Case 23788

BENZAZEPINE DERIVATIVES AS MONOAMINE REUPTAKE INHIBITORS

This invention pertains to benzazepine compounds and methods for using the same. In particular, compounds of the present invention are useful for treatment of diseases associated with monoamine reuptake inhibitors.

Present invention is concerned with compounds of formula I:

wherein:

Ar is optionally substituted indolyl; R ¹ is: hydrogen; or

Ci βalkyl; and R ² is: hydrogen;

Ci ealkyl; Ci βalkoxy; halo; halo-Ci βalkyl; hetero-Ci βalkyl;

Ci βalkylsulfonyl; cyano; amino;

Ci βalkylamino; di-Ci βalkylamino; heterocyclyl selected from piperazinyl, piperidinyl, pyrrolidinyl, morpholinyl, thiomorpholinyl, tetrahydropyranyl and tetrahydrofuranyl, each optionally substituted; heterocyclyl-Ci βalkyl selected from piperazinyl-Ci βalkyl, piperidinyl- Ci βalkyl, pyrrolidinyl-Ci βalkyl, morpholinyl-Ci βalkyl, thiomorpholinyl-Ci βalkyl,

MWA/23.03.2007

tetrahydropyranyl-Ci βalkyl and tetrahydrofuranyl-Ci βalkyl, the heterocyclyl portion of each optionally substituted;

-(CH ₂ ) _m -C(O)-NR ^a R ^b ;

-(CH ₂ ) _m -SO ₂ -NR ^a R ^b ; -(CH ₂ ) _m -C(O)-OR ^c ;

- NR ^d -C(O)-R ^e ;

- NR ^d -SO ₂ -R ^e ; -O-C(O)-R ^e ; -O-C(O)-NR ^a R ^b ; - NR ^d -C(O)-NR ^a R ^b ; or

- NR ^d -C(O)-OR ^c ; wherein m is 0 or 1 and R ^a , R ^b , R ^c , R ^d and R ^e each independently is hydrogen or Ci βalkyl.

Also provided are methods of making the subject compounds, pharmaceutical compositions comprising the subject compounds, and methods of using the subject compounds for treatment of monoamine reuptake inhibitor-mediated diseases.

Monoamine deficiency has been long been linked to depressive, anxiolytic and other disorders (see, e.g.: Charney et al., /. Clin. Psychiatry (1998) 59, 1-14; Delgado et al., /. Clin. Psychiatry (2000) 67, 7-11; Resser et al., Depress. Anxiety (2000) 12 (Suppl 1) 2-19; and Hirschfeld et al., /. Clin. Psychiatry (2000) 61, 4-6. In particular, serotonin (5- hydroxytryptamine) and norepinephrine are recognized as key modulatory neurotransmitters that play an important role in mood regulation. Selective serotonin reuptake inhibitors (SSRIs) such as fluoxetine, sertraline, paroxetine, fluvoxamine, citalopram and escitalopram have provided treatments for depressive disorders (Masand et al., Harv. Rev. Psychiatry (1999) 7, 69-84). Noradrenaline or norepinephrine reuptake inhibitors such as reboxetine, atomoxetine, desipramine and nortryptyline have provided effective treatments for depressive, attention deficit and hyperactivity disorders (Scates et al., Ann. Pharmacother. (2000) 34, 1302-1312; Tatsumi et al., Eur. J. Pharmacol. (1997) 340, 249-258).

Enhancement of serotonin and norepinephrine neurotransmission is recognized to be synergistic in the pharmacotherapy of depressive and anxiolytic disorders, in comparison with enhancement of only serotonin or norepinephrine neurotransmission alone (Thase et al., Br. J. Psychiatry (2001) 178, 234, 241; Tran et al., /. Clin. Psychopharmacology (2003) 23, 78-86). Dual reuptake inhibitors of both serotonin and

norepinephrine, such as duloxetine, milnacipran and venlafaxine are currently under development for treatment of depressive and anxiolytic disorders (Mallinckrodt et al., /. Clin. Psychiatry (2003) 5(1) 19-28; Bymaster et al., Expert Opin. Investig. Drugs (2003) 12(4) 531-543). Dual reuptake inhibitors of serotonin and norepinephrine also offer potential treatments for schizophrenia and other psychoses, dyskinesias, drug addition, cognitive disorders, Alzheimer's disease, obsessive-compulsive behaviour, attention deficit disorders, panic attacks, social phobias, eating disorders such as obesity, anorexia, bulimia and "binge-eating", stress, hyperglycaemia, hyperlipidemia, non-insulin- dependent diabetes, seizure disorders such as epilepsy, and treatment of conditions associated with neurological damage resulting from stroke, brain trauma, cerebral ischaemia, head injury and hemorrhage. Dual reuptake inhibitors of serotonin and norepinephrine also offer potential treatments for disorders and disease states of the urinary tract, and for pain and inflammation.

More recently, "triple reuptake" inhibitors ("broad-spectrum antidepressants" which inhibit the reuptake of norepinephrine, serotonin, and dopamine, have been recognized as useful for the treatment of depression and other CNS indications (Beer et al., /. Clinical Pharmacology (2004) 44:1360-1367; Skolnick et al., Eur J Pharmacol. (2003) Feb 14;461(2-3):99-104.

There is accordingly a need for compounds that are effective as serotonin reuptake inhibitors, norepinephrine reuptake inhibitors, dopamine reuptake inhibitors, and/or dual reuptake inhibitors of serotonin, norepinephrine and/or dopamine, or triple reuptake inhibitors of norepinephrine, serotonin, and dopamine, as well as methods of making and using such compounds in the treatment of depressive, anxiolytic, genitourinary, pain, and other disorders. The present invention satisfies these needs.

Definitions

Unless otherwise stated, the following terms used in this Application, including the specification and claims, have the definitions given below. It must be noted that, as used in the specification and the appended claims, the singular forms "a", "an," and "the" include plural referents unless the context clearly dictates otherwise.

"Agonist" refers to a compound that enhances the activity of another compound or receptor site.

"Alkyl" means the monovalent linear or branched saturated hydrocarbon moiety, consisting solely of carbon and hydrogen atoms, having from one to twelve carbon atoms. "Lower alkyl" refers to an alkyl group of one to six carbon atoms, i.e. Ci-Cβalkyl.

Examples of alkyl groups include, but are not limited to, methyl, ethyl, propyl, isopropyl,

isobutyl, sec-butyl, tert-butyl, pentyl, n-hexyl, octyl, dodecyl, and the like. "Branched alkyl" means isopropyl, isobutyl, tert-butyl,

"Alkylene" means a linear saturated divalent hydrocarbon radical of one to six carbon atoms or a branched saturated divalent hydrocarbon radical of three to six carbon atoms, e.g., methylene, ethylene, 2,2-dimethylethylene, propylene, 2-methylpropylene, butylene, pentylene, and the like.

"Alkoxy" means a moiety of the formula -OR, wherein R is an alkyl moiety as defined herein. Examples of alkoxy moieties include, but are not limited to, methoxy, ethoxy, isopropoxy, tert-butoxy and the like. "Alkoxyalkyl" means a moiety of the formula -R'-R", where R' is alkylene and R" is alkoxy as defined herein. Exemplary alkoxyalkyl groups include, by way of example, 2- methoxyethyl, 3-methoxypropyl, l-methyl-2-methoxyethyl, l-(2-methoxyethyl)-3- methoxypropyl, and l-(2-methoxyethyl)-3-methoxypropyl.

"Alkylcarbonyl" means a moiety of the formula -R'-R", where R' is carbonyl, i.e. - C(O)-R" and R" is alkyl as defined herein.

"Alkylsulfonyl" means a moiety of the formula -R'-R", where R' is -SO ₂ - and R" is alkyl as defined herein.

"Alkylsulfonylalkyl" means a moiety of the formula R ^a -Sθ2-R -, where R ^a is alkyl and R ^b is alkylene as defined herein. Exemplary alkylsulfonylalkyl groups include, by way of example, 3-methanesulfonylpropyl, 2-methanesulfonylethyl, 2-methanesulfonylpropy, and the like.

"Alkylsulfonyloxy" means a moiety of the formula R ^a -Sθ2-O-, where R ^a is alkyl as defined herein.

"Antagonist" refers to a compound that diminishes or prevents the action of another compound or receptor site.

"Aryl" means a monovalent cyclic aromatic hydrocarbon moiety consisting of a mono-, bi- or tricyclic aromatic ring. The aryl group can be optionally substituted as defined herein. Examples of aryl moieties include, but are not limited to, optionally substituted phenyl, naphthyl, phenanthryl, fluorenyl, indenyl, pentalenyl, azulenyl, oxydiphenyl, biphenyl, methylenediphenyl, aminodiphenyl, diphenylsulfidyl, diphenylsulfonyl, diphenylisopropylidenyl, benzodioxanyl, benzofuranyl, benzodioxylyl, benzopyranyl, benzoxazinyl, benzoxazinonyl, benzopiperadinyl, benzopiperazinyl, benzopyrrolidinyl, benzomorpholinyl, methylenedioxyphenyl, ethylenedioxyphenyl, and the like, including partially hydrogenated derivatives thereof. "Aryloxy" means a moiety of the formula -OR, wherein R is an aryl moiety as defined herein.

"Arylalkyl" and "Aralkyl", which may be used interchangeably, mean a radical - R ^a R where R ^a is an alkylene group and R is an aryl group as defined herein; e.g., phenylalkyls such as benzyl, phenylethyl, 3-(3-chlorophenyl)-2-methylpentyl, and the like are examples of arylalkyl. "Aralkoxy" means a moiety of the formula -OR, wherein R is an aralkyl moiety as defined herein.

"Cyanoalkyl" means a moiety of the formula -R'-R", where R' is alkylene as defined herein and R" is cyano or nitrile.

"Cycloalkyl" means a monovalent saturated carbocyclic moiety consisting of mono- or bicyclic rings. Cycloalkyl can optionally be substituted with one or more substituents, wherein each substituent is independently hydroxy, alkyl, alkoxy, halo, haloalkyl, amino, monoalkylamino, or dialkylamino, unless otherwise specifically indicated. Examples of cycloalkyl moieties include, but are not limited to, cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl, and the like, including partially unsaturated derivatives thereof.

"Cycloalkyloxy" and "cycloalkoxy", which may be used interchangeably, mean a group of the formula -OR wherein R is cycloalkyl as defined herein. Exemplary cycloalkyloxy include cyclopropyloxy, cyclobutyloxy, cyclopentyloxy, cyclohexyloxy and the like. "Cycloalkylalkyl" means a moiety of the formula -R'-R", where R' is alkylene and

R" is cycloalkyl as defined herein.

"Cycloalkylalkyloxy" and "cycloalkylalkoxy", which may be used interchangeably, mean a group of the formula -OR wherein R is cycloalkylalkyl as defined herein. Exemplary cycloalkyloxy include cyclopropylmethoxy, cyclobutylmethoxy, cyclopentylmethoxy, cyclohexylmethoxy and the like.

"Heteroalkyl" means an alkyl radical as defined herein, including a branched C ₄ - C7-alkyl, wherein one, two or three hydrogen atoms have been replaced with a substituent independently selected from the group consisting of -OR ^a , -NR ^b R ^c , and -S(O) _n R ^d (where n is an integer from 0 to 2), with the understanding that the point of attachment of the heteroalkyl radical is through a carbon atom, wherein R ^a is hydrogen, acyl, alkyl, cycloalkyl, or cycloalkylalkyl; R ^b and R ^c are independently of each other hydrogen, acyl, alkyl, cycloalkyl, or cycloalkylalkyl; and when n is 0, R ^d is hydrogen, alkyl, cycloalkyl, or cycloalkylalkyl, and when n is 1 or 2, R is alkyl, cycloalkyl, cycloalkylalkyl, amino, acylamino, monoalkylamino, or dialkylamino. Representative examples include, but are not limited to, 2-hydroxyethyl, 3-hydroxypropyl, 2-hydroxy-l-hydroxymethylethyl, 2,3- dihydroxypropyl, 1-hydroxymethylethyl, 3-hydroxybutyl, 2,3-dihydroxybutyl, 2- hydroxy-1-methylpropyl, 2-aminoethyl, 3-aminopropyl, 2-methylsulfonylethyl,

aminosulfonylmethyl, aminosulfonylethyl, aminosulfonylpropyl, niethylaniinosulfonylmethyl, niethylaminosulfonylethyl, niethylaminosulfonylpropyl, and the like. Subsets of heteroalkyl or preferred heteroalkyl are haloalkyl and hydroxyalkyl as described herein. "Heteroaryl" means a monocyclic, bicyclic or tricyclic radical of 5 to 12 ring atoms having at least one aromatic ring containing one, two, or three ring heteroatoms selected from N, O, or S, the remaining ring atoms being C, with the understanding that the attachment point of the heteroaryl radical will be on an aromatic ring. The heteroaryl ring may be optionally substituted as defined herein. Examples of heteroaryl moieties include, but are not limited to, optionally substituted imidazolyl, oxazolyl, isoxazolyl, thiazolyl, isothiazolyl, oxadiazolyl, thiadiazolyl, pyrazinyl, thienyl, thiophenyl, furanyl, pyranyl, pyridinyl, pyrrolyl, pyrazolyl, pyrimidyl, quinolinyl, isoquinolinyl, benzofuryl, benzofuranyl, benzothiophenyl, benzothiopyranyl, benzimidazolyl, benzoxazolyl, benzooxadiazolyl, benzothiazolyl, benzothiadiazolyl, benzopyranyl, indolyl, isoindolyl, triazolyl, triazinyl, quinoxalinyl, purinyl, quinazolinyl, quinolizinyl, naphthyridinyl, pteridinyl, carbazolyl, azepinyl, diazepinyl, acridinyl and the like, including partially hydrogenated derivatives thereof.

"Heteroarylalkyl" and "heteroaralkyl", which may be used interchangeably, mean a radical-R ^a R ^b where R ^a is an alkylene group and R ^b is a heteroaryl group as defined herein The terms "halo" and "halogen", which may be used interchangeably, refer to a substituent fluoro, chloro, bromo, or iodo.

"Haloalkyl" means alkyl as defined herein in which one or more hydrogen has been replaced with same or different halogen. Exemplary haloalkyls include -CH ₂ Cl, -CH2CF3, -CH2CCI3, perfluoroalkyl (e.g., -CF3), and the like. "Haloalkoxy" means a moiety of the formula -OR, wherein R is a haloalkyl moiety as defined herein. Examples of haloalkoxy moieties include, but are not limited to, trifluoromethoxy, difluoromethoxy, 2,2,2-trifluoroethoxy, and the like.

"Hydroxyalkyl" refers to a subset of heteroalkyl and refers in particular to an alkyl moiety as defined herein that is substituted with one or more, preferably one, two or three hydroxy groups, provided that the same carbon atom does not carry more than one hydroxy group. Representative examples include, but are not limited to, hydroxymethyl, 2-hydroxyethyl, 2-hydroxypropyl, 3-hydroxypropyl, 1- (hydroxymethyl) -2-methylpropyl, 2-hydroxybutyl, 3-hydroxybutyl, 4-hydroxybutyl, 2,3-dihydroxypropyl, 2-hydroxy-l- hydroxymethylethyl, 2,3-dihydroxybutyl, 3,4-dihydroxybutyl and 2- (hydroxymethyl) - 3-hydroxypropyl

"Heterocycloamino" means a saturated ring wherein at least one ring atom is N, NH or N-alkyl and the remaining ring atoms form an alkylene group.

"Heterocyclyl" means a monovalent saturated moiety, consisting of one to three rings, incorporating one, two, or three or four heteroatoms (chosen from nitrogen, oxygen or sulfur). The heterocyclyl ring maybe optionally substituted as defined herein. Examples of heterocyclyl moieties include, but are not limited to, optionally substituted piperidinyl, piperazinyl, homopiperazinyl, azepinyl, pyrrolidinyl, pyrazolidinyl, imidazolinyl, imidazolidinyl, pyridinyl, pyridazinyl, pyrimidinyl, oxazolidinyl, isoxazolidinyl, morpholinyl, thiazolidinyl, isothiazolidinyl, quinuclidinyl, quinolinyl, isoquinolinyl, benzimidazolyl, thiadiazolylidinyl, benzothiazolidinyl, benzoazolylidinyl, dihydrofuryl, tetrahydrofuryl, dihydropyranyl, tetrahydropyranyl, thiamorpholinyl, thiamorpholinylsulfoxide, thiamorpholinylsulfone, dihydroquinolinyl, dihydrisoquinolinyl, tetrahydroquinolinyl, tetrahydrisoquinolinyl, and the like.

"Heterocyclylalkyl" means -R'-R" where R' is alkylene and R" is heterocyclyl as defined herein.

"Optionally substituted", when used in association with "aryl", phenyl", "heteroaryl" (including indolyl such as indol-1-yl, indol-2-yl and indol-3-yl, 2,3- dihydroindolyl such as 2,3-dihydroindol-l-yl, 2,3-dihydro indol-2-yl and 2,3- dihydro indol-3-yl, indazolyl such as indazol-1-yl, indazol-2-yl and indazol-3-yl, benzimidazolyl such as benzimidazol-1-yl and benzimidazol-2-yl, benzofuranyl such as benzofuran-2-yl and benzofuran-3-yl, benzothiophenyl such as benzothiophen-2-yl and benzothiophen-3-yl, benzoxazol-2-yl, benzothiazol-2-yl, thienyl, furanyl, pyridinyl, pyrimidinyl, pyridazinyl, pyrazinyl, oxazolyl, thiazolyl, isoxazolyl, isothiazolyl, imidazolyl, pyrazolyl and quinolinyl) " or "heterocyclyl", means an aryl, phenyl, heteroaryl or heterocyclyl which is optionally substituted independently with one to four substituents, preferably one or two substituents selected from alkyl, cycloalkyl, alkoxy, halo, haloalkyl, haloalkoxy, cyano, nitro, heteroalkyl, amino, acylamino, mono-alkylamino, di- alkylamino, hydroxyalkyl, alkoxyalkyl, benzyloxy, cycloalkylalkyl, cycloalkoxy, cycloalkylalkoxy, alkylsulfonyloxy, optionally substituted thienyl, optionally substituted pyrazolyl, optionally substituted pyridinyl, morpholinocarbonyl,-(CH2) _q -S(O) _r R ^f ; - (CH ₂ ) _q -NR ^g R ^h ; -(CH ₂ ) _q -C(=O)-NR ^g R ^h ; -(CH ₂ ) _q -C(=O)-C(=O)-NR ^g R ^h ; -(CH ₂ ) _q -SO ₂ - NR ^g R ^h ; -(CH ₂ ) _q -N(R ^f )-C(=O)-R ¹ ; -(CH ₂ ) _q -C(=O)-R ¹ ; or -(CH ₂ ) _q -N(R ^f )-SO ₂ -R ^g ; where q is 0 or 1, r is from 0 to 2, R ^f , R ^g , and R ^h each independently is hydrogen or alkyl, and each R ¹ is independently hydrogen, alkyl, hydroxy, or alkoxy. Preferably, "optionally substituted" means an aryl, phenyl, heteroaryl or heterocyclyl which is optionally substituted independently with one to four substituents, preferably one or two substituents selected from alkyl, cycloalkyl, alkoxy, halo, haloalkyl, haloalkoxy, cyano, nitro, heteroalkyl, amino, acylamino, mono-alkylamino, di-alkylamino, hydroxyalkyl, alkoxyalkyl, benzyloxy, cycloalkylalkyl, cycloalkoxy, cycloalkylalkoxy, alkylsulfonyloxy,

thienyl, pyrazolyl, pyridinyl, morpholinocarbonyl, -(CH ₂ ) _q -S(O) _r R ; -(CH ₂ ) _q -NR ^g R ; - (CH ₂ ) _q -C(=O)-NR ^g R ^h ; -(CH ₂ ) _q -C(=O)-C(=O)-NR ^g R ^h ; -(CH ₂ ) _q -SO ₂ -NR ^g R ^h ; -(CH ₂ ),- N(R ^f )-C(=O)-R'; -(CH ₂ ) _q -C(=O)-R ¹ ; or -(CH ₂ ) _q -N(R ^f )-SO ₂ -R ^g ; where q is 0 or 1, r is from 0 to 2, R ^f , R ^g , and R ^h each independently is hydrogen or alkyl, and each R ¹ is independently hydrogen, alkyl, hydroxy, or alkoxy.

"Leaving group" means the group with the meaning conventionally associated with it in synthetic organic chemistry, i.e., an atom or group displaceable under substitution reaction conditions. Examples of leaving groups include, but are not limited to, halogen, alkane- or arylenesulfonyloxy, such as methanesulfonyloxy, ethanesulfonyloxy, thiomethyl, benzenesulfonyloxy, tosyloxy, and thienyloxy, dihalophosphinoyloxy, optionally substituted benzyloxy, isopropyloxy, acyloxy, and the like.

"Modulator" means a molecule that interacts with a target. The interactions include, but are not limited to, agonist, antagonist, and the like, as defined herein. "Optional" or "optionally" means that the subsequently described event or circumstance may but need not occur, and that the description includes instances where the event or circumstance occurs and instances in which it does not.

"Disease" and "Disease state" means any disease, condition, symptom, disorder or indication. "Inert organic solvent" or "inert solvent" means the solvent is inert under the conditions of the reaction being described in conjunction therewith, including for example, benzene, toluene, acetonitrile, tetrahydrofuran, N,N-dimethylformamide, chloroform, methylene chloride or dichloromethane, dichloroethane, diethyl ether, ethyl acetate, acetone, methyl ethyl ketone, methanol, ethanol, propanol, isopropanol, tert- butanol, dioxane, pyridine, and the like. Unless specified to the contrary, the solvents used in the reactions of the present invention are inert solvents.

"Pharmaceutically acceptable" means that which is useful in preparing a pharmaceutical composition that is generally safe, non-toxic, and neither biologically nor otherwise undesirable and includes that which is acceptable for veterinary as well as human pharmaceutical use.

"Pharmaceutically acceptable salts" of a compound means salts that are pharmaceutically acceptable, as defined herein, and that possess the desired pharmacological activity of the parent compound. Such salts include: acid addition salts formed with inorganic acids such as hydrochloric acid, hydrobromic acid, sulfuric acid, nitric acid, phosphoric acid, and the like; or formed with organic acids such as acetic acid, benzenesulfonic acid, benzoic, camphorsulfonic acid, citric acid, ethanesulfonic acid, fumaric acid, glucoheptonic acid, gluconic acid, glutamic

acid, glycolic acid, hydroxynaphtoic acid, 2-hydroxyethanesulfonic acid, lactic acid, maleic acid, malic acid, malonic acid, mandelic acid, methanesulfonic acid, muconic acid, 2-naphthalenesulfonic acid, propionic acid, salicylic acid, succinic acid, tartaric acid, p- toluenesulfonic acid, trimethylacetic acid, and the like; or salts formed when an acidic proton present in the parent compound either is replaced by a metal ion, e.g., an alkali metal ion, an alkaline earth ion, or an aluminum ion; or coordinates with an organic or inorganic base. Acceptable organic bases include diethanolamine, ethanolamine, N-methylglucamine, triethanolamine, tromethamine, and the like. Acceptable inorganic bases include aluminum hydroxide, calcium hydroxide, potassium hydroxide, sodium carbonate and sodium hydroxide.

The preferred pharmaceutically acceptable salts are the salts formed from acetic acid, hydrochloric acid, sulphuric acid, methanesulfonic acid, maleic acid, phosphoric acid, tartaric acid, citric acid, sodium, potassium, calcium, zinc, and magnesium.

It should be understood that all references to pharmaceutically acceptable salts include solvent addition forms (solvates) or crystal forms (polymorphs) as defined herein, of the same acid addition salt.

The terms "pro-drug" and "prodrug", which maybe used interchangeably herein, refer to any compound which releases an active parent drug according to formula I in vivo when such prodrug is administered to a mammalian subject. Prodrugs of a compound of formula I are prepared by modifying one or more functional group (s) present in the compound of formula I in such a way that the modification(s) may be cleaved in vivo to release the parent compound. Prodrugs include compounds of formula I wherein a hydroxy, amino, or sulfhydryl group in a compound of Formula I is bonded to any group that may be cleaved in vivo to regenerate the free hydroxyl, amino, or sulfhydryl group, respectively. Examples of prodrugs include, but are not limited to, esters (e.g., acetate, formate, and benzoate derivatives), carbamates (e.g., N,N- dimethylaminocarbonyl) of hydroxy functional groups in compounds of formula I, N- acyl derivatives (e.g. N-acetyl) N-Mannich bases, Schiff bases and enaminones of amino functional groups, oximes, acetals, ketals and enol esters of ketone and aldehyde functional groups in compounds of Formula I, and the like, see Bundegaard, H. "Design of Prodrugs" pl-92, Elsevier, New York-Oxford (1985), and the like.

"Protective group" or "protecting group" means the group which selectively blocks one reactive site in a multifunctional compound such that a chemical reaction can be carried out selectively at another unprotected reactive site in the meaning conventionally associated with it in synthetic chemistry. Certain processes of this invention rely upon the protective groups to block reactive nitrogen and/or oxygen atoms present in the reactants. For example, the terms "amino-protecting group" and "nitrogen

protecting group" are used interchangeably herein and refer to those organic groups intended to protect the nitrogen atom against undesirable reactions during synthetic procedures. Exemplary nitrogen protecting groups include, but are not limited to, trifluoroacetyl, acetamido, benzyl (Bn), benzyloxycarbonyl (carbobenzyloxy, CBZ), p- methoxybenzyloxycarbonyl, p-nitrobenzyloxycarbonyl, tert-butoxycarbonyl (BOC), and the like. Skilled persons will know how to choose a group for the ease of removal and for the ability to withstand the following reactions.

"Solvates" means solvent additions 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. "Subject" means mammals and non-mammals. Mammals means any member of the mammalia class including, but not limited to, humans; non-human primates such as chimpanzees and other apes and monkey species; farm animals such as cattle, horses, sheep, goats, and swine; domestic animals such as rabbits, dogs, and cats; laboratory animals including rodents, such as rats, mice, and guinea pigs; and the like. Examples of non-mammals include, but are not limited to, birds, and the like. The term "subject" does not denote a particular age or sex.

"Disease states" associated with serotonin and norepinephrine neurotransmission include depressive and anxiolytic disorders, as well as schizophrenia and other psychoses, dyskinesias, drug addition, cognitive disorders, Alzheimer's disease, attention deficit disorders such as ADHD, obsessive-compulsive behaviour, panic attacks, social phobias, eating disorders such as obesity, anorexia, bulimia and "binge-eating", stress, hyperglycaemia, hyperlipidaemia, non-insulin-dependent diabetes, seizure disorders such as epilepsy, and treatment of conditions associated with neurological damage resulting from stroke, brain trauma, cerebral ischaemia, head injury , haemorrhage, and disorders and disease states of the urinary tract.

"Depression" as used herein includes, but is not limited to, major depression, long-term depression, dysthymia, mental states of depressed mood characterised by feelings of sadness, despair, discouragement, "blues", melancholy, feelings of low self esteem, guilt and self reproach, withdrawal from interpersonal contact, and somatic symptoms such as eating and sleep disturbances.

"Anxiety" as used herein includes, but is not limited to, unpleasant or undesirable emotional states associated with psychophysiological responses to anticipation of unreal,

imagined or exaggerated danger or harm, and physical concomitants such as increased heart rate, altered respiration rate, sweating, trembling, weakness and fatigue, feelings of impending danger, powerlessness, apprehension and tension.

"Disorders of the urinary tract" or "uropathy" used interchangeably with "symptoms of the urinary tract" means the pathologic changes in the urinary tract. Examples of urinary tract disorders include, but are not limited to, stress incontinence, urge incontence, benign prostatic hypertrophy (BPH), prostatitis, detrusor hyperreflexia, outlet obstruction, urinary frequency, nocturia, urinary urgency, overactive bladder, pelvic hypersensitivity, urethritis, prostatodynia, cystitis, idiophatic bladder hypersensitivity, and the like.

"Disease states associated with the urinary tract" or "urinary tract disease states" or "uropathy" used interchangeably with "symptoms of the urinary tract" mean the pathologic changes in the urinary tract, or dysfunction of urinary bladder smooth muscle or its innervation causing disordered urinary storage or voiding. Symptoms of the urinary tract include, but are not limited to, overactive bladder (also known as detrusor hyperactivity), outlet obstruction, outlet insufficiency, and pelvic hypersensitivity.

"Overactive bladder" or "detrusor hyperactivity" includes, but is not limited to, the changes symptomatically manifested as urgency, frequency, altered bladder capacity, incontinence, micturition threshold, unstable bladder contractions, sphincteric spasticity, detrusor hyperreflexia (neurogenic bladder), detrusor instability, and the like.

"Outlet obstruction" includes, but is not limited to, benign prostatic hypertrophy (BPH), urethral stricture disease, tumors, low flow rates, difficulty in initiating urination, urgency, suprapubic pain, and the like.

"Outlet insufficiency" includes, but is not limited to, urethral hypermobility, intrinsic sphincteric deficiency, mixed incontinence, stress incontinence, and the like.

"Pelvic Hypersensitivity" includes, but is not limited to, pelvic pain, interstitial (cell) cystitis, prostatodynia, prostatitis, vulvadynia, urethritis, orchidalgia, overactive bladder, and the like.

"Pain" means the more or less localized sensation of discomfort, distress, or agony, resulting from the stimulation of specialized nerve endings. There are many types of pain, including, but not limited to, lightning pains, phantom pains, shooting pains, acute pain, inflammatory pain, neuropathic pain, complex regional pain, neuralgia, neuropathy, and the like (Dorland's Illustrated Medical Dictionary, 28 ^l Edition, W. B. Saunders Company, Philadelphia, PA) . The goal of treatment of pain is to reduce the degree of severity of pain perceived by a treatment subject.

"Neuropathic pain" means the pain resulting from functional disturbances and /or pathological changes as well as noninflammatory lesions in the peripheral nervous

system. Examples of neuropathic pain include, but are not limited to, thermal or mechanical hyperalgesia, thermal or mechanical allodynia, diabetic pain, entrapment pain, and the like.

"Therapeutically effective amount" means an amount of a compound that, when administered to a subject for treating a disease state, is sufficient to effect such treatment for the disease state. The "therapeutically effective amount" will vary depending on the compound, disease state being treated, the severity or the disease treated, the age and relative health of the subject, the route and form of administration, the judgment of the attending medical or veterinary practitioner, and other factors. The terms "those defined above" and "those defined herein" when referring to a variable incorporates by reference the broad definition of the variable as well as preferred, more preferred and most preferred definitions, if any.

"Treating" or "treatment" of a disease state includes:

(i) preventing the disease state, i.e. causing the clinical symptoms of the disease state not to develop in a subject that may be exposed to or predisposed to the disease state, but does not yet experience or display symptoms of the disease state.

(ii) inhibiting the disease state, i.e., arresting the development of the disease state or its clinical symptoms, or (iii) relieving the disease state , i.e., causing temporary or permanent regression of the disease state or its clinical symptoms. The terms "treating", "contacting" and "reacting" when referring to a chemical reaction means adding or mixing two or more reagents under appropriate conditions to produce the indicated and/or the desired product. It should be appreciated that the reaction which produces the indicated and/or the desired product may not necessarily result directly from the combination of two reagents which were initially added, i.e., there may be one or more intermediates which are produced in the mixture which ultimately leads to the formation of the indicated and/or the desired product.

Nomenclature and Structures

In general, the nomenclature used in this Application is based on AUTONOM™ v.4.0, a Beilstein Institute computerized system for the generation of IUPAC systematic nomenclature. Chemical structures shown herein were prepared using ISIS version 2.2. Any open valency appearing on a carbon, oxygen or nitrogen atom in the structures herein indicates the presence of a hydrogen atom.

Whenever a chiral carbon is present in a chemical structure, it is intended that all stereoisomers associated with that chiral carbon are encompassed by the structure.

All patents and publications identified herein are incorporated herein by reference in their entirety.

The invention provides compounds of formula I:

wherein:

Ar is optionally substituted indolyl; R ¹ is: hydrogen; or

Ci βalkyl; and R ² is: hydrogen; Ci ealkyl;

Ci βalkoxy; halo; halo-Ci βalkyl; hetero-Ci βalkyl; Ci ₆ alkylsulfonyl; cyano; amino;

Ci βalkylamino; di-Ci βalkylamino; heterocyclyl selected from piperazinyl, piperidinyl, pyrrolidinyl, morpholinyl, thiomorpholinyl, tetrahydropyranyl and tetrahydrofuranyl, each optionally substituted; heterocyclyl-Ci βalkyl selected from piperazinyl-Ci βalkyl, piperidinyl-Ci βalkyl, pyrrolidinyl-Ci βalkyl, morpholinyl-Ci βalkyl, thiomorpholinyl-Ci βalkyl, tetrahydropyranyl-Ci βalkyl and tetrahydrofuranyl-Q βalkyl, the heterocyclyl portion of each optionally substituted;

-(CH ₂ ) _m -C(O)-NR ^a R ^b ;

-(CH ₂ ) _m -SO ₂ -NR ^a R ^b ;

-(CH ₂ ) _m -C(O)-OR ^c ;

- NR ^d -C(O)-R ^e ;

- NR ^d -SO ₂ -R ^e ; -O-C(O)-R ^e ; -O-C(O)-NR ^a R ^b ;

- NR ^d -C(O)-NR ^a R ^b ; or

- NR ^d -C(O)-OR ^c ; wherein m is 0 or 1 and R ^a , R ^b , R ^c , R ^d and R ^e each independently is hydrogen or Ci βalkyl.

It is to be understood that the scope of this invention encompasses not only the various isomers, for instance the various optical isomers, which may exist but also the various mixture of isomers which may be formed. Furthermore, the scope of the present invention also encompasses solvates and salts of compounds of formula I.

In certain embodiments of formula I, Ar is optionally substituted indol-5-yl. In certain embodiments of formula I, R is hydrogen. In certain embodiments of formula I, R is Ci βalkyl. In certain embodiments of formula I, R ² is hydrogen.

In certain embodiments of formula I, the compounds may be of the formula Ia or Ib:

wherein Ar, R ¹ and R ² are as defined herein.

In certain embodiments of formula Ia or formula Ib, Ar is optionally substituted indol-5-yl.

In certain embodiments of formula Ia or formula Ib, R is hydrogen.

In certain embodiments of formula Ia or formula Ib, R ¹ is Ci βalkyl.

In certain embodiments of formula Ia or formula Ib, R ² is hydrogen.

In certain embodiments of formula Ia or formula Ib, Ar is optionally substituted indol-5-yl and R is hydrogen.

In certain embodiments of formula Ia or formula Ib, Ar is optionally substituted indol-5-yl, R ¹ is hydrogen and R ² is hydrogen.

In certain embodiments of the invention, the subject compounds may be of the formula II:

wherein:

R is: hydrogen; Ci ₆ alkyl; Ci βalkoxy; halo; halo-Ci βalkyl; hetero-Ci βalkyl; Ci βalkylsulfonyl; or cyano;

R ⁴ is: hydrogen;

Ci ₆ alkyl; halo; halo-Ci βalkyl; hetero-Ci βalkyl;

-C(O)-NR R ^g wherein R and R ^g each independently is hydrogen or Ci βalkyl;

Ci βalkylsulfonyl; or cyano;

R ⁵ is: hydrogen; or Ci βalkyl; and

R ¹ and R ² are as defined herein.

In one of these embodiments of formula II, R ¹ is hydrogen or Ci 6-alkyl and R ² is hydrogen.

In certain embodiments of the invention, the subject compounds may be of the formula Ha or lib:

wherein R ¹ , R ² , R ³ , R ⁴ and R ⁵ are as defined herein.

In certain embodiments of formula II, formula Ha or formula lib, R ¹ is hydrogen.

In certain embodiments of formula II, formula Ha or formula lib, R is Ci βalkyl. In certain embodiments of formula II, formula Ha or formula lib, R is hydrogen.

In certain embodiments of formula II, formula Ha or formula lib, R ³ is hydrogen.

In certain embodiments of formula II, formula Ha or formula lib, R ⁴ is hydrogen.

In certain embodiments of formula formula II, Ha or formula lib, R is hydrogen.

Where any of R ¹ , R ² , R ³ , R ⁴ , R ⁵ , R ^a , R ^b , R ^c , R ^d , R ^e , R ^f or R ^g herein are alkyl or contain an alkyl moiety, such alkyl is preferably lower alkyl, i.e. Ci-Cβalkyl, and more preferably Ci-C ₄ alkyl.

Synthesis

Compounds of the present invention can be made by a variety of methods depicted in the illustrative synthetic reaction schemes shown and described below.

The starting materials and reagents used in preparing these compounds generally are either available from commercial suppliers, such as Aldrich Chemical Co., or are prepared by methods known to those skilled in the art following procedures set forth in references such as Fieser and Fieser's Reagents for Organic Synthesis; Wiley & Sons: New York, 1991, Volumes 1-15; Rodd's Chemistry of Carbon Compounds, Elsevier Science

Publishers, 1989, Volumes 1-5 and Supplementals; and Organic Reactions, Wiley & Sons: New York, 1991, Volumes 1-40. The following synthetic reaction schemes are merely illustrative of some methods by which the compounds of the present invention can be synthesized, and various modifications to these synthetic reaction schemes can be made and will be suggested to one skilled in the art having referred to the disclosure contained in this Application.

The starting materials and the intermediates of the synthetic reaction schemes can be isolated and purified if desired using conventional techniques, including but not limited to, filtration, distillation, crystallization, chromatography, and the like. Such materials can be characterized using conventional means, including physical constants and spectral data.

Unless specified to the contrary, the reactions described herein preferably are conducted under an inert atmosphere at atmospheric pressure at a reaction temperature range of from about -78 ⁰ C to about 150 ⁰ C, more preferably from about 0 ⁰ C to about 125 ⁰ C, and most preferably and conveniently at about room (or ambient) temperature, e.g., about 20 ⁰ C.

Scheme A below illustrates one synthetic procedure usable to prepare compounds of the invention, wherein Ar and R ² are as defined herein.

SCHEME A In step 1 of Scheme A, cinnamate compound a is coupled with aryl boronate compound b using a Rhodium(I) catalyst such as hydroxy(l,5-cyclooctadiene)rhodium

(I) dimer or other suitable catalyst, to provide an arylpropyl ester compound c.

Compound a may be prepared from the corresponding benzaldehyde by reaction of the benzaldehyde with methyl (triphenylphosphoranylidene) acetate. Aryl boronate compound b may comprise, for example, an indolyl boranate, an indazolyl boronate, a benzofuranyl boronate, a benzothiophenyl boranate or other aryl or heteroaryl boronate, each of which may be optionally substituted as defined herein.

Treatment of compound c in step 2 with reducing agent results in reduction of the nitrile group and cyclization to form benzazepinone compound d. Various reducing agents are suitable for this selective reduction, including sodium borohydride. The reaction of step 2 may be carried out in the presence of pinacol.

In step 3, the carbonyl group of benzazepinone compound d is reduced to methylene to provide benzazapine compound e. This reaction may be achieved using lithium aluminum hydride under polar aprotic solvent conditions. Compound e is a compoud of formula I in accordance with the invention.

Many variations on the procedure of Scheme A are possible. The cyano compound c may, for example, be reduced to a benzylamine compound (not shown) which is then subsequently cyclized. The amine group of compound e may be subsequently alkylated for embodiments of the invention where R is alkyl. The alkylation may be performed via reductive amination with an aldehyde of the formula R ¹ - C(O)H wherein R ¹ is as defined hereinabove, and a reducing agent such as sodium triacetoxyborohydride. As solvent, an inert solvent may be used, for example 1,2- dichloroethane. The compound e may be resolved into enantiomers using suitable chromatographic techniques. Other variations will suggest themselves to those skilled in the art upon review of this disclosure.

Specific details for producing compounds of the invention are described in the Examples section below.

The compounds of the invention are usable for the treatment of diseases or conditions associated with serotonin neurotransmission, norepinephrine neuortransmission and/or dopamine neurotransmission. Such diseases and conditions include depressive and anxiolytic disorders, as well as schizophrenia and other psychoses, dyskinesias, drug addition, cognitive disorders, Alzheimer's disease, attention deficit disorders such as ADHD, obsessive-compulsive behaviour, panic attacks, social phobias, eating disorders such as obesity, anorexia, bulimia and "binge-eating", stress, hyperglycaemia, hyperlipidaemia, non-insulin-dependent diabetes, seizure disorders such as epilepsy, and treatment of conditions associated with neurological damage resulting from stroke, brain trauma, cerebral ischaemia, head injury, and haemorrhage.

The compounds of the invention are also usable for treatment of disorders and disease states of the urinary tract such as stress incontinence, urge incontinence, benign prostatic hypertrophy (BPH), prostatitis, detrusor hyperreflexia, outlet obstruction, urinary frequency, nocturia, urinary urgency, overactive bladder, pelvic hypersensitivity, urethritis, prostatodynia, cystitis, idiophatic bladder hypersensitivity.

The compounds of the invention also possess anti- inflammatory and/or analgesic properties in vivo, and accordingly, are expected to find utility in the treatment of disease states associated with pain conditions from a wide variety of causes, including, but not limited to, neuropathic pain, inflammatory pain, surgical pain, visceral pain, dental pain, premenstrual pain, central pain, pain due to burns, migraine or cluster headaches, nerve injury, neuritis, neuralgias, poisoning, ischemic injury, interstitial cystitis, cancer pain, viral, parasitic or bacterial infection, post-traumatic injuries (including fractures and sports injuries), and pain associated with functional bowel disorders such as irritable bowel syndrome.

Administration and Pharmaceutical Composition

The invention includes pharmaceutical compositions comprising at least one compound of the present invention, or an individual isomer, racemic or non-racemic mixture of isomers or a pharmaceutically acceptable salt or solvate thereof, together with at least one pharmaceutically acceptable carrier, and optionally other therapeutic and/or prophylactic ingredients.

In general, the compounds of the invention will be administered in a therapeutically effective amount by any of the accepted modes of administration for agents that serve similar utilities. Suitable dosage ranges are typically 1-500 mg daily, preferably 1-100 mg daily, and most preferably 1-30 mg daily, depending upon numerous factors such as the severity of the disease to be treated, the age and relative health of the subject, the potency of the compound used, the route and form of administration, the indication towards which the administration is directed, and the preferences and experience of the medical practitioner involved. One of ordinary skill in the art of treating such diseases will be able, without undue experimentation and in reliance upon personal knowledge and the disclosure of this Application, to ascertain a therapeutically effective amount of the compounds of the present invention for a given disease. Compounds of the invention may be administered as pharmaceutical formulations including those suitable for oral (including buccal and sub-lingual), rectal, nasal, topical, pulmonary, vaginal, or parenteral (including intramuscular, intraarterial, intrathecal, subcutaneous and intravenous) administration or in a form suitable for administration by inhalation or insufflation. The preferred manner of administration is generally oral using a convenient daily dosage regimen which can be adjusted according to the degree of affliction.

A compound or compounds of the invention, together with one or more conventional adjuvants, carriers, or diluents, may be placed into the form of pharmaceutical compositions and unit dosages. The pharmaceutical compositions and unit dosage forms may be comprised of conventional ingredients in conventional proportions, with or without additional active compounds or principles, and the unit dosage forms may contain any suitable effective amount of the active ingredient commensurate with the intended daily dosage range to be employed. The pharmaceutical compositions may be employed as solids, such as tablets or filled capsules, semisolids, powders, sustained release formulations, or liquids such as solutions, suspensions, emulsions, elixirs, or filled capsules for oral use; or in the form of suppositories for rectal or vaginal administration; or in the form of sterile injectable solutions for parenteral use. Formulations containing about one (1) milligram of active ingredient or, more broadly,

about 0.01 to about one hundred (100) milligrams, per tablet, are accordingly suitable representative unit dosage forms.

The compounds of the invention may be formulated in a wide variety of oral administration dosage forms. The pharmaceutical compositions and dosage forms may comprise a compound or compounds of the present invention or pharmaceutically acceptable salts thereof as the active component. The pharmaceutically acceptable carriers may be either solid or liquid. Solid form preparations include powders, tablets, pills, capsules, cachets, suppositories, and dispersible granules. A solid carrier may be one or more substances which may also act as diluents, flavouring agents, solubilizers, lubricants, suspending agents, binders, preservatives, tablet disintegrating agents, or an encapsulating material. In powders, the carrier generally is a finely divided solid which is a mixture with the finely divided active component. In tablets, the active component generally is mixed with the carrier having the necessary binding capacity in suitable proportions and compacted in the shape and size desired. The powders and tablets preferably contain from about one (1) to about seventy (70) percent of the active compound. Suitable carriers include but are not limited to magnesium carbonate, magnesium stearate, talc, sugar, lactose, pectin, dextrin, starch, gelatine, tragacanth, methylcellulose, sodium carboxymethylcellulose, a low melting wax, cocoa butter, and the like. The term "preparation" is intended to include the formulation of the active compound with encapsulating material as carrier, providing a capsule in which the active component, with or without carriers, is surrounded by a carrier, which is in association with it. Similarly, cachets and lozenges are included. Tablets, powders, capsules, pills, cachets, and lozenges may be as solid forms suitable for oral administration.

Other forms suitable for oral administration include liquid form preparations including emulsions, syrups, elixirs, aqueous solutions, aqueous suspensions, or solid form preparations which are intended to be converted shortly before use to liquid form preparations. Emulsions may be prepared in solutions, for example, in aqueous propylene glycol solutions or may contain emulsifying agents, for example, such as lecithin, sorbitan monooleate, or acacia. Aqueous solutions can be prepared by dissolving the active component in water and adding suitable colorants, flavors, stabilizers, and thickening agents. Aqueous suspensions can be prepared by dispersing the finely divided active component in water with viscous material, such as natural or synthetic gums, resins, methylcellulose, sodium carboxymethylcellulose, and other well known suspending agents. Solid form preparations include solutions, suspensions, and emulsions, and may contain, in addition to the active component, colorants, flavors, stabilizers, buffers, artificial and natural sweeteners, dispersants, thickeners, solubilizing agents, and the like.

The compounds of the invention may be formulated for parenteral administration (e.g., by injection, for example bolus injection or continuous infusion) and may be presented in unit dose form in ampoules, pre-filled syringes, small volume infusion or in multi-dose containers with an added preservative. The compositions may take such forms as suspensions, solutions, or emulsions in oily or aqueous vehicles, for example solutions in aqueous polyethylene glycol. Examples of oily or nonaqueous carriers, diluents, solvents or vehicles include propylene glycol, polyethylene glycol, vegetable oils (e.g., olive oil), and injectable organic esters (e.g., ethyl oleate), and may contain formulatory agents such as preserving, wetting, emulsifying or suspending, stabilizing and/or dispersing agents. Alternatively, the active ingredient may be in powder form, obtained by aseptic isolation of sterile solid or by lyophilization from solution for constitution before use with a suitable vehicle, e.g., sterile, pyrogen-free water.

The compounds of the invention may be formulated for topical administration to the epidermis as ointments, creams or lotions, or as a transdermal patch. Ointments and creams may, for example, be formulated with an aqueous or oily base with the addition of suitable thickening and/or gelling agents. Lotions may be formulated with an aqueous or oily base and will in general also containing one or more emulsifying agents, stabilizing agents, dispersing agents, suspending agents, thickening agents, or coloring agents. Formulations suitable for topical administration in the mouth include lozenges comprising active agents in a flavored base, usually sucrose and acacia or tragacanth; pastilles comprising the active ingredient in an inert base such as gelatine and glycerine or sucrose and acacia; and mouthwashes comprising the active ingredient in a suitable liquid carrier.

The compounds of the invention may be formulated for administration as suppositories. A low melting wax, such as a mixture of fatty acid glycerides or cocoa butter is first melted and the active component is dispersed homogeneously, for example, by stirring. The molten homogeneous mixture is then poured into convenient sized molds, allowed to cool, and to solidify.

The compounds of the invention may be formulated for vaginal administration. Pessaries, tampons, creams, gels, pastes, foams or sprays containing in addition to the active ingredient such carriers as are known in the art to be appropriate.

The subject compounds may be formulated for nasal administration. The solutions or suspensions are applied directly to the nasal cavity by conventional means, for example, with a dropper, pipette or spray. The formulations may be provided in a single or multidose form. In the latter case of a dropper or pipette, this may be achieved by the patient administering an appropriate, predetermined volume of the solution or

suspension. In the case of a spray, this may be achieved for example by means of a metering atomizing spray pump.

The compounds of the invention may be formulated for aerosol administration, particularly to the respiratory tract and including intranasal administration. The compound will generally have a small particle size for example of the order of five (5) microns or less. Such a particle size may be obtained by means known in the art, for example by micronization. The active ingredient is provided in a pressurized pack with a suitable propellant such as a chlorofluorocarbon (CFC), for example, dichlorodifluoromethane, trichlorofluoromethane, or dichlorotetrafluoroethane, or carbon dioxide or other suitable gas. The aerosol may conveniently also contain a surfactant such as lecithin. The dose of drug may be controlled by a metered valve. Alternatively the active ingredients may be provided in a form of a dry powder, for example a powder mix of the compound in a suitable powder base such as lactose, starch, starch derivatives such as hydroxypropylmethyl cellulose and polyvinylpyrrolidine (PVP). The powder carrier will form a gel in the nasal cavity. The powder composition may be presented in unit dose form for example in capsules or cartridges of e.g., gelatine or blister packs from which the powder may be administered by means of an inhaler.

When desired, formulations can be prepared with enteric coatings adapted for sustained or controlled release administration of the active ingredient. For example, the compounds of the present invention can be formulated in transdermal or subcutaneous drug delivery devices. These delivery systems are advantageous when sustained release of the compound is necessary and when patient compliance with a treatment regimen is crucial. Compounds in transdermal delivery systems are frequently attached to an skin- adhesive solid support. The compound of interest can also be combined with a penetration enhancer, e.g., Azone (l-dodecylazacycloheptan-2-one). Sustained release delivery systems are inserted subcutaneously into the subdermal layer by surgery or injection. The subdermal implants encapsulate the compound in a lipid soluble membrane, e.g., silicone rubber, or a biodegradable polymer, e.g., polylactic acid.

The pharmaceutical preparations are preferably in unit dosage forms. In such form, the preparation is subdivided into unit doses containing appropriate quantities of the active component. The unit dosage form can be a packaged preparation, the package containing discrete quantities of preparation, such as packeted tablets, capsules, and powders in vials or ampoules. Also, the unit dosage form can be a capsule, tablet, cachet, or lozenge itself, or it can be the appropriate number of any of these in packaged form. Other suitable pharmaceutical carriers and their formulations are described in

Remington: The Science and Practice of Pharmacy 1995, edited by E. W. Martin, Mack

Publishing Company, 19th edition, Easton, Pennsylvania. Representative pharmaceutical formulations containing a compound of the present invention are described below.

EXAMPLES The following preparations and examples are given to enable those skilled in the art to more clearly understand and to practice the present invention. They should not be considered as limiting the scope of the invention, but merely as being illustrative and representative thereof.

Unless otherwise stated, all temperatures including melting points (i.e., MP) are in degrees Celsius ( ⁰ C). It should be appreciated that the reaction which produces the indicated and/or the desired product may not necessarily result directly from the combination of two reagents which were initially added, i.e., there may be one or more intermediates which are produced in the mixture which ultimately leads to the formation of the indicated and/or the desired product. The following abbreviations may be used in the Preparations and Examples.

ABBREVIATIONS

DCM dichloromethane/methylene chloride

DMF N,N-dimethylformamide DMAP 4-dimethylaminopyridine

ECDI l-ethyl-3-(3'-dimethylaminopropyl)carbodiimide

EtOAc ethyl acetate

EtOH ethanol gc gas chromatography HMPA hexamethylphosphoramide

HOBt N-Hydroxybenzotriazole hplc high performance liquid chromatography mCPBA m-chloroperbenzoic acid

MeCN acetonitrile NMP N-methyl pyrrolidinone

TEA triethylamine

THF tetrahydrofuran

LAH lithium aluminum hydride

LDA lithium diisopropylamine TLC thin layer chromatography

Example 1

The synthetic procedure used in this example is outlined below in Scheme B.

SCHEME B Step 1 3-(2-Cγano-phenγl) -acrylic acid methyl ester

To a solution of 2-cyanobenzaldehyde (5.0 g, 38 mmol) in benzene (100 mL) was added methyl (triphenylphosphoranylidene)acetate (14 g, 42 mmol), and the resulting solution was heated to reflux for 15 hours. The crude material was concentrated under reduced pressure onto silica gel and purified by flash chromatography (dichloromethane) to afford 3-(2-Cyano-phenyl)-3-( lH-indol-5-yl)-propionic acid methyl ester as a white solid (7.0 g). MS (M+H) = 188.

Step 2 3-(2-Cyano-phenyl)-3-(lH-indol-5-yl)-propionic acid methyl ester To a mixture of 3-(2-cyano-phenyl)-3-(lH-indol-5-yl)-propionic acid methyl ester (3.0 g, 16 mmol), 5-(4,4,5,5-tetramethyl-l,3,2-dioxaboralan-2-yl)-lJf-indole (5.8 g, 24 mmol), and hydroxy(l,5-cyclooctadiene)rhodium (I) dimer (0.37 g, 0.80 mmol) was added 6:1 dioxane:water (120 mL) and triethylamine (2.4 g, 24 mmol). The reaction mixture was heated under nitrogen in a 90° C oil bath for 90 minutes. The reaction mixture was cooled to room temperature, diluted with water (200 mL), and extracted with ethyl acetate. The combined organic layer was dried over magnesium sulfate, filtered and concentrated to a dark green oil, which was purified by flash chromatography (ethyl acetate / hexane) to obtain pure 3-(2-Cyano-phenyl)-3-(lH-indol-5-yl)-propionic acid methyl ester as a pale yellow foam (2.7 g), as well as some product in a 1:2 molar ratio mixture with pinacol as a yellow-orange semisolid (2.1 g). MS (M+H) = 305.

Step 3 5-(lH-Indol-5-yl)-l,2,4,5-tetrahydro-benzo[clazepin-3-one To a mixture of 3-(2-cyano-phenyl)-3-(lH-indol-5-yl)-propionic acid methyl ester and pinacol (1:2 molar ratio, 2.1 g) in methanol (100 mL) was added sodium borohydride (2.6 g, 14 mmol), portionwise over 45 minutes. Stirring continued for 15

hours at room temperature. The reaction mixture was then filtered through Celite, washed with methanol, and the combined filtrates were concentrated. The crude material so obtained was partitioned between ethyl acetate and 5% aqueous ammonium hydroxide. The organic layer was dried over sodium sulfate, filtered and concentrated to a yellow oil which contained a mixture of 5-(lH-Indol-5-yl)-l,2,4,5-tetrahydro- benzo[c]azepin-3-one and uncyclized 3-(2-aminomethyl-phenyl)-3-(lH-indol-5-yl)- propionic acid methyl ester (not shown in Scheme B). This crude oil was suspended in 1,4-dioxane (100 mL) and heated to reflux for 40 hours, then cooled and concentrated to a brown oil and purified by flash chromatography (methanol / ethyl acetate) to afford pure 5-(lH-Indol-5-yl)-l,2,4,5-tetrahydro-benzo[c]azepin-3-one as a white solid (0.50 g). MS (M+H) = 277.

Step 4 5-(lH-Indol-5-yl)-2,3A5-tetrahvdro-lH-benzo[c1azepine To an ice-water bath cooled suspension of 5-(lH-indol-5-yl)-l,2,4,5-tetrahydro- benzo[c]azepin-3-one (0.50 g, 1.8 mmol) in tetrahydrofuran (75 mL) was added lithium aluminum hydride (0.27 g, 7.2 mmol) as a slurry in tetrahydrofuran (5 mL). The mixture was heated to reflux for 100 minutes, then cooled in an ice- water bath and quenched with water (0.6 mL), 15% aqueous KOH (0.6 mL), and also crushed sodium sulfate decahydrate (14 g). The mixture was stirred mixture at room temperature for 30 minutes, then filtered and washed with ethyl acetate. The organic layer was concentrated to a yellow oil that was purified by flash chromatography (ammonium hydroxide / methanol / dichloromethane) to afford pure 5-(lH-indol-5-yl)-2,3,4,5-tetrahydro-lH- benzo[c]azepine as a colorless foam (0.20 g, MS (M+H) = 263), as well as some product (0.23 g) contaminated with an uncharacterized tetrahydrofuran-aluminum complex as a colorless foam. The contaminated product was dissolved in 1:1 ethyl acetate:diethyl ether (5 mL), and 1.0 M HCl in diethyl ether (0.9 mL) was added dropwise, under a blanket of dry nitrogen gas. The white solid precipitate was collected by filtration and washed with ice-cold diethyl ether and tetrahydrofuran. The solid was suspended in ethanol and evaporated to dryness under reduced pressure, and that process was repeated to afford pure 5-(lH-indol-5-yl)-2,3,4,5-tetrahydro-lH-benzo[c]azepine hydrochloride as an off- white powder (0.16 g).

Example 2

Resolution of 5-(lH-Indol-5-yl)-2,3,4,5-tetrahvdro-lH-benzo[clazepine into (.R)-5-(lH- Indol-5-yl)-2,3,4,5-tetrahydro-lH-benzo[clazepine and (S)-5-(lH-Indol-5-yl)-2,3,4,5- tetrahydro- lH-benzo [el azepine A small sample of 5-(lH-indol-5-yl)-2,3,4,5-tetrahydro-lH-benzo[c]azepine

0.065 g) was separated into its enantiomers using preparative HPLC (Chiralpak IA, 85:15

hexane:ethanol, 0.1% diethylamine) to provide 0.016 g of each enantiomer as colorless foams.

Example 3 5-(lff-Indol-5-yl)-2-methyl-2,3,4,5-tetrahydro-lff-benzo[cla zepine

5-(lH-indol-5-yl)-2,3,4,5-tetrahydro-lH-benzo[c]azepine was subjected to reductive amination using formaldehyde and sodium triacetoxyborohydride in 1,2- dichloroethane to afford the title compound as a white powder in 50% yield (MS (M+H) = 277).

Example 4 Formulations

Pharmaceutical preparations for delivery by various routes are formulated as shown in the following Tables. "Active ingredient" or "Active compound" as used in the Tables means one or more of the Compounds of Formula I.

Composition for Oral Administration

The ingredients are mixed and dispensed into capsules containing about 100 mg each; one capsule would approximate a total daily dosage. Composition for Oral Administration

The ingredients are combined and granulated using a solvent such as methanol. The formulation is then dried and formed into tablets (containing about 20 mg of active compound) with an appropriate tablet machine.

Composition for Oral Administration

The ingredients are mixed to form a suspension for oral administration.

Parenteral Formulation

The active ingredient is dissolved in a portion of the water for injection. A sufficient quantity of sodium chloride is then added with stirring to make the solution isotonic. The solution is made up to weight with the remainder of the water for injection, filtered through a 0.2 micron membrane filter and packaged under sterile conditions.

Suppository Formulation

The ingredients are melted together and mixed on a steam bath, and poured into molds containing 2.5 g total weight.

Topical Formulation

All of the ingredients, except water, are combined and heated to about 60 ⁰ C with stirring. A sufficient quantity of water at about 60 ⁰ C is then added with vigorous stirring to emulsify the ingredients, and water then added q.s. about 100 g.

Nasal Spray Formulations

Several aqueous suspensions containing from about 0.025-0.5 percent active compound are prepared as nasal spray formulations. The formulations optionally contain inactive ingredients such as, for example, microcrystalline cellulose, sodium carboxymethylcellulose, dextrose, and the like. Hydrochloric acid may be added to adjust pH. The nasal spray formulations may be delivered via a nasal spray metered pump typically delivering about 50-100 microliters of formulation per actuation. A typical dosing schedule is 2-4 sprays every 4-12 hours.

Example 5

Screening for Human Serotonin Transporter (hSERT) Antagonists Using a Scintillation

Proximity Assay (SPA)

The screening assay of this example was used to determine the affinity of ligands at the hSERT transporter by competition with [ H] -Citalopram. Scintillation Proximity Assay (SPA) works by bringing radioligand within close proximity to the bead's scintillant to stimulate light emission. In this assay, the receptor- containing membranes were pre-coupled to the SPA beads and the binding of the appropriate radioligand to the transporter was measured. The light emission was proportional to the amount of bound radioligand. Unbound radioligand produced no signal as a result of distant proximity to scintillant (lack of energy transfer) .

HEK-293 cells (Tatsumi et al, Eur. J. Pharmacol. 1997, 30, 249-258) stably expressing recombinant hSERT were maintained with media (DMEM high glucose with 10% FBS, 300 μg/ml G418 and 2 mM L-Glutamine) and incubated at 37 ⁰ C with 5% CO ₂ . Cells are released from culture flasks using PBS for 1-2 minutes. The cells were subsequently centrifuged at lOOOg's for 5 minutes and resuspended in PBS prior to being used in the membrane preparation.

Cell membranes were prepared using a membrane preparation buffer of 50 mM TRIS (pH 7.4). Cell membranes were prepared from a single cube (7.5x10 cells total). Cells were homogenized using a Polytron (setting medium for a 4 second burst). The homogenate was then centrifuged at 48,000xg for 15 minutes, the supernatant subsequently removed and discarded, and the pellet resuspended with fresh buffer. After a second centrifugation, the pellet was re-homogenized and brought to a final volume determined during the assay. Typically, membrane portions were aliquoted in 3mg/ml (w:v). and stored at -80 ⁰ C. For Scintillation Proximity Assay ICso/IQ determination, 50 mM Tris-HCl and

300 mM NaCl, (pH 7.4) buffers were utilized. Compounds of the invention were diluted from 10 mM to 0.1 nM FAC (10 point curves, whole log /half log dilutions) via a Beckman Biomek 2000 using a serial dilution protocol. The test compounds were then transferred (20 μl/well) and the [ H] -Citalopram radioligand was added at 50 μl/well. Membrane and beads were prepared to a ratio of 10 μg : 0.7 mg, with 0.7 mg PVT-WGA Amersham beads (Cat# RPQ0282V) added per well. 130 μl of the membrane : bead mixture was added to the assay plate. The mixtures were allowed to stand at room temperature for one hour, and were then counted on a Packard TopCount LCS, a generic Scintillation Proximity Assay counting protocol settings (Energy Range: Low, Efficiency Mode: Normal, Region A: 1.50-35.00, Region B: 1.50-256.00, Count Time (min.): 0.40, Background Subtract: none, Half-Life Correction: no, Quench Indicator: tSIS, Platemap blank subtraction: No, Cross talk reduction: Off) .

The % inhibition was calculated for each compound tested [(Compound counts per minute (CPM) at maximum concentration-Non-Specific CPM)/Total CPM * 100]. The concentration producing 50% inhibition (IC50) was determined using an iterative non-linear curve fitting technique with Activity Base/Xlfit using the following equation:

where max = total binding, min = non specific binding, x = concentration (M) of the tested compound and n = Hill slope. The inhibition dissociation constant (Ki) of each

compound was determined according to the method of Cheng-Prusoff and then converted into negative logarithm (pKi) of the Ki.

Using the above procedure, compounds of the invention were found to have affinity for human serotonin transporter. For example, 5-(lH-Indol-5-yl)-2,3,4,5- tetrahydro- lH-benzo [c] azepinee exhibited a pKi of approximately 6.9 using the above assay.

Example 6

Screening for compounds active at Human Norepinephrine Transporter (hNET) Using a Scintillation Proximity Assay (SPA)

This assay was used to determine the affinity of ligands for the hNET transporter by competition with [ H] -Nisoxetine. As in the hSERT assay of the above example, receptor-containing membranes were pre-coupled to the SPA beads and the binding of the appropriate radioligand to the transporter was measured. The light emission was proportional to the amount of bound radioligand, with unbound radioligand producing no signal.

HEK-293 cells (Tatsumi et al, Eur. J. Pharmacol. 1997, 30, 249-258) stably expressing recombinant hNET (Clone: HEK-hNET #2) were maintained with media (DMEM hi glucose with 10% FBS, 300 μg/ml G418 and 2 mM L-Glutamine) and incubated at 37 ⁰ C with 5% CO2. Cells were released from culture flasks using PBS for 1- 2 minutes. The cells were subsequently centrifuged at lOOOg's for 5 minutes and resuspended in PBS prior to being used in the membrane preparation.

Cell membranes were prepared using a membrane preparation buffer of 50 mM TRIS (pH 7.4). Cell membranes were prepared from a single cube (7.5x10 cells total). Cells were homogenized using a Polytron (setting medium for a 4 second burst). The homogenate was then centrifuged at 48,000xg for 15 minutes, the supernatant subsequently removed and discarded, and the pellet resuspended with fresh buffer. After a second centrifugation, the pellet was re-homogenized and brought to a final volume determined during the assay. Typically, membrane portions were aliquoted in 3-6 mg/ml (w:v) . and stored at -80 ⁰ C.

[H] Nisoxetine radioligand (Amersham Cat. # TRK942 or Perkin Elmer Cat. # NET1084, specific activity: 70-87 Ci/mmol, stock concentration: 1.22e-5 M, final concentration: 8.25e-9 M), and 50 mM Tris-HCl, 300 mM NaCl, (pH 7.4) buffers were used for Scintillation Proximity Assay ICso/IQ determination. Compounds of the invention were diluted from 10 mM to 0.1 nM FAC (10 point curves, whole log /half log dilutions) via a Beckman Biomek 2000 using a serial dilution protocol. The test

compounds were then transferred (20 μl/well) and the radioligand was added at 50 μl/well. Membrane and beads were prepared to a ratio of 10 μg : 0.7 mg, with 0.7 mg PVT-WGA Amersham beads (Cat# RPQ0282V) added per well. 130 μl of the membrane : bead mixture was added to the assay plate. The mixtures were allowed to stand at room temperature for one hour, and were then counted on a Packard TopCount LCS, a generic SPA counting protocol settings (Energy Range: Low, Efficiency Mode: Normal, Region A: 1.50-35.00, Region B: 1.50-256.00, Count Time (min.): 0.40, Background Subtract: none, Half-Life Correction: no, Quench Indicator: tSIS, Platemap blank subtraction: No, Cross talk reduction: Off) . The % inhibition was calculated for each compound tested [(Compound CPM at maximum concentration-Non-Specific CPM)/Total CPM * 100]. The concentration producing 50% inhibition (IC50) was determined using an iterative non-linear curve fitting technique with Activity Base/Xlfit using the following equation:

where max = total binding, min = non specific binding, x = concentration (M) of the tested compound and n = Hill slope. The inhibition dissociation constant (Ki) of each compound was determined according to the method of Cheng-Prusoff and then converted into negative logarithm (pKi) of the Ki.

Using the above procedure, compounds of the invention were found to have affinity for the human norepinephrine transporter. For example, 5-( lH-Indol-5-yl)- 2,3,4,5-tetrahydro-lH-benzo[c]azepine exhibited a pKi of approximately 8.0 using the above assay.

Example 7 Screening for compounds active at Human Dopamine Transporter Using a Scintillation

Proximity Assay (SPA)

This assay was used to determine the affinity of ligands for the dopamine transporter by competition with [ H] -Vanoxerine.

HEK-293 cells (Tatsumi et al, Eur. J. Pharmacol. 1997, 30, 249-258) stably expressing recombinant hDAT were maintained with media (DMEM hi glucose with 10% FBS, 300 μg/ml G418 and 2 mM L-Glutamine) and incubated at 37 ⁰ C with 5% CO ₂ . Cells were plated four hours prior to experiment by placing approximately 30,000 cells per well (in PBS) on white, opaque Cell-Tak coated 96 well plates. Extra buffer was apriated from the cell plates using an ELx405 plate washer.

[H] vanoxerine (GBR 12909) radioligand, specific activity approximately 59 Ci/mmol, stock concentration, 400 nM, and 50 mM Tris-HCl, 300 mM NaCl, (pH 7.4) buffers were used for Scintillation Proximity Assay ICso/IQ determination. Compounds of the invention were diluted from 10 mM to 0.1 nM FAC (10 point curves, whole log /half log dilutions) via a Beckman Biomek 2000 using a 10-point dilution protocol. The mixtures were allowed to stand at room temperature for 30 minutes, and were then counted on a Packard TopCount LCS, a generic SPA counting protocol settings, Count Time (min.): 0.40, Background Subtract: none, Half-Life Correction: none, Quench Indicator: tSIS, Platemap blank subtraction: none, Cross talk reduction: Off) .

The % inhibition was calculated for each compound tested [(Compound CPM at maximum concentration-Non-Specific CPM)/Total CPM * 100]. The concentration producing 50% inhibition (IC50) was determined using an iterative non-linear curve fitting technique with Activity Base/Xlfit using the following equation:

where max = total binding, min = non specific binding, x = concentration (M) of the tested compound and n = Hill slope. The inhibition dissociation constant (Ki) of each compound was determined according to the method of Cheng-Prusoff and then converted into negative logarithm (pKi) of the Ki.

Using the above procedure, compounds of the invention were found to have affinity for the human dopamine transporter. For example, 5-( lH-Indol-5-yl)-2,3,4,5- tetrahydro-lH-benzo[c]azepine exhibited a pKi of approximately 8.7 using the above assay.

The following results have been obtained:

While the present invention has been described with reference to the specific embodiments thereof, it should be understood by those skilled in the art that various changes may be made and equivalents may be substituted without departing from the true spirit and scope of the invention. In addition, many modifications may be made to adapt a particular situation, material, composition of matter, process, process step or steps, to the objective spirit and scope of the present invention. All such modifications are intended to be within the scope of the claims appended hereto.