Abstract:
The present invention is concerned with novel indol-2-yl-carbonyl-spiro-piperidine derivatives as V1a receptor antagonists, their manufacture, pharmaceutical compositions containing them and their use for the treatment of anxiety, depressive disorders and other diseases. The compounds of present invention are represented by the general formula (I) 
     
       
                 
         
             
             
         
       
     
     wherein R 1  to R 1 , X and Y are as defined in the specification.

Description:
PRIORITY TO RELATED APPLICATION(S) 
       [0001]    This application claims the benefit of European Patent Application No. 06125634.3, filed Dec. 7, 2006, which is hereby incorporated by reference in its entirety. 
       BACKGROUND OF THE INVENTION 
       [0002]    Vasopressin is a 9 amino acid peptide mainly produced by the paraventricular nucleus of the hypothalamus. Three vasopressin receptors, all belonging to the class I G-protein coupled receptors, are known. The V1a receptor is expressed in the brain, liver, vascular smooth muscle, lung, uterus and testis, the V1b or V3 receptor is expressed in the brain and pituitary gland, the V2 receptor is expressed in the kidney where it regulates water excretion and mediates the antidiuretic effects of vasopressin. 
         [0003]    In the periphery vasopressin acts as a neurohormone and stimulates vasoconstriction, glycogenolysis and antidiuresis. In the brain vasopressin acts as a neuromodulator and is elevated in the amygdala during stress (Ebner, K., C. T. Wotjak, et al. (2002). “Forced swimming triggers vasopressin release within the amygdala to modulate stress-coping strategies in rats.”  Eur T Neurosci  15(2): 384-8). The V1a receptor is extensively expressed in the brain and particularly in limbic areas like the amygdala, lateral septum and hippocampus which are playing an important role in the regulation of anxiety. Indeed V1a knock-out mouse show a reduction in anxious behavior in the plus-maze, open field and light-dark box (Bielsky, I. F., S. B. Hu, et al. (2003). “Profound Impairment in Social Recognition and Reduction in Anxiety-Like Behavior in Vasopressin V1a Receptor Knockout Mice.”  Neuropsychopharmacology ). The downregulation of the V1a receptor using antisense oligonucleotide injection in the septum also causes a reduction in anxious behavior (Landgraf, R., R. Gerstberger, et al. (1995). “V1 vasopressin receptor antisense oligodeoxynucleotide into septum reduces vasopressin binding, social discrimination abilities, and anxiety-related behavior in rats.”  Regul Pept  59(2): 229-39). 
         [0004]    The V1a receptor is also mediating the cardiovascular effects of vasopressin in the brain by centrally regulating blood pressure and heart rate in the solitary tract nucleus (Michelini, L. C. and M. Morris (1999). “Endogenous vasopressin modulates the cardiovascular responses to exercise.”  Ann N Y Acad Sci  897: 198-211). In the periphery it induces the contraction of vascular smooth muscles and chronic inhibition of the V1a receptor improves hemodynamic parameters in myocardial infarcted rats (Van Kerckhoven, R., I. Lankhuizen, et al. (2002). “Chronic vasopressin V(1A) but not V(2) receptor antagonism prevents heart failure in chronically infarcted rats.”  Eur J Pharmacol  449(1-2): 135-41). 
       SUMMARY OF THE INVENTION 
       [0005]    The present invention provides novel indol-2-yl-carbonyl-spiro-piperidine derivatives as V1a receptor antagonists, their manufacture, pharmaceutical compositions containing them and their use for the treatment of anxiety and depressive disorders and other diseases. 
         [0006]    In particular, the present invention provides compounds of formula (I) 
         [0000]    
       
                 
         
             
             
         
       
     
         [0000]    wherein
   X and Y are selected from the combinations of:   X is C═O, and Y is O,   X is CH 2 , and Y is O,   X is O, and Y is CH 2 ,   X is NR 7 , and Y is C═O,   X is NR 7 , and Y is CH 2 , or   X-Y is —C═C— or —CH 2 CH 2 —;   R 1  is hydrogen,
       C 1-6 -alkyl, optionally substituted by CN or OH, or   —(C 1-6 -alkylene)-C(O)—NR a R b ,   
       R 2  is hydrogen,
       C 1-6 -alkyl,   C 1-6 -alkoxy,   —(C 1-6 -alkylene)-NR c R d ,   —(C 1-6 -alkylene)-C(O)R f ,   benzyl, optionally subsitituted by one or more halo, halo-C 1-6 -alkyl, C 1-6 -alkyl, C 1-6 -alkoxy, halo-C 1-6 -alkoxy, nitro, or cyano, or   phenyl, optionally subsitituted by one or more halo, halo-C 1-6 -alkyl, C 1-6 -alkyl, C 1-6 -alkoxy, halo-C 1-6 -alkoxy, nitro, or cyano;   
       R 3  is hydrogen, halo, or C 1-6 -alkyl;   R 4  is hydrogen,
       halo,   C 1-6 -alkyl,   halo-C 1-6 -alkyl,   C 1-6 -alkoxy,   halo-C 1-6 -alkoxy, or   —O—C 2-10 -alkenyl;   
       R 5  is hydrogen, halo, C 1-6 -alkyl, or C 1-6 -alkoxy;   or R 4  and R 5  are bound together to form a ring with the benzo moiety, wherein
       —R 4 —R 5 — is —O—(CH 2 ) n —O— wherein n is 1 or 2;   
       R 6  is hydrogen,
       C 1-6 -alkyl, optionally substituted by CN or OH,   —(C 1-6 -alkylene)-NR g R h ,   —(C 1-6 -alkylene)-C(O)—NR i R j ,   —O-benzyl, optionally subsitituted by one or more halo, halo-C 1-6 -alkyl, C 1-6 -alkyl, C 1-6 -alkoxy, halo-C 1-6 -alkoxy, nitro, or cyano,   nitro,   halo,   cyano,   C 1-6 -alkoxy,   halo-C 1-6 -alkoxy,   halo-C 1-6 -alkyl,   —(C 1-6 -alkylene)-C(O)R f ,   phenyl, optionally subsitituted by one or more halo, halo-C 1-6 -alkyl, C 1-6 -alkyl, C 1-6 -alkoxy, halo-C 1-6 -alkoxy, nitro, or cyano,   —(C 1-3 -alkylene)-R m , wherein R m  is phenyl, a 5- to 6-membered heteroaryl, 4- to 6-membered heterocycloalkyl or 3 to 6-membered cycloalkyl,
           each optionally substituted by one or more halo, halo-C 1-6 -alkyl, C 1-6 -alkyl, C 1-6 -alkoxy, halo-C 1-6 -alkoxy, nitro, or cyano;   
           
       or R 5  and R 6  are bound together to form a ring with the benzo moiety, wherein
       —R 5 —R 6  is —O—(CH 2 ) n —C(O)—,
           —C(O)—(CH 2 ) n —O—, or   —O—(CH 2 ) n —O— wherein n is 1 or 2;   
           
       R 7  is hydrogen or C 1-6 -alkyl;   R 8 , R 9 , R 10 , and R 11  are each independently hydrogen, halo, C 1-6 -alkyl, halo-C 1-6 -alkyl, C 1-6 -alkoxy or halo-C 1-6 alkoxy;   R a , R b , R i  and R j  are each independently hydrogen,
       C 1-6 -alkyl,   —(C 1-6 -alkylene)-NR k R l ,
           wherein R k  and R l  are each independently hydrogen or C 1-6 -alkyl,   
           or R a  and R b , or R i  and R j  together with the nitrogen to which they are bound form a five or six membered heterocycle comprising one or two heteroatoms selected from the group of nitrogen, oxygen and sulfur;   
       R c , R d , R g  and R h  are each independently
       hydrogen,   C 1-6 -alkyl,   —C(O)R e , or —S(O) 2 R′
           wherein R e  is selected from the group of
               hydrogen,   C 1-6 -alkyl, and   phenyl, optionally substituted by one or more halo, halo-C 1-6 -alkyl, C 1-6 -alkyl, C 1-6 -alkoxy, halo-C 1-6 -alkoxy, nitro, or cyano;   
               
           or R c  and R d , or R g  and R h  together with the nitrogen to which they are bound form a five or six membered heterocycle comprising one or two heteroatoms selected from the group of nitrogen, oxygen and sulfur;   or R c  and R d , or R g  and R h  together with the nitrogen to which they are bound form isoindole-1,3-dione;   
       R f  is selected from the group of
       hydrogen,   C 1-6 -alkyl,   C 1-6 -alkoxy; and   phenyl, optionally substituted by one or more halo, halo-C 1-6 -alkyl, C 1-6 -alkyl, C 1-6 -alkoxy, halo-C 1-6 -alkoxy, nitro, or cyano;
 
or a pharmaceutically acceptable salt thereof.
   
       
 
         [0076]    The compounds of formula (I) can be manufactured by the methods given below, by the methods given in the examples or by analogous methods. Appropriate reaction conditions for the individual reaction steps are known to a person skilled in the art. Starting materials are either commercially available or can be prepared by methods analogous to the methods given below, by methods described in references cited in the text or in the examples, or by methods known in the art. 
         [0077]    The compounds of formula (I) possess pharmaceutical activity, in particular they are modulators of V1a receptor activity. More particular, the compounds are antagonists of the V1a receptor. The invention also provides methods for treating dysmenorrhea, hypertension, chronic heart failure, inappropriate secretion of vasopressin, liver cirrhosis, nephrotic syndrome, obsessive compulsive disorder, anxiety and depressive disorders. The preferred indications with regard to the present invention are the treatment of anxiety and depressive disorders. 
     
    
     DETAILED DESCRIPTION OF THE INVENTION 
       [0078]    Unless otherwise stated, the following terms used in the present description have the definitions given in the following. It must be noted that, as used in the specification and the appended claims, the singular forms “a”, “an,” and “the” include plural forms unless the context clearly dictates otherwise. 
         [0079]    In the present description, the term “alkyl,” alone or in combination with other groups, refers to a branched or straight-chain monovalent saturated hydrocarbon radical. The term “C 1-6 -alkyl” denotes a saturated straight- or branched-chain hydrocarbon group containing from 1 to 6 carbon atoms, for example, methyl, ethyl, n-propyl, isopropyl, n-butyl, isobutyl, tert-butyl, the isomeric pentyls and the like. A preferred sub-group of C 1-6 -alkyl is C 1-4 -alkyl, i.e. with 1-4 carbon atoms. 
         [0080]    In the present invention, the term “alkylene” refers to a linear or branched saturated divalent hydrocarbon radical. In particular, “C 1-6 -alkylene” means a linear saturated divalent hydrocarbon radical of one to six carbon atoms or a branched saturated divalent hydrocarbon radical of three to six carbon atoms, e.g. methylene, ethylene, 2,2-dimethylethylene, n-propylene, 2-methylpropylene, and the like. 
         [0081]    In the present description, the terms “alkoxy” and “C 1-6 -alkoxy” refer to the group R′—O—, wherein R′ is C 1-6 -alkyl as defined above. Examples of alkoxy groups are methoxy, ethoxy, n-propoxy, isopropoxy, n-butoxy, tert-butoxy, sec-butoxy and the like. A preferred sub-group of C 1-6 -alkoxy, and still more preferred alkoxy groups are methoxy and/or ethoxy. 
         [0082]    In the present description, the terms “thioalkyl” and “C 1-6 -thioalkyl” refer to the group R′—S—, wherein R′ is C 1-6 -alkyl as defined above. 
         [0083]    The terms “C 1-6 -hydroxyalkyl” and “C 1-6 -alkyl substituted by OH” denote a C 1-6 -alkyl group as defined above wherein at least one of the hydrogen atoms of the alkyl group is replaced by a hydroxyl group. 
         [0084]    The term “C 1-6 -cyanoalkyl” or “C 1-6 -alkyl substituted by CN” denotes a C 1-6 -alkyl group as defined above wherein at least one of the hydrogen atoms of the alkyl group is replaced by a CN group. 
         [0085]    The terms “halo” and “halogen” refer to fluorine (F), chlorine (Cl), bromine (Br) and iodine (I) with fluorine, chlorine and bromine being preferred. 
         [0086]    The term “halo-C 1-6 -alkyl” denotes a C 1-6 -alkyl group as defined above wherein at least one of the hydrogen atoms of the alkyl group is replaced by a halogen atom, preferably fluoro or chloro, most preferably fluoro. Examples of halo-C 1-6 -alkyl include but are not limited to methyl, ethyl, propyl, isopropyl, isobutyl, sec-butyl, tert-butyl, pentyl or n-hexyl substituted by one or more Cl, F, Br or I atom(s) as well as those groups specifically illustrated by the examples herein below. 
         [0087]    Among the preferred halo-C 1-6 -alkyl groups are difluoro- or trifluoro-methyl or -ethyl. 
         [0088]    The term “halo-C 1-6 -alkoxy” denotes a C 1-6 -alkoxy group as defined above wherein at least one of the hydrogen atoms of the alkyl group is replaced by a halogen atom, preferably fluoro or chloro, most preferably fluoro. Among the preferred halogenated alkoxy groups are difluoro- or trifluoro-methoxy or -ethoxy. 
         [0089]    The term “C 2-12 -alkenyl,” alone or in combination, denotes a straight-chain or branched hydrocarbon residue of 2 to 12 carbon atoms comprising at least one double bond. A preferred sub-group of C 2-12 -alkenyl is C 2-6 -alkenyl. Examples of the preferred alkenyl groups are ethenyl, propen-1-yl, propen-2-yl(allyl), buten-1-yl, buten-2-yl, buten-3-yl, penten-1-yl, penten-2-yl, penten-3-yl, penten-4-yl, hexen-1-yl, hexen-2-yl, hexen-3-yl, hexen-4-yl and hexen-5-yl, as well as those specifically illustrated by the examples herein below. 
         [0090]    The term “5 or 6 membered heteroaryl” means an aromatic ring of 5 or 6 ring atoms as ring members containing one, two, or three ring heteroatoms selected from N, O, and S, the rest being carbon atoms. 5 or 6 membered heteroaryl can optionally be substituted with one, two, three or four substituents, wherein each substituent may independently be selected from the group consisting of hydroxy, C 1-6 -alkyl, C 1-6 -alkoxy, C 1-6 -thioalkyl, halo, cyano, nitro, halo-C 1-6 -alkyl, C 1-6 -hydroxyalkyl, C 1-6 -alkoxycarbonyl, amino, C 1-6 -alkylamino, di(C 1-6 )alkylamino, aminocarbonyl, or carbonylamino, unless otherwise specifically indicated. Preferred substituents are halo, halo-C 1-6 -alkyl, C 1-6 -alkyl, C 1-6 -alkoxy, halo-C 1-6 -alkoxy, nitro, and cyano. Examples of heteroaryl moieties include, but are not limited to, optionally substituted imidazolyl, optionally substituted oxazolyl, optionally substituted thiazolyl, optionally substituted pyrazinyl, optionally substituted pyrrolyl, optionally substituted pyrazinyl, optionally substituted pyridinyl, optionally substituted pyrimidinyl, optionally substituted furanyl, and those which are specifically exemplified herein. 
         [0091]    The term “heterocycloalkyl” means a monovalent saturated moiety, consisting of one ring of 3 to 7, preferably from 4 to 6, atoms as ring members, including one, two, or three heteroatoms selected from nitrogen, oxygen and sulfur, the rest being carbon atoms. 3 to 7 membered heterocycloalkyl can optionally be substituted with one, two, or three substituents, wherein each substituent is independently hydroxy, C 1-6 -alkyl, C 1-6 -alkoxy, C 1-6 -thioalkyl, halo, cyano, nitro, halo-C 1-6 -alkyl, C 1-6 -hydroxyalkyl, C 1-6 -alkoxycarbonyl, amino, C 1-6 -alkylamino, di(C 1-6 )alkylamino, aminocarbonyl, or carbonylamino, unless otherwise specifically indicated. Preferred substituents are halo, halo-C 1-6 -alkyl, C 1-6 -alkyl, C 1-6 -alkoxy, halo-C 1-6 -alkoxy, nitro, and cyano. Examples of heterocyclic moieties include, but are not limited to, optionally substituted tetrahydro-furanyl, optionally substituted piperidinyl, optionally substituted pyrrolidinyl, optionally substituted morpholinyl, optionally substituted piperazinyl, and the like or those which are specifically exemplified herein. 
         [0092]    The term “heterocycle” in the definition “R a  and R b , R c  and R d , R g  and R h , R i  and R j , together with the nitrogen to which they are bound form a five- or six-membered heterocycle comprising one or two heteroatoms selected from the group of nitrogen, oxygen and sulfur” means either heterocycloalkyl or heteroaryl in the above-given sense, which may optionally be substituted as described above. Preferably, the “heterocycle” may optionally be substituted with one, two or three substituents selected from halo, halo-C 1-6 -alkyl, C 1-6 -alkyl, C 1-6 -alkoxy, halo-C 1-6 -alkoxy, nitro, and cyano. Preferred heterocycles are piperazine, N-methylpiperazine, morpholine, piperidine and pyrrolidine. 
         [0093]    The phrase “one or more” substituents preferably means one, two or three optional substituents per ring. 
         [0094]    The term “3 to 6-membered cycloalkyl” denotes a cyclic aliphatic ring, having from 3 to 6 carbon ring atoms, for example, cyclopropyl, cyclopentyl or cyclohexyl. 
         [0095]    “Pharmaceutically acceptable,” such as pharmaceutically acceptable carrier, excipient, etc., means pharmacologically acceptable and substantially non-toxic to the subject to which the particular compound is administered. 
         [0096]    The term “pharmaceutically acceptable acid addition salts” embraces salts with inorganic and organic acids, such as hydrochloric acid, nitric acid, sulfuric acid, phosphoric acid, citric acid, formic acid, fumaric acid, maleic acid, acetic acid, succinic acid, tartaric acid, methane-sulfonic acid, p-toluenesulfonic acid and the like. 
         [0097]    “Therapeutically effective amount” means an amount that is effective to prevent, alleviate or ameliorate symptoms of disease or prolong the survival of the subject being treated. 
         [0098]    In detail, the present invention relates to compounds of the general formula (I) 
         [0000]    
       
                 
         
             
             
         
       
     
         [0000]    wherein
   X and Y are selected from the combinations of:   X is C═O, and Y is O,   X is CH 2 , and Y is O,   X is O, and Y is CH 2 ,   X is NR 7 , and Y is C═O,   X is NR 7 , and Y is CH 2 , or   X-Y is —C═C— or —CH 2 CH 2 —;   R 1  is hydrogen,
       C 1-6 -alkyl, optionally substituted by CN or OH, or   —(C 1-6 -alkylene)-C(O)—NR a R b ;   
       R 2  is hydrogen,
       C 1-6 -alkyl,   C 1-6 -alkoxy,   —(C 1-6 -alkylene)-NR c R d ,   —(C 1-6 -alkylene)-C(O)R f ,   benzyl, optionally subsitituted by one or more halo, halo-C 1-6 -alkyl, C 1-6 -alkyl, C 1-6 -alkoxy, halo-C 1-6 -alkoxy, nitro, or cyano, or   phenyl, optionally subsitituted by one or more halo, halo-C 1-6 -alkyl, C 1-6 -alkyl, C 1-6 -alkoxy, halo-C 1-6 -alkoxy, nitro, or cyano;   
       R 3  is hydrogen, halo, or C 1-6 -alkyl;   R 4  is hydrogen,
       halo,   C 1-6 -alkyl,   halo-C 1-6 -alkyl,   C 1-6 -alkoxy,   halo-C 1-6 -alkoxy, or   —O—C 2-10 -alkenyl;   
       R 5  is hydrogen, halo, C 1-6 -alkyl, or C 1-6 -alkoxy;   or R 4  and R 5  are bound together to form a ring with the benzo moiety, wherein
       —R 4 —R 5 — is —O—(CH 2 ) n —O— wherein n is 1 or 2;   
       R 6  is hydrogen,
       C 1-6 -alkyl, optionally substituted by CN or OH,   —(C 1-6 -alkylene)-NR g R h ,   —(C 1-6 -alkylene)-C(O)—NR j ,   —O-benzyl, optionally subsitituted by one or more halo, halo-C 1-6 -alkyl, C 1-6 -alkyl, C 1-6 -alkoxy, halo-C 1-6 -alkoxy, nitro, or cyano, or   nitro,   halo,   cyano,   C 1-6 -alkoxy,   halo-C 1-6 -alkoxy,   halo-C 1-6 -alkyl,   —(C 1-6 -alkylene)-C(O)R f ,   phenyl, optionally subsitituted by one or more halo, halo-C 1-6 -alkyl, C 1-6 -alkyl, C 1-6 -alkoxy, halo-C 1-6 -alkoxy, nitro, or cyano,   —(C 1-3 -alkylene)-R m , wherein R m  is phenyl, a 5- to 6-membered heteroaryl, 4- to 6-membered heterocycloalkyl or 3 to 6-membered cycloalkyl,
           each optionally substituted by one or more halo, halo-C 1-6 -alkyl, C 1-6 -alkyl, C 1-6 -alkoxy, halo-C 1-6 -alkoxy, nitro, or cyano;   
           
       or R 5  and R 6  are bound together to form a ring with the benzo moiety, wherein
       —R 5 —R 6  is —O—(CH 2 ) n —C(O)—,
           —C(O)—(CH 2 ) n —O—, or   —O—(CH 2 ) n —O— wherein n is 1 or 2;   
           
       R 7  is hydrogen or C 1-6 -alkyl;   R 8 , R 9 , R 10 , and R 11  are each independently hydrogen, halo, C 1-6 -alkyl, halo-C 1-6 -alkyl, C 1-6 -alkoxy or halo-C 1-6 alkoxy;   R a , R b , R i  and R j  are each independently hydrogen,
       C 1-6 -alkyl,   —(C 1-6 -alkylene)-NR k R l ,
           wherein R k  and R l  are each independently hydrogen or C 1-6 -alkyl,   
           or R a  and R b , or R i  and R j  together with the nitrogen to which they are bound form a five or six membered heterocycle comprising one or two heteroatoms selected from the group of nitrogen, oxygen and sulfur;   
       R c , R d , R g  and R h  are each independently
       hydrogen,   C 1-6 -alkyl,   —C(O)R e , or —S(O) 2 R e  
           wherein R e  is selected from the group of
               hydrogen,   C 1-6 -alkyl, and   phenyl, optionally substituted by one or more halo, halo-C 1-6 -alkyl, C 1-6 -alkyl, C 1-6 -alkoxy, halo-C 1-6 -alkoxy, nitro, or cyano;   
               or R c  and R d , or R g  and R h  together with the nitrogen to which they are bound form a five or six membered heterocycle comprising one or two heteroatoms selected from the group of nitrogen, oxygen and sulfur;   
           or R c  and R d , or R g  and R h  together with the nitrogen to which they are bound form isoindole-1,3-dione;   
       R f  is selected from the group of
       hydrogen,   C 1-6 -alkyl,   C 1-6 -alkoxy; and   phenyl, optionally substituted by one or more halo, halo-C 1-6 -alkyl, C 1-6 -alkyl, C 1-6 -alkoxy, halo-C 1-6 -alkoxy, nitro, or cyano;
 
or a pharmaceutically acceptable salt thereof.
   
       
 
         [0168]    In certain embodiments of the invention, R a  and R b , R c  and R d , R i  and R j , or R g  and R h  together with the nitrogen to which they are bound form piperazine, 4-(C 1-6 -alkyl)-piperazine, 4-methylpiperazine, morpholine, piperidine or pyrrolidine. 
         [0169]    In certain embodiments of the invention, R a  and R b , R c  and R d , R i  and R j , or R g  and R h  together with the nitrogen to which they are bound form 4-methylpiperazine, or morpholine. 
         [0170]    In certain embodiments of the invention, wherein R m  is a 5- to 6-membered heteroaryl, the preferred heteroaryl is selected from the group consisting of pyridine, pyrimidine, pyrazine, pyridazine, imidazole, pyrazole, oxazole, and isoxazole. 
         [0171]    In embodiments of the invention, wherein R m  is a 4- to 6-membered heterocycloalkyl, the preferred heterocycloalkyl is selected from the group consisting of pyrrolidine, oxethane, tetrahydropyrane, piperidine, morpholine, and piperazine. 
         [0172]    In certain embodiments of the invention,
   R 1  is hydrogen,
       C 1-6 -alkyl, optionally substituted by CN or OH, or   —(C 1-6 -alkylene)-C(O)—NR a R b ,
           wherein R a  and R b  are each independently hydrogen or C 1-6 -alkyl.   
           
       
 
         [0177]    In certain embodiments of the invention,
   R 2  is hydrogen,
       C 1-6 -alkyl,   C 1-6 -alkoxy,   —(C 1-6 -alkylene)-NR c R d ,
           wherein R c  and R d  are each independently
               hydrogen,   —C(O)R e , or —S(O) 2 R′
                   wherein R e  is selected from the group of   hydrogen,   C 1-6 -alkyl, and   phenyl, optionally substituted by one or more halo, halo-C 1-6 -alkyl, C 1-6 -alkyl, C 1-6 -alkoxy, halo-C 1-6 -alkoxy, nitro, or cyano, or   
                   
               R c  and R d  together with the nitrogen to which they are bound form isoindole-1,3-dione,   
           —(C 1-6 -alkylene)-C(O)R f ,
           wherein R f  is selected from the group of
               hydrogen,   C 1-6 -alkyl,   C 1-6 -alkoxy, and   phenyl, optionally substituted by one or more halo, halo-C 1-6 -alkyl, C 1-6 -alkyl, C 1-6 -alkoxy, halo-C 1-6 -alkoxy, nitro, or cyano;   
               
           benzyl, optionally subsitituted by halo, halo-C 1-6 -alkyl, C 1-6 -alkyl, C 1-6 -alkoxy, halo-C 1-6 -alkoxy, nitro, or cyano, or   phenyl, optionally subsitituted by halo, halo-C 1-6 -alkyl, C 1-6 -alkyl, C 1-6 -alkoxy, halo-C 1-6 -alkoxy, nitro, or cyano.   
       
 
         [0198]    In certain embodiments of the invention, R 2  is hydrogen, C 1-6 -alkyl or C 1-6 -alkoxy. 
         [0199]    In certain embodiments of the invention, R 3  is hydrogen or halo. 
         [0200]    In certain embodiments of the invention, R 4  is hydrogen; halo, preferably fluoro, chloro or bromo; C 1-6 -alkyl, preferably methyl; C 1-6 -alkoxy, preferably methoxy or —O-iso-propyl; halo-C 1-6 -alkoxy, preferably trifluoromethoxy; or —O—C 2-10 -alkenyl, preferably allyl. 
         [0201]    In certain embodiments of the invention, R 5  is hydrogen; halo, preferably bromo; C 1-6 -alkyl, preferably methyl; or C 1-6 -alkoxy, preferably methoxy. 
         [0202]    In certain embodiments of the invention, R 4  and R 5  are bound together to form a ring with the benzo moiety, wherein —R 4 —R 5 — is —O—CH 2 —O—. 
         [0203]    In certain embodiments of the invention,
   R 6  is hydrogen,
       C 1-6 -alkyl, optionally substituted by CN or OH,   —(C 1-6 -alkylene)-NR g R h  
           wherein R g  and R h  are each independently selected from hydrogen, and C 1-6 -alkyl;   or wherein R g  and R h  together with the nitrogen to which they are bound form a five or six membered heterocycle comprising one or two heteroatoms selected from the group of nitrogen, oxygen and sulfur;   
           —(C 1-6 -alkylene)-C(O)—NR i R j  
           wherein R i  and R j  are each independently
               hydrogen;   C 1-6 -alkyl;   —(C 1-6 -alkylene)-NR k R l ;
                   wherein R k  and R l  are each independently hydrogen or C 1-6 -alkyl;   
                   
               or R i  and R j  together with the nitrogen to which they are bound form a five or six membered heterocycle comprising one or two heteroatoms selected from the group of nitrogen, oxygen and sulfur;   
           —O-benzyl, optionally subsitituted by one or more halo, halo-C 1-6 -alkyl, C 1-6 -alkyl, C- 1-6 -alkoxy, halo-C 1-6 -alkoxy, nitro, or cyano;   nitro;   halo;   cyano;   C 1-6 -alkoxy;   halo-C 1-6 -alkoxy;   halo-C 1-6 -alkyl;   —(C 1-6 -alkylene)-C(O)R f ;
           wherein R f  is selected from
               hydrogen;   C 1-6 -alkyl;   C 1-6 -alkoxy; and   phenyl, optionally substituted by one or more halo, halo-C 1-6 -alkyl, C 1-6 -alkyl, C 1-6 -alkoxy, halo-C 1-6 -alkoxy, nitro, or cyano,   
               
           phenyl, optionally subsitituted by one or more halo, halo-C 1-6 -alkyl, C 1-6 -alkyl, C 1-6 -alkoxy, halo-C 1-6 -alkoxy, nitro, or cyano;   —(C 1-3 -alkylene)-R m , wherein R m  is phenyl, a 5- to 6-membered heteroaryl, 4- to 6-membered heterocycloalkyl or 3 to 6-membered cycloalkyl,
           each optionally substituted by one or more halo, halo-C 1-6 -alkyl, C 1-6 -alkyl, C 1-6 -alkoxy, halo-C 1-6 -alkoxy, nitro, or cyano.   
           
       
 
         [0232]    In certain embodiments of the invention,
   R 6  is hydrogen,
       C 1-6 -alkyl, optionally substituted by CN or OH,   —(C 1-6 -alkylene)-NR g R h ,
           wherein R g  and R h  are each independently selected from hydrogen, or C 1-6 -alkyl, or wherein
               R g  and R h  together with the nitrogen to which they are bound form a five or six membered heterocycle comprising one or two heteroatoms selected from the group of nitrogen and oxygen,   
               
           —(C 1-6 -alkylene)-C(O)—NR i R j ,
           wherein R i  and R j  are each independently
               hydrogen,   C 1-6 -alkyl,   —(C 1-6 -alkylene)-NR k R l ,
                   wherein R k  and R l  are each independently hydrogen or C 1-6 -alkyl;   
                   
               or R i  and R l  together with the nitrogen to which they are bound form a five or six membered heterocycle comprising one or two heteroatoms selected from the group of nitrogen and oxygen.   
           
       
 
         [0245]    In certain embodiments of the invention, R 7  is hydrogen or C 1-6 -alkyl, preferably hydrogen. 
         [0246]    In certain embodiments all R 8  to R 11  are hydrogen. 
         [0247]    In certain embodiments, R 8  to R 11  are independently hydrogen or halo. 
         [0248]    In certain embodiments, R 9  is fluoro, and R 8 , R 10  and R 11  are hydrogen. 
         [0249]    In certain embodiments, R 8 , R 9  and R 11  are hydrogen and R 10  is bromo. 
         [0250]    In certain embodiments, R 8  to R 11  are independently hydrogen or methyl. 
         [0251]    In certain embodiments, R 8  to R 10  are hydrogen and R 11  is methyl. 
         [0252]    In certain embodiments, the invention provides compounds in which X and Y are selected from the combinations of:
   X is C═O, and Y is O,   X is CH 2 , and Y is O, and   X is O, and Y is CH 2 .   
 
         [0256]    In certain embodiments of the invention, X is C═O and Y is O, i.e. compounds of formula (Ia) 
         [0000]    
       
                 
         
             
             
         
       
     
         [0000]    wherein R 1  to R 11  are as defined herein above. 
         [0257]    In certain embodiments of the invention, X is CH 2 , and Y is O, i.e. compounds of formula (Ib) 
         [0000]    
       
                 
         
             
             
         
       
     
         [0000]    wherein R 1  to R 11  are as defined herein above. 
         [0258]    In certain embodiments of the invention, X is O and Y is CH 2 , i.e. compounds of formula (Ic) 
         [0000]    
       
                 
         
             
             
         
       
     
         [0000]    wherein R 1  to R 11  are as defined herein above. 
         [0259]    In certain embodiments, the invention provides compounds in which X and Y are selected from the combinations of:
   X is NR 7 , and Y is C═O, and   X is NR 7 , and Y is CH 2 .   
 
         [0262]    In certain embodiments of the invention, X is NR 7  and Y is C═O, i.e. compounds of formula (Id) 
         [0000]    
       
                 
         
             
             
         
       
     
         [0000]    wherein R 1  to R 11  are as defined herein above. 
         [0263]    In certain embodiments of the invention, X is NR 7  and Y is CH 2 , i.e. compounds of formula (Ie) 
         [0000]    
       
                 
         
             
             
         
       
     
         [0000]    wherein R 1  to R 11  are as defined herein above. 
         [0264]    In certain embodiments, the invention provides compounds in which X and Y are selected from the combinations of: 
       X-Y is —C═C— and —CH 2 CH 2 —. 
       [0265]    In certain embodiments of the invention, —X—Y— is —CH═CH—, i.e. compounds of formula (If) 
         [0000]    
       
                 
         
             
             
         
       
     
         [0000]    wherein R 1  to R 6  and R 8  to R 11  are as defined herein above. 
         [0266]    In certain embodiments of the invention, —X—Y— is —CH 2  CH 2 —, i.e. compounds of formula (Ig) 
         [0000]    
       
                 
         
             
             
         
       
     
         [0000]    wherein R 1  to R 6  and R 8  to R 11  are as defined herein above. 
         [0267]    In certain embodiments of the invention, R 1  to R 6  are not all hydrogen. 
         [0268]    In certain embodiments of the invention, R 1  to R 11  are not all hydrogen. 
         [0269]    The invention further encompasses an embodiment with the compound of formula (I), wherein
   X and Y are selected from the combinations of:   X is C═O, and Y is O,   X is CH 2 , and Y is O,   X is O, and Y is CH 2 ,   X is NR 7 , and Y is C═O,   X is NR 7 , and Y is CH 2 , or   X-Y is —C═C— or —CH 2 CH 2 —;   R 1  is hydrogen,
       C 1-6 -alkyl, optionally substituted by CN or OH,   —(C 1-6 -alkylene)-C(O)—NR a R b ,
           wherein R a  and R b  are each independently hydrogen or C 1-6 -alkyl;   
           
       R 2  is hydrogen,
       C 1-6 -alkyl,   C 1-6 -alkoxy,   —(C 1-6 -alkylene)-NR c R d ,
           wherein R c  and R d  are each independently
               hydrogen,   —C(O)R e , or —S(O) 2 R′,
                   wherein R e  is selected from the group of   hydrogen,   C 1-6 -alkyl, and   phenyl, optionally substituted by one or more halo, halo-C 1-6 -alkyl, C 1-6 -alkyl, C 1-6 -alkoxy, halo-C 1-6 -alkoxy, nitro, or cyano,   
                   
               or R c  and R d  together with the nitrogen to which they are bound form isoindole-1,3-dione,   
           —(C 1-6 -alkylene)-C(O)R f ,
           wherein R f  is selected from the group of
               hydrogen,   C 1-6 -alkyl,   C 1-6 -alkoxy; and,   phenyl, optionally substituted by one or more halo, halo-C 1-6 -alkyl, C 1-6 -alkyl, C 1-6 -alkoxy, halo-C 1-6 -alkoxy, nitro, or cyano,   
               
           benzyl, optionally subsitituted by halo, halo-C 1-6 -alkyl, C 1-6 -alkyl, C 1-6 -alkoxy, halo-C 1-6 -alkoxy, nitro, or cyano, or   phenyl, optionally subsitituted by halo, halo-C 1-6 -alkyl, C 1-6 -alkyl, C 1-6 -alkoxy, halo-C 1-6 -alkoxy, nitro, or cyano;   
       R 3  is hydrogen, halo, or C 1-6 -alkyl;   R 4  is hydrogen,
       halo,   C 1-6 -alkyl,   halo-C 1-6 -alkyl,   C 1-6 -alkoxy,   halo-C 1-6 -alkoxy, or   —O—C 2-10 -alkenyl;   
       R 5  is hydrogen, halo, C 1-6 -alkyl, or C 1-6 -alkoxy;   or R 4  and R 1  are bound together to form a ring with the benzo moiety, wherein
       —R 4 —R 5 — is —O—(CH 2 ) n —O— wherein n is 1 or 2,   
       R 6  is hydrogen,
       C 1-6 -alkyl, optionally substituted by CN or OH,   —(C 1-6 -alkylene)-NR g R h ,
           wherein R g  and R h  are each independently selected from hydrogen, or C 1-6 -alkyl;   or wherein R g  and R h  together with the nitrogen to which they are bound form a five or six membered heterocycle comprising one or two heteroatoms selected from the group of nitrogen, oxygen and sulfur,   
           —(C 1-6 -alkylene)-C(O)—NR i R j ,
           wherein R i  and R j  are each independently
               hydrogen,   C 1-6 -alkyl,   —(C 1-6 -alkylene)-NR k R l ,
                   wherein R k  and R l  are each independently hydrogen or C 1-6 -alkyl;   
                   
               or R i  and R j  together with the nitrogen to which they are bound form a five or six membered heterocycle comprising one or two heteroatoms selected from the group of nitrogen, oxygen and sulfur,   
           —O-benzyl, optionally subsitituted by one or more halo, halo-C 1-6 -alkyl, C 1-6 -alkyl, C 1-6 -alkoxy, halo-C 1-6 -alkoxy, nitro, or cyano,   nitro,   halo,   cyano,   C 1-6 -alkoxy,   halo-C 1-6 -alkoxy,   halo-C 1-6 -alkyl,   —(C 1-6 -alkylene)-C(O)R f ,   phenyl, optionally subsitituted by one or more halo, halo-C 1-6 -alkyl, C 1-6 -alkyl, C 1-6 -alkoxy, halo-C 1-6 -alkoxy, nitro, or cyano,   —(C 1-3 -alkylene)-R m , wherein R m  is phenyl, a 5- to 6-membered heteroaryl, 4- to 6-membered heterocycloalkyl or 3 to 6-membered cycloalkyl,
           each optionally substituted by one or more halo, halo-C 1-6 -alkyl, C 1-6 -alkyl, C 1-6 -alkoxy, halo-C 1-6 -alkoxy, nitro, or cyano;   
           
       or R 5  and R 6  are bound together to form a ring with the benzo moiety, wherein
       —R 5 —R 6  is —O—(CH 2 ) n —C(O)—,
           —C(O)—(CH 2 ) n —O—, or   —O—(CH 2 ) n —O— wherein n is 1 or 2;   
           
       R 7  is hydrogen or C 1-6 -alkyl;   R 8 , R 9 , R 10 , and R 11  are each independently hydrogen, halo, C 1-6 -alkyl or halo-C 1-6 -alkyl.   
 
         [0341]    The invention further encompasses an embodiment with the compound of formula (I), wherein
   X and Y are selected from the combinations of:   X is C═O, and Y is O,   X is CH 2 , and Y is O.   X is O, and Y is CH 2 ,   X is NR 7 , and Y is C═O,   X is NR 7 , and Y is CH 2 , or   X—Y is —C═C— or —CH 2 CH 2 —;   R 1  is hydrogen,
       CR 1-6 -alkyl, optionally substituted by CN or OH, or   —(C 1-6 -alkylene)-C(O)—NR a R b ,
           wherein R a  and R b  are each independently hydrogen or C 1-6 -alkyl;   
           
       R 2  is hydrogen, C 1-6 -alkyl, or C 1-6 -alkoxy;   R 3  is hydrogen or halo;   R 4  is hydrogen,
       halo,   C 1-6 -alkyl,   halo-C 1-6 -alkyl,   C 1-6 -alkoxy,   halo-C 1-6 -alkoxy, or   —O—C 2-10 -alkenyl;   
       R 5  is hydrogen, halo, C 1-6 -alkyl, or C 1-6 -alkoxy;   or R 4  and R 1  are bound together to form a ring with the benzo moiety, wherein
       —R 4 —R 5 — is —O—(CH 2 ) n —O— wherein n is 1 or 2;   
       R 6  is hydrogen,
       C 1-6 -alkyl, optionally substituted by CN or OH,   —(C 1-6 -alkylene)-NR g R h ,
           wherein R g  and R h  are each independently selected from hydrogen, or C 1-6 -alkyl,   or wherein R g  and R h  together with the nitrogen to which they are bound form a five or six membered heterocycle comprising one or two heteroatoms selected from the group of nitrogen and oxygen,   
           —(C 1-6 -alkylene)-C(O)—NR i R j ,
           wherein R i  and R j  are each independently
               hydrogen,   C 1-6 -alkyl,   —(C 1-6 -alkylene)-NR k R l ,
                   wherein R k  and R l  are each independently hydrogen or C 1-6 -alkyl,   
                   
               or R i  and R j  together with the nitrogen to which they are bound form a five or six membered heterocycle comprising one or two heteroatoms selected from the group of nitrogen and oxygen;   
           
       R 7  is hydrogen or C 1-6 -alkyl;   R 8 , R 9 , R 10 , and R 11  are each independently hydrogen, halo, C 1-6 -alkyl or halo-C 1-6 -alkyl.   
 
         [0379]    The invention further encompasses an embodiment with the compound of formula (Ia), wherein
   R 1  is hydrogen, or
       —(C 1-6 -alkylene)-C(O)—NR a R b ,
           wherein R a  and R b  are each independently hydrogen or C 1-6 -alkyl;   
           
       R 2  is hydrogen;   R 3  is hydrogen;   R 4  is hydrogen or halo;   R 5  is hydrogen;   R 6  is hydrogen, or
       C 1-6 -alkyl, optionally substituted by CN;   
       R 8 , R 9 , R 10 , and R 11  are each independently hydrogen or halo.   
 
         [0390]    The invention further encompasses an embodiment with the compound of formula (Ib), wherein
   R 1  is hydrogen;   R 2  is hydrogen or C 1-6 -alkoxy;   R 3  is hydrogen or halo;   R 4  is hydrogen or halo;   R 5  is hydrogen or C 1-6 -alkoxy;   R 6  is hydrogen,
       C 1-6 -alkyl, optionally substituted by CN,   —(C 1-6 -alkylene)-NR 8 R h ,
           wherein R g  and R h  are each independently selected from hydrogen, or C 1-6 -alkyl,   or wherein R g  and R h  together with the nitrogen to which they are bound form a five or six membered heterocycle comprising one or two heteroatoms selected from the group of nitrogen and oxygen;   
           —(C 1-6 -alkylene)-C(O)—NR i R j ,
           wherein R i  and R j  are each independently
               hydrogen,   C 1-6 -alkyl,   —(C 1-6 -alkylene)-NR k R l ,
                   wherein R k  and R l  are each independently hydrogen or C 1-6 -alkyl,   
                   
               or R i  and R j  together with the nitrogen to which they are bound form a five or six membered heterocycle comprising one or two heteroatoms selected from the group of nitrogen and oxygen;   
           
       R 8 , R 9 , R 10 , and R 11  are each hydrogen.   
 
         [0409]    The invention further encompasses an embodiment with the compound of formula (Ic), wherein
   R 1  is hydrogen, or
       C 1-6 -alkyl, optionally substituted by CN,   
       R 2  is hydrogen or C 1-6 -alkyl;   R 3  is hydrogen;   R 4  is hydrogen,
       halo,   C 1-6 -alkyl,   C 1-6 -alkoxy,   halo-C 1-6 -alkoxy, or   —O—C 2-10 -alkenyl;   
       R 5  is hydrogen, halo, C 1-6 -alkyl, or C 1-6 -alkoxy;   or R 4  and R 5  are bound together to form a ring with the benzo moiety, wherein
       —R 4 —R 5 — is —O—(CH 2 ) n —O— wherein n is 1 or 2;   
       R 6  is hydrogen, or
       C 1-6 -alkyl, optionally substituted by CN;   
       R 8 , R 9 , R 10 , and R 11  are each hydrogen.   
 
         [0426]    The invention further encompasses an embodiment with the compound of formula (Id), wherein
   R 1  is hydrogen, or
       C 1-6 -alkyl, optionally substituted by CN;   
       R 2  is hydrogen or C 1-6 -alkyl;   R 3  is hydrogen or halo;   R 4  is hydrogen, halo, or C 1-6 -alkoxy;   R 5  is hydrogen, halo, C 1-6 -alkyl, or C 1-6 -alkoxy;   or R 4  and R 5  are bound together to form a ring with the benzo moiety, wherein
       —R 4 —R 5 — is —O—(CH 2 ), —O— wherein n is 1 or 2;   
       R 6  is hydrogen, or
       C 1-6 -alkyl, optionally substituted by CN;   
       R 7  is hydrogen;   R 8 , R 9 , R 10 , and R 11  are each independently hydrogen, halo, or C 1-6 -alkyl.   
 
         [0439]    The invention further encompasses an embodiment with the compound of formula (Ie), wherein
   R 1  to R 3  and R 5  to R 11  are hydrogen; and R 4  is halo.   
 
         [0441]    Preferred compounds of formula Ia are
   {5-chloro-2-[(3-oxo-1′H,3H-spiro[2-benzofuran-1,4′-piperidin]-1′-yl)carbonyl]-1H-indol-7-yl}acetonitrile,   2-{5-chloro-2-[(3-oxo-1′H,3H-spiro[2-benzofuran-1,4′-piperidin]-1′-yl)carbonyl]-1H-indol-1-yl}-N,N-dimethylacetamide,   1′-[(5-chloro-1H-indol-2-yl)carbonyl]-3H-spiro[2-benzofuran-1,4′-piperidin]-3-one, and   1′-[(5-chloro-1H-indol-2-yl)carbonyl]-5-fluoro-3H-spiro[2-benzofuran-1,4′-piperidin]-3-one.   
 
         [0446]    Preferred compounds of formula Ib are
   [5-chloro-2-(1′H,3H-spiro[2-benzofuran-1,4′-piperidin]-1′-ylcarbonyl)-1H-indol-7-yl]acetonitrile,   1′-({5-chloro-7-[2-(4-methylpiperazin-1-yl)-2-oxoethyl]-1H-indol-2-yl}carbonyl)-3H-spiro[2-benzofuran-1,4′-piperidine],   1-[5-chloro-2-(1′H,3H-spiro[2-benzofuran-1,4′-piperidin]-1′-ylcarbonyl)-1H-indol-7-yl]-N,N-dimethylmethanamine,   1′-{[5-chloro-7-(morpholin-4-ylmethyl)-1H-indol-2-yl]carbonyl}-3H-spiro[2-benzofuran-1,4′-piperidine],   1′-[(5-chloro-1H-indol-2-yl) carbonyl]-3H-spiro[2-benzofuran-1,4′-piperidine],   2-[5-chloro-2-(1′H,3H-spiro[2-benzofuran-1,4′-piperidin]-1′-ylcarbonyl)-1H-indol-7-yl]-N-[2-(dimethylamino) ethyl]acetamide,   1′-[(5-fluoro-1H-indol-2-yl)carbonyl]-3H-spiro[2-benzofuran-1,4′-piperidine],   1′-({5-chloro-7-[(4-methylpiperazin-1-yl)methyl]-1H-indol-2-yl}carbonyl)-3H-spiro[2-benzofuran-1,4′-piperidine], and   1′-[(4-bromo-3-methoxy-1H-indol-2-yl)carbonyl]-3H-spiro[2-benzofuran-1,4′-piperidine].   
 
         [0456]    Preferred compounds of formula Ic are
   1′-[(3,7-dimethyl-1H-indol-2-yl) carbonyl]spiro[1-benzofuran-3,4′-piperidine], and   1′-[(3,6,7-trimethyl-1H-indol-2-yl) carbonyl]spiro[1-benzofuran-3,4′-piperidine].   
 
         [0459]    A preferred compound of 1d are
   {2-[(5-bromo-2-oxo-1,2-dihydro-1′H-spiro[indole-3,4′-piperidin]-1′-yl)carbonyl]-5-chloro-1H-indol-1-yl}acetonitrile.   
 
         [0461]    The invention also encompasses methods for treating dysmenorrhea, hypertension, chronic heart failure, inappropriate secretion of vasopressin, liver cirrhosis, nephrotic syndrome, obsessive compulsive disorder, anxiety and depressive disorders by administering a therapeutically effective amount of a compound selected from compounds of formula (I), (Ia), (Ib), (Ic), (Id), (Ie), (If), and (Ig). 
         [0462]    The invention also encompasses a pharmaceutical composition comprising a compound of formula (I), (Ia), (Ib), (Ic), (Id), (Ie), (If), or (Ig) and at least one pharmaceutically acceptable excipient. 
         [0463]    In a certain embodiment, the compound of the invention can be manufactured according to a process comprising reacting a compound of formula (II): 
         [0000]    
       
                 
         
             
             
         
       
     
         [0000]    with an amine of formula 1 
         [0000]    
       
                 
         
             
             
         
       
     
         [0000]    wherein R 1  to R 6  and R 8  to R 11  and X and Y are as defined above. 
         [0464]    In a certain embodiment, the compound of the invention can be manufactured according to a process comprising reacting a compound of formula (I-1): 
         [0000]    
       
                 
         
             
             
         
       
     
         [0000]    with an electophilic reagent of formula R 1 -hal, to give a compound of general formula (I) as defined herein above. 
         [0465]    The synthesis of compounds of general formula (I) will be described in more detail below and in the examples. 
         [0000]    
       
                 
         
             
             
         
       
     
         [0000]    wherein A is: 
         [0000]    
       
                 
         
             
             
         
       
     
         [0000]    wherein
   X and Y are selected from the combinations of:   X is C═O, and Y is O,   X is CH 2 , and Y is O,   X is O, and Y is CH 2 ,   X is NR 7 , and Y is C═O,   X is NR 7 , and Y is CH 2 , or   X-Y is —C═C— or —CH 2 CH 2 —   
 
         [0473]    Compounds of formula (I) can be prepared via an amide coupling between an indole 2-carboxylic acid (II) and a compound of formula (A-H), wherein A is defined as hereinabove. The usual reagents and protocols known in the art can be used to effect the amide coupling. Indole 2-carboxylic acids (II) are either commercially available or readily prepared using procedures described hereinafter. The compounds of formula (A-H) are either commercially available or prepared using methods known in the art starting from commercially available materials. 
         [0474]    General scheme A is hereinafter further illustrated with general procedure I. 
         [0000]    
       
                 
         
             
             
         
       
     
         [0475]    Compounds of formula (I-2) (compounds of formula (I) wherein R 1  is different from H), can be prepared by alkylation of the indole derivative of formula (I-1), with an electrophilic reagent of formula R 1 -hal (commercially available, wherein hal is halo, preferably Cl or Br) using standard procedures. Derivatives (I-1) are prepared using the amide coupling as described in the general scheme A. 
         [0000]    
       
                 
         
             
             
         
       
     
         [0476]    Substituted indole 2-carboxylic acids can be prepared according to the general scheme C. Indoles V are obtained by a Fischer indole synthesis from an aryl hydrazine III and a α-ketoester IV. Saponification gives an acid of formula II-a. Alternatively, Boc protection of the indole nitrogen gives VI. Selective bromination of the methyl group in the 7-position of the indole using NBS affords VII. Subsequent nucleophilic substitution of 7-bromomethyl indole intermediate VII with NaCN or a secondary amine yields intermediates VIII and IX, respectively. After N-deprotection and saponification of the ester moiety, the corresponding carboxylics acids II-b and II-c are obtained. 
         [0477]    Abbreviations Used: 
       NBS=N-Bromosuccinimide 
     Boc=tert-buthoxycarbonyl 
     EDC=N-(3-dimethylaminopropyl)-N′-ethyl-carbodiimide hydrochloride 
     HOBt=1-hydroxybenzotriazole 
     DMF=N,N-dimethylformamide 
     DMSO=dimethylsulfoxide 
     DMAP=4-dimethylaminopyridine 
     TFA=trifluoroacetic acid 
       [0478]    The compounds of the present invention exhibit V1a activity, which may be detected as described below: 
       V1a Activity 
     Material &amp; Method: 
       [0479]    The human V1a receptor was cloned by RT-PCR from total human liver RNA. The coding sequence was subcloned in an expression vector after sequencing to confirm the identity of the amplified sequence. To demonstrate the affinity of the compounds from the present invention to the human V1a receptor binding studies were performed. Cell membranes were prepared from HEK293 cells transiently transfected with the expression vector and grown in 20 liter fermenters with the following protocol. 
         [0480]    50 g of cells were resuspended in 30 ml freshly prepared ice cold Lysis buffer (50 mM HEPES, 1 mM EDTA, 10 mM MgCl 2  adjusted to pH=7.4+complete cocktail of protease inhibitor (Roche Diagnostics)). The mixture was homogenized with Polytron for 1 min and sonicated on ice for 2×2 minutes at 80% intensity (Vibracell sonicator). The preparation was centrifuged 20 min at 500 g at 4° C., the pellet was discarded and the supernatant centrifuged 1 hour at 43&#39;000 g at 4° C. (19&#39;000 rpm). The pellet was resuspended in 12.5 ml Lysis buffer+12.5 ml Sucrose 20% and homogenized using a Polytron for 1-2 min. The protein concentration was determined by the Bradford method and aliquots were stored at −80° C. until use. For binding studies 60 mg Yttrium silicate SPA beads (Amersham) were mixed with an aliquot of membrane in binding buffer (50 mM Tris, 120 mM NaCl, 5 mM KCl, 2 mM CaCl2, 10 mM MgCl2) for 15 minutes with mixing. 50 ul of bead/membrane mixture was then added to each well of a 96 well plate, followed by 50 ul of 4 nM 3H-Vasopressin (American Radiolabeled Chemicals). For total binding measurement, 100 ul of binding buffer were added to the respective wells; for non-specific binding, 100 ul of 8.4 mM cold vasopressin were added; and for compound testing, 100 ul of a serial dilution of each compound in 2% DMSO was added. The plate was incubated 1 h at room temperature, centrifuged 1 min at 1000 g and counted on a Packard Top-Count. Non-specific binding counts were subtracted from each well and data was normalized to the maximum specific binding set at 100%. To calculate an IC 50 the curve was fitted using a non-linear regression model (XLfit) and the Ki was calculated using the Cheng-Prussoff equation. 
         [0000]    
       
         
               
               
               
             
               
               
               
             
           
               
                   
                   
               
               
                   
                 Example 
                 pKi 
               
               
                   
                   
               
             
             
               
                   
               
             
          
           
               
                   
                 1 
                 7.38 
               
               
                   
                 2 
                 7.49 
               
               
                   
                 4 
                 7.76 
               
               
                   
                 5 
                 8.18 
               
               
                   
                 6 
                 7.75 
               
               
                   
                 8 
                 7.52 
               
               
                   
                 9 
                 8.26 
               
               
                   
                 10 
                 8.68 
               
               
                   
                 11 
                 8.42 
               
               
                   
                 12 
                 7.67 
               
               
                   
                 13 
                 8.11 
               
               
                   
                 14 
                 8.56 
               
               
                   
                 15 
                 8.44 
               
               
                   
                 24 
                 8.01 
               
               
                   
                 26 
                 8.14 
               
               
                   
                 46 
                 7.67 
               
               
                   
                   
               
             
          
         
       
     
         [0481]    The present invention also provides pharmaceutical compositions containing compounds of the invention or pharmaceutically acceptable salts thereof and a pharmaceutically acceptable carrier. Such pharmaceutical compositions can be in the form of tablets, coated tablets, dragees, hard and soft gelatine capsules, solutions, emulsions or suspensions. The pharmaceutical compositions also can be in the form of suppositories or injectable solutions. 
         [0482]    The pharmaceutical compositions of the invention, in addition to one or more compounds of the invention, contain a pharmaceutically acceptable carrier. Suitable pharmaceutically acceptable carriers include pharmaceutically inert, inorganic or organic carriers. Lactose, corn starch or derivatives thereof, talc, stearic acid or its salts etc can be used as such excipients e.g. for tablets, dragees and hard gelatine capsules. Suitable excipients for soft gelatine capsules are e.g. vegetable oils, waxes, fats, semi-solid and liquid polyols etc. Suitable excipients for the manufacture of solutions and syrups are e.g. water, polyols, saccharose, invert sugar, glucose etc. Suitable excipients for injection solutions are e.g. water, alcohols, polyols, glycerol, vegetable oils etc. Suitable excipients for suppositories are e.g. natural or hardened oils, waxes, fats, semi-liquid or liquid polyols etc. 
         [0483]    Moreover, the pharmaceutical compositions can contain preservatives, solubilizers, stabilizers, wetting agents, emulsifiers, sweeteners, colorants, flavorants, salts for varying the osmotic pressure, buffers, masking agents or antioxidants. They can also contain still other therapeutically valuable substances. 
         [0484]    The dosage at which the compounds of the invention can be administered can vary within wide limits and will, of course, be fitted to the individual requirements in each particular case. In general, in the case of oral administration a daily dosage of about 10 to 1000 mg per person of a compound of general formula (I) should be appropriate, although the above upper limit can also be exceeded when necessary. 
         [0485]    The following Examples illustrate the present invention without limiting it. All temperatures are given in degrees Celsius. 
       EXAMPLE A 
       [0486]    Tablets of the following composition can be manufactured in the usual manner: 
         [0000]    
       
         
               
               
             
               
               
               
             
           
               
                   
                   
               
               
                   
                 mg/tablet 
               
               
                   
                   
               
             
             
               
                   
               
             
          
           
               
                   
                 Active substance 
                 5 
               
               
                   
                 Lactose 
                 45 
               
               
                   
                 Corn starch 
                 15 
               
               
                   
                 Microcrystalline cellulose 
                 34 
               
               
                   
                 Magnesium stearate 
                 1 
               
               
                   
                 Tablet weight 
                 100 
               
               
                   
                   
               
             
          
         
       
     
       EXAMPLE B 
       [0487]    Capsules of the following composition can be manufactured: 
         [0000]    
       
         
               
               
             
               
               
               
             
           
               
                   
                   
               
               
                   
                 mg/capsule 
               
               
                   
                   
               
             
             
               
                   
               
             
          
           
               
                   
                 Active substance 
                 10 
               
               
                   
                 Lactose 
                 155 
               
               
                   
                 Corn starch 
                 30 
               
               
                   
                 Talc 
                 5 
               
               
                   
                 Capsule fill weight 
                 200 
               
               
                   
                   
               
             
          
         
       
     
         [0488]    The active substance, lactose and corn starch can be firstly mixed in a mixer and then in a comminuting machine. The mixture can be returned to the mixer, the talc is added thereto and mixed thoroughly. The mixture can be filled by machine into hard gelatine capsules. 
       EXAMPLE C 
       [0489]    Suppositories of the following composition can be manufactured: 
         [0000]    
       
         
               
               
             
               
               
               
             
           
               
                   
                   
               
               
                   
                 mg/supp. 
               
               
                   
                   
               
             
             
               
                   
               
             
          
           
               
                   
                 Active substance 
                 15 
               
               
                   
                 Suppository mass 
                 1285 
               
               
                   
                 Total 
                 1300 
               
               
                   
                   
               
             
          
         
       
     
         [0490]    The suppository mass can be melted in a glass or steel vessel, mixed thoroughly and cooled to 45° C. Thereupon, the finely powdered active substance can be added thereto and stirred until it has dispersed completely. The mixture can be poured into suppository moulds of suitable size, left to cool; the suppositories then can be removed from the moulds and packed individually in wax paper or metal foil. 
         [0491]    In the following, the synthesis of compounds of formula (I) is further exemplified: The compounds of formula I may be prepared in accordance with the process variants as described above. The starting materials described in the Example section are either commercially available or otherwise known or derived from the chemical literature, for instance as cited below, or may be prepared as described in the Examples section. 
       EXAMPLES 
     General Procedure 1 
     Amide Coupling 
       [0492]    To a 0.1 M stirred solution of an indole-2-carboxylic acid derivative of type (II) in CH 2 Cl 2  are added EDC (1.3 eq), HOBt (1.3 eq), Et 3 N (1.3 eq) and the amine derivative (A-H, as defined above, 1 eq). The mixture is stirred overnight at room temperature and then poured onto water and extracted with CH 2 Cl 2 . The combined organic phases are dried over Na 2 SO 4  and concentrated in vacuo. Flash chromatography or preparative HPLC affords a compound of formula (I). 
       General Procedure II 
     Alkylation 
       [0493]    To a 0.1 M stirred solution of a derivative of general formula (I-1) in DMF is added NaH (60% in oil, 2.1 eq.). After stirring the mixture at room temperature for 30 min. the electrophilic reactant R 1 -hal (1.1 eq.) is added. The mixture is stirred an additional 14 hours at 60° C. and then poured onto water and extracted with ethyl acetate. The combined organic phases are dried over Na 2 SO 4  and concentrated in vacuo. Purification by preparative HPLC affords the corresponding derivatives of general formula (I-2). 
       Preparation of Acids II 
     Acid 1: 5-Chloro-7-cyanomethyl-1H-indole-2-carboxylic acid 
       [0494]    
       
                 
         
             
             
         
       
     
       a) 2-[(4-Chloro-2-methyl-phenyl)-hydrazono]-propionic acid ethyl ester 
       [0495]    To a stirred solution of 0.55 g (2.85 mmol) of (4-chloro-2-methyl-phenyl)-hydrazine in acetic acid (5 ml), was added 0.34 g (2.91 mmol) of ethyl pyruvate. The mixture was stirred 2 hours at 35° C., poured onto an aqueous solution of sat. NaHCO 3  and then extracted with ethyl acetate. The combined organic phases were dried over Na 2 SO 4  and concentrated in vacuo, to afford 0.702 g (97%) of 2-[(4-chloro-2-methyl-phenyl)-hydrazono]-propionic acid ethyl ester as a light orange solid. 
       b) 5-Chloro-7-methyl-1H-indole-2-carboxylic acid ethyl ester 
       [0496]    To a solution of 0.70 g (2.75 mmol) of 2-[(4-chloro-2-methyl-phenyl)-hydrazono]-propionic acid ethyl ester in a sealed tube was added toluene (10 ml) and amberlyst 15 (1.60 g). The reaction mixture was heated at 120° C. over the night. The reaction mixture was concentrated under vacuo and purified by flash chromatography (SiO 2 , EtOAc/Hex 1/6) to afford 0.22 g (34%) of 5-chloro-7-methyl-1H-indole-2-carboxylic acid ethyl ester as a white solid. ES-MS m/e (%): 238.1 (M+H + ). 
       c) 5-Chloro-7-methyl-indole-1,2-dicarboxylic acid 1-tert-butyl ester 2-ethyl ester 
       [0497]    To a solution of 0.22 g (0.9 mmol) of 5-chloro-7-methyl-1H-indole-2-carboxylic acid ethyl ester in CH 2 Cl 2  (10 ml), 0.21 g of di-tert-butyl dicarbonate, 0.13 ml of Et 3 N and 23 mg of DMAP were added. The reaction mixture was stirred at RT for 2 hours, poured onto an aqueous solution of HCl 1M and extracted with CH 2 Cl 2 . The reaction mixture was concentrated under vacuo and purified by flash chromatography (SiO 2 , EtOAc/Hex 1/9) to afford 0.30 g (97%) of 5-chloro-7-methyl-indole-1,2-dicarboxylic acid 1-tert-butyl ester 2-ethyl ester as a light yellow solid. 
       d) 7-Bromomethyl-5-chloro-indole-1,2-dicarboxylic acid 1-tert-butyl ester 2-ethyl ester 
       [0498]    To a solution of 0.30 g (0.9 mmol) of 5-chloro-7-methyl-indole-1,2-dicarboxylic acid 1-tert-butyl ester 2-ethyl ester in CCl 4  (10 ml), 016 g N-bromosuccinimide (NBS) and 11 mg of benzoyl peroxide were added. The reaction mixture was heated at reflux for one hour and cooled down to RT. The succinimide was filtered off and the solvent removed under reduced pressure to afford 0.35 g (95%) of 7-bromomethyl-5-chloro-indole-1,2-dicarboxylic acid 1-tert-butyl ester 2-ethyl ester as a light brown solid. This product was directly used in the next step (unstable). 
       e) 5-Chloro-7-cyanomethyl-indole-1,2-dicarboxylic acid 1-tert-butyl ester 2-ethyl ester 
       [0499]    To a solution of 1.00 g (2.4 mmol) of 7-bromomethyl-5-chloro-indole-1,2-dicarboxylic acid 1-tert-butyl ester 2-ethyl ester in DMSO (10 ml) at RT, 012 g of sodium cyanide was added. The reaction mixture was stirred at RT for one hour, poored on a saturated aqueous ammonium chloride solution and the product was extracted with EtOAc. The combined organic phases were dried over Na 2 SO 4  and concentrated in vacuo. Flash chromatography (SiO 2 , EtOAc/Hex 9/1) afforded 0.31 g (36%) of 5-chloro-7-cyanomethyl-indole-1,2-dicarboxylic acid 1-tert-butyl ester 2-ethyl ester as a light yellow oil. 
       f) 5-Chloro-7-cyanomethyl-1H-indole-2-carboxylic acid ethyl ester 
       [0500]    To a solution of 0.30 g (0.8 mmol) of 5-chloro-7-cyanomethyl-indole-1,2-dicarboxylic acid 1-tert-butyl ester 2-ethyl ester in CH 2 Cl 2  (8 ml) at RT was added 2 ml of TFA. The reaction mixture was stirred at RT for one hour and concentrated under vacuo. The crude was taken up in EtOAc and neutralized with aqueous NaHCO 3 . The combined organic phases were dried over Na 2 SO 4  and concentrated in vacuo. Preparative HPLC (30% CH 3 CN/H 2 O) afforded 81 mg (35%) of 5-chloro-7-cyanomethyl-1H-indole-2-carboxylic acid ethyl ester as a white solid. 
       g) 5-Chloro-7-cyanomethyl-1H-indole-2-carboxylic acid 
       [0501]    To a solution of 81 mg (0.3 mmol) of 5-chloro-7-cyanomethyl-1H-indole-2-carboxylic acid ethyl ester in THF/EtOH/H 2 O (5 ml) at RT was added 39 mg of LiOH.H 2 O. The reaction mixture was stirred at 40° C. for three hours and then acidified with aqueous HCl IM. The product was extracted with EtOAc and concentrated under vacuo to afford 71 mg (98%) of 5-chloro-7-cyanomethyl-1H-indole-2-carboxylic acid as a white solid. ES-MS m/e (%): 232.9 (M−H + ). 
       Acid 2: 5-Chloro-7-morpholin-4-ylmethyl-1H-indole-2-carboxylic acid 
       [0502]    
       
                 
         
             
             
         
       
     
       a) 5-Chloro-7-morpholin-4-ylmethyl-1H-indole-2-carboxylic acid ethyl ester 
       [0503]    To a solution of 0.11 g (0.26 mmol) of 7-bromomethyl-5-chloro-indole-1,2-dicarboxylic acid 1-tert-butyl ester 2-ethyl ester in THF (1 ml) at RT, 40 μl of morpholine was added. The reaction mixture was stirred at 40° C. for one hour and concentrated under vacuo. The crude was dissolved in CH 2 Cl 2  (1 m) and at RT, 0.2 ml of TFA was added and stirring was continued over night. Preparative HPLC (30% CH 3 CN/H 2 O) afforded 53 mg (62%) of 5-chloro-7-morpholin-4-ylmethyl-1H-indole-2-carboxylic acid ethyl ester as colorless oil. 
       b) 5-Chloro-7-morpholin-4-ylmethyl-1H-indole-2-carboxylic acid 
       [0504]    To a solution of 53 mg (0.16 mmol) of 5-chloro-7-morpholin-4-ylmethyl-1H-indole-2-carboxylic acid ethyl ester in THF/EtOH/H 2 O (2.5 ml) at RT was added 21 mg of LiOH.H 2 O. The reaction mixture was stirred at 45° C. for one hour and then acidified with aqueous HCl 1M. The product was extracted with EtOAc and concentrated under vacuo to afford 12 mg (25%) of 5-chloro-7-morpholin-4-ylmethyl-1H-indole-2-carboxylic acid as a white solid. ES-MS m/e (%): 293.1 (M−H + ). 
       Acid 3: 5-Chloro-7-(4-methyl-piperazin-1-ylmethyl)-1H-indole-2-carboxylic acid 
       [0505]    
       
                 
         
             
             
         
       
     
       a) 5-Chloro-7-(4-methyl-piperazin-1-ylmethyl)-1H-indole-2-carboxylic acid ethyl ester 
       [0506]    To a solution of 0.125 g (0.30 mmol) of 7-bromomethyl-5-chloro-indole-1,2-dicarboxylic acid 1-tert-butyl ester 2-ethyl ester in THF (1 ml) at RT, 55 mg of 1-methyl-piperazine was added. The reaction mixture was stirred at 40° C. for one hour and concentrated under vacuo. The crude was dissolved in CH 2 Cl 2  (1 m) and at R T  0.2 ml of TFA was added and stirring was continued over night. Preparative HPLC (30% CH 3 CN/H 2 O) afforded 30 mg (29%) of 5-chloro-7-(4-methyl-piperazin-1-ylmethyl)-1H-indole-2-carboxylic acid ethyl ester as colorless oil. 
       b) 5-Chloro-7-(4-methyl-piperazin-1-ylmethyl)-1H-indole-2-carboxylic acid 
       [0507]    To a solution of 30 mg (0.09 mmol) of 5-chloro-7-(4-methyl-piperazin-1-ylmethyl)-1H-indole-2-carboxylic acid ethyl ester in THF/EtOH/H 2 O (2.5 ml) at RT was added 6 mg of LiOH.H 2 O. The reaction mixture was stirred at 45° C. for one hour and then acidified with aqueous HCl IM. The product was extracted with EtOAc and concentrated under vacuo to afford 10 mg (36%) of 5-chloro-7-(4-methyl-piperazin-1-ylmethyl)-1H-indole-2-carboxylic acid as a white solid. ES-MS m/e (%): 306.2 (M−H + ). 
       Acid 4: 5-Chloro-7-dimethylaminomethyl-1H-indole-2-carboxylic acid 
       [0508]    
       
                 
         
             
             
         
       
     
       a) 5-Chloro-7-dimethylaminomethyl-1H-indole-2-carboxylic acid ethyl ester 
       [0509]    To a solution of 0.200 g (0.48 mmol) of 7-bromomethyl-5-chloro-indole-1,2-dicarboxylic acid 1-tert-butyl ester 2-ethyl ester (previously described) in THF (3 ml) at RT, 0.17 ml of dimethyl amine (5.6 M in EtOH) was added. The reaction mixture was stirred at RT for one hour and concentrated under vacuo. The crude was dissolved in CH 2 Cl 2  (1 m) and at R T  0.2 ml of TFA was added and stirring was continued over night. Preparative HPLC (30% CH 3 CN/H 2 O) afforded 67 mg (50%) of 5-chloro-7-dimethylaminomethyl-1H-indole-2-carboxylic acid ethyl ester as colorless oil. ES-MS m/e (%): 281.3 (M+H + ). 
       b) 5-Chloro-7-dimethylaminomethyl-1H-indole-2-carboxylic acid 
       [0510]    To a solution of 90 mg (0.32 mmol) of 5-chloro-7-dimethylaminomethyl-1H-indole-2-carboxylic acid ethyl ester in THF/EtOH/H 2 O (5 ml) at RT was added 23 mg of LiOH.H 2 O. The reaction mixture was stirred at 45° C. for one hour and then acidified with aqueous HCl IM. The product was extracted with EtOAc and concentrated under vacuo to afford 34 mg (42%) of 5-chloro-7-dimethylaminomethyl-1H-indole-2-carboxylic acid as a white solid. ES-MS m/e (%): 251.3 (M−H + ). 
       Acid 5: 3,7-Dimethyl-1H-indole-2-carboxylic acid 
       [0511]    
       
                 
         
             
             
         
       
     
         [0512]    The title compound is prepared by saponification of 3,7-dimethyl-1H-indole-2-carboxylic acid ethyl ester (prepared by Fischer indole synthesis as described in Tetrahedron Lett. 2003, 44, 5665) using the procedure described above for the synthesis of 5-chloro-7-cyanomethyl-1H-indole-2-carboxylic acid (acid 1, step g)). 
       Acid 6: 5-Chloro-1-cyanomethyl-1H-indole-2-carboxylic acid 
       [0513]    
       
                 
         
             
             
         
       
     
         [0514]    To a solution of 1.0 eq. of 5-chloro-1-cyanomethyl-1H-indole-2-carboxylic acid ethyl ester (prepared according to Indian Journal of Chemistry, Section B: Organic Chemistry Including Medicinal Chemistry (1989), 28B(12), 1065-8) in a mixture of THF/H 2 O ((9/1) was added LiOH.H 2 O (1.0 eq.) and the R/M stirred 6 h at R/T, acidified to pH2 and then partially concentrated until precipitation of the crude product which was filtered off and washed with Et 2 O and then dried to give the desired product as a light yellow solid (84%). 
       Acid 7: Cyanomethyl-1H-indole-2-carboxylic acid 
       [0515]    
       
                 
         
             
             
         
       
     
         [0516]    To a solution of 1.0 eq. of 1-cyanomethyl-1H-indole-2-carboxylic acid ethyl ester in a mixture of THF/H 2 O ((9/1) was added LiOH.H 2 O (1.0 eq.) and the reaction mixture stirred 6 h at RT, acidified to pH2 and then partially concentrated until precipitation of the crude product which was filtered off and washed with Et 2 O and then dried to give the desired product as a light yellow solid (70%). 
         [0517]    ES-MS m/e (%): 199.0 (M−H + ). 
       EXAMPLES 
     Example 1 
     1′-[(5-chloro-1H-indol-2-yl)carbonyl]-5-fluoro-3H-spiro[2-benzofuran-1,4′-piperidin]-3-one 
       [0518]    
       
                 
         
             
             
         
       
     
         [0519]    Amide coupling according to general procedure I: 
         [0520]    Amine: 5-fluoro-3H-spiro[2-benzofuran-1,4′-piperidin]-3-one (described in WO01/14376), 
         [0521]    Acid: 5-Chloro-1H-indole-2-carboxylic acid, 
         [0522]    ES-MS m/e (%): 399.1 (M+H + ). 
       Example 2 
     1′-[(5-chloro-1H-indol-2-yl)carbonyl]-3H-spiro[2-benzofuran-1,4′-piperidin]-3-one 
       [0523]    
       
                 
         
             
             
         
       
     
         [0524]    Amide coupling according to general procedure I: 
         [0525]    Amine: 3H-spiro[2-benzofuran-1,4′-piperidin]-3-one (described in J. Org. Chem. 1975, 40, 1427), 
         [0526]    Acid: 5-Chloro-1H-indole-2-carboxylic acid, 
         [0527]    ES-MS m/e (%): 381.1 (M+H + ). 
       Example 3 
     2-{5-chloro-2-[(5-fluoro-3-oxo-1′H,3H-spiro[2-benzofuran-1,4′-piperidin]-1′-yl)carbonyl]-1H-indol-1-yl}-N,N-dimethylacetamide 
       [0528]    
       
                 
         
             
             
         
       
     
         [0529]    To a stirred solution of 60 mg (0.15 mmol) of 1′-[(5-chloro-1H-indol-2-yl)carbonyl]-5-fluoro-3H-spiro[2-benzofuran-1,4′-piperidin]-3-one in DMF (4 ml) at RT was added 7 mg (0.16 mmol) of NaH (in oil, 55%). After 20 minutes, 18 mg (0.015 mmol) of 2-chloro-N,N-dimethyl-acetamide was added and stirring was continued over night. The reaction mixture was concentrated in vacuo and purification by preparative HPLC (30% CH 3 CN/H 2 O) afforded 70 mg (96%) of 2-{5-chloro-2-[(5-fluoro-3-oxo-1′H,3H-spiro[2-benzofuran-1,4′-piperidin]-1-yl)carbonyl]-1H-indol-1-yl}-N,N-dimethylacetamide as a white solid. 
         [0530]    ES-MS m/e (%): 484.5 (M+H + ). 
       Example 4 
     2-{5-chloro-2-[(3-oxo-1′H,3H-spiro[2-benzofuran-1,4′-piperidin]-1′-yl)carbonyl]-1H-indol-1-yl}-N,N-dimethylacetamide 
       [0531]    
       
                 
         
             
             
         
       
     
         [0532]    To a stirred solution of 60 mg (0.15 mmol) of 1′-[(5-chloro-1H-indol-2-yl)carbonyl]-3H-spiro[2-benzofuran-1,4′-piperidin]-3-one in DMF (4 ml) at RT was added 7 mg (0.16 mmol) of NaH (in oil, 55%). After 20 minutes, 19 mg (0.015 mmol) of 2-chloro-N,N-dimethyl-acetamide was added and stirring was continued over night. The reaction mixture was concentrated in vacuo and purification by preparative HPLC (30% CH 3 CN/H 2 O) afforded 60 mg (82%) of 2-{5-chloro-2-[(3-oxo-1′H,3H-spiro[2-benzofuran-1,4′-piperidin]-1′-yl)carbonyl]-1H-indol-1-yl}-N,N-dimethylacetamide as a white solid. 
         [0533]    ES-MS m/e (%): 466.3 (M+H + ). 
       Example 5 
     {5-chloro-2-[(3-oxo-1′H,3H-spiro[2-benzofuran-1,4′-piperidin]-1′-yl)carbonyl]-1H-indol-7-yl}acetonitrile 
       [0534]    
       
                 
         
             
             
         
       
     
         [0535]    Amide coupling according to general procedure I: 
         [0536]    Amine: 3H-spiro[2-benzofuran-1,4′-piperidin]-3-one (described in J. Org. Chem. 1975, 40, 1427), 
         [0537]    Acid: 5-Chloro-7-cyanomethyl-1H-indole-2-carboxylic acid, 
         [0538]    ES-MS m/e (%): 420.1 (M+H + ). 
       Example 6 
     1′-[(5-fluoro-1H-indol-2-yl)carbonyl]-3H-spiro[2-benzofuran-1,4′-piperidine] 
       [0539]    
       
                 
         
             
             
         
       
     
       Amide coupling according to general procedure I: 
       [0540]    Amine: 3H-spiro[2-benzofuran-1,4′-piperidine] 
         [0541]    Acid: 5-Fluoro-1H-indole-2-carboxylic acid, 
         [0542]    ES-MS m/e (%): 351.5 (M+H + ). 
       Example 7 
     1′-[(6-methoxy-1H-indol-2-yl)carbonyl]-3H-spiro[2-benzofuran-1,4′-piperidine] 
       [0543]    
       
                 
         
             
             
         
       
     
       Amide coupling according to general procedure I: 
       [0544]    Amine: 3H-spiro[2-benzofuran-1,4′-piperidine] 
         [0545]    Acid: 6-Methoxy-1H-indole-2-carboxylic acid, 
         [0546]    ES-MS m/e (%): 363.5 (M+H + ). 
       Example 8 
     1′-[(4-bromo-3-methoxy-1H-indol-2-yl)carbonyl]-3H-spiro[2-benzofuran-1,4′-piperidine] 
       [0547]    
       
                 
         
             
             
         
       
     
       Amide coupling according to general procedure I: 
       [0548]    Amine: 3H-spiro[2-benzofuran-1,4′-piperidine] 
         [0549]    Acid: 4-Bromo-3-methoxy-1H-indole-2-carboxylic acid (described in European Journal of Medicinal Chemistry (1997), 32(3), 253-261), 
         [0550]    ES-MS m/e (%): 441.4 (M+H + ). 
       Example 9 
     1′-[(5-chloro-1H-indol-2-yl)carbonyl]-3H-spiro[2-benzofuran-1,4′-piperidine] 
       [0551]    
       
                 
         
             
             
         
       
     
       Amide coupling according to general procedure I: 
       [0552]    Amine: 3H-spiro[2-benzofuran-1,4′-piperidine] 
         [0553]    Acid: 5-Chloro-1H-indole-2-carboxylic acid, 
         [0554]    ES-MS m/e (%): 365.0 (M+H + ). 
       Example 10 
     [5-chloro-2-(1′H,3H-spiro[2-benzofuran-1,4′-piperidin]-1′-ylcarbonyl)-1H-indol-7-yl]acetonitrile 
       [0555]    
       
                 
         
             
             
         
       
     
       Amide coupling according to general procedure I: 
       [0556]    Amine: 3H-spiro[2-benzofuran-1,4′-piperidine] (described in J. Org. Chem. 1976, 41, 2628), 
         [0557]    Acid: 5-Chloro-7-cyanomethyl-1H-indole-2-carboxylic acid, 
         [0558]    ES-MS m/e (%): 406.2 (M+H + ). 
       Example 11 
     1′-{[5-chloro-7-(morpholin-4-ylmethyl)-1H-indol-2-yl]carbonyl}-3H-spiro[2-benzofuran-1,4′-piperidine] 
       [0559]    
       
                 
         
             
             
         
       
     
       Amide coupling according to general procedure I: 
       [0560]    Amine: 3H-spiro[2-benzofuran-1,4′-piperidine] (described in J. Org. Chem. 1976, 41, 2628), 
         [0561]    Acid: 5-Chloro-7-morpholin-4-ylmethyl-1H-indole-2-carboxylic acid 
         [0562]    ES-MS m/e (%): 466.3 (M+H + ). 
       Example 12 
     1′-({5-chloro-7-[(4-methylpiperazin-1-yl)methyl]-1H-indol-2-yl}carbonyl)-3H-spiro[2-benzofuran-1,4′-piperidine] 
       [0563]    
       
                 
         
             
             
         
       
     
         [0564]    Amide coupling according to general procedure I: 
         [0565]    Amine: 3H-spiro[2-benzofuran-1,4′-piperidine] (described in J. Org. Chem. 1976, 41, 2628), 
         [0566]    Acid: 5-Chloro-7-(4-methyl-piperazin-1-ylmethyl)-1H-indole-2-carboxylic acid 
         [0567]    ES-MS m/e (%): 479.3 (M+H + ). 
       Example 13 
     2-[5-chloro-2-(1′H,3H-spiro[2-benzofuran-1,4′-piperidin]-1′-ylcarbonyl)-1H-indol-7-yl]-N-[2-(dimethylamino) ethyl]acetamide 
       [0568]    
       
                 
         
             
             
         
       
     
       a) [5-chloro-2-(1′H,3H-spiro[2-benzofuran-1,4′-piperidin]-1′-ylcarbonyl)-1H-indol-7-yl]acetic acid 
       [0569]    To a solution of 100 mg (0.25 mmol) of [5-chloro-2-(1′H,3H-spiro[2-benzofuran-1,4′-piperidin]-1′-ylcarbonyl)-1H-indol-7-yl]acetonitrile in acetic acid (5 ml) at RT was added 3 ml of H 2 O and 3 ml of H 2 SO 4  conc. The reaction mixture was heated at 80° C. for one hour and at 80° C. over night. The product was extracted with EtOAc and concentrated under vacuo to afford 94 mg (90%) of [5-chloro-2-(1′H,3H-spiro[2-benzofuran-1,4′-piperidin]-1′-ylcarbonyl)-1H-indol-7-yl]acetic acid as a white solid. ES-MS m/e (%): 422.9 (M−H + ). 
       b) 2-[5-chloro-2-(1′H,3H-spiro[2-benzofuran-1,4′-piperidin]-1′-ylcarbonyl)-1H-indol-7-yl]-N-[2-(dimethylamino) ethyl]acetamide 
       [0570]    To a stirred solution of 30 mg (0.070 mmol) of [5-chloro-2-(1′H,3H-spiro[2-benzofuran-1,4′-piperidin]-1′-ylcarbonyl)-1H-indol-7-yl]acetic acid in 3 ml CH 2 Cl 2  were added 31 mg (0.07 mmol) of BOP and 24 μL of Huenig&#39;s base. After 30 minutes 6 mg of N,N-dimethyl-methanediamine were added. The mixture was stirred overnight at RT and then poured onto water and extracted with CH 2 Cl 2 . The combined organic phases were dried over Na 2 SO 4  and concentrated in vacuo. Flash chromatography (SiO 2 , CH 2 Cl 2 /MeOH 9/1) afforded 10 mg (28%) of 2-[5-chloro-2-(1′H,3H-spiro[2-benzofuran-1,4′-piperidin]-1′-ylcarbonyl)-1H-indol-7-yl]-N-[2-(dimethylamino)ethyl]acetamide_as a white solid. ES-MS m/e (%): 495.4 (M+H + ). 
       Example 14 
     1′-({5-chloro-7-[2-(4-methylpiperazin-1-yl)-2-oxoethyl]-1H-indol-2-yl}carbonyl)-3H-spiro[2-benzofuran-1,4′-piperidine] 
       [0571]    
       
                 
         
             
             
         
       
     
         [0572]    To a stirred solution of 60 mg (0.14 mmol) of [5-chloro-2-(1′H,3H-spiro[2-benzofuran-1,4′-piperidin]-1′-ylcarbonyl)-1H-indol-7-yl]acetic acid in 6 ml CH 2 Cl 2  were added 25 mg of HOBt, 35 mg of EDC and 25 mL of Et 3 N. After 30 minutes 24 μL of 1-methyl-piperazine was added. The mixture was stirred overnight at RT and then poured onto water and extracted with CH 2 Cl 2 . The combined organic phases were dried over Na 2 SO 4  and concentrated in vacuo. Flash chromatography (SiO 2 , CH 2 Cl 2 /MeOH 9/1) afforded 10 mg (14%) of 1′-({5-chloro-7-[2-(4-methylpiperazin-1-yl)-2-oxoethyl]-1H-indol-2-yl}carbonyl)-3H-spiro[2-benzofuran-1,4′-piperidine] as a white solid. ES-MS m/e (%): 508.1 (M+H + ). 
       Example 15 
     1-[5-chloro-2-(1′H,3H-spiro[2-benzofuran-1,4′-piperidin]-1′-ylcarbonyl)-1H-indol-7-yl]-N,N-dimethylmethanamine 
       [0573]    
       
                 
         
             
             
         
       
     
         [0574]    Amide coupling according to general procedure I: 
         [0575]    Amine: 3H-spiro[2-benzofuran-1,4′-piperidine] (described in J. Org. Chem. 1976, 41, 2628), 
         [0576]    Acid: 5-chloro-7-dimethylaminomethyl-1H-indole-2-carboxylic acid 
         [0577]    ES-MS m/e (%): 424.2 (M+H + ). 
       Example 16 
     1′-[{5-(trifluoromethoxy)-1H-indol-2-yl]carbonyl}spiro[1-benzofuran-3,4′-piperidine] 
       [0578]    
       
                 
         
             
             
         
       
     
         [0579]    Amide coupling according to general procedure I: 
         [0580]    Amine: Spiro[benzofuran-3(2H), 4′-piperidine] (prepared as in WO 2006092731) 
         [0581]    Acid: 5-Trifluoromethoxy-1H-indole-2-carboxylic acid, 
         [0582]    ES-MS m/e (%): 415.5 (M−H + ). 
       Example 17 
     1′-[(6-bromo-1H-indol-2-yl)carbonyl]spiro[1-benzofuran-3,4′-piperidine] 
       [0583]    
       
                 
         
             
             
         
       
     
         [0584]    Amide coupling according to general procedure I: 
         [0585]    Amine: Spiro[benzofuran-3(2H), 4′-piperidine] (prepared as in WO 2006092731)-Acid: 6-Bromo-1H-indole-2-carboxylic acid, 
         [0586]    ES-MS m/e (%): 409.4 (M−H + ). 
       Example 18 
     1′-[(5-methoxy-3-methyl-1H-indol-2-yl)carbonyl]spiro[1-benzofuran-3,4′-piperidine] 
       [0587]    
       
                 
         
             
             
         
       
     
         [0588]    Amide coupling according to general procedure I: 
         [0589]    Amine: Spiro[benzofuran-3(2H), 4′-piperidine] (prepared as in WO 2006092731) 
         [0590]    Acid: 5-Methoxy-3-methyl-1H-indole-2-carboxylic acid, 
         [0591]    ES-MS m/e (%): 377.4 (M+H + ). 
       Example 19 
     1′-[(6,7-dimethyl-1H-indol-2-yl)carbonyl]spiro[1-benzofuran-3,4′-piperidine] 
       [0592]    
       
                 
         
             
             
         
       
     
         [0593]    Amide coupling according to general procedure I: 
         [0594]    Amine: Spiro[benzofuran-3(2H), 4′-piperidine] (prepared as in WO 2006092731) 
         [0595]    Acid: 6,7-Dimethyl-1H-indole-2-carboxylic acid, 
         [0596]    ES-MS m/e (%): 361.5 (M+H + ). 
       Example 20 
     1′-[(5-bromo-1H-indol-2-yl)carbonyl]spiro[1-benzofuran-3,4′-piperidine] 
       [0597]    
       
                 
         
             
             
         
       
     
         [0598]    Amide coupling according to general procedure I: 
         [0599]    Amine: Spiro[benzofuran-3(2H), 4′-piperidine] (prepared as in WO 2006092731) 
         [0600]    Acid: 5-Bromo-1H-indole-2-carboxylic acid, 
         [0601]    ES-MS m/e (%): 409.4 (M−H + ). 
       Example 21 
     1′-[(5-isopropoxy-1H-indol-2-yl)carbonyl]spiro[1-benzofuran-3,4′-piperidine] 
       [0602]    
       
                 
         
             
             
         
       
     
         [0603]    Amide coupling according to general procedure I: 
         [0604]    Amine: Spiro[benzofuran-3(2H), 4′-piperidine] (prepared as in WO 2006092731) 
         [0605]    Acid: 5-Isopropoxy-1H-indole-2-carboxylic acid, 
         [0606]    ES-MS m/e (%): 391.4 (M+H + ). 
       Example 22 
     1′-{[5-(allyloxy)-1H-indol-2-yl]carbonyl}spiro[1-benzofuran-3,4′-piperidine] 
       [0607]    
       
                 
         
             
             
         
       
     
         [0608]    Amide coupling according to general procedure I: 
         [0609]    Amine: Spiro[benzofuran-3(2H), 4′-piperidine] (prepared as in WO 2006092731) 
         [0610]    Acid: 5-Allyloxy-1H-indole-2-carboxylic acid (described in US 2004157841), 
         [0611]    ES-MS m/e (%): 389.4 (M+H + ). 
       Example 23 
     1′-(5H-[1,3]dioxolo[4,5-f]indol-6-ylcarbonyl)spiro[1-benzofuran-3,4′-piperidine] 
       [0612]    
       
                 
         
             
             
         
       
     
         [0613]    Amide coupling according to general procedure I: 
         [0614]    Amine: Spiro[benzofuran-3(2H), 4′-piperidine] (prepared as in WO 2006092731) 
         [0615]    Acid: 5H-[1,3]Dioxolo[4,5-f]indole-6-carboxylic acid, 
         [0616]    ES-MS m/e (%): 377.4 (M+H + ). 
       Example 24 
     1′-[(3,6,7-trimethyl-1H-indol-2-yl)carbonyl]spiro[1-benzofuran-3,4′-piperidine] 
       [0617]    
       
                 
         
             
             
         
       
     
         [0618]    Amide coupling according to general procedure I: 
         [0619]    Amine: Spiro[benzofuran-3(2H), 4′-piperidine] (prepared as in WO 2006092731) 
         [0620]    Acid: 3,6,7-Trimethyl-1H-indole-2-carboxylic acid, 
         [0621]    ES-MS m/e (%): 375.4 (M+H + ). 
       Example 25 
     1′-[(3,5-dimethyl-1H-indol-2-yl)carbonyl]spiro[1-benzofuran-3,4′-piperidine] 
       [0622]    
       
                 
         
             
             
         
       
     
         [0623]    Amide coupling according to general procedure I: 
         [0624]    Amine: Spiro[benzofuran-3(2H), 4′-piperidine] (prepared as in WO 2006092731) 
         [0625]    Acid: 3,5-Dimethyl-1H-indole-2-carboxylic acid, 
         [0626]    ES-MS m/e (%): 361.4 (M+H + ). 
       Example 26 
     1′-[(3,7-dimethyl-1H-indol-2-yl)carbonyl]spiro[1-benzofuran-3,4′-piperidine] 
       [0627]    
       
                 
         
             
             
         
       
     
         [0628]    Amide coupling according to general procedure I: 
         [0629]    Amine: Spiro[benzofuran-3(2H), 4′-piperidine] (prepared as in WO 2006092731) 
         [0630]    Acid: 3,5-Dimethyl-1H-indole-2-carboxylic acid, 
         [0631]    ES-MS m/e (%): 361.4 (M+H + ). 
       Example 27 
     1′-[(6-methoxy-1H-indol-2-yl)carbonyl]spiro[1-benzofuran-3,4′-piperidine] 
       [0632]    
       
                 
         
             
             
         
       
     
         [0633]    Amide coupling according to general procedure I: 
         [0634]    Amine: Spiro[benzofuran-3(2H), 4′-piperidine] (prepared as in WO 2006092731) 
         [0635]    Acid: 6-Methoxy-1H-indole-2-carboxylic acid, 
         [0636]    ES-MS m/e (%): 363.4 (M+H + ). 
       Example 28 
     1′-[(5-methoxy-1H-indol-2-yl)carbonyl]spiro[1-benzofuran-3,4′-piperidine] 
       [0637]    
       
                 
         
             
             
         
       
     
         [0638]    Amide coupling according to general procedure I: 
         [0639]    Amine: Spiro[benzofuran-3(2H), 4′-piperidine] (prepared as in WO 2006092731) 
         [0640]    Acid: 5-Methoxy-1H-indole-2-carboxylic acid, 
         [0641]    ES-MS m/e (%): 363.4 (M+H + ). 
       Example 29 
     1′-[(5-fluoro-1H-indol-2-yl)carbonyl]spiro[1-benzofuran-3,4′-piperidine] 
       [0642]    
       
                 
         
             
             
         
       
     
         [0643]    Amide coupling according to general procedure I: 
         [0644]    Amine: Spiro[benzofuran-3(2H), 4′-piperidine] (prepared as in WO 2006092731) 
         [0645]    Acid: 5-Fluoro-1H-indole-2-carboxylic acid, 
         [0646]    ES-MS m/e (%): 351.4 (M+H + ). 
       Example 30 
     1′-[(5-chloro-1H-indol-2-yl)carbonyl]spiro[1-benzofuran-3,4′-piperidine] 
       [0647]    
       
                 
         
             
             
         
       
     
         [0648]    Amide coupling according to general procedure I: 
         [0649]    Amine: Spiro[benzofuran-3(2H), 4′-piperidine] (prepared as in WO 2006092731) 
         [0650]    Acid: 5-Chloro-1H-indole-2-carboxylic acid, 
         [0651]    ES-MS m/e (%): 367.4 (M+H + ). 
       Example 31 
     1′-[(5-chloro-1-methyl-1H-indol-2-yl)carbonyl]spiro[1-benzofuran-3,4′-piperidine] 
       [0652]    
       
                 
         
             
             
         
       
     
         [0653]    Amide coupling according to general procedure I: 
         [0654]    Amine: Spiro[benzofuran-3(2H), 4′-piperidine] (prepared as in WO 2006092731) 
         [0655]    Acid: 5-Chloro-1-methyl-1H-indole-2-carboxylic acid, 
         [0656]    ES-MS m/e (%): 381.4 (M+H + ). 
       Example 32 
     [5-chloro-2-(1′H-spiro[1-benzofuran-3,4′-piperidin]-1′-ylcarbonyl)-1H-indol-1-yl]acetonitrile 
       [0657]    
       
                 
         
             
             
         
       
     
         [0658]    Amide coupling according to general procedure I: 
         [0659]    Amine: Spiro[benzofuran-3(2H), 4′-piperidine] (prepared as in WO 2006092731) 
         [0660]    Acid: 5-Chloro-1-cyanomethyl-1H-indole-2-carboxylic acid, 
         [0661]    ES-MS m/e (%): 406.4 (M+H + ). 
       Example 33 
     5-bromo-1′-[(6-bromo-1H-indol-2-yl)carbonyl]spiro[indole-3,4′-piperidin]-2(1H)-one 
       [0662]    
       
                 
         
             
             
         
       
     
         [0663]    Amide coupling according to general procedure I: 
         [0664]    Amine: 5-Bromo-spiro[indole-3,4′-piperidin]-2(1H)-one (prepared as described herein below) 
         [0665]    Acid: 6-Bromo-1H-indole-2-carboxylic acid, 
         [0666]    ES-MS m/e (%): 504.3 (M+H + ). 
       5-Bromo-spiro[indole-3,4′-piperidin]-2(1H)-one 
       [0667]    
       
                 
         
             
             
         
       
     
       1,5-Dichloro-3-methyl-3-azapentane, Hydrochloride 3 
       [0668]    Formic acid (10.0 g; 0.2 mol) and 37% formaldehyde (20 ml) were mixed in a 250 ml round-bottom flask equipped with reflux condenser. 1,5-Dichloro-3-azapentane, hydrochloride 
         [0669]    (17.0 g; 0.1 mol) was added and the solution was heated with magnetic stirring at 100° C. After 3 h the temperature was increased to 120° C. for 20 min and finally allowed to cool to room temperature before the solvent was evaporated in vacuo to afford 3 as white solid in quantitative yield.  1 HNMR (CD 3 OD, 400 MHz) δ 3.0 (s, 3H); 3.45 (br s, 2H); 3.62 (br s, 2H); 4.07 (br s, 4H). 
       1,2-Benzo-8-methyl-3,8-diazaspiro[4,5]decane-4-one 5 
       [0670]    A solution of oxindole 4 (6.25 g, 47 mmol) in THF (500 ml) was cooled to −78° C. and to it a solution of sodium hexamethyldisilazide (43 g, 235 mmol) in THF (300 ml) was added drop wise under N2 atmosphere. After stirring at −78° C. for 45 min, N-methylbis (2-chloromethyl) amine hydrochloride (9 g, 47 mmol) was added, as a solid. The reaction mixture was stirred at −78° C. for 1 h and at room temperature for 24 h. After quenching with H 2 O (90 ml), the mixture was extracted with ethyl acetate (3×100 ml). The organic extracts were washed with brine (25 ml), dried and the solvent removed in vacuo. Silica gel chromatography (5-50% MeOH/CH 2 Cl 2 , gradient) gave 6 g (57%) of 5 as a solid.  1 HNMR (CD 3 OD, 400 MHz) δ 1.84(m, 2H); 2.51 (m, 2H); 2.62 (s, 3H); 3.02 (m, 2H); 3.37 (m, 2H); 6.82 (d, 1H, J=7.68 Hz); 6.94 (t, 1H, J=7.58 Hz); 7.12 (t, 1H, J=7.7 Hz); 7.26 (d, 1H, J=9 Hz); 9.27 (br s, 1H). 
       5-Bromo-1,2-dihydro-2-oxospiro[3H-indole-3,4′-piperidine]-1′-methyl 6 
       [0671]    A solution of 1,2-Benzo-8-methyl-3,8-diazaspiro[4,5]decane-4-one (6.3 g, 29.1 mmol) in CH 3 CN (100 ml) and MeOH (5 ml) was cooled to −50° C. and NBS (7.8 g, 44 mmol) was slowly added with stirring. The reaction mixture was stirred for 3.5 h at 0° C. Solvent was removed by vacuo. The residue was purified by silica gel chromatography (2-20% MeOH/CH 2 Cl 2 ) to give 6 g as a solid. The solid compound was dissolved in ethyl acetate (600 ml) and washed with saturated aqueous NaHCO 3  solution, dried (Na 2 SO 4 ). Evaporation of the solvent in vacuo gave 4.2 g (47%) of 6.  1 HNMR (CD 3 OD, 400 MHz) δ 7.51(d, J=1.8 Hz, 1H), 7.35 (dd, J=1.9 and 8.2 Hz, 1H), 6.81 (d, J=8.2 Hz, 1H), 2.93 (m, 2H), 2.67 (m, 2H), 2.41 (s, 3H), 1.86 (m, 4H). 
       5-Bromo-1,2-dihydro-2-oxospiro[3H-indole-3,4-piperidine]-1-cyano 7 
       [0672]    5-Bromo-1,2-dihydro-2-oxospiro[3H-indole-3,4/-piperidine]-1/-methyl 6 (4.6 g, 15.6 mmol) was dissolved in chloroform (700 ml) and treated with CNBr (22 g, 209.5 mmol) at room temperature. The mixture was heated to reflux for 24 h. The reaction mixture was cooled, diluted with methylene chloride (300 ml) and washed with 10% aqueous K 2 CO 3  solution (2×100 ml). After the mixture was dried (Na 2 SO 4 ) and concentrated, the residue was purified by silica gel chromatography (0-5% MeOH/CH 2 Cl 2 ) to gave 7 as a solid 3.9 g (82%).  1 HNMR (CDCl 3 , 400 MHz) δ 7.52 (d, J=1.8 Hz, 1H), 7.37 (dd, J=1.8 and 8.2 Hz, 1H), 6.82 (d, J=8.2 Hz, 1H), 3.83 (m, 2H), 3.41 (m, 2H), 2.00 (m, 2H), 1.86 (m, 2H). 
       5-Bromo-spiro[indole-3,4′-piperidin]-2(1H)-one 2 
       [0673]    5-Bromo-1,2-dihydro-2-oxospiro[3H-indole-3,4 / -piperidine]-1 / -cyano 7 (3.3 g, 10.8 mmol) was suspended in ethylene glycol (10 ml). The mixture was treated in NaOH (1.8 g, 45 mmol) and heated to 130° C. for 15 min. It was diluted with methylene chloride (500 ml) and washed with 10% aqueous K 2 CO 3  (2×100 m). The organic layer was dried (Na 2 SO 4 ) and concentrated and residue purified by silica gel chromatography (30% MeOH/CH 2 Cl 2 ) to gave 2 as a light ceramic white solid 1.8 g (60%), mp 256-258° C.  1 HNMR (DMSO-d 6 , 400 MHz) δ 10.6(br s, 1H, NH), 7.57 (d, J=1.84 Hz, 1H), 7.36 (d, J=8.2 Hz, 1H), 6.79 (d, J=8.2 Hz, 1H), 4.05 (br s, 1H, NH), 3.06 (m, 2H), 2.84 (m, 2H), 1.64 (m, 2H), 1.55 (m, 2H),  13 C NMR (DMSO-d 6 , 100 MHz) δ 180.93, 140.64, 137.98, 130.42, 126.75, 113.20, 111.45, 46.24, 40.92, 32.94. Anal.Calcd for C 12 H 13 BrN 2 O: C, 51.26; H, 4.66; N, 9.9. Found: C, 50.87; H, 4.91; N, 9.67. 
       Example 34 
     5-Bromo-1′-[(5-methoxy-3-methyl-1H-indol-2-yl)carbonyl]spiro[indole-3,4′-piperidin]-2(1H)-one 
       [0674]    
       
                 
         
             
             
         
       
     
         [0675]    Amide coupling according to general procedure I: 
         [0676]    Amine: 5-Bromo-spiro[indole-3,4′-piperidin]-2(1H)-one (prepared as described herein above) 
         [0677]    Acid: 5-Methoxy-3-methyl-1H-indole-2-carboxylic acid, 
         [0678]    ES-MS m/e (%): 468.4 (M+H + ). 
       Example 35 
     5-Bromo-1′-[(6,7-dimethyl-1H-indol-2-yl)carbonyl]spiro[indole-3,4′-piperidin]-2(1H)-one 
       [0679]    
       
                 
         
             
             
         
       
     
         [0680]    Amide coupling according to general procedure I: 
         [0681]    Amine: 5-Bromo-spiro[indole-3,4′-piperidin]-2(1H)-one (prepared as described herein above) 
         [0682]    Acid: 6,7-Dimethyl-1H-indole-2-carboxylic acid, 
         [0683]    ES-MS m/e (%): 452.4 (M+H + ). 
       Example 36 
     5-Bromo-1′-[(5-bromo-1H-indol-2-yl)carbonyl]spiro[indole-3,4′-piperidin]-2(1H)-one 
       [0684]    
       
                 
         
             
             
         
       
     
         [0685]    Amide coupling according to general procedure I: 
         [0686]    Amine: 5-Bromo-spiro[indole-3,4′-piperidin]-2(1H)-one (prepared as described herein above) 
         [0687]    Acid: 5-Bromo-1H-indole-2-carboxylic acid, 
         [0688]    ES-MS m/e (%): 504.3 (M+H + ). 
       Example 37 
     5-Bromo-1′-(5H-[1,3]dioxolo[4,5-f]indol-6-ylcarbonyl)spiro[indole-3,4′-piperidin]-2(1H)-one 
       [0689]    
       
                 
         
             
             
         
       
     
         [0690]    Amide coupling according to general procedure I: 
         [0691]    Amine: 5-Bromo-spiro[indole-3,4′-piperidin]-2(1H)-one (prepared as described herein above) 
         [0692]    Acid: 5H-[1,3]Dioxolo[4,5-f]indole-6-carboxylic acid, 
         [0693]    ES-MS m/e (%): 468.3 (M+H + ). 
       Example 38 
     5-Bromo-1′-[(3,6,7-trimethyl-1H-indol-2-yl)carbonyl]spiro[indole-3,4′-piperidin]-2(1H)-one 
       [0694]    
       
                 
         
             
             
         
       
     
         [0695]    Amide coupling according to general procedure I: 
         [0696]    Amine: 5-Bromo-spiro[indole-3,4′-piperidin]-2(1H)-one (prepared as described herein above) 
         [0697]    Acid: 3,6,7-Trimethyl-1H-indole-2-carboxylic acid, 
         [0698]    ES-MS m/e (%): 466.4 (M+H + ). 
       Example 39 
     5-Bromo-1′-[(3,7-dimethyl-1H-indol-2-yl)carbonyl]spiro[indole-3,4′-piperidin]-2(1H)-one 
       [0699]    
       
                 
         
             
             
         
       
     
         [0700]    Amide coupling according to general procedure I: 
         [0701]    Amine: 5-Bromo-spiro[indole-3,4′-piperidin]-2(1H)-one (prepared as described herein above) 
         [0702]    Acid: 3,7-Dimethyl-1H-indole-2-carboxylic acid, 
         [0703]    ES-MS m/e (%): 452.4 (M+H + ). 
       Example 40 
     5-Bromo-1′-[(6-methoxy-1H-indol-2-yl)carbonyl]spiro[indole-3,4′-piperidin]-2(1H)-one 
       [0704]    
       
                 
         
             
             
         
       
     
         [0705]    Amide coupling according to general procedure I: 
         [0706]    Amine: 5-Bromo-spiro[indole-3,4′-piperidin]-2(1H)-one (prepared as described herein above) 
         [0707]    Acid: 6-Methoxy-1H-indole-2-carboxylic acid, 
         [0708]    ES-MS m/e (%): 454.4 (M+H + ). 
       Example 41 
     5-Bromo-1′-[(5-fluoro-1H-indol-2-yl)carbonyl]spiro[indole-3,4′-piperidin]-2(1H)-one 
       [0709]    
       
                 
         
             
             
         
       
     
         [0710]    Amide coupling according to general procedure I: 
         [0711]    Amine: 5-Bromo-spiro[indole-3,4′-piperidin]-2(1H)-one (prepared as described herein above) 
         [0712]    Acid: 5-Fluoro-1H-indole-2-carboxylic acid, 
         [0713]    ES-MS m/e (%): 442.3 (M+H + ). 
       Example 42 
     5-Bromo-1′-[(7-methyl-1H-indol-2-yl)carbonyl]spiro[indole-3,4′-piperidin]-2(1H)-one 
       [0714]    
       
                 
         
             
             
         
       
     
         [0715]    Amide coupling according to general procedure I: 
         [0716]    Amine: 5-Bromo-spiro[indole-3,4′-piperidin]-2(1H)-one (prepared as described herein above) 
         [0717]    Acid: 7-Methyl-1H-indole-2-carboxylic acid, 
         [0718]    ES-MS m/e (%): 438.4 (M+H + ). 
       Example 43 
     5-Bromo-1′-[(4-chloro-1H-indol-2-yl)carbonyl]spiro[indole-3,4′-piperidin]-2(1H)-one 
       [0719]    
       
                 
         
             
             
         
       
     
         [0720]    Amide coupling according to general procedure I: 
         [0721]    Amine: 5-Bromo-spiro[indole-3,4′-piperidin]-2(1H)-one (prepared as described herein above) 
         [0722]    Acid: 4-Chloro-1H-indole-2-carboxylic acid, 
         [0723]    ES-MS m/e (%): 458.3 (M+H + ). 
       Example 44 
     5-Bromo-1′-[(5-chloro-1-methyl-1H-indol-2-yl)carbonyl]spiro[indole-3,4′-piperidin]-2(1H)-one 
       [0724]    
       
                 
         
             
             
         
       
     
         [0725]    Amide coupling according to general procedure I: 
         [0726]    Amine: 5-Bromo-spiro[indole-3,4′-piperidin]-2(1H)-one (prepared as described herein above) 
         [0727]    Acid: 5-Chloro-1-methyl-1H-indole-2-carboxylic acid, 
         [0728]    ES-MS m/e (%): 472.3 (M+H + ). 
       Example 45 
     {2-[(5-Bromo-2-oxo-1,2-dihydro-1′H-spiro[indole-3,4′-piperidin]-1′-yl)carbonyl]-1H-indol-1-yl}acetonitrile 
       [0729]    
       
                 
         
             
             
         
       
     
         [0730]    Amide coupling according to general procedure I: 
         [0731]    Amine: 5-Bromo-spiro[indole-3,4′-piperidin]-2(1H)-one (prepared as described herein above) 
         [0732]    Acid: 1-Cyanomethyl-1H-indole-2-carboxylic acid (prepared herein below), 
         [0733]    ES-MS m/e (%): 463.3 (M+H + ). 
       Example 46 
     {2-[(5-Bromo-2-oxo-1,2-dihydro-1′H-spiro[indole-3,4′-piperidin]-1′-yl)carbonyl]-5-chloro-1H-indol-1-yl}acetonitrile 
       [0734]    
       
                 
         
             
             
         
       
     
         [0735]    Amide coupling according to general procedure I: 
         [0736]    Amine: 5-Bromo-spiro[indole-3,4′-piperidin]-2(1H)-one (prepared as described herein above) 
         [0737]    Acid: 5-Chloro-1-cyanomethyl-1H-indole-2-carboxylic acid (prepared herein above), 
         [0738]    ES-MS m/e (%): 497.3 (M+H + ). 
       Example 47 
     1′-[(5-Chloro-1H-indol-2-yl)carbonyl]-4-methylspiro[indole-3,4′-piperidin]-2(1H)-one 
       [0739]    
       
                 
         
             
             
         
       
     
         [0740]    Amide coupling according to general procedure I: 
         [0741]    Amine: 4-methylspiro[indole-3,4′-piperidin]-2(1H)-one 
         [0742]    Acid: 5-Chloro-1H-indole-2-carboxylic acid, 
         [0743]    ES-MS m/e (%): 394.4 (M+H + ).