Novel oxathiolanes and derivatives thereof, pharmaceutical compositions containing them and the use thereof as medicaments

Abstract: Novel spiro-oxathiolane/quinuclidine com­ pounds correspond with the schematic structural formula (I) and geometrical isomers, enantiomers, diastereo­ isomers, racemates and acid addition salts thereof, wherein one of Y and Z is O and the other is S (=O) n ; n is 0, 1 or 2; R′ and R″ are each selected from the group consisting of hydrogen, alkyl, alkenyl, alkynyl, hydroxyalkyl, aminoalkyl, C₃₋₇ cycloalkyl, aryl, diarylmethylol and alkyl substituted by at least one aryl group, provided that at least R′ or R″ is other than hydrogen; and each X is hydrogen, or when Y is O and Z is S(=O) n simultaneously, then each X may also be selected from the group consisting of deuterium and tritium, and provided further that when each X is hydrogen, Y is O and Z is S simultaneously, then at least one of R′ and R″ is selected from the group consisting of alkenyl, alkynyl, cyclopropyl, cyclobutyl, cyclo­ heptyl, hydroxyalkyl and aminoalkyl. These compounds are useful for manufacturing therapeutic and diag­ nostic agents applicable to disorders of or relating to the central nervous and cholinergic systems.

Description: The present invention relates to new oxathiolanes, derivatives thereof, pharmaceutical compositions comprising them and their use in treating diseases of the central nervous system. The inventors of the present invention were co-inventors named in previous patent applications relating to novel spiro-oxathiolane/quinuclidine compounds, see e.g. EP-A-0 205 247 published December 17, 1986, based on Israel Patent Applications Nos. 75166 dated May 10, 1985 and 77568 dated January 10, 1986, and commonly assigned U.S. Patent Application Serial No 853404 filed April 18, 1986 (US-A-4855290), the contents of which are incorporated herein by reference. The novel compounds were found to possess central nervous system activity. The biological activity of the compound 2-methylspiro(1,3-oxathiolane-5',3)quinuclidine, which exists as geometrical cis - and trans -isomers depending upon whether the 2-methyl group is located on the same side of the oxathiolane ring as the quinuclidine ring nitrogen atom ( cis ) or on the other side of the quinuclidine ring nitrogen atom ( trans ), was in particular extensively investigated, and it was found on the basis of pre-clinical tests that the cis -compound could be especially promising for the control of senile dementia of Alzheimer's type (SDAT). The invention provides novel spiro-oxathiolane/quinuclidine compounds, which bear a close structural relationship to the compounds disclosed and claimed in the aforementioned prior patent applications, but which are nevertheless clearly distinguished therefrom. Further, the invention provides useful pharmaceutical compositions and discloses useful methods for the treatment of disease in mammals, as will be apparent from the description which follows. The present invention accordingly provides in one aspect, novel spiro-oxathiolane/quinuclidine compounds corresponding to the schematic structural formula (I) and geometrical isomers, enantiomers, diastereoisomers, racemates and acid addition salts thereof, wherein one of Y and Z is 0 and the other is S(=0) n ; n is 0, 1 or 2; R' and R" are each selected from hydrogen, alkyl, alkenyl, alkynyl, hydroxyalkyl, aminoalkyl, C₃₋₇ cycloalkyl, aryl, diarylmethylol, and alkyl substituted by at least one aryl group, provided that at least R' or R" is other than hydrogen; and further provided that: when Y = S(=O) n and Z = O, then each X is hydrogen, and when Y is O and Z is S(=0) n simultaneously, then each X is selected from hydrogen, deuterium and tritium, but n is not O when X is hydrogen. In another aspect, the invention provides a pharmaceutical composition which comprises at least one member of the group of compounds within the definition of the preceding paragraph, in combination with an inert diluent or carrier, the acid addition salts being in this case pharmaceutically compatible acid addition salts. The invention finds utility in methods for treating diseases of the central nervous system, the particulars of which will be explained ( inter alia ) in the detailed description which follows, and thus provides these compounds or compositions including them, for use as medicaments for treating diseases e.g. of the central nervous system. The invention also comprehends the use of the aforementioned compounds for the manufacture of medicaments for therapeutic treatment e.g. of diseases of the central nervous system, and for the manufacture of compositions for diagnostic use. Such pharmaceuticals and medicaments may comprise the aforesaid compounds in combination with other pharmacologically active substances. The invention also comprehends methods of making the foregoing compounds as disclosed hereinafter. Embodiments of the invention will now be explained in more detail, by way of example only, in the following non-limitative description. According to a particular embodiment of the compounds of formula (I), X is H, Y is 0 and Z is S(=0) n ; n is 0, 1 or 2; R' and R" are each selected from the group consisting of hydrogen, alkyl, alkenyl, alkynyl, hydroxyalkyl, aminoalkyl, C₃₋₇ cycloalkyl, aryl, diarylmethylol, and alkyl substituted by at least one aryl group, provided that at least R' or R" is other than hydrogen, and that when Z is S, then at least one of R' and R" is selected from the group consisting of alkenyl, alkynyl, cyclopropyl, cyclobutyl, cycloheptyl, hydroxyalkyl and aminoalkyl. For convenience, the compounds of this embodiment of the invention will be referred to as compounds (Ia). It will be appreciated that compounds (Ia) in which Z is S (i.e. n is 0) are analogues of the compounds described and claimed in the prior patent applications mentioned above, but in which the values of R' and R" are different. These compounds can therefore be prepared by procedures analogous to those described in the prior applications. It is of course within the competence of a person skilled in the art, where necessary, to protect the hydroxy and amino groups in starting materials containing the said hydroxyalkyl and aminoalkyl moieties and to regenerate these groups in order to obtain the desired products. Compounds (Ia) in which Z is not S (i.e. where n is 1 or 2) may be prepared, for example, by oxidation of the compounds where Z is S, e.g. with H₂O₂. It is moreover to be noted that compounds (Ia), when n is 1, i.e. the sulfoxides, exist as cis - and trans -isomers in their own right, in other words each of the unoxidized cis - and trans -spiro compounds (Ia, n = 0) gives rise to two distinct geometrical isomeric sulfoxides. In this context, the term " trans -sulfoxide" means a compound of the present invention in which the sulfoxide moiety is trans - with respect to the nitrogen atom of the quinuclidine ring. According to a further particular embodiment of the compounds of formula (I), X is selected from the group consisting of hydrogen, deuterium and tritium, when Y is O and Z is S(=O) n ; n is 0, 1 or 2; but n is not O, when X is hydrogen, and R' and R" are each selected from the group consisting of hydrogen, alkyl, alkenyl, alkynyl, hydroxyalkyl, aminoalkyl, C₃₋₇ cycloalkyl, aryl, diraylmethylol, and alkyl substituted by at least one aryl group, provided that at least R' or R" is other than hydrogen. Compounds according to this particular embodiment of the invention will be conveniently denoted compounds (Ib). Compounds (Ib) may be prepared, in brief, by a 3-step process. The first step comprises oxidation of the spiro compounds of the aforementioned prior applications, or of those compounds (Ia), above, where Z is S, to the corresponding sulfoxides or sulfones. In the second step, the sulfoxides or sulfones are labelled with deuterium or tritium, and in the third step the labelled-sulfoxides or -sulfones are reduced to give the compounds (Ib), where Z is S. It is of interest that when the non-oxidized spiro compounds, in which one of R′ and R″ is a substituent and the other of which is a hydrogen atom, are submitted to the 3-step process just described, it might have been expected that isotope-substitution would have occurred at position 2 rather than position 4, owing to the anticipated activation of the hydrogen atom in this position both by the sulfone or sulfoxide moiety and by the adjacent oxygen atom (c.f. the activation of the hydrogen atoms attached to α-carbon in ethers, for example), whereas the hydrogen atoms in position 4 would be activated only by the sulfone or sulfoxide moiety. However, the inventors made the surprising discovery that both hydrogen atoms in the 4-position in such starting materials were susceptible to substitution by deuterium or tritium, in preference to the hydrogen atom in the 2-position. It would seem possible, therefore that steric factors play a part in preventing isotope replacement in position 2 in the starting materials. It should be noted additionally that in the starting materials for the 3-step process, in which one of R′ and R″ is a substituent and the other of which is a hydrogen atom, the 2-carbon atom will be asymmetric, so that in this instance the said process may be carried out with a starting material which is enriched in respect of a particular stereoisomer. A preferred starting material of the type just referred to, for use in the 3-step process, is 2-methylspiro(1,3-oxathiolan-5,3')quinuclidine (II), and the obtained end-products in this instance will be the 4-dideutero and 4-ditritio derivatives. Particularly preferred is such a starting material which has been enriched in a form selected from the (±)-, (+)- and (-)- cis -isomers and the (±)-, (+)- and (-)- trans -isomers, e.g. which is at least about 95% enriched. Such a compound which has been enriched in the (±)- cis - or - trans isomers is described in the above-mentioned EP-A-0 205 247, as well as in Israel Patent Application No. 86152 (04627), the contents of which are incorporated herein by reference. The (+)- and (-)- cis -isomers and the (+)- and (-)- trans -isomers of (II) are described and claimed in our copending U.S. Patent Application Serial No. 339,888 (continuation of Serial No. 84.799, filed August 13, 1987), now U.S. Patent No. 4,981,858. At this point it should be emphasized, that in contrast to the usual prior art methodology for placing a deuterium or tritium atom in a particular position of a molecular structure, which requires an unambiguous (and generally multi-step) synthetic route, the 3-step process affords a relatively simple manner of achieving the same object. The advantage is of course especially pronounced where particular stereoisomeric forms are concerned, insofar as previously separated stereoisomeric forms may be used directly as starting materials, and any separation of stereoisomers at the end of a tedious synthetic process is avoided. Confirmation that deuterium or tritium have in fact been placed in the desired positions can of course be checked by physical measurement, as is well-known. As will be appreciated by those skilled in the art, the individual steps of the 3-step process of the invention, taken separately, and comprising the operations of oxidation, isotope replacement and reduction, are known per se . It is accordingly within the scope of this process to use any relevant known methods for the oxidation of thioethers to sulfoxides and sulfones, for the replacement of hydrogen atoms by deuterium or tritium atoms, and for the reduction of the labelled sulfoxides or sulfones back to the thioethers. As examples only of reagents which may be used for these steps, there may be mentioned effecting the oxidation step by means of hydrogen peroxide, the isotopic replacement step by means of D₂O or ³H₂O under alkaline conditions, and the reduction step by means of a complex hydride or a dithionite. In the preceding description, particular emphasis has been placed on the utilization of starting materials for the 3-step process in which the 2-carbon atom is monosubstituted. However, it will be evident that such a process may also be effected starting with the non-oxidized spiro compounds in which the 2-carbon atom is disubstituted, in which case the isotope substitution will of course normally be effected at that other (unsubstituted) carbon atom. The process may of course be effected on such a starting material which is enriched in respect of a particular stereoisomeric form thereof (e.g. a geometrical isomer, an enantiomer, a diastereoisomer or a racemate), and especially such a starting material which is at least about 95% enriched. Also, as has already been noted in the case of sulfoxides (Ia), so too the corresponding compounds (Ib, n = 1), i.e. the sulfoxides, exist as cis - and trans -isomers in their own right, in other words each of the unoxidized cis - and trans -spiro compounds (Ib, n = 0) gives rise to two distinct geometrical isomeric sulfoxides. In yet a further embodiment of the compounds of formula (I), X is H, Z is O and Y is S(=O) n ; n is 0, 1 or 2; and R' and R" are each selected from the group consisting of hydrogen, alkyl, alkenyl, alkynyl, hydroxyalkyl, aminoalkyl, C₃₋₇ cycloalkyl, aryl, diarylmethylol, and alkyl substituted by at least one aryl group, provided that at least R' or R" is other than hydrogen. These compounds will be denoted (Ic). Compounds (Ic, n = 0) may be prepared by reacting the thioepoxide of 3-methylenequinuclidine with a carbonyl compound of formula R'R"CO. The desired thioepoxide, which is believed to be a novel and inventive feature of this development, may in turn be prepared by reacting the corresponding epoxide with a thiocyanate, such as KCNS. The overall reaction may be represented as follows: A presently preferred example of (Ic, n = 0)) is 2-methylspiro(1,3-oxathiolan-4,3')quinuclidine. Compounds (Ic, n = 1 or 2) may be prepared from the unoxidized analogues (n = 0), by oxidation with e.g. H₂O₂. As has already been noted in the case of sulfoxides (Ia) and (Ib), so too the corresponding compounds (Ic, n = 1), i.e. the sulfoxides, exist as cis- and trans -isomers in their own right, in other words each of the unoxidized cis -and trans -spiro compounds (Ic, n = 0) gives rise to two distinct geometrical isomeric sulfoxides. Thus, a group of presently preferred compounds of formula (I) are: 2-methylspiro(1,3-oxathiolan-5,3')quinuclidine-3-oxide, 2-methylspiro(1,3-oxathiolan-5,3')quinuclidine-3,3-dioxide, 4,4-dideutero-2-methylspiro(1,3-oxachiolan-5,3')quinuclidine-3-oxide, 4,4-ditritio-2-methylspiro(1,3-oxathiolan-5,3')quinuclidine-3-oxide, 4,4-dideutero-2-methylspiro(1,3-oxathiolan-5,3′)quinuclidine, 4,4-ditritio-2-methylspiro(1,3-oxathiolan-5,3′)quinuclidine and 2-methylspiro(1,3-oxathiolan4,3′)quinuclidine, and more particularly the following, namely: cis -2-methylspiro(1,3-oxathiolan-5,3′)quinuclidine- cis -3-oxide, cis -2-methylspiro(1,3-oxathiolan-5,3′)quinuclidine- trans -3-oxide, trans -2-methylspiro(1,3-oxathiolan-5,3′)quinuclidine- cis -3-oxide, trans -2-methylspiro(1,3-oxathiolan-5,3′)quinuclidine- trans -3-oxide, cis -2-methylspiro(1,3-oxathiolan-5,3′)quinuclidine-3,3-dioxide, trans -2-methylspiro(1,3-oxathiolan-5,3′)quinuclidine-3,3-dioxide, cis -4,4-dideutero-2-methylspiro(1,3-oxathiolan-5,3′)quinuclidine- trans -3-oxide, cis -4,4-ditritio-2-methylspiro(1,3-oxathiolan-5,3′)quinuclidine- trans -3-oxide, cis -4,4-dideutero-2-methylspiro(1,3-oxathiolan-5,3′)quinuclidine, and cis -4,4-ditritio-2-methylspiro(1,3-oxathiolan-5,3′)quinuclidine, and enantiomers, diastereoisomers, racemates and acid addition salts thereof, and (+)- cis -2-methylspiro(1,3-oxathiolan-4,3′)quinuclidine, (+)- trans -2-methylspiro(1,3-oxathiolan-4,3′)quinuclidine, (-)- cis -2-methylspiro(1,3-oxathiolan-4,3′)quinuclidine, (-)- trans -2-methylspiro(1,3-oxathiolan-4,3′)quinuclidine, (±)- cis -2-methylspiro(1,3-oxathiolan-4,3′)quinuclidine and (±)- trans -2-methylspiro(1,3-oxathiolan-4,3′)quinuclidine, and acid addition salts thereof. At least those compounds of the present invention where one of R′ and R″ is methyl and the other is a hydrogen atom are in general muscarinic agonists with a high specificity for the central nervous system. They are highly specific for a subpopulation of muscarinic receptors, namely pirenzepine-sensitive M1 receptors. Due to their pharmacological properties, these compounds can activate central cholinergic functions under conditions where the cholinergic system is hypofunctional. These compounds can therefore be utilized for the treatment of conditions such as presenile dementia, senile dementia of Alzheimer's type (SDAT), mixed Alzheimer's and Parkinson's disease, tardive dyskinesia, acute confusion conditions, hyperkinesia, mania, Pick's disease, Huntington's chorea, Friedrich's ataxia, Down's syndrome, Gilles de la Tourette disease, post encephalitic amnesic syndrome, alcohol withdrawal symptoms, and progressive supranuclear palsy, because all of these disease states are disturbances in which a central cholinergic hypofunction has been implicated at least to a certain extent. Certain compounds of the invention, and especially those in which one of R′ and R″ is methyl and the other is a hydrogen atom, would appear to be of value for the treatment of SDAT. Thus, in SDAT patients, such compounds could be used in combination with anticholinesterase inhibitors such as physostigmine or tetrahydroaminoacridine; in combination with acetylcholine precursors such as choline or lecithin; in addition to "nootropic" drugs such as piracetam, aniracetam, oxiracetam or pramiracetam; in addition to compounds that interact with Ca²⁺ channels such as 4-aminopyridine or 3,4-diaminopyridine; or in addition to peptides that can have modulatory effects on acetylcholine release, such as somatostatin; in combination with a peripheral antimuscarinic agent (such as pirenzepine, N-methylatropine or N-butylscopolamine) to counteract peripheral adverse effects that might be expected at high doses, such as salivation, diarrhea, gastric secretion or vomiting, or in combination with transdermal scopolamine such as Scopoderm R to counteract nausea and/or vomiting; in combination with an adrenergic agonist (clonidine or quanfamicine) in order to alleviate both the cognitive and other impairments associated with a mixed cholinergic-noradrenergic deficiency in SDAT; in combination with Nerve Growth Factor (NGF, which is administered either by a nasal spray or intracerebroventicularly). The compounds of the present invention, with or without the aforementioned other active substances, can be administered for example, by way of injection in a suitable diluent or carrier, per os , rectally in the form of suppositories, by way of insufflation or nasal spray, by infusion or transdermally in a suitable vehicle with or without physostigmine or tetrahydroaminoacridine, for example by using the device which is the subject of Israel Patent Application No. 72684 ( vide infra ), and corresponding GB-A-2 163 347. These compounds might also be used in disturbances where cholinergic underactivity is induced by drugs. The present compounds, especially where one of R′ and R″ is methyl and the other is a hydrogen atom, are also of potential use for the treatment of disorders requiring the application of a long-lasting cholinergic agent of mild local activity. Such an agent is needed in disorders such as glaucoma, as the compound is not destroyed by the enzyme which deactivates acetylcholine, i.e. acetyl- and butyryl-cholinesterase, and may also be used for the treatment of peripheral cholinergic disorders such as myasthenia gravis, urinary bladder dysfunctions, Adi's disease and Eaton-Lambret disease. The present compounds form stable addition salts with organic and inorganic acids. While for therapeutic purposes such salts should be pharmaceutically compatible, nevertheless it may be convenient, as for example for the purpose of isolation, to employ acid addition salts which are not pharmaceutically compatible, and the invention includes also the latter kind of acid addition salts. As will be obvious to those skilled in the art, the free bases may be converted to acid addition salts by reaction with the appropriate acid, and the salts may be converted by reaction with a base (e.g., an alkali metal hydroxide in aqueous solution) to the corresponding free bases. In the pharmaceutical composition aspect of the present invention, such composition may comprise at least one member of the group consisting of the spiro-oxathiolane/quinuclidine compounds corresponding with the schematic structural formula (I), as set forth generally or particularly hereinabove, and including geometrical isomers, enantiomers, diastereoisomers and racemates thereof, and pharmaceutically compatible acid addition salts thereof, together with an inert carrier or diluent. The term "pharmaceutical composition is to be construed widely, insofar as it includes such composition for diagnostic purposes which may comprise the tritium-containing compounds of the invention, as well as such composition for therapeutic purposes which may comprise the non-radioactive compounds of the invention. The term "pharmaceutically compatible acid addition salts" as used herein refers to combinations of the present compounds with relatively non-toxic inorganic or organic acids. Illustrative only of suitable acids are sulfuric, phosphoric, hydrochloric, hydrobromic, hydriodic, sulfamic, methanesulfonic, benzenesulfonic, para-toluenesulfonic, acetic, lactic, succinic, maleic, tartaric, citric, gluconic, ascorbic, benzoic and cinnamic acids. Where the term "pharmaceutical composition" is used in the present specification and claims, this is to be understood in the sense that it may be suitable for human and/or veterinary treatment. In the pharmaceutical compositions of the invention, suitable pharmaceutical carriers and diluents, which comprise both solids and liquids, may, by way of example only, be selected from corn starch, lactose, calcium phosphate, stearic acid, polyethylene glycol, water, sesame seed oil, peanut oil, propylene glycol, and so forth. This composition may be in a form suitable for oral, rectal or parenteral administration, or for administration by insufflation or nasal spray, or in particular it may be in a form suitable for transdermal administration, and in any event the composition may be in unit dosage form. Exemplary compositions may take the form of tablets, powder, granules, capsules, suspensions, solutions, suppositories, elixirs, ointments and the like. When the pharmaceutical composition is to be administered transdermally, it is preferred to utilize the drug delivery system according to Israel Patent Application No. 72684 and GB-A-2 163 347, although transdermal administration in accordance with the invention is not of course limited to this system. Thus, as mentioned previously, the pharmaceutical compositions of the invention adapted for transdermal administration may comprise as an additional ingredient, a low molecular weight fatty acid. The pharmaceutical compositions of the present invention may alternatively comprise: (a) at least one member of the group consisting of spiro-oxathiolane/quinuclidine compounds corresponding with the schematic structural formula (I) as depicted hereinbefore, and geometrical isomers, enantiomers, diastereoisomers and racemates thereof, wherein one of Y and Z is 0 and the other is S(=O) n ; n is 0, 1 or 2; R' and R" are each selected from the group consisting of hydrogen, alkyl, alkenyl, alkynyl, hydroxyalkyl, aminoalkyl, C₃₋₇ cycloalkyl, aryl, diarylmethylol, and alkyl substituted by at least one aryl group, provided that at least R' or R" is other than hydrogen; and further provided that: when Y is O and Z is S(=O) n simultaneously, then each X is selected from the group consisting of hydrogen, deuterium and tritium, but n is not O when each X is hydrogen, and when Y = S(=O) n and Z = O, then each X is hydrogen, (b) at least one compound selected from the group consisting of physostigmine, tetrahydroaminoacridine, choline, lecithin, piracetam, aniracetam, pramiracetam, oxiracetam, 4-aminopyridine, 3,4-diaminopyridine, somatostatin, pirenzepine, N-methylatropine, N-butylscopolamine, scopolamine, clonidine, quanfamicine and Nerve Growth Factor. As has already been indicated, the present invention provides in another aspect, a method for treating diseases of the central nervous system in mammals (especially diseases due to a deficiency in the central cholinergic system), which comprises administering to the mammal, preferably in the form of a pharmaceutical composition as described above, at least one member of the group consisting of spiro-oxathiolane/quinuclidine compounds corresponding with the schematic structural formula (I) as depicted in claim 1, and geometrical isomers, enantiomers, diastereoisomers and racemates thereof, wherein one of Y and Z is 0 and the other is S(=O) n ; n is 0, 1 or 2; R' and R" are each selected from the group consisting of hydrogen, alkyl, alkenyl, alkynyl, hydroxyalkyl, aminoalkyl, C₃₋₇ cycloalkyl, aryl, diarylmethylol, and alkyl substituted by at least one aryl group, provided that at least R' or R" is other than hydrogen; and further provided that: when Y is O and Z is S(=O) n simultaneously, then each X is selected from hydrogen, deuterium, and titrium, but n is not O when each X is hydrogen; and provided further that when Y is O and Z is S(=O) n simultaneously, then each X is hydrogen, and pharmaceutically compatible acid addition salts thereof. In an alternative embodiment of this aspect of the invention, there is also coadministered with the said at least one member, at least one compound selected from the group consisting of physostigmine, tetrahydroaminoacridine, choline, lecithin, piracetam, aniracetam, pramiracetam, oxiracetam, 4-aminopyridine, 3,4-diaminopyridine, somatostatin, pirenzepine, N-methylatropine, N-butylscopolamine, scopolamine, clonidine, quanfamicine and Nerve Growth Factor. When according to this aspect of the invention, senile dementia of Alzheimer's type is treated, then in the method which comprises administering to a patient at least one member of the group of compounds described, or a pharmaceutically compatible acid addition salt thereof, and preferably in the form of a pharmaceutical composition, as described above, the compounds of formula (I) may be administered via the oral route in an amount which lies within the range of 0.1 to 60 mg/kg, preferably 0.1 to 10 mg/kg body weight, more preferably 1 to 5 mg/kg body weight. On the other hand, the compounds may be administered via the parenteral route (which includes, for example, intramuscular, intravenous and subcutaneous administration) in an amount which lies within the range of 0.01 to 10 mg/kg, preferably 0.05 to 5 mg/kg body weight, more preferably 0.1 to 2 mg/kg body weight. In prescribing a particular form and rate of administration, the physician will of course take into consideration the usual factors such as the severity of the symptoms, the physical circumstances of the patient, and so forth. Taking into account the usual weight ranges of patients, the foregoing dosage ranges, and the possibility that it may be desirable to administer multiple rather than single doses, pharmaceutical compositions in accordance with the invention which are adapted for oral or parenteral administration, may contain the active ingredient in an amount (for example) in the range of 0.5 to 100 mg, preferably 5 to 100 mg, more preferably in the range of 10 to 50 mg. For the purpose of definition, it is intended that the expression "method for the treatment of diseases of the central nervous system", and like expressions, throughout the specification and claims, be taken to include a method for the prevention of drug-induced diseases of the central nervous system. The invention will now be illustrated in the following non-limitative Examples. EXAMPLE 1 Preparation of sulfoxides and a sulfone from 2-methylspiro(1,3-oxathiolan-5,3')quinuclidine (II). (a) (±)- cis -(II).HCl (18.9 g, 0.08 mol) was dissolved in 200 ml. acetic acid and 25 ml. 30% hydrogen peroxide was added at room temperature. The mixture was stirred for 30 minutes, basified with 20% aqueous sodium hydroxide, and extracted with chloroform (3 x 200 ml). The chloroform extracts were dried (MgSO₄) and evaporated to give 16.2 g. (94% yield) of a white powder which comprised a 1:1 mixture of (±)- cis -(II)- cis - and - trans-sulfoxides. The crude product (10 g/) was purified by chromatography on 250 g silica, using 17:13:3:0.4 chloroform/petroleum ether/ethanol/28% aq. NH₃, to give 3.7 g (±)- cis -(II)- trans -sulfoxide, 3 g of a mixture of (±)- cis -(II)- cis- and - trans -sulfoxides and 2.2 g (±)- cis -(II)- cis -sulfoxide. (±)- cis -(II)- trans -sulfoxide: ¹H-NMR (CDCl₃-TMS) δ = 1.7 (d, 3H CH₃) (J = 6.3Hz); 1.3 - 2.1 (m, 5H); 2.56 (d, 1H) (J = 14Hz); 3.34 (d, 1H) (J = 14Hz); 2.6 - 3.2 (m, 6H); 4.7 (q, 1H) (J = 6.3 Hz). MS: M+ 215; base peak m/e 96. High resolution molecular weight determination - calc. for C₁₀H₁₇NSO₂: 215.0978; found: 215.1055. ¹³C-NMR (CDCl₃-TMS) δ = 16.5 (CH₃); 58.0 (C₄); 87.7 (C₅); 102.5 (C₂). Cis -(II)- trans -sulfoxide can be used for the same disease states as described for cis -(II) in our published EP-A-0 205 247, and it also appears to be a natural metabolite of cis -(II). (±)- cis -(II)- cis -sulfoxide: 1H-NMR (CDCl₃-TMS) δ = 1.55 (d, 3H CH₃) (J = 6.3Hz); 1.3 - 2 (m, 5H); 2.8 (d, 1H) (J = 14Hz); 3.6 (d, H) (J = 14Hz); 4.58 (q, 1H) (J = 6.3 Hz). MS; M+ 215; base peak m/e 96. High resolution molecular weight determination - calc. for C₁₀H₁₇NSO₂: 215.0978; found: 215.0930. ¹³C-NMR (CDCl₃-TMS) δ = 12.64 (CH₃); 82.3 (C₄); 85.6 (C₅); 91.7 (C₂). (b) (±)- trans -(II).HCl was oxidized, and the resultant product was separated, as in part (a), above. The following were isolated. (±)- trans -(II)- trans -sulfoxide: ¹H-NMR (CDCl₃-TMS) δ = 1.66 (d, 3H CH₃) (J = 6Hz); 4.72 (q, 1H) (J = 6Hz). MS: M+ 215; base peak m/e 96. High resolution molecular weight determination - calc. for C₁₀H₁₇NSO₂: 215.0978; found: 215.0985. (±)- trans -(II)- cis -sulfoxide: ¹H-NMR (CDCl₃-TMS) δ = 1.63 (d, 3H CH₃) (J = 6Hz); 4.65 (q, 1H) (J = 6Hz). MS: M+ 215; base peak m/e 96. High resolution molecular weight determination - calc. for C₁₀H₁₇NSO₂: 215.0978; found: 215.1013. (c) (±)- cis -(II).HCl (20 g, 0.085 mol) was dissolved in 200 ml acetic acid and 40 ml 30% hydrogen peroxide was added and the mixture was stirred overnight at room temperature. It was then basified with 20% aqueous sodium hydroxide, and extracted with chloroform (3 x 200 ml). The chloroform extracts were dried (MgSO₄) and evaporated, and purified by quantitative HPLC. Packing material: Lichrosorb Si 100 10 µm. Eluent: 5% v/v methanol in chloroform. 1.3 g of pure (±)- cis -(II)-sulfone m.p. 251-253 °C was obtained. TLC ammonium hydroxide (25% in water) 2% v/v in methanol on silica Art 5735 (Merck) R f 0.52. ¹H-NMR (CDCl₃-TMS) δ = 1.6 (d, 3H CH₃) (J = 6Hz); 4.6 (q, 1H) (J = 6Hz). MS: M+ 231; base peak m/e 167. EXAMPLE 2 Preparation of deuterated (+)- cis -(II)- trans -sulfoxide. (+)- cis -(II)- trans -sulfoxide (0.9 g, 4.2 mmol) was dissolved in 3.8 g D₂O and the exchange was performed under basic conditions with sodium hydroxide (0.2 g, 5 mmol). The reaction mixture was left at 25°C for 60 hours, extracted with chloroform (2 x 10 ml), and the chloroform was dried and evaporated to yield 0.85 g of pure deuterated sulfoxide. ¹H-NMR (CDCl₃-TMS) δ = 1.7 (d, 3H CH₃) (J = 6.3Hz); 4.69 (q, 1H) (J = 6.3Hz). MS is enclosed M = 217; base peak m/e 96. ¹³C-NMR (CDCl₃-TMS) δ = 16.5 (CH₃); 67.6 (C₅); 102.5 (C₂). EXAMPLE 3 Preparation of deuterated (±)- cis -(II). (a) Deuterated (+)- cis -(II)- trans -sulfoxide (0.45 g in 2 g D₂O) was acidified using 4 ml of 10% hydrochloric acid, and reduced at 50°C for 1 hour with sodium dithionite (2 g of 85%). The mixture was cooled, basified and extracted with chloroform (2 x 10 ml). The chloroform extracts were dried and evaporated, and the residue was dissolved in 50 ml hexane and precipitated with hydrogen chloride to give 0.2 g of pure product in the form of the HCl salt. ¹H-NMR (CDCl₃-TMS) δ = 1.57 (d, 3H CH₃) (J = 6Hz); 5.15 (q, 1H) (J = 6Hz). MS is enclosed M+ 201; base peak m/e 96. ¹³C-NMR (CDCl₃-TMS) δ = 22.4 (CH₃); 80.4 (C₂); 83.9 (C₅). (b) The same starting material (0.9 g) was reduced with LiAlH₄. After work-up a 69% yield of pure title product (isolated as the HCl salt) was obtained. MS studies based on the data obtained according to Examples 1-3 show addition of two mass units (exchange of two hydrogen atoms by deuterium). The type of fragmentation can be explained by exchange of hydrogen atoms on the five-membered ring. ¹³C NMR studies show disappearance of the large C₄ resonance and appearance of a multiplet instead, thus indicating that the hydrogen atoms near C₄ were substituted by deuterium. ¹H NMR of the deuterated (II) emphasizes that (a) no isomerization takes place during reaction, and (b) no exchange of hydrogen takes place during the labelling step since the integration ratio between the CH₃ and H remains 3:1. EXAMPLE 4 Preparation of tritiated (+)- cis -(II)- trans -sulfoxide. (+)- cis -(II)- trans -sulfoxide (0.45 g, 2.1 mmol) was dissolved in 2.2 ml H₂O (50Ci/ml.). Sodium hydroxide (0.2 g) was added and the mixture was left at room temperature for 70 hours. The title product as thus formed was used for Example 5 without isolation. EXAMPLE 5 Preparation of tritiated (+)- cis -(II). The solution obtained in Example 4 was acidified with 4 g of 10% aqueous HCI, and 2 g. of 85% sodium dithionite was added. The clear solution was stirred at 50°C for one hour, cooled and then basified with 3 g 20% w/w aqueous sodium hydroxide. The mixture was extracted with chloroform (1 x 20 ml), the extract was transferred into 200 ml hexane, 0.7 g 0.5M HCl in isopropanol was added to pH 3 and the precipitate was filtered and dried to give 0.35 g (1.5 mmol) of the title product (71% yield) as the HCl salt. Specific activity: 543 mCi/mmole, total activity 823 mCi. The product was checked by TLC using chloroformpetroleum ether-ethanol-ammonia 17:13:4:0.4 to give one spot R f = 0.4 which was detected as a brown spot on exposure to I₂ vapor. Radiochemical purity was determined using the same plate. The HCl salt was dissolved in water containing 5% ethanol 10mCi/ml and kept at 4°C. Tritiated (±)- cis -(II) and its corresponding isolated enantiomers can be used as radioactive ligands in receptor binding studies, since they would be expected to bind to M₁ muscarinic receptors. Such a probe can be utilized both in displacement studies and in autoradiography of M₁ receptors in animal and human brain samples taken at autopsy or biopsy. In addition, they can be used in pharmacokinetic studies in experimental animals. Deuterated (±)- cis -(II) and its corresponding isolated enantiomers can be used as an internal standard in pharmacokinetic studies in experimental animals and can also be used in the disease states described in EP-A-0 205 247. EXAMPLE 6 Preparation of 2-methylspiro(1,3-oxathiolan-4,3')quinuclidine (III), including its geometrical and optical isomers. (a) 3-methylenequinuclidine thioepoxide (IV) In a 1l flask fitted with a magnetic stirrer and a thermometer were placed 3-methylenequinuclidine epoxide (60 g, 0.43 mole), potassium thiocyanate (60 g, 0.62 mole) and 500 ml 1:1 aqueous dioxane. The mixture was heated to 50°C until the epoxide had completely disappeared (about 3 hours), and then cooled and extracted with toluene. The toluene solution was dried and evaporated to yield the desired product as a colorless oil. M+ 155. TLC: silica, 2% ammonia in methanol; R f 0.7. (b) Compound (III) (1:1 cis - trans , cis and trans ) The thioepoxide (IV) from stage (a) (19 g, 0.12 mole) was placed in a 11. three-neck flask fitted with a mechanical stirrer, a thermometer and a dropping funnel. Chloroform (350 ml) was added and the mixture cooled to -10°C. Acetaldehyde (120 ml) was added, followed by boron trifluoride etherate (240 ml), while keeping the temperature at 5-15°C. The mixture was left overnight at 20°C, poured into ice-water containing sodium hydroxide (200 g) and extracted with chloroform. The chloroform phase was dried and evaporated, and the resultant oily residue was dissolved in ether and precipitated by addition of oxalic acid. The crude oxalate was basified, and the base subjected to chromatographic separation on a silica gel column (70 - 230 mesh, Merck Art #7734) using as eluent 2% aqueous ammonia in methanol). The separate geometrical isomers of (III), coded AF122A and AF122B, were thus separated from the cis - trans mixture and from (by-product) cis - trans (II). product) cis-trans (II). The isomer ratio was followed by gas chromatography [high performance "Carbowax 20M" capillary column 50 m x 0.2 mm x 0.2 µm, carrier gas 0.8 ml/min. N₂, oven 160°C isothermal, detector FID]. Retention time in minutes: (IV) 10; cis -(II) 17.3; trans -(II) 17.9; cis -(III) 18.8; trans -(III) 19.1. MS of each isomer of (III): M+ 199. Base peak m/e 155. Table 1 shows ¹H-NMR chemical shifts in ppm relative to tetramethylsilane, of the separated isomers (free bases in CDCl₃). Compound H a,b H c CH₃ AF122A 3.50d (J =9Hz) 5.38g (J =6Hz) 1.53d (J =6Hz) 4.30d (J =9Hz) AF122B 4.13d (J =9Hz) 5.26g (J =6Hz) 1.58d (J =6Hz) 3.72d (J =9Hz) (c) Optical resolution . (±)-AF122B as free base (4.1 g, 20.6 mmole) and D-tartaric acid (1.5 g, 10 mmole) were dissolved under reflux in 175 g 10:1 (v/v) isopropanol/methanol. The solution was allowed to cool to room temperature and left overnight. The resulting precipitate (3.06 g) was filtered off and recrystallized twice from 10:1 (v/v) isopropanol/methanol. The solid product was basified and reprecipitated as the hydrochloride (1.6 g, 6.8 mmole); it had m.p. 228-230°C and [α] 20 / D + 36±3.5 (free base in ethanol). The mother liquor was evaporated, basified and treated with L-tartaric acid in the same manner. After two recrystallizations, the resulting tartrate was basified and reprecipitated as the hydrochloride (1.19 g, 5.06 mmole); [α] 20 / D - 33±3 (free base in ethanol). The following properties apply to each enantiomer. R f (TLC, 2% v/v aq. ammonium hydroxide (25%) in methanol on Silica Art 5735 (Merck)) 0.5. NMR spectrum using pure 2,2,2-trifluoro-1-(9-anthryl)ethanol (C₆D₆) shows the presence of a single enantiomer (> 90% optical purity). The NMR spectrum of the hydrochloride salt in CDCl₃ is identical to that of the (±)-isomer hydrochloride. By a similar procedure to the foregoing there were obtained: (+)-AF122A [α] 20 / D+ 6±0.6 (free base in ethanol); and (-)-AF122A [α] 20 / D- 7±1.4 (free base in ethanol). Compound (III) as the mixture of geometrical isomers, or in the form of either geometrical isomer (including the respective enantiomers) can be used for the same disease states as described for cis -(II) in our prior published European patent application, since its M₁ selectivity is preserved even in the mixture of the geometrical isomers. Biological Testing The potency of compound (III), and for comparison, other putative cholinergic compounds in displacing from rat brain homogenates (forebrain, frontal cortex or cerebellum) the following ³H-labelled compounds, namely, ³H-quinuclidinyl benzilate (³H-QNB; a non-selective M₁ and M₂ antagonist). ³H-Pirenzepine (³H-PZ; a selective M₁ antagonist) and ³H- cis -dioxolane(³H-CD, a non-selective M₁ and M₂ agonist), is shown in Tables 2A, 2B and 2C. Oxotremorine is mainly an M₂ agonist, while McN-A-343 is mainly an M₁ agonist. Compd. tested # (a) forebrain Ki(³H-PZ) µM (b) forebrain Ki(³H-QNB) µM (c) forebrain Ki(³H-CD) µM (d) a:b (e) a:c 1 0.6 ±0.2 (4) 2.1 ±0.3 (8) 9.6 ±4.2 (2)* 0.29 625.0 2 5.0 ±1.7 (4) 16.9 ±1.3 (3) 0.4 ±0.1 (4) 0.30 12.3 3 14.6 ±2.9 (4) 24.7 ±2.3 (8) 1.8 ±0.1 (2) 0.59 8.3 4 1.0 ±0.4 (8) 7.0 ±1.0 (17) 0.45±0.18(4) 0.14 2.2 5 1.1 ±0.3 (3) 3.7 ±0.7 (5) 0.21±0.06(2) 0.3 5.2 6 9.6 ±1.8 (3) 47.4±13.7 (5) 7.5 (1) 0.20 1.3 7 1.22±0.4 (2) 7.0 ±0.5 (2) NT 0.17 Compd. tested # (a') frontal cortex Ki(³H-PZ) µM (b') frontal cortex Ki(³H-QNB) µM (c') frontal cortex Ki(³H-CD) µM (f) a':b' (g) a':c' 1 0.22±0.07(2) 2.2 ±0.3 (4) 0.0016±0.0004(2) 0.1 137.5 2 7.9 ±1.0 (3) 4 0.96±0.05 7.1 ±1.5 (7) 0.39±0.21(1) 0.13 2.5 5 0.41±0.08 (3) NT 0.20±0.04(2) 2.1 6 4.63±0.42(3) NT 7.94 (1) 0.6 8 1.66±0.24 (2) 15.3 ±2.2 (5) 2.30 (1) 0.11 0.7 9 12.1 (1) 10 7.4 (1) 11 0.84±0.03(2) 9.7 ±2.3 (4) 0.75 (1) 0.09 1.0 12 0.35±0.04(2) 13 4.21±0.47(3) 14 5.5 ±0.43(2) 34.1 ±3.0 (2) 3.06±2(2) 0.18 1.8 Compd. tested # (b") cerebellum Ki(³H-QNB) µM (h) a:b" (i) a':b" (j) b:b" (k) b':b" 1 0.7 ±0.3 (3) 0.86 3.00 1 1.31±0.3 (4) 1.69 2 24.4 ±4.4 (4) 0.09 0.31 0.32 3 28.0 ±2.9 (3) 0.52 0.88 4 14.8 ±2.9 (6) 0.07 0.47 4 18.1 ±6.8 (5) 0.1 0.39 5 7.9 ±0.9 (3) 0.14 0.47 6 99.2±26.8 (3) 0.1 0.48 8 21.1 ±7.6 (2) 0.73 11 19.8 ±6.1 (2) 0.49 14 44.1 ±6.5 (2) 2.6 0.77 Key to Tables 2A, 2B and 2C: Ki = IC₅₀ + (1 + C/K D ), where C is the concentration of the radioactive ligand and K D is the dissociation constant thereof. compounds tested - #1 = Oxotremorine(* in M x 10⁻¹⁰) #8 = (±)-(III) (AF122B) #2 = McN-A-343 #9 = (-)-(III) [(-)-AF122B] #3 = (±)- trans -(II) #10 = (+)-(III) [(+)-AF122B] #4 = (±)- cis -(II) #11 = (±)-(III) (AF122A) #5 = (-)- cis -(II) #12 = (-)-(III) [(-)-AF122A] #6 = (+)- cis -(II) #13 = (+)-(III) [(+)-AF122A] #7 = cis - trans -(III) #14 = (±)- cis -(II)-sulfone (NT = not tested) Discussion of Tables 2A 2B and 2C . From these Tables, it is evident that compounds #4-#8, #11 and #14 show a high M₁ selectivity. Compound #5 is 2.2 times more potent in ³H-QNB displacement than its racemate (#4). Moreover, the latter is the most selective M₁ agonist, being more selective than the prototype M₁ agonist McN-A-343. As can be seen from the ratios Ki(³H-PZ):Ki(³H-CD) and Ki(³H-PZ):Ki(³H-QNB) in columns (d) and (e) of Table 2A, the structurally rigid spiro oxathiolane/quinuclidines showed higher selectivity towards M₁ receptors than McN-A-343 or Oxotremorine. However, there were some apparent discrepancies between the order of the ratios Ki(³H-PZ):Ki(³H-CD) and Ki(³H-PZ):Ki(³H-QNB) among the tested compounds, especially in regard to Oxotremorine, compound #3 and McN-A-343. While the order of the ratios Ki(³H-PZ):Ki(³H-CD) for these three compounds was oxotremorine > McN-A-343 > compound #3, the order of the ratios Ki(³H-PZ):Ki(³H-QNB) was McN-A-343 > compound #3 > oxotremorine. These ratios are indices for the relative selectivity of the tested compounds towards M₁ as against M₂ receptors. It is not clear why in one test, oxotremorine showed the weakest relative affinity towards M₁ binding sites [Ki(³H-PZ):Ki(³H-CD)] whereas in the other test its relative affinity towards the M binding sites was relatively stronger than McN-A-343 and compound #3 [Ki(³H-PZ):Ki(³H-QNB)]. One explanation of this phenomenon is that since the affinity of oxotremorine towards all muscarinic receptors is greater than those of the weaker agonists McN-A-343 or compound #3 [Watson et al, JPET 237: 411-418 (1986)], then lower concentrations of oxotremorine are needed to displace both ³H-PZ and ³H-QNB from forebrain homogenate, especially ³H-PZ which possesses lower affinity towards muscarinic receptors than ³H-QNB. Thus, in principle, strong agonists will yield a lower Ki(³H-PZ):Ki(³H-QNB) ratio than weak agonists, without taking into consideration the selectivity of the selected ligands. On the other hand, the K D of ³H-PZ is similar to that of ³H-CD and therefore weak and strong agonists should behave similarly in displacing these labelled ligands, unless their selectivity towards one receptor subpopulation is different. Therefore, the ratio Ki(³H-PZ):Ki(³H-CD) should represent more accurately the relative affinities towards M₁ receptors. Indeed, the order of these ratios for the compounds tested is consistent with the order found for the ratios IC₅₀(FB):IC₅₀(CER) or IC₅₀(frontal cortex):IC₅₀(CER), which also serve as indices for M₁ versus M₂ selectivity, namely, compound #4 > compound #3 > oxotremorine (FB = forebrain, which contains mainly M₁ receptors; CER = cerebellum, which contains mainly M₂ receptors). Also, (±)- cis -(II)-sulfone, while losing some of its potency, still preserved an outstanding profile as judged by its M₁ selectivity (ratio a':c'). Compounds (III) show a Ki value for the displacement of ³H-PZ similar to that of (±)- cis -(II). Since their Ki values for the displacement of ³H-QNB are significantly higher than that of (±)- cis -(II), these compounds may be even more selective than (±)- cis -(II) in binding to M₁ receptors. Table 3 shows the results of a study of the activity of compounds of the invention on isolated guinea-pig ileum. From this Table, it appears that compounds (III) were not so effective in contracting the guinea pig ileum preparation. In fact, AF122A did not produce any significant contractions in the concentration range within which it binds to the brain receptors and even perturbed the ACh-induced contractions when applied in relatively high concentrations. On the other hand, AF122B contracted the ileum muscle but the contractions were only partially blocked by atropine. The active enantiomer was (+)-AF122B, while (-)-AF122B produced inconsistent contractile response: sometimes at high concentrations it induced contractions, whereas at other times it did not. This inconsistent response might be related to the phenomenon of desensitization that was observed with AF122B. However. AF122B consistently blocked ACh-induced contractions. The absence of the response of the ileum in presence of compounds of the AF122A series, on the one hand, and the high affinity of these compounds towards brain muscarinic sites, especially the pirenzepine binding sites, on the other hand, suggest that the AF122 series may be particularly suited for the treatment of Alzheimer's disease. The effect of various putative cholinergic compounds on isolated guinea-pig ileum preparation. Compd. tested (#) Lowest concn. (µM) Intensity of contractions Highest concn. (µM) Intensity of contractions Remarks 4 8.0 + 33.0 +++ Blocked by atropine Full agonist 5 3.3 ++ NT Blocked by atropine Full agonist 6 3.3 - 6.6 ++ Blocked by atropine. 8 1.7 - 50.0 ++ Blocked partially by atropine 9 NT 50.0 - Blocked contractions induced by ACh 10 3.3 +/- 66.0 ++ Blocked partially by atropine 11 3.3 - 1650.0 - At concn. of 330 µM this compound reversibly blocked ACh-induced contractions 12 3.3 - At concn. of 330 µM this compound reversibly blocked ACh-induced contractions 13 6.6 - 1.3 - At concn. of 330 µM this compound reversibly blocked ACh-induced contractions 14 3.3 - 66.0 ++ Blocked by atropine PHARMACODYNAMIC STUDIES Material and Methods Male white mice of the CD-1 strain supplied by Charles River Ltd. (U.K.) were used throughout. An acclimatization period of at least three days was allowed between arrival and commencement of a particular experimental series. The animals were fed a complete commercial pelleted rodent diet without restriction during the acclimatization and study periods. Animals had free access to tap water. Body weights during testing were mostly within 20-28 g. Test materials were prepared as aqueous solutions in physiological saline (0.9% NaCl), up to a maximum concentration of 10 mg/ml. All materials were freshly prepared on the morning prior to each dosing session. Dosages were expressed gravimetrically (mg/kg), in terms of the materials as received. Groups of mice (mostly n = 5) received either i.v. or oral administration of the test materials at various dose levels. Dose volumes appropriate for respective dose levels selected, were determined for each animal according to body weights on the day of dosing. Any behavioral changes occurring during one to two hours after administration, as well as incidence of death up to 24 hours after dosing were recorded. Results The effects of the test materials on the mice treated are presented in Table 4. Conclusions Within the toxic lethal range, all compounds tested exhibited a more or less similar sequence of central toxic effects, consisting mainly of tremor, clonic-tonic convulsions and respiratory irregularities. In case of intravenous administration, 100% mortality occurred at the dose level of 50 mg/kg, with the exception of cis -II-sulfone. On the basis of the mortality data from oral administration experiments, it appears that with respect to III (both AF122A and AF122B), the (+)-isomer is the less toxic in comparison with the racemate and the (-)-isomer. BEHAVIORAL STUDIES Development of potential drugs for the treatment of Alzheimer's disease requires their evaluation in appropriate animal models for this disease. Ethylcholine aziridinium (AF64A) induced cholinotoxicity mimics the cholinergic hypofunction reported in Alzheimer's disease and can be utilized as a workable animal model for this disorder (Fisher & Hanin, Ann. Rev. Pharmacol. 1986, 26: 161-181); AF64A (3 nmole/2 µl/side, icv) induces a cholinergic hypofunction confined mainly to the hippocampus. This hippocampal cholinergic deficiency is accompanied by statistically significant cognitive impairments ( inter alia ) in step-through passive avoidance (PA). The present PA experiment investigated the possibility of reversing such impairments by administration of (+)-III (AF122B). 3-4 weeks post-operation, the AF64A and saline-injected groups were randomly subdivided into two treatment sub-groups. Sub-group 1 was treated with 1 mg/kg i.p. (+)-III (AF122B), while sub-group 2 was treated with 1 mg/kg i.p. saline. The drug or saline were administered immediately after shock. Initial latency and retention latency were analyzed by two-way ANOVA (Injection-AF64A/saline vs. (+)-III (AF122B)/saline. The results of both determinations are shown in Table 5. No significant differences were found during training, between any of the groups. Retention Latency (seconds) Saline (1 mg/kg i.p.) (+)-III (AF122B) (1 mg/kg i.p.) AF64A 202.1 ± 55.6 549.5 ± 29.1 Saline 584 ± 16 552 ± 33.7 The step-through latency of the AF64A-injected group was significantly shorter [F(1.53) = 27.31; p<0.001] during the 72 hour retention test than the latency of the saline-injected group. In addition there was a general significant treatment effect [F(2.53) = 9.66; p<0.001]. The interaction between Injection and Treatment was statistically significant [F(2.53) = 14.51; p<0.001]. Shifee contrasts revealed that administration of (+)-III (AF122B) prolonged the retention latency of AF64A-injected rats (p<0.01) but had no significant effect on the retention latency of saline-injected rats. The results indicate that (+)-III (AF122B) treatment improved the passive avoidance retention of AF64A-injected rats.

Claims: Claims for the following Contracting States : AT, BE, CH, DE, FR, GB, IT, LI, LU, NL, SE A spire-oxathiolane/quinuclidine compound corresponding with the schematic structural formula (I) and geometrical isomers, enantiomers, diastereoisomers, racemates and acid addition salts thereof, wherein one of Y and Z is O and the other of Y and Z is S(=O) n ; n is 0, 1 or 2; and R' and R" are each independently selected from hydrogen, alkyl, alkenyl, alkynyl, hydroxyalkyl, aminoalkyl, C₃₋₇ cycloalkyl, aryl, diarylmethylol, and alkyl substituted by at least one aryl group, provided that at least one of R' and R" is other than hydrogen; and further provided that: when Y is S(=O) n and Z is O, then each X is hydrogen, and when Z is S(=O) n and Y is O, then each X is selected from hydrogen, deuterium and tritium, but n is not O when each X is hydrogen. A compound according to claim 1, wherein one of R' and R" is hydrogen. A compound according to claim 2, which is selected from 2-methylspiro(1,3-oxathiolan-5,3')quinuclidine-3-oxide, 2-methylspiro(1,3-oxathiolan-5,3')quinuclidine-3,3-dioxide, 4,4-dideutero-2-methylspiro(1,3-oxathiolan-5,3')quinuclidine-3-oxide, 4,4-ditritio-2-methylspiro(1,3-oxathiolan-5,3')quinuclidine-3-oxide, 4,4-dideutero-2-methylspiro(1,3-oxathiolan-5,3')quinuclidine, 4,4-ditritio-2-methylspiro(1,3-oxathiolan-5,3')quinuclidine and 2-methylspiro(1,3-oxathiolan-4,3')quinuclidine, and geometrical isomers, enantiomers, diastereoisomers, racemates and acid addition salts thereof. A compound according to claim 3, which is selected from: cis -2-methylspiro(1,3-oxathiolan-5,3')quinuclidine- cis -3-oxide, cis -2-methylspiro(1,3-oxathiolan-5,3')quinuclidine- trans -3-oxide, trans -2-methylspiro(1,3-oxathiolan-5,3')quinuclidine- cis -3-oxide, trans -2-methylspiro(1,3-oxathiolan-5,3')quinuclidine- trans -3-oxide, cis -2-methylspiro(1,3-oxathiolan-5,3')quinuclidine-3,3-dioxide, trans -2-methylspiro(1,3-oxathiolan-5,3')quinuclidine-3,3-dioxide, cis -4,4-dideutero-2-methylspiro(1,3-oxathiolan-5,3')quinuclidine- trans -3-oxide, cis -4,4-ditritio-2-methylspiro(1,3-oxathiolan-5,3')quinuciidine- trans -3-oxide, cis -4,4-dideutero-2-methylspiro(1,3-oxathiolan-5,3')quinuclidine, and cis -4,4-ditritio-2-methylspiro(1,3-oxathiolan-5,3')quinuclidine, and enantiomers, diastereoisomers, racemates and acid addition salts thereof, and (+)- cis -2-methylspiro(1,3-oxathiolan-4,3')quinuclidine. (+)- trans -2-methylspiro(1,3-oxathiolan-4,3')quinuclidine, (-)- cis -2-methylspiro(1,3-oxathiolan-4,3')quinuclidine, (-)- trans -2-methylspiro(1,3-oxathiolan-4,3')quinuclidine, (±)- cis -2-methylspiro(1,3-oxathiolan-4,3')quinuclidine and (±)- trans -2-methylspiro(1,3-oxathiolan-4,3')quinuclidine, and acid addition salts thereof. A pharmaceutical composition which comprises at least one compound as defined in any of the preceding claims, including geometrical isomers, enantiomers, diastereoisomers, racemates and pharmaceutically compatible acid addition salts thereof, together with an inert carrier or diluent. A pharmaceutical composition according to claim 5, which is in a form suitable for oral, rectal, parenteral or transdermal administration, or for administration by insufflation or nasal spray, and which may be in unit dosage form. A pharmaceutical composition according to claim 6, which is in a form suitable for transdermal administration and which comprises as an additional component, a low molecular weight fatty acid. A pharmaceutical composition according to any of claims 5 to 7 wherein the compound is present in unit dosage form in an amount within the range of 0.5 to 100 mg together with an inert carrier or diluent. A pharmaceutical composition according to claim 8, wherein said amount lies within the range of 5 to 100 mg. A pharmaceutical composition according to claim 9, wherein said amount lies within the range of 10 to 50 mg. A pharmaceutical composition according to any of claims 5 to 10, comprising at least one compound selected from 2-methylspiro(1,3-oxathiolan-5,3')quinuclidine-3-oxide, 2-methylspiro(1,3-oxathiolan-5,3')quinuclidine-3,3-dioxide, 4,4-dideutero-2-methylspiro(1,3-oxathiolan-5,3')quinuclidine-3-oxide, 4,4-ditritio-2-methylspiro(1,3-oxathiolan-5,3')quinuclidine-3-oxide, 4,4-dideutero-2-methylspiro(1,3-oxathiolan-5,3')quinuclidine, 4,4-ditritio-2-methylspiro(1,3-oxathiolan-5,3')quinuclidine and 2-methylspiro(1,3-oxathiolan-4,3')quinuclidine, and geometrical isomers, enantiomers, diastereoisomers, racemates and pharmaceutically compatible acid addition salts thereof. A pharmaceutical composition according to claim 11, comprising at least one compound selected from cis -2-methylspiro(1,3-oxathiolan-5,3')quinuclidine- cis -3-oxide. cis -2-methylspiro(1,3-oxathiolan-5,3')quinuclidine- trans -3-oxide, trans -2-methylspiro(1,3-oxathiolan-5,3')quinuclidine- cis -3-oxide, trans -2-methylspiro(1,3-oxathiolan-5,3')quinuclidine- trans -3-oxide, cis -2-methylspiro(1,3-oxathiolan-5,3')quinuclidine-3,3-dioxide, trans -2-methylspiro(1,3-oxathiolan-5,3')quinuclidine-3,3-dioxide, cis -4,4-dideutero-2-methylspiro(1,3-oxathiolan-5,3')quinuclidine- trans -3-oxide, cis -4,4-ditritio-2-methylspiro(1,3-oxathiolan-5,3')quinuclidine- trans -3-oxide, cis -4,4-dideutero-2-methylspiro(1,3-oxathiolan-5,3')quinuclidine. and cis -4,4-ditritio-2-methylspiro(1,3-oxathiolan-5,3')quinuclidine, and enantiomers, diastereoisomers, racemates and pharmaceutically compatible acid addition salts thereof, and (+)- cis -2-methylspiro(1,3-oxathiolan-4,3')quinuclidine, (+)- trans -2-methylspiro(1,3-oxathiolan-4,3')quinuclidine, (-)- cis -2-methylspiro(1,3-oxathiolan-4,3')quinuclidine, (-)- trans -2-methylspiro(1,3-oxathiolan-4,3')quinuclidine. (±)- cis -2-methylspiro(1,3-oxathiolan-4,3')quinuclidine and (±)- trans -2-methylspiro(1,3-oxathiolan-4,3')quinuclidine, and pharmaceutically compatible acid addition salts thereof. A pharmaceutical composition according to any of claims 5 to 12, further comprising at least one compound selected from the group consisting of physostigmine, tetrahydroaminoacridine, choline, lecithin, piracetam, aniracetam, pramiracetam, oxiracetam, 4-aminopyridine, 3,4-diaminopyridine, somatostatin, pirenzepine, N-methylatropine, N-butylcopolamine, scopolamine, clonidine, quanfamicine and Nerve Growth Factor. A spiro-oxathiolane/quinuclidine compound according to any of claims 1 to 4 for use in therapy, for example in relation to disorders of the central nervous or cholinergic systems. Use of a spiro-oxathiolane/quinuclidine compound according to any one of claims 1 to 4 for: (1) the manufacture of a medicament for the treatment of diseases or deficiencies of or relating to the central nervous or cholinergic systems, or (2) the manufacture of a diagnostic agent for diseases and deficiencies of or relating to the central nervous or cholinergic systems. A pharmaceutical composition according to any of claims 5-13 for use in therapy, for example in relation to disorders of the central nervous or cholinergic systems. Use of a composition according to any of claims 5 to 13: (a) when X is H for the manufacture of a medicament or (b) when X is deuterium or tritium for the manufacture of a diagnostic agent, for the treatment of diseases or deficiencies of or relating to the central nervous or cholinergic systems. Use according to claim 15 or claim 17, for treatment of senile dementia of Alzheimer's type, wherein for example one of R' and R" is methyl and the other is hydrogen. Use according to claim 15, 17 or 18 for the manufacture of medicaments in single dosage orally administerable form wherein the active ingredient is present in the dose in an amount sufficient to provide 0.1 to 60 mg of the said ingredient per kilogram body weight. Use according to claim 19, wherein the active ingredient is present in the dose in an amount sufficient to provide 0.1 to 10 mg of said ingredient per kilogram of body weight. Use according to claim 20, wherein the active ingredient is present in the dose in an amount sufficient to provide 1 to 5 mg of said ingredient per kilogram of body weight. Use according to claim 15, 17 or 18 for the manufacture of medicaments in single dosage parenterally administerable form wherein the active ingredient is present in the dose in an amount sufficient to provide 0.01 to 10 mg of said ingredient per kilogram of body weight. Use according to claim 22, wherein the active ingredient is present in the dose in an amount sufficient to provide 0.05 to 5 mg of said ingredient per kilogram of body weight. Use according to claim 23, wherein the active ingredient is present in the dose in an amount sufficient to provide 0.1 to 2 mg of the said ingredient per kilogram of body weight. A process for preparing compounds of formula (I), as defined in claim 1, including geometrical isomers, enantiomers, diastereoisomers, racemates and acid addition salts thereof, which comprises, as a preliminary step in the case when R' and(or) R" is hydroxyalkyl or aminoalkyl, protecting the hydroxy or amino moieties by means of a protecting group, and then: (a) when in the desired product each X is hydrogen and n=0, the step of reacting the thioepoxide of 3-methylenequinuclidine, with a carbonyl compound of formula R'-CO-R"; (b) when in the desired product each X is hydrogen and n=1 or 2, reacting the analogous compound where n=0 with an oxidizing agent, or when n=2, reacting the analogous compound where n=1 with an oxidizing agent; (c) when in the desired product each X is deuterium or tritium and n=1 or 2, labelling with deuterium or tritium the analogous compound where X is hydrogen; (d) when in the desired product each X is deuterium or tritium and n=0 reducing the analogous compound where n=1 or 2; and in any of the cases (a), (b), (c) or (d), optionally carrying out one of or more of the subsequent steps: (i) removing the protecting group(s) from a product (1) in which at least one of R' and R" is selected from hydroxyalkyl in which the hydroxy is protected and aminoalkyl in which the amino is protected; (ii) separating the product into its geometrical and(or) optical isomers; (iii) converting the product obtained in free base form to an acid addition salt; (iv) converting the product obtained in acid addition salt form to the free base. Claims for the following Contracting State : ES A method of making a pharmaceutical composition comprising mixing, with an inert carrier or diluent, at least one spiro-oxathiolane/quinuclidine compound corresponding with the schematic structural formula (I) and geometrical isomers, enantiomers, diastereoisomers, racemates and pharmaceutically compatible acid addition salts thereof, wherein one of Y and Z is O and the other of Y and Z is S(=O) n ; n is 0, 1 or 2; and R' and R" are each independently selected from hydrogen, alkyl, alkenyl, alkynyl, hydroxyalkyl, aminoalkyl, C₃₋₇ cycloalkyl, aryl, diarylmethylol, and alkyl substituted by at least one aryl group, provided that at least one of R' and R" is other than hydrogen; and further provided that: when Y is S(=O) n and Z is O, then each X is hydrogen, and when Z is S(=O) n and Y is O, then each X is selected from hydrogen, deuterium and tritium, but n is not O when each X is hydrogen. A method according to claim 1, wherein one of R' and R" is hydrogen. A method according to claim 2, comprising selecting the said compound from : 2-methylspiro(1,3-oxathiolan-5,3')quinuclidine-3-oxide, 2-methylspiro(1,3-oxathiolan-5,3')quinuclidine-3.3-dioxide. 4,4-dideutero-2-methylspiro(1,3-oxathiolan-5.3')quinuclidine-3-oxide, 4,4-ditritio-2-methylspiro(1,3-oxathiolan-5,3')quinuclidine-3-oxide, 4,4-dideutero-2-methylspiro(1,3-oxathiolan-5,3')quinuclidine, 4,4-ditritio-2-methylspiro(1,3-oxathiolan-5,3')quinuclidine and 2-methylspiro(1,3-oxathioian-4,3')quinuclidine, and geometrical isomers, enantiomers, diastereoisomers, racemates and acid addition salts thereof. A method according to claim 3, comprising selecting the said compound from: cis -2-methylspiro(1,3-oxathiolan-5,3')quinuclidine- cis -3-oxide, cis -2-methylspiro(1,3-oxathiolan-5,3')quinuclidine- trans -3-oxide, trans -2-methylspiro(1,3-oxathiolan-5,3')quinuclidine- cis -3-oxide, trans -2-methylspiro(1,3-oxathiolan-5,3')quinuclidine- trans -3-oxide, cis -2-methylspiro(1,3-oxathiolan-5,3')quinuclidine-3,3.dioxide, trans -2-methylspiro(1,3-oxathiolan-5,3')quinuclidine-3,3-dioxide, cis -4,4-dideutero-2-methylspiro(1,3-oxathiolan-5,3')quinuclidine- trans -3-oxide, cis -4,4-ditritio-2-methylspiro(1,3-oxathiolan-5,3')quinuclidine- trans -3-oxide, cis -4,4-dideutero-2-methylspiro(1,3-oxathiolan-5,3')quinuclidine, and cis -4,4-ditritio-2-methylspiro(1,3-oxathiolan-5,3')quinuclidine, and enantiomers, diastereoisomers, racemates and acid addition salts thereof, and (+)- cis -2-methylspiro(1,3-oxathiolan-4,3')quinuclidine, (+)- trans -2-methylspiro(1,3-oxathiolan-4.3')quinuclidine. (-)- cis -2-methylspiro(1,3-oxathiolan-4,3')quinuclidine, (-)- trans -2-methylspiro(1,3-oxathiolan-4,3')quinuclidine, (±)- cis -2-methylspiro(1,3-oxathiolan-4,3')quinuclidine and (±)- trans -2-methylspiro(1,3-oxathiolan-4,3')quinuclidine, and acid addition salts thereof. A method according to any preceding claim, wherein the composition is prepared in a form suitable for oral, rectal, parenteral or transdermal administration, or for administration by insufflation or nasal spray, and for example in unit dosage form. A method according to claim 5, wherein the composition is prepared in a form suitable for transdermal administration and further an additional component comprising a low molecular weight fatty acid is added to the composition. A method according to any of the preceding claims, comprising formulating the composition such that the compound is present in unit dosage form in an amount within the range of 0.5 to 100 mg together with the inert carrier or diluent. A method according to claim 7, wherein said amount lies within the range of 5 to 100 mg. A method according to claim 8, wherein said amount lies within the range of 10 to 50 mg. A method according to any of claims 1-9, wherein there is further mixed with the inert carrier or diluent and with at least one spirooxathiolane/quinuclidine compound, at least one compound selected from the group consisting of physostigmine, tetrahydroaminoacridine, choline, lecithin, piracetam, aniracetam, pramiracetam, oxiracetam, 4-aminopyridine, 3,4-diaminopyridine, somatostatin, pirenzepine, N-methylatropine, N-butylscopolamine, scopolamine, clonidine, quanfamicine and Nerve Growth Factor. A spiro-oxathiolane/quinuclidine compound as defined in any of claims 1-4 for use in therapy, for example in relation to disorders of the central nervous or cholinergic systems. Use of a spiro-oxathiolane/quinuclidine compound as defined in any of claims 1-4 for: (1) the manufacture of a medicament for the treatment of diseases or deficiencies of or relating to the central nervous or cholinergic systems, or (2) the manufacture of a diagnostic agent for diseases and deficiencies of or relating to the central nervous or cholinergic systems. A pharmaceutical composition as defined in any of claims 1-10 for use in therapy, for example in relation to disorders of the central nervous or cholinergic systems. Use of a pharmaceutical composition as defined in any of claims 1-10: (a) when X is H for the manufacture of a medicament or (b) when X is deuterium or tritium for the manufacture of a diagnostic agent, for the treatment of diseases or deficiencies of or relating to the central nervous or cholinergic systems. Use according to claim 12 or claim 14 , for treatment of senile dementia of Alzheimer's type, wherein for example one of R' and R" is methyl and the other is hydrogen. Use according to claim 12, 14 or 15, for the manufacture of medicaments in single dosage orally administerable form wherein the active ingredient is present in the dose in an amount sufficient to provide 0.1 to 60 mg of the said ingredient per kilogram body weight. Use according to claim 16, wherein the active ingredient is present in the dose in an amount sufficient to provide 0.1 to 10 mg of said ingredient per kilogram of body weight. Use according to claim 17, wherein the active ingredient is present in the dose in an amount sufficient to provide 1 to 5 mg of said ingredient per kilogram of body weight. Use according to claim 12, 14 or 15, for the manufacture of medicaments in single dosage parenterally administerable form wherein the active ingredient is present in the dose in an amount sufficient to provide 0.01 to 10 mg of said ingredient per kilogram of body weight. Use according to claim 19, wherein the active ingredient is present in the dose in an amount sufficient to provide 0.05 to 5 mg of said ingredient per kilogram of body weight. Use according to claim 20, wherein the active ingredient is present in the dose in an amount sufficient to provide 0.1 to 2 mg of the said ingredient per kilogram of body weight. A process for preparing compounds of formula (I), as defined in claim 1, including geometrical isomers, enantiomers, diastereoisomers, racemates and acid addition salts thereof, which comprises, as a preliminary step in the case when R' and(or) R" is hydroxyalkyl or aminoalkyl, protecting the hydroxy or amino moieties by means of a protecting group, and then: (a) when in the desired product each X is hydrogen and n=O, the step of reacting the thioepoxide of 3-methylenequinuclidine, with a carbonyl compound of formula R'-CO-R"; (b) when in the desired product each X is hydrogen and n=1 or 2, reacting the analogous compound where n=O with an oxidizing agent, or when n=2, reacting the analogous compound where n=1 with an oxidizing agent; (c) when in the desired product each X is deuterium or tritium and n=1 or 2, labelling with deuterium or tritium the analogous compound where X is hydrogen; (d) when in the desired product each X is deuterium or tritium and n=O reducing the analogous compound where n=1 or 2; and in any of the cases (a), (b), (c) or (d), optionally carrying out one of or more of the subsequent steps: (i) removing the protecting group(s) from a product (1) in which at least one of R' and R" is selected from hydroxyalkyl in which the hydroxy is protected and aminoalkyl in which the amino is protected; (ii) separating the product into its geometrical and(or) optical isomers; (iii) converting the product obtained in free base form to an acid addition salt; (iv) converting the product obtained in acid addition salt form to the free base.

Inventors: FISHER ABRAHAM, KARTON ISHAI, FISHER, ABRAHAM, KARTON, ISHAI
Applicants: ISRAEL STATE, STATE OF ISRAEL REPRESENTED BY THE PRIME MINISTER'S OFFICE THE ISRAEL INSTITUTE FOR BIOLOGICAL RESEARCH
Application year: 1988
Main classification: C07D497
IPC codes: C07D497, A61P25, A61K31, A61K38