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WO2006047032A2 - Indole compounds useful as serotonin selective agents - Google Patents

Indole compounds useful as serotonin selective agents Download PDF

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Publication number
WO2006047032A2
WO2006047032A2 PCT/US2005/034413 US2005034413W WO2006047032A2 WO 2006047032 A2 WO2006047032 A2 WO 2006047032A2 US 2005034413 W US2005034413 W US 2005034413W WO 2006047032 A2 WO2006047032 A2 WO 2006047032A2
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Prior art keywords
compound
alkyl
subject
amino
group
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PCT/US2005/034413
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French (fr)
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WO2006047032A3 (en
Inventor
Howard P. Sard
Louis Shuster
Bryan Roth
Cynthia Morency
Govindaraj Kumaran
Liang Xu
Original Assignee
Organix, Inc.
Trustees Of Tufts College
Case Western Reserve University
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Application filed by Organix, Inc., Trustees Of Tufts College, Case Western Reserve University filed Critical Organix, Inc.
Priority to JP2007533705A priority Critical patent/JP2008514629A/en
Priority to EP05851213A priority patent/EP1799640A4/en
Priority to AU2005300045A priority patent/AU2005300045A1/en
Priority to CA002582079A priority patent/CA2582079A1/en
Publication of WO2006047032A2 publication Critical patent/WO2006047032A2/en
Publication of WO2006047032A3 publication Critical patent/WO2006047032A3/en

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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D209/00Heterocyclic compounds containing five-membered rings, condensed with other rings, with one nitrogen atom as the only ring hetero atom
    • C07D209/02Heterocyclic compounds containing five-membered rings, condensed with other rings, with one nitrogen atom as the only ring hetero atom condensed with one carbocyclic ring
    • C07D209/04Indoles; Hydrogenated indoles
    • C07D209/10Indoles; Hydrogenated indoles with substituted hydrocarbon radicals attached to carbon atoms of the hetero ring
    • C07D209/14Radicals substituted by nitrogen atoms, not forming part of a nitro radical
    • C07D209/16Tryptamines
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P15/00Drugs for genital or sexual disorders; Contraceptives
    • A61P15/08Drugs for genital or sexual disorders; Contraceptives for gonadal disorders or for enhancing fertility, e.g. inducers of ovulation or of spermatogenesis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P17/00Drugs for dermatological disorders
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P17/00Drugs for dermatological disorders
    • A61P17/14Drugs for dermatological disorders for baldness or alopecia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/08Antiepileptics; Anticonvulsants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/22Anxiolytics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/28Drugs for disorders of the nervous system for treating neurodegenerative disorders of the central nervous system, e.g. nootropic agents, cognition enhancers, drugs for treating Alzheimer's disease or other forms of dementia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00Drugs for disorders of the metabolism
    • A61P3/04Anorexiants; Antiobesity agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D209/00Heterocyclic compounds containing five-membered rings, condensed with other rings, with one nitrogen atom as the only ring hetero atom
    • C07D209/02Heterocyclic compounds containing five-membered rings, condensed with other rings, with one nitrogen atom as the only ring hetero atom condensed with one carbocyclic ring
    • C07D209/04Indoles; Hydrogenated indoles
    • C07D209/10Indoles; Hydrogenated indoles with substituted hydrocarbon radicals attached to carbon atoms of the hetero ring
    • C07D209/14Radicals substituted by nitrogen atoms, not forming part of a nitro radical
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D209/00Heterocyclic compounds containing five-membered rings, condensed with other rings, with one nitrogen atom as the only ring hetero atom
    • C07D209/02Heterocyclic compounds containing five-membered rings, condensed with other rings, with one nitrogen atom as the only ring hetero atom condensed with one carbocyclic ring
    • C07D209/04Indoles; Hydrogenated indoles
    • C07D209/30Indoles; Hydrogenated indoles with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, directly attached to carbon atoms of the hetero ring
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D209/00Heterocyclic compounds containing five-membered rings, condensed with other rings, with one nitrogen atom as the only ring hetero atom
    • C07D209/02Heterocyclic compounds containing five-membered rings, condensed with other rings, with one nitrogen atom as the only ring hetero atom condensed with one carbocyclic ring
    • C07D209/04Indoles; Hydrogenated indoles
    • C07D209/30Indoles; Hydrogenated indoles with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, directly attached to carbon atoms of the hetero ring
    • C07D209/32Oxygen atoms
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07FACYCLIC, CARBOCYCLIC OR HETEROCYCLIC COMPOUNDS CONTAINING ELEMENTS OTHER THAN CARBON, HYDROGEN, HALOGEN, OXYGEN, NITROGEN, SULFUR, SELENIUM OR TELLURIUM
    • C07F9/00Compounds containing elements of Groups 5 or 15 of the Periodic Table
    • C07F9/02Phosphorus compounds
    • C07F9/547Heterocyclic compounds, e.g. containing phosphorus as a ring hetero atom
    • C07F9/553Heterocyclic compounds, e.g. containing phosphorus as a ring hetero atom having one nitrogen atom as the only ring hetero atom
    • C07F9/572Five-membered rings
    • C07F9/5728Five-membered rings condensed with carbocyclic rings or carbocyclic ring systems

Definitions

  • the invention was made at least in part with National Institutes of Health grants #l-R43-MH63529-01-Al and#5-R43-DK065322-02. The U.S. Government may have certain rights in the invention.
  • This invention relates to novel indole compounds, and their use as selective agents at serotonin receptors.
  • Serotonin (5-hydroxytryptamine, 5-HT) plays a significant role in influencing a large number of central and peripheral processes.
  • 5-HT-selective pharmacotherapies have been developed to treat a wide variety of medical problems including depression, anxiety, schizophrenia, migraine, emesis, and appetite control (Annual Reports in Medicinal Chemistry, Volume 32, 2002, Academic Press, Fitzgerald, L., Ennis, M. "5-HT 2 c Receptor Modulators: Progress in Development of New CNS Medicines" pp 21-3O). 5-HT exerts its influence through activation of fourteen distinct receptor subtypes in seven separate families.
  • 5-HT 2A 5-HT 2A
  • 5-HT 2B 5-HT 2 C- Modulation of the 5-HT 2 c receptor subtype has been shown to play a role in numerous human diseases including o ⁇ besity, obsessive-compulsive disorder (OCD), sexual dysfunction, epilepsy, schizophrenia, and anxiety disorders (Roth, B., Staiapiro, D. "Insights into the Structure and Function of 5-HT2 Family Serotonin Receptors Reveal Novel Strategies for Therapeutic Target Development" Expert Opin. Ther.
  • 5-HT 2B receptor agonists are associated with heart valve toxicity (Rothman, R., Baumann, M., Savage, J., Rauser, L., McBride, A., Hufeisen, S., Roth, B. L.
  • 5-HT 2C receptor is found only in tke CNS (Bickerdike, M., Vickers, S., Dourish, C. "5-HT 2C Receptor Modulation and the Treatment of Obesity" Diabetes Obes. Metab. 1999, 1, 207; Martin, J., Bos, M., Jenck, F., Moreau, J-I., Mutel, V., Sleight, A., Wichmann, J., Andrews, J., Berendsen, H., Broekkamp, C, Ruight, G., Kohler, C, van Delft, A. "5-HT 2 c Receptor Agonists: Pharmacological Characteristics and Therapeutic Potential" J. Pharm. Experimental Ther.
  • agonists that discriminate for 5-HT 2 c over 5-HT 2B should not display cardio- or pulmonary toxicity.
  • Selectivitiy for 5-HT 2 c over 5-HT 2A receptors is also important since agonists at 5- HT 2A generally display undesirable hallucinogenic activity (e.g. LSD, psilocybin).
  • Psilocybin (4-phosphoryloxy-N,lSf-dimethyltryptamine) is an agonist at the 5-HT 2A a ⁇ nd 5-HT 2 c receptors. Its binding potency at 5-HT 2A correlates with its activity as a hallucinogen in humans (Delgado, P. L., Moreno, F. A. "Hallucinogens, Serotonin, and Obsessive- Compulsive Disorder" J. Psychoactive Drugs 1998, 30, 359; Perrine, D. M. "Hallucinogens and Obsessive-Compulsive Disorder” Am. J. Psychiatry 1999, 156, 1123; Moreno, F. A., Delgado, P. L.
  • Yamanouchi has described indazole compounds including YM348 which are 5-HT 2 c agonists showing activity in an animal model of obesity (Kimura, Y., Hatanaka, K., Naitou, Y., Maeno, K., Shimada, I, Koakutsu, A., Wanibuchi, F., Yamaguchi, T., "Pharmacological profile of YM348, a novel 3 potent and orally active 5-HT2C receptor agonist" Eur. J. Pharmacol. 2004, 483, 37).
  • Obesity is one of the most important health problems currently affecting the U.S. population.
  • the overweight suffer a significantly higher death rate, as well as a much grea-ter risk of developing many diseases including type 2 diabetes, sleep apnea, hypertension, osteoarthritis, and some forms of cancer.
  • Exercise and diet modification allow some obese people to lose weight.
  • many others are " unable to achieve lasting weight loss by such methods, and pharmaceutical agents that promote satiety can be effective and appropriate treatments.
  • 5-HT 2 c-Receptor Activation Decreases Appetite and Body Weight in Obese Subjects
  • mCPP met ⁇ -chlorophenylpiperazine
  • selective 5-HT 2 c antagonists reduce or eliminate the anorexic effects of 5-HT 2C agonists (Kennett, G., Wood, M., Bright, F., Trail, B., Riley, G., Holland, K., Avenell, K., Stean, T., Upton, N., Bromidge, S., Forbes, L, MIddlemiss, D., Blackburn, T.
  • Fenfluramine is a non-selective 5-HT 2 c receptor agonist which together with phenteramine ("phen-fen”) was marketed until recently as a highly effective appetite suppressant.
  • phen-fen phenteramine
  • the clinical effectiveness of fenfluramine as an appetite suppressant has been shown to be largely due to its activity as a 5-HT 2 o receptor agonist (Bickerdike, M., Vickers, S., Dourish, C. "5-HT 2 c Receptor Modulation and the Treatment of Obesity" Diabetes Ofres. Metab.
  • OCD Obsessive Compulsive Disorder
  • OCD is a mental illness involving persistent and distressing thoughts and actions that significantly interfere with normal life. OCD afflicts at least 1-2% of the population in the US and worldwide, and is the fourth most common psychiatric diagnosis in the United States (Delgado, P. L., Moreno, F. A. "Hallucinogens, Serotonin, and Obsessive-Compulsive Disorder” J. Psychoactive Drugs 1998, 30, 359; Goodman, W. K. "Obsessive-Compulsive Disorder: Diagnosis and Treatment” J. Clin. Psychiatry 1999, 60 (Suppl 18), 27). OCD is currently treated pharmacologically and/or with psychotherapy. Current pharmacotherapy for OCD has significant limitations arid the discovery of an improved medication for OCD would have considerable commercial potential.
  • Psilocybin a 5-HT 2 c receptor agonist
  • OCD The New York Times, Page Dl , March 13, 2001.
  • Other 5-HT 2 c receptor agonists are recognized as potential treatments for OCD (Martin, J., Bos, M., Jenck, F., Moreau, J-I.., Mutel, V., Sleight, A., Wichmann, J., Andrews, J., Berendsen, H., Broekkamp, C, Ruight, G., Kohler, C, van Delft, A. "5-HT 2 c Receptor Agonists: Pharmacological Characteristics and Therapeutic Potential" J. Phann. Experimental Titer. 1998, 286, 913).
  • 5-HT 2 c selective compounds include treatments for epilepsy (Isaac, M. "Serotonergic 5-HT2C Receptors as a Potential Therapeutic Target for the Design Antiepileptic Drugs" Current Topics in JMedicinal Chemistry, 2005, 5, 59), Alzheimer's disease (Arjona, A., Pooler, A., Lee, R., Wurtman, R. "Effect of a 5-HT(2C) Serotonin Agonist, Dexnorfenfluramine, on Amyloid Precursor Protein Metabolism in Guinea Pigs” Brain Res. 2002, 95 J, 135), sexual dysfunction (Uckert, S., Stief, C, Jonas, U.
  • Compounds that are selective fox the 5-HT 2 c receptor may therefore have therapeutic potential in treating, for example, the above disorders. Such selectivity can also reduce possible side effects due to activity at other serotonin receptors.
  • the present invention relates to novel N-substituted psilocin (4-hydroxyindole) derivatives that are also substituted at the 5-, 6-, and/or 7-positions and possess 5-HT 2 c receptor selectivity, preferably versus both the 5HT 2A and 5-HT 2B receptors.
  • Such compounds have not previously been described or recognized to have selective functional activity at the 5- HT 2 c-receptor or to have in vivo activity in an animal model of human disease.
  • the invention also relates to N-substituted psilocybin (4-phosphoryloxyindole) derivatives, also substituted at the 5-, 6-, and/or 7-positions.
  • psilocybin (4-phosphoryloxyindole) derivatives, also substituted at the 5-, 6-, and/or 7-positions.
  • prodrugs for the corresponding 4-hydroxy compounds in vivo (Jacob III, P.; Shulgin, A. T. in NlJDA Research Monograph 146 (Hallucinogens, an Update), 2000, Eds. Lin, G. C; Glennon, R. A., pp 74).
  • the invention provides a compound represented by the structural formula:
  • R 3 is hydrogen, C 1 -C 8 alkyl, C 2 -C 8 alkenyl, or C 2 -C 8 alkynyl, optionally substituted with 1-3 substitutents selected from the group consisting of halogen, cyano, hydroxy, C 1 -Cs alkoxyl, -SH, Ci-Cs thioalkyl, amino, C 1 -C 8 alk:ylamino, di(Ci-C 8 alkyi)amino, C 1 -C 8 alkylsulfonyl, formyl, and COOH; or R 3 is selected from the group consisting of halogen, Ci-C 8 alkylsulfonyl, formyl, COOH, hydroxy, Ci-C 8 alkoxyl, -SH, C 1 -C 8 thioalkyl, amino, C 1 -C 8 alkylamino, and d ⁇ Q-Q altyl)amino; R 4 is Ci-C 8 alkyl,
  • C 8 alkylsulfonyl formyl, hydroxy, Ci-C 8 alkoxyl, -SH, Ci-C 8 thioalkyl, amino, Ci-C 8 alkylamino, and di(Ci-Cs alkyl)amino;
  • R 5 represents 1 - 3 substituents selected from the group consisting of Ci-C 8 alkyl, C 2 -
  • Ci-C 8 thioalkyl amino, C 1 -C 8 alkylamino, and di(CrC 8 alky ⁇ amino; or
  • R 5 represents 1 — 3 substituents selected from the group consisting of halogen, Ci-C 8 alkylsulfonyl, formyl, COOH, hydroxy, Ci-C 8 alkoxyl, -SH, Ci-Cg thioalkyl, amino,
  • Ci-C 8 alkylamino and di(Ci-C 8 alkyl)amino;
  • R 6 is OP(O)(OH) 2 , OH, OC(O)R 7 , OSO 2 OH, or SO 2 NH 2 ;
  • R 7 is Ci-C 8 alkyl or phenyl; or a pharmaceutically acceptable salt, solvate, ester, or pro-drug thereof.
  • the invention provides a compound represented by the structural formula:
  • Ri and R 2 are, independently for each occurrence, H, Ci-Cg alkyl, C 2 -C 8 alkenyl, or C 2 -C 8 alkynyl;
  • R 3 is hydrogen, Ci-C 8 alkyl, C 2 -C 8 alkenyl, or C 2 -C 8 alkynyl, optionally substituted with 1-3 substitutents selected from the group consisting of halogen, cyano, hydroxy, C 1 -C 8 alkoxyl, -SH, C 1 -C 8 thioalkyl, amino, C 1 -C 8 alkylamino, di(Ci-C 8 alkyl)amino, Cj-C 8 alkylsulfbnyl, formyl, and COOH; or R 3 is selected from the group consisting of halogen, C 1 -Cg alkylsulfonyl, formyl, COOH, hydroxy, C 1 -C 8 alkoxyl, -
  • R 4 represents 1 - 3 substituents selected from the group consisting OfC 1 -Cs alkyl, C 2 -
  • R 4 represents 1 — 3 substituents selected from the group consisting of halogen, C 1 -C 8 alkylsulfonyl, formyl, COOH, hydroxy, C 1 -C 8 alkoxyl, -SH, C 1 -C 8 thioalkyl, amino,
  • R 5 is OP(O)(OH) 2 , OH, OC(O)R 6 , OSO 2 OH, or SO 2 NH 2 ;
  • R 6 is C 1 -C 8 alkyl or phenyl; or a pharmaceutically acceptable salt, solvate, ester, or pro-drug thereof.
  • the invention provides a method for the treatment of Obsessive Compulsive Disorder (OCD) in a subject.
  • OCD Obsessive Compulsive Disorder
  • the method includes administering to the subject a compound of Formula I or Formula II, such that OCD is treated.
  • the invention provides a method for sirppressing appetite in a subject
  • the method includes administering to the subject a compound of Formula I or Formula II, such that appetite is suppressed in the subject.
  • trie invention provides a compound represented by the formula:
  • R is C 1 - C 8 alkyl; or a pharmaceutically acceptable salt, solvate, ester, or pro-drug thereof.
  • R is CH 3 or CH 2 CH 2 CH 3 .
  • the invention provides a method for the treatment of Obsessive Compulsive Disorder (OCD) in a subject.
  • the method includes administering to the subject a compound of Formula III, such that OCD is treated.
  • the invention provides a method for suppressing appetite in a subject.
  • the method includes administering to the subject a compound of Formula III, such that appetite is suppressed in the subject.
  • the invention provides a compound represented by the formula:
  • R is C 1 - C 8 alkyl; or a pharmaceutically acceptable salt, solvate, ester, or pro-drug thereof.
  • R is CH 3 or CH 2 CH 2 CH 3 .
  • the invention provides a method for the treatment of Obsessive Compulsive Disorder (OCD) in a subject.
  • the method includes administering to the subject a compound of Formula TV, such that OCD is treated.
  • the invention provides a method for suppressing appetite in a subject.
  • the method includes administering to the subject a compound of Formula IV, such that appetite is suppressed in the subject.
  • the invention provides a method for the treatment of a central nervous system disorder in a subject.
  • the method includes administering to the subject a compound of any one of the formulae herein (e.g., Formulae I - IV), such that the central nervous system disorder is treated.
  • the central nervous system disorder is selected from the group consisting of epilepsy, Alzheimer's disease, sexual dysfunction, addiction, anorexia nervosa, Tourette's syndrome, and trichotillomania.
  • the invention provides a method for the treatment of a canine veterinary disease.
  • the method includes administering to the subject a compound of any one of the formulae herein (e.g., Formulae I - FV), such that the canine veterinary disease is treated.
  • the canine veterinary disease is acral lick dermatitis (ALD).
  • the invention provides a method of increasing the activity of a serotonin receptor, the method comprising contacting a serotonin receptor with a compound of any one of the formulae herein (e.g., Formulae I - IV).
  • the invention provides use of a compound of any of the formulae herein (e.g., Formulae I — IV) for the treatment of Obsessive Compulsive Disorder (OCD) in a subject; use of a compound of any of the formulae herein (e.g., Formulae I — IV) for the treatment of obesity and/or suppression of appetite in a subject; use of a compound of any of the formulae herein (e.g., Formulae I - IV) for the preparation of a medicament for treatment of Obsessive Compulsive Disorder (OCD) in a subject; use of a compound of any of the formulae herein (e.g., Formulae I - IV) for the preparation of a medicament for the treatment of obesity and/or suppression of appetite in a subject; and use of a compound for the preparation of a medicament for the treatment of a central nervous system disorder in a subject (in preferred embodiments, the central nervous system disorder is selected from the group consisting of epilepsy, Alzheimer's disease
  • Figure 1 shows the structures of, and exemplary synthetic routes for preparation of certain compounds of the invention.
  • administration includes routes of introducing the compound(s) of the invention to a subject to perform their intended function.
  • routes of administration include injection (subcutaneous, intravenous, parenterally, intraperitoneally, intrathecal), oral, inhalation, rectal and transdermal.
  • the pharmaceutical preparations may be given by forms suitable for each administration route. For example, these preparations are administered in tablets or capsule form, by imjection, inhalation, eye lotion, ointment, suppository, etc. administration by injection, infusion or inhalation; topical by lotion or ointment; and rectal by suppositories. Oral administration is preferred.
  • the injection can be bolus or can be continuous infusion.
  • the compound of the invention can be coated with or disposed in a selected material to protect it from natural conditions which may detrimentally effect its ability to perform its intended function.
  • the compound of the invention can be administered alone, or in conjunction with either another agent as described above or with a pharmacen-tically- acceptable carrier, or both.
  • the compound of the invention can be administered prior to the administration of the other agent, simultaneously with the agent, or after the administration of the agent.
  • the compound of the invention can also be administered in a pro- drug form which is converted into its active metabolite, or more active metabolite in vivo.
  • alkyl refers to the radical of saturated aliphatic groups, including straight- chain alkyl groups, branched-chain alkyl groups, cycloalkyl (alicyclic) groups, alkyl substituted cycloalkyl groups, and cycloalkyl substituted alkyl groups.
  • ailkyl further includes alkyl groups, which can further include oxygen, nitrogen, sulfur or phosphorous atoms replacing one or more carbons of the hydrocarbon backbone, e.g., oxygen, nitrogen, sulfur or phosphorous atoms.
  • a straight chain or brancJhed chain alkyl has 30 or fewer carbon atoms in its backbone (e.g., C 1 -C 30 for straight chain,, C 3 -C 30 for branched chain), preferably 26 or fewer, and more preferably 20 or fewer, and still more preferably 4 or fewer.
  • preferred cycloalkyls have from 3-10 carbon atoms in their ring structure, and more preferably have 3, 4, 5, 6 or 7 carbons in the ring structure.
  • alkyl as used throughout the specification and sentences is intended to include both “unsubstituted alkyls” and “substituted alkyls,” the latter of which refers to alkyl moieties having substituents replacing a hydrogen on one or more carbons of the hydrocarbon backbone.
  • substituents can include, for example, halogen, ⁇ iydroxyl, alkylcarbonyloxy, arylcarbonyloxy, alkoxycarbonyloxy, aryloxycarbonyloxy, cartooxylate, alkylcarbonyl, alkoxycarbonyl, aminocarbonyl, alkylthiocarbonyl, alkoxyl, phospliate, phosphonato, phosphinato, cyano, amino (including alkyl amino, dialkylamino, arylamino, diarylamino, and alkylarylamino), acylamino (including alkylcarbonylamino, arylcarbonylamino, carbamoyl and ureido), amidino, imino, sulfhydryl, alkylthio, arylthio, thiocarboxylate, sulfates, sulfonato, sulfamoyl, sulfonamido
  • alkylaryl is an alkyl substituted with an aryl (e.g., phenylmethyl (benzyl)).
  • alkyl also includes unsaturated aliphatic groups analogous in length and possible substitution to the alkyls described above, but tttat contain at least one double or triple bond respectively.
  • lower alkyl as used herein means an alkyl group, as defined above, but having from one to ten carbons, more preferably from one to six, and still more preferably from one to four carbon atoms in its backbone structure, which may b e straight or branched-chain.
  • lo ⁇ wer alkyl groups include methyl, ethyl, n-propyl, i-propyl, tert-butyl, hexyl, heptyl, octyl ajnd so forth.
  • the term "lower alkyl” includes a straight chain alkyl having 4 or fewer carbon atoms in its backbone, e.g., Ci-C 4 alkyl.
  • alkoxyalkyl refers to alkyl groups, as described above, which further include oxygen, nitrogen or sulfur atoms replacing one or more carbons of the hydrocarbon backbone, e.g., oxygen, nitrogen or sulf ⁇ ir atoms.
  • alkenyl and alkynyl refer to unsaturated aliphatic groups analogous in length and possible substitution to the alkyls described above, but that contain at least one double or triple bond, respectively.
  • the invention contemplates cyano and propargyl groups.
  • alkylene alkenylene and alkynylene refer to divalent aliphatic radicals corresponding respectively to alkyl, alkenyl, and alkynyl groups as defined above, and which may be substituted as described above.
  • aryl refers to the radical of aryl groups, including 5- and 6- membered single-ring aromatic groups that may include from zero to four heteroatoms, for example, benzene, pyrrole, furan, thiophene, imidazole, benzoxazole, benzothiazole, triazole, tetrazole, pyrazole, pyridine, pyrazine, pyridazine and pyrimidine, and the like.
  • Aryl groups also include polycyclic fused aromatic groups such as naphthyl, quinolyl, indolyl, and the like.
  • aryl groups having heteroatoms in the ring structure may also be referred to as "aryl heterocycles," “heteroaryls” or “heteroaromatics.”
  • the aromatic ring can " be substituted at one or more ring positions with such substituents as described above, as for example, halogen, hydroxyl, alkoxy, alkylcarbonyloxy, arylcarbonyloxy, alkoxycarbonyloxy, aryloxycarbonyloxy, carboxylate, alkylcarbonyl, alkoxycarbonyl, aminocarbonyl, alkylthiocarbonyl, phosphate, phosphonato, phosphinato, cyano, amino (including alkyl amino, dialkylamino, arylamino, dLiarylamino, and alkylarylamino), acylamino (including alkylcarbonylamino, arylcarbonylamino, carbamoyl and ureido), amidino, im
  • biological activities of a compound of the invention includes all activities elicited by compound of the inventions in a responsive subject or cell. It includes genomic and non-genornic activities elicited by these compounds.
  • chiral refers to molecules which have the property of non-superimposability of the mirror image partner, while the term “achiral” refers to molecules which are superimposable on their mirror image partner.
  • diastereomers refers to stereoisomers with two or more centers of dissymmetry and whose molecules are not mirror images of one another.
  • the term "effective amount” includes an amount effective, at dosages and for periods of time necessary, to achieve the desired result, e.g., sufficient to treat a subject suffering from OCD, epilepsy, AJzheimer's disease, sexual dysfunction, addiction, a.norexia nervosa, Tourette's syndrome, trichotillomania, or other central nervous system disorders, or canine veterinary diseases including acral lick dermatitis (ALD); or an amount effective to suppress appetite in a subject in need of such treatment.
  • An effective amount of compound of the invention may vary according to factors such as the disease state, age, and weight of the subject, and the ability of the compound of the invention to elicit a desired response in the subject. Dosage regimens may be adjusted to provide the optimum therapeutic response.
  • An effective amount is also one in which any toxic or detrimental effects (e.g. , side effects) of the compound of the invention are outweighed by the therapeutically benei ⁇ cial effects.
  • a therapeutically effective amount of compound of the invention may range from about 0.001 to 50 mg/kg body weight, preferably about 0.01 to 40 mg/kg body weight, more preferably about 0.1 to 35 mg/kg body weight, still more preferably about 1 to 30 mg/kg, and even more preferably about 10 to 30 mg/kg.
  • an effective dosage may range from about 0.001 to 50 mg/kg body weight, preferably about 0.01 to 40 mg/kg body weight, more preferably about 0.1 to 35 mg/kg body weight, still more preferably about 1 to 30 mg/kg, and even more preferably about 10 to 30 mg/kg.
  • treatment of a subject with a therapeutically effective amount of a compound of the invention can include a single treatment or, preferably, can include a series of treatments.
  • a subject is treated with a compound of the invention in the range of between about 0.1 to 20 mg/kg body weight, one time per week for between about 1 to 10 weeks, preferably between 2 to 8 weeks, more preferably between about 3 to 7 weeks, and even more preferably for about 4, 5, or 6 weeks. It will also be appreciated that the effective dosage of a compound of the invention used for treatment may increase or decrease over the course of a particular treatment.
  • enantiomers refers to two stereoisomers of a compound which are non- superimposable mirror images of one another.
  • An equimolar mixture of two enantiomers is called a “racemic mixture” or a “racemate.”
  • haloalkyl is intended to include alkyl groups as defined above that are mono-, di- or polysubstituted by halogen, e.g., fluoromethyl and trifluoroni ethyl.
  • halogen designates -F, -Cl, -Br or —I.
  • hydroxyl means -OH.
  • heteroatom as used herein means an atom of any element other than carbon or hydrogen. Preferred heteroatoms are nitrogen, oxygen, sulfur and phosphorus.
  • improved biological properties refers to any activity inherent in a compound of the invention that enhances its effectiveness in vivo. In a preferred embodiment, this term refers to any qualitative or quantitative improved therapeutic property of a compound of the invention, such as reduced toxicity.
  • optional substituents include, for example, hydroxy, halogen, cyano, nitro, CrCgalkyl, C 2 -C 8 alkenyl, C 2 -Csalkynyl, d-C 8 alkoxy, C 2 -C 8 alkyl ether, C 3 -C 8 alkanone, C 1 - C 8 alkylthio, amino, mono- or di-(C 1 -C 8 alkyl)amino, haloQ-Csalkyl, halod-Qalkoxy, C 1 - C 8 alkanoyl, C 2 -Csalkanoyloxy, d-Csalkoxycarbonyl, -COOH, -CONH 2 , mono- or (Ii-
  • Optional substitution is also indicated by the phrase "substituted with from O to X substituents," where X is the maximum num " ber of possible substituents.
  • Certain optionally substituted groups are substituted with from O to 2, 3 or 4 independently selected substituents (i.e., are unsubstituted or substituted with up to the recited maximum number of substitutents).
  • isomers or “stereoisomers” refers to compounds wliich have identical chemical constitution, but differ with regard to the arrangement of the atoms or groups in space.
  • modulate refers to an increase or decrease, e.g., in the activity of a serotonin receptor in response to exposure to a compound of the invention, e.g., the stimulation of serotonin receptor activity of at least a sub-population of cells in an animal such that a desired end result is achieved, e.g., a therapeutic result.
  • parenteral administration and “administered parenterally” as used herein means modes of administration other than enteral and topical administration, usually by injection, and includes, without limitation, intravenous, intramuscular, intraarterial, intrathecal, intracapsular, intraorbital, intracardiac, intradermal, intraperitoneal, transtracheal, subcutaneous, subcuticular, intraarticulare, subcapsular, subarachnoid, intraspinal and intrasternal injection and infusion.
  • polycyclyl or “polycyclic radical” refer to the radical of two or more cyclic rings (e.g., cycloalkyls, cycloalkenyls, cycloalkynyls, aryls and/or hieterocyclyls) in which two or more carbons are common to two adjoining rings, e.g., the rings are "fused rings". Rings that are joined through non-adjacent atoms are termed "bridged" rings.
  • Each of the rings of the polycycle can be substituted with such substituents as described above, as for example, halogen, hydroxyl, alkylcarbonyloxy, arylcarbonyloxy, alkoxycarbonyloxy, aryloxycarbonyloxy, carboxylate, alkylcarbonyl, alkoxycarbonyl, aminocarbonyl, alkylthiocarbonyl, alkoxyl, phosphate, phosphonato, phosphinato, cyano, amino (including alkyl amino, dialkylamino, arylamino, diarylamino, and alkylarylamino), acylamino (including alkylcarbonylamino, arylcarbonylamino, carbamoyl and ureido), amidino, imino, sulfhydryl, alkylthio, arylthio, thiocarboxylate, sulfates, sulfonate, sulfanxoyl,
  • prodrug or "pro-drug” includes compounds with moieties that can be metabolized in vivo.
  • the prodrugs are metabolized in vivo by esterases or by other mechanisms to active drugs.
  • Examples of prodrugs and their uses are well known in the art (See, e.g., Berge et al. (1977) "Pharmaceutical Salts", J Pharm. Sci. 66:1 -19).
  • the prodrugs can be prepared in situ during the final isolation and purification of the compounds, or by separately reacting the purified compound in its free acid form or hydrox;yl with a suitable esterifying agent. Hydroxyl groups can be converted into esters via treatment with a carboxylic acid.
  • prodrug moieties include substituted and unsubstituted, branch or unbranched lower alkyl ester moieties, (e.g., propionoic acid esters), lower alkenyl esters, di-lower alkyl-amino lower-alkyl esters (e.g., dirnethylaminoethyl ester), acylamino lower alkyl esters (e.g., acetyloxymethyl ester), acylorxy lower alkyl esters (e.g., pivaloyloxymethyl ester), aryl esters (phenyl ester), aryl-lower alkyl esters (e.g., benzyl ester), substituted (e.g., with methyl, halo, or methoxy substituents) aryl and aryl-lower alkyl esters, amides, lower-alkyl amides, di-lower alkyl amides, and hydroxy amides.
  • a prophylactically effective amount of a compoxmd refers to an amount of a compound of the invention any formula herein or otherwise described herein which is effective, upon single or multiple dose administration to the patient, in preventing or treating a disease or condition.
  • reduced toxicity is intended to include a reduction in any undesired side effect elicited by a compound of the invention when administered in vivo.
  • sulfhydryl or "thiol” means -SH.
  • subject includes organisms which are capable of suffering from a serotonin-receptor-related disorder or who could otherwise benefit from the administration of a compound of the invention of the invention, such as human and non-liuman animals.
  • Preferred humans include human patients suffering from or prone to suffering from a serotonin-related disorder or associated state, as described herein.
  • non-human animals of the invention includes all vertebrates, e.g., mammals, e.g., rodents, e.g., mice, and non-mammals, such as non-human primates, e.g., sheep, dog, cow, chickens, amphibians, reptiles, etc.
  • systemic administration means the administration of a compound of the invention(s), drug or other material, such that it enters the patient's system and, thus, is subject to metabolism and other like processes, for example, subcutaneous administration.
  • the invention provides novel indole compounds.
  • the invention features a compound represented by the formula (Formula I)
  • A is C 1 -C 4 alkylene, C 2 -C 4 alkenylene, or C 2 -C4 alkynylene;
  • R 1 and R 2 are, independently for each occurrence, H, C 1 -C 8 alkyl, C 2 -C 8 alkenyl, or C 2 -C 8 alkynyl;
  • R -3 is hydrogen, C 1 -C 8 alkyl, C 2 -C 8 alkenyl, or C 2 -C 8 alkynyl, optionally substituted with 1-3 substitutents selected from the gxoup consisting of halogen, cyano, hydroxy, C 1 -C 8 alkoxyl, -SH, C 1 -Cs thioalkyl, amino, C 1 -C 8 alkylamino, di(CrC 8 alkyl)amino, C 1 -C 8 alkyLsulfonyl, formyl, and COOH; or R 3 is selected from the group consisting of halogen, C 1 - C 8 alkylsulfonyl, formyl, COOH, hydroxy, C 1 -C 8 alkcoxyl, -SH, C 1 -C 8 thioalkyl, amino, C 1 -C 8 alkylamino, and di(Ci-C 8 alkyi)ammo; R
  • R-5 represents 1 — 3 substituents selected from the group consisting of Ci-C 8 alkyl, C 2 -C 8 alkenyl, and C 2 -C 8 alkynyl, each optionally substituted with 1-3 substitutents selected from the group consisting of halogen, cyano, hydroxy, C 1 -C 8 alkoxyl, -SH, C 1 -C 8 thioalkyl, amino, Ci-C 8 alkylamino, and di(Ci-C 8 alkyl)amino; or R 5 represents 1 - 3 substituents selected from the group consisting of halogen, Ci-C 8 alkylsulfonyl, formyl, COOH, hydroxy, Ci-C 8 alkoxyl, -SH, C 1 -Cs thioalkyl, amino, C 1 -
  • R 6 is OP(O)(OH) 2 , OH, OC(O)R 7 , OSO 2 OH, or SO 2 NH 2 ;
  • R7 is Ci-C 8 alkyl or phenyl; or a pharmaceutically acceptable salt, solvate, ester, or pro-drug thereof.
  • the invention provides a compound represented by the structural formula (Formula II):
  • A is C 1 -C 4 alkylene, C 2 -C 4 alkenylene, or C 2 -C4 alkynylene;
  • X S, SO, SO 2 , or O;
  • R 1 and R 2 are, independently for each occurrence, H, C 1 -C 8 alkyl., C 2 -C 8 alkenyl, or C 2 -C 8 alkynyl;
  • R3 is hydrogen, C 1 -C 8 alkyl, C 2 -C 8 alkenyl, or C 2 -C 8 alkynyl, optionally substituted with 1-3 substitutents selected from the group consisting of halogen, cyano, hydroxy, C 1 -C 8 alkoxyl, -SH, C 1 -C 8 thioalkyl, amino, C 1 -C 8 alkylamino, di(Ci-C 8 alkyl)amino, Ci-C 8 alkylsulfonyl, formyl, and COOH; or R 3 is selected from the group consisting of halogen, C 1 - C 8 alkylsulfonyl, formyl, COOH, hydroxy, Ci-C 8 alkoxyl, -SH, Ci-C 8 thioalkyl, amino, Ci-C 8 alkylamino, and di(Ci-C 8 alkyl)amino;
  • R 4 represents 1 - 3 substituents selected from the group consisting of C]-C 8 alkyl, C 2 -C 8 alkenyl, and C 2 -C 8 alkynyl, each optionally substituted with 1-3 substitutents selected from the group consisting of halogen, cyano, hydroxy, Ci-C 8 alkoxyl, -SH, Ci-C 8 thioalkyl, amino, Ci-C 8 alkylamino, and di(Ci-C 8 alkyl)amino; or
  • R 4 represents 1 - 3 substituents selected from the group consisting of halogen, C 1 -C 8 alkylsulfonyl, formyl, COOH, hydroxy, Ci-C 8 alkoxyl, -SH, Q- C 8 thioalkyl, amino, C 1 -C 8 alkylamino, and di(Ci-C 8 alkyl)amino;
  • R 5 is OP(O)(OH) 2 , OH, OC(O)R 6 , OSO 2 OH, or SO 2 NH 2 ;
  • R -O is Ci-C 8 alkyl or phenyl; or a pharmaceutically acceptable salt, solvate, ester, or pro-drug thereof.
  • the invention provides a compound represented by the formula (Formula III):
  • R is alkyl; CH 3 or CH 2 CH 2 CH 2 ; or a pharmaceutically acceptable salt, solvate, ester, or pro-drug thereof.
  • R is selected from CH 3 or CH 2 CH 2 CH 2 .
  • the invention provides a compound represented by the formula (Formula IV):
  • R is CH 3 or CH 2 CH 2 CH 2 ; or a pharmaceutically acceptable salt, solvate, ester, or pro-drug thereof.
  • R is selected from CH 3 or CHaCH 2 CH 2 .
  • N-unsubstitixted indoles such as compounds 1 and 23 can be N-alkylated or N-sulfonylated, for example, with an alkyl halide or sulfonyl chloride, using a base such as sodium hydride, to give N-alkylated or N-sulfonylated indoles.
  • 4-substituted indoles can be hydrogenated using, for ejcample, palladium hydroxide on carbon as catalyst in the presence of hydrogen gas, to give 4-tiydroxyindoles.
  • the 4- hydroxyindoles can be phosphorylated, for example, by use of tetrabenzylpyrophosphate and a strong base such as lithium diisopropylamide, followed by tiydrogenation using, for example, palladium hydroxide on carbon in the presence of h/ydrogen gas, to give 4- phosphoryloxyindoles.
  • Naturally occurring or synthetic isomers can be separated in several ways known in the art. Methods for separating a racemic mixture of two ena ⁇ itiomers include chromatography using a chiral stationary phase (see, e.g., "Ctiiral Liquid Chromatography," WJ. Lough, Ed. Chapman and Hall, New York (1989)). Enantiomers can also be separated by classical resolution techniques. For example, formation o f diastereomeric salts and fractional crystallization can be used to separate ena ⁇ itiomers.
  • the diastereomeric salts can be formed by addition of enantiomerically pure chiral bases such as brucine, quinine, ephedrine, strychnine, and the like.
  • diastereomeric esters can be formed with enantiomerically pure chiral alcohols such as menthol, followed by separation of the diastereomeric esters and hydrolysis to yield the free, enantiomerically enriched carboxylic acid.
  • the compounds of the invention have serotonin receptor activity, and can be used to treat or prevent conditions associated with serotonin receptor activity.
  • the invention provides methods for treating a subject for a serotonin-receptor-related disorder, or preventing a serotonin-receptor-related disorder, by administering to the subject an effective amount of a compound of the invention, such that the serotonin-receptor-related disorder is treated or prevented.
  • Serotonin-receptor-related disorders include, e.g., Obsessive Compulsive Disorder (OCD), obesity , epilepsy, Alzheimer's disease, sexual dysfunction, addiction, anorexia nervosa, Tourette's syndrome, and trichotillomania, or other central nervous system disorders, or canine veterinary diseases including acral lick dermatitis (ALD).
  • OCD Obsessive Compulsive Disorder
  • the subject is a mammal, e.g., a primate, e.g., a human.
  • a method of treating a subject suffering from or susceptible to a serotonin-receptor-related disorder includes administering to a subject in need thereof a therapeutically effective amount of a compound of the invention, to thereby treat the subject suffering from or susceptible to a serotonin-receptor-related disorder.
  • a further aspect relates to a method of treating a subject suffering from or susceptible to Obsessive Compulsive Disorder (OCD), including administering to the subject an effective amount of a compound of the invention to thereby treat the subject suffering from or susceptible to OCD.
  • OCD Obsessive Compulsive Disorder
  • a further aspect relates to a method of treating a subject suffering from or susceptible to obesity, including administering to the subject an effective amount of a compound of the invention to thereby treat the subject suffering from or susceptible to obesity, hi certain embodiments, the methods of the invention include administering to a subject a therapeutically effective amount of a compound of the invention in combination with another pharmaceutically active compound.
  • pharmaceutically active compounds include compounds known to treat serotonin-related diseases.
  • Other pharmaceutically active compounds that may be used can be found in Harrison's Principles of Internal Medicine, Sixteenth Edition, Eds. DX. Kasper et al. McGraw-Hill Professional, N.
  • the compound of the invention and the pharmaceutically active compound may be administered to the subject in the same pharmaceutical composition or in different pharmaceutical compositions (at the same time or at different times).
  • a therapeutically effective or a. prophylactically effective amount of the compound of the invention can be readily made by the physician or veterinarian (the "attending clinician"), as one skilled in the art, by the use of known techniques and by observing results obtained under analogous circumstances.
  • the dosages may be varied depending upon the requirements of the patient in the judgment of the attending clinician; the severity of the condition being treated and the particular compound being employed.
  • the therapeutically effective amount or dose and the prophylactically effective amount or dose
  • a number of factors are considered by the attending clinician, including, but not limited to: the specific serotonin-receptor-related disorder involved; pharmacodynamic characteristics of the particular agent and its mode and route of administration; the desired time course of treatment; the species of mammal; its size, age, and general health; the specific disease involved; the degree of or involvement or the severity of the disease; the response of the individual patient; the particular compound administered; the mode of administration; the bioavailability characteristics of the preparation administered; the dose regimen selected; the kind of concurrent treatment (i.e., the interaction of the compound of the invention with other co- administered therapeutics); and other relevant circumstances.
  • Treatment can be initiated with smaller dosages, which are less than the optimum dose of the compound. Thereafter, the dosage may be increased by small increments until the optimum effect under the circumstances is reached. For convenience, the total daily dosage may be divided and administered in portions during the day if desired.
  • a therapeutically effective amount and a prophylactically effective amount of a compound of the invention of the invention is expected to vary from about 0.1 milligram per kilogram of body weight per day (mg/kg/day) to about 100 mg/kg/day.
  • a compound of the invention is packaged in a therapeutically effective amount with a pharmaceutically acceptable carrier or diluent.
  • the composition may be formulated for treating a subject suffering from or susceptible to a serotonin-receptor- related disorder, and packaged with instructions to treat a subject suffering from or susceptible to a serotonin-receptor-related disorder.
  • a method of increasing serotonin receptor activity includes contacting cells with a compound capable of increasing serotonin receptor activity.
  • the contacting may be in vitro, e.g., by addition of the compound to a fluid surrounding the cells, for example, to the growth media in which the cells are living or existing.
  • the contacting may also be by directly contacting the compound to the cells.
  • the contacting may be in vivo, e.g., by passage of the compound through a subject; for example, after administration, depending on the route of administration, the compound may travel through the digestive tract or the blood stream or may be applied or administered directly to cells in need of treatment.
  • methods of inhibiting a serotonio-receptor-related disorder in a subject include administering an effective amount of a compound of the invention (e.g., a compound of any of the formulae herein capable of increasing serotonin receptor activity) to the subject.
  • a compound of the invention e.g., a compound of any of the formulae herein capable of increasing serotonin receptor activity
  • the administration may be by any route of administering known in the pharmaceutical arts.
  • the subject may have a serotonin-receptor-related disorder, may be at risk of developing a serotonin-receptor-related disorder, or may need prophylactic treatment prior to anticipated or unanticipated exposure to a conditions capable of increasing susceptibility to a serotonin-receptor-related disorder.
  • a method of monitoring the progress of a subject being treated with a serotonin receptor active compound of the invention includes determining the pre-treatment status of the serotonin-receptor-related disorder, administering a therapeutically effective amount of a compound of the invention to the subject, and determining the status of the serotonin-receptor-related disorder after an initial period of treatment, wherein the modulation (e.g., improvement) of the status indicates efficacy of the treatment.
  • methods of selecting a subject suffering from or susceptible to a serotonin-receptor-related disorder for treatment with a compound of the invention comprise determining the pre-treatment status of the serotonin-receptor-related disorder, administering a therapeutically effective amount of a compound of the invention to the subject, and determining the status (of the serotonin-receptor-related disorder after an initial period of treatment with the compound, wherein the modulation (e.g., improvement) of the status is an indication that the serotonin-receptor-related disorder is likely to have a favorable clinical response to treatment with a compound of the invention.
  • the subject may be at risk of a serotonin-receptor-related disorder, may be exhibiting symptoms of a serotonin-receptor-related disorder, maybe susceptible to a serotonin- receptor-related disorder and/or may have been diagnosed with a serotonin-receptor-related disorder.
  • the initial period of treatment may be the time in which it takes to establish a stable and/or therapeutically effective blood serum level of the compound, or the time in which it take for the subject to clear a substantial portion of the compound, or any period of time selected by the subject or healthcare professional that is relevant to the treatment.
  • the subject may be treated with the coxnpound.
  • the subject can be administered therapeutically effective dose or doses of the compound.
  • Kits of the invention include kits for treating a serotonin— receptor-related disorder in a subject.
  • the invention also includes kits for assessing the effica.cy of a treatment for a serotonin-receptor-related disorder in a subject, monitoring the progress of a subject being treated for a serotonin-receptor-related disorder, selecting a subj ect with a serotonin-receptor- related disorder for treatment according to the invention, and/or treating a subject suffering from or susceptible to a serotonin-receptor-related disorder.
  • the kit may include a compound of the invention, for example, a compound of any of formula I-ITV, pharmaceutically acceptable esters, salts, and prodrugs thereof, and instructions for use.
  • the instructions for use may include information on dosage, method of delivery, stoarage of the kit, etc.
  • the kits may also include, reagents, for example, test compounds, buffers, media (e.g., cell growth media), cells, etc.
  • Test compounds may include known compounds or newly discovered compounds, for example, combinatorial libraries of compounds.
  • One or more of the kit of the invention may be packaged together, for example, a kit for assessing the efficacy of an treatment for a serotonin-receptor-related disorder may be packaged with a kit for monitoring the progress of a subject being treated for a serotonin-receptor-related disorder according to the invention.
  • Certain of the present methods can be performed on cells in culture, e.g. in vitro or ex vivo, or on cells present in an animal subject, e.g., in vivo.
  • Compound of the invention can be initially tested in vitro using cells that express a serotonin receptor (see, e.g., the Examples, infra).
  • the effects of compound of the invention can be characterized in vivo using animals models.
  • the invention also provides a pharmaceutical composition, comprising an effective amount of a compound of the invention (e.g., a compound capable of treating or preventing a condition as described herein, e.g., a compound of any formula herein or otherwise described herein) and a pharmaceutically acceptable carrier.
  • a compound of the invention e.g., a compound capable of treating or preventing a condition as described herein, e.g., a compound of any formula herein or otherwise described herein
  • a pharmaceutically acceptable carrier e.g., a compound capable of treating or preventing a condition as described herein, e.g., a compound of any formula herein or otherwise described herein
  • the compound of " the invention is administered to the subject using a pharmaceutically-acceptable formulation, e.g., a pharmaceutically-acceptable formulation that provides sustained delivery of the compound of the invention to a subject for at least 12 hours, 24 hours, 36 hours, 48 hours, one week, two weeks, three weeks, or four weeks after the pharmaceutically-acceptable formulation is administered to the subject.
  • a pharmaceutically-acceptable formulation e.g., a pharmaceutically-acceptable formulation that provides sustained delivery of the compound of the invention to a subject for at least 12 hours, 24 hours, 36 hours, 48 hours, one week, two weeks, three weeks, or four weeks after the pharmaceutically-acceptable formulation is administered to the subject.
  • these pharmaceutical compositions are suitable for topical or oral administration to a subject.
  • the pharmaceutical compositions of the present invention may be specially formulated for administration in solid or liquid form, including those adapted for the following: (1) oral administration, for example, drenches (aqueous or non-aqueous solutions or suspensions), tablets, boluses, powders, granules, pastes; (2) parenteral administration, for example, by subcutaneous, intramuscular or intravenous injection as, for example, a sterile solution or suspension; (3) topical application, for example, as a cream, ointment or spray applied to the skin; (4) intravaginally or intrarectally, for example, as a pessary, cream or foam; or (5) aerosol, for example, as an aqueous aerosol, liposomal preparation or solid particles containing the compound.
  • phrases "pharmaceutically acceptable” refers to those compound of the inventions of the present invention, compositions containing such compounds, and/or dosage forms which are, within the scope of sound medical judgment, suitable for use in contact with the tissues of human beings and animals without excessive toxicity, irritation, allergic response, or other problem or complication, commensurate with a reasonable benefit/risk ratio.
  • pharmaceutically-acceptable carrier includes pharmaceutically- acceptable material, composition or vehicle, such as a liquid or solid filler, diluent, excipient, solvent or encapsulating material, involved in carrying or transporting the subject chemical from one organ, or portion of the body, to another organ, or portion of the body.
  • Each carrier is “acceptable” in the sense of being compatible with the other ingredients of the formulation and not injurious to the patient.
  • materials which can serve as pharmaceutically-acceptable carriers include: (1) sugars, such as lactose, glucose and sucrose; (2) starches, such as corn starch and potato starch; (3) cellulose, and its derivatives, such as sodium carboxymethyl cellulose, ethyl cellulose and cellulose acetate; (4) powdered tragacanth; (5) malt; (6) gelatin; (7) talc; (8) excipients, such as cocoa butter and suppository waxes; (9) oils, such as peanut oil, cottonseed oil, safflower oil, sesame oil, olive oil, corn oil and soybean oil; (10) glycols, such as propylene glycol; (11) polyols, such as glycerin, sorbitol, mannitol and polyethylene glycol; (12) esters, such as ethyl oleate and ethyl laurate; (I3) agar; (14) buffering agents, such as magnesium hydroxide and aluminum hydro
  • alginic acid (16) pyrogen-free water; (17) isotonic saline; (18) Ringer's solution; (19) ethyl alcohol; (20) phosphate buffer solutions; and (21) other non-toxic compatible substances employed in pharmaceutical formulations.
  • wetting agents such as sodium lauryl sulfate and magnesium stearate, as well as coloring agents, release agents, coating agents, sweetening, flavoring and perfuming agents, preservatives and antioxidants can also be present in the compositions.
  • antioxidants examples include: (1) water soluble antioxidants, such as ascorbic acid, cysteine hydrochloride, sodium bisulfate, sodium metabisulfite, sodium sulfite and the like; (2) oil-soluble antioxidants, such as ascorbyl palmitate, butylated hydroxyanisole (BHA), " butylated hydroxytoluene (BHT), lecithin, propyl gallate, alpha-tocopherol, and the like; and (3) metal chelating agents, such as citric acid, ethylenediamine tetraacetic acid (EDTA.), sorbitol, tartaric acid, phosphoric acid, and the like.
  • water soluble antioxidants such as ascorbic acid, cysteine hydrochloride, sodium bisulfate, sodium metabisulfite, sodium sulfite and the like
  • oil-soluble antioxidants such as ascorbyl palmitate, butylated hydroxyanisole (BHA), " butylated hydroxytoluene (B
  • compositions containing a compound, of the invention(s) include those suitable for oral, nasal, topical (including buccal and sublingual), rectal, vaginal, aerosol and/or parenteral administration.
  • the compositions may conveniently be presented in unit dosage form and may be prepared by any methods well known in the art of pharmacy.
  • the amount of active ingredient which can be combined with a carrier material to produce a single dosage form will vary depending upon the host being treated, the particular mode of administration.
  • the amount of active ingredient which can be combined with a carrier material to produce a single dosage form will generally be that amount of the compound which produces a therapeutic effect.
  • compositions Generally, out of one hundred per cent, this amount will range from about 1 per cent to about ninety-nine percent of active ingredient, preferably from about 5 per cent to about 70 per cent, more preferably from about 10 per cent to about 30 per cent.
  • Methods of preparing these compositions include the step of bringing into association a compound of the invention(s) with the carrier and, optionally, one or more accessory ingredients.
  • the formulations are prepared by uniformly and intimately bringing into association a compound of the invention with liquid carriers, or finely divided solid carriers, or both, and then, if necessary, shaping the product.
  • compositions of the invention suitable for oral administration may be in the form of capsules, cachets, pills, tablets, lozenges (using a flavored basis, usually sucrose and acacia or tragacanth), powders, granules, or as a solution or a suspension in an aqueous or non-aqueous liquid, or as an oil-in-water or water-in-oil liquid emulsion, or as an elixir or syrup, or as pastilles (using an inert base, such as gelatin and glycerin, or sucrose and acacia) and/or as mouth washes and the like, each containing a predetermined amount of a compound of the invention(s) as an active ingredient.
  • a compound may also be administered as a bolus, electuary or paste.
  • the active ingredient is mixed with one or more pharmaceutically-acceptable carriers, such as sodium citrate or dicalcium phosphate, and/or any of the following: (1) fillers or extenders, such as starches, lactose, sucrose, glucose, mannitol, and/or silicic acid; (2) binders, such as, for example, carboxymethylcellulose, alginates, gelatin, polyvinyl pyrrolidone, sucrose and/or acacia; (3) humectants, such as glycerol; (4) disintegrating agents, such as agar-agar, calcium carbonate, potato or tapioca starch, alginic acid, certain silicates, and sodium carbonate; (5) solution retarding agents, such as paraffin; (6) absorption accelerators, such as quaternary ammonium compounds; (7) wetting agents, such as, for example,
  • compositions may also comprise buffering agents.
  • Solid compositions of a similar type may also be employed as fillers in soft and hard- filled gelatin capsules using such excipients as lactose or milk sugars, as well as high molecular weight polyethylene glycols and the like.
  • a tablet may be made by compression or molding, optionally with one or more accessory ingredients.
  • Compressed tablets may be prepared using binder (for example, gelatin or hydroxypropylmethyl cellulose), lubricant, inert diluent, preservative, disintegrant (for example, sodium starch glycolate or cross-linked sodium carboxymethyl cellulose), surface-active or dispersing agent.
  • Molded tablets may be made by molding in a suitable machine a mixture of the powdered active ingredient moistened with an inert liquid diluent.
  • the tablets, and other solid dosage forms of the pharmaceutical compositions of the present invention may optionally be scored or prepared with coatings and shells, such as enteric coatings and other coatings well known in the pharmaceutical-formulating art. They may also be formulated so as to provide slow or controlled release of the active ingredient therein using, for example, hydroxypropylmethyl cellulose in varying proportions to provide the desired release profile, other polymer matrices, liposomes and/or microspheres.
  • compositions may be sterilized by, for example, filtration through a bacteria-retaining filter, or by incorporating sterilizing agents in the form of sterile solid compositions which can be dissolved in sterile water, or some other sterile injectable medium immediately before use.
  • These compositions may also optionally contain opacifying agents and may be of a composition that they release the active ingredient(s) only, or preferentially, in a certain portion of the gastrointestinal tract, optionally, in a delayed manner.
  • embedding compositions which can be used include polymeric substances and waxes.
  • the active ingredient can also be in micro-encapsulated form, if appropriate, with one or more of the above-described excipients.
  • Liquid dosage forms for oral administration of the compound of the invention(s) include pharmaceutically-acceptable emulsions, microemulsions, solutions, suspensions, syrups and elixirs.
  • the liquid dosage forms may contain inert diluents commonly used in the art, such as, for example, water or other solvents, solubilizing agents and emulsifiers, such as ethyl alcohol, isopropyl alcohol, ethyl carbonate, ethyl acetate, benzyl alcohol, benzyl benzoate, propylene glycol, 1,3-butylene glycol, oils (in particular, cottonseed, groundnut, corn, germ, olive, castor and sesame oils), glycerol, tetrahydrofuryl alcohol, polyethylene glycols and fatty acid esters of sorbitan, and mixtures thereof.
  • inert diluents commonly used in the art, such as, for example, water or other solvents, so
  • the oral compositions can include adjuvants such as wetting agents, emulsifying and suspending agents, sweetening, flavoring, coloring, perfuming and preservative agents.
  • adjuvants such as wetting agents, emulsifying and suspending agents, sweetening, flavoring, coloring, perfuming and preservative agents.
  • Suspensions in addition to the active compound of the invention(s) may contain suspending agents as, for example, ethoxylated isostearyl alcohols, polyoxyeth_ylene sorbitol and sorbitan esters, microcrystalline cellulose, aluminum metahydroxide, bentonite, agar-agar and tragacanth, and mixtures thereof.
  • suspending agents as, for example, ethoxylated isostearyl alcohols, polyoxyeth_ylene sorbitol and sorbitan esters, microcrystalline cellulose, aluminum metahydroxide, bentonite, agar-agar and tragacanth, and mixtures thereof.
  • compositions of the invention for rectal or vaginal administration may be presented as a suppository, which may be prepared by mixing one or more compound of the invention(s) with one or more suitable nonirritating excipients or carriers comprising, for example, cocoa butter, polyethylene glycol, a suppository wax or a salicylate, and which is solid at room temperature, but liquid at body temperature and, therefore, will melt in the rectum or vaginal cavity and release the active agent.
  • suitable nonirritating excipients or carriers comprising, for example, cocoa butter, polyethylene glycol, a suppository wax or a salicylate, and which is solid at room temperature, but liquid at body temperature and, therefore, will melt in the rectum or vaginal cavity and release the active agent.
  • compositions of the present invention which are suitable for vaginal administration also include pessaries, tampons, creams, gels, pastes, foams or spray formulations containing such carriers as are known in the art to be appropriate.
  • Dosage forms for the topical or transdermal administration of a compound of the invention(s) include powders, sprays, ointments, pastes, creams, lotions, gels, solutions, patches and inhalants.
  • the active compound of the invention(s) may be mixed under sterile conditions with a pharmaceutically-acceptable carrier, and with any preservatives, bufifers, or propellants which may be required.
  • the ointments, pastes, creams and gels may contain, in addition to compound of the invention(s) of the present invention, excipients, such as animal and vegetable fats, oils, waxes, paraffins, starch, tragacanth, cellulose derivatives, polyethylene glycols, silicones, bentonites, silicic acid, talc and zinc oxide, or mixtures thereof.
  • excipients such as animal and vegetable fats, oils, waxes, paraffins, starch, tragacanth, cellulose derivatives, polyethylene glycols, silicones, bentonites, silicic acid, talc and zinc oxide, or mixtures thereof.
  • Powders and sprays can contain,' in addition to a compound of the invention(s) y excipients such as lactose, talc, silicic acid, aluminum hydroxide, calcium silicates and polyamide powder, or mixtures of these substances.
  • Sprays can additionally contain customary propellants, such as chlorofluorohydrocarbons and volatile unsubstituted hydrocarbons, such as butane and propane.
  • the compound of the invention(s) can be alternatively administered by aerosol. This is accomplished by preparing an aqueous aerosol, liposomal preparation or solid particles containing the compound.
  • a nonaqueous (e.g., fluorocarbon propellant) suspension could be used.
  • Sonic nebulizers are preferred because they minimize exposing the agent to shear, which can result in degradation of the compound.
  • an aqueous aerosol is made by formulating an aqueous solution or suspension of the agent together with conventional pharmaceutically- acceptable carriers and stabilizers.
  • the carriers and stabilizers vary with the requirements of the particular compound, but typically include nonionic surfactants (Tweens, Pluronics, or polyethylene glycol), innocuous proteins like serum albumin, sorbitan esters, oleic acid, lecithin, amino acids such as glycine, buffers, salts, sugars or sugar alcohols. Aerosols generally are prepared from isotonic solutions.
  • Transdermal patches have the added advantage of providing controlled delivery of a compound of the invention(s) to the body.
  • dosage forms can be made by dissolving or dispersing the agent in the proper medium.
  • Absorption enhancers can also be used to increase the flux of the active ingredient across the skin. The rate of such flux can be controlled by either providing a rate controlling membrane or dispersing the active ingredient in a polymer matrix or gel.
  • Ophthalmic formulations are also contemplated as being within the scope of the invention.
  • compositions of the invention suitable for parenteral administration comprise one or more compound of the invention(s) in combination with one or more pharmaceutically-acceptable sterile isotonic aqueous or nonaqueous solutions, dispersions, suspensions or emulsions, or sterile powders which may be reconstituted into sterile injectable solutions or dispersions just prior to use, which may contain antioxidants, buffers, bacteriostats, solutes which render the formulation isotonic with the blood of the intended recipient or suspending or thickening agents.
  • aqueous and nonaqueous carriers examples include water, ethanol, polyols (such, as glycerol, propylene glycol, polyethylene glycol, and the like), and suitable mixtures thereof, vegetable oils, such as olive oil, and injectable organic esters, such as ethyl oleate.
  • polyols such as glycerol, propylene glycol, polyethylene glycol, and the like
  • vegetable oils such as olive oil
  • injectable organic esters such as ethyl oleate.
  • Proper fluidity can be maintained, for example, by the use of coating materials, such as lecithin, by the maintenance of the required particle size in the case of dispersions, and by the use of surfactants.
  • compositions may also contain adjuvants such as preservatives, wetting agents, emulsifying agents and dispersing agents. Prevention of the action of microorganisms may be ensured by the inclusion of various antibacterial and antifungal agents, for example, paraben, chlorobutanol, phenol sorbic acid, and tlie like. It may also be desirable to include isotonic agents, such as sugars, sodium chloride., and the like into the compositions. In addition, prolonged absorption of the injectable pharmaceutical form may be brought about by the inclusion of agents which delay absorption such as aluminum monostearate and gelatin.
  • the absorption of the drug in order to prolong the effect of a drug, it is desirable to slow the absorption of the drug from subcutaneous or intramuscular injection. This may be accomplished by the use of a liquid suspension of crystalline or amorphous material t ⁇ aving poor water solubility. The rate of absorption of the drug then depends upon its rate of dissolution which, in turn, may depend upon crystal size and crystalline form. Alternatively, delayed absorption of a parenterally-adrninistered drug form is accomplished by dissolving or suspending the drug in an oil vehicle.
  • Injectable depot forms are made by forming microencapsule matrices of compound of the invention(s) in biodegradable polymers such as polylactide-polyglycolide. Depending on the ratio of drug to polymer, and the nature of the particular polymer employed, the rate of drug release can be controlled. Examples of other biodegradable polymers include poly(orthoesters) and poly(anhydrides). Depot injectable formulations are also prepared by entrapping the drug in liposomes or microemulsions which are compatible with body tissue.
  • biodegradable polymers such as polylactide-polyglycolide.
  • Depot injectable formulations are also prepared by entrapping the drug in liposomes or microemulsions which are compatible with body tissue.
  • the compound of the invention(s) When the compound of the invention(s) are administered as pharmaceuticals, to humans and animals, they can be given per se or as a pharmaceutical composition containing, for example, 0.1 to 99.5% (more preferably, 0.5 to 90%) of active ingredient in combination with a pharmaceutically-acceptable carrier.
  • the compound of the inverxtion(s), which may be used in a suitable hydrated form, and/or the pharmaceutical compositions of the present invention are formulated into pharmaceutically-acceptable dosage forms by conventional methods known to those of skill in the art.
  • Actual dosage levels and time course of administration of the active ingredients in the pharmaceutical compositions of the invention may be varied so as to obtain an amount of the active ingredient which is effective to achieve the desired therapeutic response for a particular patient, composition, and mode of administration, without being toxic to ttie patient.
  • An exemplary dose range is from 0.1 to 10 mg per day.
  • a preferred dose of the compound of the invention for the present invention is the maximum that a patient can tolerate and not develop serious side effects.
  • the compound of the present invention is administered at a concentration or amount of about 0.001 mg to about 100 mg per kilogram of body weight, about 0.01 - about 50 mg/kg or about 10 mg - about 30 mg/kg of body weight. Ranges intermediate to the above-recited values are also intended to be part of the invention.
  • NMR assignments are based on a combination of the 1 H, 13 C, 1 H COSY, HMBC and HMQC spectra.
  • Anhydrous m. ethylene chloride, tetrahydrofuran, and dimethylformamide are Aldrich Sure/SealTM, and o ⁇ ier materials are reagent grade.
  • Step One 3-(2-Dimethylaminoethyl)-4-benzyloxy-7-fluoro-l-methyl-lH-indole ;> Compound 22.
  • Step Two 3 -(2-Dimethylaminoethyl)-7-fluoro-l -methyl- lH-indol-4-ol (Compound 11, O- 3804).
  • Step One 3-(2-Dimethylaminoethyl)-4-benzyloxy-7-fluoro-l-butyl-lH-indole (Compound 6).
  • Step Two 3-(2-Dimethylamino-ethyl)-7-fluoro-l-butyl-lH-indol-4-ol (Compound 15, O- 4205).
  • Step One 3-C2-Dimethylaminoethyl)-4-benzyloxy-7-fluoro-l-cyclopropylmethyl-lH-indole (Compound 7).
  • Step Two 3-(2-Dimethylaminoethyl)-7-fluoro-l-cyclopropylmethyl-lt3-indol-4-ol (Compound 16, O-4322).
  • Step One 3-(2-Dimethylaminoethyl)-4-benzyloxy-7-fluoro-l -zsopropyl-lH- indole (Compound 8).
  • Step Two 3-(2-Dimethylammoethyl)-7-fluoro-l-zs ⁇ propyl-lH-indol-4-ol (Compound 17, O-
  • Step One 3-(2-Dimethylaminoethyl)-4-benzyloxy-7-fluoro-l-methylsulfonyl-lH-indole (Compound 9).
  • Step Two 3-(2-Dimethylaminoethyl)-7-fluoro-l-methylsulfonyl-lH-mdol-4-ol (Compound 18, 0-4323).
  • Step One 3-(2-Dimethylaminoethyl)-4- benzyloxy-7-fl ⁇ oro-l-ethylsulfonyl-lH- indole, 10.
  • Step Two 3-(2-Dimethylaminoethyl)-7-fluoro-l-ethylsulfonyl-lH-indol-4-ol (Compound 19, (O-4321).
  • Step One 3-(2-Dimethylaminoethyl)-4-benzyloxy-6-fluoro-l-methyl-lH-indole (Compound 24).
  • Step Two 3 -(2-Dimethylaminoethyl)-6-fluoro-l -methyl- lH-indol-4-ol (Compound 32, O- 4244).
  • Step One 3-(2-Dimethylammoethyl)-4-benzyloxy-6-fluoro- l-ethyl-lH-indole (Compound 25).
  • Step Two 3-(2-Dimethylaminoethyl)-6-fluoro-l-ethyl-lH-indol-4-ol (Compound 33, O- 4284).
  • Step One 3-(2-Dimethylaminoethyl)-4-benzyloxy-6-fluoro-l-propyl-lH-indole (Compound 26).
  • Step Two 3 -(2-Dimethylaminoethyl)-6-fluoro-l -propyl- lH-in.dol-4-ol (Compound 34, O- 4285).
  • Step One 3-(2-Dimethylaminoethyl)-4-benzyloxy-6-fluoro-l-bxityl-lH-indole, 27.
  • Step Two 3-(2-Dimethylaminoethyl)-6-fluoro-l-butyl-lH-indol-4-ol (Compound 35, O-
  • Step One 3 -(2-Dimethylaminoethyl)-4-benzyloxy-6-fluoro- 1 -cyclopropylmethyl- 1 H-indole (Compound 28).
  • Step Two 3-(2 ⁇ Dimethylaminoethyl)-6-fluoro-l -cyclopropylmethyl- lH-indol-4-ol (Compound 36, O-4287).
  • Step One 3-(2-Dimethylammoethyl)-4-benzyloxy-6-fluoro-l-w ⁇ propyl-lH-indole (Compound 29).
  • Step One 3-(2-Dimethylaminoethyl)-4-benzyloxy-6-fluoro-l-methylsulfonyl-lH-indole (Compound 30).
  • Step Two 3-(2-Dimethylaminoethyl)-6-fiuoro-l-methylsulfonyl-lH-indol-4-ol (Compound 38, O-4320).
  • Step One 3-(2-Dimethylaminoethyl)-4-benzyloxy-6-fluoro-l-ethylsulfonyl-lH-indole (Compound 31).
  • Step Two 3-(2-Dimethylaminoethyl)-6-fluoro-l-ethylsulfonyl-lH-indol-4-ol (Compound 39, O-4312).
  • Phosphoinositide hydrolysis assays were performed with stably (5-HT 2A , 5-HT 2 c) or transiently (5-HT 2B ) expressed receptors plated in 24-well culture plates. Transfected cells were loaded with [ Hjinositol (15 Ci/mmol; 1 mCi/mL) overnight in inositol-free DMEM without serum. The next day, [ Hjinositol phosphate accumulation assays were performed in a modified Krebs-bicarbonate buffer. K act (nmol/L) and percent V ma ⁇ (relative to 5-HT) values were calculated (Roth, B. L., Shoham, M., Choudhary, M., Khan, N.
  • mice were deprived of food, but not water, for 18 hours. They were then injected i.p _ with test compounds dissolved in 0.9% NaCl containing 1 mg per ml ascorbic acid for protection against oxidation. Each mouse was placed in an individual cage for 30 minutes and then presented with a small petri dish containing a gel made from gelatin, powdered milk and sucrose. The dish was weighed at zero time and at 15-minute intervals for the next hour in order to quantitate food consumption. Controls were injected with saline-ascorbic acid; ⁇ fenfluramine was used as an active control. Control consumption generally ranged from 1.5 to 2.0 grams. The results are shown in Table 3.
  • mice were injected i p at intervals of 2 or 3 days and weighed repeatedly (6 or" 7 total injections). Controls were injected with salme Weighing and injection were earned oiit between 11 AM and 1 PM. The results are shown m Table 4.
  • Serotonin produces an itch sensation when applied to the human skin and has been suggested to be involved in. pruritic diseases
  • IP intraperitoneal
  • mice were male Swiss-Webster mice, 4-6 weeks old, weighing 25-45 g. Mice were housed. 5 per cage, given free access to standard mouse food and water except during experiments, and maintained in a temperature-controlled room (70 0 F). Serotonin and all test drags were made up with ascorbic acid to protect against oxidation. Two mice, one a control, the other experimental, were tested each time. Each mouse was separately placed into a plexiglas box.
  • mice were injected subcutaneously between the shoulder blades with either 0.1 ml of serotonin, 0.4 mg per ml in 0.15 M saline plus ascorbic acid, 1 mg/ml, or compound 48-80 (the copolymer product of N ⁇ methyl-/> ⁇ methoxyphenethylarnine with formaldehyde), 1.0 mg/ml in saline plus ascorbic acid.
  • Test compounds were injected i.p. 5 minutes before the inducer. The cumulative number of scratches with a hind leg was recorded at 5 minute intervals for 30 minutes.
  • One saline injected control and one test animal were tested together in each assay. The results are shown in Table 5.
  • mice were treated with certain compounds of the invention were treated with certain compounds of the invention, compared to control animals.

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Abstract

Novel indole compounds are disclosed. Also disclosed are methods for using the compounds to treat human and animal disease, pharmaceutical compositions of the compounds, and kits including the compounds.

Description

INDOLE COMPOUNDS USEFUL AS SEROTONIN SELECTIVE AGENTS
Cross-Reference to Related Applications
This application claims the benefit of U.S. Provisional Patent Application No. 60/613,944, filed September 27, 2004, the contents of which are incorporated herein by reference in their entirety.
Statement of Government Interest
The invention was made at least in part with National Institutes of Health grants #l-R43-MH63529-01-Al and#5-R43-DK065322-02. The U.S. Government may have certain rights in the invention.
Field of the Invention:
This invention relates to novel indole compounds, and their use as selective agents at serotonin receptors.
Background of the Invention:
Serotonin (5-hydroxytryptamine, 5-HT) plays a significant role in influencing a large number of central and peripheral processes. 5-HT-selective pharmacotherapies have been developed to treat a wide variety of medical problems including depression, anxiety, schizophrenia, migraine, emesis, and appetite control (Annual Reports in Medicinal Chemistry, Volume 32, 2002, Academic Press, Fitzgerald, L., Ennis, M. "5-HT2c Receptor Modulators: Progress in Development of New CNS Medicines" pp 21-3O). 5-HT exerts its influence through activation of fourteen distinct receptor subtypes in seven separate families. There is particular interest in the three receptor subtypes of the 5-HT2 family, 5-HT2A, 5- HT2B, and 5-HT2C- Modulation of the 5-HT2c receptor subtype has been shown to play a role in numerous human diseases including o~besity, obsessive-compulsive disorder (OCD), sexual dysfunction, epilepsy, schizophrenia, and anxiety disorders (Roth, B., Staiapiro, D. "Insights into the Structure and Function of 5-HT2 Family Serotonin Receptors Reveal Novel Strategies for Therapeutic Target Development" Expert Opin. Ther. Targets 2001, 5, 685; Martin, J., Bos, M., Jenck, F., Moreau, J-L, Mutel, V., Sleight, A., Wichrnann, J., Andrews, J., Berendsen, H., Broekkamp, C, Ruight, G., Kohler, C, van Delft, A. "5-HT2C Receptor Agonists: Pharmacological Characteristics and Therapeutic Potential" J. Pharm. Experimental Ther. 1998, 286, 913). However, the transmembrane sequence homology between the 5-HT2c receptor and the 5-HT2A and 5-HT2B receptors is high (Bickerdike, M., Vickers, S., Dourish, C. "5-HT2c Receptor Modulation and the Treatment of Obesity" Diabetes Obes. Metab. 1999, 1, 207; Glennon, R., Dukat, M., El-Bermawy, M., Law, H., I>e Los Angeles, J., Teitler, M., King, A., Herrick-Davis, K. "Influence of Amine Substituents on 5-HT2A versus 5-HT2c Binding of Phenylalkyl- and Indolylalkylamines" J. Med. Chem. 19*)4, 37, 1929). Thus selectivity for the 5-HT2c receptor can be difficult to obtain, however such selectivity is important from a drug development standpoint. 5-HT2B receptor agonists are associated with heart valve toxicity (Rothman, R., Baumann, M., Savage, J., Rauser, L., McBride, A., Hufeisen, S., Roth, B. L. "Evidence for Possible Involvement of 5-HT2B Receptors in the Cardiac Valvulopathy Associated with Fenfluramine and other Serotonergic Medications" Circulation 2000, 102, 2836; Fitzgerald, L., Burn, T., Brown, B., Patterson, J., Corjay, M., Valentine, P., Sun, J-H., Link, J., Abbaszade, L, Hollis, J., Largent, B., Hartig, P., Hollis, G., Meunier, P., Robichaud, A., Robertson, D. "Possible Role of Valvular Serotonin 5-HT2B Receptors in the Cardiopathy Associated with Fenfluramine" Molecular Pharmacology 2000, 57, 75) and pulmonary hypertension (Launay, J., Herve, P., Peoc'h, KZ.., Tournois, C, Callebert, J., Nebigil, C, Etienne, N., Drouet, L., Humbert, M., Simormeau, G., Maroteaux, L. "Function of the Serotonin 5-Hydroxytryptamine 2B Receptor in Pulmonary Hypertension" Nat. Med. 2002, 8, 1129). However, the 5-HT2C receptor is found only in tke CNS (Bickerdike, M., Vickers, S., Dourish, C. "5-HT2C Receptor Modulation and the Treatment of Obesity" Diabetes Obes. Metab. 1999, 1, 207; Martin, J., Bos, M., Jenck, F., Moreau, J-I., Mutel, V., Sleight, A., Wichmann, J., Andrews, J., Berendsen, H., Broekkamp, C, Ruight, G., Kohler, C, van Delft, A. "5-HT2c Receptor Agonists: Pharmacological Characteristics and Therapeutic Potential" J. Pharm. Experimental Ther. 1998, 286, 913), and agonists that discriminate for 5-HT2c over 5-HT2B should not display cardio- or pulmonary toxicity. Selectivitiy for 5-HT2c over 5-HT2A receptors is also important since agonists at 5- HT2A generally display undesirable hallucinogenic activity (e.g. LSD, psilocybin).
Psilocybin (4-phosphoryloxy-N,lSf-dimethyltryptamine) is an agonist at the 5-HT2A aαnd 5-HT2c receptors. Its binding potency at 5-HT2A correlates with its activity as a hallucinogen in humans (Delgado, P. L., Moreno, F. A. "Hallucinogens, Serotonin, and Obsessive- Compulsive Disorder" J. Psychoactive Drugs 1998, 30, 359; Perrine, D. M. "Hallucinogens and Obsessive-Compulsive Disorder" Am. J. Psychiatry 1999, 156, 1123; Moreno, F. A., Delgado, P. L. "Hallucinogen-Induced Relief of Obsessions and Compulsions" /Lm. J. Psychiatry 1997, 154, 1037). More than 40 years ago, some derivatives of psilocybin were reported by workers at Sandoz (Hofinann, A., Troxler, F. US 3,075,992; US 3,078,214). This work was carried out prior to the ability to test for activity at specific serotonin receptor subtypes. More recently, considerable effort has been made in seeking selective 5-HT2c receptor ligands. The indole Ro 60-0175 (Martin, J., Bos, M., Jenck, F., Moreau, J-I., Mutely V., Sleight, A., Wichmann, J., Andrews, J., Berendsen, H., Broekkamp, C, Ruight, G., Kohler, C, van Delft, A. "5-HT2ς Receptor Agonists: Pharmacological Characteristics and Therapeutic Potential" J. Pharm. Experimental Ther. 1998, 286, 913; Bos, M., Jenck, F., Martin, J., Moreau, J-L, Sleight, A., Wichmann, J., Widmer, U. "Novel Agonists of 5-HT2C Receptors. Synthesis and Biological Evaluation of Substituted 2-(hαdol-l-yl)-l- methylethylamines and 2-(Indeno[l,2-b]pyrrol-l-methylethylamines. Improved Therapeutic s for Obsessive Compulsive Disorder" J. Med. Chem. 1997, 45, 2762) is 25 times more active; at 5-HT2c as compared to 5-HT2A, however it is not selective over 5-HT2B receptors (Bickerdike, M., Vickers, S., Dourish, C. "5-HT2c Receptor Modulation and the Treatment of Obesity" Diabetes Obes. Metab. 1999, 1, 207). Certain l-methyl-5-substituted indoles reported by Lilly are selective 5-HT2B antagonists (Audia, J., Evrard, D., Murdoch, G., Droste, J., Nissen, J., Schenck, K., Fhαdzinski, Z., Lucaites, V., Nelson, D., Cohen, M. "Potent, Selective Tetrahydro-β-carboline Antagonists of the Serotonin 2B (5HT28) Contractile Receptor in the Rat Stomach Fundus" J. Med. Chem. 1996, 39, 2773). Substituted indoles were reported by Vernalis to be highly selective agonists at 5-HT2C as compared to S- HT2A (American Chemical Society National Meeting, Boston, MA, August 18-22, 2002, Poster Session, Division of Medicinal Chemistry, Wednesday morning, August 21, #344- 349). Wyeth has reported 5-HT2c agonists including WAYl 61503 that are active in an aninxal model of obesity (Welmaker, G., Nelson, A., Sabalski, J., Sabb, A., Potoski, J., Graziano, EK, Kagan, M., Coupet, J., Dunlop, J., Mazandarani, H., Rosenzwieg-Lipson, S., Sukoff, S., Zhang, Y. "Synthesis and 5-hydroxytryptamine (5-HT) activity of 2,3,4,4a-tetrahydro-lH- pyrazino[l,2-a]qumoxalin-5-(6H)ones and 2,3,4,4a,5,6-hexahydro-lH-pyrazino[l,2- a] quinoxalines" Bioorg. Med. Chem. Lett. 2000, 10, 1991). Yamanouchi has described indazole compounds including YM348 which are 5-HT2c agonists showing activity in an animal model of obesity (Kimura, Y., Hatanaka, K., Naitou, Y., Maeno, K., Shimada, I, Koakutsu, A., Wanibuchi, F., Yamaguchi, T., "Pharmacological profile of YM348, a novel 3 potent and orally active 5-HT2C receptor agonist" Eur. J. Pharmacol. 2004, 483, 37). Arena reports mCPP analogs active in vivo as potential obesity treatments (Smith, B., Smith, J., Tsai, J., Schultz, J., Gilson, C, Estrada, S., Chen, R., Park, D., Prieto, E., Gallardo, C, Sengupta, D., Thomsen, W., Saldana, H., Whelan, K., Menzaghi, F., Webb. R., Beeley, N. "Discovery and SAR of new benzazepines as potent and selective 5-HT(2C) receptor agonists for the treatment of obesity" Bioorg. Med. Chem. Xett. 2005, 15, 1467).
Obesity is one of the most important health problems currently affecting the U.S. population. The overweight suffer a significantly higher death rate, as well as a much grea-ter risk of developing many diseases including type 2 diabetes, sleep apnea, hypertension, osteoarthritis, and some forms of cancer. Exercise and diet modification allow some obese people to lose weight. However, many others are "unable to achieve lasting weight loss by such methods, and pharmaceutical agents that promote satiety can be effective and appropriate treatments.
Considerable evidence has accumulated implicating 5-HT2c receptor activation wiXh appetite suppression. In 1995, transgenic mice lacking the 5-HT2c receptor were shown to become obese (Tecott, L., Sun, L., Akana, S., Strack, A., Lowenstein, D., Dallman, M., Julius, D. "Eating Disorder and Epilepsy in Mice Lacking 5-HT2c Serotonin Receptors" Nature 1995, 374, 542). A clinical study in 1997 (Sargent, P., Sharpley, A., Williams, C, Cowen, P. "5-HT2c-Receptor Activation Decreases Appetite and Body Weight in Obese Subjects" Psychopharmacology 1997, 133, 309) using metα-chlorophenylpiperazine (mCPP), a 5-HT2c agonist, has shown appetite reduction and weight loss in obese subjects. Furthermore, selective 5-HT2c antagonists reduce or eliminate the anorexic effects of 5-HT2C agonists (Kennett, G., Wood, M., Bright, F., Trail, B., Riley, G., Holland, K., Avenell, K., Stean, T., Upton, N., Bromidge, S., Forbes, L, MIddlemiss, D., Blackburn, T. "SB242082, a Selective and Brain Penetrant 5-HT2c Receptor Antagonist" Neuropharmacology, 1997, 36, 609). Fenfluramine is a non-selective 5-HT2c receptor agonist which together with phenteramine ("phen-fen") was marketed until recently as a highly effective appetite suppressant. The clinical effectiveness of fenfluramine as an appetite suppressant has been shown to be largely due to its activity as a 5-HT2o receptor agonist (Bickerdike, M., Vickers, S., Dourish, C. "5-HT2c Receptor Modulation and the Treatment of Obesity" Diabetes Ofres. Metab. 1999, 1, 207; Vickers, S., Dourish, C, Kennett, G. "Evidence that Hypophagia Induced by ^-Fenfluramine and ^-Norfenfluramine in the Rat is Mediated by 5-HT2c Receptors" Neuropharmacology 2001, 41, 200).
Obsessive Compulsive Disorder (OCD) is a mental illness involving persistent and distressing thoughts and actions that significantly interfere with normal life. OCD afflicts at least 1-2% of the population in the US and worldwide, and is the fourth most common psychiatric diagnosis in the United States (Delgado, P. L., Moreno, F. A. "Hallucinogens, Serotonin, and Obsessive-Compulsive Disorder" J. Psychoactive Drugs 1998, 30, 359; Goodman, W. K. "Obsessive-Compulsive Disorder: Diagnosis and Treatment" J. Clin. Psychiatry 1999, 60 (Suppl 18), 27). OCD is currently treated pharmacologically and/or with psychotherapy. Current pharmacotherapy for OCD has significant limitations arid the discovery of an improved medication for OCD would have considerable commercial potential.
Psilocybin, a 5-HT2c receptor agonist, is currently in a Phase I clinical trial with OCD patients (The New York Times, Page Dl , March 13, 2001). Other 5-HT2c receptor agonists are recognized as potential treatments for OCD (Martin, J., Bos, M., Jenck, F., Moreau, J-I.., Mutel, V., Sleight, A., Wichmann, J., Andrews, J., Berendsen, H., Broekkamp, C, Ruight, G., Kohler, C, van Delft, A. "5-HT2c Receptor Agonists: Pharmacological Characteristics and Therapeutic Potential" J. Phann. Experimental Titer. 1998, 286, 913).
Other possible uses for 5-HT2c selective compounds include treatments for epilepsy (Isaac, M. "Serotonergic 5-HT2C Receptors as a Potential Therapeutic Target for the Design Antiepileptic Drugs" Current Topics in JMedicinal Chemistry, 2005, 5, 59), Alzheimer's disease (Arjona, A., Pooler, A., Lee, R., Wurtman, R. "Effect of a 5-HT(2C) Serotonin Agonist, Dexnorfenfluramine, on Amyloid Precursor Protein Metabolism in Guinea Pigs" Brain Res. 2002, 95 J, 135), sexual dysfunction (Uckert, S., Stief, C, Jonas, U. "Current and Future Trends in the Oral Pharmacotherapy of Male Erectile Dysfunction" Expert Opin. Investig. Drugs 2003, 12, 1521; Millan, M., Peglion, J., Lavielle, G., Perrin-Monneyron, S. " 5-HT2C Receptors Mediate Penile Erections in Rats: Actions of Novel and Selective Agonists and Antagonists" Eur. J. Pharmacol. 1997, 325, 9), and substance abuse and addiction disorders (Kampman, K., Pettinata, H., Lynch, K., Sparkman, T., O'Brien, C "A Pilot Trial of Olanzapine for Cocaine Dependence" Drug Alcohol Depend. 2003, 70, 265).
Compounds that are selective fox the 5-HT2c receptor may therefore have therapeutic potential in treating, for example, the above disorders. Such selectivity can also reduce possible side effects due to activity at other serotonin receptors.
Certain N-unsubstituted psilociix derivatives containing fluorine substitution at the 5-, 6-, or 7-position have been reported (Blair, J., Kurrasch-Orbaugh, D., Marona-Lewicka, D. , Cumbay, M., Watts, V., Barker, E., Nicliols, D. "Effect of Fluorine Substitution on the Pharmacology of Hallucinogenic Tryptamines" J. Med. Chem. 2000, 43, 4701), and some of these compounds were shown to have reduced activity at the 5-HT2A receptor as compared to psilocin itself.
Summary of The Invention
The present invention relates to novel N-substituted psilocin (4-hydroxyindole) derivatives that are also substituted at the 5-, 6-, and/or 7-positions and possess 5-HT2c receptor selectivity, preferably versus both the 5HT2A and 5-HT2B receptors. Such compounds have not previously been described or recognized to have selective functional activity at the 5- HT2c-receptor or to have in vivo activity in an animal model of human disease.
The invention also relates to N-substituted psilocybin (4-phosphoryloxyindole) derivatives, also substituted at the 5-, 6-, and/or 7-positions. Without wishing to be bound b^y theory, it is believed that such compounds act as prodrugs for the corresponding 4-hydroxy compounds in vivo (Jacob III, P.; Shulgin, A. T. in NlJDA Research Monograph 146 (Hallucinogens, an Update), 2000, Eds. Lin, G. C; Glennon, R. A., pp 74).
In one aspect, the invention provides a compound represented by the structural formula:
Figure imgf000007_0001
(Formula I) in which A is C1-C4 alkylene, C2-C4 alkenylene, or C2-C4 alkynylene; R1 and R2 are, independently for each occurrence, H, C1-C8 alkyl, C2-Cs alkenyl, or C2-C8 alkynyl;
R3 is hydrogen, C1-C8 alkyl, C2-C8 alkenyl, or C2-C8 alkynyl, optionally substituted with 1-3 substitutents selected from the group consisting of halogen, cyano, hydroxy, C1-Cs alkoxyl, -SH, Ci-Cs thioalkyl, amino, C1-C8 alk:ylamino, di(Ci-C8 alkyi)amino, C1-C8 alkylsulfonyl, formyl, and COOH; or R3 is selected from the group consisting of halogen, Ci-C8 alkylsulfonyl, formyl, COOH, hydroxy, Ci-C8 alkoxyl, -SH, C1-C8 thioalkyl, amino, C1-C8 alkylamino, and d^Q-Q altyl)amino; R4 is Ci-C8 alkyl, C2-C8 alkenyl, or C2-C8 alkynyl, optionally substituted with 1-3 substitutents selected from the group consisting of halogen, cyano, hydroxy, Ci-C8 alkoxyl, -SH, Ci-C8 thioalkyl, amino, Ci-C8 alkylamino, di(Ci-C8 alkyl)amino, Ci-C8 alkylsulfonyl, formyl, and COOH; or R4 is selected from the group consisting of Q-
C8 alkylsulfonyl, formyl, hydroxy, Ci-C8 alkoxyl, -SH, Ci-C8 thioalkyl, amino, Ci-C8 alkylamino, and di(Ci-Cs alkyl)amino;
R5 represents 1 - 3 substituents selected from the group consisting of Ci-C8 alkyl, C2-
C8 alkenyl, and C2-C8 alkynyl, each optionally substituted with 1-3 substitutents selected from the group consisting of halogen, cyano, hydroxy, Ci-C8 alkoxyl, -SH,
Ci-C8 thioalkyl, amino, C1-C8 alkylamino, and di(CrC8 alky^amino; or
R5 represents 1 — 3 substituents selected from the group consisting of halogen, Ci-C8 alkylsulfonyl, formyl, COOH, hydroxy, Ci-C8 alkoxyl, -SH, Ci-Cg thioalkyl, amino,
Ci-C8 alkylamino, and di(Ci-C8 alkyl)amino;
R6 is OP(O)(OH)2, OH, OC(O)R7, OSO2OH, or SO2NH2;
R7 is Ci-C8 alkyl or phenyl; or a pharmaceutically acceptable salt, solvate, ester, or pro-drug thereof.
hi another aspect, the invention provides a compound represented by the structural formula:
Figure imgf000008_0001
(Formula II) in which A is C1-C4 alkylene, C2-C4 alkenylene, or C2-C4 aLkynylene; X is S, SO, SO2, or O;
Ri and R2 are, independently for each occurrence, H, Ci-Cg alkyl, C2-C8 alkenyl, or C2-C8 alkynyl;
R3 is hydrogen, Ci-C8 alkyl, C2-C8 alkenyl, or C2-C8 alkynyl, optionally substituted with 1-3 substitutents selected from the group consisting of halogen, cyano, hydroxy, C1-C8 alkoxyl, -SH, C1-C8 thioalkyl, amino, C1-C8 alkylamino, di(Ci-C8 alkyl)amino, Cj-C8 alkylsulfbnyl, formyl, and COOH; or R3 is selected from the group consisting of halogen, C1-Cg alkylsulfonyl, formyl, COOH, hydroxy, C1-C8 alkoxyl, -
SH, C1-C8 thioalkyl, amino, C1-C8 alkylamino, and di(C1-C8 alkyi)ammo;
R4 represents 1 - 3 substituents selected from the group consisting OfC1-Cs alkyl, C2-
C8 alkenyl, and C2-C8 alkynyl, each optionally substituted with 1 -3 substitutents selected from the group consisting of halogen, cyano, hydroxy, C1-C8 alkoxyl, -SH,
C1-C8 thioalkyl, amino, C1-C8 alkylamino, and di(d-C8 alkyl)aroino; or
R4 represents 1 — 3 substituents selected from the group consisting of halogen, C1-C8 alkylsulfonyl, formyl, COOH, hydroxy, C1-C8 alkoxyl, -SH, C1-C8 thioalkyl, amino,
C1-C8 alkylamino, and di(Cχ-C8 alkyl)amino;
R5 is OP(O)(OH)2, OH, OC(O)R6, OSO2OH, or SO2NH2; and
R6 is C1-C8 alkyl or phenyl; or a pharmaceutically acceptable salt, solvate, ester, or pro-drug thereof.
In another aspect, the invention provides a method for the treatment of Obsessive Compulsive Disorder (OCD) in a subject. The method includes administering to the subject a compound of Formula I or Formula II, such that OCD is treated.
hi another aspect, the invention provides a method for sirppressing appetite in a subject The method includes administering to the subject a compound of Formula I or Formula II, such that appetite is suppressed in the subject.
In another aspect, trie invention provides a compound represented by the formula:
Figure imgf000009_0001
(Formula III), in which R is C1 - C8 alkyl; or a pharmaceutically acceptable salt, solvate, ester, or pro-drug thereof. In preferred embodiments, R is CH3 or CH2CH2CH3.
In still another aspect, the invention provides a method for the treatment of Obsessive Compulsive Disorder (OCD) in a subject. The method includes administering to the subject a compound of Formula III, such that OCD is treated.
hi yet another aspect, the invention provides a method for suppressing appetite in a subject. The method includes administering to the subject a compound of Formula III, such that appetite is suppressed in the subject.
In another aspect, the invention provides a compound represented by the formula:
Figure imgf000010_0001
(Formula IV) in which R is C1 - C8 alkyl; or a pharmaceutically acceptable salt, solvate, ester, or pro-drug thereof. In preferred embodiments, R is CH3 or CH2CH2CH3.
In still another aspect, the invention provides a method for the treatment of Obsessive Compulsive Disorder (OCD) in a subject. The method includes administering to the subject a compound of Formula TV, such that OCD is treated.
hi yet another aspect, the invention provides a method for suppressing appetite in a subject. The method includes administering to the subject a compound of Formula IV, such that appetite is suppressed in the subject. In still another aspect, the invention provides a method for the treatment of a central nervous system disorder in a subject. The method includes administering to the subject a compound of any one of the formulae herein (e.g., Formulae I - IV), such that the central nervous system disorder is treated. In preferred embodiments, the central nervous system disorder is selected from the group consisting of epilepsy, Alzheimer's disease, sexual dysfunction, addiction, anorexia nervosa, Tourette's syndrome, and trichotillomania.
In still another aspect, the invention provides a method for the treatment of a canine veterinary disease. The method includes administering to the subject a compound of any one of the formulae herein (e.g., Formulae I - FV), such that the canine veterinary disease is treated. In preferred embodiments, the canine veterinary disease is acral lick dermatitis (ALD).
In another aspect, the invention provides a method of increasing the activity of a serotonin receptor, the method comprising contacting a serotonin receptor with a compound of any one of the formulae herein (e.g., Formulae I - IV).
In still further aspects, the invention provides use of a compound of any of the formulae herein (e.g., Formulae I — IV) for the treatment of Obsessive Compulsive Disorder (OCD) in a subject; use of a compound of any of the formulae herein (e.g., Formulae I — IV) for the treatment of obesity and/or suppression of appetite in a subject; use of a compound of any of the formulae herein (e.g., Formulae I - IV) for the preparation of a medicament for treatment of Obsessive Compulsive Disorder (OCD) in a subject; use of a compound of any of the formulae herein (e.g., Formulae I - IV) for the preparation of a medicament for the treatment of obesity and/or suppression of appetite in a subject; and use of a compound for the preparation of a medicament for the treatment of a central nervous system disorder in a subject (in preferred embodiments, the central nervous system disorder is selected from the group consisting of epilepsy, Alzheimer's disease, sexual dysfunction, addiction, anorexia nervosa, Tourette's syndrome, and trichotillomania). Other advantages, aspects, and embodiments of the invention will be apparent in light of the description herein.
Brief Description of the Drawings
Figure 1 shows the structures of, and exemplary synthetic routes for preparation of certain compounds of the invention.
Detailed Description of the Invention
1. DEFINITIONS
Before further description of the present invention, and in order that the invention may be more readily understood, certain terms are first defined and collected here for convenience.
The term "administration" or "administering" includes routes of introducing the compound(s) of the invention to a subject to perform their intended function. Examples of routes of administration that may be used include injection (subcutaneous, intravenous, parenterally, intraperitoneally, intrathecal), oral, inhalation, rectal and transdermal. The pharmaceutical preparations may be given by forms suitable for each administration route. For example, these preparations are administered in tablets or capsule form, by imjection, inhalation, eye lotion, ointment, suppository, etc. administration by injection, infusion or inhalation; topical by lotion or ointment; and rectal by suppositories. Oral administration is preferred. The injection can be bolus or can be continuous infusion. Depending on the route of administration, the compound of the invention can be coated with or disposed in a selected material to protect it from natural conditions which may detrimentally effect its ability to perform its intended function. The compound of the invention can be administered alone, or in conjunction with either another agent as described above or with a pharmacen-tically- acceptable carrier, or both. The compound of the invention can be administered prior to the administration of the other agent, simultaneously with the agent, or after the administration of the agent. Furthermore, the compound of the invention can also be administered in a pro- drug form which is converted into its active metabolite, or more active metabolite in vivo.
The term "alkyl" refers to the radical of saturated aliphatic groups, including straight- chain alkyl groups, branched-chain alkyl groups, cycloalkyl (alicyclic) groups, alkyl substituted cycloalkyl groups, and cycloalkyl substituted alkyl groups. The term ailkyl further includes alkyl groups, which can further include oxygen, nitrogen, sulfur or phosphorous atoms replacing one or more carbons of the hydrocarbon backbone, e.g., oxygen, nitrogen, sulfur or phosphorous atoms. In preferred embodiments, a straight chain or brancJhed chain alkyl has 30 or fewer carbon atoms in its backbone (e.g., C1-C30 for straight chain,, C3-C30 for branched chain), preferably 26 or fewer, and more preferably 20 or fewer, and still more preferably 4 or fewer. Likewise, preferred cycloalkyls have from 3-10 carbon atoms in their ring structure, and more preferably have 3, 4, 5, 6 or 7 carbons in the ring structure.
Moreover, the term alkyl as used throughout the specification and sentences is intended to include both "unsubstituted alkyls" and "substituted alkyls," the latter of which refers to alkyl moieties having substituents replacing a hydrogen on one or more carbons of the hydrocarbon backbone. Such substituents can include, for example, halogen, ϊiydroxyl, alkylcarbonyloxy, arylcarbonyloxy, alkoxycarbonyloxy, aryloxycarbonyloxy, cartooxylate, alkylcarbonyl, alkoxycarbonyl, aminocarbonyl, alkylthiocarbonyl, alkoxyl, phospliate, phosphonato, phosphinato, cyano, amino (including alkyl amino, dialkylamino, arylamino, diarylamino, and alkylarylamino), acylamino (including alkylcarbonylamino, arylcarbonylamino, carbamoyl and ureido), amidino, imino, sulfhydryl, alkylthio, arylthio, thiocarboxylate, sulfates, sulfonato, sulfamoyl, sulfonamido, nitro, trifluoromethy-1, cyano, azido, heterocyclyl, alkylaryl, or an aromatic or heteroaromatic moiety. It will be understood by those skilled in the art that the moieties substituted on the hydrocarbon chain can themselves be substituted, if appropriate. Cycloalkyls can be further substituted, e.g., with the substituents described above. An "alkylaryl" moiety is an alkyl substituted with an aryl (e.g., phenylmethyl (benzyl)). The term "alkyl" also includes unsaturated aliphatic groups analogous in length and possible substitution to the alkyls described above, but tttat contain at least one double or triple bond respectively.
Unless the number of carbons is otherwise specified, "lower alkyl" as used herein means an alkyl group, as defined above, but having from one to ten carbons, more preferably from one to six, and still more preferably from one to four carbon atoms in its backbone structure, which may b e straight or branched-chain. Examples of lo^wer alkyl groups include methyl, ethyl, n-propyl, i-propyl, tert-butyl, hexyl, heptyl, octyl ajnd so forth. In preferred embodiment, the term "lower alkyl" includes a straight chain alkyl having 4 or fewer carbon atoms in its backbone, e.g., Ci-C4 alkyl.
The terms "alkoxyalkyl," "polyaminoalkyl" and "thioalkoxyalkyl" refer to alkyl groups, as described above, which further include oxygen, nitrogen or sulfur atoms replacing one or more carbons of the hydrocarbon backbone, e.g., oxygen, nitrogen or sulfΛir atoms.
The terms "alkenyl" and "alkynyl" refer to unsaturated aliphatic groups analogous in length and possible substitution to the alkyls described above, but that contain at least one double or triple bond, respectively. For example, the invention contemplates cyano and propargyl groups.
The terms "alkylene", "alkenylene" and "alkynylene" refer to divalent aliphatic radicals corresponding respectively to alkyl, alkenyl, and alkynyl groups as defined above, and which may be substituted as described above..
The term "aryl" as used herein, refers to the radical of aryl groups, including 5- and 6- membered single-ring aromatic groups that may include from zero to four heteroatoms, for example, benzene, pyrrole, furan, thiophene, imidazole, benzoxazole, benzothiazole, triazole, tetrazole, pyrazole, pyridine, pyrazine, pyridazine and pyrimidine, and the like. Aryl groups also include polycyclic fused aromatic groups such as naphthyl, quinolyl, indolyl, and the like. Those aryl groups having heteroatoms in the ring structure may also be referred to as "aryl heterocycles," "heteroaryls" or "heteroaromatics." The aromatic ring can "be substituted at one or more ring positions with such substituents as described above, as for example, halogen, hydroxyl, alkoxy, alkylcarbonyloxy, arylcarbonyloxy, alkoxycarbonyloxy, aryloxycarbonyloxy, carboxylate, alkylcarbonyl, alkoxycarbonyl, aminocarbonyl, alkylthiocarbonyl, phosphate, phosphonato, phosphinato, cyano, amino (including alkyl amino, dialkylamino, arylamino, dLiarylamino, and alkylarylamino), acylamino (including alkylcarbonylamino, arylcarbonylamino, carbamoyl and ureido), amidino, imino, sulfhydryl, alkylthio, arylthio, thiocarboxylate, sulfates, sulfonate, sulfamoyl, sulfonamido., nitro, trifluoromethyl, cyano, azido, heterocyclyl, alkylaryl, or an aromatic or heteroaromatic moiety. Aryl groups can also be fused or bridged with alicyclic or heterocyclic rings which are not aromatic so as to form a polycycle (e.g., tetralin).
The language "biological activities" of a compound of the invention includes all activities elicited by compound of the inventions in a responsive subject or cell. It includes genomic and non-genornic activities elicited by these compounds.
The term "chiral" refers to molecules which have the property of non- superimposability of the mirror image partner, while the term "achiral" refers to molecules which are superimposable on their mirror image partner.
The term "diastereomers" refers to stereoisomers with two or more centers of dissymmetry and whose molecules are not mirror images of one another.
The term "effective amount" includes an amount effective, at dosages and for periods of time necessary, to achieve the desired result, e.g., sufficient to treat a subject suffering from OCD, epilepsy, AJzheimer's disease, sexual dysfunction, addiction, a.norexia nervosa, Tourette's syndrome, trichotillomania, or other central nervous system disorders, or canine veterinary diseases including acral lick dermatitis (ALD); or an amount effective to suppress appetite in a subject in need of such treatment. An effective amount of compound of the invention may vary according to factors such as the disease state, age, and weight of the subject, and the ability of the compound of the invention to elicit a desired response in the subject. Dosage regimens may be adjusted to provide the optimum therapeutic response. An effective amount is also one in which any toxic or detrimental effects (e.g. , side effects) of the compound of the invention are outweighed by the therapeutically beneiϊcial effects.
A therapeutically effective amount of compound of the invention (i.e., an effective dosage) may range from about 0.001 to 50 mg/kg body weight, preferably about 0.01 to 40 mg/kg body weight, more preferably about 0.1 to 35 mg/kg body weight, still more preferably about 1 to 30 mg/kg, and even more preferably about 10 to 30 mg/kg. The skilled artisan will appreciate that certain factors may influence the dosage required to effectively treat a subject, including but not limited to the severity of the disease or disorder, previous treatments, the general health and/or age of the subject, and other diseases present. Moreover, treatment of a subject with a therapeutically effective amount of a compound of the invention can include a single treatment or, preferably, can include a series of treatments. In one example, a subject is treated with a compound of the invention in the range of between about 0.1 to 20 mg/kg body weight, one time per week for between about 1 to 10 weeks, preferably between 2 to 8 weeks, more preferably between about 3 to 7 weeks, and even more preferably for about 4, 5, or 6 weeks. It will also be appreciated that the effective dosage of a compound of the invention used for treatment may increase or decrease over the course of a particular treatment.
The term "enantiomers" refers to two stereoisomers of a compound which are non- superimposable mirror images of one another. An equimolar mixture of two enantiomers is called a "racemic mixture" or a "racemate."
The term "haloalkyl" is intended to include alkyl groups as defined above that are mono-, di- or polysubstituted by halogen, e.g., fluoromethyl and trifluoroni ethyl.
The term "halogen" designates -F, -Cl, -Br or —I. The term "hydroxyl" means -OH.
The term "heteroatom" as used herein means an atom of any element other than carbon or hydrogen. Preferred heteroatoms are nitrogen, oxygen, sulfur and phosphorus.
The language "improved biological properties" refers to any activity inherent in a compound of the invention that enhances its effectiveness in vivo. In a preferred embodiment, this term refers to any qualitative or quantitative improved therapeutic property of a compound of the invention, such as reduced toxicity.
The term "optionally substituted" is intended to encompass groups that are unsubstituted or are substituted by other than hydrogen at one or more available positions, typically 1, 2, 3, 4 or 5 positions, by one or more suitable groups (which may be the same or different). Such optional substituents include, for example, hydroxy, halogen, cyano, nitro, CrCgalkyl, C2-C8 alkenyl, C2-Csalkynyl, d-C8alkoxy, C2-C8alkyl ether, C3-C8alkanone, C1- C8alkylthio, amino, mono- or di-(C1-C8alkyl)amino, haloQ-Csalkyl, halod-Qalkoxy, C1- C8alkanoyl, C2-Csalkanoyloxy, d-Csalkoxycarbonyl, -COOH, -CONH2, mono- or (Ii-(C1 - C8alkyl)aminocarbonyl, -SO2NH2, and/or mono or di(Cl-C8alkyl)sulfonarxiido, as well as carbocyclic and heterocyclic groups. Optional substitution is also indicated by the phrase "substituted with from O to X substituents," where X is the maximum num"ber of possible substituents. Certain optionally substituted groups are substituted with from O to 2, 3 or 4 independently selected substituents (i.e., are unsubstituted or substituted with up to the recited maximum number of substitutents).
The term "isomers" or "stereoisomers" refers to compounds wliich have identical chemical constitution, but differ with regard to the arrangement of the atoms or groups in space.
The term "modulate" refers to an increase or decrease, e.g., in the activity of a serotonin receptor in response to exposure to a compound of the invention, e.g., the stimulation of serotonin receptor activity of at least a sub-population of cells in an animal such that a desired end result is achieved, e.g., a therapeutic result.
The phrases "parenteral administration" and "administered parenterally" as used herein means modes of administration other than enteral and topical administration, usually by injection, and includes, without limitation, intravenous, intramuscular, intraarterial, intrathecal, intracapsular, intraorbital, intracardiac, intradermal, intraperitoneal, transtracheal, subcutaneous, subcuticular, intraarticulare, subcapsular, subarachnoid, intraspinal and intrasternal injection and infusion.
The terms '"polycyclyl" or "polycyclic radical" refer to the radical of two or more cyclic rings (e.g., cycloalkyls, cycloalkenyls, cycloalkynyls, aryls and/or hieterocyclyls) in which two or more carbons are common to two adjoining rings, e.g., the rings are "fused rings". Rings that are joined through non-adjacent atoms are termed "bridged" rings. Each of the rings of the polycycle can be substituted with such substituents as described above, as for example, halogen, hydroxyl, alkylcarbonyloxy, arylcarbonyloxy, alkoxycarbonyloxy, aryloxycarbonyloxy, carboxylate, alkylcarbonyl, alkoxycarbonyl, aminocarbonyl, alkylthiocarbonyl, alkoxyl, phosphate, phosphonato, phosphinato, cyano, amino (including alkyl amino, dialkylamino, arylamino, diarylamino, and alkylarylamino), acylamino (including alkylcarbonylamino, arylcarbonylamino, carbamoyl and ureido), amidino, imino, sulfhydryl, alkylthio, arylthio, thiocarboxylate, sulfates, sulfonate, sulfanxoyl, sulfonamido, nitro, trifluoromethyl, cyano, azido, heterocyclyl, alkyl, alkylaryl, or an aromatic or heteroaromatic moiety.
The term "prodrug" or "pro-drug" includes compounds with moieties that can be metabolized in vivo. Generally, the prodrugs are metabolized in vivo by esterases or by other mechanisms to active drugs. Examples of prodrugs and their uses are well known in the art (See, e.g., Berge et al. (1977) "Pharmaceutical Salts", J Pharm. Sci. 66:1 -19). The prodrugs can be prepared in situ during the final isolation and purification of the compounds, or by separately reacting the purified compound in its free acid form or hydrox;yl with a suitable esterifying agent. Hydroxyl groups can be converted into esters via treatment with a carboxylic acid. Examples of prodrug moieties include substituted and unsubstituted, branch or unbranched lower alkyl ester moieties, (e.g., propionoic acid esters), lower alkenyl esters, di-lower alkyl-amino lower-alkyl esters (e.g., dirnethylaminoethyl ester), acylamino lower alkyl esters (e.g., acetyloxymethyl ester), acylorxy lower alkyl esters (e.g., pivaloyloxymethyl ester), aryl esters (phenyl ester), aryl-lower alkyl esters (e.g., benzyl ester), substituted (e.g., with methyl, halo, or methoxy substituents) aryl and aryl-lower alkyl esters, amides, lower-alkyl amides, di-lower alkyl amides, and hydroxy amides. Preferred prodrug moieties are propionoic acid esters and acyl esters. Prodrugs which are converted to active forms through other mechanisms in vivo are also included.
The language "a prophylactically effective amount" of a compoxmd refers to an amount of a compound of the invention any formula herein or otherwise described herein which is effective, upon single or multiple dose administration to the patient, in preventing or treating a disease or condition.
The language "reduced toxicity" is intended to include a reduction in any undesired side effect elicited by a compound of the invention when administered in vivo.
The term "sulfhydryl" or "thiol" means -SH.
The term "subject" includes organisms which are capable of suffering from a serotonin-receptor-related disorder or who could otherwise benefit from the administration of a compound of the invention of the invention, such as human and non-liuman animals. Preferred humans include human patients suffering from or prone to suffering from a serotonin-related disorder or associated state, as described herein. The term "non-human animals" of the invention includes all vertebrates, e.g., mammals, e.g., rodents, e.g., mice, and non-mammals, such as non-human primates, e.g., sheep, dog, cow, chickens, amphibians, reptiles, etc.
The phrases "systemic administration," "administered systemioally", "peripheral administration" and "administered peripherally" as used herein mean the administration of a compound of the invention(s), drug or other material, such that it enters the patient's system and, thus, is subject to metabolism and other like processes, for example, subcutaneous administration.
With respect to the nomenclature of a chiral center, terms "R" and "S" configuration are as defined by the IUPAC Recommendations. As to the use of the terms, diastereomer, racemate, epimer and enantiomer will be used in their normal context to describe the stereochemistry of preparations.
2. COMPOUNDS OF THE INVENTION
In one aspect, the invention provides novel indole compounds. In one embodiment, the invention features a compound represented by the formula (Formula I)
Figure imgf000019_0001
(Formula I) wherein
A is C1-C4 alkylene, C2-C4 alkenylene, or C2-C4 alkynylene;
R1 and R2 are, independently for each occurrence, H, C1-C8 alkyl, C2-C8 alkenyl, or C2-C8 alkynyl;
R-3 is hydrogen, C1-C8 alkyl, C2-C8 alkenyl, or C2-C8 alkynyl, optionally substituted with 1-3 substitutents selected from the gxoup consisting of halogen, cyano, hydroxy, C1-C8 alkoxyl, -SH, C1-Cs thioalkyl, amino, C1-C8 alkylamino, di(CrC8 alkyl)amino, C1-C8 alkyLsulfonyl, formyl, and COOH; or R3 is selected from the group consisting of halogen, C1- C8 alkylsulfonyl, formyl, COOH, hydroxy, C1-C8 alkcoxyl, -SH, C1-C8 thioalkyl, amino, C1-C8 alkylamino, and di(Ci-C8 alkyi)ammo; R4 is C1-C8 alkyl, C2-C8 alkenyl, or C2-C8 alkynyl, optionally substituted with 1-3 substitutents selected from the group consisting of halogen, cyano, hydroxy, C1-C8 alkoxyl, -SH, C1-C8 thioalkyl., amino, C1-C8 alkylamino, di(Ci-C8 alkyl)amino, Ci-C8 alkylsulfortyl, formyl, and COOH; or R4 is selected from the group consisting Of C1-C8 alkylsulfonyl, formyl, hydroxy, Ci-C8 alkoxyl, -SH5. C1-C8 thioalkyl, amino, C1-C8 alkylamino, and di(Ci-C8 alkyOamino; R-5 represents 1 — 3 substituents selected from the group consisting of Ci-C8 alkyl, C2-C8 alkenyl, and C2-C8 alkynyl, each optionally substituted with 1-3 substitutents selected from the group consisting of halogen, cyano, hydroxy, C1-C8 alkoxyl, -SH, C1-C8 thioalkyl, amino, Ci-C8 alkylamino, and di(Ci-C8 alkyl)amino; or R5 represents 1 - 3 substituents selected from the group consisting of halogen, Ci-C8 alkylsulfonyl, formyl, COOH, hydroxy, Ci-C8 alkoxyl, -SH, C1-Cs thioalkyl, amino, C1-C8 alkylamino, and di(Ci-C8 alkyl) amino;
R6 is OP(O)(OH)2, OH, OC(O)R7, OSO2OH, or SO2NH2;
R7 is Ci-C8 alkyl or phenyl; or a pharmaceutically acceptable salt, solvate, ester, or pro-drug thereof.
In another embodiment, the invention provides a compound represented by the structural formula (Formula II):
Figure imgf000020_0001
(Formula II) in which:
A is C1-C4 alkylene, C2-C4 alkenylene, or C2-C4 alkynylene;
X = S, SO, SO2, or O;
R1 and R2 are, independently for each occurrence, H, C1-C8 alkyl., C2-C8 alkenyl, or C2-C8 alkynyl;
R3 is hydrogen, C1-C8 alkyl, C2-C8 alkenyl, or C2-C8 alkynyl, optionally substituted with 1-3 substitutents selected from the group consisting of halogen, cyano, hydroxy, C1-C8 alkoxyl, -SH, C1-C8 thioalkyl, amino, C1-C8 alkylamino, di(Ci-C8 alkyl)amino, Ci-C8 alkylsulfonyl, formyl, and COOH; or R3 is selected from the group consisting of halogen, C1- C8 alkylsulfonyl, formyl, COOH, hydroxy, Ci-C8 alkoxyl, -SH, Ci-C8 thioalkyl, amino, Ci-C8 alkylamino, and di(Ci-C8 alkyl)amino;
R4 represents 1 - 3 substituents selected from the group consisting of C]-C8 alkyl, C2-C8 alkenyl, and C2-C8 alkynyl, each optionally substituted with 1-3 substitutents selected from the group consisting of halogen, cyano, hydroxy, Ci-C8 alkoxyl, -SH, Ci-C8 thioalkyl, amino, Ci-C8 alkylamino, and di(Ci-C8 alkyl)amino; or
R4 represents 1 - 3 substituents selected from the group consisting of halogen, C1-C8 alkylsulfonyl, formyl, COOH, hydroxy, Ci-C8 alkoxyl, -SH, Q- C8 thioalkyl, amino, C1-C8 alkylamino, and di(Ci-C8 alkyl)amino;
R5 is OP(O)(OH)2, OH, OC(O)R6, OSO2OH, or SO2NH2;
R-O is Ci-C8 alkyl or phenyl; or a pharmaceutically acceptable salt, solvate, ester, or pro-drug thereof.
In another embodiment, the invention provides a compound represented by the formula (Formula III):
Figure imgf000021_0001
(Formula III) in which R is alkyl; CH3 or CH2CH2CH2; or a pharmaceutically acceptable salt, solvate, ester, or pro-drug thereof. In preferred embodiments, R is selected from CH3 or CH2CH2CH2.
In another embodiment, the invention provides a compound represented by the formula (Formula IV):
Figure imgf000022_0001
(Formula IV) wherein R is CH3 or CH2CH2CH2; or a pharmaceutically acceptable salt, solvate, ester, or pro-drug thereof. In preferred embodiments, R is selected from CH3 or CHaCH2CH2.
The compounds of the invention can be prepared by a -variety of methods, some of which are known in the art or will be apparent to the skilled artisan in light of the present specification. For example, referring to Figure 1, N-unsubstitixted indoles such as compounds 1 and 23 can be N-alkylated or N-sulfonylated, for example, with an alkyl halide or sulfonyl chloride, using a base such as sodium hydride, to give N-alkylated or N-sulfonylated indoles. These 4-substituted indoles can be hydrogenated using, for ejcample, palladium hydroxide on carbon as catalyst in the presence of hydrogen gas, to give 4-tiydroxyindoles. The 4- hydroxyindoles can be phosphorylated, for example, by use of tetrabenzylpyrophosphate and a strong base such as lithium diisopropylamide, followed by tiydrogenation using, for example, palladium hydroxide on carbon in the presence of h/ydrogen gas, to give 4- phosphoryloxyindoles.
Naturally occurring or synthetic isomers can be separated in several ways known in the art. Methods for separating a racemic mixture of two enaαitiomers include chromatography using a chiral stationary phase (see, e.g., "Ctiiral Liquid Chromatography," WJ. Lough, Ed. Chapman and Hall, New York (1989)). Enantiomers can also be separated by classical resolution techniques. For example, formation o f diastereomeric salts and fractional crystallization can be used to separate enaαitiomers. For the separation of enantiomers of carboxylic acids, the diastereomeric salts can be formed by addition of enantiomerically pure chiral bases such as brucine, quinine, ephedrine, strychnine, and the like. Alternatively, diastereomeric esters can be formed with enantiomerically pure chiral alcohols such as menthol, followed by separation of the diastereomeric esters and hydrolysis to yield the free, enantiomerically enriched carboxylic acid. For separation of the optical isomers of amino compounds, addition of chiral carboxylic or sulfonic acids, such as camphorsulfonic acid, tartaric acid, mandelic acid, or lactic acid can result in formation of the diastereomeric salts.
3. USES OF THE COMPOUNDS OF THE INVENTION
As described herein below, it has now surprisingly been found that the compounds of the invention have serotonin receptor activity, and can be used to treat or prevent conditions associated with serotonin receptor activity.
Thus, in one embodiment, the invention provides methods for treating a subject for a serotonin-receptor-related disorder, or preventing a serotonin-receptor-related disorder, by administering to the subject an effective amount of a compound of the invention, such that the serotonin-receptor-related disorder is treated or prevented. Serotonin-receptor-related disorders include, e.g., Obsessive Compulsive Disorder (OCD), obesity , epilepsy, Alzheimer's disease, sexual dysfunction, addiction, anorexia nervosa, Tourette's syndrome, and trichotillomania, or other central nervous system disorders, or canine veterinary diseases including acral lick dermatitis (ALD). In certain embodiments, the subject is a mammal, e.g., a primate, e.g., a human.
In one embodiment, a method of treating a subject suffering from or susceptible to a serotonin-receptor-related disorder includes administering to a subject in need thereof a therapeutically effective amount of a compound of the invention, to thereby treat the subject suffering from or susceptible to a serotonin-receptor-related disorder.
A further aspect relates to a method of treating a subject suffering from or susceptible to Obsessive Compulsive Disorder (OCD), including administering to the subject an effective amount of a compound of the invention to thereby treat the subject suffering from or susceptible to OCD.
A further aspect relates to a method of treating a subject suffering from or susceptible to obesity, including administering to the subject an effective amount of a compound of the invention to thereby treat the subject suffering from or susceptible to obesity, hi certain embodiments, the methods of the invention include administering to a subject a therapeutically effective amount of a compound of the invention in combination with another pharmaceutically active compound. Examples of pharmaceutically active compounds include compounds known to treat serotonin-related diseases. Other pharmaceutically active compounds that may be used can be found in Harrison's Principles of Internal Medicine, Sixteenth Edition, Eds. DX. Kasper et al. McGraw-Hill Professional, N. Y., NY (2004); and the 2005 Physician's Desk Reference 59th Edition ,Thomson Healthcare, 2004, the complete contents of which are expressly incorporated herein by reference. The compound of the invention and the pharmaceutically active compound may be administered to the subject in the same pharmaceutical composition or in different pharmaceutical compositions (at the same time or at different times).
Determination of a therapeutically effective or a. prophylactically effective amount of the compound of the invention, can be readily made by the physician or veterinarian (the "attending clinician"), as one skilled in the art, by the use of known techniques and by observing results obtained under analogous circumstances. The dosages may be varied depending upon the requirements of the patient in the judgment of the attending clinician; the severity of the condition being treated and the particular compound being employed. In determining the therapeutically effective amount or dose, and the prophylactically effective amount or dose, a number of factors are considered by the attending clinician, including, but not limited to: the specific serotonin-receptor-related disorder involved; pharmacodynamic characteristics of the particular agent and its mode and route of administration; the desired time course of treatment; the species of mammal; its size, age, and general health; the specific disease involved; the degree of or involvement or the severity of the disease; the response of the individual patient; the particular compound administered; the mode of administration; the bioavailability characteristics of the preparation administered; the dose regimen selected; the kind of concurrent treatment (i.e., the interaction of the compound of the invention with other co- administered therapeutics); and other relevant circumstances.
Treatment can be initiated with smaller dosages, which are less than the optimum dose of the compound. Thereafter, the dosage may be increased by small increments until the optimum effect under the circumstances is reached. For convenience, the total daily dosage may be divided and administered in portions during the day if desired. A therapeutically effective amount and a prophylactically effective amount of a compound of the invention of the invention is expected to vary from about 0.1 milligram per kilogram of body weight per day (mg/kg/day) to about 100 mg/kg/day.
Compounds determined to be effective for the prevention or treatment of serotonin- receptor-related disorders in animals, e.g., dogs, chickens, and rodents, may also be useful in treatment of serotonin-receptor-related disorders in humans. Those skilled in the art of treating serotonin-receptor-related disorders in humans will know, based upon the data obtained in animal studies, the dosage and route of administration of the compound to humans. In general, the dosage and route of administration in humans is expected to be similar to that in animals.
The identification of those patients who are in need of prophylactic treatment for serotonin-receptor-related disorders is well within the abili"ty and knowledge of one skilled in the art. Certain of the methods for identification of patients which are at risk of developing serotonin-receptor-related disorders which can be treated by the subject method are appreciated in the medical arts, such as family history, and the presence of risk factors associated with the development of that disease state in the subject patient. A clinician skilled in the art can readily identify such candidate patients, by the use of, for example, clinical tests, physical examination and medical/family history.
In another aspect, a compound of the invention is packaged in a therapeutically effective amount with a pharmaceutically acceptable carrier or diluent. The composition may be formulated for treating a subject suffering from or susceptible to a serotonin-receptor- related disorder, and packaged with instructions to treat a subject suffering from or susceptible to a serotonin-receptor-related disorder.
In another aspect, the invention provides methods for stimulating or increasing serotonin receptor activity. In one embodiment, a method of increasing serotonin receptor activity (or a serotonin receptor related activity) according to the invention includes contacting cells with a compound capable of increasing serotonin receptor activity. The contacting may be in vitro, e.g., by addition of the compound to a fluid surrounding the cells, for example, to the growth media in which the cells are living or existing. The contacting may also be by directly contacting the compound to the cells. Alternately, the contacting may be in vivo, e.g., by passage of the compound through a subject; for example, after administration, depending on the route of administration, the compound may travel through the digestive tract or the blood stream or may be applied or administered directly to cells in need of treatment.
In another aspect, methods of inhibiting a serotonio-receptor-related disorder in a subject include administering an effective amount of a compound of the invention (e.g., a compound of any of the formulae herein capable of increasing serotonin receptor activity) to the subject. The administration may be by any route of administering known in the pharmaceutical arts. The subject may have a serotonin-receptor-related disorder, may be at risk of developing a serotonin-receptor-related disorder, or may need prophylactic treatment prior to anticipated or unanticipated exposure to a conditions capable of increasing susceptibility to a serotonin-receptor-related disorder.
In one aspect, a method of monitoring the progress of a subject being treated with a serotonin receptor active compound of the invention includes determining the pre-treatment status of the serotonin-receptor-related disorder, administering a therapeutically effective amount of a compound of the invention to the subject, and determining the status of the serotonin-receptor-related disorder after an initial period of treatment, wherein the modulation (e.g., improvement) of the status indicates efficacy of the treatment.
In one aspect, methods of selecting a subject suffering from or susceptible to a serotonin-receptor-related disorder for treatment with a compound of the invention comprise determining the pre-treatment status of the serotonin-receptor-related disorder, administering a therapeutically effective amount of a compound of the invention to the subject, and determining the status (of the serotonin-receptor-related disorder after an initial period of treatment with the compound, wherein the modulation (e.g., improvement) of the status is an indication that the serotonin-receptor-related disorder is likely to have a favorable clinical response to treatment with a compound of the invention.
The subject may be at risk of a serotonin-receptor-related disorder, may be exhibiting symptoms of a serotonin-receptor-related disorder, maybe susceptible to a serotonin- receptor-related disorder and/or may have been diagnosed with a serotonin-receptor-related disorder.
The initial period of treatment may be the time in which it takes to establish a stable and/or therapeutically effective blood serum level of the compound, or the time in which it take for the subject to clear a substantial portion of the compound, or any period of time selected by the subject or healthcare professional that is relevant to the treatment.
If the modulation of the status indicates that the subject may have a favorable clinical response to the treatment, the subject may be treated with the coxnpound. For example, the subject can be administered therapeutically effective dose or doses of the compound.
Kits of the invention include kits for treating a serotonin— receptor-related disorder in a subject. The invention also includes kits for assessing the effica.cy of a treatment for a serotonin-receptor-related disorder in a subject, monitoring the progress of a subject being treated for a serotonin-receptor-related disorder, selecting a subj ect with a serotonin-receptor- related disorder for treatment according to the invention, and/or treating a subject suffering from or susceptible to a serotonin-receptor-related disorder. The kit may include a compound of the invention, for example, a compound of any of formula I-ITV, pharmaceutically acceptable esters, salts, and prodrugs thereof, and instructions for use. The instructions for use may include information on dosage, method of delivery, stoarage of the kit, etc. The kits may also include, reagents, for example, test compounds, buffers, media (e.g., cell growth media), cells, etc. Test compounds may include known compounds or newly discovered compounds, for example, combinatorial libraries of compounds. One or more of the kit of the invention may be packaged together, for example, a kit for assessing the efficacy of an treatment for a serotonin-receptor-related disorder may be packaged with a kit for monitoring the progress of a subject being treated for a serotonin-receptor-related disorder according to the invention.
Certain of the present methods can be performed on cells in culture, e.g. in vitro or ex vivo, or on cells present in an animal subject, e.g., in vivo. Compound of the invention can be initially tested in vitro using cells that express a serotonin receptor (see, e.g., the Examples, infra).
Alternatively, the effects of compound of the invention can be characterized in vivo using animals models.
4. PHARMACEUTICAL COMPOSITIONS
The invention also provides a pharmaceutical composition, comprising an effective amount of a compound of the invention (e.g., a compound capable of treating or preventing a condition as described herein, e.g., a compound of any formula herein or otherwise described herein) and a pharmaceutically acceptable carrier.
In an embodiment, the compound of" the invention is administered to the subject using a pharmaceutically-acceptable formulation, e.g., a pharmaceutically-acceptable formulation that provides sustained delivery of the compound of the invention to a subject for at least 12 hours, 24 hours, 36 hours, 48 hours, one week, two weeks, three weeks, or four weeks after the pharmaceutically-acceptable formulation is administered to the subject.
In certain embodiments, these pharmaceutical compositions are suitable for topical or oral administration to a subject. In other embodiments, as described in detail below, the pharmaceutical compositions of the present invention may be specially formulated for administration in solid or liquid form, including those adapted for the following: (1) oral administration, for example, drenches (aqueous or non-aqueous solutions or suspensions), tablets, boluses, powders, granules, pastes; (2) parenteral administration, for example, by subcutaneous, intramuscular or intravenous injection as, for example, a sterile solution or suspension; (3) topical application, for example, as a cream, ointment or spray applied to the skin; (4) intravaginally or intrarectally, for example, as a pessary, cream or foam; or (5) aerosol, for example, as an aqueous aerosol, liposomal preparation or solid particles containing the compound.
The phrase "pharmaceutically acceptable" refers to those compound of the inventions of the present invention, compositions containing such compounds, and/or dosage forms which are, within the scope of sound medical judgment, suitable for use in contact with the tissues of human beings and animals without excessive toxicity, irritation, allergic response, or other problem or complication, commensurate with a reasonable benefit/risk ratio.
The phrase "pharmaceutically-acceptable carrier" includes pharmaceutically- acceptable material, composition or vehicle, such as a liquid or solid filler, diluent, excipient, solvent or encapsulating material, involved in carrying or transporting the subject chemical from one organ, or portion of the body, to another organ, or portion of the body. Each carrier is "acceptable" in the sense of being compatible with the other ingredients of the formulation and not injurious to the patient. Some examples of materials which can serve as pharmaceutically-acceptable carriers include: (1) sugars, such as lactose, glucose and sucrose; (2) starches, such as corn starch and potato starch; (3) cellulose, and its derivatives, such as sodium carboxymethyl cellulose, ethyl cellulose and cellulose acetate; (4) powdered tragacanth; (5) malt; (6) gelatin; (7) talc; (8) excipients, such as cocoa butter and suppository waxes; (9) oils, such as peanut oil, cottonseed oil, safflower oil, sesame oil, olive oil, corn oil and soybean oil; (10) glycols, such as propylene glycol; (11) polyols, such as glycerin, sorbitol, mannitol and polyethylene glycol; (12) esters, such as ethyl oleate and ethyl laurate; (I3) agar; (14) buffering agents, such as magnesium hydroxide and aluminum hydroxide;
(15) alginic acid; (16) pyrogen-free water; (17) isotonic saline; (18) Ringer's solution; (19) ethyl alcohol; (20) phosphate buffer solutions; and (21) other non-toxic compatible substances employed in pharmaceutical formulations.
Wetting agents, emulsifiers and lubricants, such as sodium lauryl sulfate and magnesium stearate, as well as coloring agents, release agents, coating agents, sweetening, flavoring and perfuming agents, preservatives and antioxidants can also be present in the compositions.
Examples of pharmaceutically- acceptable antioxidants include: (1) water soluble antioxidants, such as ascorbic acid, cysteine hydrochloride, sodium bisulfate, sodium metabisulfite, sodium sulfite and the like; (2) oil-soluble antioxidants, such as ascorbyl palmitate, butylated hydroxyanisole (BHA), "butylated hydroxytoluene (BHT), lecithin, propyl gallate, alpha-tocopherol, and the like; and (3) metal chelating agents, such as citric acid, ethylenediamine tetraacetic acid (EDTA.), sorbitol, tartaric acid, phosphoric acid, and the like.
Compositions containing a compound, of the invention(s) include those suitable for oral, nasal, topical (including buccal and sublingual), rectal, vaginal, aerosol and/or parenteral administration. The compositions may conveniently be presented in unit dosage form and may be prepared by any methods well known in the art of pharmacy. The amount of active ingredient which can be combined with a carrier material to produce a single dosage form will vary depending upon the host being treated, the particular mode of administration. The amount of active ingredient which can be combined with a carrier material to produce a single dosage form will generally be that amount of the compound which produces a therapeutic effect. Generally, out of one hundred per cent, this amount will range from about 1 per cent to about ninety-nine percent of active ingredient, preferably from about 5 per cent to about 70 per cent, more preferably from about 10 per cent to about 30 per cent. Methods of preparing these compositions include the step of bringing into association a compound of the invention(s) with the carrier and, optionally, one or more accessory ingredients. In general, the formulations are prepared by uniformly and intimately bringing into association a compound of the invention with liquid carriers, or finely divided solid carriers, or both, and then, if necessary, shaping the product.
Compositions of the invention suitable for oral administration may be in the form of capsules, cachets, pills, tablets, lozenges (using a flavored basis, usually sucrose and acacia or tragacanth), powders, granules, or as a solution or a suspension in an aqueous or non-aqueous liquid, or as an oil-in-water or water-in-oil liquid emulsion, or as an elixir or syrup, or as pastilles (using an inert base, such as gelatin and glycerin, or sucrose and acacia) and/or as mouth washes and the like, each containing a predetermined amount of a compound of the invention(s) as an active ingredient. A compound may also be administered as a bolus, electuary or paste.
In solid dosage forms of the invention for oral administration (capsules, tablets, pills, dragees, powders, granules and the like), the active ingredient is mixed with one or more pharmaceutically-acceptable carriers, such as sodium citrate or dicalcium phosphate, and/or any of the following: (1) fillers or extenders, such as starches, lactose, sucrose, glucose, mannitol, and/or silicic acid; (2) binders, such as, for example, carboxymethylcellulose, alginates, gelatin, polyvinyl pyrrolidone, sucrose and/or acacia; (3) humectants, such as glycerol; (4) disintegrating agents, such as agar-agar, calcium carbonate, potato or tapioca starch, alginic acid, certain silicates, and sodium carbonate; (5) solution retarding agents, such as paraffin; (6) absorption accelerators, such as quaternary ammonium compounds; (7) wetting agents, such as, for example, acetyl alcohol and glycerol monostearate; (8) absorbents, such as kaolin and bentonite clay; (9) lubricants, such a talc, calcium stearate, magnesium stearate, solid polyethylene glycols, sodium lauryl sulfate, and mixtures thereof; and (10) coloring agents. In the case of capsules, tablets and pills, the pharmaceutical compositions may also comprise buffering agents. Solid compositions of a similar type may also be employed as fillers in soft and hard- filled gelatin capsules using such excipients as lactose or milk sugars, as well as high molecular weight polyethylene glycols and the like.
A tablet may be made by compression or molding, optionally with one or more accessory ingredients. Compressed tablets may be prepared using binder (for example, gelatin or hydroxypropylmethyl cellulose), lubricant, inert diluent, preservative, disintegrant (for example, sodium starch glycolate or cross-linked sodium carboxymethyl cellulose), surface-active or dispersing agent. Molded tablets may be made by molding in a suitable machine a mixture of the powdered active ingredient moistened with an inert liquid diluent.
The tablets, and other solid dosage forms of the pharmaceutical compositions of the present invention, such as dragees, capsules, pills and granules, may optionally be scored or prepared with coatings and shells, such as enteric coatings and other coatings well known in the pharmaceutical-formulating art. They may also be formulated so as to provide slow or controlled release of the active ingredient therein using, for example, hydroxypropylmethyl cellulose in varying proportions to provide the desired release profile, other polymer matrices, liposomes and/or microspheres. They may be sterilized by, for example, filtration through a bacteria-retaining filter, or by incorporating sterilizing agents in the form of sterile solid compositions which can be dissolved in sterile water, or some other sterile injectable medium immediately before use. These compositions may also optionally contain opacifying agents and may be of a composition that they release the active ingredient(s) only, or preferentially, in a certain portion of the gastrointestinal tract, optionally, in a delayed manner. Examples of embedding compositions which can be used include polymeric substances and waxes. The active ingredient can also be in micro-encapsulated form, if appropriate, with one or more of the above-described excipients.
Liquid dosage forms for oral administration of the compound of the invention(s) include pharmaceutically-acceptable emulsions, microemulsions, solutions, suspensions, syrups and elixirs. In addition to the active ingredient, the liquid dosage forms may contain inert diluents commonly used in the art, such as, for example, water or other solvents, solubilizing agents and emulsifiers, such as ethyl alcohol, isopropyl alcohol, ethyl carbonate, ethyl acetate, benzyl alcohol, benzyl benzoate, propylene glycol, 1,3-butylene glycol, oils (in particular, cottonseed, groundnut, corn, germ, olive, castor and sesame oils), glycerol, tetrahydrofuryl alcohol, polyethylene glycols and fatty acid esters of sorbitan, and mixtures thereof.
In addition to inert diluents, the oral compositions can include adjuvants such as wetting agents, emulsifying and suspending agents, sweetening, flavoring, coloring, perfuming and preservative agents.
Suspensions, in addition to the active compound of the invention(s) may contain suspending agents as, for example, ethoxylated isostearyl alcohols, polyoxyeth_ylene sorbitol and sorbitan esters, microcrystalline cellulose, aluminum metahydroxide, bentonite, agar-agar and tragacanth, and mixtures thereof.
Pharmaceutical compositions of the invention for rectal or vaginal administration may be presented as a suppository, which may be prepared by mixing one or more compound of the invention(s) with one or more suitable nonirritating excipients or carriers comprising, for example, cocoa butter, polyethylene glycol, a suppository wax or a salicylate, and which is solid at room temperature, but liquid at body temperature and, therefore, will melt in the rectum or vaginal cavity and release the active agent.
Compositions of the present invention which are suitable for vaginal administration also include pessaries, tampons, creams, gels, pastes, foams or spray formulations containing such carriers as are known in the art to be appropriate.
Dosage forms for the topical or transdermal administration of a compound of the invention(s) include powders, sprays, ointments, pastes, creams, lotions, gels, solutions, patches and inhalants. The active compound of the invention(s) may be mixed under sterile conditions with a pharmaceutically-acceptable carrier, and with any preservatives, bufifers, or propellants which may be required.
The ointments, pastes, creams and gels may contain, in addition to compound of the invention(s) of the present invention, excipients, such as animal and vegetable fats, oils, waxes, paraffins, starch, tragacanth, cellulose derivatives, polyethylene glycols, silicones, bentonites, silicic acid, talc and zinc oxide, or mixtures thereof.
Powders and sprays can contain,' in addition to a compound of the invention(s)y excipients such as lactose, talc, silicic acid, aluminum hydroxide, calcium silicates and polyamide powder, or mixtures of these substances. Sprays can additionally contain customary propellants, such as chlorofluorohydrocarbons and volatile unsubstituted hydrocarbons, such as butane and propane.
The compound of the invention(s) can be alternatively administered by aerosol. This is accomplished by preparing an aqueous aerosol, liposomal preparation or solid particles containing the compound. A nonaqueous (e.g., fluorocarbon propellant) suspension could be used. Sonic nebulizers are preferred because they minimize exposing the agent to shear, which can result in degradation of the compound. Ordinarily, an aqueous aerosol is made by formulating an aqueous solution or suspension of the agent together with conventional pharmaceutically- acceptable carriers and stabilizers. The carriers and stabilizers vary with the requirements of the particular compound, but typically include nonionic surfactants (Tweens, Pluronics, or polyethylene glycol), innocuous proteins like serum albumin, sorbitan esters, oleic acid, lecithin, amino acids such as glycine, buffers, salts, sugars or sugar alcohols. Aerosols generally are prepared from isotonic solutions.
Transdermal patches have the added advantage of providing controlled delivery of a compound of the invention(s) to the body. Such dosage forms can be made by dissolving or dispersing the agent in the proper medium. Absorption enhancers can also be used to increase the flux of the active ingredient across the skin. The rate of such flux can be controlled by either providing a rate controlling membrane or dispersing the active ingredient in a polymer matrix or gel.
Ophthalmic formulations, eye ointments, powders, solutions and the like, are also contemplated as being within the scope of the invention.
Pharmaceutical compositions of the invention suitable for parenteral administration comprise one or more compound of the invention(s) in combination with one or more pharmaceutically-acceptable sterile isotonic aqueous or nonaqueous solutions, dispersions, suspensions or emulsions, or sterile powders which may be reconstituted into sterile injectable solutions or dispersions just prior to use, which may contain antioxidants, buffers, bacteriostats, solutes which render the formulation isotonic with the blood of the intended recipient or suspending or thickening agents.
Examples of suitable aqueous and nonaqueous carriers, which maybe employed in the pharmaceutical compositions of the invention include water, ethanol, polyols (such, as glycerol, propylene glycol, polyethylene glycol, and the like), and suitable mixtures thereof, vegetable oils, such as olive oil, and injectable organic esters, such as ethyl oleate. Proper fluidity can be maintained, for example, by the use of coating materials, such as lecithin, by the maintenance of the required particle size in the case of dispersions, and by the use of surfactants.
These compositions may also contain adjuvants such as preservatives, wetting agents, emulsifying agents and dispersing agents. Prevention of the action of microorganisms may be ensured by the inclusion of various antibacterial and antifungal agents, for example, paraben, chlorobutanol, phenol sorbic acid, and tlie like. It may also be desirable to include isotonic agents, such as sugars, sodium chloride., and the like into the compositions. In addition, prolonged absorption of the injectable pharmaceutical form may be brought about by the inclusion of agents which delay absorption such as aluminum monostearate and gelatin.
In some cases, in order to prolong the effect of a drug, it is desirable to slow the absorption of the drug from subcutaneous or intramuscular injection. This may be accomplished by the use of a liquid suspension of crystalline or amorphous material tαaving poor water solubility. The rate of absorption of the drug then depends upon its rate of dissolution which, in turn, may depend upon crystal size and crystalline form. Alternatively, delayed absorption of a parenterally-adrninistered drug form is accomplished by dissolving or suspending the drug in an oil vehicle.
Injectable depot forms are made by forming microencapsule matrices of compound of the invention(s) in biodegradable polymers such as polylactide-polyglycolide. Depending on the ratio of drug to polymer, and the nature of the particular polymer employed, the rate of drug release can be controlled. Examples of other biodegradable polymers include poly(orthoesters) and poly(anhydrides). Depot injectable formulations are also prepared by entrapping the drug in liposomes or microemulsions which are compatible with body tissue.
When the compound of the invention(s) are administered as pharmaceuticals, to humans and animals, they can be given per se or as a pharmaceutical composition containing, for example, 0.1 to 99.5% (more preferably, 0.5 to 90%) of active ingredient in combination with a pharmaceutically-acceptable carrier.
Regardless of the route of administration selected, the compound of the inverxtion(s), which may be used in a suitable hydrated form, and/or the pharmaceutical compositions of the present invention, are formulated into pharmaceutically-acceptable dosage forms by conventional methods known to those of skill in the art.
Actual dosage levels and time course of administration of the active ingredients in the pharmaceutical compositions of the invention may be varied so as to obtain an amount of the active ingredient which is effective to achieve the desired therapeutic response for a particular patient, composition, and mode of administration, without being toxic to ttie patient. An exemplary dose range is from 0.1 to 10 mg per day. A preferred dose of the compound of the invention for the present invention is the maximum that a patient can tolerate and not develop serious side effects. Preferably, the compound of the present invention is administered at a concentration or amount of about 0.001 mg to about 100 mg per kilogram of body weight, about 0.01 - about 50 mg/kg or about 10 mg - about 30 mg/kg of body weight. Ranges intermediate to the above-recited values are also intended to be part of the invention.
The invention is further illustrated by the following examples which are intended to illustrate but not limit the scope of the invention.
EXAMPLES
Chemical Synthesis:
General. All exemplified target compounds are fully analyzed and characterized (xnp, TLC, CHN, HPLC-MS, 1H-NMR, 13C-NMR) prior to submission for biological evaluation. Melting points are uncorrected. Thin-layer chromatography was carried out on Baker Si 25 OF plates. Visualization was accomplished with ultraviolet exposure or with phosphomolybiic acid. Flash chromatography was carried out on silica gel (60 mM). Elemental analyses were performed at Atlantic Microlab. HPLC-MS were carried out on a Agilent 1100 series HPLC- Mass Spectrometer. 1H and 13C NMR spectra were recorded at 300 and 75 MHz, respectively on a Jeol Eclipse 300 Spectrometer. NMR assignments are based on a combination of the 1H, 13C, 1H COSY, HMBC and HMQC spectra. Anhydrous m. ethylene chloride, tetrahydrofuran, and dimethylformamide are Aldrich Sure/Seal™, and oϋier materials are reagent grade.
Example 1
3-("2-DimethylaminoethylV7-fluoro-l-methyl-lH-indol-4-ol (Compound IL O-3&O4).
Step One: 3-(2-Dimethylaminoethyl)-4-benzyloxy-7-fluoro-l-methyl-lH-indole;> Compound 22.
A solution of compound 1 (prepared according to the procedure of Blair, J-, Kurrasch- Orbaugh, D., Marona-Lewicka, D., Cumbay, M., Watts, V., Barker, E., Nichols, D. "Effect of Ring Fluorination of Hallucinogenic Tryptamines" J. Med. Chem. 2000, 43, 4701), (2.77 g, 8.9 mmol, 1 eq,) in 70 mL of anhydrous DMF was cooled in a wet ice bath. Sodium hydride (60 wt% dispersion in oil, 534 mg, 13.3 mmol, 1.5 eq) was added. After stirring at 0 0C for 45 minutes, methyl iodide (9.36 mmol, 1.05 eq), as a 0.3 M solution in anhydrous. DMF, was added dropwise. After stirring for 1 hour at room temperature, saturated aqueous ]NaHCθ3 was added, and the product was extracted into ethyl acetate. Purification by flash chromatography provided 2.78 g of 2 as a gold oil. Yield: 95%. 1H-NMR (300 MHz, CDCl3), δ = 2.13 (s, 6H), 2.54 (m, 2H), 2.96 (m, 2H), 3.89 (s, 3H), 5.12 (s, 2H), 6.31 (dd, IH), 6.69 (m, 2H), 7.30-7.65 (m, 5H). MS: m/z 327 (M+l).
Step Two: 3 -(2-Dimethylaminoethyl)-7-fluoro-l -methyl- lH-indol-4-ol (Compound 11, O- 3804).
A solution of 2 (2.78 g, 8.5 mmol) in 40 mL of MeOH was charged with Pd(OH)2 (500 nig) and stirred under 1 atm of H2 for 4 hours. Following removal of the catalyst, crystallization from MeOH provided 1.42 g of 11 (O-3804) as a beige powder. Yield: 69%.
Melting point: 134-138 0C. 1H-NMR (300 MHz, CDCl3), δ = 2.36 (s, 6H), 2.66 (m, 2H), 2.89 (m, 2H), 3.88 (s, 3H), 6.35 (dd, IH), 6.62 (s, IH), 6.69 (dd, IH). MS: m/z 237 (M+l). Analysis calculated for C13H17FN2O: C, 66.08; H, 7.25; N, 11.86; found: C, 66.04; H, 7.26;
N, 11.75.
Example 2
3-(2-DimetfaylaminoethylV7-fluoro- 1 -ethyl- 1 H-indol-4-ol (Compound 12, O-3943).
A solution of compound 1 (115 mg, 0.37 mmol, 1 eq) in 3 mL of anhydrous DMF was cooled in a wet ice bath. Sodium hydride (60 wt% dispersion in oil, 23 mg, 0.57 mmol, 1.5 eq) was added. After stirring at 0 °C for 45 minutes, ethyl iodide (0.42 mmol, 1.1 eq), as a 0.3 M solution in anhydrous DMF, was added dropwise. After stirring for 2-3 liours at room temperature, saturated aqueous NaHCO3 was added, and the product was extracted into ethyl acetate. Removal of the solvent provided 3 in quantitative yield, used in the next step without further purification.
Compound 3 was dissolved in 4 mL of MeOH, Pd(OH)2 (25 mg) was added, and the mixture was stirred under 1 atm of H2 for 4 hours. Following removal of the catalyst, purification by flash column chromatography provided 52 mg of 12 (O-3943) as a tan solid.
Yield: 56%. Melting point: 114-120 °C. 1H-NMR (300 MHz, CDCl3), δ = 1.-42 (t, 3H), 2.36 (s, 6H), 2.68 (m, 2H), 2.90 (m, 2H), 4.21 (q, 2H), 6.36 (dd, IH), 6.68-6.74 (m, 2H). MS: m/z 251 (M+l). Analysis calculated for C14Hi9FN2O: C, 67.18; H, 7.65; N, 11.19; found: C, 67.29; H, 7.66; N, 11.04. Example 3 3 -(2-DimethylaminoethvD-7-fluoro-l -propyl- lH-indol-4-ol (Compound 13, O-3952).
Following the procedure used to prepare compound 12, compound 1 (124 mg, 0.40 mmol) was treated with n-propyl iodide, followed by debenzylation, and purification by flash chromatography, to give 66 mg of 13 (0-3952) as a tan solid. Yield: 62%. Melting point: 75-
79 0C. 1H-NMR (300 MHz, CDC13), δ = 0.90 (t, 3H), 1.81 (m, 2H), 2.36 (s, 6H), 2.68 (m, 2H), 2.90 (m, 2H)5 4.12 (t, 2H), 6.36 (dd, IH), 6.67-6.74 (m, 2H). MS: m/z 265 (M+l). Analysis calculated for C15H21FN2O: C, 68.16; H, 8.01; N, 10.60; found: C, 67.93; H, 7.91; N, 10.35.
Example 4
3-(2-DimethylaminoethylV7-fluoro-l-(2-fluoroethyl)-lH-indol-4-ol (Compound 14, (O-
3975).
Following the procedure used to prepare compound 11, compound 1 (127 mg, 0.41 mmol) was treated with 2-fluoroethyl bromide followed by debenzylation, and purification by flash chromatography to give 75 mg of 14 (0-3975) as a tan solid. Yield: 68%. Melting point: 97-101 °C_ 1H-NMR (300 MHz, CDCl3), δ = 2.36 (s, 6H), 2.68 (m, 2H)5 2.90 (m, 2H), 4.42 (t, IH), 4.50 (t, IH), 4.64 (t, IH), 4.79 (t, IH), 6.38 (dd, IH), 6.70-6.7^ (m, 2H). MS: m/z 269 (M+l). Analysis calculated for C14H18F2N2O: C, 62.25; H, 6.79; NJ, 10.37; found: C, 62.11; H, 6.63 ; N, 10.34.
Example 5
3-(2-DimethylaminoethylV7-fluoro-l-butyl-lH-indol-4-ol (Compound 15, O-4205).
Step One: 3-(2-Dimethylaminoethyl)-4-benzyloxy-7-fluoro-l-butyl-lH-indole (Compound 6).
Following the procedure used for the preparation of compound 2, compound 1 (108 mg, 0.35 mmol) was treated with n-butyl iodide to provide 90 mg of 6 as a yellow oil. Yield:
71%. 1H-NMR (300 MHz5 CDC13), δ - 0.92 (t, 3H), 1.31 (m, 2H)5 1.77 (in, 2H)5 2.15 (s, 6H), 2.53 (m, 2H), 2.99 (m, 2H), 4.17 (t, 2H), 5.13 (s, 2H), 6.32 (dd, Iff), 6.65-6.74 (m, 2H), 7.29-7.49 (m, 5H). MS: m/z 369 (M+l).
Step Two: 3-(2-Dimethylamino-ethyl)-7-fluoro-l-butyl-lH-indol-4-ol (Compound 15, O- 4205).
A solution of 6 (90 mg, 0.24 mmol) in 5 niL of MeOH was charged with Pd(OH)2 (30 mg) and stirred under 1 arm of H2 for 4 hours. Following removal of the catalyst, purification by flash column chromatography provided 52 mg of 15 (O-4205) as a white solid. Yield:
78%. Melting point: 87-90 °C. 1H-NMR (300 MHz, CDCl3), δ = 0.93 (t, 3H), 1.30 (m, 2H), 1.77 (m, 2H), 2.37 (s, 6H), 2.68 (m, 2H), 2.90 (m, 2H), 4.15 (t, 2H), 6.35 (dd, IH), 6.65-6.75 (m, 2H). MS: m/z 279 (M+l). Analysis calculated for Ci6H23FN2O: C, 69.04; H, 8.33; N, 10.06; found: C, 69.03; H, 8.46; N, 9.97.
Example 6
3-(2-Dimethylaminoethyl)-7-fluoro-l-cvclopropylmethyl-lH-indol-4-ol (Compound 16, O-
4322).
Step One: 3-C2-Dimethylaminoethyl)-4-benzyloxy-7-fluoro-l-cyclopropylmethyl-lH-indole (Compound 7).
Following the procedure used to prepare compound 2, compound 1 (148 mg, 0.48 mmol) and cyclopropylmethyl bromide (1.0 mmol) gave compound 7 (112 mg) as a yellow oil. Yield: 64%. 1H NMR (300 MHz, CDCl3): 7.46-7.50 (m, 2H), 7.32-7.40 (m, 3H), 6.83 (s, IH), 6.68 (dd, J = 12.4, 8.7, IH)5 6.32 (dd, J = 8.4, 2.7, IH)5 5.13 (s, 2HI)5 4.06 (d, J = 6.9, 2H), 2.92-2.98 (m, 2H)5 2.54-2.60 (m, 2H), 2.12 (s, 6H), 1.23-1.26 (m, IH)5 0.52-0.58 (m, 2H)5 0.33-0.36 (m, 2H). Mass spectrum: m/z 367 (M+l).
Step Two: 3-(2-Dimethylaminoethyl)-7-fluoro-l-cyclopropylmethyl-lt3-indol-4-ol (Compound 16, O-4322).
Following the procedure used to prepare compound 15, compound 7 (101 mg, 0.28 mmol) gave 66 mg of compound 16 as a beige foam. Yield: 86Vo. 1H NMR (300 MHz, CDCl3): 6.80 (s, IH), 6.71 (dd, J = 12.6, 8.4, IH), 6.35 (dd, J = 8.4, 3.3, IH), 4.04 (d, J =6.6, 2H), 2.89-2.93 (m, 2H), 2.66-2.70 (m, 2H), 2.35 (s, 6H), 1.22-1.24 (m, IH), 0.54-0.58 (m, 2H), 0.31-O.34 (m, 2H). Mass spectrum: m/z 277 (M+ 1). Analysis calculated for C16H21FN2O O.I H2O: C, 69.09; H, 7.68; N, 10.07; found: C, 68.98; H, 7.67; N, 9.85.
Example 7
3-(2-DimethylammoemylV7-fluoro-l-zso-propyl-lH-indol-4-ol (Compound 17, O-4324).
Step One: 3-(2-Dimethylaminoethyl)-4-benzyloxy-7-fluoro-l -zsopropyl-lH- indole (Compound 8).
Following the procedure used to prepare compound 2, compound 1 (148 mg, 0.47 mmol), sodium hydride (1.50 mmol) and ώopropyl iodide (1.5 mmol) gave compound 8 (130 mg) as a yellow oil. Yield: 78%. 1H NMR (300 MHz, CDCl3): 7.37-7.44 (m, 2H), 7.30-7.36 (m, 3H), 6.91 (s, IH), 6.68 (dd, J = 12.4, 8.4, IH), 6.32 (dd, J = 8.4, 2.7, IH), 5.13 (s, 2H), 4.90-5.13 (m, IH), 2.92-2.98 (m, 2H), 2.54-2.60 (m, 2H), 2.12 (s, 6H), 1.48 <d, J - 6.9, 6H). Mass spectrum: m/z 355 (M+l).
Step Two: 3-(2-Dimethylammoethyl)-7-fluoro-l-zsøpropyl-lH-indol-4-ol (Compound 17, O-
4324).
Following the procedure used to prepare compound 15, compound 8 (110 mg, 0.31mmol) gave compound 17 (66 mg) as a beige solid. Yield: 80%. Melting point: 108-110 °C. 1H NMR (300 MHz5 CDCl3): 6.86 (s, IH), 6.71 (dd, J = 12.9, 8.4, IH), 6.36 (dd, J = 8.1, 3.0, IH), 4.92-5.01 (m, IH), 2.88-2.94 (m, 2H), 2.65-2.70 (m, 2H), 2.36 (s, 5H), 1.46 (d, J = 6.6, 6H). Mass spectrum: m/z 265 (M+l). Analysis calculated for Ci5H21FN2O: C, 68.16; H, 8.01; N, 10.60; found: C, 67.98; H, 8.02; N, 10.45. Example 8
3-(2-Dimethylaτninoethyl)-7-fluoro-l-methylsulfonyl-lH-indol-4- ol (Compound 18, O-
4323).
Step One: 3-(2-Dimethylaminoethyl)-4-benzyloxy-7-fluoro-l-methylsulfonyl-lH-indole (Compound 9).
To a solution of compound 1 (160 mg, 0.51 mmol) in DMF (5 ml) was added sodium hydride (1.5 mmol) at 0 C. After stirring for 5 minutes, methanesulfonyl chloride (2.0 mmol) was added dropwise over 5 minutes. The reaction mixture was stirred at 0-5 °C for 15 minutes, then gradually heated to 110 °C and stirred at 110 °C for 12 hours, cooled to 25 °C, quenched by addition of water (20 ml), and extracted with EtOAc (45 x 2 ml). The extracts were collected, washed with brine, and dried over MgSO4. Removal of the solvent followed by column chromatography provided compound 9 (72 mg) as an oil. Yield: 36%. 1H NMR (300 MHz, CDCl3): 7.32-7.48 (m, 5H), 6.99 (dd, J= 11.7, 8.4, IH), 6.62 (dd, J = 12, 3.6, IH), 5.15 (s, 2H), 3.43 (s, 3H), 2.92-2.98 (m, 2H), 2.54-2.60 (m, 2H), 2.14 (s, 6H). Mass spectrum: m/z 391 (M+l).
Step Two: 3-(2-Dimethylaminoethyl)-7-fluoro-l-methylsulfonyl-lH-mdol-4-ol (Compound 18, 0-4323).
Following the procedure used to prepare compound 15, compound 9 (70 mg, 0.18 mmol), gave compound 18 (24 mg) as a beige solid. Yield: 45%. Melting point 181-183 °C. 1H NMR (300 MHz, CDCl3): 7.22 (s, IH), 6.90 (dd, J = 11.4, 8.4, IH), 6.62 (dd, J = 8.4, 3.3, IH), 3.44 (s, 2H), 2.86-2.91 (m, 2H), 2.70-2.76 (m, 2H), 2.38 (s, 6H). Mass spectrum: m/z 301 (M+l). Analysis calculated for C13HnFN2O3S 0.1 CH2Cl2: C, 50.95; H, 5.61; N, 9.07; found: C, 51.07; H, 5.59; N, 8.98.
Example 9
3-(2-DimethylaminoethylV7-fluoro-l-ethylsulfonyl-lH-indol-4-ol (Compound 19, 0-4321)
Step One: 3-(2-Dimethylaminoethyl)-4- benzyloxy-7-flαoro-l-ethylsulfonyl-lH- indole, 10.
Following the procedure used to prepare compound 9, compound 1 (150 mg, 0.48 mmol), sodium hydride (1.5 mmol) and ethanesulfonyl chloride (1.92 mmol), gave compound 10 (98 mg) as an oil. Yield: 50%. 1H NMR (300 MHz, CDCl3): 7.32-7.48 (m, 5H), 6.92 (dd, J= 11.7, 8.7, IH), 6.62 (dd, J = 9.3, 3.0, IH), 5.14 (s, 2H), 3.58 (q, J = 7.5, 2H), 2.94-3.04 (in, 2H), 2.54-2.60 (m, 2H), 2.14 (s, 6H), 1.34 (t, J = 7.5, 3H). Mass spectrum: m/z 405 (M+l).
Step Two: 3-(2-Dimethylaminoethyl)-7-fluoro-l-ethylsulfonyl-lH-indol-4-ol (Compound 19, (O-4321).
Following the procedure used to prepare compound 15, compound 10 (95 mg, 0.23 mmol) gave compound 19 (41 mg) as a beige foam. Yield: 571M). 1H NMR (300 MHz, CDCl3): 7.21 (s, IH), 6.92 (dd, J = 11.7, 8.4, IH), 6.62 (dd, J = 9.0, 3.6, IH), 3.62 (q, J =7.5, 2H), 2.88-2.93 (m, 2H), 2.72-2.76 (m, 2H), 2.38 (s, 6H), 1.32 (t, J =7.5, 3H). Mass spectrum: m/z 315 (M+l). Analysis calculated for C14H19FN2O3S ' 0.1 H2O: C, 53.18; H, 6.12; N, 8.86, found: C, 52.98; H, 6.31; N, 8.63.
Example 10
3-f2-DimethylaminoethylV7-fluoro-l-('2-propen-l-yl)-lH-indol-4-ol (Compound 20. O-
4270).
A solution of compound 1 (497 mg, 1.59 mmol) in 40 mL of MeOH was charged with Pd(OH)2 (110 mg) and stirred under 1 atm of H2 for 4 hours. Pollowing removal of the catalyst and evaporation of the solvent, the crude product was dissolved in 15 mL of anhydrous THF. After cooling to -78 °C, n-butyllithium (3.30 mmol, 2.1 eq) was added dropwise. After stirring at -78 °C for 20 minutes, allyl bromide (0.3 mmol, 1 eq), as a 0.3 M solution in THF, was added dropwise. After warming to room temperature, the reaction was stirred for 2 hours and then quenched by addition of H2O. Extraction into diethyl ether, followed by multiple chromatographies, provided 6 mg of 20 as a white solid. Yield: 1.5%.
1H-NMR (300 MHz, CDCl3), δ = 2.36 (s, 6H), 2.67 (m, 2H), 2.90 (m, 2H), 4.79 (m, 2H), 5.03 (d, IH), 5.14 (m, IH), 6.02 (m, IH), 6.36 (dd, IH), 6.70 (m, 2H). MS: m/z 263 (M+ 1).
Example 11
3 -(2-Dimethylaminoetliyl)-7-fluoro-l -methyl- lH-indol-4-phosphate (Compound 21, 0-
3944).
Compound 11 (750 mg, 3.18 mmol, 1 eq) was dissolved in 70 mL anhydrous THF. Anhydrous diisopropylamine (107 mg, 1.6 mmol, 0.33 eq) was added and the mixture cooled to -78 °C. N-Butyllithium (4 mmol, 1.25 eq) was added rapidly and the mixture stirred at -78 °C for 5-7 minutes. Tetrabenzyl pyrophosphate (prepared according to the procedure of Khorana, H. and Todd, A., J. Chem. Soc, 2257-2260, 1953) (2.15 g, 4 mmol, 1.25 eq) was added rapidly and the reaction mixture then transferred to a —20 °C ice/salt bath. After stirring for 2 hours, saturated aqueous ammonium chloride was added. The crude intermediate was isolated by extraction followed by standard workup, then dissolved in 70 mL of MeOH, charged with Pd(OH)2 (420 mg) and stirred under 1 arm of H2. Following removal of the catalyst, the pH was adjusted to approximately 5 using ion exchange resin. Removal of the solvent followed by crystallization from H2O provided 530 mg of 21 as a white solid. Yield: 52%. Melting point: 184-186 °C. 1H-KTMR (300 MHz, D2O), δ = 2.72 (s, 6H), 3.09 (m, 2H), 3.27 (m, 2H), 3.72 (d, 3H)5 6.70 (m, 2H), 6.88 (s, IH). MS: m/z 237 (M+l - H2PO3). Analysis calculated for C13H18FN2O4P 0.25 H2O: C5 48.68; H, 5.81; N, 8.73; F, 5.92; found: C, 48.65; H, 5.70; N, 8.68; F, 5.80.
Example 12
3-(2-Dimethylaminoethyl)-7-fluoro-l-propyl-lH-indol-4-phosphate (Compound 22, O-4309).
Following the procedure used to prepare compound 21, compound 13 (579 mg, 2.19 mmol) provided 418 mg of 22 as a white solid. Yield: 55%. Melting point: 209-211 °C. 1H- NMR (30O MHz, D2O): δ = 0.70 (t, 3H), 1.68 (m, 2H), 2.S0 (s, 6H), 3.17 (m, 2H)5 3.33 (m, 2H), 4.09 (t, 2H), 6.75-6.78 (m, 2H), 7.05 (s, IH). MS: m/z 345 (M+l). Analysis calculated for C15H22FN2O4P 0.6 H2O: C, 50.73; H, 6.58; N, 7.89; found: C, 50.69; H, 6.62; N, 7.90. Example 13
3-(2-DimethylaminoethylV6-fluoro-l-methyl-lH-indol-4-ol (Compound 32, 0-4244).
Step One: 3-(2-Dimethylaminoethyl)-4-benzyloxy-6-fluoro-l-methyl-lH-indole (Compound 24).
Following the procedure used to prepare compound 2, compound 23 (prepared according to the procedure of Blair, J., Kurrasch-Orbaugh, E>., Marona-Lewicka, D., Cumbay, M., Watts, V., Barker, E., Nichols, D. "Effect of Ring Fluorination of Hallucinogenic Tryptamines" J. Med. Chem. 2000, 43, 4701), (624 mg, 2 mmol), sodium hydride (6 mmol) and methyl iodide (2.4 mmol) gave compound 24 (520 mg) as a white solid. Yield: 80%. Melting point: 156-158 °C. 1H NMR (300 MHz, CDCl3): 7.47-7.50 (m, 2H), 7.32-7.40 (m, 3H), 6.71 (s, IH), 6.56 (dd, J = 9.3, 1.9, IH), 6.34 (dd, J = 11.7, 1.9, IH), 5.18 (s, 2H), 3.69 (s, 3H), 2.92-2.98 (m, 2H), 2.54-2.60 (m, 2H), 2.13 (s, 6H). Mass spectrum: m/z 327 (M+l).
Step Two: 3 -(2-Dimethylaminoethyl)-6-fluoro-l -methyl- lH-indol-4-ol (Compound 32, O- 4244).
Following the procedure used to prepare compound X 5, compound 24 (500 mg, 1.53 mmol) gave compound 32 (298 mg) as a beige solid. Yield: 83%. Melting point: 132-134 °C. 1H NMR. (300 MHz, CDCl3): 6.60 (s, IH), 6.44 (dd, J = 9.6, 2.1, IH), 6.31 (dd, J = 11.4, 2.1, IH), 3.66 (s, 3H), 2.82-2.90 (m, 2H), 2.64-2.70 (m, 2H), 2.38 (s, 6H). Mass spectrum: m/z 237 (M+-1), 192 [(MH-I)-HNMe2]. Analysis calculated for C13H17FN2O: C, 66.08; H, 7.25; N, 11.86; found: C, 66.03; H, 7.35; N, 11.75.
Example 14
3-(2-DimethylaminoethylV6-fluoro-l-ethyl-lH-indol-4-ol ("Compound 33, O-4284V
Step One: 3-(2-Dimethylammoethyl)-4-benzyloxy-6-fluoro- l-ethyl-lH-indole (Compound 25).
Following the procedure used to prepare compound 2, compound 23 (156 mg, 0.5 mmol), sodium hydride (1.50 mmol) and ethyl iodide (0.75 mmol) gave compound 25 (130 mg) as a white solid. Yield: 76%. Melting point:172-174c>C. 1H NMR (300 MHz, CDCl3): 7.46-7.50 (m, 2H), 7.32-7.40 (m, 3H), 6.70 (s, IH), 6.56 (dd, J = 9.3, 1.9, IH), 6.32 (dd, J = 11.7, 1.9, IH), 5.18 (s, 2H), 3.98 (q, J = 7.2, 2H), 2.92-2.98 (m, 2H)5 2.54-2.60 (m, 2H), 2.13 (s, 6H). Mass spectrum: m/z 341 (M+l).
Step Two: 3-(2-Dimethylaminoethyl)-6-fluoro-l-ethyl-lH-indol-4-ol (Compound 33, O- 4284).
Following the procedure used to prepare compound 15, compound 25 (98 mg, 0.29 mmol) gave compound 33 (60 mg) as a beige foam. Yield: 82%. 1H NMR (300 MHz, CDCl3): 6.70 (s, IH), 6.45 (dd, J = 9.6, 2.1, IH), 6.32 (dd, J = 11.4, 2.1, IH), 3.98 (q, J =7.2, 2H), 2.82-2.90 (m, 2H), 2.64-2.70 (m, 2H), 2.40 (s, 6H), 1.40 C J = 7.2, 3H). Mass spectrum: m/z 251 (M+l). Analysis calculated for C14Hi9FN2O: C, 67.18; H, 7.65; N, 11.20; found: C, 67.09; H: 7.79; N5 10.94.
Example 15
3-(2-DimethylammoethylV6-fluoro-l-ρropyl-lH-indol-4-ol (Compound 34, 0-4285).
Step One: 3-(2-Dimethylaminoethyl)-4-benzyloxy-6-fluoro-l-propyl-lH-indole (Compound 26).
Following the procedure used to prepare compound 2, compound 23 (156 mg, 0.5 mmol), sodium hydride (1.50 mmol) and n-propyl iodide (0.75 mmol) gave compound 26 (106 mg) as a white solid. Yield: 60%. Melting point: 144-146 °C. 1H NMR (300 MHz, CDCl3): 7.46-7.49 (m, 5H), 6.95 (s, IH), 6.64 (dd, J = 9.3, 1.9, IH), 6.46 (dd, J = 11.7, 1.9, IH), 5.08 (s, 2H), 3.92 (t, J =7.2, 2H), 3.52-3.57 (m, 2H), 3.12-3.20 (m, 2H), 3.0 (s, 6H), 1.79 (m, 2H), 0.92 (t, J =7.2, 3H). Mass spectrum: m/z 355 (M+l).
Step Two: 3 -(2-Dimethylaminoethyl)-6-fluoro-l -propyl- lH-in.dol-4-ol (Compound 34, O- 4285).
Following the procedure used for the preparation of compound 15, compound 26 (106 mg, 0.30 mmol) gave compound 34 (62 mg) as a beige solid. Yield: 78%. Melting point 104-106 °C. 1H NMR (300 MHz, CDCl3): 6.68 (s, IH), 6.46 (dd, J = 9.6, 2.1, IH), 6.30 (dd, J = 11.4, 2.1, IH), 3.87 (t, J =7.2, 2H), 2.82-2.90 (m, 2H), 2.64-2.70 (m, 2H), 2.38 (s, 6H), 1.78 (m, 2H), 0.92 (t, J = 7.5, 3H). Mass spectrum: m/z 265 (M+l). Analysis calculated for C15H21FN2O: C, 68.16; H, 8.01; N, 10.60; found: C, 67.99; H, 8.02; N, 10.43.
Example 16
3-(2-DimethylaminoethylV6-fluoro-l-butγl-lH-indol-4-ol (Compound 35, 0-4286).
Step One: 3-(2-Dimethylaminoethyl)-4-benzyloxy-6-fluoro-l-bxityl-lH-indole, 27.
Following the procedure used to prepare compound 2, compound 23 (0.5 mmol), sodium hydride (1.50 mmol) and butyl iodide (0.75 mmol) gave compound 27 (112 mg). Yield: 61%. Melting point 86-89 °C. 1H NMR (300 MHz, CDCl3): 7.46-7.50 (m, 2H), 7.34- 7.41 (m, 3H), 6.73 (s, IH), 6.56 (dd, J = 9.3, 1.9, IH), 6.33 (dd, J = 11.7, 1.9, IH), 5.17 (s, 2H), 3.92 (q, J = 7.2, 2H), 2.92-2.98 (m, 2H), 2.54-2.60 (m, 2H), 2.14 (s, 6H), 1.72-1.78 (m, 2H), 0.93 (t, J = 7.2, 3H). Mass spectrum: m/z 369 (M+l).
Step Two: 3-(2-Dimethylaminoethyl)-6-fluoro-l-butyl-lH-indol-4-ol (Compound 35, O-
4286).
Following the same procedure used for the preparation of compound 15, compound
27 (100 mg, 0.27 mmol) gave compound 35 (60 mg) as a beige solid. Yield: 80%. Melting point 92-95 °C. 1H NMR (300 MHz, CDCl3): 6.68 (s, IH), 6.46 (dd, J = 9.3, 2.1, IH), 6.30 (dd, J = 11.7, 2.1, IH), 3.89 (t, J =7.2, 2H), 2.82-2.90 (m, 2H), 2.64-2.68 (m, 2H), 2.38 (s, 6H), 1.70-1.78 (m, 2H), 1.28-1.34 (m, 2H), 0.92 (t, J = 7.2, 3H) . Mass spectrum: m/z 279 (M+l). Analysis calculated for C16H23FN2O: C, 69.04; H, 8.33; N: 10.06; found: C, 68.81; H, 8.44; N, 9.89.
Example 17
3-(2-Dimethylaminoethyl)-6-fluoro-l-cvclopropylmethyl-lH-indol-4-ol (Compound 36, O-
4287). Step One: 3 -(2-Dimethylaminoethyl)-4-benzyloxy-6-fluoro- 1 -cyclopropylmethyl- 1 H-indole (Compound 28).
Following the procedure used to prepare compound 2, compound 23 (0.5 mmol), sodium hydride (1.50 mmol) and cyclopropylmethyl bromide (0.75 mmol) gave compound 28 (129 mg). Yield: 70%. Melting point: 121-123 °C. 1H NMR (300 MHz, CDCl3): 7.46-7.50 (m, 2H), 7.32-7.40 (m, 3H), 6.85 (s, IH), 6.62 (dd, J - 9.6, 1.9, IH), 6.34 (dd, J = 11.7, 1.9, IH), 5.18 (s, 2H), 3.80 (d, J = 6.9, 2H), 2.92-2.98 (m, 2H), 2.54-2.60 (m, 2H), 2.12 (s, 6H), 2.17-2.20 (m, 2H), 0.56-0.61 (m, 2H), 0.30-0.34 (m, 2H). Mass spectrum: m/z 367 (M+ 1).
Step Two: 3-(2~Dimethylaminoethyl)-6-fluoro-l -cyclopropylmethyl- lH-indol-4-ol (Compound 36, O-4287).
Following the procedure used for the preparation of compound 15, compound 28 (105 mg, 0.28 mmol) gave compound 36 (60 mg) as a beige solid. Yield: 76%. Melting point: 110- 112 °C. 1H NMR (300 MHz, CDCl3): 6.80 (s, IH), 6.48 (dd, J = 9.6, 2.1, IH), 6.31 (dd, J = 11.7, 2.1, IH), 3.77 (d, J =6.9, 2H), 2.82-2.90 (m, 2H), 2.64-2.70 (m, 2H), 2.36 (s, 6H), 1.22- 1.24 (m, IH), 0.58-0.62 (m, 2H), 0.31-0.34 (m, 2H). Mass spectrum: m/z 277 (M+l). Analysis calculated for C16H2iFN2O: C, 69.54; H, 7.66; N, 10.14; found: C, 69.48; H, 7.78; N, 9.93.
Example 18
3-(2-DimethylammoethylV6-fluoro-l-?.sOpropyl-lH-indol-4-ol (Compound 37, O-4310V
Step One: 3-(2-Dimethylammoethyl)-4-benzyloxy-6-fluoro-l-wσpropyl-lH-indole (Compound 29).
Following the procedure used to prepare compound 2, compound 23 (0.5 mmol), sodium hydride (1.50 mmol) and zsσpropyl iodide (0.75 mmol) gave compound 29 (128 mg) as a yellow oil. Yield: 72%. 1H NMR (300 MHz, CDCl3): 7.46-7.50 (m, 2H), 7.32-7.40 (m, 3H), 6.85 (s, IH), 6.62 (dd, J = 9.9, 1.9, IH), 6.34 (dd, J - 11.7, 1.9, IH), 5.14 (s, 2H), 4.40- 4.47 (m, IH), 2.92-2.98 (m, 2H), 2.54-2.60 (m, 2H), 2.12 (s, 6H), 1.46 (d, J = 6.6, 6H). Mass spectrum: m/z 355 (M+l). Step Two: 3-(2-Dimethylaminoethyl)-6-fluoro-l -z5opropyl-lH-indol-4-ol (Compound 37, O- 4310).
Following the procedure used to prepare compound 15, compound 29 (120 mg, 0.33 mmol) gave compound 37 (78 mg) as a beige foam. Yield: 86%. 1H NMR (300 MHz, CDCl3): 6.79 (s, IH), 6.52 (dd, J - 9.3, 2.1, IH), 6.30 (dd, J - 11.7, 2.1, IH), 4.38-4.44 (m, IH), 2.88-2.94 (m, 2H), 2.67-2.71 (m, 2H), 2.38 (s, 6H), 1.43 (d, J = 6.6, 6H). Mass spectrum: m/z 265 (M+l). Analysis calculated for C15H21FN2O: C, 68.16; H, 8.01; N, 10.60; found: C, 68.10; H, 8.11; N, 10.40.
Example 19
3-(2-DimethylaminoethvD-6-fluoro-l-methylsulfonyl-lH-indol-4-ol (Compound 38, O-4320)
Step One: 3-(2-Dimethylaminoethyl)-4-benzyloxy-6-fluoro-l-methylsulfonyl-lH-indole (Compound 30).
Following the procedure used to prepare compound 9, compound 23 (120 mg, 0.38 mmol), sodium hydride (0.8 mmol) and methanesulfonyl chloride (1.52 mmol) gave compound 30 (91 mg) as a foam. Yield: 61%. 1H NMR (300 MHz, CDCl3): 7.34-7.48 (m, 5H), 7.23 (dd, J = 11.4, 2.1, IH), 6.56 (dd, J = I 1.4, 2.1, IH), 5.15 (s, 2H), 3.11 (s, 2H), 3.11 (s, 3H), 2.92-2.98 (m, 2H), 2.54-2.60 (m, 2H), 2.14 (s, 6H). Mass spectrum: m/z 391 (M+l).
Step Two: 3-(2-Dimethylaminoethyl)-6-fiuoro-l-methylsulfonyl-lH-indol-4-ol (Compound 38, O-4320).
Following the procedure used to prepare compound 15, compound 30 (70 mg, 0.18 mmol) gave compound 38 (24 mg) as a beige solid. Yield: 45%. Melting point 184-186 °C. 1H NMR (300 MHz, CDCl3): 7.12 (dd, J = 9.3, 2.1, IH), 7.05 (s, IH), 6.50 (dd, J - 11.4, 2.1, IH), 3.06 (s, 3H), 2.88-2.93 (m, 2H), 2.72-2.78 (m, 2H), 2.38 (s, 6H). Mass spectrum: m/z 301 (M+l). Analysis calculated for C13H17FN2O3S 0.05 CH2Cl2: C, 51.47; H, 5.62; N, 9.20; found: C, 51.66; H, 5.79; N, 8.84. Example 20
3-(2-Dimethylaminoethyl)-6-fluoro-l-ethylsulfonyl-lH-indol-4-ol (Compound 39, O-4312)
Step One: 3-(2-Dimethylaminoethyl)-4-benzyloxy-6-fluoro-l-ethylsulfonyl-lH-indole (Compound 31).
Following the procedure used to prepare compound 9, compound 23 (130 mg, 0.42 mmol), sodium hydride (1.26 mmol) and ethanesulfonyl chloride (1.68 mmol) gave compound 31 (128 mg) as an oil. Yield: 77%. 1H NMR (300 MHz, CDCl3): 7.32-7.48 (m, 5H), 7.22 (dd, J= 9.3, 2.1, IH)3 6.54 (dd, J = 11.4, 2.1, IH), 5.14 (s, 2H), 3.24 (q, J = 7.5, 2H), 2.92-2.98 (m, 2H), 2.54-2.60 (m, 2H), 2. 14 (s, 6H), 1.21 (t, J = 7.5, 3H). Mass spectrum: m/z 405 (M+l).
Step Two: 3-(2-Dimethylaminoethyl)-6-fluoro-l-ethylsulfonyl-lH-indol-4-ol (Compound 39, O-4312).
Following the procedure used to prepare compound 15, compound 31 (110 mg, 0.27 mmol) gave compound 39 (56 mg) as a beige foam. Yield: 65%. 1H NMR (300 MHz, CDCl3): 7.08 (dd, J = 9.6, 2.1, IH), 7.05 (s, IH), 6.50 (dd, J = 11.4, 2.1, IH), 3.26 (q, J =7.2, 2H), 2.86-2.90 (m, 2H), 2.72-2.78 (m, 2H), 2.40 (s, 6H), 1.22 (t, J =7.5, 3H). Mass spectrum: m/z 315 (M+l). Analysis calculated for C14H19FN2O3S: C, 53.49; H, 6.09; N: 8.91; found: C, 53.31; H, 6.30; N, 8.71.
Example 21 Receptor Binding:
For initial screens, a 10 micromolar concentration of each compound (dissolved in 10% DMSO) was incubated with the appropriate receptor preparation and percent inhibition determined for duplicate determinations each performed in duplicate. Where >50% inhibition of specific binding was measured, Kj determinations were then measured by competition binding assays in which concentrations from 1 to 100,000 nM were incubated in duplicate. For each Kj value the data represent the mean +/- SD of computer-derived estimates for N = 4 separate determinations, as described (Rothman, R., Baumann, M., Savage, J., Rauser, L., McBride, A., Hufeisen, S., Roth, B. L. "Evidence for Possible Involvement of 5- HT2B Receptors in the Cardiac Valvulopathy Associated with Fenfluramine and other Serotonergic Medications" Circulation 2O00, 102, 2836; Roth, B. L., Shoham, M., Choudhary, M., Khan, N. "Identification of Conserved Aromatic Residues Essential for Agonist Binding and Second Messenger Production at 5-Hydroxytryptamine 2A Receptors" MoI. Pharmacol. 1997, 52, 259; Roth, B. L., Choudhary, M., Khan, N., Uluer, A. "High- affinity Agonist Binding is not Sufficient for Agonist Efficacy at 5-Hydroxytryptamine 2 A Receptors: Evidence in Favor of a Modified Ternary Complex Model" J. Pharmacol. Exp. Ther. 1997, 280, 576). The results are shown in Table 1.
Receptor binding (Kj) in nM. When the standard deviation is given N >3.
Table 1
Figure imgf000050_0001
Example 22
Functional Activity Assays:
Phosphoinositide hydrolysis assays were performed with stably (5-HT2A, 5-HT2c) or transiently (5-HT2B) expressed receptors plated in 24-well culture plates. Transfected cells were loaded with [ Hjinositol (15 Ci/mmol; 1 mCi/mL) overnight in inositol-free DMEM without serum. The next day, [ Hjinositol phosphate accumulation assays were performed in a modified Krebs-bicarbonate buffer. Kact (nmol/L) and percent Vmaχ (relative to 5-HT) values were calculated (Roth, B. L., Shoham, M., Choudhary, M., Khan, N. "Identification of Conserved Aromatic Residues Essential for Agonist Binding and Second Messenger Production at 5-Hydroxytryptamine 2A Receptors" MoI. Pharmacol. 1997, 52, 259; Roth, B. L., Choudhary, M., Khan, N., Uluer, A. "High-affinity Agonist Binding is not Sufficient for Agonist Efficacy at 5-Hydroxytryptamine 2A Receptors: Evidence in Favor of a Modified Ternary Complex Model" J. Pharmacol. Exp. Ther. 1997, 280, 576). The results ar~e shown in Table 2.
Functional Assay (EC50) in nML. Data represent mean EC50 values for activation of phospho-inositide hydrolysis in cells expressing human 5-HT2A, 5-HT2B or 5-HT2C-INI receptors, relative to serotonin at 100%. When the standard deviation is given, N >3.
Table 2
Figure imgf000051_0001
Example 23
Appetite Suppression Studies in Mice
Acute Assays
Mice were deprived of food, but not water, for 18 hours. They were then injected i.p _ with test compounds dissolved in 0.9% NaCl containing 1 mg per ml ascorbic acid for protection against oxidation. Each mouse was placed in an individual cage for 30 minutes and then presented with a small petri dish containing a gel made from gelatin, powdered milk and sucrose. The dish was weighed at zero time and at 15-minute intervals for the next hour in order to quantitate food consumption. Controls were injected with saline-ascorbic acid; ± fenfluramine was used as an active control. Control consumption generally ranged from 1.5 to 2.0 grams. The results are shown in Table 3.
Table 3
Figure imgf000052_0001
pValue <0.05 for compound versus saline control
Example 24 Chrome Assays
Mice were injected i p at intervals of 2 or 3 days and weighed repeatedly (6 or" 7 total injections). Controls were injected with salme Weighing and injection were earned oiit between 11 AM and 1 PM. The results are shown m Table 4.
Table 4
Figure imgf000053_0001
* pValue <0 05 for compound versus salme control
Example 25
Animal Model Studies for QCD
Serotonin produces an itch sensation when applied to the human skin and has been suggested to be involved in. pruritic diseases Further research demonstrates that an intraperitoneal (IP) injection of 5-HT into the rostral back of the mouse elicits scratching with the hmd paws, which is itcti-associated rather than a pain response (Kuraishi, Y , Nagasawa, T., Hayashi, K , Satoh, M "Scratching Behavior Induced by Pruntogenic but not Algesiogenic Agents m Mice" Eur J Pharmacol 1995, 275, 229) The 5-HT action is at least partly mediated by 5-HT2 receptors in the skin, as shown by blocking with specific antagonists (Yamaguchi, T., Nagasawa, T., Satoh, M., Kuraishi, Y. "Itch-associated Response Induced by Intradermal Serotonin Through 5-HT2 Receptors in Mice" Nenrosci. Res. 1999, 55, 77). The effect of test compounds on itch- associated scratching in the mice may indicate their action on 5-HT receptors, and a study was carried out as an animal model for OCD. The subjects were male Swiss-Webster mice, 4-6 weeks old, weighing 25-45 g. Mice were housed. 5 per cage, given free access to standard mouse food and water except during experiments, and maintained in a temperature-controlled room (70 0F). Serotonin and all test drags were made up with ascorbic acid to protect against oxidation. Two mice, one a control, the other experimental, were tested each time. Each mouse was separately placed into a plexiglas box.
Mice were injected subcutaneously between the shoulder blades with either 0.1 ml of serotonin, 0.4 mg per ml in 0.15 M saline plus ascorbic acid, 1 mg/ml, or compound 48-80 (the copolymer product of N~methyl-/>~methoxyphenethylarnine with formaldehyde), 1.0 mg/ml in saline plus ascorbic acid. Test compounds were injected i.p. 5 minutes before the inducer. The cumulative number of scratches with a hind leg was recorded at 5 minute intervals for 30 minutes. One saline injected control and one test animal were tested together in each assay. The results are shown in Table 5.
Table 5
Figure imgf000055_0001
The results demonstrate that the number of scratches was decreased when mice were treated with certain compounds of the invention, compared to control animals.
The disclosures of each and every patent, patent application and publication cited herein are hereby incorporated herein by reference in their entirety.
Although, the invention has been disclosed with reference to specific embodiments, it is apparent that other embodiments and variations of the Invention may be devised by others skilled in the art without departing from the true spirit and scope of the invention. The claims are intended to be construed to include all such embodiments and equivalent variations.

Claims

What is claimed is:
1. A compound represented by the structural formula:
Figure imgf000057_0001
wherein
A is C1-C4 alkylene, C2-C4 alkenylene, or C2 -C4 alkynylene;
R1 and R2 are, independently for each occurrence, H, C1-C8 alkyl, C2-C8 alkenyl, or C2-C8 alkynyl;
R3 is hydrogen, C1-C8 alkyl, C2-C8 alkenyl, or C2-C8 alkynyl, optionally substituted with 1-3 substitutents selected from the group consisting of halogen, cyano, hydroxy, C1-C8 alkoxyl, -SH, C1-C8 thioalkyl, amino, C1-C8 alkylamino, di(C]-C8 alkyl)amino, C1-C8 alkylsulfonyl, formyl, and COOH; or R3 is selected from the group consisting of halogen, C1- C8 alkylsulfonyl, formyl, COOH, hydroxy, C1-C8 alkoxyl, -SH, C1-C8 thioalkyl, amino, C1-C8 alkylamino, and di(C1-C8 alkyl)amino;
R4 is Ci-C8 alkyl, C2-C8 alkenyl, or C2-Cg alkynyl, optionally substituted with 1-3 substitutents selected from the group consisting of halogen, cyano, hydroxy, C1-C8 alkoxyl, -SH, Ci-C8 thioalkyl, amino, Ci-C8 alkylamino, di(Ci-C8 alkyl)amino, Ci-C8 alkylsulfonyl, formyl, and COOH; or R4 is selected from the group consisting Of Ci-C8 alkylsulfonyl, formyl, hydroxy, Ci-C8 alkoxyl, -SH, Ci-C8 thioalkyl, amino, Ci-Cg alkylamino, and di(Ci-C8 alkyl)amino;
R5 represents 1 - 3 substituents selected from the group consisting of Ci-C8 alkyl, C2-C8 alkenyl, and C2-Cg alkynyl, each optionally substituted with 1-3 substitutents selected from the group consisting of halogen, cyano, hydroxy, C1-Cg alkoxyl, -SH, Cj-C8 thioalkyl, amino,
C1-C8 alkylamino, and di(Ci-C8 alkyl)amino; or
R5 represents 1 — 3 substituents selected from the group consisting of halogen, C1-C8 alkylsulfonyl, formyl, COOH, hydroxy, C1-C8 alkoxyl,
-SH, Ci-C8 thioalkyl, amino, C1-C8 alkylamino, and di(C1-C8 alkyl)amino;
R6 is OP(O)(OH)2, OH, OC(O)R7, OSO2OH, or SO2NH2;
R7 is Cj-C8 alkyl or phenyl; or a pharmaceutically acceptable salt, solvate, ester, or pro-drug thereof.
2. A compound represented by the structural formula:
Figure imgf000058_0001
wherein
A is C1-C4 alkylene, C2-C4 alkenylene, or C2-C4 alkynylene;
X = S, SO, SO2, or O;
R1 and R2 are, independently for each occurrence, H, C1-C8 alkyl, C2-C8 alkenyl, or C2-C8 alkynyl;
R3 is hydrogen, C1-C8 alkyl, C2-C8 alkenyl, or C2-C8 alkynyl, optionally substituted with 1-3 substitutents selected from the group consisting of halogen, cyano, hydroxy, C1-C8 alkoxyl, -SH, Ci-C8 thioalkyl, amino, C1-C8 alkylamino, di(Ci-C8 alkyl)amino, C1-C8 alkylsulfonyl, formyl, and COOH; or R3 is selected from the group consisting of halogen, C1- C8 alkylsulfonyl, formyl, COOH, hydroxy, Ci-C8 alkoxyl, -SH, C1-C8 thioalkyl, amino, CpC8 alkylamino, and di(Ci-C8 alkyl)amino;
R4 represents 1 - 3 substituents selected from the group consisting Of C1-C8 alkyl, C2-Cs alkenyl, and C2-C8 alkynyl, each optionally substituted with 1-3 substitutents selected from the group consisting of halogen, cyano, hydroxy, C1-C8 alkoxyl, -SH, C1-C8 thioalkyl, amino, Cj-Cs alkylamino, and di(Ci-C8 alkyl)amino; or
R4 represents 1 — 3 substituents selected from the group consisting of halogen, Ci-C8 alkylsulfonyl, foπnyl, COOH, hydroxy, C1-C8 alkoxyl, -SH, Ci- C8 thioalkyl, amino, C1-C8 alkylamino, and di(Q-C8 alkyl)amino;
R5 is OP(O)(OH)2, OH3 OC(O)R6, OSO2OH, or SO2NH2;
R6 is C1-C8 alkyl or phenyl; or a pharmaceutically acceptable salt, solvate, ester, or pro-drug thereof.
3. A method for the treatment of Obsessive Compulsive Disorder (OCD) in a subject, the method comprising administering to the subject a compomid of claim 1 or claim 2, such that OCD is treated.
4. A method for suppressing appetite in a subject, the method comprising administering to trie subject a compound of claim 1 or claim 2, such that appetite is suppressed in the subject.
5. A compound represented by the formula:
Figure imgf000059_0001
wherein R is Ci - C8 alkyl; or a pharmaceutically acceptable salt, solvate, ester, or pro-drug thereof.
6. The compound of claim 5, in which R is CH3 or CHaCH2CH2.
7. A method for the treatment of Obsessive Compulsive Disorder (OCD) in a subject, the method comprising administering to the subject a compound of claim 5, such that OCD is treated.
8. A method for suppressing appetite in a subject, the method comprising administering to the subject a compound of claim 5, such ttrat appetite is suppressed in the subject.
9. A compound represented by the formula:
Figure imgf000060_0001
wherein R is C1- C8 alkyl; or a pharmaceutically acceptable salt, solvate, ester, or pro- drug thereof.
10. The compound of claim 9, in which R is CH3 or CHC2CH2CH2.
11. A method for the treatment of Obsessive Compulsive Disorder (OCD) in a subject, the method comprising administering to the sαbject a compound of claim 9, such that OCD is treated.
12. A method for suppressing appetite in a subject, the method comprising administering to the subject a compound of claim 9, such tihat appetite is suppressed in the subject.
13. A method for the treatment of a central nervous system disorder in a subject, the method comprising administering to the subject a compound of any one of claims 1, 2, 5 and 9, such that the central nervous system disorder is treated.
14. The method of claim 13, wherein the central nervous system disorder is selected from the group consisting of epilepsy, Alzheimer's disease, sexual dysfunction, addiction, anorexia nervosa, Tourette's syndrome, and trichotillomania.
15. A method for the treatment of acral lick dermatitis (ALD) in a canine subject, the method comprising administering to the subject a compound of any one of claims 1, 2, 5 and 9, such that acral lick dermatitis is treated.
16. A method of increasing the activity of a serotonin receptor, the method comprising contacting a serotonin receptor with a compound of any one of claims 1, 2, 5 and 9.
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US7655691B2 (en) 2010-02-02
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