AZACYCLIC COMPOUNDS
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Abstract
Compounds and methods are provided for the treatment of disease conditions in which modification of serotonergic receptor activity has a beneficial effect. In the method, an effective amount of a compound is administered to a patient in need of such treatment.
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Citations
47 Claims
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1-17. -17. (canceled)
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18. A compound of formula (I)
wherein Z is in which R is hydrogen, C1-6alkyl, C3-6cycloalkyl, or C3-6cycloalkyl(C1-6 alkyl); -
n is 1; X1 is NH or N(lower alkyl) group and X2 is methylene; Y1 is methylene and Y2 is methylene or a bond; Ar1 is an unsubstituted or substituted phenyl group; Ar2 is an unsubstituted or substituted phenyl group, provided that Ar1 and Ar2 are not simultaneously unsubstituted phenyl; wherein when Ar1 and Ar2 are substituted, Ar1 and Ar2 can be independently substituted with one or more substituents selected from the group consisting of halo, hydroxy, amino, cyano, nitro, C1-6 alkylamido, acyl, C1-6 alkoxy, C1-6 alkyl, hydroxy-C1-6 alkyl, amino-C1-6 alkyl, C1-6 alkylamino, C1-6 alkylsulfenyl, C1-6 alkylsulfinyl, C1-6 alkylsulfonyl, sulfamoyl and CF3; and W is oxygen or sulfur;
ora pharmaceutically acceptable salt or prodrug thereof. - View Dependent Claims (19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38)
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- 39. A method of treating or alleviating a symptom of schizophrenia or psychosis in a human, comprising administering a pharmaceutical composition comprising an amount of a 5-HT2A inverse agonist that effectively attenuates or abolishes 5-HT2A receptor activity in the human, wherein the 5-HT2A inverse agonist has little or substantially no activity on dopamine receptors.
- 42. A method for selectively inhibiting 5-HT2A activity in a human, comprising administering a compound that selectively inhibits activity of 5-HT2A receptors to a human in need of such treatment.
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44. A method of attenuating or abolishing an undesired side effect associated with administration of a “
- typical”
anti-psychotic agent, comprising administering an anti-psychotic agent to a schizophrenic or psychotic human in an amount sufficient to treat or alleviate a symptom of schizophrenia or psychosis in the human, wherein the anti-psychotic agent is a selective 5-HT2A inverse agonist with little or no activity at 5-HT1A, 5-HT1B, dopaminergic, histaminergic, adrenergic or muscarinergic receptors. - View Dependent Claims (45)
- typical”
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46. A method for the treatment of a disease or disorder selected from the group consisting of psychosis, schizophrenia, depression, anxiety, sleep disorders, appetite disorders, affective disorders, major depression, bipolar disorder, Tourette'"'"'s Syndrome or migraine comprising administering to a human in need of said treatment an amount of a compound effective to treat the disease or disorder, wherein the compound is a selective 5-HT2A inverse agonist or antagonist with little or no activity at 5-HT1A, 5-HT1B, dopaminergic, histaminergic, adrenergic or muscarinergic receptors.
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47. A pharmaceutical composition for treating or alleviating a symptom of schizophrenia or psychosis in a human, comprising a pharmaceutically acceptable diluent or excipient and a serotonin receptor subtype 2A (“
- 5-HT2A”
) inverse agonist that selectively attenuates or abolishes 5-HT2A activity in the human, wherein the 5-HT2A inverse agonist has little or substantially no activity on dopamine receptors.
- 5-HT2A”
Specification