# Patent

## Title
Therapeutical method for treating dermatoses based on the use of

## Abstract

The present invention relates to therapeutically active azaheterocyclic compounds, a method of preparing the same and to pharmaceutical compositions comprising the compounds. The novel compounds are useful in treating a central nervous system ailment related to the GABA uptake.

## Background
The present invention relates to novel N-substituted azaheterocyclic carboxylic acids and esters thereof in which a substituted alkyl chain forms part of the N-substituent and salts thereof, to methods for their preparation, to compositions containing them, and to their use for the clinical treatment of abnormal function of the .gamma.-aminobutyric acid neurotransmission system.

In recent years much pharmacological research concerning .gamma.-aminobutyric acid (hereinafter designated GABA), an inhibitory neurotransmitter in the mammalian central nervous system, has been carried out.

The inhibition of GABA uptake results in enhanced availability of this inhibitory neurotransmitter in the synaptic cleft and thus to increased GABA'ergic activity. Increased GABA'ergic activity can be useful in the treatment, for example of anxiety, pain and epilepsy, as well as muscular and movement disorders (see, for example, P. Krogsgaard-Larsen et al., Progress in Medicinal Chemistry, 1985, 22, 68-112).

A well-known and potent inhibitor of GABA uptake from the synaptic cleft into presynaptic nerve terminals and glial cells is, for example, 3-piperidinecarboxylic acid (nipecotic acid). However, being a relatively polar compound and therefore unable to cross the blood-brain barrier, 3-piperidinecarboxylic acid itself has found no practical utility as a drug.

In U.S. Pat. Nos. 4,383,999 and 4,514,414 and in EP 236342 as well as in EP 231996 some derivatives of N-(4,4-disubstituted-3-butenyl)azaheterocyclic carboxylic acids are claimed as inhibitors of GABA uptake. In EP 342635 and EP 374801, N-substituted azaheterocyclic carboxylic acids in which an oxime ether group and vinyl ether group forms part of the N-substituent respectively are claimed as inhibitors of GABA uptake. Further, in WO 9107389 and WO 9220658, N-substituted azacyclic carboxylic acids are claimed as inhibitors of GABA uptake. EP 221572 claims that 1-aryloxyalkylpyridine-3-carboxylic acids are inhibitors of GABA uptake.

According to Yunger, L. M. et al., J. Pharm. Exp. Ther. 1984, 228, 109, N-(4,4-diphenyl-3-buten-1-yl)nipecotic acid (designated SK&F 89976A), N-(4,4-diphenyl-3-buten-1-yl)guvacine (designated SK&F 100330A), N-(4,4-diphenyl-3-buten-1-yl)-homo-.beta.-proline (designated SK&F 100561) and N-(4-phenyl-4-(2-thienyl)-3-buten-1-yl)nipecotic acid (designated SK&F 100604J) are orally active inhibitors of GABA uptake. These data are summarized in Krogsgaard-Larsen, P. et al., Epilepsy Res. 1987, 1, 77-93.

The present invention relates to novel N-substituted azaheterocyclic carboxylic acids and esters thereof of formula I ##STR1## wherein A is a saturated or unsaturated five or six-membered carbocyclic ring optionally substituted with a phenyl, benzylidene, C.sub.1-4 alkyl substituted with phenyl or C.sub.2-4 -alkenyl substituted with phenyl which phenyl or benzylidene is optionally substituted with halogen, C.sub.4 -alkyl, C.sub.1-4 -alkoxy or trifluoromethyl and which saturated or unsaturated five or six-membered carbocyclic ring may be optionally fused with a benzo ring;

The compounds of formula I may exist as geometric and optical isomers and all isomers and mixtures thereof are included herein. Isomers may be separated by means of standard methods such as chromatographic techniques or fractional crystallization of suitable salts.

The compounds according to the invention may optionally exist as pharmaceutically acceptable acid addition salts or--when the carboxylic acid group is not esterified--as pharmaceutically acceptable metal salts or--optionally alkylated--ammonium salts.

Examples of such salts include inorganic and organic acid addition salts such as hydrochloride, hydrobromide, sulphate, phosphate, acetate, phthalate, fumarate, maleate, citrate, lactate, tartrate, oxalate, or similar pharmaceutically acceptable inorganic or organic acid addition salts, and include the pharmaceutically acceptable salts listed in Journal of Pharmaceutical Science, 66, 2 (1977) which are hereby incorporated by reference.

In a preferred embodiment of the invention C.sub.1-4 -alkyl is methyl or ethyl, C.sub.2-4 -alkenyl is ethylidene, C.sub.1-4 -alkoxy is methoxy or ethoxy, and X includes methoxy, ethoxy, isopropoxy or n-propoxy, and n includes 2 or 3.

The compounds of formula I have a greater lipophilicity--and thus a greater availability to the brain--as well as a far higher affinity to the GABA uptake sites than the parent compounds without the N-substituent (i.e. nipecotic acid and guvacine.

It has been demonstrated that the novel compounds of formula I which inhibit the uptake of GABA from the synaptic cleft possess useful pharmacological properties in the central nervous system, in that they cause a selective enhancement of GABA'ergic activity. Compounds of formula I may be used to treat for example, pain, anxiety, extrapyrimidinal dyskinesia, epilepsy and certain muscular and movement disorders. They are also useful as sedatives, hypnotics and antidepressants.

The compounds of formula I are prepared by the following methods: ##STR2##

A compound of formula II wherein A is as defined above, may be reacted with a compound of formula III wherein R.sup.1, R.sup.2, n and X are as defined above and Z is a suitable leaving group such as halogen, p-toluene sulphonate or mesylate. This alkylation reaction may be carried out in a suitable solvent such as acetone, dibutylether, 2-butanone, tetrahydrofuran, methylisobutylketone or toluene in the presence of a base e.g. potassium carbonate at a temperature up to reflux temperature for the solvent used for e.g. 1 to 120 h. If esters have been prepared in which X is alkoxy, compounds of formula I wherein X is OH may be prepared by hydrolysis of the ester group, preferably at room temperature in a mixture of an aqueous alkali metal hydroxide solution and an alcohol such as methanol or ethanol, for example, for about 0.5 to 6 h.

Compounds of formula II may readily be prepared by methods familiar to those skilled in the art. Compounds of formula Ill may be prepared according to the procedure described in U.S. Pat. No. 5,071,859.

Under certain circumstances it may be necessary to protect the intermediates used in the above methods e.g. a compound of formula Ill with suitable protecting groups. The carboxylic acid group can, for example, be esterified. Introduction and removal of such groups is described in "Protective Groups in Organic Synthesis" T. W. Greene and P. G. M. Wuts, 2ed. (John Wiley, 1991).

Values for in vitro inhibition of [.sup.3 H]-GABA uptake for the invention compounds were assessed essentially by the method of Fjalland (Acta Pharmacol. Toxicol. 1978, 42, 73-76).

Male wistar rat cortical tissue was gently homogenized by hand using a glass/PTFE homogenizer in 10 volumes of 0.32M sucrose. Incubation was performed in a 40 mM tris HCl buffer (pH 7.5 at 30.degree. C.) containing 120 nM NaCl, 9.2 nM KCl, 4 mM MgSO.sub.4, 2.3 nM CaCl.sub.2 and 10 mM glucose, for 60 minutes at 30.degree. C.

Values for inhibition of GABA uptake for some representative compounds are recorded in Table I. ______________________________________ Inhibition of [.sup.3 H]-GABA uptake Example no.   IC.sub.50 (nM) in vitro ______________________________________ 1             332 2             417 3             9500 4             819 5             1380 ______________________________________

For the above indications the dosage will vary depending on the compound of formula I employed, on the mode of administration and on the therapy desired. However, in general, satisfactory results are obtained with a dosage of from about 0.5 mg to about 1000 mg, preferably from about 1 mg to about 500 mg of compounds of formula I, conveniently given from 1 to 5 times daily, optionally in sustained release form. Usually, dosage forms suitable for oral administration comprise from about 0.5 mg to about 1000 mg, preferably from about 1 mg to about 500 mg of the compounds of formula I admixed with a pharmaceutical carrier or diluent.

The compounds of formula I may be administered in pharmaceutically acceptable acid addition salt form or where possible as a metal or a lower alkylammonium salt.

This invention also relates to pharmaceutical compositions comprising a compound of formula I or a pharmaceutically acceptable salt thereof and, usually, such compositions also contains a pharmaceutical carrier or diluent.

The compositions containing the compounds of this invention may be prepared by conventional techniques and appear in conventional forms, for example capsules, tablets, solutions or suspensions.

The pharmaceutical carrier employed may be a conventional solid or liquid carrier. Examples of solid carriers are lactose, terra alba, sucrose, talc, gelatin, agar, pectin, acacia, magnesium stearate and stearic acid. Examples of liquid carriers are syrup, peanut oil, olive oil and water.

Similarly, the carrier or diluent may include any time delay material known to the art, such as glyceryl monostearate or glyceryl distearate, alone or mixed with a wax.

If a solid carrier for oral administration is used, the preparation can be tabletted, placed in a hard gelatin capsule in powder or pellet form or it can be in the form of a troche or lozenge. The amount of solid carrier will vary widely, but will usually be from about 25 mg to about 1 g. If a liquid carrier is used, the preparation may be in the form of a syrup, emulsion, soft gelatin capsule or sterile injectable liquid such as an aqueous or nonaqueous liquid suspension or solution.

Generally, the compounds of this invention are dispended in unit dosage form comprising 50-200 mg of active ingredient in or together with a pharmaceutically acceptable carrier per unit dosage.

The dosage of the compounds according to this invention is 1-500 mg/day, e.g. about 100 mg per dose, when administered to patients, e.g. humans, as a drug.

A typical tablet, which may be prepared by conventional tabletting techniques contains: Core: Active compound (as free compound 100 mg or salt thereof) Colloidal silicon dioxide (Aerosil .RTM.) 1.5 mg Cellulose, microcryst. (Avicel .RTM.) 70 mg Modified cellulose gum (Ac-Di-Sol .RTM.) 7.5 mg Magnesium stearate Coating: HPMC                  approx.   9 mg *Mywacett .RTM. 9-40 T approx.   0.9 mg ______________________________________ *Acylated monoglyceride used as plasticizer for film coating.

The route of administration may be any route, which effectively transports the active compound to the appropriate or desired site of action, such as oral or parenteral e.g. rectal, transdermal, subcutaneous, intravenous, intramuscular or intranasal, the oral route being preferred.

The process for preparing compounds of formula I is further illustrated in the following examples which however are not to be construed as limiting.

Hereinafter, TLC is thin layer chromatography and THF is tetrahydrofuran, CDCl.sub.3 is deuterio chloroform and DMSO-d.sub.6 is hexadeuterio dimethylsulfoxide. The structures of the compounds are confirmed by either elemental analysis or NMR, where peaks assigned to characteristic protons in the title compounds are presented where appropriate. NMR shifts (.delta.) are given in parts per million (ppm). M.p. is melting point and is given in .degree.C. Column chromatography was carried out using the technique described by W. C. Still et al, J. Org. Chem. 1978, 43, 2923-2925 on Merck silica gel 60 (Art. 9385). Compounds used as starting materials are either known compounds or compounds which can readily be prepared by methods known per se. acid hydrochloride

To a stirred suspension of 2-phenylcyclohexanone (5.0 g, 29 mmol) and hydroxylammonium chloride (6.0 g, 86 mmol) in a mixture of ethanol (20 ml) and water (10 ml) a solution of potassium carbonate (11.9 g, 86 mmol) in water (50 ml) was added. The reaction mixture was stirred at ambient temperature for 5 h and the precipitate was isolated by filtration and washed with water. This afforded after drying in air 5.1 g of 2-phenylcyclohexanone oxime as a solid. M.p. 159.degree.-160.degree. C.

A mixture of the above oxime (2.0 g, 11 mmol), (R)-1-(2-bromoethyl)-3-piperidinecarboxylic acid ethyl ester hydrobromide (3.7 g, 11 mmol, EP 374801), potassium carbonate (4.6 g, 33 mmol) and acetone (50 ml) was stirred at ambient temperature for 6 days. The mixture was filtered and the solvent evaporated in vacuo. The residue was purified twice by column chromatography on silica gel (cyclohexane/ethyl acetate, gradient 3/1-1/1) to give 0.65 g of (R)-1-(2-(((2-phenylcyclohexylidene)amino)oxy)ethyl)-3-piperidinecarboxyli c acid ethyl ester as an oil.

The above ester (0.6 g, 1.6 mmol) was dissolved in ethanol (5 ml) and 4N sodium hydroxide (1.6 ml) was added. The mixture was stirred at ambient temperature for 20 h, placed on an ice-bath and excess concentrated hydrochloric acid was added. The mixture was concentrated in vacuo and dichloromethane (300 ml) was added. The phases were separated and the organic phase was washed with water (5 ml) and dried (MgSO.sub.4). The solvent was evaporated in vacuo to give 0.52 g of the title compound as an amorphous solid.

M.p. 43.degree.-45.degree. C. Calculated for C.sub.20 H.sub.28 N.sub.2 O.sub.3.HCl.1/4H.sub.2 O: C, 62.3%; H, 7.7%; N, 7.3%; Found: C, 62.4%; H, 7.8%; N, 7.2%. xylic acid hydrochloride

A mixture of 2-phenyl-2-cyclohexen-1-one (0.6 g, 3.5 mmol, Tetrahedron 1972, 28, 2369), hydroxylammonium chloride (0.5 g, 7 mmol) and dry pyridine (15 ml) was heated at reflux for 3 h. The reaction mixture was allowed to cool and the solvent was evaporated in vacuo. The residue was dissolved in a mixture of ethyl acetate and water. A 10% citric acid solution was added until acidic pH and the phases were separated. The organic phase was extracted with a 10% citric acid solution and dried (MgSO.sub.4). The solvent was evaporated in vacuo to give 0.55 g of 2-phenyl-2-cyclohexen-1 -one oxime. M.p. 144.degree.-146.degree. C.

A mixture of the above oxime (0.55 g, 2.9 mmol), (R)-1-(2-bromoethyl)-3-piperidinecarboxylic acid ethyl ester hydrobromide (1.0 g, 2.9 mmol, EP 374801A), potassium carbonate (1.0 g, 7.3 mmol) and acetone (25 ml) was stirred at ambient temperature for 14 days. The mixture was filtered and the solvent evaporated in vacuo. The residue was purified by column chromatography on silica gel (125 g, heptane/ethyl acetate=1/1) to give 0.4 g of (R)-1-(2-(((2-phenylcyclohex-2-enylidene)amino)oxy)ethyl)-3-piperidinecarb oxylic acid ethyl ester as an oil.

The above ester (0.4 g, 1.1 mmol) was dissolved in ethanol (10 ml) and 4N sodium hydroxide (1 ml) was added. The mixture was stirred at ambient temperature for 3 h and excess concentrated hydrochloric acid was added followed by dichloromethane (400 ml). The suspension was dried (MgSO.sub.4) and the solvent evaporated in vacuo. The residue was re-evaporated with acetone, dissolved in acetone (10 ml) and left for crystallisation. This afforded 0.17 g of the title compound as a solid.

M.p. 171.degree.-172.degree. C. Calculated for C.sub.20 H.sub.26 N.sub.2 O.sub.3.HCl.1/4H.sub.2 O: C, 62.7%; H, 7.2%; N, 7.3%; Found: C, 63.0%; H, 7.4%; N, 6.9%. boxylic acid hydrochloride

A mixture of 2-benzylidenecyclohexanone (3.5 g, 18.8 mmol, J. Chem. Soc. 1949, 2957), hydroxylammonium chloride (3.9 g, 56 mmol) and ethanol (50 ml) was stirred at ambient temperature for 3 days. The solvent was evaporated in vacuo and the residue was dissolved in a mixture of ethyl acetate (200 ml) and water (50 ml). The phases were separated and the aqueous phase was extracted with ethyl acetate (50 ml). The combined organic extracts were washed with water and dried (MgSO.sub.4). The solvent was evaporated in vacuo to give 3.7 g of 2-benzylidenecyclohexanone oxime as a solid. M.p. 114.degree.-115.degree. C.

A mixture of the above oxime (3.7 g, 18.4 mmol), (R)-1-(2-bromoethyl)-3-piperidinecarboxylic acid ethyl ester hydrobromide (7.0 g, 20.2 mmol, EP 374801), potassium carbonate (10.2 g, 73.5 mmol) and acetone (150 ml) was stirred at ambient temperature for 11 days. The mixture was filtered and the solvent evaporated in vacuo. The residue was purified by column chromatography on silica gel (200 g, heptane/ethyl acetate=3/2) to give 2.5 g of (R)-1-(2-(((2-(benzylidene)cyclohexylidene)amino)oxy)ethyl)-3-piperidineca rboxylic acid ethyl ester as an oil.

The above ester (2.5 g, 6.5 mmol) was dissolved in ethanol (20 ml) and 4N sodium hydroxide (4.9 ml) was added. The mixture was stirred at ambient temperature for 3 h and excess concentrated hydrochloric acid was added followed by dichloromethane (300 ml) and water (15 ml). The phases were separated and the organic phase was dried (MgSO.sub.4) and the solvent evaporated in vacuo. The residue was re-evaporated with acetone and recrystallised from acetone (180 ml) to give 1.5 g of the title compound as a solid.

M.p. 116.degree. C. dec. Calculated for C.sub.21 H.sub.30 N.sub.2 O.sub.3.HCl: C, 63.9%; H, 7.9%; N, 7.1%; Found: C, 63.9%; H, 7.6%; N, 6.9%. piperidinecarboxylic acid hydrochloride

A mixture of 2-phenyl-1-tetralone (1.1 g, 5 mmol, J. Am. Chem. Soc. 1949, 71, 1092), hydroxylammonium chloride (0.7 g, 10 mmol) and dry pyridine (30 ml) was heated at reflux for 4 h and then stirred at ambient temperature overnight. The solvent was evaporated in vacuo and the residue was stirred in a mixture of ethyl acetate (50 ml) and 10% citric acid (50 ml). The phases were separated and the organic phase was washed with water and dried (MgSO.sub.4). The solvent was evaporated in vacuo to give 1.2 g of 2-phenyl-1-tetralone oxime as a solid. M.p. 156.degree.-157.degree. C.

A mixture of the above oxime (1.0 g, 4.2 mmol), (R)-1-(2-bromoethyl)-3-piperidinecarboxylic acid ethyl ester hydrobromide (2.2 g, 6.3 mmol, EP 374801), potassium carbonate (1.5 g, 11 mmol) and acetone (25 ml) was stirred at ambient temperature for 10 days. The mixture was filtered and the solvent evaporated in vacuo. The residue was purified by column chromatography on silica gel (150 g, heptane/ethyl acetate=7/3) to give 0.6 g of (R)-1-(2-(((2-phenyl-1,2,3,4-tetrahydro-1-naphthylidene)amino)oxy)ethyl)-3 -piperidinecarboxylic acid ethyl ester as an oil.

The above ester (0.6 g, 1.5 mmol) was dissolved in ethanol (10 ml) and 4N sodium hydroxide (1.1 ml) was added. The mixture was stirred at ambient temperature for 4 h and excess concentrated hydrochloric acid was added followed by dichloromethane (300 ml). The mixture was dried (MgSO.sub.4) and the solvent evaporated in vacuo to give a residue which was re-evaporated with acetone and recrystallised from acetone. This afforded 0.5 g of the title compound as a solid.

M.p. 160.degree.-162.degree. C. Calculated for C.sub.24 H.sub.28 N.sub.2 O.sub.3.HCl.H.sub.2 O: C, 66.5%; H, 6.9%; N, 6.5%; Found: C, 66.4%; H, 6.8%; N, 6.1%. acid hydrochloride

A mixture of 3-phenyl-1-indanone (4.2 g, 20 mmol, J. Chem. Soc. 1949, 2957), hydroxylammonium chloride (2.8 g, 40 mmol) and pyridine (30 ml) was heated at reflux overnight. The reaction mixture was allowed to cool and the solvent was evaporated in vacuo. The residue was dissolved in ethyl acetate and washed with excess 10% citric acid solution. The organic phase was dried (MgSO.sub.4) and the solvent evaporated in vacuo to give a solid which was triturated with a mixture of cyclohexane and ethyl acetate. The solid was isolated by filtration and dried in air to give 2.8 g of 3-phenyl-1-indanone oxime as a solid. M.p. 123.degree.-125.degree. C.

A mixture of the above oxime (1.1 g, 5 mmol), (R)-1-(2-bromoethyl)-3-piperidinecarboxylic acid ethyl ester hydrobromide (1.7 g, 5 mmol, EP 374801), potassium carbonate (1.7 g, 13 mmol) and acetone (25 ml) was stirred at ambient temperature for 11 days. The mixture was filtered and the solvent evaporated in vacuo. The residue was purified by column chromatography on silica gel (100 g, heptane/ethyl acetate=1/1) to give 1.1 g of (R)-1-(2-(((3-phenyl-1-indanylidene)amino)oxy)ethyl)-3-piperidinecarboxyli c acid ethyl ester as an oil.

The above ester (0.6 g, 1.5 mmol) was dissolved in ethanol (15 ml) and 4N sodium hydroxide (1.1 ml) was added. The mixture was stirred at ambient temperature for 5 h and excess concentrated hydrochloric acid was added followed by dichloromethane (300 ml). The phases were separated and the organic phase was dried (MgSO.sub.4) and the solvent evaporated in vacuo. The residue was dissolved in acetone (15 ml) and left for crystallisation. This afforded after isolation and drying 0.6 g of the title compound as a solid.

M.p. 204.degree.-205.degree. C. Calculated for C.sub.23 H.sub.26 N.sub.2 O.sub.3.HCl: C, 66.6%; H, 6.6%; N, 6.8%; Found: C, 66.3%; H, 6.6%; N, 6.4%.

## Claims

1. A compound of formula I ##STR3## wherein A is a saturated or unsaturated five or six-membered carbocyclic ring optionally substituted with (a) phenyl or benzylidene, each of which is optionally substituted with halogen, C.sub.1-4 -alkyl, C.sub.1-4 -alkoxy or trifluoromethyl; (b) C.sub.1-4 -alkyl substituted with phenyl; or (c) C.sub.2-4 -alkenyl substituted with phenyl; wherein the saturated or unsaturated five or six-membered carbocyclic ring is optionally fused with a benzo ring;

2. The compound according to claim 1, wherein R.sup.1 and R.sup.2 form a bond.

3. The compound according to claim 1, wherein A is a cyclopentyl ring which is optionally substituted.

4. The compound according to claim 3, wherein the cyclopentyl ring is fused with a benzo ring.

5. The compound according to claim 1, wherein A is a cyclohexyl ring which is optionally substituted.

6. The compound according to claim 5, wherein the cyclohexyl ring is fused with a benzo ring.

7. The compound according to claim 1, wherein A is a cyclohexenyl ring which is optionally substituted.

8. The compound according to claim 7, wherein the cyclohexenyl ring is fused with a benzo ring.

9. The compound according to claim 1 which is acid or a pharmaceutically acceptable salt thereof.

10. The compound according to claim 1 which is xylic acid or a pharmaceutically acceptable salt thereof.

11. The compound according to claim 1 which is boxylic acid or a pharmaceutically acceptable salt thereof.

12. The compound according to claim 1 which is piperidinecarboxylic acid or a pharmaceutically acceptable salt thereof.

13. The compound according to claim 1 which is acid or a pharmaceutically acceptable salt thereof.

14. A pharmaceutical composition comprising a compound according to claim 1 together with a pharmaceutically acceptable carrier or diluent.

15. The pharmaceutical composition according to claim 14, wherein the compound is present in an amount between 0.5 mg and 1000 mg per unit dose.

16. A method of treating a central nervous system ailment related to GABA uptake in a subject in need of such treatment comprising administering to said subject an effective amount of a compound according to claim 1.

17. A method of treating a central nervous system ailment related to GABA uptake in a subject in need of such treatment comprising administering to said subject a pharmaceutical composition according to claim 14.