Related Art Estimates from the World Health Organization indicated that there are approximately 8.1 million new cases of cancer and 5.2 million cancer deaths each year. In 1998 the American Cancer Society estimates that 1.2 million Americans were diagnosed with cancer and 565,000 people died of the disease and approximately 8 million people are living with a diagnosis of cancer. Even though important strides have been made in cancer detection a number of new agents have been introduced into clinical use the overall 5-year survival for patients with cancer is still only 40% and long-term survival in the rest of the world is even worse. Most experts agree that little progress has been made in improving the outcome of a cancer patient and achieving a cure continues to be an elusive goal.

Cancer is a heterogeneous collection of diseases. Consequently, various treatment strategies do not exhibit equal efficacy in all cancers. When the tumor is small and localized, surgery alone may be sufficient to produce a cure.

However, in patients where the tumor may have spread, surgery may provide only limited benefits. In such cases chemotherapy and/or radiation therapy may be

used to treat advanced or metastatic disease. However, it is rare that such treatments will produce a cure.

Chemotherapy generally involves the administration of one or more, often, cytotoxic agents. Unlike surgery and radiation that are used for the treatment of local and regional disease, these drugs are distributed systemically and will usually exhibit some degree of efficacy in local, regional, and metastatic disease. Early drugs tended to damage DNA and derived some measure of selectivity by targeting rapidly proliferating populations of cells. Recent advances in cell and molecular biology have allowed pharmaceutical scientists to develop a number of new mechanism-based agents (e. g. taxol, gemcitabine, topotecan, etc.). These drugs potentially offer greater selectivity and reduced toxicity as they attempt to target biochemical or molecular pathways that are inherent to the malignant phenotype. However, most of these drugs are extremely toxic and in many cases the amount of drug that can be delivered is limited by potentially life threatening systemic toxicity. As a result these drugs must often be administered at suboptimal doses thereby limiting their efficacy. In addition, while many cancers will initially respond to one or more drugs, tumor cells often become resistant to a broad spectrum of chemotherapeutic agents leading to disease progression and ultimately death.

Traditionally, cancer has been thought of as a disease of abnormal cell proliferation. This belief has provided the basis for the development of most of the currently used chemotherapeutic agents. Although these drugs are extremely cytotoxic, it was hoped that selectivity could be achieved as a result of the drugs being taken up, to a greater extent, by the rapidly proliferating cancer cells.

While this approach has lead to a number of important and clinically active compounds, dose-limiting toxicity continues to be a major problem.

Only recently have we begun to understand that increased cell proliferation is not the only cause of tumor progression and that tumors can develop as a result of decreased cell death. Programmed cell death or apoptosis is a normal process through which damaged or senescent cells are eliminated.

Apoptosis is an active and genetically programmed process that is highly regulated requiring gene transcription and the synthesis of specific proteins (Staunton, M. J. and Gaffney, E. F., Arch. Pathol. Lab. Med 122: 310 (1998); Hetts, S. W., J. A. M. A. 279: 300 (1998)). Regulation of apoptosis occurs at three levels and involves cell survival or death signals, cell survival or death regulators, and cell death effector.

Exposure to growth promoting factors, such as neuropeptides, causes the cell to progress through the cell cycle. In cases where a cell's DNA becomes damaged, cell cycle arrest occurs until such time that the DNA can be repaired.

If the damage cannot be repaired or if the survival factors are withdrawn, the cell receives a signal to undergo apoptosis (Hetts, S. W., J. A. M. A. 279: 300 (1998)).

However, whether or not a cell undergoes apoptosis is controlled by cell death regulators or through the activation or inactivation of enzymes that function to break down the cells prior to their removal by phagocytosis.

Apoptotic cells exhibit membrane blebbing, nucleus condensation, DNA fragmentation, and changes in mitochondria membrane permeability. At the biochemical and molecular level, caspase, a protease, is activated as a consequence of leakage of Cytochrome C from the mitochondria, and there is an increase in the expression of a number of apoptotic genes, including p53, bax, and gadd.

A variety of neuropeptide receptors have been detected in human cancer cells and in many cases the tumor cells not only respond to but also synthesize and release neuropeptides as part of an autocrine loop (Cuttitta, F., et al., Nature 316: 823 (1985)). Moreover, neuropeptides are increasingly implicated in control of cancer cell proliferation (Moody, T. W., et al., Life Sci. 37: 105 (1985); Mahmoud, S., et al., Cancer Res. 51: 1798 (1991)). Peptides of the substance P, bombesin, gastrin, and cholecystokinin family of peptides initiate a complex cascade of events that promotes cell survival and proliferation (Sethi, T. and Rozengurt, E., Cancer Res. 51: 3621 (1991)). Within this context, antagonists with a broad spectrum of activity that interfere with the signal transduction

pathways of this family of proteins would be of special interest as they would likely inhibit cell proliferation and induce apoptosis.

The activities of several peptide drugs that antagonize the actions of neuropeptides have previously been described. See, e. g., Hennig, I. M., et al., Int.

J. Cancer 61 : 786 (1995); Layton, J. E., et al., Cancer Res. 48: 4783 (1988); Bepler, G., et al., Peptides 9: 1367 (1988); Bunn, P. A., Jr., et al., Cancer Res.

54: 3602 (1994); Seckl, M. J., et al., CancerRes. 57: 51 (1997); Langdon, S., et al., CancerRes. 52: 4554 (1992); Woll, P. J. and Rozengurt, E., Proc. Natl. Acad. Sci.

U. S. A. 85: 1859 (1988); Woll, P. J. and Rozengurt, E., Cancer Res. 50: 3968 (1990); Jarpe, M. B., et al., J. Biol. Chem. 273: 3097 (1998). These agents block neuropeptide-mediated signal transduction and initiate apoptosis in cancer cells while having no effect on normal cells where these peptides are not mitogenic (Jarpe, M. B. etal., J. Biol. Chem. 273: 3097 (1998)). While active in vitro, these agents are rapidly degraded, and exhibit poor bioavailability when administered to animals. As a result, these agents tend to exhibit antitumor activity in vivo only when administered in close proximity to the tumor making their use in cancer chemotherapy impractical (Jones, D. A., et al., Peptides 18: 1073 (1997); Jones, D. A., et al., Gen. Pharmacol. 28: 183 (1997); Davis, T. P., et al., Peptides 13: 401 (1992); Halmos, G. and Schally, A. V., Proc. Natl. Acad. Sci. U. S. A.

94: 956 (1997)).

Some diarylguanidine derivatives have previously been described and used in a variety of applications, for example: Dyson, G. M., and Harrington, T., J. Chem. Soc. 191-194 (1940) discloses the synthesis of N-phenyl-N', N"-di-p-tolyl-guanidine.

Adcock, B., and Lawson, A., J. Chem. Soc. 474-479 (1965) discloses the synthesis of N- (2-chloroethyl)-N', N"-diphenylguanidine.

Jefferson, R., et al., J. Chem. Soc. A, 1584-1590 (1966) discloses the synthesis of some N-dialkyl-N', N"-di-p-tolyl-guanidine derivatives.

Ram, V. J., et al., Indian J. Pharm. 35: 30-32 (1973) discloses the synthesis of some guanidines derived from p-amino, n-butyl and iso-butyl benzoates.

Thomas, E. W., etal., J. Med Chem. 32: 228-236 (1989) discloses the use of some heterocyclic N, N'-di-p-tolyl-guanidine compounds as inhibitors of ADP- induced platelet aggregation.

Singh, T., etal, Lubrication Engineering 46: 681-685 (1990) discloses the use of some N-2-benzothiazolyl-N, N', N"-triarylguanidines as additives for lubricating oil.

Siddiqui, N., et al., Pharmakeftiki 5 : 120-124 (1992) discloses the synthesis of some N-2-benzothiozolyl-N, N', N"-triarylguanidine derivatives and the use of these compounds as anticonvulsants.

Fridland, S. V., et al., Zh. Obschch. Khim. 66: 791-793 (1996) discloses the synthesis of some N-alkyl-N', N"-diphenylguanidines.

Ramadas, R., et al., Synlett 9 : 1053-1054 (1997) discloses the synthesis of some N-alkyl-N', N"-diphenylguanidines.

U. S. Patent No. 3,501,557 discloses a process for preparing some 2- aminoethyl-thiophosphate salts.

U. S. Patent No. 4,281,004 discloses the use of some phenylguanidine derivatives as hypoglycemic agents.

U. S. Patent No. 4,686,283 discloses some polypeptide analogs of transforming and epidermal growth factor fragments for use as therapeutic and diagnostic agents.

U. S. Patent No. 5,510,380 discloses some nonpeptide bradykinin antagonists.

U. S. Patent No. 5,608,106 discloses some salts of pyromellitic acid and their use as epoxy resin curing agents.

European Patent Publication 188333 discloses some guanidine derivatives and their use as anti-inflammatory agents.

Described herein are a series of diarylguanidine compounds that selectively induce apoptosis in cancer. These compounds exhibit significant anticancer activity both in vitro and in vivo providing an alternative approach for treating cancer that may translate into an improvement in long-term survival.

Summary of the Invention A first aspect of the present invention is directed to a method for the treatment of cancer or pain in an animal subject, comprising administering to said animal in need of such treatment an effective amount of a compound of formula I:

wherein, R'and R2 are each independently selected from the group consisting of (a) hydrogen, halogen, hydroxy, cyano, amino, nitro, acylamido, thiol, azido, formyl, carboxy, carbonylamido and (b) aryl, fused aryl, carbocyclic, heterocyclic, heteroaryl, alkyl, alkenyl, alkynyl, arylalkyl, arylalkenyl, arylalkynyl, heteroarylalkyl, heteroarylalkenyl, heteroarylalkynyl, carbocycloalkyl, heterocycloalkyl, acyloxy, alkoxy, alkylthiol, alkoxyalkyl and alkylthioalkyl, each of which is optionally substituted by one or more substituents independently selected from the group consisting of halogen, hydroxy, cyano, methoxy, amino, nitro, acylamido, thiol, azido, formyl, carboxy and carbonylamido; R3 is selected from the group consisting of

and a 2-amino sugar which is optionally substituted by one or more substituents independently selected from the group consisting of alkyl and alknoyl, and is substituted on the 2-amino nitrogen, where Z is a (C, 6) alkylene group, which is optionally substituted by one or more substitutents independently selected from the group consisting of (a) halogen, hydroxy, cyano, amino, nitro, acylamido, thiol, azido, formyl, carboxy, carbonylamido and (b) aryl, fused aryl, carbocyclic, heterocyclic, heteroaryl, alkyl, alkenyl, alkynyl, arylalkyl, arylalkenyl, arylalkynyl, heteroarylalkyl, heteroarylalkenyl, heteroarylalkynyl, carbocycloalkyl, heterocycloalkyl, acyloxy, alkoxy, alkylthiol, alkoxyalkyl and alkylthioalkyl, each of which is optionally substituted by one or more substituents independently selected from the group consisting of halogen, hydroxy, cyano, methoxy, amino, nitro, acylamido, thiol, azido, formyl, carboxy and carbonylamido; R4 is selected from the group consisting of (a) hydrogen and (b) aryl, fused aryl, carbocyclic, heterocyclic, heteroaryl, alkyl, alkenyl, alkynyl, arylalkyl, arylalkenyl, arylalkynyl, heteroarylalkyl, heteroarylalkenyl,

heteroarylalkynyl, carbocycloalkyl, heterocycloalkyl, alkoxyalkyl and alkylthioalkyl, COR, CO2R and CONRXRy, each of which is optionally substituted by one or more substituents selected from the group consisting of halogen, hydroxy, cyano, methoxy, amino, nitro, acylamido, thiol, azido, formyl, carboxy and carbonylamido, wherein R, Rx and Ry. are independently selected from the group consisting of hydrogen, aryl, fused aryl, carbocyclic, heterocyclic, heteroaryl, alkyl, alkenyl, alkynyl, alkoxyalkyl, alkylthioalkyl, arylalkyl, arylalkenyl, arylalkynyl, heteroarylalkyl, heteroarylalkenyl, heteroalkynyl, carbocycloalkyl and heterocycloalkyl; or Rx and Ry are taken together to form a heterocycle, which is optionally substituted by one or more substituents independently selected from the group consisting of halogen, hydroxy, cyano, methoxy, amino, nitro, acylamido, thiol, azido, formyl, carboxy and carbonylamido; R5 and R6 aré each zero to four substituents and are independently selected from the group consisting of (a) halogen, hydroxy, cyano, amino, nitro, acylamido, thiol, azido, formyl, carboxy, carbonylamido and (b) aryl, fused aryl, carbocyclic, heterocyclic, heteroaryl, alkyl, alkenyl, alkynyl, arylalkyl, arylalkenyl, arylalkynyl, heteroarylalkyl, heteroarylalkenyl, heteroarylalkynyl, carbocycloalkyl, heterocycloalkyl, acyloxy, alkoxy, alkylthiol, alkoxyalkyl and alkylthioalkyl, each of which is optionally substituted by one or more substituents independently selected from the group consisting of halogen, hydroxy, cyano, methoxy, amino, nitro, acylamido, thiol, azido, formyl, carboxy and carbonylamido; R'is selected from the group consisting of (a) hydrogen and (b) aryl, fused aryl, carbocyclic, heterocyclic, heteroaryl, alkyl, alkenyl, alkynyl, alkoxyalkyl, alkylthioalkyl, arylalkyl, arylalkenyl, arylalkynyl, heteroarylalkyl, heteroarylalkenyl, heteroarylalkynyl, carbocycloalkyl, heterocycloalkyl, COR, COR and CONRXRy, each of which is optionally substituted by one or more substituents independently selected from the group consisting of halogen, hydroxy, cyano, methoxy, amino, nitro, acylamido, thiol, azido, formyl, carboxy and carbonylamido, wherein R, Rx and Ryes are independently selected from the

group consisting of hydrogen, aryl, fused aryl, carbocyclic, heterocyclic, heteroaryl, alkyl, alkenyl, alkynyl, alkoxyalkyl, alkylthioalkyl, arylalkyl, arylalkenyl, arylalkynyl, heteroarylalkyl, heteroarylalkenyl, heteroalkynyl, carbocycloalkyl and heterocycloalkyl; or Rx and Ry are taken together to form a heterocycle, which is optionally substituted by one or more substituents independently selected from the group consisting of halogen, hydroxy, cyano, methoxy, amino, nitro, acylamido, thiol, azido, formyl, carboxy and carbonylamido; R8 is selected from the group consisting of aryl, fused aryl, carbocyclic, heterocyclic, heteroaryl, alkyl, alkenyl, alkynyl, arylalkyl, arylalkenyl, arylalkynyl, heteroarylalkyl, heteroarylalkenyl, heteroarylalkynyl, carbocycloalkyl, heterocycloalkyl, aminoalkyl, acyloxy, alkoxy, alkylthiol, alkoxyalkyl and alkylthioalkyl, each of which is optionally substituted by one or more substituents independently selected from the group consisting of (a) halogen, hydroxy, cyano, methoxy, amino, nitro, acylamido, thiol, azido, formyl, carboxy, carbonylamido and (b) alkoxycarbonyl, aryloxycarbonyl, arylalkoxycarbonyl, heteroaryloxycarbonyl, heteroarylalkoxycarbonyl, alkylcarbonyl, arylcarbonyl, arylalkylcarbonyl, heterarylcarbonyl and heteroarylalkylcarbonyl, each of which is optionally substituted by one or more substituents independently selected from the group consisting of halogen, hydroxy, cyano, methoxy, amino, nitro, acylamido, thiol, azido, formyl, carboxy and carbonylamido; or R8 is

where R', R2, R4, R5, R6 and R7 are defined above and Y is a (C, alkylene group, which is optionally substituted by one or more substituents independently selected from the group consisting of (a) halogen, hydroxy, cyano, amino, nitro, acylamido, thiol, azido, formyl, carboxy, carbonylamido and (b) aryl, fused aryl, carbocyclic, heterocyclic, heteroaryl, alkyl, alkenyl, alkynyl, arylalkyl, arylalkenyl, arylalkynyl, heteroarylalkyl, heteroarylalkenyl, heteroarylalkynyl, carbocycloalkyl, heterocycloalkyl, acyloxy, alkoxy, alkylthiol, alkoxyalkyl and alkylthioalkyl, each of which is optionally substituted by one or more substituents independently selected from the group consisting of halogen, hydroxy, cyano, methoxy, amino, nitro, acylamido, thiol, azido, formyl, carboxy and carbonylamido; or R'and R8 together form a pyrrolidinyl or piperidinyl ring which is optionally substituted by one or more substituents independently selected from the group consisting of (a) halogen, hydroxy, cyano, amino, nitro, acylamido, thiol, azido, formyl, carboxy, carbonylamido and (b) aryl, fused aryl, carbocyclic, heterocyclic, heteroaryl, alkyl, alkenyl, alkynyl, arylalkyl, arylalkenyl, arylalkynyl, heteroarylalkyl, heteroarylalkenyl, heteroarylalkynyl, carbocycloalkyl, heterocycloalkyl, acyloxy, alkoxy, alkylthiol, alkoxyalkyl, and alkylthioalkyl, each of which is optionally substituted by one or more substituents independently selected from the group consisting of halogen, hydroxy, cyano, methoxy, amino, nitro, acylamido, thiol, azido, formyl, carboxy and carbonylamido; R9 is selected from the group consisting of hydrogen, halogen, hydroxy, cyano, amino, nitro, acylamido, thiol, azido, formyl, carboxy, carbonylamido and

where R', R2, R4, R5, R6 and R7 are defined above; R'° is selected from the group consisting of (a) hydrogen and (b) aryl, fused aryl, carbocyclic, heterocyclic, heteroaryl, alkyl, alkenyl, alkynyl, arylalkyl, arylalkenyl, arylalkynyl, heteroarylalkyl, heteroarylalkenyl, heteroarylalkynyl, carbocycloalkyl, heterocycloalkyl, alkoxyalkyl, alkylthioalkyl, COR, CO2R and CONRXRy, each of which is optionally substituted by one or more substituents independently selected from the group consisting of halogen, hydroxy, cyano, methoxy, amino, nitro, acylamido, thiol, azido, formyl, carboxy and carbonylamido, wherein R, Rx and Ry are independently selected from the group consisting of hydrogen, aryl, fused aryl, carbocyclic, heterocyclic, heteroaryl, alkyl, alkenyl, alkynyl, alkoxyalkyl, alkylthioalkyl, arylalkyl, arylalkenyl, arylalkynyl, heteroarylalkyl, heteroarylalkenyl, heteroalkynyl, carbocycloalkyl and heterocycloalkyl; or Rx and Ry are taken together to form a heterocycle, which is optionally substituted by one or more substituents independently selected from the group consisting of halogen, hydroxy, cyano, methoxy, amino, nitro, acylamido, thiol, azido, formyl, carboxy and carbonylamido; or R'° is

where R', R2, R4, R5, R6 and R'are defined above; k is 0 or 1 and X is a (Cl 6) alkylene group, which is optionally substituted by one or more substituents independently selected from the group consisting of (a) halogen, hydroxy, cyano, amino, nitro, acylamido, thiol, azido, formyl, carboxy, carbonylamido and (b) aryl, fused aryl, carbocyclic, heterocyclic, heteroaryl, alkyl, alkenyl, alkynyl, arylalkyl, arylalkenyl, arylalkynyl, heteroarylalkyl, heteroarylalkenyl, heteroarylalkynyl, carbocycloalkyl, heterocycloalkyl, acyloxy, alkoxy, alkylthiol, alkoxyalkyl and alkylthioalkyl, each of which is optionally substituted by one or more substituents independently selected from the group consisting of halogen, hydroxy, cyano, methoxy, amino, nitro, acylamido, thiol, azido, formyl, carboxy and carbonylamido; R"is, at each occurrence, independently selected from the group consisting of and[(CH2)j-(CH2)j-O-(CH2)j-O-(CH2)j N (R')-] [ (CH2) where j is, at each occurrence, independently 3, 4,5 or 6, provided that there are no two adjoining oxygens; and the pharmaceutically acceptable salts and esters thereof.

A second aspect of the present invention is directed to pharmaceutical compositions, comprising one or more compounds of Formula I and a pharmaceutically acceptable carrier.

A third aspect of the present invention is directed to novel compounds of formula I: (I) wherein, R'and R'are each independently selected from the group consisting of (a) hydrogen, halogen, hydroxy, cyano, amino, nitro, acylamido,

thiol, azido, formyl, carboxy, carbonylamido and (b) aryl, fused aryl, carbocyclic, heterocyclic, heteroaryl, alkyl, alkenyl, alkynyl, arylalkyl, arylalkenyl, arylalkynyl, heteroarylalkyl, heteroarylalkenyl, heteroarylalkynyl, carbocycloalkyl, heterocycloalkyl, acyloxy, alkoxy, alkylthiol, alkoxyalkyl and alkylthioalkyl, each of which is optionally substituted by one or more substituents independently selected from the group consisting of halogen, hydroxy, cyano, methoxy, amino, nitro, acylamido, thiol, azido, formyl, carboxy and carbonylamido; R3 is selected from the group consisting of and a 2-amino sugar which is optionally substituted by one or more substituents independently selected from the group consisting of alkyl and alknoyl, and is substituted on the 2-amino nitrogen, where Z is a (C, 6) alkylene group, which is optionally substituted by one or more substitutents independently selected from the group consisting of (a) halogen, hydroxy, cyano, amino, nitro, acylamido, thiol, azido, formyl, carboxy, carbonylamido and (b) aryl, fused aryl, carbocyclic, heterocyclic, heteroaryl, alkyl, alkenyl, alkynyl, arylalkyl, arylalkenyl, arylalkynyl, heteroarylalkyl, heteroarylalkenyl, heteroarylalkynyl, carbocycloalkyl, heterocycloalkyl, acyloxy, alkoxy, alkylthiol, alkoxyalkyl and alkylthioalkyl, each of which is optionally substituted by one or more substituents independently

selected from the group consisting of halogen, hydroxy, cyano, methoxy, amino, nitro, acylamido, thiol, azido, formyl, carboxy and carbonylamido; R4 is selected from the group consisting of (a) hydrogen and (b) aryl, fused aryl, carbocyclic, heterocyclic, heteroaryl, alkyl, alkenyl, alkynyl, arylalkyl, arylalkenyl, arylalkynyl, heteroarylalkyl, heteroarylalkenyl, heteroarylalkynyl, carbocycloalkyl, heterocycloalkyl, alkoxyalkyl and alkylthioalkyl, COR, CO2R and CONRXRy, each of which is optionally substituted by one or more substituents selected from the group consisting of halogen, hydroxy, cyano, methoxy, amino, nitro, acylamido, thiol, azido, formyl, carboxy and carbonylamido, wherein R, Rx and Ry, are independently selected from the group consisting of hydrogen, aryl, fused aryl, carbocyclic, heterocyclic, heteroaryl, alkyl, alkenyl, alkynyl, alkoxyalkyl, alkylthioalkyl, arylalkyl, arylalkenyl, arylalkynyl, heteroarylalkyl, heteroarylalkenyl, heteroalkynyl, carbocycloalkyl and heterocycloalkyl; or Rx and Ry are taken together to form a heterocycle, which is optionally substituted by one or more substituents independently selected from the group consisting of halogen, hydroxy, cyano, methoxy, amino, nitro, acylamido, thiol, azido, formyl, carboxy and carbonylamido; R5 and R6 are each zero to four substituents and are independently selected from the group consisting of (a) halogen, hydroxy, cyano, amino, nitro, acylamido, thiol, azido, formyl, carboxy, carbonylamido and (b) aryl, fused aryl, carbocyclic, heterocyclic, heteroaryl, alkyl, alkenyl, alkynyl, arylalkyl, arylalkenyl, arylalkynyl, heteroarylalkyl, heteroarylalkenyl, heteroarylalkynyl, carbocycloalkyl, heterocycloalkyl, acyloxy, alkoxy, alkylthiol, alkoxyalkyl and alkylthioalkyl, each of which is optionally substituted by one or more substituents independently selected from the group consisting of halogen, hydroxy, cyano, methoxy, amino, nitro, acylamido, thiol, azido, formyl, carboxy and carbonylamido; R'is selected from the group consisting of (a) hydrogen and (b) aryl, fused aryl, carbocyclic, heterocyclic, heteroaryl, alkyl, alkenyl, alkynyl, alkoxyalkyl, alkylthioalkyl, arylalkyl, arylalkenyl, arylalkynyl, heteroarylalkyl,

heteroarylalkenyl, heteroarylalkynyl, carbocycloalkyl, heterocycloalkyl, COR, CO2R and CONRXRy, each of which is optionally substituted by one or more substituents independently selected from the group consisting of halogen, hydroxy, cyano, methoxy, amino, nitro, acylamido, thiol, azido, formyl, carboxy and carbonylamido, wherein R, Rx and Ry, are independently selected from the group consisting of hydrogen, aryl, fused aryl, carbocyclic, heterocyclic, heteroaryl, alkyl, alkenyl, alkynyl, alkoxyalkyl, alkylthioalkyl, arylalkyl, arylalkenyl, arylalkynyl, heteroarylalkyl, heteroarylalkenyl, heteroalkynyl, carbocycloalkyl and heterocycloalkyl; or Rx and Ry are taken together to form a heterocycle, which is optionally substituted by one or more substituents independently selected from the group consisting of halogen, hydroxy, cyano, methoxy, amino, nitro, acylamido, thiol, azido, formyl, carboxy and carbonylamido; R8 is selected from the group consisting of aryl, fused aryl, carbocyclic, heterocyclic, heteroaryl, alkyl, alkenyl, alkynyl, arylalkyl, arylalkenyl, arylalkynyl, heteroarylalkyl, heteroarylalkenyl, heteroarylalkynyl, carbocycloalkyl, heterocycloalkyl, aminoalkyl, acyloxy, alkoxy, alkylthiol, alkoxyalkyl and alkylthioalkyl, each of which is optionally substituted by one or more substituents independently selected from the group consisting of (a) halogen, hydroxy, cyano, methoxy, amino, nitro, acylamido, thiol, azido, formyl, carboxy, carbonylamido and (b) alkoxycarbonyl, aryloxycarbonyl, arylalkoxycarbonyl, heteroaryloxycarbonyl, heteroarylalkoxycarbonyl, alkylcarbonyl, arylcarbonyl, arylalkylcarbonyl, heterarylcarbonyl and heteroarylalkylcarbonyl, each of which is optionally substituted by one or more substituents independently selected from the group consisting of halogen, hydroxy, cyano, methoxy, amino, nitro, acylamido, thiol, azido, formyl, carboxy and carbonylamido; or R8 is

where R', R, R4, R5, R6 and R'are defined above, and Y is a (C, 6) alkylene group, which is optionally substituted by one or more substituents independently selected from the group consisting of (a) halogen, hydroxy, cyano, amino, nitro, acylamido, thiol, azido, formyl, carboxy, carbonylamido and (b) aryl, fused aryl, carbocyclic, heterocyclic, heteroaryl, alkyl, alkenyl, alkynyl, arylalkyl, arylalkenyl, arylalkynyl, heteroarylalkyl, heteroarylalkenyl, heteroarylalkynyl, carbocycloalkyl, heterocycloalkyl, acyloxy, alkoxy, alkylthiol, alkoxyalkyl and alkylthioalkyl, each of which is optionally substituted by one or more substituents independently selected from the group consisting of halogen, hydroxy, cyano, methoxy, amino, nitro, acylamido, thiol, azido, formyl, carboxy and carbonylamido; or R'and R8 together form a pyrrolidinyl or piperidinyl ring which is optionally substituted by one or more substituents independently selected from the group consisting of (a) halogen, hydroxy, cyano, amino, nitro, acylamido, thiol, azido, formyl, carboxy, carbonylamido and (b) aryl, fused aryl, carbocyclic, heterocyclic, heteroaryl, alkyl, alkenyl, alkynyl, arylalkyl, arylalkenyl, arylalkynyl, heteroarylalkyl, heteroarylalkenyl, heteroarylalkynyl, carbocycloalkyl, heterocycloalkyl, acyloxy, alkoxy, alkylthiol, alkoxyalkyl, and alkylthioalkyl, each of which is optionally substituted by one or more substituents independently selected from the group consisting of halogen, hydroxy, cyano, methoxy, amino, nitro, acylamido, thiol, azido, formyl, carboxy and carbonylamido; R9 is selected from the group consisting of hydrogen, halogen, hydroxy, cyano, amino, nitro, acylamido, thiol, azido, formyl, carboxy carbonylamido, and

where R, R2, R4, R5, R6 and R'are defined above; R'° is selected from the group consisting of (a) hydrogen and (b) aryl, fused aryl, carbocyclic, heterocyclic, heteroaryl, alkyl, alkenyl, alkynyl, arylalkyl, arylalkenyl, arylalkynyl, heteroarylalkyl, heteroarylalkenyl, heteroarylalkynyl, carbocycloalkyl, heterocycloalkyl, alkoxyalkyl, alkylthioalkyl, COR, CO2R and CONRXRy, each of which is optionally substituted by one or more substituents independently selected from the group consisting of halogen, hydroxy, cyano, methoxy, amino, nitro, acylamido, thiol, azido, formyl, carboxy and carbonylamido, wherein R, Rx and Ry are independently selected from the group consisting of hydrogen, aryl, fused aryl, carbocyclic, heterocyclic, heteroaryl, alkyl, alkenyl, alkynyl, alkoxyalkyl, alkylthioalkyl, arylalkyl, arylalkenyl, arylalkynyl, heteroarylalkyl, heteroarylalkenyl, heteroalkynyl, carbocycloalkyl and heterocycloalkyl; or Rx and Ry are taken together to form a heterocycle, which is optionally substituted by one or more substituents independently selected from the group consisting of halogen, hydroxy, cyano, methoxy, amino, nitro, acylamido, thiol, azido, formyl, carboxy and carbonylamido; or R'° is

where R', R2, R4, R5, R6 and R7 are defined above; k is 0 or 1 and X is a (C,_6) alkylene group, which is optionally substituted by one or more substituents independently selected from the group consisting of (a) halogen, hydroxy, cyano, amino, nitro, acylamido, thiol, azido, formyl, carboxy, carbonylamido and (b) aryl, fused aryl, carbocyclic, heterocyclic, heteroaryl, alkyl, alkenyl, alkynyl, arylalkyl, arylalkenyl, arylalkynyl, heteroarylalkyl, heteroarylalkenyl, heteroarylalkynyl, carbocycloalkyl, heterocycloalkyl, acyloxy, alkoxy, alkylthiol, alkoxyalkyl and alkylthioalkyl, each of which is optionally substituted by one or more substituents independently selected from the group consisting of halogen, hydroxy, cyano, methoxy, amino, nitro, acylamido, thiol, azido, formyl, carboxy and carbonylamido; R"is, at each occurrence, independently selected from the group consisting of and[(CH2)j-(CH2)j-O-(CH2)j-O-(CH2)j N (R')-] [ (CH2) where j is, at each occurrence, independently 0,1,2,3, 4,5 or 6, provided that there are no two adjoining oxygens; with the proviso that (a) when Rl and R2 are both methyl, R3 is not cyclohexylamino, (b) when R', R2, Rs and R6 comprise not more than three substitutents other than hydrogen, R3 is not (Cl 6) alkylamino, di (Cl 6) alkylamino, unsubstituted piperazinyl or N- (Cl 6) alkylpiperazinyl and (c) when Y is ethylene, at least one of the group consisting of R', R2, R4, R5, R6 and R7 is other than hydrogen; and the pharmaceutically acceptable salts and esters thereof.

Brief Description of the Figures FIG. 1 is a graph which compares the effects of the compound of Example 8 on normal human endothelial cells (AH-9) and human prostate cancer cells (DU145). Cells were exposed to the compound for seven days at the concentrations indicated. Cytotoxicity was assessed using the MTS assay.

FIG. 2A is a bar graph which depicts the effect of the compound of Example 8 (1-[(N, N'-di-p-tolyl) amidino]-4-(trans-1'-cinnamyl) piperizine) on human prostate cancer in BDF/1 mice using the sub-renal capsule assay.

FIG. 2B is a bar graph which depicts the effect of the compound of Example 8 on human pancreatic cancer in BDF/1 mice using the sub-renal capsule assay.

FIG. 3 is a graph showing the effect of the compound of Example 8, at a dose of zero mg/kg (filled circles) and at a dose of 12.5 mg/kg (open circles), on human prostate cancer xenographs in BALB/C/NU mice.

FIGs. 4A-4C illustrate the effects of compound of Example 8 on HS578-T breast carcinoma cells. Cells were exposed to the compound at zero gM (FIG.

4A), 12.5 pM (FIG. 4B) or 251lM (FIG. 4C) for 24 hours, and the degree of DNA fragmentation measured by flow cytometry using the TUNEL assay.

FIGs. 5A-5C illustrate the effects of the compound of Example 8 on human breast cancer cells (HS578-T). Mitochondrial membrane depolarization was assessed by flow cytometry as measured by the fluorescence of cation, JC-1.

Cells were exposed to 25 uM of the compound and fluorescence measured at: 0 hours (FIG. SA), 2 hours (FIG. 5B) and 5 hours (FIG. 5C).

FIGs. 5D-5F illustrate the effects of compound of Example 8 on human prostate cancer cells (DU145). Mitochondrial membrane depolarization was assessed by flow cytometry as measured by the fluorescence of cation, JC-1.

Cells were exposed to 25 VM of the compound and fluorescence measured at: 0 hours (FIG. 5D), 2.5 hours (FIG. 5E) and 4.5 hours (FIG. 5F).

FIG. 6 is an immunoblot illustrating the activation of caspase 3 in human breast cancer cells (HS578-T) exposed to 25 uM of the compound of Example 8.

Cells were exposed to the compound for 0,30,60,90,150, and 240 minutes of treatment with peak activity occurring 90 minutes after drug addition.

FIG. 7 is a bar graph showing the effect of 10 mg/kg (///), 20 mg/kg (E) and 30 mg/kg (\\\) orally administered 1,2-di- [(N, N'-di-p-tolyl) guanidinyl] ethane, compared to vehicle control, on late phase pain in the mouse formalin test. The differences between means significant at P<0.05 by ANOVA. 30 mg/kg vs control vehicle significant at P<0.05 by post-hoc Newman-Kuels test.

FIG. 8 is a bar graph showing the effect of 5 mg/kg (///), 10 mg/kg (=), 30 mg/kg (\\\) and 50 mg/kg (Il) orally administered l-[(N, N'-di-p-tolyl) guanyl]-4- (trans-1'-cinammyl) piperizine, compared to vehicle control, on late phase pain in the mouse formalin test. Significant differences between means at P<0.01 by ANOVA. 30 and 50 mg/kg different from control vehicle at P<0.05 by post-hoc Newman-Kuels test.

Detailed Description of the Preferred Embodiments The term"alkyl"as employed herein by itself or as part of another group refers to both straight and branched chain radicals of up to 12 carbons, such as methyl, ethyl, propyl, isopropyl, butyl, t-butyl, isobutyl, pentyl, hexyl, isohexyl, heptyl, 4,4-dimethylpentyl, octyl, 2,2,4-trimethylpentyl, nonyl, decyl, undecyl, dodecyl.

The term"alkenyl"is used herein to mean a straight or branched chain radical of 2-20 carbon atoms, unless the chain length is limited thereto, including, but not limited to, ethenyl, 1-propenyl, 2-propenyl, 2-methyl-l-propenyl, 1- butenyl, 2-butenyl, and the like. Preferably, the alkenyl chain is 2 to 10 carbon atoms in length, more preferably, 2 to 8 carbon atoms in length most preferably from 2 to 4 carbon atoms in length.

The term"alkynyl"is used herein to mean a straight or branched chain radical of 2-20 carbon atoms, unless the chain length is limited thereto, wherein there is at least one triple bond between two of the carbon atoms in the chain, including, but not limited to, acetylene, 1-propylene, 2-propylene, and the like.

Preferably, the alkynyl chain is 2 to 10 carbon atoms in length, more preferably, 2 to 8 carbon atoms in length, most preferably from 2 to 4 carbon atoms in length.

In all instances herein where there is an alkenyl or alkynyl moiety as a substituent group, the unsaturated linkage, i. e., the vinylene or acetylene linkage is preferably not directly attached to a nitrogen, oxygen or sulfur moiety.

The term"alkoxy"is used herein to mean a straight or branched chain radical of 1 to 20 carbon atoms, unless the chain length is limited thereto, bonded to an oxygen atom, including, but not limited to, methoxy, ethoxy, n-propoxy, isopropoxy, and the like. Preferably the alkoxy chain is 1 to 10 carbon atoms in length, more preferably 1 to 8 carbon atoms in length.

The term"aryl"as employed herein by itself or as part of another group refers to monocyclic or bicyclic aromatic groups containing from 6 to 12 carbons in the ring portion, preferably 6-10 carbons in the ring portion, such as phenyl, naphthyl or tetrahydronaphthyl.

The term"heteroaryl"as employed herein refers to groups having 5 to 14 ring atoms; 6,10 or 14 z electrons shared in a cyclic array; and containing carbon atoms and 1,2 or 3 oxygen, nitrogen or sulfur heteroatoms (where examples of heteroaryl groups are: thienyl, benzo [ß] thienyl, naphtho [2,3-ß] thienyl, thianthrenyl, furyl, pyranyl, isobenzofuranyl, benzoxazolyl, chromenyl, xanthenyl, phenoxathienyl, 2H-pyrrolyl, pyrrolyl, imidazolyl, pyrazolyl, pyridyl, pyrazinyl, pyrimidinyl, pyridazinyl, indolizinyl, isoindolyl, 3H-indolyl, indolyl, indazolyl, purinyl, 4H-quinolizinyl, isoquinolyl, quinolyl, phthalazinyl, naphthyridinyl, quinazolinyl, cinnolinyl, pteridinyl, 4aH-carbazolyl, carbazolyl, p-carbolinyl, phenanthridinyl, acridinyl, perimidinyl, phenanthrolinyl, phenazinyl, isothiazolyl, phenothiazinyl, isoxazolyl, furazanyl and phenoxazinyl groups).

The term"aralkyl"or"arylalkyl"as employed herein by itself or as part of another group refers to Calkyi groups as discussed above having an aryl substituent, such as benzyl, phenylethyl or 2-naphthylmethyl.

The term"cycloalkyl"as employed herein by itself or as part of another group refers to cycloalkyl groups containing 3 to 9 carbon atoms. Typical examples are cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl, cyclooctyl and cyclononyl.

The term"halogen"or"halo"as employed herein by itself or as part of another group refers to chlorine, bromine, fluorine or iodine with chlorine being preferred.

The term"aminoalkyl"as employed herein by itself or as part of another group refers to an alkyl group having from 1 to 6 carbon atoms which is substituted with one or more amino groups.

The term"heterocycle"or"heterocyclic ring,"as used herein except where noted, represents a stable 5-to 7-membered mono-or bicyclic or stable 7-to 10- membered bicyclic heterocyclic ring system any ring of which may be saturated or unsaturated, and which consists of carbon atoms and from one to three heteroatoms selected from the group consisting of N, O and S, and wherein the nitrogen and sulfur heteroatoms may optionally be oxidized, and the nitrogen heteroatom may optionally be quaternized, and including any bicyclic group in which any of the above-defined heterocyclic rings is fused to a benzene ring.

Especially useful are rings containing one oxygen or sulfur, one to three nitrogen atoms, or one oxygen or sulfur combined with one or two nitrogen atoms. The heterocyclic ring may be attached at any heteroatom or carbon atom which results in the creation of a stable structure. Examples of such heterocyclic groups include piperidinyl, piperazinyl, 2-oxopiperazinyl, 2-oxopiperidinyl, 2-oxopyrrolodinyl, 2-oxoazepinyl, azepinyl, pyrrolyl, 4-piperidonyl, pyrrolidinyl, pyrazolyl, pyrazolidinyl, imidazolyl, imidazolinyl, imidazolidinyl, pyridyl, pyrazinyl, pyrimidinyl, pyridazinyl, oxazolyl, oxazolidinyl, isoxazolyl, isoxazolidinyl, morpholinyl, thiazolyl, thiazolidinyl, isothiazolyl, quinuclidinyl, isothiazolidinyl, indolyl, quinolinyl, isoquinolinyl, benzimidazolyl, thiadiazoyl,

benzopyranyl, benzothiazolyl, benzoxazolyl, furyl, tetrahydrofuryl, tetrahydropyranyl, thienyl, benzothienyl, thiamorpholinyl, thiamorpholinyl sulfoxide, thiamorpholinyl sulfone, and oxadiazolyl. Morpholino is the same as morpholinyl.

The pharmaceutically acceptable salts of the compounds of the invention (in the form of water-or oil-soluble or dispersible products) include the conventional non-toxic salts or the quaternary ammonium salts which are formed, e. g., from inorganic or organic acids or bases. Examples of such acid addition salts include acetate, adipate, alginate, aspartate, benzoate, benzenesulfonate, bisulfate, butyrate, citrate, camphorate, camphorsulfonate, cyclopentanepropionate, digluconate, dodecylsulfate, ethanesulfonate, fumarate, glucoheptanoate, glycerophosphate, hemisulfate, heptanoate, hexanoate, hydrochloride, hydrobromide, hydroiodide, 2-hydroxyethanesulfonate, lactate, maleate, methanesulfonate, 2-naphthalenesulfonate, nicotinate, nitrate, oxalate, palmoate, pectinate, persulfate, 3-phenylpropionate, picrate, pivalate, propionate, succinate, sulfate, tartrate, thiocyanate, tosylate, and undecanoate. Base salts include ammonium salts, alkali metal salts such as sodium and potassium salts, alkaline earth metal salts such as calcium and magnesium salts, salts with organic bases such as dicyclohexylamine salts, N-methyl-D-glucamine, and salts with amino acids such as arginine, lysine, and so forth. Also, the basic nitrogen- containing groups may be quaternized with such agents as lower alkyl halides, such as methyl, ethyl, propyl, and butyl chloride, bromides and iodides; dialkyl sulfates like dimethyl, diethyl, dibutyl; and diamyl sulfates, long chain halides such as decyl, lauryl, myristyl and stearyl chlorides, bromides and iodides, aralkyl halides like benzyl and phenethyl bromides and others. Preferred acids for forming acid addition salts include HCI and acetic acid.

Pharmaceutically acceptable esters of the compounds of the present invention include the alkyl and aralkyl esters of carboxyl containing compounds as well as the alkanoate and aralkanoate esters of hydroxy containing compounds.

Preferred alkyl and aralkyl esters include the methyl, ethyl, propyl and butyl esters of carboxyl containing compounds. Preferred alkanoate and aralkanoate

esters include the formate, acetate, propionate, butyrate, and phenylacetic esters of hydroxy containing compounds.

The compounds of the present invention are administered in an amount effective to achieve its intended purpose. Exemplary amounts are in the dosage range of about 0.1 to about 500 mg/kg, preferably between 0.1 to 50 mg/kg body weight, using a dosing regime consisting of a single or 2-4 divided daily doses.

The pharmaceutical compositions of the invention can be administered to any animal that can experience the beneficial effects of the compounds of the invention. Foremost among such animals are humans, although the invention is not intended to be so limited.

The pharmaceutical compositions of the present invention can be administered by any means that achieves their intended purpose. For example, administration can be by oral, parenteral, subcutaneous, intravenous, intramuscular, intraperitoneal, transdermal, buccal, rectal or ocular routes. The pharmaceutical compositions of the present invention may also be administered directly within the post-operative space following the removal of a solid tumor.

The compound can be administered alone or in combination with other therapeutic agents or in conjunction with surgery or radiation therapy. The dosage administered will be dependent upon the age, health, and weight of the recipient, any concurrent treatments, frequency of treatment, and the nature of the effect desired.

In addition to the pharmacologically active compounds, the pharmaceutical preparations can contain suitable pharmaceutically acceptable carriers comprising excipients and auxiliaries that facilitate processing of the active compounds into preparations that can be used pharmaceutically.

The pharmaceutical preparations of the present invention are manufactured in a manner that is, itself, known, for example, by means of conventional mixing, granulating, dragee-making, dissolving, or lyophilizing processes. Thus, pharmaceutical preparations for oral use can be obtained by combining the active compounds with solid excipients, optionally grinding the

resulting mixture and processing the mixture of granules, after adding suitable auxiliaries, if desired or necessary, to obtain tablets or dragee cores.

Suitable excipients are, in particular, fillers such as saccharides, for example, lactose or sucrose, mannitol or sorbitol, cellulose preparations and/or calcium phosphates, for example, tricalcium phosphate or calcium hydrogen phosphate, as well as binders, such as, starch paste, using, for example, maize starch, wheat starch, rice starch, potato starch, gelatin, tragacanth, methyl cellulose, hydroxypropylmethylcellulose, sodium carboxymethylcellulose, and/or polyvinyl pyrrolidone. If desired, disintegrating agents can be added, such as, the above-mentioned starches and also carboxymethyl-starch, cross-linked polyvinyl pyrrolidone, agar, or alginic acid or a salt thereof, such as, sodium alginate.

Auxiliaries are, above all, flow-regulating agents and lubricants, for example, silica, talc, stearic acid or salts thereof, such as, magnesium stearate or calcium stearate, and/or polyethylene glycol. Dragee cores are provided with suitable coatings that, if desired, are resistant to gastric juices. For this purpose, concentrated saccharide solutions can be used, which may optionally contain gum arabic, talc, polyvinyl pyrrolidone, polyethylene glycol, and/or titanium dioxide, lacquer solutions and suitable organic solvents or solvent mixtures. In order to produce coatings resistant to gastric juices, solutions of suitable cellulose preparations, such as, acetylcellulose phthalate or hydroxypropylmethyl-cellulose phthalate, are used. Dye stuffs or pigments can be added to the tablets or dragee coatings, for example, for identification or in order to characterize combinations of active compound doses.

Other pharmaceutical preparations that can be used orally include push-fit capsules made of gelatin, as well as soft, sealed capsules made of gelatin and a plasticizer, such as, glycerol or sorbitol. The push-fit capsules can contain the active compounds in the form of granules that may be mixed with fillers such as lactose, binders such as starches, and/or lubricants such as talc or magnesium stearate and, optionally, stabilizers. In soft capsules, the active compounds are preferably dissolved or suspended in suitable liquids, such as, fatty oils or liquid paraffin. In addition, stabilizers may be added.

Suitable formulations for parenteral administration include aqueous solutions of the active compounds in water-soluble form, for example, water- soluble salts, alkaline solutions and cyclodextrin inclusion complexes. Especially preferred alkaline salts are ammonium salts prepared, for example, with Tris, choline hydroxide, Bis-Tris propane, N-methylglucamine, or arginine. One or more modified or unmodified cyclodextrins can be employed to stabilize and increase the water solubility of compounds of the present invention. Useful cyclodextrins for this purpose are disclosed in U. S. Patent Nos. 4,727,064, 4,764,604, and 5,024,998.

In addition, suspensions of the active compounds as appropriate oily injection suspensions can be administered. Suitable lipophilic solvents or vehicles include fatty oils, for example, sesame oil, or synthetic fatty acid esters, for example, ethyl oleate or triglycerides or polyethylene glycol-400 (the compounds are soluble in PEG-400). Aqueous injection suspensions can contain substances that increase the viscosity of the suspension, for example, sodium carboxymethyl cellulose, sorbitol, and/or dextran. Optionally, the suspension may also contain stabilizers.

Compounds of the present invention inhibit tumor progression. Thus, the compounds can be employed to treat cancer, in a patient in need thereof. By the term"treatment of cancer"or"treating cancer"is intended description of an activity of compounds of the present invention wherein said activity prevents, alleviates or ameliorates any of the symptoms known in the art to be associated with the pathology commonly known as"cancer."The term"cancer"refers to the spectrum of pathological symptoms associated with the initiation or progression, as well as metastasis, of malignant tumors. By the term"tumor"is intended, for the purpose of the present invention, a growth of tissue that occurs as a consequence of the dysregulation of cell growth, cell cycling, cell division, and/or cell death. As the rate at which a tumor grows depends on these factors, tumorogenesis can occur through either excess proliferation or insufficient cell death. The tumor that is particularly relevant to the invention is the malignant tumor, one in which the primary tumor has the properties of invasion or

metastasis or which shows a greater degree of anaplasia than do benign tumors.

Thus,"treatment of cancer"or"treating cancer"refers to an activity that prevents, alleviates or ameliorates any of the primary phenomena (initiation, progression, metastasis) or secondary symptoms associated with the disease.

Cancers that are treatable are broadly divided into categories including carcinoma, lymphoma and sarcoma. Examples of carcinomas that can be treated by the composition of the present invention include, but are not limited to: adenocarcinoma, acinic cell adenocarcinoma, adrenal cortical carcinomas, alveoli cell carcinoma, anaplastic carcinoma, basaloid carcinoma, basal cell carcinoma, bronchiolar carcinoma, bronchogenic carcinoma, renaladinol carcinoma, embryonal carcinoma, anometroid carcinoma, fibrolamolar liver cell carcinoma, follicular carcinomas, giant cell carcinomas, hepatocellular carcinoma, intraepidermal carcinoma, intraepithelial carcinoma, leptomanigio carcinoma, medullary carcinoma, melanotic carcinoma, menigual carcinoma, mesometonephric carcinoma, oat cell carcinoma, prostatic carcinoma, squamal cell carcinoma, sweat gland carcinoma, transitional cell carcinoma, and tubular cell carcinoma. Sarcomas that can be treated by the composition of the present invention include, but are not limited to: amelioblastic sarcoma, angiolithic sarcoma, botryoid sarcoma, endometrial stroma sarcoma, ewing sarcoma, fascicular sarcoma, giant cell sarcoma, granulositic sarcoma, immunoblastic sarcoma, juxaccordial osteogenic sarcoma, coppices sarcoma, leukocytic sarcoma (leukemia), lymphatic sarcoma (lympho sarcoma), medullary sarcoma, myeloid sarcoma (granulocitic sarcoma), austiogenci sarcoma, periosteal sarcoma, reticulum cell sarcoma (histiocytic lymphoma), round cell sarcoma, spindle cell sarcoma, synovial sarcoma, and telangiectatic audiogenic sarcoma. Lymphomas that can be treated by the composition of the present invention include, but are not limited to: Hodgkin's disease and lymphocytic lymphomas, such as Burkitt's lymphoma, NPDL, NML, NH and diffuse lymphomas. _ Cancers that are treatable using compounds described by this invention include but are not limited to solid tumors. Example solid tumors that can be treated by the composition of the present invention include, but are not limited

to: solid tumors of the breast, brain, ovary, uterus, prostrate, skin, colorectum, kidney, neuroendocrine system, pancreas and lung.

The compounds of the invention are also useful for treating, preventing and ameliorating pain including neuropathic pain, inflammatory pain, surgical pain and chronic pain. In particular, the compounds of the invention may be used to treat, prevent or ameliorate pain that is the result of surgery, trauma, headache, arthritis, pain associate with terminal cases of cancer, and pain associated with degenerative diseases. The compounds of the present invention may also be used to treat phantom pain that results from the amputation of an extremity.

The following examples are illustrative, but not limiting, of the method and compositions of the present invention. Other suitable modifications and adaptations of the variety of conditions and parameters normally encountered and obvious to those skilled in the art are within the spirit and scope of the invention.

Examples Example 1 Preparation of 1-[(N, N'-Di-p-tolyl) amidino]-4methyl-piperizine 1.05 mmol of 1-methylpiperazine was dissolved in 10 ml of N, N'- dimethylformamide (DMF), and 1.0 mmol of 1,3-di-p-tolylcarbodiimide was added. After 0.5 h. of stirring at room temperature, a small precipitation was removed by filtration and washed twice with 1 ml of DMF. The filtrates were collected and kept at room temperature overnight. 50 ml of water was added to the solution. An oil precipitated after 0.5 h which transformed into a solid. The solid residue was collected by filtration, washed twice with water and dissolved in 20 ml of methanol. 0.2 ml of conc. HCI was added was added to the methanol solution. After evaporation of the methanol, the residue was redissolved in methanol, and pure product was precipitated from the solution with ethyl ether.

Yield = 78%.

Example 2 Preparation of 1-[(N,N'-Di-p-tolyl)amidino]piperizine 1.2 mmol of piperazine was dissolved in 10 ml of DMF and 1.0 mmol of 1,3-di-p-tolylcarbodiimide was added. After 0.5 hour of stirring at room temperature, a small precipitation was filtered off, and washed twice with 1 ml of DMF. The filtrates were collected and kept at room temperature overnight. 50 ml of water was added to the solution. A precipitated oil was separated by centrifugation. The residual oil was dissolved in 10 ml of methanol and 0.2 ml of conc. HCI was added. The methanol solution was concentrated to 2 ml and purified by gel filtration on Sephadex LH-20 in methanol. Yield = 52%.

Example 3 Preparation of 1,4-Di-[(N,N'-di-p-tolyl)amidino]piperizine 0.5 mmol of piperazine was dissolved in 10 ml of DMF and 1.05 mmol of 1,3 di-p-tolylcarbodiimide was added. After 0.5 h. of stirring at room temperature, a small precipitation was filtered off and washed twice with lml of DMF. The filtrates were collected and kept at room temperature overnight. To the DMF solution, 50 ml of water was added. The precipitated solid was filtered and washed with water. The solid was dissolved in ethyl acetate (20ml) and 0.2 ml of conc. HCI conc. was added. The product began to precipitate within 15 min. After 1 hour, the precipitate was filtered and washed with ethyl ether. Yield = 76%.<BR> <BR> <P>Example 4 Preparation of 1-Amino-4- (N, N =di-p-tolyl) guanidinylJbutane The title compound was prepared according to Example 2 using 1,4- diaminobutane in place of piperazine. Yield of pure compound = 48%.

Preparationof1,4-Di-[(N,N'-di-p-tolyl)guanidinyl]butaneEx ample5 The title compound was prepared according to Example 3 using 1,4- diaminobutane in place of piperazine. Yield of pure compound = 82%.

Example 6 Preparation of (S)- (-)-1- ( (N, N =Di p-tolyl) guanidinylJ-1- phenylethane The title compound was prepared according to Example 1 using (S)- (-)-a- <BR> <BR> <BR> methylbenzylamine in place of methylpiperazine. Yield of pure compound = 77%.

Example of(R)-(+)-1-[(N,N'-Di-p-tolyl)guanidinyl]-I-Preparation phenylethane The title compound was prepared according to Example 1 using (R)- (+)- <BR> <BR> <BR> a-methylbenzylamine in place of methylpiperazine. Yield of pure compound = 79%.

Preparationof1-[(N,N'-Di-p-tolyl)amidino]-4-trans-1'-Exam ple8 cinnamyl) piperizine To a solution of 10 mmol of trans-1-cinnamylpiperazine in 40 ml of DMF was added 1 mmol of N-diisopropylethylamine followed by 10 mmol of 1,3-di- tolylcarbodiimide at room temperature. A precipitate was formed which was filtered off. 100 ml of water was added to the filtrate. The precipitated white solid was filtered off and washed with water. After drying, the compound was dissolved in 200 ml of boiling 2-propanol containing 1.5 ml of concentrated HCI.

After cooling, the precipitated crystalline product was filtered off. Yield: 95% of pure product. Rf (TLC) = 0.54 (n-butanol, acetic acid, water; 3: 1: 1). The structure of the product was confirmed by mass spectrometry and X-ray analysis.

Example 9 Preparation of 1- ( (N, N =di-p-tolyl) guanidinyl]-2- (3- indolyl) ethane The title compound was prepared according to the method of Example 1, using tryptamine in place of methylpiperazine. Yield of pure compound = 87%.

Example 10 Preparation of Benzyl 2-[(N, N'-Di-p-tolyl) guanidinyl7-3-(3 indolyl) propionate 1.0 mmol of tryptophan benzyl ester hydrochloride was dissolved in 20 ml of DMF and 1.1 mmol of diisopropylethylamine was added. After 10 min, 1.0 mmol of 1,3 di-p-tolylcarbodiimide was added to the stirred solution. The reaction mixture was stirred overnight in room temperature. The precipitated solid was filtered off and washed twice with 1 ml of DMF. To the collected filtrate, 50 ml of water was added. The precipitated solid was collected by filtration and washed with water. The solid was dissolved in ethyl acetate and 0.1 ml of conc. HCI was added. The pure product was precipitated from the solution with ethyl ether. Yield of pure compound = 79%.

Example ofMethyl2-[(N,N'-Di-p-tolyl)guanidinyl]-3-(3-Preparation indolyl) propionate The title compound was prepared according to Example 10 using tryptophan methyl ester hydrochloride in place of tryptophan benzyl ester hydrochloride. Yield of pure compound = 72%.

Example 12 Preparahon of (N, N'Di-p-tolyl) guanidinylcyclohexane The title compound was obtained according to Example 1 using cyclohexylamine in place of methylpiperazine. Yield of pure compound = 82%.

Example 13 Preparation of 1-[(N,N'-Di-p-tolyl)guanidinyl]pyrrolidine The title compound was prepared according to Example 10 using 1- aminopyrrolidine hydrochloride in place of tryptophan benzyl ester hydrochloride. Yield of pure compound = 68%.

Example 14 Preparation of 4-Cyano-1- ( (N, N =di-p-tolyl) amidinoj-4- phenylpiperidine The title compound was prepared according to Example 10 using 4-cyano- 4-phenylpiperidine hydrochloride in place of tryptophan benzyl ester hydrochloride. Yield of pure compound = 82%.

Preparationof1,12-Di-[(N,N'-di-p-tolyl)guanidinyl]-4,9dio xa-Example15 dodecane The title compound was prepared according to Example 3 using 4,9- dioxa-1,12-dodecanediamine in place of piperazine. Yield of pure compound = 75%.

Preparationof7,16-Di-[(N,N'-Di-p-tolyl)amidino]-1,4,10,13 -Example16 tetraoxa-7, 16-diazacyclooctadecane The title compound was prepared according to Example 3 using 1,4,10,13-tetraoxa-7,16-diazacyclooctadecane in place of piperazine. Yield of pure compound = 77%.

Example 17 Preparation of 2-[(N, N'Di-p-tolyl) guanidinyljbenzothiazole The title compound was prepared according to Example 1 using 2- <BR> <BR> <BR> aminobenzothiazole in place of methylpiperazine. Yield of pure compound = 68%.

Example 18 Preparation of Methyl 2-[(N, N'Di-p-tolyl) guanidinyl]-4 methylvalerate The title compound was prepared according to Example 10 using D- leucine methyl ester hydrochloride in place of tryptophan benzyl ester hydrochloride. Yield of pure compound = 77%.

Example 19 Preparation of Methyl 2- ( (N, N =Di-p-tolyl) guanidinylJ-4- methylthiobutyrate The title compound was prepared according to Example 10 using methionine methyl ester hydrochloride in place of tryptophan benzyl ester hydrochloride. Yield of pure compound = 74%.

Preparationof1-Amino-2-[(N,N'-di-p-tolyl)guanidinyl]ethan eExample20 The title compound was prepared according to Example 2 using diaminoethane in place of piperazine. Yield of pure compound = 47%.

Example 21 Preparation of 1, 2-Di- [ (NNdi-p-tolyl) guanidinyllethane The title compound was prepared according to Example 3 using diaminoethane in place of piperazine. Yield of pure compound = 88%.

Example 22 Preparation of N-[(N',N"-Di-p-tolyl)amidino]glucosamine 1.0 mmol of glucosamine hydrochloride was suspended in DMF (20 ml) and 1.1 mmol of diisopropylethylamine was added. After 0.5 h, 1.0 mmol of 1,3- di-p-tolylcarbodiimide was added. The reaction mixture was stirred overnight at room temperature. The precipitate was removed by filtration and washed with

1 ml of DMF. To the filtrate, 0.1 ml of conc. HCl was added. The product was then precipitated from the DMF solution with ethyl ether. Yield of pure compound = 65%.

ExampleExample23 4-(4-Chlorophenyl)-1-[(N,N'-di-p-tolyl)amidino]-of 4-hydroxypiperidine The title compound was prepared according to Example 10 using 4- (4-chloro)-4-hydroxypiperidine hydrochloride in place of tryptophan benzyl ester hydrochloride. Yield of pure compound = 73%. <BR> <BR> <BR> <BR> <BR> <BR> <P>Example 24 Formulation of 1- ( (N, N =Di-p-tolyl) amidinoJ-4- (trans-1 = cinnamyl) piperizine, ßCyclodextrin Complex 5 mmol of the compound of Example 8 was dissolved in a stirred, boiling solution of 5 mmol p-cyclodextrin in 80 ml water. The solution was cooled and lyophilized. The lyophilized complex was soluble in water and saline solution at room temperature. l Preparationof1-[(N,N'-Di-p-tolyl)amidino]-4-(trans-1'-Exampl e25 cinnamyl) piperizine Dextrin Complex 5 mmol of the compound of Example 8 was dissolved in a stirred, boiling solution of 2 g dextrin in 80 ml of water. The solution was spray dried at 120°C.

The resulting powder was soluble in water and saline solution at room temperature.

Example 26 In Vitro Activity Against Human Tumor Cell Lines The KDS series is a collection of novel small molecular weight synthetic organic compounds that are based on the molecular template of cinnarizine, a drug that is currently in clinical use and acts as an antagonist of the neuropeptide,

substance P. In addition to its role in the transmission of pain, substance P causes contraction of gastrointestinal smooth muscle and functions to modulate inflammatory and immune responses. Recent reports also suggest that cancers of the lung (Cuttitta, F., et al., Nature 316: 823 (1985); Moody, T. W., et al., Life Sci. 37: 105 (1985); Sethi, T., etal., CancerRes. 52: 2737s (1992); Siegfried, J. M., et al., J. Biol. Chem. 269: 8596 (1994); Hennig, I. M., etal., Int. J. Cancer61: 786 (1995); Tallett, A., etal., Peptides 17: 665 (1996)), pancreas (Hennig, I. M., et al., Int. J. Cancer 61: 786 (1995); Bruckner, H. W., et al., Proc. Ann. Meet. Am. Assoc.

CancerRes. 34: A1159 1993 (1993)), ovary (Skrabanek, P., et al., J. Clin. Pathol.

33: 160 (1980); Jekunen, A. P., et al., Proc. Ann. Meet. Am. Assoc. Cancer Res.

33: A516 1992 (1992)), and prostate (Pinski, J., et al., Int. J. Cancer 55: 963 (1993); Han, K., et al., Prostate 31: 53 (1997); Wasilenko, W. J., et al., Prostate 30: 167 (1997); Nagakawa, O., et al., Cancer Lett. 133: 27 (1998)) express receptors to substance P and a related family of neuropeptides and appear to utilize these factors to promote cell survival and induce proliferation.

Based on the in vitro and in vivo tumoricidal activity of cinnarizine a second generation of anti-cancer agents has been synthesized using cinnarizine as a molecular template. These compounds have been subjected to an in vitro cytotoxicity screen.

To date, 31 different analogues in the series have been tested for their cytotoxicity against human prostate, pancreas and breast cancer cells grown in culture. In these experiments, cells were seeded at 400 cells per well 24 hours prior to addition of the test compound. Cells were grown at 37°C in a humidified atmosphere of 95% air, 5% CO2 for 7 days with daily media changes.

Cytotoxicity was assessed using the CellTiter 96 Aqueous Proliferation Assay (Promega, Madison, WI). In this assay the conversion of MTS-tetrazolium by metabolically active cells creates a stable colored compound, that can be measured spectrophotometrically at 490 nm.

Cytotoxicity was observed in all three tumor-types at concentrations in the high nanomolar to low micromolar range (Table 1). This observation is particularly important as both prostate and pancreatic cancers are generally reported to be resistant to chemotherapy. Furthermore, the cytotoxic activities of these KDS series compounds were comparable to the cytotoxic activities of doxorubicin, etoposide and vinblastine, three chemotherapeutic agents that are widely used clinically.

Table l : Cell Survival ED 50 (pM) Example No. Prostate Breast Pancreas Cinnezarine 8. 5 2.8 2.2 9 5. 1 4.2 0. 5 8 1. 3 2. 3 1.8 4 2. 5 1.7 0. 2 5 0. 7 0. 3- 14 10. 8 4. 6- 15 2. 5 0. 9- 16 1. 0 0. 6- Doxorubicin 7. 0 2.0 0.3 Etoposide 0. 6 0.4 2.0 Vinblastine 4. 0 1.2 0.2 Estramustine 11. 0-- ED50 (1lM): Effective dose causing death to 50% of cells.

The data shown in Table 1 indicates that seven compounds have significant cytotoxicity activity against a spectrum of human tumors, including the hormone-independent prostate cancer cell line DU145, breast cancer cell line HS578T, and pancreas cancer cell line HS766T.

In a separate experiment (FIG. 1), normal human endothelial cells (AH-9) and human prostate cancer cells (DU145) were exposed to increasing concentrations of the compound of Example 8 for seven days. In contrast to the cancer cells where the compound of Example 8 causes significant cytotoxic activity with an EC50 of 3.4 uM, AH-9 cells were resistant to the effects of the drug with an EC^o of 95 pM. These data suggest that this series of compounds selectively targets cancer cells.

Example 27 In Vivo Efficacy Based on the results of the in vitro cytotoxicity studies, the compound of Example 8 was selected for evaluation in two in vivo tumor models. This compound exhibits significant antitumor activity when tested against pancreatic and prostate cancer cell lines grown in the mouse sub-renal capsule producing greater than 95% inhibition of tumor growth with no apparent toxicity. The compound was also active when administered to nude mice bearing human prostate cancer xenografts.

The In Vivo Sub-renal Capsule Assay Human cancer cells can be grown in the sub-renal capsule of immuno- competent mice where, for a limited period of time, they escape detection by the mouse's immune system. Thus, the sub-renal capsule assay provides a convenient system to study the effect of drugs on the growth of tumor cells in vivo (Bogden, A. E., et al., Exp. Cell Biol. 47: 281 (1979)). Briefly, female BDF mice weighing 18-20g were anesthetized, the left kidney exteriorized and a small nick was made in the kidney capsule for implantation of tumor cells. Approximately lx 106 human prostate (DU14) or pancreatic cancer (HS766T) cells were prepared as a fibrinogen-jelled pellet (Stratton, J. A., et al., Gynecol. Oncol. 19: 336 (1984); Stratton, J. A., et al., Gynecol. Oncol. 30: 416 (1988)) and implanted beneath the renal capsule. The compound of Example 8 was administered for five days by daily intraperitoneal injection beginning the day after implantation. One day after the final injection, the animals were killed and the tumor volume was measured.

Tumor growth was determined by subtracting the initial size of the implant from the size of the implant size following treatment (Stratton, J. A., et al., Gynecol.

Oncol. 19: 336 (1984); Stratton, J. A., et al., Gynecol. Oncol. 30: 416 (1988)). In these experiments, the compound of Example 8 produced a dose-dependent and highly significant inhibition of tumor growth in both sets of animals (FIGs. 2A and 2B). There was no evidence of systemic toxicity in animals treated with the

highest dose (25 mg/kg), of the compound of Example 8 and the tumors were extremely small and, in some cases, undetectable.

Anti-Tumor Activity in Athymic Mice Bearing DU145 Prostate Carcinoma DU145 tumor cells were injected subcutaneously into the flank of male nude mice (day 0). Palpable tumors develop within 14 days at which time the animals were treated for two weeks with daily intraperitoneal injections of either the compound of Example 8 or the control vehicle. Tumors were measured every two days and volume of tumor was calculated using the formula: Tumor volume = length x (width) x 0.4 At the end of the study, tumors in control mice had nearly tripled in size. In contrast, tumors grown in mice treated with 12.5 mg/kg/d of the compound of Example 8 failed to grow and were significantly smaller than those grown in control mice (FIG. 3).

Mechanism of Action The KDS series of compound were designed based on the hypothesis that they would induce apoptosis by blocking the action of neuropeptides and would therefore exhibit cytoreductive activity. To test this hypothesis, human prostate cancer cells were exposed to the compound of Example 8 and examined for evidence of apoptosis. Three pieces of evidence strongly support the role of apoptosis in the cytotoxicity induced by these compounds. First, flow cytometric analysis of cancer cells treated with the compound of Example 8 using terminal deoxynucleotide transferase-mediated dUTP-biotin nick-end labeling (TUNEL) revealed a pattern of DNA fragmentation characteristic of apoptosis. Second, mitochondrial transmembrane potential as measured by FACS analysis of the sequestered fluorescent cations JC-1 was reduced in cancer cells exposed to the

compound of Example 8. Third, western blots of treated cells revealed the enzymatic cleavage and activation of the caspase 3 proenzyme, a cell death effector.

DNA Fragmentation The TUNEL assay examines DNA fragmentation using flow cytometry to detect DNA that is labeled with fluorescein dUTP compared to the total nuclear DNA content of the cell as measured using propidium iodide. A representative experiment is shown in FIGs. 4A-4C. Human HS578T breast cancer cells were treated with either 12.5 or 25 uM of the compound of Example 8 for 24 hours. As cells undergo apoptosis, DNA fragmentation occurs in a relatively intact nucleus, giving rise to a higher fluorescent intensity (x-axis) with stable staining by propidium iodide (y-axis). Cells undergoing death by necrosis would generally exhibit a low index of propidium iodide (PI) staining as the nucleus degrades.

Effect of the Compound of Example 8 on the Mitochondrial Membrane Potential Mitochondrial membrane depolarization is an early event in apoptosis.

Recent studies have indicated that upon induction of apoptosis, mitochondria lose the ability to sequester charged cations and release the caspase activator protein, cytochrome c from internal stores (Kluck, R. M., et al., Science 275: 1132 (1997); Yang, J., et al., Science 275: 1132 (1997)). These early changes in mitochondrial function can be detected using a fluorescent cation, JC-1, that emits a red color when sequestered in the mitochondria of healthy cells, or a green color when localized to the cytoplasm. Cells undergoing apoptosis do not sequester JC-1 in the mitochondria and exhibit a green-fluorescence when analyzed by flow cytometry.

Human breast (HS578-T) and prostate (DU 145) cancer cells were exposed to 25 VM of the compound of Example 8 for varying lengths of times. Both cell lines lost the capacity to sequester JC-1 in the mitochondrial compartment as indicated by a time-dependent increase in green vs. red fluorescence (FIGs. 5A- 5F). In an attempt to better quantitate the results of these experiments, the scans were divided into quadrants. At time 0, greater than 90% of the dye was localized in the mitochondria in both breast and prostate cancer cells. By five hours following drug exposure, the mitochondria from the prostate and breast cells contained only 33% and 22% of the dye, respectively.

Caspase-3 Activation When cells are induced to undergo apoptosis the cell death effector, caspase-3 (CPP-32), is cleaved and activated by proteolytic enzymes. Western blot analysis of the cytosolic fractions of breast cancer cells exposed to 25 uM of the compound of Example 8 revealed a time-dependent increase in processed caspase-3 (activated caspase-3) with a peak effect occurring 90 minutes after drug exposure (FIG. 6).

DNA fragmentation, changes in mitochondrial permeability, and the cleavage and activation of caspase-3 provide compelling evidence that apoptosis is the primary mechanism through which the KDS series of compounds induces its antitumor effects. Based on these data, it is believed that these compounds are blocking a cell survival signal that is mediated through one or more neuropeptide receptors.

Example 28 Mouse formalin test pain model.

The formalin test was conducted using standard procedures (Hunskaar et al., J. Neurosci. Meth. 14 : 69-76 (1985). Mice (male CF-1,20-25 g) were placed in Plexiglass jars for at least 1 hr to accommodate to the environment.

The animals received either test drug at 5-50 mg/kg p. o. or the appropriate volume of vehicle (normal saline). Thirty minutes after p. o. dosing mice were injected with formalin (201 of 2.5% formaldehyde solution in saline) into the dorsal surface of the right hind paw. Mice were observed for behavior in 5 min. intervals for 1 hr after formalin injection.

All experiments were done in a blinded manner. The late phase of the formalin response was measured as licking/biting from 10-50 minutes after formalin injection. Differences between groups were analyzed by one-way analysis of variance (ANOVA). A P value <0.05 was considered significant.

Reduction in the time spent licking/biting in the late phase of the formalin response is considered an indication of a reduction in chronic pain.

Results The results are depicted in FIGS. 7 and 8. Both 1-[(N, N'-di-p- tolyl) guanyl]-4- (trans-1'-cinnamyl) piperizine and 1,2-di- [ (N, N'-di-p- tolyl) guanidinyl] ethane produced dose-dependent reduction in the time spent licking following oral administration in the mouse formalin model of pain. This effect was observed at doses that did not affect the general behavior of the animals tested. These observations support the utility of these compounds for the treatment of chronic pain.

Having now fully described this invention, it will be understood to those of ordinary skill in the art that the same can be performed within a wide and equivalent range of conditions, formulations, and other parameters without affecting the scope of the invention or any embodiment thereof. All patents, patent applications and publications cited herein are fully incorporated by reference herein in their entirety.