AU2005313387A1 - Tetrahydropyridin-4-yl indoles with a combination of affinity for dopamine-D2 receptors and serotonin reuptake sites - Google Patents
Tetrahydropyridin-4-yl indoles with a combination of affinity for dopamine-D2 receptors and serotonin reuptake sites Download PDFInfo
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- AU2005313387A1 AU2005313387A1 AU2005313387A AU2005313387A AU2005313387A1 AU 2005313387 A1 AU2005313387 A1 AU 2005313387A1 AU 2005313387 A AU2005313387 A AU 2005313387A AU 2005313387 A AU2005313387 A AU 2005313387A AU 2005313387 A1 AU2005313387 A1 AU 2005313387A1
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- hydrogen
- alkyl
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- 108090001111 Dopamine D2 Receptors Proteins 0.000 title description 9
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- PZOUSPYUWWUPPK-UHFFFAOYSA-N indole Natural products CC1=CC=CC2=C1C=CN2 PZOUSPYUWWUPPK-UHFFFAOYSA-N 0.000 description 1
- RKJUIXBNRJVNHR-UHFFFAOYSA-N indolenine Natural products C1=CC=C2CC=NC2=C1 RKJUIXBNRJVNHR-UHFFFAOYSA-N 0.000 description 1
- 239000004615 ingredient Substances 0.000 description 1
- 239000003112 inhibitor Substances 0.000 description 1
- 230000005764 inhibitory process Effects 0.000 description 1
- 239000000543 intermediate Substances 0.000 description 1
- 150000002500 ions Chemical class 0.000 description 1
- 125000001449 isopropyl group Chemical group [H]C([H])([H])C([H])(*)C([H])([H])[H] 0.000 description 1
- 239000008101 lactose Substances 0.000 description 1
- 210000004185 liver Anatomy 0.000 description 1
- 239000000314 lubricant Substances 0.000 description 1
- ZLNQQNXFFQJAID-UHFFFAOYSA-L magnesium carbonate Chemical compound [Mg+2].[O-]C([O-])=O ZLNQQNXFFQJAID-UHFFFAOYSA-L 0.000 description 1
- 239000001095 magnesium carbonate Substances 0.000 description 1
- 229910000021 magnesium carbonate Inorganic materials 0.000 description 1
- 238000001819 mass spectrum Methods 0.000 description 1
- 238000005259 measurement Methods 0.000 description 1
- 239000012528 membrane Substances 0.000 description 1
- QARBMVPHQWIHKH-UHFFFAOYSA-N methanesulfonyl chloride Chemical compound CS(Cl)(=O)=O QARBMVPHQWIHKH-UHFFFAOYSA-N 0.000 description 1
- MDFRYRPNRLLJHT-UHFFFAOYSA-N methyl carbamimidate;sulfuric acid Chemical compound COC(N)=N.OS(O)(=O)=O MDFRYRPNRLLJHT-UHFFFAOYSA-N 0.000 description 1
- 125000002496 methyl group Chemical group [H]C([H])([H])* 0.000 description 1
- 125000004170 methylsulfonyl group Chemical group [H]C([H])([H])S(*)(=O)=O 0.000 description 1
- 239000003094 microcapsule Substances 0.000 description 1
- 150000007522 mineralic acids Chemical class 0.000 description 1
- 238000002156 mixing Methods 0.000 description 1
- 125000004123 n-propyl group Chemical group [H]C([H])([H])C([H])([H])C([H])([H])* 0.000 description 1
- 238000000655 nuclear magnetic resonance spectrum Methods 0.000 description 1
- 239000002674 ointment Substances 0.000 description 1
- 235000005985 organic acids Nutrition 0.000 description 1
- 239000003960 organic solvent Substances 0.000 description 1
- 238000007254 oxidation reaction Methods 0.000 description 1
- 239000003182 parenteral nutrition solution Substances 0.000 description 1
- 229960002296 paroxetine Drugs 0.000 description 1
- 239000004031 partial agonist Substances 0.000 description 1
- 239000002245 particle Substances 0.000 description 1
- 239000000312 peanut oil Substances 0.000 description 1
- 230000035699 permeability Effects 0.000 description 1
- 239000000546 pharmaceutical excipient Substances 0.000 description 1
- 239000000825 pharmaceutical preparation Substances 0.000 description 1
- 230000003285 pharmacodynamic effect Effects 0.000 description 1
- 230000001817 pituitary effect Effects 0.000 description 1
- 229920001983 poloxamer Polymers 0.000 description 1
- 229920001993 poloxamer 188 Polymers 0.000 description 1
- 229940044519 poloxamer 188 Drugs 0.000 description 1
- 229920001223 polyethylene glycol Polymers 0.000 description 1
- 229910000027 potassium carbonate Inorganic materials 0.000 description 1
- 239000000843 powder Substances 0.000 description 1
- 125000002924 primary amino group Chemical group [H]N([H])* 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 239000000047 product Substances 0.000 description 1
- 125000006239 protecting group Chemical group 0.000 description 1
- 238000000746 purification Methods 0.000 description 1
- UMJSCPRVCHMLSP-UHFFFAOYSA-N pyridine Natural products COC1=CC=CN=C1 UMJSCPRVCHMLSP-UHFFFAOYSA-N 0.000 description 1
- 230000001105 regulatory effect Effects 0.000 description 1
- 230000004044 response Effects 0.000 description 1
- 238000012552 review Methods 0.000 description 1
- 125000000467 secondary amino group Chemical group [H]N([*:1])[*:2] 0.000 description 1
- 230000000862 serotonergic effect Effects 0.000 description 1
- 229940076279 serotonin Drugs 0.000 description 1
- 229940126570 serotonin reuptake inhibitor Drugs 0.000 description 1
- 239000008159 sesame oil Substances 0.000 description 1
- 235000011803 sesame oil Nutrition 0.000 description 1
- 238000010898 silica gel chromatography Methods 0.000 description 1
- DKGZKTPJOSAWFA-UHFFFAOYSA-N spiperone Chemical compound C1=CC(F)=CC=C1C(=O)CCCN1CCC2(C(NCN2C=2C=CC=CC=2)=O)CC1 DKGZKTPJOSAWFA-UHFFFAOYSA-N 0.000 description 1
- 229950001675 spiperone Drugs 0.000 description 1
- 238000010561 standard procedure Methods 0.000 description 1
- 239000008107 starch Substances 0.000 description 1
- 235000019698 starch Nutrition 0.000 description 1
- 239000007858 starting material Substances 0.000 description 1
- 239000008223 sterile water Substances 0.000 description 1
- 125000001424 substituent group Chemical group 0.000 description 1
- 235000000346 sugar Nutrition 0.000 description 1
- 150000005846 sugar alcohols Polymers 0.000 description 1
- 150000008163 sugars Chemical class 0.000 description 1
- 239000002600 sunflower oil Substances 0.000 description 1
- 230000001629 suppression Effects 0.000 description 1
- 239000000454 talc Substances 0.000 description 1
- 229910052623 talc Inorganic materials 0.000 description 1
- 230000008685 targeting Effects 0.000 description 1
- 229940124597 therapeutic agent Drugs 0.000 description 1
- 239000004408 titanium dioxide Substances 0.000 description 1
- 235000015112 vegetable and seed oil Nutrition 0.000 description 1
- 239000008158 vegetable oil Substances 0.000 description 1
Classifications
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D401/00—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom
- C07D401/14—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing three or more hetero rings
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/40—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil
- A61K31/403—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil condensed with carbocyclic rings, e.g. carbazole
- A61K31/404—Indoles, e.g. pindolol
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
- A61K31/505—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
- A61K31/506—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim not condensed and containing further heterocyclic rings
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P25/00—Drugs for disorders of the nervous system
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P25/00—Drugs for disorders of the nervous system
- A61P25/14—Drugs for disorders of the nervous system for treating abnormal movements, e.g. chorea, dyskinesia
- A61P25/16—Anti-Parkinson drugs
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P25/00—Drugs for disorders of the nervous system
- A61P25/18—Antipsychotics, i.e. neuroleptics; Drugs for mania or schizophrenia
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- A—HUMAN NECESSITIES
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- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P25/00—Drugs for disorders of the nervous system
- A61P25/22—Anxiolytics
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P25/00—Drugs for disorders of the nervous system
- A61P25/24—Antidepressants
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P25/00—Drugs for disorders of the nervous system
- A61P25/28—Drugs for disorders of the nervous system for treating neurodegenerative disorders of the central nervous system, e.g. nootropic agents, cognition enhancers, drugs for treating Alzheimer's disease or other forms of dementia
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D471/00—Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, at least one ring being a six-membered ring with one nitrogen atom, not provided for by groups C07D451/00 - C07D463/00
- C07D471/02—Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, at least one ring being a six-membered ring with one nitrogen atom, not provided for by groups C07D451/00 - C07D463/00 in which the condensed system contains two hetero rings
- C07D471/04—Ortho-condensed systems
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- C07D487/00—Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, not provided for by groups C07D451/00 - C07D477/00
- C07D487/02—Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, not provided for by groups C07D451/00 - C07D477/00 in which the condensed system contains two hetero rings
- C07D487/04—Ortho-condensed systems
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- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D513/00—Heterocyclic compounds containing in the condensed system at least one hetero ring having nitrogen and sulfur atoms as the only ring hetero atoms, not provided for in groups C07D463/00, C07D477/00 or C07D499/00 - C07D507/00
- C07D513/02—Heterocyclic compounds containing in the condensed system at least one hetero ring having nitrogen and sulfur atoms as the only ring hetero atoms, not provided for in groups C07D463/00, C07D477/00 or C07D499/00 - C07D507/00 in which the condensed system contains two hetero rings
- C07D513/04—Ortho-condensed systems
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Description
WO 2006/061373 PCT/EP2005/056501 1 TETRAHYDROPYRIDIN-4-YL INDOLES WITH A COMBINATION OF AFFINITY FOR DOPAMINE-D 2 RECEPTORS AND SEROTONIN REUPTAKE SITES The present invention relates to a group of novel tetrahydropyridin-4-y indoles with a 5 dual mode of action: serotonin reuptake inhibition and affinity for dopamine-D2 receptors, to methods for the preparation of these compounds and to novel intermediates useful for the synthesis of said tetrahydropyridin-4-y indoles. The invention also relates to the use of a compound disclosed herein for the manufacture of a medicament giving a beneficial effect. A beneficial effect is disclosed herein or 10 apparent to a person skilled in the art from the specification and general knowledge in the art. The invention also relates to the use of a compound of t he invention for the manufacture of a medicament for treating or preventing a disease or condition. More particularly, the invention relates to a new use for the treatment of a disease or condition disclosed herein or apparent to a person skilled in the art from the 15 specification and general knowledge in the art. In embodiments of the invention specific compounds disclosed herein are used for the manufacture of a medicament useful in the treatment of disorders in which dopamine -D2 receptors and serotonin reuptake sites are involved, or that can be treated via manipulation of those targets. 20 Tetrahydropyridin-4-yl indole derivatives with a dual action as dopamine-D2 antagonists and serotonin reuptake inhibitors are known from WO 00/023441 and WO 00/069424, and a promising clinical candidate disclosed in these patent applications was further described by Van Hes et al. (Bioorganic and Medicinal Chemistry Letters, 13(3), 405-408, 2003). In a publication by Timms et al., 25 (Bioorganic and Medicinal Chemistry Letters, 14(10), 2469-2472, 2004) tetrahydropyridin-4-y indole derivatives with a dual action as serotonin 5-HTD antagonists and serotonin reuptake inhibitors are described, and also in this group of compounds some were shown to possess dopamine -D2 antagonistic activity. In WO 2004/020437 one specific compound is described as dopamine -D4 antagonist and 30 serotonin reuptake inhibitor: S-(+)-3-{1-[2-(2,3-dihydro-1 H-indol-3-yl)ethyl] 3,6dihydro-2H-pyridin-4-yl}-6-chloro-1H-indole. Of this compound no dopamine-D2 affinity c.q. activity was disclosed. The goal of the present invention was to provide further compounds with a dual 35 action as dopamine-D 2 antagonists and serotonin reuptake inhibitors.
WO 2006/061373 PCT/EP2005/056501 2 Surprisingly, potent dopamine-D 2 antagonistic activity combined with potent serotonin reuptake inhibitory activity was found in a group of novel 1, 2, 3, 6-tetrahydropyridin 4-yl indoles of the formula (1) 3 N z R, / N-(CH 2
)
2 N A N 0 R2 5 (1) and tautomers, stereoisomers, prodrugs, N -oxides, pharmacologically acceptable salts, hydrates and solvates thereof, 10 wherein : - R 1 is hydrogen, halogen, alkyl (C- 3 ) or alkoxy(C1- 3 ), CN or CF 3 , - R 2 is hydrogen or alkyl (C1- 3 ), - R 3 is hydrogen or alkyl (C- 3 ), 15 - Z is hydrogen or alkyl(C1- 3 ), alkoxy(C1- 3 ) or alkylthio(C1- 3 ), - A is hydrogen or alkyl(C1- 3 ), or - A and Z together form a saturated or (partly) unsaturated 5- or 6- membered ring which may be substituted with halogen, alkyl (C- 3 ) or phenyl, in which ring Z represents carbon, sulfur of nitrogen. 20 In the description of the substituents the abbreviation al kyl(C1- 3 ) means methyl, ethyl, n-propyl or isopropyl. Prodrugs of the compounds mentioned above are in the scope of the present 25 invention. Prodrugs are therapeutic agents which are inactive per se but are transformed into one or more active metabolites. Prodrugs are bioreversible derivatives of drug molecules used to overcome some barriers to the utility of the parent drug molecule. These barriers include, but are not limited to, solubility, permeability, stability, presystemic metabolism and targeting limitations (Medicinal 30 Chemistry: Principles and Practice, 1994, ISBN 0-85186-494-5, Ed.: F. D. King, p. 215; J. Stella, "Prodrugs as therapeutics", Expert Opin. Ther. Patents, 14(3), 277 280, 2004; P. Ettmayer et al., "Lessons learned from marketed and investigational WO 2006/061373 PCT/EP2005/056501 3 prodrugs", J.Med.Chem., 47, 2393-2404, 2004). Pro-drugs, i.e. compounds which when administered to humans by any known route, are metabolised to compounds having formula (1), belong to the invention. In particular this relates to compounds with primary or secondary amino or hydroxy groups. Such compounds can be 5 reacted with organic acids to yield compounds having formula (1) wherein an additional group is present which is easily removed after administration, for instance, but not limited to amidine, enamine, a Mannich base, a hydroxyl-methylene derivative, an O-(acyloxymethylene carbamate) derivative, carbamate, ester, amide or enaminone. 10 N-oxides of the compounds mentioned above are in the scope of the present invention. Tertiary amines may or may not give rise to N-oxide metabolites. The extend to what N-oxidation takes place varies from trace amounts to a near quantitative conversion. N-oxides may be more active than their corresponding 15 tertiary amines or less active. Whilst N-oxides are easily reduced to their corresponding tertiary amines by chemical means, in the human body this happens to varying degrees. Some N-oxides undergo nearly quantitative reductive conversion to the corresponding tertiary amines, in other cases the conversion is a mere t race reaction or even completely absent. (M.H. Bickel: " The pharmacology and 20 Biochemistry of N-oxides", Pharmacological Reviews, 21(4), 325 - 355, 1969). Preferred compounds of the invention are compounds having formula (1) wherein R 1 is hydrogen or halogen, R 2 is hydrogen, R 3 is CH 3 , Z is SCH 3 and A is CH 3 , or Z+A from a (partly) unsaturated 6-membered ring which may be substituted with CH 3 , 25 C 2
H
5 or i-C 3
H
7 . Especially preferred is the compounds having formula (1) wherein R 1
=R
2 =H, R 3 is
CH
3 and Z+A together represent C(CH 3 )=CH-CH=CH-, and the salts thereof. 30 It has been found that the compounds according to the invention show high affinity for both the dopamine D2 receptor and the serotonin reuptake site. This combination is useful for the treatment of schizophrenia and other psychotic disorders which enables a more complete treatment of all disease symptoms (e.g. positive symptoms and negative symptoms). 35 Some of the compounds having formula (1) show partial agonist activity at dopamine receptors making them particularly suitable for the treatment of Parkinson's disease.
WO 2006/061373 PCT/EP2005/056501 4 The compounds show activity as antagonists at dopamine D2 receptors as they potentially antagonize apomorphine-induced climbing behaviour in mice. The compounds also show activity as inhibitors of serotonin reuptake, as they potentiate 5 5 HTP induced behaviour in mice. The compounds are active in therapeutic models sensitive to clinically relevant antipsychotics (e.g. the conditioned avoidance response; Van der Heyden & Bradford, Behav. Brain Res., 1988, 31:61-67) and antidepressants or anxiolytics (e.g. 10 suppression of stress-induced vocalization; van der Poel et al., Psycho-pharmacology, 1989, 97:147-148). In contrast to clinically relevant dopamine D2 receptor antagonists the described compounds have a low propensity to induce catalepsy in rodents and as such are likely 15 to induce less extrapyramidal side effects than existing antipsychotic agents. The inhibitory activity of serotonin reuptake inherent in these compounds may be responsible for the therapeutic effects observed in behavioural models sensitive to either antidepressants or anxiolytics. 20 The compounds can be used for the treatment of affections or diseases of the central nervous system caused by disturbances in either the dopaminergic or serotonergic systems, for example: aggression, anxiety disorders, autism, vertigo, depression, disturbances of cognition or memory, Parkinson's disease, and in particular 25 schizophrenia and other psychotic disorders.
WO 2006/061373 PCT/EP2005/056501 5 GENERAL ASPECTS OF SYNTHESES The compounds having formula (1) can be prepared by reaction of a compound of the formula 5 / NNH RR2 N (11 with a compound of the formula R3N z
L-(CH
2 N 0 10 wherein the symbols R 1 , R 2 , R 3 , Z and A have the above meanings, and L is a so called leaving group, for example halogen or mesyl group. This reaction is preferably carried out in an organic solvent such as acetonitrile in the 15 precence of triethylamine or K 2
CO
3 and KI at reflux temperature. The starting compounds for this synthesis of the formula (11) can be obtained in a manner known per se by reacting an optionally substituted indole derivative with 4 piperidone. 20 The staring compounds having formula (111) can be obtained according to methods known for the synthesis of analogous compounds. The selection of the particular synthetic procedures depends on factors known to 25 those skilled in the art such as the compatibility of functional groups with the reagents used, the possibility to use protecting groups, catalysts, activating and coupling reagents and the ultimate structural features present in the final compound being prepared.
WO 2006/061373 PCT/EP2005/056501 6 Pharmaceutically acceptable salts may be obtained using standard procedures well known in the art, for example by mixing a compound of the present invention with a suitable acid, for instance an inorganic acid such as hydrochloric acid, or with an 5 organic acid. PHARMACEUTICAL PREPARATIONS The compounds of the invention can be brought into forms suitable for administration 10 by means of usual processes using auxiliary substances such as liquid or solid carrier material. The pharmaceutical compositions of the invention may be administered enterally, orally, parenterally (intramuscularly or intravenously), rectally or locally (topically). They can be administered in the form of solutions, powders, tablets, capsules (including microcapsules), ointments (creams or gel) or 15 suppositories. Suitable excipients for such formulations are the pharmaceutically customary liquid or solid fillers and extenders, solvents, emulsifiers, lubricants, flavorings, colorings and/or buffer substances. Frequently used auxiliary substances which may be mentioned are magnesium carbonate, titanium dioxide, lactose, mannitol and other sugars, talc, lactoprotein, gelatin, starch, cellulose and its 20 derivatives, animal and vegetable oils such as fish liver oil, sunflower, groundnut or sesame oil, polyethylene glycol and solvents such as, for example, sterile water and mono- or polyhydric alcohols such as glycerol. Compounds of the present invention are generally administered as 25 pharmaceutical compositions which are important and novel embodiments of the invention because of the presence of the compounds, more particularly specific compounds disclosed herein. Types of pharmaceuti cal compositions that may be used include but are not limited to tablets, chewable tablets, capsules, solutions, parenteral solutions, suppositories, suspensions, and other types disclosed herein or 30 apparent to a person skilled in the art from the specification and general knowledge in the art. In embodiments of the invention, a pharmaceutical pack or kit is provided comprising one or more containers filled with one or more of the ingredients of a pharmaceutical composition of the invention. Associated with such container(s) can be various written materials such as instructions for use, or a notice in the form 35 prescribed by a governmental agency regulating the manufacture, use or sale of pharmaceuticals products, which notice reflects approval by the agency of manufacture, use, or sale for human or veterinary administration.
WO 2006/061373 PCT/EP2005/056501 7 PHARMACOLOGICAL METHODS In vitro affinity for dopamine-D 2 receptors 5 Affinity of the compounds for dopamine-D 2 receptor s was determined using the receptor binding assay described by 1. Creese, R. Schneider and S.H. Snyder: "[ 3
H]
Spiroperidol labels dopamine receptors in rat pituitary and brain", Eur.J.Pharmacol., 46, 377 -381,1977. 10 In vitro affinity for serotonin reuptake sites Affinity of the compounds for serotonin reuptake sites was determined using the receptor binding assay described by E. Habert et al.,: "Characterisation of [ 3
H]
15 paroxetine binding to rat cortical membranes", Eur.J.Pharmacol., 118, 107 - 114, 1985. DOSAGES 20 The affinity of the compounds of the invention for dopamine-D 2 receptors and serotonine reuptake sites was determined as described above. From the binding affinity measured for a given compound of formula (1), one can estimate a theoretical lowest effective dose. At a concentration of the compound equal to twice the measured Kr-value, 100% of the receptors likely will be occupied by the compound. 25 Converting that concentration to mg of compound per kg of patient yields a theoretical lowest effective dose, assuming ideal bioavailability. Pharmacokinetic, pharmacodynamic, and other considerations may alter the dose actually administered to a higher or lower value. The dosage expediently administered is 0.001 - 1000 mg/kg, preferably 0.1 -100 mg/kg of patient's bodyweight. 30 TREATMENT The term "treatment" as used herein refers to any treatment of a mammalian, preferably human condition or disease, and includes: (1) preventing the disease or condition from occurring in a subject which may be predisposed to the disease but 35 has not yet been diagnosed as having it, (2) inhibiting the disease or condition, i.e., arresting its development, (3) relieving the disease or condition, i.e., causing WO 2006/061373 PCT/EP2005/056501 8 regression of the condition, or (4) relieving the conditions caused by the disease, i.e., stopping the symptoms of the disease. The preparation of the compounds having formula (1) will now be described in more 5 detail in the following Examples. EXAMPLES EXAMPLE 1: MATERIALS AND METHODS 10 'H and 1 3 C NMR spectra were recorded on a Bruker Avance DRX600 instrument (600 MHz), Varian UN400 instrument (400 MHz) or on a Varian VXR200 instrument (200 MHz) using DMSO-D 6 or CDCl 3 as solvents with tetramethylsilane as an internal standard. Chemical shifts are given in ppm (8 scale) downfield from 15 tetramethylsilane. Coupling constants (J) are expressed in Hz. Flash chromatography was performed using silica gel 60 (0.040-0.063 mm, Merck). Column chromatography was performed using silica gel 60 (0.063 -0.200 mm, Merck). Melting points were recorded on a B0chi B-545 melting point apparatus. Mass spectra were recorded on a Micromass QTOF-2 instrument with MassLynx application software for 20 acquisition and reconstruction of the data. Exact mass measurement was done of the quasimolecular ion [M+H]*.
WO 2006/061373 PCT/EP2005/056501 9 EXAMPLE 2: SYNTHESES OF SPECIFIC COMPOUNDS compound No. 26 5 a) Preparation of 5-fluoro-3- (1, 2, 3, 6,-tetrahydropyridin-4-yl) indole. To a solution of sodium (60 g, 2.6 mol) in 1000 ml of methanol was added 5 fluoroindole (49 g, 0.36 mol) and 4-piperidone.H 2 0.HCI (170 g, 1.11 mol). The mixture was heated under reflux for 18h, then concentrated, water was added and 10 extracted with ethyl acetate. The combined organic layer was dried over sodium sulfate and then concentrated. The resulting solid was dissolved in methanol (about 200 ml) and then diluted with water (about 1000-1500 ml). The precipitate was collected, washed with water and petroleum ether and then dried in a vacuum oven at 60 0 C. Yield 74 g (95%) of a yellow solid. 15 b) Preparation of 3-(2-chloroethyl)-2, 9-dimethyl-4H-pvrido [1, 2-al pyrimidin-4-one. To a solution of 2-amino-3-picoline (3.3 g, 30 mmol) in phosphorus oxychloride (11 20 ml) was added 2-acetylbutyrolactone (3.25 ml, 30 mmol). The mixture was heated at 100*C for 18 hours, cooled, poured on ice, made basic with a 2N sodium hydroxide solution and extracted with ethyl acetate. The organic layer was separated, dried, concentrated and purified by silica gel column chromatography (dichloromethane/methanol=95/5). Yield 2.5 g (35%) of white solid. 25 c) Preparation of 3-[2-[4-(5-fluoro-1H-indol-3-yl)-1,2,3,6-tetrahydro Dvridin-1 -vilethvll-2,9-dimethyl-4H-pyrido[1,2-alpyrimidin-4-one. A solution of 5-fluoro-3-(1,2,3,6-tetrahydropyridin-4-yl)indole (5.5 g, 0.025 mol), 3-(2 30 chloroethyl)-2,9-dimethyl-4H-pyrido[1,2-a]pyrimidin-4-one (7.2 g, 0.030 mol), diisopropylamine (5 ml) and potassium iodide (1 g) in acetonitrile (100 ml) was heated under reflux for 24h. After cooling the precipitate was collected and washed with acetonitrile (20 ml), isopropyl alcohol (3x 20 ml) and petroleum ether (25 ml) respectively. Yield 7.13 g (67%) of a pale yellow solid. M.p.: 229 -230 0 C. 35 WO 2006/061373 PCT/EP2005/056501 10 Free base of compound No. 22 a) Preparation of 3-(1,2,3,6-tetrahydropyridin-4-yl)indole. 5 To a solution of sodium methoxide (450 ml, 30% in methanol, 2.5 mol) in 1000 ml of methanol was added indole (50 g, 0.427 mol) and 4-piperidone.H 2 0.HCI (162 g, 1.05 mol). The mixture was heated under reflux for 18h forming a yellow precipitate. The mixture was concentrated and water (1000 ml) was added. The precipitate was collected, washed with water and petroleum ether and then dried in a vacuum oven 10 at 50 C. Yield 77 g (91%) of a pale yellow solid. b) Preparation of 3-[2-[4-(1 H-indol-3-yl)-1,2,3,6-tetrahydropyridin-1 -vil ethvll-2,9-dimethyl-4H-pyrido[1,2-alpyrimidin-4-one. 15 A solution of 3-(1,2,3,6-tetrahydropyridin-4-yl)indole (25 g, 0.126 mol), 3 -(2 chloroethyl)-2,9-dimethyl-4H-pyrido[1,2-a]pyrimidin-4-one (33 g, 0.139 mol) and potassium carbonate (17.5 g, 0.127 mol) in acetonitrile (500 ml) and water (100 ml) was heated under reflux for 18h. After cooling the precipitate was collected and washed with water, isopropyl alcohol and petroleum ether respectivel y.Yield 38 g 20 (76%) of a pale yellow solid. M.p.: 210-212 0 C. Compound No.12 a) Preparation of 2-thio-5-(2-hydroxvethyl)-6-methyluracil. 25 To a solution of sodium (55.6 g, 2.4 mol) in ethanol (1000 ml) was added slowly 2 acetylbutyrolactone 155 g, 1.2 mol) after which thiourea (128 g, 1.65 mol) was added in small portions. The mixture was heated under reflux for 16h, then concentrated, water (800 ml) was added and acidified slowly with concentrated hydrochloric acid 30 (200 ml). The precipitate was collected and washed with water, isopropyl alcohol and petroleum ether. Yield 125 g (56%) of a white solid.
WO 2006/061373 PCT/EP2005/056501 11 b) Preparation of 2-methylthio-5-(2-hydroxyethyl)-6-methyl-3H pyrimidin-4-one. To a suspension of 2-thio-5-(2-hydroxyethyl)-6-methyluracil (50 g, 0.26 mol) in DMF 5 (320 ml) was added slowly one equivalent of sodium hydride. Next was added slowly one equivalent of methyl iodide (16.6 ml). The mixture was stirred for two hours at 30 0 C, after which water (800 ml) was added. The precipitate was collected and washed with water, isopropyl alcohol and petroleum ether. Yield 34.4 g (64%). 10 c) Preparation of 2-methylthio-5-(2-hydroxVethyl)-3,6-dimethyl-3H pyrimidin-4-one To a suspension of 2 -methylthio-5-(2-hydroxyethyl)-6-methyl-3 H-pyrimidin -4-one (34 g, 0.17 mol) in DMF (300 ml) was added slowly one equivalent of sodium hydride 15 (55%, 7.4 g). Next was added slowly one equivalent of methyl iodide (10.5 ml). The mixture was stirred for two hours at 50 0 C, after which most of the DM F was removed in vaccuum. Water was added and the mixture was extracted with ethyl acetate. The combined organic layer was dried over sodium sulfate and then concentrated and purified by flash chromatografy (eluens: ether followed by ether/methanol=9/1). Yield 20 20.3 g (56%), mp. 117-118 0 C. d) Preparation of 2-methylthio-5-(2-chloroethyl)-3,6-dimethyl-3H pyrimidin-4-one. 25 To a solution of 2 -methylthio-5-(2-hydroxyethyl)-3,6-dimethyl-3H-pyrimidin -4-one (20.3 g, 0.095 mol) in chloroform (200 ml) was added one equivalent of pyridine (7.6 ml), followed by slow addition of three equivalents of thionyl chloride (21 ml). After stirring for 15 minutes, the mixture was concentrated and water (300 ml) was added. The precipitate was collected and washed with water, isopropyl alcohol and 30 petroleum ether. Yield 34.4 g (64%). Yield 20.3 g (92%). Mp. 135-137 0
C.
WO 2006/061373 PCT/EP2005/056501 12 e) Preparation of 5-[2-[4-(1H-indol-3-yl)-1,2,3,6-tetrahydropyridin-1-vil ethyll-2-methylthio-3,6-dimethyl-3H-pyrimidin-4-one. To a solution of 3-(1,2,3,6-tetrahydropyridin-4-yl)indole (1.0 g, 5 mmol) in acetonitrile 5 (30 ml) was added 2 -methylthio-5-(2-chloroethyl)-3,6-dimethyl-3H-pyrimidin -4-one (1.42 g, 6.1 mmol), potassium iodide (0.84 g, 5 mmol) and triethylamine (1.4 ml, 10 mmol). The mixture was heated at 80*C for 8 hours, cooled , concentrated and purified by flash chromatografy (dichloromethane /methanol/ammonia=95/4.5/0.5) 10 Yield: 1.83 g (92%) of a yellow compound. Mp. 245 -246 0 C. Compound No.18 a) Preparation of 2-methoxy-5-(2-hydroxyethyl)- 6-methyl-3H-pyrimidin 15 4-one. To a solution of O-methylisourea hydrogen sulfate (17.2 g, 0.1 mol) in water (90 ml) was added calcium hydroxide (8.14 g, 0.11 mol) followed by a solution of 2 acetylbutyrolactone (10.7 ml, 0.1 mol) in ethanol (70 ml). The mixture was stirred at 20 room temperature for two days, filtered and washed with ethanol. The filtrate was concentrated in vaccuum and purified by flash chromatografy (dichloromethane/methanol=95/5). Yield 2.6 g (14%) of a white solid. b) Preparation of 2-methoxy-5-(2-hydroxyethyl)-3, 6-dimethyl-3H 25 pyrimidin-4-one. To a suspension of 2 -methoxy-5-(2-hydroxyethyl)-6-methyl-3H-pyrimidin -4-one (2.6 g, 0.014 mol) in DMF (25 ml) was added one equivalent of sodium hydride (55%, 0.6 g). After stirring for 0.5 hr. methyl iodide (0.81 ml, 0.014 mol) was added and the 30 mixture was heated at 50 0 C for five hours. After cooling, most of the DMF was removed in vaccuum. Water was added and the mixture was extracted with ethyl acetate. The combined organic layer was dried over sodium sulfate and then concentrated. Yield 2.0 g (71%) of a yellow oil.
WO 2006/061373 PCT/EP2005/056501 13 c) Preparation of 2-methoxy-5-(2-mesyloxyethyl)-3, 6-dimethyl-3H pyrimidin-4-one. To a solution of 2-methoxy-5-(2-hydroxyethyl)-3, 6-dimethyl-3H-pyrimidin-4-one (2.0 5 g, 0.01 mol) in dry ethyl acetate (100 ml) was added triethylamine (2.7 ml). After cooling in icewater, mesylchloride (0.9 ml, 0.011 mol) was added slowly. After stirring for 16 hours at room temperature the precipitate was filtered off and the filtrate (70 ml) was used without further purification. 10 d) Preparation of 5-[2-[4-(1H-indol-3-Vl)-1,2,3,6-tetrahydropyridin-1-vil ethyll-2-methoxy-3,6-dimethyl-3H-pyrimidin-4-one. 15 To the above mentioned filtrate (35 ml,about 5 mmol) was added 3-(1,2,3,6 tetrahydropyridin-4-yl)indole (1.0 g, 5 mmol), triethylamine (2 ml), potassium iodide (0.84 g, 5 mmol) and acetonitrile (50 ml). The mixture was heated at 80 0 C for 16 hours and then concentrated and purified by flash chromatografy (eluens: dichloromethane/methanol/ammonia =95/4.5/0.5). Yield 0.5 g (26%), mp. 209-211 0 C. 20 The compounds with formula (1) listed in the table below have been prepared according to the methods of Examples 1 to 4. R3 N z R N-(CH9) 2 N A N 0 1I WO 2006/061373 PCT/EP2005/056501 14 No R 1
R
2
R
3 Z A (Z + A) Salt or Melting Z A free base point ('C) 1 H H CH 3 - - -CH=CH-CH=CH- HCI 205 (dec.) 2 7-Cl H CH 3 - - -CH=CH-CH=CH- fb 232-3 3 5-CH 3 H CH 3 - - -CH=CH-CH=CH- fb 206-7 4 6-Cl H CH 3 - - -CH=CH-CH=CH- fb 246-8 5 5-Cl H CH 3 - - -CH=CH-CH=CH- fb amorph 6 5-CN H CH 3 - - -CH=CH-CH=CH- fb amorph 7 5-F H CH 3 - - -CH=CH-CH=CH- fb 226-7 (d.) 8 5-Br H CH 3 - - -CH=CH-CH=CH- HCI amorph 9 H H CH 3 - - -CH=CH-C(CH 3 )=CH- HCI amorph 10 H H CH 3 - - -S-CH 2
-CH
2 - HCI amorph 11 H H CH 3 - - -S-CH=CH- HCI amorph 12 H H CH 3
SCH
3
CH
3 - fb 245-6 13 7-CH 3 H CH 3 - - -CH=CH-CH=CH- fb 226-7 14 H H CH 3
SCH
3 H - fb amorph 15 H H CH 3 - - -CH=C(CH 3 )-CH=CH- HCI 261-4 16 H H CH 3 - - -S-CH=C(C 6
H
5 )- fb 220-3 17 H H CH 3 - - -NH-(CH 2
)
3 - fb 249-52 18 H H CH 3
OCH
3
CH
3 - HCI 209-11 19 5-F H CH 3
SCH
3
CH
3 - fb 229 (dec.) 20 H CH 3
CH
3
SCH
3
CH
3 - HCI amorph 21 5-F H CH 3 - - -CH=C(CH 3 )-CH=CH- fb glass 22 H H CH 3 - - -C(CH 3 )=CH-CH=CH- CH 3
SO
3 H 242-6 23 H H CH 3 - - -CH=CH-CH=C(CH 3 )- fb 207-9 24 5-F H CH 3 - - -CH=C(C 2
H
5 )-CH=CH- fb 198-201 25 H H CH 3 - - -CH=C(C 2
H
5 )-CH=CH- fb 203-7 26 5-F H CH 3 - - -C(CH 3 )=CH-CH=CH- fb 229-30 27 H H CH 3 - - -CH=C(C 6
H
5 )-CH=CH- fb 211-24 28 5-F H CH 3 - - -CH=C(i-C 3
H
7 )-CH=CH- fb amorph 29 H H CH 3 - - -CH=C(i-C 3
H
7 )-CH=CH- fb 202-4 30 5-Cl H C 2
H
5 H CH 3 - fb 204-7 31 5-Br H C 2
H
5 H CH 3 - fb 205-8 32 5-CN H C 2
H
5 H CH 3 - fb 227-30 33 5-F H CH 3 H CH 3 - fb 234-5 (d.) WO 2006/061373 PCT/EP2005/056501 15 EXAMPLE 3: FORMULATION OF COMPOUND 22 IN ANIMAL STUDIES For oral (p.o.) administration : to the desired quantity (0.5-5 mg) of the solid compound 22 in a glass tube, some glass beads were added and the solid was milled by vortexing for 2 minutes. After addition of 1 ml of a solution of 1% 5 methylcellulose in water and 2% (v/v) of Poloxamer 188 (Lutrol F68), the compound was suspended by vortexing for 10 minutes. The p H was adjusted to 7 with a few drops of aqueous NaOH (0.1N). Remaining particles in the suspension were further suspended by using an ultrasonic bath. For intraperitoneal (i.p.) administration: to the desired quantity (0.5-15 mg) of the 10 solid compound 22 in a glass tube, some glass beads were added and the solid was milled by vortexing for 2 minutes. After addition of 1 ml of a solution of 1% methylcellulose and 5% mannitol in water, the compound was suspended by vortexing for 10 minutes. Finally the pH was adjusted to 7. 15 EXAMPLE 4: PHARMACOLOGICAL TESTRESULTS Dopamine-D 2 and serotonin reuptake receptor affinity data obtained according to the protocols given above are shown in the table below. 20 Table 2. In vitro affinities of compounds of the invention In vitro affinity Dopamine-D 2 5-HT reuptake epnd pKi pKi 1 7.7 8.8 7 7.8 9.5 10 7.8 8.8 11 8.0 8.6 14 7.0 7.3 15 8.1 8.4 18 7.5 9.1 19 8.2 7.6 20 7.0 8.1 21 7.5 9.8 22 8.1 8.8 24 8.0 8.1 27 7.2 9.5 33 7.3 8.5
Claims (7)
1. Tetrahydropyridin-4-y indoles derivatives of the formula (1): R3 N z R/ N-(CH 2 ) 2 A N 0 R2 5 (1) and tautomers, stereoisomers, prodrugs, N -oxides, pharmacologically acceptable salts, hydrates and solvates thereof, wherein: 10 - R 1 is hydrogen, halogen, alkyl (C- 3 ) or alkoxy(C1- 3 ), CN or CF 3 , - R 2 is hydrogen or alkyl (C1- 3 ), - R 3 is hydrogen or alkyl (C- 3 ), - Z is hydrogen or alkyl (C1- 3 ), alkoxy(C1- 3 ) or alkylthio(C1- 3 ), 15 - A is hydrogen or alkyl (C- 3 ), or - A and Z together form a saturated or (partly) unsaturated 5- or 6 - membered ring which may be substituted with halogen, alkyl (C- 3 ) or phenyl, in which ring Z represents carbon, sulfur of nitrogen, 20
2. A compound as claimed in claim 1, and tautomers, stereoisomers, prodrugs, N-oxides, pharmacologically acceptable salts, hydrates and solvates thereof, wherein R 1 is hydrogen or halogen, R 2 is hydrogen, R 3 is CH 3 , Z is SCH 3 and A is CH 3 , or Z+A from a (partly) unsaturated 6-membered ring which may be 25 substituted with CH 3 , C 2 H 5 or i-C 3 Hr.
3. A compound as claimed in claim 1, and tautomers, stereoisomers, prodrugs, N-oxides, pharmacologically acceptable salts, hydrates and solvates thereof, wherein R,=R 2 =H, R 3 is CH 3 and Z+A together represent -C(CH 3 )=CH 30 CH=CH-. WO 2006/061373 PCT/EP2005/056501 17
4. A compound as claimed in claim 1, selected from the group: R3 N z R N-(CHJ) 2 N 1A N 0 R 2 R1 R2 R3 Z A (Z+A) Z A H H CH 3 - - -CH=CH-CH=CH
7-Cl H CH 3 - - -CH=CH-CH=CH 5-CH 3 H CH 3 - - -CH=CH-CH=CH 6-Cl H CH 3 - - -CH=CH-CH=CH 5-Cl H CH 3 - - -CH=CH-CH=CH 5-CN H OH 3 - - -CH=CH-CH=CH 5-F H CH 3 - - -CH=CH-CH=CH 5-Br H CH 3 - - -CH=CH-CH=CH H H CH 3 - - -CH=CH-C(CH 3 )=CH H H CH 3 - - -S-CH 2 -CH 2 H H CH 3 - - -S-CH=CH H H CH 3 SCH 3 CH 3 7-CH 3 H CH 3 - - -CH=CH-CH=CH H H CH 3 SCH 3 H H H CH 3 - - -CH=C(CH 3 )-CH=CH H H CH 3 - - -S-CH=C(C 6 H 5 ) H H CH 3 - - -NH(CH 2 )3 H H CH 3 OCH 3 CH 3 5-F H CH 3 SCH 3 CH 3 H CH 3 CH 3 SCH 3 CH 3 5-F H CH 3 - - -CH=C(CH 3 )-CH=CH H H CH 3 - - -C(CH 3 )=CH-CH=CH H H CH 3 - - -CH=CH-CH=C(CH 3 ) 5-F H CH 3 - - -CH=C(C 2 H 5 )-CH=CH H H CH 3 - - -CH=C(C 2 H 5 )-CH=CH 5-F H CH 3 - - -C(CH 3 )=CH-CH=CH H H CH 3 - - -CH=C(C 6 H 5 )-CH=CH 5-F H CH 3 - - -CH=C(i-C 3 H)-CH=CH H H CH 3 - - -CH=C(i-C 3 Hz)-CH=CH 5-Cl H C 2 H 5 H CH 3 5-Br H C 2 H 5 H CH 3 5-CN H C 2 H 5 H CH 3 5-F H CH 3 H CH 3 and tautomers, stereoisomers, prodrugs, N-oxides, pharmacologically acceptable salts, hydrates and solvates thereof. 5 WO 2006/061373 PCT/EP2005/056501 18 5. Method for the preparation of compounds as claimed in claim 1, characterised in that a compound having formula (11) R/NNH N III R2 5 is reacted under basic conditions with a compound having formula (111) R3N z L-(CH)2 NA 0 10 in which formulae the symbols having the meanings given in claim 1, and L is a so-called leaving group. 6. A pharmaceutical composition comprising, in addition to a pharmaceuti-cally 15 acceptable carrier and/or at least one pharmaceutically acceptable auxiliary substance, a pharmacologically active amount of at least one compound as claimed in claim 1, or a salt thereof, as an active ingredient. 7. A method of preparing a composition as claimed in claim 6, characterised in 20 that a compound of claim 1 is brought into a form suitable for administration.
8. A compound as claimed in any of the claims 1 -4, or a salt thereof, for use as a medicament 25 9. Use of a compound as claimed in any of the claims 1 -4 for the preparation of a pharmaceutical composition for the treatment of CNS disorders. WO 2006/061373 PCT/EP2005/056501 19
10. Use as claimed in claim 9, characterized in that said CNS disorders are aggression, anxiety disorders, autism, vertigo, depression, disturbances of cognition or memory, schizophrenia and other psychotic disorders.
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| US63343904P | 2004-12-07 | 2004-12-07 | |
| EP04106351 | 2004-12-07 | ||
| US60/633,439 | 2004-12-07 | ||
| EP04106351.2 | 2004-12-07 | ||
| PCT/EP2005/056501 WO2006061373A2 (en) | 2004-12-07 | 2005-12-06 | Tetrahydropyridin-4-yl indoles with a combination of affinity for dopamine-d2 receptors and serotonin reuptake sites |
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| JP2002544223A (en) * | 1999-05-12 | 2002-12-24 | ソルベイ・フアーマシユーチカルズ・ベー・ブイ | How to treat psychotic disorders |
| AU2003257407A1 (en) * | 2002-08-29 | 2004-03-19 | H. Lundbeck A/S | S-(+)-3-{1-(2-(2,3-dihydro-1h-indol-3-yl)ethyl)-3,6-dihydro-2h-pyridin-4-yl}-6-chloro-1h-indole and acid addition salts thereof |
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