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WO1994027967A1 - Novel compounds - Google Patents

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Publication number
WO1994027967A1
WO1994027967A1 PCT/EP1994/001704 EP9401704W WO9427967A1 WO 1994027967 A1 WO1994027967 A1 WO 1994027967A1 EP 9401704 W EP9401704 W EP 9401704W WO 9427967 A1 WO9427967 A1 WO 9427967A1
Authority
WO
WIPO (PCT)
Prior art keywords
dimethoxyphenyl
ethyl
formula
piperidinyl
compound
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/EP1994/001704
Other languages
French (fr)
Inventor
Guy Marguerite Marie Gérard NADLER
Marcel Jean-Marie Morvan
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
SmithKline Beecham Laboratoires Pharmaceutiques
Original Assignee
SmithKline Beecham Laboratoires Pharmaceutiques
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from FR9306290A external-priority patent/FR2705674B1/en
Priority claimed from FR9309326A external-priority patent/FR2708607A1/en
Application filed by SmithKline Beecham Laboratoires Pharmaceutiques filed Critical SmithKline Beecham Laboratoires Pharmaceutiques
Priority to JP7500224A priority Critical patent/JPH09501404A/en
Priority to AU69717/94A priority patent/AU6971794A/en
Priority to EP94918376A priority patent/EP0700385A1/en
Publication of WO1994027967A1 publication Critical patent/WO1994027967A1/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D401/00Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom
    • C07D401/02Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings
    • C07D401/06Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings linked by a carbon chain containing only aliphatic carbon atoms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • A61P9/06Antiarrhythmics
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D211/00Heterocyclic compounds containing hydrogenated pyridine rings, not condensed with other rings
    • C07D211/04Heterocyclic compounds containing hydrogenated pyridine rings, not condensed with other rings with only hydrogen or carbon atoms directly attached to the ring nitrogen atom
    • C07D211/06Heterocyclic compounds containing hydrogenated pyridine rings, not condensed with other rings with only hydrogen or carbon atoms directly attached to the ring nitrogen atom having no double bonds between ring members or between ring members and non-ring members
    • C07D211/36Heterocyclic compounds containing hydrogenated pyridine rings, not condensed with other rings with only hydrogen or carbon atoms directly attached to the ring nitrogen atom having no double bonds between ring members or between ring members and non-ring members with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
    • C07D211/56Nitrogen atoms
    • C07D211/58Nitrogen atoms attached in position 4
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D401/00Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom
    • C07D401/02Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings
    • C07D401/12Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings linked by a chain containing hetero atoms as chain links
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D405/00Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom
    • C07D405/02Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom containing two hetero rings
    • C07D405/12Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom containing two hetero rings linked by a chain containing hetero atoms as chain links
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D409/00Heterocyclic compounds containing two or more hetero rings, at least one ring having sulfur atoms as the only ring hetero atoms
    • C07D409/02Heterocyclic compounds containing two or more hetero rings, at least one ring having sulfur atoms as the only ring hetero atoms containing two hetero rings
    • C07D409/12Heterocyclic compounds containing two or more hetero rings, at least one ring having sulfur atoms as the only ring hetero atoms containing two hetero rings linked by a chain containing hetero atoms as chain links

Definitions

  • the invention relates to certain novel compounds, to pharmaceutical compositions containing such compounds, to a process for the preparation of such compounds and to the use of such compounds as active therapeutic agents.
  • European Patent Application, Publication Number 0416581 discloses certain substituted N-benzylpiperidine amides which are stated to be useful in the treatment of cardiac arrhythmias.
  • Anti-arrhythmic agents are classified according to their electrophysiological effects on the cardiac cell (Vaugham-Williams, 1970, 1989) : class 1 agents block the fast sodium current, class II agents are beta-adrenergic blockers, class III agents block potassium currents, class IV agents block the calcium current, and class V agents are specific sinus node inhibitors.
  • a majority of ventricular and atrial arrhythmias are related to reentrant circuit.
  • the prolongation of myocardial refractoriness within or surrounding such a reentrant circuit is a potential mechanism for the management of cardiac arrhythmias.
  • class III antiarrhythmic agents block cardiac potassium currents, they prolong the repolarisation process and increase refractoriness. Consequently class HI agents represent the most specific class to treat reentrant arrhythmias. However, due to their mechanism of action, i.e. a concentration dependent increase in the cardiac action potential duration, higher doses of class III antiarrhythmic agents may trigger arrhythmias. Such arrhythmias, called Torsade de Pointe represent the main adverse effect for all pure class III compounds currently in development. It has been discovered that certain novel piperidine derivatives induce a self- limiting increase of the cardiac action potential duration, related to a dual blockade of cardiac potassium and calcium channels.
  • Consequendy they are considered to be useful anti-arrhythmic agents having an improved pharmacological profile over pure class in anti-arrhythmic agents, in particular they area considered to show a low proarrhythmic potential and readily restore the contractile function of the ischaemic myocardium. They are considered to be particularly useful for the treatment of atrial or ventricular cardiac arrhythmias.
  • A represents (CH2) n wherein n represents zero or an integer 1 or 2;
  • B represents a C2.4 n-alkylene group wherein each carbon is optionally substituted by a C ⁇ _6 alkyl group;
  • Z represents a bond (CH2) m wherein m is an integer in the range of form 1 to 4 or X-CH2-CH2 wherein X represents O or S;
  • Q represents aryl, aralkyl, aralkenyl or aralkynyl, wherein the aryl moiety may be substituted or unsubstituted with 1 to 5 substituents selected from the list consisting of nitro, halogen, alkylsulfonamide, 1-imidazo, alkyl or haloalkyl, or Q represents substituted furanyl, substituted thienyl or substituted or unsubstituted: pyranyl, thiazolyl, imidazolyl, triazolyl or the benzo fused equivalents of furanyl, pyranyl, thienyl, thiazolyl, imidazolyl or triazolyl, indolyl, oxoindolyl, indenyl, isoindenyl, indazolyl, indolizinyl or pyridinyl or cycloalkyl optionally fused to an aryl group; R ⁇ , R2 and R3
  • B represents an unsubstituted C2.4 n-alkylene group.
  • B represents CH2CH2.
  • Z represents a bond, (CH2) m wherein m is an integer in the range of from 1 to 4, preferably m is 1, or 2.
  • Z represents a bond, CH2 or (CH2)2, preferably a bond.
  • Q represents aryl, aralkyl, aralkenyl or aralkynyl, wherein the aryl moiety may be substituted or unsubstituted with 1 to 5, suitably 1 to 3, substituents selected from the list consisting of nitro, halogen, alkylsulfonamido, 1-imidazo, alkyl or haloalkyl, favourably nitro, halogen or alkylsulphonylamido, preferably nitro.
  • Q represents substituted furanyl, substituted thienyl or substituted or unsubstituted: pyranyl, thiazolyl, imidazolyl, triazolyl or the benzo fused equivalents of furanyl, pyranyl, thienyl, thiazolyl, imidazolyl or triazolyl; indolyl, oxoindolyl, indenyl, isoindenyl, indazolyl, indolizinyl or pyridinyl or cycloalkyl optionally fused to an aryl group.
  • Q represents aryl.
  • Q represents substituted thienyl or substituted or unsubstituted: pyranyl.
  • Q represents the benzo fused equivalents of furanyl or pyranyl; or indolyl.
  • Q represents pyridinyl.
  • An example of a substituent for Q is a nitro group, a halogen, a methylsulphonamide group or a 1-imidazo group.
  • Q is phenyl or substituted phenyl, most preferably nitrophenyl such as 4-nitrophenyl.
  • one or two of Rj , R2 and R3 represents alkoxy, for example methoxy or ethoxy, preferaby methoxy, the remaining member(s) being H.
  • Ar represents a substituted or unsubstituted heteroaryl group, generally unsubstituted.
  • Ar represents substituted or unsubstituted aryl, wherein the optional substituents are the above defined Rj, R2 and R3, especially alkoxy such as methoxy.
  • Ar alkoxy phenyl such as dimethoxyphenyl, in particular 3,4-dimethoxyphenyl.
  • alkyl includes straight or branched chain alkyl groups having from 1 to 12, favourably 1 to 6, carbon atoms and shall include such alkyl groups when forming part of other groups such as alkoxy or arylalkyl groups.
  • alkenyl includes straight or branched chain alkylene groups having from 2 to 12, favourably 2 to 6, carbon atoms and one or more double bonds.
  • alkynyl includes straight or branched chain alkynlene groups having from 2 to 12, favourably 2 to 6, carbon atoms and one or more triple bonds.
  • aryl includes phenyl and naphthyl, preferably phenyl.
  • optional substituents for aryl include up to five, preferably up to three, groups selected from halogen, alkyl, phenyl, alkoxy, haloalkyl, hydroxyalkyl, hydroxy, amino, nitro, cyano, carboxy, alkoxycarbonyl, alkoxycarbonylalkyl, alkylcarbonyloxy or alkylcarbonyl groups.
  • Suitable heteroaryl groups include substituted or unsubstituted, single or fused ring heteroaryl groups having 5 or 6 ring atoms which comprise up to 4 hetero atoms in each ring selected from oxygen, sulphur or nitrogen.
  • the heteraryl group comprises 1, 2 or 3 heteroatoms, in each ring especially 1 or 2, selected from oxygen, sulphur or nitrogen.
  • Suitable heteroaryl groups include benzo fused 5 or 6 membered hetero ring, such as indole, benzofuran and benzothiophene groups.
  • Suitable substituents for the heteroaryl group include the substituents as described herein with regard to the aryl group.
  • cycloalkyl includes cyclic alkyl carbon-carbon linkages of four to seven carbon atoms.
  • halogen includes fluorine, chlorine or bromine.
  • alkylsulfonamido includes a radical of the formula
  • R x is an alkyl group
  • cardiac arrhythmia relates to any variation from the normal rhythm of heart beat, including, without limitation, sinus arrhythmia, premature heartbeat, heartblock, fibrillation, flutter, tachycardia, paroxysmal tachycardia and premature ventricular contractions.
  • the compounds of formula (I) may possess a chiral carbon atom (for example when B represents a branched alkylene group) and it may therefore exist in more than one stereoisomeric form.
  • the invention extends to any of the stereoisomeric forms, including enantiomers of the compounds of formula (I) and to mixtures thereof, including racemates.
  • the different stereoisomeric forms may be separated or resolved one from the other by conventional methods or any given isomer may be obtained by conventional stereospecific or asymmetric syntheses.
  • the pharmaceutically acceptable salts of the compounds of formula (I) include acid addition salts with pharmaceutically acceptable mineral acids such as hydrochloric, hydrobromic, boric, phosphoric, sulphuric and pharmaceutically acceptable organic acids such as acetic, tartaric, maleic, citric, succinic, benzoic, ascorbic, methanesulphonic, ⁇ -keto-glutaric, ⁇ -glycerophosphoric, and glucose- 1- phosphoric acids.
  • pharmaceutically acceptable salts also include quaternary salts.
  • quaternary salts include such compounds quaternised by compounds such as R v -T wherein R v is Cj.g alkyl, phenyl-Cj.6 alkyl or C5.7 cycloalkyl, and T is a radical corresponding to an anion of an acid.
  • R v include methyl, ethyl and n- and iso- propyl; and benzyl and phenethyl.
  • T includes halide such as chloride, bromide and iodide.
  • Pharmaceutically acceptable salts also include pharmaceutically acceptable N- oxides, and the invention extends to these.
  • the compounds of the formula (I) and their salts may also form solvates, especially pharmaceutically acceptable solvates, such as hydrates, and the invention extends to these, and especially to the pharmaceutically acceptable solvates.
  • salts of the compounds of the formula (I) which are not pharmaceutically acceptable may be useful as intermediates in the preparation of pharmaceutically acceptable salts of compounds of formula (I) or the compounds of the formula (I) themselves, and as such form an aspect of the present invention.
  • a compound of formula (I) or a salt thereof, or a solvate thereof, may be prepared by reacting a compound of formula (II):
  • reaction conditions for the reaction between compounds of formulae (II) and (HI) are conventional conditions appropriate to the nature of the reagent used, generally however the reaction may be carried out in an inert solvent, such as methylene chloride, at any suitable temperature providing a convenient rate of formation of the desired product, generally at an ambient to elevated temperature, conveniently at the reflux temperature of the solvent and preferably in the presence of a base such as triethylamine.
  • the compounds of formula (II) may be prepared by reducing a compound of formula (IV)
  • the reduction of the compound of formula (III) may be effected using any appropriate reduction method, for example metal hydride reduction using a lithium hydride such as lithium aluminium hydride in an aprotic solvent such as tetrahydrofuran (THF), at any suitable temperature which provides a convenient rate of reaction, generally at ambient to an elevated temperature, conveniently at ambient temperature.
  • metal hydride reduction using a lithium hydride such as lithium aluminium hydride in an aprotic solvent such as tetrahydrofuran (THF) at any suitable temperature which provides a convenient rate of reaction, generally at ambient to an elevated temperature, conveniently at ambient temperature.
  • a compound of formula (IV) may be prepared by reacting a compound of formula (V):
  • the reaction between the compounds of formulae (V) and (VI) may be carried out in a solvent such as toluene, at any suitable temperature providing a convenient rate of formation of the desired product, generally at an elevated temperature and conveniently at the reflux temperature of the solvent; the water produced in the reaction is removed by any conventional means, for example by means of a Dean and Stark apparatus.
  • a solvent such as toluene
  • a compound of formula (VI) may be prepared by reacting a compound of formula (VII):
  • B and Ar are as defined in relation to the compound of formula (VI) and represents a leaving group, such as halide, especially chloride, or a mesylate.
  • the reaction between the compounds of formulae (VII) and (VIII) may suitably be carried out in an aprotic solvent such as acetonitrile, at any suitable temperature providing a convenient rate of formation of the desired product, generally at an elevated temperature and conveniently at the reflux temperature of the solvent; preferably the reaction is carried out in the presence of a base such as potassium carbonate.
  • the compounds of formulae (VII) are known commercially available compounds and may also be prepared according to known procedures such as those described in .Belstein, Vol 21, 1st Edition, page 262.
  • the compounds of formulae (VIII) are known compounds and may be prepared according to known procedures such as those to described in Chemical
  • a compound of formula (II), wherein Z represents a bond may also be obtained by the methods illustrated in Scheme I.
  • A, Ar, B, R- * , R2 and R3 are as defined in relation to formula (I), Bj represents C2-3 alkylene and L3 represents a halide such as chloride or bromide.
  • a compound of formula (II), wherein Z represents a bond may also be obtained starting from N-benzyl-4-oxo piperidine as illustrated in Scheme II
  • A, Ar, B, Rj, R2 and R3 are as defined in relation to formula (I) and P represents a protecting group such as an acyl group, for example an acetyl group.
  • P represents a protecting group such as an acyl group, for example an acetyl group.
  • the insertion and removal of P may be achieved in the conventional manner depending upon the nature of the protecting group used.
  • the debenzylation can be achieved by conventional means, for example with hydrogen in the presence of a catalyst like palladium on charcoal.
  • the present invention accordingly provides a compound of formula (I), or a pharmaceutically acceptable salt thereof and/or a pharmaceutically acceptable solvate thereof, for use as an active therapeutic substance.
  • the present invention provides a compound of formula (I), or a pharmaceutically acceptable salt thereof and/or a pharmaceutically acceptable solvate thereof, for use in the treatment of and/or prophylaxis of arrhythmia, especially cardiac arrhythmia such as ventricular arrhythmia, and also ischaemic rhythm disorders.
  • a compound of formula (I), or a pharmaceutically acceptable salt thereof and/or a pharmaceutically acceptable solvate thereof may be administered per se or, preferably, as a pharmaceutical composition also comprising a pharmaceutically acceptable carrier. Accordingly, the present invention also provides a pharmaceutical composition comprising a compound of the general formula (I), or a pharmaceutically acceptable salt thereof, or a pharmaceutically acceptable solvate thereof, and a pharmaceutically acceptable carrier therefor.
  • a compound of formula (I) or a pharmaceutically acceptable salt thereof and/or a pharmaceutically acceptable solvate thereof is normally administered in unit dosage form.
  • an amount effective to treat the disorder hereinbefore described depends upon such factors as the efficacy of a compound of formula (I) , the particular nature of the pharmaceutically acceptable salt or pharmaceutically acceptable solvate chosen, the nature and severity of the disorders being treated and the weight of the mammal.
  • a unit dose will normally contain 0.1 to 500 mg for example 2 to 50 mg, of the compound of the invention.
  • Unit doses will normally be administered once or more than once a day, for example 2,3,4,5 or 6 times a day, more usually 2 to 4 times a day, such that the total daily dose is normally in the range, for a 70 kg adult of 0.1 to 2500 mg, more usually 50 to 2000 mg, for example 10 to 75mg, that is in the range of approximately 0.002 to 35 mg kg/day, more usually 1 to 30 mg/kg/day, for example 0.15 to 1 mg/kg/day.
  • the compound may be administered by any suitable route, e.g. by the oral, parenteral or topical routes.
  • the compound will normally be employed in the form of a pharmaceutical composition in association with a human or veterinary pharmaceutical carrier, diluent and/or excipient, although the exact form of the composition will naturally depend on the mode of administration.
  • compositions are prepared by admixture and are suitably adapted for oral, parenteral or topical administration, and as such may be in the form of tablets, capsules, oral liquid preparations, powders, granules, lozenges, pastilles, reconstitutable powders, injectable and infusable solutions or suspensions, suppositories and transdermal devices.
  • Orally administrable compositions are preferred, in particular shaped oral compositions, since they are more convenient for general use.
  • Tablets and capsules for oral administration are usually presented in a unit dose, and contain conventional excipients such as binding agents, fillers, diluents, tabletting agents, lubricants, disintegrants, colourants, flavourings, and wetting agents.
  • the tablets may be coated according to well known methods in the art.
  • Suitable fillers for use include cellulose, mannitol, lactose and other similar agents.
  • Suitable disintegrants include starch, polyvinylpyrrolidone and starch derivatives such as sodium starch glycollate.
  • Suitable lubricants include, for example, magnesium stearate.
  • Suitable pharmaceutically acceptable wetting agents include sodium lauryl sulphate.
  • Solid oral compositions may be prepared by conventional methods of blending, filling, tabletting or the like. Repeated blending operations may be used to distribute the active agent throughout those compositions employing large quantities of fillers. Such operations are, of course, conventional in the art.
  • Oral liquid preparations may be in the form of, for example, aqueous or oily suspensions, solutions, emulsions, syrups, or elixirs, or may be presented as a dry product for reconstitution with water or other suitable vehicle before use.
  • Such liquid preparations may contain conventional additives such as suspending agents, for example sorbitol, syrup, methyl cellulose, gelatin, hydroxyethylcellulose, carboxymethyl cellulose, aluminium stearate gel or hydrogenated edible fats, emulsifying agents, for example lecithin, sorbitan monooleate, or acacia; non-aqueous vehicles (which may include edible oils), for example, almond oil, fractionated coconut oil, oily esters such as esters of glycerine, propylene glycol, or ethyl alcohol; preservatives, for example methyl or propyl ⁇ -hydroxybenzoate or sorbic acid, and if desired conventional flavouring or colouring agents.
  • suspending agents for example sorbitol, syrup, methyl cellulose, gelatin, hydroxyethylcellulose, carboxymethyl cellulose, aluminium stearate gel or hydrogenated edible fats, emulsifying agents, for example lecithin, sorbitan monooleate
  • fluid unit dose forms are prepared containing a compound of the present invention and a sterile vehicle.
  • the compound depending on the vehicle and the concentration, can be either suspended or dissolved.
  • Parenteral solutions are normally prepared by dissolving the active compound in a vehicle and filter sterilising before filling into a suitable vial or ampoule and sealing.
  • adjuvants such as a local anaesthetic, preservatives and buffering agents are also dissolved in the vehicle.
  • the composition can be frozen after filling into the vial and the water removed under vacuum.
  • Parenteral suspensions are prepared in substantially the same manner except that the active compound is suspended in the vehicle instead of being dissolved and sterilised by exposure to ethylene oxide before suspending in the sterile vehicle.
  • a surfactant or wetting agent is included in the composition to facilitate uniform distribution of the active compound.
  • the composition may be in the form of a transdermal ointment or patch for systemic delivery of the compound and may be prepared in a conventional manner, for example, as described in the standard textbooks such as Oermatological Formulations' - B.W. Barry (Drugs and the Pharmaceutical Sciences - Dekker) or Harrys Cosmeticology (Leonard Hill Books).
  • compositions may contain further active agents such as anti-hypertensive agents and diuretics.
  • compositions will usually be accompanied by written or printed directions for use in the medical treatment concerned.
  • pharmaceutically acceptable embraces compounds, compositions and ingredients for both human and veterinary use: for example the term 'pharmaceutically acceptable salt' embraces a veterinarily acceptable salt.
  • the present invention further provides a method for the treatment and/or prophylaxis of arrhythmia, especially cardiac arrhythmia such as ventricular arrhythmia, and also ischaemic rhythm disorders in a human or non-human mammal which comprises administering an effective, non-toxic, amount of a compound of the general formula (I), or a pharmaceutically acceptable salt thereof and/or a pharmaceutically acceptable solvate thereof to a human or non-human mammal in need thereof.
  • the active ingredient may be administered as a pharmaceutical composition hereinbefore defined, and this forms a particular aspect of the present invention.
  • the compound of the general formula (I), or a pharmaceutically acceptable salt thereof and/or a pharmaceutically acceptable solvate thereof may be taken in doses, such as those described above, one to six times a day in an amount in the range of from 0.01 mg/kg to 15 mg/kg, for example 0.1 mg/kg to 5 mg/kg, such that the total daily dose for a 70 kg adult will generally be in the range of from 0.7 to 6300 mg, and more usually about 7 to 2100 mg. Similar dosage regimens are suitable for the treatment and/or prophylaxis of non-human mammals.
  • the present invention provides the use of a compound of formula (I), or a pharmaceutically acceptable salt thereof and/or a pharmaceutically acceptable solvate thereof, for the manufacture of a medicament for the treatment of arrhythmia, especially cardiac arrhythmia such as ventricular arrhythmia, and also ischaemic rhythm disorders.
  • the aqueous layer was separated and successively washed with 10 ml of ethyl acetate, treated with 1 N aqueous NaOH, and extracted with 50 ml of ethyl acetate.
  • the organic layer was separated, washed with water, dried over magnesium sulfate, and concentrated in vacuo.
  • the obtained crude product was purified by flash chromatography (silica gel, CH2CI2 : MeOH 98:2 as eluent). 0.31 g of a pure compound was isolated after crystallisation in acetonitrile.
  • Guinea pigs (300-350 g) were anesthetized by intravenous injection of sodium pentobarbital (60 mg/kg). After thoracotomy the heart was rapidly excised and placed in oxygenated Tyrode solution. Papillary muscles were removed from the right ventricle. Preparations were then fixed to the silastic base of a 5 ml organ bath and supervised with oxygenated Tyrode solution maintained at 37 ⁇ 1°C.
  • the modified Tyrode solution (pH 7.35) contained the following (mM) : NaCl 125, KCl 4.0, MgCl 2 0.5, CaCl 2 1.8, NaHCO 3 24, NaH 2 PO 4 0.9 and glucose 5.5.
  • the solution was equilibrated with a gas mixture of 95% O2 - 5% CO2. After a stabilisation period (at least lh), transmembrane action potentials were recorded with conventional microelectrodes (10 MOhm) connected to a high input impedance amplifier (BIOLOGIC VF 180). External stimuli were delivered to the preparation with bipolar platinum electrodes placed at one end of the muscle. The pulse duration was 1 ms and the amplitude was twice threshold. The basic cycle length was 1000 ms (PULSAR 6i stimulator). The signals were monitored on a storage oscilloscope (GOULD 1602) and simultaneously recorded on a digital tape recorder (BIOLOGIC DTR 1200) for further analysis.

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Abstract

A compound of formula (I) or a salt thereof, or a solvate thereof, wherein A represents (CH2)n wherein n represents zero or an integer 1 or 2; B represents a C2-4n-alkylene group wherein each carbon is optionally substituted by a C1-6alkyl group; Z represents a bond (CH2)m wherein m is an integer in the range of from 1 to 4 or X-CH2-CH2 wherein X represents O or S; D represents CO, SO2, NH-CO, NH-SO2, -CH=CH- or P(O)OR4 wherein R4 is C1-6alkyl; Q represents aryl, aralkyl, aralkenyl or aralkynyl, wherein the aryl moiety may be substituted or unsubstituted with 1 to 5 substituents selected from the list consisting of nitro, halogen, alkylsulfonamide, 1-imidazo, alkyl or haloalkyl, or Q represents substituted furanyl, substituted thienyl or substituted or unsubstituted: pyranyl, thiazolyl, imidazolyl, triazolyl or the benzo fused equivalents of furanyl, pyranyl, thienyl, thiazolyl, imidazolyl or triazolyl, indolyl, oxoindolyl, indenyl, isoindenyl, indazolyl, indolizinyl or pyridinyl or cycloalkyl optionally fused to an aryl group; R1, R2 and R3 each independently represent H, alkyl, OH or alkoxy or, if attached to adjacent carbon atoms, any two of R1, R2 or R3 together with the carbon atoms to which they are attached may form a fused heterocyclic ring of four to six atoms wherein one, two or three of the said atoms are oxygen or nitrogen; and Ar represents substituted or unsubstituted aryl, wherein the optional substituents are the above defined R1, R2 and R3 or Ar represents a substituted or unsubstituted heteroaryl group; a process for preparing such compounds, pharmaceutical compositions comprising such compounds and the use of such compounds in medicine.

Description

Novel Compounds
The invention relates to certain novel compounds, to pharmaceutical compositions containing such compounds, to a process for the preparation of such compounds and to the use of such compounds as active therapeutic agents.
European Patent Application, Publication Number 0416581 discloses certain substituted N-benzylpiperidine amides which are stated to be useful in the treatment of cardiac arrhythmias.
Anti-arrhythmic agents are classified according to their electrophysiological effects on the cardiac cell (Vaugham-Williams, 1970, 1989) : class 1 agents block the fast sodium current, class II agents are beta-adrenergic blockers, class III agents block potassium currents, class IV agents block the calcium current, and class V agents are specific sinus node inhibitors.
A majority of ventricular and atrial arrhythmias are related to reentrant circuit. The prolongation of myocardial refractoriness within or surrounding such a reentrant circuit is a potential mechanism for the management of cardiac arrhythmias.
Because class III antiarrhythmic agents block cardiac potassium currents, they prolong the repolarisation process and increase refractoriness. Consequently class HI agents represent the most specific class to treat reentrant arrhythmias. However, due to their mechanism of action, i.e. a concentration dependent increase in the cardiac action potential duration, higher doses of class III antiarrhythmic agents may trigger arrhythmias. Such arrhythmias, called Torsade de Pointe represent the main adverse effect for all pure class III compounds currently in development. It has been discovered that certain novel piperidine derivatives induce a self- limiting increase of the cardiac action potential duration, related to a dual blockade of cardiac potassium and calcium channels. Consequendy, they are considered to be useful anti-arrhythmic agents having an improved pharmacological profile over pure class in anti-arrhythmic agents, in particular they area considered to show a low proarrhythmic potential and readily restore the contractile function of the ischaemic myocardium. They are considered to be particularly useful for the treatment of atrial or ventricular cardiac arrhythmias.
Accordingly, the invention relates to a compound of formula (I):
Figure imgf000004_0001
(I) or a salt thereof, or a solvate thereof, wherein A represents (CH2)n wherein n represents zero or an integer 1 or 2; B represents a C2.4 n-alkylene group wherein each carbon is optionally substituted by a Cι_6 alkyl group;
Z represents a bond (CH2)m wherein m is an integer in the range of form 1 to 4 or X-CH2-CH2 wherein X represents O or S;
D represents CO, SO2, NH-CO, NH-SO2, -CH=CH- or P(O)OR4 wherein R4 is Cι_6 alkyl;
Q represents aryl, aralkyl, aralkenyl or aralkynyl, wherein the aryl moiety may be substituted or unsubstituted with 1 to 5 substituents selected from the list consisting of nitro, halogen, alkylsulfonamide, 1-imidazo, alkyl or haloalkyl, or Q represents substituted furanyl, substituted thienyl or substituted or unsubstituted: pyranyl, thiazolyl, imidazolyl, triazolyl or the benzo fused equivalents of furanyl, pyranyl, thienyl, thiazolyl, imidazolyl or triazolyl, indolyl, oxoindolyl, indenyl, isoindenyl, indazolyl, indolizinyl or pyridinyl or cycloalkyl optionally fused to an aryl group; R\, R2 and R3 each independently represent H, alkyl, OH or alkoxy or, if attached to adjacent carbon atoms, any two of Rj, R2 or R3 together with the carbon atoms to which they are attached may form a fused heterocyclic ring of four to six atoms wherein one, two or three of the said atoms are oxygen or nitrogen; and Ar represents substituted or unsubstituted aryl, wherein the optional substituents are the above defined Rj, R2 and R3 or Ar represents a substituted or unsubstituted heteroaryl group. Suitably, A represents CH2.
Suitably, B represents an unsubstituted C2.4 n-alkylene group. Preferably, B represents CH2CH2.
Suitably, Z represents a bond, (CH2)m wherein m is an integer in the range of from 1 to 4, preferably m is 1, or 2. Favourably, Z represents a bond, CH2 or (CH2)2, preferably a bond.
Suitably, D represents CO, SO2, NH-CO or -CH=CH-, preferably CO. Suitably, Q represents aryl, aralkyl, aralkenyl or aralkynyl, wherein the aryl moiety may be substituted or unsubstituted with 1 to 5, suitably 1 to 3, substituents selected from the list consisting of nitro, halogen, alkylsulfonamido, 1-imidazo, alkyl or haloalkyl, favourably nitro, halogen or alkylsulphonylamido, preferably nitro. Suitably, Q represents substituted furanyl, substituted thienyl or substituted or unsubstituted: pyranyl, thiazolyl, imidazolyl, triazolyl or the benzo fused equivalents of furanyl, pyranyl, thienyl, thiazolyl, imidazolyl or triazolyl; indolyl, oxoindolyl, indenyl, isoindenyl, indazolyl, indolizinyl or pyridinyl or cycloalkyl optionally fused to an aryl group. Favourably, Q represents aryl.
Favourably, Q represents substituted thienyl or substituted or unsubstituted: pyranyl.
Favourably, Q represents the benzo fused equivalents of furanyl or pyranyl; or indolyl. Favourably, Q represents pyridinyl.
An example of a substituent for Q is a nitro group, a halogen, a methylsulphonamide group or a 1-imidazo group.
In a preferred aspect, Q is phenyl or substituted phenyl, most preferably nitrophenyl such as 4-nitrophenyl. Suitably, one or two of Rj , R2 and R3 represents alkoxy, for example methoxy or ethoxy, preferaby methoxy, the remaining member(s) being H.
Suitably, Ar represents a substituted or unsubstituted heteroaryl group, generally unsubstituted.
Preferably, Ar represents substituted or unsubstituted aryl, wherein the optional substituents are the above defined Rj, R2 and R3, especially alkoxy such as methoxy.
An example of Ar is alkoxy phenyl such as dimethoxyphenyl, in particular 3,4-dimethoxyphenyl.
As used herein, the term "alkyl" includes straight or branched chain alkyl groups having from 1 to 12, favourably 1 to 6, carbon atoms and shall include such alkyl groups when forming part of other groups such as alkoxy or arylalkyl groups.
As used herein, the term "alkenyl" includes straight or branched chain alkylene groups having from 2 to 12, favourably 2 to 6, carbon atoms and one or more double bonds. As used herein, the term "alkynyl" includes straight or branched chain alkynlene groups having from 2 to 12, favourably 2 to 6, carbon atoms and one or more triple bonds. As used herein the term "aryl" includes phenyl and naphthyl, preferably phenyl.
Unless otherwise specified, optional substituents for aryl include up to five, preferably up to three, groups selected from halogen, alkyl, phenyl, alkoxy, haloalkyl, hydroxyalkyl, hydroxy, amino, nitro, cyano, carboxy, alkoxycarbonyl, alkoxycarbonylalkyl, alkylcarbonyloxy or alkylcarbonyl groups.
Suitable heteroaryl groups include substituted or unsubstituted, single or fused ring heteroaryl groups having 5 or 6 ring atoms which comprise up to 4 hetero atoms in each ring selected from oxygen, sulphur or nitrogen. In particular, the heteraryl group comprises 1, 2 or 3 heteroatoms, in each ring especially 1 or 2, selected from oxygen, sulphur or nitrogen.
Suitable heteroaryl groups include benzo fused 5 or 6 membered hetero ring, such as indole, benzofuran and benzothiophene groups.
Suitable substituents for the heteroaryl group include the substituents as described herein with regard to the aryl group.
As used herein, the term "cycloalkyl" includes cyclic alkyl carbon-carbon linkages of four to seven carbon atoms.
As used herein "halogen" includes fluorine, chlorine or bromine.
As used herein, the term "alkylsulfonamido" includes a radical of the formula
O
H II — N— S — R
II
O
wherein Rx is an alkyl group.
As used herein, the term "cardiac arrhythmia" relates to any variation from the normal rhythm of heart beat, including, without limitation, sinus arrhythmia, premature heartbeat, heartblock, fibrillation, flutter, tachycardia, paroxysmal tachycardia and premature ventricular contractions.
The compounds of formula (I) may possess a chiral carbon atom (for example when B represents a branched alkylene group) and it may therefore exist in more than one stereoisomeric form. The invention extends to any of the stereoisomeric forms, including enantiomers of the compounds of formula (I) and to mixtures thereof, including racemates. The different stereoisomeric forms may be separated or resolved one from the other by conventional methods or any given isomer may be obtained by conventional stereospecific or asymmetric syntheses. The pharmaceutically acceptable salts of the compounds of formula (I) include acid addition salts with pharmaceutically acceptable mineral acids such as hydrochloric, hydrobromic, boric, phosphoric, sulphuric and pharmaceutically acceptable organic acids such as acetic, tartaric, maleic, citric, succinic, benzoic, ascorbic, methanesulphonic, α-keto-glutaric, α-glycerophosphoric, and glucose- 1- phosphoric acids. Preferably the acid addition salt is a hydrochloride. Pharmaceutically acceptable salts also include quaternary salts. Examples of quaternary salts include such compounds quaternised by compounds such as Rv-T wherein Rv is Cj.g alkyl, phenyl-Cj.6 alkyl or C5.7 cycloalkyl, and T is a radical corresponding to an anion of an acid. Suitable examples of Rv include methyl, ethyl and n- and iso- propyl; and benzyl and phenethyl. Suitably T includes halide such as chloride, bromide and iodide.
Pharmaceutically acceptable salts also include pharmaceutically acceptable N- oxides, and the invention extends to these.
The compounds of the formula (I) and their salts may also form solvates, especially pharmaceutically acceptable solvates, such as hydrates, and the invention extends to these, and especially to the pharmaceutically acceptable solvates.
The salts of the compounds of the formula (I) which are not pharmaceutically acceptable may be useful as intermediates in the preparation of pharmaceutically acceptable salts of compounds of formula (I) or the compounds of the formula (I) themselves, and as such form an aspect of the present invention. A compound of formula (I) or a salt thereof, or a solvate thereof, may be prepared by reacting a compound of formula (II):
Figure imgf000007_0001
(II) wherein A, B, Z, R\, R2, R3 and Ar are as defined in relation to formula (I) with a reagent of formula (HI);
Q l
(III)
wherein Q is as defined in relation to formula (I) and (a) for compounds of formula (I) wherein D is CO or SO2, -* represents COX or SO2X respectively and wherein X is a leaving group such as a halogen, and (b) for compounds of formula (I) wherein D is NHCO, L-* is N=C=O; and thereafter, if required, carrying out one or more of the following optional steps:
(i) converting a compound of formula (I) into a further compound of formula (I); (ii) preparing a salt of the compound of formula (I) and/or a solvate thereof. The reaction conditions for the reaction between compounds of formulae (II) and (HI) are conventional conditions appropriate to the nature of the reagent used, generally however the reaction may be carried out in an inert solvent, such as methylene chloride, at any suitable temperature providing a convenient rate of formation of the desired product, generally at an ambient to elevated temperature, conveniently at the reflux temperature of the solvent and preferably in the presence of a base such as triethylamine.
The compounds of formula (II) may be prepared by reducing a compound of formula (IV)
Figure imgf000008_0001
wherein A, B, Z, W\, R2, R3 and Ar are as defined in relation to formula (I).
The reduction of the compound of formula (III) may be effected using any appropriate reduction method, for example metal hydride reduction using a lithium hydride such as lithium aluminium hydride in an aprotic solvent such as tetrahydrofuran (THF), at any suitable temperature which provides a convenient rate of reaction, generally at ambient to an elevated temperature, conveniently at ambient temperature.
A compound of formula (IV) may be prepared by reacting a compound of formula (V):
Figure imgf000008_0002
(V)
wherein Z, R\, R2 and R3 are as defined in relation to formula (IV), with a compound of formula (VI):
Figure imgf000009_0001
wherein A, B and Ar are as defined in relation to the compound of formula (IV).
The reaction between the compounds of formulae (V) and (VI) may be carried out in a solvent such as toluene, at any suitable temperature providing a convenient rate of formation of the desired product, generally at an elevated temperature and conveniently at the reflux temperature of the solvent; the water produced in the reaction is removed by any conventional means, for example by means of a Dean and Stark apparatus.
A compound of formula (VI) may be prepared by reacting a compound of formula (VII):
Figure imgf000009_0002
(VII)
wherein A is as defined in relation to formula (IV), with a compound of formula (VIII):
Ar — B L2
(VIII)
wherein B and Ar are as defined in relation to the compound of formula (VI) and represents a leaving group, such as halide, especially chloride, or a mesylate. The reaction between the compounds of formulae (VII) and (VIII) may suitably be carried out in an aprotic solvent such as acetonitrile, at any suitable temperature providing a convenient rate of formation of the desired product, generally at an elevated temperature and conveniently at the reflux temperature of the solvent; preferably the reaction is carried out in the presence of a base such as potassium carbonate.
The compounds of formulae (VII) are known commercially available compounds and may also be prepared according to known procedures such as those described in .Belstein, Vol 21, 1st Edition, page 262. The compounds of formulae (VIII) are known compounds and may be prepared according to known procedures such as those to described in Chemical
Abstracts 78: P 84279n. The compounds of formula (II) may also be prepared using analogous procedures to those described in European Patent Application, Publication Number 0416581.
A compound of formula (II), wherein Z represents a bond, may also be obtained by the methods illustrated in Scheme I.
Scheme I
AΓ-B-.
Figure imgf000010_0001
Figure imgf000010_0002
wherein A, Ar, B, R-* , R2 and R3 are as defined in relation to formula (I), Bj represents C2-3 alkylene and L3 represents a halide such as chloride or bromide.
A compound of formula (II), wherein Z represents a bond, may also be obtained starting from N-benzyl-4-oxo piperidine as illustrated in Scheme II
Scheme II
Figure imgf000011_0001
wherein A, Ar, B, Rj, R2 and R3 are as defined in relation to formula (I) and P represents a protecting group such as an acyl group, for example an acetyl group. The insertion and removal of P may be achieved in the conventional manner depending upon the nature of the protecting group used. Also the debenzylation can be achieved by conventional means, for example with hydrogen in the presence of a catalyst like palladium on charcoal.
As mentioned above the compounds of the invention are indicated as having useful therapeutic properties: The present invention accordingly provides a compound of formula (I), or a pharmaceutically acceptable salt thereof and/or a pharmaceutically acceptable solvate thereof, for use as an active therapeutic substance.
More particularly, the present invention provides a compound of formula (I), or a pharmaceutically acceptable salt thereof and/or a pharmaceutically acceptable solvate thereof, for use in the treatment of and/or prophylaxis of arrhythmia, especially cardiac arrhythmia such as ventricular arrhythmia, and also ischaemic rhythm disorders.
A compound of formula (I), or a pharmaceutically acceptable salt thereof and/or a pharmaceutically acceptable solvate thereof, may be administered per se or, preferably, as a pharmaceutical composition also comprising a pharmaceutically acceptable carrier. Accordingly, the present invention also provides a pharmaceutical composition comprising a compound of the general formula (I), or a pharmaceutically acceptable salt thereof, or a pharmaceutically acceptable solvate thereof, and a pharmaceutically acceptable carrier therefor. A compound of formula (I) or a pharmaceutically acceptable salt thereof and/or a pharmaceutically acceptable solvate thereof is normally administered in unit dosage form.
An amount effective to treat the disorder hereinbefore described depends upon such factors as the efficacy of a compound of formula (I) , the particular nature of the pharmaceutically acceptable salt or pharmaceutically acceptable solvate chosen, the nature and severity of the disorders being treated and the weight of the mammal. However, a unit dose will normally contain 0.1 to 500 mg for example 2 to 50 mg, of the compound of the invention. Unit doses will normally be administered once or more than once a day, for example 2,3,4,5 or 6 times a day, more usually 2 to 4 times a day, such that the total daily dose is normally in the range, for a 70 kg adult of 0.1 to 2500 mg, more usually 50 to 2000 mg, for example 10 to 75mg, that is in the range of approximately 0.002 to 35 mg kg/day, more usually 1 to 30 mg/kg/day, for example 0.15 to 1 mg/kg/day.
At the above described dosage range, no toxicological effects are indicated for the compounds of the invention.
In such treatment, the compound may be administered by any suitable route, e.g. by the oral, parenteral or topical routes. For such use, the compound will normally be employed in the form of a pharmaceutical composition in association with a human or veterinary pharmaceutical carrier, diluent and/or excipient, although the exact form of the composition will naturally depend on the mode of administration.
Compositions are prepared by admixture and are suitably adapted for oral, parenteral or topical administration, and as such may be in the form of tablets, capsules, oral liquid preparations, powders, granules, lozenges, pastilles, reconstitutable powders, injectable and infusable solutions or suspensions, suppositories and transdermal devices. Orally administrable compositions are preferred, in particular shaped oral compositions, since they are more convenient for general use.
Tablets and capsules for oral administration are usually presented in a unit dose, and contain conventional excipients such as binding agents, fillers, diluents, tabletting agents, lubricants, disintegrants, colourants, flavourings, and wetting agents. The tablets may be coated according to well known methods in the art. Suitable fillers for use include cellulose, mannitol, lactose and other similar agents. Suitable disintegrants include starch, polyvinylpyrrolidone and starch derivatives such as sodium starch glycollate. Suitable lubricants include, for example, magnesium stearate. Suitable pharmaceutically acceptable wetting agents include sodium lauryl sulphate.
Solid oral compositions may be prepared by conventional methods of blending, filling, tabletting or the like. Repeated blending operations may be used to distribute the active agent throughout those compositions employing large quantities of fillers. Such operations are, of course, conventional in the art. Oral liquid preparations may be in the form of, for example, aqueous or oily suspensions, solutions, emulsions, syrups, or elixirs, or may be presented as a dry product for reconstitution with water or other suitable vehicle before use. Such liquid preparations may contain conventional additives such as suspending agents, for example sorbitol, syrup, methyl cellulose, gelatin, hydroxyethylcellulose, carboxymethyl cellulose, aluminium stearate gel or hydrogenated edible fats, emulsifying agents, for example lecithin, sorbitan monooleate, or acacia; non-aqueous vehicles (which may include edible oils), for example, almond oil, fractionated coconut oil, oily esters such as esters of glycerine, propylene glycol, or ethyl alcohol; preservatives, for example methyl or propyl β-hydroxybenzoate or sorbic acid, and if desired conventional flavouring or colouring agents.
For parenteral administration, fluid unit dose forms are prepared containing a compound of the present invention and a sterile vehicle. The compound, depending on the vehicle and the concentration, can be either suspended or dissolved. Parenteral solutions are normally prepared by dissolving the active compound in a vehicle and filter sterilising before filling into a suitable vial or ampoule and sealing.
Advantageously, adjuvants such as a local anaesthetic, preservatives and buffering agents are also dissolved in the vehicle. To enhance the stability, the composition can be frozen after filling into the vial and the water removed under vacuum.
Parenteral suspensions are prepared in substantially the same manner except that the active compound is suspended in the vehicle instead of being dissolved and sterilised by exposure to ethylene oxide before suspending in the sterile vehicle. Advantageously, a surfactant or wetting agent is included in the composition to facilitate uniform distribution of the active compound.
For topical administration, the composition may be in the form of a transdermal ointment or patch for systemic delivery of the compound and may be prepared in a conventional manner, for example, as described in the standard textbooks such as Oermatological Formulations' - B.W. Barry (Drugs and the Pharmaceutical Sciences - Dekker) or Harrys Cosmeticology (Leonard Hill Books). In addition such compositions may contain further active agents such as anti-hypertensive agents and diuretics.
As is common practice, the compositions will usually be accompanied by written or printed directions for use in the medical treatment concerned. As used herein the term 'pharmaceutically acceptable' embraces compounds, compositions and ingredients for both human and veterinary use: for example the term 'pharmaceutically acceptable salt' embraces a veterinarily acceptable salt.
The present invention further provides a method for the treatment and/or prophylaxis of arrhythmia, especially cardiac arrhythmia such as ventricular arrhythmia, and also ischaemic rhythm disorders in a human or non-human mammal which comprises administering an effective, non-toxic, amount of a compound of the general formula (I), or a pharmaceutically acceptable salt thereof and/or a pharmaceutically acceptable solvate thereof to a human or non-human mammal in need thereof. Conveniently, the active ingredient may be administered as a pharmaceutical composition hereinbefore defined, and this forms a particular aspect of the present invention.
In the treatment and/or prophylaxis of arrhythmia and/or ischaemic arrhythmia disorders the compound of the general formula (I), or a pharmaceutically acceptable salt thereof and/or a pharmaceutically acceptable solvate thereof, may be taken in doses, such as those described above, one to six times a day in an amount in the range of from 0.01 mg/kg to 15 mg/kg, for example 0.1 mg/kg to 5 mg/kg, such that the total daily dose for a 70 kg adult will generally be in the range of from 0.7 to 6300 mg, and more usually about 7 to 2100 mg. Similar dosage regimens are suitable for the treatment and/or prophylaxis of non-human mammals.
In a further aspect the present invention provides the use of a compound of formula (I), or a pharmaceutically acceptable salt thereof and/or a pharmaceutically acceptable solvate thereof, for the manufacture of a medicament for the treatment of arrhythmia, especially cardiac arrhythmia such as ventricular arrhythmia, and also ischaemic rhythm disorders.
The following Descriptions and Examples illustrate the invention but do not limit it in any way. Description 1 2-(3,4-Dimethoxyphenyl)ethyl methanesulfonate To a mixture of 2-(3,4-dimethoxyphenyl)ethyl alcohol (18.2 g, 100 mmol) and triethylamine (10.1 g, 100 mmol) in 300 ml of acetonitrile was added dropwise (over 30-min period) methane sulfonyl chloride (11.5 g, 100 mmol) in such a way to maintain inner temperature below 40°C. The reaction mixture was allowed to stand at room temperature overnight. The resulting mixture was filtrated over a pad of celite. The filtrate was concentrated in vacuo. The crude product was dissolved in 200 ml of ethyl acetate, washed twice with 100 ml of water, dried over magnesium sulfate, and concentrated in vacuo. 22 g of the title compound was isolated and used without further purification, oil
IR(NaCl cell) : v = 2,950 ; 2,825 ; 1,600; 1,510 ; 1,470 ; 1,350 ; 1,270 ; 1,175 ; 1,025 cm"1 !H NMR (CDC13) : δ = 2.85 (s,3H£H3S); 3.00 (t,2H,J=7Hz£H2 ph) ϊ 3.86 (s,3H£H3OPh); 3.88 (s,3H£H3OPh); 4.40 (t,2H,J=7Hz£H2O) ; 6.75-6.85 (m,3H,Ar) ppm.
Description 2 l-[2-(3,4-Dimethoxyphenyl)ethyl]4-piperidinone
A mixture of 2-(3,4-dimethoxyphenyl)ethyl methanesulfonate (22 g, 85 mmol), 4- piperidinone monohydrate hydrochloride (13 g, 85 mmol), and potassium carbonate
(23.5 g, 170 mmol) in 200 ml of acetonitrile was refluxed and stiιτed for 24 hours.
The reaction mixture was concentrated in vacuo to dryness. The resulting crude product was successively dissolved in 200 ml of ethyl acetate, washed three times with 100 ml of water, dried over magnesium sulfate, and concentrated in vacuo. 15 g of the title compound was isolated after trituration with isopropyl ether and drying in vacuo. m.p = 81°C
IR(KBr) : v = 2,925 ; 2,825 ; 2,775; 1,720 ; 1,590 ; 1,520 ; 1,270 ; 1,230 ; 1,160;
1,020 cm-1 !H NMR (CDCI3) : δ = 2.40-2.55 (m,4H,£H2CO£H2); 2.65-2.90
(m,8H£H2NCH2»PhCH2CH2N); 3.86 (s,3H£H3OPh); 3.88 (s,3H£H3OPh); 6.70-
6.85(m,3H,Ar) ppm.
Description 3 N-(3,4-Dimethoxyphenyl)- 1 -[2-(3,4-dimethoxyphenyl)ethyl]-4- piperidinamine
A mixture of l-[2-(3,4-dimethoxyphenyl)ethyl]4-piperidinone (10 g, 38 mmol) and (3,4-dimethoxy)benzeneamine (5.85 g, 38 mmol) in 150 ml of toluene was refluxed for 4 hours, using a Dean and Stark apparatus for removing water. After cooling to room temperature, the reaction mixture was concentrated in vacuo to dryness. The resulting crude product was dissolved in 200 ml of anhydrous THF. Lithium aluminium hydride (2.9 g, 76 mmol) was added within 5 min. The reaction mixture was stirred at room temperature overnight. After cooling with a ice bath, the reaction mixture was quenched by successively 2.9 ml of water, 2.9 ml of 15% aqueous
NaOH, and 8.7 ml of water. The inorganic compound was removed by filtration and washed with 50 ml of ethyl acetate. The filtrate was concentrated in vacuo. The resulting crude product was dissolved in 200 ml of ethyl acetate and successively washed twice with 100 ml of water, dried over magnesium sulfate, concentrated in vacuo to dryness, and triturated with 20 ml of ethyl ether. 8.75 g of the title compound was isolated after filtration and drying in vacuo. m.p = 101°C
IR(KBr) : v = 3,375; 2,950; 2,830; 1,590; 1,520; 1,260; 1,240; 1,020 cm"1 -H NMR (DMSO-dg) : δ= 1.33 (m,q-like,2H,J=10Hz,CH2CHCH2); 1.89 (m,d-like, 2H, J=10Hz,CH2CHCH2); 2.11 (m,t-like,2H,J=10.5Hz,PhCH2); 2.40-2.55
(m,2H,CH2N); 2.60-2.65
Figure imgf000016_0001
2.80-3.00 (m,2H,PhCH2CH2N); 3.05-3.20 (m,7H,-CHN); 3.61 (s,3H,OCH3); 3.68 (s,3H,OCH3); 3.71 (s,3H,OCH3); 3.73 (s,3H,OCH3); 5.02 (d,lH,J=7Hz,exch D2O,NH); 6.05 (dd,lH,J=8.5Hz,Ar); 6.27 (d,lH,Ar); 6.65-6.90 (m,4H,Ar) ppm.
Description 4 N-[2-(3,4-Dimethoxyphenyl)ethyl]-l-[2-(3,4-dimethoxyphenyl)ethyl]-
4-piperidinamine.
Reacting l-[2-(3,4-dimethoxyphenyl)ethyl]-4-piperidone (D2) with 2-(3,4- dimethoxyphenyl)ethylamine using a procedure similar to that described in description 3 afforded the title compound. m.p.235°C.
Description 5 l-[2-(lH-indol-3-yl)ethyl]-4-piperidone Reacting methyl lH-indol-3-ethanesulfonate with 4-piperidone monohydrate hydrochloride, using the same procedure as described in description 2 provided the title compound m.p. 135°C.
Description 6 l-[2-(lH-indol-3-yl)ethyl]-N-(3,4-dimethoxyphenyl)-4- piperidinamine. Reacting l-[2-(lH-indol-3-yl)ethyl]-4-piperidone (D5) with (3,4- dimethoxy)benzeneamine, using the same procedure as described in description 3 provided the title compound. m.p. 95°C. Example 1 N-(3 ,4-Dimethoxyphenyl)-N- [ 1 - [2-(3,4-dimethoxyphenyl)ethyl]4- piperidinyl]-4-nitrobenzamide hydrochloride
Figure imgf000017_0001
To a mixture of N-(3,4-dimethoxyphenyl)-l-[2-(3,4-dimethoxyphenyl)ethyl]4- piperidinamine (1.14 g, 2.8 mmol) and triethylamine (0.5 g, 5 mmol) in 20 ml of chloroform, was added a solution of 4-nitrobenzoyl chloride (0.9 g, 5 mmol) in 10 ml of chloroform. The reaction mixture was stirred at room temperature for 2 hours, then refluxed for 2 hours. After cooling to room temperature, the reaction mixture was concentrated in vacuo. The resulting crude product was dissolved in 50 ml of 0.5 N aqueous HCI. The aqueous layer was separated and successively washed with 10 ml of ethyl acetate, treated with 1 N aqueous NaOH, and extracted with 50 ml of ethyl acetate. The organic layer was separated, washed with water, dried over magnesium sulfate, and concentrated in vacuo. The obtained crude product was purified by flash chromatography (silica gel, CH2CI2 : MeOH 98:2 as eluent). 0.31 g of a pure compound was isolated after crystallisation in acetonitrile. This compound was dissolved in 2 ml of ethyl alcohol and 20 ml of ethyl ether and treated carefully with a solution of hydrochloric acid in ethyl ether. 0.3 g of the title compound was isolated after filtration and drying in vacuo. m.p around 160°C (amorphous solid)
IR(KBr): v = 3,450; 2,950; 2,850; 2,525; 1,640; 1,590; 1,520; 1,350; 1,270; 1,240; 1,025 cm-1 l NMR (DMSO-dό) : δ = 1.70-1.95 (m,2H,CU2-CHCH2); 2.00-2.25 (m,2H,CH2- CHCH2); 2.80-3.00 (m,2H,CH2Ph); 3.05-3.30 (m,4H,CH.2NCH.2); 3.50-3.80 (m,14H,(CH3O)x4J5hCH2CH2N); 4.70-4.90 (m,lH,-CHN); 6.65-7.00 (m,6H,Ar); 7.56 (d,2H,J=8Hz,Ar); 8.06 (d,2H,J=8Hz,Ar); 9.65 (m,lH,exch D2O,NH) ppm. Example 2 N-[2-(3,4-Dimethoxyphenyl)ethyl]-N-[l-[2-(3,4- dimethoxyphenyl)ethyl]-4-piperidinyl]-4-nitrobenzamide
Figure imgf000018_0001
cnpr ocHa
Reacting N-[2-(3,4-Dimethoxyphenyl)ethyl]-l-[2-(3,4-dimethoxyphenyl)ethyl]-4- piperidinamine (D4) with 4-nitrobenzoyl chloride using a procedure similar to that described in example 1 provided the title compound. m.ρ. 80°C.
Example 3 N-(3,4-Dimethoxyphenyl)-N-[ 1 -[2-(3,4-dimethoxyphenyl)ethyl]-4- piperidinyl]-3-nitrobenzenesulphonamide, hydrochloride
Figure imgf000018_0002
Reacting N-(3,4-dimethoxyphenyl)- 1 -[2-(3,4-dimethoxyphenyl)ethyl]-4- piperidinamine (D3) with 3-nitrobenzenesulfonyl chloride using a procedure similar to that described in example 1 provided the title compound. m.p. 218°C.
Example 4 N-(3,4-Dimethoxyphenyl)-N-[l-[2-(3,4-dimethoxyphenyl)ethyl]-4- piperidinyl]-3-(2-thiophenyl)-2-propenamide, hydrochloride, hydrate
Figure imgf000018_0003
Reacting N-(3,4-dimethoxyphenyl)-l-[2-(3,4-dimethoxyphenyl)ethyl]4- piperidinamine (D3) with 3-(2-thienyl)-propenoyl chloride using a procedure similar to that described in example 1 provided the title compound. m.p. 165°C.
Example s N-(3,4-Dimethoxyphenyl)-N-[l-[2-(3,4-dimethoxyphenyl)ethyl]-4- piperidinyl]-6-oxo-6H-3-pyrancarboxamide, hydrochloride, hydrate
Figure imgf000019_0001
Reacting N-(3,4-dimethoxyphenyl)-l-[2-(3,4-dimethoxyphenyl)ethyl]4- piperidinamine (D3) with 2-oxo-2H-pyran-5-carbonyl chloride using a procedure similar to that described in example 1 provided the title compound. m.p. 190°C.
Example 6 N-(3,4-Dimethoxyphenyl)-N-[l-[2-(3,4-dimethoxyphenyl)ethyl]-4- piperidinyl]-2-oxo-2H-3-benzopyrancarboxamide, hydrochloride
Figure imgf000019_0002
Reacting N-(3,4-dimethoxyphenyl)-l -[2-(3,4-dimethoxyphenyl)ethyl]4- piperidinamine (D3) with 2-oxo-2H-benzopyran-3-carbonyl chloride using a procedure similar to that described in example 1 provided the title compound. m.p. 230°C.
Example 7 N-[l-[2-(lH-Indol-3-yl)ethyl]-4-piperidinyl]-N-(3,4-dimethoxyphenyl)-
Figure imgf000020_0001
Reacting l-[2-(lH-indol-3-yl)ethyl]-N-(3,4-dimethoxyphenyl)-4-piperidinamine (D6) with 4-nitrobenzoyl chloride using a procedure similar to that described in example 1 provided the title compound. m.p. 290°C.
Example 8 N-(3,4-Dimethoxyphenyl)-N-[l-[2-(3,4-dimethoxyphenyl)ethyl]-4- piperidinyl]-2-benzofurancarboxamide, hydrochloride, dihydrate
Figure imgf000020_0002
Reacting N-(3,4-dimethoxyphenyl)-l-[2-(3,4-dimethoxyphenyl)ethyl]4- piperidinamine (D3) with benzofuran-2-carbonyl chloride using a procedure similar to that described in example 1 provided the title compound. m.p.l30°C.
Example 9 N-(3,4-Dimethoxyphenyl)-N-[l-[2-(3,4-dimethoxyphenyl)ethyl]-4- piperidinyl]-N'-(4-nitrophenyl)urea, hydrochloride, hemihydrate
Figure imgf000020_0003
A mixture of N-(3,4-dimethoxyphenyl)- 1 -[2-(3,4-dimethoxyphenyl)ethyl]-4- piperidinamine (D3)(lg, 2.5 mmol), 4-nitro-isocyanatobenzene (0.4 lg, 2.5 mmol) and triethylamine (0.5g, 5 mmol) in 20ml of chloroform is stirred over night. The solvent is concentrated in vacuo. The residue is taken up in 50 ml of ethyl acetate, washed three times with water, dried over magnesium sulfate, and concentrated in vacuo. The obtained crude product was purified by chromatography (silica gel, ethyl acetate) to provide the title compound as the free base.
The compound was then dissolved in a small amount of acetonitrile and treated by a solution of anhydrous hydrochloric acid in ethyl ether. 0.32g of the title compound was isolated after filtration and drying in vacuo. m.p. 220°C.
Example 10 N-(3,4-Dimethoxyphenyl)-N-[l-[2-(3,4-dimethoxyphenyl)ethyl]-4- piperidinyl]-5-indolecarboxamide, hydrochloride, hemihydrate
Figure imgf000021_0001
Reacting N-(3,4-dimethoxyphenyl)-l-[2-(3,4-dimethoxyphenyl)ethyl]4- piperidinamine (D3) with lH-indol-5-carbonyl chloride using a procedure similar to that described in example 1 provided the title compound. m.p. 160°C.
Example 11 N-(3,4-Dimethoxyphenyl)-N-[l-[2-(3,4-dimethoxyphenyl)ethyl]-4- piperidinyl]-4-(methylsulphonylamine)benzenesulphonamide, hydrochloride, hemihydrate
Figure imgf000021_0002
Reacting N-(3,4-dimethoxyphenyl)-l-[2-(3,4-dimethoxyphenyl)ethyl]4- piperidinamine (D3) with 4-(methylsulfonylamino)benzenesulfonyl chloride using a procedure similar to that described in example 1 provided the title compound. m.p - 120°C Example 12 N-(3,4-Dimethoxyphenyl)-N-[l-[2-(3,4-dimethoxyphenyl)ethyl]-4- piperidinyl]-4-pyridinecarboxamide, hydrochloride, hydrate
Figure imgf000022_0001
Reacting N-(3,4-dimethoxyphenyl)-l-[2-(3,4-dimethoxyphenyl)ethyl]4- piperidinamine (D3) with 4-pyridinecarbonyl chloride using a procedure similar to that described in example 1 provided the title compound. m.p. - 160°C
Example 13 N-(3,4-Dimethoxyphenyl)-N-[ 1 -[2-(3,4-dimethoxyphenyl)ethyl]-4- piperidinyl]-4-nitrobenzeneacetamide, hydrochloride, hydrate
Figure imgf000022_0002
Reacting N-(3,4-dimethoxyphenyl)- 1 -[2-(3,4-dimethoxyphenyl)ethyl]4- piperidinamine (D3) with 4-nitrobenzeneacetyl chloride using a procedure similar to that described in example 1 provided the title compound. m.p. 131°C
Example 14 5-Bromo-N-(3,4-dimethoxyphenyl)-N-[l-[2-(3,4- dimethoxyphenyl)ethyl]-4-piperidinyl]-3-pyridinecarboxamide, hydrochloride
Figure imgf000022_0003
Reacting N-(3,4-dimethoxyphenyl)- 1 -[2-(3,4-dimethoxyphenyl)ethyl]4- piperidinamine (D3) with 5-bromo-3-pyridinecarbonyl chloride using a procedure similar to that described in example 1 provided the title compound. m.p. 126°C
Example 15 N-(3,4-Dimethoxyphenyl)-N-[ l-[2-(3,4-dimethoxyphenyl)ethyl]-4- piperidinyl]-4-(methylsulphonylamino)benzeneacetamide, hydrochloride
Figure imgf000023_0001
Reacting N-(3,4-dimethoxyphenyl)- 1 -[2-(3,4-dimethoxyphenyl)ethyl]4- piperidinamine (D3) with 4-(methylsulfonylamino)benzeneacetyl chloride using a procedure similar to that described in example 1 provided the title compound. m.p. 200-205°C
Example 16 N-(3,4-Dimethoxyphenyl)-N-[l-[2-(3,4-dimethoxyphenyl)ethyl]-4- piperidinyl]-lH-benzimidazole-5-carboxamide, dihydrochloride
Figure imgf000023_0002
Reacting N-(3,4-dimethoxyphenyl)-l-[2-(3,4-dimethoxyphenyl)ethyl]4- piperidinamine (D3) with lH-benzimidazole-5-carbonyl chloride using a procedure similar to that described in example 1 provided the title compound. m.p. 200°C.
Example 17 N-(3,4-Diethoxyphenyl)-N-[l-[2-(3,4-dimethoxyphenyl)ethyl]-4 piperidinyl]-4-nitrobenzenecarboxamide, hydrochloride, hemihydrate
Figure imgf000024_0001
Reacting N-(3,4-diethoxyphenyl)-l-[2-(3,4-dimethoxyphenyl)ethyl]4-piperidinamine (D3) with 4-nitrobenzoyl chloride using a procedure similar to that described in example 1 provided the title compound. m.p. - 110°C
Pharmacological data Methodology
Guinea pigs (300-350 g) were anesthetized by intravenous injection of sodium pentobarbital (60 mg/kg). After thoracotomy the heart was rapidly excised and placed in oxygenated Tyrode solution. Papillary muscles were removed from the right ventricle. Preparations were then fixed to the silastic base of a 5 ml organ bath and supervised with oxygenated Tyrode solution maintained at 37 ± 1°C. The modified Tyrode solution (pH 7.35) contained the following (mM) : NaCl 125, KCl 4.0, MgCl20.5, CaCl2 1.8, NaHCO3 24, NaH2PO40.9 and glucose 5.5. The solution was equilibrated with a gas mixture of 95% O2 - 5% CO2. After a stabilisation period (at least lh), transmembrane action potentials were recorded with conventional microelectrodes (10 MOhm) connected to a high input impedance amplifier (BIOLOGIC VF 180). External stimuli were delivered to the preparation with bipolar platinum electrodes placed at one end of the muscle. The pulse duration was 1 ms and the amplitude was twice threshold. The basic cycle length was 1000 ms (PULSAR 6i stimulator). The signals were monitored on a storage oscilloscope (GOULD 1602) and simultaneously recorded on a digital tape recorder (BIOLOGIC DTR 1200) for further analysis. Measurements were made of action potential amplitude (APA) and action potential durations at 30 and 90% repolarization (APD30 and APD90 respectively). Recordings were made after 30 min of equilibration for each concentration. Only recordings in which the same impalement was maintained throughout the entire experiment were used for analysis.

Claims

Claims:
1. A compound of formula (I) :
Figure imgf000026_0001
(I) or a salt thereof, or a solvate thereof, wherein A represents (CH2),, wherein n represents zero or an integer 1 or 2; B represents a C2-4 n-alkylene group wherein each carbon is optionally substituted by a C 1 _6 alkyl group;
Z represents a bond (CH2)m wherein m is an integer in the range of form 1 to 4 or
X-CH2-CH2 wherein X represents O or S;
D represents CO, SO2, NH-CO, NH-SO2, -CH=CH- or P(O)OR4 wherein R4 is Cι_6 alkyl; Q represents aryl, aralkyl, aralkenyl or aralkynyl, wherein the aryl moiety may be substituted or unsubstituted with 1 to 5 substituents selected from the list consisting of nitro, halogen, alkylsulfonamide, 1-imidazo, alkyl or haloalkyl, or Q represents substituted furanyl, substituted thienyl or substituted or unsubstituted: pyranyl, thiazolyl, imidazolyl, triazolyl or the benzo fused equivalents of furanyl, pyranyl, thienyl, thiazolyl, imidazolyl or triazolyl, indolyl, oxoindolyl, indenyl, isoindenyl, indazolyl, indolizinyl or pyridinyl or cycloalkyl optionally fused to an aryl group; R\, R2 and R3 each independently represent H, alkyl, OH or alkoxy or, if attached to adjacent carbon atoms, any two of R\, R2 or R3 together with the carbon atoms to which they are attached may form a fused heterocyclic ring of four to six atoms wherein one, two or three of the said atoms are oxygen or nitrogen; and
Ar represents substituted or unsubstituted aryl, wherein the optional substituents are the above defined R\, R2 and R3 or Ar represents a substituted or unsubstituted heteroaryl group.
2. A compound according to claim 1, wherein Q represents aryl, aralkyl, aralkenyl or aralkynyl, wherein the aryl moiety may be substituted or unsubstituted with 1 to 5 substituents selected from the list consisting of nitro, halogen, alkylsulfonamido, 1-imidazo, alkyl or haloalkyl.
3. A compound according to claim 1 or claim 2, wherein Q represents substituted aryl.
4. A compound according to any one of claims 1 to 3, wherein Q represents nitro phenyl.
5. A compound according to any one of claims 1 to 4, wherein D represents CO, SO2, NH-CO or -CH=CH-.
6. A compound according to any one of claims 1 to 5, wherein D represents CO.
7. A compound according to any one of claims 1 to 6, wherein A represents CH2.
8. A compound according to any one of claims 1 to 7, wherein B represents represents CH2CH2.
9. A compound according to any one of claims 1 to 8, wherein Z represents a bond.
10. A compound according to any one of claims 1 to 9, wherein Ar represents 3,4- dimethoxyphenyl.
11. A compound according to claim 1 , selected from the list consisting of:
N-(3,4-dimethoxyphenyl)-N-[l-[2-(3,4-dimethoxyphenyl)ethyl]4-piperidinyl]-4- nitrobenzamide,
N-[2-(3,4-dimethoxyphenyl)ethyl]-N-[l-[2-(3,4-dimethoxyphenyl)ethyl]-4- piperidinyl]-4-nitrobenzamide,
N-(3,4-dimethoxyphenyl)-N-[l-[2-(3,4-dimethoxyphenyl)ethyl]-4-piperidinyl]-3- nitrobenzenesulphonamide,
N-(3,4-dimethoxyphenyl)-N-[l-[2-(3,4-dimethoxyphenyl)ethyl]-4-piperidinyl]-3-(2- thiophenyl)-2-propenamide,
N-(3,4-dimethoxyphenyl)-N-[l-[2-(3,4-dimethoxyphenyl)ethyl]-4-piperidinyl]-6- oxo-6H-3-pyrancarboxamide,
N-(3,4-dimethoxyphenyl)-N-[l-[2-(3,4-dimethoxyphenyl)ethyl]-4-piperidinyl]-2- oxo-2H-3-benzopyrancarboxamide,
N-[ 1 -[2-( lH-indol-3-yl)ethyl]-4-piperidinyl]-N-(3,4-dimethoxyphenyl)-4- nitrobenzamide,
SUBSTITUTE SHEET (RULE 26) N-(3,4-dimethoxyphenyl)-N-[l-[2-(3,4-dimethoxyphenyl)ethyl]-4-piperidinyl]-2- benzofurancarboxamide,
N-(3,4-dimethoxyphenyl)-N-[l-[2-(3,4-dimethoxyphenyl)ethyl]-4-piperidinyl]-N'-(4- nitrophenyl)urea,
N-(3,4-dimethoxyphenyl)-N-[l-[2-(3,4-dimethoxyphenyl)ethyl]-4-piperidinyl]-5- indolecarboxamide,
N-(3,4-dimethoxyphenyl)-N-[l-[2-(3,4-dimethoxyphenyl)ethyl]-4-piperidinyl]-4- (methylsulphonylamine)benzenesulphonamide,
N-(3,4-dimethoxyphenyl)-N-[l-[2-(3,4-dimethoxyphenyl)ethyl]-4-piperidinyl]-4- pyridinecarboxamide,
N-(3,4-dimethoxyphenyl)-N-[l-[2-(3,4-dimethoxyphenyl)ethyl]-4-piperidinyl]-4- nitrobenzeneacetamide,
5-bromo-N-(3 ,4-dimethoxypheny 1)-N- [ 1 - [2- (3 ,4-dimethoxyphenyl)ethyl] -4- piperidinyl]-3-pyridinecarboxamide,
N-(3,4-dimethoxyphenyl)-N-[l-[2-(3,4-dimethoxyphenyl)ethyl]-4-piperidinyl]-4- (methylsulphonylamino)benzeneacetamide,
N-(3,4-dimethoxyphenyl)-N-[l-[2-(3,4-dimethoxyphenyl)ethyl]-4-piperidinyl]-lH- benzimidazole-5-carboxamide, and
N-(3,4-diethoxyphenyl)-N-[l-[2-(3,4-dimethoxyphenyl)ethyl]-4-piperidinyl]-4- nitrobenzenecarboxamide; or a salt thereof, or a solvate thereof.
12. A process for preparing a compound of formula (I) as defined in claim 1, or a salt thereof, or a solvate thereof, which process is characterised by reacting a compound of formula (II):
-26- SUBSTJTUTE SHEET (RULE 26)
Figure imgf000029_0001
(II) wherein A, B, Z, R\, R2, R3 and Ar are as defined in relation to formula (I) with a reagent of formula (III);
(III)
wherein Q is as defined in relation to formula (I) and (a) for compounds of formula (I) wherein D is CO or SO2, L-* represents COX or SO2X respectively and wherein X is a leaving group such as a halogen, and (b) for compounds of formula (I) wherein D is NHCO, L-* is N=C=O; and thereafter, if required, carrying out one or more of the following optional steps:
(i) converting a compound of formula (I) into a further compound of formula (I); (ii) preparing a salt of the compound of formula (I) and/or a solvate thereof.
13. A pharmaceutical composition comprising a compound of formula (I), as defined in claim 1, or a pharmaceutically acceptable salt thereof and/or a pharmaceutically acceptable solvate thereof, and a pharmaceutically acceptable carrier.
14. A compound of formula (I), as defined in claim 1, or a pharmaceutically acceptable salt thereof and/or a pharmaceutically acceptable solvate thereof, for use as an active therapeutic substance.
15. A compound of formula (I), as defined in claim 1, or a pharmaceutically acceptable salt thereof and/or a pharmaceutically acceptable solvate thereof, for use in the treatment of and/or prophylaxis of arrhythmia.
16. The use of a compound of formula (I), or a pharmaceutically acceptable salt thereof and or a pharmaceutically acceptable solvate thereof, for the manufacture of a medicament for the treatment of arrhythmia and ischaemic rhythm disorders.
17. A method for the treatment and/or prophylaxis of arrhythmia and ischaemic rhythm disorders in a human or non-human mammal which comprises administering an effective, non-toxic, amount of a compound of the general formula (I), or a pharmaceutically acceptable salt thereof and/or a pharmaceutically acceptable solvate thereof to a human or non-human mammal in need thereof.
-28-
SUBSmUTE SHEET (RULE 2φ
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