INDOLE DERIVATIVES USEFUL FOR THE TREATMENT OF CNS DISORDERS

Abstract: The present invention relates to dopamine and serotonin receptor ligands having the general formula (I) wherein one of Y<1> and Y<2> is N, which is bound to Z, and the further meanings of Y<1>, Y<2>, Y<3>, Y<4>, Z, W, n, m, X, R and R<1>-R<12> are as given in the claims and the description. The compounds of the invention are useful in the treatment of certain psychiatric and neurological disorders, i. e. schizophrenia and other psychoses, anxiety disorders, depression, migraine, cognitive disorders, ADHD and sleep improvement.

Description: INDOLE DERIVATES USEFUL FOR THE TREATMENT OF CNS DISORDERS Field of the Invention 5 The present invention relates to a novel class of indole derivatives having affinity for the dopamine D 4 receptor. The compounds are therefore useful in the treatment of certain psychiatric and neurologic disorders, in particular psychoses. The compounds also have affinity for the 5-HT A receptor. 0 Background of the Invention Dopamine D 4 receptors belong to the dopamine D 2 subfamily of receptors, which is considered to be responsible for the antipsychotic effect of neuroleptics. The side effects of neuroleptic drugs, which primarily exert their effect via antagonism of D receptors, are 5 known to be due to D 2 receptor antagonism in the striatal regions of the brain. However, dopamine D 4 receptors are primarily located in areas of the brain other than striatum, suggesting that antagonists of the dopamine D 4 receptor will be devoid of extrapyramidal side effects. This is illustrated by the antipsychotic clozapine, which exerts higher affinity for D than D 2 receptors and is lacking extrapyramidal side effects (Van Tol et al. Nature 0 1991, 350, 610; Hadley Medicinal Research Reviews 1996, 16, 507-526 and Sanner Exp. Opin. Ther. Patents 1998, 8, 383-393). A number of D 4 ligands, which were postulated to be selective D receptor antagonists (L- 745,879 and U-101958), have been shown to posses antipsychotic potential (Mansbach et 5 al. Psychopharmacology 1998 135, 194-200). However, recently it has been reported that these compounds are partial D receptor agonists in various in vitro efficacy assays (Gazi et al. Br. J. Pharmacol. 1998, 124, 889-896 and Gazi et al. Br. J. Pharmacol. 1999, 128, 613- 620). Furthermore, it was shown that clozapine, which is an effective antipsychotic, is a silent antagonists (Gazi et al. Br. J. Pharmacol. 1999, 128, 613-620). 0 Consequently, D ligands, which are partial D 4 receptor agonists or antagonists, may have beneficial effects against psychoses. Dopamine D 4 antagonists may also be useful for the treatment of cognitive deficits (Jentsch et al. Psychopharmacology 1999, 142, 78-84). Furthermore, evidence for a genetic association between the "primarily inattentive" subtype of attention deficit hyperactivity disorder and a tandem duplication polymorphism in the gene encoding the dopamine D 4 receptor has been published (McCracken et al. Mol. Psychiat. 2000, 5, 531-536). This clearly indicates a link between the dopamine D receptor and attention deficit hyperactivity disorder and ligands affecting this receptor may be useful for the treatment of this particular disorder Various effects are known with respect to compounds, which are ligands at the different serotonin receptor subtypes. As regards the 5-HT 2 A receptor, which was previously referred to as the 5-HT 2 receptor, the following effects have been reported, e.g.: Antidepressive effect and improvement of the sleep quality (Meert et al. Drug. Dev. Res. 1989, 18, 119), reduction of the negative symptoms of schizophrenia and of extrapyramidal side effects caused by treatment with classical neuroleptics in schizophrenic patients (Gelders British J. Psychiatry 1989, 155 (suppl. 5), 33). Furthermore, selective 5-HT 2A antagonists could be effective in the prophylaxis and treatment of migraine (Scrip Report; "Migraine - Current trends in research and treatment"; PJB Publications Ltd.; May 1991) and in the treatment of anxiety (Colpart et al. Psychopharmacology 1985, 86, 303-305 and Perregaard et al. Current Opinion in Therapeutic Patents 1993, 1, 101-128). Some clinical studies implicate the 5-HT 2 receptor subtype in aggressive behaviour. Furthermore, atypical serotonin-dopamine antagonist neuroleptics have 5-HT 2 receptor antagonistic effect in addition to their dopamine blocking properties and have been reported to possess anti-aggressive behaviour (Connor et al. Exp. Opin. Ther. Patents. 1998, 8(4), 350-351). Recently, evidence has also accumulated which support the rational for selective 5-HT 2A antagonists as drugs capable of treating positive symptoms of psychosis (Leysen et al. Current Pharmaceutical Design 1997, 3, 367-390 and Carlsson Current Opinion in CPNS Investigational Drugs 2000, 2(1), 22-24). Accordingly, dopamine D 4 receptor ligands are potential drugs for the treatment of schizophrenia and other psychoses and compounds with combined effects at dopamine D 4 and 5-HT 2A receptors may have the further benefit of improved effect on positive and negative symptoms in schizophrenia, including depressive and anxiety symptoms. Dopamine D ligands related to the compounds of the invention are known from WO 98/28293. The indane and dihydroindole derivatives disclosed herein have the general formula wherein A is an indole and Y is a group completing an indane or a dihydroindole and the other substituents are as defined in the application. WO 94/18197, EP 329168, WO 93/16073, EP 732332, WO 98/37893 and WO 95/11680 disclose compounds, claimed to be dopamine D ligands useful as antipsychotics, which, like the compounds of the present invention, have a tetrahydroquinolinone or a tetrahydroisoquinolinone in one end of the molecule. However, these compounds do not contain an indole as the compounds of the present invention. The compounds of WO 93/16073 are also said to have antagonistic activity at 5-HT receptors. Summary of the Invention The object of the present invention is to provide compounds, which are partial agonists or antagonists at the dopamine D receptor, in particular compounds with combined effects at the dopamine D 4 receptor and the 5-HT 2A receptor. Accordingly, the present invention relates to novel compounds of formula I wherein a) Y 1 is N, which is bound to Z, Z and Y 2 are selected from CH 2 , CO, CS, SO and SO 2 ; provided that at least one of Z and Y 2 is CH 2 ; Y 3 is O, S or CHR 7 and Y 4 is O, S or CHR 8 , provided that only one of Y 3 and Y 4 is O or S; b) Y 2 is N, which is bound to Z, Z and Y 1 are selected from CH 2 , CO, CS, SO and SO 2 ; provided that at least one of Z and Y 1 is CH 2 ; Y 3 is CHR 7 and Y 4 is O, S or CHR 8 ; c) Y 2 is N, which is bound to Z, Z and Y 3 are selected from CH 2 , CO, CS, SO and SO 2 provided that at least one of Z and Y 3 is CH 2 ; CHR 6 and Y 4 is O, S or CHR 8 ; W is a bond, O, S, CO, CS, SO or SO 2 ; n is 0-5, m is 0-5 and n + m is 1-6; provided that when W is O or S, then n > 2 and m > 1; when W is CO, CS, SO or SO 2 , then n > land m > 1; X is C, CH or N, provided that when X is C, the dotted line indicates a bond, and when X is N or CH, the dotted line indicates no bond; one of R 1 , R 2 , R 3 and R 4 forms a bond to X and the others of R 1 , R 2 , R 3 , R 4 and R 5 and R 9 - R 12 are independently selected from hydrogen, halogen, cyano, nitro, amino, hydroxy, Ci- 6 -alkyl-amino, di-( C 1-6 -alkyl )-amino, C 1-6 -alkyl, C 2-6 -alkenyl, C 2-6 -alkynyl, -e-alkoxy, C 1-6 -alkylthio, C 1-6 -alkyl substituted with hydroxy or thiol, C 3-8 -cycloalkyl, C 3- s -cycloallcyl-C 1-6 -alkyl, acyl, thioacyl, trifluoromethyl, trifluoromethylsulfonyl or C 1-6 alkylsulfonyl; R is hydrogen, C 1-6 -alkyl, C 2-6 -alkenyl, C 2-6 -alkynyl, Cι- 6 -alkyl substituted with hydroxy or thiol, C 3-8 -cycloalkyl, C 3-8 -cycloalkyl-C 1-6 -alkyl, acyl, thioacyl, trifluoromethylsulfonyl and C 1-6 -alkylsulfonyl; or pharmaceutically acceptable salts thereof. In a first embodiment, the present invention relates to compounds wherein Y 1 is N, which is bound to Z, Z and Y 2 are selected from CH 2 , CO, CS, SO and SO 2 ; provided that at least one of Z and Y 2 is CH 2 ; Y 3 is O, S or CHR 7 , and Y 4 is O, S or CHR 8 , provided only one of Y 3 and Y 4 is O or S. Particular compounds of the invention are compounds wherein: Y 1 is N, which is bound to Z, Z and Y 2 are selected from CH 2 and CO; provided that at least one of Z and Y 2 is CH 2 ; Y 3 is CHR 7 and Y 4 is O, S or CHR 8 ; Y 1 is N, which is bound to Z, Z is CH 2 , Y 2 is CO, Y 3 is CHR 7 and Y 4 is O, S or CHR 8 ; Y 1 is N, which is bound to Z, Z and Y 2 are CH 2 ; Y 3 is CHR 7 and Y 4 is O, S or CHR 8 ; and Y 1 is N, which is bound to Z, Z is CO, Y 2 is CH 2 , Y 3 is CHR 7 and Y 4 is O, S or CHR 8 . In a second embodiment, the present invention relates to compounds wherein Y 2 is N, which is bound to Z, Z and Y 1 are selected from CH 2 , CO, CS, SO and SO 2 ; provided that at least one of Z and Y 1 is CH 2 ; Y 3 is CHR 7 and Y 4 is O, S or CHR 8 : Particular compounds of the invention are compounds wherein: Y 2 is N, which is bound to Z, Z and Y 1 are selected from CH 2 and CO; provided that at least one of Z and Y 1 is CH 2 ; Y 3 is CHR 7 and Y 4 is O, S or CHR 8 ; Y 2 is N, which is bound to Z, Z is CH 2 and Y 1 is CO; Y 3 is CHR 7 and Y 4 is O, S or CHR 8 ; Y 2 is N, which is bound to Z, Z and Y 1 are CH 2 ; Y 3 is CHR 7 and Y 4 is O, S or CHR 8 ; and Y 2 is N, which is bound to Z, Z is CO and Y 1 is CH 2 ; Y 3 is CHR 7 and Y 4 is O, S or CHR 8 . In a third embodiment, the present invention relates to compounds wherein Y 2 is N, which is bound to Z, Z and Y 3 are selected from CH 2 , CO, CS, SO and SO 2 provided that at least one of Z and Y 3 is CH 2 ; Y 1 is CHR 6 and Y 4 is O, S or CHR 8 , Particular compounds of the invention are compounds wherein: Y 2 is N, which is bound to Z, Z and Y 3 are selected from CH 2 and CO; Y 1 is CHR 6 and Y 4 is O, S or CHR 8 ; Y 2 is N, which is bound to Z, Z is CH 2 and Y 3 is CO; Y 1 is CHR 6 and Y 4 is O, S or CHR 8 ; Y 2 is N, which is bound to Z, Z and Y 3 is CH 2 ; Y 1 is CHR 6 and Y 4 is O, S or CHR 8 : and Y 2 is N, which is bound to Z, Z is CO and Y 3 is CH 2 ; Y 1 is CHR 6 and Y 4 is O, S or CHR 8 . In a particular embodiment, the present invention relates to compounds wherein R 2 or R 3 form a bond to X. h other embodiments, the invention relates to compounds wherein X is N, C or CH, respectively. In another specific embodiment, the invention relates to such compounds wherein one of R 1 , R 2 , R 3 and R 4 forms a bond to X and the others of R 1 , R 2 , R 3 ,R 4 and R 5 and R 9 - R 12 are selected from hydrogen, halogen, cyano, nitro, amino, C 1-6 -alkyl, -e-alkoxy, C 1-6 - alkylthio, hydroxy and trifiuoromethyl and R is hydrogen, Ci- 6 -alkyl, C 1-6 -alkylcarbonyl. In a particular embodiment, R 6 , R 7 and R 8 are hydrogen or halogen in the above compounds of the invention. In another particular embodiment, R, R r -R 5 , and R 9 -R 12 are selected from hydrogen and halogen in the above compounds of the invention. More particularly, R 1 to R are selected from hydrogen and flour. In another embodiment, W is a bond and n+m is 2 to 4 in the above compounds of the invention. Specific compounds of the invention may be selected from 5- {4-[2-(2-Oxo-3 ,4-dihydro-2H-quinolin- 1 -yl)ethyl]piperazin- 1 -yl} - lH-indole, 5- {4-[3-(2-Oxo-3 ,4-dihydro-2H-quinolin- 1 -yl)propan- 1 -yljpiperazin- 1 -yl} - lH-indole, 5 - {4- [4-(2-Oxo-3 ,4-dihydro-2H-quinolin- 1 -yl)butan- 1 -yljpiperazin- 1 -yl} - lH-indole, 6- {4-[3-(2-Oxo-3 ,4-dihydro-2H-quinolin- 1 -yl)propan- 1 -yljpiperazin- 1 -yl} - lH-indole, 6- {4-[4-(2-Oxo-3 ,4-dihydro-2H-quinolin- 1 -yl)butan- 1 -yljpiperazin- 1 -yl} - lH-indole, 5- {4- [3 -(2-Oxo-3,4-dihydro-2H-quinolin- 1 -yl)propan- 1 -yl]-3 ,6-dihydro-2H-pyridin-4-yl} - lΗ-indole, 5- {4- [3-(2-Oxo-3 ,4-dihydro-2H-quinolin- 1 -yl)propan- 1 -yl]piperidin-4-yl} - lH-indole, 5- {4-[4-(3 -Oxo-3 ,4-dihydro-2H- 1 ,4-benzoxazin-4-yl)butan- 1 -yljpiperazin- 1 -yl} - lH-indole, 5-{4-[3-(l-Oxo-3,4-dihydro-lH-quinolin-2-yl)propan-l-yl]piperazin-l-yl}-lH-indole, 5- {4-[4-(l -Oxo-3 ,4-dihydro- lH-quinolin-2-yl)butan- 1 -yljpiperazin- 1 -yl} - lH-indole, 5- {4-[3 -(3 ,4-Dihydro-2H-quinolin- 1 -yl)propan- 1 -yljpiperazin- 1 -yl} - lH-indole, 5- {4- [3-(3 ,4-Dihydro-2H-quinolin- 1 -yl)propan- 1 -yljpiperazin- 1 -yl} - lH-indole, 5- {4-[3-(3 ,4-dihydro- lH-isoquinolin-2-yl)-3-oxopropan- 1 -yljpiperazin- 1 -yl} - lH-indole, and 5- {4-[4-(3 ,4-dihydro- lH-isoquinolin-2-yl)-4-oxobutan- 1 -yljpiperazin- 1 -yl} - lH-indole, or pharmaceutically acceptable salts thereof. The compounds of the invention have been found to show high affinity for the dopamine D 4 receptor and to be partial agonists or antagonists at this receptor. The compounds also show affinity for serotonergic 5-ΗT 2 A receptors. Accordingly, the compounds of the invention are considered useful in the treatment of positive and negative symptoms of schizophrenia, other psychoses, anxiety disorders, such as generalised anxiety disorder, panic disorder and obsessive compulsive disorder, depression, aggression, cognitive disorders, side effects induced by conventional antipsychotic agents, migraine, attention deficit hyperactivity disorder and in the improvement of sleep. In another aspect, the present invention provides a pharmaceutical composition comprising at least one compound of formula I as defined above or a pharmaceutically acceptable acid addition salt thereof in a therapeutically effective amount preferably in combination with one or more pharmaceutically acceptable carriers or diluents. In a further aspect, the present invention provides the use of a compound of formula I as defined above or a pharmaceutically acceptable acid addition salt thereof for the manufacture of a pharmaceutical preparation for the treatment of the above mentioned disorders. Detailed Description of the Invention The compounds of general formula I may exist as optical isomers thereof and such optical isomers are also embraced by the invention. The term C 1-6 -alkyl refers to a branched or unbranched alkyl group having from one to six carbon atoms inclusive, such as methyl, ethyl, 1-propyl, 2-propyl, 1 -butyl, 2-butyl, 2- methyl-2-propyl,2-methyl-l-propyl, pentyl and hexyl. Similarly, C 2-6 -alkenyl and C 2-6 -alkynyl, respectively, designate such groups having from two to six carbon atoms, including one double bond and triple bond, respectively, such as ethenyl, propenyl, butenyl, ethynyl, propynyl and butynyl. The teπns C 1-6 -alkoxy, Cι -6 -alkylthio, C 1-6 -alkylsulfonyl, C 1-6 -alkylamino, C 1-6 -alkylcarbonyl, etc. designate such groups in which the alkyl group is C 1-6 -alkyl as defined above. The term C 3-8 -cycloalkyl designates a monocyclic or bicyclic carbocycle having three to eight C-atoms, such as cyclopropyl, cyclopentyl, cyclohexyl, etc. Halogen means fluoro, chloro, bromo or iodo. As used herein, the term acyl refers to a formyl, C 1-6 -alkylcarbonyl, arylcarbonyl, aryl-C 1-6 -alkylcarbonyl, C 3-8 -cycloalkylcarbonyl or a C 3- s-cycloalkyl-C 1-6 -alkyl-carbonyl group and the term thioacyl is the corresponding acyl group in which the carbonyl group is replaced with a thiocarbonyl group. The term aryl refers to a carbocyclic aromatic group, such as phenyl, naphthyl, in particular phenyl, including methyl substituted phenyl or naphthyl . The acid addition salts of the compounds of the invention are pharmaceutically acceptable salts formed with non-toxic acids. Exemplary of such organic salts are those with maleic, fumaric, benzoic, ascorbic, succinic, oxalic, bis-methylenesalicylic, methanesulfonic, ethanedisulfonic, acetic, propionic, tartaric, salicylic, citric, gluconic, lactic, malic, mandelic, cinnamic, citraconic, aspartic, stearic, palmitic, itaconic, glycolic, p- aminobenzoic, glutamic, benzenesulfonic and theophylline acetic acids, as well as the 8- halotheophyllines, for example 8-bromotheophylline. Exemplary of such inorganic salts are those with hydrochloric, hydrobromic, sulfuric, sulfamic, phosphoric and nitric acids. The pharmaceutical compositions of this invention, or those which are manufactured in accordance with this invention, may be administered by any suitable route, for example orally in the form of tablets, capsules, powders, syrups, etc., or parenterally in the form of solutions for injection. For preparing such compositions, methods well known in the art may be used, and any pharmaceutically acceptable carriers, diluents, excipients or other additives normally used in the art may be used. Conveniently, the compounds of the invention are administered in unit dosage form containing said compounds in an amount of about 0.01 to 100 mg. The total daily dose is usually in the range of about 0.05 - 500 mg, and most preferably about 0.1 to 50 mg of the active compound of the invention. The compounds of the invention may be prepared as follows: 1) Alkylating a piperazine, piperidine or tetrahydropyridine of formula II with an alkylating derivative of formula III: wherein R, R^R 5 , R 9 -R 12 , Y -Y 4 , X, Z, n, m, W and the dotted line are as previously defined, and L is a leaving group such as e.g. halogen, mesylate or tosylate; 2) Reductive alkylation of an amine of formula II with a reagent of formula IV: wherein R, R -R 5 , R 9 -R 12 , Y^Y 4 , X, Z, n, m, W and the dotted line are as previously defined, and E is either an aldehyde or an activated carboxylic acid group; 3) Alkylating a compound of formula VI with an alkylating derivative of formula V: wherein X, R, R 1 - R 5 , R 9 -R 12 , n, m, W and the dotted line are as previously defined and L is a leaving group such as e.g. halogen, mesylate or tosylate, and Y ! -Y 4 are as previously defined with the exception that the one of Y -Y 2 , which is to be the point of attachment, is NH or N " ; 4) Reducing the tetrahydropyridinyl double bond in derivatives of formula VII: vπ) wherein R, R^R 5 , R 9 -R 12 , Y^Y 4 , Z, n, m, and W are as previously defined; 5) Reducing the amide carbonyl in a compound of formula VIII: (VIII) wherein R, R , 1 -R , R -R , 12 , Y Λ - xYr , X, n, m, W, Z and the dotted line are as previously defined; 6) Reducing the amide carbonyl in a compound of formula IX: (IX) wherein R, R , 1 -R , R -R , 12 , Y Λ -Y / 4 , X, n, m, W and the dotted line are as previously defined; 7) Reductive alkylation of an amine of formula XI with a reagent of formula X: 1 *ϊ 0 1 wherein X, R, R -R , R -R , m, n, W and the dotted line are as previously defined, and E is either an aldehyde or an activated carboxylic acid group and Y -Y 4 are as previously defined with the exception that the one of Y^Y 2 , which is to be the point of attachment, is H and the ring member adjacent to NH is CH ; 8) Acylation of an amine of the formula XI with a reagent of formula X wherein X, R, R^R 5 , R 9 -R 12 , m, n, W and the dotted line are as previously defined, and E is either an aldehyde or an activated carboxylic acid group and Y -Y 4 are as previously defined with the exception that one of Y^Y 2 , which is to be the point of attachment, is NH and the ring member adjacent to NH is CH 2 ; whereupon the compound of Formula (I) is isolated as the free base or a pharmaceutically acceptable acid addition salt thereof. The alkylation according to methods 1) and 3) is conveniently performed in an inert organic solvent such as a suitably boiling alcohol or ketone, preferably in the presence of an organic or inorganic base (potassium carbonate, diisopropylethylamine or triethylamine) at reflux temperature. Alternatively, the alkylation can be performed at a fixed temperature, which is different from the boiling point, in one of the above mentioned solvents or in dimethyl formamide (DMF), dimethylsulfoxide (DMSO) or N-methylpyrrolidin-2-one (NMP), preferably in the presence of a base. Some of the amines of formula (II) are known from the literature or may be prepared analogously (see WO 98/28293, US patent No. 5.576319 or WO 94/20459). Piperazines of formula (II) may be prepared from nitroindoles by reduction of the nitro group to an aniline, which subsequently is subjected to piperazine synthesis by methods obvious to a chemist skilled in the art (see also Kruse et al. Recl.Trav.Chim., Pays-Bas. 1988, 107, 303-309). Piperidines such as 5-(piperidin-4-yl)-lH-indoles may be prepared from the corresponding tetrahydropyridines (WO 94/20459). Alkylating reagents of formula (III) are known from the literature (see Oshiro et al. J Med. Chem. 2000, 43, 177-189 and EP-B1-512525) or they can be prepared by methods obvious to a chemist skilled in the art by an analogous synthetic sequence (see Kowalski et al. J.Heterocyclic Chem. 2000, 37, 187-189, Mokrosz et al. Pharmazie 1997, 52, 423-428 and Misztal et al. Med. Chem.Res. 1992, 2, 82-87). Alkylating reagents of formula (V) can be prepared by methods obvious to a chemist skilled in the art, and compounds of formula (VI) are commercially available or described in the literature. The reductive alkylation according to methods 2) and 7) is performed by standard literature methods. The reaction can be performed in two steps, e.g. coupling of derivatives of formula (II/XI) and the reagent of formula (IV/X) by standard methods via the carboxylic acid chloride or by use of coupling reagents such as e.g. dicyclohexyl carbodiimide followed by reduction of the resulting amide with lithium aluminium hydride or alane. The reaction can also be performed by a standard one-pot procedure. Aldehydes or carboxylic acids of formula (IV/X) can be prepared analogously to the synthetic sequence described for alkylating reagents of formula (III/V), but by the use of acetal protected haloalkanal derivatives or the corresponding protected carboxylic acid derivatives. The alkylation according to method 3), where Y 1 , Y 2 or Y 3 is CO, CS, SO or SO 2 , is conveniently performed by reacting the nitrogen anion of (VI) with (V). The nitrogen anion of (VI) can be prepared in an inert organic solvent, e.g. dimethyl formamide (DMF), dimethylsulfoxide (DMSO) or N-methylpyrrolidin-2-one (NMP), by the use of a strong base, e.g. NaH, before the alkylation. The reduction of the double bond according to method 4) is generally performed by catalytic hydrogenation at low pressure (< 3 atm.) in a Parr apparatus or by using reducing agents such as diborane or hydroboric derivatives as produced in situ from NaBH 4 in trifluoroacetic acid in inert solvents such as tetrahydrofuran (THF), dioxane or diethyl ether. Starting materials of formula (VII) may be prepared by methods 1), 3), 7) and 8). Reduction of amide groups according to methods 5) and 6) is most conveniently performed with lithium aluminium hydride or alane in an inert organic solvent such as e.g. tetrahydrofuran (THF) or diethylether from 0 °C to reflux temperature. Starting materials of formula (VIII) may be prepared by methods 2) and 3), whereas starting materials of formula (IX) may be prepared by methods 1), 7) and 8). The acylation according to method 8) is conveniently performed by the use of coupling reagents such as e.g. dicyclohexyl carbodiimide. Experimental Section Melting points were determined on a Bilchi B-540 apparatus and are uncorrected. Mass spectra were obtained on a PE Sciex API 150EX instrument equipped with an APCI source by an alternating scan method to give molecular weight information. The molecular ion, MH+, was obtained at low orifice voltage (5-20V) and fragmentation at high orifice voltage (100-200V). 1H NMR spectra were recorded at 500.13 MHz on a Bruker Avance DRX500 instrument or at 250.13 MHz on a Bruker AC 250 instrument. Deuterated chloroform (99.8%D) or dimethyl sulfoxide (99.9%D) were used as solvents. TMS was used as internal reference standard. Chemical shift values are expressed in ppm- values. The following abbreviations are used for multiplicity of NMR signals: s=singlet, d=doublet, t=triplet, q=quartet, qui=quintet, h=heptet, dd=double doublet, dt=double triplet, dq^double quartet, tt=triplet of triplets, m=multiplet, b^broad. NMR signals corresponding to acidic protons are generally omitted. Content of water in crystalline compounds was determined by Karl Fischer titration. For column chromatography, silica gel of type Kieselgel 60, 40-60 mesh ASTM was used. Examples Preparation of intermediates A. Alkylating reagents l-(2-Chloroethyl)-3,4-dihydroquinolin-2(lH)-one A suspension of sodium hydride (3.0 g, 60% in mineral oil) and dimethyl formamide (100 mL) was kept at 15-18 °C followed by the addition of a solution of 3,4-dihydroquinolin- 2(lH)-one (10.0 g) in dimethyl formamide (150 mL). The resulting mixture was stirred at room temperature for 60 min followed by the addition of a solution of 2-chloro ethyl acetate (10.0 g) in dimethyl formamide (50 mL) at a temperature of 20 °C. The resulting mixture was heated at 80 °C for 2 V 2 h, cooled and poured onto ice. The aqueous phase was extracted with ethyl acetate, and the combined organic phases were washed with brine, dried (MgSO ) and concentrated in vacuo. The crude product was purified by flash chromatography on silicagel (eluent: ethyl acetate/heptane 1:1) to give crude l-(2- acetoxyethyl)-3,4-dihydroquinolin-2(lH)-one (10.2 g). A mixture of crude 1 -(2- acetoxyethyl)-3,4-dihydroquinolin-2(lH)-one, sodium methanolate (2.5 mL, 30% in methanol) and methanol (250 mL) was stirred at room temperature for 16 h and subsequently concentrated in vacuo. The residue was purified by flash chromatography on silicagel (eluent: ethyl acetate/heptane 1:1) to give the corresponding alcohol as a red crystalline compound (4.9 g). This alcohol was dissolved in tetrahydrofuran (100 mL) followed by the addition of trietylamine (8.2 mL). The resulting mixture was cooled to 5-6 °C followed by the addition of a solution of methane sulfonic acid chloride (2 mL) in tetrahydrofuran (25 mL). The mixture was filtered and evaporated to dryness in vacuo. The residue was dissolved in dimethyl formamide (50 mL) followed by addition of lithium chloride (4.9 g), and the resulting mixture was heated at 70 °C for 5 min. The mixture was poured onto brine, and the aqueous phase was extracted with ethyl acetate. The combined organic phases were dried (MgSO 4 ), filtered and concentrated in vacuo. The residue was purified by flash chromatography on silicagel (eluent: ethyl acetate/heptane 1:1) to give the product as a red oil (2.9 g). 1 -(3 -Bromopropan- 1 -yl)-3 ,4-dihydroquinolin-2(lH)-one A suspension of sodium hydride (6.8 g, 60% in mineral oil) and dimethyl formamide (200 mL) was kept at 20-25 °C followed by the addition of a solution of 3,4-dihydroquinolin- 2(lH)-one (25.0 g) in dimethyl formamide (180 mL). The resulting mixture was stirred at room temperature for 10 min followed by the addition of a solution of 1,3-dibromopropane (172 g) in dimethyl formamide (150 mL) at a temperature of 20-35 °C. The resulting mixture was stirred at 30 °C for 20 min and concentrated in vacuo. The residue was poured onto ice, and the aqueous phase was extracted with ethyl acetate. The combined organic phases were washed with brine, dried (MgSO 4 ) and concentrated in vacuo. The crude product was purified by flash chromatography on silicagel (eluent: ethyl acetate/heptane 1 : 1) to give the product as a yellow oil (27 g). The following compounds were prepared in a similar manner 1 -(4-Bromobutan- 1 -yl)-3 ,4-dihydroquinolin-2( lH)-one from 3,4-dihydroquinolin-2(lH)-one and 1,4-dibromobutane 1 -(5-Bromopentan- 1 -yl)-3 ,4-dihydroquinolin-2( lH)-one from 3,4-dihydroquinolin-2(lH)-one and 1,5-dibromopentane 4-(4-Bromobutan- 1 -yl)-3 ,4-dihydro-2H- 1 ,4-benzoxazin-3 (4H)-one from 3,4-dihydro-2H-l,4-benzoxazin-3(4H)-one and 1,4-dibromobutane 2-(3-Ηydroxypropan-l-yl)-3,4-dihydroisoquinolin-l(2H)-one from 3,4-dihydroisoquinolin-l(2H)-one and 3-bromopropanol 2-(4-Bromobutan- 1 -yl)-3 ,4-dihydroisoquinolin- 1 (2H)-one from 3,4-dihydroisoquinolin-l(2H)-one and 1,4-dibromobutane 1 -(3-Bromopropan- 1 -yl)-3 ,4-dihydroisoquinolin- 1 (2H)-one The compound 2-(3-hydroxypropan-l-yl)-3 ,4-dihydroisoquinolin- l(2H)-one was dissolved in tetrahydrofuran (100 mL) followed by the addition of triethylamine (5.2 mL). The resulting mixture was cooled to 6-11 °C followed by the addition of a solution of methane sulfonic acid chloride (1.4 mL) in tetrahydrofuran (25 mL). The mixture was stirred at 5 °C for 10 min, filtered and concentrated in vacuo. The residue was dissolved in acetone (250 mL) followed by addition of lithium bromide (6.5 g), and the resulting mixture was boiled under reflux for 2 h. The mixture was poured onto brine, and the aqueous phase was extracted with ethyl acetate. The combined organic phases were dried (MgSO 4 ), filtered and concentrated in vacuo. The residue was purified by flash chromatography on silicagel (eluent: ethyl acetate/heptane 1 :2) to give the product as a yellow oil (2.7 g). 3-Bromo- 1 -(3 ,4-dihydro- lH-isoquinolin-2-yl)propan- 1 -one A solution 3,4-dihydro-lH-isoquinoline (18.4 g) and triethylamine (19 g) was cooled down to 5 °C followed by the addition of a solution of 3-bromopropanoyl chloride (25 g) in tetrahydrofuran (50 mL). The resulting mixture was stirred at 5 °C for 45 min, filtered and concentrated in vacuo and used without any further purification. The following compound was prepared in a similar manner 4-Bromo- 1 -(3 ,4-dihydro- lH-isoquinolin-2-yl)butan- 1 -one from 3,4-dihydro-lH-isoquinoline and 4-bromobutanoyl chloride B. Amines 5-(Piperazin- 1 -yl)- lH-indole A mixture of 5-nitro-lH-indole (34 g), palladium on activated carbon (Pd 5 %, water 50 %) (2.5 g) and ethyl acetate was shaken at room temperature for 1.5 h under 3 atmospheres of hydrogen. The mixture was filtered, and the solvent was removed in vacuo to yield a crystalline compound (28 g), which was dissolved in tetrahydrofuran (400 mL). The solution was subsequently added to a boiling mixture of N-benzyliminodiacetic acid (54.4 g) and l,l'-carbonyldiimidazole (82.4 g) in tetrahydrofuran (1100 mL), and the resulting mixture was boiled under reflux for 3 h. The mixture was filtered and concentrated in vacuo. The residue was purified by flash chromatography on silicagel (eluent: ethyl acetate/triethylamine 100:4) to give a white crystalline compound (57.5 g), which subsequently was dissolved in tefrahydrofuran (300 mL) and added to alane in tetrahydrofuran (500 mL) at 5-16 °C. The alane was prepared from lithium aluminium hydride (25 g) and concentrated sulphuric acid (32.3 g). The mixture was stirred at 5 °C for 45 min and subsequently quenched by the addition of water (50 mL), 15 % aqueous sodium hydroxide solution (25 mL) and water (125 mL). The mixture was dried (MgSO 4 ), filtered and concentrated in vacuo. The residue was purified by flash chromatography on silicagel (eluent: ethyl acetate) to give a brown oily compound (44.9 g), which subsequently was dissolved in methanol (1000 mL) and added ammonium formate (150 g) and palladium on activated carbon (Pd 5 %, water 50 %) (12 g). The mixture was boiled under reflux for 45 min, cooled, filtered and concentrated in vacuo. The residue was dissolved in tetrahydrofuran/ethyl acetate and added brine and concentrated aqueous ammonia solution under cooling to give a basic reaction mixture. The two phases were separated, and the aqueous phase was extracted an additional two times with tefrahydrofuran/ethyl acetate. The combined organic phases were washed with brine, dried (MgSO ) and concentrated in vacuo. The residue was crystallised from tetrahydrofuran/n-hetane to give the title compound (17.3 g). 6-(Piperazin- 1 -yl)- lH-indole prepared in a similar manner as 5-(piperazin-l-yl)-lH-indole starting from 6-amino-lH- indole (Brown et al. J Am. Chem. Soc. 1954, 76, 5149-5150) 5-(3,6-Dihydro-2H-pyridin-4-yl)-lH-indole See WO 94/20459. 5-(Piperidin-4-yl)-lH-indole A mixture of 5-(3,6-dihydro-2H-pyridin-4-yl)-lH-indole (3.4 g), platinum oxide (0.2 g) and acetic acid (50 mL) was shaken at room temperature for 24 h under 3 atmospheres of hydrogen. The mixture was filtered, and the solvent was removed in vacuo. The residue was purified by flash chromatography on silicagel (eluent: 4 M ammonia in methanol) to give the title compound (1.3 g). Preparation of the compounds of the invention Example 1 1, 5-{4-[2-(2-Oxo-3,4-dihydro-2H-quinolin-l-yl)ethyl]piperazin-l-yl}-lH-indole, oxalate A mixture of 5-(piperazin-l-yl)-lH-indole (0.5 g), l-(2-chloroethyl)-3,4-dihydroquinolin- 2(lH)-one (1.04 g), lithium bromide (1.08 g), triethylamine (1 mL), dimethyl formamide (2 mL), tetrahydrofuran (25 mL) and butanone (25 mL) was boiled under reflux for 5 h. The mixture was filtered and concentrated in vacuo. The residue was purified by flash chromatography on silicagel (eluent: ethyl acetate/heptane/triethylamine 50:5:5). The title compound was isolated as the oxalate salt from tetrahydrofuran (0.15 g). 1H NMR (DMSO- d 6 ): 2.55 (t, 2Η); 2.80-2.95 (m, 4H); 3.05 (s, 4H); 3.15 (s, 4H); 4.15 (t, 2H); 6.30 (s, 1H); 6.85 (d, 1H); 6.95-7.10 (m, 2H); 7.15-7.35 (m, 5H); 10.85 (s, 1H). MS m/z: 375 (MH+), 174. Example 2 2a, 5-{4-[3-(2-Oxo-3,4-dihydro-2H-quinolin-l-yl)propan-l-yl]piperazin-l-yl}-lH-indole, hydrochloride A mixture of 5-(piperazin-l-yl)-lH-indole (1.8 g) in dimethyl formamide (25 mL) and l-(3- bromopropan-l-yl)-3,4-dihydroquinolin-2(lH)-one (2.9 g) in butanone (100 mL) was added triethylamine (5 mL) and boiled under reflux for 4 h. The mixture was filtered and concentrated in vacuo, and the residue was purified by flash chromatography on silicagel (eluent: ethyl acetate/triethylamine 100:4) to give the crude product as an orange oil (3.0 g). The title compound was isolated as the hydrochloride salt from acetone as a white crystalline compound (0.9 g). Mp 246-248 °C. 1H NMR (DMSO-d 6 ): 2.00-2.10 (m, 2H); 2.55 (t, 2H); 2.90 (t, 2H); 3.25 (broad s, 6H); 3.50-3.70 (m, 4H); 3.95 (t, 2H); 6.35 (s, 1H); 6.95 (d, 1H); 7.05 (t, 1H); 7.15-7.40 (m, 6H); 11.05 (broad s, 2H). MS m/z: 389 (MH+), 188. The following compounds were prepared in a similar manner: 2b, 5-{4-[4-(2-Oxo-3,4-dihydro-2H-quinolin-l-yl)butan-l-yl]piperazin-l-yl}-lH-indole, hydrochloride from 5-(piperazin-l-yl)-lH-indole and l-(4-bromobutan-l-yl)-3,4-dihydroquinolin-2(lH)- one. Mp 233-236 °C. 1H MR (DMSO-d 6 ): 1.55-1.65 (m, 2Η); 1.75-1.85 (m, 2H); 2.55 (t, 2H); 2.85 (t, 2H); 3.20 (s, 2H); 3.35 (broad s, 2H); 3.45 (broad s, 2H); 3.55-3.75 (m, 4H); 3.95 (t, 2H); 6.40 (s, 1H); 7.00 (t, 1H); 7.05 (d, 1H); 7.15 (d, 1H); 7.20-7.30 (m, 3H); 7.35 (s, 1H); 7.40 (d, 1H); 11.15 (broad s, 2H). MS m/z: 403 (MH+). 2c, 6-{4-[3-(2-Oxo-3,4-dihydro-2H-quinolin-l-yl)propan-l-yl]piperazin-l~yl}-lH-indole, oxalate from 6-(piperazin-l-yl)-lH-indole and l-(3-bromopropan-l-yl)-3,4-dihydroquinolin-2(lH)- one. 1H NMR (DMSO-d 6 ): 1.80-1.95 (m, 2Η); 2.55 (t, 2H); 2.75-2.90 (m, 4H); 3.00 (s, 4H); 3.20 (s, 4H); 3.95 (t, 2H); 6.30 (s, 1H); 6.80 (d, 1H); 6.85 (s, 1H); 7.00 (t, 1H); 7.10-7.30 (m, 5H); 7.40 (d, 1H); 10.80 (s, 1H). MS m/z: 389 (MH+), 188. 2d, 6-{4-[4-(2-Oxo-3,4-dihydro-2H-quinolin-l-yl)butan-l-yl]piperazin-l-yl}-lH-indole, oxalate from 6-(piperazin-l-yl)-lH-indole and l-(4-bromobutan-l-yl)-3,4-dihydroquinolin-2(lH)- one. 1H NMR (DMSO-d 6 ): 1.55-1.75 (m, 4Η); 2.55 (t, 2H); 2.85 (t, 2H); 2.95 (t, 2H); 3.15 (s, 4H); 3.25 (s, 4H); 3.95 (t, 2H); 6.30 (s, 1H); 6.80 (d, 1H); 6.90 (s, 1H); 7.00 (t, 1H); 7.10-7.30 (m, 4H); 7.40 (d, 1H); 10.80 (s, 1H). MS m/z: 403 (MH+). 2e, 5-{l-[3-(2-Oxo-3,4-dihydro-2H-quinolin-l-yl)propan-l-yl]-3,6-dihydro-2H-pyridin-4- yl}-lH-indole, hydrochloride from 5-(3,6-dihydro-2H-pyridin-4-yl)-lH-indole and l-(3-bromopropan-l-yl)-3,4- dihydroquinolin-2(lH)-one. 1H NMR (DMSO-d 6 ): 2.00-2.15 (m, 2Η); 2.55 (t, 2H); 2.75- 2.95 (m, 4H); 3.25 (s, 4H); 3.55-3.80 (m, 2H); 3.90-4.10 (m, 2H); 6.05 (s, IH); 6.45 (s, IH); 7.05 (t, IH); 7.15-7.30 (m, 4H); 7.30-7.45 (m, 2H); 7.65 (s, IH); 10.30 (b s, IH); 11.20 (s, IH). MS m/z: 386 (MH+) 217, 149. 2f, 5-{l-[3-(2-Oxo-3,4-dihydro-2H-quinolin-l-yl)propan~l-yl]piperidin-4-yl}-lH-indole, hydrochloride from 5-(piperidin-4-yl)-lH-indole and l-(3-bromopropan-l-yl)-3,4-dihydroquinolin-2(lH)- one. 1H NMR (DMSO-d 6 ): 1.85-2.05 (m, 6Η); 2.55-2.60 (m, 2H); 2.80-2.95 (m, 3H); 3.00- 3.15 (m, 2H); 3.15-3.20 (m, 2H); 3.55 (d, 2H); 3.95 (t, 2H); 6.35 (s, IH); 6.95 (d, IH); 7.05 (t, IH); 7.15-7.40 (m, 6H); 9.45 (b s, IH); 11.00 (s, IH). MS m/z: 388 (MH+) 188. Example 3 3a, 5-{4-[4-(3-Oxo-3,4-dihydro-2H-l,4-benzoxazin-4-yl)butan-l-yl]piperazin-l-yl}~lH- indole, hydrochloride A mixture of 5-fluoro-3-(piperidin-4-yl)-lH-indole (0.3 g), 4-(4-bromobutan-l-yl)-3,4- dihydro-2H-l,4-benzoxazin-3(4H)-one (0.55 g) and triethylamine (0.75 g) in dimethyl formamide (5 mL) and butanone (10 mL) was boiled under reflux for 6 h. The mixture was concentrated in vacuo, and the residue was purified by flash chromatography on silicagel (eluent: ethyl acetate/ethanol/triethylamine 90:10:5) to give the crude product, which was isolated as the hydrochloride salt from tetrahydrofuran as a white crystalline compound (0.3 g). 1H NMR (DMSO-d 6 ): 1.55-1.70 (m, 2Η); 1.80-1.90 (m, 2H); 3.20 (t, 2H); 3.40 (broad s, 2H); 3.50-3.80 (m, 6H); 3.95 (t, 2H); 4.65 (s, 2H); 6.40 (s, IH); 6.95-7.15 (m, 4H); 7.25 (d, IH); 7.40 (s, IH); 7.45 (d, IH); 11.20 (s, IH); 11.40 (broad s). MS m/z: 405 (MH+). The following compounds were prepared in a similar manner 3b, 5-{4-[3-(l-Oxo-3,4-dihydro-lH-quinolin-2-yl)propan-l-yl]piperazin-l-yl}-lH-indole, hydrochloride from 5-(piperazin-l-yl)-lH-indole and l-(3-bromopropan-l-yl)-3,4-dihydroisoquinolin- l(2H)-one. 1HNMR (DMSO-d 6 ): 2.05-2.20 (m, 2Η); 3.05 (t, 2H); 3.20 (t, 2H); 3.30-3.80 (m, 12H); 6.40 (s, IH); 7.05 (d, IH); 7.25-7.45 (m, 5H); 7.50 (t, IH); 7.90 (d, IH); 11.10 (s, IH); 11.30 (broad s, IH). MS m/z: 389 (MH+), 188. 3c, 5-{4-[4-(l-Oxo-3,4-dihydro-lH-quinolin-2-yl)butan-l-yl]piperazin-l-yl}-lH-indole, hydrochloride from 5-(piperazin-l-yl)-lH-indole and 2-(4-bromobutan-l-yl)-3,4-dihydroisoquinolin- l(2H)-one. 1H NMR (DMSO-d 6 ): 1.60-1.70 (m, 2Η); 1.70-1.90 (m, 2H); 3.00 (t, 2H); 3.15- 3.75 (m, 14H); 6.40 (s, IH); 7.05 (d, IH); 7.25-7.40 (m, 5H); 7.45 (t, IH); 7.90 (d, IH); 11.10 (s, IH); 11.25 (broad s, IH). MS m/z: 403 (MH+). Example 4 4a, 5-{4-[3-(3,4-Dihydro-2H-quinolin-l-yl)propan-l-yl]piperazin-l-yl}-lH-indole, hydrochloride A suspension of lithium aluminium hydride (0.56 g) in tetrahydrofuran (50 mL) was stirred at 5 °C followed by the addition of concentrated sulfuric acid (0.73 g) in tetrahydrofuran (25 mL). The mixture was stirred at 5 °C for 30 min followed by the addition of 5-{4-[3-(2-oxo- 3, 4-dihydro-2H-quinolin-l-yl)propan-l -yljpiperazin- l-yl}-lH-indole (1.8 g) in tetrahydrofuran (50 mL). The mixture was stirred at 5 °C for 15 min followed by standard work up. The title compound was isolated as the hydrochloride salt from acetone as a white crystalline compound (1.4 g). Mp 200-204 °C. 1H NMR (DMSO-d 6 ): 1.80-1.95 (m, 2Η); 1.95-2.10 (m, 2H); 2.65-2.75 (m, 2H); 3.10-3.80 (m, 14H); 6.35 (s, IH); 6.50 (t, IH); 6.65 (d, IH); 6.90 (d, IH); 6.90-7.00 (m, 2H); 7.25 (s, IH); 7.30-7.40 (m, 2H); 11.05 (broad s, 2H). MS m/z: 375 (MH+), 199. The following compound was prepared in a similar manner 4b, 5-{4-[3-(3,4-Dihydro-2H-quinolin-l-yl)propan-l-yl]piperazin-l-yl}-lH-indole, hydrochloride from 5- {4-[4-(2-oxo-3 ,4-dihydro-2H-quinolin- 1 -yl)butan- 1 -yljpiperazin- 1 -yl} - lH-indole. Mp 206-209 °C. 1H NMR (DMSO-d 6 ): 1.65-1.80 (m, 2Η); 1.80-1.90 (m, 2H); 1.90-2.05 (m, 2H); 2.75-2.85 (m, 2H); 2.25 (t, 2H); 3.40 (s, 4H); 3.60 (broad s, 2H); 3.70-3.90 (m, 4H); 4.00 (broad s, 2H); 6.55 (s, IH); 6.85 (broad s, IH); 7.00-7.20 (m, 3H); 7.35 (d, IH); 7.50 (s, IH); 7.55 (d, IH); 7.80 (s, IH); 11.45 (s, IH); 12.00 (broad s, IH). MS m/z: 389 (MH+), 256. Example 5 5a, 5-{4-[3-(3,4-Dihydro-lH-isoquinolin-2-yl)-3-oxopropan-l-yl]piperazin-l-yl}-lH- indole, hydrochloride A mixture of 5-(piperazin-l-yl)-lH-indole (0.6 g), 3-bromo-l-(3,4-dihydro-lH-isoquinolin- 2-yl)propan-l-one (1.2 g) and potassium carbonate (0.41 g) was heated at 80 °C for 16 h. The mixture was concentrated in vacuo, and the residue was purified by flash chromatography on silicagel (eluent: ethyl acetate/ethanol/triethylamine 90:5:5) to give the crude product, which was isolated as the hydrochloride salt from tefrahydrofuran as a white crystalline compound. Mp 209-211 °C. 1H NMR (DMSO-d 6 ): 2.75-2.85 (m, 0.8Η); 2.85- 3.00 (m, 1.2H); 3.15 (t, 2H); 3.50 (t, 2H); 3.65 (s, 2H); 3.75 (t, 2H); 3.85 (s, 6H); 4.65 (s, 1.2H); 4.75 (s, 0.8H); 6.50 (s, IH); 7.15-7.25 (m, 4H); 7.30 (d, IH); 7.45 (s, IH); 7.55 (d, IH); 7.70 (s, IH); 11.40 (s, IH). MS m/z: 389 (MH+), 252, 214. The following compound was prepared in a similar manner 5b, 5-{4-[4-(3,4-Dihydro-lH-isoquinolin-2-yl)-4-oxobutan-l-yl]piperazin-l-yl}-lH-indole from 5-(piperazin-l-yl)-lH-indole and 4-bromo-l-(3,4-dihydro-lH-isoquinolin-2-yl)butan- 1-one). Mp 122-125 °C. 1H NMR (DMSO-d 6 ): 1.70-1.85 (m, 2Η); 2.30-2.40 (m, 2H); 2.40- 2.50 (m, 2H); 2.75-2.80 (m, 0.8H); 2.85-2.90 (m, 1.2H); 3.05 (s, 4H); 3.35 (s, 4H); 3.70 (t, 2H); 4.60 (s, 1.2H); 4.70 (s, 0.8H); 6.30 (s, IH); 6.35 (d, IH); 7.00 (s, IH); 7.15-7.35 (m, 6H); 10.80 (s, IH). MS m/z: 403 (MH+), 270. Pharmacological Testing The compounds of the invention were tested in well- recognised and reliable tests. The tests were as follows: Inhibition of the binding of [ 3 H]YM-09151-2 to human dopamine D 4 . 2 receptors By this method, the inhibition by drugs of the binding of [ 3 H]YM-09151-2 (0.06 nM) to membranes of human cloned dopamine D 4 . receptors expressed in CHO-cells is determined in vitro. Method modified from NEN Life Science Products, Inc., technical data certificate PC2533-10/96. Inhibition of the binding of [ H]Ketanserin to 5-HT 2A receptors The compounds were tested with respect to their affinity for 5-HT 2 A receptors by determining their ability to inhibit the binding of [ 3 HJKetanserin (0.50 nM) to membranes from rat brain (cortex) in vitro. Method described in Sanchez et al. DrugDev. Res. 1991, 22, 239-250. The results obtained are presented in table 1 : Table 1 : Binding Data (IC5 Q values in nM); or % inhibition. h general, the compounds of the invention have been found potently to inhibit the binding of [ 3 HJYM-09151-2 to dopamine D 4 receptors. The compounds have also been tested in a functional assay described by Gazi et al. in Br. J. Pharmcol, 1999, 128, 613-620, and it has been shown that the compounds are antagonists or partial agonists at dopamine D 4 receptors. The compounds have also been found to inhibit the binding of [ HJKetanseπn to 5-HT 2 A receptors in vitro. In addition to the above tests, the compounds of the invention were tested in the following test: Inhibition of binding of [ 3 H] Spiperone to rat dopamine D 2 receptors By this method, the inhibition of drugs of the binding of [ 3 H]Spiperone (0.5 nM) to dopamine D 2 receptors in membranes from rat corpus striatum is determined in vitro. Method and results in Hyttel et al. J. Neurochem. 1985, 44, 1615-1622. Inhibition of binding of [ HJPrazosine to rat alpha-1-receptors By this method, the inhibition by drugs of the binding of [ HJPrazosin (0.25 nM) to alpha- 1 receptors in membranes from rat brain is detennined in vitro. Method modified from Hyttel et al. J Neurochem. 1985, 44, 1615-1622. The compounds have no or only low affinity for the dopamine D 2 receptor and some of the compounds have very low affinity to alpha- 1 adrenergic receptors. Furthermore, some of the compounds also have advantageous good solubility and metabolic stability. Accordingly, the compounds of the invention are considered useful in the treatment of positive and negative symptoms of schizophrenia, other psychoses, anxiety disorders, such as generalised anxiety disorder, panic disorder and obsessive compulsive disorder, depression, aggression, cognitive disorders side effects induced by conventional antipsychotic agents, migraine, attention deficit hyperactivity disorder and in the improvement of sleep. In particular the compounds of the invention are considered useful in the treatment of positive and negative symptoms of schizophrenia without inducing extrapyramidal side effects. Formulation Examples The pharmaceutical formulations of the invention may be prepared by conventional methods in the art. For example: Tablets may be prepared by mixing the active ingredient with ordinary adjuvants and/or diluents and subsequently compressing the mixture in a conventional tabletting machine. Examples of adjuvants or diluents comprise: corn starch, potato starch, talcum, magnesium stearate, gelatine, lactose, gums, and the like. Any other adjuvants or additives usually used for such purposes such as colourings, flavourings, preservatives etc. may be used provided that they are compatible with the active ingredients. Solutions for injections may be prepared by dissolving the active ingredient and possible additives in a part of the solvent for injection, preferably sterile water, adjusting the solution to desired volume, sterilising the solution and filling it in suitable ampules or vials. Any suitable additive conventionally used in the art may be added, such as tonicity agents, preservatives, antioxidants, etc. Typical examples of recipes for the formulation of the invention are as follows: 1) Tablets containing 5.0 mg of the active compound calculated as the free base: Active compound 5.0 mg Lactose 60 mg Maize starch 30 mg Hydroxypropylcellulose 2.4 mg Microcrystalline cellulose 19.2 mg Croscarmellose Sodium Type A 2.4 mg Magnesium stearate 0.84 mg 2) Tablets containing 0.5 mg of the active compound calculated as the free base: Active compound 0.5 mg Lactose 46.9 mg Maize starch 23.5 mg Povidone 1.8 mg Microcrystalline cellulose 14.4 mg Croscarmellose Sodium Type A 1.8 mg Magnesium stearate 0.63 mg 3) Syrup containing per millilitre: Active compound 25 mg Sorbitol 500 mg Hydroxypropylcellulose 15 mg Glycerol 50 mg Methyl-paraben l mg Propyl-paraben 0.1 mg Ethanol 0.005 ml Flavour 0.05 mg Saccharin sodium 0.5 mg Water ad 1 ml ) Solution for inj ection containing per millilifre: Active compound 0.5 mg Sorbitol 5.1 mg Acetic Acid 0.05 mg Saccharin sodium 0.5 mg Water ad 1 ml

Claims: Claims 1. An indole derivative having the formula wherein a) Y 1 is N, which is bound to Z, Z and Y 2 are selected from CH 2 , CO, CS, SO and SO 2 ; provided that at least one of Z and Y 2 is CH 2 ; Y 3 is O, S or CHR 7 and Y 4 is O, S or CHR 8 , provided that only one of Y 3 and Y 4 is O or S; b) Y 2 is N, which is bound to Z, Z and Y 1 are selected from CH 2 , CO, CS, SO and SO 2 ; provided that at least one of Z and Y 1 is CH 2 ; Y 3 is CHR 7 and Y 4 is O, S or CHR 8 ; c) Y 2 is N, which is bound to Z, Z and Y 3 are selected from CH 2 , CO, CS, SO and SO 2 provided that at least one of Z and Y 3 is CH 2 ; Y 1 is CHR 6 and Y 4 is O, S or CHR 8 ; W is a bond, O, S, CO, CS, SO or SO 2 ; X is C, CH or N, provided that when X is C, the dotted line indicates a bond, and when X is N or CH, the dotted line indicates no bond; n is 0-5, m is 0-5 and n + m is 1-6; provided that when W is O or S, then n > 2 and m 1; when W is CO, CS, SO or SO 2 , then n > land m > 1; one ofR ) 1 1 , R , R J and R 4 forms abond to X and the others ofR , R , R J ,R 4 and R 5 and R - R .12 are independently selected from hydrogen, halogen, cyano, nitro, amino, hydroxy, C 1-6 - alkyl-amino, di-( C 1-6 -alkyl )-amino, C 1-6 -alkyl, C 2-6 -alkenyl, C 2-6 -alkynyl, C 1--6 alkoxy, d. -alkylthio, C 1-6 -alkyl substituted with hydroxy or thiol, C 3-8 -cycloalkyl, Cs-s-cycloalkyl- . 6 -alkyl, acyl, thioacyl, trifluoromethyl, trifluoromethylsulfonyl or C 1-6 alkylsulfonyl; R is hydrogen, C 1-6 -alkyl, C2 -6 -alkenyl, C 2-6 -alkynyl, C 1-6 -alkyl substituted with hydroxy or thiol, C 3-8 -cycloalkyl, C 3-8 -cycloalkyl-C 1-6 -alkyl, acyl, thioacyl, trifluoromethylsulfonyl and C 1-6 alkylsulfonyl; or pharmaceutically acceptable salts thereof. 2. A compound according to claim 1, wherein Y is N, which is bound to Z, Z and Y are selected from CH 2 , CO, CS, SO and SO 2 ; provided that at least one of Z and Y 2 is CH 2 ; Y 3 is O, S or CHR 7 and Y 4 is O, S or CHR 8 , provided only one of Y 3 and Y 4 is O or S; 1 9 3. A compound according to claim 2, wherein Y is N, which is bound to Z, Z and Y are selected from CH 2 and CO; provided that at least one of Z and Y 2 is CH 2 ; Y 3 is CHR 7 and Y 4 is O, S or CHR 8 . 4. A compound according to claim 2, wherein Y 1 is N, which is bound to Z, Z is CH 2 , Y 2 is CO, Y 3 is CHR 7 and Y 4 is O, S or CHR 8 . 5. A compound according to claim 2 wherein Y 1 is N, which is bound to Z, Z is CH 2 , Y 2 is CO, Y 3 is CH 2 and Y 4 is CH 2 . 1 9 6. A compound according to claim 2, wherein Y is N, which is bound to Z, Z and Y are CH 2 ; Y 3 is CHR 7 and Y 4 is O, S or CHR 8 . 7. A compound according to claim 2, wherein Y 1 is N, which is bound to Z, Z is CO, Y 2 is CH 2 , Y 3 is CHR 7 and Y 4 is O, S or CHR 8 . 8. A compound according to claim 1, wherein Y 2 is N, which is bound to Z, Z and Y 1 are selected from CH 2 , CO, CS, SO and SO 2 ; provided that at least one of Z and Y 1 is CH 2 ; Y 3 is CHR 7 and Y 4 is O, S, or CHR 8 . 9. A compound according to claim 8, wherein Y 2 is N, which is bound to Z, Z and Y 1 are selected from CH 2 and CO; provided that at least one of Z and Y 1 is CH 2 ; Y 3 is CHR 7 and Y 4 is O, S or CHR 8 . 10. A compound according to claim 8, wherein Y 2 is N, which is bound to Z, Z is CH 2 and Y 1 is CO; Y 3 is CHR 7 and Y 4 is O, S or CHR 8 . 11. A compound according to claim 8, wherein Y 2 is N, which is bound to Z, Z is CH 2 and Y 1 is CO; Y 3 is CH 2 and Y 4 is CH 2 . 12. A compound according to claim 8, wherein Y 2 is N, which is bound to Z, Z and Y 1 are CH 2 ; Y 3 is CHR 7 and Y 4 is O, S or CHR 8 . 13. A compound according to claim 8, wherein Y 2 is N, which is bound to Z, Z is CO and Y 1 is CH 2 ; Y 3 is CHR 7 and Y 4 is O, S or CHR 8 . 14. A compound according to claim 8, wherein Y 2 is N, which is bound to Z, Z is CO and Y 1 is CH 2 ; Y 3 is CH 2 and Y 4 is CH 2 . 15. A compound according to claim 1, wherein Y 2 is N, which is bound to Z, Z and Y 3 are selected from CH 2 , CO, CS, SO and SO 2 provided that at least one of Z and Y 3 is CH 2 ; Y 1 is CHR 6 and Y 4 is O, S or CHR 8 , 9 ^ 16. A compound according to claim 15, wherein Y is N, which is bound to Z, Z and Y are selected from CH 2 and CO; Y 1 is CHR 6 and Y 4 is O, S or CHR 8 . 17. A compound according to claim 15, wherein Y 2 is N, which is bound to Z, Z is CH 2 and Y 3 is CO; Y 1 is CHR 6 and Y 4 is O, S or CHR 8 . 18. A compound according to claim 15, wherein Y 2 is N, which is bound to Z, Z and Y 3 are CH 2 ; Y 1 is CHR 6 and Y 4 is O, S or CHR 8 . 19. A compound according to claim 15, wherein Y 2 is N, which is bound to Z, Z is CO and Y 3 is CH 2 ; Y 1 is CHR 6 and Y 4 is O, S or CHR 8 . 20. A compound according to claims 1-19, wherein one of R 1 , R 2 , R 3 and R 4 forms a bond to X and the others of R 1 , R 2 , R 3 , R 4 and R 5 and R 9 - R 12 are selected from hydrogen, halogen, cyano, nitro, amino, C 1-6 -alkyl, alkoxy, C 1-6 -alkylthio, hydroxy and trifluoromethyl, and R is hydrogen, Cι -6 -alkyl, C 1-6 -alkylcarbonyl. 21. A compound according to claim 20, wherein R 2 or R 3 form a bond to X. 22. A compound according to claims 1-19, wherein X is N. 23. A compound according to claims 1-19, wherein X is C. 24. A compound according to claims 1-19, wherin X is CH. 25. A compound according to claims 1-19, wherein R 6 , R 7 and R 8 are hydrogen. i Q 1 26. A compound according to claims 1-19, wherein R, R -R , and R -R are hydrogen or halogen. 27. A compound according to claims 1-19, wherein W is a bond and n + m is 2 to 4. 28. A compound according to claim 1 which is selected from 5- {4-[2-(2-Oxo-3,4-dihydro-2H-quinolin- 1 -yl)ethyljpiperazin- 1 -yl} - lH-indole, 5-{4-[3-(2-Oxo-3,4-dihydro-2H-quinolin-l-yl)propan-l-yl]piperazin-l-yl}-lH-indole, 5- {4-[4-(2-Oxo-3,4-dihydro-2H-quinolin- 1 -yl)butan- 1 -yljpiperazin- 1 -yl} - lH-indole, 6- {4-[3 -(2-Oxo-3 ,4-dihydro-2H-quinolin- 1 -yl)propan- 1 -yljpiperazin- 1 -yl} -lH-indole, 6- {4-[4-(2-Oxo-3 ,4-dihydro-2H-quinolin- 1 -yl)butan- 1 -yljpiperazin- 1 -yl} - lH-indole, 5-{4-[3-(2-Oxo-3,4-dihydro-2H-quinolin-l-yl)proρan-l-yl]-3 J 6-dihydro-2H-pyridin-4-yl}- lΗ-indole, 5- {4- [3 -(2-Oxo-3,4-dihydro-2H-quinolin- 1 -yl)propan- 1 -ylJpiperidin-4-yl} - lH-indole, 5- {4-[4-(3-Oxo-3 ,4-dihydro-2H- 1 ,4-benzoxazin-4-yl)butan- 1 -yljpiperazin- 1 -yl} - lH-indole, 5- {4- [3 -(1 -Oxo-3 ,4-dihydro- lH-quinolin-2-yl)propan- 1 -yljpiperazin- 1 -yl} - lH-indole, 5- {4-[4-(l -Oxo-3 ,4-dihydro- lH-quinolin-2-yl)butan- 1 -yljpiperazin- 1 -yl} - lH-indole, 5- {4-[3 -(3 ,4-Dihydro-2H-quinolin- 1 -yl)propan- 1 -yljpiperazin- 1 -yl} - lH-indole, 5- {4-[3-(3 ,4-Dihydro-2H-quinolin- 1 -yl)propan- 1 -yljpiperazin- 1 -yl} - IH-indole, 5- {4-[3 -(3 ,4-dihydro- lH-isoquinolin-2-yl)-3-oxopropan- 1 -yljpiperazin- 1 -yl} - lH-indole, and 5- {4-[4-(3 ,4-dihydro- lH-isoquinolin-2-yl)-4-oxobutan- 1 -yljpiperazin- 1 -yl} - lH-indole, or pharmaceutically acceptable salts thereof. 29. A pharmaceutical composition characterised in that it comprises a compound of any of claims 1 to 28 in a therapeutically effective amount together with one or more pharmaceutically acceptable carriers or diluents. 30. Use of a compound of any of Claims 1 to 28 for the manufacture of a medicament useful in the treatment of positive and negative symptoms of schizophrenia, other psychoses, anxiety disorders, such as generalised anxiety disorder, panic disorder and obsessive compulsive disorder, depression, aggression, cognitive disorders, side effects induced by conventional antipsychotic agents, migraine, attention deficit hyperactivity disorder and in the improvement of sleep. 31. A method of treating the positive and negative symptoms of schizophrenia, other psychoses, anxiety disorders, such as generalised anxiety disorder, panic disorder, and obsessive compulsive disorder, depression, aggression, cognitive disorders, side effects induced by conventional antipsychotic agents, migraine, attention deficit hyperactivity disorder and in the improvement of sleep comprising administration of a therapeutically acceptable amount of a compound according to any of claims 1 to 28.

Inventors: BANG-ANDERSEN BENNY, FELDING JAKOB, KEHLER JAN, BANG-ANDERSEN, BENNY, FELDING, JAKOB, KEHLER, JAN
Applicants: BANG ANDERSEN BENNY, FELDING JAKOB, KEHLER JAN, LUNDBECK & CO AS H, BANG-ANDERSEN, BENNY, FELDING, JAKOB, H. LUNDBECK A/S, KEHLER, JAN
Application year: 2001
Main classification: C07D401
IPC codes: A61K31, A61P25, A61P39, A61P43, C07D401, C07D413