Login| Sign Up| Help| Contact|

Patent Searching and Data


Title:
TETRAHYDROPYRAN DERIVATIVES AND THEIR USE AS THERAPEUTIC AGENTS
Document Type and Number:
WIPO Patent Application WO/2004/009573
Kind Code:
A1
Abstract:
The present invention relates compounds of the formula (I), wherein R1, R2, R3, R4, R5, R6, R7, R8, R15 and R16 represent a variety of substituents; and pharmaceutically acceptable salts thereof. The compounds are of particular use in the treatment or prevention of depression, anxiety, pain, inflammation, migaine, emesis or postherpetic neuralgia.

Inventors:
DIRAT OLIVIER (GB)
ELLIOTT JASON MATTHEW (GB)
KULAGOWSKI JANUSZ JOZEF (GB)
OWEN SIMON NEIL (GB)
RAUBO PIOTR ANTONI (GB)
SHAW DUNCAN EDWARD (GB)
WILLIAMS BRIAN JOHN (GB)
Application Number:
PCT/GB2003/003098
Publication Date:
January 29, 2004
Filing Date:
July 17, 2003
Export Citation:
Click for automatic bibliography generation   Help
Assignee:
MERCK SHARP & DOHME (GB)
DIRAT OLIVIER (GB)
ELLIOTT JASON MATTHEW (GB)
KULAGOWSKI JANUSZ JOZEF (GB)
OWEN SIMON NEIL (GB)
RAUBO PIOTR ANTONI (GB)
SHAW DUNCAN EDWARD (GB)
WILLIAMS BRIAN JOHN (GB)
International Classes:
A61K31/4025; A61K31/4178; A61K31/433; A61K31/497; A61K31/541; A61P1/08; A61P25/06; A61P25/22; A61P25/24; A61P29/00; A61P43/00; C07D309/10; C07D405/06; C07D405/14; C07D417/06; (IPC1-7): C07D309/10; A61K31/351; A61P25/22; C07D405/06; C07D405/14
Domestic Patent References:
WO2000056728A12000-09-28
WO2000056727A12000-09-28
WO2003022839A12003-03-20
Foreign References:
US20020035132A12002-03-21
Attorney, Agent or Firm:
Cole, William Gwyn (Terlings Park Eastwick Roa, Harlow Essex CM20 2QR, GB)
Download PDF:
Claims:
CLAIMS 1. A compound of formula (I): wherein Rl is hydrogen, halogen, C1-6alkyl, C1-6alkoxy, fluoroC1-6alkyl, fluoroCi-6alkoxy, C3.-7cycloalkyl, C3-7cycloalkylCi-4alkyl, NO2, CN, SRa, SORa, SO2Ra, CO2Ra, CONRaRb, C2-6alkenyl, C2. 6alkynyl or Ci 4alkyl substituted by C
1. l. 4alkoxy, wherein Ra and Rb each independently represent hydrogen or Cl. 4alkyl ; R2 is hydrogen, halogen, Ci6alkyl, fluoroCisalkyl or Ci6alkoxy substituted by C14alkoxy ; R3 is hydrogen, halogen or fluoroCisalkyl ; R4 is hydrogen, halogen, Ci6alkyl, Ci. 6alkoxy, fluoroCi6alkyl, fluoroC16alkoxy, hydroxy, NO2, CN, SRa, SORa, SO2Ra, CO2Ra, CONRaRb, C26alkenyl, C26alkynyl or C14alkyl substituted by Cl. 4alkoxy, wherein Ra and Rb are as previously defined; R5 is hydrogen, halogen, Ci. 6alkyl, fluoroC16alkyl or Ci. 6alkoxy substituted by Ci4alkoxy ; R6 represents hydrogen or a C14alkyl group optionally substituted by a hydroxy group; R7 represents a 5or 6membered carbonyl or sulfonyl containing cyclic group comprising from 0 to 3 nitrogen ring atoms, from 0 to 1 oxygen ring atom and from 0 to 1 sulfur ring, wherein said ring is optionally substituted at any substitutable position by one or more substituents selected from =O, halogen, hydroxy, R11, R12, SRf, SO2Rg, CORa, CO2Ra, CONR9R10, ZNR9R10, benzyl, Ci4alkyl, hydroxyCi4alkyl, QuoroCi4alkyl, chloroCi4alkyl, Ci4alkoxyCi4alkyl, C37cycloalkyl, C37cycloalkylC14alkyl, C37cycloalkoxy, C37cycloalkoxyC14alkyl, Ci4alkoxy, fluoroCi4alkoxy, hydroxyCi. 4alkoxy, Ci4alkoxyCi4alkoxy, aryl, arylCl. 4alkyl, heteroaryl, heteroarylCi4alkyl or a 5or 6membered ring containing in the ring one oxygen atom or N (C16alkyl), wherein Rf is Cl. 4alkyl or aralkyl or aryl and Rg is Ci4alkyl, aryl, arylCi4alkyl or NR9R10 ; R8 represents hydrogen, Cisalkyl, fluoroCisalkyl, hydroxy, Ci6alkoxy, hydroxyC16alkyl NR9R10, CONR9R10 or S02Rg ; R9 is hydrogen, C14alkyl, C37cycloalkyl, C37cycloalkylC14alkyl, fluoroCi4alkyl, C24alkyl substituted by a C14alkoxy or hydroxyl group, or R9 is a five membered or six membered nitrogencontaining heteroaromatic ring as previously defined ; RIO is hydrogen or C14alkyl, C37cycloalkyl, C37cycloalkylC14alkyl, fluoroC14alkyl or C2. 4alkyl substituted by a Cl. 4alkoxy or hydroxyl group; or R9, RIO and the nitrogen atom to which they are attached form a heteroaliphatic ring of 4 to 7 ring atoms, optionally substituted by one or two groups selected from hydroxy, CORe, CO2Re, C1 4alkyl optionally substituted by a Ci. 4alkoxy or hydroxyl group, or Cl. 4alkoxy optionally substituted by a Cl. 4alkoxy or hydroxyl group, or a five membered or six membered nitrogencontaining heteroaromatic ring as previously defined, or said heteroaliphatic ring is substituted by a spirofused lactone ring, and said heteroaliphatic ring optionally containing a double bond, which heteroaliphatic ring may optionally contain an oxygen or sulphur ring atom, a group S (O) or S (0) or a second nitrogen atom which will be part of a NH or NRd moiety, where Rd is Cl. 4alkyl optionally substituted by hydroxy or Cl. 4alkoxy ; or R9, RIO and the nitrogen atom to which they are attached form a nonaromatic azabicyclic ring system of 6 to 12 ring atoms; or R9, RIO and the nitrogen atom to which they are attached form a heteroaliphatic ring of 4 to 7 ring atoms to which is fused a benzene ring or a five membered or six membered nitrogencontaining heteroaromatic ring optionally containing 1, 2 or 3 additional heteroatoms selected from N, O and S; Rll and Rl2 each independently represent hydrogen, hydroxy, CORe, CO2Re, Cl 4aLkyl optionally substituted by a Ci4alkoxy or hydroxyl group, or C14alkoxy optionally substituted by a Cl. 4alkoxy or hydroxyl group; or, when they are attached to the same carbon atom, Rll and Rl2 may together represent =O, =CHCO2Ra,O (CH2) mO, CH2O (CH2) k,CH20CH2C (O), CH20CH2CH (OH),CH20CH2C (CH3) 2,CH20C (CH3) 2CH2, C(CH3)2OCH2CH2, CH2C(O)OCH2, OC(O)CH2CH2, C(O)OCH2CH2, C(O) OC (CH3) 2CH2,C (O) OCH2C (CH3) 2,OCH2 (CH2) k, OC (CH3) 2CH2CH2, OCH2C(CH3)2CH2, OCH2CH2C(CH3)2, OCH2CH=CHCH2, OCH2CH (OH) CH2CH2,OCH2CH2CH (OH) CH2,OCH2C (O) CH2CH2, OCH2CH2C(O) CH2, or a group of the formula or, where they are attached to adjacent carbon atoms, Rll and Rl2 may together representOCH2CH2orOCH2CH (OH) , or Rll and Rl2 may together form a fused benzene ring; or, Rll and R12 together form a Cl. 2alkylene bridge across the pyrrolidine, piperidine, morpholine or piperazine ring to which they are attached; R13 represents hydrogen, phenyl, benzyl, pyridyl, tetrahydropyranyl, piperidinyl, Nsubstituted piperidinyl (where the Nsubstituent is Cl. 6alkyl), C14alkyl, C37cycloalkyl, C37cycloalkylC14alkyl, SO2C14alkyl or C2. 4alkyl substituted by a Cl. 4alkoxy or hydroxyl group; R14 represents hydrogen, halogen, hydroxy, Ci4alkyl, hydroxyCi 4alkyl or fluoroCl. 4alkyl ; Ris and Rl6 each independently represent hydrogen, halogen, Cl. 6alkyl, CH2ORc, oxo, CO2Ra or CONRaRb where Ra and Rb are as previously defined and Rc represents hydrogen, Cl.
2. 6alkyl or phenyl; Z represents a bond, C16alkylene or C36cycloalkylene ; k is 1, 2 or 3 ; m is 1 or 2 ; and n is zero, 1 or 2; with the proviso that when n is zero and R3 is hydrogen, R7 does not represent a Clinked nitrogencontaining ring of the formula wherein A represents NRl3, and B represents a bond, CH2, NR13 or O, wherein one or both hydrogen atoms in said CH2 moiety may be replaced with one or both of Rll and R12, or alternatively, one of the hydrogen atoms in said CH2 moiety together with a hydrogen atom from an adjacent carbon are replaced by a double bond; or A is O, and B is NR13 ; and Rll and R12 together represent =0 ; and pharmaceutically acceptable salts thereof.
3. A compound according to Claim 1 wherein Rl is hydrogen, Cl. 4alkyl, Cl4alkoxy, halogen or CF3.
4. A compound according to Claim 1 or Claim 2 wherein R2 is hydrogen, C14alkyl, C14alkoxy, halogen or CF3.
5. A compound according to any one of Claims 1 to 3 wherein R3 is hydrogen, fluorine, chlorine or CF3.
6. A compound according to any one of Claims 1 to 4 wherein R4 is hydrogen or fluorine.
7. A compound according to any one of Claims 1 to 5 wherein R5 is hydrogen, fluorine, chlorine or CF3.
8. A compound according to any one of Claims 1 to 6 wherein R6 is Cl. 4alkyl optionally substituted by hydroxy.
9. A compound according to any one of Claims 1 to 7 wherein R7 is a cyclic group selected from the group consisting of : X is N or CH wherein Rl3 is as defined in Claim 1, and further wherein any of said cyclic groups is optionally substituted by one or more groups as defined in Claim 1.
10. A compound according to any one of Claims 1 to 7 wherein R7 is a cyclic group selected from the group consisting of : wherein R13 is as defined in Claim 1, and further wherein any of said cyclic groups is optionally substituted by one or more groups as defined in Claim 1.
11. A compound according to any one of Claims 1 to 9 wherein R8 is hydrogen or methyl.
12. A compound according to any one of Claims 1 to 10 wherein Rl2 is hydrogen, hydroxy, Cl. 2alkyl substituted by hydroxy, C14alkoxy or CO2Re (where Re is hydrogen, methyl ethyl or benzyl).
13. A compound according to any one of Claims 1 to 11 wherein R13 represents hydrogen, methyl or ethyl.
14. A compound according to any one of Claims 1 to 12 wherein R'5 and Rl3 are both hydrogen atoms.
15. A compound according to any one of Claims 1 to 13 wherein n is zero or 1.
16. A compound according to Claim 1 of the formula (Ia) : (Ia) wherein Al is fluorine or CFs ; A2 is fluorine or CFs ; A3 is fluorine or hydrogen; A4 is fluorine or hydrogen; A5 is methyl; and R7 and n are as defined in Claim 1; or a pharmaceutically acceptable salt thereof.
17. A pharmaceutical composition comprising a compound according to any one of Claims 1 to 15, together with at least one pharmaceutically acceptable carrier or excipient.
18. A compound according to any of claims 1 to 15 for use in a method of treatment of the human body.
19. A method for the treatment or prevention of physiological disorders associated with an excess of tachykinins, which method comprises administration to a patient in need thereof of a tachykinin reducing amount of a compound according to Claim 1.
20. A method for the treatment or prevention of pain or inflammation, migraine, emesis, postherpetic neuralgia, depression or anxiety, which method comprises administration to a patient in need thereof of a therapeutically effective amount of a compound according to Claim 1.
21. Use of a compound as claimed in any one of Claims 1 to 15 for the manufacture of a medicament for the treatment or prevention of physiological disorders associated with an excess of tachykinins.
22. Use of a compound as claimed in any one of Claims 1 to 15 for the manufacture of a medicament for the treatment or prevention of pain or inflammation, migraine, emesis, postherpetic neuralgia, depression or anxiety.
Description:
TETRAHYDROPYRAN DERIVATIVES AND THEIR USE AS THERAPEUTIC AGENTS This invention relates to a class of tetrahydropyran compounds which are useful as tachykinin antagonists. More particularly, the compounds of the invention are useful as neurokinin 1 (NK-1) receptor antagonists.

International (PCT) Patent Publication Nos. WO 00/56727, published 28th September 2000, and WO 02/16344, published 28th February 2002, describe classes of tetrahydropyran derivatives and their use as NK-1 receptor antagonists. The novel compounds of the present invention are characterised by the 5-or 6-membered carbonyl or sulfonyl containing cyclic moiety represented by the R7 substituent.

International (PCT) Patent Publication No. WO 03/022839, published 20th March 2003 (after the priority date of the present invention), describes a further class of tetrahydropyran derivatives and their use as NK-1 receptor antagonists. The compounds of the present invention are novel in view of the nature of the substituents at the 4-position on the tetrahydropyran ring.

The present invention provides compounds of the formula (I): wherein RI is hydrogen, halogen, Ci. 6alkyl, Ci 6alkoxy, fluoroCi. 6alkyl, <BR> <BR> fluoroCi-6alkoxy, Cs-7cycloalkyl, C3-7cycloalkylCi-4alkyl, NO2, CN, SRa, SORa, S02Ra, CO2Ra, CONRaRb, C26aDienyl, C26alkynyl or Cl. 4aLkyl substituted by

Cl. 4alkoxy, wherein Ra and Rb each independently represent hydrogen or Cl. 4alkyl ; R2 is hydrogen, halogen, Ci-6alkyl, fluoroCl.ealkyl or Cl. 6alkoxy substituted by Cl. 4alkoxy ; R3 is hydrogen, halogen or fluoroCl. 6alkyl ; R4 is hydrogen, halogen, Ci-6alkyl, Ci-6alkoxy, fluoroCi-6alkyl, fluoroC1-6alkoxy, hydroxy, NO2, CN, SRa, SORa, SO2Ra, C02Ra, CONRaRb, C2-6alkenyl, C2-6alkynyl or Cl. 4alkyl substituted by Cl. 4alkoxy, wherein Ra and Rb are as previously defined; R5 is hydrogen, halogen, C1-6alkyl, fluoroC1-6alkyl or Cl. 6alkoxy substituted by Cl. 4alkoxy ; R6 represents hydrogen or a Cl. 4alkyl group optionally substituted by a hydroxy group; R7 represents a 5-or 6-membered carbonyl or sulfonyl containing cyclic group comprising from 0 to 3 nitrogen ring atoms, from 0 to 1 oxygen ring atom and from 0 to 1 sulfur ring, wherein said ring is optionally substituted at any substitutable position by one or more substituents selected from =O, halogen, hydroxy, R11, R12, SRf, SO2Rg, CORa, CO2Ra, CONR9R10, -ZNR9R10, benzyl, Ci-4alkyl, hydroxyCl.-4alkyl, fluoroCi. 4alkyl, chloroCi-4alkyl, Ci. 4aIkoxyCi 4alkyl, C3-7cycloalkyl, C3-7cycloalkylC1-4alkyl, C3-7cycloalkoxy, C3-7cycloalkoxyC1-4alkyl, Ci-4alkoxy, fluoroCi-aalkoxy, hydroxyCi-4alkoxy, Ci-4alkoxyCi. 4alkoxy, aryl, arylCl. 4alkyl, heteroaryl, heteroarylCi. 4alkyl or a 5-or 6-membered ring containing in the ring one oxygen atom or N (C1-6alkyl), wherein Rf is Cl. 4alkyl or aralkyl or aryl and Rg is Cl. 4alkyl, aryl, arylCl. 4alkyl or NR9R10 ; R8 represents hydrogen, C1-6alkyl, fluoroC1-6alkyl, hydroxy, C1-6alkoxy, hydroxyC1-6alkyl NR9R10, CONR9R10 or SO2Rg ; R9 is hydrogen, Ci 4alkyl, Cs-7cycloalkyl, C3.-7cycloalkylCi. 4alkyl, fluoroC1-4alkyl, C2-4alkyl substituted by a Cl. 4alkoxy or hydroxyl group, or R9 is a five membered or six membered nitrogen-containing heteroaromatic ring as previously defined; RIO is hydrogen or Ci-4alkyl, Cs-7cycloalkyl, C3.-7cycloalkylCi. 4alkyl, fluoroC1-4alkyl or C2. 4alkyl substituted by a Cl. 4alkoxy or hydroxyl group; or R9, R10 and the nitrogen atom to which they are attached form a heteroaliphatic ring of 4 to 7 ring atoms, optionally substituted by one or two

groups selected from hydroxy, CORe, C02Re, Cl. 4alkyl optionally substituted by a Ci-4alkoxy or hydroxyl group, or Ci-alkoxy optionally substituted by a Ci-4alkoxy or hydroxyl group, or a five membered or six membered nitrogen-containing heteroaromatic ring as previously defined, or said heteroaliphatic ring is substituted by a spiro-fused lactone ring, and said heteroaliphatic ring optionally containing a double bond, which heteroaliphatic ring may optionally contain an oxygen or sulphur ring atom, a group S (O) or S (0) 2 or a second nitrogen atom which will be part of a NH or NRd moiety, where Rd is Cl. 4alkyl optionally substituted by hydroxy or Cl. 4alkoxy ; or R9, R10 and the nitrogen atom to which they are attached form a non-aromatic azabicyclic ring system of 6 to 12 ring atoms; or R9, RIO and the nitrogen atom to which they are attached form a heteroaliphatic ring of 4 to 7 ring atoms to which is fused a benzene ring or a five membered or six membered nitrogen-containing heteroaromatic ring optionally containing 1,2 or 3 additional heteroatoms selected from N, O and S; R11 and R12 each independently represent hydrogen, hydroxy, CORe, CO2Re, Cl. 4alkyl optionally substituted by a Ci. 4alkoxy or hydroxyl group, or Ci-4alkoxy optionally substituted by a Cl. 4alkoxy or hydroxyl group; or, when they are attached to the same carbon atom, Rll and R12 may <BR> <BR> <BR> <BR> together represent =O, =CHCO2Ra,-O (CH2) mO-,-CH20 (CH2) k-, -CH20CH2C (O)-, -CH20CH2CH (OH)-,-CH20CH2C (CH3) 2-,-CH20C (CH3) 2CH2-, -C(CH302O CH2CH2-, -CH2C(O) OCH2-, -OC (O) CH2CH2-,-C (O) OCH2CH2-, <BR> <BR> <BR> <BR> - (O) OC (CH3) 2CH2-,-C (O) OCH2C (CH3) 2-, -OCH2 (CH2) k-, -OC (CH3) 2CH2CH2-,<BR> <BR> <BR> <BR> <BR> <BR> -OCH2C (CH3) 2CH2-,-OCH2CH2C (CH3) 2-,-OCH2CH=CHCH2-, -OCH2CH (OH) CH2CH2-,-OCH2CH2CH (OH) CH2-,-OCH2C (O) CH2CH2-, -OCH2CH2C(O)CH2-, or a group of the formula or, where they are attached to adjacent carbon atoms, R11 and R12 may together represent-OCH2CH2-or-OCH2CH (OH) -, or Rll and R12 may together form a fused benzene ring;

or, Rll and R12 together form a Ci-2alkylene bridge across the pyrrolidine, piperidine, morpholine or piperazine ring to which they are attached; R13 represents hydrogen, phenyl, benzyl, pyridyl, tetrahydropyranyl, piperidinyl, N-substituted piperidinyl (where the N-substituent is C1-6alkyl), Ci-4alkyl, Cg-7cycloalkyl, C3. 7cycloalkylCi-4alkyl,-S02Ci-4alkyl or C2-4alkyl substituted by a Ci-4alkoxy or hydroxyl group; R14 represents hydrogen, halogen, hydroxy, Cl. 4alkyl, hydroxyCl. 4alkyl or fl. 4alkyl ; R15 and R16 each independently represent hydrogen, halogen, C1-6alkyl, CHLOR", oxo, CO2Ra or CONRaRb where Ra and Rb are as previously defined and Rc represents hydrogen, Cl. 6alkyl or phenyl; Z represents a bond, C1-6alkylene or C3. 6cycloalkylene ; k is 1, 2 or 3 ; m is 1 or 2 ; and n is zero, 1 or 2; with the proviso that when n is zero and R$ is hydrogen, R7 does not represent a C-linked nitrogen-containing ring of the formula wherein A represents NRl3, and B represents a bond, CH2, NRl3 or O, wherein one or both hydrogen atoms in said CH2 moiety may be replaced with one or both of Rll and R12, or alternatively, one of the hydrogen atoms in said CH2 moiety together with a hydrogen atom from an adjacent carbon are replaced by a double bond; or A is O, and B is NR13 ; and Rll and R12 together represent =O ; and pharmaceutically acceptable salts thereof.

One particular aspect of the present invention is the class of compounds of formula (I) and pharmaceutically acceptable salts thereof, wherein R7 represents a 5-or 6-membered carbonyl or sulfonyl containing cyclic group comprising from 0 to 3 nitrogen ring atoms, from 0 to 1 oxygen ring atom and from 0 to 1 sulfur ring, wherein said ring is optionally substituted at any

substitutable position by one or more substituents selected from =O, halogen, hydroxy, R11, R12, SRf, SO2Rg, CORa, CO2Ra, CONR9R10, -ZNR9R10, benzyl, Ci. 4alkyl, hydroxyl. 4alkyl, fluoroCi. 4alkyl, chloroCi-4alkyl, Ci-4alkoxyCl-4alkyl, C3-7cycloalkyl, C2-7cycloalkylC1-4alkyl, C3-7cycloalkoxy, C3-7cycloalkoxyC1-4alkyl, Ci 4alkoxy, fluoroCi-4alkoxy, hydroxyCi-4alkoxy, Ci 4alkoxyCi-4alkoxy, aryl or arylCi.4alkyl, wherein Rf is Cl. 4alkyl or aralkyl or aryl and Rg is Cl 4alkyl, aryl, arylCi.4alkyl or NR9R10 ; R13 represents hydrogen, benzyl, C1-4alkyl, C3-7cycloalkyl, C3-7cycloalkylCi-4alkyl,-S02Ci-4alkyl or Cz-4alkyl substituted by a Cl. 4alkoxy or hydroxyl group ; and the remaining groups are as defined above.

A preferred class of compounds of formula (I) is that wherein RI is hydrogen, C1-4alkyl, C1-4alkoxy, halogen or CF3.

Another preferred class of compounds of formula (I) is that wherein R2 is hydrogen, Ci-4alkyl, Ci. 4alkoxy, halogen or CF3.

Also preferred is the class of compounds of formula (1) wherein R3 is hydrogen, fluorine, chlorine or CF3.

A particularly preferred class of compounds of formula (I) is that wherein R1 is fluorine, chlorine or CF3.

Another particularly preferred class of compounds of formula (I) is that wherein R2 is hydrogen, fluorine, chlorine or CF3.

Also particularly preferred is the class of compounds of formula (I) wherein R3 is hydrogen, fluorine, chlorine or CF3.

Preferably Rl and R2 are in the 3 and 5 positions of the phenyl ring.

More preferably Rl is 3-fluoro or 3-CF3.

More preferably R2 is 5-fluor or 5-CF3.

More preferably R3 is hydrogen.

Most preferably RI is 3-F or 3-CF3, R2 is 5-CFs and R3 is hydrogen.

A further preferred class of compound of formula (I) is that wherein R4 is hydrogen or fluorine, especially hydrogen.

Another preferred class of compounds of formula (I) is that wherein R5 is hydrogen, fluorine, chlorine or CF3.

Preferably R4 is hydrogen or 3-fluoro, especially hydrogen, and R5 is hydrogen or 4-fluoro.

R6 is preferably Cl. 4alkyl optionally substituted by hydroxy. In particular, Rs is preferably a methyl or hydroxymethyl group. Most especially, R6 is a methyl group.

A further preferred class of compounds of formula (I) is that wherein R7 is 0 a cyclic group selected from the group consisting of :

wherein R13 is as previously defined, and further wherein any of said cyclic groups is optionally substituted by one or more (preferably one or two) groups as previously defined.

Also preferred is the class of compound of formula (I) wherein R7 is a cyclic group selected from the group consisting of :

wherein Rl3 is as previously defined, and further wherein any of said cyclic groups is optionally substituted by one or more (preferably one or two) groups as previously defined.

Another preferred class of compound of formula (I) is that wherein R8 is hydrogen or methyl, and especially hydrogen.

Another preferred class of compounds of formula (I) is that wherein Rl2 is hydrogen, hydroxy, Cl. 2alkyl substituted by hydroxy, Ci. 4alkoxy (especially methoxy) or CO2Re (where Re is hydrogen, methyl ethyl or benzyl).

A further preferred class of compounds of formula (1) is that wherein R12 is hydrogen or Cl. 4alkyl (especially methyl).

Where Rll and Rl2 are attached to the same carbon atom they may, in particular, together represent-C (O) OCH2CH2-.

In a further preferred class of compounds of formula (I), R13 preferably represents hydrogen, methyl or ethyl.

Another preferred class of compound of formula (I) is that wherein one of R15 and R16 is hydrogen, and especially wherein R15 and R16 are both hydrogen atoms.

A further preferred class of compound of formula (I) is that wherein n is zero or 1, and especially wherein n is zero.

In the definition of the group-NR9Rl0, R9 may aptly be a Cl. 4alkyl group or a C2. 4alkyl group substituted by a hydroxyl or Cl. 2alkoxy group, Rl° may aptly be a Cl. 4alkyl group or a C2. 4alkyl group substituted by a hydroxyl or Cl. 2alkoxy group, or R9 and Rl° may be linked so that, together with the nitrogen atom to which they are attached, they form an azetidinyl, pyrrolidinyl, piperidinyl, morpholino, thiomorpholino, piperazino or piperazino group substituted on the nitrogen atom by a Cl. 4alkyl group or a C2. 4alkyl group substituted by a hydroxy or Cl. 2alkoxy group. Particularly preferred heteroaliphatic rings formed by -NR9Rl0 are azetidine, pyrolidine, piperidine, morpholine, piperazine and N-methylpiperazine, and especially piperidine.

Where the group NR, 9R1° represents a heteroaliphatic ring of 4 to 7 ring atoms substituted by two groups, the first substituent, where present, is preferably selected from hydroxy, CO2Re (where Re is hydrogen, methyl, ethyl or benzyl), or Cl. 2alkyl substituted by hydroxy. Where present, the second substituent is preferably a methyl group. Where two substituents are present, said substituents are preferably attached to the same carbon atom of the heteroaliphatic ring.

Where the group NR, 9R1° represents a heteroaliphatic ring of 4 to 7 ring atoms substituted by a spiro-fused lactone ring, particularly preferred examples are:

Where the group NR9Rl0 represents a heteroaliphatic ring of 4 to 7 ring atoms and said ring contains a double bond, a particularly preferred group is 3-pyrroline.

Where the group NR, 9R1° represents a non-aromatic azabicyclic ring system, such a system may contain between 6 and 12, and preferably between 7 and 10, ring atoms. Suitable rings include 5-azabicyclo [2.1. 1] hexyl, 5-azabicyclo [2.2. 1] heptyl, 6-azabicyclo [3.2. 1] octyl, 2-azabicyclo [2.2. 2] octyl, 6-azabicyclo [3.2. 2] nonyl, 6-azabicyclo [3.3. 1] nonyl, 6-azabicyclo [3.3. 2] decyl, 7-azabicyclo [4.3. 1] decyl, 7-azabicyclo [4.4. 1] undecyl and 8-azabicyclo [5.4. 1] dodecyl, especially 5-azabicyclo [2.2. 1] heptyl and 6-azabicyclo [3.2. 1] octyl.

Where the group NR9R10 represents a heteroaliphatic ring of 4 to 7 ring atoms to which is fused a benzene ring or a five membered or six membered nitrogen-containing heteroaromatic ring ring optionally containing 1,2 or 3 additional heteroatoms selected from N, O and S, said heteroaromatic ring is preferably a five-membered ring, in particular a pyrrole, imidazole or triazole ring, a nitrogen atom of which is preferably included in the heteroaliphatic ring.

Suitable examples of such fused ring systems include Particularly suitable moieties NRSRM include those wherein NR9Rl0 is amino, methylamino, dimethylamino, diethylamino, azetidino, pyrrolidino, piperidino, morpholino and piperazino.

Favourably Z is a bond or contains 1 to 4 carbon atoms and most favourably 1 to 2 carbon atoms. A particularly favourable group Z is-CH2-. The group-ZNR9Rl0, as a substituent on a heteroaromatic ring, is preferably CH2N (CH3) 2.

One favoured group of compounds of the present invention are of the formula (Ia) and pharmaceutically acceptable salts thereof : wherein Al is fluorine or CFs ; A2 is fluorine or CF3 ; A3 is fluorine or hydrogen; A4 is fluorine or hydrogen; As is methyl; and R7 and n are as defined in relation to formula (I).

When any variable occurs more than one time in formula (I) or in any substituent, its definition on each occurrence is independent of its definition at every other occurrence.

As used herein, the term"alkyl"or"alkoxy"as a group or part of a group means that the group is straight or branched. Examples of suitable alkyl groups include methyl, ethyl, n-propyl, i-propyl, n-butyl, s-butyl and t-butyl. Examples of suitable alkoxy groups include methoxy, ethoxy, n-propoxy, i-propoxy, n-butoxy, s-butoxy and t-butoxy.

As used herein, the terms"fluoroCi-6alkyl"and fluoroCi-6alkoxy" means a Cl. 6alkyl or Cl 6alkoxy group in which one or more (in particular, 1 to 3) hydrogen atoms have been replaced by fluorine atoms. Similarly, the term "fluoroCi-4alkyl"means a Cl. 4alkyl group in which one or more (in particular 1 to 3) hydrogen atoms have been replaced by fluorine atoms. Particularly preferred are fluoroCi-salkyl and fluoroCi-salkoxy groups, for example, CFs, CH2CH2F CH2CHF2, CH2CFs, OCF3, OCH2CH2F, OCHzCHF2 or OCH2CFs, and most especially CF3, OCFs and OCH2CF3.

The cycloalkyl groups referred to herein may represent, for example, cyclopropyl, cyclobutyl, cyclopentyl or cyclohexyl. A suitable cycloalkylalkyl group may be, for example, cyclopropylmethyl.

Similarly cycloalkoxy groups referred to herein may represent, for example, cyclopropoxy or cyclobutoxy.

As used herein, the terms"alkenyl"and"alkynyl"as a group or part of a group means that the group is straight or branched. Examples of suitable alkenyl groups include vinyl and allyl. A suitable alkynyl group is propargyl.

As used herein, the term"aryl"as a group or part of a group means an aromatic radical such as phenyl, biphenyl or naphthyl, wherein said phenyl, biphenyl or naphthyl group may be optionally substituted by one, two or three groups independently selected from halogen, Ci-6alkyl, Ci-6alkoxy, fluoroCi-6alkyl, fluoroCl. 6alkoxy, N02, cyano, SRa, SORa, SO2Ra, CORa, CO2Ra, CONRaRb, C2- 6alkenyl, C2- 6alkynyl, Ci-4alkoxyCi. 4alkyl or-O (CH2) mO-. Preferably said phenyl, biphenyl or naphthyl group is optionally substituted by one or two substituents, especially none or one. Particularly preferred substituents include fluorine, chlorine, bromine, Cl. 4alkyl (especially methyl), C1-4alkoxy (especially methoxy), trifluoromethyl, trifluormethoxy or vinyl.

Reference herein to"an optionally substituted five or six-membered nitrogen-containing heteroaromatic ring optionally containing 1,2 or 3 additional heteroatoms selected from N, O and S", is preferably reference to a heteroaromatic ring is selected from pyrrole, pyridine, pyrazole, imidazole, oxazole, isoxazole, thiazole, isothiazole, pyrazine, pyrimidine, pyridazine, triazole, oxadiazole, thiadiazole, triazine, and tetrazole.

Suitable 5-or 6-membered cyclic ethers include optionally substituted tetrahydropyran and tetrahydrofuran rings.

When used herein the term"halogen"means fluorine, chlorine, bromine and iodine. The most apt halogens are fluorine and chlorine of which fluorine is preferred, unless otherwise stated.

In a further aspect of the present invention, the compounds of formula (I) may be prepared in the form of a pharmaceutically acceptable salt, especially an acid addition salt.

For use in medicine, the salts of the compounds of formula (I) will be non- toxic pharmaceutically acceptable salts. Other salts may, however, be useful in the preparation of the compounds according to the invention or of their non-toxic pharmaceutically acceptable salts. Suitable pharmaceutically acceptable salts of the compounds of this invention include acid addition salts which may, for example, be formed by mixing a solution of the compound according to the invention with a solution of a pharmaceutically acceptable acid such as hydrochloric acid, fumaric acid, p-toluenesulphonic acid, maleic acid, succinic acid, acetic acid, citric acid, tartaric acid, carbonic acid, phosphoric acid or sulphuric acid. Salts of amine groups may also comprise quaternary ammonium salts in which the amino nitrogen atom carries a suitable organic group such as an alkyl, alkenyl, alkynyl or aralkyl moiety. Furthermore, where the compounds of the invention carry an acidic moiety, suitable pharmaceutically acceptable salts thereof may include metal salts such as alkali metal salts, e. g. sodium or potassium salts; and alkaline earth metal salts, e. g. calcium or magnesium salts.

The salts may be formed by conventional means, such as by reacting the free base form of the product with one or more equivalents of the appropriate acid in a solvent or medium in which the salt is insoluble, or in a solvent such as water which is removed in vacuo or by freeze drying or by exchanging the anions of an existing salt for another anion on a suitable ion exchange resin.

The present invention includes within its scope prodrugs of the compounds of formula (I) above. In general, such prodrugs will be functional derivatives of the compounds of formula (I) which are readily convertible in vivo into the required compound of formula (I). Conventional procedures for the selection and preparation of suitable prodrug derivatives are described, for example, in"Design of Prodrugs", ed. H. Bundgaard, Elsevier, 1985.

A prodrug may be a pharmacologically inactive derivative of a biologically active substance (the"parent drug"or"parent molecule") that requires

transformation within the body in order to release the active drug, and that has improved delivery properties over the parent drug molecule. The transformation in vivo may be, for example, as the result of some metabolic process, such as chemical or enzymatic hydrolysis of a carboxylic, phosphoric or sulphate ester, or reduction or oxidation of a susceptible functionality.

The present invention includes within its scope solvates of the compounds of formula (I) and salts thereof, for example, hydrates.

The compounds according to the invention have at least three asymmetric centres, and may accordingly exist both as enantiomers and as diastereoisomers.

It is to be understood that all such isomers and mixtures thereof are encompassed within the scope of the present invention.

The preferred compounds of the formula (I) and (Ia) will have the stereochemistry of the 3-, 4-and 5-positions as shown in formulae (Ib) and (Ic)

(Ic) It will be appreciated that the preferred definitions of the various substituents recited herein may be taken alone or in combination and, unless otherwise stated, apply to the generic formula for compounds of the present invention as well as to the preferred classes of compound represented by formula (Ia), formula (Ib) and formula (Ic).

The present invention further provides pharmaceutical compositions comprising one or more compounds of formula (I) in association with a pharmaceutically acceptable carrier or excipient.

Preferably the compositions according to the invention are in unit dosage forms such as tablets, pills, capsules, powders, granules, solutions or suspensions, or suppositories, for oral, parenteral or rectal administration, or administration by inhalation or insufflation. Oral compositions such as tablets, pills, capsules or wafers are particularly preferred.

A more detailed description of pharmaceutical compositions that are suitable for the formulation of compounds of the present invention is disclosed in US patent No. 6,071, 927, the content of which is incorporated herein by reference (see in particular, column 8, line 50 to column 10, line 4).

The present invention further provides a process for the preparation of a pharmaceutical composition comprising a compound of formula (I), which process comprises bringing a compound of formula (I) into association with a pharmaceutically acceptable carrier or excipient.

The compounds of formula (I) are of value in the treatment of a wide variety of clinical conditions which are characterised by the presence of an excess of tachykinin, in particular substance P, activity. A comprehensive listing of clinical conditions, uses and methods of treatment for which the compounds of the present invention will be useful is disclosed in US patent No. 6,071, 927, the content of which is incorporated herein by reference (see, in particular, column 10, line 14 to column 22, line 18).

In particular, the compounds of the present invention are useful in the treatment of a variety of disorders of the central nervous system. Such disorders include mood disorders, such as depression or more particularly depressive disorders, for example, single episodic or recurrent major depressive disorders and dysthymic disorders, or bipolar disorders, for example, bipolar I disorder, bipolar II disorder and cyclothymic disorder; and anxiety disorders, such as panic disorder with or without agoraphobia, agoraphobia without history of panic disorder, specific phobias, for example, specific animal phobias, social phobias, obsessive-compulsive disorder, stress disorders including post-traumatic stress disorder and acute stress disorder, and generalised anxiety disorders.

The compounds of the present invention are also particularly useful in the treatment of nociception and pain. Diseases and conditions in which pain predominates, include soft tissue and peripheral damage, such as acute trauma, osteoarthritis, rheumatoid arthritis, musculo-skeletal pain, particularly after trauma, spinal pain, myofascial pain syndromes, headache, migraine, episiotomy pain, and burns.

The compounds of the present invention are also particularly useful in the treatment of respiratory diseases, particularly those associated with excess mucus secretion, such as chronic obstructive airways disease, bronchopneumonia, chronic bronchitis, cystic fibrosis and asthma, adult respiratory distress syndrome, and bronchospasm; in the treatment of inflammatory diseases such as inflammatory bowel disease, psoriasis, fibrositis, osteoarthritis, rheumatoid arthritis, pruritis and sunburn; and in the treatment of allergic disorders such as eczema and rhinitis.

The compounds of the present invention are also particularly useful in the treatment of gastrointestinal (GI) disorders, including inflammatory disorders

and diseases of the GI tract such as ulcerative colitis, Crohn's disease and irritable bowel syndrome.

The compounds of the present invention are also particularly useful in the treatment of emesis, including acute, delayed or anticipatory emesis, such as emesis induced by chemotherapy, radiation, toxins, pregnancy, vestibular disorders, motion, surgery, migraine, and variations in intercranial pressure.

Most especially, the compounds of formula (I) are of use in the treatment of emesis induced by antineoplastic (cytotoxic) agents, including those routinely used in cancer chemotherapy; by radiation including radiation therapy such as in the treatment of cancer; and in the treatment of post-operative nausea and vomiting.

The excellent pharmacological profile of the compounds of the present invention offers the opportunity for their use in therapy at low doses thereby minimising the risk of unwanted side effects.

In the treatment of the conditions associated with an excess of tachykinins, a suitable dosage level is about 0.001 to 50 mg/kg per day, in particular about 0.01 to about 25 mg/kg, such as from about 0.05 to about 10 mg/kg per day.

For example, in the treatment of conditions involving the neurotransmission of pain sensations, a suitable dosage level is about 0. 001 to 25 mg/kg per day, preferably about 0.005 to 10 mg/kg per day, and especially about 0.005 to 5 mg/kg per day. The compounds may be administered on a regimen of 1 to 4 times per day, preferably once or twice per day.

In the treatment of emesis, a suitable dosage level is about 0.001 to 10 mg/kg per day, preferably about 0.005 to 5 mg/kg per day, and especially 0.01 to 3 mg/kg per day. The compounds may be administered on a regimen of 1 to 4 times per day, preferably once or twice per day.

In the treatment of psychiatric disorders, a suitable dosage level is about 0.001 to 10 mg/kg per day, preferably about 0.005 to 5 mg/kg per day, and especially 0.01 to 3 mg/kg per day. The compounds may be administered on a regimen of 1 to 4 times per day, preferably once or twice per day.

It will be appreciated that the amount of a compound of formula (I) required for use in any treatment will vary not only with the particular compounds or composition selected but also with the route of administration, the

nature of the condition being treated, and the age and condition of the patient, and will ultimately be at the discretion of the attendant physician.

As used herein, the term"treatment"includes prophylactic use to prevent the occurrence or recurrence of any of the aforementioned conditions.

According to a general process (A), compounds of formula (I), in which R7 is an N-linked cyclic group, may be prepared by the reaction of a compound of formula (II)

(II) (n = zero or 1) with an amine of the formula HNR9Rl0 in the presence of a reducing agent, for example, sodium triacetoxyborohydride or sodium cyanoborohydride. The reaction is conveniently effected in a suitable solvent such as a halogenated hydrocarbon, for example, 1,2-dichloroethane, conveniently at about room temperature.

Compounds of formula (II) may be prepared by oxidation of a compound of formula (III)

(III) (n = 1 or 2) The reaction is conveniently effected under conventional conditions suitable for the oxidation of a primary alcohol to an aldehyde without further oxidation to the carboxyle acid, for example, using Dess-Martin periodinane in a suitable solvent such as a halogenated hydrocarbon, for example, dichloromethane, conveniently at about room temperature.

Compounds of formula (III) may be prepared by reaction of a compound of formula (V) (V) with ozone, followed by a reaction with a reducing agent such as sodium borohydride (n is 1), or by reaction with a reducing agent such as

borane. tetrahydrofuran complex, followed by hydrogen peroxide in the presence of a base such as sodium hydroxide.

According to another general process (B), compounds of formula (I) may be prepared by the reaction of a compound of formula (VI)

wherein LG is a suitable leaving group such as an alkyl-or arylsulfonyloxy group (e. g. mesylate or tosylate) or a halogen atom (e. g. bromine, chlorine or iodine); by reaction with an appropriate reactant to introduce a cyclic group as defined in relation to formula (I).

A particularly preferred compound of formula (VI) is that wherein the group LG is mesylate-i. e. the group-OS02CHs.

According to another general process (C), compounds of formula (I) may be prepared by the reaction of a compound of formula (VII) with a compound of formula (VIII)

preferably in the presence of a resin catalyst such as Amberlyst 15, and 3 Angstrom molecular sieves.

The reaction is conveniently effected in a suitable solvent such as a halogenated hydrocarbon, for example, dichloromethane, conveniently at room temperature.

According to another general process (C), compounds of formula (I) wherein R 8 is other than hydrogen, may be prepared by the reaction of a compound of formula (XIV) (XIV) wherein Y is a suitable heteroatom or group such as an alkyl-or arylsulfinylimino group or an alkyl-or arylsulfonylimino group or an oxygen atom; by reaction with an appropriate nuclephilic reactant to introduce a R7-(CH2) n group as defined in relation to formula (I).

Compounds of formula (XIV) may be prepared by methods well known to one of ordinary skill in the art or by methods analogous to those described herein.

Compounds of formula (VII) may be prepared by the reduction of a compound of formula (IX)

using conventional conditions such as sodium borohydride in the presence of a transition metal catalyst such as cerium chloride hexahydrate, in a solvent such as alcohol, for example, ethanol; or using DiBAL in a solvent such as a halogenated hydrocarbon, for example, dichloromethane.

Compounds of formula (VIII) may be prepared from a compound of formula (X) by reaction with a vinyl Grignard reagent such as R7 (CH2) nMgBr, preferably in the presence of copper (I) iodide, and a suitable solvent such as an ether, for example, tetrahydrofuran. This reaction is effected at reduced temperature, for example, below-40°C and preferably at-78°C.

Compounds of formula (VII) and (X) are either known compounds or may be prepared by methods analogous to those described herein.

Compounds of formula (VI) may be prepared by conventional methods from, for example, a corresponding compound of formula (I) in which R7 is a hydroxyl group. Thus, for example, when LG is a mesylate group a corresponding compound of formula (I) in which R7 is hydroxyl may be reacted with methanesulfonyl chloride in the presence of a base, such as triethylamine.

The reaction is conveniently effected in a solvent such as a halogenated hydrocarbon, for example, dichloromethane.

It will be appreciated that the general methodology described above may be adapted, using methods that are readily apparent to one of ordinary skill in the art, in order to prepare further compounds of the present invention.

During any of the above synthetic sequences it may be necessary and/or desirable to protect sensitive or reactive groups on any of the molecules concerned. This may be achieved by means of conventional protecting groups, such as those described in Protective Groups in Organic Chemistry, ed. J. F. W.

McOmie, Plenum Press, 1973; and T. W. Greene and P. G. M. Wuts, Protective Groups in Organic Synthesis, John Wiley & Sons, 1991. The protecting groups may be removed at a convenient subsequent stage using methods known from the art.

The exemplified compounds of this invention were tested by the methods set out at pages 36 to 39 of International Patent Specification No.

WO 93/01165. The compounds were found to be active with ICso at the human NKi receptor of less than 100nM on said test method.

The following non-limiting Examples serve to illustrate the preparation of compounds of the present invention: Description 1 4-Benzyloxycarbonyl-1-[((2R,3R,4R)-2-{(1R)-1-[3,5-bis(triflu oromethyl)- phenyl1ethoxy} tetrahydro-3- (4-fluoroohenyl)-2B-pyran-4-yl) niethyH- piperazinone (2R, 3R, 4R)-2- [ (1R)-1- [3,5-Bis (trifluoromethyl) phenyl] ethoxy]-3- (4- fluorophenyl) tetrahydro-2H-pyran-4-methyl methanesulfonate (WO 00/56727-A1 ; 2.32 g, 4.26 mmol) was added to a solution of 4-benzyloxycarbonylpiperazin-2-one (1.30 g, 5.54 mmol) and sodium hydride (60% dispersion in mineral oil, 170 mg, 4.26 mmol) in N, N-dimethylformamide (25 mL) and the mixture was stirred at 50 °C for 16 hours. Further sodium hydride (60% dispersion in mineral oil, 85.2 mg, 2.13 mmol) was added the mixture was stirred at 50 °C for 1.5 hours.

The mixture was cooled and the solvent was evaporated under reduced pressure.

Water (50 mL) was added and the mixture was extracted with ethyl acetate (3 x 100 mL). The combined organic fractions were washed with brine (150 mL), dried (MgSO4) and the solvent was evaporated under reduced pressure. The residue was purified by flash column chromatography on silica gel, eluting with

hexane/EtOAc (70: 30 increasing to 0: 100) to give the title compound (2.06 g, 71%). m/z (ES+) 683 (M+1), 425 (M+1-CioHsF6O).

Description 2 (2R, 3S, 4S (1R)-1-f 3, 5-Bis (trifluoromethylphenvl] ethoxY tetrahvdro-3- (4-fluorophenvl)-2H-PYran-4-carboxaldehvde A stirred cooled (-80 °C) solution of (2R, 3S, 4R)-2-[(1R)-1-[3, 5-bis (trifluoromethyl)- phenyl] ethoxy]-4-ethenyl-3- (4-fluorophenyl) tetrahydro-2H-pyran (WO 03/22839-Al ; 2.35 g, 5.08 mmol) in methanol (15 mL) and dichloromethane (15 mL) was purged with oxygen. Ozone was bubbled through the solution until a blue coloration formed. The solution was purged with oxygen and then with nitrogen. Dimethylsulfide (8 mL, 0.109 mol) was added and the solution was stirred at room temperature for 16 hours. The solvent was evaporated under reduced pressure and the residue was purified by column chromatography on silica gel, eluting with hexane/EtOAc (100: 0 increasing to 90: 10), to give the title compound. 1H NMR (400MHz, CDCl3) 6 1.46 (3H, d J 6. 6 Hz), 1.83 (1H, dddd J 13.2, 12.5, 12.5, 5 Hz), 1.95 (1H, dm, J 13.4 Hz), 3.09 (1H, dd, J 12.4, 3.2 Hz), 3.46 (1H, apparent tdd, J 12.1, 3.9, 2.5 Hz), 3.8 (1H, ddd, J 11.3, 5,1. 4 Hz), 4.03 (1H, ddd, J 12.7, 11. 6,2. 8 Hz), 4.50 (1H, d, J 3. 2 Hz), 4.89 (1H, q, J 6. 6 Hz), 7.00 (2H, t, J 8. 6 Hz), 7.23-7. 20 (4H, m), 7.64 (1H, s), and 9.45 (1H, d, J 2. 4 Hz).

Description 3 (2R,3R,4R)-2-{(1R-1-[3,5-Bis(trifluoromethyl)phenyl]ethoxy}t etrahydro- 4-[(2R or S)-oxiranyl]-3-phenyl-2H-pyran; and (2R, 3R, 4R)-2-{(1R)-1-[3,5-Bis(trifluoromethyl)phenyl]ethoxy}tetrahy dro- 4-[(2S or R)-oxiranyll-3-phenyl-2H-pyran (Isomers A and B) Dimethylsulfoxide (10 mL) was added to sodium hydride (60% dispersion in mineral oil, 385 mg, 9.6 mmol) and the mixture was stirred at room temperature for 30 minutes. Tetrahydrofuran (20 mL) was added and the mixture was cooled to-10 °C. Trimethylsulfonium iodide (2.13 g, 10.4 mmol) in dimethylsulfoxide (10 mL) was added and the mixture was stirred at 0 °C for 10 minutes.

(2R, 3R, 4R)-2-{(lR)-1- [3,5-Bis (trifluoromethyl) phenyl] ethoxy} tetrahydro-3- phenyl-2H-pyran-4-carboxaldehyde (WO 00/56727-Al ; 3.58 g, 8. 0 mmol) in tetrahydrofuran (10 mL) was added and the mixture was stirred at 0 °C for

30 minutes, then at room temperature for 30 minutes. Water (100 mL) was added and the mixture was extracted with ethyl acetate (3 x 100 mL). The combined organic fractions were washed with water (4 x 100 mL) and brine (100 mL), dried (MgSO4) and the solvent was evaporated under reduced pressure. The residue was purified by column chromatography on silica gel, eluting with hexane/EtOAc (85: 15 increasing to 80: 20), to give: (2R, 3R,4R)-2-{(1R)-1-[3,5-bis(trifluoromethyl)phenyl]ethoxy}tetr ahydro-4- [(2R or S)-oxiranylJ-3-phenyl-2H-pyran (Isomer A; single diastereoisomer; epoxide stereochemistry unassigned) as a colorless oil (1.37 g, 37%) ; 1H NMR (500MHz, CDCl3) # 7.67 (1H, s), 7.23 (5H, m), 7.01 (2H, m), 4.97 (1H, q, J 6.6 Hz), 4.28 (1H, d, J8. 4 Hz), 4.16 (1H, br d, J 11 Hz), 3. 53 (1H, br t, J 11 Hz), 2.65 (1H, dd, J 11.6, 8.4 Hz), 2.60 (1H, m), 2.34 (1H, t, J4. 5 Hz), 1.95 (1H, dd, J 4.5, 2.7 Hz), 1.84 (1H, br d, J 11 Hz), 1. 68 (1H, m), 1.57 (1H, m), and 1.37 (3H, d, J 6.6 Hz); and (2R, 3R, 4R)-2- (1R)-1-[3,5-bis(trifluoromethyl)phenyl]ethoxy}tetrahydro-4- [(2S or R)-oxiranyl]-3-phenyl-2H-pyran (Isomer B; single diastereoisomer; epoxide stereochemistry unassigned) as a colorless oil (0. 51 g, 14%) ; 1H NMR (500MHz, CDCl3) 8 7.67 (1H, s), 7.27-7. 20 (5H, m), 7. 08 (2H, m), 4.96 (1H, q, J 6.6 Hz), 4.25 (1H, d, J8. 3 Hz), 4.13 (1H, br d, J 12 Hz), 3.54 (1H, br t, J 12 Hz), 2. 68 (1H, m), 2.61 (1H, dd, J 11.5, 8.3 Hz), 2.50 (1H, t, J 4. 6 Hz), 2.46 (1H, dd, J 4.6, 2.8 Hz), 2.03 (1H, m), 1.60 (1H, br d, J 12 Hz), 1.49 (1H, m), and 1.37 (3H, d, J 6.6 Hz) ; and a 1 : 1 mixture of Isomer A and Isomer B (1.16 g, 31%).

Description 4 (2R,3R,4R,αR OR S)-α-{[2-Hydroxyethyl)thio]methyl}-2-{(1R)-1-[3,5- bis (trifluoromethyl) phenvll ethoxY tetrahvdro-3-phenvl-2H-pvran-4- methanol : and (2R, 3R, 4R, aS or R)-α-{[(2-Hydroxyethyl)thio]thio]methyl}-2-{(1R)-1-[3, 5- bis (trifluoromethvl) phenvllethoxyltetrahvdro-3-phenyl-2H-pvran-4- methanol 2-Mercaptoethanol (0.70 mL, 0.78 g, 10 mmol) was added to a degassed mixture of (2R, 3R, 4R)-2-f (1R)-1- [3,5-bis (trifluoromethyl) phenyl] ethoxy} tetrahydro-4- [ (2R or S)-oxiranyl]-3-phenyl-2H-pyran and (2R, 3R, 4R)-2- { (IR)-I- [3, 5-

bis (trifluoromethyl) phenyl] ethoxy} tetrahydro-4-[(2S or R)-oxiranyl]-3-phenyl-2H- pyran (Description 3; 1: 1 mixture of diastereoisomers, 0.46 g, 1 mmol) and potassium hydroxide (0.56 g, 10 mmol) in propan-2-ol (10 mL) and the mixture was heated under reflux for 4 hours. The mixture was cooled and the solvent was evaporated under reduced pressure. Aqueous sodium hydroxide (1M, 20 mL) was added and the mixture was extracted with diethyl ether (3 x 20 mL).

The combined organic fractions were washed with aqueous sodium hydroxide (1M, 2 x 20 mL) and brine (20 mL), dried (MgSO4) and the solvent was evaporated under reduced pressure to give the title compound (1: 1 mixture of alcohol epimers) as a yellow oil (0.54 g, 100%). 1H NMR (500MHz, CDCl3) 8 7.66 (1H, s), 7.26-7. 23 (3H, m), 7. 18 and 7.15 (2H, each s), 7.05 (2H, m), 4.95 (1H, m), 4.25 and 4.23 (1H, each d, J8. 3 Hz), 4. 18 (1H, m), 3.62-3. 53 (3H, m), 3.30 (1H, m), 2.90-1. 51 (10H, m), and 1.36 (3H, d, J6. 6 Hz).

Description 5 (2R,3R,4R,αR or S)-α-{[(2-Hydroxyethyl)sulfonyl]methyl}-2-{(1R)-1-[3, 5- bis (trifluoromethyl)phenvllethov tetrahvdro-3-phenvl-2H-pvran-4- methanol ; and (2R. 3R. 4R. aS or R)-a-fr (2-Hydroxyethyl) sulfonynmethyU-2- ( (lR)-l-r3. 5- bis trifluoromethyl)phenyl]ethoxy}tetrahydro-3-phenyl-2H-pyran-4 - methanol 3-Chlorobenzenecarboperoxoic acid (77%, 268 mg, 1.2 mmol) was added to a solution of (2R, 3R, 4R, aR or S)-a-{[(2-hydroxyethyl) thio] methyl}-2- { (lR)-l- [3, 5- bis (trifluoromethyl) phenyl] ethoxy} tetrahydro-3-phenyl-2H-pyran-4-methanol and (2R, 3R, 4R, aS or R)-a-{[(2-hydroxyethyl) thio] methyl}-2-{(1R)-1-[3, 5- bis (trifluoromethyl) phenyl] ethoxy} tetrahydro-3-phenyl-2H-pyran-4-methanol (Description 4; 1: 1 mixture of alcohol epimers, 268 mg, 0.5 mmol) and sodium hydrogen carbonate (125 mg, 1.5 mmol) in dichloromethane (10 mL) and the mixture was stirred at room temperature for 1 hour. Saturated aqueous sodium hydrogen carbonate (10 mL) was added and the mixture was extracted with dichloromethane (3 x 20 mL). The combined organic fractions were washed with saturated aqueous potassium carbonate (20 mL), dried (MgSO4) and the solvent was evaporated under reduced pressure to give the title compound (1: 1 mixture of alcohol epimers) as a colorless foam (276 mg, 97%). 1H NMR (500MHz, CDCIs)

8 7.66 (1H, s), 7.26 (3H, m), 7. 18 and 7.15 (2H, each s), 7.09-7. 04 (2H, m), 4.94 (1H, m), 4.25 an 4.24 (1H, each d, J8. 2 Hz), 4.19 (1H, m), 4.01-3. 91 (3H, m), 3.54 (1H, m), 3.32-2. 92 (4H, m), 2.88 and 2.54 (1H, each dd, J 11.5, 8.2 Hz), 2.22-1. 46 (5H, m), and 1.36 (3H, d, J 6. 6 Hz).

Description 6 <BR> <BR> <BR> <BR> (2R, 3R, 4R)-2-f (1R-l-f3, 5-Bis (trifluoromethvl) phenvllethoxyltetrahvdro- 3-phenvl-2H-pyran-4-methvl Benzenesulfonate Benzenesulfonyl chloride (1.036 L, 1.434 kg, 8.12 mol) was added slowly to a stirred, cooled (-13 °C) solution of (2R, 3R, 4R)-2- [ (lR)-1- [3, 5-bis (trifluoromethyl)- phenyl] ethoxy] tetrahydro-3-phenyl-2H-pyran-4-methanol (WO 00/56727-Al ; 2.60 kg, 5.80 mol) and 1, 4-diazabicyclo [2.2. 2] octane (1.041 kg, 9. 28 mol) in ethyl acetate (26 L) and the resulting slurry was allowed to warm to 0 °C. Water (26 L) was added and the mixture was stirred at 20 °C to 25 °C for 90 minutes.

The layers were separated and the organic layer was washed with hydrochloric acid (1M, 26 L) and aqueous sodium hydrogen carbonate (0.5M, 26 L). The solvent was evaporated under reduced pressure to give the title compound.

1H NMR (400MHz, CDCls) 8 7.75 (2H, m), 7.66 (1H, br s), 7.62 (1H, m), 7.48 (2H, m), 7.27-7. 14 (5H, m), 6.89 (2H, m), 4.93 (1H, q, J6. 6 Hz), 4.20 (1H, d, J8. 3 Hz), 4.12 (1H, ddd, J 11. 9,4. 6,1. 8 Hz), 3.81 (1H, dd, J 9. 8,3. 1 Hz), 3.62 (1H, dd, J 9. 8, 6.9 Hz), 3.52 (1H, td, J 11.9, 2.5 Hz), 2.51 (1H, dd, J 11.7, 8.3 Hz), 2.10 (1H, m), 1.77 (1H, m), 1.64 (1H, m), and 1.34 (3H, d, J 6. 6 Hz). 18C NMR (100MHz, CDCl3) 8 145.8, 137.7, 136.0, 133.9, 131.7 (q, Jcr 33.2 Hz), 129.4, 128. 9,128. 0, 127.6, 126.4, 123.3 (q, JCF 272.8 Hz), 121.6 (m), 102.4, 73.9, 72.0, 64.7, 49.9, 39.9, 28. 3, and 24.6.

Description 7 (2R, 3R, 4R)-4-(Azidomethyl)-2-[(1R)-1-[3,5-bis(trifluoromethyl)pheny l]- ethoxyltetrahvdro-3-phenyl-2H pvran Sodium azide (0. 165 g, 2.55 mmol) was added to a solution of (2R, 3R, 4R)-2- [ (1R)- 1- [3,5-bis (trifluoromethyl) phenyl] ethoxy] tetrahydro-3-phenyl-2H-pyran-4-methyl benzenesulfonate (Description 6; 0.5 g, 0.85 mmol) in N, N-dimethylformamide (10 mL) and the mixture was stirred at 50 °C for 3 hours. The mixture was cooled and diethylether (50 mL) was added. The mixture was washed with water

(x 5), the organic layer was dried (MgSO4) and the solvent was evaporated under reduced pressure to give the title compound (0.4 g, 100%). 1H NMR (400MHz, Cd13) 8 1.36 (3H, d, J6. 7 Hz), 1.59-1. 69 (1H, m), 1.77-1. 79 (1H, m), 1.93-2. 04 (3H, m), 2.56 (1H, dd, J8. 4,11. 5 Hz), 2.94 (1H, dd, J7. 4,12. 1 Hz), 3.14 (1H, dd, J3. 1,12. 1 Hz), 3.51-3. 58 (1H, m), 4.09-4. 19 (2H, m), 4.23 (1H, d, J8. 2 Hz), 4.97 (1H, q, J6. 5 Hz), 7.01-7. 04 (2H, m), 7.17 (2H, s), 7.23-7. 26 (3H, m), and 7.66 (1H, s).

Description 8 (2R, 3R, 4R)-2-[(1R)-1-[3,5-bis(trifluoromethyl)phenyl]ethoxy]tetrahy dro- 3-phenvl-2H-pyran-4-methvlamine Palladium on carbon (10%, 50 mg) was added to a solution of (2R, 3R, 4R)-4- (azidomethyl) -2- [(1R)-1- [3,5-bis (trifluoromethyl) phenyl] ethoxy] tetrahydro-3- phenyl-2H-pyran (Description 7; 0.4 g, 0. 85 mmol) in tetrahydrofuran (10 mL) and the mixture was stirred under hydrogen (1 atm. ) for 1 hour. The mixture was filtered through Oolite and the solvent was evaporated under reduced pressure to give the title compound (0.38 g, 100%). 1H NMR (400MHz, Cd13) 8 1.36 (3H, d, J 6. 7 Hz), 1.48-1. 65 (1H, m), 1. 78-1. 82 (2H, m), 2.30-2. 36 (1H, m), 2.44-2. 52 (2H, m), 3.52-3. 60 (1H, m), 4.09-4. 27 (2H, m), 4.96 (1H, q, J6. 5 Hz), 7.01-7. 04 (2H, m), 7.17 (2H, s), 7.22-7. 26 (3H, m), and 7.66 (1H, s).

Example 1 1-[((2R,3R,4R)-2-{(1R)-1-[3, 5-Bis (trifluoromethvl) nhenvllethoxv}- tetrahydro-3-(4-fluorophenyl)-2H-pyran-4-yl)methyl]piperazin one Hydrochloride Palladium on carbon (10%, 240 mg) was added to a solution of 4-benzyloxycarbonyl-1- [((2R, 3R, 4R)-2-{(1R)-1- [3,5-bis (trifluoromethyl) phenyl] - ethoxy} tetrahydro-3- (4-fluorophenyl)-2H-pyran-4-yl) methyl] piperazinone (Description 1; 2.03 g, 2. 98 mmol) in ethanol (20 mL) and the mixture was shaken under hydrogen (50 psi) for 2 hours. Further palladium on carbon (10%, 270 mg) was added and the mixture was shaken under hydrogen (50 psi) for a further 2.5 hours. The mixture was filtered through Oolite and the solvent was evaporated under reduced pressure. The residue was triturated with dichloromethane to give 1-[((2R, 3R, 4R)-2-{(lR)-1-3, 5-bis (trifluoromethyl) phenyl7-

ethoxytetrahydro-3- (4-fluorophenyl)-2H-pyran-4-yl) methylJpiperazinone (1. 53 g, 94%).

A portion (107 mg) was dissolved in methanol (1.5 mL) and poured onto an SCX cartridge (Varian Bond Elut ; 10 mL/500 mg). The cartridge was washed with methanol (4 x 2 mL), then eluted with methanolic ammonia (2M, 2 x 2 mL). The solvent was evaporated under reduced pressure, the residue was dissolved in ethyl acetate and ethereal hydrogen chloride (1M, 200 ul, 0.200 mmol) was added. The solvent was evaporated under reduced pressure and the residue was dried in vacuo to give the title compound as a colorless solid (100 mg, 86%).

H NMR (360MHz, CD30D) 8 1.33 (3H, d, J 6. 6 Hz), 1. 48 (1H, dq, J 12.1, 4.6 Hz), 1.70-1. 74 (1H, m), 2.31-2. 40 (1H, m), 2.44-2. 49 (1H, m), 2.95 (1H, dd, J 13.8, 5.4 Hz), 3.12-3. 20 (1H, m), 3.22-3. 31 (2H, m), 3.35-3. 43 (2H, m), 3.54-3. 69 (3H, m), 4.10 (1H, dd, J 11. 7,3. 2 Hz), 4.25 (1H, d, J 8. 1 Hz), 5.01 (1H, q, J 6.4 Hz), 6.97 (2H, t, J8. 7 Hz), 7.15-7. 19 (2H, m), 7.31 (2H, s), and 7.74 (1H, s). m/z (ES+) 291 (M+1-CioHsF6O).

Example 2 1-[((2R,3R,4R)-2-{(1R)-1-{3,5-Bis(trifluoromethyl)phenyl]eth oxy}- <BR> <BR> <BR> <BR> tetrahydro-3- (4-fluorophenvl)-2H-pyran-4-yl) methvll-4-<BR> <BR> <BR> <BR> <BR> <BR> <BR> methvlpiperazinone Hydrochloride Sodium triacetoxyborohydride (153 mg, 0.728 mmol) was added to a solution of 1- [((2R, 3R, 4R)-2-{(1R)-1- [3,5-bis (trifLuoromethyVphenyl] ethoxy} tetrahydro-3-(4- ffuorophenyl)-2H-pyran-4-yl) methyl] piperazinone (Example 1; 100 mg, 0.182 mmol) and aqueous formaldehyde (38%, 52. 5 ul, 0. 728 mmol) in dichloroethane (10 mL) and the mixture was stirred at room temperature for 16 hours. Further aqueous formaldehyde (38%, 1.0 mL, 13.7 mmol) and sodium triacetoxyborohydride (200 mg, 0.943 mmol) were added and the mixture was stirred at room temperature for 24 hours. The solvent was evaporated under reduced pressure and dichloromethane (5 mL) and saturated aqueous sodium hydrogen carbonate (5 mL) were added. The layers were separated and the organic layer was poured onto an SCX cartridge (Varian Bond Elut ; 10 mL/500 mg). The cartridge was washed with methanol (4 x 2 mL), then eluted with methanolic ammonia (2M, 2 x 2 mL). The solvent was evaporated under reduced pressure, the residue was dissolved in ethyl acetate and ethereal

hydrogen chloride (1M, 146 µl, 0.146 mmol) was added. The solvent was evaporated under reduced pressure and the residue was dried in vacuo to give the title compound (79.4 mg, 74%). 1H NMR (400MHz, CD30D) 8 1.33 (3H, d, J 6.6 Hz), 1.46 (1H, dq, J 12.3, 4.7 Hz), 1.66-1. 70 (1H, m), 2.32-2. 39 (1H, m), 2.42- 2.49 (4H, m), 2.72-2. 81 (1H, br), 2.82-2. 89 (3H, m), 3.11-3. 17 (2H, m), 3.27-3. 40 (2H, m), 3.46-3. 50 (1H, m), 3.56-3. 66 (1H, m), 4.07-4. 11 (1H, m), 4.25 (1H, d, J 8.2 Hz), 5.00 (1H, q, J6. 6 Hz), 6.94-6. 98 (2H, m), 7.14-7. 17 (2H, m), 7.31 (2H, s), and 7.73 (1H, s). m/z (ES+) 563 (M+1), 305 (M+l-CioHsF6O).

Example 3 1-[((2R,3R,4R)-2-{(1R)-1-[3,5-Bis(trifluoromethyl)phenyl]eth oxy}- tetrahydro-3- (4-fluoronhenvl)-2H-vran-4-yl) methvll-4- ethylpiperazinone Hydrochloride Prepared from 1- [ ( (2R, 3R, 4R)-2- { (lR)-I- [3,5-bis (trifluoromethyl) phenyl] ethoxy}- tetrahydro-3- (4-fluorophenyl)-2H-pyran-4-yl) methyl] piperazinone (Example 1) and acetaldehyde according to the method of Example 2. 1H NMR (400MHz, CD30D) 8 1.14 (3H, t, J 7.2 Hz), 1. 33 (3H, d, J 6.6 Hz), 1.46 (1H, dq, J 12.4, 4.7 Hz), 1.69 (1H, dd, J 4. 0,2 Hz), 2.32-2. 38 (1H, m), 2.43-2. 48 (1H, m), 2.62-2. 74 (3H, br), 2. 88 (2H, dd, J 13.7, 4.9 Hz), 3.12-3. 15 (2H, m), 3.22-3. 39 (3H, m), 3.59 (1H, dt, J 12.2, 2.1 Hz), 4.07-4. 11 (1H, m), 4.25 (1H, d, J8. 2 Hz), 5.00 (1H, q, J 6.5 Hz), 6.93-6. 98 (2H, m), 7.14-7. 18 (2H, m), 7.31 (2H, s), and 7.73 (1H, s). m/z (ES+) 577 (M+1), 319 (M+1-CioHsF6O).

Example 4 1- [((2R,3R,4R)-2-{(1R)-1-[3,5-Bis(trifluoromethyl)phenyl]ethox y}- <BR> <BR> <BR> <BR> tetrahvdro-3- (4-fluorophenyl)-2H-pyran-4-vl) methvll-4- (1-<BR> <BR> <BR> <BR> <BR> <BR> methvlethvl) piperazinone Prepared from 1- [((2R,3R,4R)-2-{(1R)-1-[3, 5-bis (trifluoromethyl) phenyl] ethoxy}- tetrahydro-3- (4-fluorophenyl)-2H-pyran-4-yl) methyl] piperazinone (Example 1) and acetone according to the method of Example 2. 1H NMR (360MHz, CD30D) 8 0.99 (6H, d, J 6. 5 Hz), 1.33 (3H, d, J 6. 6 Hz), 1.45 (1H, dq, J 12.3, 4.5 Hz), 1.65- 4.70 (1H, m), 2. 32-2. 55 (4H, m), 2.63 (1H, m), 2.88-3. 03 (4H, m), 3.12-3. 18 (1H, m), 3.27-3. 23 (1H, m), 3.59 (1H, dt, J 12.2, 2.1 Hz), 4.06-4. 13 (1H, m), 4.23 (1H, d,

J8. 1 Hz), 5.01 (1H, q, J6. 5 Hz), 6.92-6. 96 (2H, m), 7.12-7. 17 (2H, m), 7.31 (2H, s), and 7.73 (1H, s). m/z (ES+) 591 (M+1), 333 (M+1-CioHsF6O).

Example 5 1-[ ( (2R,3R,4R)-2-{(1R)-1-[3,5-Bis(trifluoromethyl)phenyl]ethoxy} - tetrahvdro-3- (4-fluorophenyl)-2H-pvran-4-vDmethvll-4-<BR> cyclohexylpiperazinone Prepared from 1- [((2R, 3R, 4R)-2-{(1R)-1- [3,5-bis (trifluoromethyl)phenyl]ethoxy}- tetrahydro-3- (4-fluorophenyl)-2H-pyran-4-yl) methyl] piperazinone (Example 1) and cyclohexanone according to the method of Example 2. 1H NMR (400MHz, CD30D) 6 1. 18-1. 29 (6H, m), 1.33 (3H, d, J 6. 6 Hz), 1.45 (1H, dq, J 12.4, 4.7 Hz), 1.60-1. 69 (2H, m), 1.78-1. 80 (4H, m), 2.20-2. 25 (1H, m), 2.32-2. 38 (1H, m), 2.40- 2.47 (1H, m), 2.54-2. 59 (1H, m), 2.90-3. 01 (2H, m), 3.01-3. 17 (2H, m), 3.27-3. 32 (2H, m), 3.59 (1H, dt, J 12.2, 2.1 Hz), 4.06-4. 12 (1H, m), 4.23 (1H, d, J 8. 2 Hz), 5.00 (1H, q, J6. 6 Hz), 6.94 (2H, t, J8. 8 Hz), 7.12-7. 17 (2H, m), 7.30 (2H, s), and 7.73 (1H, s). m/z (ES+) 373 (M+1-CioH8F60).

Example 6 1-[((2R,3R,4R)-2-{(1R)-1-[3, 5-Bis (trifluoromethyl) phenyl]ethoxy}- tetrahydro-3-(4-fluorophenyl)-2Hpvran-4-yl) methyll-4-<BR> (tetrah. vdropyran-4-vl) piperazinone Prepared from 1- [((2R, 3R, 4R)-2-{(1R)-1- [3,5-bis (triffuoromethyl) phenyl] ethoxy}- tetrahydro-3- (4-fluorophenyl)-2H-pyran-4-yl) methyl] piperazinone (Example 1) and tetrahydro-4H-pyran-4-one according to the method of Example 2. lu NMR (360MHz, CD3OD,) 8 1.35 (3H, d, J 11. 8 Hz), 1.39-1. 51 (3H, m), 1.64-1. 75 (3H, m), 2.33-2. 48 (4H, m), 2.55-2. 61 (1H, m), 2.90-3. 03 (3H, m), 3.11-3. 18 (1H, m), 3.28-3. 39 (4H, m), 3.59 (1H, dt, J 11.0, 1. 8 Hz), 3.94 (2H, dd, J 10.0, 3.3 Hz), 4.06-4. 11 (1H, m), 4.24 (1H, d, J 7. 3 Hz), 5.00 (1H, q, J 5. 9 Hz), 6.92-6. 97 (2H, m), 7.12-7. 16 (2H, m), 7.31 (2H, s), and 7.73 (1H, s). m/z (ES+) 375 (M+1- CioHsF6O).

Example 7 1-[((2R,3R,4R)-2-{(1R)-1-[3,5-Bis(tifluoromethyl)phenyl[etho xy}- tetrahydro-3-(4-fluorophenyl)-2H-pyran-4-yl)methyl]-4-(1- methvlpiperidin-4-vl) piperazinone Prepared from 1- [ ( (2R, 3R, 4R)-2- { (IR)-l- [3,5-bis (trifluoromethyl) phenyl] ethoxy}- tetrahydro-3- (4-fluorophenyl)-2H-pyran-4-yl) methyl] piperazinone (Example 1) and 1-methyl-4-piperidinone according to the method of Example 2. 1H NMR (360MHz, CDsOD) 5 1.33 (3H, d, J 5. 9 Hz), 1.43-1. 55 (5H, m), 1.64-1. 68 (2H, br), 1.80-1. 83 (2H, br), 2.12-2. 28 (3H, m), 2.33 (3H, s), 2.42-2. 46 (2H, m), 2.55-2. 63 (1H, m), 2.91-3. 02 (4H, m), 3.10-3. 15 (2H, m), 3.56-3. 62 (1H, m), 4.07 (1H, dd, J 10.7, 4.0 Hz), 4.23 (1H, d, J 7.3 Hz), 5.00 (1H, q, J 6.2 Hz), 6.94 (2H, t, J 7.8 Hz), 7.13-7. 16 (2H, m), 7.30 (2H, s), and 7.73 (1H, s). m/z (ES+) 646 (M+1), 388 (M+1- CloHsF60).

Example 8 l-r (2R,3R,4R)-2-{(1R)-1-[3, 5-Bis (trifluoromethyl) phenvll ethow tetrahydro-3-(4-fluorophenyl)-2H-pyran-4-yl)methyl]-4- phenylpiperazinone A degassed flask was charged with tris (dibenzylideneacetone) dipalladium (0) (0.88 mg, 0.96 Rmol), 2-(dicyclohexylphosphino) biphenyl (1.34 mg, 3. 8 µmol) and sodium tert-butoxide (51.5 mg, 0.536 mmol). Toluene (1.54 mL) then bromobenzene (80.7 µl, 0.77 mmol) were added, followed by 1-[((2R, 3R, 4R)-2- { (1R)-1- [3, 5-bis (trifluoromethyl) phenyl] ethoxy} tetrahydro-3- (4-fluorophenyl)-2H- pyran-4-yl) methyl] piperazinone (Example 1; 250 mg, 0.456 mmol) in toluene (2 mL) and the mixture was stirred at 80 °C for 18 hours. Further bromobenzene (80. 7 µl, 0.77 mmol), sodium tert-butoxide (51. 5 mg, 0.54 mmol), tris (dibenzylideneacetone) dipalladium (0) (0.88 mg, 0. 96 µmol) and 2- (dicyclohexylphosphino) biphenyl (1.34 mg, 3. 8 jumol) were added and the mixture was stirred at 80 °C for 3 hours. The mixture was cooled, diluted with ether (100 mL) and filtered through Celte. The solvent was evaporated under reduced pressure and the residue was purified by flash column chromatography on silica gel, eluting with CH2Cl2/EtOAc/NH3 (Aq. ) (84 : 15: 1) to give the title compound (165 mg, 58%). 1H NMR (360MHz, CD3OD) 8 1.33 (3H, d, J6. 6 Hz), 1.48 (1H, dq, J 12.2, 4.7 Hz), 1.64-1. 69 (1H, m), 2.35-2. 43 (1H, m), 2.44-2. 49 (1H,

m), 2.96 (1H, dd, J 13.6, 5.2 Hz), 3.13-3. 41 (5H, m), 3.54-3. 70 (3H, m), 4.07 (1H, dd, J 11.7, 3.2 Hz), 4.26 (1H, d, J 8. 1 Hz), 5.00 (1H, q, J 6. 5 Hz), 6.81-6. 86 (3H, m), 6.94 (2H, t, J 8. 7 Hz), 7.15-7. 25 (4H, m), 7.31 (2H, s), and 7.73 (1H, s). m/z (ES+) 625 (M+1), 367 (M+1-CioHsF6O).

Example 9 1-j ( (2R, 3R, 4R)-2-f (lR)-1-f3, 5-Bis (trifluoromethyl)phenyl]ethoxy}- <BR> <BR> <BR> <BR> tetrahydro-3- 4-fluorophenyl)-2H-pvran-4-vl) methyll-4- (pyrid-3-<BR> <BR> <BR> <BR> <BR> <BR> <BR> yl) piperazinone A degassed flask was charged with tris (dibenzylideneacetone) dipalladium (0) (3.2 mg, 3.5 llmo », (R)-(+)-2, 2'-bis (diphenylphosphino)-1, 1'-binapthyl (8.3 mg, 13.3 p. mol) and sodium tert-butoxide (103 mg, 1.07 mmol). Toluene (2 mL), then 1-[((2R,3R,4R)-2-{(1R)-1- [3,5-bis (trifluoromethyl) phenyl] ethoxy} tetrahydro-3- (4- fluorophenyl)-2H-pyran-4-yl) methyl] piperazinone (Example 1; 250 mg, 0.456 mmol) in toluene (2 mL) were added, followed by 3-bromopyridine (103 µl, 1.06 mmol) and the mixture was stirred at 80 °C for 16 hours. The mixture was cooled, diluted with ether (100 mL) and filtered through Celte. The solvent, was evaporated under reduced pressure and the residue was purified by flash column chromatography on silica gel, eluting with CH2Cl2/EtOAc/NH3 (Aq. ) (792: 8 : 1). The residue was dissolved in methanol (1.5 mL) and poured onto an SCX cartridge (Varian Bond Elut ; 10 mL/500 mg). The cartridge was washed with methanol (4 x 2 mL), then eluted with methanolic ammonia (2M, 2 x 2 mL).

The solvent was evaporated under reduced pressure to give the title compound (131 mg, 46%). 1H NMR (400MHz, CDC13) 8 1.37 (3H, d, J 5. 9 Hz), 1.53-1. 63 (1H, m), 1. 68-1. 72 (1H, m), 2.21-2. 29 (1H, m), 2. 48-2. 53 (1H, m), 2.97 (1H, dd, J 12.3, 4.4 Hz), 3.16-3. 30 (3H, m), 3.37-3. 42 (1H, m), 3.47-3. 55 (2H, m), 3.69-3. 80 (2H, m), 4.09-4. 16 (2H, m), 4.92-4. 97 (1H, m), 6.93-6. 99 (2H, m), 7.04-7. 10 (3H, m), 7.16-7. 27 (3H, m), 7.68 (1H, s), 8. 12 (1H, s), and 8.21 (1H, s). m/z (ES+) 368 (M+1- CloHsF6O).

Example 10 4-r ((2R,3R,4R)-2-{(1R)-1-[3, 5-Bis (trifluoromethyl)phenyl]ethoxy}- tetrahvdro-3-bhenyl-2H-pyran-4-vl) methyllpiperazinone Prepared from (2R, 3R, 4R)-2-{(1R)-1- [3,5-bis (trifluoromethyl) phenyl] ethoxy}- tetrahydro-3-phenyl-2H-pyran-4-carboxaldehyde (WO 00/56727-A1) and piperazinone according to the method of Example 2. lu NMR (360MHz, CDCl3) # 7.66 (1H, s), 7.26-7. 16 (5H, m), 7.01 (2H, m), 6.00 (1H, br s), 4.92 (1H, q, J 6.5 Hz), 4.19 (1H, d, J8. 3 Hz), 4.12 (1H, br d, J 12 Hz), 3.52 (1H, br t, J 12 Hz), 3. 28-3. 18 (2H, m), 3.07 (1H, d, J 16.5 Hz), 2.77 (1H, d, J 16.5 Hz), 2.52-2. 34 (3H, m), 2.17-1. 91 (4H, m), 1.45 (1H, m), and 1.36 (3H, d, J6. 5 Hz). m/z (ES+) 531 (M+1), 273 (M+1-C10H8F6O).

Example 11 4-[((2R,3R,4R)-2-[(1R)-1-[3,5-Bis(trifluoromethyl)phenyl]eth oxy}- tetrahydro-3-(4-fluorophenyl)-2H-pyran-4-yl)methyl]piperazin one Prepared from (2R, 3R, 4R)-2-1 (lR)-l- [3, 5-bis (trifluoromethyl) phenyl] ethoxy}- tetrahydro-3-(4-fluorophenyl)-2H-pyran-4-carboxaldehyde (WO 03/022839-A1) and piperazinone according to the method of Example 2. 1H NMR (400MHz, CDC1s) # 7. 68 (1H, s), 7.17 (2H, s), 7.01-6. 92 (4H, m), 5.70 (IH, br s), 4.95 (1H, q, J 6. 6 Hz), 4.14 (2H, m), 3.51 (1H, br t, J 12 Hz), 3.30-3. 20 (2H, m), 3. 08 (1H, d, J 16.5 Hz), 2. 78 (1H, d, J 16.5 Hz), 2. 48 (1H, m), 2.40 (2H, m), 2.15-1. 85 (4H, m), 1.44 (1H, m), and 1.37 (3H, d, J 6. 5 Hz). m/z (ES+) 549 (M+1), 291 (M+1- CloHsF60).

Example 12 4-[((2R,3R,4R)-2-{(1R)-1-[3,5-Bis(trifluoromethyl)phenyl]eth oxy}- tetrahvdro-3- (4-fluorophenyl)-2H-pyran-4-yl) methl-1- methylpiperazinone Prepared from (2R, 3R, 4R)-2-f (1R)-1- [3, 5-bis (trifluoromethyl) phenyl] ethoxy}- tetrahydro-3- (4-fluorophenyl)-2H-pyran-4-carboxaldehyde (WO 03/022839-Al) and 1-methylpiperazinone according to the method of Example 2. lu NMR (360MHz, CDCl3) # 7.68 (1H, s), 7.17 (2H, s), 7.00-6. 92 (4H, m), 4.95 (1H, q, J 6.6 Hz), 4.14 (2H, m), 3.50 (1H, br t, J 12 Hz), 3.24 (1H, m), 3.14 (1H, m), 3. 08

(1H, d, J 16.2 Hz), 2. 89 (3H, s), 2.74 (1H, d, J 16.2 Hz), 2.50-2. 37 (3H, m), 2.11 (1H, m), 1.99-1. 85 (3H, m), 1.42 (1H, m), and 1.36 (3H, d, J 6. 6 Hz).

Example 13 4-[((2R,3R,4R)-2-{(1R)-1-[3,5-Bis(trifluoromethyl)phenyl]eth oxy}- <BR> <BR> <BR> tetrahvdro-3- (4-fluorophenyl)-2H-nvran-4-vl) methyl]-1-<BR> <BR> <BR> <BR> <BR> ethylpiperazinone Prepared from (2R, 3R, 4R)-2-{(1R)-1- [3, 5-bis (trifluoromethyl) phenyl] ethoxy}- tetrahydxo-3- (4-fluorophenyl)-2H-pyran-4-carboxaldehyde (W003/022839) and 1-ethylpiperazinone according to the method of Example 2. lu NMR (360MHz, CDC1s) 8 7.68 (1H, s), 7.17 (2H, s), 7.00-6. 92 (4H, m), 4.94 (1H, q, J6. 6 Hz), 4.14 (2H, m), 3.50 (1H, br t, J 12 Hz), 3.36 (2H, q, J 7. 2 Hz), 3.22 (1H, m), 3.13 (1H, m), 3.08 (1H, d, J 16.0 Hz), 2.74 (1H, d, J 16.0 Hz), 2.50-2. 37 (3H, m), 2.12 (1H, m), 2.00-1. 86 (3H, m), 1.44 (1H, m), 1.36 (3H, d, J 6. 6 Hz), and 1.08 (3H, t, J 7.2 Hz). m/z (ES+) 577 (M+1), 319 (M+l-CloHsFeO).

Example 14 4-[((2R,3R,4R)-2-{(1R)-1-[3,5-Bis(trifluoromethyl)phenyl]eth oxy}- <BR> <BR> <BR> tetrahydro-3- 4-fluorophenyl)-2H-pvran-4-yl) methvll-l-<BR> <BR> <BR> <BR> <BR> phenylpiperazinone Prepared from (2R,3R,4R)-2-{(1R)-1- [3,5-bis (trifluoromethyl) phenyl] ethoxy}- tetrahydro-3-(4-fluorophenyl)-2H-pyran-4-carboxaldehyde (WO 03/022839/A1) and 1-phenylpiperazinone (Tet. Lett. 1998, 39, 7459-7462) according to the method of Example 2. lu NMR (400MHz, CDC1s) 8 1.36 (3H, d, J 6. 6 Hz), 1. 44- 1.52 (1H, m), 1.58-1. 62 (1H, m), 1.59-2. 10 (2H, m), 2.19 (1H, dd, J 12.2, 10.0 Hz), 2.44 (1H, dd, 11.1, 8.4 Hz), 2.53-2. 58 (1H, m), 2.61-2. 67 (1H, m), 3.26 (1H, d, J 16. 4 Hz), 2.93 (1H, d, J 16. 4 Hz), 3.45-3. 65 (3H, m), 4.15 (1H, d, J 8.4 Hz), 4.11- 4.17 (1H, m), 4.96 (1H. q, J6. 6 Hz), 6.93-7. 03 (4H, m), 7. 18 (2H, s), 7.19-7. 27 (3H, m), 7.35-7. 40 (2H, m), and 7.68 (1H, s). m/z (ES+) 625 (M+1), 367 (M+1- CloHsF6O).

Example 15 4-[((2R,3R,4R)-2-{(1R)-1-[3,5-Bis(trifluoromethyl)phenyl]eth oxy}- tetrah_ydro-3- (4-fluoropheny)-2H-pyran-4-vl) methvll-l- (pyrid-3- yl) piperazinone Prepared from (2R, 3R, 4R)-2- {(1R)-1- [3, 5-bis (tri£LuoromethyVphenyl] ethoxy}- tetrahydro-3-(4-fluorophenyl)-2H-pyran-4-carboxaldehyde (WO 03/022839-Al) and 1- (3-pyridinyl) piperazinone (WO 01/44250-Al) according to the method of Example 2. lu NMR (360MHz, CDCl3) 8 1.36 (3H, d, J 6. 6 Hz), 1.42-1. 58 (1H, m), 1. 58-1. 62 (1H, m), 1.94-2. 10 (2H, m), 2.20 (1H, dd, J 12.2, 10.0 Hz), 2.44 (1H, dd, 11.1, 8.4 Hz), 2.56-2. 61 (1H, m), 2.64-2. 70 (1H, m), 2.97 (1H, d, J 16.6 Hz), 3.27 (1H, d, J 16.6 Hz), 3.49-3. 56 (2H, m), 3.63-3. 68 (1H, m), 4.15 (1H, d, J 8. 4 Hz), 4.14-4. 18 (1H, m), 4.96 (1H. q, J 6. 6 Hz), 6.93-7. 03 (4H, m), 7.18 (2H, s), 7.31 (1H, dd, J 5. 4,4. 8 Hz), 7.61-7. 65 (1H, m), 7.68 (1H, s), 8.48 (1H, dd, J 4. 8, 1.4 Hz), and 8.53 (1H, d, J 2. 3 Hz). m/z (ES+) 626 (M+1), 368 (M+1-CioHsF6O).

Example 16 4-[((2R, 3S, 4S)-2-{(1R)-1-[3, 5-Bis (trifluoromethyl)phenyl]ethoxy}- tetrahydro-3-(4-fluorophenyl)-2H-pyran-4-yl)methyl]piperazin one Prepared from (2R, 3S, 4S^)-2-{(1R)-1- [3,5-bis (trifluoromethyl) phenyl] ethoxy} - tetrahydro-3- (4-fLuorophenyl)-2H-pyran-4-carboxaldehyde (Description 2) and piperazinone according to the method of Example 2. 1H NMR (400MHz, CDCIs) 8 7.62 (1H, s), 7. 18 (4H, m), 7.00 (2H, m), 5.80 (1H, br s), 4.89 (1H, q, J6. 6 Hz), 4.38 (1H, d, J 2. 2 Hz), 3.99 (1H, br t, J 12 Hz), 3.76 (1H, br d, J 12 Hz), 3.37 (1H, m), 3. 28 (1H, m), 3.25 (1H, d, J 16.6 Hz), 2.88 (1H, d, J 16.6 Hz), 2.65-2. 40 (4H, m), 2.15-2. 00 (3H, m), 1.47 (1H, m), and 1.46 (3H, d, J 6. 6 Hz). m/z (ES+) 549 (M+1).

Example 17 4-[((2R,3S,4S)-2-{(1R)-1-(3, 5-Bis (trifluoromethyl)phenyl]ethoxy}- <BR> <BR> <BR> <BR> tetrahydro-3- (4-fluorophenvl)-2Hpvran-4-vl) methyll-1-<BR> <BR> <BR> <BR> <BR> <BR> methylpiperazinone Prepared from (2R, 3S, 4S)-2-{(1R)-1- [3,5-bis (trifluoromethyl) phenyl] ethoxy}- tetrahydro-3- (4-fluorophenyl)-2H-pyran-4-carboxaldehyde (Description 2) and 1-methylpiperazinone according to the method of Example 2. 1H NMR (400MHz,

CDCIs) 8 7.62 (1H, s), 7.18 (4H, m), 7.00 (2H, m), 4. 89 (1H, q, J 6. 6 Hz), 4.38 (1H, d, J 2. 4 Hz), 3.98 (1H, br t, J 12 Hz), 3.75 (1H, br d, J 12 Hz), 3.34 (1H, m), 3. 28 (1H, d, J 16.1 Hz), 3.20 (1H, m), 2.94 (3H, s), 2.83 (1H, d, J 16.1 Hz), 2.65-2. 45 (4H, m), 2.15-1. 95 (3H, m), 1.46 (3H, d, J6. 6 Hz), and 1.45 (1H, m). m/z (ES+) 563 (M+1).

Example 18 4-f ((2R,3S,4S)-2-{(1R)-1-[3,5-Bis(trifluoromethyl)phenyl]ethoxy }- <BR> <BR> <BR> <BR> tetrahvdro-3- (4-fluorophenyl)-2H-pyran-4-yl) methyll-1-<BR> <BR> <BR> <BR> <BR> ethylpiperazinone Prepared from (2R, 3S, 4S)-2-{(1R)-1- [3,5-bis (trifluoromethyl) phenyl] ethoxy}- tetrahydro-3- (4-fluorophenyl)-2H-pyran-4-carboxaldehyde (Description 2) and 1-ethylpiperazinone according to the method of Example 2. 1H NMR (400MHz, CDCl3) 8 7.62 (1H, s), 7.17 (4H, m), 7.00 (2H, m), 4.89 (1H, q, J6. 6 Hz), 4.38 (1H, d, J 2.4 Hz), 3. 98 (1H, br t, J 12 Hz), 3.75 (1H, br d, J 12 Hz), 3.41 (2H, q, J 7.2 Hz), 3.30 (1H, m), 3.27 (1H, d, J 16.2 Hz), 3. 18 (1H, m), 2.83 (1H, d, J 16.2 Hz), 2.65-2. 45 (4H, m), 2.15-1. 95 (3H, m), 1.46 (3H, d, J 6. 6 Hz), 1.45 (1H, m), and 1.12 (3H, t, J 7. 2 Hz). m/z (ES+) 577 (M+1).

Example 19 4-r ((2R,3R,4R)-2-{(1R)-1-[3,5-Bis(trifluoromethyl)phenyl]ethoxy }- <BR> <BR> <BR> <BR> tetrahvdro-3-(3, 4-difluorophenvl)-2H-pyran-4-yl) methyllthiomorpholine 1, 1-dioxide Thiomorpholine 1, 1-dioxide (15 mg, 0. 11 mmol) was added to a solution of (2R, 3R, 4R)-2-{(1R)-1- [3,5-bis (trifluoromethyl) phenyl] ethoxy} tetrahydro-3- (3, 4- difluorophenyl)-2H-pyran-4-carboxaldehyde (WO 02/16344-A1, 25 mg, 0.052 mmol) in dichloromethane (5 mL) and the mixture was stirred at room temperature for 1 hour. Sodium triacetoxyborohydride (16 mg, 0.075 mmol) was added and the mixture was stirred at room temperature for 24 hours. Saturated aqueous sodium hydrogen carbonate (5 mL) was added and the layers were separated. The aqueous layer was extracted with dichloromethane (5 mL), the organic phases were combined and the solvent was evaporated under reduced pressure. The residue dissolved in DMSO (1 mL) and purified by mass directed HPLC (Waters X-Terra MS C-8 19x100mm ; water/acetonitrile/0. 1% TFA

gradient; collected fractions were evaporated to dryness in Geneva HT-8 evaporator) to give the title compound as a colorless solid (19 mg, 61%). 1H NMR (400MHz, DMSO-d6) 8 1.29 (4H, d, J6. 5 Hz), 1. 86-1. 75 (1H, m), 2.14-2. 05 (2H, m), 2.42-2. 26 (2H, m), 2.75-2. 64 (1H, m), 2.96-2. 86 (1H, m), 3.03 (2H, d, J 14.7 Hz), 4.04-3. 97 (1H, m), 4.32 (1H, d, J 8. 4 Hz), 5.06-4. 99 (1H, m), 6.98 (1H, s), 7.26-7. 17 (3H, m), 7.39 (2H, s), and 7.89 (1H, s). m/z (APci+) 602 (M+1).

Example 20 4-r ((2R,3R,4R)-2-{(1R)-1-[3, 5-Bis (trifluoromethyl) phenvll ethoxy_', - <BR> <BR> <BR> <BR> tetrahydro-3-phenyl-2H-pyran-4-yl) methvllthiomorpholine 1, 1-dioxide Prepared from (2R, 3R, 4R)-2-{(1R)-1- [3,5-bis (trifluoromethyl) phenyl] ethoxy}- tetrahydro-3-phenyl-2H-pyran-4-carboxaldehyde (WO 00/56727-Al) and thiomorpholine 1, 1-dioxide according to the method of Example 19. 1H NMR (400MHz, DMSO-d6) 8 1.27 (4H, t, J 6. 9 Hz), 1.84 (1H, d, J 13.2 Hz), 2.16-1. 97 (3H, m), 2.34 (1H, t, J 9.5 Hz), 2.70 (2H, t, J 6.6 Hz), 2.87 (3H, s), 3.57 (1H, t, J 11.3 Hz) 4. 01 (1H, dd, J 3. 5,11. 3 Hz), 4.34 (1H, d, J 8. 4 Hz), 5.04 (1H, d, J 6.5 Hz), 7.21-7. 11 (5H, m), 7.37 (2H, s), and 7. 85 (1H, s). m/z (APci+) 566 (M+1).

Example 21 1-[((2R,3R,4R)-2-{(1R)-1-[3,5-Bis(trifluoromethyl)phenyl]eth oxy}- tetrahydro-3-phenyl-2H-pyran-4-yl) methyll-2-pyrrolidinone Prepared from (2R, 3R, 4R)-2-[(1R)-1- [3,5-bis (trifluoromethyl) phenyl] ethoxy]- tetrahydro-3-phenyl-2H-pyran-4-methyl benzenesulfonate (Description 6) and 2-pyrrolidinone according to the method of Description 1. lu NMR (400MHz, CDCIs) 8 1.35 (3H, d, J6. 7 Hz), 1.49-1. 59 (1H, m), 1.63 (1H, m), 1.70-1. 82 (2H, m), 2.07-2. 27 (3H, m), 2.48 (1H, dd, J8. 2,11. 3 Hz), 2. 83 (1H, dd, J5. 1,14. 1 Hz), 3.04 (1H, ddd, J 6. 3,8. 2,9. 4 Hz), 3.12 (1H, ddd, J 6. 3,8. 2,9. 4 Hz), 3.19 (1H, dd, J 8. 2,13. 7 Hz), 3. 50 (1H, dt, J 2. 7,13. 1 Hz), 4.12 (1H, ddd, J 2.0, 4.2, 11.7 Hz), 4.15 (1H, d, J8. 2 Hz), 4.93 (1H, q, J6. 3 Hz), 7.05 (2H, m), 7.16 (2H, s), 7.20-7. 27 (3H, m), and 7.66 (1H, s).

Example 22 1-[((2R,3R,4R)-2-{(1R)-1-[3,5-Bis(trifluoromethyl)phenyl]eth oxy}- tetrahydro-3-phenvl-2H-pyran-4-yl) methyl]-2, 5-pvrrolidinedione Prepared from (2R, 3R, 4R)-2- [ (1R)-1- [3,5-bis (trifluoromethyl) phenyl] ethoxy]- tetrahydro-3-phenyl-2H-pyran-4-methyl benzenesulfonate (Description 6) and 2, 5-pyrrolidinedione according to the method of Description 1. 1H NMR (400MHz, CDC13) 8 1.33 (3H, d, J 6. 7 Hz), 1.50 (1H, m), 1.62 (1H, m), 2. 08-2. 20 (4H, m), 2.46-2. 59 (2H, m), 3.23 (1H, dd, J5. 9,13. 3 Hz), 3.44 (1H, dd, J8. 2, 13.7 Hz), 3.24 (1H, dd, J5. 9,14. 1 Hz), 3.27 (1H, d, J6. 3 Hz), 3.52 (1H, dt, J2. 3, 12.1 Hz), 4.05 (1H, d, J 7.8 Hz), 4. 11 (1H, m), 4. 88 (1H, q, J 6. 7 Hz), 7. 04 (2H, m), 7.08 (2H, s), 7.16-7. 25 (3H, m), and 7.63 (1H, s).

Example 23 2R, 3R, 4R)-2-f (IR)-l-f3, 5-Bis (trifluoromethyl) phenyl]ethoxy}- tetrahvdro-3-phenyl-2H-pyran-4- methv,-2-imidazolidinone Prepared from (2R, 3R, 4R)-2- [ (1R)-1- [3,5-bis (trifluoromethyl) phenyl] ethoxy]- tetrahydro-3-phenyl-2H-pyran-4-methyl benzenesulfonate (Description 6) and 2-imidazolidinone according to the method of Description 1. 1H NMR (400MHz, Cd13) 8 1.36 (3H, d, J 6. 7 Hz), 1.45-1. 55 (1H, m), 1.74 (1H, m), 2.01-2. 14 (2H, m), 2. 48 (1H, dd, J8. 2,11. 3 Hz), 2. 76 (1H, dd, J4. 7,14. 1 Hz), 3.04 (1H, dd, J8. 6, 14.5 Hz), 3.09-3. 24 (4H, m), 3.52 (1H, dt, J2. 0,11. 7 Hz), 4. 07 (1H, s), 4.14 (1H, m), 4.17 (1H, d, J8. 2 Hz), 4.94 (1H, q, J6. 7 Hz), 7.05 (2H, m), 7.16 (2H, s), 7.20- 7.25 (3H, m), and 7.66 (1H, s).

Example 24 1-[((2R,3R,4R)-2-{(1R)-1-[3, 5-Bis (trifluoromethyl)phenyl]ethoxy}- <BR> <BR> <BR> <BR> tetrahydro-3-phenvl-2H-vran-4-vl) methyll-3-methvl-2-imidazolidinone Prepared from (2R, 3R, 4R) -2- [ (1R)-1- [3, 5-bis (trifluoromethyl) phenyl] ethoxy]- tetrahydro-3-phenyl-2H-pyran-4-methyl benzenesulfonate (Description 6) and 1-methyl-2-imidazolidinone according to the method of Description 1. 1H NMR (400MHz, Cd13) 8 1.35 (3H, d, J 6. 7 Hz), 1.71-1. 76 (1H, m), 2.04-2. 11 (1H, m), 2.49 (1H, dd, J8. 2,11. 7 Hz), 2. 68 (3H, s), 2.78 (1H, d, J 14.1 Hz), 2.95-3. 10 (5H, m), 3.48-3. 54 (1H, m), 4.11-4. 14 (1H, m), 4.15 (1H, s), 4.17 (1H, s), 4.95 (1H, q, J

6.7 Hz), 7.04-7. 06 (2H, m), 7.16 (2H, s), 7.22 (3H, dd, J3. 1,3. 1 Hz), and 7.65 (1H, s).

Example 25 3-r ((2R, 3R. 4R)-2-f (1R)-1-93, 5-Bis (trifluoromethyl) phenyll ethoxyM tetrahydro-3-phenyl-2H-pyran-4-yl)methyl]-1-methyl1-2,4- imidazolidinedione Prepared from (2R, 3R, 4R)-2-[(1R)-1- [3,5-bis (trifluoromethyl) phenyl] ethoxy]- tetrahydro-3-phenyl-2H-pyran-4-methyl benzenesulfonate (Description 6) and 1-methyl-2, 4-imidazolidinedione according to the method of Description 1.

1H NMR (400MHz, CDCl3) 8 1.34 (3H, d, J 6. 7 Hz), 1.50 (1H, m), 1.64 (1H, m), 2.46-2. 62 (2H, m), 2.73 (3H, s), 2. 48 (1H, dd, J 8. 2,11. 3 Hz), 2.76 (1H, dd, J4. 7, 14.1 Hz), 3.24 (1H, dd, J5. 9,14. 1 Hz), 3.27 (1H, d, J6. 3 Hz), 3.39 (1H, dd, J7. 8, 13.7 Hz), 3.52 (1H, dt, J2. 4,12. 1 Hz), 4.07 (1H, d, J 7. 8 Hz), 4.12 (1H, dd, J 1.6, 4.3, 11.7 Hz), 4.88 (1H, q, J6. 7 Hz), 7.07 (2H, m), 7.10 (2H, s), 7.17-7. 23 (3H, m), and 7.63 (1H, s).

Example 26 2-[((2R,3R,4R)-2-{(1R)-1-[3,5-Bis(trifluoromethyl)phenyl]eth oxy}- <BR> <BR> <BR> <BR> tetrahydro-3-phen-2H-vran-4-yl) methvll-5-ethyl-1, 2, 5-thiadiazolidine 1, 1-dioxide Prepared from (2R, 3R, 4R) -2- [(1R)-1-[3, 5-bis (trifluoromethyl) phenyl] ethoxy] - tetrahydro-3-phenyl-2H-pyran-4-methyl benzenesulfonate (Description 6) and 2-ethyl-1, 2, 5-thiadiazolidine 1, 1-dioxide (J. Med. Chem. 1994, 37, 3023-3032) according to the method of Description 1. 1H NMR (400MHz, CDGls) 8 1.20 (3H, t, J 7. 4 Hz), 1.36 (3H, d, J 6. 7 Hz), 1.55 (1H, m), 1.62 (1H, m), 2.02 (1H, m), 2.04- 2.15 (1H, m), 2.45 (1H, dd, J8. 2,11. 4 Hz), 2.71-2. 84 (2H, m), 2.95-3. 07 (3H, m), 3.09-3. 20 (3H, m), 3.55 (1H, dt, J 2. 3,12. 1 Hz), 4.15 (1H, ddd, J 1. 6,4. 3, 11. 7 Hz), 4.19 (1H, d, J7. 8 Hz), 4.94 (1H, q, J 6. 7 Hz), 7.05 (2H, m), 7.16 (2H, s), 7.21-7. 26 (3H, m), and 7.65 (1H, s).

Example 27 (5R or S)-5-((2R,3R,4R)-2-{(1R)-1-[3,5-Bis(trifluoromethyl)phenyl]e thoxy}- tetrahvdro-3-phenvl-2H-pvran-4-yl)-2, 4-imidazolidinedione A solution of (2R, 3R, 4R)-2- { (1R)-1- [3, 5-bis (trifluoromethyl) phenyl] ethoxy}- tetrahydro-3-phenyl-2H-pyran-4-carboxaldehyde (WO 00/56727-Al ; 350 mg, 0. 78 mmol) and potassium cyanide (100 mg, 1.51 mmol) in methanol (5 mL) was stirred at room temperature for 30 minutes. Ammonium carbonate (750 mg, 7.8 mmol) and water (5 mL) were added and the mixture was stirred at 70 °C for 7 hours. The mixture was cooled and the solvent was evaporated under reduced pressure. Water was added and the mixture was acidified with hydrochloric acid (6M) (CAUTION: HCN evolution). The mixture was extracted with ethyl acetate, the combined organic fractions were dried (MgSO4) and the solvent was evaporated under reduced pressure. The residue was purified by preparative thin layer chromatography on silica gel, eluting with CHsClz/MeOH (95: 5). The residue was recrystallised from ethyl acetate to give the title compound (single diastereoisomer). 1H NMR (400MHz, DMSO-d6) D 1.20 (1H, m), 1. 28 (3H, d, J 6.7 Hz), 1.39-1. 52 (1H, m), 2.30 (1H, m), 2.65 (1H, dd, J 8. 6,12. 5 Hz), 3.65 (1H, m), 4.01 (1H, dd, J 3.9, 11.4 Hz), 4.56 (1H, d, J 8.6 Hz), 5.05 (1H, q, J 6.7 Hz), 7.23 (5H, m), 7.40 (2H, s), 7.86 (1H, m), and 8.13 (1H, s).

Example 28 (3R or S)-3-((2R,3R,4R)-2-{(1R)-1-[3,5-Bis(trifluoromethyl)phenyl]e thoxy}- tetrahvdro-3-phenyl-2H-pvran-4-. vl)-4-methylthiomorpholine 1*1-dioxide Triethylamine (0.072 mL, 0.52 mmol) was added to a stirred, cooled (-20 °C) solution of (2R, 3R, 4R, aR or S)-a-{[(2-hydroxyethyl) sulfonyl] methyl}-2- { (lR)-l- [3,5-bis (trifluoromethyl) phenyl] ethoxy} tetrahydro-3-phenyl-2H-pyran-4- methanol and (2R, 3R, 4R, aS or R)-a-{[(2-hydroxyethyl) sulfonyl] methyl}-2-{(lR)-1- [3,5-bis (trifluoromethyl) phenyl] ethoxy} tyran-4- methanol (Description 5; 1: 1 mixture of alcohol epimers, 75 mg, 0.13 mmol) in dichloromethane (2 mL) and the mixture was stirred at-20 °C for 5 minutes.

Methanesulfonyl chloride (0.03 mL, 0. 388 mmol) was added slowly and the mixture was stirred at-20 °C for 20 minutes. Water (5 mL) was added and the mixture was extracted with dichloromethane (2 x 5 mL). The combined organic fractions were washed with aqueous citric acid (10%, 10 mL) then saturated

aqueous sodium bicarbonate (10 mL), dried (MgSO4) and the solvent was evaporated under reduced pressure. The residue was dissolved in methylamine (2M solution in methanol, 2 mL, 4 mmol), placed in a sealed tube and heated in a microwave oven at 130 °C for 10 minutes. The mixture was cooled and the solvent was evaporated under reduced pressure. The residue was dissolved in methanol (1.5 mL) and poured onto an SCX cartridge (Varian Bond Klutz ; 10 mL/500 mg). The cartridge was washed with methanol (4 x 2 mL), then eluted with methanolic ammonia (2M, 2 x 2 mL). The solvent was evaporated under reduced pressure. The residue was purified by column chromatography on silica gel, eluting with CH2Cl2/MeOH (100: 0 increasing to 98: 2), to give the title compound (single diastereoisomer) as a pale cream-coloured solid (7.3 mg, 10%).

H NMR (500MHz, CDsOD) 8 1.32 (3H, d, J 6. 6 Hz), 1.50 (1H, m), 1.72 (1H, dd, J 14.0, 2.4 Hz), 2.16 (1H, m), 2.21 (3H, s), 2.45-2. 55 (3H, m), 2.87 (1H, d, J 12. 0 Hz), 2.99 (2H, dd, J7. 4,2. 2 Hz), 3.05-3. 12 (2H, m), 3.65 (1H, dt, Jd11. 4, Jt 2.2 Hz), 4.10-4. 13 (1H, m), 4.41 (1H, d, J 7.5 Hz), 5.00 (1H, q, J6. 6 Hz), 7.13 (2H, dd, J8. 2,1. 6 Hz), 7.20-7. 26 (3H, m), 7.31 (2H, s), and 7.71 (1H, s). m/z (ES+) 566 (M+1), 308 (M+1-CioHsF6O).

Example 29 <BR> <BR> <BR> <BR> 2-[((2R, 3R, 4R)-2-{(lR)-1-[35-Bis (trifluoromethyl) phenYll ethoxy}-<BR> <BR> <BR> <BR> <BR> <BR> <BR> tetrahydro-3-phenyl-2H-pyran-4---dioxide 3-Chloro-1-propanesulfonyl chloride (0.027 mL, 0.224 mmol) was added to a solution of (2R, 3R, 4R)-2- [(1R)-1- [3,5-bis (trifluoromethyl) phenyl] ethoxy]- tetrahydro-3-phenyl-2H-pyran-4-methylamine (Description 8; 100 mg, 0.224 mmol) and N-ethyldiisopropylamine (0.078 mL, 0.448 mmol) in 1,2-dichloroethane (5 mL) and the mixture was stirred at room temperature for 3 days. Water was added and the layers were separated. The organic fraction was dried (MgS04) and the solvent was evaporated under reduced pressure. The residue was purified by preparative thin layer chromatography on silica gel, eluting with EtOAc/hexane (50: 50) and the residue was recrystallised from hexane. The solid was collected, dissolved in 1,2-dichloroethane and aqueous sodium hydroxide solution (50%) and tetra-n-butylammonium bromide (3 mg) were added. The mixture was stirred at room temperature for 2 hours. The layers were separated, the organic fraction was dried (MgSO4) and the solvent

was evaporated under reduced pressure. The residue was purified by preparative thin layer chromatography on silica gel, eluting with EtOAc/hexane (50: 50) to give the title compound. 1H NMR (400MHz, CDCls) 8 1.36 (3H, d, J 6.7 Hz), 1.52 (1H, m), 1.95 (1H, m), 2.00-2. 12 (1H, m), 2.19 (2H, m), 2.44 (1H, dd, J8. 2,11. 3 Hz), 2.68 (1H, dd, J3. 9, 14.1 Hz), 2. 82 (1H, dd, J9. 0,13. 7 Hz), 2, 87- 3.13 (4H, m), 2.95-3. 07 (3H, m), 3.09-3. 20 (3H, m), 3.54 (1H, dt, J2. 4,12. 1 Hz), 4.15 (1H, ddd, J 1.6, 4.7, 12. 1 Hz), 4.19 (1H, d, J7. 8 Hz), 4.94 (1H, q, J6. 7 Hz), 7.06 (2H, m), 7.16 (2H, s), 7.21-7. 28 (3H, m), and 7.65 (1H, s).