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Title:
RADIOLABELLED INHIBITORS OF THE GLYCINE 1 TRANSPORTER
Document Type and Number:
WIPO Patent Application WO/2010/052143
Kind Code:
A1
Abstract:
The present invention relates to novel radiolabelled inhibitors of general formula (I) for the Glycine 1 transporter (GlyT1), useful for the labelling and diagnostic imaging of the glycine 1 transporter functionality. Wherein R1 is isopropoxy or 2,2,2-trifluoro-1-methyl-ethoxy; and R2 is a radiolabelled group CH3, wherein the radionuclide is 3H or 11C. It has been found that the radiolabelled compounds of formula (I) may be used as PET (Positron Emission Tomography) radiotracer for the labelling and diagnostic molecular imaging of the glycine 1 transporter functionality.

Inventors:
ALBERATI DANIELA (CH)
BORRONI EDILIO MAURIZIO (CH)
HARTUNG THOMAS (DE)
NORCROSS ROGER (CH)
PINARD EMMANUEL (FR)
Application Number:
PCT/EP2009/064033
Publication Date:
May 14, 2010
Filing Date:
October 26, 2009
Export Citation:
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Assignee:
HOFFMANN LA ROCHE (CH)
ALBERATI DANIELA (CH)
BORRONI EDILIO MAURIZIO (CH)
HARTUNG THOMAS (DE)
NORCROSS ROGER (CH)
PINARD EMMANUEL (FR)
International Classes:
A61K51/00; C07D405/10
Domestic Patent References:
WO2006082001A12006-08-10
WO2007041025A22007-04-12
Other References:
See also references of EP 2342197A1
Attorney, Agent or Firm:
POPPE, Regina (Basel, CH)
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Claims:
Claims

1. A radio labelled compound of formula

wherein R1 is isopropoxy or 2,2,2-trifluoro-l-methyl-ethoxy; and

R2 is a radio labelled group CH3, wherein the radionuclide is 3H or 11C.

2. A radio labelled compound of formula I-A according to claim 1, which compound is

3. A radio labelled compound of formula I-B according to claim 1, which compound is

4. A radio labelled compound of formula I-C according to claim 1, which compound is

5. A radio labelled compound of formula I-D according to claim 1, which compound is

6. A compound of formula I according to any one of claims 1 - 5 for use as GIyTl tracer.

7. A compound of formula I according to any one of claims 1 - 5 for use in a GIyTl binding study.

8. A compound of formula I according to any one of claims 1 - 5 for use as a PET tracer.

9. A compound of formula I according to any one of claims 1 - 5 for use for diagnostic imaging of GIyTl in the brain of a mammal.

10. A method for diagnostic imaging of a GIyTl transporter which comprises administering to a mammal an effective amount of a compound as defined in any one of claims 1 to 5.

11. A method for the detection of GIyTl functionality in mammalian tissue which comprises administering to a mammal in which such detection is desired an effective amount of a compound as defined in any one of claims 1 - 5.

12. The use of a compound as defined in any one of claims 1 - 5 for the manufacture of a composition for diagnostic imaging of GIyTl in the brain of a mammal.

13. A pharmaceutical composition comprising a compound as claimed in any one of claims 1 - 5 and a pharmaceutically acceptable excipient.

Description:
RADIOLABELLED INHIBITORS OF THE GLYCINE 1 TRANSPORTER

The present invention relates to novel radio labelled inhibitors of general formula I for the Glycine 1 transporter (GIyTl), useful for the labelling and diagnostic imaging of the glycine 1 transporter functionality.

wherein

R 1 is isopropoxy or 2,2,2-trifluoro-l-methyl-ethoxy; and

R 2 is a radio labelled group CH3, wherein the radionuclide is 3 H or 11 C.

It has been found that the radio labelled compounds of formula I may be used as PET (Positron Emission Tomography) radiotracer for the labelling and diagnostic molecular imaging of the glycine 1 transporter functionality. Molecular imaging is based on the selective and specific interaction of a molecular probe (e.g. a radiotracer) with a biological target (for instance a receptor, an enzyme, an ion channel or any other cellular component that is able to bind or retain the molecular probe) which is visualized through PET, nuclear magnetic resonance, near infrared or other methods. PET, a nuclear medical imaging modality, is ideally suited to produce three- dimensional images that provide important information, on the distribution of a biological target in a given organ, or on the metabolic activity of such organ or cell or on the ability of a drug to enter such organ, bind to a biological target and/or modify biological processes. Since PET is a non- invasive imaging technique it can be used to investigate the pathophysiology of a disease and the action of drug on a given molecular target or cellular processes in humans and in animals. The availability of a PET radiotracer specific for a given molecular target can facilitate drug development and the understanding of the mechanism of action of a drug. In addition, a PET radiotracer may facilitate diagnosis of a disease by demonstrating pathophysiological changes taking place as a consequence of the disease. Glycine transporter inhibitors are suitable for the treatment of neurological and neuropsychiatric disorders. The majority of diseases states implicated are psychoses, schizophrenia (Armer RE and Miller DJ, Exp. Opin. Ther. Patents, 11 (4): 563-572, 2001), psychotic mood disorders such as severe major depressive disorder, mood disorders associated with psychotic disorders such as acute mania or depression, associated with bipolar disorders and mood disorders, associated with schizophrenia, (Pralong ET et ah, Prog. Neurobiol, 67: 173-202, 2002), autistic disorders (Carlsson ML, J. Neural Trans,. 105: 525-535, 1998), cognitive disorders such as dementias, including age related dementia and senile dementia of the Alzheimer type, memory disorders in a mammal, including a human, attention deficit disorders and pain {Armer RE and Miller DJ, Exp. Opin. Ther. Patents, 11 (4): 563-572, 2001).

The human brain is a complex organ, consisting of millions of intercommunicating neurons. The understanding of abnormalities relating to diseases is the key to the future development of effective diagnosis and novel therapeutics. The study of biochemical abnormalities in human is rapidly becoming an essential and integral component of drug discovery and development process. Traditionally, the discovery and development of new drugs has been performed with a heavy emphasis on in vitro techniques to select promising lead candidates which are subsequently tested in living animals prior to human administration. Because in vitro systems reflect only part of the complexity of living systems and in vivo animal models of human disease are often only an approximation of human pathology, there is growing realization that a robust understanding of drug-receptor interaction in living man at an early stage in this process will be a major driving force in further enhancing the efficient and timely discovery and development of novel therapeutics. Over recent years, there has been a growing use of human medical imaging to assess pathologies, disease processes and drug action. These imaging modalities include PET, MRI, CT, ultrasound, EEG, SPECT and others (British Medical Bulletin, 2003, 65, 169-177). Therefore, the use of non-invasive imaging modalities, e.g. PET is an invaluable tool for the development of drugs in the future. Non-invasive nuclear imaging techniques can be used to obtain basic and diagnostic information about the physiology and biochemistry of a variety of living subjects. These techniques rely on the use of sophisticated imaging instrumentation that is capable of detecting radiation emitted from radiotracers administered to such living subjects. The information obtained can be reconstructed to provide planar and tomographic images that reveal distribution of the radiotracer as a function of time. The use of radiotracers can result in images which contain information on the structure, function and most importantly, the physiology and biochemistry of the subject. Much of this information cannot be obtained by other means. The radiotracers used in these studies are designed to have defined behaviors in vivo which permit the determination of specific information concerning the physiology or biochemistry of the subject. Currently, radiotracers are available for obtaining useful information concerning cardiac function, myocardial blood flow, lung perfusion, liver function, brain blood flow, regional brain glucose and oxygen metabolism (WO2007/041025). Furthermore,

- PET imaging provides a non- invasive and quantitative assay of normal and abnormal neuro chemistry in human at an early stage of the drug development to enhance the efficient and effective discovery of therapeutics. - Tracer doses of labeled compounds enable the early evaluation of novel drugs: bio-distribution studies; receptor occupancy studies to optimize drug-dosing regime and characterizing downstream responses of drug action.

- Understanding disease mechanisms in human using non- invasive techniques is intimately connected with future developments in the diagnosis and management of diseases and of novel therapeutics.

The radionuclides commonly used in PET include 11 C, 13 N, 15 O or 18 F. In principle, it is possible to label all drugs with analogous with the parent compound, but only a few are found applicable as imaging agents in vivo in humans. The radioactive half-time of 11 C, 13 N, 15 O and 18 F are 20, 10, 2 and 110 min, respectively. These short half- lives endow a number of advantages to their use as tracers to probe biological processes in vivo using PET. Repeat studies in the same subject within the same day are made possible. PET is being increasingly used as a tool to determine drug-dose-enzyme/receptor occupancy relationships in well-defined compounds. The use of PET radiotracers that specifically bind to the target receptor or enzyme can provide information about

- the ability of a drug to enter the brain and bind to the target site, - the degree of occupancy of the target site produced by a given dose of drug,

- the time-course of occupancy, and

- the relative plasma and tissue kinetics of the drug in question.

Occupancy studies are performed with PET radiotracers which are usually not identical to the drug candidate under study (British Medical Bulletin, 2003, 65, 169-177). The object of the present invention was to find novel radiotracers for the in vivo PET imaging of the Glycine 1 transporter. It has been found that the obtained radio labelled compounds of formula I have potential to be used as an imaging agent for visualizing the Glycine 1 transporter in humans. The following radio labelled compounds are encompassed by the present invention: -A-

A radio labelled compound of formula

A radio labelled compound of formula

A radio labelled compound of formula

A radio labelled compound of formula

Further embodiments of the invention are the compounds of formula I for use as GIyTl ligand, for use in a GIyTl binding studies and for use as a PET radiotracers.

Furthermore the present compounds may be used for diagnostic imaging of GIyTl in the brain of a mammal. The invention comprises a method for the diagnostic imaging of the GIyTl transporter which comprises administering to a mammal an effective amount of a compound of formula I and comprises a method for the detection of GIyTl functionality in mammalian tissue which comprises administering to a mammal, in which such detection is desired, an effective amount of a compound of formula I. An object of the present invention is the use of a compound of formula I for the manufacture of a medicament for diagnostic imaging of GIyTl in the brain of a mammal and a pharmaceutical composition comprising such compound and a pharmaceutically acceptable excipient.

Glytl transporter inhibitors are useful for the treatment of illnesses, which are psychoses, pain, dysfunction in memory and learning, schizophrenia, dementia and other diseases in which cognitive processes are impaired, such as attention deficit disorders or Alzheimer's disease. The preferred indication is schizophrenia.

Schizophrenia is a progressive and devastating neurological disease characterized by episodic positive symptoms such as delusions, hallucinations, thought disorders and psychosis and persistent negative symptoms such as flattened affect, impaired attention and social withdrawal, and cognitive impairments

The non-radio labelled compounds are known in the prior art and described in WO2006/082001 as GIyTl transporter inhibitors.

Scheme 1 represents a synthetic route towards compounds of formula (I) wherein R 2 is a radio labelled group:

Scheme 1

The compound of formula II is reacted with a base such as cesium carbonate and with a reagent of formula III, wherein R 2 is a group containing a radionuclide selected from 3 H or 11 C, and X is a leaving group such as iodine. Reagent of formula III like: [ H] methyl iodide is known and [ π C]methyl iodide is known and prepared according to Larsen, P., Ulin, J., Dahlstrom, K. J. Label. Compds. Radiopharm. 37, 73-75, 1995.

Scheme 2 represents a synthetic route for the synthesis of compound of formula (II) wherein R 1 is (S)-2,2,2-trifluoro- 1 -methyl-ethoxy.

Scheme 2 3 chlorosulfonic acid

Intermediate acid IV can be prepared by reaction of commercially available ortho-fluoro benzoic acid with (S)-l,l,l-trifluoro-propan-2-ol (CAS: 3539-97-7) in the presence of base such as sodium hydride in a solvent such as dioxane. Coupling of acid IV with known isoindoline V (WO 2006082001) to yield the amide VI can be achieved in the presence of a coupling reagent such as TBTU and base such as diisopropylethylamine in a solvent such as DMF. Chlorosulfonylation of VI to provide sulfonyl chloride intermediate VII can be carried out in the presence of chlorosulfonic acid in a solvent such as dichloro ethane. Reduction of VII into sulfinic acid II can be achieved by using sodium sulfite as a reducing agent in a solvent like DMF and water.

Scheme 3 represents a synthetic route for the synthesis of compound of formula (II) wherein R 1 is isopropoxy. Scheme 3

Intermediate IX can be prepared by reaction of acid VIII (WO 2005014563) with the commercially available alkylating agent: (iodomethyl)trimethylsilane in the presence of a base such as lithium diisopropylamide and an additive like TMEDA in a solvent such as THF.

Coupling of acid IX with known isoindoline V (WO 2006082001) to yield the amide X can be achieved in the presence of a coupling reagent such as TBTU and a base such as diisopropylethylamine in a solvent such as DMF. Transformation of X into sulfϊnic acid II can be achieved in the presence of TBAF in a solvent like THF.

Abbreviations

TBTU O-Benzotriazolyl tetramethylisouronium tetrafluoroborate

DMF Dimethylformamide

TBAF Tetrabutylammonium fluoride THF Tetrahydrofuran

TMEDA Tetramethylethylenediamine

MTBE Methyl-tert-butyl ether

LDA Lithium diisopropylamide

As described above it has been found that the radio labelled compounds of formula I may be used as PET ligands for the labelling and diagnostic molecular imaging of the glycine 1 transporter functionality.

The corresponding unlabelled compounds [5-methanesulfonyl-2-((S)-2,2,2-trifluoro-l-methyl- ethoxy)-phenyl]-[5-(tetrahydro-pyran-4-yl)- 1 ,3-dihydro-isoindol-2-yl]-methanone and (2- isopropoxy-5 -methanesulfonyl-phenyl)- [5 -(tetrahydro-pyran-4-yl)- 1 ,3 -dihydro-isoindo 1-2-yl] - methanone] are active on the GIyTl transporter in vitro with a IC50 value (μM) of 0.028 and 0.014, respectively. The test method is described in WO2006/082001.

Autoradiographic studies in rat brain

The distribution of the binding sites of [ 3 H][5-Methanesulfonyl-2-((S)-2,2,2-trifluoro-l-methyl- ethoxy)-phenyl]-[5-(tetrahydro-pyran-4-yl)-l,3-dihydro-isoin dol-2-yl]-methanone and [ 3 H] [2- Isopropoxy-5 -methanesulfonyl-phenyl)- [5 -(tetrahydro-pyran-4-yl)- 1 ,3 -dihydro-isoindo 1-2-yl] - methanone] was investigated in the rat brain.

Male Wistar rats were used for these experiments. Rats were sacrificed; their brains were rapidly removed, frozen in dry ice powder. Ten μm-thick sagittal sections were cut in a Cryostat and thaw-mounted on adhesion glass slides. Brain sections were first incubated for 10 min. in Ringer buffer (NaCl 120 mM, KCl 5 mM, CaCl 2 2 mM, MgCl 2 1 mM, Tris-HCl 50 mM pH 7.4) at 37 0 C and then for 60 min. in Ringer buffer at 37 0 C containing either [ H] 5-Methanesulfonyl-2- ((S)-2,2,2-trifluoro- 1 -methyl-ethoxy)-phenyl]-[5-(tetrahydro-pyran-4-yl)- 1 ,3-dihydro-isoindol-2- yl]-methanone or [ H] [2-Isopropoxy-5-methanesulfonyl-phenyl)-[5-(tetrahydro-pyran -4-yl)-l,3- dihydro-isoindo 1-2-yl] -methanone] at concentration 1 nM. For the evaluation of the non-specific- binding (NSB) of the radiotracer an additional group of sections was incubated with Ringer buffer containing the radiotracer and the reference GIyTl inhibitor Org 24598 at the concentration 10 μM (60 in at 37 0 C). At the end of the incubation, sections were rinsed 2 x 5 min. and 1 x 15 min. in ice-cold (4 0 C) Ringer buffer and then rapidly dipped three times in distilled water at 4 0 C. Slide-mounted brain sections were dried under a flow of cold air and exposed together with [ H]-microscale to a Fuji Imaging plate for 5 days. The imaging plate was then scanned in a FujiFilm high resolution plate scanner. The total amount of radiotracer bound to the brain areas of interest (TB) were measured using the MCID image analysis program and expressed as fmol of bound radiotracer/mg of protein. The amount of [ 3 H] 5-Methanesulfonyl-2- ((S)-2,2,2-trifluoro- 1 -methyl-ethoxy)-phenyl]-[5-(tetrahydro-pyran-4-yl)- 1 ,3-dihydro-isoindo 1-2- yl] -methanone specifically bound to the GIyTl carrier (SB) was calculated according to the formula: SB = TB - NSB.

The results obtained showed that the distribution of the binding sites of [ 3 H] 5-Methanesulfonyl- 2-((S)-2,2,2-trifluoro- 1 -methyl-ethoxy)-phenyl]-[5-(tetrahydro-pyran-4-yl)- 1 ,3-dihydro-isoindol- 2-yl] -methanone and [ H][2-Isopropoxy-5-methanesulfonyl-phenyl)-[5-(tetrahydro-pyr an-4-yl)- l,3-dihydro-isoindol-2-yl]-methanone] corresponded to the known distribution of the GIyTl transporter [Cubelos B., Gimenez C, Zafra F., Cereb Cortex 15, 448-459, 2005; Zafra F., Aragon C, Olivares L., Danbolt NC, Gimenez C, Storm-Mathisen J., J Neuroscience. 15, 3952- 69, 1995]. High densities of binding sites were observed in the thalamus, the brainstem, pons and medulla oblungata and the cerebellum. Lower densities were observed in the striatum, cortex and hippocampus. Co-incubation of the radiotracers with high concentrations of the specific GIyTl inhibitor Org 24598 or other specific Glytl inhibitors completely abolished binding of both [ 3 H] 5-Methanesulfonyl-2-((S)-2,2,2-trifluoro-l-methyl-ethoxy)-ph enyl]-[5-(tetrahydro-pyran-4-yl)- 1 ,3-dihydro-isoindol-2-yl]-methanone and [ 3 H] [2-Isopropoxy-5-methanesulfonyl-phenyl)-[5- (tetrahydro-pyran-4-yl)-l,3-dihydro-isoindol-2-yl]-methanone ] to rat brain sections confirming that both radiotracers bind to the GIyTl transporter.

In vivo PET studies in the baboon

1) PET imaging with [ 11 C-][2-Isopropoxy-5-methanesulfonyl-phenyl)-[5-(tetrahy dro-pyran-4- yl)-l,3-dihydro-isoindol-2-yl]-methanone] and [ C]-5-Methanesulfonyl-2-((S)-2,2,2-trifluoro- 1 -methyl-ethoxy)-phenyl]-[5-(tetrahydro-pyran-4-yl)- 1 ,3-dihydro-isoindol-2-yl]-methanone

The experiments described below were carried out in male baboons (papio anubis). Animals were fasted for 12 hours prior to the PET study. Baboons were initially sedated intramuscularly with Ketamine hydrochloride with restraint dosages of 5-7 mg/kg to achieve a light plane of anesthesia and then maintained on continuous Propofol intravenous infusion @ 0.3-0.4 mg/kg/h (DIPRIV AN® Injectable Emulsion). Circulatory volume was maintained by infusion of isotonic saline. A femoral arterial catheter was inserted for blood sampling. Physiological vital signs including heart rate, ECG, blood pressure (Spacelabs Monitor, Issaquah, WA, USA) and oxygen saturation (Nellcor OxiMax® N-600™ Pulse Oximeter, Pleasanton, CA, USA) were continuously monitored throughout the study. The animal was positioned in an ECAT HRRT® brain PET scanner (High Resolution Research Tomograph, CPS Innovations, Inc., Knoxville, TN). The head of the animal was fitted with a thermoplastic mask that was attached to a head holder for reproducible fixation. A 6 min transmission scan with a 1 mCi Cs- 137 point source was initially done for attenuation correction. [ C-][2-Isopropoxy-5-methanesulfonyl-phenyl)-[5- (tetrahydro-pyran-4-yl)-l,3-dihydro-isoindol-2-yl]-methanone ] and [ C]-5-Methanesulfonyl-2- ((S)-2,2,2-trifluoro- 1 -methyl-ethoxy)-phenyl]-[5-(tetrahydro-pyran-4-yl)- 1 ,3-dihydro-isoindol-2- yl]-methanone were administered intravenously as a 1 minute bolus injection. PET scanning and arterial blood sampling was initiated upon start of the radiotracer administration and PET images were acquired from 0 to 90 minutes following administration of the radiotracer. The results of these imaging studies showed that both radiotracers [ C][2-Isopropoxy-5- methanesulfonyl-phenyl)-[5-(tetrahydro-pyran-4-yl)- 1 ,3-dihydro-isoindol-2-yl]-methanone] and [ 11 C]-5-Methanesulfonyl-2-((S)-2,2,2-trifluoro-l-methyl-e thoxy)-phenyl]-[5-(tetrahydro-pyran- 4-yl)-l,3-dihydro-isoindol-2-yl]-methanone) were rapidly taken up in multiple brain areas with time activity curves that demonstrated peak uptake 20-30 min after administration and a slow decline over the remainder of the study. The regional distribution of both radiotracers reflected the known distribution of the glycine transporter 1 (GIyTl) with higher accumulation in the pons, brainstem, cerebellum, and thalamus compared to cortical regions (Cubelos B., Gimenez C, Zafra F., Cereb Cortex 15, 448-459, 2005).

2) PET imaging with pharmacological challenges

These experiments tested the ability of unlabeled GIyTl inhibitors to block the uptake of

[ C][2-Isopropoxy-5-methanesulfonyl-phenyl)-[5-(tetrahydro-pyr an-4-yl)-l,3-dihydro-isoindol-

2-yl]-methanone] and [ C]-5-Methanesulfonyl-2-((S)-2,2,2-trifluoro-l-methyl-ethoxy) -phenyl]- [5-(tetrahydro-pyran-4-yl)- 1 ,3-dihydro-isoindol-2-yl]-methanone in brain regions known to contain the GIyT 1. Since both of [5-methanesulfonyl-2-((S)-2,2,2-trifluoro- 1 -methyl-ethoxy)- phenyl]-[5-(tetrahydro-pyran-4-yl)- 1 ,3-dihydro-isoindol-2-yl]-methanone and (2-isopropoxy-5- methanesulfonyl-phenyl)-[5-(tetrahydro-pyran-4-yl)- 1 ,3-dihydro-isoindol-2-yl]-methanone are selective GIyTl inhibitors, one of these compounds, [5-methanesulfonyl-2-((S)-2,2,2-trifluoro-l- methyl-ethoxy)-phenyl]-[5-(tetrahydro-pyran-4-yl)- 1 ,3-dihydro-isoindol-2-yl]-methanone, was selected for the experiments described below.

Each animal received two sequential administrations of the radiotracer on the same day. The first administration of radiotracer was used to determine radiotracer baseline uptake. Following the baseline scan, the baboon received an intravenous administration of unlabeled [5- methanesulfonyl-2-((S)-2,2,2-trifluoro-l-methyl-ethoxy)-phen yl]-[5-(tetrahydro-pyran-4-yl)-l,3- dihydro-isoindol-2-yl]-methanone (blocker). The blocker infusion started 20 min before (the second) radiotracer injection. The blocker was first infused at dose = 0.2 mg/kg. After 10 min, the flow rate was changed to deliver 0.5 mg/kg for the remainder 100 min of the study. Preliminary pharmacokinetic experiments and modeling of the data indicated that these rates of infusion produce constant plasma levels of [5-methanesulfonyl-2-((S)-2,2,2-trifluoro-l-methyl- ethoxy)-phenyl]-[5-(tetrahydro-pyran-4-yl)- 1 ,3-dihydro-isoindol-2-yl]-methanone during the PET scan time interval. Pretreatment with cold [5-methanesulfonyl-2-((S)-2,2,2-trifluoro-l-methyl-ethoxy)-p henyl]-[5- (tetrahydro-pyran-4-yl)-l,3-dihydro-isoindol-2-yl]-methanone (a selective GIyTl inhibitor) completely blocked the specific uptake of both radiotracers [ C-][2-Isopropoxy-5- methanesulfonyl-phenyl)-[5-(tetrahydro-pyran-4-yl)- 1 ,3-dihydro-isoindol-2-yl]-methanone] and [ 11 C]-5-Methanesulfonyl-2-((S)-2,2,2-trifluoro-l-methyl-e thoxy)-phenyl]-[5-(tetrahydro-pyran- 4-yl)-l,3-dihydro-isoindol-2-yl]-methanone ) and led to a homogenous distribution of radioactivity throughout the brain. These results confirmed the specificity of both radiotracers for the GIyTl transporter and clearly showed that their binding to the GIyT-I transporter can be reduced by unlabeled drugs that bind to the GIyTl transporter. The compounds of the present invention are diagnostic tools which may be helpful in the diagnosis of disorders of the central nervous system, for example for schizophrenia, cognitive impairment and Alzheimer's disease.

The compounds of formula I can be processed with pharmaceutically inert inorganic or organic carriers for the production of pharmaceutical preparations. The dosage can vary within wide limits and will, of course, have to be adjusted to the individual requirements in each particular case.

The radio labelled inhibitors are preferably administered intravenously. An injection solution may have the following composition:

The following examples illustrate the invention but are not intended to limit its scope. Example 1

[SH-methyll-IS-Methanesulfonyl-l-CCSJ-l^^-trifluoro-l-met hyl-ethoxyJ-phenyll-IS- (tetrahydro-py ran-4-yl)- 1 ,3-dihydro-isoindol-2-yl] -methanone

a) step 1

2-((S)-2,2,2-Trifluoro-l-methyl-ethoxy)-benzoic acid

36.0 g ( 316 mmol) of (S)-I, l,l-trifluoro-propan-2-ol (CAS: 3539-97-7) was added to a cold (0 to 5 0 C) suspension of 17.0 g (425 mmol) of NaH (pract., 60 %) in 200 ml of dioxane. The suspension was stirred at room temperature during 0.5 h then cooled (0 to 5 0 C) and a solution of 20.0 g (143 mmol) of 2-fluoro-benzoic acid in 100 ml of dioxane was added. The mixture was stirred during 0.5 h at room temperature and during 14O h under reflux. The mixture was poured into 800 ml of water, washed with 300 ml of MTBE, then acidified to pH 2 with hydrochloric acid and the product was extracted with MTBE. The solvent was concentrated in vacuo and the residue was crystallized from ethano I/water to provide 27.3 g (82 %) of the title compound as a white solid. MS (m/e): 234.1 [M] + . b) step 2

[5-(Tetrahydro-pyran-4-yD- 1 ,3-dihydro-isoindol-2-yl]-[2-((S)-2,2,2-trifluoro- 1 -methyl-ethoxy)- phenyl] -methanone

To a solution of 0.9 g (3.8 mmol) 2-((S)-2,2,2-trifluoro-l-methyl-ethoxy)-benzoic acid in 9 ml

DMF under argon at room temperature, was added 1.4g (4.2 mmol) TBTU, 3.3 ml (19.2 mmol) N-ethyldiisopropylamine and finally 0.8 g (3.8 mmol) 5-(tetrahydro-pyran-4-yl)-2,3-dihydro-lH- isoindole (CAS: 905274-50-2). The mixture was stirred at room temperature overnight. The solvent was removed in vacuo. The residue was dissolved in ethyl acetate. The solution was washed twice with water and twice with sat. NaHCOs solution, dried over Na 2 SO 4 , filtered and concentrated in vacuo. The crude oil was purified with flash column chromatography on silica eluting with a gradient formed from heptane and ethylacetate to provide 1.5g (93 %) of the title compound as a yellow oil. MS (m/e): 420.2 [M+H] + . c) step 3

3-[5-(Tetrahydro-pyran-4-yl)-l,3-dihydro-isoindole-2-carb onyl]-4-((S)-2,2,2-trifluoro-l-methyl- ethoxy)-benzenesulfonyl chloride

A solution of 0.2g (0.47 mmol) [5-(tetrahydro-pyran-4-yl)-l,3-dihydro-isoindol-2-yl]-[2-((S )-

2,2,2-trifluoro-l-methyl-ethoxy)-phenyl]-methanone in 2 ml of 1,2-dichloroethane was added dropwise to 0.32 ml (4.7 mmol) chlorosulfonic acid under ice bath cooling. The mixture was stirred at room temperature for 30 minutes and then at 55 0 C for 30 minutes. The mixture was cooled in an ice bath and quenched by dropwise addition of 2 ml water. The mixture was diluted with dichloromethane. The organic layer was separated and the aqueous layer was extracted twice with dichloromethane. The combined dichloromethane extracts were dried over Na 2 SO 4 , filtered and concentrated in vacuo. The obtained foam was stirred with ethylacetate. The solid was filtrated. The filtrate was washed twice with a saturated solution of NaHCOs, dried over Na 2 SO 4 , filtered and concentrated in vacuo to provide 0.12g (51 %) of the title compound as light yellow foam. MS (m/e): 517.1 [M] + . d) step 4

3-[5-(Tetrahydro-pyran-4-yl)-l,3-dihydro-isoindole-2-carb onyl]-4-((S)-2,2,2-trifluoro-l-methyl- ethoxyVbenzenesulfmate sodium salt

1.15 g (8.94 mmol) OfNa 2 SO 3 and 1.70 g (9.60 mmol) OfNa 2 HPO 4 hydrate were dissolved in 13 ml water. An ethanolic solution of 2.40 g (4.63 mmol) of 3-[5-(tetrahydro-pyran-4-yl)-l,3- dihydro-isoindole-2-carbonyl]-4-((S)-2,2,2-trifluoro-l-methy l-ethoxy)-benzenesulfonyl chloride was added. The reaction mixture was stirred at 35 to 40 0 C during 1 hour and then overnight at room temperature. 1.3 g Speedex was added, the reaction mixture was filtered and the filtrate was evaporated. The crude product was treated with aqueous citric acid/NaCl solution then extracted with MTBE/THF 1 :1. The organic solvent was evaporated and the residue was dissolved in MeOH/water (2:1), and treated with 800 mg (9.52 mmol) OfNaHCO 3 . 1 g Speedex was added and the reaction mixture was filtrated and concentrated in vacuo. The residue was purified chromatographically by using a reverse phase column (RP- 18, water/methanol) to provide 1.12g (48 %) of the title compound as a white foam. MS (m/e): 484.3 [M+H] + . e) step 5

[ 3 H-methyll-[5-Methanesulfonyl-2-((S)-2.2.2-trifluoro-l- methyl-ethoxy)-phenyll-[5-(tetrahvdro- pyran-4-yl)- 1 ,3-dihvdro-isoindol-2-vH-methanone

0.16 mg (1.2 μmol) of LiI were added to a solution of 50 mCi (0.15 mg, 0.6 μmol) of [ 3 H]methyl nosylate in 0.2 ml of DMF. After stirring of the reaction mixture for 3 h at 20 0 C in a closed vial, 0.6 mg (1.4 μmol) of 3-[5-(tetrahydro-pyran-4-yl)-l,3-dihydro-isoindole-2-carbony l]-4-((S)- 2,2,2-trifluoro-l-methyl-ethoxy)-benzenesulfinate sodium salt and 1.0 mg (3.1 μmol) of cesium carbonate were added and stirring was continued for 2 h at 20 0 C. The reaction mixture was treated with water and brine and was then extracted with ethyl acetate. After evaporation of the organic solvent the resulting crude product was purified by column chromatography (silica, ethyl acetate/heptane 4:1) to yield 23.9 mCi (48 %) of the tritiated title compound in a specific activity of 74 Ci/mmol (according to MS analysis). Radio-HPLC analysis indicated a radiochemical purity of > 99%. Example 2

["C-methyll-IS-Methanesulfonyl-l-CCSJ-l^^-trifluoro-l-met hyl-ethoxyJ-phenyll-IS- (tetrahydro-py ran-4-yl)- 1 ,3-dihydro-isoindol-2-yl] -methanone

3-[5-(Tetrahydro-pyran-4-yl)-l,3-dihydro-isoindole-2-carbony l]-4-((S)-2,2,2-trifluoro-l-methyl- ethoxy)-benzenesulfϊnate sodium salt (1 mg, 2 μmole) was dissolved in 100 μL of dimethylformamide. The vial was sealed; the solution was shaken for one minute and was injected into the Bioscan AutoLoop System and flushed with argon (30 mL/min) for 5 seconds. [ ! 1 C]MeUIyI iodide (prepared according to Larsen, P., Ulin, J., Dahlstrom, K. J. Label. Compds. Radiopharm. 37, 73-75, 1995) was transferred into the Bioscan Auto loop (Bioscan Inc,

Washington, DC) in a stream of helium (30 mL/min). The [ n C]methyl iodide was trapped in the AutoLoop for 3.5 minutes before the flow was stopped. After 4.5 minutes, the reaction mixture was automatically transferred to a semipreparative HPLC and worked up as follows. The product was collected in a pressure reservoir where it was diluted with 50 ml of water, then loaded onto a Waters C- 18 SepPak Plus (see analytical and preparative HPLC conditions below). The SepPak containing the purified title compound was washed with 10 ml of normal saline before the product was eluted with ImI of absolute ethanol followed by 10 ml of normal saline through a 0.22 micron filter for sterilization into a sterile, pyrogen-free vial containing 4 mL of normal saline. HPLC Conditions: Analytical: Onyx Cl 8 4.6x100 mm 35:65 MeCN:H 2 O TEA pH 7.2 at 3 mL/min Prep: XTerra Cl8 5μ 19x100 mm 40:60 MeCN:H2θ 0.1 M NH 4 formate at 18 mL/min Example 3 [ 3 H-methyl]-(2-Isopropoxy-5-methanesulfonyl-phenyl)-[5-( tetrahydro-pyran-4-yl)-l,3- dihydro-isoindol-2-yl]-methanone

a) step 1

2-Isopropoxy-5-(2-trimethylsilanyl-ethanesulfonyl)-benzoi c acid

To a stirred -70 0 C suspension of 0.26g (1 mmol) 2-isopropoxy-5-methanesulfonyl-benzoic acid (CAS: 845616-02-6) and 0.75 ml (5 mmol) TMEDA in 2.6 ml THF was added dropwise a LDA solution (prepared from a 1.3 ml (2.1 mmol) 1.6M n-butyllithium solution in hexane and 0.3 ml (2.1 mmol) diisopropyplamine in 2.5 ml THF at 0 0 C). The light yellow suspension was stirred at -70 0 C for 30 minutes. A solution of 0.19 ml (1.3 mmol) (iodomethyl)trimethylsilane in 0.5 ml THF was added dropwise over a period of 5 minutes. The yellow suspension was stirred at -70 0 C for 15 minutes and then allowed to warm to room temperature. The light yellow solution was stirred at room temperature for 1 hour and then quenched with 5 ml brine. The mixture was diluted with 5 ml water. The mixture was concentrated in vacuo. The aqueous layer was carefully acidified with HCl IN and extracted 3 times with dichloromethane. The combined extracts were dried over Na 2 SO 4 , filtered and concentrated in vacuo. The crude was purified with flash column chromatography on silica eluting with a gradient formed from heptane and ethylacetate to provide 0.21g (63%) of the title compound as a yellow oil. MS (m/e): 343.0 [M- H] + . b) step 2

[2-Isopropoxy-5 -(2-trimethylsilanyl-ethanesulfonyl)-phenyl] - [5 -(tetrahydro-pyran-4-yl)- 1,3- dihvdro-isoindol-2-vH-methanone

In analogy to the procedure described for the synthesis of example 1, step 2, the title compound was prepared from 5-(tetrahydro-pyran-4-yl)-2,3-dihydro-lH-isoindole (CAS: 905274-50-2) and

2-isopropoxy-5-(2-trimethylsilanyl-ethanesulfonyl)-benzoi c acid. MS (m/e): 529.3 [M] + . c) step 3

4-Isopropoxy-3-[5-(tetrahydro-pyran-4-yl)- 1 ,3-dihydro-isoindole-2-carbonyl]-benzene sulfmate sodium salt

1.40 g (2.64 mmol) of [2-isopropoxy-5-(2-trimethylsilanyl-ethanesulfonyl)-phenyl]- [5- (tetrahydro-pyran-4-yl)-l,3-dihydro-isoindol-2-yl]-methanone was dissolved in 14 ml of THF and treated with 4.0 ml (4.0 mmol) of a 1 M solution of TBAF in THF at 60 0 C during 3.5 hours.

The reaction mixture was poured on an aqueous solution of citric acid/NaCl, then extracted with

MTBE/THF 1 :1. The organic solvent was evaporated, the residue was dissolved in MeOH/water

(3:1) and treated with 600 mg of NaHCO 3 . After evaporation, the residue was purified chromatographically on a reverse phase column (RP- 18, water/methanol) to provide 0.66 g

(55 %) of the title compound as a white foam. MS (m/e): 430.2 [M+H] + . d) step 4

[ 3 H-methyl]-(2-Isopropoxy-5-methanesulfonyl-phenyl)-[5-( tetrahydro-pyran-4-yl)-l,3-dihydro- iso indo 1-2- yli -methanone

0.16 mg (1.2 μmol) of LiI were added to a solution of 50 mCi (0.15 mg, 0.6 μmol) of [ HJmethyl nosylate in 0.2 ml of DMF. After stirring of the reaction mixture for 3 h at 20 0 C in a closed vial 0.6 mg (1.3 μmol) of 4-isopropoxy-3-[5-(tetrahydro-pyran-4-yl)-l,3-dihydro-isoind ole-2- carbonyl] -benzene sulfmate sodium salt and 1.0 mg (3.1 μmol) of cesium carbonate were added and stirring was continued for 2 h at 20 0 C. The reaction mixture was treated with water and brine and was then extracted with ethyl acetate. After evaporation of the organic solvent the resulting crude product was purified by column chromatography (silica, ethyl acetate/heptane 4:1) to yield 29.2 mCi (59 %) of the tritiated title compound in a specific activity of 74 Ci/mmol (according to MS analysis). Radio-HPLC analysis indicated a radiochemical purity of > 99 %.

Example 4

[ 11 C-methyl]-(2-Isopropoxy-5-methanesulfonyl-phenyl)-[5-( tetrahydro-pyran-4-yl)-l,3- dihydro-isoindol-2-yl]-methanone

In analogy to the procedure described for the synthesis of example 2, the title compound was prepared from 4-isopropoxy-3-[5-(tetrahydro-pyran-4-yl)- 1 ,3-dihydro-isoindole-2-carbonyl]- benzene sulfmate sodium salt and [ π C]methyl iodide.