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Title:
NOVEL COMPOUNDS USEFUL IN PAIN MANAGEMENT
Document Type and Number:
WIPO Patent Application WO/1999/067203
Kind Code:
A1
Abstract:
Compounds of general formula (I) wherein A is (a) or (b); Z is (CH¿2?)¿m? or a carbonyl group are disclosed and claimed in the present application, as well as their pharmaceutically acceptable salts, pharmaceutical compositions comprising the novel compounds and their use in therapy, in particular in the management of pain. Also intermediates to the compounds of formula (I) are claimed.

Inventors:
DELORME DANIEL (CA)
GREGOR VLAD (US)
ROBERTS EDWARD (CA)
SUN ERIC (US)
Application Number:
PCT/SE1999/001074
Publication Date:
December 29, 1999
Filing Date:
June 16, 1999
Export Citation:
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Assignee:
ASTRA PHARMA INC (CA)
ASTRA AB (SE)
DELORME DANIEL (CA)
GREGOR VLAD (US)
ROBERTS EDWARD (CA)
SUN ERIC (US)
International Classes:
C07C211/18; C07C211/27; C07C233/37; C07C233/78; C07C237/22; C07C257/14; C07C279/12; C07C279/24; (IPC1-7): C07C279/12; A61K31/155; A61K31/165; A61K31/33; A61K49/00; A61K51/00; C07C233/78; C07C237/24; C07D213/24; C07D213/54; C07D215/12; C07D307/46; C07D333/26
Domestic Patent References:
WO1998007420A11998-02-26
WO1997019913A11997-06-05
Foreign References:
US4762949A1988-08-09
Other References:
STN International, File CAPLUS, CAPLUS accession no. 1976:58997, Document no. 84:58997, Daiichi Seiyaku Co., Ltd.: "Bisquanidino Compounds"; & JP,A,50111029, 01-09-1975
Attorney, Agent or Firm:
ASTRAZENECA AB (Global Intellectual Property Patents Södertälje, SE)
Download PDF:
Claims:
CLAIMS
1. A compound according to formula I wherein A is wherein R2 and R3 are as defined below; Z is (CH2) m or a carbonyl group; m and n are each and independently an integer of from 03, and one or more of the hydrogens in such an alkylenechain may optionally be substituted by anyone of C1 C6 alkyl, C1 C6 alkoxy, or hydroxy; or one or more of the methylene groups may optionally be substituted by a heteroatom such as O, NorS; m and n may not both be 0; Q is selected from any of CH3; wherein R, R and R is each and independently selected from any of (i) C6 10 aryl; or (ii) heteroaryl having from 5 to 10 atoms and the heteroatom being selected from any of S, N and O; and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y where each Y is as defined below; (iii) hydrogen; (iv) a straight or branched ClC6 alkyl, C2C6 alkenyl or C2C6 alkynyl; (v) ClC3 alkoxy; (vi) saturated or unsaturated C3Clo cycloalkyl, optionally and independently substituted by one or more aryl groups or heteroaryl groups having from 5 to 10 atoms with the heteroatom (s) being selected from any of S, N and O and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined below; (vii)[(CHo) qaryl] where q is an integer of from 13, and the aryl may optionally be substituted by 1 or 2 substituents Y, where each Y is as defined below; (viii)[(CH2) rheteroaryl] where r is an integer of from 13, the heteroaryl having from 5 to 10 atoms with heteroatoms (s) being selected from any of S, N, and O, optionally and independently substituted by 1 or 2 substituents Y as defined below; (ix)[CHrOaryl] where the aryl may optionally be substituted by 1 or 2 substituents Y, where each Y is as defined below; where q is an integer of from 13, and the aryl is as defined below, optionally substituted by 1 or 2 substituents Y, where each Y is as defined below; Rl is selected from anyone of (i) a straight or branched C lC6 alkyl, C2C6 alkenyl or C, ?C6 alkynyl, where each alkyl, alkenyl or alkynyl may optionally be substituted by one or more aromatic or heteroaromatic substituents; (ii) C3C7 cycloalkyl, optionally comprising one or more unsaturations and optionally substituted by one or more of C lC6 alkyl, C lC6 alkoxy, hydroxy; or substituted by one or more aryl (s), or heteroaryl (s) having from 5 to 10 atoms and the heteroatom (s) being selected from any of S, N and O and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined below; (iii) hydrogen, halogen or ClC6 alkoxy; (iv) C6CIo aryl ; (v) heteroaryl having from 5 to 10 atoms and the heteroatom being selected from any of S, N and O; wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined below; (vi) 9,10dihydro9, 10ethanoantracenyl; (vii)[(CH2) qaryl] where q is an integer of from 13 and the aryl may optionally be substituted by 1 or 2 substituents Y, where each Y is as defined below; (viii)[(CH2) rheteroaryl] where r is an integer of from 13, the heteroaryl having from 5 to 10 atoms and the heteroatoms (s) being selected from any of S, N, and O, and wherein the heteroatom (s) may optionally and independently be substituted by 1 or 2 substituents Y, where each Y is as defined below; (ix)[(CH2) qaryl0(CH2) raryl] where q and r is each and independently an integer of from 13; (x) (CH2) q [C3C6 cycloalkyl] where q is from 12, optionally substituted by 1 or 2 substituents Y and wherein Y is as defined below; R2 is selected from any of (i) hydrogen; (ii) a straight or branched ClC6 alkyl, C2C6 alkenyl or C2C6 alkynyl, where each alkyl, alkenyl or alkynyl may optionally be substituted by one or more aromatic or heteroaromatic substituents; (iii) C6Clo arylalkyl, wherein the aryl may optionally be substituted by one or more heteroaryl (s) having from 5 to 10 atoms and the heteroatom being selected from any of S, N and O; and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined below; (iv) heteoaryl (CsClo alkyl), where the heteroaryl has from 5 to 10 atoms and the heteroatom being selected from any of S, N and O, and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y where each Y is as defined below : (v) C3Cio cycloalkyl, optionally comprising one or more unsaturations and optionally susbtituted by one or more heteroaryl (s) where the heteroaryl has from 5 to 10 atoms and the heteroatom being selected from any of S, N and O; and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y where each Y is as defined below; (vi) C6C lO aryl, optionally and independently substituted by one or more heteroaryl (s) having from 5 to 10 atoms and the heteroatom (s) being selected from any of S, N and O and wherein the heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined below; (vii) heteroaryl having from 5 to 10 atoms and the heteroatom being selected from any of S, N and O; wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined below; R3 is selected from anyone of (i) hydrogen; (ii) a straight or branched C lC6 alkyl, CoC6 alkenyl or C)C6 alkynyl, where each alkyl, alkenyl or alkynyl may optionally be substituted by one or more aromatic or heteroaromatic substituents; (iii) C6 C10 arylalkyl, wherein the aryl may optionally be substituted by one or more heteroaryl (s) having from 5 to 10 atoms and the heteroatom being selected from any of S, N and O; and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined below; (iv) heteoaryl (C5C} Q alkyi), where the heteroaryl has from 5 to 10 atoms and the heteroatom being selected from any of S, N and O, and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y where each Y is as defined below; (v) C3Clo cycloalkyl, optionally comprising one or more unsaturations and optionally substituted by one or more heteroaryl (s) having from 5 to 10 atoms and the heteroatom being selected from any of S, N and O, and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y where each Y is as defined below; wherein R R, R9, R and R is each and independently selected from (a) hydrogen; (b) a straight or branched ClC6 alkyl, C2C6 alkenyl or C'7C6 alkynyl, where each alkyl, alkenyl or alkynyl may optionally be substituted by one or more aromatic or heteroaromatic substituents; (c) C6C l 0 arylalkyl, wherein the aryl may optionally be substituted by one or more heteroaryl (s) having from 5 to 10 atoms and the heteroatom being selected from any of S, N and O; and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined below; (d) heteoaryl (C5Clo alkyl), where the heteroaryl has from 5 to 10 atoms and the heteroatom being selected from any of S, N and O, and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y where each Y is as defined below; (e) C3CIo cycloalkyl, optionally comprising one or more unsaturations and optionally susbtituted by one or more heteroaryl (s) where the heterearyl has from 5 to 10 atoms and the heteroatom being selected from any of S, N and O; and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y where each Y is as defined below; (f) CeCto aryl, optionally and independently substituted by one or more heteroaryl (s) having from 5 to 10 atoms and the heteroatom (s) being selected from any of S, N and O and wherein the heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined below; or R2 and R3may optionally from a heterocyclic ring; Y is each and independently selected from any of hydrogen, CH3; (CH2) plCF3; halogen; C 1C3 alkoxy; ; CORa;(CH2)p2NRaRb;(CH2)p3CH3,(CH2)p4SORaRb;(CH2)p5SO2Ra; hCH2) p6SO2NR; C4Cg (alkylcycloalkyl) wherein alkyl is ClC2 alkyl and cycloalkyl is C3C6 cycloalkyl; and 1 or 2 heteroaryl (s) having from 5 to 10 atoms and the heteroatom (s) being selected from any of S, N and O; and oxides such as Noxides or sulfoxides; and wherein Ra and Rb is each and independently selected from hydrogen, a branched or straight ClC6 alkyl, ClC6 alkenyl, C3Cg cycloalkyl; and wherein p1, p2, p3, p4, p5 and p6 is each and independently 0,1 or 2; as well as pharmaceutically acceptable salts, isomers, hydrates, isoforms and prodrugs thereof.
2. A compound according to formula I of claim 1, wherein m and n are each and independently an integer of from 13; Q is selected from any of CH3; wherein R6R4and is each and independently selected from any of (i) C6CIo aryl ; or (ii) heteroaryl having from 5 to 10 atoms and the heteroatom being selected from any of S, N and O ; and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y where each Y is as defined in claim 1; (iii) a straight or branched ClC6 alkyl or Cl C6 alkenyl; (iv) C 1C3 alkoxy; (v) saturated or unsaturated C3C6 cycloalkyl, optionally and independently substituted by one or more aryl groups or heteroaryl groups having from 5 to 10 atoms with the heteroatom (s) being selected from any of S, N and O and wherein the aryl, heteroaryl and cycloalkyl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined in claim 1; (vi)[(CH2) qaryl] where q is an integer of from 13, and the aryl may optionally be substituted by 1 or 2 substituents Y, where each Y is as defined in claim 1; (vii)[(CHo) rheteroaryl] where r is an integer of from 13, the heteroaryl having from 5 to 10 atoms with heteroatoms (s) being selected from any of S, N, and O, optionally and independently substituted by 1 or 2 substituents Y as defined in claim 1; (viii)[CHoOaryl] where the aryl may optionally be substituted by 1 or 2 substituents Y, where each Y is as defined in claim 1; where q is an integer of from 12, and the aryl is as defined below, optionally substituted by 1 or 2 substituents Y, where each Y is as defined in claim 1; R is selected from anyone of (i) a straight or branched ClC6 alkyl or C2C6 alkenyl, where each alkyl and alkenyl may optionally be substituted by one or more aromatic or heteroaromatic substituents; (ii) C3C7 cycloalkyl, optionally comprising one or more unsaturations and optionally substituted by one or more of C lC6 alkyl, C lC6 alkoxy, hydroxy; or substituted by one or more aryl (s), or heteroaryl (s) having from 5 to 10 atoms and the heteroatom (s) being selected from any of S, N and O and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined in claim 1; (iii) hydrogen, halogen or C lC6 alkoxy; (iv) aryl; (v) heteroaryl having from 5 to 10 atoms and the heteroatom being selected from any of S, N and O; wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined in claim 1; (vi) 9,10dihydro9,10ethanoantracenyl; (vii)[(CH2) qaryl] where q is an integer of from 13 and the aryl may optionally be substituted by 1 or 2 substituents Y, where each Y is as defined in claim 1; (viii)[(CHn) rheteroaryl] where r is an integer of from 13, the heteroaryl having from 5 to 10 atoms and the heteroatoms (s) being selected from any of S, N, and O, and wherein the heteroatom (s) may optionally and independently be substituted by 1 or 2 substituents Y, where each Y is as defined in claim 1 ; (ix)[(CH2) qarylO(CH2) raryl] where q and r is each and independently an integer of from 13; (x) (CH2) q [C3C6 cycloalkyl] where q is from 12, optionally substituted by 1 or 2 substituents Y and wherein Y is as defined in claim 1; R is selected from any of (i) hydrogen; (ii) a straight or branched C lC6 alkyl or C2C6 alkenyl, where each alkyl and alkenyl may optionally be substituted by one or more aromatic or heteroaromatic substituents; (iii) CCio arylalkyi, wherein the aryl may optionally be substituted by one or more heteroaryl (s) having from 5 to 10 atoms and the heteroatom being selected from any of S, N and O; and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined in claim 1; (iv) heteoaryl (CsClo alkyl), where the heteroaryl has from 5 to 10 atoms and the heteroatom being selected from any of S, N and O, and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y where each Y is as defined in claim 1; (v) C3Clp cycloalkyl, optionally comprising one or more unsaturations and optionally susbtituted by one or more heteroaryl (s) where the heteroaryl has from 5 to 10 atoms and the heteroatom being selected from any of S, N and O; and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y where each Y is as defined in claim 1; (vi) C6C 10 aryl, optionally and independently substituted by one or more heteroaryl (s) having from 5 to 10 atoms and the heteroatom (s) being selected from any of S, N and O and wherein the heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined in claim 1; (vii) heteroaryl having from 5 to 10 atoms and the heteroatom being selected from any of S, N and O; wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined in claim 1; R3 is selected from anyone of (i) hydrogen; (ii) a straight or branched CiC6 alkyl or C2C6 alkenyl, where each alkyl and alkenyl may optionally be substituted by one or more aromatic or heteroaromatic substituents; (iii) C6Clo arylalkyl, wherein the aryl may optionally be substituted by one or more heteroaryl (s) having from 5 to 10 atoms and the heteroatom being selected from any of S, N and O; and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined in claim 1; (iv) heteoaryl (C5C 1 p alkyl), where the heteroaryl has from 5 to 10 atoms and the heteroatom being selected from any of S, N and O, and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y where each Y is as defined in claim 1; (v) C3C6 cycloalkyl, optionally comprising one or more unsaturations and optionally substituted by one or more heteroaryl (s) having from 5 to 10 atoms and the heteroatom being selected from any of S, N and O, and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y where each Y is as defined in claim 1; wherein R, R, R9, R and R is each and independently selected from (a) hydrogen; (b) a straight or branched C lC6 alkyl or C2C6 alkenyl, where each alkyl and alkenyl may optionally be substituted by one or more aromatic or heteroaromatic substituents; (c) C6C 10 arylalkyl, wherein the aryl may optionally be substituted by one or more heteroaryl (s) having from 5 to 10 atoms and the heteroatom being selected from any of S, N and O; and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined in claim 1; (d) heteoaryl (CsClo alkyl), where the heteroaryl has from 5 to 10 atoms and the heteroatom being selected from any of S, N and 0, and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y where each Y is as defined in claim 1; (e) C3CIo cycloalkyl, optionally comprising one or more unsaturations and optionally susbtituted by one or more heteroaryl (s) where the heteroaryl has from 5 to 10 atoms and the heteroatom being selected from any of S, N and O; and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y where each Y is as defined in claim 1; (f) C6Clo aryl, optionally and independently substituted by one or more heteroaryl (s) having from 5 to 10 atoms and the heteroatom (s) being selected from any of S, N and O and wherein the heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined in claim 1.
3. A compound according to claim wherein R2is hydrogen; R3is wherein R, R, R, R and R are as defined in claim 2. m and n are each and independently 1 or 2; Qis wherein R is selected from (i) phenyl; (ii) heteroaryl having from 5 to 10 atoms and the heteroatom being selected from any of S, N and O; wherein the phenyl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined in claim 1; (iii) cyclohexyl; (iv) ClC6 alkyl; (v) ClC3 alkoxy; Rl is (i)[(CH2)qaryl] where q is an integer of from 13 and the aryl may optionally be substituted by 1 or 2 substituents Y, where each Y is as defined in claim 1; or (ii) C3C7 cycloalkyl, optionally comprising one or more unsaturations and optionally substituted by one or more of C lC6 alkyl, C lC6 alkoxy, hydroxy; or substituted by one or more aryl (s), or heteroaryl (s) having from 5 to 10 atoms and the heteroatom (s) being selected from any of S, N and O and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined in claim 1; (iii) (CH, 7)cyclohexyl ; 4. A compound according to claim 1, which compound is anyone selected from 5. A compound according to claim 4, which compound is anyone selected from 6. A compound according to any of the preceding claims, in form of its hydrochloride, sulfate, tartrate or citrate salts.
4. 7 A compound according to any of claims 16 for use in therapy.
5. 8 A compound according to claim 7, wherein the therapy is pain management.
6. 9 A compound according to claim 7, wherein the therapy is directed towards gastrointestinal disorders.
7. 10 A compound according to claim 7, wherein the therapy is directed towards spinal injuries.
8. 11 A compound according to claim 7, wherein the therapy is directed to disorders of the sympathetic nervous system.
9. 12 Use of a compound according to formula I of claim 1 for the manufacture of a medicament for use in the treatment of pain.
10. 13 Use of a compound according to formula I of claim 1 for the manufacture of a medicament for use in the treatment of gastrointestinal disorders.
11. 14 Use of a compound according to formula I of claim 1 for the manufacture of a medicament for use in the treatment of spinal injuries.
12. 15 A compound according to any of claims 111, further characterised in that it is isotopically labelled.
13. 16 Use of a compound according to claim 15 as a diagnostic agent.
14. 17 An isotopically labelled compound of the formula I of claim 1.
15. 18 A diagnostic agent comprising a compound of the formula I of claim 1.
16. 19 A pharmaceutical composition comprising a compound of the formula I according to claim 1 as an active ingredient, together with a pharmacologically and pharmaceutically acceptable carrier.
17. 20 A process for the preparation of a compound of the formula I according to claim 1, whereby A) (i) a cis/transmixture of 1,4bisaminomethyl cyclohexane is converted into a mono (diBoc) guanidinomethyl derivative, which in turn is reacted with an aldehyde of the formula R CHO, providing a secondary amine of the formula (EH) (ii) the compound of the formula (E) is reacted with an acylating reagent of the formula R COCI and thereafter deprotected, providing a cis/transguanidinomethyl cyclohexane compound of the formula (VI) B) (i) cis,trans4(aminomethyl)cyclohexane carbonitrile is reacted with an aldehyde of the formula R1CHO, which thereafter is reacted with an acylating reagent R4COCl, providing a compound of the formula (VIE) (ii) the nitrile group of the compound of the formula (Vm) is reduced and thereafter guanylated, amidinated or alkylated, providing a compound of the formula (X) C) cis1,4cyclohexane dicarboxylic acid anhydride is converted to the cisacid amide, which thereafter is reacted with a primary amine, wherafter the carbonyl groups are reduced, providing a compound of formula (Xm) which in turn is acylated, reduced, and finally amidinated, alkylated or guanylated, providing a ciscompound of the formula (XVI) D) trans4aminomethyl cyclohexane is protected, thereafter amidated and deprotected, providing a compound of the formula (XVM) which in turn is reduced, protected, acylated, and finally deprotected, providing a compound of the formula (XXII) wherein R, R, R3 and R in each step are as defined for formula I of claim 1.
18. 21 A compound of the formula (III) wherein R is selected from anyone of (i) a straight or branched C lC6 alkyl, C2C6 alkenyl or C2C6 alkynyl, where each alkyl, alkenyl or alkynyl may optionally be substituted by one or more aromatic or heteroaromatic substituents; (ii) C3C7 cycloalkyl, optionally comprising one or more unsaturations and optionally substituted by one or more of C lC6 alkyl, C lC6 alkoxy, hydroxy; or substituted by one or more aryl (s), or heteroaryl (s) having from 5 to 10 atoms and the heteroatom (s) being selected from any of S, N and O and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined in claim 1; (iii) halogen or CIC6 alkoxy; (iv) C6Ctoaryl; (v) heteroaryl having from 5 to 10 atoms and the heteroatom being selected from any of S, N and O; wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined in claim 1; (vi) 9,10dihydro9, 10ethanoantracenyl; (vii)[(CH2) qaryl] where q is an integer of from 13 and the aryl may optionally be substituted by 1 or 2 substituents Y, where each Y is as defined in claim 1; (viii)[(CHs) rheteroaryl] where r is an integer of from 13, the heteroaryl having from 5 to 10 atoms and the heteroatoms (s) being selected from any of S, N, and O, and wherein the heteroatom (s) may optionally and independently be substituted by 1 or 2 substituents Y, where each Y is as defined in claim 1; (ix)[(CHo) qarylO(CH2) raryl] where q and r is each and independently an integer of from 13.
19. 22 A compound of the formula (VII) wherein R is selected from anyone of (i) a straight or branched ClC6 alkyl, C2C6 alkenyl or C2C6 alkynyl, where each alkyl, alkenyl or alkynyl may optionally be substituted by one or more aromatic or heteroaromatic substituents; (ii) C3C7 cycloalkyl, optionally comprising one or more unsaturations and optionally substituted by one or more of C lC6 alkyl, ClC6 alkoxy, hydroxy; or substituted by one or more aryl (s), or heteroaryl (s) having from 5 to 10 atoms and the heteroatom (s) being selected from any of S, N and O and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined in claim 1; (iii) hydrogen, halogen or C lC6 alkoxy; (iv) C6Cioaryl; (v) heteroaryl having from 5 to 10 atoms and the heteroatom being selected from any of S, N and O; wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined in claim 1; (vi) ; (vii)[(CH) qaryl] where q ia an integer of from 13 and the aryl may optionally be substituted by 1 or 2 substituents Y, where each Y is as defined in claim 1; (viii)[(CHo) rheteroaryl] where r is an integer of from 13, the heteroaryl having from 5 to 10 atoms and the heteroatoms (s) being selected from any of S, N, and O, and wherein the heteroatom (s) may optionally and independently be substituted by 1 or 2 substituents Y, where each Y is as defined in claim 1; (ix) [ (CH2) qarylO (CH2) raryl] where q and r is each and independently an integer of from 13.
20. 23 A compound of the formula (1X) wherein R. is selected from anyone of (i) a straight or branched C lC6 alkyl, C2C6 alkenyl or C2C6 alkynyl, where each alkyl, alkenyl or alkynyl may optionally be substituted by one or more aromatic or heteroaromatic substituents; (ii) C3C7 cycloalkyl, optionally comprising one or more unsaturations and optionally substituted by one or more of ClC6 alkyl, C1C6 alkoxy, hydroxy; or substituted by one or more aryl (s), or heteroaryl (s) having from 5 to 10 atoms and the heteroatom (s) being selected from any of S, N and O and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined in claim 1; (iii) hydrogen, halogen or ClC6 alkoxy; (iv) aryl; (v) heteroaryl having from 5 to 10 atoms and the heteroatom being selected from any of S, N and O; wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined in claim 1; (vi) 9,10dihydro9, 10ethanoantracenyl; (vii) [ (CH2) qaryl] where q ia an integer of from 13 and the aryl may optionally be substituted by 1 or 2 substituents Y, where each Y is as defined in claim 1; (viii)[(CH2) rheteroaryl] where r is an integer of from 13, the heteroaryl having from 5 to 10 atoms and the heteroatoms (s) being selected from any of S, N, and O, and wherein the heteroatom (s) may optionally and independently be substituted by 1 or 2 substituents Y, where each Y is as defined in claim 1; (ix)[(CH2) qarylO(CHo) raryl] where q and r is each and independently an integer of from 13; and R is selected from anyone of (i) C6Clo aryl ; or (ii) heteroaryl having from 5 to 10 atoms and the heteroatom being selected from any of S, N and O; and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y where each Y is as defined in claim 1; (iii) hydrogen; (iv) a straight or branched ClC6 alkyl, C2C6 alkenyl or C2C6 alkynyl; (v) ClC3 alkoxy; (vi) saturated or unsaturated C3Clo cycloalkyl, optionally and independently substituted by one or more aryl (s) or heteroaryl (s) having from 5 to 10 atoms and the heteroatom (s) being selected from any of S, N and O and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined in claim 1; (vii)[(CH2) qaryl] where q is an integer of from 13, and the aryl may optionally be substituted by 1 or 2 substituents Y, where each Y is as defined in claim 1; (viii) [ (CH2) rheteroaryl] where r is an integer of from 13, the heteroaryl having from 5 to 10 atoms and the heteroatoms (s) being selected from any of S, N, and O, and wherein the heteroatom (s) may optionally and independently be substituted by 1 or 2 substituents Y, where each Y is as defined in claim 1; (ix)[CH2Oaryl] where the aryl may optionally be substituted by 1 or 2 substituents Y, where each Y is as defined in claim 1; where q is an integer of from 13, and the aryl may optionally be substituted by 1 or 2 substituents Y, where each Y is as defined in claim 1.
21. 24 A compound according to formula (XE) wherein R is selected from anyone of (i) a straight or branched ClC6 alkyl, CoC6 alkenyl or C2C6 alkynyl, where each alkyl, alkenyl or alkynyl may optionally be substituted by one or more aromatic or heteroaromatic substituents; (ii) C3C7 cycloalkyl, optionally comprising one or more unsaturations and optionally substituted by one or more of C lC6 alkyl, C lC6 alkoxy, hydroxy; or substituted by one or more aryl (s), or heteroaryl (s) having from 5 to 10 atoms and the heteroatom (s) being selected from any of S, N and O and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined in claim 1; (iii) hydrogen, halogen or ClC6 alkoxy; (iv) aryl; (v) heteroaryl having from 5 to 10 atoms and the heteroatom being selected from any of S, N and O; wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined in claim 1; (vi) 9,10dihydro9, 10ethanoantracenyl; (vii)[(CH2) qaryl] where q ia an integer of from 13 and the aryl may optionally be substituted by 1 or 2 substituents Y, where each Y is as defined in claim 1; (viii)[(CH2) rheteroaryl] where r is an integer of from 13, the heteroaryl having from 5 to 10 atoms and the heteroatoms (s) being selected from any of S, N, and O, and wherein the heteroatom (s) may optionally and independently be substituted by 1 or 2 substituents Y, where each Y is as defined in claim 1; (ix)[(CH2) qarylO(CH2) raryl] where q and r is each and independently an integer of from 13.
22. 25 A compound according to formula (XV) wherein R1 is selected from anyone of (i) a straight or branched C 1C6 alkyl, C2C6 alkenyl or C2C6 alkynyl, where each alkyl, alkenyl or alkynyl may optionally be substituted by one or more aromatic or heteroaromatic substituents; (ii) C3C7 cycloalkyl, optionally comprising one or more unsaturations and optionally substituted by one or more of ClC6 alkyl, C1C6 alkoxy, hydroxy; or substituted by one or more aryl (s), or heteroaryl (s) having from 5 to 10 atoms and the heteroatom (s) being selected from any of S, N and O and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined in claim 1; (iii) hydrogen, halogen or ClC6 alkoxy; (iv) C6C 10 aryl; (v) heteroaryl having from 5 to 10 atoms and the heteroatom being selected from any of S, N and O; wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined inclaim 1; (vi) 9,10dihydro9, 10ethanoantracenyl; (vii)[(CH2) qaryl] where q ia an integer of from 13 and the aryl may optionally be substituted by 1 or 2 substituents Y, where each Y is as defined in claim 1; (viii) [(CH2)rheteroaryl] where r is an integer of from 13, the heteroaryl having from 5 to 10 atoms and the heteroatoms (s) being selected from any of S, N, and O, and wherein the heteroatom (s) may optionally and independently be substituted by 1 or 2 substituents Y, where each Y is as defined in claim 1; (ix)[(CH2) qarylO(CH2) raryl] where q and r is each and independently an integer of from 13; and R is selected from anyone of (i) oraryl; (ii) heteroaryl having from 5 to 10 atoms and the heteroatom being selected from any of S, N and O; and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y where each Y is as defined in claim 1; (iii) hydrogen; (iv) a straight or branched C1C6 alkyl, CoC6 alkenyl or C'7C6 alkynyl; (v) C 1C3 alkoxy; (vi) saturated or unsaturated C3C 10 cycloalkyl, optionally and independently substituted by one or more aryl (s) or heteroaryl (s) having from 5 to 10 atoms and the heteroatom (s) being selected from any of S, N and O and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined in claim 1; (vii)[(CH2) qaryl] where q is an integer of from 13, and the aryl may optionally be substituted by 1 or 2 substituents Y, where each Y is as defined in claim 1; (viii)[(CH2) rheteroaryl] where r is an integer of from 13, the heteroaryl having from 5 to 10 atoms and the heteroatoms (s) being selected from any of S, N, and O, and wherein the heteroatom (s) may optionally and independently be substituted by 1 or 2 substituents Y, where each Y is as defined in claim 1; (ix)[CH2Oaryl] where the aryl may optionally be substituted by 1 or 2 substituents Y, where each Y is as defined in claim 1; where q is an integer of from 13, and the aryl may optionally be substituted by 1 or 2 substituents Y, where each Y is as defined in claim 1.
23. 26 A compound of the formula (XIX) wherein R is selected from anyone of (i) a straight or branched C lC6 alkyl, C2C6 alkenyl or C2C6 alkynyl, where each alkyl, alkenyl or alkynyl may optionally be substituted by one or more aromatic or heteroaromatic substituents; (ii) C3C7 cycloalkyl, optionally comprising one or more unsaturations and optionally substituted by one or more of C1C6 alkyl, C lC6 alkoxy, hydroxy; or substituted by one or more aryl (s), or heteroaryl (s) having from 5 to 10 atoms and the heteroatom (s) being selected from any of S, N and O and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined in claim 1; (iii) hydrogen, halogen or ClC6 alkoxy; (iv) C6 10 aryl ; (v) heteroaryl having from 5 to 10 atoms and the heteroatom being selected from any of S, N and O; wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined in claim 1; (vi) 9,10dihydro9, 10ethanoantracenyl; (vii) [ (CH2) qaryl] where q ia an integer of from 13 and the aryl may optionally be substituted by 1 or 2 substituents Y, where each Y is as defined in claim 1; (viii)[(CH2) rheteroaryl] where r is an integer of from 13, the heteroaryl having from 5 to 10 atoms and the heteroatoms (s) being selected from any of S, N, and O, and wherein the heteroatom (s) may optionally and independently be substituted by 1 or 2 substituents Y, where each Y is as defined in claim 1; (ix)[(CHo) qarylO(CH2) raryl] where q and r is each and independently an integer of from 13.
24. 27 A method for the treatment of pain, whereby an effective amount of a compound of the formula I according to claim 1 is administered to a subject in need of pain management.
25. 28 A method for the treatment of gastrointestinal disorders, whereby an effective amount of a compound of the formula I according to claim 1, is administered to a subject suffering from said gastrointestinal disorder.
26. 29 A method for the treatment of spinal injuries, whereby an effective amount of a compound of the formula I according to claim 1, is administered to a subject suffering from said spinal injury.
Description:
NOVEL COMPOUNDS USEFUL IN PAIN MANAGEMENT Field of the invention The present invention is related to novel compounds, to a process for their preparation, intermediates, their use and pharmaceutical compositions comprising the novel compounds. The novel compounds are useful in therapy, and in particular for the treatment of pain.

Background and prior art The 8 receptor has been identified as having a role in many bodily functions such as circulatory and pain systems. Ligands for the 8 receptor may therefore find potential use as analgesics, and/or as antihypertensive agents. Ligands for the 8 receptor have also been shown to possess immunomodulatory activities.

The identification of at least three different populations of opioid receptors (put, 8 and K) is now well established and all three are apparent in both central and peripheral nervous systems of many species including man. Analgesia has been observed in various animal models when one or more of these receptors has been activated.

With few exceptions, currently available selective opioid 8 ligands are peptidic in nature and are unsuitable for administration by systemic routes. Some non-peptidic 8 antagonists have been available for some time (see Takemori and Portoghese, 1992, Ann. Rev.

Pharmacol. Tox., 32: 239-269. for review). These compounds, e. g. naltrindole, suffer from rather poor (i. e., < 10-fold) selectivity for the 8 receptor vs. R receptor binding and exhibit no analgesic activity, a fact which underscores the need for the development of highly selective non-peptidic 8 ligands.

Thus, the problem underlying the present invention was to find new analgesics having improved analgesic effects, but also with an improved side-effect profile over current i agonists and potential oral efficacy.

Analgesics that have been identified and are existing in the prior art have many disadvantages in that they suffer from poor pharmacokinetics and are not analgesic when administered by systemic routes. Also, it has been documented that preferred compounds, described within the prior art, show significant convulsive effects when administered systemically.

The problem mentioned above has now been solved by developing novel 1,4-substituted cyclohexyl compounds, as will be described below.

Outline of the invention The novel compounds according to the present invention are defined by the formula I wherein

A is wherein R-and R are as defined below; Z is (CH2) m or a carbonyl group; m and n are each and independently an integer of from 0-3, and one or more of the hydrogens in such an alkylene-chain may optionally be substituted by anyone of Cl-C6 alkyl, Cl-C6 alkoxy, or hydroxy; or one or more of the methylene groups may optionally be substituted by a heteroatom such as O, N or S; m and n may not both be 0; Q is selected from any of CH3; wherein R6iseachandindependentlyselectedfromanyofR4,R5and

(i) C6-CIo aryl ; or (ii) heteroaryl having from 5 to 10 atoms and the heteroatom being selected from S,NandO;andanyof wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y where each Y is as defined below; (iii) hydrogen; (iv) a straight or branched Cl-C6 alkyl. Co-C6 alkenyl or C'-7-C6 alkynyl; (v) Cl-C3 alkoxy; (vi) saturated or unsaturated C3-Clo cycloalkyl, optionally and independently substituted by one or more aryl groups or heteroaryl groups having from 5 to 10 atoms with the heteroatom (s) being selected from any of S, N and O and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined below; (vii) -[(CH2)q-aryl] where q is an integer of from 1-3, and the aryl may optionally be substituted by 1 or 2 substituents Y, where each Y is as defined below; (viii) -[(CH2)r-heteroaryl] where r is an integer of from 1-3, the heteroaryl having from 5 to 10 atoms with heteroatoms (s) being selected from any of S, N, and O, optionally and independently substituted by 1 or 2 substituents Y as defined below; (ix)-[CH2-O-aryl] where the aryl may optionally be substituted by 1 or 2 substituents Y, where each Y is as defined below;

'where q is an integer of from 1-3, and the aryl is as defined below, optionally substituted by 1 or 2 substituents Y, where each Y is as defined below; R is selected from anyone of (i) a straight or branched C l-C6 alkyl, Co-C6 alkenyl or C2-C6 alkynyl, where each alkyl, alkenyl or alkynyl may optionally be substituted by one or more aromatic or heteroaromatic substituents; (ii) C3-C7 cycloalkyl, optionally comprising one or more unsaturations and optionally substituted by one or more of C X-C6 alkyl, Ci-Cg alkoxy, hydroxy; or substituted by one or more aryl (s), or heteroaryl (s) having from 5 to 10 atoms and the heteroatom (s) being selected from any of S, N and O and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined below; (iii) hydrogen, halogen or Cl-C6 alkoxy; (iv) C6-C I o aryl ; (v) heteroaryl having from 5 to 10 atoms and the heteroatom being selected from any of S, N and O; wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined below;

(vi) 9,10-dihydro-9, 10-ethanoantracenyl; (vii)-[(CH2) q-aryl] where q is an integer of from 1-3 and the aryl may optionally be substituted by 1 or 2 substituents Y, where each Y is as defined below; (viii)-[(CH2) r-heteroaryl] where r is an integer of from 1-3, the heteroaryl having from 5 to 10 atoms and the heteroatoms (s) being selected from any of S, N, and O, and wherein the heteroatom (s) may optionally and independently be substituted by 1 or 2 substituents Y, where each Y is as defined below; (ix)- [ (CH2) q-aryl-O- (CH2) r-aryl] where q and r is each and independently an integer of from 1-3; (x)- (CH2) q- [C3-C6 cycloalkyl] where q is from 1-2, optionally substituted by 1 or 2 substituents Y and wherein Y is as defined below; R2 is selected from any of (i) hydrogen; (ii) a straight or branched C1-C6 alkyl, C2-C6 alkenyl or C,)-C6 alkynyl, where each alkyl, alkenyl or alkynyl may optionally be substituted by one or more aromatic or heteroaromatic substituents; (iii) C6-C 10 arylalkyl, wherein the aryl may optionally be substituted by one or more heteroaryl (s) having from 5 to 10 atoms and the heteroatom being selected from any of S, N and O; and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined below;

(iv) heteoaryl- (Cs-Clo alkyl), where the heteroaryl has from 5 to 10 atoms and the heteroatom being selected from any of S, N and O, and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y where each Y is as defined below; (v) C3-Cto cycloalkyi, optionally comprising one or more unsaturations and optionally susbtituted by one or more heteroaryl (s) where the heteroaryl has from 5 to 10 atoms and the heteroatom being selected from any of S, N and O; and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y where each Y is as defined below; (vi) C6-C 10 aryl, optionally and independently substituted by one or more heteroaryl (s) having from 5 to 10 atoms and the heteroatom (s) being selected from any of S, N and O and wherein the heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined below; (vii) heteroaryl having from 5 to 10 atoms and the heteroatom being selected from any of S, N and O; wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined below; R is selected from anyone of (i) hydrogen; <BR> <BR> <BR> <BR> <BR> <BR> (ii) a straight or branched C g-C6 alkyl, C2-C6 alkenyl or C2-C6 alkynyl, where each alkyl, alkenyl or alkynyl may optionally be substituted by one or more aromatic or heteroaromatic substituents;

(iii) C6-C 10 arylalkyl, wherein the aryl may optionally be substituted by one or more heteroaryl (s) having from 5 to 10 atoms and the heteroatom being selected from any of S, N and O; and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined below; (iv) heteoaryl- (Cs-Clo alkyl), where the heteroaryl has from 5 to 10 atoms and the heteroatom being selected from any of S, N and O, and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y where each Y is as defined below: (v) C3-C10 cycloalkyl, optionally comprising one or more unsaturations and optionally substituted by one or more heteroaryl (s) having from 5 to 10 atoms and the heteroatom being selected from any of S, N and O, and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y where each Y is as defined below; wherein R, R8, R9, R and R is each and independently selected from (a) hydrogen;

(b) a straight or branched Cl-C6 alkyl, C2-C6 alkenyl or C')-C6 alkynyl, where each alkyl, alkenyl or alkynyl may optionally be substituted by one or more aromatic or heteroaromatic substituents; (c) C6-C 1o arylalkyl, wherein the aryl may optionally be substituted by one or more heteroaryl (s) having from 5 to 10 atoms and the heteroatom being selected from any of S, N and O; and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined below; (d) heteoaryl- (C5-C 1 o alkyl), where the heteroaryl has from 5 to 10 atoms and the heteroatom being selected from any of S, N and O, and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y where each Y is as defined below; (e) C3-CIo cycloalkyl, optionally comprising one or more unsaturations and optionally susbtituted by one or more heteroaryl (s) where the heteroaryl has from 5 to 10 atoms and the heteroatom being selected from any of S, N and O; and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y where each Y is as defined below; (f) C6-C 10 aryl, optionally and independently substituted by one or more heteroaryl (s) having from 5 to 10 atoms and the heteroatom (s) being selected from any of S, N and O and wherein the heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined below; or

R3mayR2and optionally form a heterocyclic ring; Y is each and independently selected from any of hydrogen, CH3; -(CH2) p1CF3 ; halogen; Cl-C3 alkoxy; ; (CH2)p4SORaRb;-(CH2)p5SO2Ra;-CORa;-(CH2)p2NRaRb;-(CH2)p3CH3, -(CH2)p6SO2NRa ; C4-C8 (alkyl-cycloalkyl) wherein alkyl is Cl-C2 alkyl and cycloalkyl is C3-C6 cycloalkyl; 1 or 2 heteroaryl (s) having from 5 to 10 atoms and the heteroatom (s) being selected from any of S, N and O; and oxides such as N-oxides or sulfoxides; and wherein R and R is each and independently selected from hydrogen, a branched or straight Cl-C6 alkyl, Cl-C6 alkenyl, C3-Cg cycloalkyl; and wherein pl, p2, p3, p4, p5 and p6 is each and independently 0,1 or 2.

Within the scope of the invention are also pharmaceutically acceptable salts of the compounds of the formula (I), as well as isomers, hydrates, isoforms and prodrugs thereof.

Preferred compounds according to the invention are compounds of the formula (I) wherein A is wherein R2 and asdefinedbelow;are

Z is (CH2) m or a carbonyl group; m and n are each and independently an integer of from 1-3; Q is selected from any of CH3; wherein R, R and R is each and independently selected from any of (i) C6-Cioaryl; or (ii) heteroaryl having from 5 to 10 atoms and the heteroatom being selected from anyofS, NandO; and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y where each Y is as defined above; (iii) a straight or branched Cl-C6 alkyl or C2-C6 alkenyl; (iv) Cl-C3 alkoxy; (v) saturated or unsaturated C3-C6 cycloalkyl, optionally and independently substituted by one or more aryl groups or heteroaryl groups having from 5 to 10 atoms with the heteroatom (s) being selected from any of S, N and O and wherein the aryl, heteroaryl and cycloalkyl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined above;

(vi)-[(CH2) q-aryl] where q is an integer of from 1-3, and the aryl may optionally be substituted by 1 or 2 substituents Y, where each Y is as defined above; (vii)-[(CH2) r-heteroaryl] where r is an integer of from 1-3, the heteroaryl having from 5 to 10 atoms with heteroatoms (s) being selected from any of S, N, and 0, optionally and independently substituted by 1 or 2 substituents Y as defined above; (viii)-[CH2-O-aryl] where the aryl may optionally be substituted by 1 or 2 substituents Y, where each Y is as defined above; where q is an integer of from 1-2, and the aryl is as defined below, optionally substituted by 1 or 2 substituents Y, where each Y is as defined above; R is selected from anyone of <BR> <BR> <BR> <BR> (i) a straight or branched C l-C6 alkyl or C2-C6 alkenyl, where each alkyl and alkenyl may optionally be substituted by one or more aromatic or heteroaromatic substituents; (ii) C3-C7 cycloalkyl, optionally comprising one or more unsaturations and optionally substituted by one or more of C l-C6 alkyl, Cl-C6 alkoxy, hydroxy; or substituted by one or more aryl (s), or heteroaryl (s) having from 5 to 10 atoms and the heteroatom (s) being selected from any of S, N and O and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined above; (iii) hydrogen, halogen or C l-C6 alkoxy;

(iv) C6-CIo aryl ; (v) heteroaryl having from 5 to 10 atoms and the heteroatom being selected from any of S, N and O : wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined above; (vi) 9,10-dihydro-9, 10-ethanoantracenyl; (vii)-[(CHo) q-aryl] where q is an integer of from 1-3 and the aryl may optionally be substituted by 1 or 2 substituents Y, where each Y is as defined above; (viii)-[(CH2) r-heteroaryl] where r is an integer of from 1-3, the heteroaryl having from 5 to 10 atoms and the heteroatoms (s) being selected from any of S, N, and O, and wherein the heteroatom (s) may optionally and independently be substituted by 1 or 2 substituents Y, where each Y is as defined above; (ix)-[(CHo) q-aryl-O-(CH2) r-aryl] where q and r is each and independently an integer of from 1-3; (x)- (CH2) q- [C3-C6 cycloalkyl] where q is from 1-2, optionally substituted by 1 or 2 substituents Y and wherein Y is as defined above; R2R2is selected from any of (i) hydrogen; (ii) a straight or branched Cl-C6 alkyl or C2-C6 alkenyl, where each alkyl and alkenyl may optionally be substituted by one or more aromatic or heteroaromatic substituents;

(iii) C6-Clo arylalkyl, wherein the aryl may optionally be substituted by one or more heteroaryl (s) having from 5 to 10 atoms and the heteroatom being selected from any ofS, N and O; and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined above; (iv) heteoaryl- (C5-CIO alkyl), where the heteroaryl has from 5 to 10 atoms and the heteroatom being selected from any of S, N and O, and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y where each Y is as defined above; (v) C3-C 10 cycloalkyl, optionallv comprising one or more unsaturations and optionally susbtituted by one or more heteroaryl (s) where the heteroaryl has from 5 to 10 atoms and the heteroatom being selected from any of S, N and O; and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y where each Y is as defined above; (vi) C6-Clo aryl, optionally and independently substituted by one or more heteroaryl (s) having from 5 to 10 atoms and the heteroatom (s) being selected from any of S, N and O and wherein the heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined above; (vii) heteroaryl having from 5 to 10 atoms and the heteroatom being selected from any of S, N and O; wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined above; R3 is selected from anyone of (i) hydrogen;

(ii) a straight or branched Cl-C6 alkyl or C2-C6 alkenyl, where each alkyl and alkenyl may optionally be substituted by one or more aromatic or heteroaromatic substituents: (iii) C6-C lo arylalkyl, wherein the aryl may optionally be substituted by one or more heteroaryl (s) having from 5 to 10 atoms and the heteroatom being selected from any of S, N and O; and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined above; (iv) heteoaryl- (Cs-Clo alkyl), where the heteroaryl has from 5 to 10 atoms and the heteroatom being selected from any of S, N and O, and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y where each Y is as defined above; (v) C3-C6 cycloalkyl, optionally comprising one or more unsaturations and optionally substituted by one or more heteroaryl (s) having from 5 to 10 atoms and the heteroatom being selected from any of S, N and O, and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y where each Y is as defined above; wherein R, R, R, R and R is each and independently selected from

(a) hydrogen; (b) a straight or branched C l-C6 alkyl or C' ?-C6 alkenyl, where each alkyl and alkenyl may optionally be substituted by one or more aromatic or heteroaromatic substituents; (c) C6-Clo arylalkyl, wherein the aryl may optionally be substituted by one or more heteroaryl (s) having from 5 to 10 atoms and the heteroatom being selected from any of S, N and O; and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined above; (d) heteoaryl- (Cs-Clo alkyl), where the heteroaryl has from 5 to 10 atoms and the heteroatom being selected from any of S, N and O, and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y where each Y is as defined above; (e) C3-Clo cycloalkyl, optionally comprising one or more unsaturations and optionally susbtituted by one or more heteroaryl (s) where the heteroaryl has from 5 to 10 atoms and the heteroatom being selected from any of S, N and O; and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y where each Y is as defined above; (f) C6-C lo aryl, optionally and independently substituted by one or more heteroaryl (s) having from 5 to 10 atoms and the heteroatom (s) being selected from any of S, N and O and wherein the heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined above.

Particularly preferred compounds according to the invention are compounds of the formula (I) wherein A is wherein R-and R are as defined below; Z is (CH2) m or a carbonyl group; m and n are each and independently 1 or 2; Qis wherein R4 is selected from (i) phenyl; (ii) heteroaryl having from 5 to 10 atoms and the heteroatom being selected from any of S, N and O; wherein the phenyl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined above;

(iii) cyclohexyl; (iv) Cl-C6 alkyl; (v) CI-C3 alkoxy; <BR> <BR> <BR> <BR> <BR> R1 is<BR> <BR> <BR> <BR> <BR> <BR> <BR> (i)-[(CH2) q-aryl] where q is an integer of from 1-3 and the aryl may optionally be substituted by 1 or 2 substituents Y, where each Y is as defined above; or (ii) C3-C7 cycloalkyl, optionally comprising one or more unsaturations and optionally substituted by one or more of C1 - C6 alkyl, C1-C6 alkoxy, hydroxy; or substituted by one or more aryl (s), or heteroaryl (s) having from 5 to 10 atoms and the heteroatom (s) being selected from any of S, N and O and wherein the aryl and heteroaryl may optionally and independently be substituted by 1 or 2 substituents Y wherein each Y is as defined above; (iii)-(CH2)-cyclohexyl; R2 is hydrogen; R3is wherein R, R, R9, R and R11 are as defined above.

Examples of heterocyclic ring systems which may be formed by R2 and R3 together include but are not limited to azeridine, pyrrolidine, piperidine, azepine, azocine, their hydrogenated or dehydrogenated derivatives, their aminoderivatives and other aza- heterocycle moieties and their derivatives, such as dihydroimidazoles, di-, tetra-and hexahydropyrimidines and the like.

By"halogen"we mean chloro. fluoro, bromo and iodo.

By"aryl"we mean an aromatic ring having 6 or 10 carbon atoms, such as phenyl and naphthyl.

By"heteroaryl"we mean an aromatic ring in which one or more of the from 5-10 atoms in the ring are elements other than carbon, such as N, S and O.

By"isomers"we mean compounds of the formula (I), which differ by the position of their functional group and/or orientation. By"orientation"we mean stereoisomers, diastereoisomers, regioisomers and enantiomers.

By"isoforms"we mean compounds of the formula I which differ in the relative physical arrangement of molecules by crystal lattice, such that isoforms refer to various crystalline compounds and amorphous compounds.

By"prodrug"we mean pharmacologically acceptable derivatives, e. g. esters and amides, such that the resulting biotransformation product of the derivative is an active form of the drug. The reference by Goodman and Gilmans, The Pharmacological basis of Therapeutics, 8th ed., McGraw-Hill, Int. Ed. 1992,"Biotransformation of Drugs, p. 13-15, describing prodrugs generally, is hereby incorporated by reference.

The novel compounds of the present invention are useful in therapy, especially for the treatment of various pain conditions such as chronic pain, acute pain, cancer pain, pain caused by rheumatoid arthritis, migraine, visceral pain etc. This list should however not be interpreted as exhaustive.

Compounds of the invention are useful as immunomodulators, especially for autoimmune diseases, such as arthritis, for skin grafts, organ transplants and similar surgical needs, for collagen diseases, various allergies, for use as anti-tumour agents and anti viral agents.

Compounds of the invention are useful in disease states where degeneration or dysfunction of opioid receptors is present or implicated in that paradigm. This may involve the use of isotopically labelled versions of the compounds of the invention in diagnostic techniques and imaging applications such as positron emission tomography (PET).

Compounds of the invention are useful for the treatment of diarrhoea, depression, urinary incontinence, various mental illnesses, cough, lung oedema, various gastro-intestinal disorders, spinal injury and drug addiction, including the treatment of alcool, nicotine, opioid and other drug abuse and for disorders of the sympathetic nervous system for example hypertension.

Compounds of the invention are useful as an analgesic agent for use during general anaesthesia and monitored anaesthesia care. Combinations of agents with different properties are often used to achieve a balance of effects needed to maintain the anaesthetic state (eg. Amnesia, analgesia, muscle relaxation and sedation). Included in this combination are inhaled anaesthetics, hypnotica, anxiolytics, neuromuscular blockers and opioids.

The compounds of the present invention in isotopically labelled form are useful as a diagnostic agent.

Also within the scope of the invention is the use of any of the compounds according to the formula (I) above, for the manufacture of a medicament for the treatment of any of the conditions discussed above.

A further aspect of the invention is a method for the treatment of a subject suffering from any of the conditions discussed above, whereby an effective amount of a compound according to the formula (I) above, is administered to a patient in need of such treatment.

The best mode of performing the invention known at present, is to use the compounds according to Example 9 (compound 14), Example 14 (compound 30) and Example 53 (compound 120). The numbering of the compounds is in accordance with the numbering in the Schemes presented in the following.

Methods of preparation Compounds of the formula I, as described above, may be obtained by following the procedures described below.

Preparation of 1,4-cis, trans-cvclohexane derived compounds SCHEMEI H H NH2N N-Boc N N-Boc N DI Aldehyde ß NH-Boc R'CHO (11) Acylating reagent NH2 NH2 R4COCI (IV) R R'J

H I NN-Boc "-f I NH-Boc N NH Deprotection JN R4 X O R'N R4 N R 0 NMR (V) J D (Vl) The compounds of general formula (VI) may be prepared by following the procedure described in Scheme I above.

Commercially available cis/trans-mixtures of 1,4-bis-aminomethyl cyclohexane is converted to mono- (diBoc) guanidinomethyl derivative, using a protected guanylating reagent such as l-H-pyrazole-l- (N, N-bis (tert-butoxycarbonyl) carboxamidine in an organic solvent such as THF. The secondary amine (compound III) can be generated using a reductive amination step where compound III is reacted with an aldehyde (compound II) <BR> <BR> <BR> <BR> such as C l-C6 alkylaldehyde or phenylaldehyde in the presence of an acid such as acetic acid or ZnC12 in a protic solvent such as methanol or ethanol in the presence of a reducing agent such as sodiumcyanoborohydride.

Compounds of the general formula (V) may be obtained by performing an acylating reaction where compound III is mixed with an acid chloride (compound IV) or other appropriate acylating agent such as acid anhydride in a solvent such as methylene chloride and in the presence of a tertiary amine as base, such as triethylamine.

Finally, compounds of the general formula (VI) may be obtained by cleavage of the Boc protecting groups with an acid such as aqueous hydrochloric acid, or by using organic acid such as trifluoroacetic acid in a solvent such as methylene chloride.

In the formulas (III), (IV), (V) and (VI) in Scheme I above, R1 areR4 as defined in formula I of claim 1.

SCHEMEII CN CN Acylating CN Aldehyde reagent .> s w >,>ReductionR'CHO(II) t R4COCI (IV) \// NHz J H O R1) N (Vll) (VII) 2 (Vlll) I Guanylationor N, R3 amidination or alkylation 0 Je tu NJ<R4 OJ NXR4 J R' (IX) (X) CX) Alternatively, compounds of the general formula (X) may be obtained as described in Scheme II above.

Cis, trans-4- (aminomethyl)-cyclohexane carbonitrile is reacted with an aldehyde in the presence of a reducing agent such as sodium cyanoborohydride in a protic solvent such as methanol, and in the presence of an acid such as acetic acid or alternatively a Lewis acid such as zinc chloride.

Compounds of the general formula (VIII) may be prepared by acylating the remaining secondary amines of compound (VII) using an acylating reagent such as benzoyl chloride in an organic solvent such as methylene chloride in the presence of a base such as triethylamine.

The primary amine of the general formula (IX) may be obtained by reducing the nitrile group in compound (VIII) using hydrogen in the presence of a catalyst such as 10 % Pd on carbon in an organic solvent such as ethanol.

Compounds of the general formula (X) may be prepared by guanylation, arnidination or alkylation in an organic solvent such as methanol and DMF in the presence of an organic base such as triethylamine.

In the formulas (VII), (VIII), (IX) and (X) in Scheme II above, R and R are as defined in formula I above. Preparation of 1. 4-cis-cvclohexane derived compounds SCHEMEIII

Bn2NH COOH p I N I O NBn2 Ac20 O/H ---Primary amine R'NH2 (Xl) COOH t COOH O NBn2 NBn NBn2 z Reduction Deprotection Reduction _ ONHR L,, Acylation R4COCi (I O 4 (Xll) (xm) NMR' R' (XII) (Xlil) (Xi R2 NHZ NHR3 Amidination, alkylation, or guanylation R Ri) (XV) (XVI) J

The 1,4-cis-cyclohexane derived compounds of the general formula (XVI) may be obtained by following the reaction sequence in Scheme III above.

The cis-1,4-cyclohexane dicarboxylic acid anhydride is prepared according to H. K. Halt (J.

Org. Chem. 2027,1963). The anhydride is then reacted with dibenzylamine to generate the corresponding cis-acid amide.

Compounds of the general formula XII may be obtained by reacting the acid functionality with a primary amine of formula XI in the presence of a tertiary amine base such as di- isopropylethylamine in an organic solvent such as DMF. Both carbonyl groups are then reduced to generate compounds of the general formula (XIII). The use of a reducing reagent such as BH3-THF in an organic solvent such as THF effectively reduces both amides.

Compounds of the general formula (XIV) may be obtained by using an acylating reagent such as benzoyl chloride in an organic solvent such as methylene chloride in the presence of a base such as triethylamine.

Compounds of the general formula (XV) may be obtained by cleavage of the benzyl groups using a reduction reaction such as hydrogenation. The hydrogenation is performed in the presence of a catalyst such as 10 % Pd on carbon in a solvent such as acetic acid and using a pressure of 50 psi.

Compounds of the general formula (XVI) may be obtained by reacting the primary amine of the formula (XV) with a guanylating reagent such as 1-H-pyrazole-l- (N, N-bis (tert- butoxycarbonyl)) carboxamidine, or with an amidinating reagent or by alkylation, in a solvent such as THF or DMF.

In the formulas (IV), (XI), (XII), (XIII), (XIV), (XV), and (XVI), in Scheme III above, R, R, R and R are as defined in formula I above.

Preparation of trans-guanidinomethvl cvclohexane derived compounds SCHEMEIV NHz NHBoc NHBoc (Boc) 20, (BOC)20 R'NH2 (Xl) Deprotection O OH OOH OtNHR (XVII) NBoc NBoc NHZ NHZ N NHBoc zon Reduction Acylation R4COCI (p O+NHR/NH XNH NU NU (XVIII) R R (XIX) NBocH HA H JJ NNHBoc N/\NHZ Deprotection 0 (XXI) (XXII) R/ (XXI) (XXII)

The trans-guanidinomethyl cyclohexane derived compounds of the general formula (XXII) may be obtained as shown in Scheme IV above.

Commercially available trans-4-aminomethyl cyclohexane carboxylic acid is protected using either di-tert-butyl dicarbonate or benzoyl chloride, followed by amidation using a primary amine of the formula (XI) in an organic solvent such as methylene chloride in the presence Qf a coupling reagent such as BOPCI and a tertiary amine base such as triethylamine, providing compounds of the general formula (XVII). Cleavage of the Boc- protecting groups may be effected using an organic acid such as trifluoroacetic acid in an organic solvent such as methylene chloride, providing compounds of the formula (XVIII).

Compounds of the formula (XIX) may be obtained by using a reduction procedure consisting of using a hydride source such as a Borane complex in an organic solvent such as THF. Compounds of the formula (XX) may be obtained by reacting the primary amine in (XIX) with a guanylating reagent such as 1-H-pyrazole-1- (N, N-bis (tert- butoxycarbonyl) carboxamidine in an organic solvent such as THF. Acylation of the remaining secondary amine in XX with an acylating reagent IV such as benzoyl chloride in an organic solvent such as dioxane or methylene chloride in the presence of a base such as triethylamine, providing compounds of the general formula (XXI).

A deprotection step of (XXI) with an acid such as trifluoroacetic acid or an aqueous solution of hydrochloric acid, provides compounds of the general formula (XXII).

In Scheme IV above, R and R are as defined in formula I above.

EXAMPLES The invention will now be described in more detail by way of the following general procedures and specific examples, which should not in any way be regarded as limiting the invention.

EXAMPLE 1 Preparation 1-[(N-benzoyl)-N-(1-methyl-1-phenyl-ethyl)]-aminomethy?]- 4-guanidinomethvlevclohexane hvdrochloride (compound 6) Compound 6 of Example 1 was prepared by following the synthetic route described in Scheme 1 below. Scheme1 I N, N-Boc NHZ N-Boc H CH3 N N-Boc NH-Boc CHO 1 NH-Boc H T H t THF T NaCNBH3 N "NH,! CH, J NH2 NH2 CH3 NHZ i (3) (4) H H N N-Boc N NH cl NH-Boc HCI or TFA NH2 O O N N CH3 CH 3 W W Example 1 Compound (6)

Preparation of 1-(diBoc)-uanidinomethvl-4-aminomethvl cvelohexane Part A 1-H-pyrazole-l-carboxamidine was prepared according to Bernatowicz etal, J Org.

Chem. 1992,57, pp. 2497-2502, and protected with di-tert-butyl dicarbonate to give 1-H-pyrazole-1-(N. N-bis (tert-butoxycarbonyl) carboxamidine (compound 1) according to Drake et. al, Synth. 1994. pp.579-582, Part B Step 1 Preparation of 1- (diBoc)-guanidinomethvl-4-aminomethvl cvclohexane (compound 3) To a solution of 1,4-bis-aminomethyl-cyclohexane (compound 2) (20 g, 0.14 mol) in THF (200 mL) was added a solution of 1-H-Pyrazole-1- (N, N-bis (tert- butoxycarbonyl) carboxamidine (compound 1) (22.0 g, 0.07 mol) in THF (100 mL). The solution was stirred at room temperature for 3 hrs. The solvent was removed under reduced pressure to give a syrupy residue which was taken up in ethvl acetate and washed with water until neutral pH. The organic layer was washed with brine, dried over MgS04 and concentrated. The product (compound 3) was purified by column chromatography on <BR> <BR> <BR> silica gel using a mixture of methylene chloride: methanol as the eluent to afford 11.6 g (43 % yield) of 1- (diBoc)-guanidinomethyl-4-aminomethyl cyclohexane, i. e. compound 3.

1H NMR (CDCl3) 5 3.26 (d of t, 2H), 2.52 (d of d, 2H), 1.82-0.97 (m, 28H, with singlet at 1.5).

Step 2 Preparation of 4-N-(diBoc) uanidinomethvl-l-N-(1-methvl-1-phenvlethvl)- aminomethvlcvclohexane (compound 4) To a solution of 1- (diBoc)-guanidinomethyl-4-aminomethyl cyclohexane (compound 3) (1 eq) in methanol containing 1% (v/v) of glacial acetic acid (alternatively, ZnCl2 can be

used) was added 2-methyl-phenylacetaldehyde (1 eq), followed by NaBH3CN (3-4 eq).

The reaction mixture was stirred at room temperature overnight. The reaction was quenched with water, basified with aqueous NaHC03 solution and extracted with methylene chloride. The organic layer was washed with brine, dried over MgS04 and concentrated. The product (compound 4) was chromatographed on silica gel using a mixture of hexane: ethyl acetate as the eluent.

Step 3 Preparation of 4-N-(diBoc)-guanidinomethvl-l-(N-benzovl)-N-(l-methvl-1- phenvlethvl)-aminomethvlcvclohexane (compound 5) To a solution of compound 4 prepared in step 2 (1 eq) in dioxane or methylene chloride, was added triethylamine (1.5-2.0 eq), followed by benzoyl chloride (1 eq). The reaction mixture was stirred at room temperature for 3 h, then basified with 1N K') C03 solution and extracted with ethyl acetate. The organic layer was washed with brine, dried over MgS04, concentrated and chromatographed on silica gel or purified by preparative TLC using a mixture of hexane-ethyl acetate as the eluent.

Stem 4 Preparation of 1-(N-benzovl)-N-(1-methvl-1-phenvlethvl)-aminomethvl-4- suanidinomethvi cvclohexane (compound 6) The diBoc-guanidino compound (compound 5) was dissolved in 4N HCI in dioxane or 50% trifluoroacetic acid in methylene chloride and stirred at room temperature for 2 h. The solvent was removed under reduced pressure. The residue was dissolved in water and lyophylized. The product (compound 6) can also (when appropriate) be purified by reversed-phase HPLC using acetonitrile-water as the eluent.

Step 5 Preparation of 1-(N-benzovl)-N-(1-methvl-1-phenvlethvl)-aminomethvl-4- vuanidinomethvl cyclohexane hvdrochloride (compound 6 x HCl) To a mixture of the base compound 6 prepared in Step 4 (2 mmol) in methylene chloride (10 ml) and methanol (10 ml) was added a solution of HCI (1 M) in ether (8ml, 8 mmol). The reaction mixture was allowed to stir at room temperature for 2 h. The volatile was removed under vacuum and the resulting solid dried under vacuum to give the corresponding hydrochloride salt.

MS (APCI): 407.06 (M + H) Examples 2-11 Examples 2 to 11 (compounds 7 to 16) were prepared as described for compound 6 of Example 1, using the reagents in the respective Examples as described in Table 1 below.

Table 1 - (i) Aldehyde Ex Structure,, « < < Phystcat Charactenzahon H 1-N-Iienzo 1-N- N NH Y (i) 4-chlorobenzaldehyde (p-cllorobenzyl)]-aminomelhyl-4-MS (APCI): 413. 01 (M+H). guanidinomethylcyclohexane x FICI (ii) Benzoyl chloride 0 "if ci Compound 7 Table 1 (contd.) ft) Atdchvde Ex Structure (i) Aldehyde Physical Characterization H- N NH2 1- [N- (p-chlorobenzyl)-N- (i) 4-chlorobenzaldehycle MS (APCI): 427.02 (M+H) (phenylacetyl)]-aminomethyl-4- guanidinometl2y1 cyclohexane x (ii) Pheny1 acetyIchloride ric cl 4) N CIL Compound8 Table 1 (Contd.) i Aldeh d i Ex Structure y e Physical' Chemical name (ii) Acid chloride' Characterization 4 I- [N- (p-Chlorobenzyl)-N- (i) Diplienylacetaidellyde (2, 2-diphenylethyl))- MS (APCI): 503.08 (M+H). aminomethyl-4- (ii) 4-chlorobenzoyl guanidinomethyl-chloride cyclohexane x HCI NU nu2 cri Compound9 Table 1 (Contd.) (i) Aldehyde Ex Structurc (, », » ;y nmc (ii) Acid chloride Physical Characterization Characterizatton --/=='HNMR (pyrtdine) I- [N- (o-chlorobenzoyl)-N- (i) Diphenylacctalclehyde S, 10-7. 50 (tn, (4I-), (2, 2-diphenylethyl) J- aminomethyl-4- (ii) 2-chlorobenzoyl 5.05 (ton, 1 H), 4.55 (b, 2H), \=/Y-/\/\H g""methyi chtoride 3 95 r. 1H 3 75 N H guaniclinomethyl chloride 4.1 (t, in), 3.95 (t, lu,) 3. 75 cyclohexane x HCI )- (NH 3. 3 (t, 11-1), 3. I S (m, 2H), 0. 8- I. 8 (m, 10 H). Compound 10 MS (APCI): 503.08 (MHz Table 1 (Contd.) Ex Structure (i) Aidehyde physical Characterization Chemical name (ii) Acid chloride 'H NMR (pyridine) I- [N- (2,2-diphenylethyl)-N- (2,6- (i) Diphenylacetaldehyde 8 7. l0-7.50 (m, 13H), dichtorobenzoyl) J-aminornethyl- NH 4-guanidinomethyl cycloliexane x Oi) 2,6-dichlorobenzoyl chloride 4.9 (m, 1 H), I-IC 4. 5S (m, 2H),4.1 (t, I 11), o CI 0 cri 3.75 (m, 2H), 3.05-3.3 (m, 3H), j 0. 8- l. 95 (m, 10 H). CI MS (APCI): 536.95 M+H). i Compound11 Table 1 (Contd.) Ex Structure (i) Aldciiyde Physical Characterization Chcmica) n : nne (ii) Acid chtoridc , N.. NH, I-N-2 MS (AI'CI): 503.05 (M+Ii). l (, 2-Ui ( licnylc (lyl)-N- (i) Uilhcnylacctal lchycle (nrchlorobcnzoyl)]-airinoncthyl-4- guanidino-methylcyclohexane (ii) 3-chlorobenzoyl- chloride / cri Compound 12 Table 1 (Contd.) Ex Structure Chemical name (i) Aldehyde Physical (ii) Acid chloride Characterization 8'H NMR (CDC13) 0 1- [ (N-butyroyl)-N- (3'-benzy (oxy)- (i) 3-benzyloxy benzaldehyde I N,R CDCI betizyi]-aniinoi-nethyl-4- guanidinomethylcyclohexane (ii) n-butanoy1 chloride Y SH), 6.72 (m, 4H), 5.06 O HN Nu 2 (s, 2fol), 4.49 (s, 2H), 3.34 (d, 2H), 3.08 (t, 3H), 2.28 (t, 3H), 1.43 (m, 12H), Compound 13 1.17 (t, 3H). I MS (APCI): 451 (M+H). HRMS calcd for C,N, 0,451.3013, observe 451.3053.

Table 1 (Contd.) Ex Structure Chemical name (i) Aldehyde Physical (ici) Acid chai) ride Characterization .. ___'II NMR (DMSO-d) / I- [N- (3-Quinolinemethyl)-N- (i) 3-quinaldehyde (butyroyl)]-aminotnethyl-8 9. 1 (d, l H), 8.85 (d, in), 4-guaniclinomethy) cyclohexane (ii) n-butanoyl 8.55 (s,! H), 8.25 (m, 2H), chloride '\. 8.0 (m, 11-1), 7.80 (m, 2H), 4. 75 (d, 2H), 3.35 (d, 2H), nu 3. 25 (d, 11-1), 3.18 (d, 2H), CH 3 2.3 (i-n, 21-1), 1.9-0.75(m,) OH), Compound 14 0. 85 (m, 3H). cis/trnns ntixture MS (ES): 396 (M+H).

Tabll 1 (Contd.) Ex Structure and (i) Aldehyde Physical Chemical name Chemical name (ii) Acid chloride Characterization ' 10 1- [N- (3-Quinolinemetlyl)-N- (2- (i) 3-quinaldehyle i \ \ -..... t < <\i t < tI) tVmtLiYIO*U (, j ) \/xNHp niethoxybenzoy)) J-amtnomethy)- \ HN q.-guanidinonethyl-cyclohexane (ii) 2-methoxybenzoyl chloride $ 9.25 (s, I I ), 9.0 (d, 1 H), N N N 0 8. 3 5 (t, I H,) O-CH 3 8.25 (t, 1H), 8.0 (m, 3H), 7. 5-6.9 (m, 8H), 4.75 (d, 2H), Compound 15 3. 9 (s, 1. 5H), cis/trafis rnixture 3.7 (s, 1. su), 3.2 (d, I H), 3.t (dJH), 3.0-2.8(111,2H), 1.9-0.75 (m, l OH). MS (ES): 460 (M+H).

Table 1 (Contd.) Ex Structure and (i) Aldchyde Physical Chemical name Chemical namc (ii) Acil chloridc Characterization 11"' _ N_ 3 uino (inetneth 1 / W--Q Y)- (i) 3-quinaldehycleII NMR DMSO-d) /_NH N- (2, 5-cli (luorobenzoyl)]- \ H2N aminomethyl- (ii) 2,5-ditluorobenzoyl chloride $ 9.5 (s,! ! !), 9.2 (d, I H), 4-guaniclinomethyl- N'N cydohexane 9.0 (s) 1H), 8.5 (m, 2), 8 I S (dd, 1 E), 8.0(m, 2H), 7. 5-6.9 (ton, 8H), F F 5. 1 (s, I li), 4.8 (s, I H), Compound 16 37 (. s, t 5H), 3 45 2 95 (111, 411), i. 9-0.75 (m, IOf-). CM/'ns ! <x MS (ES): 466 (M+H).

Example 12 Preparation of cis/trans-1-Aminomethvl-4-fN-2, 2-diphenvlmethvl)-N- benzovllaminomethvl-cvclohexane (compound 21) The title compound 21 was prepared by following the synthetic route described in Scheme 2 below.

Scheme 2 Con Con Con ci ICI CN I I/ NH NaCNBH3 NH2 (17) (19) IN NH2 0 H2, Pd/C O N N I I U I I Example 12 Compound 21

Step 1 Preparation of cis, trans-4-N-(2. 2-diPhenvlethvl) aminomethvl-cvclohexane carbonitrile (compound 19) To a methanolic solution (20 mL) of cis, trans4-(aminomethyl)-cyclohexane carbonitrile (compound 17) (0.69 g, 5 mmol) and diphenylacetaldehyde (compound 18) (0.981,5 mmol) was added zinc chloride (0.681 g, 5 mmol), and solid sodium cyanoborohydride (0.32 g, 5 mmol). The mixture was stirred overnight under nitrogen. It was diluted with aqueous sodium bicarbonate and extracted with methylene chloride. The organic extracts were washed with brine, dried over MgS04 and concentrated. The product (compound 19) was purified by silica gel chromatography: Yield: 1.24g.

MS: 319.03 (M+H).

Step 2 Preparation of cis, trans-4- (N- (2. 2-diphenvlethvl)-N-benzovllaminomethvl- cvclohexane carbonitrile (compound 20) To a solution of cis, trans-4-N- (2. 2-diphenylethyl) aminomethyl-cyclohexane carbonitrile (compound 19) prepared in step I (0.60 g, 1.89 mmol) in methylene chloride was added triethylamine (0.35 mL) and benzoyl chloride (0.241 mL, 2.07 mmol). The mixture was stirred at r. t. for 3 h., and washed with 5% aq. HCI, saturated sodium bicarbonate, dried over magnesium sulfate and concentrated. The product (compound 20) was purified by silica gel chromatography, giving 0.65 g.

Step 3 Preparation of cis, trans-l-Aminomethvl 4-lN-(2*2-diphenvlethvl)" benzovllaminomethvl-cvclohexane (compound 21) A solution of cis. trans-4-[N-(2, 2-diphenylethyl)-N-benzoyl] aminomethyl-cyclohexane carbonitrile (compound 20) prepared in the previous step 2 (0.483 g, 1.14 mmol), was dissolved in a mixture of ethanol (25 mL) and CHC13 (0.6 mL) and hydrogenated overnight at 50 psi in the presence of 10% Pd/C catalyst (0.10 g). The mixture was filtered through Celite. The filtrate was concentrated and the product (compound 21) was purified by silica gel chromatography, using a mixture of methanol/methylene chloride/ammonium hydroxide as the eluent.

1H NMR (CI3) 8 7.65-6.90 (m, 15H), 4.60 (t, 1H), 4.15 (d, 2H), 3.98 (broad s, 1H), 3.37 (broad s, 1H), (m, 14H). MS (APCI): 427.06 (M+H).

Example 13 Preparation ofct5,traMS-l-AminomethyI-4-rN-(2,2-diphenylethyI-N- benzoyllacetamidinomethyl cyclohexane (compound 22) The title compound 22 was prepared by following the synthetic routes described in Scheme 3 below.

Scheme 3 H NHZ N NH NH2 Ny NH NH. HCI O CH3 O O-_CH3 1 N I DMF N t I I (21) (21) (21) Example 13 Compound 22 To a solution of compound 21 (450 mg, 1.05 mmol) in DMF (10 ml) at room temperature was successively added triethylamine 28 mmol) and methylacetimidate x HCl (580 mg, 5.28 mmol). The solution was stirred at the same temperature over night, thereafter the solvent was reduced under reduced pressure. The residue was dissolved in dichloromethane, washed with a saturated aqueous sodium chloride solution and extracted several times with dichloromethane. Removal of the solvent from dried organic layers (MgS04) afforded an oil which was further purified by MPLC with reverse phase silica gel using a solvent gradient (20-45 % CH3CN/HrO) to give a white crystalline product. The

pure compound was washed with an aqueous sodium hydroxide solution (1 M) and extracted several times with dischloromethane. The combined layers were dried over MgS04, filtered and concentrated to give the methyl amidine (compound 22) (421 mg, 86 %) as a white powder.

1H NMR (MeOD-d4) 8 7.50-6.90 (m, 15H), 4.60 (broad t, 1H), 4.25-3.95 (m, 3H), 3.47 (broad s, 1H), (m, 6H), 2.18 (s, 3H), 1.98-0.45 (m, H). MS (APCI): 468.10 (M+H).

EXAMPLE 14 Preparation of cßs- 1-N-(diphenvlethvl)-N-benzovllaminomethvl-4-N- guanidinomethvl cvclohexane (compound 30) The title compound 30 was prepared by following the synthetic routes described in Scheme 4 below.

Scheme 4 oOH o o. o r A A -f AJ XOjt,"CH 0 (PhCH2) 2NH p/N (Ph) 2CHCH2NH2 BOPreagent 0 OH (24) X (23) (25) O tOH zizi cri /N N O / CI O BH3. THF H oXNX N [NX O N'\ \ /I \ I \ I 281 (27) (26)/NH2 + N nu N-Boc NHz N-Boc NH2 N 2. TFA NX /N I i/2. TFA I N I iI (29) Example 14 Compound 30

Step 1 Preparation of cis-4- (N. N-dibenzvl) carboxamido) cvclohexane carboxvlic acid (compound 25) The anhydride was prepared according to literature procedure [H. K Hall, J Org. Chem., 2027 (1963) g. A mixture of cis-1,4-cyclohexane dicarboxylic acid (compound 23) (7.0 g, 40.65 mmol) and acetic anhydride (23 g) was heated at reflux for 5 h. Excess acetic anhydride and other volatiles were removed in vacuo under reduced pressure to give an oily residue as compound 24.

To this crude anhydride (compound 24) was added neat dibenzylamine (8.68 g, 44 mmol) slowly. A viscous solution formed which was diluted with methylene chloride and the solution was stirred overnight. The mixture was then washed with 10% HCl solution, water, brine and then dried over magnesium sulfate. After concentration, the product (compound 25) was purified by silica gel column chromatrography, using a mixture of methanol/methylene chloride as the eluent.

MS (APCI): 350. 28 (M-H).

Step 2 Preparation of cis-1-N-(diphenvletivl)-4"'-dibenzvl) cvclohexane dicarboxamide (compound 26) To an ice-cooled DMF solution (15 mL) of cis-4- (N. N-dibenzyl) carboxamido) cyclohexane carboxylic acid (compound 25) prepared in the previous step 1 (1.76 g, 5 mmol), was added 2.2-diphenylethylamine (1.03 g, 5 mmol), diisopropylethylamine (2. 2 mL, 12.5 mmol), and BOP reagent (2.2 g, mmol). The reaction mixture was stirred overnight. It was diluted with ethyl acetate, and washed with 10% HCI, aqueous sodium bicarbonate solution, brine, dried over magnesium sulfate and concentrated. The product (compound 26) was purified by silica gel chromatography, using a mixture of methanol/methylene chloride as the eluent. Yield: 1.30 g.

MS (APCI): 531.26 (M+H).

Step 3 Preparation of cis-l l-N-(diphenvlethvl)-4-(NN-dibenzvl) l-bis-aminometh cvclohexane (compound 27) A mixture of cis-1-N- (diphenylethyl)-4-(N, N-dibenzyl) cyclohexane dicarboxamide (compound 26) prepared in the previous step 2 (1.2 g, 2.26 mmol), and a 1M borane. THF complex (14 mL) was heated at reflux overnight. After cooling to r. t., a 3.3M solution of HCl in methanol (3.6 mL) was added to the reaction mixture and heated at reflux for 2 h.

The mixture was then concentrated, diluted with ethyl acetate and washed with aqueous sodium bicarbonate, brine, dried over magnesium sulfate and concentrated to give 1.08 g of product (compound 27).

MS (APCI): 503.31 (M+H).

Step 4 Preparation of cis-11-N-(diphenvlethvl)-N-benzovll-4-(N. N-dibenzvl) l-bis- aminomethvl cyclohexane (compound 28) A methylene chloride solution of cis- [1-N- (diphenylethyl)-4- (N. N-dibenzyl)]-bis- aminomethyl cyclohexane (compound 27) prepared in the previous step 3 (0.82 g, 1.63 mmol), was acylated with benzoyl chloride (0.21 mL, 1.79 mmol) in the presence of triethylamine (0.454 mL, 3.26 mmol). After 4 h. at r. t., the mixture was washed with sodium bicarbonate solution, brine, dried over magnesium sulfate and concentrated. The product (compound 28) was purified by silica gel chromatography, using a mixture of ethyl acetate/hexane as the eluent. Yield: 0.609 g.

MS (APCI): 607. 36 (M+H).

Step 5 Preparation of cis-ll-N-(diPhenvlethvl)-N-benzovll-4-bis-aminomethvl cvclohexane (compound 29) A solution of cis- [1-N- (diphenylethyl)-N-benzoyl]-4- (N, N-dibenzyl)]-bis-aminomethyl cyclohexane (compound 28) prepared in the previous step 4 (0.77 g, mmol), in glacial acetic acid (25 mL) was hydrogenated at 55 psi in the presence of 10% Pd/C catalyst (0.9 g) for 3 days. The mixture was filtered. The filtrate was concentrated and the product (compound 29) was purified by silica gel chromatography.

MS (APCI): 427.24 (M+H).

Step 6 Preparation of cis-l l-N-(diphenvlethvl)-N-benzovll aminomethvl-4-N- suanidinomethvi cvclohexane (compound 30) The above product diamine (0.154 g, 0.36 mmol) was dissolved in THF and 1-H-pyrazole- 1- (N, N-bis (tert-butoxycarbonyl) carboxamidine (0.13 g) was added. The mixture was stirred at r. t. for 2-3 h and then concentrated. The product was purified by silica gel chromatography using ethyl acetate/hexane as the eluent. cis- [1-N- (diphenylethyl)-N-benzoyl] aminomethyl-4-N- (diBoc) guanidinomethyl- cyclohexane (0.16 g, mmol) was mixed with 50% TFA/CH2Cl2 and stirred at r. t. for 2.5 h.

The mixture was concentrated. The residue was dissolved in water and lyophilized to give a powder.

MS (APCI): 469.24 (M+H).

EXAMPLE 15 Preparation of trans-1-EN-benzovl-N-(2. 2-diphenvlethvl) aminomethvl4- guanidinomethyl cyclohexanel (compound 37) Compound 37 The title compound 37 was prepared by following the synthetic routes described in Scheme 5 below.

Scheme 5 f NH2 f NH-Boc Ph NHZ NH-Boc (Boc) 20 Ph 1. TFA BOP reagent 2. Na2CO3 :- : 0-OH OOH ON-" oh (31) (32) 1 _ oh NH2 NHZ H N-Boc I r Y BH,. THF N NH-Boc tuf THF H H Ph PhNH Ph (35) Ph Ph IH Hl (34) H H N N-Boc N NH NH-Boc NH2 NN-Boc R COCI (I HCI or TFA XJo k N"IR 2 N 2 (XXIII) (XXIV) Examples 15-33 Compounds 37-55

Step 1 Preparation of trans-4-N- (Boc) aminomethvl cvclohexane carboxvlic acid (compound 32) To an aqueous solution (500 mL) of sodium hydroxide (68 g, 1.7 mol) cooled in an ice bath was added trans-4-aminomethyl cyclohexane carboxylic acid (compound 31) (150 g, 0.95 mol).

The solution was diluted to 1 liter with acetonitrile. Di-tert-butyl dicarbonate (229 g, 1. Zeq) was added portionwise and the mixture was stirred overnight. The acetonitrile was removed by rotary evaporation and the remaining aqueous mixture was extracted with ethyl acetate. The aqueous layer was acidified to pH 3 with NaHS04, then was extracted with ethyl acetate. The pooled organic extracts were dried over MgS04 and concentrated to give 224. g of product (compound 32) (0.87 mol, 91%).

Step 2 Preparation of trans-4-aminomethvl cvclohexane-1-(N-2. 2-diphenvlethvl) carboxamide (compound 33) trans-4-N- (Boc) aminomethyl cyclohexane carboxylic acid (compound 32) (37 g,. 147 mol) was dissolved in methylene chloride (250 mL) and treated with 2,2-diphenylethylamine (29 g, 0.147 mol), benzotriazol-1-yloxy- tris (dimethylamino) phosphonium hexafluorophosphate (BOP reagent) (65.1 g,. 147 mol), then basified with triethylamine (37.2. g, 0.367 mol, 2.5 eq). After stirring overnight the reaction mixture was washed with water, 10% Na2C03, and 10% NaHS04, dried over MgS04 and concentrated to give 76 g of product (compound 33).

The product (compound 33) was dissolved in methylene chloride (200 mL) and treated with trifluoroacetic acid (200 mL). After stirring for 30 minutes, solvent and excess reagent were removed by rotary evaporation. Water (400 mL) was added and the mixture extracted with ethyl acetate. The aqueous layer was then treated with base to pH 12 and chilled. The precipitated free amine product (compound 34) was collected by filtration and dried: 36.2 g (0.108 mol).

MS (APCI): 354 (M+H)

Step 3 Preparation of trans-4-aminomethvl-1-N-(22-diphenvlethvl) aminomethvl cvclohexane (compound 35) A mixture of the carboxamide (compound 34) (15. g,-44.6 mmol) and 1 M solution of borane. THF complex (180 mL) was refluxed overnight. After cooling a solution of HCl in methanol (180 mmol) was added, and the mixture was heated at reflux for 2 h. Excess reagent and solvent were removed under reduced pressure. The residue was dissolved in CH2Cl2 and washed with 1 N NH40H, brine, dried over MgS04 and concentrated to give 11. 1 g of product (compound 35).

Step 4 Preparation of trans-4-N- (diBoc) auanidinomethvl-l-rN- (2. 2- diphenvlethvl) aminomethvl cvclohexane (compound 36) A mixture of the diamine (compound 35) (10. g, 31 mmol) and 1-H-Pyrazole-1-(N, N- bis (tert-butoxycarbonyl) carboxamidine (9.6 g, 31 mmol) in THF (100 mL) was stirred at r. t. for 3-5 h. The reaction mixture was concentrated and the product was purified by silica gel chromatography to afford 15 g. of product (compound 36).

1H NMR (CDC13) 5 8.18 (broad s, 1H), 7.44 (s, 1H), 7.43-7.03 (m, 10H), 4.04 (t, 1H), 3.09 (m, 4H), 2.31 (d, 2H), 1.62-1.49 (m, 6H), 1.34 (s, 18 H), 0.77-0.71 (m, 4H).

MS (APCI): 565.36 (M + H), 20.

Step 5 Preparation of trans-4-N- (diBoc) uanidinomethvl-l-N-N-benzovl-N-2,2- diphenvlethvl) aminomethvl cvclohexane (compound XXIII where R = phenvl) To a solution of secondary amine (compound 36) (1 eq) in dioxane or methylene chloride, was added triethylamine (1.5-2.0 eq), followed by benzoyl chloride (1 eq). The reaction mixture was stirred at room temperature for 3 h, then basified with 1 N KoCO3 solution and extracted with ethyl acetate. The organic layer was washed with brine, dried over MgSO4, concentrated and chromatographed on silica gel or purified by preparative TLC using a mixture of hexane-ethyl acetate as the eluent.

Step 6 <BR> <BR> <BR> Preparation of trans-1-FN-benzovl-N- (2, 2-diphenviethvl) aminomethvll-4-<BR> <BR> <BR> <BR> euanidinomethvt cvclohexane (compound XXIV where R = nhenyt) The diBoc-guanidino compound (compound XXIII) was dissolved in 4 N HCl in dioxane or 50 % trifluoroacetic acid in methylene chloride, and stirred at room temperature for 2 h.

The solvent was removed under reduced presure. The residue was dissolved in water and lyophilized. The product (compound XXIV where R =phenyl) may also be purified by reversed-phase HPLC using acetonitrile-water as the eluent.

Examples 16-33 The compounds of Examples 16-23 (compounds 38-55) were prepared as described for compound 37 of Example 15, using the reagents in the respective Examples as described in Table 2 below.

Table 2 Acid chloride, Ex Structure Chemical name Physical Characterization Chemtcat name' 2-methylbenzoyl H NMR (DMSO-d6) 16 N NH Trans-1- [N- (2,2-diphenylethyl)-N- chloride g 0. 35-1. 50 (m, 10H), 1.70 (s, (2-methylbenzoyl) ]-aminomethyl-4- N 2 guanidinomethyl cyclohexane 3H), 2.45-2.70 (m, 3H), 3.90 (m, hydrochloride 2H), 4. 35 (t, 1 H), 6. 50 (d, 1 H), 6. 75 (d, 1 H), 6.90-7.42 (m, 14H), 7. 70 (Us, 1 H), 8.50 (bus, ! H). MS (APCI): 483 (M+H) cl 3 Compound 38 Table 2 (Contd.) Cx Structure Aced Physical Characterization Chemicalname Chloride H 4-methylbenzoyl'H NMR (DMSO-db) N NH Trans-1- [N- (2, 2-diphenylethyl)-N- chloride $ 0.50-1.72 (m, 10H), 2.30 (s, ( (4-methylbenzoyl)]-aminomethyl-4- NH2 guanidinotnethyl cyclohexane 3H), 2.70-2.95 (in, 411), 4.15 (m, hydrochloride 2H), 4.40 (m, In), 6.80-7.45 (m, 0 16H), 7.75 (s, 1H), 8.60 (bs, 1H). N I C3 MS (API): 483 (M+H) Compound39 Table 2 (Contd.) Acid Ex Strucid Physical Characterization Chemical namc Chloride 3-methy (benzoyl H NMR (DMSO-d) NNH Trans-HN- (2,2-diphenylethyl)-N- chloride g 0. 50-1.80 (m,! OH), 2.25 (s, ( (3-methylbenzoyl)]-aminomethyl-4- NH2 guanidinomethyl cyclohexane 3I-), 2.75 (bs, 1H), 3.05 (bs, 2H), hydrochloride 3. 25 (m, 1H), 3. 90-4. 25 (m, 211), O 4. 60 (bs, in), 6.50-7.40 (m, 16I-1), 7. 85 (bs, 1 H), 8.70 (bs, lu). CH3 MS (APCI): 483 (M+H). Compound40 Table 2 (Contd.) Acid Ex Structure A'Physical Characterization Chemicalname Chloride 19 ji methoxyacetylH NMR (DMSO-d6) N NH Trans-I- [N- (2,2-diphenylethyl)-N- chloride 80. 92 (m. 4H). 1. 40- !. 85 (m, (tnethoxyacetyl)]-aminomethyl-4-b 0. 92 (m, 4H), 1. 40-1. 85 (m, NH2 guanidinomethyl cyclohexane 6H), 2.70-3.15 (m, 4H), 3.25 (s, hydrochloride 31-1), 3. 40 (s, 2H), 4. 32-4. 50 (in, 1 H), 7.15-7.40 (m, l OH). \ MS (APCI): 437 (M+H). I NCH 3 Compound 41 Table 2 (contd.) Iced t Cx Structure Chemical name Chloride H 2-methoxy benzoyi H NMR (DMSO-d6) 20 N NH'I'rans-I- [N- (2, 2-diphenylethyl)-N- chloride $ 0. 25 (t, 1 H), 0. 6 I (m, 3H), 1. 02 (2-methoxybenzoyl) ]-aminomethyl-4- NH guanidinomethyl cyclohexane (m, 1 H), 1.20 (m, 2H), 1.42-1.63 hydrochloride (m, 3H), 2.50-3.10 (m, 4H), 3.02 (d, I), 3.40 (s, 1. su), 3.65 (s, 1. 5f 1), 3.80-3.90 (m, ZH)) 4.35 (t, 1 H), 6.60-7.20 (m, 14H), 7.60 (d, ? 111), 8.20 (bs, 2H). CH 3 I MS (APCI): 499 (M+H) Compound42 Table 2 (contd.) Acid' Ex Structure Acid Physical Characterization Chemical name Chloride H cyctopropane H NMR (DMSO-d6) N. NH Trans-l- [N- (2,2-diphenylethyl)-N- carbonyl chloride (cyclopropylcarbonyl)]-aminomethyl-4- NH2 guanidinomethyl cyclohexane (m, 8H), 2.71 (m, 4H), 3.71 (d, hydrochloride I H), 3. 90 (d, 1 H), 4. 15 (dd, 1 H), 6. 90-7.20 (m, I OH), 7.72 (bs, I H), 9.60 (bs, tu). \N MS (APCI): 433 (M+H) I Compound 43 Table 2 (Contd.) Ex Strucid Physical Characterization Chemical name Chloride H phenoxyacetyl H NMR (DMSO-d6) NNH Trans-t- [N- (2,2-diphenylethyl)-N- chloride $ 0.60 (m, 4H), 1. 10--1.25 (m, phenoxyacetyl]-aminomethyl-4- NHZ guanidinomethyl cyclohexane 2H), 1.51 (i-n, 4H), 2.60 (d, tu), 0 hydrochloride 2. 75 (d, 2H), 3.02 (d, 1 H), 3.80 O (t, 2H), 4.22 (s, 2H), 4.45 (s, 1 H), 6.30 (d, 1 H), 6.55 (d, 1 H), \ 6. 72-7.30 (m, 1311), 7.60 (bs, 114), 9.20 (bs, I H). MS (APCI): 433 (M+H). Compound44 Table 2 (contd.) Acid Ex Structure Acid Physical Characterization Chemical name Chloride H 2-trifluoromethyl'H NMR (DMSO-d6) N NH Trains-1- [N- (2,2-diphenylethyl)-N- benzoyl chloride g 0. 30 (m, 1 H), 0. 62 (m, 13H), (2-lrifluoromethylbenzoyl)- NH aminomethyl]-4-guanidinomethyl 0.95-1.25 (m, 2H),!. 30- !. 62 (m, cyclohexane hydrochloride 4H), 2.30 (d, IH), 2.72 (m, 3H), F F F 3.20 (dd, tu), 3.85 (dd) 1 H), 4.20 (dd,! H), 6.20-7.8 1 (m, 15H). MS (APCI): 537 (M+H). Compound45 Table 2 (Contd.) Ex Structure Acid Chloride, physical Characterization Chemical namc H cyclohexane'H NMR (DMSO-d) 24 N NH Trans-1- [N- (2,2-diphenylethyl)-N- carbonyl chloride (cyclohexylcarbonyl)]-aminomethyl-4-80. 50-1. 62 (m) 21H), 2. 55 (d, NH2 guanidinomethyl cyclohexane lH), 2.85 (bs, 2H), 2.93 (d, I H), hydrochloride 3.64 (dd, 2H), 4.01 (du, 1 H), O b. 8 I-7.30 (m, I 2H), 7.50 (bs, N 11-1), 8.30 (bs,) H). \ u MS (APCI): 474 (M+H). Compound46 -.. AcidChtoride,.. Ex Structure Acid Chloride Physical Characterization C6emicai namc H 25 N NH trans-1- [N- (2,2-diphenylethyl)-N- n-butanoyl chloride MS : 435. 42 (M+H). (butyroyl)]-aminomethyl- NHZ 4-guanidinomethyl-cyclohexane hydrochloride 0 ZON \HI CH3 Compound47 . AcidChtoride-,., ,.- Ex Structure Acid Chloride physical Characterization Chemical name 2-furoyl chloride N NH Trans-1- [N- (2,2-diphenylethyl)-N- (2- MS : 459 (M+H). y furanoyl)]-aminoinethyl- NH 4-guanidinomethyl cyclohexane 2 hydrochloride 0 ZON I b I Compound48 AcidChtoride-,.,-, Ex Structure Acid Chloride Physical Characterization Chemical name H 2-thiophenecarbonyl N NH Trains-1- [N- (2,2-diphenylethyl)-N- (2- chloride MS : 475 (M+H). thiophenecarbonyl)]-aminomethyl- NH2 4-guanidinomethyl-cyclohexane hydrochloride 0 N s Compound49 Table 2 (Contd.) Acid Physical Characterization Chemical name Cliloride H acetyl chloride'H NMR (DMSO-d6) N.. NH Trans-HN2-dipheny 80.60 (m, 5H), 1. 12-1.47 (m, (acetyl)] aminomethyl-4-guanidinomethyl NH2 cyclohexane hydrochloride SI-)) 1.46 (s, 3H), 2.48 (d, I H), n 2. 71 (m, 3H), 3.68 (t, 2H), 4.03 O 0 (t, I H), 4.14 (t, I H), 6.54-7.28 _CH (m, 13H), 7.67 (d, I H). NCH3 MS (APCI): 407 (M+H). Compound50 Acid Ex Structure Chemical name Chloride Physical Characterization H 2-chlorobenzoylH NMR (DMSO-d6) 29 N NH Trans-1- [ (N-2,2-diphenylethyl)-N- (2- chloride g'7. 52-6. 65 (m, 14H), 4. 36 (t) chlorobenzoyl)]- aminomethyl-4-guanidinomethyl 1 H), 3. 9 broad t, 2H, 3. 70-2. 3 ) cyclohexane hydrochloride (m, 4H), t. 65-0.2 (m,! OH). MUS: 50324 (M+H). N Compound51 Table 2 (Contd.) Acid Physical Characterization Ex Structure Clemical name Chloride 2-f) uorobe)) zoyf ! HNMR (DMSOd6) 8750 H Traiis-I- [ (N-2,2-diphenylethyl)-N- (2- chloride N NH fluorobenzoyl)]-aminomethyl-4-6. 60 (m, 14H), 4. 30 (t) 1 H), 3. 85 guanidinomethyl cyclohexane (broad t, 2H), 3.68 (d or dd, 1 H), hydrochloride NH2 2.70 (d of t, 2H), 2.41 (d or dd, I H), 1.65-0. I 5 (m, I OH). 0 F Mus : 487.26(M+H). Compound52 Table 2 (Contd.) Acid Physical Characterization Chemical name Chloride 'H NMR (MeOD-d4) Tyrans- [N- (isonicotinoyl)-N- (2,2- isonicotinoyl-g g, 9 (d) 1 H), 8. 75 (d, 1 H), 7. 25- N NH diphenylethyl)]-aminomethyl-4-chloride guanidinomethyl cyclohexane 7.60 (m, ! OH), 7. t (d, 2H), 4.75 hydrochloride NH2 (t, 1 H), 4.4 (t, I H), 4.25 (m, 0 2 ti), 4.0 (d, ils), 3.15 (m, 2H), O 2.85 (d, 2H), 0.8-1.95 (b, 10 H). "zon I/ MS (APCI): 470.29 (M+H). Compound53 Table 2 (Contd.) Ex Structure A Physical Characterization Chemical name Chloride H 3-fluorobenzoyl 32 N NH Trans-1- [N- (2,2-Diphenylethyl)-N- (3- chloride fluorobenzoyl)]-aminomethyl- NH2 4-guanidinomethyl cyclohexane hydrochloride 0 F I N Compound54 Table 2 (Contd.) Ex Structure Acid Physical Characterization Chemical name Chloride 4-fluorobenzoyl 33 Trans-1- [N- (2,2-Diphenylethyl)-N- (4- chloride H N NHuorobenzoyl)]-aminomethyl- 4-Guanidinomethylcyclohexane Hydrochloride NH2 0 XI F Compound55 Examples 34-35 The compounds 60 and 61 of Examples 34 and 35 were prepared by following the synthetic procedure described in Scheme 6 below.

Scheme 6

Ph Ph NH gPh ( z 2 | Isobutylchloro-NPh N Ph formate J THF-25 °CpH, THF, 80 ° C NH2-Overnight-, 67 %, 2 Steps ; OH Ph Ph 0 N (31) O OH Ph rn (56) (57) Ph Ph Ph N pu Benzoyl chloride H2 Pd/C Et3N, CH2CI2 t J MeOH, AcOH v > W 1°l g60 Psi uN, H N Ph 85 % N Ph (59) y (58) Ph Ph R" MEOH H COOH 60 psi 0 -70 °C N'Ph 98 % Ph Pu Ph T Compound 60 Ph Example 34 Compound 61 Example 35

Example 34 Preparation of transw (N-Benzoyl-N-(22-diphenvlethvl) l-aminomethyllB4-(N- benzvl)-aminomethvl cyclohexane (compound 60) Step 1 Preparation of trans-4, N, N- (Dibenzvl)-aminometbvl cvclohexane carboxvlic acid (compound 56) To a suspension of (40.0 g, 254 mmol) of trans-4-(Aminomethyl) cyclohexanecarboxylic (compound 31) acid, in 1.5 L of methanol was added benzaldehyde (60 ml, 590 mmol) followed by sodium cyanoborohydride (16g, 254 mmol). The pH was then adjusted to approx. 5 with glacial acetic acid. The reaction was allowed to stir for 48 hrs, during which the pH is monitored and adjusted to 5 as needed, after which the reaction volume was then decreased and the pH adjusted to 9 with 1 N NaOH. The reaction was then extracted repeatedly with diethyl ether. The organic layers were combined, washed with brine, dried over Na-) S04, filtered and concentrated. The resulting product solidifies on standing and was recrystallized from methanol giving 32 g of impur product (compound 56) which was used without further purification in the next step.

The monobenzyl was isolated as a white solid which formed during the extraction and was collected by filtration. (8.2g) <BR> <BR> <BR> <BR> <BR> <BR> Monobenzyl H NMR: (D20) 8 (ppm): 7.40-7.20 (5H, m, Ar), 4.06 (CH2Ar, SH, s), 2.75 (2H, d, J=7.2, NCH2), 1.95-1.85 (1H, m), 1.75-1.72 (2H, m), (2H, m), 1.56-1.51 (1H, m), 1.22-1.11 (2H, m), 0.91-0.81 (2H, m).

13C NMR: (D2O, DSS) 5 (ppm): 31.43 (CH2), 31.88 (CH2), 36.81 (CH), 48.95 (CH), 54.01 (NCH2), 55. 35 (NCH2), 131.94 (CH), 132.37 (CH), 132.60 (CH), 133. 30 (C), 188.43 (C=O).

Step 2 Preparation of trans-4-N, N-(Dibenzvl)-aminomethyl cvclohexane-1-(N- 2,2-diphenvlethvl) carboxamide (57) To a solution of (compound 56) prepared in the previous step 1 (5,3 g, 15,72 mmol), in dry THF (75 ml) at-25 °C, was added triethylamine (2.63 ml, 18.87 mmol) followed by isobutylchloroformate (2.45 ml, 18.87 mmol). The reaction mixture was stirred 30 min at 25 °C. A white pricipitate was formed during the reaction. The 2,2-diphenylethylamine (4.65 g, 23.58 mmol) was added. The reaction mixture was warmed up to r. t., stirred for 3h30 and quenched with saturated aqueous NH4Cl solution, and extracted with CH,) Cl,).

The organic layer was dried over anhydrous MgS04 and concentrated to give a crude product (compound 57), which was further purified by silica gel column chromatography using CHCh to give a white powder which was used directly to the next step.

1H NMR: (CDCl3, TMS) 8 (ppm): 7.47-7.19 (20H, m Ar), 5.30 (1H, m, NH), 4.17-4.14 (1H, m, CH), 3.88-3.80 (2H, m, CH2N), 3.49 (4H, s, CH2Ph), 2.16-2.14 (2H, m, CH2N), 1.91-1.43 (6H, m), 1. 33-1.28 (2H, m). 0.69-0.64 (2H, m).

Step 3 Preparation of trans-4-N, N-(Dibenzyl)-aminomethyl-1-(N-2,2-diphenylethyl) aminomethyl cvclohexane (compound 58) To a solution of crude product (compound 57) (6.19 g, 11.9 mmol) in dry T-HF (150 ml) at r. t was added LAH (6.83 g, 180 mmol). The mixture was heated at reflux 80 °C overnight.

The mixture was then cooled down at r. t. quenched with MeOH at 0 °C until no hydrogen formation evolved and 1 N HCl was added to dissolve the precipitate formed. The gray mixture was extracted with CH,) Cl,). The organic layer was dried over anhydrous Na2S04 and concentrated to give the crude product which was further purified by MPLC using CH2C12MeOH (97: 3) to provide the titled compound (compound 58) (4.15 g, 67%) as a white powder.

H NMR: (CDC13, TMS) 8 (ppm): 7.35-7.18 (20H, m, Ar), 4.19 (1H, t, CH), 3.49 (4H, s, CH2 Ph), 3.19 (2H, d, CH2N), 2.45 (2H, d, CH2N), 2.16 (2H, d, CH2N), 1.87-1.84 (2H, m), 1.65-1.62 (2H, m), 1.52 (2H, m), 1.27 (1H, s, br, NH), 0.90-0.64 (4H, m).

Step 4 Preparation of trans-4-N*N-(Dibenzvl)-aminomethvl-1-(N-22-diPhenvlethvl) aminomethvl cvclohexane benzamide (compound 59) To a solution of (compound 58) prepared in the previous step 3 (4.1 g, 8.17 mmol), in dry CH2CIr at r. t., was added triethylamine (2.27 ml, 16.34 mmol) and benzoyl chloride (1.19 ml, 9.8 mmol). The reaction mixture was stirred 1 h at r. t. then the solvent was removed under reduced pressure. The resulting crude product (compound 59) was further purified by silica gel column chromatography using hexane-AcOEt (9: 1-1: 1) to give (4.14 g, 84 %) of title product as a white powder.

H NMR: (CDCl3, TMS) 8 (ppm): 7.34-7.20 (22H, m, Ar), 7.20-6.98 (3H, m, Ar), 4.59- 4.4.55 (1H, m, CH), 4.13-3.94 (2H, m, CH2N), 3.51-3.33 (4H, m, CH2Ph), 2.78-2.76 (2H, m, C_2N), 2.19-2.13 (2H, m, CH2N), 1.92-1.25 (6H, m), 0.90.51 (4H, m).

Step5 Preparation of trans-4-N-Benzvl)-aminomethvl-1- (N-2, 2-diphenvlethvl) aminomethyl cyclohexane benzamide (compound 60) To a solution of (compound 59) prepared in the previous step 4 (870mg, 1.44 mmol), in AcOH (l Oml) and MeOH (10 ml), was added palladium on activated carbon 10 % (187 mg). The mixture was stirred overnight at r. t. with 60 psi of hydrogen. The mixture was then filtered over celite pad and the solvent was removed under reduced pressure. The resulting mixture was dissolved in CH2Cl2 and extracted with saturated aqueous NaHC03 solution. The organic layer was dried over anhydrous MgS04 and concentrated to give the crude product (compound 60) which was further purified by silica gel chromatography using CHxC12-MeOH (9: 1) to provide the desired product as a clear oil (631 mg, 85 %).

1H NMR: (CDC13, TMS) 8 (ppm): 7.43-7.23 (17H, m, Ar), 6.96-6.94 (3H, m, Ar), (1H, m, CH), 4.20-3.95 (2H, m, CH2N), 3.79 (2H, s, br, CH2Ph), 3.20 (1H, s, br CH2N), 2.85-2.79 (1H, m, CH2N), 2.59-2.53 (2H, m, CH2N), 1.90-1.20 (5H, m), 1.30 (1H, s, br), 1.10-0.90 (2H, m), 0.65-0.50 (2H, m).

Example 35 Preparation of trans-4-Aminomethyl-1- (N-2, 2-diphenvlethvl)-aminomethvl cvclohexane benzamide (compound 61) The compound 60 (3.2 g, 6. 25 mmol) was dissolved in AcOH (20 ml) and MeOH (20 ml) and Palladium on activated carbon (10 %) (546 mg) was added to the solution. The mixture was stirred overnight with 60 psi of hydrogen, then 4h at 70 °C. The mixture was then cooled down and filtered over celite pad and the solvent removed under reduced pressure.

The crude product was dissolved in CH,) C12 and the organic phase washed with saturated aqueous NaHC03 solution. The organic layer was dried over anhydrous MgS04 and concentrated to give the pure desired product (compound 61) (2.6 g, 98 %).

1H NMR: (CDC13, TMS) 8 (ppm): 7.35-7.22 (12H, m, Ar), 7.00-6.98 (3H, m, Ar), (1H, m, CH), (1H, m, CH2N), 3.97 (1H, s, br, CH2N), 3.36 (1H, s, br CH2N), 2.82-2.80 (1H, m, CH2N), 2.49 (2H, m, CH2N), 1.81-1.53 (7H, m), 1.09 (1H, m), 0.83-0.80 (2H, m), 0.59-0.55 (2H, m).

Example 36 Preparation of trans-l- (N- (trans-2-phenvl cvclopropyl)-N-benzovil-aminomethvl-4- suanidinomethvt cyctohexane (compound 67) Compound 67 of this Example was prepared by following the synthetic route described in Scheme 7 below.

Scheme 7 H I NH2. HCI NBoc Boy BOP reagent 1. TFA + DIEA,DMF = j 2. BH3. THF OOH J (32) (62) (63) H H I H NHz NN-Boc ! Y NH-Boc Nu-bouc N-B°c ci NH-Boc eci 0 N _ \N. H WN \ I (64) (65) (66) H I NNH NHZ CL. TFA/CH2CI2 -- \ Compound 67 Example36

Step 1 Preparation of trans-4-N-Boc)-aminomethyl cyclohexane-1- (trans-2-phenvl cvclopropvl) carboxamide (compound 63) The compound 63 was prepared according to the general protocol for amide bond formation: To an ice-cooled DMF solution (15 mL) of trans-2-phenylcyclopropylamine hydrochloride (compound 62) (0.848 g, 5 mmol) was added DIEA (3.071 mL, 17.5 mmol), trans-4-N-(Boc) aminomethyl(Boc) aminomethyl cyclohexane carboxylic acid (compound 32) (1.285 g, 5 mmol), and BOP reagent (2.21 g, 5 mmol). The reaction mixture was stirred at r. t. overnight and worked up according to the general protocol.

Step 2 Preparation of trans-4-aminomethvl-1-N-(trans-2-phenvl cvclopropvl)-aminomethvl cvclohexane (compound 64) trans-4-N- (Boc)-aminomethyl cyclohexane-1- (trans-2-phenyl cyclopropyl) carboxamide (compound 63) prepared in the previous step 1 (1.1 g, mmol) in 50% TFA/CH2C12 was stirred at r. t. for 1.5 h and then concentrated. The crude product was diluted with methylene chloride and neutralized with K2CO3 solution. The organic layer containing the carboxamide was dried over MgS04 and concentrated to a solid residue: MS (APCI): 273.1 (M+H).

The carboxamide (0.200 g. 0.7 mmol) was suspended in THF (3 mL). A 1 M solution of borane. THF complex (6 mL) was added and the reaction mixture was reflux. overnight.

After cooling to r. t. a 1.77 M solution of HCl in methanol (3.3 mL) was added, and the mixture was heated at reflux for 2 h. Excess reagent and solvent were removed under reduced pressure. The residue was dissolved in CH2CI2 and washed with 1 N NaOH, brine, dried over MgS04 and concentrated: 0.184 g.

MS (APCI): 259.1 (M+H)

Step 3 Preparation of trans-4-N-(diBoc)-guanidinomethvl-l-N-(trans-2-Phenvl cvelopropvl)- aminomethyl cvclohexane (compound 65) The crude diamine (compound 64) (0.18 g) was reacted with an equimolar 1-H-pyrazole- 1- (N, N-bis (tert-butoxycarbonyl)-carboxamidine in THF following the protocol described in the General Procedure. The product was purified by silica gel chromatography: 0.059 <BR> <BR> <BR> cor<BR> b' MS (APCI): 501.2 (M+H), 401.2,301.2 Step 4 Preparation of trans-4-N- (diBoc)-guanidinomethvl-1- [N- (trans-2-phenvl cvclopropyl)-N-benzovll-aminomethvl cvclohexane (compound 66) Benzoylation was carried out according to the protocol described in the General Procedure.

The product was purified by preparative TLC using a mixture of ethyl acetate/hexane as the eluent: 0.026 g.

MS (APCI): 605.1 (M+H), 505.2,405.1 Step5 Preparation of trans-l-lN-(trans-2-phenvl cvelopropvl)-N-benzovllaminomethvl-4- guanidinomethvl cvclohexane (compound 6n The deprotection was carried out according to the protocol described in the General Procedure. Solvent and excess reagent were removed under reduced pressure. The residue was dissolved in a mixture of acetonitrile/water and lyophilized to give the product as a powder: MS (APCI): 405.2 (M+H) Example37 The compound 75 of Example 37 was prepared by following the synthetic procedure described in Scheme 8 below.

Scheme 8 CH3 Ct OcH3 OH NHz O 0 KOH t. DPPA, TEA, benzene ETOH, 2. TFA/CH2cl2 (68) (69) (70) H Boc Boc N Boc NH 2 1. TFA - (32) 2. BH3. THF \ H BOP reagent & jS vlDIEA,EArDMF t //72) (71) H I H oc N N-Boc I N NH-Boc NH-Boc C1 Nu-boy cri \ / N (73 (74) \/",. TFA/CH2C'2-H N NH NH Compound75 Example 37

Steyl Preparation of 9,10-Dihvdro-9,10-ethanoanthracene-11-carboxvlic acid (compound 69) Diethyl acid (2.05 g, 5.85 mmol) was dissolved in a 95% ethanolic aqueous solution. KOH pellets (0.794 g) were added and the mixture was refluxed overnight. The reaction mixture was extracted with diethyl ether.

The ether extracts were concentrated to give a solid residue (compound 69) which was fractionated on a silica gel column to give the product (0.84 g): 'H NMR (CDC13) b (m, 8H), 4.67 (m, 1H), 4.32 (m. 1H), 2.90 (m, 1H), 1.96- 2.18 (m, 2H). MS (APCI)-Q1MS: 249.0 (M-H).

Step 2 Preparation of 9. 10-Dihvdro-9. 10-ethanoanthracene-11-amine (compound 70) A round bottom flask was charged with 9,10-Dihydro-9, 10-ethanoanthracene-11- carboxylic acid (0.635 g, 2.54 mmol), benzene (10 mL), triethylamine (0.356 mL), and diphenylphosphoryl azide (0.718 g). The solution was heated at 90 C for 1 h. t-Butanol (0.222 g) was added to the reaction mixture and it was refluxed overnight. The reaction mixture was then concentrated, redissolved in ethyl acetate, washed with sodium bicarbonate, brine, dried over Mg SO4 and concentrated. Brief exposure to 50% TFA/CH2C12, followed by neutralization with potassium carbonate solution gave the amine: <BR> <BR> <BR> <BR> <BR> <BR> 'H NMR (CDC13) 8 7.20 (m, 8H), 4.38 (br s, 1H), 4.26 (br s, 1H), 3.75 (m, 1H), 2.32 (m, 1H), 1.55 (m, 1H), 1.50 (s, 2H). MS (APCI): 222.1 (M+H) Step 3 Preparation of trans4-N- (Boc)-aminomethvl cvclohexane-l-N- (9,10-dihvdro-9,10- ethanoanthracen-11-vl)-carboxamide (compound 71) This compound was prepared according to the General Procedure described for amide formation: To an ice-cooled DMF solution (5 mL) of 9,10-Dihydro-9,10- ethanoanthracene-11-amine (0.221 g, 1 mmol) was added DIEA (0.479 mL, 2.75 mmol),

trans-4-N- (Boc) aminomethyl cyclohexane carboxylic acid (0.282 g, 1.1 mmol), and BOP reagent (0.487 g, 1. 1 mmol). The reaction mixture was stirred at r. t. overnight and worked up according to the general protocol. Crude yield: 0.418 g. The product was purified by silica gel chromatography.

Step 4 Preparation of trans-4-aminomethvl-1-N-(9. 10-dihvdro-9, 10-ethanoanthracen-11- (compound72)yl)aminomethylcyclohexane <BR> <BR> <BR> trans-4-N- (Boc)-aminomethyl cyclohexane-l-N- (9, 10-dihydro-9, 10-ethanoanthracen-11- yl) carboxamide (0.28 g, 0. 61mmol) in 50% TFA/CH2Cl2 was stirred at r. t. for 1.5 h and then concentrated. The crude product was diluted with methylene chloride and neutralized with K2CO3 solution. The organic layer was dried over MgS04 and concentrated to a solid residue: 'H NMR (CDC13) 8 7.20 (m, 8H), 4.84 (br d, 1H), 4.36 (m, 2H), 4.28 (br s, 1H), 2.50 (d, 2H), 2.35 (m, 1H), 1.8 (m, 5H), 1.2-1.5 (m, 4H), 0.85 (m, 2H).

MS (APCI): 361.1 (M+H) The carboxamide (0.22 g,. 61 mmol) was dissolved in THF (3 mL). A 1 M solution of borane. THF complex (2.5 mL) was added and the reaction mixture was refluxed overnight. After cooling a 1.77 M solution of HCl in methanol (1.4 mL) was added, and the mixture was heated at reflux for 2 h. Excess reagent and solvent were removed under reduced pressure. The residue was dissolved in CH2Cl2 and washed with 1 N NaOH, brine, dried over MgS04 and conconetrated: 0.165 g.

MS (APCI): 347.2 (M+H) Step5 Preparation of trnns-4-N- (diBoc)-guanidinomethvl-l-N-(9. 10-dihvdro-9,10- ethanoanthracen-11-vl)-aminomethvt cvciohexane (compound 73) The crude diamine (0.16 g, 0. 46mmol) was reacted with an equimolar 1-H-pyrazole-1 (N, N-bis (tert-butoxycarbonyl)-carboxamidine in THF. The product was purified by silica gel chromatography: 0.290 g.

MS (APCI): 589.2 (M+H), 489.2,389.1 Step 6 Preparation of trans-4-N- (diBoc)-guanidinomethvt-1-fN- (9, 10-dihvdro-9.10- ethanoanthracen-ll-vl)-N-benzovllaminomethvl cvclohexane (compound 74) Benzoylation was carried out according to the protocol described in the General Procedure.

The product was purified by preparative TLC using a mixture of ethyl acetate/hexane as the eluent: 0.174 g.

MS (APCI): 693.2 (M+H), 593.1,493.1 Step7 Preparation of trans-1-rN-benzovl-N-(9, 10-dihvdro-9, 10-ethanoanthracen-11- vl) laminomethvl-4-guanidinomethvl cvclohexane (compound 75) The deprotection was carried out according to the protocol described in the General Procedure. Solvent and excess reagent were removed under reduced pressure. The residue was dissolved in a mixture of acetonitrile/water and lyophilized to give the product as a powder: MS (APCI): 493.15 (M+H) General Procedures for the preparation of substituted diphenylethvl derived compounds: Substituted diaryl acetaldehyde may be prepared according to the following reaction Scheme 9, that is, by a Wittig reaction on the corresponding diaryl ketone to form an enol ether which was then hydrolyzed to the aldehyde by acid treatment.

Scheme V

The substituted diaryl acetaldehyde was then reacted with trans4-aminomethyl cyclohexane carboxamide under reductive amination conditions to form the secondary amine. The carboxamide was then reduced by borane to the primary amine which was guanylated. The secondary amine was then acylated, and finally the protecting group was removed by acid treatment to release the free guanidine. The reaction sequence is depicted in Scheme 9 below: Scheme 9 0 NH 2 NH2 O NHZ H 0 0 NH 2 zon "H H \ \NHZ 78) Y/ Y Nu 2 (78) y H N/N-Boc 'Y NH-Boc N N-Boc -Boc NH-Boc NH-Boc 2 R cocu THF: H 1- NAR H Y 6" I N NU N\/NH 0 NHz O HCI or TFA 2 X I N Examples39-47 Compounds 79-88

step 1<BR> <BR> Preparation of trans-1-carboxamide-4-aminomethvl cvclohexane (compound 78) Scheme 10 To an ice-cooled THF solution (300 mL) containing trans-1-N-Cbz-aminomethyl- cyclohexane-4-carboxylic acid (29.1 g, 0.1 mol) was added N-methylmorpholine (11 mL, 0.1 mol) and isobutyl chloroformate (13 mL, 0.1 mol). After 4 minutes, a 30% solution of ammonium hydroxide (30mL, 0.53 mol) was added. The reaction mixture was agitated while the reaction was allowed to warm to r. t. in one hour. The reaction mixture was duluted with ethyl acetate and the precipitated product was collected by filtration. The solid residue was washed with aq. sodium bicarbonate, water, and dried, 25 1 g (98%). <BR> <BR> <BR> <BR> <BR> <BR> <P> 1H NMR (DMSO-d6) 8 7.12 (m, 5H), 7.0 (t, 1H), 6.9 (br s, 1H), 6.35 (br s, 1H), 4.77 (s, 2H), 2.65 (t, 2H), 1.75 (m, 1H),), 1.5 (m, 4H), 1.0 (m, 3H), 0.6 (m, 2H). MS (APCI): 291.05 (M+H). <BR> <BR> <BR> <BR> <BR> <BR> <P> The Cbz-protected trans-1-N-Cbz-aminomethyl cyclohexane-4-carboxamide (25.1 g, 98 mmol) was dissolved in a mixture of methanol (200 mL) and DMF (40 mL). The solution was hydrogenolyzed at 50 psi in the presence of a 10% Pd/C catalyst (3.5 g). The reaction mixture was filtered through a pad of Celite. The filtrate was evaporated to give a solid, 15.2 g.

OH NMR (DMSO-d6) 8 7.15 (s, 1H), 6.6 (s, 1H), 4.3 (br s, 2H), 2.35 (d, 2H), 1.9 (m, 1H), 1.7 (m, 4H), 1.25 (m, 3H), 0.8 (m, 2H).

MS (APCI): 157.05 (M+H).

Step 2 Enol ether formation (general formula XXIV) To a suspension of the methoxymethyl triphenylphosphine chloride (2 eq) in anhydrous THF was added potassium tert-butoxide (2 eq) (alternatively sodium hydride can be used).

To this solution was added a THF solution containing diaryl ketone (1 eq) of the general formula XXIH. The reaction mixture was stirred under nitrogen or argon overnight, at r. t. or warmed to 70° C if necessary. Water was added, and the reaction mixture was diluted with ethyl acetate and aq. sodium bicarbonate. The organic layer was washed with brine, dried over MgS04 and concentrated. The product was purified by silica gel chromatography using a mixture of ethyl acetate and hexane as the eluent.

Step 3 Conversion of enol ether to aldehvde (General formula XXV) The enol ether of the general formula XXIV (1 eq) and p-toluenesulfonic acid monohydrate (5 eq) (aq. HCl may be used) was dissolved in THF. The mixture was heated at reflux for up to 16 h. and then was diluted with diethyl ether, washed with water, aq. sodium bicarbonate, brine, dried over MgS04 and concentrated. The product aldehyde of the general formula XXV may be purified by silica gel chromatography.

Step 4 Preparation of secondarv amines bv reductive amination To a solution of trans-l-aminomethyl cyclohexane4-carboxamide (compound 78) (1 eq) in methanol containing 1 % (v/v) of glacial acetic acid (alternatively, ZnCl2 can be used) was added aldehyde (1 eq), followed by NaBH3CN (3-4 eq). The reaction mixture was stirred at room temperature overnight. The reaction was quenched with water, basified with aqueous NaHC03 solution and extracted with methylene chloride. The organic layer was washed with brine, dried over MgSO4 and concentrated. The residue was

chromatographed on silica gel using a mixture of methylene chloride/methanol as the eluent.

Step 5 Reduction of carboxamide The carboxamide product (1 eq) from above was dissolved in minimum amount of THF.

To this solution was added a 1M solution of BH3. THF complex (3-5 molar excess) and the reaction mixture was heated at reflux overnight. After cooling to r. t., a methanolic hydrochloric acid solution (3-5 molar excess) was added to the reaction mixture and the mixture was refluxed for 2-4 h. It was then concentrated, diluted with methylene chloride and washed with N NaOH, brine, dried over MgS04 and concentrated.

Step 6 Guanvlation The above product diamine (1 eq) was dissolved in THF and 1-H-pyrazole-1- (N, N-bis (tert- butoxycarbonyl) carboxamidine (1 eq) was added. The mixture was stirred at r. t. for 2-3 h and then concentrated. The product was purified by silica gel chromatography using ethyl acetate/hexane or methylene chloride/methanol as the eluent.

Step 7 Acylation To a solution of secondary amine (1 eq) in dioxane or methylene chloride was added triethylamine (1.5-2.0 eq), followed by the acid chloride (1 eq). The reaction mixture was stirred at room temperature for 3 h-overnight, then basified with 1N K2C03 solution and extracted with ethyl acetate. The organic layer was washed with brine, dried over MgS04, concentrated and chromatographed on silica gel or purified by preparative TLC using a mixture of hexane-ethyl acetate as the eluent.

Step 8 Deprotection of diBoc-guanidino compounds The diBoc-guanidino compound was dissolved in 4N HCl in dioxane or 50% trifluoroacetic acid in methylene chloride and stirred at room temperature for 2 h to overnight. The solvent was removed under reduced pressure. The residue was dissolved in water and lyophylized. The product can also (when appropriate) be purified by reversed-phase HPLC using acetonitrile-water as the eluent.

Example 38 Preparation of trans-1-r (N-Benzovl)-N- (2, 2'-Di (p-Tolyl) ethvl) l-aminomethvl- 4-guanidinomethvl cvclohexane hvdrochloride (compound 79) Compound 79 Following the procedure described in the general procedures for the preparation of substituted diphenylethyl derived compounds step 2, but using 4,4-dimethylbenzophenone as the dialkyl ketone followed by step 3 to 8, the title compound 79 was achieved.

'H NMR (MeOD-d4) 8 7.35 (m, 4H), 7.3 (d, 2H), 7.15 (d, 2H), 7.05 (m, 4H), 6.90 (d, 1H), 4.55 (t, 1H), 4.15 (d, 2H), 3.05 (dd, 2H), 2.85 (d, 2H), 2.6 (s, 6H), 1.9-1.75 (m, 4H), 1.0 (m, 4H), 0.6 (m, 2H).

MS (APCI): 497.53 Examples 39-45 By following the same synthetic procedure as described for the preparation of compound 79 of Example 38, the compounds indicated in Table 3 below were prepared.

Table 3 Ex Structure Diaryl ketone physical Chemical name Characterization 39 H 4, 4-difluoro-H NMR (DMSO-d6) N NH Trans-1- [N- (benzoyl)-N- (4,4'- benzophenone S g, 1-6. 51 (m, 13H)) difluorodiphenylethyl)]-aminomethyl- NH2 4-guanidinomethyl cyclohexane 4.50 (broadt, lH), 4. 2- 0 3.65 F N (m, 3H), 2.95-2.53 (m, 4H), 1.78-0.20(m, I OH). TMS: 505.4 (M+H). Compound80 Table 3 (contd.) Diarytketone-.., Ex Structure Chemical namc Physical Characterization 2, 4'-difluoro- H NMR (DMSO-d6) 40 N NH Trans-1- [N- (Benzoyl)-N- (2,4'- benzophenone s g, 1-6. 49 (m, 13H), difluorodiphenylethyl)]-aminomethyl- NH2 4-guanidinomethyl cyclohexane 4.90-2.68 (m, 7H), 1.85-0.30 O (m, lOH). N MS : 505.36 (M+H). F/ F Compound81 Table 3 (Contd.) Diary! ketone-,., , Ex Structure Diaryl ketone Physical Characterization Chemical name 3-benzoyl pyridine H NMR (DMSO-d6) 41 1 Trans-1- [N- (benzoyl)-N- (2-pienyl-2- (3'-Pyridyl) Ethyl)]-aminomethyl- S 8. 86 (s, 1 H), 8. 65 (s, 1 H), 8. 48 NH2 4-guanidinomethyl cyclohexane (broad d, I H), 8.25 (d, 1 H), 7.72-6.6 (m, 14H), 4.7 (broad t, 1H), 4.33.95 O (m, 2H), 3.32-2.74 (m, 4H), N 1.80-0.32 (m,! OH). MS: 470.4 (M+H). I I N Compound82 Table 3 (Contd.) Ex Structure Diaryl ketone Physical Characterization Chemical name 4-benzoyl pyridine'H NMR (MeOD-d4) N NH Trans-1- [N- (benzoyl)-N- (2-phenyl-2- (4-pyridy () et6y1)]-aminomethyl- 8 8.85 (broad s, 2H), 8.2 (broad s, I H), NH2 4-guanidinomethyl cyclohexane 7.45 (m, 8H), 7.05 (d,! H), 4.20 dihydrochloride (broad, 1 H), 3.5-3.8 (m, 4H), 2.95 (broad s, 2H), 0.6-1.9 (m, IOH). \ MS (APCI):470.4 Compound83 Chemicatname Diary! ketone-..,-,.... Ex Structure Chemical name Diaryl ketone Physical Characterization 1-benzoyl naphtalene 1 Trans-I- [N- (benzoyl)-N- (2- (1- MS (APCI) : 519. 2 naphthyl)-2-phenylethyl]- NH2 aminomethyl-4-guanidinomethyl cyclohexane O a 0 I Compound84 Chemical name Diaryl ketone Ex Structure Physical Characterization 2-benzoyl pyridineH-NMR (MeOD-da) 8 8.65 (s, I H), 8.5 N NH Trans-I- [N- (benzoyl)-N- (2-plienyl- (s, I H), 8. 0 (broad s, I H), 7. 80 (t, I H), 2- (2-pyridyl))-ethyl]-aminomethyl- NH2 4-guanidinomethyl cyclohexane 7.65 (d, 1 H), 7.38 (m, 6H), 7.20 (d, 1 H), 7. 1 (d, 1 H), 7.00 (d, 1 H), 4.15-4.45 (m, 0 311), 3.03 (m, 2H), 2.85 (m, 2H), 1.9-0.75 (m, lOH). cru'O MS (APCI):470.1 Compound 85 Table 3 (Contd.) Ex Structure Chemical name Diaryl ketone Physical Characterization H 2-benzoyl naphtalene 45 1 Trans-1- [N- (benzoyl)-N- (2- MS: 519.1 (M+H). (phenyl)-2- (2-naphthyl)-ethyl]- NH2 aminomethyl-4-guanidinomethyl cyclohexane O zon Compound 86

Examp ! e 46 Preparation Trans-1-[N-(benzoyl)-N-(2-phenyl-2-phenylethyl)]-aminomethyl - 4-guanidinomethvl cvelohexane hydrochloride (compound 97) The compound 97 of this Example, was prepared by following the synthetic route described in Scheme 11 below.

Scheme 11 \ OH H O NOz Mno2 1) CH3NO2/NaOH /\ 2) HCI I \ MgS04 (87) (88) (89) boc hoc (87) (88) NCH 'oc NH2 H LAH Ho 1) TFA THF 2) NH40H BOP reagent BOPreagent"-"ft)---- DIEA,DMF E J jj O N I (90) H l (91) NH2 NH2 91) NHZ NH2 J NH-boc boc I N BH,. THF J/N (94) v HAN THF H (92) (93) t3 THF H H H N N-boc N N-boc NH NH-boc C NH-boc nu2 . 1-0 Tdethylamine N CH2C'2 N CH2CI2N \ \ H ! (96) (97) Example 46

Step 1 Preparation of 2-Phenvl benzaldehvde (compound 88) To a solution of compound 87 (10.6 g, 57.6 mmol) in methylene chloride (250 mL) was added manganese dioxide (63.16 g), and anhydrous magnesium sulfate (15 g). The mixture was stirred at r. t. for 16 h. The black suspension was filtered and washed with 4x100 mL of methylene chloride, concentrated in vacuo to give an almost colorless and highly refractive liquid (compound 88) (9.81 g): DNPH active, single spot on TLC (Rf 0. 39 in 4/1 hexane: ethyl acetate).

Step 2 Preparation of 2-Phenvl nitrostvrene (compound 89) Compound 89 was synthesized in a similar fashion as reported for nitrostyrene (Organic Syntheses, Coll. Vol. I, 2nd ed., John Wiley & Sons, 1941, p. 413): In a 1 litre round bottom flask placed in an ice bath and containing a solution of the aldehyde (compound 88) (9.81 g, 53.8 mmol) and nitromethane (3.3 g, 54.0 mmol) in methanol (25 mL) was added dropwise in 10 minutes a solution of 2.27 g NaOH in 3 mL of water. A viscous and almost colorless clear solution formed. This reaction mixture was stirred in the cold bath for 4.5 h. Then the light brownish clear solution was added dropwise to 20 mL of well stirred hydrochloric acid solution (1.5: 1/water: conc. HCl) in 15 minutes. A bright yellowish brown oil formed. After about half of the reaction mixture was added, additional conc. HCl (10 mL) was added to the acidic solution and addition of the nitronate was continued. A thick brown oil formed. The mixture was stirred at r. t. for 1.5 h, then was extracted with methylene chloride 3 times. The organic extracts were combined, dried over magnesium sulfate and concentrated. The crude was chromatographed on silica gel column and eluted with a mixture of 20: 1 hexane: ethylacetate. The nitroolefin product (compound 89) was recrystallized from diethyl ether-hexane: 4.8 g of lemon yellow needles.

Step 3<BR> <BR> <BR> <BR> <BR> <BR> Preparation of 2-Phenvl-2-phenethvlamine (compound 90) Compound 90 was synthesized in a similar fashion as reported in the literature (A. Kubo et al, Synthesis, 824 (1987)): In a 500 mL round bottom flask was placed LAH (2.5 g, 65.88 mmol) and dry THF (100 mL). To the stirred LAH suspension was added dropwise a solution of the nitroolefin (compound 89) (3.9 g, 17.33 mmol) in THF (10 mL) in 20 minutes. An exothermic reaction occurred. The reaction mixture was stirred for 15 minutes at r. t., then was heated to just boil for 10 minutes, and then was stirred at r. t. for 48 h. It was then cooled to 0°C and decomposed with 30% NaOH, diluted with hexane (20 mL), diethyl ether (100 mL) and allowed to warm to r. t. The mixture was dried with potassium carbonate, filtered, and concentrated to an oil.

MS (APCI): 198. (M+H). <BR> <BR> <BR> <BR> <BR> <BR> <P>Step 4<BR> <BR> <BR> <BR> <BR> <BR> <BR> Preparation of Trans-1-(2-Phenvl-2-Phenethvl)-4-N-Boc-4-aminomethvl cvclohexane carboxamide (compound 91) To an ice-cooled DMF solution (5 mL) of trans-N-Boc-4-aminomethyl cyclohexane carboxylate (0.257 g, 1 mmol) was added 2-phenyl phenethylamine (compound 90) (0.197 g, 1 mmol), diisopropylethylamine (0.435 mL, 2.5 mmol) and BOP reagent (0.442 g, 1 mmol) successively. The reaction mixture was stirred overnight at r. t. It was then diluted with ethyl acetate and washed with water, 1 % HCI, sodium bicarbonate solution, brine and dried over magnesium sulfate and then concentrated. The product (compound 91) was purified on a silica gel column (eluting solvent: methylene chloride to 3% methanol in methylene chloride): 0.35 g.

MS (APCI): 437.2 (M+H).

Step 5

Preparation of Trans- (2-Phenvl-2-phenethvl)-4-aminomethvl cvclohexane carboxamide (compound 92) Compound 91 (0.34 g, 0.78 mmol) was dissolved in 50% trifluoroacetic acid in methylene chloride (5 mL) and stirred at r. t. for 2 h. The reaction mixture was concentrated and then redissolved in methylene chloride, basified with 30% ammonium hydroxide. The organic layer was washed with brine, dried over magnesium sulfate and then concentrated to a syrupy residue (compound 92): MS (APCI) 336.90 (M+H).

Step 6 Preparationof trans-I-N- (2-phenvt-2-phenethvl)-aminomethvi-4-aminomethvl cvclohexane (compound 93) Compound 92 (0.191 g,. 57 mmol) was dissolved in dry THF (2 mL). To this solution was added a 1 M solution of borane. THF complex (1.7 mL) and the reaction mixture was heated at reflux for 16 h under nitrogen. After cooling to r. t., a 3.3 M solution of HCl in methanol (0.7 mL) was added to the reaction mixture and the mixture was refluxed for 2 h.

After cooling to r. t., the reaction mixture was concentrated and then basified with IN NaOH. The product was extracted with methylene chloride. The organic extractes were dried over magnesium sulfate and concentrated to give (compound 93): MS (APCI) 323.16 (M+H).

Step 7 Preparation of trans-1-N- (2-phenvl-2-phenethvl)-aminomethvl-4-N- (diBoc)- guanidinomethyl cvclohexane (compound 95) The diamine (compound 93) (0.18 g,. 56 mmol) was dissolved in THF (5 mL). To this solution was added diBOC-guanylpyrazole (compound 94) (0.174 g, 0.56 mmol). The mixture was stirred at r. t. overnight, then was concentrated. The product (compound 95) was purified by silica gel chromatography (eluting solvent: methylene chloride to 3 % methanol in methylene chloride): 0.121 g.

'H NMR (CDCI3) 6 8.2 (br t, 1H), 7.05-7.3 (m, 10H), 3.08 (br t, 2H), 2.65 (t, 2H), 2.5 (t, 2H), 2.15 (d, 2H), 1.45-1.7 (m, 4H), 1.39 (s, 18H), (m, 6H)., MS (APCI): 565.37 (M+H).

Step 8 <BR> <BR> <BR> <BR> Preparation of Trans-1-LN-benzoyt-N- (2-phenvl-2-phenvlethvl) 1-aminomethvl-4-N-<BR> <BR> <BR> <BR> <BR> <BR> (diBoc)-guanidinomethvl cvclohexane (compound 96) The acylation was carried out according to the General procedure for acylation of secondary amine: Compound 95 (0.121 g, 0.214 mmol) was dissolved in methylene chloride (3 mL). To this solution was added triethylamine (0.060 mL, 0.429 mmol) and benzoyl chloride (0.028 mL, 0.24 mmol). The mixture was stirred at r. t. for 2 h. The product (compound 96) was purified by prep TLC (2mm thickness, solvent: 1: 3/ethyl acetate: hexane):. 118 g (83%).

Step 9 Trans-1-[N-(benzoyl)-N-(2-phenyl-2-phenylethyl)]-aminomethyl -Preparationof 4-vuanidinomethvl cvclohexane hvdrochloride (compound 97) The title compound 97 (0.112 g, 0.167 mmol) was deprotected according to General procedure for deprotection of diBoc-guanidino compounds. The product (compound 97) was dissolved in an aqueous solution and lyophilized.

H NMR (DMSO-d6) 8 7.52-6.75 (m, 17H), 3. 9 (m, 3H), 2.55-3.12 (m, 5H), (m, 10H).

MS (APCI): 469.31 (M+H).

Example47 Preparation of trans-[N-(benzoyl)-N-2-(2-hydroxyphenyl)ethyl]-aminomethyl- Sguanidinomethyl cyclohexane hydrochloride (compound 107) The compound of this Example was prepared by following the synthetic procedure described in Scheme 12 below. Scheme 12 CN NHz O CN NH 2 H I BH3. THF 0 H lu (> I/ (9S ? BOP reagent box boc DMF (NH NH2 (NH2 :/// 1) TFA = = O N \ BH3. THF O+NAX 2) K CO OD\NX _ Y H O (101) \ I ( 02)/ (103) H I W NH-boc N N-Boc H boc'Y O H THF [104} ° CH2CI2\ XN NH-Boc N N-Boc (94)/N-Boc tuf- Tuf H p CH2CI2 = / (104) 0-1 ( (105) H2, Pd/C H 3 CH O N N-Boc (107) NH-Boc NH 2 NH-Boc NH2 TUA N N HO HO/ (107) Ap Example 47 (106)

Step 1 Preparation of 2-Benzvloxv-2-phenethviamine (compound 99) 2-benzyloxyphenylacetonitrile (compound 98) (15 g, 67.2 mmol) was dissolved dry THF (20 mL). To this solution was added a 1.0 M solution of borane/THF complex (200 mL).

The reaction mixture was refluxed overnight, then cooled to r. t. A 3M solution of HCI in methanol. (67 mL) was added and the mixture was refluxed again for 3 h. After cooling, the reaction was basified with NaC03, extracted with methylene chloride, dried and concentrated to give compound 99.

MS: 227.93 (M+H) Step 2 Preparationof Trans-2-f (2-benzvloxvphenvl) ethvll-N-Boc-4-aminomethvl cvclohexane carboxamide (compound 101) Compound 99 (16 g) was dissolved in THF and cooled in an ice bath. trans-4-N- (Boc) aminomethyl cyclohexane-1-carboxylate (compound 100) (18.1 g) was added, followed by the additions of diisopropylethylamine (20 g), and BOP reagent (31 g). The reaction mixture was stirred at r. t. for 3 days. THF was removed and the reaction mixture was diluted with water and EtOAc. The organic layer was dried over magnesium sulfate and concentrated. The brown residue (compound 101) was repeatedly washed with ether until it was light yellow. MS: 466. 93 Step 3 Preparation of Trans-2-f (2-benzvloxvphenvl) ethvll-N-4-aminomethvl cvclohexane carboxamide (compound 102) Compound 101 was deprotected by stirring in a 50% TFA/CH2C1) solution for 3 hours.

Solvent and excess reagent were evaporated and the residue was redissolved in EtOAc and basified with K2CO3. At pH 9, white solid (compound 102) precipitated and was collected and washed with EtOAc and dried.

MS: 367.2

Step 4<BR> <BR> <BR> <BR> <BR> <BR> Preparationof Trans-l-N-r2-(benzvloxvphenvl) ethvll-aminomethvl-4-aminomethvl cvclohexane (compound 103) Compound 102 (10 g) was dissolved in dry THF (10 mL) and a 1M solution of borane/THF complex (81 mL) was added. The reaction mixture was refluxed overnight, then cooled and a 2.8M solution of HC1 in methanol (30 mL) was added. The mixture was refluxed again for 3 hours. After cooling to r. t., the reaction was basified with NaC03, extracted with methylene chloride, dried and concentrated. 7.6 g of product (compound 103) were obtained.

MS: 352.92 <BR> <BR> <BR> <BR> <BR> <BR> Step<BR> <BR> <BR> <BR> Preparationof trans-l-N-r (2-Benzvloxvphenvl) ethvll-aminomethvl-4- (diBoc) zuanidinomethvl cvclohexane (compound 104) Compound 103 (7.6 g) was reacted with diboc-guanylpyrazole (compound 94) (6.7 g) in THF according to the conditions described in the general procedure to give the product (compound 104) (6.0 g).

MS: 595.23 Step 6 <BR> <BR> <BR> <BR> Preparationof Trans-l-rN- (benzovl)-N- (2-benzvloxvphenvl) ethvll-aminomethvl-4- (diBoc) uanidinomethvl cvclohexane (compound 105) Compound 104 (6.0 g) was acylated with benzoyl chloride (1.68 g) according to the General procedure for acylation of secondary amine. The acylated product (compound 105) was purified by silica gel chromatography: 6.2 g. <BR> <BR> <BR> <BR> <BR> <BR> <P>'H NMR (CDC13) 8 7. 35 (m, 10H), 6.9 (broad, 4H), 5.70 (broad, 1H), 4.85 (s, 2H), 3.50 (t, 2H), 3.35 (d, 2H), 3.15 (broad, 2H), 2.75 (broad, 2H), 1.8 (m, 6H), 1.55 (s, 18H), 0.9 (m, 4H). MS: 699. 38 Step 7

Preparation of trans-1-f N- (benzovl)-N-2-benzvloxyphenvl) ethyll-aminomethvl-4- (diBoc) guanidinomethvl cyclohexane (compound 106) Compound 105 (6.2 g) was dissolved in 5 ml of EtOAc and then diluted to 100 mL with methanol. 10% Pd on carbon catalyst (1 g) was added and the reaction was hydrogenolyzed (60 psi) in a Parr apparatus overnight. The reaction mixture was filtered through Celite and the filtrate was concentrated to give product (compound 106) (5 g).

'H NMR (CDCl3) 5 8.7 (broad, 1H), 8.3 (t, 1H), 7.5 (m, 5H), 7.25 (dd, 1H), 7.15 (d, 1H), 7.0 (d, 2H), 6.75 (dd, 1H), 3.60 (t, 2H), 3.25 (m, 4H), 3.0 (dd, 2H), 1.8 (m, 6H), 1.55 (s, 18H), 0.9 (m, 2H), 1.65 (m, 2H).

MS: 609.38 Step 8 <BR> <BR> <BR> Preparationof trans-l-[N-(benzovl)-N-2-(2-hvdroxvphenvl) ethvll-aminometh<BR> <BR> <BR> <BR> 4-uanidinomethvl cvclohexane Hvdrochloride (compound 107) Compound 106 was deprotected according to the General procedure for deprotection of diBoc-guanidino compounds to give the free guanidino compound 107.

"H NMR (MeOD-d4) d 7.40 (m, 4H), 7.05 (m, 2H), 6.8 (d, 2H), 6.6 (m, 2H), 3.5 (m, 2H), 3.0 (m, 4H), 2.75 (t, 2H), 1.9-0.75 (broad m, 10H).

MS (APCI): 409.27 Examples 48-51 The compounds 108-111 of Examples 48-51 were prepared by following the synthetic route described in Scheme 13 below. Scheme 13 NH2 CH 3 0 1 CH3 CCI N3 X I \ NN I \ X CI/O H/ O NH-Boc CH cl N I x \ NH N X C s cor O I 'If"'N I N N COOH NH-Boc Example 48 & 50 or Compound 108 8110 NH2 CH3 CH 3 N I N N U Boc-HN N Hz 0 OH H H N-Boc NH Example49 & 51 Compounds 109 & 111 X = 4-chloro X = 2eOCF3

These compounds were synthesized by alkylating the appropriate primary amines by N-methyl chloroacetanilide to give the secondary amines. The secondary amines were then condensed with either trans-4-N- (diBoc)-guanidinomethyl cyclohexane-1-carboxylic acid or trans4-N- (Boc)-aminomethyl cyclohexane-1-carboxylic acid to form a new amide bond via BOP reagent as described in General Procedure for amide bond formation.

Finally the amine protecting group (Boc) was removed by acid treatment as described in General Procedure to provide the desired products.

Step 1 Preparationof trans-Methvl 4-aminomethvl cvclohexane-1-carboxvlate To a cooled suspension of trans-4-aminomethyl cyclohexane-1-carboxylic acid ( 5 g, 0.159 mol) in dry methanol (200 mL) was added thionyl chloride (17.4 mL, 0.238 mol) dropwise. After standing overnight, the solvent and excess reagent were evaporated. The hydrochloride salt was partitioned between diethyl ether and saturated potassium carbonate. The ether layer was dried over magnesium sulfate and evaporated to a colorless oil.

Step 2 <BR> <BR> <BR> Preparation of Methyl trans-4-N-(diBoc)-guanidinomethyl cyclohexane-l-carboxylate trans-Methyl 4-aminomethyl cyclohexane-1-carboxylic acid (8.61 g, 50.29 mmol) was dissolved in THF (80 mL) and a solution of 1-H-pyrazole-1- (N, N-bis (tert- butoxycarbonyl) carboxamidine (15.59 g, 50.29 mmol) in THF was added. After stirring at r. t. for 3 h, solvent was evaporated. The residue was redissolved in diethyl ether, washed with water, dil. HC1 solution, saturated sodium bicarbonate, brine, dried over magnesium sulfate and evaporated to a solid, 19.6 g (94%). <BR> <BR> <BR> <BR> <BR> <BR> <P> Step 3<BR> <BR> <BR> <BR> <BR> Preparation of trans-4-N-(diBoc)-guanidinomethyl cyclohexane-1-carboxylic acid To a solution of methyl trans-4-N- (diBoc)-guanidinomethyl cyclohexane-1-carboxylic acid (19.5 g, 47.2 mmol) in dry THF (200 mL) was added potassium trimethylsilanolate (12.1 g, 94.4 mmol). The mixture was stirred at r. t. overnight. It was diluted with ethyl acetate/water. The organic layer was dried over magnesium sulfate and evaporated to give a solid residue.

Step 4 Preparationof N-methvl chloroacetanilide To a solution of N-methylaniline (1.5 eq) in dichloromethane at 0 °C was added a solution of chloroacetylchloride (1 eq) in dichloromethane dropwise. The reaction was stirred at room temperature for 20 minutes before it was diluted with dichloromethane and washed with 1 N HCI (2x), saturated aqueous NaHC03 (2x), brine, and dried over MgS04. Upon filtration and evaporation of the solvent, the product was obtained as a yellow solid.

MS (APCI): 183.95. <BR> <BR> <P> Step<BR> Amination of N-methvl chloroacetanilide A solution of the N-methyl chloroacetanilide (1 eq), triethylamine (2 eq), and a primary amine (1 eq) in dichloromethane was stirred at room temperature overnight. The reaction was diluted with dichloromethane and extracted with an aqueous solution of NaHC03, brine, and dried over MgS04. The sample was concentrated and purified by silica gel flash column chromatography using ethyl acetate/hexane. Specific examples are provided

1H-NMR (CDCl3): 7.4 (m, 2H), 7.2 (m, 3H), 7.1 (m, 2H), 3.6 (s, 2H), 3.4 (s, 3H), and 3.1 (s, 2H).

The compounds 108,109,110 and 111 of Examples 48-51 were prepared as described above. The results are presented in Table 4 below.

Table 4 Ex Structure Chemical name Physica ! Characterization H3 48 MS (FAB): 428 trans-4-aminometlyl-N- (4-chlorobenzyl- N N, N-metliylplienyl-2-acetyl) cyclohexane carboxamide Cl Compound 108 j NH NH2 49I H3 OH NMR (MeOD-da) 8 7.5 trarr. s-4- (guanidinomethyl)-N- (4- n, 4p) 7. 4 (m, 2H), 7. 2 (m, chlorobenzyl-N N-methylphenyi-2-acetyl)- /,,,/C'3H)) 4. 7 (2s, 1 H), 4. 5 (2s, 1 H), 2 f 1), 3.7 (s, IH), 3. 3 (d, 2), 3.2 (s, 3H), t. 8 (m, 4H), 1. 45 (m, 3H), and 1.5 (m, 2FI). Compound 109 fH H 'MS (FAB): 470 Table 4 (contd.) Ex Structure Chemical name Physical Characterization ""*F'HNMR (MeOD-d4) 8 7. 6 5U E H3 O F (m, 2H), 7. 4 (m, 3I-I), 7. 3Ill, trifluoromethoxybenzyl-N, N-methylphenyl-2- N ^N 2H)) 7.2 (m) 2H), 4.8 (d, 1 H), Cr N acetyl) cycloliexane carboxamide n) p g r o., i o (m, 4H), 1. 5 (m, 3H), and 1. 2 (i-n,2H). Compound 110 NH2 MS (FAB): 478.

Table 4 (contd.) Ex Structure Chemical name Physical Characterization 'H NMR (McOD-d4) 8 F trans-4- (guanidinomethyl)-N- H3 O F (2-trifluoromethoxybenzyl-N, N-methylphenyl- 7. 5 (m, 2H), 7.4 (m, 3H), 2-acetyl) cyclohexane carboxamide 7.3 (111, 2fl), 7.2 (m, 2H), I 4. I (qt, 2I-), 3.8 (d, 2H), 3.2 (d, 3FI), 2.9 (s, 2I), 2.8 (m, 1 H), 2.4 (in, I H), 1.7 (111, 3fol), 1.3 (m, 2H), and 0,8 nu (m, 2II). NH Compound111 MS (FAB): 520

Example 52 Preparationof trans-l-lN-(2*2-diphenvlethvl)-N-(P-chlorophenoxvacetvl) l aminomethyl-4-guanidinomethyl cyclohexane hvdrochloride (compound 112) The acylation was carried out according to the General procedure for acylation of secondary amines: trans-4-N-(diBoc)guanidinomethyl-1-N-(2, 2- diphenylethyl) aminomethyl cyclohexane (0.20 g, 0.35 mmol) was reacted with 4- chlorophenoxyacetyl chloride (61.5 mg, 0.3 mmol). The acylated product was purified by silica gel chromatography using a mixture of hexane-ethyl acetate as the eluent.

MS: 733.4 (M+H).

The above compound was deprotected according to General procedure for deprotection of diBoc-guanidino compounds to give the free guanidino-compound 112 as the hydrochloride salt MS: 533.4 (M+H).

Example 53 Preparationof trans-l-N-(cvelohexvlmethvl)-N-(benzovl)-aminomethvl-4- guanidinomethvl cvclohexane hydrochloride (compound 120) Scheme 14 gPh Ph pu Ph N Ph Benzaldehyde Isobutylchloroformate NaBHCN Et3N, THF MeOH, AcOH-25 °C BH3 THF pH5 2 THF 80 0 OH 0 NH NH (113) A) kJ ~ (114) (115) Ph pu N N NPh NH2 N N NBoc'N NBOC 'NBoc 0 H 0 21 Pd/C 0 N Ph ACOH N'k Ph THF N Ph N oh (116) (117) NNH2 N NH2 TFA N-TFA"r NH2 TUA TEA LJ f T N Ph Et2O, CH2C'2 0 SJ NJ4Ph (1 19) X) (120)

(i) Preparation of trans-4 N, N- (Dibenzvl)-aminomethvl cyclohexane carboxvtic acid (compound 113) To a suspension of (40.0 g, 254.4 mmol) of trans-4-(aminomethyl) cyclohexanecarboxylic acid, in 1.5 L of methanol was added benzaldehyde (60 ml, 590.8 mmol) followed by sodium cyanoborohydride (16g, 254.6 mmol). The pH was then adjusted to approx. 5 with glacial acetic acid. The reaction was allowed to stir for 48 hrs, during which the pH is monitored and adjusted to 5 as needed, after which the reaction volume was then decreased and the pH adjusted to 9 with 1 N NaOH. The reaction was then extracted repeatedly with diethyl ether. The organic layers were combined, washed with brine, dried over Na2S04, filtered and concentrated. Product solidifies on standing and was recrystallized from methanol giving 32 g of impure product which was used without further purification in the next step The monobenzyl was isolated as a white solid, which formed during the extraction and was collected by filtration. (8.2g) Monobenzyl IN NMR: (400 MHz, D2O) 8: (2H, m, 0.81-0.91), (2H, m, 1.11-1. 22), (1H, m, 1.51-1.56), (2H, m, 1.62,1.64) (2H, m, 1.72-1.75), (1H, m, 1.87-1.95), (NCH2,2H, d, J = 7.2), (CH2Ar, SH, s) <BR> <BR> <BR> <BR> <BR> <BR> 13C NMR: (100, D2O, DSS) b 31.43 (CH2), 31.88 (CH2), 36.81 (CH), 48.95 (CH), 54.01 (NCH2), 55.35 (NCH2), 131.94 (CH), 132.37 (CH), 132.60 (CH), 133.30 (C), 188.43 (C=O) (ii) Preparation of trans-l-N- (Cvclohexvlmethvl)-4-N, N- (dibenzvl)- aminomethvlcvclohexane carboxamide (compound 114) To a solution of the acid (compound 113) (8.11 g, 24.07 mmol, 1 eq) in THF (150 mL) at -25 °C was added Et3N (4.02 ml, 28.88 mmol, ml 1.2 eq) followed by chloroformate (3.75 ml, 28.88 mmol, 1.2 eq) Aloud to react for 30 mins then added cyclohexanemethylamine (4.7 ml, 36.11 mmol, 1.5 eq). Strirred over night, added saturated NH4CI, extracted 3 X

with ethyl acetate, dried over MgS04. Purified by MPLC, 5 % MeOH/CH2Cl2. Yielded 10.4 g, 100% <BR> <BR> (iii) Preparation of trans-1-N- (Cvclohexvlmethyl)-aminomethvl-4-N. N- (dibenzvl)<BR> aminomethyl cvclohexane (compound 115) To a solution of amide (compound 114) in THF 100 mL was added BH3 THF 1M (71.9 mL, 71.9 mmol, 3 eq). The reaction was heated at reflux for 12 hrs. 80 °C. Then cooled down to RT. A solution of 1 N HCl was added slowly and the mixture was heated at reflux for 3 hrs. The mixture was extracted 4 times with CH2CI2. washed with NaHC03 then dried over MgS04. Purified by MPLC. Yielded 7.37 g, 74 %.

(iv) Preparations trans-N-[[4-[[bis(phenylmethyl)amino]methyl] cvelohexvll methvll-N-(cvclohexvlmethvl)-benzamide.(cvclohexvlmethvl)-be nzamide. (compound 116) To a solution of (compound 115) (740 mg, 1.77 mmol, 1 eq) in CH2CI2 (10ml) was added Et3N (0.492 ml, 3.54 mmol, 2 eq) followed by benzoyl chloride (0.322 ml, 2.66 mmol, 1.5 eq). The reaction was allowed to stir over night. Saturated NH4C1 was added and the reaction was extracted 3 times with CH2CI2. The combined organic layers were dried over MgS04, filtered and concentrated. The product was purified by silica gel flash chromatography using hexanes: ethyl acetate; 4: 1. Yielded 675 mg, 73 % (v) Preparation of trans N-ff4-(aminomethvl) cvelohexvllmethvll-y- (cvclohexvimethvl)-benzamide (Compound 117) To a solution of (compound 116) (675 mg, 1.29 mmol) in acetic acid (100 ml) was added Pd/C 10 % 70 mg. This was placed on a Parr apparatus under H2 at 50 PSI and 70 °C overnight. Reaction was filtered through celite and concentrated. The extract was washed with NaHCO3 then extracted 3 times with CH2Cl2. Purification was done by silica gel flash chromatography. CH2Cl2 : MeOH: 8: 2. Yielded 386 mg of a clear oil, 88 %.

(vi) Preparation of trans-1-N- (cvclohexvlmethvl)-N- (benzovl)-aminomethvi-4- (di-t- butvl carbonvloxv)-uanidinomethvl cvclohexane (compound 118)

To a solution of (compound 117) (140 mg, 0.55 mmol, 1 eq) in THF 3 mL at RT was added 133 mg, 0.61 mmol, 1.1 eq) The reaction was stirred for 48 hrs then concentrated un reduced pressure. Purified by flash chromatography on silica gel with 8: 2 hex/Ethyl Acetate. Yielded 251 mg, 77 yield. <BR> <BR> <P>(vii) Preparation of trans-1-N- (cvclohexvimethvl)-N- (benzovl)-aminomethvl-4-<BR> euanidinomethvl cvclohexane trifluoroacetate (compound 119) To a solution of (compound 117) (250 mg) in CH2CI2 (5 mL) at RT wad added dropwise TFA. The mixture was allowed to stir 3 hrs then the reaction was concentrated. The product was washed with NaOH then extracted 3 times with CH,, Cl,. The combined organic layers were dried over MgS04, filtered then concentrated. Yielded 163 mg, 100% (viii) Preparation of trans-1-N-(cvclohexvlmethvl)-N-(benzovl)-aminomethel-4- suanidinomethv ! cvciohexane hvdrochtoride (compound 120) To a solution of (compound 118) (163mg) in CH2Cl2/Et2O (2ml/2ml) was added 1 N HCI in Et20 (1 mL). The mixture was allowed to stir at RT for 2 Hrs. It was then concentrated and purified by MPLC 20 % to 50 % CH3CN/H20. Yielded 117 mg of a white powder, 66 %.

(400 MHz, CDC13, TMS, Free amine, equilibrium): 7.37 (s, 3H, C=CH), 7. 31 (s, 2H, C=CH), 3.40 (s broad, 2H, CH2N), 3.10 (d, 2H, CH2N), 2.90 and, 2.82 (d and d, 2H, CH2N), 1.81-1.48 (m, 13H, CH2, NH), 1.26-0.80 (m, 10H, CH, CH2), 0.61-0.58 (m, 2H.

CH2).

C23H36N40 X 1.3 HCI, X 0.1 H20, X 0.4 C4H100 Found: C 63.75% H 8.84%, N 11.95% Calc.: C 63.76%, H 9.03%, N 12.09%, 05.18%, Cl 9.95%.

Pharmaceutical compositions The novel compounds according to the present invention may be administered orally, intramuscularly, subcutaneously, topically, intranasally, intraperitoneally, intrathoracially, intravenously, epidurally, intrathecally, intracerebroventricularly and by injection into the joints.

A preferred route of administration is orally, intravenously or intramuscularly.

The dosage will depend on the route of administration. the severity of the disease, age and weight of the patient and other factors normally considered by the attending physician, when determining the individual regimen and dosage level as the most appropriate for a particular patient.

For preparing pharmaceutical compositions from the compounds of this invention, inert, pharmaceutically acceptable carriers can be either solid or liquid. Solid form preparations include powders, tablets, dispersible granules, capsules, cachets, and suppositories.

A solid carrier can be one or more substances which may also act as diluents, flavoring agents, solubilizers, lubricants, suspending agents, binders, or tablet disintegrating agents; it can also be an encapsulating material.

In powders, the carrier is a finely divided solid which is in a mixture with the finely divided active component. In tablets, the active component is mixed with the carrier having the necessary binding properties in suitable proportions and compacted in the shape and size desired.

For preparing suppository compositions, a low-melting wax such as a mixture of fatty acid glycerides and cocoa butter is first melted and the active ingredient is dispersed therein by, for example, stirring. The molten homogeneous mixture is then poured into convenient sized molds and allowed to cool and solidify.

Suitable carriers are magnesium carbonate, magnesium stearate, talc, lactose, sugar, pectin, dextrin, starch, tragacanth, methyl cellulose, sodium carboxymethyl cellulose, a low- melting wax, cocoa butter, and the like.

Pharmaceutically acceptable salts are acetate, benzenesulfonate, benzoate, bicarbonate, bitartrate, bromide, calcium acetate, camsylate, carbonate, chloride, citrate, dihydrochloride, edetate, edisylate, estolate, esylate, fumarate, glucaptate, gluconate, glutamate, glycollylarsanilate, hexylresorcinate, hydrabamine, hydrobromide, hydrochloride, hydroxynaphthoate, iodide, isethionate, lactate, lactobionate, malate, maleate, mandelate mesylate, methylbromide, methylnitrate, methylsulfate, mucate, napsylate, nitrate, pamoate (embonate), pantothenate, phosphate/diphosphate, polygalacturonate, salicylate, stearate, subacetate, succinate, sulfate, tannate, tartrate, teoclate, triethiodide, benzathine, chloroprocaine, choline, diethanolamine, ethylenediamine, meglumine, procaine, aluminium, calcium, lithium, magnesium, potassium, sodium, and zinc.

Preferred pharmaceutically acceptable salts are the hydrochlorides, trifluoroacetates and bitartrates.

The term composition is intended to include the formulation of the active component with encapsulating material as a carrier providing a capsule in which the active component (with or without other carriers) is surrounded by a carrier which is thus in association with it. Similarly, cachets are included.

Tablets, powders, cachets, and capsules can be used as solid dosage forms suitable for oral administration.

Liquid from compositions include solutions, suspensions, and emulsions. Sterile water or water-propylene glycol solutions of the active compounds may be mentioned as an

example of liquid preparations suitable for parenteral administration. Liquid compositions can also be formulated in solution in aqueous polyethylene glycol solution.

Aqueous solutions for oral administration can be prepared by dissolving the active component in water and adding suitable colorants, flavoring agents, stabilizers, and thickening agents as desired. Aqueous suspensions for oral use can be made by dispersing the finely divided active component in water together with a viscous material such as natural synthetic gums, resins, methyl cellulose, sodium carboxymethyl cellulose, and other suspending agents known to the pharmaceutical formulation art.

Preferably the pharmaceutical compositions is in unit dosage form. In such form, the composition is divided 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 the preparations, for example, packeted tablets, capsules, and powders in vials or ampoules. The unit dosage form can also be a capsule, cachet, or tablet itself, or it can be the appropriate number of any of these packaged forms.

BIOLOGICAL EVALUATION A) IN VITRO MODEL Cell culture Human 293S cells expressing cloned human Kt, 8, and K receptors and neomycin resistance were grown in suspension at 37°C and 5% CO, in shaker flasks containing calcium-free DMEM10% FBS, 5% BCS, 0.1% Pluronic F-68, and 600 Mg/ml geneticin.

Membrane preparation Cells were pelleted and resuspended in lysis buffer (50 mM Tris, pH 7.0,2.5 mM EDTA, with PMSF added just prior to use to 0.1 mM from a 0.1 M stock in ethanol), incubated on ice for 15 min, then homogenized with a polytron for 30 sec. The suspension was spun at 1000g (max) for 10 min at 4°C. The supernatant was saved on ice and the pellets resuspended and spun as before. The supernatants from both spins were combined and spun at 46,000 g (max) for 30 min. The pellets were resuspended in cold Tris buffer (50 mM Tris/Cl, pH 7.0) and spun again. The final pellets were resuspended in membrane buffer (50 mM Tris, 0.32 M sucrose, pH 7.0). Aliquots (1 rnl) in polypropylene tubes were frozen in dry ice/ethanol and stored at-70°C until use. The protein concentrations were determined by a modified Lowry assay with SDS.

Bindingassays Membranes were thawed at 37°C, cooled on ice, passed 3 times through a 25-gauge needle, and diluted into binding buffer (50 mM Tris, 3 rnM MgC12,1 mg/ml BSA (Sigma A-7888), pH 7.4, which was stored at 4°C after filtration through a 0.22 m filter, and to which had been freshly added 5 llg/ml aprotinin, 10 pM bestatin, 10 MM diprotin A, no DTT). Aliquots of 100 ul (for ug protein, see Table 1) were added to iced 12x75 mm polypropylene tubes containing 100 p1 of the appropriate radioligand (see Table 1) and 100 pl of test peptides at various concentrations. Total (TB) and nonspecific (NS) binding were determined in the absence and presence of 10 I1M naloxone respectively. The tubes were vortexed and incubated at 25°C for 60-75 min, after which time the contents are rapidly vacuum-filtered and washed with about 12 ml/tube iced wash buffer (50 mM Tris, pH 7.0,3 mM MgCI=) through GF/B filters (Whatman) presoaked for at least 2h in 0.1 % polyethyleneimine. The radioactivity (dpm) retained on the filters was measured with a beta counter after soaking the filters for at least 12h in minivials containing 6-7 ml scintillation fluid. If the assay is set up in 96-place deep well plates, the filtration is over 96-place PEI-soaked unifilters, which were washed with 3 x 1 ml wash buffer, and dried in

an oven at 55°C for 2h. The filter plates were counted in a TopCount (Packard) after adding 50 111 MS-20 scintillation fluid/well.

Dataanalysis The specific binding (SB) was calculated as TB-NS, and the SB in the presence of various test peptides was expressed as percentage of control SB. Values of IC and Hill coefficient (nH) for ligands in displacing specifically bound radioligand were calculated from logit plots or curve fitting programs such as Ligand, GraphPad Prism, SigmaPlot, or ReceptorFit. Values of K were calculated from the Cheng-Prussoff equation. Mean S. E. M. values of IC K and nH were reported for ligands tested in at least three displacement curves.

Receptor saturation experiments Radioligand K# values were determined by performing the binding assays on cell membranes with the appropriate radioligands at concentrations ranging from 0.2 to 5 times the estimated K# (up to 10 times if amounts of radioligand required are feasable). The specific radioligand binding was expressed as pmole/mg membrane protein. Values of K# and B max from individual experiments were obtained from nonlinear fits of specifically bound (B) vs. nM free (F) radioligand from individual according to a one-site model.

B) BIOLOGICAL MODEL (IN VIVO MODEL) FREUND'S COMPLETE ADJUVANT (FCA), AND SCIATIC NERVE CUFF INDUCED MECHANO-ALLODYNIA IN RAT

Animals Male Sprague-Dawley rats (Charles River, St-Constant, Canada) weighing 175-200g at the time of surgery were used. They were housed in groups of three in rooms thermostatically maintained at 20° C with a 12: 12 hr light/dark cycle, and with free access to food and water. After arrival, the animals were allowed to acclimatize for at least 2 days before surgery. The experiments were approved by the appropriate Medical Ethical Committee for animal studies.

EXPERIMENTAL PROCEDURE FREUND'S COMPLETE ADJUVANT The rats were first anesthetized in a Halothane chamber after which 10R1 of FCA was injected s. c. into the dorsal region of the left foot, between the second and third external digits. The animals were then allowed to recover from anesthesia under observation in their home cage.

SCIATIC NERVE CUFF The animals were prepared according to the method described by Mosconi and Kruger (1996). Rats were anesthetized with a mixture of Ketamine/Xylazine i. p. (2ml/kg) and placed on their right side and an incision made over, and along the axis of, the lateral aspect of the left femur. The muscles of the upper quadriceps were teased apart to reveal the sciatic nerve on which a plastic cuff (PE-60 tubing, 2mm long) was placed around.

The wound was then closed in two layers with 3-0 vicryl and silk sutures.

DETERMINATION OF MECHANO-ALLODYNIA USING VON FREY TESTING Testing was performed between 08: 00 and 16: 00h using the method described by Chaplan et al. (1994). Rats were placed in Plexiglas cages on top of a wire mesh bottom which allowed access to the paw, and were left to habituate for 10-15 min. The area tested was

the mid-plantar left hind paw, avoiding the less sensitive foot pads. The paw was touched with a series of 8 Von Frey hairs with logarithmically incremental stiffness (0.41,0.69, 51, and 15.14 grams; Stoelting, Ill, USA). The von Frey hair was applied from underneath the mesh floor perpendicular to the plantar surface with sufficient force to cause a slight buckling against the paw, and held for approximately 6-8 seconds.

A positive response was noted if the paw was sharply withdrawn. Flinching immediately upon removal of the hair was also considered a positive response. Ambulation was considered an ambiguous response, and in such cases the stimulus was repeated.

TESTING PROTOCOL The animals were tested on postoperative day 1 for the FCA-treated group and on post- operative day 7 for the Sciatic Nerve Cuff group. The 50% withdrawal threshold was determined using the up-down method of Dixon (1980). Testing was started with the 2.04 g hair, in the middle of the series. Stimuli were always presented in a consecutive way, whether ascending or descending. In the absence of a paw withdrawal response to the initially selected hair, a stronger stimulus was presented; in the event of paw withdrawal, the next weaker stimulus was chosen. Optimal threshold calculation by this method requires 6 responses in the immediate vicinity of the 50% threshold. and counting of these 6 responses began when the first change in response occurred, e. g. the threshold was first crossed. In cases where thresholds fell outside the range of stimuli, values of 15.14 (normal sensitivity) or 0.41 (maximally allodynic) were respectively assigne. The resulting pattern of positive and negative responses was tabulated using the convention, X = no withdrawal; O = withdrawal, and the 50% withdrawal threshold was interpolated using the formula: 50% g threshold = lO (Xf + kO/10, 000

where Xf = value of the last von Frey hair used (log units); k = tabular value (from Chaplan et al. (1994)) for the pattern of positive/negative responses; and 8 = mean difference between stimuli (log units). Here 8 = 0.224.

Von Frey thresholds were converted to percent of maximum possible effect (% MPE), according to Chaplan et al. 1994. The following equation was used to compute % MPE: % MPE = Drug treated threshold ()-allodvnia threshold (g) X 100 Control threshold (g)-allodynia threshold (g) ADMINISTRATION OF TEST SUBSTANCE Rats were injected (subcutaneously, intraperitoneally, or orally) with a test substance prior to von Frey testing, the time between administration of test compound and the von Frey test varied depending upon the nature of the test compound.