AU784848B2

AU784848B2 - Partially saturated calcium channel blockers

Info

Publication number: AU784848B2
Application number: AU24957/01A
Authority: AU
Inventors: Terrance P. Snutch
Original assignee: Neuromed Pharmaceuticals Ltd
Current assignee: Taro Pharmaceuticals Inc
Priority date: 1999-12-20
Filing date: 2000-12-20
Publication date: 2006-07-06
Anticipated expiration: 2020-12-20
Also published as: NO20022948D0; NO20022948L; EP1242398A2; WO2001046166A3; MXPA02006137A; AU2495701A; JP2003518107A; NO326939B1; CA2397681A1; WO2001046166A2; CA2397681C

Description

WO 01/46166 PCTICAOO/01558 -1- PARTIALLY SATURATED CALCIUM CHANNEL BLOCKERS Technical Field The invention relates to compounds useful in treating conditions associated with calcium channel function. More specifically, the invention concerns compounds containing benzhydril and 6-membered heterocyclic moieties that are useful in treatment of conditions such as stroke and pain.

Background Art Native calcium channels have been classified by their electrophysiological and pharmacological properties as T, L, N, P and Q types (for reviews see McCleskey, E.W. et al. Curr Topics Membr (1991) 39:295-326, and Dunlap, K. et al.

Trends Neurosci (1995) 18:89-98). T-type (or low voltage-activated) channels describe a broad class of molecules that transiently activate at negative potentials and are highly sensitive to changes in resting potential. The L, N, P and Q-type channels activate at more positive potentials (high voltage activated) and display diverse kinetics and voltage-dependent properties. There is some overlap in biophysical properties of the high voltage-activated channels, consequently pharmacological profiles are useful to further distinguish them. L-type channels are sensitive to dihydropyridine agonists and antagonists, N-type channels are blocked by the Conus geographus peptide toxin, w-conotoxin GVIA, and P-type channels are blocked by the peptide w-agatoxin IVA from the venom of the funnel web spider, Agelenopsis aperta. A fourth type of high voltage-activated calcium channel (Q-type) has been WO 01/46166 PCT/CA00/01558 -2described, although whether the Q- and P-type channels are distinct molecular entities is controversial (Sather, W.A. et al. Neuron (1995) 11:291-303; Stea, A. et al. Proc Natl Acad Sci USA (1994) 91:10576-10580; Bourinet, E. et al. Nature Neuroscience (1999) 2:407-415). Several types of calcium conductances do not fall neatly into any of the above categories and there is variability of properties even within a category suggesting that additional calcium channels subtypes remain to be classified.

Biochemical analyses show that neuronal high voltage activated calcium channels are heterooligomeric complexes consisting of three distinct subunits (Ca, a 2 8 and p) (reviewed by De Waard, M. et al. Ion Channels (1997) vol. 4, Narahashi, T.

ed. Plenum Press, NY). The al subunit is the major pore-forming subunit and contains the voltage sensor and binding sites for calcium channel antagonists. The mainly extracellular a 2 is disulfide-linked to the transmembrane 5 subunit and both are derived from the same gene and are proteolytically cleaved in vivo. The 0 subunit is a nonglycosylated, hydrophilic protein with a high affinity of binding to a cytoplasmic region of the al subunit. A fourth subunit, y, is unique to L-type calcium channels expressed in skeletal muscle T-tubules. The isolation and characterization of y-subunit-encoding cDNAs is described in U.S. Patent No. 5,386,025 which is incorporated herein by reference.

Recently, each of these ac subtypes has been cloned and expressed, thus permitting more extensive pharmacological studies. These channels have been designated alA-ail and als and correlated with the subtypes set forth above. aIA channels are of the P/Q type; alB represents N; alc, a'lD, cIF and als represent L; aIE represents a novel type of calcium conductance, and cIGO-CII represent members of the T-type family, reviewed in Stea, A. et al. in Handbook of Receptors and Channels (1994), North, R.A. ed. CRC Press; Perez-Reyes, et al. Nature (1998) 391:896-900; Cribbs, L.L. et al. Circulation Research (1998) 83:103-109; Lee, J.H. et al. Journal ofNeuroscience (1999) 19:1912-1921.

WO 01/46166 PCT/CA00/01558 -3- Further details concerning the function of N-type channels, which are synaptic channels, have been disclosed, for example, in U.S. Patent No. 5,623,051, the disclosure of which is incorporated herein by reference. As described, N-type channels possess a site for binding syntaxin, a protein anchored in the presynaptic membrane. Blocking this interaction also blocks the presynaptic response to calcium influx. Thus, compounds that block the interaction between syntaxin and this binding site would be useful in neural protection and analgesia. Such compounds have the added advantage of enhanced specificity for presynaptic calcium channel effects.

U.S. Patent No. 5,646,149 describes calcium channel antagonists of the formula A-Y-B wherein B contains a piperazine or piperidine ring directly linked to Y. An essential component of these molecules is represented by A, which must be an antioxidant; the piperazine or piperidine itself is said to be important. The exemplified compounds contain a benzhydril substituent, based on known calcium channel blockers (see below). U.S. Patent No. 5,703,071 discloses compounds said to be useful in treating ischemic diseases. A mandatory portion of the molecule is a tropolone residue; among the substituents permitted are piperazine derivatives, including their benzhydril derivatives. U.S. Patent No. 5,428,038 discloses compounds which are said to exert a neural protective and antiallergic effect. These compounds are coumarin derivatives which may include derivatives of piperazine and other six-membered heterocycles. A permitted substituent on the heterocycle is diphenylhydroxymethyl. Thus, approaches in the art for various indications which may involve calcium channel blocking activity have employed compounds which incidentally contain piperidine or piperazine moieties substituted with benzhydril but mandate additional substituents to maintain functionality.

Certain compounds containing both benzhydril moieties and piperidine or piperazine are known to be calcium channel antagonists and neuroleptic drugs. For example, Gould, R.J. et al. Proc Natl Acad Sci USA (1983) 80:5122-5125 describes antischizophrenic neuroleptic drugs such as lidoflazine, fluspirilene, pimozide, clopmozide, and penfluridol. It has also been shown that fluspirilene binds to sites on L-type calcium channels (King, V.K. et al. J Biol Chem (1989) 264:5633-5641) as well as blocking N-type calcium current (Grantham, C.J. et al. Brit J Pharmacol (1944) 111:483-488). In addition, Lomerizine, developed by Kanebo KK, is a known non-specific calcium channel blocker. A review of publications concerning Lomerizine is found in Dooley, Current Opinion in CPNS Investigational Drugs (1999) 1:116-125.

U.S. application 09/401,699 filed 23 September 1999 and incorporated herein by reference discloses benzhydril-substituted piperidines and piperazines which block calcium channels, especially N-type channels.

oThe present invention is based on the recognition that compounds comprising a six-membered heterocyclic ring containing at least one nitrogen coupled to two hydrophobic clusters (each cluster coupled optionally through a linker) provide calcium channel blocking activity. Thus these compounds are particularly useful for treating stroke and pain. By focusing on these moieties, compounds useful in treating indications associated with excessive calcium channel activity and combinatorial libraries that contain these compounds can be prepared.

Any discussion of documents, acts, materials, devices, articles or the like which has been included in the present specification is solely for the purpose of providing a context for the present invention. It is not to be taken as an admission that any or all of these matters form part of the prior art base or were common general knowledge in the field relevant to the present invention as it existed in Australia before the priority date of each claim of this application.

Disclosure of the Invention The invention relates to compounds useful in treating conditions such as stroke, migraine, chronic neuropathic and acute pain, epilepsy, hypertension, cardiac arrhythmias, and other indications associated with calcium metabolism, including synaptic calcium channel-mediated functions. The compounds of the invention are derivatives of piperidine or piperazine linked to hydrophobic substituents which enhance the calcium channel blocking activity. Thus, in one aspect, the invention is directed to therapeutic methods that employ compounds of the formulas WO 01/46166 PCTICAOO/01558 z-(x 2 )n-Ar (1a) or Z Z--(X 2 )-Cy (1b) wherein each Z is independently N or CH, but one Z must be N; wherein n' is 1 and n 2 is 0 or 1; X' and X 2 are linkers; Ar represents one or two substituted or unsubstituted aromatic or heteroaromatic rings, and Cy represents one or two substituted or unsubstituted aliphatic cyclic or heterocyclic rings, or consists of one substituted or unsubstituted aliphatic cyclic or heterocyclic ring and one substituted or unsubstituted aromatic or heteroaromatic ring; each of Ya and Yb is two substituted or unsubstituted aromatic or heteroaromatic rings, or can be two substituted or unsubstituted aliphatic cyclic or heterocyclic rings or consists of one substituted or unsubstituted aliphatic cyclic or heterocyclic ring and one substituted or unsubstituted aromatic or heteroaromatic ring; with the proviso that said rings cannot both be phenyl when both Ar includes a single phenyl ring and X' contains less than and with the proviso that formula b) must contain at least one aromatic or heteroaromatic ring; 1' is 0 or 1; R' is substituted or unsubstituted alkyl substituted or unsubstituted aryl (6-10C) or substituted or unsubstituted arylalkyl (7-16C) optionally containing 1-4 heteroatoms selected from the group consisting of halo, N, P, 0, and S or may independently be halo, OR, SR, NR 2 OOCR, NROCR, COR, COOR, CONR 2

CF

3 CN or NO 2 wherein R is H or alkyl Substituents included in Ya, Yb, Ar and Cy are also selected from the foregoing.

The invention is directed to methods to antagonize calcium channel activity using the compounds of formulas (la) or (Ib) and thus to treat associated conditions. It will be noted that the conditions may be associated with abnormal calcium channel activity, or the subject may have normal calcium channel function which nevertheless results in an undesirable physical or metabolic state that can be benefited by lowering calcium transport. In another aspect, the invention is directed to pharmaceutical compositions containing these compounds.

The invention is also directed to combinatorial libraries containing the compounds of formulas (la) or (Ib) and to methods to screen these libraries for members containing particularly potent calcium channel blocking activity including blocking activity for channels of a particular type.

o The present invention provides a method for treating stroke, head trauma, epilepsy, mood disorders, schizophrenia, depression, anxiety, hypertension, cardiac 20 arrhythmias, or chronic, neuropathic or acute pain in a subject in need of such treatment, comprising administering to the subject in need of such treatment a compound of the formula Y"-X Z' 2 -Ar (la) (I b nor or the salts thereof, wherein, each of Z' and Z 2 is independently N or CH, but one ofZ' and Z 2 must beN; wherein n is 0 or 1; X' is CH(CH 2 )1-o 1 or C=CH(CH 2 5 or CH(CH 2 )1-9CO;

X

2 is selected from the group consisting of (CH 2 1

-NH(CH

2 )1- 6

(CH

2 1 9

CO,

(CH

2 )o-5CH=CH-(CH 2 )0- 3

-CO(CH

2 1

(CH

2 1 -5CO(CH 2 )0- 3

(CH

2 1 -sNH(CH 2 )0- 3

(CH

2 )l-5CONH(CH 2 )0- 3 and (CH 2 5

NHCO(CH

2 )o0 3 and wherein X 2 accommodates two rings when Ar or Cy represents two rings; Ar represents one or two substituted or unsubstituted aromatic or heteroaromatic rings, and Cy represents one or two substituted our unsubstituted aliphatic cyclic or heterocyclic rings, or consists of one substituted or unsubstituted aliphatic cyclic or heterocyclic ring and one substituted or unsubstituted aromatic or heteroaromatic ring; Ya is two substituted or unsubstituted aliphatic cyclic or heterocyclic rings or consists of one substituted or unsubstituted aliphatic cyclic or heterocyclic ring and one substituted or unsubstituted aromatic or heteroaromatic ring; Yb is two substituted or unsubstituted aromatic or heteroaromatic rings, or can be two substituted or unsubstituted aliphatic cyclic or heterocyclic rings or consists of one substituted or unsubstituted aliphatic cyclic or heterocyclic ring and one substituted or unsubstituted aromatic or heteroaromatic ring; substituents present on Ya, Yb, Ar and Cy, if present, are selected from substituted or unsubstituted alkyl substituted or unsubstituted aryl (6-10C) or 20 substituted or unsubstituted arylalkyl (7-16C) optionally containing 1-4 heteroatoms selected from the group consisting of halo, N, P, 0, and S or may independently be halo, OR, SR, NR 2 OOCR, NROCR, COR, COOR, CONR 2

CF

3 CN or NO 2 wherein R is H or alkyl (1-6C); with the proviso that no member of the group consisting of Ya, Yb and Ar can 25 represent two phenyl rings; with the proviso that formula (lb) must contain at least one aromatic or heteroaromatic ring; 1' is 0 or 1; and R' is substituted or unsubstituted alkyl substituted or unsubstituted aryl 30 (6-10C) or substituted or unsubstituted arylalkyl (7-16C) optionally containing 1-4 heteroatoms selected from the group consisting of halo, N, P, O, and S or may independently be halo, OR', SR', NR' 2 OOCR', NR'OCR', COR', COOR', CONR' 2

CF

3 CN or NO 2 wherein R' is H or alkyl (1-6C).

The present invention also provides use of a compound of formula (la) or (Ib) to prepare a medicament for treating stroke, head trauma, epilepsy, mood disorders, schizophrenia, depression, anxiety, hypertension, cardiac arrhythmias, or chronic, 6b neuropathic or acute pain in a subject in need of such treatment, wherein said compound is of the formula Ya- X _z1 -X 2 -Ar (la) or Yb- .X 1 7-x -Cy (1b)

L

or salts thereof, wherein, each of Z and Z 2 is independently N or CH, but one of Z' and Z 2 must be N; wherein n is 0 or 1; X' is CH(CH 2

)I-

10 or C=CH(CH 2 or CH(CH 2 1 9

CO;

X

2 is selected from the group consisting of (CH 2

-NH(CH

2 )1- 6

(CH

2 )I-9CO, 20 (CH 2 )o.

5

CH=CH-(CH

2 )o- 3

-CO(CH

2 1

(CH

2 1 -5CO(CH 2 )0- 3

(CH

2 1 -5NH(CH 2 )0- 3

(CH

2 1 -5CONH(CH 2 )o0- 3 and (CH 2 )l-5NHCO(CH 2 )0- 3 and wherein X 2 accommodates two rings when Ar or Cy represents two rings; Ar represents one or two substituted or unsubstituted aromatic or heteroaromatic rings, and 25 Cy represents one or two substituted or unsubstituted aliphatic cyclic or heterocyclic rings, or consists of one substituted or unsubstituted aliphatic cyclic or heterocyclic ring and one substituted or unsubstituted aromatic or heteroaromatic ring; Ya and is two substituted or unsubstituted aliphatic cyclic or heterocyclic rings or consists of one substituted or unsubstituted aliphatic cyclic or heterocyclic ring and S 30 one substituted or unsubstituted aromatic or heteroaromatic ring; Yb is two substituted or unsubstituted aromatic or heteroaromatic rings, or can be two substituted or unsubstituted aliphatic cyclic or heterocyclic rings or consists of one substituted or unsubstituted aliphatic cyclic or heterocyclic ring and one substituted or unsubstituted aromatic or heteroaromatic ring; substituents present on Ya, Yb, Ar and Cy, if present, are selected from substituted or unsubstituted alkyl substituted or unsubstituted aryl (6-10C) or substituted or unsubstituted arylalkyl (7-16C) optionally containing 1-4 heteroatoms selected from the group consisting of halo, N, P, O, and S or may independently be halo, OR', SR', NR' 2 OOCR', NR'OCR', COR', COOR', CONR 2

CF

3 CN or NO 2 wherein R' is H or alkyl (1-6C); with the proviso that no member of the group consisting of Ya, Yb and Ar can represent two phenyl rings; with the proviso that formula (Ib) must contain at least one aromatic or heteroaromatic ring; i is 0 or 1; and R is substituted or unsubstituted alkyl substituted or unsubstituted aryl (6-10C) or substituted or unsubstituted arylalkyl (7-16C) optionally containing 1-4 heteroatoms selected from the group consisting of halo, N, P, O, and S or may independently be halo, OR', SR', NR' 2 OOCR', NR'OCR', COR', COOR', CONR' 2 CF3, CN or NO 2 wherein R' is H or alkyl (1-6C).

The present invention also provides a library comprising at least ten different compounds of the formula Z'1 e---2z -Ar (la) or Yb7- y (Ib) be N; X is CH(CH 2 1 r C=CH(CH 2 0 or CH(CH 2 1 9

CO;

X2 is selected from the group consisting of (CH 2 )1- 8

-NH(CH

2 1

CH-(CH

2 )0- 7

(CH

2 1 -9CO, (CH 2 )0-o.

5

CH=CH-(CH

2 0 3

-CO(CH

2

(CH

2 )1- 5

CO(CH

2 )0- 3

(CH

2 1 sNH(CH 2 )0- 3

(CH

2 1 5

CONH(CH

2 0 3 and (CH 2 )l- 5

NHCO(CH

2 )0- 3 and wherein X 2 accommodates two rings when Ar or Cy represents two rings; Ar represents one or twd substituted or unsubstituted aromatic or heteroaromatic rings, and rings, and 6d Cy represents one or two substituted or unsubstituted aliphatic cyclic or heterocyclic rings, or consists of one substituted or unsubstituted aliphatic cyclic or heterocyclic ring and one substituted or unsubstituted aromatic or heteroaromatic ring; Ya is two substituted or unsubstituted aliphatic cyclic or heterocyclic ring and one substituted or unsubstituted aromatic or heteroaromatic ring; Yb is two substituted or unsubstituted aromatic or heteroaromatic rings, or can be two substituted or unsubstituted aliphatic cyclic or heterocyclic rings or consists of one substituted or unsubstituted aliphatic cyclic or heterocyclic ring and one substituted or unsubstituted aromatic or heteroaromatic ring; substituents present on Ya, Yb, Ar and Cy, if present, are selected from substituted or unsubstituted alkyl substituted or unsubstituted aryl (6-10C) or substituted or unsubstituted arylalkyl (7-16C) optionally containing 1-4 heteroatoms selected from the group consisting of halo, N, P, O, and S or may independently be halo, OR', SR', NR' 2 OOCR', NR'OCR', COR', COOR', CONR' 2

CF

3 CN or NO 2 wherein R' is H or alkyl (1-6C); with the proviso that no member of the group consisting of Ya, Yb and Ar can represent two phenyl rings; with the proviso that formula (1b) must contain at least one aromatic or heteroaromatic ring; 20 1' is 0 or 1 and R' is substituted or unsubstituted alkyl substituted or unsubstituted aryl (6-10C) or substituted or unsubstituted arylalkyl (7-16C) optionally containing 1-4 heteroatoms selected from the group consisting of halo, N, P, 0, and S or may independently be halo, OR, SR, NR 2 OOCR, NROCR, COR, COOR, CONR 2

CF

3 25 CN or NO 2 wherein R is H or alkyl (1-6C).

*o The present invention further provides a pharmaceutical composition for use in treating stroke, head trauma, epilepsy, mood disorders, schizophrenia, depression, anxiety, hypertension, cardiac arrhythmias, or chronic, neuropathic or acute pain, which composition comprises in an admixture with a pharmaceutically acceptable excipient, a 30 dosage amount of a compound of the formula X-Zl (X2)(-Ar (1a) i or Yb- X (Ib) or the salts thereof, wherein each of Z' and Z 2 is independently N or CH, but one of Z' and Z 2 must be N; wherein n is 0 or 1; X' is CH(CH 2 ).lo or C=CH(CH 2 )o-5 or CH(CH 2 1 -9CO;

X

2 is selected from the group consisting of (CH 2 )1- 8

-NH(CH

2

)I-

6

(CH

2 )1- 9

CO,

(CH

2 )o-sCH=CH-(CH 2 )o.

3

-CO(CH

2

(CH

2 )i.

5

CO(CH

2 )o- 3

(CH

2

)I.

5

NH(CH

2 )o- 3

(CH

2 1 -5CONH(CH 2 and (CH 2 )l-5NHCO(CH 2 )o- 3 and wherein X 2 accommodates two rings when Ar Cy represents two rings; Ar represents one or two substituted or unsubstituted aromatic or heteroaromatic rings, and Cy represents one or two substituted or unsubstituted aliphatic cyclic or heterocyclic rings, or consists of one substituted or unsubstituted aliphatic cyclic or heterocyclic ring and one substituted or unsubstituted aromatic or heteroaromatic ring; Ya is two substituted or unsubstituted aliphatic cyclic or heterocyclic rings or consists of one substituted or unsubstituted aliphatic cyclic or heterocyclic ring and one substituted or unsubstituted aromatic or heteroaromatic ring; Yb is two substituted or unsubstituted aromatic or heteroaromatic rings, or can be two substituted or unsubstituted aliphatic cyclic or heterocyclic rings or consists of 20 one substituted or unsubstituted aliphatic cyclic or heterocyclic ring and one substituted or unsubstituted aromatic or heteroaromatic ring; substituents present on Ya, Yb, Ar and Cy, if present are selected from substituted or unsubstituted alkyl substituted or unsubstituted aryl (6-10C) or substituted or unsubstituted arylalkyl (7-16C) optionally containing 1-4 heteroatoms 25 selected from the group consisting of halo, N, P, O, and S or may independently be halo, OR', SR', NR' 2 OOCR', NR'OCR', COR', COOR', CONR' 2

CF

3 CN OR NO 2 wherein R' is H or alkyl (1-6C); with the proviso that no member of the group consisting of Ya, Yb and Ar can represent two phenyl rings; 30 with the proviso that formula (Ib) must contain at least one aromatic or heteroaromatic ring; i is 0 or 1; and R is substituted or unsubstituted alkyl substituted or unsubstituted aryl (6-10C) or substituted or unsubstituted arylalkyl (7-16C) optionally containing 1-4 heteroatoms selected from the group consisting of halo, N, P, O, and S or may independently be halo, OR', SR', NR' 2 OOCR', NR'OCR', COR', COOR', CONR' 2

CF

3 CN or NO 2 wherein R' is H or alkyl (1-6C).

Throughout this specification the word "comprise", or variations such as "comprises" or "comprising", will be understood to imply the inclusion of a stated element, integer or step, or group of elements, integers or steps, but not the exclusion of any other element, integer or step, or group of elements, integers or steps.

Modes of Carrying out the Invention The compounds of formulas (la) or useful in the methods of the invention, exert their desirable effects through their ability to antagonize the activity of calcium channels, including those which are synaptic in their activity. While the compounds of formulas (la) or (lb) generally have this activity, the availability of a multiplicity of calcium channel blockers permits a nuanced selection of compounds for particular disorders. Thus, the availability of this class of compounds provides not only a genus of general utility in indications that are affected by excessive calcium channel activity, but also provides a large number of compounds which can be mined and manipulated for specific interaction with particular forms of calcium *0 *oo WO 01/46166 PCT/CA00/01558 -7channels. The availability of recombinantly produced calcium channels of the aiA-aln and als types set forth above, facilitates this selection process. Dubel, S.J. et al. Proc NatlAcadSci USA (1992) 89:5058-5062; Fujita, Y. et al. Neuron (1993) 10:585-598; Mikami, A. et al. Nature (1989) 340:230-233; Mori, Y. et al. Nature (1991) 350:398- 402; Snutch, T.P. et al. Neuron (1991) 7:45-57; Soong, T.W. et al. Science (1993) 260:1133-1136; Tomlinson, W.J. et al. Neuropharmacology (1993) 32:1117-1126; Williams, M.E. et al. Neuron (1992) 8:71-84; Williams, M.E. et al. Science (1992) 257:389-395; Perez-Reyes, et al. Nature (1998) 391:896-900; Cribbs, L.L. et al.

Circulation Research (1998) 83:103-109; Lee, J.H. et al. Journal of Neuroscience (1999) 19:1912-1921.

Thus, while it is known that calcium channel activity is involved in a multiplicity of disorders, the types of channels associated with particular conditions is the subject of ongoing data collection. The association of N-type channels in conditions associated with neural transmission would indicate that compounds of the invention which target N-type receptors are most useful in these conditions. Most of the members of the genus of compounds of formulas (la) or (Ib) target N-type channels; other members of the genus may target other channels; many members of the genus target channels of several types.

There are two distinguishable types of calcium channel inhibition. The first, designated "open channel blockage," is conveniently demonstrated when displayed calcium channels are maintained at an artificially negative resting potential of about -100 mV (as distinguished from the typical endogenous resting maintained potential of about -70 mV). When the displayed channels are abruptly depolarized under these conditions, calcium ions are caused to flow through the channel and exhibit a peak current flow which then decays. Open channel blocking inhibitors diminish the current exhibited at the peak flow and can also accelerate the rate of current decay.

This type of inhibition is distinguished from a second type of block, referred to herein as "inactivation inhibition." When maintained at less negative resting WO 01/46166 PCT/CA00/01558 -8potentials, such as the physiologically important potential of-70 mV, a certain percentage of the channels may undergo conformational change, rendering them incapable of being activated opened by the abrupt depolarization. Thus, the peak current due to calcium ion flow will be diminished not because the open channel is blocked, but because some of the channels are unavailable for opening (inactivated). "Inactivation" type inhibitors increase the percentage of channels that are in an inactivated state.

Among the conditions associated in which blocking calcium transport would be of therapeutic value are stroke, head trauma, epilepsy, and chronic, neuropathic and acute pain. Calcium transport, especially that associated with N-type channels, is also implicated in other neurological disorders such as migraine, epilepsy, mood disorders, schizophrenia, and certain degenerative disorders. Other conditions that benefit from reduced calcium flux include depression, anxiety, and other psychoses.

Cardiovascular conditions benefited include hypertension and cardiac arrhythmias.

The availability of the libraries containing the compounds of formulas (1a) or (lb) also provides a source of compounds which may be screened for activity with regard to the various ion channels. The various types of ion channels are associated with conditions that are susceptible to treatment. Blockers of sodium channels, for example, are useful as local anesthetics, and in treating cardiac arrhythmias, as anticonvulsants, and in treating hyperkalemic periodic paralysis. Potassium channel blockers are useful in treating hypertension and cardiac arrhythmias; various other receptors are associated with psychoses, schizophrenia, depression, and apnea. Thus, the library of compounds of the invention is useful in standard screening techniques as a source of effective pharmaceutical compounds.

Synthesis The compounds of the invention may be synthesized using conventional methods. Illustrative of such methods are the following schemes.

WO 01/46166 PCT/CAOO/01558 -9- The piperazine derivatives of the invention are prepared conveniently by synthetic routes wherein one of the linkers, X' or X 2 is supplied as a carboxylic acid or carboxylic acid derivative and is coupled to piperazine already bound to the remaining substituent. Thus, in general, these compounds are prepared by Reaction Scheme 1 illustrated below for the embodiment wherein Ar is benzhydril and Ya(X')ni is depicted as R.

Scheme 1

R

N

EDC PhN H Ph N o PhPh N

P

h

NR

The intermediate amide product can be reduced as shown, if desired, using a suitable reducing agent. Preferably, the reducing agent is BH 3 ifR represents phenyl or benzyl, or is LAH ifR contains a ir-bond other than in an aromatic system, such as the instance wherein R is -CH 2 CH=CH(. Alternatively, the piperazine ring nitrogen shown coupled to R is protected with t-butyl carbonate (BOC) which can then be removed and replaced with a different substituent as shown in Reaction Scheme 2 and then reduced, for example, with BH 3 WO 01/46166 PCTICAOO/01558 Reaction Scheme 2 o N 1. 25% TFA Ph^^ Ph C N BOC 2. O

P

h N cI

O

3. BH 3 *0 Ph Ph N p h PPh In the foregoing reaction schemes, EDC represents ethyldicyclohexylcarbodiimide, LAH represents lithium aluminum hydride, TFA is trifluoroacetic acid.

Some of the desired carboxylates are commercially available including instances which include cyclic aliphatics. Where they are not, they can be prepared by a Wittig reaction and reduced as desired, as shown in Reaction Scheme 3, which illustrates preparation of the benzhydril embodiment using benzophenone. However, phenylcyclohexylketone or dicyclohexylketone can be substituted for benzophenone to obtain the corresponding embodiments wherein the substituent coupled to linker is symbolized by Cy in formula (Ib).

Reaction Scheme 3 0 BrOH 1. PPh 3 Ph OH 2. 2 equiv. LiHMDS Ph 3. PhCOPh 0

H/

2 I Pd-C SPhO Ph OH Ph OH Ph Ph WO 01/46166 PCT/CA00/01558 11 In this reaction scheme, LiHMDS represents lithium hexamethyl disilazide.

The reaction proceeds smoothly with benzophenone and phenylcyclohexylketone; use of dicyclohexylketone results in an aberrant molecular weight as measured by mass spectrometry, but nevertheless provides product.

The reagents in the above-referenced scheme may or may not contain substitutions on the aromatic or cyclic aliphatic moieties. For example, compounds in the bis-4-fluorophenyl butylidine series are commercially available and Reaction Scheme 4 illustrates the preparation of these compounds.

Reaction Scheme 4

F

HC HN N-R R

F

N

F

The compounds of the invention that are piperidine derivatives are prepared in an analogous manner, as shown in Reaction Scheme 5 using the illustration where Ar represents benzhydril.

WO 01/46166 PCT/CAOO/01558 -12- Reaction Scheme 0 H Ph oN PPh Ph

R

CHN .NH 1. H 2 N R 2. LAH O Ph Ph Ph As shown, the 4-piperidone is reacted with the corresponding carboxylic acid derivative of benzhydril and then subjected to reductive amination. R, then, represents Ya and may include a portion of the linker, which linker includes

CH

2

NH.

In general, the synthesis of the compounds of the invention is conventional and employs techniques generally known in the art.

The compounds of formulas (la) or (Ib) are defined as shown in terms of the embodiments of their various substituents: each Z is independently N or CH, but one Z must be N.

R' is alkyl (1-6C) aryl (6-10C) or arylalkyl (7-16C) optionally containing 1-4 heteroatoms selected from the group consisting of N, P, O, S, and halo. R' may also be the "substituents" halo, OR, SR, NR 2 OOCR, NROCR, COR, COOR, CONR 2

CF

3 CN or NO 2 wherein R is H or alkyl These "substituents" may also be present on the alkyl, aryl or arylalkyl moieties contained in Formulas la and Ib; aryl WO 01/46166 PCT/CAOO/01558 13groups may also contain alkyl substituents. Preferred embodiments ofR' include phenyl, phenylalkyl, F, CI, Br, I, CF3, OR, NR 2 and alkyl. Particularly preferred are F, OMe, NH 2 NMe 2 NHOAc, CONH 2 Br, COOEt, and COOMe, as well as methyl.

Preferably, however, 1' is 0.

As n 2 may be 0 or 1, X 2 may be present or not. X' and X 2 are suitable linkers containing 1-10C which may be saturated or unsaturated and may contain a ring. The linker may also contain one or two heteroatoms selected from N, O and S and may be substituted with the "substituents" listed above. Preferred embodiments ofX 2 include

-(CH

2 wherein a is 1-10, preferably 1-6, -(CH2)bCO-, where b is 1-9, and

-(CH

2 )cCH=CH, where c is 0-4. Also preferred for X 2 is -NH(CH 2 where d is 1-6, when the coupled Z is CH.

Thus, formulas (la) and (Ib) are similar, except that compounds of formula (la) contain more mandated aromatic substituents linked to the heterocyclic 6-membered ring and those of (1 b) contain more aliphatic cyclic or heterocyclic moieties. In each case, when X 2 is present, X 2 represents a linker which spaces the Ar or Cy moiety from Z preferably at a distance of 3-20A, and may contain at least one heteroatom which is nitrogen or oxygen. Included in such linkers are amines and carbonyl functionalities, including amides. The linker may also be unsaturated or may be an alkylene group. Typically, X 2 is (CH 2 1 -8 or -NH(CH 2 )i6- or (CH 2 )o.

5 or

-CH=CH-(CH

2 )o.

3 or -CO(CH 2 Similarly, X' spaces the Ya or Yb from the nitrogen of the heterocyclic ring at a distance of 3-20A.

In both cases, when linked to two aromatic or heterocyclic or other cyclic moieties, as is always the case for Ya and Yb, X' or X 2 must accommodate this and a typical embodiment is -(CH 2 )o-6-CH-CH(CH 2 )o-6CO, or -CH(CH 2 )o- 7 X' or X 2 may also contain a ir-bond, -(CH 2 )o.

5 CH=C, thus providing sufficient valence to couple two ring systems or C=CH(CH 2 In preferred forms of formulas (la) and X 2 is (CH 2 1 -8,

(CH

2 ))-5CO(CH 2 )o- 3

(CH

2 5

NH(CH

2 )0- 3

(CH

2 )0.

5

CONH(CH

2 )o- 3 WO 01/46166 PCT/CA00/01558 -14-

-(CH

2 )o-5CH=CH(CH 2 and (CH 2 15

NHCO(CH

2 0 3 with accommodation as required for two rings. Preferred for X' are CH(CH 2 ).l 1 0 and CH(CH2)-9CO.

It is believed that halogenation of the compounds of the invention is helpful in modulating the in vivo half-life, and it may be advantageous to include halogensubstituted rings in the compounds. Indeed, various substituents may thus be included. These substituents include alkyl aryl (6-10C) or arylalkyl (7-16C) optionally containing 1-4 heteroatoms selected from the group consisting of halo, N, P, O, and S or may be the "substituents" halo, OR, SR, NR 2 OOCR, NROCR, COR, COOR, CONR 2

CF

3 CN or NO 2 wherein R is H or alkyl These substituents may also be present on the alkyl, aryl or arylalkyl or other cyclic moieties; aryl or other cyclic moieties groups may also contain alkyl substituents.

Typical heteroaromatic moieties include pyridyl, pyrimidyl, quinolyl and the like. Typical aliphatic heterocycles include, for example, piperidinyl, piperazinyl, tetrahydrofuranyl, pyranyl, and the like. Preferred embodiments of Ya and Yb include two cyclohexyl residues or a cyclohexyl and a phenyl residue.

Thus, all of the foregoing aromatic, heteroaromatic, cyclic aliphatic, and heterocyclic aliphatic moieties may be substituted or unsubstituted. Typical "substituents" include halo, OR, SR, NR 2 OOCR, NROCR, COR, COOR, CONR 2

CF

3 CN or NO 2 wherein R is H or alkyl They may also be substituted by alkyl aryl (6-10C) or arylalkyl (7-16C) optionally containing 1-4 heteroatoms selected from the group consisting of halo, N, P, O, and S which may themselves contain "substituents." Aryl residues or other cyclic residues may also be substituted by alkyl.

Preferred substituents include halo, CF 3 OR, NR 2

COONR

2 COOR, and the like.

In the compounds of formula preferred embodiments of Ar include two phenyl moieties or a single phenyl moiety. In compounds of formula preferred WO 01/46166 PCT/CAOO/01558 embodiments of Cy include a single cyclohexyl, a cyclohexyl and phenyl moiety, or two cyclohexyl moieties.

In one set of preferred embodiments of Formula la Ya is two substituted or unsubstituted phenyl, X' is CH(CH 2 5 or CH(CH 2 4 CO, Z is N, and X 2 is CH 2 and n 2 is O or 1. In this embodiment, Ar is preferably an optionally substituted ring which is phenyl, pyrimidyl, especially 2-pyrimidyl or pyridyl, especially 2-pyridyl.

The invention compounds may also be supplied as pharmaceutically acceptable salts. Pharmaceutically acceptable salts include the acid addition salts which can be formed from inorganic acids such as hydrochloric, sulfuric, and phosphoric acid or from organic acids such as acetic, propionic, glutamic, glutaric, as well as acid ion-exchange resins. If the compounds contain carboxyl groups, the salts of the carboxyl groups may also be included, typical pharmaceutically acceptable salts are sodium, potassium, or calcium salts if appropriate, or salts with inorganic bases such as caffeine.

Utility and Administration For use as treatment of human and animal subjects, the compounds of the invention can be formulated as pharmaceutical or veterinary compositions.

Depending on the subject to be treated, the mode of administration, and the type of treatment desired prevention, prophylaxis, therapy; the compounds are formulated in ways consonant with these parameters. A summary of such techniques is found in Remington's Pharmaceutical Sciences, latest edition, Mack Publishing Co., Easton, PA, incorporated herein by reference.

In general, for use in treatment, the compounds of formulas (la) and (Ib) may be used alone, as mixtures of two or more compounds of formulas (la) and (lb) or in combination with other pharmaceuticals. Depending on the mode of administration, the compounds will be formulated into suitable compositions to permit facile delivery.

WO 01/46166 PCT/CA00/01558 -16- Formulations may be prepared in a manner suitable for systemic administration or topical or local administration. Systemic formulations include those designed for injection intramuscular, intravenous or subcutaneous injection) or may be prepared for transdermal, transmucosal, or oral administration.

The formulation will generally include a diluent as well as, in some cases, adjuvants, buffers, preservatives and the like. The compounds can be administered also in liposomal compositions or as microemulsions.

For injection, formulations can be prepared in conventional forms as liquid solutions or suspensions or as solid forms suitable for solution or suspension in liquid prior to injection or as emulsions. Suitable excipients include, for example, water, saline, dextrose, glycerol and the like. Such compositions may also contain amounts of nontoxic auxiliary substances such as wetting or emulsifying agents, pH buffering agents and the like, such as, for example, sodium acetate, sorbitan monolaurate, and so forth.

Various sustained release systems for drugs have also been devised. See, for example, U.S. Patent No. 5,624,677.

Systemic administration may also include relatively noninvasive methods such as the use of suppositories, transdermal patches, transmucosal delivery and intranasal administration. Oral administration is also suitable for compounds of the invention. Suitable forms include syrups, capsules, tablets, as in understood in the art.

For administration to animal or human subjects, the dosage of the compounds of the invention is typically 0.1-15 mg/kg, preferably 0.1-1 mg/kg. However, dosage levels are highly dependent on the nature of the condition, the condition of the patient, the judgment of the practitioner, and the frequency and mode of administration.

WO 01/46166 PCT/CA0O/0155 8 -17- Screening Methods The compounds of the invention can be synthesized individually using methods known in the art per se, or as members of a combinatorial library. In general, Ya or Yb is coupled, along with any linking moiety, to the nitrogen of the piperazine or piperidine ring. This ring itself is generally appropriately substituted with (X 2 )n-Ar or (X 2 prior to this coupling. Typically, or Yb(X')n is supplied containing a suitable electron-withdrawing leaving group, thus effecting the coupling to the ring nitrogen.

Synthesis of combinatorial libraries is now commonplace in the art. Suitable descriptions of such syntheses are found, for example, in Wentworth, Jr., P. et al.

Current Opinion in Biol (1993) 9:109-115; Salemme, F.R. et al. Structure (1997) 5:319-324. The libraries contain compounds with various embodiments of X,

X

2 Ar, Cy, Y and Z, along with appropriate substituents. These libraries, which contain, as few as 10, but typically several hundred members to several thousand members, may then be screened for compounds which are particularly effective against a specific subtype of calcium channel. In addition, using standard screening protocols, the libraries may be screened for compounds which block additional channels such as sodium channels, potassium channels and the like.

Methods of performing these screening functions are well known in the art.

Typically, the channel to be targeted is expressed at the surface of a recombinant host cell such as human embryonic kidney cells. The ability of the members of the library to bind the channel is measured, for example, by the ability of the compound in the library to displace a labeled binding ligand such as the ligand normally associated with the channel or an antibody to the channel. More typically, ability to antagonize the channel is measured in the presence of the appropriate agonist and the ability of the compound to interfere with the signal generated is measured using standard techniques.

WO 01/46166 PCT/CAOO/01558 18- In more detail, one method involves the binding of radiolabeled agents that interact with the calcium channel and subsequent analysis of equilibrium binding measurements including, but not limited to, on rates, off rates, Kd values and competitive binding by other molecules. Another method involves the screening for the effects of compounds by electrophysiological assay whereby individual cells are impaled with a microelectrode and currents through the calcium channel are recorded before and after application of the compound of interest. Another method, highthroughput spectrophotometric assay, utilizes loading of the cell lines with a fluorescent dye sensitive to intracellular calcium concentration and subsequent examination of the effects of compounds on the ability of depolarization by potassium chloride or other means to alter intracellular calcium levels.

The following examples are intended to illustrate but not to limit the invention.

Example 1 Assay of N-Type Calcium Channel Blocking Activity Antagonist activity was measured using whole cell patch recordings on human embryonic kidney cells either stably or transiently expressing rat aIl+a2b+ Ib channels with 5 mM barium as a charge carrier.

For transient expression, host cells, such as human embryonic kidney cells, HEK 293 (ATCC# CRL 1573) are grown in standard DMEM medium supplemented with 2 mM glutamine and 10% fetal bovine serum. HEK 293 cells are transfected by a standard calcium-phosphate-DNA coprecipitation method using the rat aB P b a28 N-type calcium channel subunits in a vertebrate expression vector (for example, see Current Protocols in Molecular Biology).

After an incubation period of from 24 to 72 hrs the culture medium is removed and replaced with external recording solution (see below). Whole cell patch WO 01/46166 PCT/CA0O/01558 -19clamp experiments are performed using an Axopatch 200B amplifier (Axon Instruments, Burlingame, CA) linked to an IBM compatible personal computer equipped with pCLAMP software. Borosilicate glass patch pipettes (Sutter Instrument Co., Novato, CA) were polished (Microforge, Narishige, Japan) to a resistance of about 4 MI when filled with cesium methanesulfonate internal solution (composition in MM: 109 CsCH 3

SO

4 4 MgCl 2 9 EGTA, 9 HEPES, pH Cells were bathed in 5 mM Ba (in mM: 5 BaC12, 1 MgCl 2 10 HEPES, tetraethylammonium chloride, 10 glucose, 87.5 CsCI pH Current data shown were elicited by a train of 100 ms test pulses at 0.066 Hz from -100 mV and/or mV to various potentials (min. -20 mV, max. +30 mV). Drugs were perfused directly into the vicinity of the cells using a microperfusion system.

Normalized dose-response curves were fit (Sigmaplot 4.0, SPSS Inc., Chicago, IL) by the Hill equation to determine IC 50 values. Steady-state inactivation curves were plotted as the normalized test pulse amplitude following 5 s inactivating prepulses at +10 mV increments. Inactivation curves were fit (Sigmaplot 4.0) with the Boltzman equation, Ipeak (normalized)=l/( +exp((V-Vh)z/25.6)), where V and Vh are the conditioning and half inactivation potentials, respectively, and z is the slope factor.

Example 2 Synthesis of Illustrative Compounds of Formula (la) A. Preparation of ArX 2 Ph PPh 3

CH

3 CN Ph, I 1. LiHMDS /THF -780C B OH reflux Ph OH 2. -78C tort 3. PhCOPh 0 0 Ph Phy hOH P4 OH Ph Ph WO 01/46166 PCT/CA00/01558 6-Bromohexanoic acid (7.08 g, 36.3 mM) and triphenylphosphine (10 g, 38.2 mM) was mixed in dry CH 3 CN (40 ml). The reaction mixture was heated to reflux overnight and allowed to cool to RT. The solution was concentrated under reduced pressure to give a viscous gel. Approximately 75 ml of THF was added to the reaction mixture and the walls of the flask were scratched with a spatula to start crystallization. The resulting solid was filtered under vacuum, washed with THF and dried under reduced pressure and used without further purification. The product from the above reaction (1.5 g) was suspended in dry THF and the flask purged with N 2 and cooled to -78 0 C. To the stirred reaction was added lithium hexamethyldisilazide (LiHMDS) (10 ml, 1 M in THF). The yellow solution was stirred at -78 0 C for lh over which time the reaction darkened slightly. The cooling bath was removed and the reaction allowed to warm to RT. The reaction was kept at RT for I h during which time the solution turned a dark red color and most of the solids went into solution. Benzophenone (0.54 g in 3 ml THF) was added to the reaction and allowed to react overnight. The yellow solution was concentrated under reduced pressure to give a yellow solid. The resulting solid was partitioned between ether and 10% HCI.

The organic layer was washed with water (2x) and extracted with 10% NaOH (3x).

The combined aqueous base fractions were acidified with cone. HCI to a pH of 4.

The water layer was extracted with ether (3x) and the combined organic fractions dried over Na 2

SO

4 The ether was evaporated to dryness under reduced pressure to give a colorless oil that crystallized on standing to give a waxy solid. NMR and MS showed this material was clean enough to continue without further purification.

The alkene was dissolved in 30 ml MeOH and mixed with 5% Pd-C and placed in a Parr hydrogenator. The reaction vessel was purged with hydrogen and pressurized to 60 PSIG and reacted at RT for 5h. The reaction mixture was sampled and analyzed by TLC. If the TLC when stained with KMnO 4 showed a positive test for alkenes, the reaction mixture was resubjected to the reaction conditions. After the WO 01/46166 PCT/CAO0/01558 -21 reaction was done the solution was filtered through a plug of celite and the methanol filtrate was concentrated under vacuum.

B. Conversion to Formula a) P1 4 OH HN N-R Ph N Ph OH V n Ph N R=Y.(XI)n 1

I

N,

R

Ph O Ph fh'/ ffL, R

PLAIH

4 Ph N Ph1 N R

R

6,6-Diphenylhexanoic acid (0.4 mM) was mixed with the desired N-substituted piperazine (0.35 mM) in dry THF (7 ml). To each was added EDC mM) and DMAP (cat) and the mixture heated to 400C with shaking overnight. The reactions were diluted with ethyl acetate and washed with water (4x) and 10% NaOH (3x) and dried over sodium sulphate and evaporated to dryness. The resulting residue was purified by column chromatography (silica gel, 1:1 hexane:EtOAc). The amide products were characterized by HPLC-MS.

the amides resulting from were dissolved in dry THF (5 ml) and reacted with LiAlH4 (1 M in THF) and allowed to react for 6h. The reactions were quenched with EtOAc (15 ml) and extracted with water (5x) 10% NaOH (10x), brine dried over sodium sulphate and concentrated under reduced pressure. Most of the products at this stage were >80% pure. Those <80% were purified for running a short column (silica gel, 1:1 hex:EtOAc).

Similarly, the corresponding w,w-diphenyl heptanoic, pentanoic, butanoic, propanoic, and acetic acids were mixed with the desired N-substituted piperazine and carried through the reactions scheme shown above to provide the corresponding products.

WO 01/46166 PCT/CA00/01558 -22- C. Formula (la) Through a BOC Intermediate The reaction set forth in paragraph B(1) above was carried out using BOCsubstituted piperazine to obtain the corresponding amide which was then converted to compounds analogous to those of formula (la) as shown below: Ph N'BOC

O

0 o Ph NBC Ph NP Ph Y Ph 0 The substituted BOC piperazine (65 mg, 0.15 mM) was dissolved in TFA in CH 2 C2, 3 ml) in a dry 20 ml vial. The vial was loosely capped to allow for the release of CO 2 The mixture was allowed to react for Ih then concentrated under vacuum. The residue was sampled for MS and showed the molecular ion for the free amine. The residue was redissolved in THF and reacted with cyclohexanecarbonyl chloride (46 mg, 42 Al, 0.31 mM) and DIEA (57 mg, 77.7 and stirred at RT for 2h. The reaction mixture was diluted with EtOAc and extracted with water NaOH 10% HCI brine (lx) and dried over sodium sulphate. The product was generally clean enough after work up but could be further purified via column (silica gel, 1:1 hex:EtOAc). The procedure for phenylacetyl chloride was the same as for the above.

WO 01/46166 PCT/CA00/0155 8 -23- D. Formula (1a) Alternative Synthesis 0 Ph F\ R ,CI Ph LAIH 4

P

N h. Y /IN N N N-- P p THF Ph R\ N-(Diphenylmethyl)piperazine (0.5 mM) was dissolved in dry THF (10 ml).

To each reaction flask was added powdered K 2 CO3 and the corresponding acid chloride (Ya coupled to X' which includes CO) (0.7 mM). The reactions were stirred at RT for 2h and quenched with 105 NaOH (10 ml) and extracted with EtOAc ml). The organic layer was washed with 10% NaOH (4x) and dried over sodium sulphate. The solutions were concentrated and purified by column chromatography (silica gel, 1:1 hex:EtOAc) to give the desired amides.

The above amides were dissolved in dry THF (5 ml) and reacted with LiAIH 4 (1M in THF) and allowed to react for 6h. The reactions were quenched with EtOAc ml) and extracted with water (5x) 10% NaOH (1Ox), brine dried over sodium sulphate and concentrated under reduced pressure. Most of the products at this stage were >80% pure. Those <80% were purified by running a short column (silica gel, 1:1 hex:EtOAc).

WO 01/46166 PCT/CAOO/01 558 -24- E. Formula (la) Alternative Synthesis CI HN N-R R=Yo(X'),

F

SN^

OR

F

The reagents 1,1'-bis(4-fluorobenzene)-4-chlorobutlidine (1.198 g, 1 ml, 4.25 mM) and the desired substituent piperazine (4.87 mM) was dissolved in dry THF. To each reaction was added -1 g of powdered K 2 CO3 and the reaction stirred at RT overnight. The reaction mixture was diluted with EtOAc and extracted with water 10% NaOH brine (Ix) and dried over sodium sulphate. The reaction mixtures were then concentrated under reduced pressure and the residue purified via column chromatography.

Example 3 Channel Blocking Activities of Various Invention Compounds Using the procedure set forth in Example 1, various compounds of the invention were tested for their ability to block N-type calcium channels. The results are shown in Tables 1 and 2, where IC 5 0 is given in ItM (micromolar). In all cases, 1' is 0, both Z are N, both n' and n 2 are 1.

WO 01/46166 WO 0146166PCTI/CAOOOI 558 Table I Formula (I both Z are N; 11 Is 0; n' and n 2 are I 1X 2 Ar lCSO c-hex CHCH 2 CH, (1 ±5 0, c-hex CHCO CH 2 CH=CH 0±5 48 c-hex CHCH 2

CH

2 CH=CH 0±5 0P, c-hex CH(CH 2 4 C0 'CH 2 CH=CH 03.9 c-hex CH(CH 2 5 C0 CH 2 CH=CH 012.2 0 c-hex CHCO CH 2 -1-20 c-hex, c-hex CHCO CH 2 014.2 c-hex, c-hex CHCO CH 2 CH=CH 05.9 47 c-hex, c-hex CHCH 2

CH

2 CH=CH 010.2 13 0, c-hex CH(CH 2 5

CH

2 CH=CH 0P 3.2 11 0P, c-hex CH(CH 2 5

CH

2 CH=CH 0) 5.9 0 4P, c-hex CH(CH 2 5

(CH

2 2 0P 3.1 14 0p, c-hex CHCH 2

CH

2 CH=CH 0 10.6 Example 4 Distinguishing Inactivation A. Transformation of HEK cells: N-type calcium channel blocking activity is assayed in human embryonic kidney cells, 1{EK 293, stably transfected with the rat brain N-type calcium channel subunits (aia C42 +01 clDNA subunits). Alternatively, N-type calcium channels (alB Pa6 +0 3 1b cDNA subunits), L-type channels (aic 26 A 3 b cDNA subunits) and P/Q-type channels (il A ON +03Ib cDNA subunits) are transiently expressed in HEK 293 cells. Briefly, cells are cultured in Dulbecco's modified eagle medium (DMEM) supplemented with 10% fetal bovine serum, 200 U/ml penicillin and 0.2 mg/mI streptomycin at 37*C with 5% C0 2 At 85% confluency cells are split with 0.25% WO 01/46166 PCT/CA00/01 58 -26trypsin/1 mM EDTA and plated at 10% confluency on glass coverslips. At 12 hours the medium is replaced and the cells transiently transfected using a standard calcium phosphate protocol and the appropriate calcium channel cDNAs. Fresh DMEM is supplied and the cells transferred to 28 0 C/5% CO 2 Cells are incubated for 1 to 2 days to whole cell recording.

B. Measurement of Inhibition: Whole cell patch clamp experiments are performed using an Axopatch 200B amplifier (Axon Instruments, Burlingame, CA) linked to a personal computer equipped with pCLAMP software. The external and internal recording solutions contain, respectively, 5 mM BaCI 2 1 mM MgCI 2 10 mM HEPES, 40 mM TEACI, mM glucose, 87.5 mM CsCl (pH 7.2) and 108 mM CsMS, 4 mM MgC 2 9 mM EGTA, 9 mM HEPES (pH Currents are typically elicited from a holding potential of-80 mV to +10 mV using Clampex software (Axon Instruments).

Typically, currents are first elicited with low frequency stimulation (0.03 Hz) and allowed to stabilize prior to application of the compounds. The compounds are then applied during the low frequency pulse trains for two to three minutes to assess tonic block, and subsequently the pulse frequency is increased to 0.2 Hz to assess frequency dependent block. Data are analyzed using Clampfit (Axon Instruments) and SigmaPlot 4.0 (Jandel Scientific).

Claims

1. A method for treating stroke, head trauma, epilepsy, mood disorders, schizophrenia, depression, anxiety, hypertension, cardiac arrhythmias, or chronic, neuropathic or acute pain in a subject in need of such treatment, comprising administering to the subject in need of such treatment a compound of the formula Ya-- z 1 (la) or X (1b) or the salts thereof, wherein, each ofZ' and Z 2 is independently N or CH, but one ofZ' and Z 2 must be N; wherein n is 0 or 1; 20 X' is CH(CH 2 1 1 o or C=CH(CH 2 )0- 5 or CH(CH 2 )i. 9 CO; X 2 is selected from the group consisting of (CH 2 8 -NH(CH 2 6 (CH 2 )1- 9 CO, (CH 2 )o-5CH=CH-(CH 2 -CO(CH 2 (CH 2 )-5CO(CH 2 (CH 2 )i-5NH(CH 2 0 3 (CH 2 1 -5CONH(CH 2 and (CH 2 )1-5NHCO(CH 2 )o. 3 and wherein X 2 accommodates two rings when Ar or Cy represents two rings; 25 Ar represents one or two substituted or unsubstituted aromatic or heteroaromatic rings, and Cy represents one or two substituted our unsubstituted aliphatic cyclic or heterocyclic rings, or consists of one substituted or unsubstituted aliphatic cyclic or heterocyclic ring and one substituted or unsubstituted aromatic or heteroaromatic ring; 30 Ya is two substituted or unsubstituted aliphatic cyclic or heterocyclic rings or consists of one substituted or unsubstituted aliphatic cyclic or heterocyclic ring and one substituted or unsubstituted aromatic or heteroaromatic ring; Yb is two substituted or unsubstituted aromatic or heteroaromatic rings, or can be two substituted or unsubstituted aliphatic cyclic or heterocyclic rings or consists of one substituted or unsubstituted aliphatic cyclic or heterocyclic ring and one substituted or unsubstituted aromatic or heteroaromatic ring; substituents present on Ya, Yb, Ar and Cy, if present, are selected from substituted or unsubstituted alkyl substituted or unsubstituted aryl (6-10C) or substituted or unsubstituted arylalkyl (7-16C) optionally containing 1-4 heteroatoms selected from the group consisting of halo, N, P, O, and S or may independently be halo, OR', SR', NR' 2 OOCR', NR'OCR', COR', COOR', CONR' 2 CF 3 CN or NO 2 wherein R' is H or alkyl (1-6C); with the proviso that no member of the group consisting of Ya, Yb and Ar can represent two phenyl rings; with the proviso that formula (1b) must contain at least one aromatic or heteroaromatic ring; i is 0 or 1; and R is substituted or unsubstituted alkyl substituted or unsubstituted aryl (6-10C) or substituted or unsubstituted arylalkyl (7-16C) optionally containing 1-4 heteroatoms selected from the group consisting of halo, N, P, 0, and S or may independently be halo, OR', SR', NR' 2 OOCR', NR'OCR', COR', COOR', CONR' 2 CF 3 CN or NO 2 wherein R' is H or alkyl (1-6C). S*

2. The method of claim 1 wherein, i is 0, Z' is N, and Z 2 is N. S 20 3. The method of claim 1, wherein i is 0, Z' is N, and Z 2 is CH. 0e0

4. The method of any of claims 1-3, wherein Ya of formula (la) or Yb of formula 0* (Ib) comprises two cyclohexyl rings or one cyclohexyl ring and one phenyl ring. 25 5. The method of any of claims 1-4, wherein the compound is of formula (l a) and Ar represents one unsubstituted phenyl moiety and wherein n is 1. 0:00

6. The method of claim 5, wherein X 2 represents -(CH 2 )1- 8 -(CH 2 0 00.- (CH 2 )0- 3 or -NH(CH 2 16

7. The method of any of claims 1-4, wherein the compound is of formula (lb) and Cy represents one or two unsubstituted cyclohexyl moieties or an unsubstituted cyclohexyl moiety and an unsubstituted phenyl moiety, and wherein n isl. 29

8. The method of claim 7 wherein, Cy is a cyclohexyl moiety, and X 2 represents (CH 2 1 8 -(CH 2 5 -CH=CH-(CH 2 )0. 3 or -NH(CH 2 1 or wherein Cy represents two cyclohexyl moieties or a cyclohexyl moiety and a phenyl moiety and X 2 is (CH 2

9. The method of any of claims 1-8, wherein X' is CH(CH 2 1 1 0 or CH(CH 2 1 9 CO. The method of any of claims 1-9, wherein X' is CH(CH 2 5 or CH(CH 2 4 CO.

11. Use of a compound of formula (l a) or b) to prepare a medicament for treating stroke, head trauma, epilepsy, mood disorders, schizophrenia, depression, anxiety, hypertension, cardiac arrhythmias, or chronic, neuropathic or acute pain in a subject in need of such treatment, wherein said compound is of the formula XI e) -A (1a) or or or salts thereof, wherein, each of Z' and Z2 is independently N or CH, but one of Z' and Z2 must be N; wherein n is 0 or 1; i X' is CH(CH 2 1 -l 10 or C=CH(CH 2 )0- 5 or CH(CH 2 )j9CO; X 2 is selected from the group consisting of (CH 2 1 -NH(CH 2 )1- 6 (CH 2 )I- 9 CO, (CH 2 )0-5CH=CH-(CH 2 0 3 -CO(CH 2 1 (CH 2 )l- 5 CO(CH 2 )0 3 (CH2).- 5 NH(CH 2 )0- 3 (CH 2 1 .sCONH(CH 2 0 3 and (CH 2 )1-sNHCO(CH 2 0 3 and wherein X 2 accommodates two rings when Ar or Cy represents two rings; Ar represents one or two substituted or unsubstituted aromatic or heteroaromatic rings, and Cy represents one or two substituted or unsubstituted aliphatic cyclic or heterocyclic rings, or consists of one substituted or unsubstituted aliphatic cyclic or heterocyclic ring and one substituted or unsubstituted aromatic or heteroaromatic ring; Ya is two substituted or unsubstituted aliphatic cyclic or heterocyclic rings or consists of one substituted or unsubstituted aliphatic cyclic or heterocyclic ring and one substituted or unsubstituted aromatic or heteroaromatic ring; Yb is two substituted or unsubstituted aromatic or heteroaromatic rings, or can be two substituted or unsubstituted aliphatic cyclic or heterocyclic rings or consists of one substituted or unsubstituted aliphatic cyclic or heterocyclic ring and one substituted or unsubstituted aromatic or heteroaromatic ring; substituents present on Ya, Yb, Ar and Cy, if present, are selected from substituted or unsubstituted alkyl substituted or unsubstituted aryl (6-10C) or substituted or unsubstituted arylalkyl (7-16C) optionally containing 1-4 heteroatoms selected from the group consisting of halo, N, P, O, and S or may independently be halo, OR', SR', NR' 2 OOCR', NR'OCR', COR', COOR', CONR' 2 CF3, CN or NO 2 wherein R' is H or alkyl (1-6C); with the proviso that no member of the group consisting of Ya, Yb and Ar can represent two phenyl rings; with the proviso that formula (Ib) must contain at least one aromatic or 20 heteroaromatic ring; i is 0 or 1; and R is substituted or unsubstituted alkyl substituted or unsubstituted aryl (6-10C) or substituted or unsubstituted arylalkyl (7-16C) optionally containing 1-4 heteroatoms selected from the group consisting of halo, N, P, O, and S or may independently be halo, OR', SR', NR' 2 OOCR', NR'OCR', COR', COOR', CONR' 2 CF 3 CN or NO 2 wherein R' is H or alkyl (1-6C).

12. The use of claim 11 wherein i is 0. 30 13. The use of claim 11 or 12, wherein the compound is of formula (la) and Ar represents one unsubstituted phenyl moiety and wherein n is 1.

14. The use of claim 13, wherein X 2 represents -(CH 2 )1- 8 -(CH 2 0 -CH=CH- (CH 2 )0- 3 or -NH(CH 2 1 -6. The use of claim 11 or 12, wherein the compound is of formula (Ib) and Cy represents one or two unsubstituted cyclohexyl moieties or an unsubstituted cyclohexyl moiety and an unsubstituted phenyl moiety, and wherein n is 1.

16. The use of claim 15, wherein Cy is a cyclohexyl moiety, and X 2 represents (CH 2 )1- 8 -(CH 2 )0-5CH=CH-(CH 2 )0. 3 or -NH(CH 2 )1- 6 or wherein Cy represents two cyclohexyl moieties or a cyclohexyl moiety and a phenyl moiety and X 2 is (CH 2 1 8

17. The use of claim 15 or 16, wherein X' is CH(CH 2 )1- 1 0

18. The use of claim 11, wherein X' is CH(CH 2 5 or CH(CH 2 4 CO.

19. A library comprising at least ten different compounds of the formula )n--ar (1a) or b or salts thereof, wherein, each ofZ' and 2 is independently N or CH, but one of Z' and Z 2 must be N; *wherein n is or 1; X' is CH(CH 2 1 1 0 or C=CH(CH 2 0 5 or CH(CH 2 )1. 9 CO; X 2 is selected from the group consisting of (CH 2 1 -NH(CH 2 1 (CH 2 1 9 CO, (CH 2 )0-5CH=CH-(CH 2 )0- 3 -CO(CH 2 1 (CH 2 1 -5CO(CH 2 )0- 3 (CH 2 1 5 NH(CH 2 )0- 3 (CH 2 )1- 5 CONH(CH 2 0 3 and (CH 2 1 5 NHCO(CH 2 )0- 3 and wherein X 2 accommodates "two rings when Ar or Cy represents two rings; Ar represents one or two substituted or unsubstituted aromatic or heteroaromatic rings, and Cy represents one or two substituted or unsubstituted aliphatic cyclic or heterocyclic rings, or consists of one substituted or unsubstituted aliphatic cyclic or heterocyclic ring and one substituted or unsubstituted aromatic or heteroaromatic ring; 32 Ya is two substituted or unsubstituted aromatic or heteroaromatic rings, or can be two substituted or unsubstituted aliphatic cyclic or heterocyclic rings or consists of one substituted or unsubstituted aliphatic cyclic or heterocyclic ring and one substituted or unsubstituted aromatic or heteroaromatic ring; Yb is two substituted or unsubstituted aromatic or heteroaromatic rings, or can be two substituted or unsubstituted aliphatic cyclic or heterocyclic rings or consists of one substituted or unsubstituted aliphatic cyclic or heterocyclic ring and one substituted or unsubstituted aromatic or heteroaromatic ring; substituents present on Ya, Yb, Ar and Cy, if present, are selected from substituted or unsubstituted alkyl substituted or unsubstituted aryl (6-10C) or substituted or unsubstituted arylalkyl (7-16C) optionally containing 1-4 heteroatoms selected from the group consisting of halo, N, P, O, and S or may independently be halo, OR', SR', NR' 2 OOCR', NR'OCR', COR', COOR', CONR' 2 CF3, CN or NO 2 wherein R' is H or alkyl (1-6C); with the proviso that no member of the group consisting of Ya, Yb and Ar can represent two phenyl rings; with the proviso that formula (Ib) must contain at least one aromatic or heteroaromatic ring; :i is or 1; and 20 R is substituted or unsubstituted alkyl substituted or unsubstituted aryl (6-10C) or substituted or unsubstituted arylalkyl (7-16C) optionally containing 1-4 heteroatoms selected from the group consisting of halo, N, P, O, and S or may independently be halo, OR', SR', NR' 2 OOCR', NR'OCR', COR', COOR', CONR' 2 CF 3 CN or NO 2 wherein R' is H or alkyl (1-6C).

20. A method to identify a compound which antagonizes a target receptor which method comprises contacting host cells displaying said target receptor in the presence of an agonist for said receptor with the members of the library of claim 19; assessing the ability of the members of the library to affect the response of the 30 receptor to its agonist; and identifying as an antagonist any member of the library which diminishes the response of the receptor to its agonist.

21. The method of claim 20, wherein the receptor in an ion channel.

22. The method of claim 20, wherein the receptor is a calcium ion channel.

23. The method of claim 22, wherein the calcium ion channel is an N-type calcium ion channel.

24. A pharmaceutical composition for use in treating stroke, head trauma, epilepsy, mood disorders, schizophrenia, depression, anxiety, hypertension, cardiac arrhythmias, or chronic, neuropathic or acute pain, which composition comprises in an admixture with a pharmaceutically acceptable excipient, a dosage amount of a compound of the formula Y- X-- 1 2---Ar (1a) 10 -f or Yb- 1 Z y b) I- or the salts thereof, wherein each of Z' and Z 2 is independently N or CH, but one of Z' and Z 2 must be N; 20 wherein n is 0 or 1; X' is CH(CH 2 )i.o or C=CH(CH 2 )o- 5 or CH(CH 2 )1- 9 CO; X 2 is selected from the group consisting of (CH 2 1 -NH(CH 2 )1- 6 (CH 2 1 -9CO, (CH 2 )o-5CH=CH-(CH 2 )o- 3 -CO(CH 2 1 8, (CH 2 )1- 5 CO(CH 2 )0- 3 (CH 2 )l-5NH(CH 2 )0- 3 (CH 2 )I-5CONH(CH 2 )0- 3 and (CH 2 )i. 5 NHCO(CH 2 and wherein X 2 accommodates two rings when Ar or Cy represents two rings; Ar represents one or two substituted or unsubstituted aromatic or heteroaromatic rings, and Cy represents one or two substituted or unsubstituted aliphatic cyclic or heterocyclic rings, or consists of one substituted or unsubstituted aliphatic cyclic or 30 heterocyclic ring and one substituted or unsubstituted aromatic or heteroaromatic ring; Ya is two substituted or unsubstituted aliphatic cyclic or heterocyclic rings or consists of one substituted or unsubstituted aliphatic cyclic or heterocyclic ring and one substituted or unsubstituted aromatic or heteroaromatic ring; Yb is two substituted or unsubstituted aromatic or heteroaromatic rings, or can be two substituted or unsubstituted aliphatic cyclic or heterocyclic rings or consists of 34 one substituted or unsubstituted aliphatic cyclic or heterocyclic ring and one substituted or unsubstituted aromatic or heteroaromatic ring; substituents present on Ya, Yb, Ar and Cy, if present are selected from substituted or unsubstituted alkyl substituted or unsubstituted aryl (6-10C) or substituted or unsubstituted arylalkyl (7-16C) optionally containing 1-4 heteroatoms selected from the group consisting of halo, N, P, 0, and S or may independently be halo, OR', SR', NR' 2 OOCR', NR'OCR', COR', COOR', CONR' 2 CF 3 CN or NO 2 wherein R' is H or alkyl (1-6C); with the proviso that no member of the group consisting of Ya, Yb and Ar can represent two phenyl rings; with the proviso that formula (1b) must contain at least one aromatic or heteroaromatic ring; i is 0 or 1; and R is substituted or unsubstituted alkyl substituted or unsubstituted aryl (6-10C) or substituted or unsubstituted arylalkyl (7-16C) optionally containing 1-4 heteroatoms selected from the group consisting of halo, N, P, 0, and S or may independently be halo, OR', SR', NR' 2 OOCR', NR'OCR', COR', COOR', CONR' 2 CF 3 CN or NO 2 wherein R' is H or alkyl (1-6C). 20 25. The composition of claim 24 wherein i is 0.

26. The composition of claim 24 or 25, wherein the compound is of formula (la) and Ar represents one unsubstituted phenyl moiety and wherein n is 1. 25 27. The composition of claim 26, wherein Ar represents one unsubstituted phenyl moiety and X 2 represents -(CH 2 1 -(CH 2 )0. 5 CH=CH-(CH 2 0 3 or -NH(CH 2 1 6

28. The composition of claim 24 or 25, wherein the compound is of formula (lb) "and Cy represents one or two unsubstituted cyclohexyl moieties or an unsubstituted 30 cyclohexyl moiety and an unsubstituted phenyl moiety, and wherein n is 1.

29. The composition of claim 28, wherein Cy is a cyclohexyl moiety, and X 2 represents -(CH 2 -(CH 2 0 -5CH=CH-(CH 2 0 3 or -NH(CH 2 )1- 6 or wherein Cy represents two cyclohexyl moieties or a cyclohexyl moiety and a phenyl moiety and X 2 is (CH 2 )0-6CH-. The composition of claim 24 or 25, wherein X' is CH(CH 2

31. The composition of claim 24, wherein X' is CH(CH 2 5 or CH(CH 2 4 CO.

32. A method substantially as hereinbefore described with reference to the examples and/or the preferred embodiments, excluding, if any, comparative examples.

33. Use of a compound substantially as hereinbefore described with reference to the examples and/or the preferred embodiments, excluding, if any, comparative examples.

34. A library substantially as hereinbefore described with reference to the examples and/or the preferred embodiments, excluding, if any, comparative examples. A pharmaceutical composition substantially as hereinbefore described with reference to the examples and/or the preferred embodiments, excluding, if any, comparative examples. Dated this twenty-ninth day of March 2006 NeuroMed Technologies, Inc. Patent Attorneys for the Applicant: F B RICE CO FBRICE&CO 9 9 9* •o* 9 9