2. BACKGROUND OF THE INVENTION Sickle cell disease has been recognized within west Africa for several centuries. Sickle cell anemia and the existence of sickle hemoglobin (Hb S) was the first genetic disease to be understood at the molecular level. It is recognized today as the morphological and clinical result of a glycine to valine substitution at the No. 6 position of the beta globin chain (Ingram, 1956, Nature 178: 792-794. The origin of the amino acid change and of the disease state is the consequence of a single nucleotide substitution (Marotta et al., 1977, J. Biol. Chem. 252: 5040-5053).

The major source of morbidity and mortality of patients suffering from sickle cell disease is vascular occlusion caused by the sickled cells, which causes repeated episodes of pain in both acute and chronic form and also causes ongoing organ damage with the passage of time. It has long been recognized and accepte that the deformation and distortion of sickle cell erythrocytes upon complete deoxygenation is caused by polymerization and intracellular gelation of sickle hemoglobin, hemoglobin S (Hb S). The phenomenon is well

reviewed and discussed by Eaton and Hofrichter, 1987, Blood 70: 1245. The intracellular gelatin and polymerization of Hb S can occur at any time during erythrocyte's journey through the vasculature. Thus, erythrocytes in patients with sickle cell disease containing no polymerized hemoglobin S may pass through the microcirculation and return to the lungs without sickling, may sickle in the veins or may sickle in the capillaries.

The probability of each of these events is determined by the delay time for intracellular gelation relative to the appropriate capillary transit time (Eaton et al., 1976, Blood 47: 621). In turn, the delay time is dependent upon the oxygenation state of the hemoglobin, with deoxygenation shortening the delay time. Thus, if it is thermodynamically impossible for intracellular gelation to take place, or if the delay time at venous oxygen pressures is longer than about 15 seconds, cell sickling will not occur. Alternatively, if the delay time is between about 1 and 15 seconds, the red cell will likely sickle in the veins. However, if the delay time is less than about 1 second, red cells will sickle within the capillaries.

For red cells that sickle within the capillaries, a number of possible consequent events exist, ranging from no effect on transit time, to transient occlusion of the capillary, to a more permanent blockage that may ultimately result in ischemia or infarction of the surrounding cells, and in destruction of the red cell.

It has long been recognized that the cytoplasm of the normal erythrocyte comprises approximately 70% water. Water crosses a normal erythrocyte membrane in milliseconds; however, the loss of cell water causes an exponential increase in cytoplasmic viscosity as the mean cell hemoglobin concentration (MCHC) rises above about 32 g/dl. Since cytoplasmic viscosity is a major determinate of erythrocyte deformability and sickling, the dehydration of the erythrocyte has substantial rheological and pathological consequences.

Thus, the physiological mechanisms that maintain the water

content of normal erythrocytes and the pathological conalllons that cause loss of water from erythrocytes in the blood circulation are critically important. Not surprisingly, regulation of erythrocyte dehydration has been recognized as an important therapeutic approach towards the treatment of sickle cell disease. Since cell water will follow any osmotic change in the intracellular concentration of ions, the maintenance of the red cell's potassium concentration is of particular importance (Stuart and Ellory, 1988, Brit J.

Haematol. 69: 1-4).

Many attempts and approches to therapeutically treating dehydrated sickle cells (and thus decreasing polymerization of hemoglobin S by lowering the osmolality of plasma) have been tried with limited success, including the following approches: intravenous infusion of distille water (Gye et al., 1973, Am. J. Med. Sci. 266: 267-277); administration of the antidiuretic hormone vasopressin together with a high fluid intake and salt restriction (Rosa et al., 1980, M. Enta.

J. Med. 303: 1138-1143; Charache and Walker, 1981, Blood 58: 892-896); the use of monensin to increase the cation content of the sickle cell (Clark et al., 1982, J. Clin.

Invest. 70: 1074-1080; Fahim and Pressman, 1981, Life Sciences 29: 1959-1966); intravenous administration of cetiedil citrate (Benjamin et al., 1986, Blood 67: I442-1447; Berkowitz and Orringer, 1984, Am. J. Hematol. 17: 217-223; Stuart et al., 1987, J. Clin. Pathol. 40: 1182-1186); and the use of oxpentifylline (Stuart et al., 1987, J. Clin. Pathol.

40:1182-1186).

Another approach towards therapeutically treating dehydrated sickle cells involves the administration of imidazole, nitroimidazole and triazole antimycotic agents such as Clotrimazole (U. S. Patent No. 5,273,992 to Brugnara et ail.). Clotrimazole, an imidazole-containing antimycotic agent, has been shown to be a specific, potent inhibitor of the Gardos channel of normal and sickle erythrocytes, and prevents Ca2+-dependent dehydration of sickle cells both in vitro and in vivo (Brugnara et al., 1993, J. Clin. Invest.

92: 520-526; De Franceschi et al., 1994, J. Clin. Invest.

93: 1670-1676). When combine with a compound which stabilizes the oxyconformation of Hb S, Clotrimazole induces an additive reduction in the clogging rate of a micropore filter and may attenuate the formation of irreversibly sickled cells (Stuart et al., 1994, J. Haematol. 86: 820-823). Other compound that contain a heteroaryl imidazole-like moiety believed to be useful in reducing sickle erythrocyte dehydration via Gardos channel inhibition include miconazole, econazole, butoconazole, oxiconazole and sulconazole. Each of these compound is a known antimycotic. Other imidazole-containing compound have been found to be incapable of inhibiting the Gardos channel and preventing loss of potassium.

As can be seen from the above discussion, reducing sickle erythrocyte dehydration via blockade of the Gardos channel is a powerful therapeutic approach towards the treatment and/or prevention of sickle cell disease. Compound capable of inhibiting the Gardos channel as a means of reducing sickle cell dehydration are highly desirable, and are therefore an object of the present invention.

Cell proliferation is a normal part of mammalian existence, necessary for life itself. However, cell proliferation is not always desirable, and has recently been shown to be the root of many life-threatening diseases such as cancer, certain skin disorders, inflammatory diseases, fibrotic conditions and arteriosclerotic conditions. cell proliferation is critically dependent on the regulated movement of ions across various cellular compartments, and is associated with the synthesis of DNA.

Binding of specific polypeptide growth factors to specific receptors in growth-arrested cells triggers an array of early ionic signals that are critical in the cascade of mitogenic events eventually leading to DNA synthesis (Rozengurt, 1986, Science 234: 161-164). These include (1) a rapid increase in cystolic Ca2+, mostly due to rapid release of Ca2+ from intracellular stores; (2) capacitative Ca2'influx in response to opening of ligand-bound and hyperpolarization-sensitive ca 2+

channels in the plasma membrane that contribute turther to increased intracellular Ca2+ concentration (Tsien and Tsien, 1990, Annu. Rev. Cell Biol. 6: 715-760; Peppelenbosch et al., 1991, J. Biol. Chem. 266: 19938-19944); and (3) activation of Caz+-dependent K+ channels in the plasma membrane with increased K'conductance and membrane hyperpolarization (Magni et al., 1991, J. Biol. Chem. 261: 9321-9327). These mitogen- induced early ionic changes, considered critical events in the signal transduction pathways, are powerful therapeutic targets for inhibition of cell proliferation in normal and alignant cells. one therapeutic approach towards the treatment of diseases characterized by unwanted or anormal cell proliferation via alteration of the ionic fluxes associated with early mitogenic signals involves the administration of Clotrimazole. As discussed above, Clotrimazole has been shown to inhibit the Caz'-activated potassium channel of erythrocytes. In addition, Clotrimazole inhibits voltage-and ligand-stimulated Ca2+ influx mechanisms in nucleated cells (Villalobos et ail.,. 1992, FASEB J. 6: 2742-2747; Montero et al., 1991, Biochem. J. 277: 73-79) and inhibits cell proliferation both in vitro and in vivo (Benzaquen et al., 1995, Nature Medicine 1: 534-540). Recently, Clotrimazole and other imidazole-containing antimycotic agents capable of inhibiting Ca2+-activated potassium channels have been shown to be useful in the treatment of arteriosclerosis (U. S. Patent No. 5,358,959 to Halperin et al.), as well as other disorders characterized by unwanted or anormal cell proliferation.

As can be seen from the above discussion, inhibiting mammalian cell proliferation vía alteration of ionic fluxes associated with early mitogenic signals is a powerful therapeutic approach towards the treatment and/or prevention of diseases characterized by unwanted or anormal cell proliferation. Compound capable of inhibiting mammalian cell proliferation are highly desirable, and are therefore also an object of the present invention.

3. SUMMARY OF THE INVENTION These and other objects are provided by the present invention, which in one aspect provides a class of organic compound which are potent, selective and safe inhibitors of the Ca2'-activated potassium channel (Gardos channel) of erythrocytes, particularly sickle erythrocytes, and/or of mammalian cell proliferation. The compound are generally substituted 3, 3-diphenyl indanone, indane or (3-H) indole compound, or analogues thereof. In one illustrative embodiment, the compound capable of inhibiting the Gardos channel and/or mammalian cell proliferation according to the invention are compound having the structural formula: or pharmaceutically acceptable salts or hydrates thereof, wherein: m is 0,1,2,3 or 4; each n is independently 0,1,2,3,4 or 5; X is C or N; Y is absent, (Cl-C6) alkyl, (Cl-C6) alkenyl or (C1-C6) alkynyl; R, is absent,-OR,-SR, =O, =S, =N-OR, -O-C (O) R,-S-C (O) R, -O-C (S) R,-S-C (S) R, or when taken together with R2 is a 3-8 membered heterocycloalkyl or a substituted 3-8 membered heterocycloalkyl; R2 is absent or-H; R3 is absent or-H; R4 is-H,-OR',-SR',-NR'2,-CN,-NO2, (C3-CB) cycloalkyl, 3-8 membered heterocycloalkyl,-C (O) R',-C (S) R',-C (O) OR', -C (S) OR',-C (O) SR',-C (S) SR',-C (O) NR'2 or-C (S) NR'2;

each R5, R6 and R7 is independently selected from the group consisting -R',-OR',-SR',-NR'2,-ONR'2,-halogen, -SNR'2,-NO2,-CN,-C (O) R',-C (S) R',-C (O) OR', -C (O) SRt, -C (S) OR',-CS (S) R',-C (O) NR'2,-C (S) NR'2, -C(O)NR'(OR'), -C (S) NRI (ORI);-C (O) NRI (SRI),-C (S) NRI (SRI),-CH (CN) 2, -CH[C(O)OR']2,-CH[C(S)OR']2,-CH[C(O)R']2,-CH[C(S)R']2, -CH [C (O) SR']2 and -CH [C (S) SR']2 ; each R is independently selected from the group consisting of-H, (C1-C6) alkyl, (Cl-C6) alkenyl, (Cl-C6) alkynyl, (Cs-C20) aryl, substituted (C5-C20) aryl, (C6-C26) alkaryl and substituted (C6-C26) alkaryl; the heterocycloalkyl substituents are each independently selected from the group consisting of -CN, -NO2, -NR'2, -OR', -C(O)OR',-C(S)OR',-C(O)SR',-C(S)SR'-C(O)NR'2,-C(S)NR'2, and trihalomethyl; the aryl and alkaryl substituents are each independently selected from the group consisting of halogen,-C (O) R', -C (S) R',-C (O) OR', -C (S) OR', -C (O) SR',-C (S) SR',-C (O) NR'2, -C (S) NR'2 and trihalomethyl; each RI is independently selected from the group consisting of-H, (Cl-C6) alkyl, (Cl-C6) alkenyl and (C1-C6) alkynyl; and ---designates a single or double bond.

In another aspect, the present invention provides pharmaceutical compositions comprising one or more compound according to the invention in admixture with a pharmaceutically acceptable carrier, excipient or diluent.

Such a preparation can be administered in the methods of the invention.

In still another aspect, the invention provides a method for reducing sickle erythrocyte dehydration and/or delaying the occurrence of erythrocyte sickling or deformation in situ.

The method involves contacting a sickle erythrocyte in situ with an amount of at least one compound according to the invention, or a pharmaceutical composition thereof, effective to reduce sickle erythrocyte dehydration and/or delay the occurrence of erythrocyte sickling or deformation. In a

preferred embodiment, the sickle cell dehydration is reduced and erythrocyte deformation is delayed in a sickle erythrocyte that is within the microcirculation vasculature of a subject, thereby preventing or reducing the vaso-occlusion and consequent adverse effects that are commonly caused by sickled cells.

In still another aspect, the invention provides a method for the treatment and/or prevention of sickle cell disease in a subject, such as a human. The method involves administering a prophylactically or therapeutically effective amount of at least one compound according to the invention, or a pharmaceutical composition thereof, to a patient suffering from sickle cell disease. The patient may be suffering from either acute sickle crisis or chronic sickle cell episodes.

In yet another aspect, the invention provides a method for inhibiting mammalian cell proliferation in situ. The method involves contacting a mammalian cell in situ with an amount of at least one compound according to the invention, or a pharmaceutical composition thereof, effective to inhibit cell proliferation. The compound or composition may act either cytostatically, cytotoxically or a by a combination of both mechanisms to inhibit proliferation. Mammalian cells in this manner include vascular smooth muscle cells, fibroblasts, endothelial cells, various types of-pre-cancer cells and various types of cancer cells.

In still another aspect, the invention provides a method for treating and/or preventing unwanted or anormal cell proliferation in a subject, such as a human. In the method, at least one compound according to the invention, or a pharmaceutical composition thereof, is administered to a subject in need of such treatment in an amount effective to inhibit the unwanted or anormal mammalian cell proliferation.

The compound and/or composition may be applied locally to the proliferating cells, or may be administered to the subject systemically. Preferably, the compound and/or composition is administered to a subject that has a disorder characterized by unwanted or anormal cell proliferation. Such disorders

inclue, but are not limited to, cancer, epithelial precancerous lesions, non-cancerous angiogenic conditions or arteriosclerosis.

In a final aspect, the invention provides a method for the treatment and/or prevention of diseases that are characterized by unwanted and/or anormal mammalian cell proliferation. The method involves administering a prophylactically or therapeutically effective amount of at least one compound according to the invention, or a pharmaceutical composition thereof, to a subject in need of such treatment. Diseases that are characterized by anormal mammalian cell proliferation which can be treated or prevented by way of the methods of the invention inclue, but are not limited to, cancer, blood vessel proliferative disorders, fibrotic disorders and arteriosclerotic conditions.

3.1 Definitions As used herein, the following terms shall have the following meanings: "Alkvl :"refers to a saturated branche, straight chain or cyclic hydrocarbon radical. Typical alkyl groups inclue, but are not limited to, methyl, ethyl, propyl, isopropyl, butyl, isobutyl, t-butyl, pentyl, isopentyl, hexyl, and the like. In preferred embodiments, the alkyl groups are (C1-C6) alkyl, with (C1-C3) being particularly preferred.

"Substituted AlkYl :"refers to an alkyl radical wherein one or more hydrogen atoms are each independently replace with other substituents.

"HeterocycloalkYl :"refers to a saturated cyclic hydrocarbon radical wherein one or more of the carbon atoms are replace with another atom such as Si, Ge, N, O, S or P.

Typical heterocycloalkyl groups inclue, but are not limited to, morpholino, thiolino, piperadyl, pynolidinyl, piperazyl, pyrazolidyl and the like. Preferably, the heterocycloalkyl

group contains 3-8 atoms. In a particularly preferred embodiment the heteroatoms are oxygen, and the heterocycloalkyl group is a 3-8 membered oxirane, preferably 2,3-oxirane or a 5-8 membered dioxycycloalkyl, preferably 1,3- dioxolanyl.

"Substituted Heterocvcloalkvl :" refers to a heterocycloalkyl group wherein one or more hydrogen atoms are each independently replace with other substituents.

"Alkenvl :" refers to an unsaturated branche, straight chain or cyclic hydrocarbon radical having at least one carbon-carbon double bond. The radical may be in either the cis or trans conformation about the double bond (s). Typical alkenyl groups inclue, but are not limited to, ethenyl, propenyl, isopropenyl, butenyl, isobutenyl, tert-butenyl, pentenyl, hexenyl and the like. In preferred embodiments, the alkenyl group is (Cl-C6) alkenyl, with (Cl-C3) being particularly preferred.

"Substituted Alkenvl :"refers to an alkenyl radical wherein one or more hydrogen atoms are each independently replace with other substituents.

"Alkynvl :" refers to an unsaturated branche, straight chain or cyclic hydrocarbon radical having at least one carbon-carbon triple bond. Typical alkynyl groups inclue, but are not limited to, ethynyl, propynyl, butynyl, isobutynyl, pentynyl, hexynyl and the like. In preferred embodiments, the alkynyl group is (Cl-C6) alkynyl, with (Cl-C3) being particularly preferred.

"Substituted Alkvnvl :" refers to an alkynyl radical wherein one or more hydrogen atoms are each independently replace with other substituents.

"Alkoxv:" refers to an-OR radical, where R is alkyl, alkenyl or alkynyl, as defined above.

"Alksulfanvl :" refers to an-SR radical, where R is alkyl, alkenyl or alkynyl, as defined above.

"Arv. l :"" refers to an unsaturated cyclic hydrocarbon radical having a conjugated ff electron system. Typical aryl groups inclue, but are not limited to, penta-2,4-diene, phenyl, naphthyl, anthracyl, azulenyl, indacenyl, and the like. In preferred embodiments, the aryl group is (CS-CZO) aryl, with (C5-C10) being particularly preferred.

"Substituted ArYl :"refers to an aryl radical wherein one or more hydrogen atoms are each independently replace with other substituents.

"Alkarvl :" refers to a straight-chain alkyl, alkenyl or alkynyl group wherein one of the hydrogen atoms bonded to a terminal carbon. is replace with an aryl moiety. Typical alkaryl groups inclue, but are not limited to, benzyl, benzylidene, benzylidyne, benzenobenzyl, naphthenobenzyl and the like. In preferred embodiments, the alkaryl group is (C6-C26) alkaryl, i. e., the alkyl, alkenyl or alkynyl moiety of the alkaryl group is (Cl-C6) and the aryl moiety is (CS-Czo) In particularly preferred embodiments, the alkaryl group is (C6-C13) alkaryl, i. e., the alkyl, alkenyl or alkynyl moiety of the alkaryl group is (C1-C3) and the aryl moiety is (CS-Clo) "Substituted Alkarvl :" refers to an alkaryl radical wherein one or more hydrogen atoms on the aryl moiety of the alkaryl group are each independently replace with other substituents. referstoandincludestheterms"invivo,""InSitu:" "ex vivo,"and"in vitro"as these terms are commonly recognized and understood by persons ordinarily skilled in the

art. Moreover, the phrase"in situ"is employed herein in its broadest connotative and denotative contexts to identify an entity, cell or tissue as found or in place, without regard to its source or origin, its condition or status or its duration or longevity at that location or position.

4. BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1 is a general rection scheme for synthesizing certain compound according to the invention; and FIG. 2 is a general rection scheme for synthesizing certain compound according to the invention.

5. DETAILED DESCRIPTION OF THE INVENTION As discussed in the Background section, blockade of sickle dehydration via inhibition of the Gardos channel is a powerful therapeutic approach towards the treatment and/or prevention of sickle cell disease. In vitro studies have shown that Clotrimazole, an imidazole-containing antimycotic agent, blocks Caz'-activated K'transport and cell dehydration in sickle erythrocytes (Brugnara et al., 1993, J. Clin.

Invest. 92: 520-526). Studies in a transgenic mouse model for sickle cell disease (SAD mouse, Trudel et al., 1991, EMBO J.

11: 3157-3165) show that oral administration of Clotrimazole leads to inhibition of the red cell Gardos channe, increased red cell Xt content, a decreased mean cell hemoglobin concentration (MCHC) and decreased cell density (De Franceschi et al., 1994, J. Clin. Invest. 93: 1670-1676). Moreover, therapy with oral Clotrimazole induces inhibition of the Gardos channel and reduces erythrocyte dehydration in patients with sickle cell disease (Brugnara et al., 1996, J. Clin.

Invest. 97: 1227-1234). other antimycotic agents which inhibit the Gardos channel in vitro include miconazole, econazole, butoconazole, oxiconazole and sulconazole (U. S. Patent No.

5,273,992 to Brugnara et ail.). All of these compound contain an imidazole-like ring, i. e., a heteroaryl ring containing two or more nitrogens.

Also as discussed in the Background section, the modulation of early ionic mitogenic signals and inhibition of cell proliferation are powerful therapeutic approches towards the treatment and/or prevention of disorders characterized by anormal cell proliferation. It has been shown that Clotrimazole, in addition to inhibiting the Gardos channel of erythrocytes, also modulates ionic mitogenic signals and inhibits cell proliferation both in vitro and in vivo.

For example, Clotrimazole inhibits the rate of cell proliferation of normal and cancer cell lines in a reversible and dose-dependent manner in vitro (Benzaquen et al., 1995 Nature Medicine 1: 534-540). Clotrimazole also depletes the intracellular Cal'stores and prevents the rise in cystolic ca 2+ that normally follows mitogenic stimulation. Moreover, in mice with severe combine immunodeficiency disease (SCID) and inoculated with MM-RU human melanoma cells, daily administration of Clotrimazole resulted in a significant reduction in the number of lung metastases observe (Benzaquen et al., supra).

It has now been discovered that substituted 3,3-diphenyl indanone, indane and (3-H) indole compound, as well as analogues of these classes of compound, also inhibit the Gardos channel of erythrocytes and/or mammalian cell proliferation. Thus, in one aspect, the present invention provides a new class of organic compound that are capable of inhibiting the Ca2t-activated potassium channel (Gardos channel) of erythrocytes, particularly sickle erythrocytes and/or of inhibiting mammalian cell proliferation, particularly mitogen-induced cell proliferation.

The activities of these compound are quite surprising.

Significantly, the compound of the invention do not contain an imidazole or imidazole-like moiety. The imidazole or imidazole-like moiety is well-recognized as the essential functionality underlying the antimycotic and other biological activities of Clotrimazole and the other above-mentioned anti- mycotic agents. Thus, the substituted 3,3-diphenyl indanone, indane or (3-H) indole compound and analogues of the

invention provide an entirely new class of compound capable of effecting inhibition of the Gardos channel and/or mammalian cell proliferation.

In another aspect, the invention provides a method of reducing sickle cell dehydration and/or delaying the occurrence of erythrocyte sickling in situ as a therapeutic approach towards the treatment of sickle cell disease. In its broadest sense, the method involves only a single step--the administration of at least one pharmacologically active compound of the invention, or a composition thereof, to a sickle erythrocyte in situ in an amount effective to reduce dehydration and/or delay the occurrence of cell sickling or deformation.

While not intending to be bound by any particular theory, it is believed that administration of the active compound described herein in appropriate amounts to sickle erythrocytes in situ causes nearly complete inhibition of the Gardos channel of sickle cells, thereby reducing the dehydration of sickle cells and/or delaying the occurrence of cell sickling or deformation. In a preferred embodiment, the dehydration of a sickle cell is reduced and/or the occurrence of sickling is delayed in a sickle cell that is within the microcirculation vasculature of the subject, thereby reducing or eliminating the vaso-occlusion that is commonly caused by sickled cells.

Based in part on the surmised importance of the Gardos channel as a therapeutic target in the treatment of sickle cell disease, the invention is also directe to methods of treating or preventing sickle cell disease. In the method, an effective amount of one or more compound according to the invention, or a pharmaceutical composition thereof, is administered to a patient suffering from sickle cell disease.

The methods may be used to treat sickle cell disease prophylactically to decrease intracellular Hb S concentration and/or polymerization, and thus diminish the time and duration of red cell sickling and vaso-occlusion in the blood circulation. The methods may also be used therapeutically in patients with acute sickle cell crisis, and in patients

suffering chronic sickle cell episodes to control both the frequency and duration of the crises.

The compound of the invention are also potent, specific inhibitors of mammalian cell proliferation. Thus, in another aspect, the invention provides methods of inhibiting mammalian cell proliferation as a therapeutic approach towards the treatment or prevention of diseases characterized by unwanted or anormal cell proliferation. In its broadest sense, the method involves only a single step--the administration of an effective amount of at least one pharmacologically active compound according to the invention to a mammalian cell in situ. The compound may act cytostatically, cytotoxically, or by a combination of both mechanisms to inhibit cell proliferation. Mammalian cells treatable in this manner include vascular smooth muscle cells, fibroblasts, endothelial cells, various pre-cancer cells and various cancer cells. In a preferred embodiment, cell proliferation is inhibited in a subject suffering from a disorder that is characterized by unwanted or anormal cell proliferation. Such diseases are described more fully below.

Based in part on the surmised role of mammalian cell proliferation in certain diseases, the invention is also directe to methods of treating or preventing diseases characterized by anormal cell proliferation. In the method, an effective amount of at least one compound according to the invention, or a pharmaceutical composition thereof, is administered to a patient suffering from a disorder that is characterized by anormal cell proliferation. While not intending to be bound by any particular theory, it is believed that administration of an appropriate amount of a compound according to the invention to a subject inhibits cell proliferation by altering the ionic fluxes associated with early mitogenic signals. Such alteration of ionic fluxes is thought to be due to the ability of the compound of the invention to inhibit potassium channels of cells, particularly Ca2'-activated potassium channes. The method can be used prophylactically to prevent unwanted or anormal cell

proliferation, or may be used therapeutically to reduce or arrest proliferation of abnormally proliferating cells. The compound, or a pharmaceutical formulation thereof, can be applied locally to proliferating cells to arrest or inhibit proliferation at a desired time, or may be administered to a subject systemically to arrest or inhibit cell proliferation.

Diseases which are characterized by anormal cell proliferation that can be treated or prevented by means of the present invention include blood vessel proliferative disorders, fibrotic disorders, arteriosclerotic disorders and various cancers.

Blood vessel proliferative disorders refer to angiogenic and vasculogenic disorders generally resulting in anormal proliferation of blood vesses. The formation and spreading of blood vesses, or vasculogenesis and angiogenesis, respectively, play important roles in a variety of physiological processes such as embryonic development, corpus luteum formation, wound healing and organ regeneration. They also play a pivotal role in cancer development. Other examples of blood vessel proliferative disorders include arthritis, where new capillary blood vessels invade the joint and destroy cartilage and ocular diseases such as diabetic retinopathy, where new capillaries in the retina invade the vitreous, bleed and cause blindness and neovascular glaucoma.

Another example of anormal neovascularization is that associated with solid tumors. It is now established that unrestricted growth of tumors is dependent upon angiogenesis and that induction of angiogenesis by libration of angiogenic factors can be an important step in carcinogenesis. For example, basic fibroblast growth factor (bFGF) is liberated by several cancer cells and plays a crucial role in cancer angiogenesis. The demonstration that certain animal tumors regress when angiogenesis is inhibited has provided the most compelling evidence for the role of angiogenesis in tumor growth. Other cancers that are associated with neovascularization include hemangioendotheliomas, hemangiomas and Kapos's sarcoma.

Proliferation of endothelial and vascular smooth muscle cells is the main feature of neovascularization. The invention is useful in inhibiting such proliferation, and therefore in inhibiting or arresting altogether the progression of the angiogenic condition which depends in whole or in part upon such neovascularization. The invention is particularly useful when the condition has an additional element of endothelial or vascular smooth muscle cell proliferation that is not necessarily associated with neovascularization. For example, psoriasis may additionally involve endothelial cell proliferation that is independent of the endothelial cell proliferation associated with neovascularization. Likewise, a solid tumor which requires neovascularization for continued growth may also be a tumor of endothelial or vascular smooth muscle cells. In this case, growth of the tumor cells themselves, as well as the neovascularization, is inhibited by the compound described herein.

The invention is also useful for the treatment of fibrotic disorders such as fibrosis and other medical complications of fibrosis which result in whole or in part from the proliferation of fibroblasts. Medical conditions involving fibrosis (other than atherosclerosis, discussed below) include undesirable tissue adhesion resulting from surgery or injury.

Other cell proliferative disorders which can be treated by means of the invention include arteriosclerotic conditions.

Arteriosclerosis is a term used to describe a thickening and hardening of the arterial wall. An arteriosclerotic condition as used herein means classical atherosclerosis, accelerated atherosclerosis, atherosclerotic lesions and any other arteriosclerotic conditions characterized by undesirable endothelial and/or vascular smooth muscle cell proliferation, including vascular complications of diabetes.

Proliferation of vascular smooth muscle cells is a main pathological feature in classical atherosclerosis. It is believed that libration of growth factors from endothelial

cells stimulates the proliferation of subintimal smooth muscle which, in turn, reduces the caliber and finally obstructs the artery. The invention is useful in inhibiting such proliferation, and therefore in delaying the onset of, inhibiting the progression of, or even halting the progression of such proliferation and the associated atherosclerotic condition.

Proliferation of vascular smooth muscle cells produces accelerated atherosclerosis, which is the main reason for failure of heart transplants that are not rejected. This proliferation is also believed to be mediated by growth factors, and can ultimately result in obstruction of the coronary arteries. The invention is useful in inhibiting such obstruction and reducing the risk of, or even preventing, such failures. vascular injury can also result in endothelial and vascular smooth muscle cell proliferation. The injury can be caused by any number of traumatic events or interventions, including vascular surgery and balloon angioplasty.

Restenosis is the main complication of successful balloon angioplasty of the coronary arteries. It is believed to be caused by the release of growth factors as a result of mechanical injury to the endothelial cells lining the coronary arteries. Thus, by inhibiting unwanted endothelial and smooth muscle cell proliferation, the compound described herein can be used to delay, or even avoid, the onset of restenosis.

Other atherosclerotic conditions which can be treated or prevented by means of the present invention include diseases of the arterial walls that involve proliferation of endothelial and/or vascular smooth muscle cells, such as complications of diabetes, diabetic glomerulosclerosis and diabetic retinopathy.

The compound described herein are also potent antineoplastic agents and are therefore useful in treating or preventing various types of neoplastic diseases. Neoplastic diseases which can be treated by means of the present invention inclue, but are not limited to, biliary tract

cancer; brain cancer, including glioblastomas and medulloblastomas; breast cancer; cervical cancer; choriocarcinoma; colon cancer; endometrial cancer; esophageal cancer; gastric cancer; hematological neoplasms, including acute and chronic lymphocytic and myelogenous leukemia, multiple myeloma, AIDS associated leukemias and adult T-cell leukemia lymphoma; intraepithelial neoplasms, including Bowen's disease and Paget's disease; liver cancer; lung cancer; lymphomas, including Hodgkin's disease and lymphocytic lymphomas; neuroblastomas; oral cancer, including squamous cell carcinoma; ovarian cancer, including those arising from epithelial cells, stromal cells, germ cells and mesenchymal cells; pancreas cancer; prostate cancer; rectal cancer; sarcomas, including leiomyosarcoma, rhabdomyosarcoma, liposarcoma, fibrosarcoma and osteosarcoma; skin cancer, including melanoma, Kapos's sarcoma, basocellular cancer and squamous cell cancer; testicular cancer, including germinal tumors (seminoma, non-seminoma (teratomas, choriocarcinomas)), stromal tumors and germ cell tumors; thyroid cancer, including thyroid adenocarcinoma and medullar carcinoma; and renal cancer including adenocarcinoma and Wilms tumor.

The compound of the invention are useful with hormone dependent and also with nonhormone dependent cancers. They also are useful with prostate and breast cancers. They further are useful with multidrug resistant strains of cancer.

In addition to the particular disorders enumerated above, the invention is also useful in treating or preventing dermatological diseases including keloids, hypertrophic scars, seborrheic dermatosis, papilloma virus infection (e. g., producing verruca vulgaris, verruca plantais, verruca plan, condylomata, etc.), eczema and epithelial precancerous lesions such as actinic keratosis; other inflammatory diseases including proliferative glomerulonephritis; lupus erythematosus; scleroderma; temporal arthritis; thromboangiitis obliterans; mucocutaneous lymph node syndrome; and other pathologies mediated by growth factors including uterine leiomyomas.

The compound and methods of the invention provide myriad avantages over agents and methods commonly used to treat sickle cell disease and/or cell proliferative disorders. The compound and methods of the invention also provide myriad avantages over the treatment of sickle cell disease and/or cell proliferative disorders with Clotrimazole or other antimycotic agents. Most significantly, the compound of the invention have reduced toxicity as compare with Clotrimazole and other antimycotic agents, and therefore provide consequential therapeutic benefits in clinical settings. For example, for clotrimazole, it is well-known that the imidazole moiety is responsible for inhibiting a wide range of cytochrome P-450 isozyme catalyzed rections, which constitutes their main toxicological effects (Pappas and Franklin, 1993, ToxicoloqV 80: 27-35; Matsuura et al., 1991, Biochemical PharmacoloqY 41: 1949-1956). The compound of the invention do not contain an imidazole or imidazole-like moiety and therefore may not share Clotrimazole's known toxicities.

5.1 The Compound The compound which are capable of inhibiting the Gardos channel and/or mammalian cell proliferation according to the invention are generally substituted 3,3-diphenyl indanone, indane and (3-H) indole compound, as well as analogues of these classes of compound wherein the atoms at ring positions 1 and 2 are connecte via a double bond.

In one illustrative embodiment, the compound capable of inhibiting the Gardos channel and/or mammalian cell proliferation according to the invention are compound having the structural formula:

or pharmaceutically acceptable salts or hydrates thereof, wherein: m is 0,1,2,3 or 4; each n is independently 0,1,2,3,4 or 5; X is C or N; Y is absent, (Cl-C6) alkyl, (C1-C6) alkenyl or (Cl-C6) alkynyl; absent,-OR,-SR,=O,=S,=N-OR,-O-C(O)R,-S-C(O)R,R1is -O-C (S) R,-S-C (S) R, or when taken together with R2 is a 3-8 membered heterocycloalkyl or a substituted 3-8 membered heterocycloalkyl; R2 is absent or-H; R3 is absent or-H; R4 -OR',-SR',-NR'2,-CN,-NO2,(C3-C8)cycloalkyl,-H, 3-8 membered heterocycloalkyl, -C (O) R',-C (S) R',-C (O) OR', -C (S) OR', -C (O) SR',-C (S) SR',-C (O) NR'2 or-C (S) NR'2; each Rst R6 and R, is independently selected from the group consisting -R',-OR',-SR',-NR'2,-ONR'2,-halogen, -SNR'2, -NO2, -CN, -C (O) R',-C (S) R',-C (O) OR', -C (O) Sort, -C (S) OR', -CS (S) R',-C (O) NR'2,-C (S) NR'2, -C (O) NRI (ORI), -C (S) NRI (ORI);-C (O) NRI (SRI),-C (S) NRI (SRI),-CH (CN) 21 -CH[C(O)OR']2,-CH[C(S)OR']2,-CH[C(O)R']2,-CH[C(S)R']2, -CH [C (O) SR']2 and-CH [C (S) SR']2 ; each R is independently selected from the group consisting of-H, (Cl-C6) alkyl, (Cl-C6) alkenyl, (C1-C6) alkynyl, (Cs-C20) aryl, substituted (Cl-C20) aryl, (C6-C26) alkaryl and substituted (C6-C26) alkaryl; the heterocycloalkyl substituents are each independently selected from the group consisting of -CN, -NO2, -NR'2, -OR', -C(O)OR',-C(S)OR',-C(O)SR',-C(S)SR'-C(O)NR'2,-C(S)NR'2, and trihalomethyl; the aryl and alkaryl substituents are each independently selected from the group consisting of halogen,-C (O) R', -C (S) R',-C (O) OR', -C (S) OR', -C (O) SR',-C (S) SR',-C (O) NR'2, -C (S) NR'2 and trihalomethyl;

each R' is independently selected from the group consisting of-H, (C1-C6) alkyl, (Cl-C6) alkenyl and (C1-C6) alkynyl; and ---designates a single or double bond.

In the compound of structural formula (I), the bond between the atomes art ring positions 1 and 2 (designated---) can be either a single or double bond. It will be recognized by those of skill in the art that when the bond is a double bond, certain of the substituents must be absent. It will also be recognized that the identity of X also influences the presence or absence of certain substituents. Thus, it is to be understood that when X is N and---is a double bond, Rl, R2 and R3 are absent; when X is C and---is a double bond, R2 and R3 are absent. When X is N and---is a single bond, one of R and R2 is present and the other is absent and R3 is present; when X is C and---is a single bond, Rl, R2 and R3 are each present.

In a preferred embodiment of the invention, the chalcogens in the compound ouf formula (I) are each oxygen.

In another preferred embodiment of the invention, the compound are those of structural formula (I) wherein: m is 0,1,2,3 or 4; each n is independently 0,1,2,3,4 or 5; X is C or N; Y is absent, (Cl-C6) alkyl, (Cl-C6) alkenyl or (Cl-C6) alkynyl; Ri is absent,-OR, =O, =N-OR, -O-C (O) R, or when taken together with R2 is a 3-8 membered oxirane or a substituted 3-8 membered oxirane; absentor-H;R2is R3 is absent or-H; R4 is -H, -OR', -NR'2, -CN, -NO2, (C3-C8) cycloalkyl, 3-8 membered oxiranyl, 5-8 membered dioxycycloalkyl,-C (O) R', -C (O) OR'or-C (O) NR'2; each R5, R6 and R, is independently selected from the group consisting -R',-OR',-NR'2,-ONR'2,-NO2,-halogen,

-CN,-C (O) R',-C (O) OR', C (O) NR',,-C (O) NR' (OR'),-CH (CN) 2 t -CH [C (O) R']2 and-CH [C (O) OR'12; each R is independently selected from the group consisting of-H, (C,-C.) alkyl, (Cl-C6) alkenyl, (C1-C6) alkynyl, (Cs-C20) aryl, substituted (C5-C20) aryl, (C6-C26) alkaryl and substituted (C6-C26) alkaryl; the oxirane substituents are each independently selected from the group consisting of -CN, -NO2, -NR'2, -OR', -C (O) NR'2, -C (O) ORI and trihalomethyl; the aryl and alkaryl substituents are each independently selected from the group consisting of halogen,-C (O) RI, -C (O) OR',-C (O) NR'2 and trihalomethyl; each R' is independently selected from the group consisting of-H, (Cl-C6) alkyl, (C1-C6) alkenyl and (Cl-C6) alkynyl; and/or ---designates a single or double bond.

In another preferred embodiment, the compound are those of structural formula (I) wherein: m is 0 or 1; each n is independently 0 or 1; X is C or N; Y is absent, (Cl-C3) a lkyl, (Cl-C3) a lkenyl or (Cl-C3) alkynyl; R, is absent-H,-OR, =O, -NR2, =N-OR, -O-C (O) R, or when taken together with R2 is 3-5 membered oxirane or 3-5 membered substituted oxirane; R2 is absent or-H; R3 is absent or-H; R4 is-H,-OR,-NR2,-CN,-C (O) OR,-C (O) NR2 or 5-6 membered dioxoycycloalkyl; each R5, R6 and R7 is independently selected from the group consisting of -R', -F, -Cl or-Br; each R is independently selected from the group consisting of-H, (Cl-C3) alkyl, (Cl-C3) alkenyl, (Cl-C3) alkynyl, substituted(C5-C10)aryl,(C6-C13)aryl, alkaryl, substituted C6-C13) alkaryl;

the oxirane substituent is -CN, -NO2, -NR'2, -OR' and trihalomethyl; the aryl and alkaryl substituents are each independently selected from the group consisting of -F, -Cl, -Br, -CN, -NO2, -NR'2, -C (O) R',-C (O) OR'and trihalomethyl; R' is -H, (Cl-C3) alkyl, (C1-C3) alkenyl or (Cl-C3) alkynyl; and/or ---is a single or double bond.

In still another preferred embodiment, the compound are those of structural formula (I) wherein: m is 0,1,2,3 or 4; each n is independently 0,1,2,3,4 or 5; X is C or N; Y is absent, (Cl-C6) alkyl, (Cl-C6) alkenyl or (Cl-C6) alkynyl; R, is absent,-OR,-SR, =O, =S, =N-OR, -O-C (O) R,-S-C (O) R, -O-C (S) R,-S-C (S) R, or when taken together with R2 is a 3-8 membered heterocycloalkyl or a substituted 3-8 membered heterocycloalkyl; R2 is absent or-H; R3 is absent or-H; -H,-OR',-SR',-NR'2,-CN,-NO2,(C3-C8)cycloalkyl,R4is 3-8 membered heterocycloalkyl,-C (O) R',-C (S) R',-C (O) OR', -C (S) OR', -C (O) SR',-C (S) SR',-C (O) NR'2 or-C (S) NR'2; each R5, R6 and R7 is independently selected from the group consisting -R1,-OR1,-SR',-NR'2,-ONR'2,-halogen, -SNR'2, -NO2, -CN, -C (O) R',-C (S) R',-C (O) OR', -C (O) SR', -C(O)NR'2,-C(S)NR'2,-C(O)NR'(OR'),-C(S)OR',-CS(S)R', -C (S) NRI (ORI);-C (O) NRI (SRI),-C (S) NRI (SRI),-CH (CN) 2, -CH [C (O) R'32t-CH [C (S) R'121-CH [C (O) OR']2, -CH [C (S) OR']2, -CH [C (O) SR']2 and-CH [C (S) SR']2; each R is independently selected from the group consisting of-H, (Cl-C6) alkyl, (Cl-C6) alkenyl, (Cl-C6) alkynyl, substituted(C5-C20)aryl,(C6-C26)aryl, alkaryl and substituted (C6-C26) alkaryl;

the heterocycloalkyl substituents are each independently selected from the group consisting of -CN, -NO2, -NR'2, -OR', -C (O) NR'2,-C (S) NR'2, -C (O) OR',-C (S) OR',-C (O) SR',-C (S) SR' and trihalomethyl; the aryl and alkaryl substituents are each independently selected from the group consisting of halogen,-C (O) R', -C (S) R',-C (O) OR' ;-C (S) OR', -C (O) SR',-C (S) SR',-C (O) NR'2, -C (S) NR'2 and trihalomethyl; each R' is independently selected from the group consisting of-H, (C1-C6) alkyl, (Cl-C6) alkenyl and (C1-C6) alkynyl; ---designates a single or double bond; and wherein when X is C and R, is =O, =S or-OR', at least one of Rst R6 or R, is other than-R', preferably other than-H, or Y is present or R4 is other than-H; and when X is N,---is a double bond and R1, R2, R3 and Y are absent, R4 is other than otherthan-NH2.-NR'2,preferably In still another preferred embodiment, the compound are those of structural formula (I) wherein: m is 0,1,2,3 or 4; each n is independently 0,1,2,3,4 or 5; X is C; Y is absent, (C1-C6) alkyl, (Cl-C6) alkenyl or (Cl-C6) alkynyl; Ri is absent,-OR,-SR, =O, =S, =N-OR, -O-C (O) R,-S-C (O) R, -O-C (S) R,-S-C (S) R, or when taken together with R2 is a 3-8 membered heterocycloalkyl or a substituted 3-8 membered heterocycloalkyl; R2 is absent or-H; R3 is absent or-H; -H,-OR',-SR',-NR'2,-CN,-NO2,(C3-C8)cycloalkyl,R4is 3-8 membered heterocycloalkyl,-C (O) R',-C (S) R',-C (O) OR', -C (S) OR', -C (O) SR',-C (S) SR',-C (O) NR'2 or-C (S) NR'2; each R5, R6 and R, is independently selected from the group consisting -R',-OR',-SR',-NR'2,-ONR'2,-halogen, -CN,-C(O)R',-C(S)R',-C(O)OR',-C(O)SR',-SNR'2,-NO2, -C(O)NR'2,-C(S)NR'2,-C(O)NR'(OR'),-C(S)OR',-CS(S)R',

-C (S) NR' (OR') ;-C (O) NR' (SR'),-C (S) NR' (SR'),-CH (CN) 2, -CH [C (O) R'121-CH [C (S) R']2, -CH [C (O) OR'121-CH [C (S) OR']2, -CH [C (O) Sur'12 and-CH [C (S) SR']2 ; each R is independently selected from the group consisting (C1-C6)-H, alkyl, (C1-C6)alkenyl, alkynyl, substituted(C5-C20)aryl,(C6-C26)aryl, alkaryl and substituted (C6-C26) alkaryl; the heterocycloalkyl substituents are each independently selected from the group consisting of -CN, -NO2, -NR'2, -OR', -C (O) NR'2,-C (S) NR'2, -C (O) OR', -C (S) OR', -C (O) SR',-C (S) SR' and trihalomethyl; the aryl and alkaryl substituents are each independently selected from the group consisting of halogen,-C (O) R', -C (S) R',-C (O) OR', -C (S) OR', -C (O) SR',-C (S) SR',-C (O) NR'2, -C (S) NR'2 and trihalomethyl; each R' is independently selected from the group consisting of-H, (Cl-C6) alkyl, (C1-C6) alkenyl and (C1-C6) alkynyl; ---designates a single or double bond; and wherein when Rl is =O or-OH, at least one of Rs, R6 or R7 is other than -R', preferably other than-H, or Y is present or R4 is other than-H.

In still another preferred embodiment, the compound of structural formula (I) are selected from the group of compound set forth below:

In still another preferred embodiment, the compound of structural formula (I) are selected from the group consisting of Compounds 4,5,6,7,8,9,10,11,12,13,14,15,16,17, 18,19 and 20.

The chemical structural formulae referred to herein may exhibit the phenomena of tautomerism, conformational isomerism, stereoisomerism or geometric isomerism. As the structural formulae drawings within this specification can represent only one of the possible tautomeric, conformational isomeric, enantiomeric or geometric isomeric forms, it should be understood that the invention encompasses any tautomeric, conformational isomeric, enantiomeric or geometric isomeric forms which exhibit biological or pharmacological activity as described herein.

The compound of the invention may be in the form of free acids, free bases or pharmaceutically effective salts thereof.

Such salts can be readily prepared by treating a compound with an appropriate acid. Such acids inclue, by way of example and not limitation, inorganic acids such as hydrohalic acids (hydrochloric, hydrobromic, etc.), sulfuric acid, nitric acid, phosphoric acid, etc.; and organic acids such as acetic acid,

propanoic acid, 2-hydroxyacetic acid, 2-hydroxypropanoic acid, 2-oxopropanoic acid, propandioic acid, butandioic acid, etc.

Conversely, the salt can be converted into the free base form by treatment with alkali.

In addition to the above-described compound and their pharmaceutically acceptable salts, the invention may employ, where applicable, solvate as well as unsolvated forms of the compound (e. g., hydrate forms).

The compound described herein may be prepared by any processes known to be applicable to the preparation of chemical compound. Suitable processes are well known in the art. Preferred processes are illustrated by the representative examples. Necessary starting materials may be obtained commercially or by standard procedures of organic chemistry. Moreover, many of the compound are commercially available.

An individual compound's relevant activity and potency as an agent to affect sickle cell dehydration or deformation and/or mammalian cell proliferation may be determined using standard techniques. Preferentially, a compound is subject to a series of screens to determine its pharmacological activity.

In most cases, the active compound of the invention exhibit two pharmacological activities: inhibition of the Gardos channel of erythrocytes and inhibition of mammalian cell proliferation. However, in some cases, the compound of the invention may exhibit only one of these pharmacological activities. Any compound encompassed by structural formula (I) which exhibits at least one of these pharmacological activities is considered to be within the scope of the present invention.

In general, the active compound of the invention are those which induce at least about 25% inhibition of the Gardos channel of erythrocytes (measured at about 10 pM) and/or about 25% inhibition of mammalian cell proliferation (measured at about 10 pM), as measured using in vitro assays that are commonly known in the art (see, e. g., Brugnara et al., 1993, J. Biol. Chem. 268 (12): 8760-8768; Benzaquen et al., 1995,

Nature Medicine 1: 534-540). Alternatively, or in addition, the active compound of the invention generally will have an ICso (concentration of compound that yields 50% inhibition) for inhibition of the Gardos channel of less than about 10 gm and/or an IC50 for inhibition of cell proliferation of less than about 10 MM, as measured using in vitro assays that are commonly known in the art (see, e. g., Brugnara et al., 1993, J. Biol. Chem. 268 (12): 8760-8768; Benzaquen et al., 1995, Nature Medicine 1: 534-540).

Representative active compound according to the invention are Compounds 1 through 20, as illustrated above.

In certain embodiments of the invention, compound which exhibit only one pharmacological activity, or a higher degree of one activity, may be preferred. Thus, when the compound is to be used in methods to treat or prevent sickle cell disease, or in methods to reduce sickle cell dehydration and/or delay the occurrence of erythrocyte sickling or deformation in site, it is preferred that the compound exhibit at least about 75% Gardos channel inhibition (measured at about 10 ßM) and/or have an ICso of Gardos channel inhibition of less than about 1 pM, with at least about 90% inhibition and/or an ICso Of less than about 0.1 UM being particularly preferred.

Exemplary preferred compound for use in methods related to Gardos channel inhibition and sickle cell disease include compound numbers 1,2,3,4,7,9,12,13 and 14.

When the compound is to be used in methods to treat or prevent disorders characterized by anormal cell proliferation or in methods to inhibit cell proliferation in situ, it is preferable that the compound exhibit at least about 75% inhibition of mitogen-induced cell proliferation (measured at about 10 AM) and/or have an ICso of cell proliferation of less than about 3.5 pM, with at least about 90% inhibition and/or an ICso °f less than about 1 pM being particularly preferred.

Exemplary preferred compound for use in methods inhibiting mammalian cell proliferation or for the treatment or prevention of diseases characterized by anormal cell

proliferation include compound numbers 1,2,3,4,6,7,8, 10,11,15,16,17,19 and 20.

5.2 Formulation and Routes of Administration The compound described herein, or pharmaceutically acceptable addition salts or hydrates thereof, can be delivered to a patient using a wide variety of routes or modes of administration. Suitable routes of administration inclue, but are not limited to, inhalation, transdermal, oral, rectal, transmucosal, intestinal and parenteral administration, including intramuscular, subcutaneous and intravenous injections.

The compound described herein, or pharmaceutically acceptable salts and/or hydrates thereof, may be administered singly, in combination with other compound of the invention, and/or in cocktails combine with other therapeutic agents.

Of course, the choice of therapeutic agents that can be co- administered with the compound of the invention will depend, in part, on the condition being treated.

For example, when administered to patients suffering from sickle cell disease, the compound of the invention can be administered in cocktails containing agents used to treat the pain, infection and other symptoms and side effects commonly associated with sickle cell disease. Such agents inclue, e. g., analgesics, antibiotics, etc. The compound can also be administered in cocktails containing other agents that are commonly used to treat sickle cell. disease, including butyrate and butyrate derivatives (Perrine et al., 1993, N. Enql. J.

Med. 328 (2): 81-86); hydroxyurea (Charache et al., 1995, N.

Enql. J. Med. 323 (20): 1317-1322); erythropoietin (Goldberg et al, 1990, N. Engl ! J. Med. 323 (6): 366-372); and dietary salts such as magnesium (De Franceschi et al., 1996, Blood 88 (648a): 2580).

When administered to a patient undergoing cancer treatment, the compound may be administered in cocktails containing other anti-cancer agents and/or supplementary potentiating agents. The compound may also be administered

in cocktails containing agents that treat the side-effects of radiation therapy, such as anti-emetics, radiation protectants, etc.

Anti-cancer drugs that can be co-administered with the compound of the invention inclue, e. g., Aminoglutethimide; Asparaginase; Bleomycin; Busulfan; Carboplatin; Carmustine (BCNU); Chlorambucil; Cisplatin (cis-DDP); Cyclophosphamide; Cytarabine HCl; Dacarbazine; Dactinomycin; Daunorubicin HC1; Doxorubicin HC1; Estramustine phosphate sodium; Etoposide (VP- 16); Floxuridine; Fluorouracil (5-FU); Flutamide; Hydroxyurea (hydroxycarbamide); Ifosfamide; Interferon Alfa-2a, Alfa 2b, Lueprolide acetate (LHRH-releasing factor analogue); Lomustine (CCNU); Mechlorethamine HC1 (nitrogen musard); Melphalan; Mercaptopurine; Mesna; Methotrexate (MTX); Mitomycin; Mitotane (o. p'-DDD); Mitoxantrone HC1; Octreotide; Plicamycin; Procarbazine HC1; Streptozocin; Tamoxifen citrate; Thioguanine; Thiotepa; Vinblastine sulfate; Vincristine sulfate; Amsacrine (m-AMSA); Azacitidine; Hexamethylmelamine (HMM); Interleukin 2; Mitoguazone (methyl-GAG; methyl glyoxal bis-guanylhydrazone; MGBG); Pentostatin; Semustine (methyl- CCNU); Teniposide (VM-26); paclitaxel and other taxanes; and Vindesine sulfate.

Supplementary potentiating agents that can be co- administered with the compound ouf-té invention inclue, e. g., Tricyclic anti-depressant drugs (e. g., imipramine, desipramine, amitriptyline, clomipramine, trimipramine, doxepin, nortriptyline, protriptyline, amoxapine and maprotiline); non-tricyclic and anti-depressant drugs (e. g., sertraline, trazodone and citalopram); Ca"antagonists (e. g., verapamil, nifedipine, nitrendipine and caroverine); Amphotericin (e. g., Tween 80 and perhexiline maleate); Triparanol analogues (e. g., tamoxifen); antiarrhythmic drugs (e. g., quinidine); antihypertensive drugs (e. g., reserpine) ; Thiol depleters (e. g., buthionine and sulfoximine); and calcium leucovorin.

The active compound (s) may be administered per se or in the form of a pharmaceutical composition wherein the active

compound (s) is in admixture with one or more pharmaceutically acceptable carriers, excipients or diluent. Pharmaceutical compositions for use in accordance with the present invention may be formulated in conventional manner using one or more physiologically acceptable carriers comprising excipients and auxiliaries which facilitate processing of the active compound into preparations which can be used pharmaceutically. Proper formulation is dependent upon the route of administration chosen.

For injection, the agents of the invention may be formulated in aqueous solutions, preferably in physiologically compatible buffers such as Hanks's solution, Ringer's solution, or physiological saline buffer. For transmucosal administration, penetrants appropriate to the barrier to be permeated are used in the formulation. Such penetrants are generally known in the art.

For oral administration, the compound can be formulated readily by combining the active compound (s) with pharmaceutically acceptable carriers well known in the art.

Such carriers enable the compound of the invention to be formulated as tables, pills, dragees, capsules, liquids, gels, syrups, slurries, suspensions and the like, for oral ingestion by a patient to be treated. Pharmaceutical preparations for oral use can be obtained solid excipient, optionally grinding a resulting mixture, and processing the mixture of granules, after adding suitable auxiliaries, if desired, to obtain tablets or dragee cores. Suitable excipients are, in particular, fillers such as sugars, including lactose, sucrose, mannitol, or sorbitol; cellulose preparations such as, for example, maize starch, wheat starch, rice starch, potato starch, gelatin, gum tragacanth, methyl cellulose, hydroxypropylmethyl-cellulose, sodium carboxymethylcellulose, and/or polyvinylpyrrolidone (PVP). If desired, disintegrating agents may be added, such as the cross-linked polyvinyl pyrrolidone, agar, or alginic acid or a salt thereof such as sodium alginate.

Dragee cores are provided with suitable coatings. For this purpose, concentrated sugar solutions may be used, which may optionally contain gum arabic, talc, polyvinyl pyrrolidone, carbopol gel, polyethylene glycol, and/or titanium dioxide, lacquer solutions, and suitable organic solvents or solvent mixtures. Dyestuffs or pigments may be added to the tablets or dragee coatings for identification or to characterize different combinations of active compound doses.

Pharmaceutical preparations which can be used orally include pus-fit capsules made of gelatin, as well as soft, sealed capsules made of gelatin and a plasticizer, such as glycerol or sorbitol. The pus-fit capsules can contain the active ingredients in admixture with filler such as lactose, binders such as starches, and/or lubricants such as talc or magnesium stearate and, optionally, stabilizers. In soft capsules, the active compound may be dissolve or suspende in suitable liquids, such as fatty oils, liquid paraffin, or liquid polyethylene glycols. In addition, stabilizers may be added. All formulations for oral administration should be in dosages suitable for such administration.

For buccal administration, the compositions may take the form of tablets or lozenges formulated in conventional manner.

For administration by inhalation, the compound for use according to the present invention are conveniently delivered in the form of an aerosol spray presentation from pressurized packs or a nebulizer, with the use of a suitable propellant, e. g., dichlorodifluoromethane, trichlorofluoromethane, dichlorotetrafluoroethane, carbon dioxide or other suitable gas. In the case of a pressurized aerosol the dosage unit may be determined by providing a valve to deliver a metered amount. Capsules and cartridges of e. g. gelatin for use in an inhaler or insufflator may be formulated containing a powder mix of the compound and a suitable powder base such as lactose or starch.

The compound may be formulated for parenteral administration by injection, e. g., by bolus injection or

continuos infusion. Formulations for injection may be presented in unit dosage form, e. g., in ampoules or in multi- dose containers, with an added preservative. The compositions may take such forms as suspensions, solutions or mulsions in oily or aqueous vehicles, and may contain formulatory agents such as suspending, stabilizing and/or dispersing agents.

Pharmaceutical formulations for parenteral administration include aqueous solutions of the active compound in water-soluble form. Additionally, suspensions of the active compound may be prepared as appropriate oily injection suspensions. Suitable lipophilic solvents or vehicles include fatty oils such as sesame oil, or synthetic fatty acid esters, such as ethyl oleate or triglycerides, or liposomes. Aqueous injection suspensions may contain substances which increase the viscosity of the suspension, such as sodium carboxymethyl cellulose, sorbitol, or dextran. Optionally, the suspension may also contain suitable stabilizers or agents which increase the solubility of the compound to allow for the preparation of highly concentrated solutions.

Alternatively,. the active ingredient may be in powder form for constitution with a suitable vehicle, e. g., sterile pyrogen-free water, before use.

The compound may also be formulated in rectal compositions such as suppositories or retention enemas, e. g., containing conventional suppository bases such as cocoa butter or other glycerides.

In addition to the formulations described previously, the compound may also be formulated as a depot preparation. Such long acting formulations may be administered by implantation or transcutaneous delivery (for example subcutaneously or intramuscularly), intramuscular injection or a transdermal patch. Thus, for example, the compound may be formulated with suitable polymeric or hydrophobic materials (for example as an mulsion in an acceptable oil) or ion exchange resins, or as sparingly soluble derivatives, for example, as a sparingly soluble salt.

The pharmaceutical compositions also may comprise suitable solid or gel phase carriers or excipients. Examples of such carriers or excipients include but are not limited to calcium carbonate, calcium phosphate, various sugars, starches, cellulose derivatives, gelatin, and polymers such as polyethylene glycols.

5.3 Effective Dosages Pharmaceutical compositions suitable for use with the present invention include compositions wherein the active ingredient is contained in a therapeutically effective amount, i. e., in an amount effective to achieve its intended purpose.

Of course, the actual amount effective for a particular application will depend, inter alia, on the condition being treated. For example, when administered in methods to reduce sickle cell dehydration and/or delay the occurrence of erythrocyte sickling or distortion in situ, such compositions will contain an amount of active ingredient effective to achieve this result. When administered in methods to inhibit cell proliferation, such compositions will contain an amount of active ingredient effective to achieve this result. When administered to patients suffering from sickle cell disease or disorders characterized by anormal cell proliferation, such compositions will contain an amount of active ingredient effective to, inter alia, prevent the development of or alleviate the existing symptoms of, or prolong the survival of, the patient being treated. For use in the treatment of cancer, a therapeutically effective amount further inclues that amount of compound or composition which arrests or regresses the growth of a tumor. Determination of an effective amount is well within the capabilities of those skilled in the art, especially in light of the detailed disclosure herein.

For any compound described herein the therapeutically effective amount can be initially determined from cell culture arrays. Target plasma concentrations will be those concentrations of active compound (s) that are capable of

inducing at least about 25% inhibition of the Garaos channel and/or at least about 25% inhibition of cell proliferation in cell culture assays, depending, of course, on the particular desired application. Target plasma concentrations of active compound (s) that are capable of inducing at least about 50%, 75%, or even 90% or higher inhibition of the Gardos channel and/or cell proliferation in cell culture assays are preferred. The percentage of inhibition of the Gardos channel and/or cell proliferation in the patient can be monitored to assess the appropriateness of the plasma drug concentration achieved, and the dosage can be adjusted upwards or downwards to achieve the desired percentage of inhibition.

Therapeutically effective amounts for use in humans can also be determined from animal models. For example, a dose for humans can be formulated to achieve a circulating concentration that has been found to be effective in animals.

A particularly useful animal model for sickle cell disease is the SAD mouse model (Trudel et al., 1991, EMBO J. 11: 3157- 3165). Useful animal models for diseases characterized by anormal cell proliferation are well-known in the art. In particular, the following references provide suitable animal models for cancer xenografts (Corbett et al., 1996, J. Exp.

Ther. Oncol. 1: 95-108; Dykes et al., 1992, Contrib. Oncol.

Basel. Karqer 42: 1-22), restenosis (Carter et al., 1994, J.

Am. Coll. Cardiol. 24 (5): 1398-1405), atherosclerosis (Zhu et al., 1994, Cardioloqv 85 (6): 370-377) and neovascularization (Epstein et al., 1987, Cornea 6 (4): 250-257). The dosage in humans can be adjusted by monitoring Gardos channel inhibition and/or inhibition of cell proliferation and adjusting the dosage upwards or downwards, as described above.

A therapeutically effective dose can also be determined from human data for compound which are known to exhibit similar pharmacological activities, such as Clotrimazole and other antimycotic agents (see, e. g., Brugnara et al., 1995, JPET 273: 266-272; Benzaquen et al., 1995, Nature Medicine 1: 534-540; Brugnara et al., 1996, J. Clin. Invest. 97 (5): 1227- 1234). The applied dose can be adjusted based on the relative

bioavailability and potency of the administered compouna as compare with Clotrimazole.

Adjusting the dose to achieve maximal efficacy in humans based on the methods described above and other methods as are well-known in the art is well within the capabilities of the ordinarily skilled artisan.

Of course, in the case of local administration, the systemic circulating concentration of administered compound will not be of particular importance. In such instances, the compound is administered so as to achieve a concentration at the local area effective to achieve the intended result.

For use in the prophylaxis and/or treatment of sickle cell disease, including both chronic sickle cell episodes and acute sickle cell crisis, a circulating concentration of administered compound of about 0.001 ßM to 20 AM is considered to be effective, with about 0.1 pM to 5 ßM being preferred.

Patient doses for oral administration of the compound described herein, which is the preferred mode of administration for prophylaxis and for treatment of chronic sickle cell episodes, typically range from about 80 mg/day to 16,000 mg/day, more typically from about 800 mg/day to 8000 mg/day, and most typically from about 800 mg/day to 4000 mg/day. Stated in terms of patient body weight, typical dosages range from about 1 to 200_mg/kg/day, more typically from about 10 to 100 mg/kg/day, and most typically from about 10 to 50 mg/kg/day. Stated in terms of patient body surface areas, typical dosages range from about 40 to 8000 mg/m2/day, more typically from about 400 to 4000 mg/m2/day, and most typically from about 400 to 2000 mg/m2/day.

For use in the treatment of disorders characterized by anormal cell proliferation, including cancer, arteriosclerosis and angiogenic conditions such as restenosis, a circulating concentration of administered compound of about 0.001 pM to 20 ßM is considered to be effective, with about 0.1 pM to 5 µM being preferred.

Patient doses for oral administration of the compound described herein for the treatment or prevention of cell

proliferative disorders typically range from about 80 mg/day to 16,000 mg/day, more typically from about 800 mg/day to 8000 mg/day, and most typically from about 800 mg/day to 4000 mg/day. Stated in terms of patient body weight, typical dosages range from about 1 to 200 mg/kg/day, more typically from about 10 to 100 mg/kg/day, and most typically from about 10 to 50 mg/kg/day. Stated in terms of patient body surface areas, typical dosages range from about 40 to 8000 mg/m2/day, more typically from about 400 to 4000 mg/m2/day, and most typically from about 400 to 2000 mg/mz/day.

For other modes of administration, dosage amount and interval can be adjusted individually to provide plasma levels of the administered compound effective for the particular clinical indication being treated. For example, if acute sickle crises are the most dominant clinical manifestation, a compound according to the invention can be administered in relatively high concentrations multiple times per day.

Alternatively, if the patient exhibits only periodic sickle cell crises on an infrequent or periodic or irregular basis, it may be more desirable to administer a compound of the invention at minimal effective concentrations and to use a less frequent regimen of administration. This will provide a therapeutic regimen that is commensurate with the severity of the sickle cell disease state.

For use in the treatment of tumorigenic cancers, the compound can be administered before, during or after surgical removal of the tumor. For example, the compound can be administered to the tumor via injection into the tumor mass prior to surgery in a single or several doses. The tumor, or as much as possible of the tumor, may then be removed surgically. Further dosages of the drug at the tumor site can be applied post removal. Alternatively, surgical removal of as much as possible of the tumor can precede administration of the compound at the tumor site.

Combine with the teachings provided herein, by choosing among the various active compound and weighing factors such as potency, relative bioavailability, patient body weight,

severity or adverse side-effects and preferred moae of administration, an effective prophylactic or therapeutic treatment regimen can be planned which does not cause substantial toxicity and yet is entirely effective to treat the clinical symptoms demonstrated by the particular patient.

Of course, many factors are important in determining a therapeutic regimen suitable for a particular indication or patient. Severe indications such as cancer may warrant administration of higher dosages as compare with less severe indications such as sickle cell disease.

5.4 Toxicity The ratio between toxicity and therapeutic effect for a particular compound is its therapeutic index and can be expressed as the ratio between LDso (the amount of compound lethal in 50% of the population) and ED50 (the amount of compound effective in 50% of the population). Compound which exhibit high therapeutic indices are preferred. Therapeutic index data obtained from cell culture assays and/or animal studies can be used in formulating a range of dosages for use in humans. The dosage of such compound preferably lies within a range of plasma concentrations that include the ED50 with little or no toxicity. The dosage may vary within this range depending upon the dosage form employed and the route of administration utilized. The exact formulation, route of administration and dosage can be chosen by the individual physician in view of the patient's condition. (See e. g. Fingl et al., 1975, In: The Pharmacoloaical Basis of Therapeutics, Ch. 1 pl).

The invention having been described, the following examples are intended to illustrate, not limit, the invention.

6. EXAMPLE: Compound Syntheses This Example demonstrates general methods for synthesizing the compound of the invention, as well as preferred methods of synthesizing certain exemplary compound

of the invention. In all of the rection schemes described herein, suitable starting materials are either commercially available or readily obtainable using standard techniques of organic synthesis. Where necessary, suitable groups and schemes for protecting the various funtionalities are well- known in the art, and can be found, for example, in Kocienski, Protectinq Groupse Georg Thieme Verlag, New York, 1994 and Greene & Wuts, Protective Groups in Orqanic Chemistry, John Wiley & Sons, New York, 1991.

In FIGS. 1 and 2, the various substituents are defined as for structure (I), supra.

6.1 Synthesis of Substituted 3, 3-Diphenyl Indanones Referring to FIG. 1, substituted 3,3-diphenyl indanone compound are synthesized as follows: substituted triphenylpropionic acid 100 (0.25-0.50 M in sulfuric acid) is stirred at room temperature for 1 hour and then poured into an equal volume of cold water. The aqueous mixture is extracted with an equal volume of ethyl acetate and the organics dried over sodium sulfate. Evaporation gives the desired substituted 3,3-diphenyl indanone compound 102 in about 60-75% yield.

6.2 Synthesis of Substituted 1-Hydroxy-3,3-Diphenyl Indane Compound Referring to FIG. 1, substituted 1-hydroxy-3,3- diphenyl indane compound are synthesized as follows: a solution of substituted 3,3-diphenylindanone 102 (0.25 M in tetrahydrofuran) is added dropwise to 0.25 volume of a 1.0 M solution of lithium aluminum hydride in tetrahydrofuran at 0-5 OC. The mixture is warmed to reflux and refluxed for 2.5 h, cooled to 0-5 OC and an equal volume of 1 M HC1 added slowly. The mixture is then extracted three times with an equal volume of ethyl acetate. The combine organic extracts are washed with a saturated aqueous solution of sodium bicarbonate and dried over sodium sulfate. Evaporation gives the desired substituted 1-hydroxy-3,3-diphenyl indane compound 104 in about 45-90 % yield.

6.3 Synthesis of Substituted 1-N-Oxime-3,3-Diphenyl Indanes Referring to FIG. 1, substituted 1-N-oxime-3,3- diphenyl indane compound are synthesized as follows: substituted 3,3-diphenylindanone 102 (1 equivalent) is combine with 5 equivalents of hydroxylamine hydrochloride and 10 equivalents of sodium acetate and dissolve in methanol.

The solution is stirred at room temperature for 16 h and then an equal volume of water is added. The mixture is extracted three times with an equal volume of ethyl acetate and the combine organic extracts are dried over sodium sulfate.

Evaporation gives the desired substituted 1-N-oxime-3,3- diphenyl indane compound 106 (as a mixture of cis and trans isomers) in about 90-98 % yield.

6.4 Synthesis of Substituted 2-Alkyl-3,3-Diphenyl Indanones Referring to FIG. 1, substituted 2-alkyl-3,3- diphenyl indanone compound are synthesized as follows: substituted 3,3-diphenyl indanone 102 (1 equivalent) is dissolve in tetrahydrofuran (0.4-1.0 M) and 1.2 equivalents of potassium hydride is, added. The mixture is stirred at room temperature until the gas evolution subsides and then the bromoalkane (1.2 equivalents) is added. The mixture is stirred at room temperature and monitored by TLC. The rection is quenched with water and the mixture extracted with ethyl acetate. The desired substituted 2-alkyl-3,3-diphenyl indanone compound 108 is isolated by silica gel chromatography in about 50-75% yield.

6.5 Synthesis of Substituted 1-Alkoxy-3,3-Diphenyl Indanes Referring to FIG. 1, substituted 1-alkoxy-3,3- diphenyl indane compound are synthesized as follows: substituted 1-hydroxy-3,3-diphenylindanone 104 (1 equivalent) is combine with 2 equivalents of sodium hydride in N, N- dimethylformamide and stirred at room temperature until the gas evolution subsides. The haloalkane (2 equivalents) is

added and stirred at room temperature for 16-20 hours. An equal volume of water is added and the mixture extracted four times with twice the volume of ethyl acetate. The combine organic extracts are dried over sodium sulfate and the solvent removed in vacuo. The desired substituted 1-alkoxy-3,3- diphenyl indane compound 110 is isolated by vacuum distillation.

6.6 Svnthesis of Substituted 3,3-Diphenvl-3H-Indoles Referring to FIG. 2, substituted 3,3-diphenyl-3H- indole compound are synthesized as follows: substituted phenyl hydrazine 120 is combine with an equimolar amount of substituted 1,1-diphenyl-2-ketone 122 in phosphoric acid.

This mixture is stirred at 100-120 OC until the rection is complete as determined by TLC. The rection is cooled to 60- 70 oc and diluted with twice the volume of water while stirring. After cooling to room temperature, the mixture is filtered, washed with water, and the crude solid substituted 3,3-diphenyl indole compound 124 is purifie by column chromatography or crystallization.

6.7 Synthesis of Substituted 3. 3-Dinhenyl-3N-Indolines Referring to FIG. 2, substituted 3,3-diphenyl-3H- indoline compound are synthesized as follows: substituted 3,3-diphenyl indole compound 124 is reduced with sodium borohydride or sodium cyanoborohydride in a suitable solvent to yield the substituted 3,3-diphenyl-3H-indoline compound 126.

6.8 Synthesis of Substituted N-Substituted-3,3-Diphenyl Indolines Referring to FIG. 2, substituted N-substituted-3,3- diphenyl indoline compound are synthesized as follows: substituted 3,3-diphenyl indoline 126 (1 equivalent) is combine with an alkyl halide (1 equivalent) and potassium carbonate (3-4 equivalents) in acetonitrile. The mixture is stirred at reflux until the rection is complete as determined by TLC. Water and ethyl acetate are added and the mixture is

extracted with ethyl acetate. Evaporation of the combine ethyl acetate extracts gives the crude substituted N- substituted-3,3-diphenyl indoline compound 128, which is purifie by column chromatography.

6.9 SYnthesis of 3,3-DiphenYlindanone (ComPound 2) 3,3-Diphenylindanone (Compound 2) was synthesized as follows: Triphenylpropionic acid (12 g, 0.04 mol) was stirred in 50 ml concentrated sulfuric acid for 1 hour. The rection mixture was cooled in an ice bath and diluted with 50 ml water. This mixture was extracted three times with ethyl acetate. The ethyl acetate extracts were combine, dried over sodium sulfate and the solvent removed in vacuo to yield 9.0 g (78% yield) of 3,3-Diphenylindanone (Compound 2) as a white solid having a melting point of 119-123°C.

6.10 Synthesis of 1-Hydroxy-3,3-Diphenylindane (Compound 3) 1-Hydroxy-3,3-Diphenylindane (Compound 3) was synthesized as follows: A solution of 2 g (0.007 mol) 3,3- diphenylindanone (Compound 2) in 20 ml of tetrahydrofuran was added dropwise to a solution of 0.34 g (0.009 mol) LiAlH9 in 10 ml tetrahydrofuran at 0-5°C. The mixture was warmed to reflux and refluxed for 3 hr., cooled to 0-5°C and 30 ml of 1 M HC1 added slowly. The mixture was then extracted three times with 60 ml ethyl acetate. The ethyl acetate extracts were combine, washed with a saturated aqueous solution of sodium bicarbonate and dried over sodium sulfate. Evaporation of the solvent gave 0.9 g (45% yield) of 1-Hydroxy-3,3-Diphenylindane (Compound 3) as white crystals with a melting point of 133- 135°C.

6.11 Synthesis of 1-N-Oxime-3, 3-Diphenylindane (Compound 4) 1-N-Oxime-3,3-Diphenylindane (Compound 4) was synthesized as follows: 3,3-Diphenylindanone (Compound 2) (2.0 g, 0.007 mol) was combine with 2.4 g (0.035 mol) of hydroxylamine hydrochloride and 5.8 g (0.07 mol) of sodium

acetate and dissolve in 30 ml of methanol. The solution was stirred at room temperture for 16 hr and then 100 ml of water was added. The mixture was extracted with 100 ml ethyl acetate and the organic layer dried over sodium sulfate.

Evaporation of the solvent gave 1.9 g (90% yield) of 1-N- Oxime-3,3-Diphenylindane (Compound 4) as a white solid having a melting point of 138-141°C.

6.12 Synthesis of Spiro [3,3-diphenyl-2,3- dihydro (1H) indene-1,3'-2'-cyanooxirane] (Compound 5) and 2-Cvanomethyl-3. 3-diphenvlindanOne (Compound 9) Spiro [3,3-diphenyl-2,3-dihydro (1H) indene-1,31-21- cyanooxirane) (Compound 5) and 2-cyanomethyl-3,3- diphenylindanone (Compound 9) were synthesized as follows: 3,3-diphenylindanone (Compound 2), 5.0 g (0.0176 mole) and 2.62 g (0.0229 mole) of potassium hydride were stirred at room temperature in 40 mL of tetrahydrofuran. After the gas evolution subside (approx. 45 min), 1.5 mL (0.0215 mole) of bromoacetonitrile was added. The dark red mixture was stirred for 1 hour and then 50 mL of water was added. The mixture was extracted three times with 75 mL of ethyl acetate. The combine organic extracts were concentrated in vacuo, loaded onto a silica gel column and eluted with 10% ethyl acetate in hexane. Three fractions were collecte. After evaporation of the solvent, the first fraction yielded unreacted starting material (3.5 g). The second fraction yielded 0.49 g (9% yield) of spiro [3,3-diphenyl-2,3-dihydro (1H) indene-1, 3'-2'- cyanooxirane] (Compound 5) as a white solid. The third fraction yielded 1.05 g (18% yield) of 2-cyanomethyl-3,3- diphenylindanone (Compound 9) as a yellow oil.

6.13 Synthesis of 2- (2'-Propenyl)-1-(2'-propenoxy)-3, 3- diphenylindane (Compound 6) 2-(2'-Propenyl)-1-(2'-propenoxy)-3,(2'-Propenyl)-1-(2'-prope noxy)-3, 3-diphenylindane (Compound 6) was synthesized as follows: 3,3-diphenylindanone (Compound 2) 2.0 g (0.007 mole) and 0.28 g (0.0084 mole) sodium hydride were stirred at room temperature in 40 mL of dimethylformamide for 1 hour. The rection mixture was then

added drop-wise to 0.64 mL (0.0078 mole) of allyl bromide at -50 OC. The mixture was then warmed to reflux and refluxed for 1 hour. After cooling to room temperature, 50 mL of water was added. The mixture was extracted with ethyl acetate, dried over sodium sulfate and concentrated in vacuo. 2- (21- propenyl)-l- (21-propenoxy)-3,3-diphenylindane (Compound 6) was isolated in 30% yield as the first fraction from a silica gel column using 10% dichloromethane in hexane as fluate.

6.14 Synthesis of 1-Acetoxy-3,3-diphenylindane (Compound 7) 1-Acetoxy-3,3-diphenylindane (Compound 7) was synthesized as follows: 1-Hydroxy-3,3-diphenylindane (Compound 3) (0.06 g, 0.0021 mol) was combine with 0.3 mL (0.0022 mol) triethylamine in 10 mL of dichloromethane. The mixture was warmed to reflux with stirring to dissolve all of the starting material. The heat was removed and 0.16 mL (0.0022 mol) of acetyl chloride was added to the warm solution. The mixture was returned to reflux and stirred at reflux for 1 h. After cooling. to room temperature, the rection was quenched by adding 5 mL of water. The rection mixture was extracted with dichloromethane and the organic layer dried over sodium sulfate. Evaporation of the solvent gave 0.008 g (11% yield) of 1-acetoxy-3,3-diphenylindanone (Compound 7) as an off-white solid with a melting point of 90°C.

6.15 Synthesis of 6-Chloro-3,3-di (4-chlorophenyl) indanone (Compound 8) 6-Chloro-3,3-di (4-chlorophenyl) indanone (Compound 8) was synthesized as follows: 3,3,3-Tris (4-chlorophenyl) propionic acid (1.5 g, 0.004 mol) was stirred in 10 mL of concentrated sulfuric acid at room temperature for 1.5 h. The rection mixture was then poured into 10 mL of ice water and the mixture extracted with dichloromethane. The solvent was evaporated and 0.8 g (54% yield) of 6-Chloro-3,3-di (4- chlorophenyl) indanone (Compound 8) was collecte as an off- white solid having a melting point of 134°C.

6.16 Synthesis of 6-Chloro-2-cyanomethyl-t, 3-di (4t- 10)chlorophenyl)indanone(Compound 6-Chloro-2-cyanomethyl-3,3-di(4'- chlorophenyl) indanone (Compound 10) was synthesized as follows: 6-Chloro-3,3-di (4'-chlorophenyl) indanone (Compound 8) (1.0 g, 0.0026 mol) was dissolve in 5 mL of tetrahydrofuran and 0.124 g (0.0031 mol) of sodium hydride was added. The rection mixture was stirred at room temperature for 1.5 h before 0.22 mL (0.0215 mol) of bromoacetonitrile was added. After stirring overnight the rection was quenched with water and extracted with ethyl acetate. The extracts were combine and the solvent removed in vacuo. The residue was purifie on a silica gel column using 5% ethyl acetate in hexane as the eluent. The first fraction from the column was recovered starting material (1.05 g). The second fraction contained undesired side rection product. The third fraction contained the desired product. After evaporation of the solvent, 0.179 g (16% yield) 6-Chloro-2-cyanomethyl-3,3-di (4'- chlorophenyl) indanone (Compound 10) as a pale yellow solid was obtained.

6.17 Synthesis of 6-Chloro-3, 3-di (4'-chlorophenyl)-2-N- oxime-3. 3-diphenvlindane (Compound 11) 6-Chloro-3,3-di (4'-chlorophenyl)-2-N-oxime-3,3- diphenylindane (Compound 11) was synthesized as follows: 6- Chloro-3,3-di (4'-chlorophenyl) indanone (compound 8) (0.80 g, 0.0021 mol) was combine with 0.72 g (0.0103 mol) of hydroxylamine hydrochloride and 1.69 g (0.0206 mol) of sodium acetate and dissolve in 25 mL of methanol. The solution was stirred at room temperature for 16 h and then water was added.

The mixture was extracted with ethyl acetate and the organic layer was dried over magnesium sulfate. Evaporation of the solvent gave 0.85 g (100% yield) of 6-Chloro-3,3-di (4'- chlorophenyl)-2-N-oxime-3,3-diphenylindane (Compound 11) as a white solid having a melting point of 85°C.

6.18 Synthesis of 2-Acetamide-3,3-diphenylindanone (Compound 12) _ 2-Acetamide-3,3-diphenylindanone (Compound 12) was synthesized as follows: 2-Cyanomethyl-3,3-diphenylindanone (0.685 g, 0.0021 mol) was combine with 10 mL of concentrated sulfuric acid and 10 mL of glacial acetic acid. The solution was stirred at room temperature for 3 h and then water was added. The mixture was cooled in an ice bath and neutralized to pH 7 with concentrated ammonium hydroxide and then extracted with ethyl acetate. The organic layer was dried over magnesium sulfate. Evaporation of the solvent gave 0.77 g of a light orange solid. This solid was crystallized from a mixture of ethyl acetate and hexane. 2-Acetamide-3,3- diphenylindanone (Compound 12) was obtained as off-white crystals, 0.527g (73% yield), having a melting point of 169- 171°C.

6.19 Synthesis of 2-Cyanomethyl-3,3-diphenylindanol (Compound 13) 2-Cyanomethyl-3,3-diphenylindanol (Compound 13) was synthesized as follows: 2-Cyanomethyl-3,3-diphenylindanone (Compound 2) (0.311 g, 0.001 mol) was dissolve in 5 mL of ethanol at room temperature. Sodium borohydride (0.437 g, 0.011 mol) was added and the mixture was stirred at room temperature for 15 min. The mixture was diluted with ethyl acetate and the pH was adjusted to 2 with 2N hydrochloric acid. The layers were separated and the aqueous layer extracted twice with ethyl acetate. The combine extracts were evaporated in vacuo and the crude product was purifie on a silica gel column using 20% ethyl acetate in hexane. The first fraction was unreacted starting material. Té second fraction, when the solvent was evaporated, gave 0.16 g (51t yield) of 2-Cyanomethyl-3,3-diphenylindanol (Compound 13) as a white solid having a melting point of 79-85°C.

6.20 Syntilesis of 2-Acetamide-3,3-dipheniiindanol (Compound 14) _ 2-Acetamide-3,3-diphenylindanol (Compound 14) was synthesized as follows: 2-Acetamide-3,3-diphenylindanone (Compound 12) (0.100 g, 0.0003 mol) was dissolve in 2 mL of ethanol and 0.5 mL of methanol at room temperature. Sodium borohydride (0.136 g, 0.0004 mol) was added and the mixture was stirred at room temperature for 3 hours. The mixture was quenched with 2N hydrochloric acid to pH 1. The mixture was extracted with ethyl acetate and the combine extracts dried over magnesium sulfate. Evaporation of the solvent gave an off-white solid which was crystallized from a mixture of ethyl acetate/hexane. 2-Acetamide-3,3-diphenylindanol (Compound 14) was collecte by filtration as a white solid (0.026 g, 25% yield) having a melting point of 218-220°C.

6.21 Synthesis of 3,3-Diphenylindanone-2-methyl acetate (Compound 15) 3,3-Diphenylindanone-2-methyl acetate (Compound 15) was synthesized as follows: 3,3-Diphenylindanone (Compound 2) (3.84 g, 0.0135 mol) was dissolve in 30 mL of tetrahydrofuran at room temperature. Potassium hydrie (1.85 g, 0.0162 mol) was added and the mixture was stirred at room temperature for 1 hour. Methyl chloroformate (1.25 mL, 0.0162 mol) was added and the mixture was stirred at room temperature for 1 hour.

The mixture was quenched with water and extracted with ethyl acetate. The combine extracts were dried over magnesium sulfate. Evaporation of the solvent gave an dark brown solid which was purifie on a silica gel column using 5% ethyl acetate in hexane as eluent. The product was collecte in the second fraction off the column. Evaporation of the solvent gave a slightly wet, pink solid which was stirred in hexane.

3,3-Diphenylindanone-2-methyl acetate (Compound 15) was collecte by filtration as an off-white solid (2.06 g, 45% yield) having a melting point of 140-142°C.

6.22 Synttsesis of 3,3-Diphenyl-1-indanyl-naphthylmethyl ether (Compound 16) 3,3-Diphenyl-1-indanyl 2-naphthylmethyl ether (Compound 16) was synthesized as follows: 1-Hydroxy-3,3- diphenylindane (Compound 3) (0.25 g, 0.87 mmol) was dissolve in 10 mL of dimethylformamide and cooled to 0°C with stirring.

Sodium amide (0.042 g, 1.04 mmol) was added and the rection stirred for 0.5 h at 0°C before 0.23 g (1.04 mmol) of 2- bromomethylnaphthalene was added. The rection mixture was allowed to warm to room temperature and stirred for 15h. An equal volume of water was added to the mixture and this was extracted twice with 50 mL of ethyl acetate. After drying over magnesium sulfate the solvent was evaporated and the resultant solid was purifie on a silica gel column using 2% ethyl acetate in hexane as the eluent. The second fraction collected was the desired product. Evaporation of the solvent gave 0.300 g (81% _yield) of 3,3-Diphenyl-1-indanyl 2- naphthylmethyl ether (Compound 16) as an off-white, sticky solid.

6.23 Synthesis of 3,3-Diphenyl-i-indanyl a- (4- methYltoluate) ether (ComPound 17) 3,3-Diphenyl-i-indanyl a- (4-methyltoluate) ether (Compound 17) was synthesized as follows: 1-Hydroxy-3,3- diphenylindane (Compound 3) (0.505~g, 1.8 mmol) was combine with 0.069 g (2.9 mmol) of sodium amide in 10 mL of dimethylformamide and stirred at room temperature for 1.5 h before 0.667 g (2.9 mmol) of methyl 4- (bromomethyl) benzoate was added. The rection mixture was stirred for 18h. The rection mixture was poured into 50 mL of water and extracted four times with 25 mL of ethyl acetate. The combine extracts were washed with brine, dried over sodium sulfate and the solvent evaporated to yield a yellow oil. The oil was purifie by vacuum distillation to give 0.370 g (47% yield) of 3, 3-Diphenyl-1-indanyl α-(4-methyltouate) ether (Compound 17) as a yellow solid having a melting point of 50-52°C.

6.243,3-Diphenyl-1-indanylα-(2-of chlorotoluyl) ether 18) ether3,3-Diphenyl-1-indanylα-(2-chlorotoluyl) (Compound 18) was synthesized as follows: 1-Hydroxy-3,3- diphenylindane (Compound 3) (0.503 g, 1.8 mmol) was combine with 0.075 g (3.1 mmol) of sodium amide in 10 mL of dimethylformamide and stirred at room temperature for 1.5 h before 0.40 mL (3.2 mmol) of 2-chlorobenzyl chloride was added. The rection mixture was stirred for 21h. The rection mixture was poured into 50 mL of water and extracted four times with 25 mL of ethyl acetate. The combine extracts were washed with brine, dried over sodium sulfate and the solvent evaporated to yield a yellow oil. The oil was purifie by vacuum distillation to give 0.520 g (70% yield) of 3, 3-Diphenyl-1-indanyl α-(2-chlorotoluyl) ether (Compound 18) as a solid having a melting point of 27-29°C.

6.25 Synthesis of 3-(3',3'-diphenyl-2'-indanyl-1'- one) propanol (Compound 19) _ 3-(3',3'-diphenyl-2'-indanyl-1'-one)propanol (Compound 19) was synthesized as follows: 3,3- Diphenylindanone (Compound 2) (2., g, 0.007 mol) was dissolve in 10 mL of tetrahydrofuran, cooled in an ice bath, and 0.97 g (0.0085 mol) of potassium hydride was added. The rection mixture was stirred at room temperature for 0.5 h before 0.72 mL (0.0077 mol) of 3-bromo-1-propanol was added. After stirring overnight the rection was quenched with water and extracted with ethyl acetate. The combine extracts were dried over magnesium sulfate and the solvent removed in vacuo.

The residue was purifie on a silica gel column using 15% ethyl acetate in hexane as the eluent. The first fraction from the column was recovered starting material (1.05 g). The second fraction contained the product. After evaporation of the solvent, 0.84 g (35% yield) of 3-(3',3'-diphenyl-2'- indanyl-1'-one) propanol (Compound 19) as a beige solid having a melting point of 98°C was obtained.

6.26 Syntnesis of 2-(Ethyl-2'-(1,3-dioxolane))-1-hydroxy- 3,3-dishenvlindene (Compound 20) 2-(Ethyl-2'-(1, 3-dioxolane))-1-hydroxy-3,(Ethyl-2'-(1, 3-dioxolane))-1-hydroxy-3, 3- diphenylindene (Compound 20) was synthesized as follows: 3,3- Diphenylindanone (Compound 2) (4.0 g, 0.0141 mol) was dissolve in 30 mL of tetrahydrofuran at room temperature.

Potassium hydride. (2.4 g, 0.0175 mol) was added and the mixture was stirred at room temperature for 0.5 h. 2- (2- Bromoethyl)-1,3-dioxolane (2.0 mL, 0.0170 mol) was added and the mixture was continued stirring overnight at room temperature. The mixture was quenched with water and extracted with ethyl acetate. The combine extracts were purifie on a silica gel column using 8% ethyl acetate in hexane followed by 10% ethyl acetate in hexane as eluent. The product was collecte in the second fraction off the column.

Evaporation of the solvent gave 2- (Ethyl-21- (1,3-dioxolane))- 1-hydroxy-3,3-diphenylindene (Compound 20) as an off-white solid (0.47 g, 9% yield) having a melting point of 124-126°C.

6.27 Other Compound Other compound of the invention can be synthesized by routine modification of the above-described syntheses, or by other methods that are well known in the art. Compound 1 is available from Maybridge Chemical Company (distributor: Ryan Scientific, South Carolina).

7. EXAMPLE: In Vitro Activitv This Example demonstrates the ability of several exemplary compound of structural formula (I) to inhibit the Gardos channel of erythrocytes (Gardos Channel Assay) and/or mitogen-induced cell proliferation (Mitogenic Assay) in vitro.

The assays are generally applicable for demonstrating the in vitro activity of other compound of structural formula (I).

7.1 ExPerimental Protocol The percent inhibition of the Gardos channel (10 ßM compound) and the IC50 were determined as described in Brugnara et al., 1993, J. Biol. Chem. 268 (12): 8760-8768. The percent inhibition of mitogen-induced cell proliferation (10 pM compound) and the IC50 were determined or described in Benzaquen et al. (1995, Nature Medicine 1: 534-540) with NIH 3T3 mouse fibroblast cells (ATCC No. CRL 1658). Other cell lines, e. g., cancer cells, endothelial cells and fibroblasts, as well as many others, may be used in the cell proliferation assay. Selection of a particular cell line will depend in part on the desired application, and is well within the capabilities of an ordinarily skilled artisan.

7.2 Results The results of the expriment are provided in TABLE 1, below. Clotrimazole is reporte for purposes of comparison. Most of the compound tested exhibited significant activity in both assays. All of the compound tested exhibited significant activity in at least one of the assays.

TABLE 1 Pharmacological Activities of Various Compound (% Inhibition measured at 10 pM) Mitogenic Assay Gardos Channel Assay Compound IC50 Inhibition icso Inhibition Number (#M) (%) (yM) (%) Clotrimazole 0.626 \ 93.0 0.046 99.3 (1) 0.700 97.0 0.419 98.0 (2) 1.300 99.0 1.006 100.0 (3) 1.100 90.0 0.819 100.0 (4) 2.600 99.0 1.350 100.0 (5)--29'. 0--67.3 (6) 3.400 90.0--35.0 (7) 3.400 98.0 1.152 88.0

mitogenic Assay Gardos Channel Assay InhibitionIC50InhibitionCompoundIC50 NumberNumber(µM) (%) (µM) (%) (8) 2.000 97.0 0.176 30.0 (9)--45.0 0.505 100.0 (10) 3.300 98.0--49.5 (11) 3.400 99.0--50.0 (12)--31.0 0.189 99.5 12.01.59099.5(13)-- (14)--3.0 2.961 90.5 (15) 7.500 80.0 2.901 54.8 (16)--75. 0--0 (17) 76. 0 0 (18)--73. 0.--0 (19) 1.500 99.0 5.952 43.7 (20)--81. 0--0 8. EXAMPLE: Activitv In Cancer Cell Lines This Example demonstrates thé antiproliferative effect of several exemplary compound of formula (I) against a variety of cancer cell lines. The assays are generally applicable for demonstrating the antiproliferative activity of other compound of formula (I).

8.1 Growth of Cells The antiproliferative assays described herein were performed using standard aseptic procedures and universal precautions for the use of tissues. Cells were propagated using RPMI 1640 media (Gibco) containing 2% N 5% fetal calf serum (Biowhittaker) at 37°C, 5% C02 and 95% humidity. The cells were passage using Trypsin (Gibco). Prior to addition of test compound, the cells were harvested, the cell number counted and seeded at 10,000 cells/well in 100 pl 5% fetal

calf serum (FOCS) containing RPMI medium in 96-hall plates and incubated overnight at 37°C, 58 CO2 and 95% humidity.

On the day of the treatment, stock solutions of the test compound (10 mM compound/DMSO) were added in 100 pl FCS containing medium to a final concentration of 10-0.125 ßM and the cells were incubated for 2,3 or 5 days at 37°C, 5% COz and 95% humidity.

Following incubation, the cellular protein was determined with the ulforhodamine B (SRB) assay (Skehan P et al., 1990, J. Natl. Cancer Inst. 82: 1107-1112). Growth inhibition, reporte as the concentration of test compound which inhibited 50% of cell proliferation (ICso) was determined by curve fitting.

Values for VP-16, a standard anti-cancer agent, are provided for comparison.

Except for MMRU cells, all cancer cell lines tested were obtained from the American Type Culture Collection (ATCC, Rockville, MD). The ATCC assession numbers were as follows: HeLa (CCL-2); CaSki (CRL-1550); MDA-MB-231 (HTB-26); MCF-7 (HTB-22); A549 (CCL-185); HTB-174 (HTB-174); HEPG2 (HB-8065); DU-145 (HTB-81); SK-MEL-28 (HTB-72); HT-29 (HTB-38); HCT-15 (CCL-225); ACHN (CRL-1611); U-118MG (HTB-15); SK-OV-3 (HTB- 77).

MMRU cells (tender et al., 1993, J. Dermatology 20: 611-617) were a gift of one of the authors.

8.2 RESULTS The results of the cell culture assays are presented in TABLES 2 and 3, below.

TABLE 2 SRB ASSAY RESULTS (5% FCS, 5 Day Incubation) Test Compound ICSO (AM) Cancer Type Cell Line VP-16 8 11 Cervical HeLa <1.25 >10 5.1 CaSki 1.8 6.8 7 Breast MDA-MB-23 <1.25 >10 >10 MCF7 <1.25 5.5 4.4 Lung A549 <1.25 8.9 8.8 HTB174 <1.25 >10 5.9 Hepatocel HEPG2 <1.25 6.4 5.8 Prostate DU-145 <1.25 >10 >10 Melanoma SK-MEL-28 <1.25 >10 5.5 MMRU <1.25 >10 6.2 Colon HT29 <1.25 8.3 6.8 HCT-15 1.3 >10 6.6 Renal ACHN <1.25 >10 >10 CNS U118MG 2.2 >10 >10 Ovary SK-OV-3 >10 Normal HUVEC <1.25 >10 6.4 human GM 1.4 >10 >10 3T3 >10 >10 mouse L929 <1.25 >10 8.6 TABLE 3<BR> SRB RESULTS Compound conditions Test Compound IC50 (µM) in Various Cell Lines %FCS/days A549 HT29 MMRU MCF7 HEPG2 U118MG VP-16 2%/3 days 2.3 20 <2.5 <2.5 3 5%/2 days >10 >10 5.8 4 2%/3 days 8.5 <2.5 8.2 <2.5 8 5%/3 days >10 >10 3.3 >10 7.8 >10

9. EXAMPLE: rfiormulations The following examples provide exemplary, not limiting, formulations for administering the compound of the invention to mammalian, especially human, patients. Any of the compound described herein, or pharmaceutical salts or hydrates thereof, may be formulated as provided in the following examples.

9.1 Tablet Formulation Tablets each containing 60 mg of active ingredient are made up as follows: Active Compound 60 mg Starch 45 mg Microcrystalline 45 mg Cellulose Sodium carboxymethyl 4.5 mg starch Talc 1 mg Polyvinylpyrrolidone 4 mg (10% in water) Magnesium Stearate 0.5 mq 150 mg The active ingredient, starch and cellulose are passed through. a No. 45 mesh U. S. sieve and mixed thoroughly. The solution of polyvinylpyrrolidone is mixed with the resultant powders which are then passed through a No. 14 mesh U. S. sieve. The granules are dried at 50°-60°C and passed through a No. 18 mesh U. S. sieve. The sodium carboxymethyl starch, magnesium stearate and talc, previously passed through a No.

60 mesh U. S. sieve, are then added to the granules, which, after mixing are compresse by a tablet machine to yield tablets each weighing 150 mg.

Tablets can be prepared from the ingredients listed by wet granulation followed by compression.

9.2 GelaLm Casules Hard gelatin capsules are prepared using the following ingredients: Active Compound 250 mg/capsule Starch dried 200 mg/capsule Magnesium Stearate 10 mg/capsule The above ingredients are mixed and filled into hard gelatin capsules in 460 mg quantities.

9.3 Aerosol Solution An aerosol solution is prepared containing the following components: Active Compound 0.25% (w/w) Ethanol 29.75% (w/w) Propellant 22 77.00% (w/w) (Chlorodifluoromethane) The active compound is mixed with ethanol and the mixture added to a portion of the propellant 22, cooled to -30°C and transferred to a filling device. The required amount is then fed to a stainless steel container and diluted with the remainder of the propellant. The valve units are then fitted to the container.

9.4 Suppositories suppositories each containing 225 mg of active ingredient are made as follows: Active Compound 225 mg Saturated fatty acid 2,000 mg glycerides The active ingredient is passed through a No. 60 mesh U. S. sieve and suspende in the saturated fatty acid

glycerides previously melted using the minimum heat necessary.

The mixture is then poured into a suppository mold of nominal 2 g capacity and allowed to cool.

9.5 Suspensions Suspensions each containing 50 mg of medicament per 5 mL dose are made as follows: Active compound 50 mg sodium 50 mg carboxymethylcellulose Syrup 1.25 mL Benzoic acid solution 0.10 mL Flavor q. v.

Color q. v.

Purifie water to 5 mL The active ingredient is passed through a No. 45 mesh U. S. sieve and mixed with the sodium carboxymethyl cellulose and syrup to form a smooth paste. The benzoic acid solution, flavor and some color are diluted with some of the water and added, with stirring. Sufficient water is then added to produce the required volume.

The foregoing written specification is considered to be sufficient to enable one skilled in the art to practice the invention. Various modifications of the above-described modes for carrying out the invention which are obvious to those skilled in the pharmaceutical arts or related fields are intended to be within the scope of the following claims.

All cited references are hereby incorporated in their entireties by reference herein.