NZ619257B2 - Ketamine derivatives - Google Patents

Abstract

This disclosure relates to a family of compounds of formula (I). These are ketamine derivatives wherein Y1, Y2, X1 and X2 are as defined in the specification. The disclosure also related to pharmaceutical compositions comprising these compounds and methods of providing provide pain relief or analgesia and inducing and maintaining general anesthesia or sedation using these compounds. Examples of the compounds include: 3-((1-(2-chlorophenyl)-2-oxocyclohexyl)amino)propyl acetate, n-propyl 3-((1-(2-chlorophenyl)-2-oxocyclohexyl)amino)propanoate, ethyl4-((1-(2-chlorophenyl)-2-oxocyclohexyl)amino)butanoate, isopropyl 5-((1-(2-chlorophenyl)-2-oxocyclohexyl)amino)pentanoate and ethyl 4-((1-(2-chlorophenyl)-2-oxocyclohexyl)(methyl)amino)butanoate. ia and inducing and maintaining general anesthesia or sedation using these compounds. Examples of the compounds include: 3-((1-(2-chlorophenyl)-2-oxocyclohexyl)amino)propyl acetate, n-propyl 3-((1-(2-chlorophenyl)-2-oxocyclohexyl)amino)propanoate, ethyl4-((1-(2-chlorophenyl)-2-oxocyclohexyl)amino)butanoate, isopropyl 5-((1-(2-chlorophenyl)-2-oxocyclohexyl)amino)pentanoate and ethyl 4-((1-(2-chlorophenyl)-2-oxocyclohexyl)(methyl)amino)butanoate.

Description

COMPLETE SPECIFICATION KETAMINE DERIVATIVES KETAMINE DERIVATIVES TECHNICAL FIELD The present invention relates to ketamine derivatives, uses thereof, and pharmaceutical compositions comprising them. Their use as anaesthetics, analgesics, or sedatives is described herein.

BACKGROUND OF THE INVENTION (2-o-Chlorophenyl)methylamino-cyclohexanone (ketamine) is an effective non-opioid anaesthetic/analgesic drug [Laskowski et al., Can J Anesth 2011,58, 911: Carstensen & Møller, Br J Anaesth. 2010, 104, 401], with the major advantages over opioids in that it shows no respiratory depression or hyperalgesic effects, and is also free of longer-term effects such as increased tolerance and immune suppression.

Ketamine is normally used as the racemate, but more recently the more active (S)-enantiomer has begun to be employed. (S)-Ketamine has similar pharmacological, analgesic and anaesthetic properties to the racemate, but is about twice as potent [Adams & Werner, Anaesthetist 1997, 46, 1026].

NHMe (S)-ketamine The most important adverse effect of ketamine is its hallucinogenic properties which, together with its relatively long half-life (2-3 h) means that it is normally administered together with sedative or hypnotic drugs like midazolam and/or propofol to control the prolonged period of post-anesthesia hallucinations [Domino, Anesthesiology 2010, 113, 678, Chiaretti et al., Pediatric Blood & Cancer 2011, 57, 1163]. While (S)-ketamine has somewhat faster elimination [Adams & Werner, Anaesthetist 1997, 46, 1026], there is still a need for analogues with much shorter half-lives to avoid the concomitant use of sedatives/hypnotics.

It is an object of the present invention to go some way to meeting this need, and/or to at least provide the public with a useful choice.

Other objects of the invention may become apparent from the following description which is given by way of example only.

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 before the priority date.

SUMMARY OF THE INVENTION In one aspect, the present invention provides a compound of formula (I): wherein 1 1 1 Y is –C aliphaticC(O)OR , –C aliphaticOC(O)R , –C aliphaticC(O)OC 2-6 2-6 1-6 1- aliphaticC(O)OR , or –C aliphaticC(O)OC aliphaticOR , wherein each aliphatic is 6 1-6 1-6 optionally substituted with one or more R ; 1 11 R is C aliphatic, optionally substituted with one or more halo, CN, NO , NH , NHR , 1-6 2 2 11 12 11 11 12 11 11 NR R , C haloalkyl, C haloalkoxy, C(O)NH , C(O)NHR , C(O)NR R , SO R , OR , 1-6 1-6 2 2 C(O)R , and C aliphatic; 2 11 R is C aliphatic, optionally substituted with one or more halo, OR , or CN; R is hydrogen or R ; 11 12 11 12 R and R are each independently C aliphatic; or R and R together with the nitrogen atom to which they are attached are a heteroaryl or heterocyclyl ring; Y is hydrogen or R ; 1 2 2 11 11 12 X and X are each independently hydrogen, R , halo, NO , NH , NHR , NR R , C 2 2 1- 11 11 12 11 11 11 haloalkyl, C haloalkoxy, C(O)NH , C(O)NHR , C(O)NR R , SO R , OR , C(O)R , C 6 1-6 2 2 1- 1 1 1 1 1 aliphaticY , OY , C(O)Y , SO Y , or C(O)NHY at any of the available 2-5 positions; or a pharmaceutically acceptable salt or solvate thereof.

In another aspect, the present invention provides a pharmaceutical composition comprising a compound of formula (I) or a pharmaceutically acceptable salt or solvate thereof, and a pharmaceutically acceptable diluent, excipient, or carrier.

Described herein is a method for treating pain in a subject in need thereof, the method comprising administering a therapeutically effective amount of a compound of formula (I) to the subject.

In another aspect, the invention provides use of a compound of formula (I) in the manufacture of a medicament for treating pain.

In another aspect, the invention provides a compound of formula (I) for treating pain.

In one embodiment, the method, medicament, or compound for treating pain is for providing analgesia.

Also described herein is a method for anaesthetizing a subject in need thereof, the method comprising administering a therapeutically effective amount of a compound of formula (II) to the subject: (II) wherein 11 1 1 Y is –C aliphaticC(O)OR , –C aliphaticOC(O)R , –C aliphaticC(O)OC 1-6 1-6 1-6 1- aliphaticC(O)OR , or –C aliphaticC(O)OC aliphaticOR , wherein each aliphatic is 6 1-6 1-6 optionally substituted with one or more R ; and 1 2 3 2 1 2 R , R , R , Y , X , and X are as defined in the compound of formula (I); or a pharmaceutically acceptable salt or solvate thereof.

In one embodiment, the method is for anaesthetizing a subject for a surgical procedure.

In some embodiments, the method is for inducing general anaesthesia. In other embodiments, the method is for inducing and maintaining general anaesthesia.

In another aspect, the present invention provides use of a compound of formula (II) in the manufacture of a medicament for providing anaesthesia.

In one embodiment, the medicament is for providing anaesthesia for a surgical procedure.

In some embodiments, the medicament is for inducing general anaesthesia. In other embodiments, the medicament is for inducing and maintaining general anaesthesia.

In another aspect, the present invention provides a compound of formula (II) for providing anaesthesia.

In one embodiment, the compound is for providing anaesthesia for a surgical procedure.

In some embodiments, the compound is for inducing general anaesthesia. In other embodiments, the compound is for inducing and maintaining general anaesthesia.

Also described herein is a method for sedating a subject in need thereof, the method comprising administering a therapeutically effective amount of a compound of the formula (II) to the subject.

In one embodiment, the method is for sedating a subject for a medical procedure. In some embodiments, method is for providing conscious sedation.

In some embodiments, the method is for inducing conscious sedation. In other embodiments, the method is for inducing and maintaining conscious sedation.

In another aspect, the present invention provides use of a compound of formula (II) in the manufacture of a medicament for providing sedation.

In one embodiment, the medicament is for providing sedation for a medical procedure. In some embodiments, the medicament is for providing conscious sedation.

In some embodiments, the medicament is for inducing conscious sedation. In other embodiments, the medicament is for inducing and maintaining conscious sedation.

In another aspect, the present invention provides a compound of formula (II) for providing sedation.

In one embodiment, the compound is for providing sedation is for a medical procedure. In some embodiments, the compound is for providing conscious sedation.

In some embodiments, the compound is for inducing conscious sedation. In other embodiments, the compound is for inducing and maintaining conscious sedation.

The following embodiments relate to the compounds of formula (I) and (II), as appropriate. 1 1 1 In one embodiment, Y is –C alkylC(O)OR , –C alkylOC(O)R , –C alkylC(O)OC 2-6 2-6 1-6 1- alkylC(O)OR , or –C alkylC(O)OC alkylOR , wherein each alkyl is optionally substituted. 6 1-6 1-6 1 1 1 In another embodiment, Y is –C alkylC(O)OR or –C alkylC(O)OC alkylC(O)OR , 2-6 1-6 1-6 wherein each alkyl is optionally substituted. In one exemplary embodiment, Y is –C alkylC(O)OR , wherein the alkyl is optionally substituted. In one specifically contemplated embodiment, Y is –C alkylC(O)OR . 11 1 1 In one embodiment, Y is –C alkylC(O)OR , –C alkylCO(O)R ,–C alkylC(O)OC 1-6 1-6 1-6 1- alkylC(O)OR , or –C alkylC(O)OC alkylOR , wherein each alkyl is optionally substituted. 6 1-6 1-6 11 1 1 In another embodiment, Y is –C alkylC(O)OR or –C alkylC(O)OC alkylC(O)OR , 1-6 1-6 1-6 wherein each alkyl is optionally substituted. In one exemplary embodiment, Y is –C alkylC(O)OR , wherein the alkyl is optionally substituted. In one specifically contemplated 11 1 embodiment, Y is –C alkylC(O)OR . 1 11 In some embodiments, each alkyl in Y or Y is optionally substituted with from one to three 2 1 11 R . In certain embodiments, each alkyl in Y or Y is optionally substituted with one or two In one embodiment, R is C alkyl, C alkenyl, cycloalkyl, or cycloalkenyl, wherein each 1-6 2-6 alkyl, alkenyl, cycloalkyl, and cycloalkenyl are optionally substituted with one or more halo, 11 11 12 11 CN, NO , NH , NHR , NR R , C haloalkyl, C haloalkoxy, C(O)NH , C(O)NHR , 2 2 1-6 1-6 2 11 12 11 11 11 C(O)NR R , SO R , OR , and C(O)R ; and each alkyl and alkenyl is optionally substituted with one or more cycloalkyl or cycloalkenyl; and each cycloalkyl and cycloalkenyl is optionally substituted with one or more C alkyl or C alkenyl. 1-6 2-6 In one embodiment, R is C alkyl, C alkenyl, cycloalkyl, or cycloalkenyl, wherein each 1-6 2-6 alkyl and cycloalkyl are optionally substituted with one or more halo, CN, NO , NH , NHR , 11 12 11 11 12 11 11 NR R , C haloalkyl, C haloalkoxy, C(O)NH , C(O)NHR , C(O)NR R , SO R , OR , 1-6 1-6 2 2 and C(O)R ; and each alkyl is optionally substituted with cycloalkyl or cycloalkenyl; and each cycloalkyl is optionally substituted with C alkyl or C alkenyl. 1-6 2-6 In one embodiment, R is C alkenyl or cycloalkenyl, wherein each alkenyl and cycloalkenyl 11 11 12 are optionally substituted with one or more halo, CN, NO , NH , NHR , NR R , C 2 2 1- 11 11 12 11 11 haloalkyl, C haloalkoxy, C(O)NH , C(O)NHR , C(O)NR R , SO R , OR , and 6 1-6 2 2 C(O)R ; and each alkyl is optionally substituted with cycloalkyl or cycloalkenyl; and each cycloalkyl is optionally substituted with C alkyl or C alkenyl. 1-6 2-6 In other embodiment, R is C alkyl or cycloalkyl, wherein each alkyl and cycloalkyl is optionally substituted. In one exemplary embodiment R is C alkyl, wherein each alkyl is optionally substituted. In one specifically contemplated embodiment R is C alkyl.

In some embodiments, each alkyl or cycloalkyl in R is optionally substituted with from one to three optional substituents. In certain embodiments, each alkyl or cycloalkyl in R is optionally substituted with one or two optional substituents.

In some embodiment, R is C alkyl or cycloalkyl, optionally substituted with one or more 11 2 halo, OR , or CN. In other embodiments, R is C alkyl, optionally substituted with one or 11 2 more halo, OR , or CN. In certain exemplary embodiments, R is C alkyl. 11 12 In some embodiments, R and R are each independently C alkyl, C alkenyl, cycloalkyl, 1-6 2-6 11 12 or cycloalkenyl; or R and R together with the nitrogen atom to which they are attached are 11 12 a heteroaryl or heterocyclyl ring. In other embodiments, R and R are each independently 11 12 C alkyl or cycloalkyl; or R and R together with the nitrogen atom to which they are 11 12 attached are a heteroaryl or heterocyclyl ring. In certain embodiments, R and R are C alkyl.

In one embodiment, Y is hydrogen or C alkyl, wherein the alkyl is optionally substituted. In one exemplary embodiment, Y is hydrogen or C alkyl. In one specifically contemplated embodiment, Y is hydrogen. In another specifically contemplated embodiment, Y is hydrogen or methyl. 1 2 2 In some embodiments, X and X are each independently hydrogen, R , halo, NO , NH , 11 11 12 11 11 12 NHR , NR R , C haloalkyl, C haloalkoxy, C(O)NH , C(O)NHR , C(O)NR R , 1-6 1-6 2 11 11 11 1 1 1 1 1 SO R , OR , C(O)R , C alkylY , OY , C(O)Y , SO Y , or C(O)NHY at any of the 2 1-6 2 available 2-5 positions. 1 2 2 In some embodiments, X and X are each independently hydrogen, R , halo, NO , NH , 11 11 12 11 11 12 NHR , NR R , C haloalkyl, C haloalkoxy, C(O)NH , C(O)NHR , C(O)NR R , 1-6 1-6 2 11 11 11 SO R , OR , or C(O)R at any of the available 2-5 positions. 1 2 2 In some embodiments, X and X are each independently hydrogen, R , halo, NO , NH , 11 11 12 11 11 12 NHR , NR R , C haloalkyl, C haloalkoxy, C(O)NH , C(O)NHR , C(O)NR R , 1-6 1-6 2 11 11 11 2 1 1 1 1 1 SO R , OR , or C(O)R ; or X is C alkylY , OY , C(O)Y , SO Y , or C(O)NHY at any of 2 1-6 2 the available 2-5 positions. 1 2 2 In some embodiments, X and X are each independently hydrogen, R , halo, NO , NH , 11 11 12 11 11 12 NHR , NR R , C haloalkyl, C haloalkoxy, C(O)NH , C(O)NHR , C(O)NR R , 1-6 1-6 2 11 11 11 SO R , OR , or C(O)R at any of the available 2-5 positions. 1 2 2 In one embodiment, X and X are each independently hydrogen, R , halo, C haloalkyl, C 1-6 1- 11 11 11 2 1 1 1 1 haloalkoxy, SO R , OR , or C(O)R ; or X is C alkylY , OY , C(O)Y , or SO Y at any 6 2 1-6 2 of the available 2-5 positions. 1 2 2 In one embodiment, X and X are each independently hydrogen, R , halo, C haloalkyl, C 1-6 1- 11 11 11 haloalkoxy, SO R , OR , or C(O)R at any of the available 2-5 positions. 1 2 2 In one embodiment, X and X are each independently hydrogen, R , halo, C haloalkyl, C 1-6 1- 11 11 haloalkoxy, SO R , or OR at any of the available 2-5 positions. 1 2 2 In one embodiment, X and X are each independently hydrogen, R , halo, C haloalkyl, C 1-6 1- 11 11 haloalkoxy, SO R , or OR at any of the available 2-5 positions. 1 2 2 In one embodiment, X is halo; and X is independently hydrogen, R , halo, C haloalkyl, C 1-6 1- 11 11 haloalkoxy, SO R , or OR at any of the available 2-5 positions.

In one embodiment, X is 2-halo. In another embodiment, X is 2-chloro. 1 2 2 In one embodiment, X is 2-chloro; and X is hydrogen, R , halo, C haloalkyl, C 1-6 1- 11 11 haloalkoxy, SO R , or OR at any of positions 3-5.

In some embodiments, the C haloalkyl is CF , CHF , or CH F. In certain embodiments, the 1-6 3 2 2 C haloalkyl is CF . In some embodiments, the C haloalkoxy is OCF , OCHF , or OCH F. 1-6 3 1-6 3 2 2 In certain embodiments, the C haloalkoxy is CF . 1-6 3 In some embodiments, the halo is F, Cl, or Br. In certain embodiments, the halo is F or Cl. 1 1 1 In one embodiment, Y is –C alkylC(O)OR , –C alkylOC(O)R , –C alkylC(O)OC 2-6 2-6 1-6 1- alkylC(O)OR , or –C alkylC(O)OC alkylOR , wherein each alkyl is optionally substituted 6 1-6 1-6 with one or more R ; R is C alkyl, C alkenyl, cycloalkyl, or cycloalkenyl, wherein each 1-6 2-6 alkyl and cycloalkyl are optionally substituted with one or more halo, CN, NO , NH , NHR , 11 12 11 11 12 11 11 NR R , C haloalkyl, C haloalkoxy, C(O)NH , C(O)NHR , C(O)NR R , SO R , OR , 1-6 1-6 2 2 and C(O)R ; and each alkyl is optionally substituted with cycloalkyl or cycloalkenyl; and each cycloalkyl is optionally substituted with C alkyl or C alkenyl; R is C alkyl or 1-6 2-6 1-6 11 11 12 cycloalkyl, optionally substituted with one or more halo, OR , or CN; R and R are each 11 12 independently C alkyl, C alkenyl, cycloalkyl, or cycloalkenyl; or R and R together with 1-6 2-6 the nitrogen atom to which they are attached are a heteroaryl or heterocyclyl ring; and X and 2 2 11 11 12 X are each independently hydrogen, R , halo, NO , NH , NHR , NR R , C haloalkyl, C 2 2 1-6 1- 11 11 12 11 11 11 1 1 haloalkoxy, C(O)NH , C(O)NHR , C(O)NR R , SO R , OR , C(O)R , C alkylY , OY , 6 2 2 1-6 1 1 1 C(O)Y , SO Y , or C(O)NHY at any of the available 2-5 positions. 11 1 1 In one embodiment, Y is –C alkylC(O)OR , –C alkylCO(O)R ,–C alkylC(O)OC 1-6 1-6 1-6 1- alkylC(O)OR , or –C alkylC(O)OC alkylOR , wherein each alkyl is optionally substituted 6 1-6 1-6 with one or more R ; R is C alkyl, C alkenyl, cycloalkyl, or cycloalkenyl, wherein each 1-6 2-6 alkyl and cycloalkyl are optionally substituted with one or more halo, CN, NO , NH , NHR , 11 12 11 11 12 11 11 NR R , C haloalkyl, C haloalkoxy, C(O)NH , C(O)NHR , C(O)NR R , SO R , OR , 1-6 1-6 2 2 and C(O)R ; and each alkyl is optionally substituted with cycloalkyl or cycloalkenyl; and each cycloalkyl is optionally substituted with C alkyl or C alkenyl; R is C alkyl or 1-6 2-6 1-6 11 11 12 cycloalkyl, optionally substituted with one or more halo, OR , or CN; R and R are each 11 12 independently C alkyl, C alkenyl, cycloalkyl, or cycloalkenyl; or R and R together with 1-6 2-6 the nitrogen atom to which they are attached are a heteroaryl or heterocyclyl ring; and X and 2 2 11 11 12 X are each independently hydrogen, R , halo, NO , NH , NHR , NR R , C haloalkyl, C 2 2 1-6 1- 11 11 12 11 11 11 1 1 haloalkoxy, C(O)NH , C(O)NHR , C(O)NR R , SO R , OR , C(O)R , C alkylY , OY , 6 2 2 1-6 1 1 1 C(O)Y , SO Y , or C(O)NHY at any of the available 2-5 positions. 1 A B C D 1 A B C D 1 In one embodiment, Y is –(CR R ) (CR R ) C(O)OR , –(CR R ) (CR R ) OC(O)R ,– m n m n A B C D G H E F 1 A B (CR R ) (CR R ) C(O)O(CR R ) (CR R ) C(O)OR , or –(CR R ) m-1 n p o m- C D G H E F 3 (CR R ) C(O)O(CR R ) (CR R ) OR ; m is an integer from 2 to 6; o is an integer from 1 to 1 n p o 6; n and p are each independently 0 or 1; the sum of m and n and the sum of o and p is 6 or A B C D E F G H less; and R , R , R , R , R , R , R , and R at each instance of m, n, o, and p are each independently hydrogen or R . 11 A B C D 1 A B C D 1 In one embodiment, Y is –(CR R ) (CR R ) C(O)OR , –(CR R ) (CR R ) OC(O)R ,– m n m n A B C D G H E F 1 (CR R ) (CR R ) C(O)O(CR R ) (CR R ) C(O)OR , or – m n p o A B C D G H E F 3 (CR R ) (CR R ) C(O)O(CR R ) (CR R ) OR ; m and o are each independently an integer m n p o from 1 to 6; n and p are each independently 0 or 1; the sum of m and n and the sum of o and p A B C D E F G H is 6 or less; and R , R , R , R , R , R , R , and R at each instance of m, n, o, and p are each independently hydrogen or R . 1 11 A B C D 1 In some embodiments, Y or Y is –(CR R ) (CR R ) C(O)OR or – A B C D G H E F 1 (CR R ) (CR R ) C(O)O(CR R ) (CR R ) C(O)OR . m n p o 1 11 A B C D 1 In certain embodiments, Y or Y is –(CR R ) (CR R ) C(O)OR .

A B E F In one embodiment, R , R , R , and R at each instance of m and o are each independently C D G H hydrogen; and R , R , R , and R at each instance of n and p are each independently hydrogen or R . 1 C D 1 In one exemplary embodiment, Y is –(CH ) (CR R ) C(O)OR , – 2 m n C D 1 G H 1 (CH ) (CR R ) OC(O)R ,–(CH ) C(O)O(CR R ) (CH ) C(O)OR , or –(CH ) 2 m n 2 m-1 p 2 o 2 m- C(O)O(CH ) OR . 1 2 o 11 C D 1 In another exemplary embodiment, Y is –(CH ) (CR R ) C(O)OR , – 2 m n C D 1 G H 1 (CH ) (CR R ) OC(O)R ,–(CH ) C(O)O(CR R ) (CH ) C(O)OR , or – 2 m n 2 m p 2 o (CH ) C(O)O(CH ) OR . 2 n 2 o 1 C D 1 In another exemplary embodiment, Y is –(CH ) (CR R ) C(O)OR or –(CH ) 2 m n 2 m- G H 1 C(O)O(CR R ) (CH ) C(O)OR . 1 p 2 o 11 C D 1 In another exemplary embodiment, Y is –(CH ) (CR R ) C(O)OR or – 2 m n G H 1 (CH ) C(O)O(CR R ) (CH ) C(O)OR . 2 m p 2 o In one specifically contemplated embodiment, Y is –(CH ) C(O)OR or –(CH ) 2 m 2 m- C(O)O(CH ) C(O)OR . 1 2 o 11 1 In another specifically contemplated embodiment, Y is –(CH ) C(O)OR or – (CH ) C(O)O(CH ) C(O)OR . 2 m 2 o 1 11 1 In another specifically contemplated embodiment, Y or Y is –(CH ) C(O)OR . 1 A B C D 1 In one exemplary embodiment,Y is –(CR R ) (CR R ) C(O)OR , – A B C D 1 A B C D G H E F 1 (CR R ) (CR R ) OC(O)R , –(CR R ) (CR R ) C(O)O(CR R ) (CR R ) C(O)OR , or – m n m-1 n p o A B C D G H E F 3 (CR R ) (CR R ) C(O)O(CR R ) (CR R ) OR . m-1 n p o 11 A B C D 1 In one exemplary embodiment, Y is –(CR R ) (CR R ) C(O)OR , – A B C D 1 A B C D (CR R ) (CR R ) OC(O)R , –(CR R ) (CR R ) C(O)OH, – m n m n A B C D G H E F 1 (CR R ) (CR R ) C(O)O(CR R ) (CR R ) C(O)OR , or – m n p o A B C D G H E F 3 (CR R ) (CR R ) C(O)O(CR R ) (CR R ) OR . m n p o 1 A B C D 1 A B In another exemplary embodiment, Y is –(CR R ) (CR R ) C(O)OR or –(CR R ) m n m- C D G H E F 1 1 2 (CR R ) C(O)O(CR R ) (CR R ) C(O)OR ; and X and X are each independently 1 n p o 2 11 11 11 hydrogen, R , halo, C haloalkyl, C haloalkoxy, SO R , OR , or C(O)R at any of the 1-6 1-6 2 available 2-5 positions. 11 A B C D 1 In another exemplary embodiment, Y is –(CR R ) (CR R ) C(O)OR or – A B C D G H E F 1 1 2 (CR R ) (CR R ) C(O)O(CR R ) (CR R ) C(O)OR ; and X and X are each m n p o 2 11 11 11 independently hydrogen, R , halo, C haloalkyl, C haloalkoxy, SO R , OR , or C(O)R at 1-6 1-6 2 any of the available 2-5 positions. 1 11 A B C D 1 In one specifically contemplated embodiment, Y or Y is –(CR R ) (CR R ) C(O)OR ; and 1 2 2 11 X and X are each independently hydrogen, R , halo, C haloalkyl, C haloalkoxy, SO R , 1-6 1-6 2 or OR at any of the available 2-5 positions. 1 11 A B C D 1 In another specifically contemplated embodiment, Y or Y is –(CR R ) (CR R ) C(O)OR ; 1 2 2 11 X and X are each independently hydrogen, R , halo, C haloalkyl, C haloalkoxy, SO R , 1-6 1-6 2 11 2 or OR at any of the available 2-5 positions; and Y is hydrogen or C alkyl. 1 11 A B C D 1 In another specifically contemplated embodiment, Y or Y is –(CR R ) (CR R ) C(O)OR ; 1 2 2 11 X and X are each independently hydrogen, R , halo, C haloalkyl, C haloalkoxy, SO R , 1-6 1-6 2 11 2 or OR at any of the available 2-5 positions; and Y is hydrogen or methyl. 1 11 A B C D 1 In another specifically contemplated embodiment, Y or Y is –(CR R ) (CR R ) C(O)OR ; 1 2 2 11 X and X are each independently hydrogen, R , halo, C haloalkyl, C haloalkoxy, SO R , 1-6 1-6 2 11 2 or OR at any of the available 2-5 positions; and Y is hydrogen. 1 11 A B C D 1 In another specifically contemplated embodiment, Y or Y is –(CR R ) (CR R ) C(O)OR ; 1 2 2 11 X and X are each independently hydrogen, R , halo, C haloalkyl, C haloalkoxy, SO R , 1-6 1-6 2 11 A B or OR at any of the available 2-5 positions; R and R at each instance of m are hydrogen; and Y is hydrogen or C alkyl. 1 11 A B C D 1 In another specifically contemplated embodiment, Y or Y is –(CR R ) (CR R ) C(O)OR ; 1 2 2 11 X and X are each independently hydrogen, R , halo, C haloalkyl, C haloalkoxy, SO R , 1-6 1-6 2 11 A B or OR at any of the available 2-5 positions; R and R at each instance of m are hydrogen; and Y is hydrogen or methyl. 1 11 A B C D 1 In another specifically contemplated embodiment, Y or Y is –(CR R ) (CR R ) C(O)OR ; 1 2 2 11 X and X are each independently hydrogen, R , halo, C haloalkyl, C haloalkoxy, SO R , 1-6 1-6 2 11 A B or OR at any of the available 2-5 positions; R and R at each instance of m are hydrogen; and Y is hydrogen. 1 11 A B C D 1 In another specifically contemplated embodiment, Y or Y is –(CR R ) (CR R ) C(O)OR ; 1 2 2 11 11 X is 2-chloro; X is hydrogen, R , halo, C haloalkyl, C haloalkoxy, SO R , or OR at any 1-6 1-6 2 A B 2 of the available 3-5 positions; R and R at each instance of m are hydrogen; and Y is hydrogen or C alkyl. 1 11 A B C D 1 In another specifically contemplated embodiment, Y or Y is –(CR R ) (CR R ) C(O)OR ; 1 2 2 11 11 X is 2-chloro; X is hydrogen, R , halo, C haloalkyl, C haloalkoxy, SO R , or OR at any 1-6 1-6 2 A B 2 of the available 3-5 positions; R and R at each instance of m are hydrogen; and Y is hydrogen or methyl. 1 11 A B C D 1 In another specifically contemplated embodiment, Y or Y is –(CR R ) (CR R ) C(O)OR ; 1 2 2 11 11 X is 2-chloro; X is hydrogen, R , halo, C haloalkyl, C haloalkoxy, SO R , or OR at any 1-6 1-6 2 A B 2 of the available 3-5 positions; R and R at each instance of m are hydrogen; and Y is hydrogen.

In one embodiment, the compound of formula (I) is 3-((1-(2-chlorophenyl)oxocyclohexyl)amino)propyl acetate, ethyl 3-((1-(2-chlorophenyl)oxocyclohexyl)amino)propanoate, iso-propyl 3-((1-(2-chlorophenyl)oxocyclohexyl)amino)propanoate, n-propyl 3-((1-(2-chlorophenyl)oxocyclohexyl)amino)propanoate, ethyl 4-((1-(2-chlorophenyl)oxocyclohexyl)amino)butanoate, isopropyl 4-((1-(2-chlorophenyl)oxocyclohexyl)amino)butanoate, n-propyl 4-((1-(2-chlorophenyl)oxocyclohexyl)amino)butanoate, methyl 4-((1-(2-chlorophenyl)oxocyclohexyl)amino)pentanoate, ethyl 5-((1-(2-chlorophenyl)oxocyclohexyl)amino)pentanoate, isopropyl 5-((1-(2-chlorophenyl)oxocyclohexyl)amino)pentanoate, n-propyl 5-((1-(2-chlorophenyl)oxocyclohexyl)amino)pentanoate, ethyl 3-((1-(2-chlorophenyl)oxocyclohexyl)(methyl)amino)propanoate, ethyl 4-((1-(2-chlorophenyl)oxocyclohexyl)(methyl)amino)butanoate, or methyl 5-((1-(2-chlorophenyl)oxocyclohexyl)(methyl)amino)pentanoate, or a pharmaceutically acceptable salt or solvate thereof.

In one embodiment, the compound of formula (I) is 3-((1-(2-chlorophenyl)oxocyclohexyl)amino)propyl acetate, ethyl 3-((1-(2-chlorophenyl)oxocyclohexyl)amino)propanoate, iso-propyl 3-((1-(2-chlorophenyl)oxocyclohexyl)amino)propanoate, n-propyl 3-((1-(2-chlorophenyl)oxocyclohexyl)amino)propanoate, ethyl 4-((1-(2-chlorophenyl)oxocyclohexyl)amino)butanoate, isopropyl 4-((1-(2-chlorophenyl)oxocyclohexyl)amino)butanoate, n-propyl 4-((1-(2-chlorophenyl)oxocyclohexyl)amino)butanoate, methyl 4-((1-(2-chlorophenyl)oxocyclohexyl)amino)pentanoate, ethyl 5-((1-(2-chlorophenyl)oxocyclohexyl)amino)pentanoate, isopropyl 5-((1-(2-chlorophenyl)oxocyclohexyl)amino)pentanoate, or n-propyl 5-((1-(2-chlorophenyl)oxocyclohexyl)amino)pentanoate, or a pharmaceutically acceptable salt or solvate thereof.

In another embodiment, the compound is ethyl 3-((1-(2-chlorophenyl)oxocyclohexyl)amino)propanoate, iso-propyl 3-((1-(2-chlorophenyl)oxocyclohexyl)amino)propanoate, n-propyl 3-((1-(2-chlorophenyl)oxocyclohexyl)amino)propanoate, ethyl 4-((1-(2-chlorophenyl)oxocyclohexyl)amino)butanoate, isopropyl 4-((1-(2-chlorophenyl)oxocyclohexyl)amino)butanoate, n-propyl 4-((1-(2-chlorophenyl)oxocyclohexyl)amino)butanoate, methyl 4-((1-(2-chlorophenyl)oxocyclohexyl)amino)pentanoate, ethyl 5-((1-(2-chlorophenyl)oxocyclohexyl)amino)pentanoate, isopropyl 5-((1-(2-chlorophenyl)oxocyclohexyl)amino)pentanoate, n-propyl 5-((1-(2-chlorophenyl)oxocyclohexyl)amino)pentanoate, ethyl 3-((1-(2-chlorophenyl)oxocyclohexyl)(methyl)amino)propanoate, ethyl 4-((1-(2-chlorophenyl)oxocyclohexyl)(methyl)amino)butanoate, or methyl 5-((1-(2-chlorophenyl)oxocyclohexyl)(methyl)amino)pentanoate, or a pharmaceutically acceptable salt or solvate thereof.

In another embodiment, the compound is ethyl 3-((1-(2-chlorophenyl)oxocyclohexyl)amino)propanoate, iso-propyl 3-((1-(2-chlorophenyl)oxocyclohexyl)amino)propanoate, n-propyl 3-((1-(2-chlorophenyl)oxocyclohexyl)amino)propanoate, ethyl 4-((1-(2-chlorophenyl)oxocyclohexyl)amino)butanoate, isopropyl 4-((1-(2-chlorophenyl)oxocyclohexyl)amino)butanoate, n-propyl 4-((1-(2-chlorophenyl)oxocyclohexyl)amino)butanoate, methyl 4-((1-(2-chlorophenyl)oxocyclohexyl)amino)pentanoate, ethyl 5-((1-(2-chlorophenyl)oxocyclohexyl)amino)pentanoate, isopropyl 5-((1-(2-chlorophenyl)oxocyclohexyl)amino)pentanoate, or n-propyl 5-((1-(2-chlorophenyl)oxocyclohexyl)amino)pentanoate, or a pharmaceutically acceptable salt or solvate thereof.

In one embodiment, the stereochemical configuration at position 2 of the cyclohexyl ring in the compound is (S).

In some embodiments, the compound comprises 95% or more of a single stereoisomer. In certain embodiments, the compound is stereoisomerically pure.

In one embodiment, the compound is a pharmaceutically acceptable salt. In one embodiment, the salt is a hydrochloride salt.

In one embodiment, the compound of formula (II) is a compound of formula (I) as defined in the first aspect or in any of the embodiments described above.

Asymmetric centers may exist in the compounds of formula (I) and (II). The asymmetric centers may be designated as (R) or (S), depending on the configuration of substituents in three dimensional space at the chiral carbon atom. All stereochemical isomeric forms of the compounds, including diastereomeric, enantiomeric, and epimeric forms, as well as d-isomers and l-isomers, and mixtures thereof, including enantiomerically enriched and diastereomerically enriched mixtures of stereochemical isomers, are included herein.

Individual enantiomers can be prepared synthetically from commercially available enantiopure starting materials or by preparing enantiomeric mixtures and resolving the mixture into individual enantiomers. Resolution methods include conversion of the enantiomeric mixture into a mixture of diastereomers and separation of the diastereomers by, for example, recrystallization or chromatography, and any other appropriate methods known in the art.

Starting materials of defined stereochemistry may be commercially available or made and, if necessary, resolved by techniques well known in the art.

The compounds of formula (I) and (II) may also exist as conformational or geometric isomers, inlcuding cis, trans, syn, anti, entgegen (E), and zusammen (Z) isomers. All such isomers and any mixtures thereof are included herein.

Also included are any tautomeric isomers or mixtures thereof of the compounds. As would be appreciated by those skilled in the art, a wide variety of functional groups and other structures may exhibit tautomerism. Examples include, but are not limited to, keto/enol, imine/enamine, and thioketone/enethiol.

The compounds of formula (I) and (II) may also exist as isotopologues and isotopomers, wherein one or more atoms in the compounds are replaced with different isotopes. Suitable 1 2 3 12 13 14 16 18 isotopes include, for example, H, H (D), H (T), C, C, C, O, and O. Procedures for incorporating such isotopes into the compounds described herein will be apparent to those skilled in the art. Isotopologues and isotopomers of the compounds are thus included herein.

Also included are pharmaceutically acceptable salts and solvates, including hydrates of the compounds. Such salts include, acid addition salts, base addition salts, and quaternary salts of basic nitrogen-containing groups. Acid addition salts can be prepared by reacting compounds, in free base form, with inorganic or organic acids. Examples of inorganic acids include, but are not limited to, hydrochloric, hydrobromic, hydroiodic, nitric, carbonic, sulfuric, and phosphoric acid. Examples of organic acids include, but are not limited to, lauric, acetic, trifluoroacetic, formic, propionic, succinic, glycolic, lactic, malic, tartaric, citric, ascorbic, maleic, fumaric, pyruvic, aspartic, glutamic, stearic, salicylic, mandelic,methanesulfonic, benzenesulfonic, isoethonic, sulfanilic, adipic, butyric, oxalic, and pivalic. Base addition salt can be prepared by reacting compounds, in free acid form, with inorganic or organic bases.

Examples of inorganic base addition salts include alkali metal salts, alkaline earth metal salts, and other physiologically acceptable metal salts, for example, aluminium, calcium, lithium, magnesium, potassium, sodium, or zinc salts. Examples of organic base addition salts include amine salts, for example, salts of trimethylamine, diethylamine, ethanolamine, diethanolamine, and ethylenediamine. Quaternary salts of basic nitrogen-containing groups in the compounds may be may be prepared by, for example, reacting the compounds with alkyl halides such as methyl, ethyl, propyl, and butyl chlorides, bromides, and iodides, dialkyl sulfates such as dimethyl, diethyl, dibutyl, and diamyl sulfates, and the like.

The general chemical terms used in the formulae herein have their usual meaning.

The term “aliphatic” is intended to include saturated and unsaturated, nonaromatic, straight chain, branched, acyclic, and cyclic hydrocarbons. Those skilled in the art will appreciate that aliphatic groups include, for example, alkyl, alkenyl, alkynyl, cycloalkyl, and cycloalkenyl groups.

The term “alkyl” is intended to include straight chain and branched chain alkyl groups. In some embodiments, alkyl groups have from 1 to 12, from 1 to 10, from 1 to 8, from 1 to 6, or from 1 to 4 carbon atoms. Examples of straight chain alkyl groups include, but are not limited to, methyl, ethyl, n-propyl, n-butyl, n-pentyl, n-hexyl, n-heptyl, and n-octyl. Examples of branched alkyl groups include, but are not limited to, isopropyl, iso-butyl, sec-butyl, tert-butyl, neopentyl, isopentyl, and 2,2-dimethylpropyl.

The term “alkenyl” is intended to include straight and branched chain alkyl groups having at least one double bond between two carbon atoms. In some embodiments, alkenyl groups have from 2 to 12, from 2 to 10, from 2 to 8, from 2 to 6, or from 2 to 4 carbon atoms. In some embodiments, alkenyl groups have one, two, or three carbon-carbon double bonds. Examples of alkenyl groups include, but are not limited to, vinyl, allyl, –CH=CH(CH ), –CH=C(CH ) , – 3 3 2 C(CH )=CH , and –C(CH )=CH(CH ). 3 2 3 3 The term “alkynyl” is intended to include straight and branched chain alkyl groups having at least one triple bond between two carbon atoms. In some embodiments, the alkynyl group have from 2 to 12, from 2 to 10, from 2 to 8, from 2 to 6, or from 2 to 4 carbon atoms. In some embodiments, alkynyl groups have one, two, or three carbon-carbon triple bonds.

Examples include, but are not limited to, –C≡CH, –C≡CH , –CH C≡CH , and – 3 2 3 C≡CH CH(CH CH ) . 2 2 3 2 The term “cycloalkyl” is intended to include mono-, bi- or tricyclic alkyl groups. In some embodiments, cycloalkyl groups have from 3 to 12, from 3 to 10, from 3 to 8, from 3 to 6, from 3 to 5 carbon atoms in the ring(s). In some embodiments, cycloalkyl groups have 5 or 6 ring carbon atoms. Examples of monocyclic cycloalkyl groups include, but are not limited to, cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl, and cyclooctyl. In some embodiments, the cycloalkyl group has from 3 to 8, from 3 to 7, from 3 to 6, from 4 to 6, from 3 to 5, or from 4 to 5 ring carbon atoms. Bi- and tricyclic ring systems include bridged, spiro, and fused cycloalkyl ring systems. Examples of bi- and tricyclic ring cycloalkyl systems include, but are not limited to, bicyclo[2.1.1]hexanyl, bicyclo[2.2.1]heptanyl, adamantyl, and decalinyl.

The term “cycloalkenyl” is intended to include non-aromatic cycloalkyl groups having at least one double bond between two carbon atoms. In some embodiments, cycloalkenyl groups have one, two or three double bonds. In some embodiments, cycloalkenyl groups have from 4 to 14, from 5 to 14, from 5 to 10, from 5 to 8, or from 5 to 6 carbon atoms in the ring(s). In some embodiments, cycloalkenyl groups have 5, 6, 7, or 8 ring carbon atoms. Examples of cycloalkenyl groups include cyclohexenyl, cyclopentenyl, cyclohexadienyl, butadienyl, pentadienyl, and hexadienyl.

The term “aryl” is intended to include cyclic aromatic hydrocarbon groups that do not contain any ring heteroatoms. Aryl groups include monocyclic, bicyclic and tricyclic ring systems.

Examples of aryl groups include, but are not limited to, phenyl, azulenyl, heptalenyl, biphenyl, fluorenyl, phenanthrenyl, anthracenyl, indenyl, indanyl, pentalenyl, and naphthyl. In some embodiments, aryl groups have from 6-14, from 6 to 12, or from 6-10 carbon atoms in the ring(s). In some embodiments, the aryl groups are phenyl or naphthyl. Aryl groups include aromatic-aliphatic fused ring systems. Examples include, but are not limited to, indanyl and tetrahydronaphthyl.

The term “heterocyclyl” is intended to include non-aromatic ring systems containing 3 or more ring atoms, of which one or more is a heteroatom. In some embodiments, the heteroatom is nitrogen, oxygen, or sulfur. In some embodiments, the heterocyclyl group contains one, two, three, or four heteroatoms. In some embodiments, heterocyclyl groups include mono-, bi- and tricyclic rings having from 3 to 16, from 3 to 14, from 3 to 12, from 3 to 10, from 3 to 8, or from 3 to 6 ring atoms. Heterocyclyl groups include partially unsaturated and saturated ring systems, for example, imidazolinyl and imidazolidinyl. Heterocyclyl groups include fused and bridged ring systems containing a heteroatom, for example, quinuclidyl. Heterocyclyl groups include, but are not limited to, aziridinyl, azetidinyl, azepanyl, diazepanyl, 1,3-dioxanyl, 1,3-dioxolanyl, isoxazolidinyl, morpholinyl, piperazinyl, piperidinyl, pyranyl, pyrazolidinyl, pyrrolinyl, pyrrolidinyl, tetrahydrofuranyl, tetrahydrothienyl, thiadiazolidinyl, and trithianyl.

The term “heteroaryl” is intended to include aromatic ring systems containing 5 or more ring atoms, of which, one or more is a heteroatom. In some embodiments, the heteroatom is nitrogen, oxygen, or sulfur. In some embodiments, heteroaryl groups include mono-, bi- and tricyclic ring systems having from 5 to 16, from 5 to 14, from 5 to 12, from 5 to 10, from 5 to 8, or from 5 to 6 ring atoms. Heteroaryl groups include, but are not limited to, pyrrolyl, pyrazolyl, triazolyl, tetrazolyl, oxazolyl, isoxazolyl, thiazolyl, pyridinyl, pyridazinyl, pyrimidinyl, pyrazinyl, thiophenyl, benzothiophenyl, furanyl, benzofuranyl, indolyl, azaindolyl (pyrrolopyridinyl), indazolyl, benzimidazolyl, pyrazolopyridinyl, triazolopyridinyl, benzotriazolyl, benzoxazolyl, benzothiazolyl, imidazopyridinyl, isoxazolopyridinylxanthinyl, guaninyl, quinolinyl, isoquinolinyl, tetrahydroquinolinyl, quinoxalinyl, and quinazolinyl.

Heteroaryl groups include fused ring systems in which all of the rings are aromatic, for example, indolyl, and fused ring systems in which only one of the rings is aromatic, for example, 2,3-dihydroindolyl.

The term “halo” or “halogen” is intended to include F, Cl, Br, and I.

As used herein, the term “substituted” is intended to mean that one or more hydrogen atoms in the group indicated is replaced with one or more independently selected suitable substituents, provided that the normal valency of each atom to which the substituent/s are attached is not exceeded, and that the substitution results in a stable compound.

As used herein, the term “and/or” means “and”, or “or”, or both.

The term “comprising” as used in this specification means “consisting at least in part of”.

When interpreting each statement in this specification that includes the term “comprising”, features other than that or those prefaced by the term may also be present. Related terms such as “comprise” and “comprises” are to be interpreted in the same manner.

It is intended that reference to a range of numbers disclosed herein (for example, 1 to 10) also incorporates reference to all rational numbers within that range (for example, 1, 1.1, 2, 3, 3.9, 4, 5, 6, 6.5, 7, 8, 9, and 10) and also any range of rational numbers within that range (for example, 2 to 8, 1.5 to 5.5, and 3.1 to 4.7) and, therefore, all sub-ranges of all ranges expressly disclosed herein are hereby expressly disclosed. These are only examples of what is specifically intended and all possible combinations of numerical values between the lowest value and the highest value enumerated are to be considered to be expressly stated in this application in a similar manner.

Although the present invention is broadly as defined above, those persons skilled in the art will appreciate that the invention is not limited thereto and that the invention also includes embodiments of which the following description gives examples.

BRIEF DESCRIPTION OF THE DRAWINGS The invention will now be described with reference to the Figures in which: Figure 1A and Figure 1B are graphs showing time-course for anaesthesia (loss and recovery of righting reflex) with ketamine and rac-C2nPr (Figure 1A) and rac-C4Me (Figure 1B). The grey panel shows the duration of drug infusion (measurement taken every minute). ••••: test compound. : ketamine.

Figure 2A and Figure 2B are graphs showing time-course for analgesia (pedal withdrawal reflex score) with ketamine and rac-C2nPr (Figure 2A) and rac-C4Me (Figure 2B). The grey panel shows the duration of drug infusion (measurement taken every minute). Error bars are SEM. ••••: test compound. : ketamine.

Figure 3 is a plot (log 10) of effective potency (dose [mg/kg] to LRR) vs. duration (time to RRR) for ketamine and compounds of the invention. The alkyl chain length of compounds is denoted by symbol: = C2; = C3; = C4; = ketamine. 7 = rac-C3OAc, 7S = (S)- C3OAC, 8 = rac-C2Et, 8S = (S)-C2Et, 9 = rac-C2iPr, 9S = (S)-C2iPr, 9R = (R)-C2iPr, 10 = rac-C2nPr, 11 = rac-C3Et, 12 = rac-C3iPr, 13 = rac-C3nPr, 14 = rac-C4Me, 14S = (S)-C4Me, = rac-C4Et, 16 = rac-C4iPr, and 17 = rac-C4nPr.

DETAILED DESCRIPTION OF THE INVENTION The present invention generally relates to ketamine derivatives for use as anaesthetics, analgesics, or sedatives.

The applicants have invented new ketamine derivatives of the formula (I) as defined above which can provide anaesthetic and/or analgesic effects similar to ketamine, but at least in some embodiments have the advantage of shortening the period of recovery after administration of the derivative has ceased.

The applicants have also found that certain known ketamine derivatives, which are encompassed by the formula (II), can surprisingly be used as anaesthetics and have advantageous properties similar to those of the compounds of formula (I).

Compounds of formula (I) or (II) may be prepared using methods of synthesis known in the art or methods analogous thereto.

In one embodiment, the method comprises reacting a compound of the formula (III): (III) 2 1 2 1 wherein Y , X , and X are as defined above with an alkylating agent of the formula Y –Z or 11 1 11 Y –Z, wherein Z is a suitable leaving group and Y and Y are as defined above, to provide the compound of the formula (I) or (II), respectively.

In one embodiment, Z is halo.

In some embodiments, the reaction is carried out in the presence of a base. In certain embodiments, the reaction is carried out in the presence of an inorganic base, for example, a carbonate base.

In some embodiments, the reaction is carried out in the presence of a suitable solvent, for example, an aprotic solvent.

The reaction may be carried out at any suitable temperature. In some embodiments, the reaction is carried out in the presence of a suitable solvent at reflux. In other embodiments, the reaction is carried out at ambient temperature.

In some embodiments, the compound of formula (III) is prepared by a method comprising heating a compound of the formula (IV) (IV) wherein X and X are as defined above in a suitable liquid reaction medium to provide a compound of the formula (III), wherein Y is hydrogen.

In some embodiments, the method comprises heating the compound of the formula (IV) in a suitable solvent. In certain embodiments, the compound is heated at a temperature of 75, 100, 125, 150, 175, or 200 °C or more.

In some embodiments, the compound of formula (IV) is prepared by a method comprising reacting a compound of the formula (V) 1 2 1 wherein X and X are as defined above and Z is halo with NH /NH OH.

In some embodiments, the compound of formula (V) is prepared by a method comprising reacting a compound of the formula (VI) (VI) wherein X and X are as defined above with a halogenating agent.

In one embodiment, the halogenating agent is copper (II) bromide.

In some embodiments, the reaction is carried out in a suitable solvent.

Schemes 1 to 4 below illustrate the preparation of certain compounds of formula (I) and (II) wherein X is chloro and X is hydrogen from (2-o-chlorophenyl)amino-cyclohexanone (norketamine).

(S)-Norketamine (S-24) is synthesized following a reported procedure [Hong & Davisson. J.

Pharm. Sci., 1982, 71, 912].

Commercially available (2-chlorophenyl)(cyclopentyl)methanone (31) is brominated by refluxing with CuBr in EtOAc. The brominated intermediate (22) is converted to the corresponding imino cyclopentanol (23) by stirring in NH OH solution saturated with NH gas. Thermal rearrangement of the hydrochloride salt of imino cyclopentanol in Dowtherm A at 200 C affords racemic norketamine (rac-24).

Cl O Cl O Cl NH Br OH i ii rac-24, 59 % 31 22, 89 % 23, 69 % Scheme 1 (i) CuBr , EtOAc, reflux, 3 h; (ii) (a) NH /NH OH, 25 C, 5 days, (b) HCl(g), 2 3 4 isopropanol/diethyl ether, 0 °C, 3 h; (iii) Dowtherm A, 200 C, 12 min.

The (S)-enantiomer of norketamine (S-24) is obtained by resolution with L-(R,R)-(+)-tartaric acid. The (R)-enantiomer of norketamine (R-24) may be obtained in an analogous fashion from D-(S,S)-(-)-tartaric acid.

Compounds of formula (I) or (II) are synthesized by treatment of racemic or (S)-norketamine with alkyl halides corresponding to Y . Enantiopure (R)-norketamine and non-racemic enantiomeric mixtures of norketamine may be also used.

The compounds may be converted to hydrochloride salts using HCl gas.

Scheme 2. (iv) 3-bromopropyl acetate, KI, K CO , CH CN, reflux, 24 h; (v) (+) tartaric acid, acetone, 2 2 3 3 days, 3x recrystallization; (vi) NaOH, CH CN, 25 C, 2 h.

Br CO X Cl Cl KI, K CO , CH CN 2 3 3 HN CO X reflux, 24 - 72 h X = Me, Et, Pr, Pr rac-24 or S-24 n = 2, 3, 4 Scheme 3 Alkyl halides corresponding to Y are commercially available or may be prepared by methods known in the art or analogous thereto.

Compounds wherein Y is R may be prepared from compounds of formula (I) or (II) wherein Y is hydrogen by treatment with an alkylating agent corresponding to R . Such compounds may also be prepared by reductive amination with an aldehyde (e.g. formaldehyde when R is methyl) or ketone corresponding to R . 19: Y = (CH ) CO Et 2 2 2 : Y = (CH ) CO Et 2 3 2 21: Y = (CH ) CO Me 2 4 2 Scheme 4. (i) NaCNBH , HCHO, AcOH, MeOH, 25 C, 24 h.

Compounds of formula (I) and (II) wherein the phenyl ring is substituted with different X and X may be prepared by, for example, using suitably substituted (phenyl)(cyclopentyl)methanones.

Certain compounds of formula (II) and methods for their preparation are described in Preparation of the compounds may involve the protection and deprotection of various chemical groups. The need for protection and deprotection, and the selection of appropriate protecting groups, can be readily determined by a person skilled in the art. Protecting groups and methods for protection and deprotection are well known in the art [see e.g. T. W. Greene and P. G. M. Wuts, Protective Groups in Organic Synthesis, 3 Ed., Wiley & Sons, Inc., New York (1999)].

The compounds of formula (I) and (II) have analgesic, anaesthetic, and/or sedative activity and are therefore useful for treating pain and/or anaesthetizing and/or sedating subjects.

The term “treatment”, and related terms such as “treating” and “treat”, as used herein, in the context of treating pain, relates generally to treatment, of a human or a non-human subject, in which some desired therapeutic effect is achieved. The therapeutic effect may, for example, be inhibition, reduction, amelioration, halt, or prevention of the pain.

Analgesia is the alleviation or elimination of the sensation of pain. As used herein the term “pain” encompasses a wide range of clinical manifestations, and it has a broad meaning. Pain perception is highly subjective, and different people experience pain in different ways and with greatly different intensities. The International Association for the Study of Pain defines pain as an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage. Non-limiting types and causes of pain include neuralgia, myalgia, hyperalgesia, hyperpathia, neuritis, and neuropathy. Pain may also be caused by physical trauma, such as burns or surgery. In one embodiment, the pain is pain resistant to treatment with opioids.

The term “anaesthetize” and related terms such as “anaesthetizing” as used herein means to induce a loss of sensation and usually of consciousness without loss of vital functions artificially produced by the administration of one or more agents that block responses of the body to painful stimuli, for example the absence of a response to a surgical incision.

The term “sedate” and related terms such as “sedating” as used herein means to induce a state of depressed consciousness in which a patient or subject retains the ability to independently and continuously maintain an open airway and a regular breathing pattern, and to respond appropriately and rationally to physical stimulation and verbal commands. Sedation may be evaluated using, for example, the Ramsay Sedation Scale.

The methods described herein comprise administering compounds of formula (I) or (II) to a subject.

The subject may be a human or non-human animal. Non-human animals include, for example, production animals, such as, cattle, sheep, swine, deer, and goats; companion animals, such as, dogs, cats, and horses; zoo animals, such as, zebras, elephants, giraffes, and large cats; research animals, such as, mice, rats, rabbits, and guinea pigs; fur-bearing animals, such as, mink; birds, such as, ostriches, emus, hens, geese, turkeys, and ducks; fresh- and salt-water fish, such as, trout, salmon, carp, and eels; and reptiles, such as lizards and snakes. In one embodiment, the subject is a human.

The methods comprise administering a therapeutically effective amount of the compound to the subject. A “therapeutically effective amount” of a compound is an amount effective to demonstrate a desired therapeutic effect either alone or in combination with other agents.

The therapeutically effective amount of the compound to be administered to a subject depends on, for example, the purpose for which the compound is administered, mode of administration, nature and dosage of any co-administered compounds, and characteristics of the subject, such as general health, other diseases, age, sex, genotype, body weight and tolerance to drugs. A person skilled in the art will be able to determine appropriate dosages having regard to these any other relevant factors.

In one embodiment, the dose of administered is from about 0.01 mg per kg of body weight (0. 01 mg/kg) to about 100 mg/kg.

The compounds may be administered by any suitable route. The route may depend on the therapeutic purpose for which the compound is administered.

In one exemplary embodiment, the compound is administered intravenously.

In one specifically contemplated embodiment, the compound is administered by intravenous bolus. In another specifically contemplated embodiment, the compound is administered intravenously by continuous infusion.

In certain embodiments, the compound is administered as an intravenous bolus and by intravenous infusion. In one embodiment, the compound is administered as an intravenous bolus and by continuous intravenous infusion.

In some embodiments, the compound is administered as an intravenous bolus at a dose from about 0.01 mg per kg of body weight (0. 01 mg/kg) to about 100 mg/kg.

In some embodiments, the compound is administered by continuous intravenous infusion at a dose from about 0.1 mg/kg/min to about 10 mg/kg/min.

In one specifically contemplated embodiment, the compound is administered for anesthesia as an intravenous bolus at a dose from about 0.01 mg per kg of body weight (0. 01 mg/kg) to about 100 mg/kg and as a continuous intravenous infusion at a dose from about 0.1 mg/kg/min to about 10 mg/kg/min. Smaller doses would be used for sedation and analgesia.

The compounds of formula (I) and (II) are generally prepared in a formulation or pharmaceutical composition appropriate for administration by a particular route. Examples of administration route include transdermal, transmucosal (e.g. nasal, transbuccal, sublingual, vaginal, and rectal), oral, pulmonary (i.e. inhalation), and parenteral (e.g. intravenous, intraarterial, intraperitoneal, intradermal, intramuscular, intraventricular, or subcutaneous).

The formulations generally comprise a pharmaceutically acceptable diluent, excipient, or carrier. Any suitable diluent, excipient, or carrier can be used provided that it is non-toxic and compatible with the other ingredients of the composition. The diluent, excipient, or carrier used depends on the intended route of administration.

The formulation or pharmaceutical composition may be manufactured by any method known in the art, for example, by conventional mixing, dissolving, granulating, levigating, emulsifying, encapsulating, entrapping, or compression. Numerous diluents, excipients, and carriers and methods for preparing pharmaceutical compositions are known in the art [see e.g.

Remington’s Pharmaceutical Sciences, Mack Publishing Co., (2000)].

Suitable formulations for administering the compounds include, for example, tablets, capsules, suppositories, solutions, and powders etc.

The content of the pharmaceutically active compound(s) is typically in the range from 0.05 to 90 wt.-% of the composition as a whole. In one embodiment, the content is from 0.1 to 50 wt.-% of the composition as a whole.

Suitable compositions include for example tablets, capsules, suppositories, solutions and powders etc. Tablets may comprise a solid carrier or diluent. Liquid pharmaceutical compositions may comprise a liquid carrier, for example, water, petroleum, animal or vegetable oils, mineral oil or synthetic oil. Liquid compositions may also comprise physiological saline solution, dextrose or other carbohydrate solution, glycols e.g. ethylene glycol, propylene glycol or polyethylene glycol, etc. Capsules may comprise a solid carrier e.g. gelatin. Such formulations will be well known to a person skilled in the art.

The pharmaceutical composition may be formulated for intravenous, cutaneous or subcutaneous injection. The active ingredient is generally in the form of a parenterally acceptable aqueous solution, which is pyrogen-free and has a suitable pH, isotonicity and stability. Those skilled in the art will be able to prepare suitable solutions. The solutions may comprise isotonic vehicles e.g. sodium chloride injection, Ringer’s injection, etc.

Preservatives, stabilisers, buffers antioxidants and/or other suitable additives may be included as required.

The composition of the present invention comprises a compound of formula (I) or a pharmaceutically acceptable salt or solvate thereof, and a pharmaceutically acceptable diluent, excipient, or carrier. The composition may be formulated as described above.

The formulations may comprise or be used or administered in combination, for example sequentially or simultaneously, with one or more additional therapeutic agents, for example alpha-2 adrenergic drugs such as clonidine or dexmedetomidine.

In one embodiment, the composition further comprises a buffer, stabiliser, or adjuvant.

The uses of the present invention involve the manufacture of medicaments. The medicaments are also formulated as described above.

EXAMPLES The following non-limiting examples are provided to illustrate the present invention and in no way limit the scope thereof.

The structures and physicochemical properties of selected compounds representative of the invention are given in Table 1.

Lipophilicities (clogP) were calculated using ChemBioDraw v12.02 (CambridgeSoft, UK). pKa values were calculated using ACD/PhysChem Suite v12 (ACD/Labs, Toronto, Canada).

Table 1. Details of representative compounds (I) 1 2 1 2 b c Compd. X X Y Y Form Purity clogP pKa rac-C3OAc 2-Cl H (CH ) OAc H R/S 97.2 2.86 6.20 (S)-C3OAc 2-Cl H (CH ) OAc H S 95.8 2.86 6.20 2-Cl H (CH ) CO Et H R/S 97.2 3.05 4.35 rac-C2Et 2 2 2 (S)-C2Et 2-Cl H (CH ) CO Et H S 99.1 3.39 4.35 2 2 2 2-Cl H (CH ) CO Pr H R/S 99.0 3.36 4.35 rac-C2iPr 2 2 2 (S)-C2iPr 2-Cl H (CH ) CO Pr H S 99.5 3.36 4.35 2 2 2 (R)-C2iPr 2-Cl H (CH ) CO Pr H R 99.5 3.36 4.35 2 2 2 2-Cl H (CH ) CO Pr H R/S 99.0 3.58 4.35 rac-C2nPr 2 2 2 rac-C3Et 2-Cl H (CH ) CO Et H R/S 95.3 3.39 5.86 2 3 2 rac-C3iPr 2-Cl H (CH ) CO Pr H R/S 98.4 3.70 5.86 2 3 2 rac-C3nPr 2-Cl H (CH ) CO Pr H R/S 97.2 3.92 5.85 2 3 2 rac-C4Me 2-Cl H (CH ) CO Me H R/S 99.1 2.77 6.29 2 4 2 (S)-C4Me 2-Cl H (CH ) CO Me H S 97.0 2.77 6.29 2 4 2 2-Cl H (CH ) CO Et H S 94.4 3.29 6.29 rac-C4Et 2 4 2 rac-C4iPr 2-Cl H (CH ) CO Pr H R/S 97.6 3.60 6.29 2 4 2 rac-C4nPr 2-Cl H (CH ) CO Pr H R/S 95.4 3.82 6.29 2 4 2 19 2-Cl H (CH ) CO Et Me R/S 93.0 3.69 4.77 2 2 2 2-Cl H (CH ) CO Et Me R/S 94.0 3.48 5.51 2 3 2 21 2-Cl H (CH ) CO Me Me R/S 94.8 3.32 5.74 2 4 2 a b c Purity by reverse-phase HPLC; ClogP calculated using ChemBioDraw Ultra v12.02; pKa calculated using ACD/PhysChem Suite v12.

Ketamine has a measured (Volgyi, G. et al. Anal. Chim. Acta 2007, 583, 418-428) aqueous pKa of 7.49 and a calculated clogP of 2.22. The closest match to this were the acetates (rac- C3OAc and (S)-C3OAc). Next closest in physicochemical properties were the C4 methyl esters (rac-C4Me and (S)-C4Me). The esters overall showed a range of both pKa values (from 4.35 to 6.29) and lipophilicities (from 2.77 to 3.92).

General details All reagents and solvents were obtained from commercial suppliers and used without further purification unless otherwise stated. Reactions requiring anhydrous conditions were performed under nitrogen atmospheres. Reactions were monitored by thin layer chromatography (TLC) on preloaded silica gel F254 plates (Sigma-Aldrich) with a UV indicator. Column 1 13 chromatography was performed with Merck 230-400 mesh silica gel. H and C NMR spectra were obtained with a Bruker Avance 400 spectrometer at 400 MHz for H and 100 MHz for C spectra. Spectra were obtained in CDCl or (CD ) SO. The chemical shifts are 3 3 2 reported in parts per million (δ) downfield using tetramethylsilane (SiMe ) as internal standard. Spin multiplicities are given as s (singlet), d (doublet), dd (double doublet), br (broad), m (multiplet), and q (quartet). Coupling constants (J values) were measured in hertz (Hz). All LC/MS data were gathered by direct injection of methanolic solutions into a Surveyor MSQ mass spectrometer using an atmospheric pressure chemical ionization (APCI) with a corona voltage of 50 V and a source temperature of 400 C. Final products were analyzed by reverse-phase HPLC (Alltima C18 5 μm column, 150 mm × 3.2 mm; Alltech Associated, Inc., Deerfield, IL) using an Agilent HP1100 equipped with a diode array detector.

The mobile phase was 80% CH CN/20% H O (v/v) in 45 mM HCO NH at pH 3.5 and 0.5 3 2 2 4 mL/min. The purity was determined by monitoring at 272 nm and was ≥95% for final products unless otherwise stated. The enantiomeric purity was analyzed by chiral HPLC (Chiralcel OJ- H column, 0.46 cm x 45 cm). The mobile phase was 85 % hexanes/15 % EtOH with a flow rate of 0.6 mL/min. The purity was determined by monitoring at 254 and 280 nm and was ≥95% unless otherwise stated. The final product purity was also assessed by combustion analysis carried out in the Campbell Micro analytical Laboratory, University of Otago (Dunedin, New Zealand). Melting points were determined on an Electrothermal 2300 Melting Point Apparatus and are uncorrected. DCM refers to dichloromethane, DMF refers to N,N- dimethylformamide, EtOAc refers to ethyl acetate, EtOH refers to ethanol.

Example 1 rac((1-(2-Chlorophenyl)oxocyclohexyl)amino)propyl acetate hydrochloride (rac- C3OAc). (Scheme 2). (2-chlorophenyl)(cyclopentyl)methanone [US 20080268071] (21) (10 g, 48.0 mmol) was dissolved in ethyl acetate (100 mL) followed by addition of Cu(II)Br (27 g, 120.9 mmol). The solution was refluxed for 2.5 h and cooled to 25 C. The solid was filtered and the filtrate was evaporated under reduced pressure. Some solid began to form while evaporating solvent under reduced pressure. DCM (100 mL) was added to the solid formed and solution cooled to 0 C in an ice bath. After standing for 10 min. the solution was filtered and the filtrate concentrated under reduced pressure to obtain (1-bromocyclopentyl)(2- chlorophenyl)methanone (22) as a yellow oil (12.3 g, 89 %). H NMR (400 MHz, CDCl ) δ 7.70 (dd, J = 7.4, 1.8 Hz, 1H), 7.43 (dd, J = 7.9, 1.3 Hz), 7.37 (td, J = 7.4, 1.8 Hz, 1H), 7.30 (td, J = 7.4, 1.3 Hz, 1H), 2.45-2.27 (m, 4H), 2.09-2.01 (m, 2H), 1.89-1.82 (m, 2H); C NMR (101 MHz, CDCl ) δ 199.47, 138.87, 130.83, 130.55, 130.16, 128.33, 126.49, 74.29, 40.42, 23.26. MS m/z 289.3 (M2H , 24 %) 207.4 (M – Br , 100 %) Ammonium hydroxide (200 mL) was cooled to 0 C in an ice bath and was saturated with NH gas for 5 min. The solution was added to a flask containing 22 (12.74 g, 44.5 mmol) and stirred vigorously at 25 C for 5 days. The brown clumps formed were separated from the solvent and resuspended in hexanes (150 mL). After stirring in hexanes for 4 h, the precipitate formed was filtered and dried to obtain 23 (8.15 g, 81%) as a pale yellow solid. This was suspended in 8 mL of 2-propanol and cooled to 0 C in an ice bath. HCl gas was bubbled through the solution for 2 min. and diethyl ether (16 mL) was added. Upon standing at 0 C for 3 h a pale yellow precipitate was formed which was filtered, dried under vacuum to obtain 1- ((2-chlorophenyl)(imino)methyl)cyclopentanol hydrochloride (23-HCl) [Parcell, R.F. & Sanchez, J.P. J. Org. Chem.1981, 46, 5055]. (7.21 g). H NMR (400 MHz, CDCl ) δ 14.05 (br, 1H), 12.28 (br, 1H), 7.61 – 7.32 (m, 4H), 2.23 (br, 2H), 1.98 (m, 4H), 1.69 (br, 2H); C NMR (101 MHz, CDCl ) δ 195.76, 132.74, 131.42, 130.57, 128.99, 128.85, 126.82, 85.56, 39.47, 38.78, 24.46, 23.85. MS m/z 224.4 (MH ).

To Dowtherm A (142 mL) heated to 200 C was added in portions 23 (18 g, 69.2 mmol). The heating was continued for 12 min. and cooled to 0 C in an ice bath. The reaction mixture along with precipitate formed was poured into diethyl ether (500 mL) and allowed to stand overnight. The white precipitate formed was filtered and washed with diethyl ether (100 mL).

The precipitate was dissolved in water (200 mL) and neutralized with 2 N NaOH. The water layer was extracted with DCM (3 x 100 mL), dried over Na SO4 and solvent evaporated. The residue obtained was purified by passing through a short silica gel column eluting with DCM (100 %) to 10 % MeOH/DCM to give racemic 2-amino(2-chlorophenyl)cyclohexanone (norketamine) (rac-24) [Parcell, R.F. & Sanchez, J.P. J. Org. Chem.1981, 46, 5055] (9.2g, 59 %). H NMR (400 MHz, CDCl ) δ 7.69 (dd, J = 7.8, 1.7 Hz 1H), 7.39-7.33 (m, 2H), 7.26 (td, J = 7.6, 1.6 Hz, 1H), 2.79-2.72 (m, 1H), 2.63-2.56 (m, 1H), 2.51-2.43 (m, 1H), 2.08-2.0 (m, 1H), 1.88 (br, 1H), 1.81-1.75 (m, 2H), 1.72-1.63 (m, 1H).

A solution of rac-24 (200 mg, 0.89 mmol), 3-bromopropyl acetate [Demko, Z.P. & Sharpless K.B. Org. Lett. 2001, 3, 4091] (194 mg, 1.07 mmol), KI (45 mg, 0.27 mmol), K CO (371 mg, 2.7 mmol) was dissolved in CH CN (5 mL). The reaction mixture was heated to reflux for 24 h. After completion of reaction the reaction mixture was cooled to room temperature and solvent evaporated under reduced pressure. The residue was purified by column chromatography on silica gel eluting with hexanes (100 %), EtOAc/hexanes (40 %). The solvent was evaporated under reduced pressure to obtain the desired product as yellow oil (173 mg, 59 %). The yellow oil was dissolved in diethyl ether (5 mL) and was cooled to 0 C in an ice bath. Dry HCl gas was bubbled through the solution at 0 C for 2 min. The solvent was evaporated under reduced pressure to obtain a yellow solid. The yellow solid was dissolved in EtOAc (1 mL) and sonicated at 25 C for 2 min. The white precipitate formed was diluted with EtOAc (5 mL) and filtered, washed with EtOAc and dried under vacuum to give rac- C3OAc.HCl (107 mg, 33%), mp 180-183 C. H NMR (400 MHz, CDCl ) δ 11.71 (br, 1H), 8.19 (d, J = 7.6 Hz, 1H), 8.09 (br, 1H), 7.58 (m, 1H), 7.46 (d, J = 4.0 Hz, 2H), 4.15 (m, 1H), 4.08 (m, 1H), 3.81 (dm, J = 12.0 Hz, 1H), 3.19 (br, 1H), 2.74 (d, J = 12.0 Hz, 1H), 2.68-2.60 (m, 2H), 2.47 (br, 1H), 2.28 (t, J = 14 Hz, 1H), 2.12 (br, 2H), 2.09 (s, 3H), 1.84 (br, 2H), 1.54 (br, 1H); C NMR (101 MHz, CDCl ) δ 206.20, 171.04, 135.14, 132.56, 132.34, 131.79, 129.16, 128.92, 77.49, 62.22, 41.87, 40.63, 40.01, 29.91, 25.84, 21.82, 21.02. MS m/z 324.2 (MH ). MS m/z 324.2 (MH ). Anal. calcd for C H Cl NO : C, 56.67; H, 6.43; N, 3.89; Cl, 17 23 2 3 19.68. Found: C, 56.49; H, 6.61; N, 3.69.

Example 2 (S)((1-(2-Chlorophenyl)oxocyclohexyl)amino)propyl acetate hydrochloride [(S)- C3OAc] (Scheme 2). Resolution of norketamine was achieved by following a published procedure [Hong & Davisson. J. Pharm. Sci., 1982, 71, 912]. A solution of rac-24 (13.2 g, 59.1 mmol) in MeOH (33 mL) was treated with L-(R,R)-(+)-tartaric acid (8.9 g, 59.1 mmol) in MeOH (118 mL). The reaction mixture was stirred overnight at 25 C and filtered to remove any solid impurities. The filtrate was evaporated and the white solid obtained washed with 2- butanone (264 mL). The white solid was suspended in acetone (1750 mL) and heated to reflux until most of the solid was dissolved. The solution was cooled to room temperature and allowed to stand for 2 days. The crystals formed were filtered and recrystallized two additional times in acetone (1750 mL and 800 mL respectively) to obtain (S)amino(2- chlorophenyl)cyclohexanone, (S)-norketamine [(S)-24] as the tartrate salt. H NMR (400 MHz, DMSO-d ) δ 7.85 (d, J = 7.8 Hz), 7.39 (t, J = 7.4 Hz, 2H), 7.34 (d, J = 7.5 Hz, 1H), 4.21 (s, 2H), 2.78-2.70 (m, 1H), 2.32 (dt, J = 15.1, 4.4 Hz, 1H), 1.96-1.81 (m, 3H), 1.73-1.60 (m, 2H), one proton submerged with DMSO-d peak; C NMR (101 MHz, DMSO-d ) δ 208.6, 173.320, 131.96, 130.28, 129.1 (2), 128.93, 127.09, 71.93, 64.84, 38.31, 37.5, 25.79, 20.84.

MS m/z 224.2 (MH ). Mp: 190-191 C.

The (S)-norketamine tartrate salt was dissolved in water (200 mL) and neutralized with 2 N NaOH. The aqueous layer was extracted with DCM (3 x 100 mL). The combined DCM layer was washed with brine (100 mL) and dried over Na SO . Evaporation of solvent under reduced pressure afforded (S)-norketamine free base [(S)-24] (4.96 g) as a pale yellow viscous oil. H NMR (400 MHz, CDCl ) δ 7.70 (dd, J = 7.8, 1.7 Hz), 7.38-7.31 (m, 2H), 7.28-7.23 (m, 1H), 2.79-2.71 (m, 1H), 2.63-2.56 (m, 1H), 2.51-2.43 (m, 1H), 2.08-2.02 (m, 1H), 1.89-1.74 (m, 3H), 1.71-1.63 (m, 1H); C NMR (101 MHz, CDCl ) δ 212.75, 140.49, 133.02, 131.0, 128.97, 128.32, 127.20, 66.42, 41.25, 38.98, 28.32, 22.16. MS m/z 224.2 (MH ).

A solution of (S)-24 (1 g, 4.47 mmol), 3-bromopropyl acetate [Demko, Z.P. & Sharpless K.B.

Org. Lett. 2001, 3, 4091] (971 mg, 5.36 mmol), KI (223 mg, 1.34 mmol), K CO (1.85g, 13.4 mmol) was dissolved in CH CN (12 mL). The reaction mixture was heated to reflux for 24 h.

After completion of reaction the reaction mixture was cooled to room temperature and solvent evaporated under reduced pressure. The residue was purified by column chromatography on silica gel eluting with hexanes (100 %), EtOAc/hexanes (40 %). The solvent was evaporated under reduced pressure to obtain the desired product as yellow oil (695 mg, 48 %). The yellow oil was dissolved in diethyl ether (20 mL) and was cooled to 0 C in an ice bath. Dry HCl gas was bubbled through the solution at 0 C for 2 min. The white precipitate formed was filtered and resuspended in EtOAc (20 mL) and stirred for 10 min at room temperature. The white precipitate was filtered to give (S)-C3OAc hydrochloride(512 mg, 29%), mp 169-172 C. H NMR (400 MHz, CDCl ) δ 11.87 (br, 1H), 8.20 (d, J = 8.2 Hz, 1H), 7.62 – 7.54 (m, 1H), 7.48 (d, J = 3.8 Hz, 2H), 7.39 (br, 1H), 4.12 (q, J = 7.1 Hz, 2H), 3.83 (dm, J = 14.4 Hz, 1H), 3.11- 3.02 (m, 1H), 2.75 (d, J = 12.5 Hz, 1H), 2.70-2.61 (m, 1H), 2.51 (br, 1H), 2.32 (t, J = 7.3 Hz, 2H), 2.24 (t, J = 11.1 Hz, 1H), 2.05 (br, 1H), 1.99-1.88 (m, 2H), 1.83 (d, J = 14.5 Hz, 2H), 1.76 – 1.61 (m, 3H), 1.24 (t, J = 7.1 Hz, 3H); C NMR (101 MHz, CDCl ) δ 205.41, 173.07, 135.21, 132.58, 132.06, 131.67, 129.34, 128.99, 73.20, 60.57, 43.59, 40.82, 39.62, 33.65, 29.68, 26.07, 22.27, 21.77, 14.31. MS m/z 352.2 (MH ). Anal. calcd for C H Cl NO : C, 19 27 2 3 58.77; H, 7.01; N, 3.61; Cl, 18.26. Found: C, 58.81; H, 7.1, N, 3.51; Cl, 18.31.

General procedure for synthesis of N-alkylated norketamine esters (Scheme 3) A solution of rac-24 or (S)-24 (1 eq.), the appropriate alkyl halide (1.2 eq. or 6 eq. in case of ethylbromo propionate), KI (0.3 eq.) and K CO (3 eq.) was dissolved in CH CN (4.5 2 3 3 mL/mmol). The solution was heated to 80 C in a sealed tube for 24 h (72 h in case of ethyl bromo propionate). The reaction mixture was cooled to room temperature and solvent evaporated. The residue was purified by column chromatography on silica gel eluting with hexanes (100 %), EtOAc/hexanes (20-35 %). The solvent was evaporated under reduced pressure to obtain the desired product as yellow oil. This was dissolved in diethyl ether (5 mL) and was cooled to 0 C in an ice bath. Dry HCl gas was bubbled through the solution at 0 C for 2 min. The solvent was evaporated under reduced pressure to obtain a yellow solid. The yellow solid was dissolved in EtOAc (2 mL) and sonicated at 25 C for 2 min. The white precipitate formed was diluted with EtOAc (10 mL) and filtered, washed with EtOAc and dried under vacuum to obtain the product as hydrochloride salt.

The following compounds were prepared according to this general procedure.

Example 3 Ethyl 3-((1-(2-chlorophenyl)oxocyclohexyl)amino)propanoate hydrochloride (rac- C2Et). From rac-24 and ethyl 3-bromopropionate (33% yield), mp 199-202 C. H NMR (400 MHz, CDCl ) δ 12.24 (br, 1H, NH ), 8.13 (d, J = 8.0 Hz, 2H, ArH, NH ), 7.61 – 7.54 (m, 1H, 3 2 2 ArH), 7.49 (d, J = 3.8 Hz, 2H,), 4.23 (q, J = 7.2 Hz, 2H), 3.78 (dm, J = 14.3 Hz, 1H), 3.59 – 3.45 (m, 1H), 3.25 (q, J = 5.4 Hz, 1H), 2.73 (br, 2H), 2.68 – 2.54 (m, 2H), 2.23 (td, J = 13.7, 2.5 Hz, 1H), 2.14 – 2.02 (m, 1H), 1.89-1.82 (m, 2H), 1.65 – 1.59 (m, 1H), 1.28 (t, J = 7.2 Hz, 3H,CH CH ); C NMR (101 MHz, CDCl ) δ 206.10, 171.94, 135.27, 132.57, 132.40, 131.85, 2 3 3 129.05, 128. 57, 73.42, 61.67, 40.30, 39.71, 39.63, 30.38, 29.93, 21.86, 14.18; MS m/z 324.2 (MH ). Anal. calcd for C H Cl NO : C, 56.67; H, 6.43; N, 3.89; Cl, 19.68. Found: C, 56.65; 17 23 2 3 H, 6.57; N, 3.89; Cl, 19.90 Example 3A (S)-Ethyl 3-((1-(2-chlorophenyl)oxocyclohexyl) amino) propanoate hydrochloride [(S)- C2Et]. From (S)-24 and ethyl 3-bromopropanoate (54 %), mp 208-210 C. H NMR (400 MHz, CDCl ) δ 12.08 (br, 1H), 8.25 (br, 1H), 8.13 (d, J = 8.0 Hz, 1H), 7.61-7.56 (m, 1H), 7.49 (br, 2H), 4.21 (q, J = 7.2 Hz, 2H), 3.76 (dm, J = 14.3, 3.2 Hz, 1H), 3.55 – 3.46 (m, 1H), 3.28 (q, J = 9.97 Hz, 1H), 2.75-2.56 (m, 4H), 2.26 (td, J = 14.14 Hz, 1H), 2.08 (br, 1H), 1.90- 1.78 (m, 2H), 1.61 (br, 1H), 1.28 (t, J = 7.2 Hz, 3H); C NMR (101 MHz, CDCl ) δ 206.35, 172.38, 135.08, 132.39, 132.33, 131.71, 128.91, 128.27, 73.32, 61.75, 40.08, 39.57, 29.91, 29.89, 21.69, 14.02 (1C overlapping). MS m/z 324.2 (MH ). HRMS calculated for C H ClNO (MH ) 324.1361, found 324.1370. 17 23 3 Example 4 Iso-Propyl 3-((1-(2-chlorophenyl)oxocyclohexyl)amino)propanoate hydrochloride (rac-C2iPr) From rac-24 and isopropyl 3-bromopropanoate (48 %), mp 203 – 205 C. H NMR (400 MHz, CDCl ) δ 12.0 (br, 1H), 8.27 (br, 1H), 8.14 (d, J = 8.0 Hz, 1H), 7.61-7.55 (m, 1H), 7.49 (br, 2H), 5.13 – 5.04 (m, 1H), 3.79 (dm, J = 14.3 Hz, 1H), 3.52 – 3.44 (m, 1H), 3.28 (br, 1H), 2.74 (br, 2H), 2.65 – 2.56 (m, 2H), 2.24 (td, J = 13.8 Hz, 3.2Hz, 1H), 2.07 (br, 1H), 1.89 – 1.78 (m, 2H), 1.65-1.62 (m, 1H), 1.26 (d, J = 5.01 Hz, 6H); C NMR (101 MHz, CDCl ) δ 206.57, 172.2, 135.23, 132.63, 132.49, 131.84, 129.07, 129.03, 73.51, 69.86, 40.23, 39.85, 30.27, 30.08, 21.93, 21.84. MS m/z 338.2 (MH ). HRMS calculated 338.1517, found 338.1529.

Example 4A (S)-Isopropyl 3-((1-(2-chlorophenyl)oxocyclohexyl)amino)propanoate hydrochloride [(S)-C2iPr]. From (S)-24 and isopropyl 3-bromopropanoate (29%), mp 208-211 C. H NMR (400 MHz, CDCl ) δ 12.22 (br, 1H), 8.14 (dbr, J = 8.1 Hz, 2H), 7.61-7.55 (m, 1H), 7.49 (br, 2H), 5.12-5.06 (m, 1H), 3.79 (dm, J = 14.4 Hz, 1H), 3.52-3.43 (m, 1 H), 3.26 (q, J = 11.9 Hz, 1H), 2.71 (br, 2H), 2.67-2.55 (m, 2H), 2.21 (td, J = 14.1, 3.3 Hz, 1H), 2.07 (br, 1H), 1.89 – 1.78 (m, 2H), 1.63 (br, 1H), 1.27 (app. dd, J = 4.93, 1.25 Hz, 6H); C NMR (101 MHz, CDCl ) δ 206.62, 172.23, 135.24, 132.62, 132.48, 131.84, 129.08, 128.42, 73.48, 69.86, 40.24, 39.87, 30.28, 30.09, 21.93, 21.87, 21.84. MS m/z 338.2 (MH ). HRMS calculated for C H ClNO (MH ) 338.1517, found 338.1524. 18 25 3 Example 4B (R)-Isopropyl 3-((1-(2-chlorophenyl)oxocyclohexyl)amino)propanoate hydrochloride [(R)-C2iPr]. From (R)-24 and isopropyl 3-bromopropanoate (29%), mp 216-219 C. H NMR (400 MHz, CDCl ) δ 12.20 (br, 1H), 8.14 (dbr, J = 8.1 Hz, 2H), 7.60-7.56 (m, 1H), 7.49 (br, 2H), 5.14-5.04 (m, 1H), 3.80 (dm, J = 13.6 Hz, 1H), 3.51 – 3.44 (m, 1H), 3.26 (br, 1H), 2.73 (br, 2H), 2.64-2.56 (m, 2H), 2.21 (t, J = 13.2 Hz, 1H), 2.06 (br, 1H), 1.89 – 1.79 (m, 2H), 1.64 (br, 1H), 1.26 (app. dd, J = 4.81, 1.40 Hz, 6H); C NMR (101 MHz, CDCl ) δ 206.71, 172.36, 135.23, 132.67, 132.51, 131.85, 129.11, 128.39, 73.5, 69.94, 40.24, 39.95, 30.26, .13, 21.95, 21.89, 21.85. MS m/z (MH ). HRMS calculated for C H ClNO (MH ) 18 25 3 338.1517, found 338.1521.

(R)-24 was prepared by a procedure analogous to that described above for the preparation of (S)-24 using D-(S,S)-(-)-tartaric acid, rather than L-(R,R)-(+)-tartaric acid.

Example 5 n-Propyl 3-((1-(2-chlorophenyl)oxocyclohexyl)amino)propanoate hydrochloride (rac- C2nPr). From rac-24 and propyl 3-bromopropanoate (44 %) mp 163 – 165 C. H NMR (400 MHz, CDCl ) δ 11.68 (br, 1H), 8.69 (br, 1H), 8.14 (d, J = 8.0 Hz, 1H), 7.61 – 7.54 (m, 1H), 7.49 (br, 2H), 4.07 (t, J = 6.8 Hz, 2H), 3.74 (dm, J = 14.3 Hz, 1H), 3.53 – 3.43 (m, 1H), 3.38 (br, 1H), 2.81 – 2.71 (m, 3H), 2.64 – 2.57 (m, 1H), 2.35 (td, J = 13.8, 3.2 Hz, 1H), 2.07 (br, 1H), 1.92 – 1.80 (m, 2H), 1.68 – 1.54 (m, 3H), 0.92 (t, J = 7.4 Hz, 3H); C NMR (101 MHz, CDCl ) δ 206.03, 172.0, 135.28, 132.48, 132.37, 131.84, 128.99, 128.6, 73.4, 67.22, 40.31, 39.57, 30.28, 29.9, 21.9, 21.81, 10.42. MS m/z 338.2 (MH ). HRMS calculated 338.1517, found 338.1526.

Example 6 Ethyl 4-((1-(2-chlorophenyl)oxocyclohexyl)amino)butanoate hydrochloride (rac- C3Et). From rac-24 and ethyl 4-bromobutanoate (37% yield), mp 186-189 C. H NMR (400 MHz, CDCl ) δ 11.14 (br, 1H, NH ), 9.14 (br, 1H, NH ), 8.26 (d, J = 8.1 Hz, 1H), 7.62 – 7.49 3 2 2 (m, 1H), 7.45 (d, J = 3.8 Hz, 2H), 4.11 (q, J = 7.1 Hz, 2H), 3.75 (dm, J = 14.4 Hz, 1H), 3.38 – 3.26 (m, 1H), 2.75-2.64 (m, 2H), 2.64 – 2.58 (m, 1H), 2.43 – 2.26 (m, 2H), 2.45-2.28 (m, 2H), 2.14-2.07 (m, 1H), 1.98(br, 2H), 11.79 (m, 1H), 1.58 – 1.44 (m, 1H), 1.23 (t, J = 7.1 Hz, 3H); C NMR (101 MHz, CDCl ) δ 206.03, 173.16, 135.11, 132.76, 132.08, 131.61, 129.19, 129.02, 73.17, 61.04, 43.54, 40.86, 40.00, 32.24, 29.72, 21.64, 14.27. MS m/z 338.2 (MH ).

Anal. calcd for C H Cl NO : C, 57.76; H, 6.73; N, 3.74; Cl, 18.94. Found: C, 57.55; H, 6.92; 18 25 2 3 N, 3.64; Cl, 18.73.

Example 7 Isopropyl 4-((1-(2-chlorophenyl)oxocyclohexyl)amino)butanoate hydrochloride (rac- C3iPr). From rac-24 and isopropyl 4-bromobutanoate [Fox, M.E., et al. J. Org. Chem. 2005, 70, 1227] (24 % yield), mp 167-169 C. H NMR (400 MHz, CDCl ) δ 11.41 (br, 1H), 8.94 (br, 1H), 8.26 (d, J = 8.1 Hz, 1H), 7.68 – 7.50 (m, 1H), 7.45 (d, J = 3.9 Hz, 2H), 4.99 (m, 1H), 3.79 (dm, J = 14.4 Hz, 1H), 3.31 – 3.21 (m, 1H), 2.75-2.68 (m, 1H), 2.66-2.59 (m, 2H), 2.58- 2.49 (m, 1H), 2.42-2.48 (m, 1H), 2.34 (t, J = 10.8 Hz, 2H), 2.11-1.98 (m, 2H), 1.84 (d, J = .2 Hz, 2H), 1.58 – 1.46 (m, 1H), 1.22 (dd, J = 6.28, 2.2 Hz, 6H) ; C NMR (101 MHz, CDCl ) δ 206.29, 173.46, 135.04, 132.84, 132.13, 131.62, 129.08, 129.06, 73.11, 68.81, 43.70, 40.84, 40.21, 32.79, 29.90, 21.91, 21.68. MS m/z 352.2 (MH ). Anal. calcd for C H Cl NO : C, 58.77; H, 7.01; N, 3.61. Found: C, 58.57; H, 7.2; N, 3.54. 19 27 2 3 Example 8 n-Propyl 4-((1-(2-chlorophenyl)oxocyclohexyl)amino)butanoate hydrochloride (rac- C3nPr). From rac-24 and n-propyl 4-bromobutanoate (19%), mp 160-161 C. H NMR (400 MHz, CDCl ) δ 11.10 (br, 1H), 9.23 (br, 1H), 8.27 (d, J = 8.1 Hz, 1H), 7.59-7.52 (m, 1H), 7.44 (d, J = 5.1 Hz, 2H), 4.01 (t, J = 6.8 Hz, 2H), 3.76 (dm, J = 14.4 Hz,1H), 3.39-3.28 (m, 1H), 2.70 (t, J = 7.8 Hz, 1H), 2.66 (t, J = 6.9 Hz, 1H), 2.62-2.54 (m, 1H), 2.51 (td, J = 7.0, 2.8 Hz, 2H), 2.47-2.41 (m, 1H), 2.39-2.30 (m, 1H), 2.15-2.06 (m, 1H), 2.0 (br, 1H), 1.85 (td, J = 8.0, 3.9 Hz, 2H), 1.57-1.66 (m, 2H), 1.50 (q, J = 14.4Hz, 1H), 0.91 (t, J = 7.4 Hz, 3H); C NMR (101 MHz, CDCl ) δ 205.92, 173.47, 135.12, 132.78, 132.05, 131.59, 129.23, 129.0, 73.16, 66.62, 43.54, 40.86, 39.99, 32.19, 29.77, 22.0, 21.78, 21.70, 10.48. MS m/z 352.2 (MH ).

Example 9 rac-Methyl 4-((1-(2-chlorophenyl)oxocyclohexyl)amino)pentanoate hydrochloride (rac-C4Me). From rac-24 and ethyl 5-bromopentanoate, followed by purification by preparative HPLC (41%). H NMR (400 MHz, CDCl ) δ 7.53 (dd, J = 7.8, 1.6 Hz, 1 H), 7.36 (dd, J = 7.8, 1.4 Hz, 1 H), 7.31 (dt, J = 7.8, 7.6, 1.5 Hz, 1 H), 7.25-7.21 (m, 1 H), 3.64 (s, 3 H), 2.77-2.69 (m, 1 H), 2.55-2.42 (m, 2 H), 2.36-2.30 (m. 1 H), 2.26 (t, J = 7.4 H, 2 H), 2.09- 1.73 (m, 7 H), 1.66-1.58 (m, 2 H), 1.55-1.40 (m, 2 H). HPLC 99%.

Example 10 (S)-Methyl 4-((1-(2-chlorophenyl)oxocyclohexyl)amino)pentanoate hydrochloride [(S)- C4Me]. From (S)-24 and ethyl 5-bromopentanoate (42%), mp (MeOH/EtOAc) 188-191 °C, H NMR (400 MHz, CDCl ) δ 7.52 (dd, J = 7.82, 1.68 Hz, 1 H), 7.36 (dd, J = 7.8, 1.4 Hz, 1 H), 7.31 (dt, J = 7.8, 7.60, 1.45 Hz, 1 H), 7.23 (dt, J = 8.0; 1.7 Hz, 1 H), 3.65 (s, 3 H), 2.76- 2.68 (m, 1 H), 2.55-2.42 (m, 2 H), 2.36-2.30 (m, 1 H), 2.26 (t, J = 7.4 Hz, 2 H), 2.08-1.74 (m, 7 H), 1.66-1.58 (M, 2 H), 1.57-1.37 (m, 3 H), Analysis Calc. for C H Cl NO : C, 57.8; H, 18 25 2 3 6.7, Cl, 18.9, N, 3.7; found C, 57.7, H, 6.8 Cl, 18.9 N, 3.7.

Example 11 rac-Ethyl 5-((1-(2-chlorophenyl)oxocyclohexyl)amino)pentanoate hydrochloride (rac- C4Et). From rac-24 and ethyl 5-bromopentanoate (29%), mp 169-172 C. H NMR (400 MHz, CDCl ) δ 11.87 (br, 1H), 8.20 (d, J = 8.2 Hz, 1H), 7.62 – 7.54 (m, 1H), 7.48 (d, J = 3.8 Hz, 2H), 7.39 (br, 1H), 4.12 (q, J = 7.1 Hz, 2H), 3.83 (dm, J = 14.4 Hz, 1H), 3.11-3.02 (m, 1H), 2.75 (d, J = 12.5 Hz, 1H), 2.70-2.61 (m, 1H), 2.51 (br, 1H), 2.32 (t, J = 7.3 Hz, 2H), 2.24 (t, J = 11.1 Hz, 1H), 2.05 (br, 1H), 1.99-1.88 (m, 2H), 1.83 (d, J = 14.5 Hz, 2H), 1.76 – 1.61 (m, 3H), 1.24 (t, J = 7.1 Hz, 3H); C NMR (101 MHz, CDCl ) δ 205.41, 173.07, 135.21, 132.58, 132.06, 131.67, 129.34, 128.99, 73.20, 60.57, 43.59, 40.82, 39.62, 33.65, 29.68, 26.07, 22.27, 21.77, 14.31. MS m/z 352.2 (MH ). Anal. calcd for C H Cl NO : C, 58.77; H, 7.01; 19 27 2 3 N, 3.61; Cl, 18.26. Found: C, 58.81; H, 7.1, N, 3.51; Cl, 18.31.

Example 12 Isopropyl 5-((1-(2-chlorophenyl)oxocyclohexyl)amino)pentanoate hydrochloride (rac- C4iPr) From rac-24 and isopropyl 5-bromovalerate (40 %), mp 161-163 C. H NMR (400 MHz, CDCl ) δ 11.04 (br, 1H), 8.78 (br, 1H), 8.24 (d, J = 8.0 Hz, 1H), 7.59-7.53 (m, 1H), 7.47 (br, 2H), 5.01-4.92 (m, 1H), 3.74 (dm, J = 14.4 Hz, 1H), 3.29-3.21 (m, 1H), 2.73 (d, J = 12.2 Hz, 1H), 2.64 (td, J = 13.3 Hz, 6.3, 1H), 2.54-2.42 (m, 2H), 2.26-2.21 (m, 2H), 2.10-1.99 (m, 2H), 1.94-1.83 (m, 2H), 1.78 (d, J = 17.6 Hz, 1H), 1.71-1.47 (m, 3H), 1.20 (dd, J = 6.3, 1.2 Hz, 6H); C NMR (101 MHz, CDCl ) δ 205.7, 172.68, 135.18, 132.61, 132.13, 131.72, 129.26, 129.04, 73.25, 67.95, 43.66, 40.80, 39.76, 33.95, 29.78, 26.12, 22.25, 21.97, 21.8. MS m/z 366.2 (MH ). HRMS calculated 366.1830, found 366.1842.

Example 13 n-Propyl 5-((1-(2-chlorophenyl)oxocyclohexyl)amino)pentanoate hydrochloride (rac- C4nPr). From rac-24 and propyl 5-bromopentanoate (45 %), H NMR (400 MHz, CDCl ) δ 11.23 (br, 1H), 8.49 (br, 1H), 8.23 (d, J = 8.0 Hz, 1H), 7.59 -7.52 (m, 1H), 7.46 (br, 2H), 4.0 (t, J = 6.8 Hz, 2H), 3.76 (dm, J = 14.3 Hz, 1H), 3.24 – 3.18 (m, 1H), 2.74 (br, 1H), 2.69 – 2.61 (m, 1H), 2.46 (t, J = 14.0 Hz, 2H), 2.29 (td, J = 7.5, 2.9 Hz, 2H), 2.04 – 1.95 (m, 1H), 1.92 – 1.89 (m, 1H), 1.87 – 1.83 (m, 1H), 1.79 (dbr, J = 15.3 Hz, 1H), 1.73 – 1.57 (m, 5H), 1.54 – 1.47 (m, 1H), 0.91 (t, J = 7.4 Hz, 3H); C NMR (101 MHz, CDCl ) δ 205.98, 173. 29, 135.14, 132. 6, 132.19, 131.74, 129.17, 129.08, 73.28, 66.31, 43.68, 40.77, 39.88, 33.58, 29.85, 26.16, 22.16, 22.06, 21.81, 10.5. MS m/z 366.2 (MH ). HRMS calculated 366.1830, found 366.1839.

General procedure for reductive methylation of N-alkylated norketamine esters (Scheme Norketamine ester (0.9 mmol) was dissolved in MeOH (20 mL) and cooled to 0 C in an ice bath. Acetic acid (0.2 mL, 3.6 mmol) and NaCNBH (112 mg, 1.8 mmol) was added to the above solution and stirred at 0 C for 5 min. Formaldehyde (37 % in H O, 2.2 mmol) was added at 0 C and reaction mixture allowed to stir at 25 C for 24 h. The reaction mixture was quenched with NaHCO and diluted with water. The aqueous layer was extracted with CH Cl 3 2 2 (3 x 20 mL), washed with brine and dried over Na SO . The solvent was evaporated under reduced pressure to obtain the product as yellow oil. The yellow oil was dissolved in Et O (5 mL), cooled to 0 C in an ice bath and treated with HCl gas for 1 min. Solvent was evaporated and the residue was resuspended in EtOAc (2 mL) and sonicated. The precipitate formed was diluted with EtOAc (10 mL) and filtered, dried to give the product as the HCl salt.

Example 14 Ethyl 3-((1-(2-chlorophenyl)oxocyclohexyl)(methyl)amino)propanoate (19). From reductive methylation of rac-C2Et, (97 %). H NMR (400 MHz, CDCl ) δ 7.38 (dd, J = 7.8, 1.4 Hz, 1H), 7.36-7.33 (m, 1H), 7.30 (td, J = 7.9, 1.4 Hz, 1H), 7.25-7.21 (m, 1H), 4.10 (q, J = 7.2 Hz, 2H), 3.11-3.04 (m, 1H), 2.97-2.90 (m, 1H), 2.80-2.73 (m, 1H), 2.58 (t, J = 6.7 Hz, 2H), 2.49-2.45 (m, 2H), 2.43 (s, 3H), 2.05-1.91 (m, 2H), 1.89- 1.72 (m, 2H), 1.65-1.56 (m, 1H), 1.24 (t, J = 7.2 Hz, 3H); C NMR (101 MHz, CDCl ) δ 208.1, 172.7, 138.0, 134.07, 131.68, 129.86, 18.64, 126.65, 74.58, 60.37, 47.76, 41.19, 36.97, 36.14, 34.73, 27.28, 22.33, 14.27. MS m/z 338.5 (MH ). HRMS calculated for C H ClNO (MH ) 338.1517, found 18 25 3 338.1514.

Example 15 Ethyl 4-((1-(2-chlorophenyl)oxocyclohexyl)(methyl)amino)butanoate hydrochloride (20). From reductive methylation of rac-C3Et (97 %). Mixture of rotamers. H NMR (400 MHz, CDCl ) δ 11.97 (br, 1H), 11.79 (br, 1H), 8.46 (d, J = 8.0 Hz, 1H), 7.93 (d, J = 7.6 Hz, 1H), 7.64- 7.46 (m, 6H), 4.12-4.04 (m, 4H), 3.96 (t, J = 9.3 Hz, 1H), 3.69 (d, J = 14.8 Hz, 1H), 3.47 (1H), 3.25 (d, J = 14.5 Hz, 1H), 3.16 (s, 3H), 2.78 (br, 6H), 2.69-2.55 (m, 5H), 2.48-2.34 (m, 3H), 2.14 (br, 3H), 1.97 (br, 3H), 1.84 (br, 5), 1.48-1.39 (m, 2 H), 1.31-1.19 (m, 6H); C NMR (101 MHz, CDCl ) δ 205.26, 204.28, 172, 136.05, 135.91, 133.57, 132.87, 132. 77, 132.65, 132.55, 132.11, 129.2, 128.53, 127.69, 60.85, 53.32, 52.16, 42.65, 41.99, 37.37, 37.17, 36.59, 35.39, 31.49, 29.16, 22.22, 22.13, 20.64, 20.55, 14.3 (some C not seen for both rotamers). MS m/z 352.2 (MH ). HRMS calculated for C H ClNO (MH ) 352.1674, found 19 27 3 352.1687.

Example 16 Methyl 5-((1-(2-chlorophenyl)oxocyclohexyl)(methyl)amino)pentanoate (21). From reductive methylation of rac-C4Me, (97 %). H NMR (400 MHz, CDCl ) δ 7.41 (d, J = 7.5 Hz, 2H), 7.38-7.29 (m, 2H), 3.66 (s, 3H), 2.83 (br, 2H), 2.61-2.57 (m, 3H), 2.49 (br, 3H), 2.30 (t, J = 7.1Hz, 2H), 2.10-1.94 (m, 3H), 1.88-1.77 (m, 3H), 1.62-1.59 (m, 3H); C NMR (101 MHz, CDCl ) δ 206.75, 173.94, 134.77, 133.19, 132.01, 131.14, 130.12, 127.44, 52.02, 51.62, 41. 63, 37.0, 35.86, 33.66, 28.04, 27.07, 22.58, 22.27 (1C overlapping). MS m/z 352.2 (MH ).

HRMS calculated HRMS calculated for C H ClNO (MH ) 352.1674, found 352.1683. 19 27 3 Biological activity All animal experiments were conducted at the Ruakura Research Centre, Hamilton, New Zealand, using experimental protocols reviewed and approved by the Ruakura Animal Ethics Committee (ethics ref 12604).

Following acquisition of baseline physiologic parameters (heart rate, respiratory rate, PWR, and righting reflex (RR)) adult female Sprague-Dawley rats of approximately 350-450 g were put under non-traumatic restraint and the marginal vein of the tail was cannulated. Ketamine or a compound of the invention at 10mg/ml was administered via a minibore extension tube adequately secured to the tail. Infusions were commenced at a rate (weight-adjusted) to deliver 20 mg/kg/min initially (until the pedal withdrawal reflex score PWR=1), then were reduced to a rate of 6.7 mg/kg/min. Infusion rate was then titrated in an up-and-down fashion to maintain dorsal recumbency and a PWR=1 to 10 minutes before cessation. Three rats were used in each study, with each group of rats also acting as their own ketamine control. The order of study drug administration was determined by prior odds/evens randomisation with a recovery interval of at least one hour afforded between experiments. PWR and RR were recorded at 1 minute intervals throughout. The times from cessation of infusion to return of righting reflex (RRR), and from cessation of infusion to the animals displaying independent locomotion (walk) were recorded.

The results are provided in Tables 2 and 3 below.

Pedal Withdrawal Reflex (PWR) scoring: Nociceptive testing in animals was conducted via 1 second application of constant pressure (firm digital pressure) over the forepaw of the animal. Pedal withdrawal reflex testing is primarily used to assess analgesic effect, and responses are graded accordingly: 0, absent; 1, flicker; 2, moderate withdrawal; 3, fast withdrawal; 4, Fast withdrawal with cry/preceding apnoea (modified from Buitrago, S. et al. J.

Amer. Assoc. Lab. Animal. Sci. 2008, 47, 11-17).

Loss of Righting Reflex (LRR): This is primarily used to assess anaesthetic hypnotic effect.

Righting reflex is judged absent when the rat fails to right from a position of dorsal recumbency to a position of sternal recumbency on three attempts performed in rapid succession. Dose to LRR is termed effective potency.

Table 2. Anaesthetic effects of ketamine and compounds of the invention in a rat infusion study a b c d Compd LRR PWR=1 RRR Walk e f e f e e Time Dose Dose Time Time Time (sec) (mg/kg) (mg/kg) (sec) (sec) (sec) rac-ketamine 59±5 20±2 93±8 31±2 863±153 1918±518 (S)-C3OAc 81±10 26±3 104±7 34±1 566±30 983±93 rac-ketamine 77±10 27±4 95±13 38±10 1602±549 2536±250 rac-C2Et 135±61 48±23 154±68 55±25 177±51 253±68 rac-ketamine 53±1 20±1 73±3 26±1 1315±215 2163±722 (S)-C2Et 171±54 59±19 185±55 62±20 62±8 80±8 rac-ketamine 62±7 22±2 71±9 24±3 760±144 1100±144 rac-C2iPr 103±17 33±6 127±13 37±6 83±19 153±33 rac-ketamine 65±10 30±4 77±12 34±4 900±60 1200±180 222±18 74±9 247±13 84±4 15±15 224±90 (S)-C2iPr rac-ketamine 53 24 69 26 1170 1629 (R)-C2iPr 170 71 190 82 0 900 rac-ketamine 51±3 18±1 63±3 21±1 1060±221 1500±5 rac-C2nPr 404±196 131±62 420±180 136±67 0 0 rac-ketamine 59±6 17±2 76±7 24±4 1523±131 2122±131 rac-C3Et 70±6 24±2 137±14 44±5 95±12 170±17 rac-ketamine 69±7 23±2 84±4 28±2 874±81 1384±374 rac-C3iPr 125±21 42±9 192±47 66±17 37±22 110±45 rac-ketamine 69±7 23±2 84±4 28±2 874±81 1384±374 329±106 137±48 558±42 209±20 10±5.5 65±33 rac-C3nPr rac-ketamine 70±28 20±5 81±23 22±4 1104±95 1462±113 rac-C4Me 92±14 34±7 124±21 44±10 99±16 126±32 rac-ketamine 56±6 17±2 76±7 23±4 1523±131 2122±107 rac-C4Et 97±8 34±4 172±36 57±12 134±22 158±22 rac-ketamine 54 19 66 22 1281 1499 rac-C4iPr 122 38 122 38 180 320 rac-ketamine 65±10 23±3 77±12 26±4 900±60 1200±180 rac-C4nPr 271±97 82±34 277±97 83±34 45±15 90±30 rac-ketamine 60 21 69 25 1230 1475 19 280 95 290 99 0 0 rac-ketamine 75 25 86 29 1500 1920 600 196 600 196 0 0 rac-ketamine 57 20 82 28 2040 2340 420 145 435 148 0 201 LRR: (Loss of righting reflex) assesses anaesthetic effect. Righting reflex is considered absent when the animal fails to right from a position of dorsal recumbency to a position of sternal recumbency on three attempts performed in rapid succession. PWR (Pedal withdrawal reflex) assesses analgesic effect, and is conducted by a 1 second application of firm constant pressure (for rats, firm digital pressure) over the forepaw of the animal. A PWR=1 (a flicker of response) indicates a satisfactory level of analgesia (nociception). RRR (Recovery of righting reflex; ability to right from dorsal recumbency). Walk (ability to sustain independent locomotion). Time: the time from onset of the infusion of drug to achieve LRR or PWR=1, or the time from the end of the infusion of drug to achieve RRR or Walk. Dose: The total drug administered to achieve LRR or PWR=1. Where no errors are given the results are from a single animal.

Table 3. Head-to-head ratios of anaesthetic effects of compounds of the invention to ketamine a b c d Compd LRR PWR=1 RRR Walk e f e f e e Time Dose Time Dose Time Time (S)-C3OAc 1.37 1.30 1.12 1.10 0.65 0.51 rac-C2Et 1.75 1.78 1.62 1.45 0.11 0.10 (S)-C2Et 3.22 2.95 2.53 2.38 0.05 0.04 rac-C2iPr 1.66 1.50 1.79 1.54 0.11 0.14 (S)-C2iPr 3.41 2.46 3.14 2.47 0.02 0.19 (R)-C2iPr 3.20 2.96 2.75 3.15 NA 0.06 7.92 7.28 6.67 6.48 NC NC rac-C2nPr rac-C3Et 1.19 1.41 1.80 1.83 0.062 0.08 (S)-C3Et 3.23 2.95 2.53 2.38 0.05 0.04 rac-C3iPr 1.81 1.83 2.29 2.36 0.042 0.08 rac-C3nPr 4.77 5.95 6.64 7.46 0.012 0.05 1.31 1.70 1.53 2.00 0.090 0.086 rac-C4Me (S)-C4Me 1.94 1.80 1.81 1.76 0.07 0.51 rac-C4Et 1.73 2.00 2.26 2.48 0.09 0.05 (S)-C4Et 1.73 2.00 2.26 2.48 0.088 0.074 rac-C4iPr 2.26 2.00 1.85 1.73 1.78 1.17 rac-C4nPr 4.17 3.56 3.60 3.19 0.05 0.08 19 4.67 4.50 4.20 3.96 NC NC 8.00 7.84 6.98 6.76 NC NC 21 7.37 7.25 5.30 5.29 NC 0.09 a-f g h As for Table 2. NA: not active. NC: not calculable.

The results of Tables 2 and 3 clearly show that compounds of the invention show ketamine- like anaesthetic effects with similarly rapid onset and potency, but with much more rapid (up to 10-fold faster than ketamine) recovery following discontinuation of infusion.

The average values of the parameters measured for the ketamine standard over the various experiments is shown below in Table 4. Given the complexity of the experimental protocol, the pre-sedation data (time and total dose for LRR; Table 2) are very consistent, with ranges of only 1.5-fold. The consistency of the post-sedation recovery times are expectedly lower, with ranges of about 2.5-fold.

Representative plots of the performance of two representative compounds of the invention compared to ketamine in are shown in Figures 1 and 2. Loss of righting (anaesthesia) for rac- C2nPr and rac-C4Me are shown in Figures 1A and 1B, respectively, and pedal withdrawal scores are shown in Figures 2A and 2B.

Figure 3 shows a scatter-plot of effective potency (dose [mg/kg] to loss of righting reflex) versus duration (time to return of righting reflex) for ketamine and representative compounds of the invention.

Table 4. Average parameters determined for the ketamine standard Property Average Range Time to achieve LRR (sec) 61±8 51-75 Total dose to LRR (mg/kg) 21±7 17-27 Time to PWR=1 (sec) 76±9 60-95 Total dose to LRR (mg/kg) 26±4 21-34 Time to RRR (sec) 1212±318 863-2040 Time to walking (sec) 1709±400 1100-2340 Discussion Acetate (S)-C3OAc was the most potent of the compounds (about as potent as ketamine), but showed only moderately faster recoveries (1.5-2 fold) than ketamine itself. Without wishing to be bound by theory, the applicant believes that this is most likely not due to slow acetate hydrolysis, but to the fact that the corresponding alcohol product is itself a potent hypnotic/analgesic.

Of the remaining norketamine esters, the more potent compounds (up to 2-fold less dose- potent than ketamine itself) rac-C2Et, rac-C2iPr, rac-C3Et, rac-C3iPr, rac-C4Me, rac-C4Et and rac-C4iPr comprised a mixture of chain lengths (thus a range of pKas) and a variety of Me, Et and iPr esters.

The less dose-potent compounds (from 2-6 fold less than ketamine) rac-C2nPr, rac-C3nPr and rac-C4nPr were also a mixture of chain lengths, but were all n-Pr esters, and at the higher end of the lipophilicity range. Since dose-potency and rapidity of recovery from both LRR and PWR are broadly reciprocal, it is not surprising that these less potent compounds resulted in the fastest recoveries (20-25 fold faster than ketamine).

Most of the norketamine esters were racemic, but several enantiomers were evaluated, since (S)-ketamine is known to be as active but about twice as potent as its racemate. Two of the S- enantiomers ((S)-C2Et, (S)-C2iPr), while active, were only half as potent and showed faster recoveries than the corresponding racemates, suggesting more rapid hydrolysis of the S- enantiomer esters. The (R)-C2iPr enantiomer had similar potency and kinetics of recovery to (S)-C2iPr. rac-C4Me and enantiopure (S)-C4Me had broadly equivalent properties.

Exploratory studies were done (mostly single-animal evaluations) using ketamine esters 19- 21. The racemic C2 ethyl ester 19 was about as potent as the n-Pr norketamine esters, but had a very weak sedative effect, with very rapid recovery. Longer chain length C3 ethyl and C4 methyl esters 20 and 21, were less potent, with weak sedative activity.

There was no clear effect of pKa on anaesthetic activity, although the weakest bases were among the least potent of the esters.

In summary, the above results show that short-chain aliphatic ester analogues of ketamine broadly retain its desirable anaesthetic and analgesic activities, yet are metabolised to the more polar and inactive acids sufficiently rapidly to minimise the drawbacks of ketamine itself in this capacity.

Although the invention has been described by way of example and with reference to particular embodiments, it is to be understood that modifications and/or variations may be made without departing from the scope of the invention.

All publications referenced in this specification are incorporated herein in their entirety.

WHAT WE

Claims (47)

CLAIM IS

1. A compound of formula (I): 5 wherein 1 1 1 Y is –C aliphaticC(O)OR , –C aliphaticOC(O)R , –C aliphaticC(O)OC 2-6 2-6 1-6 1- aliphaticC(O)OR , or –C aliphaticC(O)OC aliphaticOR , wherein each aliphatic is 6 1-6 1-6 optionally substituted with one or more R ; R is C aliphatic, optionally substituted with one or more halo, CN, NO , NH , 1-6 2 2 11 11 12 11 11 12 10 NHR , NR R , C haloalkyl, C haloalkoxy, C(O)NH , C(O)NHR , C(O)NR R , 1-6 1-6 2 11 11 11 SO R , OR , C(O)R , and C aliphatic; 2 1-6 2 11 R is C aliphatic, optionally substituted with one or more halo, OR , or CN; R is hydrogen or R ; 11 12 11 12 R and R are each independently C aliphatic; or R and R together with the 15 nitrogen atom to which they are attached are a heteroaryl or heterocyclyl ring; Y is hydrogen or R ; 1 2 2 11 11 12 X and X are each independently hydrogen, R , halo, NO , NH , NHR , NR R , C 2 2 1- 11 11 12 11 11 haloalkyl, C haloalkoxy, C(O)NH , C(O)NHR , C(O)NR R , SO R , OR , 6 1-6 2 2 11 1 1 1 1 1 C(O)R , C aliphaticY , OY , C(O)Y , SO Y , or C(O)NHY at any of the available 1-6 2 20 2-5 positions; or a pharmaceutically acceptable salt or solvate thereof. 1 1 1

2. The compound of claim 1, wherein Y is –C alkylC(O)OR , –C alkylOC(O)R , –C 2-6 2-6 1- alkylC(O)OC alkylC(O)OR , or –C alkylC(O)OC alkylOR , wherein each alkyl 6 1-6 1-6 1-6 is optionally substituted. 25

3. The compound of claim 1 or 2, wherein Y is –C alkylC(O)OR or –C 2-6 1- alkylC(O)OC alkylC(O)OR , wherein each alkyl is optionally substituted. 6 1-6

4. The compound of any one of claims 1-3, wherein Y is –C alkylC(O)OR , wherein the alkyl is optionally substituted.

5. The compound of any one of claims 1-4, wherein R is C alkyl, C alkenyl, 1-6 2-6 cycloalkyl, or cycloalkenyl, wherein each alkyl and cycloalkyl are optionally 11 11 12 5 substituted with one or more halo, CN, NO , NH , NHR , NR R , C haloalkyl, C 2 2 1-6 1- 11 11 12 11 11 11 haloalkoxy, C(O)NH , C(O)NHR , C(O)NR R , SO R , OR , and C(O)R ; and 6 2 2 each alkyl is optionally substituted with cycloalkyl or cycloalkenyl; and each cycloalkyl is optionally substituted with C alkyl or C alkenyl. 1-6 2-6

6. The compound of any one of claims 1-5, wherein R is C alkyl or cycloalkyl, wherein 10 each alkyl and cycloalkyl is optionally substituted.

7. The compound of any one of claims 1-6, wherein R is C alkyl, wherein each alkyl is optionally substituted.

8. The compound of any one of claims 1-7, wherein R is C alkyl or cycloalkyl, optionally substituted with one or more halo, OR , or CN. 15

9. The compound of claim 8, wherein R is C alkyl, optionally substituted with one or more halo, OR , or CN. 11 12

10. The compound of any one of claims 1-7, wherein R and R are each independently 11 12 C alkyl, C alkenyl, cycloalkyl, or cycloalkenyl; or R and R together with the 1-6 2-6 nitrogen atom to which they are attached are a heteroaryl or heterocyclyl ring. 11 12 20 11. The compound of claim 10, wherein R and R are each independently C alkyl or 11 12 cycloalkyl; or R and R together with the nitrogen atom to which they are attached are a heteroaryl or heterocyclyl ring.

11 12

12. The compound of claim 10 or 11, wherein R and R are C alkyl.

13. The compound of any one of claims 1-12, wherein Y is hydrogen or C alkyl, 25 wherein the alkyl is optionally substituted.

14. The compound of any one of claims 1-13, wherein X and X are each independently 2 11 11 12 hydrogen, R , halo, NO , NH , NHR , NR R , C haloalkyl, C haloalkoxy, 2 2 1-6 1-6 11 11 12 11 11 11 1 1 C(O)NH , C(O)NHR , C(O)NR R , SO R , OR , C(O)R , C alkylY , OY , 2 2 1-6 1 1 1 C(O)Y , SO Y , or C(O)NHY at any of the available 2-5 positions.

15. The compound of any one of claims 1-14, wherein X and X are each independently 2 11 11 12 hydrogen, R , halo, NO , NH , NHR , NR R , C haloalkyl, C haloalkoxy, 2 2 1-6 1-6 11 11 12 11 11 11 2 1 C(O)NH , C(O)NHR , C(O)NR R , SO R , OR , or C(O)R ; or X is C alkylY , 2 2 1-6 1 1 1 1 OY , C(O)Y , SO Y , or C(O)NHY at any of the available 2-5 positions. 5

16. The compound of any one of claims 1-15, wherein X and X are each independently 2 11 11 11 2 hydrogen, R , halo, C haloalkyl, C haloalkoxy, SO R , OR , or C(O)R ; or X is 1-6 1-6 2 1 1 1 1 C alkylY , OY , C(O)Y , or SO Y at any of the available 2-5 positions. 1-6 2

17. The compound of any one of claims 1-16, wherein X and X are each independently 2 11 11 hydrogen, R , halo, C haloalkyl, C haloalkoxy, SO R , or OR at any of the 1-6 1-6 2 10 available 2-5 positions.

18. The compound of any one of claims 1-17, wherein X is halo; and X is independently 2 11 11 hydrogen, R , halo, C haloalkyl, C haloalkoxy, SO R , or OR at any of the 1-6 1-6 2 available 2-5 positions.

19. The compound of any one of claims 1-18, wherein X is 2-chloro; and X is hydrogen, 2 11 11 15 R , halo, C haloalkyl, C haloalkoxy, SO R , or OR at any of positions 3-5. 1-6 1-6 2

20. The compound of any one of claims 1 and 5-19, wherein Y is – A B C D 1 A B C D 1 A B (CR R ) (CR R ) C(O)OR , –(CR R ) (CR R ) OC(O)R ,–(CR R ) m n m n m- C D G H E F 1 A B (CR R ) C(O)O(CR R ) (CR R ) C(O)OR , or –(CR R ) 1 n p o m- C D G H E F 3 (CR R ) C(O)O(CR R ) (CR R ) OR ; m is an integer from 2 to 6; o is an integer 1 n p o 20 from 1 to 6; n and p are each independently 0 or 1; the sum of m and n and the sum of A B C D E F G H o and p is 6 or less; and R , R , R , R , R , R , R , and R at each instance of m, n, o, and p are each independently hydrogen or R . 1 A B C D 1

21. The compound of claim 20, wherein Y is –(CR R ) (CR R ) C(O)OR or – A B C D G H E F 1 (CR R ) (CR R ) C(O)O(CR R ) (CR R ) C(O)OR . m n p o 1 A B C D 1 25

22. The compound of claim 20 or 21, wherein Y is –(CR R ) (CR R ) C(O)OR . A B E F

23. The compound of any or of claims 20-22, wherein R , R , R , and R at each instance C D G H of m and o are each independently hydrogen; and R , R , R , and R at each instance of n and p are each independently hydrogen or R .

24. The compound of claim 1, wherein the compound is 30 3-((1-(2-chlorophenyl)oxocyclohexyl)amino)propyl acetate, ethyl 3-((1-(2-chlorophenyl)oxocyclohexyl)amino)propanoate, iso-propyl 3-((1-(2-chlorophenyl)oxocyclohexyl)amino)propanoate, n-propyl 3-((1-(2-chlorophenyl)oxocyclohexyl)amino)propanoate, ethyl 4-((1-(2-chlorophenyl)oxocyclohexyl)amino)butanoate, 5 isopropyl 4-((1-(2-chlorophenyl)oxocyclohexyl)amino)butanoate, n-propyl 4-((1-(2-chlorophenyl)oxocyclohexyl)amino)butanoate, methyl 4-((1-(2-chlorophenyl)oxocyclohexyl)amino)pentanoate, ethyl 5-((1-(2-chlorophenyl)oxocyclohexyl)amino)pentanoate, isopropyl 5-((1-(2-chlorophenyl)oxocyclohexyl)amino)pentanoate, 10 n-propyl 5-((1-(2-chlorophenyl)oxocyclohexyl)amino)pentanoate, ethyl 3-((1-(2-chlorophenyl)oxocyclohexyl)(methyl)amino)propanoate, ethyl 4-((1-(2-chlorophenyl)oxocyclohexyl)(methyl)amino)butanoate, or methyl 5-((1-(2-chlorophenyl)oxocyclohexyl)(methyl)amino)pentanoate, or a pharmaceutically acceptable salt or solvate thereof. 15

25. A pharmaceutical composition comprising a compound of formula (I) or a pharmaceutically acceptable salt or solvate thereof according to any one of claims 1- 24, and a pharmaceutically acceptable diluent, excipient, or carrier.

26. Use of a compound of formula (I) according to any one of claims 1-24 in the manufacture of a medicament for treating pain. 20

27. The use of claim 26 for providing analgesia.

28. Use of a compound of formula (II) in the manufacture of a medicament for providing anaesthesia: (II) 25 wherein 11 1 1 Y is –C aliphaticC(O)OR , –C aliphaticCO(O)R , –C aliphaticC(O)OC 1-6 1-6 1-6 1- aliphaticC(O)OR , or –C aliphaticC(O)OC aliphaticOR , wherein each aliphatic is 6 1-6 1-6 optionally substituted with one or more R ; and 1 2 3 2 1 2 R , R , R , Y , X , and X are as defined in the compound of formula (I) according to 5 claim 1; or a pharmaceutically acceptable salt or solvate thereof. 11 1 1

29. The use of claim 28, wherein Y is –C alkylC(O)OR , –C alkylCO(O)R ,–C 1-6 1-6 1- alkylC(O)OC alkylC(O)OR , or –C alkylC(O)OC alkylOR , wherein each alkyl 6 1-6 1-6 1-6 is optionally substituted. 11 1 10

30. The use of claim 28 or 29, wherein Y is –C alkylC(O)OR or –C alkylC(O)OC 1-6 1-6 1- alkylC(O)OR , wherein each alkyl is optionally substituted. 11 1

31. The use of any one of claims 28-30, wherein Y is –C alkylC(O)OR , wherein the alkyl is optionally substituted.

32. The use of any one of claims 28-31, wherein R is as defined in any one of claims 5-7. 15

33. The use of any one of claims 28-32, wherein R is as defined in claim 8 or 9. 11 12

34. The use of any one of claims 28-33, wherein R and R are as defined in any one of claims 10-12.

35. The use of any one of claims 28-34, wherein Y is as defined in claim 13.

36. The use of any one of claims 29-35, wherein X and X are as defined in any one of 20 claims 14-19.

37. The use of any one of claims 28 and 32-36, wherein Y is – A B C D 1 A B C D 1 (CR R ) (CR R ) C(O)OR , –(CR R ) (CR R ) OC(O)R ,– m n m n A B C D G H E F 1 (CR R ) (CR R ) C(O)O(CR R ) (CR R ) C(O)OR , or – m n p o A B C D G H E F 3 (CR R ) (CR R ) C(O)O(CR R ) (CR R ) OR ; m and o are each independently an m n p o 25 integer from 1 to 6; n and p are each independently 0 or 1; the sum of m and n and the A B C D E F G H sum of o and p is 6 or less; and R , R , R , R , R , R , R , and R at each instance of m, n, o, and p are each independently hydrogen or R . 11 A B C D 1

38. The use of claim 37, wherein Y is –(CR R ) (CR R ) C(O)OR or – A B C D G H E F 1 (CR R ) (CR R ) C(O)O(CR R ) (CR R ) C(O)OR . m n p o 11 A B C D 1 30

39. The use of claim 37 or 38, wherein Y is –(CR R ) (CR R ) C(O)OR . A B E F

40. The use of any one of claims 37-39, wherein R , R , R , and R at each instance of m C D G H and o are each independently hydrogen; and R , R , R , and R at each instance of n and p are each independently hydrogen or R .

41. The use of claim 28, wherein the compound of formula (II) is a compound of formula 5 (I) according to any one of claims 1-24.

42. The use of any one of claims 28-41, wherein the medicament is for providing anaesthesia for a surgical procedure.

43. The use of any one of claims 28-42, wherein the medicament is for inducing and maintaining general anaesthesia. 10

44. Use of a compound of the formula (II) as defined in any one of claims 28-41in the manufacture of a medicament for providing sedation.

45. The use of claim 44, wherein the medicament is for providing sedation for a medical procedure.

46. The use of claim 44 or 45, wherein the medicament is for providing conscious 15 sedation.

47. The use of any one of claims 44-46, wherein the medicament is for inducing and maintaining conscious sedation.