PHENOTHIAZINE DERIVATIVES

Abstract: Compounds of the formula (I): or salts, esters or amides, thereof, wherein R₁ is a C₁₋₇ bivalent hydrocarbon group or a single bond; R₂ and R₃ are the same or different and are each hydrogen, C₁₋₄ alkyl or taken together with the nitrogen comprise a nitrogen-­ containing heterocyclic ring having four to six ring mem­ bers; R₄ is hydrogen, halogen, C₁₋₄ alkoxy, C₁₋₄ alkyl option­ ally substituted by one to three halogen atoms; or a group R₁ CO₂H as hereinbefore defined and A is C₁₋₄ alkylene or ANR₂R₃ forms a group anti-allergic and anti-histaminic activity. Processes for preparing these compounds, novel intermediates in their preparation, pharmaceutical compositions containing the compounds, and the compounds for use in medicine are also described.

Description: The present invention relates to new chemical compounds exhibiting anti-histamine and anti-allergic activity, to processes for preparing them, to novel intermediates involved in their preparation, to pharmaceutical compositions containing them and to their use in medicine. US Patent No. 2530451 discloses a group of 9-(dialkylaminoalkyl)phenothiazines with antihistamine activity, the most outstanding of which is the compound named and hereinafter referred to by its generic name, promethazine (10-(2dimethylaminopropyl)phenothiazine). Promethazine has gained a fair degree of clinical acceptance as a tranquilliser and as an antihistamine. The antihistamines now in use, including diphenylhydramine, the pheniramines, pyrilamine, promethazine and triprolidine have one potential disadvantage in common; they all cause sedation or drowsiness in some patients. Promethazine also has the additional disadvantage that it has potent anticholinergic activity. A novel group of compounds having antiallergic activity in-vivo as defined by blockade of anaphylactoid activity has now been discovered. Some of these compounds also have good antihistamine activity and appear to be substantially free of CNS side-effects and to possess markedly less anticholinergic activity than promethazine. Accordingly this invention provides a compound of the formula (I). EMI1.1 or a salt, ester or amide thereof; wherein R1 is a C17 bivalent aliphatic hydrocarbon group or a single bond; R2 and R3 are the same or different and are each hydrogen, C1 4 alkyl or taken together with the nitrogen comprise a nitrogen-containing heterocyclic ring having four to six ring members; R4 is hydrogen, halogen, C1 4 alkoxy C14 alkyl optionally substituted by one to three halogen atoms; or a group R1 CO2H as hereinbefore defined: and A is C14 alkylene or ANR2R3 forms a group -CH2 Of the compounds of formula (I) those of formula (11) EMI2.1 EMI2.2 or a salt, ester or amide thereof; wherein R1 to R4 and A are as defined in relation to formula (I). R1 may be a straight or branched chain, saturated or unsaturated hydrocarbon group or a single bond. Suitably R1 is a C13 hydrocarbon group or a single bond. Suitably R1 contains at the most one double bond. Preferably R is a group (CH2) wherein n is an integer 0 to 3, or a group CH=CH or a group - H(CH3)(CH2)m where m is O or 1, or a group -C(CH3)2 - . Most preferably R1CO2H is a group CH2C02H. Suitably R2 and R3 are the same or different and each is methyl or ethyl or taken together with the nitrogen atom to which they are attached form a four to six membered heterocyclic ring, preferably a saturated heterocyclic ring such as pyrrolidine, piperidine or morpholine. NR2R3 is most suitably a dimethylamino group, or a diethylamino group, and preferably a dimethylamino group. Suitably R4 is hydrogen, halogen, C14 alkyl, or trifluoromethyl. Most suitably R4 is hydrogen, methyl, ethyl, chloro or fluoro. Preferably R4 is hydrogen. When R4 is other than hydrogen it is attached to the 7-or 8-position of the phenothiazine ring system and conveniently suitably at the 7-position. EMI3.1 ethylene or n-or iso-propylene group or ANR2R3 forms a group Amides of the compounds of the formula (I) included within the scope of the invention are amides conventionally formed from carboxylic acids. Amides formed from ammonia, primary amines or amino acids, such as glycine, are particularly suitable. Solvates of the compounds of the formula (I) are also included within the scope of the present invention. Preferred solvates include hydrates and C14 alkanolates. Esters and amides of the compounds of the formula (I) whilst having some antihistamine activity in their own right may also be useful intermediates in the preparation of the carboxy compounds of the formula (I). Suitable esters include conventional ester groups known to be useful for protecting carboxylic acid groups such as C16 alkyl esters wherein the alkyl group is straight or branched chain and is optionally substituted by halogen. Alkyl esters (C1,4) are particularly preferred. Salts of the compounds of formula (I) may be either acid addition salts or salts formed with the carboxylic acid group. Acid addition salts are preferred but salts formed from the carboxylic acid group may be particularly useful in preparing the corresponding carboxy compound. Pharmaceutically acceptable salts are preferred. When used in medicine, the salts of the compound of formula (I) should be both pharmacologically and pharmaceutically acceptable, but non pharmaceutically acceptable salts may conveniently be used to prepare the free active compound or pharmaceutically acceptable salts thereof and are not excluded from the scope of this invention. Such pharmacologically and pharmaceutically acceptable acid addition salts include, but are not limited to, those prepared from the following acids: hydrochloric, sulphuric, nitric, phosphoric, maleic, salicyclic, toluene-p-sulphonic, tartaric, citric,methanesulphonic, formic, malonic, isothionic, succinic, naphthalene-2-sulphonic and benzenesulphonic. Also, pharmaceutically acceptable salts can be prepared as alkaline metal or alkaline earth salts, such as sodium, potassium or calcium salts of the carboxylic acid group. When the compounds of formula (I) contain a double bond in the side chain terminating in the carboxylic acid group, they exist in either the cis or trans isomeric form(s) (in relation to the aromatic ring). Both isomers and the isomeric mixture of these compounds are included within the scope of the present invention. When R1CO2H contains a double bond, the preferred isomers are those wherein the carboxylic acid group is trans to the aromatic ring. Preferred compounds of the formula (I) include:trans-ss-[10-2(2-dimethylaminopropyl)phenothiazin-2-yl]acrylic acid 2{10-(2-dimethylaminopropyl)phenothiazin-2-ylaacetic acid 2410-(2-dimethylaminopropyl)phenothiazin-2-yl]propionic acid 10-(2-Dimethylaminopropyl)phenothiazine-3-carboxylic acid E-3-(2-Carboxyvinyl)-10-(2-dimethylaminopropyl)phenothiazine 3-(2-Carboxyethyl)-10-(2-dimethylaminopropyl)phenothiazine 10-(2-Dimethylaminopropyl)phenothiazine-4(or 1)-carboxylic acid (E)4(or 1)-(2-Carboxyvinyl)-10-(2-dimethylaminopropyl)phenothiazine 4-(or 1)-(2-CarboxyethyI)-10-(2-dimethylaminopropyl)phenothiazine [7-Chloro-10-(2-dimethylaminopropyl)-2-phenothiazinylaacetic acid [10-(2-Dimethylaminoethyl)-7-methyl-2-phenothiazinyl]acetic acid <RTI ID=4.6> [10-(2-Dimethylaminoethyl)-7-fluoro-2-phenothiazinylaacetic acid 2-[10-(2-Dimethylaminopropyl)-2-phenothiazinyl]-2-methylpropionic acid 2-[10-(3-dimethylaminopropyl)-2-phenothiazinyl]-2-methylpropionic acid 2-Methyl-2410-[3-(N-pyrrolidino)propyl]-2-phenothiazinyl]propionic acid. 10-(2-Dimethylaminopropyl)phenothiazine-2-carboxylic acid or salts, esters or amides thereof, Pharmacokinetic studies comparing the relative distribution in brain and plasma of two of the compounds of this invention and promethazine indicate that, unlike promethazine, these compounds (Compounds A and 8 see examples) do not readily penetrate the brains of rodents The present invention also provides analogy methods for preparing compounds of formula (I), for example:a) When it is required to prepare a compound of the formula a) wherein ANR2R3 is not EMI4.1 The reaction of a compound of the formula (III) EMI5.1 or an ester thereof with an amine HNR2R3 wherein A and R1 to R4 are as hereinbefore defined and L is a leaving group; b) When it is required to prepare a compound of the formula (I) wherein R1 is (CH2)0 (i) the reaction of a compound of the formula (IV): EMI5.2 wherein R2, R3, R4 and A are as hereinbefore defined and R5 is a hydrogen or halogen atom, with a C16 alkyl lithium compound followed by treatment with carbon dioxide; (ii) the oxidation of a compound of the formula (V): EMI5.3 wherein R2, R3, R4, and A are as hereinbefore defined, R1 ia a single bond and B is hydrogen; c) When it is required to prepare a compound of the formula (I) wherein R1 is (CH2)a CH=CH(CH2)b) and a is 0 and b is 0 to 5 the reaction of a compound of the formula (V) as hereinbefore defined, with a Wittig reagent suitable for attaching the side chain CH=CH(CH2)bCOR6, wherein COR6 is an acid, ester or amide group as hereinbefore defined, followed by deprotection of the carboxy group if desired; d) When it is required to prepare a compound of the formula (I) wherein R1 is CH=CH, the reaction of a compound of the formula (V) as hereinbefore defined, with malonic acid or a malonic acid ester; e) the hydrolysis of a compound of the formula (VI): EMI6.1 wherein R2 to R4 and A are as hereinbefore defined and R1 Z is a group R1 CN wherein R1 is a C17 bivalent hydrocarbon group, or a group R7 - CH=C(Y)XH wherein R7 is a C1 6 bivalent hydrocarbon group or a single bond, X is oxygen or sulphur and Y is a- secondary amino group; f). the alkylation of a compound of the formula (VII): EMI6.2 wherein R1 and R4 are as hereinbefore defined, COR6 is an ester or amide group and thereafter, optionally converting one compound of the formula (I) to another compound of the formula (I) by methods well known to those skilled in the art, for example the reduction of one or more double bonds or de-esterification of an ester group or hydrolysis of an amide. The analogy methods are carried out suitably in the following manner: a) Suitable leaving group L in the compounds of the formula (III) are those as defined by J. March, Advanced Organic Chemistry, 2nd ed., pages 683 and 895, McGraw Hill, New York, 1977, e.q. -Br, -C1, toluene sulphonate, methane sulphonate, acyloxy (such as acetate), etc. This reaction will normally be carried out in a solvent suitable for carrying out such displacement reactions, for example a polar solvent, such as a C14 alkanol or a polar aprotic solvent such as DMSO, at a temperature between 0 and 1800C. The compounds of the formula (III) may be prepared by the reaction of an ester of the corresponding compound where L is a hydroxy group with an acid or a suitable reactive acid derivative, followed by removal of the ester function if desired. Suitable reactants include hydrogen halides, halogenated phosphorus compounds such as phosphorus pentachloride or phosphorus oxychloride, a suitable suiphonyl chloride (such as methane sulphonyl chloride or p-toluene sulphonyl chloride) or an acid anhydride, such as acetic anhydride. The reaction will conveniently be carried out in a suitable solvent under conditions well known to those skilled in the art, for example a non-protic solvent such as an ether or a halogenated hydrocarbon, in the presence of a base such as a tertiary amine (for example triethylamine) at a non-extreme temperature, for example between 0o and IOOOC and conveniently at room temperature. When a tertiary amine is used as a base, an excess of this may be used as the solvent. The hydroxy compounds may be prepared by reacting phenothiazines unsubstituted at the 10-position (i.e. by the group AL) with either alkylene oxides such as ethylene (or higher) oxide, or with an alkanol which also bears a leaving group, in the presence of a strong base, such as an alkali alcoholate, at a non-extreme temperature, for example between 0 and 1000C. bXi) The reaction of a compound of the formula (IV) with alkyl lithium followed by treatment with carbon dioxide is suitably carried out in a solvent inert under the reaction conditions utilised, for example benzene, toluene or an ether such as tetrahydrofuran, under an inert atmosphere, such as nitrogen, and at a low temperature, for example -800C and -200C. R5 is preferably bromine or iodine. The alkyl lithium compound is suitably butyl lithium. The reaction is conveniently carried out in toluene or tetrahydrofuran at a temperature between -800C and -500C under nitrogen. The compound of the formula (IV) may be prepared by the reaction of a compound of the formuia (VIII): EMI7.1 wherein R4 is as hereinbefore defined with a compound LANR2R3 wherein A, R2, R3 and L are as hereinbefore defined. This reaction is suitably carried out in the presenceof a base, such as an alkali metal alkoxide, for example potassium butoxide, in an inert solvent, for example xylene, at an elavated temperature i.e. between 200 and 1500C and conveniently between 500 and 800C. (ii) The compound of formula (V) is suitably prepared by oxidation of the corresponding alcohol under conditions that will not lead to oxidation of the components of the phenothiazine ring, for example by oxidation with silver carbonate on diatomaceous earth in an inert hydrocarbon solvent, such as benzene at a non-extreme temperature, for example between 0 and 1000C, conveniently under reflux. The alcohol may be prepared by reduction of the corresponding acid or its ester, i.e. a compound of the formula (I) wherein R1 is (CH2)0. This reduction may suitably be carried out using a metal hydride, such as lithium aluminium hydride, in an inert solvent, such as an ether, for example diethyl ether, at between 0 and 750C and suitably under reflux. This reaction is a conventional Wittig reaction and, as such, is analogous to those described in Organic Reactions, 14, 270490 (1965) and Pure and Applied Chemistry, 9, 245-254 (1964). The reaction is suitably carried out in an anhydrous solvent inert under the reaction conditions utilised, for example toluene, benzene, tetrahydrofuran, dioxan, glycol ethers and C16 alkyl ethers such as ethyl ether, at a temperature between -800C and 1000C. The Wittig reagent will normally be prepared by treatment of a phosphonium salt with a strong base for example a C 4 alkyl or aryl lithium compound such as butyl lithium, or a metal hydride, such as sodium hydride in a suitable inert solvent, such as those specified above. c) The Wittig reagent in reaction (c) is conveniently prepared by reacting a compound of the formula (R8)2 PO.(CH2)d CO2R6, wherein R6 is as hereinbefore defined, R8 is a C14 alkoxy group and d is 1 to 6, or a compound of the formula (Rg)3P(CH2)dCO2R6 wherein R6 is as hereinbefore defined Rg is C14 alkyl or phenyl and d is 1 to 6 with a strong base, such as sodium hydride in a suitable inert solvent, such as tetrahydrofuran or dimethoxyethane at a temperature between 0 and 50"C, conveniently at room temperatur. The reaction between the Wittig reagent and compound of the formula (V) is conveniently carried out by adding the compound of the formula (V) to the Wittig reagent at a temperature of between 00 and 500C and conveniently at room temperature. d) The reaction of a compound of the formula (V) with malonic acid or an ester thereof is suitably carried out in the presence of a base, conveniently pyridine, which can also act as solvent at an elevated temparature i.e. between 200 and 1500C and conveniently between 800 and 1200C. e) The hydrolysis of a compound of the formula (VI) is suitably carried out by the addition of a dilute mineral acid, for example hydrochloric acid and heating at an elevated temperature, for example between 500 and 1000C and conveniently at 100"C. Such hydrolysis reactions of nitrile groups, amide and thioamide groups are well known to those skilled in the art. The compounds of the formula (VI) wherein R1 Z is a group R1 CN may be prepared by the reaction of a compound of the formula (V) wherein B is hydrogen or methyl and R1 is a single bond or a C 1-6 bivalent hydrocarbon group as hereinbefore defined, with a compound L1CH2N=C wherein L, is a sulphonyloxy group, for example tosyl in the presence of a base, for example an alkali metal alkoxide such as potassium butoxide, in an aprotic solvent such as dimethyl sulphoxide, at a non-extreme temparature, for example -20" to 1000C and conveniently 200C. The compounds of the formula (VI) wherein R1 Z is a group R7-CH=C(Y)XH wherein X is a sulphur and Y is a secondary amino group may be prepared by the reaction of a compound of the formula (V) wherein Rg is a single bond and B is hydrogen or C14 alkyl with sulphur and a secondary amine, such as morpholine, at an elevated temperature, i.e. 500 to 1500C, preferably in an inert atmosphere. The corresponding amides (i.e. those compounds wherein X is oxygen may be prepared by hydrolysis of the corresponding thioamide or nitrile. f) The alkylation of a compound of the formula (VII) is carried out under conditions well known to those skilled in the art of such reactions. The alkylating agent LANR 2R3 (wherein L, A, R2 and R3 are as hereinbefore defined), is reacted with the compound of the formula (VII) in the presence of a base at a non-extreme temperature, for example between 0 and 1500C in an inert solvent. A strong base is conveniently utilised, for example an alkoxide such as t-butoxide, a hydride such as sodium hydride or sodamide. The temperature is conveniently between 200 and 900C and the solvent is suitably a hyrocarbon, such as toluene, an ether, such as tetrahydrofuran, or a dipolar aprotic solvent, such as dimethylformamide or dimethylsulphoxide. The compounds of the formula (VII) may be prepared as described in Scheme 1 attached hereto. The reduction of one to two double bonds, i.e. the reduction of the double bond in the carboxy side chain may conveniently be carried cut by hydroeenation in the presence of a transition metal catalyst, for example platinum on charcoal. The preparation of esters or amides from the corresponding carboxylic acid, and vice versa, may similarly be carried out by methodswell known to those skilled in the art. Those intermediates that are novel from an important further aspect of the present invention. The compounds of this invention having antiallergic activity may be used for the same indications as clinically used antiasthmatic compounds, namely to help to control bronchoconstriction or bronchospasm characteristic of allergic asthma and exercise induced asthma and the symptoms of bronchoconstriction and bronchospasm resulting from acute or chronic bronchitis. The compounds are believed to inhibit the release of autocoids (i.e. histamine, serotonin and the like) from mast cells and to inhibit directly the antigen-induced production of histamine. Thus, they may be classified as mast cell stabilizers with antihistaminic action. The compounds of this invention having antihistamine activity may be used for the same indications as clincally used antihistamines, namely to relieve detrimental symptoms (caused by histamine release) of nasal stuffiness due to colds and vasomotor rhinitis and for the symptomatic control of allergic conditions including nasal allergy, perennial rhinitls, urticaria, angioneurotic oedema, allergic conjunctivitis, food allergy, drug and serum reactions, insect bites and stings and desensitizing reactions. The compound may also be used in conditions responsive to its antipruritic activity includinq allergic dermatoses, neurodermatitis, anogenital pruritus, and pruritus of non-specific origin such as eczema, and of specific cause such as chickenpox, photosensitivity and sunburn. The present invention therefore provides a method for the symptomatic treatment of allergic conditions by the administration of an effective amount of a compound of the formula (I). The present invention also provides a method for the antagonism of endogenously released histaine by the administration of an effective amount of a compound of the formula (I). Some of the compounds of the present invention have been found to be substantially free from sedative effects and to have little or no anticholinergic effects. The amount of active compound required for use in the above conditions will vary with the compound chosen, the route of administration and the condition and mammal undergoing treatment, and is ultimately at the discretion of the physician. Asuitable oral dose of the active compound for a mammal is in the range of from 0.0003 to 1.0 mg per kilogram body weight per day; preferably from 0.04 to 0.24 mg/kg. For example a typical dose for a human recipient of compound (B) (see example 2 and Table 1 hereafter) is between 0,03 and 0.1 mg/kg body weight per day. The desired daily dose is preferably presented as from one to six sub-doses administered at appropriate intervals throughout the day as needed. Where three subdoses of compounds of formula (I) are employed, each will preferably lie in the range of from 0.014 to 0.08 mg/kg body weight; for example, a typical sub-dose of such a compound for a human recipient is between 1 and 20 mg, for example 4 or 8 mg. Whilst it is possible for a compound of the formula (I) to be administered alone as the raw chemical, it is preferable to present the compound of formula (I) as a pharmaceutical formulation. Thus, the present invention also provides pharmaceutical formulations, both for veterinary and for human medical use, which comprise a compound of the formula (I) together with one or more pharmaceutically acceptable carriers thereof and optionally any other therapeutic ingredients. For example, the active compound may be formulated with a sympathomimetic agent such as the decongestant pseudoephedrine, an antitussive such as codeine, an analgesic, an antiinflammatory, an antipyretic, or an expectorant. The carrier(s) must be pharmaceutically acceptable in the sense of being compatible with the other ingredients of the formulation and not deleterious to the recipient thereof. The formulations include those suitable for oral, rectal, topical, nasal, ophthalmic or parenteral (including subcutaneous, intramuscular and intravenous) administration. The formulations may conveniently be presented in unit dosage form and may be prepared by any of the methods well known in the art of pharmacy. All methods include the step of bringing the active compound into association with a carrier which constitutes one or more accessory ingredients. In general, the formulations are prepared by uniformly and intimately bringing the active compound into association with a liquid carrier or a finely divided solid carrier or both and then, if necessary, shaping the product into desired formulations. Formulations of the present invention suitable for oral administration may be presented as discrete units such as capsules, cachets, tablets or lozenges, each containing a predetermined amount of the active compound (defined herein as a compound of formula (I)); as a powder or granules; or a suspension in an aqueous liquid or nonaqueous liquid such as a syrup, and elixir, an emulsion or a draught. A tablet may be made by compression or molding, optionally with one or more accessory ingredients. Compressed tablets may be prepared by compressing in a suitable machine, with the active compound being in a free-flowing form such as a powder or granules which is optionally mixed with a binder, disintegrant, lubricant, inert diluent, surface active agent or dispersing agent. Molded tablets comprised of a mixture of the powdered active compound with any suitable carrier may be made by molding in a suitable machine. A syrup may be made by adding the active compound to a concentrated, aqueous solution of a sugar for example sucrose to which may also be added any accessory ingredient(s). Such accessory ingredient(s) may include flavourings, an agent to retard crystallization of the sugar or an agent to increase the solubility of any other ingredient, such as a polyhydric alcohol, for example glycerol or sorbitol, and suitable preservatives. Formulations for rectal administration may be presented as a suppository with a usual carrier such as cocoa butter, or hydrogenated fats or hydrogenated fatty carboxylic acids. Formulations suitable for parenteral administration conveniently comprise a sterile aqueous preparation of the active compound which is preferably isotonic with the blood of the recipient. Nasal spray formulations comprise purified aqueous solutions of the active compound with preservative agents and isotonic agents. Such formulations are adjusted to a pH and isotonic state compatible with the nasal mucous membranes. Ophthalmic formulations are prepared by a similar method to the nasal spray except that the pH and isotonic factors are adjusted to match that of the eye. Topical formulations comprise the active compound dissolved or suspended in one or more media such as mineral oil, petroleum, polyhydroxy alcohols or other bases used for topical pharmaceutical formulations. The addition of other accessory ingredients, vide infra, may be desirable. In addition to the aforementioned ingredients, the formulations of this invention may further include one or more accessory ingredients) selected from diluents, buffers, flavouring agents, binders, disintegrants, surface active agents, thickeners, lubricants, preservatives (including antioxidants) and the like. The present invention also provides the first use of the compounds of the formula (I) in medicine. The following Examples are provided by the way of illustration of the present invention and should in no way be construed as a limitation therof. All temperatures indicated are in degrees Celsius. Example 1: Trans-ss410-(2-DimethylaminopropYl)phenothiazin-2-Ylaacrylic acid a) 2-Bromo-10-(2-dimethylaminopropyl)phenothiazine (Compound ex-la) 2-Bromophenothiazine (5.0 g) and potassium t-butoxide (2.4 g) were combined in 25 ml dry xylene and stirred under nitrogen and heated at 65 0C for 10 minutes. To this was added a solution of 2-dimethylaminopropyl chloride (2.8 g) in xylene (2 ml) dropwise over 10 minutes. Stirring under nitrogen and heating at 60-70 were continued for 3 hours. The reaction was poured into ethyl acetate (100 ml) and extracted with dilute HC1. The acid extract was basified with excess aqueous ammonia and extracted with CH2C12, which was dried (MgSO4) and evaporated, leaving a viscous oil (6.35 g). The oil was a mixture of the title compound and its isomer 2-Bromo-10-(2-dimethylamino-1-methylethyl)phenothiazine, from which it was separated as a viscous colourless oil by preparative HPLC on a silica column, eluting with EtOAc/CH2Cl2 (4:1). Compound ex-la did not crystallize and no attempt was made to obtain a crystal salt. it was characterized by its nmr spectrum, which was consistent with its indicated structure and different from that of its isomer. b) 10-(2-Dimethylaminopropyl)phenothiazin-2-yì-earboxaldehyde (Compound ex lb) Using syringes and a nitrogen atmosphere THF (20 ml) was added to a flask containing compound ex-la (2.8 g). The solution was stirred and cooled in a dry ice/acetone bath, and n-butyl lithium (5.2 ml of a 1.5M solution in hexane) was added dropwise over five minutes. After stirring at -78 0C for 30 minutes, distilled DMF (0.8 ml) was added and the reaction was allowed to warm slowly (over 25 minutes) to ambient temperature. It was then poured onto cold dilute HC1 which was washed with benzene and then basified with NH4OH. The product was extracted into CH2Cl2 which was dried (MgSO4) and evaporated, leaving 2.5 g of very viscous yellow oil, compound ex-lb. Compound ex-lb did not crystallize and no attempt was made to obtain crystalline salts. It was characterized by its nmr and ir spectra, which were consistent with the structure indicated. The- tic showed a single component on silica (CHCl3/MeOH, 9:1) which was slightly less mobile than starting material (compound ex-la). c) trans-a 410-(2-Dimethylaminopropyl)pheno thlazin-2-yljacrylic acid (Compound A) Compound ex-lb (2.4 g), malonic acid (1.1 g), and morpholine (0.120 g) were dissolved in pyridine (8 ml) and heated on steam. Carbon dioxide gas evolved briskly at first. After 2 hours, the pyridine was evaporated at reduced pressure. The residue was triturated with boiling EtOH (25 ml), which produced a yellow solid upon cooling and stirring. This was recrystallized from EtOH, yielding Compound A, yellow crystalline solid, mp214-80. The nmr and CHN analysis were consistent with the structure indicated. Example 2: 210-(2-Dimethylaminopropyl)phenothiazin-2-ylacetic acid a) 2-acetyiphenothiazine ethylene ketal (Compound ex-2a) Under nitrogen a solution of 2-acetylphenothiazine (100 g), ethylene glycol (50 g), and p-toluenesulfonic acid hydrate (2.0 g) in benzene (900 ml) was refluxed under a water separator (Dean-Stark trap) - for 18 hours. Analysis by tic (silica gel, hexane/EtOAc 4:1) confirmed that almost all the starting compound was consumed and replaced by one with a higher Rf value (ex-4). After cooling, the benzene solution was washed with 1% NaOH solution, dried over solid K2CO3, and evaporated, leaving 115 g of dark oil which froze to a dark green crystalline solid upon standing at ambient temperature. The nmr was consistent with the assigned structure. It was not purified further but was carried on to the next step. b) 2-Acetyl-10-(2-Dimethylaminopropyl)phenothiazine (Compound ex-2b) Crude compound ex-2a (47.5 g) and potassium t-butoxide (20.9 g) were combined in benzene (250 ml) and stirred under nitrogen for 15 minutes. To this -was added 2dimethylaminoisopropyl chloride (23 g), and the resulting solution was heated at reflux for 75 minutes. After cooling the amines were extracted into dilute aqueous HC1, and the resulting acid solution was heated for 20 minutes on steam to hydrolyze the ketal. After cooling the aqueous solution was washed with ether and then basified with excess NaOH. The free amines were then extracted into CH2Cl2, which was dried (MgSO) and evaporated to leave a red viscous oil which consisted of a crude mixture of compound ex-2b and its isomer, 2-acetyl-10-(2dimethylamino-1-methylethyl)phenothiazine. Compound ex-2b is predominant and was obtained analytically pure by formation of the hydrogen maleate salt in EtOAc/MeOH and two recrystallizations from the same solvent, mp 187-910. The nmr and CHN analysis were consistent with the structure indicated. The isomer was obtained pure from the mother liquors by column chromatography of the free amine on silica gel, eluting with EtOAc/EtOH (20:1). C) 2-E10-(2-Dimethylaminopropyl)phenothiazin-2-yl]acetic acid (Compound B) Compound ex-2b (15.4 g), sulfur (3.2 g) and morpholine (10 ml) were combined and heated at reflux under nitrogen for 5 hours. The warm reaction was then poured into EtOAc (300 ml) plus ether (100 ml), which was stirred and filtered. A small amount of insoluble material was discarded. The amines were extracted into dilute HCl (400 ml H2O plus 16 ml conc. HCl). The aqueous solution was washed with ether and then basified with excess NaOH. The product was extracted into CHCl3 (400 ml), which was washed with H2O (3 x 600 ml). Evaporation of the CHCl3 solution produced a viscous red oil (16.4 g) whose tic (silica gel, CH2C12/MeOH, 25:1) indicated many components present. The sample was fractionated by preparative HPLC, using two silica columns in sequence, eluting with CH2Cl2/MeOH (98:2), then switching to CH2Cl2/MeOH (97:3). The main fractions, after evaporation, yielded a total of 9.2 g of viscous orange oils, whose nmr's and tic's indicated that they were imperfectly separated mixtures of the expected thiomorpholide and (apparently) its partial hydrolysis product, the oxymorpholide. Since both were satisfactory intermediates for hydrolysis to the desired acid, compound B, they were not purified further but were combined, dissolved in 4N HCl (225 ml) and refluxed 6 hours, which removed all trace of starting materials from the tic. The reaction was evaporated to a viscous green residue, which was dissolved in H20 (70 ml) and washed with EtOAc. The solution was then basified with a slight excess (litmus) of solid NaOH, and washed with CH2Cl2. Partial evaporation of the aqueous solution gave precipitation of the Na salt of compound B. The precipitation was increased by dilution with an equal volume of saturated NaCl solution. The resulting solid was filtered and recrystallized from H2O/sat NaCI (4:1). The product after filtration and vacuum drying at 700C overnight, was 4.3 g of dry powder, which gave correct CHN analysis and Karl Fischer analysis for Compound B, Na salt, with 5.5 moles H2O included. A hydrogen maleate salt was also prepared from this, mp 115-1200, whose nmr and elemental analysis were correct for the structure indicated. Example 3: 2-E10-(2-Dimethylaminopropyl)phenothiazin-2-yl]propionic acid a) 2-{10-(2-Dimethylaminopropyl)phenothiazin-2-yl]propionitrile Compound ex-3a. Under nitrogen a solution of tosylmethyl isocyanide (4.0 g) in DMSO (15 ml) and THF (4 ml) was stirred in an ice bath, and potassium t-butoxide (5.3 g) was added. After five minutes 0.68 g of methanol was added. To this was then added dropwise over three minutes a solution of compound ex-2b (3.4 g) in DMSO (3 ml) and THF (1 ml). It was allowed to warm to ambient temperature and was stirred for 20 hours. The reaction was poured into ether and washed with H2O. The amines were extracted into dilute HC1, which was washed with ether and then basified with excess NaOH. The free amines were then extracted into ether, which was dried (MgSO4) and evaporated, leaving the crude product as an oil (2.5 g) whose tic (silica, CH2C12/MeOH, 24:1) showed multiple components. The desired component, compound ex-3a, was separated cleanly by preparative HPLC on silica, eluting with CH2Cl2iMeOK (97:3). Compound ex-3a was an oil and was identified by its ir and nmr spectra, which were consistent with the structure assigned. b) 2410-(2-Dimethylaminopropyl)phenothiann-2-yijpropionic acid Compound C) Compound ex-3a (1.7 g) was dissolved in 4N HCI (50 ml) and heated at reflux for 20 hours. The solution was evaporated at reduced pressure to a viscous oil which was then redissolved in H2O (30 ml), washed with ether, and then brought to a basic pH (+10, litmus) by careful addition of NsOH. The resulting solution was washed with ether and then evaporated to about half the original volume. The HCl salt of compound C was precipitated as an oil by addition of excess concentrated HCI. This oil was redissolved in H2O, reprecipitated (again as an oil) with excess HCI, and then rubbed with ether, which caused the oil to solidify. This salt was recrystallized from MeOH/EtOAc to yield C.HC1.H2O, colourless crystals, mp 156620C (dec.), whose elemental analysis (CHN) was correct for the formula assigned. Example 4: 1O-(2-Dimethyiaminopropyl)phenothiazine-3-carboxylic acid To a solution of 3-bromo-10-(2-dimethylaminopropyl)phenothiazine (2.59) (prepared in a similar manner to the 2-bromo compound in Example 1) in dry ether, cooled at OOC, was added dropwise a solution of butyl lithium in hexane (6.7ml of 1.55M solution). The solution was stirred at OOC for 1 hour, then cooled to -400C and a large excess of solid carbon dioxide was added. The mixture was allowed to come to room temperature and water was added. After thorough mixing, the ether layer was separated and discarded, the aqueous solution was brought to pH6 by careful addition of 2N-hydrochloric acid, and then evaporated to dryness. The residue was boiled with ethanol and the filtered ethanol solution was evaporated to dryness to leave a semi-solid mass. Chromatographic separation of the material on a column of silica with mixtures of chloroform and methanol as eluant gave the impure carboxylic acid as a grey-coloured solid (lg.) which was further purified by way of its methyl ester, as follows. A solution of the crude acid (670mg) in methanol (20ml) and concentrated sulphuric acid (0.65ml) was refluxed for 3 hours. Most of the methanol was evaporated and water was added. The solution was washed with ether, basified with 2N-sodium hydroxide solution and the precipitated oil was extracted into ether. The ether solution was washed with water, dried(MgSO4) and evaporated to leave yellow viscous oil (570mg). This ester was dissolved in a small excess of dilute hydrochloric acid, the solution was evaporated to dryness, and the residue was recrystallised from a mixture of ethanol and ether to give fine pale yellow needles of methyl 10-(2-dimethylaminopropyl)phenothiazine-3-carboxylate hydrochloride, m.p. 2180C (decomp). The foregoing ester hydrochloride (584mg) in a mixture of ethanol (4ml) and 2Nsodium hydroxide solution (1.77ml) was stirred at room temperature for 20 hours. The solution was neutralised by addition of 2N-hydrochloride acid (lml) and evaporated to dryness. The residue was extracted with hot ethanol and the filtered extract was evaporated to dryness. The residual solid was recrystallised twice from methanol-ethyl acetate to give small colourless prisms, m.p. 185-188 C, of 10-(2-dimethylaminopropyl)phenothiazine-3-carboxylic acid (Compound D). Example 5: E-3-(2-Carboxyvinyl)-10-(2-dimethylaminopropyl)-phenothiazine a) (E)-3-(Z-methoxycarbonylvinyl)-10-(2-dimethylarninopropyl)phenothiazine. To a stirred solution of 3-bromo-10-(2-dimethylaminopropyl)phenothiazine (4.0g) in dry ether at OOC was added dropwise a solution of butyl lithium (8.5ml of 1.55M solution in hexane). The resulting yellow solution was stirred at OOC for one hour and then treated dropwise, during 1 hour, with a solution of dimethylformamide (1.7ml) in dry ether (20ml). The reaction mixture was stirred at room temperature for 3 hours, then shaken with water and ether. The washed and dried ethereal solution was evaporated to leave the crude aldehyde as a yellow oil. A solution of this crude aldehyde (4.09) in dry 1,2-dimethoxyethane (20ml) was added to a stirred solution of the phosphonate carbanion produced from diethyl methoxycarbonylmethylphosphonate (2.699) and sodium hydride (385mg of 80% dispersion in oil) in 1,2-dimethoxyethane (30ml) at room temperature. After 4 hours stirring the reaction mixture was evaporated In vacuo and water and ether were added. The ethereal phase was separated, washed, dried and evaporated to leave crude (E)-3-(2-methoxycarbonylvinyl)-10.(2.dimethylaminopropyl)phenothiazine as a fluorescent yellow oil. b) E-3-(2-carboxYvinel)-1042-dimethylaminopropyl)phenothiazine This ester (4g) was hydrolysed in a solution of ethanol (22ml) and 2N-sodium hydroxide solution (8.8ml) at room temperature for 4 hours. The product was isolated as described in Example 1 to give the crude carboxylic acid as an orangecoloured gum (3.09). This was dissolved in warm 0.4N-hydrochloric acid and concentrated hydrochloric acid was added to induce crystallisation of orangecoloured plates. Recrystallisation from a mixture of ethanol and ether gave small yellow needles of E-3-(2-carboxyvinyl)-10-(2-dimethylaminopropyl)-phenothiazine hydrochloridehemihydrate, m.p. ca 1700C (efferv). After drying at 1500C, the anhydrous salt had m.p. 220-2250C (decomp.) (Compound E). Example 6: 3-(2-carboxyethyl)-10-(2-dimethylaminopropyl)phenothiazine A solution of E-3-(2-carboxyvinyl)-10-(2-dimethylaminopropyl)phenothiazine hydrochloride (Example 4)(19) in methanol (20ml) containing 10% palladium-oncharcoal catalyst (100mg) was stirred in an atmosphere of hydrogen until uptake was complete (9 hours). The catalyst was removed by filtration and the solvent was evaporated to leave the hydrochloride of the saturated carboxylic acid. It was freed from a small impurity by esterification as described in Example 3, chromatography of the ester on a column of silica in chloroform-methanol (50:1), and hydrolysis of the pure ester as described in Example 4. The 3-(2-carboxyethyl) 10-(2-dimethylaminopropyl)phenothiazine so obtained crystallised from an ethanolether mixture as a cream-coloured solid, m.p. 170-1730C (Compound F). Example 7: 10-(2-Dimethylaminopropyl)phenothiazine-4(or 1)-carboxylic acid To a stirred solution of 10-(2-Dimethylaminopropyl)phenothiazine(5.7g.) in dry ether (150ml) was added dropwise at 20 0C a solution of butyl lithium (20ml of 1.55M solution in hexane). The solution was stirred at this temperature for 30 hours, then cooled to -150C and solid carbon dioxide (ca 259) was added. The mixture was allowed to come to room temperature and left to stand for 16 hours. Water was added, the mixture was well shaken and the ethereal layer was separated. Evaporation of the washed and dried extract yielded unchanged starting material (4.59.). The aqueous solution was neutralised by addition of 2Nhydrochloric acid and evaporated to dryness. The residue was extracted with ethanol and the filtered extract was evaporated to dryness. The residue (2.5g.) was purified by chromatography on a column of silica with chloroform-methanol mixtures as eluants to give 10-(2-dimethylaminopropyl)phenothiazine-4(or 1)carboxylic acid, as colourless needles, m.p. 220-2220C (decomp.) (from methanol) (Compound G). Example 8: (E)-4(or 1)-(2-carboxyvinyl)-10-(2-dimethylaminopropyl)phenothiazine a) (E)-4(or l)-(2-methoxycarbonylvinyl)-10-(2-dimethylaminopropyl)-phenothiazine 10-(2-Dimethylaminopropyl)phenothiazine (5.79.) was treated with butyl lithium under the conditions described in Example 7. To the resulting solution was added gradually dimethyformamide (3.1 ml) and the mixture was allowed to stand at room temperature for 18 hours. The crude aldehyde was isolated by ether extraction and used without further purification. The crude aldehyde was treated with the phosphonate carbanion derived from diethyl methoxycarbonylmethylphosphonate as described in Example 5 to give 4 (or 1)-(2-methoxycarbonylvinyl)- 10-( 2-dimethylaminopropyl)phenothiazine which was crystallised from ethanol, m.p. 129-1300C. (b) E-4(orl)-(2-carboxyvinyl)-10-(2-dimethylaminopropyl)phenothiazine This ester was hydrolysed with dilute NaOH solution as described in Example 5 to give E-4 (or 1)-(2 carboxyvinyl) -10- (2-dimethylaminopropyl) phenothiazine, crystallising from isopropanol-light petroleum (b.p. 60-800C) as small yellow needles, m.p. 120-1250C (Compound H). Example 9: 4-(or 1)-(2-carboxyethyl)-10-(2-dimethylamino- propyl) -phenothianzine A solution of (E)-4(or 1)-(2-methoxycarbonylvinyl)-10-(2-di- methylaminopropyl)-phenothiazine (500 mg) in ethyl acetate (20 ml) was stirred in an atmosphere of hydrogen in the presence of Raney nickel catalyst until no more hydrogen was absorbed The filtered solution was evaporated to give 4 (or 1 2-methOxyearbonylethyl)-10-(2-dimethylaminopropylepheno- thiazine which was subjected to hydrolysis in aqueousethanolic sodium hydroxide solution as described in Example 5. The 4 (or 1) - (2-carboxyethyl) -10- (2-dimethylaminopropyl) - phenothiazine so producted crystallised from isopropanol in colourless needles, mp. 155-157CC (Compound I). Example 10 [7-Chloro-10-(2-dimethylaminopropyl)-2-pheno- thiazinyl]acetic acid Compound K a) 4l-Bromo-3l-nitrophenylacetic acid (Compound ex-0a) Concentrated HNO3 (20 ml) and H2SO4 (20 ml) were mixed and 4'-bromophenylacetic acid (21.5 g) was added to the stirred solution in portions over 20 minutes with water cooling such that the internal temperature was maintained in the 50-55 range. The mixture was then heated for 10 minutes at 850. The mixture was then poured onto ice and diluted with H2O. The resulting yellow solid was filtered, washed with H2O, dissolved in a small excess of 2N NaOH, and then reprecipitated by addition of excess concentrated HCl. The solid was dried and recrystallised three times from benzene, yielding compound ex-10a (10.2 g), mp. 108-1130. NMR analysis was consistent with a single isomer of the structure indicated. b) Ethyl 's'-bromo-3t-nitrophenylacetate (compound. ax 10b) Compound ex-l0a was suspended in a solution of ethanol (400 ml), triethylothoformate (25 ml) and concentrated H2S04 (2 ml) and heated at reflux for 3 hours. The solvent was evaporated and the residue was dissolved in ether and washed sequentially with H20, 5% NaOH, and saturated NaCI. The ether was dried and evaporated, leaving compound ex-lOb (35.1 g), a mobile yellow-orange oil whose nmr was consistent with the structure indicated. c) Ethyl4'-(4-chlorophenylthio)-Y-nftrophenAacetate (Compound ex-lOc) A mixture of compound ex-lOb (8.6 g), 4-chlorothlophenol (5.5 g) and Na2C03 (6.39) in ethanol (75 ml) was stirred under nitrogen at reflux for 5i hours. It was poured into ice-cold 5% NaOH (900 ml) and extracted with ether (3 x 100 ml). The ether was washed with 5% NaOH and then dried (MgS04) and evaporated, leaving compound ex-lOc (10.3 g) as a yellow oil which froze to a solid (m.p. 7182O), whose nmr was consistent with the structure indicated. It was not purified further. d) Ethyl-(7-chloro-2-phenothiazinyl)acetate (Compound ex 10 d) Compound ex-lOc (24.3 g) and triethyl phosphite (46.0 g, were combined in dried and deoxygenated n-propylbenzene (200 ml) and refluxed under N2 for 4 hours. The volatile components were removed on the H20 aspirator at 800. The dark residual oil was purified by flash column chromatography on silica, eluting with hexane (ethyl acetate (6:1). This yielded 6.1 g of a yellow solid which was recrystallized from ethanol/ethyl acetate (1:1). The product, compound ex-lOd was a colourless solid (m.p. 193-4 ) whose nmr was consistent with the proposed structure. This cyclization/rearrangement reaction has been described by Cadogan, et al., J. Chem. Soc (1970) 2437. e) Ethyl-r7-chloro-10-(2-dimethylaminopropyl)-2-phenothiazinyleacetate (Compound ex-l0e) (Compound J) Compound ex-lOd (4.1 g) and potassium t-butoxide (1.52 g) were combined in dry deoxygenated toluene (30 ml) and stirred under N2 for 10 minutes. 2-Chloro-1dimethylaminopropane (1.7 g) was added, and the reaction was heated at 800 for 1 hour. A further 1.5g potassium t-butoxide and 1.7g 2-chloro-1-dimethylaminopropane were added and stirring and heating were continued for 2 hours. The reaction was diluted with toluene (50 ml) and washed with H20 and saturated, NaCI. The amines were then extracted into dilute HCl, which was washed once with toluene, basified (litmus, conc NH4OH), and extracted with CHC13. Evaporation of the CHCl3 yielded 5.85 g of an oil with numerous components (silica tic, EtOH/EtOAc 6:1). This oil was fractionated by silica flash-column chromatography, eluting with EtOAc/EtOH (progressively 12:1, .8:1,5:1). The title compound ex-l0e (1.0 g) was an oil. A hydrogen maleate salt was made and crystallized from ethyl acetate, mp 158-160 (dec), whose nmr and CHN analyses were consistent with the structure indicated. f) [7-Chloro-10-(2-dimethylaminopropyl)-2-phenothiazinyl]acetic acid (Compound ex-K) A solution of compound ex-l0e (0.4 g) in conc. HCl (10 ml) and H20 (10 ml) was heated on steam for 16 hours. Evaporation of the solvent left a glassy residue which was dissolved in 2-propanol and decolourised (charcoal). Cooling the solution yielded the HCl addition salt as a nearly colourless solid, mp 1400 (dec). The melting (decomposition) point was difficult to reproduce, as it depended strongly on the rate of heating. The compound was a monohydrate, ex-lOF. HCl. H20, whose CHN, nmr and mass spectral analyses, were correct for this formula and structure. Example 11: E10-(2-Dimethylaminoethyl)-7.methyl-2-phenothiazinyl]acetic acid. Compound M Ethyl 4'-(4-methylphenylthio)-3'-nitrophenyl acetate Compound ex-lla This was made by the method of Example 10c, except that 4-methylthiophenol was employed instead of 4-chlorothiophenol. The crude product compound ex-lla, was a yellow solid mp 78-82 , whose nmr spectrum was consistent with the proposed structure. It was taken for the next step without further purification. b) Ethyl (7-methyl-2-phenothiazinyl)acetate. Compound ex-llb This was synthesized from compound ex-lla by the method of Example 10d. The column chromatography and recrystallization were also the same. The product, compound ex-llb, was a crystalline solid, mp. 189-192 , whose nmr was consistent with the indicated structure. c) Ethyl tlO-(2-dimethylaminoethvl)-7-methyl-2-phenothiazinylgacetate.Compound ex-llc.(Compound L). This was prepared by the procedure of Example 10d, using 2-dimethylaminoethyl chloride. The free base was purified by flash column chromatography, eluting with EtOH/EtOAc (1:10). The oil was converted to a hydrogen maleate salt and crystallized from EtOAc. This was a solid, compound ex-lic hydrogen maleate, mp 146-148 , whose nmr spectrum and elemental analysis were consistent with the structure indicated. d) - [10-(2-Dimethylaminoethyl)-7-methyl-2-phenothiazinyl]acetic acid.(Compound M) Compound ex-lic (0.50 g) was dissolved in 3.5 N HCl (14 ml) and heated on steam for 10 hours After evaporation to dryness the residue was taken into 2-propanol and decolourized (charcoal) and then re-evaporated. The residue was rubbed with ether until a solid formed, which was partly purified by solution in methanol and addition of ethyl acetate and ether. This produced a yellow powder whose HPLC chromatogram indicated significant contamination. Therefore it was purified by semi-preparative HPLC on a 10 mm by 50 cm. Spherisorb G.P. C18 column, with Brownlee C18 guard column eluting with 40% MeOH + 0.1% triethylamine and finally 100% MeOH + 0.1% triethylamine. This yielded the title compound as a neutral solid, mp 127-132 (dec), whose nmr and CHN analysis and mass spectrum were satisfactory although at least one unidentified contaminant was still apparent (talc, nmr, and mass spectrum). Example 12: [10-(2-Dimethylaminoethyl)-7-fluoro-2-phenothiazinyl3acetic acid.'Compclund N) a) Ethyl 4'-(4-fluorophenylthio)-3'-nitrophenyl acetate. Compound ex 12a This was made by the method of example 10c, using 4-fluorothiophenol. The crude product, compound ex-12a, was a yellow solid mp 41-48 whose nmr was consistent with the structure indicated and was used without further purification. b) Ethyl t7-fluoro-2-phenothiazinyl)acetate. Compound ex 12b This was synthesized from compound ex-12a by the method of example 10-d. The recrystallised product, compound ex-12b, mp 167-169 , had an nmr consistent with the structure indicated. c) Ethyl F10-(2-di ethylaminoethyl)-74luoro-2-phenothiazinyljacetate. Compound ex-12c. This compound was obtained as an oil by synthesis from compound ex-12b and 2diethylaminoethyl chloride by the method of example 10d and purified by flash column chromatography on silica eluting with ether. Its nmr and mass spectrum were consistent with the structure indicated. d) ilû-(2-diethylaminoethyl)-7-fluoro-2-phenothiazinylJacetic acid. Compound N Compound ex-12c (0.6 g) was suspended in a mixture of dioxane (3 ml) and 1N NaOH (6 ml) and the mixture was heated at reflux for 24 hours. This was evaporated, acidified with 1N HC1 (8 ml), and evaporated to dryness. The residue was digested with hot 2-propanol (30 ml). Filtration and evaporation of solvent yielded the HC1 salt of compound N as a resinous mass which failed to crystallize. It was therefore purified by HPLC using a 10mm x 50 cm Spherisorb G.P. (reversephase) C18 column and a Brownlee C18 guard column, eluting with 50% MeOH plus 0.1% triethylamine. This yielded neutral compound N as a solid which, after recrystallization from ethyl acetate had mp = 141-143 . Its CHN analysis, nmr, and mass spectrum were consistent with the structure indicated. Example 13: 2-E10-(2-Dimethylaminopropyl)-2-phenothiazinyl-2-meth ylpropionic acid Compound P 2-(4-Bromophenyl)-2-methylpropionic acid. Compound ex 13a The ethyl ester of the title compound had been prepared by the method described in J. Am. Chem. Soc, 93, 6877-87 (1971). This ester (54.19) was refluxed in a solution of ethanol (50 ml) and NaOH (40 g, in H20 (400 ml) for 5 hours. The mixture was cooled to ambient temperature, washed with pentane and then acidified with concentrated HCI (100 ml). This precipitated compound ex-13a as a white powder7 mp 121-1240, whose nmr was consistent with the structure indicated. b) 2-(4-Bromo-3-nitrophenyl)-2-methylpropionic acid. Compound ex-13b This was obtained by nitration of compound ex 13a by the method of example 10a The resulting compound ex-73b was a solid, mp. 167-71°, whose nmr was caisistent with the structure indicated. c) Ethyl 2-(4-bromo-3-nitrophenyl)-2-methyl propionate. Compound ex-13c. This ester was obtained from compound ex-12b by the method described in example 10b. The resulting compound ex-13c was a solid which melted just above room temperature. Its nmr was consistent with the structure indicated, and it was used without further purification. d) Ethyl 2-methyl-2-(3-nitro-4-phenylthiophenyl)propionate. Compound ex-13d. This synthesis was performed by the method of Example 10c using thiophenol and compound ex-13c. The product, compound ex-13d, was obtained in quantitative yield as a very viscous yellow oil which failed to solidfy. Its tic was essentially homogeneous and its nmr was consistent with the structure indicated, so it was used without further purification. e) Ethyl 2-methyl-2-(2-phenothiazinyl)propionate Compound ex-13e This compound was made from compound ex-13d by the cyclization method of Example 10d and purified to apparent homogeneity (talc, silica, hexane/ethyl acetate 10:1) by flash column chromatography. It did not crystallize, but its nmr was consistent with the structure indicated, and it was used without further purification. f) Ethyl 2-[10-(2-dimethylaminopropyl)-2-phenothiazinyl]-2-methylpropionate. Compound ex-13f. Compound 0. This compound was synthesized from compound ex-13e by the alkylation reaction of Example 10e. The free base was an oil from which a crystalline salt was made and crystallized from ethylacetate/hexane, compound ex-13F hydrogen maleate. H20, mp 107-110 . Its CHN, nmr, and mass spectral analyses were consistent with the structure indicated. 9) 2-C10-(2-D imethylamino pra pyl)-2-phenath i azinyil 2-methylpropionic acid Cm'pound P. This was syn;-esized by base (NaOH) hydrolysis of compound ex-13f by the method of Example-12d. The crude HCl salt obtained after acidification, evaporation, and 2-propanol digestion was successfully solidified by rubbing with ether and then was recrystallised from methanol/ethyl acetate to yield compound P HCl mp 192-196 (dec), whose CHN, nmr, and mass spectral analyses were consistent with the indicated structure. Example 14: 210-(3-Dimethvlaminopropyl)-2-phenothiazinyl]-2-methylpropionic acid Compound Q. a) Ethyl 210-(3-dimethylaminopropyl)-2-phenothiazinyl]-2-methylpropionate. Compound ex-14a. Compound ex-13e (2.9 g) was dissolved in dry dimethylformamide (30 ml), followed by KOBut (1.13 g) and Lii (0.20 g). This was heated to 800 under N2, and 3dimethylaminopropyl chloride (1.2 g, freshly released from its HC1 salt) was added. After heating at 800 for 30 minutes another 0.24 g of KOBut and 0.7g 3dimethylaminopropyl chloride were added followed 30 minutes later by a final 0.34 g of KOBut. After 30 more minutes the reaction was poured into water and extracted with CH2Cl2. Upon evaporation the CH2C12 yielded 4.39 of viscous oil which was flash-chromatographed on silica eluting with CH2C12/MeOH, 96:4. This produced 2.8 g of compound ex-14a as an oil which was apparently homogeneous by tic and whose nmr spectrum was consistent with the structure indicated. b) 2-E10(3-dimethylaminopropyl)-2-phenothiazinyl]-2-methylpropionic acid Compound Q This compound was prepared by base (1N NaOH), hydrolysis of compound ex-14a by the method of Example 12d. The HC1 salt crystallized from aqeous HC1 as a hydrate, compound Q HC1. H20, mp 1280 (dec; the melting point was not reproducible, as it depended strongly on the rate of heating). The CHN, nmr, and mass spectral analyses were consistent with the structure and formula indicated. Example 15: Ethyl 2-methVl-2-t10-{3-(N-pyrrolidino)propyl]-2-phenothiazinylgpropionate. Compound R. a) Ethyl 2-methyl-2-t10-(3 bromopropyl)-2-phenothiazinylzpropionate. Compound ex-15a Compound ex-13e (4.79) was dissolved in 1,3-dibromopropane (25ml) and KOBut (1.69) was added. The mixture was stirred at ambient temperature under N2 for 30 minutes and then was heated to 800. After heating 30 minutes a further 10g KOBut was added, and this addition was repeated one more time after heating another 30 minutes. After the last addition the reaction was heated another hour and then extracted between ether and H20. The ether layer was evaporated and the residue was partially purified by column chromatography on silica gel, eluting with hexane/ethyl acetate (20:1). This yielded the target compound (compound (ex-15a) as an oil contaminated by a substantial amount of a faster-eluting compound, which was identified by nmr and mass spectrum as the olefin formed by elimination of HBr from Compound ex-15a. The mixture of compound ex 15a and its contaminant was characterised by its nmr and mass spectrum which were consistent with the structure indicated. Since the contaminant was expected to be innocuous in the subsequent reaction, the product mixture was taken for the next step without further purification. itthyl 2-methyl-2[10-[3-(N-pyrrolidino)-propyl]-2-phenothiazinyl]propionate. Compound R. Compound ex-15a (0.89) and pyrrolidine (1,79) were dissolved in ethanol (5ml), and the solution was allowed to stand at ambient temperature for 5 days. The mixture was then extracted between ether and dilute HC1 and the ether was washed with more HC1. The combined HC1 solutions were then treated with excess NaOH and extracted with CH2CI2. The CH2C12 was dried and evaporated and the residue was chromatographed on a short silica column, eluting with CH2CI2/MeOH (94:6). This produced Compound R as a clear viscous oil which was homogeneous by tic. Attempts to make a crystalline addition salt were unsuccessful, but the compound was characterized by its nmr and mass spectra, which were consistent with the structure indicated. Example 16: 10-t2-Dimethyl2minopropyl)phenothiazin-2-rl-carboxylic acid (Compound S) A silver oxide suspension was prepared by dissolving silver nitrate (357 mg) in H20 t ml) and adding this to 1.00 g of Na OH solution (4.20 molal). To the resulting suspension was added ethanol (2 m!) and 10-f2-dirnethylaminopropylJphenothiazin-2- yl-carboxyaldehyde (300 mg). This suspension was stirred at ambient temperature for 10 minutes and then at 60 for 10 minutes. The warm suspension was filtered and the filtrate was partially evaporated, which caused precipitation of the sodium salt of the desired carboxylic acid. This was collected and converted to its HC1 addition salt with excess conc HC1. The HC1 salt was dissolved in ethanol from which it crystallized, yielding Compound S hydrochlori-dersas a solid m.p. 2T-261 (dec) Its mass spectrum and elemental analysis were consistent with the structure indicated. Example 17: Antihistamine Activity A. In vitro antihistamine activity: The longitudinal muscle was isolated from the intact ileum of guinea-pigs (Hartley, male 250-4009) and placed in an organ bath under 300 mg tension. After one hour of equilibration, cumulative concentrationresponse curves (Van Rossum, J.M., Arch. Int. Pharmacodyn. Ther. 143, 299-330, 1963) to histamine were obtained. Following washing, the tissues were incubated for one hour with the test compound and then a second histamine concentrationresponse curve was run. Shifts to the right of the agonist concentration-response curve produced by the antagonists were used to construct Schild plots (Arunlakshana, 0. and Schild, H.O., Br. J. Pharmacol. 14, 48-58, 1959). Regression of Log (dry) on Log [B], where dr is an equiactive response in the presence and absence of antagonist and [B] is the molar concentration of antagonist, allowed an estimate of pA2, i.e. the negative log of the concentration of antagonist which shifts the control histamine concentration response curve 2X to the right. Compound Promethazine 8.9* A 8.2 B 9.4 C 8.1 D 6.2 E 6.2 F 5.2 G 6.8 H 7.8 I 7.2 J 9.0 K 8.8 L 9.1 M 8.9 N 8.6 0 8.5 P 8.8 Q 8.7 S 9.0 *R.B. Barlow, Introduction to Chemical Pharmacology, 2nd. ed, p 363, Wiley, New York, 1964. B. In vivo Antihistaminic Activity: Guinea pigs (Hartley, male, 300-350 g) were fasted for 20 hours and then dosed p.o. or i.p. with the test compound. One hour after dosing, on an individual basis, the guinea pigs were placed in a clear plastic chamber which was saturated and continually gassed with 0.25% histamine from an aerosol nebulizer. The guinea pigs were monitored for signs of histamine anaphylaxis (e.g. cough, sneeze, strong abdominal movements, cyanoses or loss of righting). Under the test conditions, control animals collapsed on average within 33 seconds. ED50's for protection against histamine were calculated by pro bit analysis. In this test the ED50 indicates that at that particular dose 50% of the animals were completely protected against histamine challenge at the time of testing (1 hour post-dosing). Complete protection was defined as no histamine symptoms for six minutes in the aerosol chamber (approximately 10X the collapse time of the control animals). Table I: Results of Antihistamine Assays Compound ED50(mg/kg, p.o.) Triprolidine 5.77 A 1.7 B 0.3 (4 hours Fast dosing) In addition to these results, it was found that Compound A could provide very long durations of antihistaminic activity (e.g. 11 mg/kg p.o. is the ED50 for 24 hours protection). Anaphylactoid Testing Procedure Non-fasted, Wister rats (180 3009) were dosed with the test compound, (i.p. or p.o.) 2 hours before compound 48/80 challenge. One hour prior to challenge, 5 mg/kg i.p, of propranolol was administered. The anaphylactoid inducing agent, compound 48/80, was given intravenously at 2 mg/kg and the animals were monitored for symptoms of respiratory distress. Data were analyzed by Probit determinations. the response was quantitated by determining the dose of test compound which protected 50% of the animals from death at a given time point. The above experimental design does not give positive results for selective antihistamines. Also rats do not respond to histamine (i.v.) with symptoms of anaphylaxis. Agents which block the effects of compound 48/80 are commonly classified as inhibitors of anaphylactic mediators or inhibitors of the release of anaphylic mediators Inhibition of Compound 48/80 Induced Anaphylactoid Reaction Compound E050* Ketotifen 0.8 A 2.64 B 0.89 (1.2)** C 1,43 E 3.11 Astemizole 1.08 * Dose of compound (i p.) providing 50% protection against death induced by compound 48/80. Compound was administered 2 hrs. prior to test. ** ED50 by p.o. route. Compound B (example 2) had an approximate LD50 in rats of 210 mg/Kg (i.p.) and greater than 500 mg/Kg (p.o.) Example 18: Formulations (A)-Iniection Ingredient Amount per ampoule Compound of formula (I) 1.0 mg Water for Injections, q.s. 1.0 mL The finely ground active compound was dissolved in the water for Injections. The solution was filtered and sterilized by autoclaving. (8)-Suppository Ingredient Amount per suppository Compound of Formula (I) 1.0 mg Cocoa Butter, 2.0 g or Wecobee TM Base q.s. Wecobee is a trademark and is a hydrogenated fatty carboxylic acid. The finely ground active compound was mixed with the melted suppository base TM (either Cocoa Butter or Wecobee to base), poured into moulds and allowed to cool to afford the desired suppositories. (C)-Syrup Inqredient Amount Per mL Compound of Formula (I) 1.0 mg Ethanol 0.3 mg Sucrose 2.0 mg Methylparaben 0.5 mg Sodium Benzoate 0.5 mg Cherry Flavour q.s. Colouring q.s. Water q.s. to 5.0 mL Ethanol, sucrose, sodium benzoate, methylparaben, and flavouring were combined in 70% of the total batch quantity of water. Colouring and the active compound were dissolved in the remaining water, then the two solutions were mixed and clarified by filtration. (D)-T ablet Ingredient Amount per Tablet Compound of Formula (I) 1.0 mg Lactose 110.0mg Corn Starch, Pregelatinized 2.5 mg Potato Starch 12.0 mg Magnesium stearate 0.5 mg The active compound was finely ground and intimately mixed with the powdered excipients lactose, corn starch, potato starch and magnesium stearate. The formulation was then compressed to afford a tablet weighing 126 mg. (E)-Capsule Ingredient Amount per Capsule Compound of Formula (I) 1.0 mg Lactose 440.0 mg Magnesium Stearate 5.0 mg The finely ground active compound was mixed with the powdered excipients lactose, corn starch and stearic acid and packed into gelatin capsules. (F)-Tablet Ingredient Amount per Tablet Compound of Formula (I) 1.0 mg Pseudoephedrine HCl 60.0 mg Lactose 62.5 mg Potato Starch 14.0 mg Magnesium Stearate 1.0 mg Gelatin 2.8 mg A tablet was prepared from the above formulation by the method previously described in Example 11 (D). (G)-Syrup Ingredient Amount per 5 mL Compound of Formula (I) 1.0 mg Pseudoephedrine HCl 30.0 mg Codeine Phosphate 10.0 mg Guaifenesin 100 mg M ethylparaben 0.5 mg Sodium benzoate 0.5 mg Flavour q.s. Colour q.s. Glycerol 500 mg Sucrose 2000 mg Purified Water q.s. to 5.0 mL A syrup containing other active ingredients in addition to a compound of formula (I) was prepared from the above ingredients by an analogous method to that described for Example 11 (C) above. (H)-Nasal Spray Ingredient Amount per 100.0 mL Compound of Formula (I) 1 g Sodium Chloride 0.8 g Preservative 0.5 g Purified Water q.s. 100.0 mL The preservative was dissolved in warm purified water and after cooling to 250 300C the sodium chloride and the compound of formula (I) were added. The pH was then adjusted to 5.5-6.5 and purified water was added to bring the final volume to 100.0 mL. (I)-Ophthalmic Solution Ingredient Amount per 100.0 mL Compound of Formula (I) 0.1 g Sodium Chloride 0.8 g Preservative 0.5 g Water for Injection q.s. 100.0 mL This formulation was prepared in a similar way to the nasal spray. (J)-Topical Cream Ingredient Amount per 100.0 mL Compound of Formula (I) 0.1 g Emulsifying Wax, N.F. 15.0 g Mineral Oil 5.0 g Scheme 1 EMI38.1 1. nitrating agent, e.g. HNO3/H2SO4 at temperature of 00 - 100 conveniently ó0 C. 2. Thiol EMI38.2 base, e.g. sodium carbonate in a polar solvent such as an alcohol, e.g. methanol or ethanol at an elevated temperature, e.g. 500 - 1000C conveniently at reflux. 3. 2 moles of P(OEt)3 in a high boiling hydrocarbon, for example n-propylbenzene at an elevated temperature, e.g. 1250 - 2000C conveniently at reflux.

Claims: Claims 1). A compound of the formula (I). EMI39.1 or a salt, ester or amide thereof; wherein R1 is a C17 bivalent aliphatic hydrocarbon group or a single bond; R2 and R3 are the same or different and are each hydrogen, C14 alkyl or taken together with the nitrogen comprise a nitrogen-containing heterocyclic ring having four to six ring members; R4 is hydrogen, halogen, C14 alkoxy, C14 alkyl optionally substituted by one to three halogen atoms; or a group R1 CO2H as hereinbefore defined; and A is C14 alkylene or ANR2R3 forms a group EMI39.2 2). A compound according to claim 1 of the formula (II): EMI39.3 or a salt, ester or amide thereof; wherein R1 to R4 and A are as defined in relation to formula (I). 3). A compound according to either claim 1 or 2 wherein R1 is a group (CH2)n wherein n is an integer 0 to 3, or a group CH=CH or a group CHtCH3XCH2)m where m is O or 1 or a group -c(CH3)2. 4). A compound according to any one of claims 1 to 3 wherein NR2R3 is a dimethylamino or diethylamino group. 5). A compound according to any one of claims 1 to 4 wherein R4 is hydrogen, methyl, chloro or fluoro. 6). A compound according to any one of claims 1 to 5 wherein A is an ethylene or n- or iso- propylene group. 7). A compound of the formula I) selected from: trans-ss410-2(2-dimethylaminopropyl)phenothiazin-2-yl3acrylic acid 2-CO-(2-dimethylaminapropl)pflenothia acid 2410-(2-dimethylaminopropyl)phenothiazin-2-yl]propionic acid 10-(2-Dimethylaminopropyl)phenothiazine-3-carboxylic acid E-3-(2-Carboxyvinyl)-10-(2.dimethylaminopropfl)phenothiazine 3-(2.Carboxyethyl)-10-(2-dimethylaminopropyl)pheno thiazine 10-(2-Dimethylaminopropyl)phenothiazine-4(or 1)-carboxylic acid (E)-4(or 1)-(2-Carboxyvinyl)-10-(2-dimethylaminopropyl)phenothiazine 4-(or 1)-(2-Carboxyethyl)-10-(2-dimethylaminopropyl)phenothiazine U-Chloro-10-(2-dimethflaminopropfl)-2-phenothiazinyl]acetic acid [10-(2-Dimethylaminoethyl)-7-methyl-2-phenothiazinyl]acetic acid E10-(2-D imethylaminoethyl)-7-fluoro-2-phenothiazinyljacetic acid 2-[10-(2-Dimethylaminopropyl)-2-phenothiazinyl]-2-methylpropionic acid 21O-(3-dimethylaminopropyl)-2phenothiazinyl]2-methylpropionic acid 2-Methyl-2-[10-[3-(N-pyrrolidino)propyl]-2-phenothiavinyl]propionic acid. 10-(2-Dimethylaminopropyl)phenothiazine-2-carboxylic acid or a salt, ester or amide thereof, 8). An ester of a compound of the formula (I) according to any one of claims 1 to 7. 9). A salt of a compound of the formula (I) according to any one of claims 1 to 7. 10). A compound of the formula (I) or a salt, ester or amide thereof according to claim 1 for use in medicine. 11). A pharmaceutical composition comprising a compound of the formula (I) according to claim 1 together with one or more pharmaceutically carriers thereof. 12). A pharmaceutical composition according to claim 11 which contains other therapeutic ingredients. 13). An analogy method for preparing compounds of the formula (I) according to claim 1, which comprises: a) When it is required to prepare a compound of the formula (I) wherein ANR2R3 is not EMI41.1 The reaction of a compound of the formula (III) EMI41.2 or an ester thereof with an amine HNR2R3 wherein A and R1 to R4 are as hereinbefore defined and L is a leaving group; b) When it is required to prepare 2 compound of the formula (I) wherein R1 is (CH2)0 (i) the reaction of a compound of the formula (IV): EMI41.3 wherein R2, R3, R4 and A are as hereinbefore defined and R5 is a hydrogen or halogen atom, with a C16 alkyl lithium compound followed by treatment with carbon dioxide; (ii) the oxidation of a compound of the formula (V): : EMI42.1 wherein R2, R3, R4, and A are as hereinbefore defined, R1 ia a single bond and B is hydrogen; c) When it is required to prepare a compound of the formula (I) wherein R1 is (CHz)a CH=CH(CH2)b) and a is 0 and b is O to 5 the reaction of a compound of the formula (V) as hereinbefore defined, with a Wittig reagent suitable for attaching the side chain CH=CH(CH2)bCOR6, wherein COR6 is an acid, ester or amide group as hereinbefore defined, followed by deprotection of the carboxy group if desired; d) When it is required to prepare a compound of the formula (I) wherein R1 is CH=CH, the reaction of a compound of the formula (V) as hereinbefore defined, with malonic acid or a malonic acid ester; e) the hydrolysis of a compound of the formula (VI): : EMI42.2 wherein R2 to R4 and A are as hereinbefore defined and R1 Z is a group R1 CN wherein R1 is a C17 bivalent hydrocarbon group, or a group R7 FH=C(Y)XH wherein R7 is a C1 6 bivalent hydrocarbon group or a single bond, X is oxygen or sulphur and Y is an amino group; f). the alkylation of a compound of the formula (VII): wherein R1 and R4 are as hereinbefore defined, COR6 is an ester or amide group; and thereafter, optionally converting one compound of the formula (I) to another compound of the formula (I) by methods well known to those skilled in the art, for example the reduction of one or more double bonds or de-esterification of an ester group or hydrolysis of an amide. 14). Novel chemical intermediates of the formula (III), (V), (VI) and (VII).

Inventors: COKER, GEOFFREY GEORGE, FINDLAY, JOHN WILLIAM ADDISON, LEIGHTON, HARRY JEFFERSON
Applicants: THE WELLCOME FOUNDATION LIMITED
Application year: 1983
Main classification: C07D279
IPC codes: A61P43, C07C57, A61K31, A61P11, A61P37, C07D241, C07D487, C07D417, C07D279, C07D453, C07C205