2-(PYRROLIDINYL-1-METHYL)-PIPERIDINE DERIVATIVES AND THEIR USE AS KAPPA-RECEPT OR AGONISTS

Abstract: Azacyclic derivatives of formula (I), are kappa-receptor agonists and are useful in the treatment of convulsions, cough, asthma, inflammation, pancreatitis, arrhythmias, hyponatraemic disease states and cerebral ischaemia.

Description: 2-(PYRROLIDINYL-l-METHYL)-PlPERIDINEDERIVATIVESANDTHEIRUSEASKAP¬ PA-RECEPTORAGONISTS This invention is concerned with novel substituted azacyclic derivatives, processes for their preparation, and their use in medicine, particularly, but not exclusively, as analgesics- Compounds which are kappa-receptor agonists act as analgesics through interaction with kappa opioid receptors. The advantage of kappa-receptor agonists over the classical μ-receptor agonists, such as morphine, lies in their ability to cause analgesia while being devoid of morphine-like behavioural effects and addiction liability. EP-A-330461, 330467 and 330469 (Glaxo Group Ltd), EP-A-361791 and WO 91/08206 (Dr Lo Zambeletti) disclose groups of azacyclic derivatives which are stated to exhibit kappa-receptor agonism, and which are said to be of potential therapeutic utility in the treatment of pain and cerebral ischaemia. A small group of structurally related substituted azacyclic derivatives have now been discovered which also exhibit potent kappa-receptor agonism without some of the undesirable behavioural effects of morphine and morphine analogues, and are therefore of potential use in the treatment of pain. The new derivatives are also of potential use in other therapeutic treatments which are associated with kappa agonists, in particular the treatment of convulsions, cough, asthma, inflammation (including inflammation pain) , pancreatitis, arrhythmias, hyponatraemic disease states and cerebral ischaemia. According to the present invention, there is provided a compound of formula (I) , or a solvate or salt thereof. in which each of R^, R , R3 and R^ is hydrogen or methyl ; and/or R-^, R and R3 together form a =CH-CH=CH-CH= group, and X is hydroxy or fluoro. The compounds of formula (I) or their salts or solvates are preferably in pharmaceutically acceptable or substantially pure form. By pharmaceutically acceptable form is meant, inter alia, of a pharmaceutically acceptable level of purity excluding normal pharmaceutical additives such as diluents and carriers, and including no material considered toxic at normal dosage levels. A substantially pure form will generally contain at least 50% (excluding normal pharmaceutical additives) , preferably 75%, more preferably 90% and still more preferably 95% of a compound of formula (I) or its salt or solvate. One preferred pharmaceutically acceptable form is the crystalline form, including such form in a pharmaceutical composition. In the case of salts and solvates the additional ionic and solvent moieties must also be non-toxic. Examples of a pharmaceutically acceptable salt of the compounds of formula (I) include the acid addition salts with the conventional pharmaceutical acids, for example, maleic, hydrochloric, hydrobromic, phosphoric, acetic, fumaric, salicylic, citric, lactic, mandelic, tartaric, succinic, benzoic, ascorbic and methanesulphonic. Examples of a pharmaceutically acceptable solvate of the compounds of formula (I) include hydrates. The compounds of formula (I) have at least one asymmetric centre and therefore exist in more than one stereoisomeric form. The invention extends to all such forms and to mixtures thereof, including racemates. The present invention also provides a process for the preparation of a compound of formula (I) which comprises reacting 4-trifluoromethylphenylacetic acid, or an active derivative thereof, with a compound of formula I (a) in which R-^, R2, R3, and X are as defined in formula (I) , and then optionally forming a salt and/or solvate of the obtained compound of formula (I) . A suitable active derivative of 4-trifluoromethylphenyl- acetic acid is the acid chloride. The compounds of formula (I) may be converted into their pharmaceutically acceptable acid addition salts by reaction with the appropriate organic or mineral acids. Solvates of the compounds of formula (I) may be formed by crystallization or recrystallization from the appropriate solvent. For example hydrates may be formed by crystallization or recrystallization from aqueous solutions, or solutions in organic solvents containing water. Also salts or solvates of the compounds of formula (I) which are not pharmaceutically acceptable may be useful as intermediates in the production of pharmaceutically acceptable salts or solvates. Accordingly such salts or solvates also form part of this invention. As mentioned earlier, the compounds of formula (I) exist in more than one stereoisomeric form and the processes of- the invention produce mixtures thereof. The individual isomers may be separated one from another by resolution using an optically active acid such as tartaric acid. Alternatively, an asymmetric synthesis may be used. Compounds of formula (I (a) ) may be prepared from known compounds by known methods, such as those described in WO 91/08206. For example, the (R,S;R,S) compound of formula 1(a) in which X is hydroxy, R-_ is hydrogen, R£ and R3 are both methyl, and R 4 is hydrogen, may be prepared according to the method described in Descriptions 1(a) and 1(b) of WO 91/08206, but starting from N-ethoxycarbonyl-4, -dimethyl pipecolic acid instead of 1-ethoxycarbonylpipecolic acid. In this method, N-ethoxycarbonyl-4, -dimethylpipecolic acid is treated firstly with thionylchloride in dry methylene chloride, and the reaction mixture is then treated with 3-hydroxypyrrolidine to produce 2- (3-hydroxypyrrolidin-l-yl) carbonyl piperidine. Reduction of this with LiAlH 4 in an inert nitrogen atmosphere, yields the desired compound. The (S,S) compound of formula (I) in which X is fluorine, and R^, 2/ R3 and R4 are hydrogen, may be prepared according to the method described in Descriptions 1 (a) and 1(c) of WO 91/08206, starting from enantiomerically pure reagents. In this method, 2-(3-fluoropyrrolidin- l-yl)carbonyl piperidine in dry THF is treated with borane dimethylsulphide complex in an inert nitrogen atmosphere. The activity of the compounds of formula (I) in standard tests indicates that they are of potential therapeutic utility in the treatment of pain, hyponatraemic disease states, cerebral ischaemia, convulsions, cough, asthma, inflammation (including inflammation pain) , arrhythmias, and pancreatitis (hereinafter referred to as the " "Conditions' ) . Accordingly the present invention also provides a compound of formula (I) , or a pharmaceutically acceptable salt or solvate thereof, for use as an active therapeutic substance. The present invention further provides a pharmaceutical composition comprising a compound of formula (I) , or a pharmaceutically acceptable salt or solvate thereof, and a pharmaceutically acceptable carrier. The present invention also provides the use of a compound of formula (I) , or a pharmaceutically acceptable salt or solvate thereof, in the manufacture of a medicament for the treatment of the Conditions. Such a medicament, and a composition of this invention, may be prepared by admixture of a compound of the invention with an appropriate carrier. It may contain a diluent, binder, filler, disintegrant, flavouring agent, colouring agent, lubricant or preservative in conventional manner. These conventional excipients may be employed for example as in the preparation of known compositions for treating the Conditions. Preferably, a pharmaceutical composition of the invention is in unit dosage form and in a form adapted for use in the medical or veterinarial fields. For example, such preparations may be in a pack form accompanied by written or printed instructions for use as an agent in the treatment of the Conditions. The suitable dosage range for the compounds of the invention depends on the compound to be employed and on the condition of the patient. It will also depend, inter alia, upon the relation of potency to absorbability and the frequency and route of administration. The compound or composition of the invention may be formulated for administration by any route, and is preferably in unit dosage form or in a form that a human patient may administer to himself in a single dosage. Advantageously, the composition is suitable for oral, rectal, topical, inhalation, parenteral, intravenous or intramuscular administration. Preparations may be designed to give slow release of the active ingredient. Compositions may, for example, be in the form of tablets, capsules, sachets, vials, powders, granules, lozenges. reconstitutable powders, or liquid preparations, for example solutions or suspensions, or suppositories. The compositions, for example those suitable for oral administration, may contain conventional excipients such as binding agents, for example syrup, acacia, gelatin, sorbitol, tragacanth, or polyvinylpyrrolidone; fillers, for example lactose, sugar, maize-starch, calcium phosphate, sorbitol or glycine; tabletting lubricants, for example magnesium stearate; disintegrants, for example starch, polyvinyl- pyrrolidone, sodium starch glycollate or microcrystalline cellulose; or pharmaceutically acceptable setting agents such as sodium lauryl sulphate. Solid compositions may be obtained by conventional methods of blending, filling, tabletting or the like. Repeated blending operations may be used to distribute the active agent throughout those compositions employing large quantities of fillers. When the composition is in the form of a tablet, powder, or lozenge, any carrier suitable for formulating solid pharmaceutical compositions may be used, examples being magnesium stearate, starch, glucose, lactose, sucrose, rice flour and chalk. Tablets may be coated according to methods well known in normal pharmaceutical practice, in particular with an enteric coating. The composition may also be in the form of an ingestible capsule, for example of gelatin containing the compound, if desired with a carrier or other excipients. Compositions for oral administration as liquids may be in the form of, for example, emulsions, syrups, or elixirs, or may be presented as a dry product for reconstitution with water or other suitable vehicle before use. Such liquid compositions may contain conventional additives such as suspending agents, for example sorbitol, syrup, methyl cellulose, gelatin, hydroxyethylcellulose, carboxymethylcellulose, aluminium stearate gel, hydrogenated edible fats; emulsifying agents, for example lecithin, sorbitan monooleate, or acacia; aqueous or non-aqueous vehicles, which include edible oils, for example almond oil, fractionated coconut oil, oily esters, for example esters of glycerine, or propylene glycol, or ethyl alcohol, glycerine, water or normal saline; preservatives, for example methyl or propyl p-hydroxybenzoate or sorbic acid; and if desired conventional flavouring or colouring agents. The compounds of this invention may also be administered by a non-oral route. In accordance with routine pharmaceutical procedure, the compositions may be formulated, for example for rectal administration as a suppository. They may also be formulated for presentation in an injectable form in an aqueous or non-aqueous solution, suspension or emulsion in a pharmaceutically acceptable liquid, e.g. sterile pyrogen-free water or a parenterally acceptable oil or a mixture of liquids. The liquid may contain bacteriostatic agents, anti-oxidants or other preservatives, buffers or solutes to render the solution isotonic with the blood, thickening agents, suspending agents or other pharmaceutically acceptable additives. Such forms will be presented in unit dose form such as ampoules or disposable injection devices or in ulti- dose forms such as a bottle from which the appropriate dose may be withdrawn or a solid form or concentrate which can be used to prepare an injectable formulation. The compounds of this invention may also be administered by inhalation, via the nasal or oral routes. Such administration can be carried out with a spray formulation comprising a compound of the invention and a suitable carrier, optionally suspended in, for example, a hydrocarbon propellant. Preferred spray formulations comprise micronised compound 5 particles in combination with a surfactant, solvent or a dispersing agent to prevent the sedimentation of suspended particles. Preferably, the compound particle size is from about 2 to 10 microns. ιo A further mode of administration of the compounds of the invention comprises transdermal delivery utilising a skin- patch formulation. A preferred formulation comprises a compound of the invention dispersed in a pressure sensitive adhesive which adheres to the skin, thereby permitting the 15 compound to diffuse from the adhesive through the skin for delivery to the patient. For a constant rate of percutaneous absorption, pressure sensitive adhesives known in the art such as natural rubber or silicone can be used. 20 As mentioned earlier, the effective dose of compound depends on the particular compound employed, the condition of the patient and on the frequency and route of administration. A unit dose will generally contain from 20 to 1000 mg and preferably will contain from 30 to 500 mg, in particular 50, 25100, 150, 200, 250, 300, 350, 400, 450, or 500 mg. The composition may be administered once or more times a day for example 2, 3 or 4 times daily, and the total daily dose for a 70 kg adult will normally be in the range 100 to 3000 mg. Alternatively the unit dose will contain from 2 to 20 mg of 30 active ingredient and be administered in multiples, if desired, to give the preceding daily dose. No unacceptable toxicological effects are expected with compounds of the invention, when administered in accordance 35 with the invention. The present invention also provides a method for the treatment and/or prophylaxis of the Conditions in mammals, particularly humans, which comprises administering to the mammal in need of such treatment and/or prophylaxis an effective amount of a compound of formula (I) or a pharmaceutically acceptable salt or solvate thereof. Compounds of this invention and their preparation are illustrated in the following Examples, the Descriptions illustrating the preparation of intermediates. The compounds of the Examples are summarised in Table 1, and the pharmacological data are summarised in Table II. Description 1 2-[(3S)-3-fluoropyrrolidin-1-yl]carbonyl-4,4-dimethγl piperidine - stereoisomer A - 12.95 ml (0.177 moles) of redistilled thionyl chloride were added dropwise under stirring to a solution fo 6.35 g (0.028 moles) of (R,S)-N-ethoxycarbonyl-4,4-dimethyl pipecolic acid dissolved in 90 ml of dry methylene chloride and kept below -10°C. The reaction mixture was allowed to reach room temperature and left overnight. The solvent was evaporated in vacuo to dryness and the residue, dissolved in 15 ml of dry methylene chloride, was added dropwise to a solution of 5.75 g (0.046 moles) of (3S)-3-fluoropyrrolidine hydrochloride [wo 91 / 08206 ] dissolved in 60 ml of dry methylene chloride and kept below 0°C. The reaction mixture was allowed to reach room temperature and left overnight. 100 ml of methylene chloride were added and the organic solution washed twice with 25% K-,C0 3 (30 ml). Evaporation of the solvent in vacuo afforded the crude mixture of enantiomerically pure diastereoisomers. The less polar product, stereoisomer A, was obtained by silica gel flash column chromatography, eluting with a mixture of CH2CI2 /MeOH/28% NH4OH, 94.5:5:0.5 respectively and was recrystallized from (i-Pr) 2 0 to yield 820 mg of the title compound as a white powder. -.-H-.FH-O M.P. = 97-98 °C .W. = 228 . 304 Description 2 2-[(3S)-3-fluoropyrrolidin-1-ylJmethyl-4,4-dimethyl piperidine - stereoisomer A - The compound was prepared according to the method described in Description lc of wo 91 / 08206 , starting from 820 mg (3.6 mmoles) of the compound of Description 1 of the present invention. 700 mg of the title compound were obtained and used in the subsequent reaction without further purification. C 12 H 23 FN 2 M.W. = 214.320 Description 3_ (R,S)-1-[(3S)-3-fluoropyrrolidin-l-yl]methyl-l,2,3,4-tetrahydro- isoquinoline - mixture of diastereoisomers. The compound was prepared following Description 2 of WO 91 / 08206 and starting from 4 g (18.51 mmoles) of 1- chloromethyl-3,4-dihydroisoquinoline hydrochloride [J. Am. Chem. Soc. 5_9_, 2555 (1933)] and 4.9 g (39.65 mmoles) of (3S)-3- fluoropyrrolidine hydrochloride. 3.37 g of the title compound were obtained and used in the subsequent reaction without further purification. M.W. = 234.308 Description 4 (R,S)-1-[ (3S)-3-fluoropyrrolidin-1-yl]methyl-4,4-dimethyl-l,2,3, 4-tetrahydroisoquinoline-mixture of diastereoisomers. The compound was prepared following Description 2 o WO 91 / 08206 and starting from 4 g (16.38 mmoles) of 1 chloromethyl-4,4-dimethyl-l,2,3,4-tetrahydroisoquinoline hydrochloride [EP-A-409489] and 4.6 g (37.22 mmoles) of (3S)-3 fluoropyrrolidine hydrochloride. 2.84 g of the title compound were obtained and used in th subsequent reaction without further purification. C 16 H 23 FN 2 M.W. = 262.360 Description 5_ (R,S)-2-[(3S)-3-hydroxypyrrolidin-l-yl]methyl-4,4-dimethylpiperi dine - mixture of diastereoisomers. The compound was prepared following Descriptions la and lb o WO 91 / 08206 and starting from 2.75 g (12.00 mmoles) of (RS)-N ethoxycarbony1-4,4-dimethyl pipecolic acid and 2.61 g (29.9 mmoles) of (3S)-3-hydroxypyrrolidine. 2.0 g of title compound were obtained and used in the subsequen reaction without further purification. c H N o 12 24 2 M.W. = 212.328 Example jL l-(4-trifluoromethylphenyl)acetyl-2-(3-hydroxypyrrolidin-l-yl) methγl-4,4-dimethyl piperidine hydrochloride. Diastereoisomeric mixture. 1.50 g (6.71 mmoles) of distilled 4-trifluoromethγlphenγl acetyl chloride, dissolved in 10 ml of dry chloroform, were added dropwise at -20°C to a stirred solution of 1.20 g (5.65 mmoles) of 2-(3-hydroxypyrrolidin-l-yl)methyl-4,4-dimethγl piperidine - diast. mix. - dissolved in 35 ml of dry chloroform. The reaction mixture was allowed to reach room temperature and stirred overnight. The organic solution was treated with 10% K2CO3, washed with water and dried over Na2Sθ4; the solvent was evaporated in vacuo to dryness and the residue purified by 230-400 mesh silica gel flash column chromatography, eluting with a mixture of CH2CI2/ MeOH/28% NH4OH, 95:5:0.5 respectively. The so obtained pure free base was dissolved in25 mi of ethyl acetate and the solution brought to acidic pH with HCl/Et2θ. The precipitate was filtered, washed and dried, to yield 700 mg of the title compound. C 21 H 29 F 3 N 2°2- HC1 M.P. = 178-180°C M.W. = 434.923 Elemental analysis: Calcd. C, 57.99; H, 6.95; N, 6.44; Cl, 8.15; F, 13.11; Found C, 58.04; H, 6.98; N, 6.43; Cl, 8.27; F, 13.02. I.R. (KBr) : 3270, 2960, 1625, 1330, 1120 cm" 1 Example 2_ (2S)-1-(4-trifluoromethylphenyl)acetyl-2-[ (3S)-3-fluoropyrrolidi -1-yl)] ethyl piperidine hydrochloride hemihydrate. 1.58 g (7.06 mmoles) of distilled 4-trifluoromethylphenyl acetyl chloride, dissolved in 10 ml of dry chloroform, were added dropwise at -10°C to a stirred solution of 1.20 g (6.45 mmoles) of (2S)-[ (3S)-3-fluoropyrrolidin-l-yl]methyl piperidine dissolve in 35 ml of dry chloroform in the presence of 1.00 g (7.24 mmoles) of anhydrous potassium carbonate. The reaction mixture was allowed to reach room temperature and stirred overnight, washed with water , 5% NaHC0 3 and the organic solution dried over Na2Sθ ,- the solvent was evaporated iji vacuo to dryness and the residue purified by 230-400 mesh silica gel flash column chromatography, eluting with ethyl acetate containing 0.6% of 28% NH 4 OH. The so obtained pure free base was dissolved in 30 ml of ethyl acetate and the solution brought to acidic pH with HCl/Et2θ. The precipitate was filtered, washed and dried, to yield 1.3 g of the title compound. C 19 H 24 F 4 N 2° •HC1 ' 1 / 2 H 2° M.P. = 151-153°C M.W. = 417.871 [ α l D = -45.3 (C=l, MeOH) Elemental analysis: Calcd. C, 54.61; H, 6.27; N, 6.70; Cl, 8.49; F, 18.19; Found C, 54.62; H, 6.22; N, 6.66; Cl, 8.53; F, 18.32. I.R. (KBr) : 3340, 2940, 1635, 1330, 1120, 1065 cm -1 Example 3_ 1-(4-trifluoromethylphenyl)acetyl-2-[(3S)-3-fluoropyrrolidin-1-yl methyl-4,4-dimethyl piperidine hydrochloride - stereoisomer A - Prepared as described in Example 2, starting from 700 mg (3.27 mmoles) of 2-[(3S)-3-fluoropyrrolidin-l-yl] methyl-4,4-dimethyl piperidine - stereoisomer A -, 940 mg (4.22 mmoles) of distilled 4-trifluoromethylphenyl acetyl chloride and 450 mg (3.27 mmoles) of anhydrous potassium carbonate in 20 ml of dry methylene chloride. The crude product was purified by silica gel flash column chromatography, eluting with a mixture of EtOAc/n-hexane/28% NH 4 OH, 40:10:0.3 respectively to yield 800 mg of the pure free base which was dissolved in EtOAc and the solution brought to acidic pH with HCl/Et 2 0. The precipitate was filtered, washed and dried to yield 700 mg of the title compound. C_,H F N O-HCl 21 28 4 2 M.P. = 156-157°C M.W. = 436.915 -?f) Cαl = -33.8 (C = 1, MeOH) D Elemental analysis: Calcd. C, 57.73; H, 6.69; N, 6.41; Cl, 8.12; F, 17.39; Found C, 57.75; H, 6.72; N, 6.38; Cl, 8.18; F, 17.27. I.R. (KBr) : 3450; 2960; 2930; 1625; 1615; 1425; 1330; 1160; 1110; 1065 cπf 1 On the basis of the sign of the optical rotation and of its pharmacological activity, in analogy with other structurally related compounds [Chirality, (1992), 4_ (1), 8-15] , the (S) configuration at the unspecified chiral center may be assigned to the above mentioned enantiomerically pure stereoisomer A. Example 4 (R,S)-l-[(3S)-3-fluropyrrolidin-l-yl]methyl-2-(4-trifluoromethyl phenyl)acetyl-1,2,3,4-tetrahydroisoquinoline hydrochloride. Prepared as described in Example 2, starting from 1.43 g (6.1 mmoles) of (R,S)-l-[ (3S)-3-fluoropγrrolidin-l-yl]methyl-l,2,3,4 tetrahydroisoquinoline, 1.7 g (7.63 mmoles) of distilled 4 trifluoromethylphenyl acetyl chloride and 0.8 g (5.80 mmoles) o anhydrous potassium carbonate in 25 ml of dry methylene chloride The crude product was purified by silica gel flash column chromatography, eluting with a mixture of EtOAc/n-hexane/28 NH4OH, 40:10:0.2 respectively to yield 1.8 g of the pure fre base which was dissolved in ethyl acetate and the solutio brought to acidic pH with HCl/Et2θ. The precipitate was filtered, washed and dried to yield 1.6 g o the title compound. C 23 H 24 F 4 N 2 O.HCl M.P. = 195-197°C M.W. = 456.903 Elemental analysis: Calcd. C, 60.45; H, 5.51; N, 6.13; Cl, 7.76; F, 16.63; Found C, 60.22; H, 5.48; N, 6.08; Cl, 7.63; F, 16.59. I.R. (KBr) : 3420; 2970; 2540; 1640; 1430; 1120 cm "1 Example 5_ (R,S)-l-[ (3S)-3-fluoropyrrolidin-l-yl]methyl-2-(4-trifluoromethy phenyl)acetyl-4,4-dimethyl-l,2,3,4-tetrahydroisβquinoline. Prepared as described in Example 2, starting from 1.3 g (4.9 mmoles) of (R,S)-l-[(3S)-3-fluoropyrrolidin-l-γl]methyl-4,4-dim thyl-l,2,3,4-tetrahydroisoquinoline, 1.43 g (6.42 mmoles) o distilled 4-trifluoromethylphenyl acetyl chloride and 0.69 (4.96 mmoles) of anhydrous potassium carbonate in 25 ml of dr methylene chloride. The crude product was purified by silica gel flash colum chromatography, eluting with a mixture of EtOAc/n-hexane/28% NH OH, 25:25:0.2 respectively to yield 1.7 g of the pure fre base which was recrystallized from n-hexane to yield 1.6 g of th title compound. C 25 H 28 F 4 N 2° M.P. = 98-100°C M.W. = 448.490 Elemental analysis: Calcd. C, 66.95; H, 6.29; N, 6.25; F, 16.95; Found C, 66.87; H, 6.30; N, 6.22; F, 17.03. I.R. (KBr) : 2980; 2800; 1630; 1610; 1450; 1410; 1330 cm -1 Example 6_ (R,S)-1-(4-trifluoromethylphenyl)acetyl-2-[(3S)-3-hydroxypyrroli- din-1-γl]methyl-4,4-dimethyl piperidine hydrochloride. Prepared as described in Example 1, starting from 2.0 g (9.42 mmoles) of (RS)-2-[(3S)-3-fluropγrrolidin-l-γl]methyl-4,4-dimethy piperidine and 2.09 g (9.39 mmoles) of distilled 4- trifluorometh phenyl acetyl chloride in 60 ml of dry DMF at a temperature o -15°C. The crude product was purified by silica gel flash column chromatography, eluting with a mixture of C__2Cl2/MeOH/28% NH4OH, 94.5:5:0.5 respectively to obtain 1.8 g of the pure free base which was dissolved in ethyl acetate and the solution brought t acidic pH with HCl/Et 2 0. The precipitate was filtered, washed and dried to yield 1.6 g o the title compound. C 21 H 29 F 3 N 2 0 2 -HC1 M.P. = 175-177°C M.W. = 434.923 Elemental analysis: Calcd. C, 57.99; H 7 6.95; N, 6.44; Cl, 8.15, F, 13.11; Found C, 57.89; H, 7.01; N, 6.39; Cl, 8.18; f, 13.01. I.R. (KBr) : 3240; 2940; 2620; 1630; 1440; 1130 cm "1 The pharmacological activity of the compounds of this invention is illustrated by various in vitro and in vivo models, using the following test procedures, in which the mousetail flick test demonstrates analgesic activity. PHARMACOLOGICAL TESTS A) P-phenylquinone-induced abdominal writhing test in mice The methodology employed is based on that described by Sigmund et al, Proc. Soc. Exptl. Biol. 95, 729/1957, modified by Milne and Twomey, Agents and Actions, 10, 31/1980. Male Charles. River mice (Swiss Strain) , 25-36g body weight, were used. Animals were allowed food and water ad libitum and were randomized into groups of 10 prior to experimentation. Test compounds were dissolved in either distilled water or distilled water plus 0.1 M AMS, and administered by the subcutaneous route in a final volume of 10 ml/Kg. Control animals received 10 ml/Kg of the appropriate vehicle alone. Following a pretreatment ** period of 20 min., mice were injected intraperitoneally with p-phenylquinone, 2 mg/Kg at 37°C in a final volume of 10 mg/Kg. Next, the mice were placed, in groups of 3, in a compartmented perspex box maintained at room temperature and were observed for a period of 8 min. During this period the number of abdominal writhing responses per animal were recorded where writhing consists of an intermittent contraction of the abdomen associated with hind leg extension. The degree of antinociceptive protection afforded by the test compound was determined as the mean number of writhing responses observed in the treated group (T) expressed as a percentage of the mean number of writhing responses in the control group (C) according to the following formula: [1-(T/C]xl00% = % graded protection 5 B) Tail-flick test in mice The methodology employed is based on that described by D'Amour and Smith, J. Pharmacol. Exp. Ther. 72./ 74/1941. 0 Male Charles River mice (Swiss Strain) , 22-34g body weight were used. Animals were allowed food and water ad libitum and were randomized into groups of 10 prior to experimentation. Before administration of the test compound, the reaction time of each animal was determined by 5 focusing a beam of light onto the tail, eliciting a reflex withdrawal after a certain latency; only mice exhibiting a latency between 3-8 sec. were used subsequently in the evaluation of drug effects. 0 Test compounds were dissolved in either distilled water or distilled water plus 0.1 M AMS and administered by the subcutaneous route in a final volume of 10 ml/Kg. Control animals received 10 ml/kg of the appropriate vehicle- " alone. Following a pretreatment period of 30 min., the mice were again placed under the heat source and the reaction tine ■ re-determined. Percentage quantal protection was determined as the number of mice in which the reaction time was doubled compared to pretreatment values, expressed as a percentage of the total number of mice in the group. - Zz - TABLE II Data are referred to the free base.

Claims: Claims 1. A compound of formula (I), or a solvate or salt thereof, in which each of R^, R , R3 and R is hydrogen or methyl, and/or R^, R2 and R3 together form a =CH-CH=CH-CH= group, and X is hydroxy or fluoro. 2. A compound according to claim 1, in which R-^ and R 4 are hydrogen, and R2 and R3 are methyl. 3. A compound according to claim 1, in which R 1# R2, R3 and R 4 are hydrogen. 4. 1-(4-trifluoromethylphenyl)acetyl-2-(3- hydroxypyrrolidin-1-yl)methyl-4,4-dimethyl piperidine. 5. (2S)-1-(4-trifluoromethylphenyl)acetyl-2-[ (3S)-3- fluoropyrrolidin-1-yl) ]methyl piperidine. 6. 1- (4-trifluoromethylphenyl) acetyl-2- [ (3S)-3- fluoropyrrolidin-1-yl]methyl-4, 4-dimethyl piperidine. 7. (R,S)-l-[ (3S)-3-fluoropyrrolidin-l-yl]methyl-2-(4- trifluoromethylphenyl)acetyl-1,2,3,4- tetrahydroisoquinoline. 8. (R, S) -1-[ (3S)-3-fluoropyrrolidin-l-yl]methyl-2- (4- trifluoro ethylphenyl) acetyl-4, 4.-dimethyl-l,2,3,4- tetrahydroisoquinoline. 9. (R,S)-1- (4-trifluoromethylphenyl)acetyl-2-[ (3S)-3- hydroxypyrrolidin-1-yl]methyl-4,4-dimethyl piperidine. 10. A process for the preparation of a compound of formula (I) according to any one of claims 1 to 9, which comprises reacting 4-trifluoromethylρhenylacetic acid, or an active derivative thereof, with a compound of formula I (a) in which R-^, R2/ R3/ R and X are as defined in formula (I) , and then optionally forming a salt and/or solvate of the obtained compound of formula (I) . 11. A compound of formula 1 (a) in which Ri, R2, R3, R4 and X are as defined for formula (I) in claim 1. 15 12. A pharmaceutical composition comprising a compound according to any one of claims 1 to 9 and a pharmaceutically acceptable carrier. 20 13. A compound according to any one of claims 1 to 9 for use as an active therapeutic substance. 14. A compound according to any one of claims 1 to 9 for use in the treatment of pain, convulsions, cough, 25 asthma, inflammation, pancreatitis, arrhythmias, hyponatraemic disease states or cerebral ischaemia. 15. The use of a compound according to any one of claims 1 to 9 in the manufacture of a medicament for the 30 treatment of pain, convulsions, cough, asthma, inflammation, pancreatitis, arrhythmias, hyponatraemic disease states or cerebral ischaemia. 16. A method for the treatment and/or prophylaxis of pain, convulsions, cough, asthma, inflammation, pancreatitis, arrhythmias, hyponatraemic disease states or cerebral ischaemia in mammals, particularly humans, which comprises administering to the mammal in need of such treatment and/or prophylaxis an effective amount of a compound according to any one of claims 1 to 9. ET

Inventors: CLARKE GEOFFREY DOUGLAS, COLLE ROBERTO, GIARDINA GIUSEPPE, CLARKE, GEOFFREY, DOUGLAS, COLLE, ROBERTO, GIARDINA, GIUSEPPE
Applicants: ZAMBELETTI SPA L, DR LO ZAMBELETTI S.P.A.
Application year: 1992
Main classification: C07D401
IPC codes: A61K31, A61P7, A61P9, A61P11, A61P25, A61P29, C07D401