Title of Invention

INDOLE DERIVATIVES FOR THE TREATMENT OF CNS DISORDERS

Abstract The present invention relates to dopamine and serotonin receptor ligands having the general formula (I) wherein the meanings of R?1¿-R?9¿, W, n and X are as given in the claims and the description. The compounds of the invention are useful in the treatment of certain psychiatric and neurological disorders, i.e. schizophrenia, other psychoses, anxiety disorders, depression, migraine, cognitive disorders, ADHD and sleep improvement.
Full Text

INDOLE DERIVATIVES USEFUL FOR THE TREATMENT OF CNS DISORDERS Field of the Invention
The present invention relates to a novel class of indole derivatives having affinity for the dopamine D4 receptor. The compounds have antagonistic effect at the dopamine D4 receptor and are therefore useful in the treatment of certain psychiatric and neurologic disorders, in particular psychoses. Some of the compounds also have affinity for the S-HTIA and/or the 5-HT2C receptor and some of the compounds are serotonin reuptake inhibitors.
Background of the Invention.
AT 332401 discloses compounds of the general formula

wherein R is hydrogen or alkyl, R1 and R2 are hydrogen or alkyl, p is 2 or 3 and X1 is hydrogen, fluoro, chloro or bromo. The compounds are said to be useful as neuroleptics. The patent does not contain any experimental data.
WO 95/11680 relates to a broad class of compounds having antipsychotic activity. One group of compounds claimed are compounds having the formula


wherein X1 is O, S, NH orNR2, Alk is alkylene, W1i is CH2, O, S or NH, and R is hydrogen, alkyl, alkoxy, hydroxy, carboxyl, halogen, amino, alkylamino, dialkylamino, nitro, alkylthio, trifluoromethoxy, cyano, acylamino, trifluoroacetyl, arainocarbonyl, monoalkylaminocarbonyl, dialkylaminocarbonyl, etc. The application does not explain any mechanism of action, but the compounds are said to have a reduced tendency to cause extrapyramidal side effects.
Dopamine D4 receptors belong to the dopamine D2 subfamily of receptors which is considered to be responsible for the antipsychotic effect of neuroleptics. The side effects of neuroleptic drugs which primarily exert their effect via antagonism of D2 receptors are known to be due to D2 receptor antagonism in the striatal regions of the brain. However, dopamine D4 receptors are primarily located in areas of the brain other than striatum, suggesting that selective antagonists of the dopamine D4 receptor will be devoid of extrapyramidal side effects. This is illustrated by the antipsychotic clozapine, which exerts higher afQnity for D4 than D2 receptors and is lacking extrapyramidal side effects (VanTol et al. Nature 1991, 250, 610; Hadley Medicinal Research Reviews 1996, 16, 507-526, and SannerZvp. Opiiu Tlier, Patents 1998, 5, 383-393).
A number of D4 ligands, which were postulated to be selective D4 receptor antagonists (L-745,879 and U-10195S), have been shown to posses antipsychotic potential (Mansbach et al. Psychopharmacology 1998, 135, 194-200). However, recently it has been reported that these compounds are partial D4 receptor agonists in various in vitro efficacy assays (Gazi et al. Br, J. Pharmacol 1998,124, S89-S96 and Gazi et al Br. 1 Pharmacol 1999, 128, 613-620). Furthermore, it was shown that clozapine, which is an effective antipsychotic, is a silent D4 antagonists (Gazi et al. Br. J. Pharmacol 1999,128, 613-620).
Consequently, D4 ligands which are partial D4 receptor agonists or antagonists may have beneficial effects against psychoses.
Dopamine D4 antagonists may also be useful for the treatment of cognitive deficits (Jentsch . et al. Psychopharmacology 1999,142, 78-84),

Furthermore, evidence for a genetic association between the "primarily inattentive" subtype of attention deficit hyperactivity disorder (.ADHD) and a tandem duplication polymorphism in the gene encoding the dopamine D4 receptor has been published (McCracken et al. Mol Psychiatry 2000, 5, 531-536). This clearly indicates a link between the dopamine D4 receptor and ADHD, and ligands affecting this receptor may be useful for the treatment of this particular disorder.
Various effects are known with respect to compounds which are ligands at the different serotonin receptor subtypes. As regards the 5-HT:A receptor, which was previously referred to as the 5-HT2 receptor, the following effects have been reported, e.g.:
Antidepressive effect and improvement of the sleep quality (Meert et al. Drug. Dev. Res, 1989, 75, 119), reduction of the negative symptoms of schizophrenia and of extrapyi'amidal side effects caused by treatment with classical neuroleptics in schizoplirenic patients (Gelders British J. Psychiatiy 1989, 155 (suppl. 5), 33). Furthermore, selective 5-HT2A antagonists could be effective in the prophylaxis and treatment of migi'aine (Scrip Report; "Migraine - Current trends in research and treatment"; PJB Publications Ltd.; May 1991) and in the treatment of anxiety (Colpart et al. Psychopharmacology 1985, S6, 303-305 and Perregaard et al. Current Opinion in Therapeutic Patents 1993, 7, 101-128).
Some clinical studies implicate the 5-HT2 receptor subtype in aggressive behaviour. Furthermore, atypical serotonin-dopamine antagonist neuroleptics have 5-HT2 receptor antagonistic effect in addition to their dopamine blocking properties and have been reported to possess anti-aggressive behaviour (Cormor et al. Exp. Opin. Ther. Patents 1998, 8(4), 350-351).
Recently, evidence has also accumulated which support the rationale for selective 5-HT2A antagonists as drugs capable of treating positive syinptoms of psychosis (Leysen et al. Current Pharmaceutical Design 1997, 3, 367-390 and Carlsson Current Opinion in CPNS Investigational Drugs 2000, 2(1), 22-24).
Compounds which are 5-HT reuptake inhibitors are well-known antidepressant drugs.

5-HT2C ligands have been found to augment the effect of 5-HT reuptake inhibitors in microdialysis experiments and animal models, and compounds having 5-HT reuptake inhibiting effect combined with affinity for the 5-HT2c receptor may therefore be particularly useful for the treatment of depression and other disorders responsive to serotonin reuptake inhibitors (PCT application No. PCT/DKOO/00671).
Accordingly, dopamine D4 receptor ligands are potential drugs for the treatment of schizophrenia and other psychoses, and compounds with combined effects at the 5-HT transporter may have the further benefit of improved effect on depressive and negative symptoms in schizophrenic patients. Compounds with combined effect at the dopamme D4 receptor and the 5-HT2A receptor may have the benefit of improved effect on positive and negative symptoms of schizophrenia and the benefit of effect on depressive and anxiety symptoms.
In particular, the compounds of the invention are considered useful in the. treatment of positive and negative symptoms of schizophrenia without inducing extrapyramidal side effects.
Summary of the Invention
The object of the present invention is to provide compounds that are partial agonists or antagonists at the dopamine D4 receptor and such compounds with combined effects at the dopamine D4 receptor, the 5-HT2A receptor, the 5-HT2C and/or the 5-HT transporter.
Accordingly, the present invention relates to novel compounds of the formula I



hydroxy, thiol, trifluoromethyl, trifluoromethylsulfonyl and C1-6-alkylsulfonyl;


In a specific embodiment, the present invention relates to a compound selected from
3-(l-{2-[5-(Acetylamino)-2-methylphenyl]ethyl}piperidin-4-yl)-6-chloro-lH-indole;
3-(l-{2-[5-(Cyclobutylmethanoylamino)-2-methylphenyl]ethyl}piperidin-4-yl)-5-fluoro-
IH-indole;












The acid addition salts of the compounds of the invention are pharmaceutically acceptable salts formed with non-toxic acids. Exemplary of such organic salts are those with maleic, fnmaric, benzoic, ascorbic, succinic, oxalic, bis-methyleuesalicylic, methanesulfonic, ethanedisulfonic, acetic, propionic, tartaric, salicylic, citric, gluconic, lactic, malic, mandelic, cinnaniic, citraconic, aspartic, stearic, palmitic, itaconic, glycolic, p-aminobenzoic, glutamic, benzenesulfonic, and theophylline acetic acids, as well as the S-halotheophyllines, for example S-bromotheophylline. Exemplary of such inorganic salts are those with hydrochloric, hydrobromic, sulfuric, sulfamic, phosphoric and nitric acids.
The pharmaceutical compositions of this invention or those which are manufactured in accordance with this invention may be administered by any suitable route, for example orally in the form of tablets, capsules, powders, syrups, etc., or parenterally in the form of

solutions for injection. For preparing such compositions, methods well known in the art may be used, and any pharmaceutically acceptable carriers, diluents, excipients or other additives normally used in the art may be used.
Conveniently, the compounds of the invention arc administered in unit dosage form containing said compounds in an amount of about 0.01 to 100 mg.
The total daily dose is usually in the range of about 0.05 - 500 mg, and most preferably about O.I to 50 mg of the active compound of the invention.
The compounds of the invention may be prepared as follows:
1) Alkylating a piperazine, piperidine or tctrahydropyridinc of formula II with an
alkylating derivative of formula III:

1 O
wherein R1 -R8 , X, W, n, m and the dotted line are as previously defined, and L is a leaving group such as e.g. halogen, mesylate or tosylate;
2) Reductive alkylation of an amine of formula II with a reagent of formula IV:

wherein R1,R8, X, W, n, m and the dotted line are as previously defined, and E is an aldehyde or an activated carboxylic acid;

3) Reducing the double bond in the tetrahydropyridinyl ring in derivatives of formula
V:

wherein R -R , W, n and m are as previously defined;
4) Acylating an amine of foiTnula VI

wherein R1-R8 XW, n, m and the dotted line are as previously defined by the use of a carboxylic acid and a coupling reagent, an activated ester, an acid chloride, an isocyanate, a carbamoyl chloride or a by a two-step procedure by treatment with phosgene followed by addition of an amine;
5) Cleaving a polymer bound derivative of formula VII


wherein R1-R7', X, W, n and m are as previously defined and R'OH is hydroxyethyl or hydroxymethyl polystyrene, Wang resin or analogous polyethylene glycol polystyrene resins; whereupon the compound of Formula I is isolated as the free base or a pharma-ceutically acceptable acid addition sah thereof.
The alkylation according to method 1) is conveniently performed in an inert organic solvent such as a suitably boiling alcohol or ketone, preferably in the presence of an organic or inorganic base (potassium carbonate, diisopropylethylamine or triethylamine) at reflux temperature. Alternatively, the alkylation can be performed at a fixed temperature which is different from the boiling point, in one of the above-mentioned solvents or in dimethyl formamide (DMF), dimethylsulfoxide (DMSO) or 1H-methylpyrroIidin-2-one (NMP), preferably in the presence of a base. The synthesis of the amines of formula II, 3-(piperidin-4-yl)-lH-indoles and 3-(3,6-dihydro-2H-pyridin-4-yl)-lH-indoles, has been described in the literature (see EP-Al-465398).
The alkylating derivatives of formula III are prepared by nitration of the alkyl-substituted phenylacctic acids followed by reduction of the nitro group, e.g. with tin(II) chloride and functionalization of the produced amino group. The carboxylic acid is subsequently reduced to the corresponding alcohol, e.g. by treatment with borane followed by conversion of the alcohol to a leaving group, e.g. by treatment with methane sulfonyl chloride or thionyl bromide.
The reductive alkylation according to method 2) is performed by standard literature methods. The reaction can be performed in two steps, e.g. coupling of amines of formula II with reagent of formula IV by standard methods via the carboxylic acid chloride, activated esters or by the use of carboxylic acids in combination with a coupling reagent such as e.g. dicyclohexyl carbodiimide, followed by reduction of the resulting amide with lithium aluminium hydride or alane. The carboxylic acid of formula IV is prepared by nitration of the alkyl-substituted phenylacetic acid followed by reduction of the nitro group, e.g. with tin(II) chloride and finally functionalization of the resulting amino group.
The reaction can also be performed by a standard one-pot procedure, e.g. using a reductive amination of amines of formula II and aldehydes of formula IV. The aldehydes of formula

IV are prepared by reduction of the before mentioned functionalized (aminophenyl)acetic acid by treatment with a reducing agent such as e.g. borane. The resulting alcohol is converted to the corresponding aldehyde by standard oxidation methods, e.g. pyridinium chlorochromate.
The reduction of the double bond according to method 3) is generally performed by catalytic hydrogenation at low pressure ( The acylation according to method 4) is conveniently performed by standard methods via the carboxylic acid chloride, activated esters or by the use of carboxylic acids in combination with coupling reagents such as e.g. dicyclohexyl carbodiimide. When the acylation prodvices urea derivatives, the acylating reagent is carbamoyl chlorides, isocyanates or a two-step procedure consisting of treatment with phosgene followed by addition of an amine.
The intermediate compounds of formula VI are prepared as described in methods 1) and 2).
The derivatives of structure VII are prepared by means of a solid phase synthesis sequence as outlined below. The final product was cleaved from the resin according to method 5) using diluted sodium methoxide in a methanol/tetrahydrofuran mixture at ambient temperature. The first building block, VIII, prepared by tert-butoxycarbonyl protection of compounds of formula II, which is prepared by methods obvious to the chemist skilled in the art (see also EP-Al-465398), is generally attached to the resin (eg. polystyrene bound ethyl 4-nitrophenyl carbonate) using base e.g. N,N-dimethylaminopyridine and N^N-diisopropylethylamine at elevated temperature (e.g. 50-100 °C) in an aprotic solvent (e.g. DMF or DMSO). After deprotection of compound DC by trifluoroacetic acid, the second diversifying building block is introduced by alkylation of compoimd X whereby compound XI is formed. The alkylating reagent is prepared by nitration of alkylsubstituted . phenylacetic acid by standard nitration procedures followed by reduction of the carboxylic acid, e.g. by treatment with borane in tetrahydrofurane and finally converting the produced alcohol to a leaving group, e.g. by treatment with methanesulfonyl chloride in

dichloromethane and triethylamine. The alkylation is performed at elevated temperature (50-100oC) in an aprotic solvent such as DX-IF, acetone or acetonitrile leading to resin XI. After reduction of the nitro group, e.g. by treatment with tin(II) chloride in DMF, the third diversifying building block is introduced by standard acylation procedures, e.g. addition oC an acid chloride, isocyanate or carbamoyl chloride and base at low temperature in DNEF, dichloromethane or acetonitrile.


Experimental Section
Melting points were determined on a Buchi SMP-20 apparatus and are uncorrected. Analytical LC-MS data were obtained on a PE Sciex API 150EX instrument equipped with IonSpray source and Shimadzu LC-SA/SLC-lOA LC system. The LC conditions (CIS column 4.6 x 30 mm with a particle size of 3.5μm) were linear gradient elution with water/acetonitrile/trifluoroacetic acid (90:10:0.05) to water/acetonitrile/trifluoroacetic acid (10:90:0.03) in 4 min at 2 mL/min. Purity was determined by integration of the UV trace (254 nm). The retention times, Rt, are expressed in minutes.
Mass spectra were obtained by an alternating scan method to give molecular weight infomiation. The molecular ion, MH+, was obtained at low orifice voltage (5-20V) and fragmentation at high orifice voltage (100-200V).
Preparative LC-MS-separation was performed on the same instrument. The LC conditions (CIS column 20 x 50 mm with a particle size of 5 μm) were linear gradient elution with water/acetonitrile/trifluoroacetic acid (80:20:0.05) to water/acetonitrile/trifluoroacetic acid (5:95:0.03) in 7 min at 22.7 mL/min. Fraction collection was performed by split-flow MS detection.
'H NMR spectra were recorded at 500.13 MHz on a Bruker Avance DRX500 instrument or at 250.13 MHz on a Bruker AC 250 instrument. Deuterated chloroform (99.8%D) or dimethyl sulfoxide (99.9%D) were used as solvents. TMS was used as internal reference standard. Chemical shift values are expressed in ppm-values. The following abbreviations are used for multiplicity of NMR signals: s=singlet, d=doublet, t=triplet, q=quartet, qui=quintet, h=heptet, dd=double doublet, dt=double triplet, dq=double quartet, tt=triplet of triplets, m=multiplet. NMR signals corresponding to acidic protons are generally omitted. Content of water in crystalline compounds was determined by Karl Fischer titration. For column chromatography silica gel of type Kieselgel 60,40-60 mesh ASTM was used. For ion-exchange chromatography (SCX, 1 g, Varian Mega Bond Elut®, Chrompack cat. no. 220776). Prior use of the SCX-columns was pre-conditioned with 10% solution of acetic •, acid in methanol (3 mL).

Examples
Preparation of intermediates
A. Acylating reagent
(2-Methyl;-5-nitrophenyl)acetic acid
■ — — ■—» - ■—,.. ■ ,■*_,. ... .t. ,.„_— —ii - ...— —..
A 1 L round bottom flask was charged with cone, sulfuric acid (500 niL) and cooled to -12 °C (ethyleneglycol-dry ice). (2-Methylphenyl)acetic acid (35.4 g, 0.24 mol) dissolved in dichloromethane (120 mL) was added during 10 minutes and the mixture was then treated dropwise during two hours with a pre-cooled (ethylene glycol-dry ice) solution of cone, sulfuric acid (100 mL) and 100% nitric acid (10 mL). The reaction mixture was stirred for one hour at -12 °C and then poured on ice. The aqueous phase was extracted with ethyl acetate (3 x 1 L). The combined organic phases were washed with brine (2 x IL) and water (2 X 1 L), dried (NA2SO2) and concentrated in vacuo to give the 38.Ig crude mixture (38 g). 'H NMR showed a 70:30 mixture of the title compound and (2-methyl-3-nitrophenyl)acetic acid, and the title compound was purified by trituation with diethyl ether.
B, Alkylating reagents
2'(2M-lethauesttlfonyloxyethyl)-l-methvl-4'nitrobenzene
A 500 mL round bottom flask was charged with (2-methyl-5-nitrophenyl)acetic acid (15 g, 77 mmol) and dry THF (300 mL). The mixture was cooled on ice-water and treated dropwise with borane-tetrahydrofurane complex (90 mL, IM in THF, 90 mmol) during one hour. The reaction mixture was stirred for two hours at room temperature and then poured on ice. The aqueous phase was extracted with ethyl acetate (3 x 600 mL). The corabmed organic phases were washed with brine (2 x IL) and water (2 x IL), dried (Na2SO4) and concentrated in vacuo. The residue was redissolved in dichloromethane (200 mL) and triethylamine (10.8 mL, 78 mmol). The mixture was cooled on ice-water and a mixture of methanesulfonyl chloride (6.05 mL, 78 mmol) dissolved in dichloromethane (100 mL) was added dropwise during 20 minutes. The reaction mixture was stirred for 2 hours at room

temperature. The reaction mixture was concentrated in vacuo. The residue was purified by flash chromatography on silicagel (eluent: ethyl acetate/heptane 2:3) to give the title compound (7.8 g). 1H NMR (CDCI3): 2.45 (s, 3H); 2.96 (s, 3H); 3.15 (t, 2H); 4.45 (t, 2H); 7.33 (d,lFI); 7.98-8.11 (m, 2H).
2'(2-Bromoethvl)-l-methyl-4-nitrobenzene
A mixture of 2-(2-methanesulfonyloxyethyl)-l-methyl-4-nitrobenzene (4.0 g) and lithium
bromide (6.6 g) in acetone (250 mL) was boiled under reflux for 31/2 h. The resulting
mixture was cooled and filtered. The residue was purified by flash chi-omatography on
silicagel (eluent: ethyl acetate/heptane 1:2) to give the title compound (3.7 g). 1H NMR
(DMSO-de): 2.45 (s, 3H); 3.25 (t, 2H); 3.80 (t, 2H); 7.50 (d, IH); 8.05 (dd, IH); 8.15 (d,
IH).
Preparation of solid supported intermediates
Preparation of 4-mtrophenyloxycarbonyloxyethyl polystyren
A 2 L round bottom flask was charged with hydroxyethyl polystyren (62.9 g, 83 mmol, commercially available from Rapp Polymere, cat. no. HA 1 400 00), iV-methyl-morpholine (20 mL, 183 mmol), and dry dichloromethane (900 mL). The suspension was cooled on an ice bath followed by the addition over a period of 5 min of 4-nitrophenyl chloroformiate, dissolved in dry dichloromethane (400 mL), The mixture was stirred at room temperature for 16 h. The resin was filtered off and washed with dry dichloromethane (5 x 200 mL). The resin was dried in vaaio (20 °C, 72 h) to yield the title resin (79.6 g).
Preparation of polymer bound 3-fl'f2-(5'amino-2-methylphenyl)ethyl]pipa'idin-4'yl}-5' flxioro-lH'indole:
A 100 mL round bottom flask was charged with 4-nitrophenyloxycarbonyloxyethyl polystyren (6,6 g, 7.1 mmol), 5-fluoro-3-(l-tert-butoxycarbonylpiperidin-4-yl)-liir-indole (2.7 g, 8.1 mmol), diisopropylethylamine (6.2 mL, 35.6 mmol), 4-dimethylanunopyridine (0.87 g, 7.1 mmol), and dry dimethyl formamide (85 mL). The mixture was stirred at 90 °C for 20 h. After cooling to room temperature, the resin was filtered off and washed with dry dimethyl formamide (3 x 25 mL), dry acetonitrile (3 x 25 mL) and dry dichloromethane (3

X 25 mL). The resin was transferred to a 250 mL glass cylinder with a fritte and a three way junction in the bottom. The resin was then treated for 20 min with SO mL of a 1:1 mixture of dichloromethane and trifluoroacetic acid containing anisole (2%, w/w) and methionine (0.2 %, w/w), using a flow of niti'ogcn to agitate the resin (Caution: Generation of carbon dioxide). The resin was filtered off and washed with dry dichloromethane (25 mL), a 1:1 mixture of dichIoromethane:triethylamine (3 x 25 mL) and dry dichloromethane (3 x 25 mL). The resin was transferred to a 250 mL round bottom flask. Acetonitrile (70 niL), diisopropylethylamine (5.2 niL, 30 mmol) and 2-(2-methanesulfonyloxyethyl)-l-methyl-4-nitrobenzene (3.67 g, 14 mmol) was added. The reaction mixture was heated to 70 °C for 18 h. After cooling to room temperature, the resin was filtered off and washed with dry acetonitrile (3 x 25 mL) and dry dichloromethane (3 x 25 mL). The resin was transferred to a 250 mL round bottom flask and treated with tin(II) chloride dihydrate (60 mL of an 0,5 M solution in DMF). The reaction mixture was stirred for 18 h. at room temperature. The resin was filtered off and washed with dry dimethyl formamide (3 x 25 mL), dry acetonitrile (3 x 25 mL) and dry dichloromethane (3 x 25 mL]. The resin was dried in vacuo (20 °C, 20 h) to yield the title resin (6.3 g).
The following polymer bound compounds were prepared in a similar manner:
3-{l-[2-(5-amino-2-methylphenyl)ethyl]piperidin-4-yl}-5-chloro-l//-indole 3-{l-[2-(5-amino-2-methylphenyl)ethyl]piperidin-4-yI}-6-chloro-l//-indole 3-{l-[2-(5-amino-2-methyIphenyl)ethyl]piperidin-4-yl}-7-chloro-l//-indoIe

A mixture of (2-methyl-5-nitrophenyl)acetic acid (47 g) and thionyl chloride (62 mL) in dichloromethane (400 mL) was boiled under reflux for 5 h and concentrated in vacuo, A small amount of the residue (5 g) was dissolved in tetrahydrofuran (100 mL) and added dropwise to a mixture of 6-chloro-3-(3,6-dihydro-2H-pyridin-4-yl)-lH-indole (6.0 g) and

triethylamine (5 mL) in tetrahydrofuran (250 mL) at 0 °C over a period of 10 min. The mixture was concentrated in vacuo, aqueous 2 N sodium hydroxide (400 mL) and ethyl acetate (400 mL) was added, whereby 6-chloro-3-{l-[2-(2-methyl'5-nitrophenyl)-l-oxoethyl]-3,6-dihydro-2H-pyridin-4-yl}-lH-indole precipitated and was collected by filtration (3.7 g). The organic phases were isolated, washed with brine, dried (Na2SO4), filtered and concentrated in vacuo. The residue was purified by flash chromatography on

4-yl}-l/f-indole (5.3 g) in tetrahydrofuran (100 mL) and tin(II) chloride dihydrate (14,5 g) in ethanol (150 mL) was boiled under reflux for 2 h, and the solvent reduced to about 100 mL in vacuo. Aqueous ammonia was added and the organic phase was removed in vacuo. The aqueous phase was extracted with ethyl acetate, and the combined organic phases were washed with brine, dried (Na2SO4), filtered and concentrated in vacuo to give 6-chloro-3-

tetrahydrofuran). Crude compound (4.0 g) was dissolved in acetic acid (100 mL) followed by the addition of platinum oxide (400 mg), and the resulting mixture was shaken under 3 atmosphere hydrogen pressure for 6 h at room temperature. The mixture was filtered and added water (400 mL) followed by the addition of aqueous ammonia to basic pH. The aqueous phase was extracted with an ethyl acetate, and the combined organic phase was washed with brine, dried (Na2S04), filtered and concentrated in vacuo to give 6-chloro-3-{l-[2-(5-amino-2-methylphenyl)ethyl]piperidin-4-yl}-l/f-indole (2.4 g). The compound was dissolved in tetrahydrofuran (200 mL) and triethylamine (1 mL), and the mixture was cooled to 0oC followed by dropwise addition of acetyl chloride (0.5 mL) in dichloromethane (30 mL). The resulting mixture was stirred at room temperature for 2 h, filtered and concentrated in vacua. The residue was purified by flash chromatography on


(DMSO-d6): 1.85-2.10 (m, 4H); 2.25 (s, 3H); 2.65-3.00 (m, 7H); 3.30-3.45 (m, 2H); 6.60 (s, 3H (fumerate)); 7.00 (dd, IH); 7.10 (d, IH); 7.20 (d, IH); 7.30-7.45 (m, 3H); 7.65 (d, IH); 9.85 (s, IH); 11.05 (s, IH). MS m/z: 410 (MH+), 259, 247, 176.

A mixture of 5-fluoro-3-(piperidin-4-yl)-lH-indole (2,7 g) in dimethyl formamide (75 mL), 2-(2-bromoethyl)-l-methyl-4-nitrobenzene (3.7 g) in butanone (200 mL) and triethylamine (9.3 mL) was boiled under reflux for 20 h, and the resulting mixture was concentrated in vacuo. The residue was purified by flash chromatography on silicagel (eluent: ethyl acetate/triethylamine 100:4) to give 5-fluoro-3-{l-[2-(2-methyl-5-nitrophenyl)ethyl]piperidin-4-yl}-lH-indoIe (3.6 g), which subsequently was dissolved in acetic acid (25 ml) followed by the addition of ethanol (75 mL) and platinum oxide (50 mg). The resulting mixture was shaken under 3 atmosphere hydrogen pressure for 3 h at room temperature. The mixture was reduced in vacuo (50 mL), poured onto an ice/water mixtiu-e followed by the addition of aqueous ammonia to basic pH. The aqueous phase was extracted with an ethyl acetate/tetrahydrofuran mixture, and the combined organic phase was washed with brine, dried (MgSO4), filtered and concentrated in vacuo. The residue was purified by flash chromatography on silicagel (eluent: ethyl acetate/ethanol/triethylamine 100:4:4) to



M solution in dry acetonitrile) were mixed in a reactor tube. The mixture was cooled to 0°C and treated with acetyl chloride (0.50 mL of an IM solution in dry acetonitrile). The reaction mixture was left at 0 oC for 2 h. The resin was filtered off and washed with dry acetonitrile (3 x 1 mL). The resin was treated for Ih with 1 mL of a mixture of sodium methoxide (2 mL, 5 N sodium methoxide in methanol), methanol (50 mL) and tetrahydrofuran (50 mL). After filtration, the resin was washed with methanol (1 mL). The combined filtrates were loaded on a pre-conditioned ion exchange column (500 mg SCX colunm, commercially available from Analytical Instruments, part no. 1210-2040), washed with acetonitrile (1 mL) and methanol (1 mL), The product was eluted with 4 M ammonia in methanol. Evaporation of volatile solvents afforded the title compound as a yellow oil (6 mg, 15 μmol). LC/MS (m/z) 394 (MH+), RT = L98, purity: SS%.
The following compounds were prepared in similar manner. When ureas were prepared, the corresponding carbamoyl chloride was used in place of an acid chloride. The compounds were purified by preparative reversed phase HPLC chromatography if the UV trace (254 nm) showed less than 70% purity of the expected mass. The resulting solution was subsequently loaded on a pre-conditioned ion exchange column washed with acetonitrile (1 mL) and methanol (1 mL). The product was eluted with 4 M ammonia in methanol and the solution concentrated in vacuo to yield the final product.







temperature and subsequently added concentrated HCl (22 mL) and iron powder (11.3 g) over a period of 30 min. The resulting mixture was boiled under reflux for an additional 90 min, filtered hot and concentrated in vacuo. The residue was dissolved in tetrahydrofuran,

and the organic phase was washed with brine, dried (MgSo4), filtered and concentrated in vacuo to give give 7-chloro-3-{l-[2-(5-amino-2-methylphenyl)-l-oxoethyl]-piperidin-4-yl}-IH-indole (14.3 g). A suspension of lithium aluminium hydride (6.4 g) in tetrahydrofuran (250 mL) was cooled (5oC) and subsequently added a mixture of 7-chloro-3-{l-[2-(5-amino-2-methylphenyl)-l-oxoethyl]-piperidin-4-yl}-lH-indole (16.0 g) in tetrahydrofuran (250 niL). The resulting mixture was boiled under reflux for 90 min, cooled to 5 °C and




from 7-chloro-3-{l-[2-(5-amino-2-methyIpheiiyI)ethyI]piperidin-4-yl}-lH'-indole and [l,2,3]thiadiazole-5-carbonyl chloride. LC/MS (m/z) 480 (MH4-), RT = 2.24, purity: 69%.
Pharmacological Testing
The compounds of the invention were tested in well-recognised and reliable tests. The lests were as follows:
Inhibition of the binding of [3H]-YM-09151-2 to human dopamine D4 receptors
By this method, the inhibition by drugs of the binding of [^H]YM-09151-2 (0.06 nM) to membranes of human cloned dopamine D4.2 receptors expressed in CHO-cells is determined in vitro. The method is modified from NEN Life Science Products, Inc., technical data certificate PC2533-10/96. In table 1 below, the test results are shown:


The compounds of the invention have been found potently to inhibit the binding of tritiated YM-09151-2 to dopamine D4 receptors.
The compounds have also been tested in a functional assay described by Gazi et al. in Br. 7. Phanuacol 1999, 128, 613-629. In this test, the compounds were shown to be partial agonists or antagonists at dopamine D4 receptors.
The compounds of the invention have also been tested in the following tests:
Inhibition of the binding of [3H] Spiperone to D2 receptors
The compounds were tested with respect to affinity for the dopamine D2 receptor by dcteimining their ability to inliibit the binding of ['H]Spiperonc to D2 receptors by the method of Hyttel et al. 1 Neurochem. 1985, 44, 1615.
Inhibition of the uptake of plllScrotonin into whole rat brain synaptosonics
The compounds were tested with respect to their 5-HT reuptake inhibiting effect by measuring their ability to inhibit the uptake of [^H]Serotonin into whole rat brain synaptosomes in vitro. The assay was perfonned as described by Hyttel Psychopharmacology 1978, 60, 13.
Inhibition of the binding of [3H]Ketanserin to 5-HT2Ai'eceptors
The compounds were tested with respect to their affinity for 5-HT3A receptors by determining their ability to mhibit the bmding of [^HJKetanserin (0.50 nM) to membranes fi-om rat braui (cortex) /;/ vitro. Method described in Sanchez et al. Di-ugDev. Res. 1991, 22, 239-250.
5-HT2C receptor efficacy as determined by fluorometry
The compounds were tested with respect to their efficacy on 5-HT2C receptor-expressing CHO cells as determined by fluorometric imaging plate reader (FLIPR) analysis. This assay

was carried out according to Molecular Devices Inc. instructions for their FLIPR Calcium Assay Kit and as modified from Porter et al. Br, 1 Pharmacol 1999,12S, 13.
The compounds were found to have no substantial or only weak affinity for the dopamine D2 receptor. Many of the compounds were also found to have affinity for 5-HT2A receptors and serotonin reuptake inhibiting activity.
Thus, the compounds of the invention are considered useflil in the treatment of positive and negative symptoms of scliizophrenia, other psychoses, anxiety disorders, such as ' generalised anxiety disorder, panic disorder and obsessive compulsive disorder, depression, side effects induced by conventional antipsychotic agents, migraine, and in the improvement of sleep. In particular the compounds of the invention are considered useful in the treatment of positive and negative symptoms of schizophrenia without inducing extrapyramidal side effects.
Formulation Examples
The pharmaceutical formulations of the invention may be prepared by conventional methods in the art.
For example: Tablets may be prepared by mixing the active ingredient with ordinary adjuvants and/or diluents and subsequently compressing the mixture in a conventional tabletting machine. Examples of adjuvants or diluents comprise: com starch, potato starch, talcum, magnesium stearate, gelatine, lactose, gums, and the like. Any other adjuvants or additives usually used for such purposes such as colourings, flavourings, preservatives etc. may be used provided that they are compatible with the active ingredients. Solutions for injections may be prepared by dissolving the active ingredient and possible additives in a part of the solvent for injection, preferably sterile water, adjusting the solution to desired volume, sterihsing the solution and filling it in suitable ampules or vials. Any suitable additive conventionally used in the art may be added, such as tonicity agents, preservatives, antioxidants, etc.
Typical examples of recipes for the formulation of the invention are as follows;

1) Tablets containing 5.0 mg of a compound of the invention calculated as the free
base:
Compound 5.0 mg
Lactose 60 mg
Maize starch 30 mg
Hydrox\propylcellulose 2.4 mg
Microcrystalline cellulose 19.2 mg
Croscarmellose Sodium Type A 2.4 mg
Magnesium stearate 0.S4 mg
2) Tablets containing 0.5 mg of a compound of the invention calculated as
the free base:
Compound 0.5 mg
Lactose 46.9 mg
Maize starch 23.5 mg
Povidone l.S mg
Microcrystallinc cellulose 14.4 mg
Croscarmellose Sodium Type A 1 .S mg
Magnesium stearate 0.63 mg
3) Syrup containing per millilitre:
Compound 25 mg
Sorbitol 500 mg
Hydroxypropylcellulose 15 mg
Glycerol 50 mg
Methyl-paraben I mg
Propyl-paraben 0.1 mg
Ethanol 0.005 ml
Flavour 0.05 mg
Saccharin sodium 0,5 mg
Water ad 1 ml

4) Solution for injection containing per millilitre:
Compound 0.5 mg
Sorbitol 5.1 mg
Acetic Acid 0.05 mg
Saccharin sodium 0.5 mg
Water ad 1 ml



Patent Claims
I. A substituted indole derivative of formula I

X is C, CH or N and the dotted line emanating from X indicates a bond when X is C and no bond when X is N or CH;


2. The compound according to claim 1, wherein the indole is bound to X via position 3
of the indole.
3. The compound according to claims 1-2, wherein W is a bond.
4. The compound according to claim 3, wherein n + m is 2.
5. The compoimd according to claims 1-4, wherein R is a methyl group.
6. The compound according to claims 1 or 5, wherein the group -NH-CO-R1 is attached to the phenyl group in a position para to the position of the R group.


I
(
I
I
I
3-(l-{2-[5-(Isobutanoylammo)-2-methylphenyl]ethyl}piperidin-4-yl)-6-chloro-1H-indole;

3-(I-{2-[5-(3-Methoxybenzoylannno)-2-methyIphenyI]ethy]}pipendin-4-yI)-6-chloro-1H-indole;
3-(l-{2-[2-Methyl-5-(pyridin-3-ylmethanoylamino)phenyl]ethyl}piperidin-4-yl)-6-chloro-1 IH-indole;



9. A pharmaceutical composition characterised in that it comprises a compound of any of claims 1 to 8 in a therapeutically effective amount together with one or more pharmaceutically acceptable carriers or diluents.

10. Use of a compound of any of claims 1 to 8 for the manufacture of a medicament useful in the treatment of positive and negative symptoms of schizophrenia, other psychoses, anxiety disorders, such as generalised aaxiety disorder, panic disorder and obsessive compulsive disorder, depression, aggression, side effects induced by conventional antipsychotic agents, migraine, cognitive disorders, ADHD and in the improvement of sleep.
11. A method of treating the positive and negative symptoms of schizoplirenia, other psychoses, anxiety disorders, such as generahsed anxiety disorder, panic disorder and obsessive compulsive disorder, depression, aggression, side effects induced by conventional antipsychotic agents, migraine, cognitive disorders, ADHD and in the improvement of sleep comprising administration of a therapeutically acceptable amount of a compound according to any of claims 1 to 8.

12. A pharmaceutical composition substantially as herein described and exemplified.


Documents:

226-chenp-2003 others.pdf

226-chenp-2003 claims.pdf

226-chenp-2003 description (complete).pdf

226-chenp-2003 form-18.pdf

226-chenp-2003 pct search report.pdf

226-chenp-2003 petition.pdf

226-chenp-2003-abstract.pdf

226-chenp-2003-claims duplicate.pdf

226-chenp-2003-correspondnece-others.pdf

226-chenp-2003-correspondnece-po.pdf

226-chenp-2003-description(complete) duplicate.pdf

226-chenp-2003-description(complete) original.pdf

226-chenp-2003-form 1.pdf

226-chenp-2003-form 26.pdf

226-chenp-2003-form 3.pdf

226-chenp-2003-form 5.pdf

226-chenp-2003-other documents.pdf

226-chenp-2003-pct.pdf


Patent Number 209195
Indian Patent Application Number 226/CHENP/2003
PG Journal Number 38/2007
Publication Date 21-Sep-2007
Grant Date 22-Aug-2007
Date of Filing 06-Feb-2003
Name of Patentee M/S. H. LUNDBECK A/S
Applicant Address 9, Ottiliavej, DK-2500 Valby-Copenhagen
Inventors:
# Inventor's Name Inventor's Address
1 FELDING, Jakob Vermlandsgade 4, 5 th DK-2300 Copenhagen S
PCT International Classification Number C07D 401/04
PCT International Application Number PCT/DK2001/000507
PCT International Filing date 2001-07-17
PCT Conventions:
# PCT Application Number Date of Convention Priority Country
1 PA200001123 2000-07-21 Denmark