is CONHSO2CH3. In
another embodiment, Z is CONHSO2CH(CH3)2. In another embodiment, Z is

In one embodiment, the salt is an acid addition salt. In another embodiment, the salt is
a hydrochloride salt.
In another aspect, the invention relates to a compound selected from:


In another aspect, the invention relates to a pharmaceutical composition comprising a
compound of Formula I:


wherein m n, o, p, q are, individually, 0,1,2,3,4,5, or 6; X and Y are, individually, absent, O,
S, C(O), SO or S02; R1, R2, R3, and R4 are, independently selected from H, F, Cl, Br, I, CF3,
C1, C2, C3, C4, C5 or C6 straight chain alkyl, C3, C4, C5 or C6 branched alkyl, C3, C4, C5, C6, C7
or C8 cycloalkyl, C3, C4, C5, C6, or C7 heterocyclyl, OCF3, CH2OCH3, CH2CH2OCH3,
CH2OCH2CH3, Ci, C2, C3, C4, C5 or C6 alkoxy, and C1, C2, C3, C4, C5 or C6 hydroxyalkyl; R5,
R6, R7, and R8 are, independently, H, C1, C2, C3, C4, C5, or C6, straight chain alkyl, C3, C4, C5 or
C6 branched alkyl; R5 and R6 together with the carbon to which they are attached, are
connected to form a spiro ring of size 3,4,5,6, or 7; R7 and R8 together with the carbon to
which they are attached, are connected to form a spiro ring of size 3,4, 5, 6, or 7; or
substituents on two different atoms are connected to form a ring of size 3,4,5,6, or 7; and Z is
selected from CO2H, CO2R9. where R9 is C1, C2, C3, C4, C5 or C6 alkyl, CONHS(O)2-alkyl,
CONHS(O)2-cycloalkyl, CONHS(O)2-heteroalkyl, CONHS(O)2-aryl, CONHS(O)2-heteroaryl,
S(O)2NHCO-alkyl, S(O)2NHCO-cycloalkyl, S(O)2NHCO-heteroalkyl, S(O)2NHCO-aryl,
S(O)2NHCO-heteroaryl, CONHS(O)2N-alkyl, CONHS(O)2N-cycloalkyl, CONHS(O)2N-
heteroalkyl, CONHS(O)2N-aryl, CONHS(O)2N-heteroaryl, SO3H, SO2H, S(O)NHCO-alkyl,

prodrug thereof, and atleast one pharmaceutically acceptable excipient.

In another aspect, the invention relates to a pharmaceutical composition comprising a
compound of Formula II:

wherein m, n, and o are, individually, 0, 1,2, 3,4, 5, or 6; X is absent, O, S, C(O), SO or SO2;
R1, R2, R3, and R4 are, independently selected from H, F, Cl, Br, CF3, CH3, CH2CH3,
CH(CH3)2, cyclopropyl, OCH3, OCF3, CH2OCH3 and CH2OCH2CH3; R5, and R6, are,
independently, H, Cl, C2, C3, C4, C5 straight chain alkyl; C3, C4, C5, C6 branched alkyl, or R5
and R6 together with the carbon to which they are attached, are connected to form a spiro ring
of size 3,4,5,6, or 7; and Z is COOH, COOR9, where R9 is C1-C6 alkyl, CONHS(O)2-alkyl,
CONHS(O)2-cycloalkyl,CONHS(O)2-heteroalkyl,CONHS(O)2-aryl,CONHS(O)2-heteroaryl,
S(O)2NHCO-alkyl, S(O)2NHCO-heteroalkyl, S(O)2NHCO-aryl, S(O)2NHCO-heteroaryl,
CONHS(O)2N-alkyl; CONHS(O)2N-heteroalkyl; CONHS(O)2N-aryl; CONHS(O)2N-
heteroaryl; or tetrazole, provided that when m is zero, X is absent, or a salt, solvate, hydrate, or
prodrug thereof, and at least one pharmaceutically acceptable excipient.
In another aspect, the invention relates to a pharmaceutical composition comprising a
compound of Formula III:


wherein m and n are, individually, 0,1,2, 3, or 4, X is absent, O, S, C(O), SO or SO2; R1, R2,
R3, and R4 are, independently, selected from H, F, Cl, Br, CF3, CH3, CH2CH3, CH(CH3)2,
cyclopropyl, OCH3, OCF3, CH2OCH3, and CH2OCH2CH3; R5, and R6, are, independently, H,
C1-C5 straight chain alkyl; C3-C6 branched alkyl, or R5, and R6, together with the carbon to
which they are attached, are connected to form a spiro ring of size 3,4, 5,6, or 7; and Z is
selected from CO2H, CONHS(O)2-alkyl, CONHS(O)2-cycloalkyl, CONHS(O)2-heteroalkyl,
CONHS(O)2-aryl, CONHS(O)2-heteroaryl, and tetrazole; provided that when m is zero, X is
absent, or a salt, solvate, hydrate, or prodrug thereof, and at least one pharmaceutically
acceptable excipient.
In another aspect, the invention relates to a pharmaceutical composition comprising a
compound of Formula IV:

wherein t is 1,2,3,4, 5, or 6; R1, R2, R3, and R4 are, independently, H, F, Cl, Br, CF3, CH3,
OH, OCH3, CH2OCH3, or CH2OCH2CH3; R5-R6 are H, CH3, CH2CH3, or R5 and R6, together
with the carbon to which they are attached, are connected to form a spiro ring of size 3,4, 5, 6,
or 7; and Z is selected from CO2H, CONHS(O)2-alkyl, CONHS(O)2-cycloalkyl, CONHS(O)2-
heteroalkyl, and tetrazole.
In another aspect, the invention relates to a method of treating a subject for a sleep
disorder, comprising administering to a subject in need of treatment for a sleeping disorder a
therapeutically effective amount of a compound represented by Formula I:


or a pharmaceutically effective salt, solvate, hydrate, or prodrug thereof, wherein m n, o, p, q
are, individually, 0,1,2,3,4,5, or 6; X and Y are, individually, absent, O, S, C(O), SO or
SO2;
R1, R2, R3, and R4 are, independently selected from H, F, Cl, Br, I, CF3, Cl, C2,C3, C4, C5 or
C6 straight chain alkyl, C3, C4, C5 or C6 branched alkyl, C3, C4, C5, C6, C7 or Cs cycloalkyl, C3,
C4, C5, C6, or C7 heterocyclyl,, OCF3, CH2OCH3, CH2CH2OCH3, CH2OCH2CH3, C1, C2, C3,
C4, C5 or C6 alkoxy, and Cl, C2, C3, C4, C5 or C6 hydroxyalkyl; R5, R6, R7, and R8 are,
independently, H, C1, C2, C3, C4, C5, or C6 straight chain alkyl, C3, C4, C5 or C6 branched alkyl;
R5 and R6 together with the carbon to which they are attached, are connected to form a spiro
ring of size 3,4,5,6, or 7; R7 and R8 together with the carbon to which they are attached, are
connected to form a spiro ring of size 3,4, 5,6, or 7; or substituents on two different atoms are
connected to form a ring of size 3,4, 5,6, or 7; and Z is selected from CO2H, CO2R9, where R9
is C1, C2, C3, C4, C5 or C6 alkyl, CONHS(O)2-alkyl, CONHS(O)2-cycloalkyl, CONHS(O)2-
heteroalkyl, CONHS(O)2-aryl, CONHS(O)2-heteroaryl, S(O)2NHCO-alkyl, S(O)2NHCO-
cycloalkyl, S(O)2NHCO-heteroalkyl, S(O)2NHCO-aryl, S(O)2NHCO-heteroaryl,
CONHS(O)2N-alkyl, CONHS(O)2N-cycloalkyl, CONHS(O)2N-heteroalkyl, CONHS(O)2N-
aryl, CONHS(O)2N-heteroaryl, SO3H, SO2H, S(O)NHCO-alkyl, S(O)NHCO-aryl,


In one embodiment, the subject is a human. In one embodiment, the sleep disorder is
selected from the group consisting of insomnia, hypersomnia, narcolepsy, sleep apnea
syndrome, parasomnia, restless leg syndrome, and circadian rhythm abnormality. In another
embodiment, the sleep disorder is circadian rhythm abnormality. In another embodiment, the
circadian rhythm abnormality is selected from the group consisting of jet lag, shift-work
disorders, and delayed or advanced sleep phase syndrome. In one embodiment, the sleep
disorder is insomnia. In another embodiment, insomnia is treated in the subject by effecting at
least one action selected from the group consisting of decreasing the time to sleep onset,
increasing the average sleep bout length, and increasing the maximum sleep bout length. In
one embodiment, the compound or pharmaceutically acceptable salt, solvate, hydrate, or
prodrug, is administered as a pharmaceutical composition comprising at least one
pharmaceutical acceptable excipient. In another embodiment, the compound or
pharmaceutically acceptable salt, solvate, hydrate, or prodrug is co-administered with one or
more additional therapies.
In another aspect, the invention relates to a method of treating a subject for a sleep
disorder, comprising administering to a subject in need of treatment for a sleeping disorder a
therapeutically effective amount of a compound represented by Formula II:

or a pharmaceutically effective salt, solvate, hydrate, or prodrug thereof, wherein m, n, and o
are, individually, 0,1,2, 3,4, 5, or 6; X is absent, O, S, C(O), SO or SO2; R1, R2, R3, and R4
are, independently selected from H, F, Cl, Br, CF3, CH3, CH2CH3, CH(CH3)2, cyclopropyl,
OCH3, OCF3, CH2OCH3 and CH2OCH2CH3; R5, and R6, are, independently, H, C1-C5 straight
chain alkyl; C3-C6 branched alkyl, or R5 and R6 together with the carbon to which they are
attached, are connected to form a spiro ring of size 3,4,5,6, or 7; and Z is COOH, COOR9,
where R9 is C1-C6 alkyl, CONHS(O)2-aIkyl, CONHS(O)2-cycloalkyl,CONHS(O)2-heteroalkyl,

CONHS(O)2-aryl, CONHS(O)2-heteroaryl, S(O)2NHCO-alkyl, S(O)2NHCO-heteroalkyl,
S(O)2NHCO-aryl, S(O)2NHCO-heteroaryl, CONHS(O)2N-alkyl; CONHS(O)2N-heteroalkyl;
CONHS(O)2N-aryl; CONHS(O)2N-heteroaryl; or tetrazole, provided that when m is zero, X is
absent.
In one embodiment, the subject is a human. In another embodiment, the sleep disorder
is selected from the group consisting of insomnia, hypersomnia, narcolepsy, sleep apnea
syndrome, parasomnia, restless leg syndrome, and circadian rhythm abnormality. In another
embodiment, the sleep disorder is circadian rhythm abnormality. In another embodiment, the
circadian rhythm abnormality is selected from the group consisting of jet lag, shift-work
disorders, and delayed or advanced sleep phase syndrome. In one embodiment, the sleep
disorder is insomnia. In another embodiment, insomnia is treated in the subject by effecting at
least one action selected from the group consisting of decreasing the time to sleep onset,
increasing the average sleep bout length, and increasing the maximum sleep bout length. In
another embodiment, the compound or pharmaceutically acceptable salt, solvate, hydrate, or
prodrug, is administered as a pharmaceutical composition comprising at least one
pharmaceutical acceptable excipient. In another embodiment, the compound or
pharmaceutically acceptable salt, solvate, hydrate, or prodrug is co-administered with one or
more additional therapies.
In another aspect, the invention relates to a method of treating a subject for a sleep
disorder, comprising administering to a subject in need of treatment for a sleeping disorder a
therapeutically effective amount of a compound represented by Formula III:

or a pharmaceutically effective salt, solvate, hydrate, or prodrug thereof, wherein m and n are,
individually, 0, 1, 2, 3, or 4; X is absent, O, S, C(O), SO or SO2; R1, R2, R3, and R4 are,
independently, selected from H, F, Cl, Br, CF3, CH3, CH2CH3, CH(CH3)2, cyclopropyl, OCH3,
OCF3, CH2OCH3, and CH2OCH2CH3; R5, and R6, are, independently, H, C1-C5 straight chain

alkyl; C3-C6 branched alkyl, or R5, and R6, together with the carbon to which they are attached,
are connected to form a spiro ring of size 3,4, 5, 6, or 7; and Z is selected from CO2H,
CONHS(O)2-alkyl, CONHS(O)2-cycloalkyl, CONHS(O)2-heteroalkyl, CONHS(O)2-aryl,
CONHS(O)2-heteroaryl, and tetrazole; provided that when m is zero, X is absent.
In one embodiment, the subject is a human. In another embodiment, the sleep disorder
is selected from the group consisting of insomnia, hypersomnia, narcolepsy, sleep apnea
syndrome, parasomnia, restless leg syndrome, and circadian rhythm abnormality. In another
embodiment, the sleep disorder is circadian rhythm abnormality. In another embodiment, the
circadian rhythm abnormality is selected from the group consisting of jet lag, shift-work
disorders, and delayed or advanced sleep phase syndrome. In one embodiment, the sleep
disorder is insomnia. In one embodiment, insomnia is treated in the subject by effecting at
least one action selected from the group consisting of decreasing the time to sleep onset,
increasing the average sleep bout length, and increasing the maximum sleep bout length. In
another embodiment, the compound or pharmaceutically acceptable salt, solvate, hydrate, or
prodrug, is administered as a pharmaceutical composition comprising at least one
pharmaceutical acceptable excipient. In another embodiment, the compound or
pharmaceutically acceptable salt, solvate, hydrate, or prodrug is co-administered with one or
more additional therapies.
In another aspect, the invention relates to a method of treating a subject for a sleep
disorder, comprising administering to a subject in need of treatment for a sleeping disorder a
therapeutically effective amount of a compound represented by Formula IV:

or a pharmaceutically effective salt, solvate, hydrate, or prodrug thereof wherein t is 1,2, 3,4,
5, or 6; R1, R2, R3, and R4 are, independently, H, F, Cl, Br, CF3, CH3, OH, OCH3, CH2OCH3,
or CH2OCH2CH3; R5-R6 are H, CH3, CH2CH3, or R5 and R6, together with the carbon to which
they are attached, are connected to form a spiro ring of size 3,4, 5,6, or 7; and Z is selected

from CO2H, CONHS(O)2-alkyl, CONHS(O)2-cycloalkyl, CONHS(O)2-heteroalkyl, and
tetrazole.
In one embodiment, the subject is a human. In another embodiment, the sleep disorder
is selected from the group consisting of insomnia, hypersomnia, narcolepsy, sleep apnea
syndrome, parasomnia, restless leg syndrome, and circadian rhythm abnormality. In another
embodiment, the sleep disorder is circadian rhythm abnormality. In another embodiment, the
circadian rhythm abnormality is selected from the group consisting of jet lag, shift-work
disorders, and delayed or advanced sleep phase syndrome. In another embodiment, the sleep
disorder is insomnia. In another embodiment, insomnia is treated in the subject by effecting at
least one action selected from the group consisting of decreasing the time to sleep onset,
increasing the average sleep bout length, and increasing the maximum sleep bout length. In
one embodiment, the compound or pharmaceutically acceptable salt, solvate, hydrate, or
prodrug, is administered as a pharmaceutical composition comprising at least one
pharmaceutical acceptable excipient. In another embodiment, the compound or
pharmaceutically acceptable salt, solvate, hydrate, or prodrug is co-administered with one or
more additional therapies. In another embodiment, the compound is selected from the group of
compounds consisting of:


DETAILED DESCRIPTION
The details of at least one embodiments of the invention are set forth in the
accompanying description below. Although any methods and materials similar or equivalent
to those described herein can be used in the practice or testing of the present invention, the
methods and materials of the present invention are now described. Other features, objects, and
advantages of the invention will be apparent from the description. In the specification, the
singular forms also include the plural unless the context clearly dictates otherwise. Unless
defined otherwise, all technical and scientific terms used herein have the same meaning as

commonly understood by one of ordinary skill in the art to which this invention belongs. In
the case of conflict, the present specification will control.
The invention relates to novel benzisoxazole piperazine compositions. In one aspect,
the invention provides a compound according to Formula I:

or a pharmaceutically effective salt thereof, wherein m n, o, p, q are, individually, 0,1,2, 3,4,
5, or 6; X and Y are, individually, absent, O, S, C(O), SO or SO2; R1, R2, R3, and R4 are,
independently selected from H, F, Cl, Br, I, CF3, CH3, C2. C3, C4, C5 or C6 straight chain alkyl,
C3, C4, C5 or C6 branched alkyl, C3, C4, C5, C6, C7 or C8 cycloalkyl, C3, C4, C5, C6, or C7
heterocyclyl, OCH3, OCF3, CH2OCH3, CH2CH2OCH3, CH2OCH2CH3, C1, C2, C3, C4, C5 or C6
alkoxy, and C1, C2, C3, G4, C5 or C6 hydroxyalkyl; any hydrogen in the CH2 groups in the
linker is optionally substituted with H, F, Cl, Br, I, CF3, CH3, C2 C3, C4, C5, or C6 straight
chain alkyl, C3, C4, C5, or C6 branched alkyl, C3, C4, C5, C6, C7 or C8 cycloalkyl, C3, C4, C5, C6,
C7 or C8 heterocyclyl, C1,C2, C3, C4, C5, C6 alkoxy, OCF3, CH2OCH3, CH2CH2OCH3,
CH2OCH2CH3, or C1, C2, C3, C4, C5 or C6 hydroxyalkyl, provided that such substitution does
not result in the formation of an unstable functionality; R5, R6, R7, and R8 are, independently,
H, C1, C2, C3, C4, C5, or C6 straight chain alkyl, C3, C4, C5 or C6 branched alkyl; R5 and R6
together with the carbon to which they are attached, are connected to form a spiro ring of size
3,4, 5,6, or 7; R7 and R8 together with the carbon to which they are attached, are connected to
form a spiro ring of size 3,4, 5,6, or 7; or substituents on two different atoms are connected to

form a ring of size 3,4, 5, 6, or 7; and Z is selected from CO2H, CO2R9, where R9 is C1, C2, C3,
C4, C5 or C6 alkyl, CONHS(O)2-alkyl, CONHS(O)2-cycloalkyl, CONHS(O)2-heteroalkyl,
CONHS(O)2-aryl, CONHS(O)2-heteroaryl, S(O)2NHCO-alkyl, S(O)2NHCO-cycloalkyl,
S(O)2NHCO-heteroalkyl, S(O)2NHCO-aryl, S(O)2NHCO-heteroaryl, CONHS(O)2N-alkyl,
CONHS(O)2N-cycloalkyl, CONHS(O)2N-heteroalkyl, CONHS(O)2N-aryl, CONHS(O)2N-
heteroaryl, SO3H, SO2H, S(O)NHCO-alkyl, S(O)NHCO-aryl, S(O)NHCO-heteroaryl,

modulate the pKa of the acylsulfonamide moiety, or to affect the physical or metabolic
properties of the compound. Examples of V side chains include halogens such as F, Cl, or Br;

C1, C2, C3, C4, Cs or C6 alkoxy groups such as OCH3 or OCH2CH3; C1, C2, C3, C4, C5 or C6
alkyl or C3, C4, C5, C6, C7 or Cg cycloalkyl groups such as CH3 or CF3, cyclopropyl;
heteroatom substituted C1, C2, C3, C4, C5 or C6 alkyl or C3, C4, C5, C6, C7, or C8 cycloalkyl,
such as CH2OCH3, or CH2OCH2CH3; electron withdrawing groups such as CN, a ketone, an

such as F, Cl, or Br; C1, C2, C3, C4, C5 or C6 alkoxy such as OCH3 or OCH2CH3; C1, C2, C3,
C4, C5, or C6 alkyl or C3, C4, C5, C6, C7 or C8 cycloalkyl such as CH3 or CF3, cyclopropyl;
heteroatom substituted C1, C2, C3, C4, C5, or C6 alkyl or C3, C4, C5, C6, C7 or C8 cycloalkyl,
such as CH2OCH3, or CH2OCH2CH3; an electron withdrawing group such as CN, a ketone, an


In one embodiment, Z is CO2H or tetrazole.
In one embodiment, Z is a sulfonamide or sulfamide.
In another embodiment, Z is an acyl sulfonamide. Sulfonamide can be e.g., an acyl
sulfonamide such as -CONHSO2alkyl, where alkyl is C1-C6 straight chain alkyl, C3-C6
branched alkyl or C3-C8 cycloalkyl.
In one embodiment, at least one of R1-R4, R5-R6 and at least one of R7-R8 are not
hydrogen.
In one embodiment, at least one of R2 and R3 is not H.
In another embodiment, R1 is not H.
In another embodiment, R2 is not H.
In another embodiment, R3 is not H.
In another embodiment, R4 is not H.
In another embodiment R1 is F, Cl, Br, I, or C1, C2, C3, C4, C5, or C6 alkoxy.
In another embodiment R2 is F, Cl, Br, I, or C1, C2, C3, C4, C5, or C6 alkoxy.
In another embodiment R3 is F, Cl, Br, I, or C1, C2, C3, C4, C5, or C6 alkoxy.
In another embodiment R5 is F, Cl, Br, I, or C1, C2, C3, C4, C5, or C6 alkoxy.
In one embodiment, when Z is tetrazole, at least one of R5-R6, and R7-R8 is not
hydrogen.
In one embodiment, at least two of R1-R4 are not hydrogen.
In one embodiment, at least three of R1-R4 are not hydrogen.
In one embodiment, X and Y are absent.
In one embodiment, R5 and R6and the carbon to which they are attached are absent.
In one embodiment, q = 0.
In one embodiment, m + n + 0 + p = 1,2, or 3.
In one embodiment, R9 is not C1-C6 alkyl. In another embodiment, R9 is not C2 alkyl.

In another embodiment, R1-R4 are each hydrogen.
In one embodiment, R5 and R6 are each methyl. In another embodiment, R5 and R6 are
each ethyl. In one embodiment, R7 and R8 are each methyl. In another embodiment, R7 and R8
are each ethyl. In one embodiment, R5 and Re, and the carbon to which they are attached are
connected to form a spiro ring of size 3-7. For example, in one embodiment, R5 and R6 and the
carbon to which they are attached are connected to form a three-membered spiro (cyclopropyl)
ring.
In one embodiment, the R5 and R6 and the carbon they are attached to are absent. In
one embodiment, R7 and R8, together with the carbon to which they are attached, are connected
to form a spiro ring of size 3 to 7. For example, R7 and R8 together with the carbon to which
they are attached, are connected to form a spiro 3-membered cyclopropyl ring.
In one aspect, a composition of Formula I also includes a pharmaceutically acceptable
excipient. In another aspect, the the invention relates to a pharmaceutical composition
comprising a compound of Formula I.
In another aspect, the invention provides a compound of Formula II:

or a pharmaceutically effective salt thereof, wherein m, n, and o are, individually, 0,1,
2, 3,4,5, or 6; X is absent, O, S, C(O), SO or SO2; R1, R2, R3, and R4 are, independently
selected from H, F, Cl, Br, CF3, CH3, CH2CH3, CH(CH3)2, cyclopropyl, OCH3, OCF3,
CH2OCH3 and CH2OCH2CH3; R5, and R6, are, independently, H, C1-C5 straight chain alkyl;
C3-C6 branched alkyl, or R5 and R6 together with the carbon to which they are attached, are
connected to form a spiro ring of size 3 to 7; and Z is COOH, COOR9, where R9 is C1-C6 alkyl,

CONHS(O)2-alkyl,CONHS(O)2-cycloalkyl,CONHS(O)2-heteroalkyl,CONHS(O)2-aryl,
CONHS(O)2-heteroaryl, S(O)2NHCO-alkyl, S(O)2NHCO-heteroalkyl, S(O)2NHCO-aryl,
S(O)2NHCO-heteroaryl, CONHS(O)2N-alkyl; CONHS(O)2N-heteroalkyl; CONHS(O)2N-aryl;
CONHS(O)2N-heteroaryl; or tetrazole, provided that when m is zero, X is absent.
In one embodiment, R5 and R6, are each methyl. In another embodiment, R5 and R6,
are each ethyl.
In one embodiment, R5 and R6, together with the carbon to which they are attached, are
connected to form a spiro ring of size 3 to 7. For example, in one embodiment, R5 and R6,
together with the carbon to which they are attached, are connected to form a spiro cyclopropyl
ring.
In one embodiment, Z is sulfonamide, e.g., an acyl sulfonamide. One example of an
acyl sulfonamide is C(O)NHSO2-alkyl; where alkyl is a C1, C2, C3, C4, C5, or C6 straight chain
alkyl, or a C3, C4, C5, or C6 branched alkyl.
In one embodiment, Z is CO2H or tetrazole.
In one embodiment, o is zero.
In one embodiment, at least one of R1-R4 and at least one of R5-R6, are not hydrogen.
In one embodiment, at least two of R1-R4 are not hydrogen.
In one embodiment, at least three of R1-R4 are not hydrogen.
In one embodiment, R1 is not hydrogen. In one embodiment, R2 is not hydrogen. In
one embodiment, R3 is not hydrogen. In one embodiment, R4 is not hydrogen.
In one embodiment, X is absent.
In one embodiment, m + n = 1,2, or 3. In one aspect, a composition of Formula II also
includes a pharmaceutically acceptable excipient. In another aspect, the the invention relates
to a pharmaceutical composition comprising a compound of Formula II.
In another aspect, the invention provides a compound of Formula III:


or a pharmaceutically effective salt thereof, wherein m and n are, individually, 0,1,2,
3, or 4, X is absent, O, S, C(O), SO or SO2; R1, R2, R31 and R4 are, independently, selected
from H, F, Cl, Br, CF3, CH3, CH2CH3, CH(CH3)2, cyclopropyl, OCH3, OCF3, CH2OCH3, and
CH2OCH2CH3; R5, and R6, are, independently, H, C1-C5 straight chain alkyl; C3-C6 branched
alkyl, or R5, and R6, together with the carbon to which they are attached, are connected to form
a spiro ring of size 3-7; and Z is selected from CO2H, CONHS(O)2-alkyl, CONHS(O)2-
cycloalkyl, CONHS(O)2-heteroalkyl, CONHS(O)2-aryl, CONHS(O)2-heteroaryl, and tetrazole;
provided that when m is zero, X is absent.
In one embodiment, R5 and R6, together with the carbon to which they are attached, are
connected to form a spiro ring of size 3-7. For example, in one embodiment, R5 and R6,
together with the carbon to which they are attached, are connected to form a spiro cyclopropyl
ring.
In one embodiment, Z is CO2H or tetrazole. In one embodiment, at least one of R1-R4,
and at least one of R5-R6, are not hydrogen.
In another embodiment, Z is sulfonamide, e.g., an acyl sulfonamide. One example of
an acyl sulfonamide is C(O)NHSO2-alkyl, where alkyl is a C1, C2, C3, C4, C5, or C6 straight
chain alkyl or a C3, C4, C5 or C6 branched alkyl.
In one embodiment, at least one of R1-R4 is not hydrogen.
In one embodiment, at least two of R1-R4 are not hydrogen.
In one embodiment, at least three of R1-R4 are not hydrogen.
In one embodiment, R5 and R6 are each methyl. In another embodiment, R5 and R6 are
each ethyl.

In one embodiment, X is absent.
In one embodiment, m + n = 1, 2, 3, or 4.
In one aspect, a composition of Formula III also includes a pharmaceutically acceptable
excipient. In another aspect, the the invention relates to a pharmaceutical composition
comprising a compound of Formula III.
In another aspect, the invention provides a compound of Formula IV:

or a pharmaceutically effective salt thereof wherein t is 1, 2, 3, 4, 5, or 6; R1, R2, R3,
and R4 are, independently, H, F, Cl, Br, CF3, CH3, OH, OCH3, CH2OCH3, or CH2OCH2CH3;
R5-R6 are H, CH3, CH2CH3, or R5 and R6, together with the carbon to which they are attached,
are connected to form a spiro ring of size 3 to 7; and Z is selected from CO2H, CONHS(O)2-
alkyl, CONHS(O)2-cycloalkyl, CONHS(O)2-heteroalkyl, and tetrazole. In one aspect, a
composition of Formula IV also includes a pharmaceutically acceptable excipient. In another
aspect, the the invention relates to a pharmaceutical composition comprising a compound of
Formula IV.
In one embodiment, the compound of Formula IV is IVa, IVb, IVc, or IVd. For example,
when R5 and R6 are methyl, compounds have the general formula IVa:


when R5 and R6 are connected to form a 3 membered spiro ring (cyclopropyl), compounds
have the general formula IVb:

when R5 and R6 are ethyl, compounds have the general formula IVc:

when R5 and R6 are ethyl, and the C1 carbons are connected to form a 3 membered spiro
ring (cyclopropyl), compounds have the general formula IVd:

In one embodiment, Z is CO2H or tetrazole. In another embodiment, Z is an acyl
sulfonamide. For example, Z is CONHSO2alkyl, wherein alkyl is C2, C3, C4, C5 or C6 straight
chain alkyl, C3, C4, C5 or C6 branched alkyl, or C1, C2, C3, C4, C5, C6, C7, or C8 cycloalkyl. In
one embodiment, t is 1.
In one embodiment, at least one of R1 - R4 and at least one of R5-R6, are not hydrogen.
In one aspect, the invention provides a compound having the structure of compound 1:


Representative compounds of the invention ate show below.



The compounds of the invention display binding activity to a variety of targets,
including the 5HT2a receptor. Therefore, these compounds may be useful in treating or
preventing diseases or disorders that implicate the 5HT2a receptor.
The compounds of the invention are used to treat a variety of subjects, including, for
example, humans, companion animals, farm animals, laboratory animals and wild animals.
In one embodiment, the compounds of the invention may be useful in modulating sleep
in a subject. For example, the compound may be used in decreasing the time to sleep onset,
increasing the average sleep bout length, and/or increasing the maximum sleep bout length. In
one embodiment, the sleep modulation may treat a sleep disorder.
In one aspect, the benzisoxazole compounds of the invention may be used in the
treatment of a sleep disorder, including, for example, circadian rhythm abnormality, insomnia,
parasomnia, sleep apnea syndrome, narcolepsy and hypersomnia.
In one embodiment, the benzisoxazole compounds of the invention may be used in the
treatment of a circadian rhythm abnormality, such as, for example, jet lag, shift-work disorders,
delayed sleep phase syndrome, advanced sleep phase syndrome and non-24 hour sleep-wake
disorder.

In another embodiment, the benzisoxazole compounds can be used in the treatment of
insomnia, including, for example, extrinsic insomnia, psychophysiologic insomnia, altitude
insomnia, restless leg syndrome, periodic limb movement disorder, medication-dependent
insomnia, drug-dependent insomnia, alcohol-dependent insomnia and insomnia associated with
mental disorders, such as anxiety. The compounds of the invention may also be used to treat
sleep fragmentation associated with Parkinson's disease, Alzheimer's disease, Huntington's
disease, and other dystonias.
In one embodiment, the benzisoxazole compounds of the invention can be used to treat
a parasomnia disorder, such as, e.g., somnambulism, pavor nocturnus, REM sleep behavior
disorder, sleep bruxism and sleep enuresis.
In another embodiment, the benzisoxazole compounds can be used to treat a sleep
apnea disorder, such as, for example, central sleep apnea, obstructive sleep apnea and mixed
sleep apnea.
In another embodiment, the benzisoxazole compounds can be used to treat disorders
related to sleep disorders, such as, for example, fibromyalgia.
In another aspect, the benzisoxazole compounds can be used to promote sleep.
Definitions
For convenience, certain terms used in the specification, examples and appended claims
are collected here.
'Treating", includes any effect, e.g., lessening, reducing, modulating, or eliminating,
that results in the improvement of the condition, disease, disorder, etc.
"Alkyl" includes saturated aliphatic groups, including straight-chain alkyl groups (e.g.,
methyl, ethyl, propyl, butyl, pentyl, hexyl, heptyl, octyl, nonyl, decyl), branched-chain alkyl
groups (e.g., isopropyl, tert-butyl, isobutyl), cycloalkyl (e.g., alicyclic) groups (e.g.,
cyclopropyl, cyclopentyl, cyclohexyl, cycloheptyl, cyclooctyl), alkyl substituted cycloalkyl
groups, and cycloalkyl substituted alkyl groups. In certain embodiments, a straight chain or
branched chain alkyl has six or fewer carbon atoms in its backbone (e.g., C1-C6 for straight
chain, C3-C6 for branched chain). In some examples, a straight chain or branched chain alkyl
has four or fewer carbon atoms in its backbone. Further, cycloalkyls have from three to eight
carbon atoms in their ring structure. For example, cycloalkyls have five or six carbons in the
ring structure. "C1-C6' includes alkyl groups containing one to six carbon atoms.
The term "substituted alkyl" refers to alkyl moieties having substituents replacing a
hydrogen on at least one carbons of the hydrocarbon backbone. Such substituents can include,
for example, alkyl, alkenyl, alkynyl, halogen, hydroxyl, alkylcarbonyloxy, arylcarbonyloxy,

alkoxycarbonyloxy, aryloxycarbonyloxy, carboxylate, alkylcarbonyl, arylcarbonyl,
alkoxycarbonyl, aminocarbonyl, alkylaminocarbonyl, dialkylaminocarbonyl,
alkylthiocarbonyl, alkoxyl, phosphate, phosphonato, phosphinato, cyano, amino (including
alkylamino, dialkylamino, arylamino, diarylamino, and alkylarylamino), acylamino (including
alkylcarbonylamino, arylcarbonylamino, carbamoyl and ureido), amidino, imino, sulfhydryl,
alkylthio, arylthio, thiocarboxylate, sulfates, alkylsulfinyl, sulfonato, sulfamoyl, sulfonamido,
nitro, trifluoromethyl, cyano, azido, heterocyclyl, alkylaryl, or an aromatic or heteroaromatic
moiety. Cycloalkyls can be further substituted, e.g., with the substituents described above. An
"alkylaryl" or an "aralkyl" moiety is an alkyl substituted with an aryl (e.g., phenylmethyl
(benzyl)). "Substituted Alkyl" further includes alkyl groups that have oxygen, nitrogen, sulfur
or phosphorous atoms replacing at least one hydrocarbon backbone carbon atoms.
"Aryl" includes groups with aromaticity, including 5- and 6-membered
"unconjugated", or single-ring, aromatic groups that may include from zero to four
heteroatoms, as well as "conjugated", or multicyclic, systems with at least one aromatic ring.
Examples of aryl groups include benzene, phenyl, pyrrole, furan, thiophene, thiazole,
isothiazole, imidazole, triazole, tetrazole, pyrazole, oxazole, isooxazole, pyridine, pyrazine,
pyridazine, and pyrimidine, and the like. Furthermore, the term "aryl" includes multicyclic
aryl groups, e.g., tricyclic, bicyclic, e.g., naphthalene, benzoxazole, benzodioxazole,
benzothiazole, benzoimidazole, benzothiophene, methylenedioxyphenyl, quinoline,
isoquinoline, napthridine, indole, benzofuran, purine, benzofuran, deazapurine, or indolizine.
Those aryl groups having heteroatoms in the ring structure may also be referred to as "aryl
heterocycles", "heterocycles," "heteroaryls" or "heteroaromatics". The aromatic ring can be
substituted at at least one ring position with such substituents as described above, as for
example, halogen, hydroxyl, alkoxy, alkylcarbonyloxy, arylcarbonyloxy, alkoxycarbonyloxy,
aryloxycarbonyloxy, carboxylate, alkylcarbonyl, alkylaminocarbonyl, aralkylaminocarbonyl,
alkenylaminocarbonyl, alkylcarbonyl, arylcarbonyl, aralkylcarbonyl, alkenylcarbonyl,
alkoxycarbonyl, aminocarbonyl, alkylthiocarbonyl, phosphate, phosphonato, phosphinato,
cyano, amino (including alkylamino, dialkylamino, arylamino, diarylamino, and
alkylarylamino), acylamino (including alkylcarbonylamino, arylcarbonylamino, carbamoyl and
ureido), amidino, imino, sulfhydryl, alkylthio, arylthio, thiocarboxylate, sulfates, alkylsulfinyl,
sulfonato, sulfamoyl, sulfonamido, nitro, trifluoromethyl, cyano, azido, heterocyclyl, alkylaryl,
or an aromatic or heteroaromatic moiety. Aryl groups can also be fused or bridged with
alicyclic or heterocyclic rings, which are not aromatic so as to form a multicyclic system (e.g.,
tetralin, methylenedioxyphenyl).

"Alkenyl" includes unsaturated aliphatic groups analogous in length and possible
substitution to the alkyls described above, but that contain at least one double bond. For
example, the term "alkenyl" includes straight-chain alkenyl groups (e.g., ethenyl, propenyl,
butenyl, pentenyl, hexenyl, heptenyl, octenyl, nonenyl, decenyl), branched-chain alkenyl
groups, cycloalkenyl (e.g., alicyclic) groups (e.g., cyclopropenyl, cyclopentenyl, cyclohexenyl,
cycloheptenyl, cyclooctenyl), alkyl or alkenyl substituted cycloalkenyl groups, and cycloalkyl
or cycloalkenyl substituted alkenyl groups. The term "alkenyl" further includes alkenyl
groups, which include oxygen, nitrogen, sulfur or phosphorous atoms replacing at least one
hydrocarbon backbone carbons. In certain embodiments, a straight chain or branched chain
alkenyl group has six or fewer carbon atoms in its backbone (e.g., C2-C6 for straight chain, C3-
C6 for branched chain.) Likewise, cycloalkenyl groups may have from three to eight carbon
atoms in their ring structure, and, for example, have five or six carbons in the ring structure.
The term "C2-C6" includes alkenyl groups containing two to six carbon atoms.
The term "alkenyl" also includes both "unsubstituted alkenyls" and "substituted
alkenyls", the latter of which refers to alkenyl moieties having substituents replacing a
hydrogen on at least one hydrocarbon backbone carbon atoms. Such substituents can include,
for example, alkyl groups, alkynyl groups, halogens, hydroxyl, alkylcarbonyloxy,
arylcarbonyloxy, alkoxycaibonyloxy, aryloxycarbonyloxy, carboxylate, alkylcarbonyl,
arylcarbonyl, alkoxycarbonyl, aminocarbonyl, alkylaminocarbonyl, dialkylaminocarbonyl,
alkylthiocarbonyl, alkoxyl, phosphate, phosphonato, phosphinato, cyano, amino (including
alkylamino, dialkylamino, arylamino, diarylamino, and alkylarylamino), acylamino (including
alkylcarbonylamino, arylcarbonylamino, carbamoyl and ureido), amidino, imino, sulfhydryl,
alkylthio, arylthio, thiocarboxylate, sulfates, alkylsulfinyl, sulfonato, sulfamoyl, sulfonamido,
nitro, trifluoromethyl, cyano, azido, heterocyclyl, alkylaryl, or an aromatic or heteroaromatic
moiety.
"Alkynyl" includes unsaturated aliphatic groups analogous in length and possible
substitution to the alkyls described above, but which contain at least one triple bond. For
example, "alkynyl" includes straight-chain alkynyl groups (e.g., ethynyl, propynyl, butynyl,
pentynyl, hexynyl, heptynyl, octynyl, nonynyl, decynyl), branched-chain alkynyl groups, and
cycloalkyl or cycloalkenyl substituted alkynyl groups. The term "alkynyl" further includes
alkynyl groups having oxygen, nitrogen, sulfur or phosphorous atoms replacing at least one
hydrocarbon backbone carbons. In certain embodiments, a straight chain or branched chain
alkynyl group has six or fewer carbon atoms in its backbone (e.g., C2-C6 for straight chain, C3-

C6 for branched chain). The term "C2-C6" includes alkynyl groups containing two to six carbon
atoms.
The term "alkynyl" also includes both "unsubstituted alkynyls" and "substituted
alkynyls", the latter of which refers to alkynyl moieties having substituents replacing a
hydrogen on at least one hydrocarbon backbone carbon atoms. Such substituents can include,
for example, alkyl groups, alkynyl groups, halogens, hydroxyl, alkylcarbonyloxy,
arylcarbonyloxy, alkoxycarbonyloxy, aryloxycarbonyloxy, carboxylate, alkylcarbonyl,
arylcarbonyl, alkoxycarbonyl, aminocarbonyl, alkylaminocarbonyl, dialkylaminocarbonyl,
alkylthiocarbonyl, alkoxyl, phosphate, phosphonato, phosphinato, cyano, amino (including
alkylamino, dialkylamino, arylamino, diarylamino, and alkylarylamino), acylamino (including
alkylcarbonylamino, arylcarbonylamino, carbamoyl and ureido), amidino, imino, sulfhydryl,
alkylthio, arylthio, thiocarboxylate, sulfates, alkylsulfinyl, sulfonato, sulfamoyl, sulfonamide
nitro, trifluoromethyl, cyano, azido, heterocyclyl, alkylaryl, or an aromatic or heteroaromatic
moiety.
Unless the number of carbons is otherwise specified, "lower alkyl" includes an alkyl
group, as defined above, but having from one to ten, for example, from one to six, carbon
atoms in its backbone structure. "Lower alkenyl" and "lower alkynyl" have chain lengths of,
for example, 2-5 carbon atoms.
"Acyl" includes compounds and moieties that contain the acyl radical (CH3CO-) or a
carbonyl group. "Substituted acyl" includes acyl groups where at least one of the hydrogen
atoms are replaced by for example, alkyl groups, alkynyl groups, halogens, hydroxyl,
alkylcarbonyloxy, arylcarbonyloxy, alkoxycarbonyloxy, aryloxycarbonyloxy, carboxylate,
alkylcarbonyl, arylcarbonyl, alkoxycarbonyl, aminocarbonyl, alkylaminocarbonyl,
dialkylaminocarbonyl, alkylthiocarbonyl, alkoxyl, phosphate, phosphonato, phosphinato,
cyano, amino (including alkylamino, dialkylamino, arylamino, diarylamino, and
alkylarylamino), acylamino (including alkylcarbonylamino, arylcarbonylamino, carbamoyl and
ureido), amidino, imino, sulfhydryl, alkylthio, arylthio, thiocarboxylate, sulfates, alkylsulfinyl,
sulfonato, sulfamoyl, sulfonamido, nitro, trifluoromethyl, cyano, azido, heterocyclyl, alkylaryl,
or an aromatic or heteroaromatic moiety.
"Acylamino" includes moieties wherein an acyl moiety is bonded to an amino group.
For example, the term includes alkylcarbonylamino, arylcarbonylamino, carbamoyl and ureido
groups.
"Aroyl" includes compounds and moieties with an aryl or heteroaromatic moiety bound
to a carbonyl group. Examples of aroyl groups include phenylcarboxy, naphthyl carboxy, etc.

"Alkoxyalkyl", 'alkylaminoalkyl" and "thioalkoxyalkyl" include alkyl groups, as described
above, which further include oxygen, nitrogen or sulfur atoms replacing at least one
hydrocarbon backbone carbon atoms, e.g., oxygen, nitrogen or sulfur atoms.
The term "alkoxy" or "alkoxyl" includes substituted and unsubstituted alkyl, alkenyl,
and alkynyl groups covalently linked to an oxygen atom. Examples of alkoxy groups (or
alkoxyl radicals) include methoxy, ethoxy, isopropyloxy, propoxy, butoxy, and pentoxy
groups. Examples of substituted alkoxy groups include halogenated alkoxy groups. The
alkoxy groups can be substituted with groups such as alkenyl, alkynyl, halogen, hydroxyl,
alkylcarbonyloxy, arylcarbonyloxy, alkoxycarbonyloxy, aryloxycarbonyloxy, carboxylate,
alkylcarbonyl, arylcarbonyl, alkoxycarbonyl, aminocarbonyl, alkylaminocarbonyl,
dialkylaminocarbonyl, alkylthiocarbonyl, alkoxyl, phosphate, phosphonato, phosphinato,
cyano, amino (including alkylamino, dialkylamino, arylamino, diarylamino, and
alkylarylamino), acylamino (including alkylcarbonylamino, arylcarbonylamino, carbamoyl and
ureido), amidino, imino, sulfhydryl, alkylthio, arylthio, thiocarboxylate, sulfates, alkylsulfinyl,
sulfonato, sulfamoyl, sulfonamido, nitro, trifluoromethyl, cyano, azido, heterocyclyl, alkylaryl,
or an aromatic or heteroaromatic moieties. Examples of halogen substituted alkoxy groups
include, but are not limited to, fluoromethoxy, difluoromethoxy, trifluoromethoxy,
chloromethoxy, dichloromethoxy, and trichloromethoxy.
The terms "heterocyclyl", or "heterocyclic group" include closed ring structures, e.g.,
3- to 10-, or 4- to 7-membered rings, which include at least one heteroatoms. The term
"heteroalkyl" includes alkyl groups which contain at least one heteroatom. "Heteroatom"
includes atoms of any element other than carbon or hydrogen. Examples of heteroatoms
include nitrogen, oxygen, sulfur and phosphorus. The term "heteroalkyl" includes cycloalkyl
groups eg., morpholine, piperidine, piperazine, etc.
Heterocyclyl groups can be saturated or unsaturated and include pyrrolidine, oxolane,
thiolane, piperidine, piperazine, morpholine, lactones, lactams such as azetidinones and
pyrrolidinones, sultams, and sultones. Heterocyclic groups such as pyrrole and furan can have
aromatic character. They include fused ring structures such as quinoline and isoquinoline.
Other examples of heterocyclic groups include pyridine and purine. The heterocyclic ring can
be substituted at at least one positions with such substituents as described above, as for
example, halogen, hydroxyl, alkylcarbonyloxy, arylcarbonyloxy, alkoxycarbonyloxy,
aryloxycarbonyloxy, carboxylate, alkylcarbonyl, alkoxycarbonyl, aminocarbonyl,
alkylthiocarbonyl, alkoxyl, phosphate, phosphonato, phosphinato, cyano, amino (including
alkyl amino, dialkylamino, arylamino, diarylamino, and alkylarylamino), acylamino (including

alkylcarbonylamino, arylcarbonylamino, carbamoyl and ureido), amidino, imino, sulfltydryl,
alkylthio, arylthio, thiocarboxylate, sulfates, sulfonate sulfamoyl, sulfonamido, nitro,
trifluoromethyl, cyano, azido, heterocyclyl, or an aromatic or heteroaromatic moiety.
Heterocyclic groups can also be substituted at at least one constituent atoms with, for example,
a lower alkyl, a lower alkenyl, a lower alkoxy, a lower alkylthio, a lower alkylamino, a lower
alkylcarboxyl, a nitro, a hydroxyl, -CF3, or -CN, or the like.
The term "thiocarbonyl" or "thiocarboxy" includes compounds and moieties which
contain a carbon connected with a double bond to a sulfur atom.
The term "ether" includes compounds or moieties which contain an oxygen bonded to
two different carbon atoms or heteroatoms. For example, the term includes "alkoxyalkyl"
which refers to an alkyl, alkenyl, or alkynyl group covalently bonded to an oxygen atom which
is covalently bonded to another alkyl group.
The term "ester" includes compounds and moieties which contain a carbon or a
heteroatom bound to an oxygen atom which is bonded to the carbon of a carbonyl group. The
term "ester" includes alkoxycarboxy groups such as methoxycarbonyl, ethoxycarbonyl,
propoxycarbonyl, butoxycarbonyl, pentoxycarbonyl, etc. The alkyl, alkenyl, or alkynyl groups
are as defined above.
The term "thioether" includes compounds and moieties which contain a sulfur atom
bonded to two different carbon or heteroatoms. Examples of thioethers include, but are not
limited to alkthioalkyls, alkthioalkenyls, and alkthioalkynyls. The term "alkthioalkyls" include
compounds with an alkyl, alkenyl, or alkynyl group bonded to a sulfur atom which is bonded
to an alkyl group. Similarly, the term "alkthioalkenyls" and alkthioalkynyls" refer to
compounds or moieties wherein an alkyl, alkenyl, or alkynyl group is bonded to a sulfur atom
which is covalently bonded to an alkynyl group.
The term "hydroxy" or "hydroxyl" includes groups with an -OH or -0The term "halogen" includes fluorine, bromine, chlorine, iodine, etc. The term
"perhalogenated" generally refers to a moiety wherein all hydrogens are replaced by halogen
atoms.
"Polycyclyl" or "polycyclic radical" refers to two or more cyclic rings (e.g.,
cycloalkyls, cycloalkenyls, cycloalkynyls, aryls and/or heterocyclyls) in which two or more
carbons are common to two adjoining 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, hydroxyl, alkylcarbonyloxy,
arylcarbonyloxy, alkoxycarbonyloxy, aryloxycarbonyloxy, carboxylate, alkylcarbonyl,

alkoxycarbonyl, alkylaminocarbonyl, aralkylaminocarbonyl, alkenylaminocarbonyl,
alkylcarbonyl, arylcarbonyl, aralkylcarbonyl, alkenylcarbonyl, aminocarbonyl,
alkylthiocarbonyl, alkoxyl, phosphate, phosphonato, phosphinato, cyano, amino (including
alkylamino, dialkylamino, arylamino, diarylamino, and alkylarylamino), acylamino (including
alkylcarbonylamino, arylcarbonylamino, carbamoyl and ureido), amidino, imino, sulfhydryl,
alkylthio, arylthio, thiocarboxylate, sulfates, alkylsulfinyl, sulfonato, sulfamoyl, sulfonamide,
nitro, trifluoromethyl, cyano, azido, heterocyclyl, alkyl, alkylaryl, or an aromatic or
heteroaromatic moiety.
An "anionic group," as used herein, refers to a group that is negatively charged at
physiological pH. Anionic groups include carboxylate, sulfate, sulfonate, sulfonate, sulfamate,
tetrazolyl, phosphate, phosphonate, phosphinate, or phosphorothioate or functional equivalents
thereof. "Functional equivalents" of anionic groups are intended to include bioisosteres, e.g,
bioisosteres of a carboxylate group. Bioisosteres encompass both classical bioisosteric
equivalents and non-classical bioisosteric equivalents. Classical and non-classical bioisosteres
are known in the art (see, e.g., Silverman, R. B. The Organic Chemistry of Drug Design and
Drug Action, Academic Press, Inc.: San Diego, Calif., 1992, pp.19-23). Another anionic group
is a carboxylate.
The term "unstable functionality" refers to a substitution pattern that contains a labile
linkage, e.g., a functionality or bond that is susceptible to hydrolysis or cleavage under
physiological conditions (e.g., aqueous solutions in the neutral pH range). Examples of
unstable functionalities include acetals and ketals.
The terms "crystal polymorphs" or "polymorphs" refer to the existence of more than
one crystal form for a compound, salt or solvate thereof. Crystal polymorphs of the
benzisoxazole analog compounds are prepared by crystallization under different conditions.
Additionally, the compounds of the present invention, for example, the salts of the
compounds, can exist in either hydrated or unhydrated (the anhydrous) form or as solvates with
other solvent molecules. Nonlimiting examples of hydrates include monohydrates, dihydrates,
etc. Nonlimiting examples of solvates include ethanol solvates, acetone solvates, etc.
"Tautomers" refers to compounds whose structures differ markedly in arrangement of
atoms, but which exist in easy and rapid equilibrium. It is to be understood that compounds of
Formulae I-IVd may be depicted as different tautomers. It should also be understood that
when compounds have tautomeric forms, all tautomeric forms are intended to be within the
scope of the invention, and the naming of the compounds does not exclude any tautomer form.

Some compounds of the present invention can exist in a tautomeric form which are also
intended to be encompassed within the scope of the present invention.
The compounds, salts and prodrugs of the present invention can exist in several
tautomeric forms, including the enol and imine form, and the keto and enamine form and
geometric isomers and mixtures thereof. All such tautomeric forms are included within the
scope of the present invention. Tautomers exist as mixtures of a tautomeric set in solution. In
solid form, usually one tautomer predominates. Even though one tautomer may be described,
the present invention includes all tautomers of the present compounds
A tautomer is one of two or more structural isomers that exist in equilibrium and are
readily converted from one isomeric form to another. This reaction results in the formal
migration of a hydrogen atom accompanied by a switch of adjacent conjugated double bonds.
In solutions where tautomerization is possible, a chemical equilibrium of the tautomers will be
reached. The exact ratio of the tautomers depends on several factors, including temperature,
solvent, and pH. The concept of tautomers that are interconvertable by tautomerizations is
called tautomerism.
Of the various types of tautomerism that are possible, two are commonly observed. In
keto-enol tautomerism a simultaneous shift of electrons and a hydrogen atom occurs. Ring-
chain tautomerism, is exhibited by glucose. It arises as a result of the aldehyde group (-CHO)
in a sugar chain molecule reacting with one of the hydroxy groups (-OH) in the same molecule
to give it a cyclic (ring-shaped) form.
Tautomerizations are catalyzed by: Base: 1. deprotonation; 2. formation of a
delocalized anion (e.g., an enolate); 3. protonation at a different position of the anion; Acid: 1.
protonation; 2. formation of a delocalized cation; 3. deprotonation at a different position
adjacent to the cation.
Common tautomeric pairs are: ketone - enol, amide - nitrile, lactam - lactim, amide -
imidic acid tautomerism in heterocyclic rings (e.g., in the nucleobases guanine, thymine, and
cytosine), amine - enamine and enamine - enamine. Examples include:


"Solvates" means solvent addition forms that contain either stoichiometric or non
stoichiometric amounts of solvent. Some compounds have a tendency to trap a fixed molar
ratio of solvent molecules in the crystalline solid state, thus forming a solvate. If the solvent is
water the solvate formed is a hydrate, when the solvent is alcohol, the solvate formed is an
alcoholate. Hydrates are formed by the combination of one or more molecules of water with
one of the substances in which the water retains its molecular state as H2O, such combination
being able to form one or more hydrate.
It will be noted that the structure of some of the compounds of the invention include
asymmetric carbon atoms. It is to be understood accordingly that the isomers arising from
such asymmetry (e.g., all enantiomers and diastereomers) are included within the scope of the
invention, unless indicated otherwise. Such isomers can be obtained in substantially pure form
by classical separation techniques and by stereochemically controlled synthesis. Furthermore,
the structures and other compounds and moieties discussed in this application also include all
tautomers thereof. Alkenes can include either the E- or Z-geometry, where appropriate.
Further, the structures and other compounds discussed in this application include all
atropic isomers thereof. Atropic isomers are a type of stereoisomer in which the atoms of two
isomers are arranged differently in space. Atropic isomers owe their existence to a restricted
rotation caused by hindrance of rotation of large groups about a central bond. Such atropic
isomers typically exist as a mixture, however as a result of recent advances in chromatography
techniques, it has been possible to separate mixtures of two atropic isomers in select cases.
"Stable compound" and "stable structure" are meant to indicate a compound that is
sufficiently robust to survive isolation to a useful degree of purity from a reaction mixture, and
formulation into an efficacious therapeutic agent.
The language benzisoxazole compounds or "benzisoxazole -analog compounds"
"benzisoxazole -like compounds" or "benzisoxazole derivative compounds" is intended to

include analogs of benzisoxazole or compounds that include a benzene ring linked to an
isozazole, (i.e., similar to that of benzisoxazole) linked to position 4 of a piperazine ring.
As used herein, the term "analog" refers to a chemical compound that is structurally
similar to another but differs slightly in composition (as in the replacement of one atom by an
atom of a different element or in the presence of a particular functional group, or the
replacement of one functional group by another functional group). Thus, an analog is a
compound that is similar or comparable in function and appearance, but not in structure or
origin to the reference compound. For example, the reference compound can be a
reference compound such as benzisoxazole, and an analog is a substance possessing a chemical
structure or chemical properties similar to those of the reference benzisoxazole.
As defined herein, the term "derivative", e.g., in the term "benzisoxazole derivatives",
refers to compounds that have a common core structure, and are substituted with various
groups as described herein. For example, all of the compounds represented by formulae I-IVd
are benzisoxazole derivatives, and have one of formulae I-IVd as a common core.
The term "bioisostere" refers to a compound resulting from the exchange of an atom or
of a group of atoms with another, broadly similar, atom or group of atoms. The objective of a
bioisosteric replacement is to create a new compound with similar biological properties to the
parent compound. The bioisosteric replacement may be physicochemically or topologically
based. Examples of carboxylic acid bioisosteres include acyl sulfonimides, tetrazoles,
sulfonates, and phosphonates. See, e.g., Patani and LaVoie, Chem. Rev. 96, 3147-3176 (1996).
In some embodiments, Z is a carboxylic acid or a carboxylic acid bioisostere.
As used herein, the term "sleep disorder" includes conditions recognized by one skilled
in the art as sleep disorders, for example, conditions known in the art or conditions that are
proposed to be sleep disorders or discovered to be sleep disorders. A sleep disorder also arises
in a subject that has other medical disorders, diseases, or injuries, or in a subject being treated
with other medications or medical treatments, where the subject, as a result, has difficulty
falling asleep and/or remaining asleep, or experiences unrefreshing sleep, e.g., the subject
experiences sleep deprivation.
The term "treating a sleep disorder" also includes treating a sleep disorder component
of other disorders, such as CNS disorders (e.g., mental or neurological disorders such as
anxiety). Additionally, the term "treating a sleep disorder" includes the beneficial effect of
ameliorating other symptoms associated with the disorder.
The term "nonREM peak sleep time" is defined as an absolute peak amount of
nonREM sleep per hour post treatment, with drug administration occurring at Circadian Time

(CT) 18, which is 6 hours after lights off in a nocturnal laboratory rat when housed in a LD
12:12 (12-hours light and 12 hours dark) light-dark cycle. The nominal criteria of 55%
nonREM sleep per hour is equivalent to 33 minutes of nonREM sleep per hour.
As used herein, the term "cumulative nonREM sleep" is defined as the net total
aggregate increase in the number of minutes of nonREM sleep, measured through out the
entire duration of a drug's soporific effect, which typically, but not always occurs in the first 6
hours post-treatment, adjusted for the net total aggregate number of minutes of nonREM sleep
that occurred during the corresponding non-treatment baseline times of day recorded 24 hours
earlier, relative to like vehicle control treatment.
As defined herein, the term "sleep bout" refers to a discrete episode of continuous or
near continuous sleep, comprised of nonREM sleep, REM sleep, or both nonREM and REM
sleep stages, delimited prior and after the episode by greater than two contiguous 10 second
epochs of wakefulness.
As used herein, the term "sleep promotion" is defined as a decrease in the latency to
sleep onset as is often, but not exclusively, measured by the Multiple Sleep Latency Test, or a
decrease in the latency to return to sleep after awakening, or reduces the tendency to awaken or
remain awake either spontaneously or as a response to wake-promoting ambient stimuli (e.g.,
noise, vibration, odor, pain, light). In general, a sleep promoting drug shortens the latency to
sleep onset at desired bed time, or shortens the latency to return to sleep after night-time
awakening, or may increase night-time total sleep time. A compound exhibiting these
properties is said to promote sleep.
As used herein, the term "sleep consolidation" is defined as the ability to remain asleep
or otherwise demonstrate persistent sleep after sleep onset, and throughout the desired sleep
period, with little or no intervening wakefulness, as objectively measured by the number of
night-time awakenings, sleep efficiency (number of awakenings per amount of time in bed), or
number of transient arousals. In general, a sleep consolidating drug improves the ability to
remain asleep by increasing the duration of continuous sleep between spontaneous episodes of
wakefulness. A compound exhibiting these properties is said to consolidate sleep.
Compared with NREM sleep or wakefulness, REM sleep causes ventilatory depression
and episodic cardiovascular changes. During rebound insomnia, the physiological effects of
REM sleep are magnified and interrupt the normal sleep cycles.
As defined herein, "disproportionate locomotor activity inhibition" is a reduction of
locomotor activity that exceeds the normal and expected reduction in behavioral activity
attributable to sleep.

"Combination therapy" (or "co-therapy") includes the administration of a compound of
the invention and at least a second agent as part of a specific treatment regimen intended to
provide the beneficial effect from the co-action of these therapeutic agents. The beneficial
effect of the combination includes, but is not limited to, pharmacokinetic or pharmacodynamic
co-action resulting from the combination of therapeutic agents. Administration of these
therapeutic agents in combination typically is carried out over a defined time period (usually
minutes, hours, days or weeks depending upon the combination selected). "Combination
therapy" may, but generally is not, intended to encompass the administration of two or more of
these therapeutic agents as part of separate monotherapy regimens that incidentally and
arbitrarily result in the combinations of the present invention. "Combination therapy" is
intended to embrace administration of these therapeutic agents in a sequential manner, that is,
wherein each therapeutic agent is administered at a different time, as well as administration of
these therapeutic agents, or at least two of the therapeutic agents, in a substantially
simultaneous manner. Substantially simultaneous administration can be accomplished, for
example, by administering to the subject a single capsule having a fixed ratio of each
therapeutic agent or in multiple, single capsules for each of the therapeutic agents. Sequential
or substantially simultaneous administration of each therapeutic agent can be effected by any
appropriate route including, but not limited to, oral routes, intravenous routes, intramuscular
routes, and direct absorption through mucous membrane tissues. The therapeutic agents can be
administered by the same route or by different routes. For example, a first therapeutic agent of
the combination selected may be administered by intravenous injection while the other
therapeutic agents of the combination may be administered orally. Alternatively, for example,
all therapeutic agents may be administered orally or all therapeutic agents may be administered
by intravenous injection. The sequence in which the therapeutic agents are administered is not
narrowly critical.
"Combination therapy" also embraces the administration of the therapeutic agents as
described above in further combination with other biologically active ingredients and non-drug
therapies (e.g., surgery or mechanical treatments). Where the combination therapy further
comprises a non-drug treatment, the non-drug treatment may be conducted at any suitable time
so long as a beneficial effect from the co-action of the combination of the therapeutic agents
and non-drug treatment is achieved. For example, in appropriate cases, the beneficial effect is
still achieved when the non-drug treatment is temporally removed from the administration of
the therapeutic agents, perhaps by days or even weeks.

The terms "parenteral administration" and "administered parenterally" as used herein
refer to modes of administration other than enteral and topical administration, usually by
injection, and includes, without limitation, intravenous, intramuscular, intra-arterial,
intrathecal, intracapsular, intraorbital, intracardiac, intradermal, intraperitoneal, transtracheal,
subcutaneous, subcuticular, intraarticular, subcapsular, subarachnoid, intraspinal and
intrasternal injection and infusion.
The term "pulmonary" as used herein refers to any part, tissue or organ whose primary
function is gas exchange with the external environment, e.g., O2/CO2 exchange, within a
patient. "Pulmonary" typically refers to the tissues of the respiratory tract. Thus, the phrase
"pulmonary administration" refers to administering the formulations described herein to any
part, tissue or organ whose primary function is gas exchange with the external environment
(e.g., mouth, nose, pharynx, oropharynx, laryngopharynx, larynx, trachea, carina, bronchi,
bronchioles, alveoli). For purposes of the present invention, "pulmonary" also includes a
tissue or cavity that is contingent to the respiratory tract, in particular, the sinuses.
An "effective amount" of a compound of the disclosed invention is the quantity which,
when administered to a subject in need of treatment, ameliorates symptoms arising from a
sleep disorder, e.g., results in the subject falling asleep more rapidly, results in more refreshing
sleep, reduces duration or frequency of waking during a sleep period, or reduces the duration,
frequency, or intensity of other dyssomnias, parasomnias. The amount of the disclosed
compound to be administered to a subject will depend on the particular disorder, the mode of
administration, co-administered compounds, if any, and the characteristics of the subject, such
as general health, other diseases, age, sex, genotype, body weight and tolerance to drugs. The
skilled artisan will be able to determine appropriate dosages depending on these and other
factors.
A "pharmaceutically acceptable salt" or "salt" of the disclosed compound is a product
of the disclosed compound that contains an ionic bond, and is typically produced by reacting
the disclosed compound with either an acid or a base, suitable for administering to a subject.
A "pharmaceutical composition" is a formulation containing the disclosed compounds
in a form suitable for administration to a subject. In another embodiment, the pharmaceutical
composition is in bulk or in unit dosage form. The unit dosage form is any of a variety of
forms, including, for example, a capsule, an IV bag, a tablet, a single pump on an aerosol
inhaler, or a vial. The quantity of active ingredient (e.g., a formulation of the disclosed
compound or salts thereof) in a unit dose of composition is an effective amount and is varied
according to the particular treatment involved. One skilled in the art will appreciate that it is


sometimes necessary to make routine variations to the dosage depending on the age and
condition of the patient. The dosage will also depend on the route of administration. A variety
of routes are contemplated, including oral, pulmonary, rectal, parenteral, transdermal,
subcutaneous, intravenous, intramuscular, intraperitoneal, intranasal, and the like. 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. In
another embodiment, the active compound is mixed under sterile conditions with a
pharmaceutically acceptable carrier, and with any preservatives, buffers, or propellants that are
required.
The term "flash dose" refers to compound formulations that are rapidly dispersing
dosage forms.
The term "immediate release" is defined as a release of compound from a dosage form
in a relatively brief period of time, generally up to about 60 minutes. The term "modified
release" is defined to include delayed release, extended release, and pulsed release. The term
"pulsed release" is defined as a series of releases of drug from a dosage form. The term
"sustained release" or "extended release" is defined as continuous release of a compound from
a dosage form over a prolonged period.
A "subject" includes mammals, e.g., humans, companion animals (e.g., dogs, cats,
birds, and the like), farm animals (e.g., cows, sheep, pigs, horses, fowl, and the like) and
laboratory animals (e.g., rats, mice, guinea pigs, birds, and the like). Typically, the subject is
human.
The invention provides a method of modulating sleep by administering an effective
amount of a benzisoxazole analog of the invention, which is a moiety mat is an antagonist or
an inverse agonist of the 5HT2a receptor or a collection of 5HT2a receptors.
Effective sleep modulators have certain characteristics that correspond with increased
efficacy and decreased side effects. These characteristics include a desired half-life in a
subject, controlled onset of desired sedative effects, and minimal to no detectable effect on
psychomotor or other central nervous system (CNS) side effects (e.g., memory deficits,
decreased muscle tone, drooping eyelids or drowsiness).
One approach to developing an effective sleep modulator is strategically derivitizing a
known compound or family of compounds with sleep modulating activity. Derivitizing may
enhance at least one biological properties to allow a compound to perform in an improved
manner. Examples of favorable biological properties include, but are not limited, to induction
of a discrete sleep or hypnotic state, activity of the therapeutic compound for a discrete period

of time, penetration through the blood brain barrier into the CNS, e.g., resulting from
lipophilicity of substituents or conformational lipophilicity (i.e., lipophilicity as a result of a
particular conformation, such as internal salt formation between a carboxylate anion and a
protonated amine), modulation of the half-life of the therapeutic compound, an alteration of
charge, an alteration of pharmacokinetics, an alteration of log P by a value of at least one,
increased receptor selectivity, reduced peripheral half-life, the ability to increase dosage,
increased peripheral elimination, decreased anti-muscarinic activity, decreased anti-
cholinergic, and any combination thereof.
Derivitizing results in a variety of effects and alter different mechanisms of action. For
example, in some circumstances, a compound containing a particular functional group, such as,
e.g., an ester, carboxylic acid, or alcohol group, possesses an improved selectivity for a desired
receptor versus undesired receptors when compared with a compound without this group. In
other circumstances, the compound containing the particular functional group is more active as
a therapeutic agent for treating sleep disorders than the corresponding compound without this
group. The effect of the derivitized compound depends on the identity of the addition.
By derivitizing a compound in order to enhance favorable biological properties and
decrease undesirable side effects, it is possible to implement a strategy based on potential
mechanistic effects or interactions. For example, in some compounds, the presence of a
carboxylic acid results in the ability to form an intramolecular ionic bond that includes the
corresponding carboxylate ion, e.g., zwitterion species formation with a nitrogen atom within
the compound or salt bridge formation. These interactions result in favorable biological effects
such as conformational lipophilicity, i.e., increased lipophilicity as a result of a particular
conformation, such as internal salt formation between a carboxylate anion and a protonated
amine. Such conformational lipophilicity allows penetration through the blood brain barrier
into the CNS, despite that the presence of two polar ions is generally thought to inhibit
crossing of the non-polar blood-brain barrier. Another benefit of the presence of the
carboxylic acid is an improved ability of the compound to bind selectively to the desired
receptor.
Compounds of the invention can also be derivitized to produce prodrugs. "Prodrug"
includes a precursor form of the drug which is metabolically converted in vivo to produce the
active drug. The invention further contemplates the use of prodrugs which are converted in
vivo to the sleep modulating compounds used in the methods of the invention (see, e.g., R. B.
Silverman, 1992, "The Organic Chemistry of Drug Design and Drug Action", Academic Press,
Chp. 8). Such prodrugs can be used to alter the biodistribution (e.g., to allow compounds

which would not typically cross the blood-brain barrier to cross the blood-brain barrier) or the
pharmacokinetics of the sleep modulating compound. For example, an anionic group, e.g., a
carboxylate, sulfate or sulfonate, can be esterified, e.g., with an alkyl group (e.g., a methyl
group) or a phenyl group, to yield an ester. When the ester is administered to a subject, the
ester is cleaved, enzymatically or non-enzymatically, reductively or hydrolytically, to reveal
the anionic group. Such an ester can be cyclic, e.g., a cyclic sulfate or sulfone, or two or more
anionic moieties may be esterified through a linking group. An anionic group can be esterified
with moieties (e.g., acyloxymethyl esters) which are cleaved to reveal an intermediate sleep
modulating compound which subsequently decomposes to yield the active sleep modulating
compound. In one embodiment, the prodrug is a reduced form of a carboxylate, sulfate or
sulfonate, e.g., an alcohol or thiol, which is oxidized in vivo to the sleep modulating
compound. Furthermore, an anionic moiety can be esterified to a group which is actively
transported in vivo, or which is selectively taken up by target organs.
In general, in another aspect, the present invention relates to the use of the compounds
of Formula I-IVd to modulate sleep. In one embodiment, the compounds of Formula I-IVd
modulate sleep with decreased side effects: e.g., the compounds do not inhibit REM sleep
(consequently, sleep induced by these compounds may more closely resemble a person's
natural sleep cycles), use of the compound does not result in rebound insomnia, and/or the
compounds do not inhibit locomotor activity or adversely effect body temperature.
In one embodiment, the compounds of Formula I-IVd for use in the methods of the
invention have one or more of the following characteristics: an inhibition constant (Ki) with
regard to 5HT2a receptor binding of less than 1 µM; a Ki with regard to off target binding to an
off target selected from Ml, M2, M3, D1, D2, α1 and α2 that is more than 5 times greater than
the K, with regard to the 5HT2a receptor; a nonREM peak time value that is greater than 55%
nonREM sleep per hour by the third hour after the compound is administered to a subject; a
cumulative total increase in nonREM sleep of not less than 20 minutes for compound doses
that produce maximum sleep consolidation; a longest sleep bout that is greater than 13 minutes
in duration; net longest sleep bout post treatment is greater than or equal to 3 minutes when
adjusted using a baseline value obtained at least 24 hours prior to administration of the
compound to a subject; an average sleep bout that is greater than 5 minutes at absolute peak;
administration of the compound to a subject does not produce appreciable amounts of rebound
insomnia; administration of the compound to a subject does not appreciably inhibit REM sleep;

and administration of the compound to a subject does not disproportionately inhibit locomotor
activity relative to the normal effects of sleep.
In another embodiment, the compound of Formula I-TVd for use in the methods of the
invention has one or more of the following characteristics: an inhibition constant (Ki) with
regard to 5HT2a receptor binding of less than 300 nM; a K, with regard to off target binding to
an off target selected from Ml, M2, M3, Dl, D2, α1 and α2 that is more than 10 times greater
than the Ki with regard to 5HT2a; a nonREM peak time value that is greater than 55% nonREM
sleep per hour by the third hour after the compound is administered to a subject; a cumulative
total increase in nonREM sleep of not less than 20 minutes for compound doses that produce
maximum sleep consolidation; a longest sleep bout that is greater than 13 minutes in duration;
net longest sleep bout post treatment is greater than or equal to 3 minutes when adjusted using
a baseline value obtained at least 24 hours prior to administration of the compound to a subject;
an average sleep bout that is greater than 5 minutes at absolute peak; administration of the
compound to a subject does not produce appreciable amounts of rebound insomnia;
administration of the compound to a subject does not appreciably inhibit REM sleep; and
administration of the compound to a subject does not disproportionately inhibit locomotor
activity relative to the normal effects of sleep.
In another embodiment, the compound of Formula I-IVd for use in the methods of the
invention has one or more of the following characteristics: an inhibition constant (Kj) with
regard to 5HT2a receptor binding of less than 150 nM; a Ki with regard to off target binding to
an off target selected from Dl, D2, Ml, M2, M3, α1 and α2, that is more than 20 times greater
than the Ki with regard to 5HT2a; a nonREM peak time value that is greater than 55% nonREM
sleep per hour by the third hour after the compound is administered to a subject; a cumulative
total increase in nonREM sleep not less than 20 minutes for compound doses that produce
maximum sleep consolidation; a longest sleep bout that is greater than 17 minutes in duration;
net longest sleep bout post treatment is greater than or equal to 5 minutes when adjusted using
a baseline value obtained at least 24 hours prior to administration of the compound to a subject;
an average sleep bout that is greater than 6 minutes at absolute peak; administration of the
compound to a subject does not produce appreciable amounts of rebound insomnia;
administration of the compound to a subject does not appreciably inhibit REM sleep; and
administration of the compound to a subject does not disproportionately inhibit locomotor
activity or motor tone relative to the normal effects of sleep.
The in vitro selection criteria for compounds of the invention are shown in Table 1.


In another embodiment, the off target binding Ki is 50 times the measured 5HT2a
receptor Ki. In some embodiments, the off target binding Ki is 100 times the measured 5HT2a
receptor Ki.
In vitro binding assays are used to determine 5HT2a binding (i.e., primary target
binding) and Ml, M2 and M3 binding (i.e., off target binding). These binding assays measure
the ability of benzisoxazole analogs to displace known standards from the 5HT2a, M1, M2, and
M3 receptors, wherein Ml, M2, and M3 are cholinergic (muscarinic) receptors. Similar assays
are performed with 5HT2a and dopamine receptors (D1, and D2), and with 5HT2a and
adrenergic receptors (a1 and a2).
The binding studies against the 5HT2a receptor indicate binding affinity, and therefore,
the results of the binding assays are an indication of the activity of the benzisoxazole analog
compound. The binding studies against the muscarinic receptors indicate the extent to which
the compounds bind the muscarinic receptors responsible for anti-cholinergic activity of the
compound. Binding to muscarinic receptors results in several undesired side effects of many
known antihistamines, e.g., dry-mouth. A decrease in the binding of the compounds to the
M1-M3 receptors, relative to the binding of the compound to the 5HT2a receptor, is an
indication of the greater specificity of the compound for the 5HT2a receptor over the
muscarinic receptor. Moreover, a drug with increased specificity for the 5HT2a receptor
possesses less anti-cholinergic side effects.
The 5HT2a binding of benzisoxazole analogs of the invention (also referred to herein as
"test compounds" or "compounds of the invention") is determined by measuring the specific
binding of a given test compound, or series of test compounds, to the 5HT2a receptor, and
comparing it with the specific binding of known standard (i.e., reference compound).
In vitro selection criteria for benzisoxazole analogs of the invention are shown in Table
2.


5HT2a binding (primary target binding) and Ml, M2 and M3 binding (off target
binding) are determined using the 5HT2a, Ml, M2 and M3 binding assays described.
The Ml binding assay determines the Ml binding of a test compound by measuring the
specific binding of a given test compound to M1 and comparing it with the specific binding of a
reference compound. (See e.g., Buckley, et al, Mol. Pharmacol. 35:469-76 (1989) (with
modifications)). Reference compounds used in the Ml binding assay include, for example,
scopolamine, MethylBr (K, 0.09 nM); 4-DAMP methiodide (K, 0.27 nM); pirenzepine (Ki 2.60
nM); HHSID (K, 5.00 nM); and methoctramine (Kj 29.70 nM).

For example, in one embodiment of the Ml binding assay, the M1 muscarinic receptor
is a human recombinant Ml expressed in CHO cells, and a radioligand, [3H]-scopolamine, N-
methyl chloride (80-100 Ci/mmol) at a final ligand concentration of 0.5 nM is used to detect
specific binding for M1. The assay characteristics include a KD (binding affinity) of 0.05 nM
and a Bmax (receptor number) of 4.2 pmol/mg protein, (-)-scopolamine, methyl-, bromide
(methylscopolamine bromide) (1.0 µM) is used as the non-specific determinant, reference
compound and positive control. Binding reactions are carried out in PBS for 60 minutes at 25
°C. The reaction is terminated by rapid vacuum filtration onto glass fiber filters. The level of
radioactivity trapped on the filters is measured and compared to control values to ascertain any
interaction between a given test compound and the cloned muscarinic Ml binding site.
The M2 binding assay determines the M2 binding of a test compound by measuring the
specific binding of a given test compound to M2 and comparing it with the specific binding of
a reference compound. (See e.g., Buckley, et al, Mol. Pharmacol. 35:469-76 (1989) (with
modifications)). Reference compounds used in the M2 binding assay include, for example,
scopolamine, MethylBr (K, 0.3 nM); 4-DAMP methiodide (K, 20.7 nM); methoctramine (K,
20.460 nM); HHSID (Ki 212.7 nM); and pirenzepine (Ki 832.9 nM).
For example, in one embodiment of the M2 binding assay, the M2 muscarinic receptor
is a human recombinant M2 expressed in CHO cells, and a radioligand, [3H]-scopolamine, N-
methyl chloride (80-100 Ci/mmol) at a final ligand concentration of 0.5 nM is used to detect
specific binding for Ml. The assay characteristics include a KD (binding affinity) of 0.29 nM
and a Bmax (receptor number) of 2.1 pmol/mg protein, (-)-scopolamine, methyl-, bromide
(methylscopolamine bromide) (1.0µM) is used as the non-specific determinant, reference
compound and positive control. Binding reactions are carried out in PBS for 60 minutes at
25 °C. The reaction is terminated by rapid vacuum filtration onto glass fiber filters. The level
of radioactivity trapped on the filters is measured and compared to control values to ascertain
any interaction between a given test compound and the cloned muscarinic M2 binding site.
The M3 binding assay determines the M3 binding of a test compound by measuring the
specific binding of a given test compound to M3 and comparing it with the specific binding of
a reference compound. (See e.g., Buckley, et al, Mol. Pharmacol. 35:469-76 (1989) (with
modifications)). Reference compounds used in the M3 binding assay include, for example,
scopolamine, MethylBr (K; 0.3 nM); 4-DAMP methiodide (K, 0.8 nM); HHSID (K, 14.5 nM);
pirenzepine (K, 153.3 nM); and methoctramine (K, 700.0 nM).

For example, in one embodiment of the M3 binding assay, the M3 muscarinic receptor
is a human recombinant M3 expressed in CHO cells, and a radioligand, [3H]-scopolamine, N-
methyl chloride (80-100 Ci/mmol) at a final ligand concentration of 0.2 nM is used to detect
specific binding for Ml. The assay characteristics include a KD (binding affinity) of 0.14 nM
and a Bmax (receptor number) of 4.0 pmol/mg protein, (-)-scopolamine, methyl-, bromide
(methylscopolamine bromide) (1.0 µM) is used as the non-specific determinant, reference
compound and positive control. Binding reactions are carried out in 50 mM TRIS-HC1 (pH
7.4) containing 10 mM MgCk, 1 mM EDTA for 60 minutes at 25 °C. The reaction is
terminated by rapid vacuum filtration onto glass fiber filters. The level of radioactivity trapped
on the filters is measured and compared to control values to ascertain any interaction between a
given test compound and the cloned muscarinic M3 binding site.
5HT2a binding is determined as described for example in British Journal of
Pharmacology (1995) 115, 622-628.
Other in vitro selection criteria for benzisoxazole analogs of the invention includes
HERG binding. HERG binding is determined using a hERG block comparative study to
evaluate the effect of a given test compound on cloned hERG channels expressed in
mammalian cells. (See e.g., Brown and Rampe, Pharmaceutical News 7:15-20 (2000); Rampe
etai, FEBS Lett., 417:28-32 (1997); Weirich and Antoni, Basic Res. Cardiol. 93 Suppl. 1:125-
32 (1998); and Yap and Camm, Clin. Exp. Allergy, 29 Suppl 3,174-81 (1999)).
Binding of hERG, the cardiac potassium channel responsible for the rapid delayed
rectifier current (Ikr) in human ventricles, is evaluated because inhibition of Ikr is the most
common cause of cardiac action potential prolongation by non-cardiac drugs. (See Brown and
Rampe (2000), Weirich and Antoni (1998); and Yap and Camm (1999)). Increased action
potential duration causes prolongation of the QT interval that has been associated with a
dangerous ventricular arrhythmia, torsade depointes. (Brown and Rampe (2000)).
In the hERG assay, hERG channels are expressed in a human embryonic kidney cell
line (HEK293) that lacks endogenous IRT. In some cases, expression in a mammalian cell line
can be preferable to transient expression in Xenopus oocytes, as the latter demonstrates a
consistent 10-100 fold lower sensitivity to hERG channel blockers. (See, Rampe 1997).
In one embodiment of the hERG assay, the positive control (i.e., reference compound)
is terfenadine (Sigma, St. Louis MO), which has been shown, at a concentration of 60 nM, to
block hERG current by approximately 75%. Test compounds are delivered in HEPES-
buffered physiological saline (HB-PS) + 0.1% dimethyl sulfoxide (DMSO). Each test

compound is applied at a concentration of 10 µM to the HEK293 cells expressing hERG (n ≥
3, where n = the number of cells). Cells are exposed to the test compound for the time
necessary to reach steady-state block, but not longer than 10 minutes. The positive control (60
mM terfenadine) is applied to two cells (n ≥ 2).
The hERG-exposed cells are then transferred to the recording chamber and superfused
with HB-PS solution. The pipette solution for whole cell recordings includes potassium
aspartate (130 mM), MgCl2 (5 mM), EGTA (5 mM), ATP (4 mM), and HEPES (10 mM) at a
pH adjusted to 7.2 with KOH. Onset and steady state block of hERG current due to the test
compound are measured using a pulse pattern with fixed amplitudes (depolarization: +20 mV
for 2 seconds; repolarization: -50 mV for 2 seconds), repeated at 10 second intervals, from a
holding potential of-80 mV. Peak tail current is measured during the 2 second step to -50
mV. A steady state is maintained for at least 30 seconds before applying the test compound or
positive control compound. Peak tail currents are measured until a new steady state is
achieved.
In addition to the in vitro selection criteria described above, compounds of the
invention may be selected using the following in vivo sleep-wake and physiological
assessments:
NonREM Sleep: Benzisoxazole analogs are selected if, in adult, male Wistar rats, (i)
peak nonREM amount exceeds 55% nonREM per hour by no later than the third hour post-
treatment; and (ii) the nature of this increase in nonREM sleep is such that the net cumulative
total increase in nonREM sleep in the initial 6 hours post-treatment (adjusted for baseline at the
corresponding circadian time 24 hours earlier, and relative to Vehicle control treatment) is not
less than 20 minutes in total for compound doses that produces maximum sleep consolidation
as measured by sleep bout length, when drug is delivered orally.
The term "nonREM peak sleep time" is defined as an absolute peak amount of
nonREM sleep per hour post treatment, with drug administration occurring at Circadian Time
(CT) 18, which is 6 hours after lights off in a nocturnal laboratory rat when housed in a LD
12:12 (12-hours light and 12 hours dark) light-dark cycle. The nominal criteria of 55%
nonREM sleep per hour is equivalent to 33 minutes of nonREM sleep per hour.
As used herein, the term "cumulative nonREM sleep" is defined as the net total
aggregate increase in the number of minutes of nonREM sleep, measured through out the
entire duration of a drug's soporific effect, which typically, but not always occurs in the first 6
hours post-treatment, adjusted for the net total aggregate number of minutes of nonREM sleep

that occurred during the corresponding non-treatment baseline times of day recorded 24 hours
earlier, relative to like vehicle control treatment.
As defined herein, the term "sleep bout" refers to a discrete episode of continuous or
near continuous sleep, comprised of nonREM sleep, REM sleep, or both nonREM and REM
sleep stages, delimited prior and after the episode by greater than two contiguous 10 second
epochs of wakefulness. The following non-limiting description illustrates this concept:
WWWWSSSSWSSSSSSSWWSSSSSSSWWWW. wherein each letter represents the
predominant state of arousal (S=sleep, W=wake) observed each 10 seconds. The measured
sleep 'bout" is 21 ten-second epochs or 3.5 minutes in duration.
Sleep Consolidation: Benzisoxazole analogs are selected if, in adult male Wistar rats,
(i) the absolute duration of longest continuous sleep episodes (i.e., "sleep bout") post-treatment
is greater than 13 minutes in duration; (ii) the net longest sleep bout post treatment is greater
than or equal to 3 minutes when adjusted for baseline 24 hours earlier and calculated relative to
vehicle treatment; and (iii) the mean absolute duration of every sleep bout when averaged per
hour, on an hour by hour basis, is greater than or equal to 5 minutes. The aforementioned
selection criteria assume that stages of sleep and wakefulness are determined continuously
every 10 seconds (e.g., 10 second sleep scoring "epochs"), that sleep and wakefulness are
measured polygraphically using EEG and EMG criteria, and sleep episodes (comprised of
nonREM and/or REM sleep) are defined as continuous "bouts" until the episode is interrupted
by greater than two contiguous 10 second epochs of wakefulness.
As used herein, the term "longest sleep bout length" is defined as the total number of
minutes an animal remains asleep (nonREM and/or REM sleep stages) during the single
longest sleep bout that occurred beginning in a given hour post-treatment. The "sleep bout
length" measurement criteria assumes sleep is measured continuously in 10 second epochs, and
is scored based upon the predominant state, computed or otherwise determined as a discrete
sleep stage (where sleep stages are defined as nonREM sleep, REM sleep, or wakefulness)
during the 10 second interval that defines the epoch.
The term "average sleep bout length" is defined as the average duration (in minutes) of
every and all sleep episodes or bouts that began in a given hour, independent of the individual
duration of each episode or bout.
Concurrently Measured Side Effects: Benzisoxazole analogs are selected if, in adult,
male Wistar rats, these compounds (i) do not produce appreciable amounts of rebound
insomnia; (ii) do not appreciably inhibit REM sleep; and (iii) do not disproportionately inhibit

locomotor motor activity and/or motor tone relative to the normal effects of sleep itself. The
threshold definitions for these three side-effect variables are as follows:
"Rebound insomnia" is defined as period of rebound, paradoxical, or compensatory
wakefulness that occurs after the sleep promoting effects of a hypnotic or soporific agent.
Rebound insomnia is typically observed during the usual circadian rest phase 6-18 hours post-
treatment at CT-18 (6 hours after lights-off, given LD 12:12), but can occur at any time during
the initial 30 hours post-treatment. Rebound is considered unacceptable when, in the adult,
male Wistar rat, excess cumulative wakefulness associated with rebound insomnia is greater
than 10 % reduction in average of hourly NonREM sleep times during post-treatment circadian
rest phase (lights-on).
In adult, male Wistar rats, rebound insomnia manifests as an increase in wakefulness
relative to corresponding times at baseline (24 hours earlier) subsequent to a drug-induced
sleep effect, and rebound insomnia is measured cumulatively.
"REM sleep inhibition" is defined as the reduction of REM sleep time post-treatment at
CT-18 (6 hours after lights-off; LD 12:12) or at CT-5 (5 hours after lights-on; LD 12:12).
Compounds that reduce REM sleep time by greater than 15 minutes (relative to baseline and
adjusted for vehicle treatment) when administered at either CT-18 or CT-5 are considered
unacceptable.
As defined herein, "disproportionate locomotor activity inhibition" is a reduction of
locomotor activity that exceeds the normal and expected reduction in behavioral activity
attributable to sleep. Logic dictates that if an animal is asleep, there will normally be a
corresponding reduction in locomotor activity. If a hypnotic or soporific compound reduces
locomotor activity levels in excess of 20% greater than that explained by sleep alone, the
compound is deemed unacceptable. Locomotor activity (LMA) or motor tone may be
quantified objectively using any form of behavioral locomotor activity monitor (non-specific
movements, telemetry-based activity monitoring, 3-dimensional movement detection devices,
wheel running activity, exploratory measures, electromyographic recording, etc.) so long as it
is measured concurrently with objective sleep-wakefulness measures in the same animal.
In one embodiment, locomotor activity within the animal's cage is measured using a
biotelemetry device surgically implanted in the animal's peritoneal cavity; the implantable
device and associated telemetry receiver detects if and how much animal moves within the
cage. Sleep and wakefulness is measured in 10 second epochs simultaneously. Counts of
locomotor activity per unit time are divided by the concurrent amount of wakefulness per the
same unit, yielding a "locomotor activity intensity" (LMAI) measure for that unit time.

Hypnotic or soporific compounds administered at CT-18 (6 hours after lights-off; LD 12:12)
that decrease locomotor activity per unit time awake by greater than 20% relative to vehicle
would be judged unacceptable.
In another embodiment, the benzisoxazole analogs of the invention are selected using
the in vivo sleep-wake and physiological assessment criteria shown in Table 4:

Methods for evaluating these sleep-wake and physiological assessment criteria are
described above. The "absolute value" shown in second column of Table 4 refers to the value
as determined for each test compound, while the "change" value shown in the third column of
Table 4 reflects an adjusted value in which the absolute value is the difference from vehicle,
when the vehicle values are adjusted for baseline.
In some embodiments, the longest sleep bout is greater than 13 minutes in duration. In
others, it is greater than 17 minutes in duration. In some embodiments, the net longest sleep
bout post treatment is greater than or equal to 3 minutes in duration. In others, it is greater than
or equal to 6 minutes in duration.
Other in vivo sleep-wake and physiological assessment criteria used to select
benzisoxazole analogs of the invention include measurement of acute body temperature and
latent body temperature as a change in baseline relative to vehicle. The acute body
temperature change should not exceed - 0.60 °C, and the latent body temperature change
should not exceed + 0.60 °C at Time 1-6 hours. The acute body temperature (T1-6) is adjusted

for the corresponding baseline measured 24 hours earlier, relative to vehicle (the decrease from
vehicle). The latent body temperature, measured 7-18 hours post drug treatment (T7-18), is
adjusted for the corresponding baseline measured 24 hours earlier, relative to vehicle (the
decrease from vehicle).
The compounds, or pharmaceutically acceptable salts thereof, is administered orally,
nasally, transdermally, pulmonary, inhalationally, buccally, sublingually, intraperintoneally,
intravenously, rectally, intrapleurally, intrathecally and parenterally. In another embodiment,
the compound is administered orally. One skilled in the art will recognize the advantages of
certain routes of administration.
In some embodiments, a compound of Formula I - IVd is administered as a
pharmaceutically acceptable salt. One skilled in the art will recognize the various methods for
creating pharmaceutically acceptable salts and identifying the appropriate salt. In another
embodiment, the compound or pharmaceutically acceptable salt thereof is included in a
pharmaceutical composition.
A "subject" includes mammals, e.g., humans, companion animals (e.g., dogs, cats,
birds, and the like), farm animals (e.g., cows, sheep, pigs, horses, fowl, and the like) and
laboratory animals (e.g., rats, mice, guinea pigs, birds, and the like). Typically, the subject is
human.
A subject in need of treatment has a disease or disorder that can affect the subject's
health and/or wellbeing.
For example, the disorder can be a sleep disorder. It is well known in the art that
certain medical disorders, for example, central nervous system (CNS) disorders, e.g. mental or
neurological disorders, e.g., anxiety, can have a sleep disorder component, e.g., sleep
deprivation. Thus, "treating a sleep disorder" also includes treating a sleep disorder
component of other disorders, e.g., CNS disorders. Further, treating the sleep disorder
component of CNS disorders can also have the beneficial effect of ameliorating other
symptoms associated with the disorder. For example, in some subjects experiencing anxiety
coupled with sleep deprivation, treating the sleep deprivation component also treats the anxiety
component. Thus, the present invention also includes a method of treating such medical
disorders.
For example, sleep disorders associated with mental disorders include psychoses, mood
disorders, anxiety disorders, panic disorder, addictions, and the like. Specific mental disorders
include, for example, depression, obsessive compulsive disorder, affective neurosis/disorder,

depressive neurosis/disorder, anxiety neurosis; dysthymic disorder, behavior disorder, mood
disorder, schizophrenia, manic depression, delirium, and alcoholism.
Sleep disorders associated with neurological disorders include, for example, cerebral
degenerative disorders, dementia, parkinsonism, Huntington's disease, Alzheimer's, fatal
familial insomnia, sleep related epilepsy, electrical status epilepticus of sleep, and sleep-related
headaches. Sleep disorders associated with other medical disorders include, for example,
sleeping sickness, nocturnal cardiac ischemia, chronic obstructive pulmonary disease, sleep-
related asthma, sleep-related gastroesophageal reflux, peptic ulcer disease, and fibrositis
syndrome.
In some circumstances, sleep disorders are also associated with pain, e.g., neuropathic
pain associated with restless leg syndrome; migraine; hyperalgesia, fibromyalgia, pain;
enhanced or exaggerated sensitivity to pain, such as hyperalgesia, causalgia and allodynia;
acute pain; burn pain; atypical facial pain; neuropathic pain; back pain; complex regional pain
syndromes I and II; arthritic pain; sports injury pain; pain related to infection, e.g., HIV, post-
polio syndrome, and post-herpetic neuralgia; phantom limb pain; labor pain; cancer pain; post-
chemotherapy pain; post-stroke pain; post-operative pain; neuralgia; conditions associated with
visceral pain including irritable bowel syndrome, migraine and angina.
Other sleep disorders include, for example, short sleeper, long sleeper, subwakefulness
syndrome, fragmentary myoclonus, sleep hyperhidrosis, menstrual-associated sleep disorder,
pregnancy-associated sleep disorder, terrifying hypnagogic hallucinations, sleep-related
neurogenic tachypnea, sleep-related laryngospasm, and sleep choking syndrome.
Insomnia is typically classed into sleep onset insomnia, where a subject takes more than
30 minutes to fall asleep; and sleep maintenance insomnia, where the subject spends more than
30 minutes awake during an expected sleep period, or, for example, waking before the desired
wake-up time with difficulty or an inability to get back to sleep. The disclosed compounds are
particularly effective in treating sleep onset and sleep maintenance insomnias, insomnia
resulting from circadian rhythm adjustment disorders, or insomnia resulting from CNS
disorders. One embodiment is treating a subject for a circadian rhythm adjustment disorder.
Another embodiment is treating a subject for insomnia resulting from a mood disorder. In
other embodiments, a subject is treated for sleep apnea, somnambulism, night terrors, restless
leg syndrome, sleep onset insomnia, and sleep maintenance insomnia. For example, a subject
is treated for sleep onset insomnia or sleep maintenance insomnia. The disclosed compounds
are effective for treating sleep onset insomnia. The disclosed compounds are also effective for

treating sleep maintenance insomnia. In one embodiment, the disclosed compounds improve
the quality of sleep e.g., the amount of slow wave sleep is increased.
The dosage regimen utilizing the compounds is selected in accordance with a variety
of factors including type, species, age, weight, sex and medical condition of the patient; the
severity of the condition to be treated; the route of administration; the renal and hepatic
function of the patient; and the particular compound or salt thereof employed. An ordinarily
skilled physician or veterinarian can readily determine and prescribe the effective amount of
the drug required to treat, prevent, counter or arrest the progress of the condition.
Oral dosages in humans of the present invention, when used for the indicated effects, will
range between about 0.05 to 5000 mg/day orally. Effective amounts of the disclosed
compounds typically range between about 0.01 mg per day and about 100 mg per day, and
between about 0.1 mg per day and about 10 mg/day. Techniques for administration of the
disclosed compounds of the invention can be found in Remington: the Science and Practice of
Pharmacy, 19th edition, Mack Publishing Co., Easton, PA (1995).
For example, in some embodiments, an acid salt of a compound containing an amine or
other basic group is obtained by reacting the compound with a suitable organic or inorganic
acid, such as hydrogen chloride, hydrogen bromide, acetic acid, perchloric acid and the like.
Compounds with a quaternary ammonium group also contain a counter anion such as chloride,
bromide, iodide, acetate, perchlorate and the like. Other examples of such salts include
hydrochlorides, hydrobromides, sulfates, methanesulfonates, nitrates, maleates, acetates,
citrates, fumarates, tartrates (e.g. (+)-tartrates, (-)-tartrates or mixtures thereof including
racemic mixtures), succinates, benzoates and salts with amino acids such as glutamic acid.
Salts of compounds containing a carboxylic acid or other acidic functional group are
prepared by reacting with a suitable base. Such a pharmaceutically acceptable salt is made
with a base which affords a pharmaceutically acceptable cation, which includes alkali metal
salts (especially sodium and potassium), alkaline earth metal salts (especially calcium and
magnesium), aluminum salts and ammonium salts, as well as salts made from physiologically
acceptable organic bases such as trimethylamine, triethylamine, morpholine, pyridine,
piperidine, picoline, dicyclohexylamine, N, N'-dibenzylethylenediamine,
2-hydroxyethylamine, bis-(2-hydroxyethyl)amine, tri-(2-hydroxyethyl)amine, procaine,
dibenzylpiperidine, N-benzyl-3-phenethylamine, dehydroabietylamine,
N,N'-bisdehydroabietylamine, glucamine, N-methylglucamine, collidine, quinine, quinoline,
and basic amino acid such as lysine and arginine.

In some embodiments, certain compounds and their salts also exist in the form of
solvates, for example hydrates, and the present invention includes each solvate and mixtures
thereof.
The disclosed compounds, and salts or solvates thereof may exist in more than one
crystal form, e.g., as "crystal polymorphs" or "polymorphs". Crystal polymorphs of the
disclosed compounds are prepared by crystallization under different conditions. For example,
using different solvents or different solvent mixtures for recrystallization; crystallization at
different temperatures; various modes of cooling, ranging from very fast to very slow cooling
during crystallization, and the like. Polymorphs are also obtained by heating or melting the
disclosed compounds followed by gradual or fast cooling. The presence of polymorphs is
determined by solid probe nuclear magnetic resonance spectroscopy, infrared spectroscopy,
differential scanning calorimetry, powder X-ray diffraction, and other techniques known to one
skilled in the art.
In an embodiment, the compounds described herein, and the pharmaceutically
acceptable salts thereof are used in pharmaceutical preparations in combination with a
pharmaceutically acceptable carrier or diluent. Suitable pharmaceutically acceptable carriers
include inert solid fillers or diluents and sterile aqueous or organic solutions. The compounds
will be present in such pharmaceutical compositions in amounts sufficient to provide the
desired dosage amount in the range described herein. Techniques for formulation and
administration of the disclosed compounds of the invention can be found in Remington: the
Science and Practice of Pharmacy, above.
Typically, the compound is prepared for oral administration, wherein the disclosed
compounds or salts thereof are combined with a suitable solid or liquid carrier or diluent to
form capsules, tablets, pills, powders, syrups, solutions, suspensions and the like.
The tablets, pills, capsules, and the like contain from about 1 to about 99 weight percent
of the active ingredient and a binder such as gum tragacanth, acacias, corn starch or gelatin;
excipients such as dicalcium phosphate; a disintegrating agent such as corn starch, potato
starch or alginic acid; a lubricant such as magnesium stearate; and/or a sweetening agent such
as sucrose, lactose, saccharin, xylitol, and the like. When a dosage unit form is a capsule, it
often contains, in addition to materials of the above type, a liquid carrier such as a fatty oil.
In some embodiments, various other materials are present as coatings or to modify the
physical form of the dosage unit. For instance, in some embodiments, tablets are coated with
shellac, sugar or both. In some embodiments, a syrup or elixir contains, in addition to the

active ingredient, sucrose as a sweetening agent, methyl and propylparabens as preservatives, a
dye and a flavoring such as cherry or orange flavor, and the like.
For some embodiments relating to parental administration, the disclosed compounds, or
salts, solvates, or polymorphs thereof, can be combined with sterile aqueous or organic media
to form injectable solutions or suspensions. Injectable compositions are, for example, aqueous
isotonic solutions or suspensions. The compositions may be sterilized and/or contain
adjuvants, such as preserving, stabilizing, wetting or emulsifying agents, solution promoters,
salts for regulating the osmotic pressure and/or buffers. In addition, they may also contain
other therapeutically valuable substances. The compositions are prepared according to
conventional mixing, granulating or coating methods, respectively, and contain about 0.1 to
75%, for example about 1 to 50%, of the active ingredient.
For example, injectable solutions are produced using solvents such as sesame or peanut
oil or aqueous propylene glycol, as well as aqueous solutions of water-soluble
pharmaceutically-acceptable salts of the compounds. In some embodiments, dispersions are
prepared in glycerol, liquid polyethylene glycols and mixtures thereof in oils. Under ordinary
conditions of storage and use, these preparations contain a preservative to useful to prevent the
growth of microorganisms. The terms "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, intraarticular, subcapsular,
subarachnoid, intraspinal and intrasternal injection and infusion.
For rectal administration, suitable pharmaceutical compositions are, for example,
topical preparations, suppositories or enemas. Suppositories are advantageously prepared from
fatty emulsions or suspensions. The compositions may be sterilized and/or contain adjuvants,
such as preserving, stabilizing, wetting or emulsifying agents, solution promoters, salts for
regulating the osmotic pressure and/or buffers. In addition, they may also contain other
therapeutically valuable substances. The compositions are prepared according to conventional
mixing, granulating or coating methods, respectively, and contain about 0.1 to 75%, for
example about 1 to 50%, of the active ingredient.
In some embodiments, the compounds are formulated to deliver the active agent by
pulmonary administration, e.g., administration of an aerosol formulation containing the active
agent from, for example, a manual pump spray, nebulizer or pressurized metered-dose inhaler.

In some embodiments, suitable formulations of this type also include other agents, such as
antistatic agents, to maintain the disclosed compounds as effective aerosols.
A drug delivery device for delivering aerosols comprises a suitable aerosol canister
with a metering valve containing a pharmaceutical aerosol formulation as described and an
actuator housing adapted to hold the canister and allow for drug delivery. The canister in the
drug delivery device has a headspace representing greater than about 15% of the total volume
of the canister. Often, the polymer intended for pulmonary administration is dissolved,
suspended or emulsified in a mixture of a solvent, surfactant and propellant. The mixture is
maintained under pressure in a canister that has been sealed with a metering valve.
For nasal administration, either a solid or a liquid carrier can be used. The solid carrier
includes a coarse powder having particle size in the range of, for example, from about 20 to
about 500 microns and such formulation is administered by rapid inhalation through the nasal
passages. In some embodiments where the liquid carrier is used, the formulation is
administered as a nasal spray or drops and includes oil or aqueous solutions of the active
ingredients.
Also contemplated are formulations that are rapidly dispersing dosage forms, also
known as "flash dose" forms. In particular, some embodiments of the present invention are
formulated as compositions that release their active ingredients within a short period of time,
e.g., typically less than about five minutes, for example less than about ninety seconds.
Further, some embodiments of the present invention are formulated as compositions that
release their active ingredients in less than about thirty seconds, for example, in less than about
ten or fifteen seconds. Such formulations are suitable for administration to a subject via a
variety of routes, for example by insertion into a body cavity or application to a moist body
surface or open wound.
Typically, a "flash dosage" is a solid dosage form that is administered orally, which
rapidly disperses in the mouth, and hence does not require great effort in swallowing and
allows the compound to be rapidly ingested or absorbed through the oral mucosal membranes.
In some embodiments, suitable rapidly dispersing dosage forms are also used in other
applications, including the treatment of wounds and other bodily insults and diseased states in
which release of the medicament by externally supplied moisture is not possible.
"Flash dose" forms are known in the art; see for example, effervescent dosage forms
and quick release coatings of insoluble microparticles in U.S. Pat. Nos. 5,578,322 and
5,607,697; freeze dried foams and liquids in U.S. Pat. Nos. 4,642,903 and 5,631,023; melt
spinning of dosage forms in U.S. Pat. Nos. 4,855,326,5,380,473 and 5,518,730; solid, free-

form fabrication in U.S. Pat. No. 6,471,992; saccharide-based carrier matrix and a liquid binder
in U.S. Pat. Nos. 5,587,172, 5,616,344, 6,277,406, and 5,622,719; and other forms known to
the art.
The benzisoxazole analogs of the invention are also formulated as "pulsed release"
formulations, in which the analog is released from the pharmaceutical compositions in a series
of releases (i.e., pulses). The benzisoxazole analogs are also formulated as "sustained release"
formulations in which the analog is continuously released from the pharmaceutical
composition over a prolonged period.
Also contemplated are formulations, e.g., liquid formulations, including cyclic or
acyclic encapsulating or solvating agents, e.g., cyclodextrins, polyethers, or polysaccharides
(e.g., methylcellulose). For example, polyanionic p-cyclodextrin derivatives with a sodium
sulfonate salt group separate from the lipophilic cavity by an alkyl ether spacer group or
polysaccharides. In an embodiment, the agent is methylcellulose. In another embodiment, the
agent is a polyanionic p-cyclodextrin derivative with a sodium sulfonate salt separated from
the lipophilic cavity by a butyl ether spacer group, e.g., CAPTISOL® (CyDex, Overland, KS).
One skilled in the art can evaluate suitable agent/disclosed compound formulation ratios by
preparing a solution of the agent in water, e.g., a 40% by weight solution; preparing serial
dilutions, e.g. to make solutions of 20%, 10, 5%, 2.5%, 0% (control), and the like; adding an
excess (compared to the amount that can be solubilized by the agent) of the disclosed
compound; mixing under appropriate conditions, e.g., heating, agitation, sonication, and the
like; centrifuging or filtering the resulting mixtures to obtain clear solutions; and analyzing the
solutions for concentration of the disclosed compound.
In addition to the therapeutic formulations described above, a therapy including the
compounds of the present invention optionally includes, co-administration with at least one
additional therapies, e.g., drugs or physical or behavioral treatments (e.g., light therapy,
electrical stimulation, behavior modification, cognitive therapy, circadian rhythm modification,
and the like). Such a practice is referred to as "combination therapy." The other therapy or
therapies in the combination therapy include therapies recognized by one skilled in the art as
desirable in combination with the compound of the invention, for example, therapies known to
the art or therapies which are proposed or discovered in the art for treating sleep disorders or
treating diseases associated with sleep disorders, for example, therapies for any of the sleep
disorders or other conditions disclosed herein. In some embodiments the compound is

administered as a combination therapy whereas it is administered as a monotherapy in other
embodiments.
Typically, the compound is administered as a monotherapy.
One skilled in the art will appreciate that a therapy administered in combination with
the compounds of the present invention is directed to the same or a different disorder target as
that being targeted by the compounds of the present invention. Administration of the
compound of the invention is first, followed by the other therapy; or alternatively,
administration of the other therapy may be first. The other therapy is any known in the art to
treat, prevent, or reduce the symptoms of the targeted disorder, e.g., a sleep disorder, or other
disorders, e.g., other CNS disorders. In addition, some embodiments of the present invention
have compounds administered in combination with other known therapies for the target
disorder. Furthermore, the other therapy includes any agent of benefit to the patient when
administered in combination with the disclosed compound.
For example, in some embodiments where the other therapy is a drug, it is administered
as a separate formulation or in the same formulation as the compound of the invention. A
compound of the invention is administered in combination therapy with any at least one of
commercially-available, over-the-counter or prescription medications, including, but not
limited to antihistamines, antimicrobial agents, fungistatic agents, germicidal agents,
hormones, antipyretic agents, antidiabetic agents, bronchodilators, antidiarrheal agents,
antiarrhythmic agents, coronary dilation agents, glycosides, spasmolytics, antihypertensive
agents, antidepressants, antianxiety agents, antipsychotic agents, other psychotherapeutic
agents, steroids, corticosteroids, analgesics, cold medications, vitamins, sedatives, hypnotics,
contraceptives, nonsteroidal anti-inflammatory drugs, blood glucose lowering agents,
cholesterol lowering agents, anticonvulsant agents, other antiepileptic agents,
immunomodulators, anticholinergics, sympatholytics, sympathomimetics, vasodilatory agents,
anticoagulants, antiarrhythmics, prostaglandins having various pharmacologic activities,
diuretics, sleep aids, antihistaminic agents, antineoplastic agents, oncolytic agents,
antiandrogens, antimalarial agents, antileprosy agents, and various other types of drugs. For
example, GABA agonists, alpha-2-delta modulators; other 5-HT2a antagonists and inverse
agonists are useful in combination with the compounds of the invention for treating sleep
disorders. See Goodman and Gilman's The Basis of Therapeutics (Eighth Edition, Pergamon
Press, Inc., USA, 1990) and The Merck Index (Eleventh Edition, Merck & Co., Inc., USA,
1989).

Examples of drugs used in combination with the compounds of the invention include,
but are not limited to, AMBIEN® STILNOX® (Zolpidem tartrate), indiplon, ESTORRA™
(eszopiclone), NEURONTIN® (gabapentin), LYRICA® (pregabalin), eplivanserin, SONATA®
(zaleplon), LUNESTA™ (eszopiclone), ZOPICLONE™ (imovane), DESYREL™ (trazodone
hydrochloride), SEROQUEL® (quetiapine fumarate), CLOZARIL® (clozapine), ZYPREXA™
(olanzapine), RISPERDAL® (risperidone), Ml00907 and melatonin antagonists e.g.,
ROSEREM™ (ramelteon).
In one embodiment, the compounds of the invention are useful in combination with a
mechanical therapy, such as CPAP. "CPAP" or "continuous positive airway pressure" is a
mechanical treatment for sleep apnea and other sleep-related breathing disorders (including
snoring) which is typically administered via the nose or mouth of the patient.
Under CPAP treatment, an individual wears a tight-fitting plastic mask over the nose
when sleeping. The mask is attached to a compressor, which forces air into the nose creating a
positive pressure within the patient's airways. The principle of the method is that pressurizing
the airways provides a mechanical "splinting" action, which prevents or lessens airway
collapse and therefore, obstructive sleep apnea. Although an effective therapeutic response is
observed in most patients who undergo CPAP treatment, many patients cannot tolerate the
apparatus or pressure and refuse treatment. Moreover, recent covert monitoring studies
demonstrated that long-term compliance with CPAP treatment is very poor. It is known that
patients remove their mask while sleeping.
In one aspect, the compound of the invention is administered in conjunction with a
CPAP device to promote sleep. In another aspect, the compound of the invention is
administered in conjunction with a CPAP device to improve sleep. In another aspect, the
compound of the invention is administered in conjunction with a CPAP device to improve
compliance regarding with CPAP treatment. Without wishing to be bound by theory, it is
thought that by administering an effective amount of a sleep promoting compound of the
invention to a patient in conjunction with CPAP treatment, the patient will sleep better and
more soundly and therefore, not be as likely to remove the mask.
In one embodiment, the compound of the present invention is administered prior to the
CPAP treatment. In another embodiment, the compound of the present invention is
administered at substantially the same time as the CPAP treatment. In one embodiment,
parallel administration of an effective amount of the compound is accomplished by adding an
additional aerosol channel to the air pressure treatment portion of the CPAP device, thus

administering the compound of the present invention in a nebulized form via the nasal or oral
mask of the CPAP device. Alternatively, an effective amount of the compound can be added
to the water or into the liquid reservoir that is typically part of the CPAP treatment device.
Using the CPAP mask treatment, the compound of the invention is administered in a
low concentration throughout the night, or at higher concentrations, as a bolus, at different time
points in the beginning and during the course of the night.
All publications and patent documents cited herein are incorporated herein by reference
as if each such publication or document was specifically and individually indicated to be
incorporated herein by reference. Citation of publications and patent documents is not
intended as an admission that any is pertinent prior art, nor does it constitute any admission as
to the contents or date of the same. The invention having now been described by way of
written description, those of skill in the art will recognize mat the invention can be practiced in
a variety of embodiments and that the foregoing description and examples below are for
purposes of illustration and not limitation of the claims that follow.
EXAMPLE 1: Synthesis of Benzisoxazole Compounds
A general synthesis of a benzisoxazole piperazine compound is shown in Scheme 1.

3-Chloro-l,2-benzisoxazole reacted with excess piperazine in the presence of pyridine
to provide 3-(piperazin-l-yl)benzo[d]isoxazole (3A) in 76 % yield. Reductive amination of
compound (3A) with 2-carbomethoxy 2-methyl propionaldehyde gave alkylated piperazine

(4A), which was purified over silica gel. Basic hydrolysis of the methyl ester of (4A) in
aqueous ethanol followed by acidification gave the carboxylic acid (1) as the mono-HCl salt.
Sulfonamide compounds can be synthesized, for example, as shown in Scheme 2:

EXAMPLE 2: Evaluation of Compounds
Sleep in mammals can be divided into sleep occurring during periods of rapid eye
movement (REM), accompanied by substantial brain activity, and periods of non-REM
(NREM) sleep, accompanied by decreased brain activity. Typically, a normal nighttime sleep
period is occupied primarily by NREM sleep, and thus NREM cumulation can serve as a
measure of total sleep cumulation, e.g., significantly decreased NREM can be associated with
insomnia and an accumulation of "sleep debt", e.g., an accumulated physiological need for
sleep that tends to persist until a sufficient amount of additional sleep is accumulated. Thus, an
increase in NREM associated with a treatment can indicated the treatment's effectiveness in
treating insomnia.
Sleep quality can be associated with sleep continuity or sleep maintenance. For
example, a subject with sleep apnea wakes up numerous times during a sleep period, e.g., the
subject has difficulty maintaining continuous sleep. Although such a subject can accumulate a
typical nights length of sleep, e.g., 8 hours, the sleep is unrefreshing due to the waking caused
by the sleep apnea. Thus, an increase in the longest uninterrupted sleep bout (LUSB, also
known as longest sleep bout) associated with a treatment can indicate the treatment's
effectiveness in enhancing sleep continuity, and therefore in treating sleep maintenance
insomnia.
Sleep-wakefulness, locomotor activity and body temperature are monitored in male
Wistar rats treated with a test compound (i.e., benzisoxazole analog) initially at a concentration


of 10 mg/kg. Higher and lower doses are assayed for select compounds (e.g., as high as 45
mg/kg, and as low as necessary to establish a no-effect dose). Treatments are administered at
CT-18, the peak of the activity dominated period (6 hours after lights-off), and produced
soporific (sleep-inducing) effects characterized by increased non-REM sleep time, increased
sleep continuity, but without evidence of REM sleep inhibition or rebound insomnia.
Sleep-wakefulness, locomotor activity and body temperature were monitored in vivo
with various compounds of the invention. Adult, male Wistar rats (250 g at time of surgery,
Charles River Laboratories, Wilmington MA) were anesthetized (2 % isoflourane in medical
grade oxygen) and surgically prepared with a cranial implant to permit chronic electro-
encephalogram (EEG) and electromyogram (EMG) recording. Body temperature and
locomotor activity were monitored via a miniature transmitter (Mini-Mitter, Bend, OR)
surgically placed in the abdomen. The cranial implant consisted of stainless steel screws (two
frontal [+3.2 AP from bregma, ±2.0 ML] and two occipital [-6.9 AP, ±5.5 ML]) for EEG
recording. Two Teflon®-coated stainless steel wires were positioned under the nuchal
trapezoid muscles for EMG recording. All leads were soldered to a miniature connector prior
to surgery, and gas sterilized in ethylene oxide. The implant assembly was affixed to the skull
with dental acrylic. A minimum of three weeks was allowed for surgical recovery.
Each rat was permanently housed in its own individual recording cage located within
separate, ventilated compartments of custom- designed stainless steel cabinets. Each cage was
enhanced with a filter-top riser and low-torque swivel-commutator. Food and water were
available ad libitum. A 24-hr light-dark cycle (12 hours light, 12 hours dark) was maintained
throughout the study. Animals were undisturbed for at least 48 hours before and after
treatments.
Sleep and wakefulness were determined using "SCORE-2004™"(Rypnion, Worcester,
MA) - an internet-based sleep-wake and physiological monitoring system. The system
monitored amplified EEG (bandpass 1-30 Hz), integrated EMG (bandpass 10-100 Hz), body
temperature and non-specific locomotor activity (LMA) via telemetry, and drinking activity,
continuously and simultaneously. Arousal states were classified on-line as non-REM (NREM)
sleep, REM sleep, wake, or theta-dominated wake every 10 seconds. Total drinking and
locomotor activity counts, and body temperature were quantitiated and recorded each minute,
using EEG feature extraction and pattern-matching algorithms. From this data, the longest
uninterrupted sleep bout (LUSB)was obtained. The classification algorithm used individually-
taught EEG-arousal-state templates, plus EMG criteria to differentiate REM sleep from theta-
dominated wakefulness, plus behavior-dependent contextual rules (e.g., if the animal was

drinking, it is awake). Drinking and locomotor activity intensity (LMA) were recorded every
10 seconds, while body temperature was recorded each minute. Locomotor activity was
detected by a telemetry receiver (Mini-Mitter) beneath the cage. Telemetry measures (LMA
and body temperature) were not part of the scoring algorithm; thus, sleep-scoring and telemetry
data were independent measures.
Compounds were administered at CT-18, the peak of the activity-dominated period,
sufficient time was allowed to view the time course of the treatment effect before lights-on (6
hours post-treatment). Compounds were suspended in sterile 0.25% or 0.5% methylcellulose
(1-2 ml/kg). Treatments were administered orally as a bolus.
A parallel group study design was employed. Vehicle controls were drawn from a large
pool (N> 200): a subset of the pooled vehicle controls was selected, based on computerized
matching with the 24-hour pre-treatment baseline of the active treatment group.
The following pharmacokinetic parameters are computed from the individual plasma
concentrations of the modified benzisoxazole compound using a noncompartmental approach
and appropriate validated pharmacokinetic software (e.g., WinNonlin Professional).
Concentration values reported as BLQ are set to zero. If concentration data are available,
interim calculations are done (non-QC.d data) between periods if possible. Dose escalation
does not depend on pharmacokinetic calculations.
Descriptive statistics, including mean, standard deviation, coefficient of variation,
geometric mean, median, minimum and maximum are computed for each pharmacokinetic
parameter by dose group. Descriptive statistics for natural-log transformed AUC(0-t), AUC(0-
inf), and Cmax are provided for each dose level. In addition, mean and median concentration
versus time graphs are provided.
Dose proportionality following study medication is explored by analyzing natural log-
transformed pharmacokinetic variables AUC(O-t), AUC(O-inf), and Cmax with a linear model
including the natural log-transformed dose as covariates. Dose proportionality is concluded if
the 95% confidence interval for the slope of the covariate includes the value of 1. Dose
linearity for AUC(O-t), AUC(0-inf), and Cmax is also explored by a linear model. See, e.g.,
Gibaldi and Perrier, Pharmacokinetics, Second Ed., Marcel Dekker: New York, New York
(1982). Nominal sample collection times were used in calculations, except where actual
sampling times fell outside the protocol-specified acceptable time ranges. The following
parameters are estimated:



Pharmacokinetic analysis is performed using WinNonlin Professional Edition
(Pharsight Corporation, Version 3.3 or 4.1). Descriptive statistics such as mean and standard
deviation are calculated in Microsoft Excel (Version 8.0e).
Metabolism of test articles in monkey and human cryopreserved hepatocytes is assayed
as follows:


Pre-Incubation Preparation:
Sample is diluted with DMSO, to prepare 100 µM and 10 µM stocks. 0.1% formic acid
in acetonitrile is prepared by the addition of 1 mL formic acid per 1L acetonitrile (store RT for
3 months). 10 minute, 60 and 120 minute 96 well quenching plates are prepared with 150 µL
acetonitrile + 0.1% formic acid in each well. Store on ice or refrigerated.
Next, hepatocytes are thawed and 100µL of cell suspension is placed into a microfuge
tube with 100 µL 0.4% Trypan Blue solution and gently mix by inversion. A small amount of
the stained cell suspension (approximately 15 µL) is placed into a clean hemacytometer with a
coverslip. The hemacytometer is placed onto the stage of the microscope and the focus and
power are adjusted until a single counting square fills the field. The number of cells in the four
outside comer subdivided squares of the hemacytometer are counted. Viable cells are
opalescent, round, and pale with a darker outline. Non-viable cells are dark, opaque blue.
The % viability is calculated as the number of viable cells divided by the total of cells
X100.
The viable cell density and total number of viable cells are calculated:
Viable cell Density (D) = Mean 3 of viable cells counted (C) x 104xf2; Total number of
viable cells (E) = Dx 26 (resuspension volume). The additional media required to achieve a
concentration of 1 x 106 cells/mL is calculated:
Volume of additional medium = total viable cells (E) -26 mL
1x106
Cells are diluted accordingly and stored at room temperature.
Incubations

198 µL of hepatocytes are transferred to relevant wells on dosing plate. The remaining
hepatocyte suspension is combined and place in a suitable container of near boiling water and
left for 5 minutes to inactivate the cells (for inactive controls and standard curve preparation).
198 µL of inactive hepatocytes are transferred to control wells and 198 µL of blank
media are transferred to buffer control wells. Plates are preincubated for at least 15 min.
Reactions are started 2 µL of appropriate test compound dilution from dosing plate. Plates are
incubated in an incubator set at 37 °C for approximately 10 minutes, then 50 µL of incubate is
removed to 10 a minute quenching plate containing 150 µL acetonitrile + 0.1% formic acid and
stored refrigerated or on ice. Following 60 minutes, 50 µL of incubate is removed to 60
minute quenching plate containing 150 uL acetonitrile + 0.1% formic acid and stored
refrigerated or on ice. Following 120 minutes, 50 µL of incubate is removed to 120 minute
quenching plate containing 150 uL acetonitrile + 0.1% formic acid and stored refrigerated or
on ice. The remaining 50 uL is frozen in incubation plates. Tubes are then centrifuged at ~4°C
at -1400 x g for -10 minutes. 100 µL of supernatant is diluted with 100 µL water in analysis
plates, plates are stored frozen at -20°C prior to analysis.
Preparation of Standard Curves
0.1 µM standard is prepared by the addition of 2 µL of 10 µM dosing solutions to 198
uL of inactive hepatocytes in standard prep plate. 150 µL acetonitrile + 0.1% formic acid is
added to the standard quenching plate. 150 uL of 0.1 µM standard is transferred into one
column of a standard plate. 75 µL inactive hepatocytes is added to remaining wells. 75 µL
from 0.1 µM standard is transferred into adjacent well in column in the plate, and mixed well
by titration. Serial dilution is continued. 75 µL is removed from final standard (all wells
contain 75 µL). Plates are incubated at approximately 37 °C for 10 minutes. 50 µL is
transferred into standard quench plate containing 150 µL acetonitrile + 0.1% formic acid.
Plates are centrifuged along with samples and dilute supernatant 1:1 with water as above.
Samples are stored frozen at —20 oC.
Sleep parameters for representative compounds are shown below.


Other Embodiments
While the invention has been described in conjunction with the detailed description
thereof, the foregoing description is intended to illustrate and not limit the scope of the
invention, which is defined by the scope of the appended claims. Other aspects, advantages,

and modifications are within the scope of the following claims. It will be understood by those
skilled in the art that various changes in form and details may be made therein without
departing from the scope of the invention encompassed by the appended claims.

We Claim:
1. A compound having the formula of Compound I

or a pharmaceutically acceptable salt thereof.
2. A pharmaceutical composition comprising the compound of claim 1, or
pharmaceutically acceptable salt thereof, and at least one pharmaceutically
acceptable excipient.
3. The salt of claim 1, which is the monohydrochloride salt.
4. The composition of claim 2 in which the pharmaceutically acceptable salt is the
monohydochloride salt.



ABSTRACT


Benzisoxazole Piperazine Compound
The invention describes a benzisoxazole piperazine compound.

Documents:

04161-kolnp-2007-abstract.pdf

04161-kolnp-2007-claims.pdf

04161-kolnp-2007-correspondence others.pdf

04161-kolnp-2007-description complete.pdf

04161-kolnp-2007-form 1.pdf

04161-kolnp-2007-form 13.pdf

04161-kolnp-2007-form 18.pdf

04161-kolnp-2007-form 2.pdf

04161-kolnp-2007-form 3.pdf

04161-kolnp-2007-form 5.pdf

04161-kolnp-2007-gpa.pdf

04161-kolnp-2007-international publication.pdf

04161-kolnp-2007-international search report.pdf

04161-kolnp-2007-pct request form.pdf

4161-KOLNP-2007-(05-11-2012)-CORRESPONDENCE.pdf

4161-KOLNP-2007-(05-11-2012)-FORM-1.pdf

4161-KOLNP-2007-(05-11-2012)-FORM-13.pdf

4161-KOLNP-2007-(20-03-2013)-CORRESPONDENCE.pdf

4161-KOLNP-2007-(20-03-2013)-FORM-1.pdf

4161-KOLNP-2007-(20-03-2013)-FORM-13.pdf

4161-KOLNP-2007-(24-06-2013)-CORRESPONDENCE.pdf

4161-KOLNP-2007-(24-06-2013)-FORM 1.pdf

4161-KOLNP-2007-(24-06-2013)-FORM 13.pdf

4161-KOLNP-2007-(24-06-2013)-FORM 2.pdf

4161-KOLNP-2007-(24-06-2013)-FORM 5.pdf

4161-KOLNP-2007-ABSTRACT 1.1.pdf

4161-KOLNP-2007-ABSTRACT 1.2.pdf

4161-KOLNP-2007-AMANDED CLAIMS.pdf

4161-KOLNP-2007-ASSIGNMENT 1.1.pdf

4161-KOLNP-2007-ASSIGNMENT.pdf

4161-KOLNP-2007-CORRESPONDENCE 1.1.pdf

4161-KOLNP-2007-CORRESPONDENCE 1.2.pdf

4161-KOLNP-2007-CORRESPONDENCE OTHERS 1.1.pdf

4161-KOLNP-2007-CORRESPONDENCE OTHERS-1.2.pdf

4161-KOLNP-2007-CORRESPONDENCE-1.2.pdf

4161-KOLNP-2007-DESCRIPTION (COMPLETE) 1.1.pdf

4161-KOLNP-2007-EXAMINATION REPORT REPLY RECIEVED.pdf

4161-KOLNP-2007-EXAMINATION REPORT.pdf

4161-KOLNP-2007-FORM 1 1.1.pdf

4161-KOLNP-2007-FORM 1-1.2.pdf

4161-KOLNP-2007-FORM 1-1.3.pdf

4161-KOLNP-2007-FORM 13 1.2.pdf

4161-KOLNP-2007-FORM 13.1.pdf

4161-KOLNP-2007-FORM 18.pdf

4161-KOLNP-2007-FORM 2 1.1.pdf

4161-KOLNP-2007-FORM 2-1.2.pdf

4161-KOLNP-2007-FORM 2-1.3.pdf

4161-KOLNP-2007-FORM 26.pdf

4161-KOLNP-2007-FORM 3 1.1.pdf

4161-KOLNP-2007-FORM 3-1.1.pdf

4161-KOLNP-2007-FORM 3-1.2.pdf

4161-KOLNP-2007-FORM 5 1.1.pdf

4161-KOLNP-2007-FORM 5-1.2.pdf

4161-KOLNP-2007-FORM 6.pdf

4161-KOLNP-2007-GRANTED-ABSTRACT.pdf

4161-KOLNP-2007-GRANTED-CLAIMS.pdf

4161-KOLNP-2007-GRANTED-DESCRIPTION (COMPLETE).pdf

4161-KOLNP-2007-GRANTED-FORM 1.pdf

4161-KOLNP-2007-GRANTED-FORM 2.pdf

4161-KOLNP-2007-GRANTED-SPECIFICATION-COMPLETE.pdf

4161-KOLNP-2007-OTHERS 1.1.pdf

4161-KOLNP-2007-OTHERS.pdf

4161-KOLNP-2007-PA-1.1.pdf

4161-KOLNP-2007-PA.pdf

4161-KOLNP-2007-PCT SEARCH REPORT 1.1.pdf

4161-KOLNP-2007-REPLY TO EXAMINATION REPORT.pdf


Patent Number 256788
Indian Patent Application Number 4161/KOLNP/2007
PG Journal Number 31/2013
Publication Date 02-Aug-2013
Grant Date 29-Jul-2013
Date of Filing 01-Nov-2007
Name of Patentee HYPNION, INC.
Applicant Address LILLY CORPORATE CENTER, INDIANAPOLIS, INDIANA 46285, UNITED STATES OF AMERICA
Inventors:
# Inventor's Name Inventor's Address
1 SHIOSAKI, KAZUMI 24 DAMIEN ROAD, WELLESLEY, MASSACHUSETTS 02481
2 HANGAUER, DAVID, G. 8431 HIDDEN OAKS DRIVE, EAST AMHERST, NEW YORK 14051
3 SOLOMON, MICHAEL 75 ASH STREET, CONCORD, MASSACHUSETTS 01742
4 EDGAR, DALE, M. 15 GROVE STREET, WAYLAND, MASSACHUSETTS 01778
5 COUGHLIN, DANIEL 105 ASBURY ROAD, HACKETTSTOWN, NEW JERSEY 07840
6 WHITE, JAMES, F. P.O. BOX 591, CARLISLE, MASSACHUSETTS 01741
PCT International Classification Number C07D 261/20
PCT International Application Number PCT/US2006/016059
PCT International Filing date 2006-04-26
PCT Conventions:
# PCT Application Number Date of Convention Priority Country
1 60/675,202 2005-04-26 U.S.A.