Title of Invention

NOVEL BENZIMIDAZOLE DERIVATIVES

Abstract The present invention relates to a compound of the formula (I): (wherein A, B, C and D are independently nitrogen or optionally substituted methine; E is nitrogen, methine or hydroxy substituted methine; n is 0 or 1; T, U, V and W are independently nitrogen or optionally substituted methine; X is -N(SO2R4)-, - N(COR5)- or -CO-; Y is -C(R6)(R7)-, -O- or -N(R8)-, provided that the compound (I) when E is nitrogen, n is 0, X is -CO-, and Y is -O- is excluded) and the like, which are useful as an agent for the treatment of various diseases related to NPY, for example cardiovascular disorders such as angina, acute or congestive heart failure, myocardial infarction, hypertension, nephropathy, electrolyte abnormality, vasospasm, arteriosclerosis, etc., central nervous system disorders such as bulimia, depression, anxiety, seizure, epilepsy, dementia, pain, alcoholism, drug withdrawal, circadian rhythm disorders, schizophrenia, memory impairment, sleep disorders, cognitive impairment, etc. , metabolic diseases such as obesity, diabetes, hormone abnormality, hypercholesterolemia, hyperlipidemia, gout, fatty liver, etc., genital or reproductive disorders such as infertility, preterm labor, sexual dysfunction, etc., gastro-intestinal disorders, respiratory disorder, inflammatory diseases or glaucoma, and the like, also for example, atherosclerosis, hypogonadism, hyperandrogenism, polycystic ovary syndrome (Pickwickian syndrome), hirsutism, gastro-intestinal motility disorder, obesity-related gastro-esophageal reflux, obesity hypoventilation, sleep apnea, inflammation, systemic inflammation of the vasculature, osteoarthritis, insulin resistance, bronchoconstriction, alcohol preference, metabolic syndrome, Alzheimer's disease, cardiac hypertrophy, left ventricular hypertrophy, hypertriglyceridemia, low HDL cholesterol, cardiovascular disorders such as coronary heart disease (CHD), cerebrovascular disease, stroke, peripheral vascular disease, sudden death, gallbladder diseases, cancer (breast, endometrial, colon), breathlessness, hyperuricemia, impaired fertility, low back pain, or increased anesthetic risk, and the like.
Full Text DESCRIPTION
NOVEL BENZIMIDAZOLE DERIVATIVES
Technical Field
The present invention is useful in medical fields. In
more detail, novel benzimidazole derivatives of the present
invention have an effect as neuropeptide Y receptor antagonists
and are useful as agents for the treatment of various kinds of
cardiovascular disorders, central nervous system disorders,
metabolic diseases and the like.
Background Art
Neuropeptide Y (hereinafter referred to as NPY), a
peptide consisting of 36 amino acids, was first isolated from
porcine brain by Tatemoto et al in 1982 (NATURE, vol. 296, p.
659(1982)). NPY is widely distributed in central nervous
system and peripheral nervous system, and plays various roles
as one of the most abundant peptides in the nervous system. That
is, NPY acts as an orexigenic substance in the central nervous
system and markedly promotes fat accumulation via the mediation
of secretion of various hormones or the action of the nervous
system. It is known that continuous intracerebroventricular
administration of NPY induces obesity and insulin resistance
due to these actions (INTERNATIONAL JOUNAL OF OBESITY, vol.19,
p.517(1995); Endocrinology, vol.133, p.1753(1993)). It is
also known that NPY has central actions such as depression,
anxiety, schizophrenia, pain, dementia, circadian rhythm
control and the like (DRUGS, vol.52, p.371(1996); THE JOURNAL

OF NEUROSCIENCE, vol.18, p.3014(1998)) . Furthermore, in the
periphery, NPY coexists with norepinephrine in
sympathetic-nerve terminals and is related to the tonicity of
the sympathetic nervous system. It is known that peripheral
administration of NPY causes vasoconstriction and enhances the
activities of other vasoconstrictive substances such as
norepinephrine (BRITISH JOURNAL OF PHARMACOLOGY, vol.95,
p.419(1988)). It is also reported that NPY could participate
in the development of cardiac hypertrophy as a result of the
sympathetic stimulation (PROCEEDING NATIONAL ACADEMIC SCIENCE
USA, vol.97, p.1595(2000)) .
On the other hand, it is reported that NPY is also involved
in the secretory function of sexual hormones and growth hormone,
sexual behavior and reproductive function, gastro-intestinal
motility, bronchoconstriction, inflammation and alcohol
preference (LIFE SCIENCE, vol.55, p.551(1994); THE JOURNAL OF
ALLERGY AND IMMUNOLOGY, vol.101, p.S345(1998); NATURE, vol.396,
p.366(1998)).
NPY has a variety of pharmacological effects resulting
from NPY binding to the NPY receptors, to some of which other
NPY related peptides including peptide YY and pancreatic
polypeptide also bind. It is known that these pharmacological
effects of NPY are mediated by the action of at least five
receptors with or without synergistic interactions (TRENDS IN
NEUROSCIENCE, vol.20, p.294(1997)).
It is reported that the central effects mediated by NPY
Yl receptor include remarkable orexigenic effect
(ENDOCRINOLOGY, vol.137, p.3177(1996); ENDOCRINOLOGY, vol.141,
p.1011(2000)). Further, NPY Yl receptor is reported to be

involved in anxiety and pain (NATURE, vol.259, p.528(1993);
BRAIN RESEARCH, vol.859, p.361(2000). In addition, the pressor
effect mediated by the strong vasoconstrictor action in the
periphery is also reported (FEBS LETTERS, vol.362, p.192(1995);
NATURE MEDICINE, vol.4, p.722(1998)).
It is known that the effects mediated by NPY Y2 receptor
include an inhibitory effect on the release of various
neurotransmitters in the sympathetic nerve endings (BRITISH
JOURNAL OF PHARMACOLOGY, vol.102, p.41(1991); SYNAPSE, vol.2,
p.299(1988)). In periphery, NPY Y2 causes constriction of blood
vessel or vas deferens directly or via the control of release
of various neurotransmitters (THE JOURNAL OF PHARMACOLOGY AND
EXPERIMENTAL THERAPEUTICS, vol.261, p.863(1992); BRITISH
JOURNAL OF PHARMACOLOGY, vol.100, p.190(1990)). Inhibition of
lipolysis in adipose tissues is also known (ENDOCRINOLOGY,
vol.131, p.1970(1992)) . Further, inhibition of ion secretion
in the gastro-intestinal tract is reported (BRITISH JOURNAL OF
PHARMACOLOGY, vol.101, p.247(1990)) . On the other hand, the
effect on the central nervous system functions such as memory,
anxiety and the like are also known. (BRAIN RESEARCH, vol.503,
p.73(1989); PEPTIDES, vol.19, p.359(1998)).
It is reported that NPY Y3 receptor exists mainly in
brainstem and heart and is related to the regulation of blood
pressure and heart rate (THE JOURNAL OF PHARMACOLOGY AND
EXPERIMENTAL THERAPEUTICS, vol.258, p.633(1991); PEPTIDES,
vol.11, p. 545(1990)) . It is also known that NPY Y3 is involved
in the control of catecholamine secretion in adrenal gland (THE
JOURNAL OF PHARMACOLOGY AND EXPERIMENTAL THERAPEUTICS, vol. 244 ,
p.468(1988); LIFE SCIENCE, vol.50, p.PL7(1992)).

NPY Y4 receptor has high affinity for pancreatic
polypeptide in particular. As for the pharmacological effects
of NPY Y4, inhibition of pancreatic exocrine secretion and
gastro-intestinal motility is reported (GASTROENTEROLOGY,
vol.85, p.1411(1983)). Further, it is reported that NPY
enhances the secretion of sexual hormones in the central nervous
system (ENDOCRINOLOGY, vol.140, p.5171(1999)).
As for the effects mediated by NPY Y5 receptor, fat
accumulation effects including orexigenic effect are prominent
(NATURE, vol. 382, p.168(1996); AMERICAN JOURNAL OF PHYSIOLOGY,
vol.277, p.R1428(1999)) . It is also reported that the NPY Y5
receptor mediates some CNS effects, such as seizure and epilepsy,
or pain and morphine withdrawal symptoms, and the control of
circadian rhythm (NATURE MEDICINE, vol.3,
p. 761 (1997 ); PROCEEDING NATIONAL ACADEMIC SCIENCE USA, vol.96,
p.13518(1999); THE JOURNAL OF PHARMACOLOGY AND EXPERIMENTAL
THERAPEUTICS. vol.284, p.633(1998); THE JOURNAL OF
NEUROSCIENCE, vol.21, p.5367(2001). In addition, diuresis
effect and hypoglicemic effect in the periphery are reported
(BRITISH JOURNAL OF PHARMACOLOGY, vol. 120, p.1335(1998);
ENDOCRINOLOGY, vol.139, p.3018(1998)). NPY is also reported
to enhance cardiac hypertrophy as a result of the sympathetic
accentuation (PROCEEDING NATIONAL ACADEMIC SCIENCE USA, vol.97,
p.1595 (2000)).
The effects of NPY are expressed when NPY binds to the
NPY receptors in the central or peripheral nervous system.
Therefore, the action of NPY can be prevented by blocking its
binding to NPY receptors. For this reason, it is expected that
substances antagonize NPY binding to NPY receptors may be useful

for the prophylaxis or treatment of various diseases related
to NPY, for example cardiovascular disorders such as angina,
acute or congestive heart failure, myocardial infarction,
hypertension, nephropathy, electrolyte abnormality, vasospasm,
atherosclerosis, etc., central nervous system disorders such
as bulimia, depression, anxiety, seizure, epilepsy, dementia,
pain, alcoholism, drug withdrawal, circadian rhythm disorders,
schizophrenia, memory impairment, sleep disorders, cognitive
impairment, etc. , metabolic diseases such as obesity, diabetes,
hormone abnormality, gout, fatty liver, etc., genital or
reproductive disorders such as infertility, preterm labor,
sexual dysfunction, etc., gastro-intestinal disorders,
respiratory disorder, inflammatory diseases or glaucoma, and
the like. (TRENDS IN PHARMACOLOGICAL SCIENCE, vol.15,
p.153(1994); LIFE SCIENCE, vol.55, p.551(1994); DRUGS, vol.52,
p.371(1996); THE JOURNAL OF ALLERGY AND IMMUNOLOGY, vol.101,
p.S345(1998); NATURE, vol.396, p.366(1998); THE JOURNAL OF
PHARMACOLOGY AND EXPERIMENTAL THERAPEUTICS, vol.284,
p.633(1998); TRENDS IN PHARMACOLOGICAL SCIENCE, vol.20,
p. 104 (1999); PROCEEDING NATIONAL ACADEMIC SCIENCE USA, vol. 97,
p. 1595(2000); THE JOURNAL OF NEUROSCIENCE, vol. 21,
p.5367(2001); PHARMACOLOGY & THERAPEUTICS, vol.65,
p.397(1995)).
It was recently found that, as a result of the study by
the present inventors, a certain NPY receptor antagonist is
useful for the prophylaxis or treatment of hypercholesterolemia,
hyperlipidemia and arteriosclerosis (International
application publication W099/27965).
International application publication WO00/27845 and

WO01/14376 disclose a variety of carboxamide derivatives, and
mention that said derivatives have excellent NPY receptor
antagonistic activities. International application
publication WO02/48152 discloses a variety of
spiro(isobenzofuran-l,4'-piperidine)-3-on derivatives, and
mentions that said derivatives have an effect to regulate the
NPY binding to NPY5 receptors. However, none of the above
international publications describes the compounds of the
present invention.
Disclosure of Invention
The object of the present invention is to provide novel
medicines which exhibit NPY antagonistic activities.
The present inventors have discovered that the compounds
of the general formula (I):

(wherein A, B, C and D are independently methine or nitrogen,
said methine being optionally substituted by a substituent
selected from the group consisting of halogen, cyano, lower
alkyl, halo-lower alkyl, hydroxy, lower alkoxy, halo-lower
alkoxy, lower alkoxycarbonyl, lower alkylsulfonyl, lower
alkylsulfonyloxy, -N(R1)R2 and -Q1-Ar1, and at least one of A,
B, C and D is said methine group;
Ar1 is aryl or heteroaryl, any of which is optionally

substituted by a substituent selected from the group consisting
of halogen, nitro, hydroxy, lower alkyl, halo-lower alkyl,
hydroxy-lower alkyl, cyclo-lower alkyl, lower alkenyl, lower
alkoxy, halo-lower alkoxy, lower alkylthio, lower
alkylsulf onyl, carboxyl, lower alkanoyl, lower alkoxycarbonyl,
lower alkanoylamino and -Q2-Ar2;
Ar2 is aryl or heteroaryl, any of which is optionally
substituted by a substituent selected from the group consisting
of halogen, cyano, lower alkyl, halo-lower alkyl, hydroxy-lower
alkyl, hydroxy, lower alkoxy, halo-lower alkoxy, lower
alkylamino, di-lower alkylamino, lower alkanoyl and aryl;
E is nitrogen, methine or hydroxy substituted methine
(namely methine substituted by hydroxy);
n is 0 or 1;
Q1 and Q2 are independently a single bond, oxygen, carbonyl
or -N(R3)-;
R1 and R2 are independently hydrogen or lower alkyl, or
R1 and R2, taken together, form lower alkylene which may be
intervened by oxygen, sulfur or imino;
R3 is hydrogen or lower alkyl;
R4 is lower alkyl, aralkyl or aryl;
R5 and R8 are independently hydrogen, lower alkyl, aralkyl
or aryl;
R6 and R7 are independently hydrogen, hydroxy, lower alkyl,
aralkyl or aryl;
T, U, V and W are independently methine or nitrogen, said
methine being optionally substituted by a substituent selected
from the group consisting of halogen, lower alkyl, halo-lower
alkyl, hydroxy, lower alkoxy and halo-lower alkoxy, and at least

two of T, U, V and W are said methine group;
X is -N(S02R4)-, -N(COR5)- or -CO-;
Y is -C(R6)(R7)-, -0- or -N(R8)-, provided that the
compound (I) when E is nitrogen, n is 0, X is -CO- and Y is -O-
is excluded)
exhibit NPY antagonistic activities especially on NPY Y5
receptors and show excellent pharmacokinetics such as transport
into brain or transport to cerebrospinal fluid, etc., thereby
completed the present invention.
Compounds of the present invention (I) exhibit NPY
antagonistic effects especially on NPY Y5 receptors and show
excellent pharmacokinetics such as transport into brain or
transport to cerebrospinal fluid, etc. Also, the compound of
the present invention (I) are useful as agents for the treatment
of various diseases related to NPY, for example, cardiovascular
disorders such as angina, acute or congestive heart failure,
myocardial infarction, hypertension, nephropathy, electrolyte
abnormality, vasospasm, arteriosclerosis, etc., central
nervous system disorders such as bulimia, depression, anxiety,
seizure, epilepsy, dementia, pain, alcoholism, drug
withdrawal, circadian rhythm disorders, schizophrenia, memory
impairment, sleep disorders, cognitive impairment, etc.,
metabolic diseases such as obesity, diabetes, hormone
abnormality, hypercholesterolemia, hyperlipidemia, gout,
fatty liver, etc., genital or reproductive disorders such as
infertility, preterm labor, sexual dysfunction, etc.,
gastro-intestinal disorders, respiratory disorder,
inflammatory diseases or glaucoma, and the like, also for
example, atherosclerosis, hypogonadism, hyperandrogenism.

polycystic ovary syndrome, hirsutism, gastro-intestinal
motility disorder, obesity-related gastro-esophageal
reflux, obesity hypoventilation (Pickwickian syndrome),
sleep apnea, inflammation, systemic inflammation of the
vasculature, osteoarthritis, insulin resistance,
bronchoconstriction, alcohol preference, metabolic
syndrome, Alzheimer's disease, cardiac hypertrophy, left
ventricular hypertrophy, hypertriglyceridemia, low HDL
cholesterol, cardiovascular disorders such as coronary heart
disease (CHD), cerebrovascular disease, stroke, peripheral
vascular disease, sudden death, gallbladder diseases, cancer
(breast, endometrial, colon), breathlessness, hyperuricemia,
impaired fertility, low back pain, or increased anesthetic
risk, and the like.
The compounds of the present invention (I) are
particularly useful as agents for the treatment of bulimia,
obesity, diabetes and the like.
The present invention relates to the compounds
represented by the general formula (I), or the salts thereof,
and the production method and the use thereof.
The means of terms used in the present specification are
defined and more detailed description of this invention is
described in the following.
"Halogen" refers to fluorine, chlorine, bromine and
iodine.
"Lower alkyl" refers to a straight- or branched-chain
alkyl group of C1 to C6, and its examples are methyl, ethyl,
propyl, isopropyl, butyl, isobutyl, sec-butyl, tert-butyl,
pentyl, isopentyl, hexyl, isohexyl and the like.

"Halo-lower alkyl" refers to said lower alkyl substituted
with identically or differently one, two or more, preferably
one to three said halogen at the substitutable, arbitrary
position(s), and its examples are fluoromethyl, difluoromethyl,
trifluoromethyl, 2-fluoroethyl, 1,2-difluoroethyl,
chloromethyl, 2-chloroethyl, 1,2-dichloroethyl, bromomethyl,
iodomethyl and the like.
"Lower alkoxy" refers to straight- or branched-chain
alkoxy of C1 to C6 and its examples are methoxy, ethoxy, propoxy,
isopropoxy, butoxy, sec-butoxy, isobutoxy, tert-butoxy,
pentyloxy, isopentyloxy, hexyloxy, isohexyloxy and the like.
"Halo-lower alkoxy" refers to said lower alkoxy
substituted with identically or differently one, two or more,
preferably one to three said halogen at substitutable,
arbitrary position(s), and its examples are fluoromethoxy,
difluoromethoxy, trifluoromethoxy, 2-fluoroethoxy,
1,2-difluoroethoxy, chloromethoxy, 2-chloroethoxy,
1,2-dichloroethoxy, bromomethoxy, iodomethoxy and the like.
"Lower alkoxycarbonyl" refers to an alkoxycarbonyl group
containing said lower alkoxy, that is, an alkoxycarbonyl group
of C2 to C7, and its examples are methoxycarbonyl,
ethoxycarbonyl, propoxycarbonyl, isopropoxycarbonyl,
butoxycarbonyl, isobutoxycarbonyl, tert-butoxycarbonyl,
pentyloxycarbonyl and the like.
"Lower alkylsulfonyl" refers to a straight- or
branched-chain alkylsulfonyl group of C1 to C6, and its examples
are methylsulfonyl, ethylsulfonyl, propylsulfonyl,
isopropylsulfonyl, butylsulfonyl, sec-butylsulfonyl,
isobutylsulfonyl, tert-butylsulfonyl, pentylsulfonyl.

isopentylsulfonyl, hexylsulfonyl, isohexylsulfonyl and the
like.
"Lower alkylsulfonyloxy" refers to a straight- or
branched-chain alkylsulfonyloxy group of C1 to C6, and its
examples are methylsulfonyloxy, ethylsulfonyloxy,
propylsulfonyloxy, isopropylsulfonyloxy, butylsulfonyloxy,
sec-butylsulfonyloxy, isobutylsulfonyloxy,
tert-butylsulfonyloxy, pentylsulfonyloxy,
isopentylsulfonyloxy, hexylsulfonyloxy, isohexylsulfonyloxy
and the like.
"Hydroxy-lower alkyl" refers to said lower alkyl
substituted with one, two or more, preferably one or two hydroxy
at substitutable, arbitrary position(s), and its examples are
hydroxymethyl, 2-hydroxyethyl, 1-hydroxy-1-methylethyl,
1,2-dihydroxyethyl, 3-hydroxypropyl and the like.
"Cyclo-lower alkyl" refers to a cycloalkyl group of C3
to C6, and its examples are cyclopropyl, cyclobutyl,
cyclopentyl, cyclohexyl and the like.
"Lower alkenyl" refers to a straight- or branched-chain
alkenyl group of C2 to C6, and its examples are vinyl, 1-propenyl,
2-propenyl, isopropenyl, 3-butenyl, 2-butenyl, 1-butenyl,
1-methyl-2-propenyl, 1-methyl-1-propenyl, 1-ethyl-1-ethenyl,
2-methyl-2-propenyl, 2-methyl-1-propenyl, 3-methyl-2-butenyl,
4-pentenyl and the like.
"Lower alkylthio" refers to straight- or branched-chain
alkyl thio of C1 to C6, and its examples are methyl thio,
ethylthio, propylthio, isopropylthio, butylthio,
sec-butylthio, isobutylthio, tert-butylthio, pentylthio,
isopentylthio, hexylthio, isohexylthio and the like.

"Lower alkanoyl" refers to an alkanoyl group containing
said lower alkyl, that is, an alkanoyl group of C2 to C7, and
its examples are acetyl, propionyl, butyryl, isobutyryl,
valeryl, isovaleryl, pivaloyl and the like.
"Lower alkanoylamino" refers to an amino group
mono-substituted with said lower alkanoyl, and its examples are
acetylamino, propionylamino, butyrylamino, isobutyrylamino,
valerylamino, isovalerylamino, pivaloylamino and the like.
"Aryl" refers to phenyl, naphthyl and the like.
"Heteroaryl" refers to 5- or 6-membered monocyclic
heteroaromatic group which contains one, two or more,
preferably one to three hetero atom(s) identically or
differently selected from the group consisting of oxygen,
nitrogen and sulfur; or condensed cyclic heteroaromatic group,
where said monocyclic heteroaromatic group is condensed with
said aryl group or condensed each other with the same or
different said monocyclic heteroaromatic group, and its
examples are pyrrolyl, furyl, thienyl, imidazolyl, pyrazolyl,
thiazolyl, isothiazolyl, oxazolyl, isoxazolyl, triazolyl,
tetrazolyl, oxadiazolyl, 1,2,3-thiadiazolyl,
1,2,4-thiadiazolyl, 1,3,4-thiadiazolyl, pyridyl, pyrazinyl,
pyrimidinyl, pyridazinyl, 1,2,4-triazinyl, 1,3,5-triazinyl,
indolyl, benzofuranyl, benzothienyl, benzoimidazolyl,
benzoxazolyl, benzoisoxazolyl, benzothiazolyl,
benzoisothiazolyl, indazolyl, purinyl, quinolyl, isoquinolyl,
phthalazinyl, naphthylidinyl, quinoxalinyl, quinazolinyl,
cinnolinyl, pteridinyl, pyrido[3,2-b]pyridyl and the like.
"Lower alkylamino" refers to an amino group
mono-substituted with said lower alkyl, and its examples are

methylamino, ethylamino, propylamine isopropylamino,
butylamino, sec-butylamino, tert-butylamino and the like.
"Di-lower alkylamino" refers to an amino group
di-substituted with the same or different said lower alkyl, and
its examples are dimethylamino, diethylamino,
ethylmethylamino, dipropylamino, methylpropylamino,
diisopropylamino and the like.
"Lower alkylene which may be intervened by oxygen, sulfur
or imino" refers to an alkylene group of C2 to C5, which is not
intervened or intervened by one, two or more, preferably one
oxygen, sulfur or imino at optional and intervention capable
position(s) of said alkylene chain, and its examples are
ethylene, trimethylene, tetramethylene, pentamethylene,
2-oxatetramethylene, 2-oxapentamethylene,
3-oxapentamethylene, 2-thiatetramethylene,
2-thiapentamethylene, 3-thiapentamethylene,
2-azatetramethylene, 2-azapentamethylene,
3-azapentamethylene and the like.
"Aralkyl" refers to said lower alkyl substituted with one,
two or more, preferably one said aryl at substitutable,
arbitrary position(s), and its examples are benzyl,
1-phenylethyl, phenethyl, 1-naphthylmethyl, 2-naphthylmethyl
and the like.
The esters of compounds of formula (I) refer to, for
example, the pharmaceutically acceptable, common esters of said
carboxyl group when the compound has a carboxyl group, and
examples thereof are esters with lower alkyl (e.g. methyl, ethyl,
propyl, isopropyl, butyl, sec-butyl, tert-butyl, pentyl,
isopentyl, neopentyl, cyclopropyl, cyclobutyl, cyclopentyl),

esters with aralkyl (e.g. benzyl, phenethyl), esters with lower
alkenyl (e.g. allyl, 2-butenyl), esters with
lower-alkoxy-lower-alkyl (e.g. methoxymethyl, 2-methoxyethyl,
2-ethoxyethyl), esters with lower-alkanoyloxy-lower-alkyl
(e.g. acetoxymethyl, pivaloyloxymethyl, 1-pivaloyloxyethyl),
esters with lower-alkoxycarbonyl-lower-alkyl (e.g.
methoxycarbonylmethyl, isopropoxycarbonylmethyl), esters
with carboxy-lower alkyl (e.g. carboxymethyl), esters with
lower-alkoxycarbonyloxy-lower-alkyl (e.g.
1-(ethoxycarbonyloxy)ethyl,
1-(cyclohexyloxycarbonyloxy)ethyl), esters with
carbamoyloxy-lower alkyl (e.g. carbamoyloxymethyl), esters
with phthalidyl, esters with
(5-substituted-2-oxo-1,3-dioxol-4-yl)methyl (e.g.
(5-methyl-2-oxo-l,3-dioxol-4-yl)methyl) and the like.
The salts of compounds of formula (I) refer to the
pharmaceutical^ acceptable, common salts, and examples
thereof are base addition salt to said carboxyl group when the
compound has a carboxyl group, or acid addition salt to said
amino or basic heterocyclyl when the compound has an amino or
basic heterocyclyl group and the like.
Said base addition salts include salts with alkali metals
(e.g. sodium, potassium); salts with alkaline earth metals (e.g.
calcium, magnesium); ammonium salts; salts with organic amines
(e.g. trimethylamine, triethylamine, dicyclohexylamine,
ethanolamine, diethanolamine, triethanolamine, procaine,
N,N'-dibenzylethylenediamine) and the like.
Said acid addition salts include salts with inorganic
acids (e.g. hydrochloric acid, sulfuric acid, nitric acid.

phosphoric acid, perchloric acid), salts with organic acids
(e.g. maleic acid, fumaric acid, tartaric acid, citric acid,
ascorbic acid, trif luoroacetic acid) , salts with sulfonic acids
(e.g. methanesulfonic acid, isethionic acid, benzenesulfonic
acid, p-toluenesulfonic acid) and the like.
An N-oxide derivative of the compound represented by the
formula (I) means a compound of which any one or more than one
nitrogen atoms present in the compound of the formula (I) is
or are oxidized to form an N-oxide or N-oxides, and such an
N-oxide derivative includes, for example, a compound of which
nitrogen atom is oxidized in case when T, U, V or/and W in the
formula (I) is or are nitrogen.
"An agent for treatment" refers to a medicament which is
employed for the treatment and/or prophylaxis of various
diseases.
In order to disclose the aforesaid compounds of the
general formula (I) of the present invention more specifically,
the various symbols used in the formula (I) are explained in
more detail by presenting preferred embodiments.
A, B, C and D are independently methine or nitrogen , said
methine being optionally substituted by a substituent selected
from the group consisting of halogen, cyano, lower alkyl,
halo-lower alkyl, hydroxy, lower alkoxy, halo-lower alkoxy,
lower alkoxycarbonyl, lower alkylsulfonyl, lower
alkylsulfonyloxy, -N(R1)R2 and -Q1-Ar1, and at least one of A,
B, C and D is said methine group.
"Methine which is optionally substituted by a substituent
selected from the group consisting of halogen, cyano, lower
alkyl, halo-lower alkyl, hydroxy, lower alkoxy, halo-lower

alkoxy, lower alkoxycarbonyl, lower alkylsulfonyl, lower
alkylsulfonyloxy, -N(R1)R2 and -Q1-Ar1" refers to unsubstituted
methine or methine having a substituent, wherein said
substituent may be selected from the group consisting of halogen,
cyano, lower alkyl, halo-lower alkyl, hydroxy, lower alkoxy,
halo-lower alkoxy, lower alkoxycarbonyl, lower alkylsulfonyl,
lower alkylsulfonyloxy, -N(R1)R2 and-Q1-Ar1.
Halogen as said substituent preferably includes fluorine,
chlorine and the like.
Lower alkyl as said substituent preferably includes
methyl, ethyl and the like.
Halo-lower alkyl as said substituent preferably includes
difluoromethyl, trifluoromethyl and the like.
Lower alkoxy as said substituent preferably includes
methoxy, ethoxy and the like.
Halo-lower alkoxy as said substituent preferably
includes difluoromethoxy, trifluoromethoxy and the like.
Lower alkoxycarbonyl as said substituent preferably
includes methoxycarbonyl, ethoxycarbonyl and the like.
Lower alkylsulfonyl as said substituent preferably
includes methylsulfonyl, ethylsulfonyl and the like.
Lower alkylsulfonyloxy as said substituent preferably
includes methylsulfonyloxy, ethylsulfonyloxy and the like.
In a group of formula: -N(RX)R2 as said substituent, R1
and R2 are independently hydrogen or lower alkyl, or R1 and R2,
taken together, form lower alkylene which may be intervened by
oxygen, sulfur or imino.
Lower alkyl as R1 or R2 preferably includes methyl, ethyl,
propyl and the like.

"Lower alkylene which may be intervened by oxygen, sulfur
or imino" formed by taking R1 and R2 together preferably
includes pentamethylene, 3-oxapentamethylene and the like, and
it, together with nitrogen next thereto, forms piperidino,
morpholino, etc.
The preferred embodiment of R1 and R2 includes the case
where at least one of R1 or R2 is lower alkyl, or the case where
R1 and R2, taken together, form lower alkylene which may be
intervened by oxygen, sulfur or imino.
Thus, a group of formula: -N(R1)R2 includes, for example,
amino, methylamino, ethylamino, propylamine dimethylamino,
diethylamino, ethylmethylamino, 1-azetidinyl, 1-pyrrolidinyl,
piperidino, morpholino, thiomorpholino, 1-piperazinyl and the
like, among which the preferred are methylamino, dimethylamino,
piperidino, morpholino and the like.
In a group of formula: -Q1-Ar1 as said substituent, Ar1
is aryl or heteroaryl, any of which is optionally substituted
by a substituent selected from the group consisting of halogen,
nitro, hydroxy, lower alkyl, halo-lower alkyl, hydroxy-lower
alkyl, cyclo-lower alkyl, lower alkenyl, lower alkoxy,
halo-lower alkoxy, lower alkylthio, lower alkylsulfonyl,
carboxyl, lower alkanoyl, lower alkoxycarbonyl, lower
alkanoylamino and -Q2-Ar2; Q1 is a single bond, oxygen, carbonyl
or -N(R3)-.
"Aryl or heteroaryl, any of which is optionally
substituted by a substituent selected from the group consisting
of halogen, nitro, hydroxy, lower alkyl, halo-lower alkyl,
hydroxy-lower alkyl, cyclo-lower alkyl, lower alkenyl, lower
alkoxy, halo-lower alkoxy, lower alkylthio, lower alkylsuf onyl.

carboxyl, lower alkanoyl, lower alkoxycarbonyl, lower
alkanoylamino and -Q2-Ar2" refers to unsubstituted said aryl
or said heteroaryl, or said aryl or said heteroaryl having
substituent(s) at the substitutable, arbitrary position(s)
wherein said substituent(s) may be one, two or more, preferably
one or two member(s) identically or differently selected from
the group consisting of halogen, nitro, hydroxy, lower alkyl,
halo-lower alkyl, hydroxy-lower alkyl, cyclo-lower alkyl,
lower alkenyl, lower alkoxy, halo - lower alkoxy, lower alkylthio,
lower alkylsufonyl, carboxyl, lower alkanoyl, lower
alkoxycarbonyl, lower alkanoylamino and -Q2-Ar2.
Halogen as said substituent preferably includes fluorine,
chlorine, bromine and the like.
Lower alkyl as said substituent preferably includes
methyl, ethyl, propyl, isopropyl and the like.
Halo-lower alkyl as said substituent preferably includes
difluoromethyl, trifluoromethyl and the like.
Hydroxy-lower alkyl as said substituent preferably
includes hydroxymethyl, 2-hydroxyethyl,
1-hydroxy-1-methylethy1 and the like.
Cyclo-lower alkyl as said substituent preferably
includes cyclopropyl, cyclobutyl and the like.
Lower alkenyl as said substituent preferably includes
vinyl, 1-propenyl, 2-methyl-1-propenyl and the like.
Lower alkoxy as said substituent preferably includes
methoxy, ethoxy and the like.
Halo-lower alkoxy as said substituent preferably
includes fluoromethoxy, dif luoromethoxy, trif luoromethoxy and
the like.

Lower alkylthio as said substituent preferably includes
methylthio, ethylthio and the like.
Lower alkylsulfonyl as said substituent preferably
includes methylsulfonyl, ethylsulfonyl, propylsulfonyl and
the like.
Lower alkanoyl as said substituent preferably includes
acetyl, propionyl and the like.
Lower alkoxycarbonyl as said substituent preferably
includes methoxycarbonyl, ethoxycarbonyl and the like.
Lower alkanoylamino as said substituent preferably
includes acetylamino, propanoylamino and the like.
In a group of formula: -Q2-Ar2 as said substituent, Ar2
is aryl or heteroaryl, any of which is optionally substituted
by a substituent selected from the group consisting of halogen,
cyano, lower alkyl, halo-lower alkyl, hydroxy-lower alkyl,
hydroxy, lower alkoxy, halo-lower alkoxy, lower alkylamino,
di-lower alkylamino, lower alkanoyl and aryl; Q2 is a single
bond, oxygen, carbonyl or -N(R3)-.
"Aryl or heteroaryl, any of which is optionally
substituted by a substituent selected from the group consisting
of halogen, cyano, lower alkyl, halo-lower alkyl, hydroxy-lower
alkyl, hydroxy, lower alkoxy, halo-lower alkoxy, lower
alkylamino, di-lower alkylamino, lower alkanoyl and aryl"
refers to unsubstituted said aryl or said heteroaryl, or said
aryl or said heteroaryl having substituent(s) at the
substitutable, arbitrary position(s) wherein said
substituent(s) may be one, two or more, preferably one or two
member(s) identically or differently selected from the group
consisting of halogen, cyano, lower alkyl, halo-lower alkyl.

hydroxy-lower alky 1, hydroxy, lower alkoxy, halo - lower alkoxy,
lower alkylamino, di - lower alkylamino, lower alkanoyl and aryl.
Halogen as said substituent preferably includes fluorine,
chlorine and the like.
Lower alkyl as said substituent preferably includes
methyl, ethyl, propyl, isopropyl and the like.
Halo-lower alkyl as said substituent preferably includes
difluoromethyl, trifluoromethyl and the like.
Hydroxy-lower alkyl as said substituent preferably
includes hydroxymethyl, 2-hydroxyethyl,
1-hydroxy-1-methylethyl and the like.
Lower alkoxy as said substituent preferably includes
methoxy, ethoxy and the like.
Halo-lower alkoxy as said substituent preferably
includes f luoromethoxy, dif luoromethoxy, trif luoromethoxy and
the like.
Lower alkylamino as said substituent preferably includes
methylamino, ethylamino and the like.
Di-lower alkylamino as said substituent preferably
includes dimethylamino, diethylamino and the like.
Lower alkanoyl as said substituent preferably includes
acetyl, propionyl and the like.
Aryl as said substituent preferably includes phenyl and
the like.
The substituent (s) of Ar2 preferably include(s) halogen,
cyano, lower alkyl, halo-lower alkyl, hydroxy-lower alkyl,
hydroxy, halo-lower alkoxy and the like.
Aryl as Ar2 preferably includes phenyl and the like, and
heteroaryl as Ar2 preferably includes pyridyl, quinolyl and the

like.
In the group of formula: -N(R3) - as Q1 and Q2, R3 is hydrogen
or lower alkyl.
R3 preferably includes hydrogen, methyl, ethyl and the
like.
Q2 preferably includes a single bond and the like.
The substituent(s) of ArL include(s) preferably halogen,
hydroxy, lower alkyl, halo-lower alkyl, lower alkenyl, lower
alkoxy, lower alkanoyl, -Q2-Ar2 and the like, more preferably
halogen, hydroxy, halo-lower alkyl, lower alkoxy and the like.
Aryl as Ar1 preferably includes phenyl and the like, and
heteroaryl as Ar1 includes preferably imidazolyl, furyl,
thienyl, pyrazolyl, thiazolyl, oxazolyl, isoxazolyl,
1,2,4-oxadiazol, 1,3,4-oxadiazol. pyridyl, pyrazinyl,
pyrimidinyl, benzofuranyl, quinolyl and the like, more
preferably pyridyl, quinolyl and the like, most preferably
pyridyl and the like.
Consequently, Ar1 includes, for example, phenyl.



Q includes preferably a single bond, oxygen, -N(R )- and
the like, more preferably a single bond and the like.
The substituent (s) of me thine as A, B, C or D include(s)
preferably halogen, halo-lower alkyl, lower alkoxycarbonyl,
-NfR1)R2, -Q1-Ar1 and the like, more preferably -Q1-Ar1 and the
like.
The preferred embodiment of A, B, C and D includes, for
example, the case where A and D are same or differently
unsubstituted methine or nitrogen, and one of B and C is methine
having -Q1-Ar1 and the other is unsubstituted methine or
nitrogen, more preferably the case where A is unsubstituted

methine, B and/or D are nitrogen, and C is methine having -Q1-Ar1.
E is methine, hydroxy substituted methine or nitrogen,
preferably methine.
n is 0 or 1, preferably 0.
T, U, V and W are independently methine or nitrogen, said
methine being optionally substituted by a substituent selected
from the group consisting of halogen, lower alkyl, halo-lower
alkyl, hydroxy, lower alkoxy and halo-lower alkoxy, and at least
two of T, U, V and W are said methine group.
"Methine which is optionally substituted by a
substituent selected from the group consisting of halogen,
lower alkyl, halo-lower alkyl, hydroxy, lower alkoxy and
halo-lower alkoxy" refers to unsubstituted methine or methine
having a substituent, wherein said substituent may be selected
from the group consisting of halogen, lower alkyl, halo-lower
alkyl, hydroxy, lower alkoxy and halo-lower alkoxy.
Halogen as said substituent preferably includes fluorine,
chlorine and the like.
Lower alkyl as said substituent preferably includes
methyl, ethyl and the like.
Halo-lower alkyl as said substituent preferably includes
difluoromethyl, trifluoromethyl and the like.
Lower alkoxy as said substituent preferably includes
methoxy, ethoxy and the like.
Halo-lower alkoxy as said substituent preferably
includes fluoromethoxy, dif luoromethoxy, trif luoromethoxy and
the like.
Said substituent includes preferably halogen, lower
alkyl, hydroxy, lower alkoxy and the like, more preferably

halogen and the like.
The preferred embodiment of T, U, V and W includes, for
example, the case where T, U, V and W are independently me thine
optionally having said substituent, preferably halogen, lower
alkyl, hydroxy and lower alkoxy, more preferably halogen; or
the case where one of T, U, V and W is nitrogen, preferably the
case where one of T, U, V and W is nitrogen and one of the
remainder is methine having said substituent, preferably
halogen, lower alkyl, hydroxy and lower alkoxy, more preferably
halogen; or the case where one of T, U, V and W is nitrogen and
all of the remainder are unsubstituted methine.
X is -N(S02R4)-, -N(COR5)- or -CO-. Y is -C(R6) (R7) - , -0-
or -N(R8)-. R4 is lower alkyl, aralkyl or aryl. R5 and R8 are
independently hydrogen, lower alkyl, aralkyl or aryl. R6 and
R7 are independently hydrogen, hydroxy, lower alkyl, aralkyl
or aryl.
Lower alkyl as R4, R5, R6. R7 or R8, each independently,
preferably includes methyl, ethyl, propyl and the like.
Aralkyl as R4, R5, R6, R7 or R8, each independently,
preferably includes benzyl and the like.
Aryl as R4, R5, R6, R7 or R8, each independently, preferably
includes phenyl and the like.
R4 and R5 preferably include, for example, lower alkyl
and the like.
The preferred embodiment of R6 and R7 includes, for example,
the case where both R6 and R7 are hydrogen.
R8 includes preferably, for example, hydrogen, lower
alkyl and the like, more preferably hydrogen and the like.
The preferred embodiment of n, X and Y includes, for

example, the case where n is 0, X is -N(S02R4)- or -N(COR5)-,
preferably -N(S02R4)-, and Y is -C(R6)(R7)-; or the case where
n is 0 or 1, preferably 0, X is -CO-, and Y is -O- or -N(R8)-,
preferably -O-. In the latter case, it is more preferable when
X is -CO- and Y is -O- or -NH-, and further preferable when X
is -CO- and Y is -O-.
The present invention excludes a compound of the formula
(I), wherein at the same time E is nitrogen, n is 0, X is -CO-
and Y is -O-.

wherein methine in the formula (ai) is optionally substituted
by a substituent selected from the group consisting of halogen,
cyano, lower alkyl, halo-lower alkyl, hydroxy, lower

alkoxy, halo-lower alkoxy, lower alkoxycarbonyl, lower
alkylsulfonyl, lower alkylsulfonyloxy, -NtR1)!*2 and -Q1-Ar1,
and the like, more preferably a group of formula (a2)




Preferred compounds of the formula (I) are, for example,
compounds of the formula (I-a):

Among the compounds of the formula (I), the formula (I-a),
the formula (I-b) or the formula (I-c), the preferred compounds
are, for example, compounds in which A, B, C and D are aforesaid
preferred embodiment, Ar1 is phenyl or heteroaryl, more
preferably phenyl, any of which is optionally substituted by
a substituent selected from the group consisting of halogen.

nitro, hydroxy, lower alkyl, halo-lower alkyl, hydroxy-lower
alkyl, cyclo-lower alkyl, lower alkenyl, lower alkoxy,
halo-lower alkoxy, lower alkylthio, lower alkylsufonyl,
carboxyl, lower alkanoyl, lower alkoxycarbonyl, lower
alkanoylamino and -Q2-Ar2, and R° is hydrogen.
Further, among the compound of the formula (I-b), the
preferred compounds are, for example, compounds in which all
of T, U, V and W are unsubstituted methine; or compounds in which
one of T, U, V and W is nitrogen, preferably one of T, U, V and
W is nitrogen and all of the remainder are unsubstituted methine
or one of the remainder is methine having fluorine or chlorine.
The compounds of the present invention may include
stereoisomers such as optical isomers, diastereoisomers and
geometrical isomers, or tautomers depending upon the mode of
substituents. The compounds of the present invention include
all the stereoisomers, tautomers and their mixtures.
For example, compounds of the formula (I-a) include
stereoisomers such as a trans-form compound of the formula
(I-la) or (I-la'):







, and compounds of the formulae (I-lc) and (I-2c') are
preferable.
Also included within the scope of the invention are
polymorphs, hydrates and solvates of the compounds of the
present invention.
The present invention also includes prodrugs of the
compounds of this invention within its scope. In general, such
prodrugs are functional derivatives of the compounds of the
present invention which can be readily converted in vivo into
the required compound. Thus, in the treatment methods for
various diseases according to the present invention, the term
"administering" shall encompass not only administration of the
compound specified in this disclosure but also administration

of a compound which is converted in vivo into the specified
compound when it is administered to a patient. Conventional
procedures for selection and preparation of suitable prodrug
derivatives are described, for example, in "Design of
Prodrugs," ed. H. Bundgaard, Elsevier (1985), which are
entirely incorporated by reference in this specification.
Metabolites of these compounds include active compounds
produced upon introduction of compounds of the present
invention into the biological milieu, and are encompassed in
the scope of the present invention.
The specific compound of the formula (I) is, for example,
2-[1-methylsulfonylspiro[indoline-3,4'-piperidin]-1'-yl] - 5 -
chlorobenzimidazole,
5,6-dichloro-2-[1-methylsulfonylspiro[indoline-3,4'-
piperidin]-1'-yl]benzimidazole,
5-chloro-2-[1-ethylsulfonylspiro[indoline-3,4'-piperidin]-
1'-yl]benzimidazole,
trans-5-chloro-2-[3'-oxospiro[cyclohexane-l,1'(3'H)-
isobenzofuran]-4-yl]-6-(trifluoromethyl)benzimidazole,
trans-5-(4-fluorophenyl)-2-[3'-oxospiro[cyclohexane-
1,1'(3'H)-isobenzofuran]-4-yl]benzimidazole,
trans-2-[3-oxospiro[6-azaisobenzofuran-l(3H),1'-cyclo-
hexan]-4'-yl]-5-phenylbenzimidazole,
trans-5-(3-fluorophenyl)-2-[3-oxospiro[6-azaisobenzofuran-
1(3H),1'-cyclohexan]-4'-yl]benzimidazole,
trans-5-(4-fluorophenyl)-2-[3-oxospiro[6-azaisobenzofuran-
1(3H),1'-cyclohexan]-4'-yl]benzimidazole,
trans-2-[3'-oxospiro[cyclohexane-l,1'(3'H)-isobenzofuran]-
4-yl]-5-(2-pyridyl)imidazo[4,5-b]pyridine,

trans-2-[3'-oxospiro[cyclohexane-l,1'(3'H)-isobenzofuran]-
4-yl]-6-(2-pyridyl)imidazo[4,5-b]pyridine,
trans-5-(2-fluorophenyl)-2-[3-oxospiro[6-azaisobenzofuran-
1(3H),1'-cyclohexan]-4'-yl]imidazo[4,5-b]pyridine,
trans-2-[3-oxospiro[6-azaisobenzofuran-l(3H),1'-cyclo-
hexan] -4 '-yl]-6-phenylimidazo[4,5-c]pyridine,
trans-6-(2-fluorophenyl)-2-[3-oxospiro[6-azaisobenzofuran-
1(3H),1'-cyclohexan]-4'-yl]imidazo[4,5-c]pyridine,
trans-2-[3-oxospiro[6-azaisobenzofuran-l(3H),1'-cyclo-
hexan] -4 '-yl]-5-phenylimidazo[4,5-b]pyrazine,
trans-5-(4-fluorophenyl)-2-[3-oxospiro[6-azaisobenzofuran-
1(3H),1'-cyclohexan]-4'-yl]imidazo[4,5-b]pyrazine,
trans - 6 - (4 -f luorophenyl) - 2 - [ 3 -oxospiro [ 6 -azaisobenzof uran-
1(3H),1'-cyclohexan]-4'-yl]imidazo[4,5-c]pyridazine,
trans-2-(2-fluorophenyl)-8-[3'-oxospiro[cyclohexane-
1,1'(3'H)-isobenzofuran]-4-yl]purine,
trans-2-(3-fluorophenyl)-8-[3'-oxospiro[cyclohexane-
1,1'(3'H)-isobenzofuran]-4-yl]purine,
trans-2-(4-fluorophenyl)-8-[3'-oxospiro[cyclohexane-
1,1'(3'H)-isobenzofuran]-4-yl]purine,
trans-2-(2-methoxyphenyl)-8-[3'-oxospiro[cyclohexane-
1,1'(3'H)-isobenzofuran]-4-yl]purine,
trans-2-(4-methoxyphenyl)-8-[3'-oxospiro[cyclohexane-
1.1'(3'H)-isobenzofuran]-4-yl]purine,
trans-2-(2-methylphenyl)-8-[3'-oxospiro[cyclohexane-
1,1'(3'H)-isobenzofuran]-4-yl]purine,
trans -8-[3'-oxospiro[cyclohexane-1,1'(3'H)-isobenzofuran]-
-4-yl]-2-(2-trifluoromethylphenyl)purine,
trans-2-(2-chloro-4-fluorophenyl)-8-[3*-oxospiro[cyclo-

hexane-1,1'(3'H)-isobenzofuran]-4-yl]purine,
trans-2-(2-hydroxymethylphenyl)-8-[3'-oxospiro[cyclo-
hexane-1,1'(3'H)-isobenzofuran]-4-yl]purine,
trans-2-(2-furyl)-8-[3'-oxospiro[cyclohexane-1,1'(3'H)-
isobenzofuran]-4-yl]purine,
trans-8-[3'-oxospiro[cyclohexane-1,1'(3'H)-isobenzofuran]-
-4-yl]-2-(2-thienyl)purine,
trans-8-[3'-oxospiro[cyclohexane-1,1'(3'H)-isobenzofuran]-
-4-yl]-2-(2-pyrrolyl)purine,
trans-2-(3-fluoropyridin-6-yl)-8-[3'-oxospiro[cyclohexane-
1,1'(3'H)-isobenzofuran]-4-yl]purine,
trans-2-(2-chloropyridin-6-yl)-8-[3'-oxospiro[cyclohexane-
1,1'{3'H)-isobenzofuran]-4-yl]purine,
trans-2-(2-fluorophenoxy)-8-[3'-oxospiro[cyclohexane-
1,1'(3'H)-isobenzofuran]-4-yl]purine,
trans-2-(2,6-difluorophenoxy)-8-[3'-oxospiro[cyclohexane-
1,1'(3'H)-isobenzofuran]-4-yl]purine,
trans-8-[3'-oxospiro[cyclohexane-1,1'(3'H)-isobenzofuran]-
4-yl]-2-(1-piperidyl)purine,
trans-8-[3-oxospiro[6-azaisobenzofuran-l(3H),1'-cyclo-
hexan]-4'-yl]-2-phenylpurine,
trans-2-(2-fluorophenyl)-8-[3-oxospiro[6-azaisobenzofuran-
1(3H),1'-cyclohexan]-4'-yl]purine,
trans-2-(3-fluorophenyl)-8-[3-oxospiro[6-azaisobenzofuran-
1(3H),1'-cyclohexan]-4'-yl]purine,
trans-2-(4-fluorophenyl)-8-[3-oxospiro[6-azaisobenzofuran-
1(3H),1'-cyclohexan]-4'-yl]purine,
trans-2-(2-chlorophenyl)-8-[3-oxospiro[6-azaisobenzofuran-
1(3H),1'-cyclohexan]-4'-yl]purine.

trans-2-(3-chlorophenyl)-8-[3-oxospiro[6-azaisobenzofuran-
1(3H),l'-cyclohexan]-4'-yl]purine,
trans-2-(4-chlorophenyl)-8-[3-oxospiro[6-azaisobenzofuran-
1(3H),1'-cyclohexan]-4'-yl]purine,
trans-2- (2-chloro-4-f luorophenyl) -8- [3-oxospiro[6-azaisoben
zofuran-l(3H),1'-cyclohexan]-4'-yl]purine,
trans-2-(4-methoxyphenyl)-8-[3-oxospiro[6-azaisobenzofuran-
1(3H),1'-cyclohexan]-4'-yl]purine,
trans-2-(2-methylphenyl)-8-[3-oxospiro[6-azaisobenzofuran-
1(3H),1'-cyclohexan]-4'-yl]purine,
trans-2-(2-difluoromethoxyphenyl)-8-[3-oxospiro[6-azaiso-
benzof uran-l(3H) , 1'-cyclohexan]-4'-yl]purine,
trans-2-(3-difluoromethoxyphenyl)-8-[3-oxospiro[6-azaiso-
benzof uran- 1(3H) ,1'-cyclohexan]-4'-yl]purine,
trans-8-[3-oxospiro[6-azaisobenzofuran-l(3H),l'-cyclo-
hexan] -4'-yl]-2-(2-trifluoromethylphenyl)purine,
trans - 2 - (2,4 -dif luorophenyl) - 8 - [ 3 -oxospiro [ 6-azaisobenzo-
furan-1(3H),1'-cyclohexan]-4'-y1]purine,
trans-2-(2,5-difluorophenyl)-8-[3-oxospiro[6-azaisobenzo-
furan-1(3H),1'-cyclohexan]-4'-yl]purine,
trans-2-(2-bromo-4-fluorophenyl)-8-[3-oxospiro[6-azaiso-
benzofuran-l(3H),1'-cyclohexan]-4'-yl]purine,
trans-2-(4-chloro-2-fluorophenyl)-8-[3-oxospiro[6-azaiso-
benzofuran-l(3H),1'-cyclohexan]-4'-yl]purine,
trans-8-[3-oxospiro[6-azaisobenzofuran-1(3H),1'-cyclo-
hexan ]-4'-yl]-2-(3-quinoly1)purine,
trans-8-[5-fluoro-3-oxospiro[6-azaisobenzofuran-l(3H),1'-
cyclohexan]-4'-yl]-2-phenylpurine,
trans-8-[5-fluoro-3-oxospiro[6-azaisobenzofuran-1(3H),1'-

cyclohexan]-4'-yl]-2-(2-fluorophenyl)purine,
trans-2-(2,4-difluorophenyl)-8-[5-fluoro-3-oxospiro[6-aza-
isobenzofuran-1(3H),1'-cyclohexan]-4'-yl]purine,
trans-2-(2,5-difluorophenyl)-8-[5-fluoro-3-oxospiro[6-aza-
isobenzofuran-1(3H),1'-cyclohexan]-4'-yl]purine,
trans-2-(4-fluorophenyl)-8-[7-hydroxy-3-oxospiro[6-aza-
isobenzofuran-l(3H),1'-cyclohexan]-4'-yl]purine,
5,6-dichloro-2-[3,4-dihydro-3-oxospiro[isoquinoline-
1(2H),4'-piperidin]-1'-yl]benzimidazole,
2-[3,4-dihydro-3-oxospiro[isoquinoline-l(2H),4'-piperidin]-
1'-yl]-5-phenylbenzimidazole,
8-[3,4-dihydro-3-oxospiro[isoquinoline-l(2H),4'-piperidin]-
1'-yl]-2-phenylpurine,
8-[3,4-dihydro-3-oxospiro[isoquinoline-l(2H),4'-piperidin]-
l'-yl]-2-(2-fluorophenyl)purine,
8-[3,4-dihydro-3-oxospiro[isoquinoline-l(2H),4'-piperidin]-
1'-yl]-2-(4-fluorophenyl)purine,
trans-8-[3',4'-dihydro-3'-oxospiro[cyclohexane-1,1'(2'H)-
isoquinolin]-4-yl]-2-phenylpurine,
trans-2-[3',4'-dihydro-3'-oxospiro[cyclohexane-1,1'(2'H)-
isoquinolin]-4-yl]-5-phenylbenzimidazole,
trans-8-[3',4'-dihydro-3'-oxospiro[cyclohexane-1,1'(2'H)-
isoquinolin]-4-yl]-2-(2-fluorophenyl)purine,
trans-8-[3',4'-dihydro-3'-oxospiro[cyclohexane-1,1'(2'H)-
Isoquinolin]-4-yl]-2-(4-fluorophenyl)purine,
trans-2-(4-fluorophenyl)-8-[7-hydroxy-3-oxospiro[6-azaiso-
benzofuran-l(3H), 1'-cyclohexan]-4'-yl]purine,
trans-2-(4-fluorophenyl)-8-[3-oxospiro[6-azaisobenzofuran-
1(3H), 1'-cyclohexan]-4'-yl]purine 6-oxide.

trans-2 - (4-fluoro-2-hydroxyphenyl)-8-[3-oxospiro[6-azaiso-
benzofuran-l(3H), 1'-cyclohexan]-4'-yl]purine,
trans-2-(4-fluorophenyl)-6-hydroxy-8-[3-oxospiro[6-azaiso-
benzofuran-l(3H), 1'-cyclohexan]-4'-yl]purine,
trans-2-(4-hydroxyphenyl)-8-[3-oxospiro[6-azaisobenzofuran-
1(3H), 1'-cyclohexan]-4'-yl]purine,
trans-2-(4-fluoro-3-hydroxyphenyl)-8-[3-oxospiro[6-azaiso-
benzof uran-l(3H) , 1'-cyclohexan]-4'-yl]purine,
cis-2-(4-fluorophenyl)-8-[4'-hydroxy-3-oxospiro[6-azaiso-
benzof uran-l(3H) , 1'-cyclohexan]-4'-yl]purine,
and the like.
Among these compounds, the preferable compound is, for
example,
trans-8-[3'-oxospiro[cyclohexane-1,1'(3'H)-isobenzofuran]-
4-yl]-2-phenylpurine,
trans-2-(2-fluorophenyl)-8-[3'-oxospiro[cyclohexane-
1,1'{3'H)-isobenzofuran]-4-yl]purine,
trans-2-(4-fluorophenyl)-8-[3-oxospiro[6-azaisobenzofuran-
1(3H), 1'-cyclohexan]-4'-yl]purine,
trans-2-(2,5-difluorophenyl)-8-[3-oxospiro[6-azaisobenzo-
furan-l(3H), 1'-cyclohexan]-4'-yl]purine,
trans-8-[5-fluoro-3-oxospiro[6-azaisobenzofuran-l(3H),1'-
cyclohexan]-4'-yl]-2-(2-fluorophenyl)purine,
trans-5-(2-fluorophenyl)-2-[3-oxospiro[6-azaisobenzofuran-
1(3H), 1'-cyclohexan]-4'-yl]imidazo[4, 5-b]pyridine,
and the like.
The process for producing compounds of the present
invention is illustrated as follows.
Compounds (I) of the present invention can be synthesized.

for example, by the following production methods or the
processes shown in examples, but these embodiments are not
intended to restrict the process for producing compounds (I)
of this invention.
Production Process 1
A compound of the formula (1-1) or N-oxide derivative
thereof:

(wherein a, b, c and d are independently me thine or nitrogen,
said methine being optionally substituted by a substituent
selected from the group consisting of halogen, cyano, lower
alkyl, halo-lower alkyl, lower alkoxy, halo - lower alkoxy, lower
alkoxycarbonyl, lower alkylsulfonyl, lower alkylsulfonyloxy,
-N(Rlp)R2p, -Qlp-Arlp and optionally protected hydroxy, and at
least one of a, b, c and d is said methine;
Arlp is aryl or heteroaryl, any of which is optionally
substituted by a substituent selected from the group consisting

of halogen, nitro, lower alkyl, halo-lower alkyl, cyclo-lower
alkyl, lower alkenyl, lower alkoxy, halo-lower alkoxy, lower
alkylthio, lower alkylsulfonyl, lower alkanoyl, lower
alkoxycarbonyl, lower alkanoylamino, -Q2p-Ar2p, optionally
protected hydroxy, optionally protected hydroxy-lower alkyl,
and optionally protected carboxyl;
Ar2p is aryl or heteroaryl, any of which is optionally
substituted by a substituent selected from the group consisting
of halogen, cyano, lower alkyl, halo-lower alkyl, lower alkoxy,
halo-lower alkoxy, lower alkylamino, di-lower alkylamino,
lower alkanoyl, aryl, optionally protected hydroxy-lower alkyl
and optionally protected hydroxy;
L1 is a leaving group;
P is an imino-protecting group;
Qlp and Q2p are independently a single bond, oxygen,
optionally protected carbonyl or -N(R3)-;
Rlp and R2p are independently an amino-protecting group,
an imino-protecting group, hydrogen or lower alkyl, or Rlp and
R2p, taken together, form lower alkylene which may be intervened
by oxygen, sulfur or optionally protected imino;
R3 has the same meaning as defined above)
with a compound of the formula (III):

(wherein n, X and Y have each the same meaning as defined above,
provided that the compound (III) when n is 0, X is -CO- and Y

is -O- is excluded) or its salt to give a compound of the formula
(IV-1):

(wherein a, b, c, d, n, P, t, u, v, w, X and Y have each the
same meaning as defined above), and optionally removing
wherefrom protecting group(s) and/or oxidizing nitrogen
atom(s) of the compound (IV-1).
The leaving groups represented by L1 include, for example,
halogen (e.g. chlorine, bromine, iodine) , organic sulfonyl (e.g.
methanesulfonyl, ethanesulfonyl, benzenesulfonyl), organic
sulfonyloxy (e.g. methanesulfonyloxy,
trifluoromethanesulfonyloxy, p-toluenesulfonyloxy) and the
like.
The present process refers to a process for preparing a
compound of the formula (I) wherein E is nitrogen, namely a
compound of the formula (I-1).
In the above reaction, when a react ant has an amino, imino,
hydroxy, carboxyl, carbonyl or the like which does not
participate in the reaction, the reaction may be carried out
after protecting the amino, imino, hydroxy, carboxyl, carbonyl
with an amino- or imino-protecting group, a hydroxy-protecting
group, a carboxyl-protecting group, or a carbonyl-protecting
group, followed by deprotection after completion of the
reaction.

The "amino- or imino-protecting group" is not
particularly restricted, so long as it has such protective
function. There are employed, for example, aralkyl (e.g.
benzyl, p-methoxybenzyl, 3,4-dimethoxybenzyl, o-nitrobenzyl,
p-nitrobenzyl, benzhydryl, trityl); lower alkanoyl (e.g.
formyl, acetyl, propionyl, butyryl, pivaloyl); benzoyl;
arylalkanoyl (e.g. phenylacetyl, phenoxyacetyl); lower
alkoxycarbonyl(e.g. methoxycarbonyl, ethoxycarbonyl,
propyloxycarbonyl, tert-butoxycarbonyl); aralkyloxycarbonyl
(e.g. benzyloxycarbonyl, p-nitrobenzyloxycarbonyl,
phenethyloxycarbonyl); lower alkylsilyl (e.g. trimethylsilyl,
tert-butyldimethylsilyl); tetrahydropyranyl;
trimethylsilylethoxymethyl; lower alkylsulfonyl (e.g.
methylsulfonyl, ethylsulfonyl); arylsulfonyl (e.g.
benzenesulfonyl, toluenesulfonyl) and the like, among which the
particularly preferred are acetyl, benzoyl,
tert-butoxycarbonyl, trimethylsilylethoxymethyl,
methylsulfonyl and the like.
The "hydroxy-protecting group" is not particularly
restricted, so long as it has such protective function for
hydroxy groups. There are employed, for example, lower alkyl
(e.g. methyl, ethyl, propyl, isopropyl, tert-butyl); lower
alkylsilyl (e.g. trimethyl silyl, tert-butyldimethylsilyl);
lower alkoxymethyl (e.g. methoxymethyl, 2-methoxy-
ethoxymethyl); tetrahydropyranyl;
trimethylsilylethoxymethyl; aralkyl (e.g. benzyl,
p-methoxybenzyl, 2,3-dimethoxybenzyl, o-nitrobenzyl,
p-nitrobenzyl, trityl); and acyl (e.g. formyl, acetyl), among
which the particularly preferred are methyl, methoxymethyl.

tetrahydropyranyl, trityl, trimethylsilylethoxymethyl,
tert-butyldimethylsilyl, acetyl and the like.
The "carboxyl- protecting group" is not particularly
restricted, so long as it has such protective function for
carboxyl groups. There are employed, for example, lower alkyl
(e.g. methyl. ethyl, propyl, isopropyl, tert-butyl);
halo-lower alkyl (e.g. 2,2,2-trichloroethyl); lower alkenyl
(e.g. 2-propenyl); aralkyl (e.g. benzyl, p-methoxybenzyl,
p-nitrobenzyl, benzhydryl, trityl) and the like, among which
the particularly preferred are methyl, ethyl, tert-butyl,
2-propenyl, benzyl, p-methoxybenzyl or benzhydryl and the like.
The "carbonyl-protecting group" is not particularly
limited, so long as it has such protective function for carbonyl
groups. There are employed, for example, acetals or ketals,
such as ethylene ketal, trimethylene ketal, and dimethyl ketal
and the like.
The reaction between a compound of the formula (II) and
a compound of the formula (III) is usually carried out by
employing an equivalent to excessive mole, preferably an
equivalent to 1.5 moles, of compound (III), relative to 1 mole
of compound (II).
The reaction is usually carried out in an inert solvent.
Preferable examples of such solvent are methylene chloride,
chloroform, tetrahydrofuran, dioxane, dimethylformamide,
N-methylpyrrolidone, dimethyl sulfoxide and the like, or a
mixture thereof and the like.
The reaction is preferably carried out in the presence
of a base such as organic bases (e.g.triethylamine,
diisopropylethylamine, pyridine, 4-dimethylaminopyridine),

inorganic bases (e.g. sodium hydrogen carbonate, sodium
carbonate, potassium carbonate, cesium carbonate, sodium
hydroxide, potassium hydroxide) and the like.
The base is used in equimolar amount or in excess mole,
preferably 1 to 5 moles, relative to 1 mole of the compound of
the formula (II).
The reaction temperature is usually from 0°C to 200°C,
preferably 20°C to 150°C.
The reaction time is usually 5 minutes to 7 days,
preferably 30 minutes to 24 hours.
A usual treatment is carried out after completion of the
reaction to obtain a crude product of a compound of the formula
(IV-1). The resulting compound of the formula (IV-1) is, with
or without purification according to the common method,
subjected to optional removal of the protecting group for the
amino, hydroxy, carboxyl, carbonyl or the like, thereby a
compound of the formula (1-1) can be prepared.
Although the method for the removal of said protecting
groups depends upon the kinds of the protecting groups, the
stability of a desired compound (1-1) and the like, it is carried
out by, for example, a solvolysis using an acid or a base, that
is, a method wherein for example 0.01 mole to a large excess
of acid, preferably trifluoroacetic acid, formic acid,
hydrochloric acid and the like, or an equivalent mole to a large
excess of base, preferably potassium hydroxide, calcium
hydroxide and the like is acted; a chemical reduction using a
metal hydride complex; or a catalytic reduction using a
palladium-carbon catalytst, a Raney-nickel catalyst, etc. ; and
the like, according to, for example, a method described in the

literature (Protective Groups inorganic Synthesis, T.W.Greene,
John Wiley & Sons, (1981)) or its similar method.
The oxidation of a nitrogen atom may be carried out by
using of an oxydizing agent (for example m-chloroperbenzoic
acid, dioxirane, sodium periodate and hydrogen peroxide).
Reaction between a compound of the general formula (IV-1) and
an oxydizing agent is usually carried out by employing 0.5 mole
to excessive moles, preferably 1 mole to 5 moles of the oxydizing
agent based on 1 mole of compound (IV-1).
The reaction is usually carried out in an appropriate
solvent which depend on the oxydizing agent used in the reaction.
Preferable examples of the solvent include methylene chloride
and chloroform for m-chloroperbenzoic acid, acetone and water
for dioxirane.
Reaction temperature is usually -50 °C to 100 °C,
preferably -20 °C to 50 °C.
Reaction time is usually 15 minutes to 7 days, preferably
30 minutes to 24 hours.
Production Process 2
A compound of the formula (1-2) or N-oxide derivative
thereof:

(wherein A, B, C, D, n, R°, T, U, V, W, X and Y have each the
same meaning as defined above) can be prepared by reacting a

compound of the formula (V):

(wherein a, b, c and d have each the same meaning as defined
above) or its salt with a compound of the formula (VI):

(wherein R0p is hydrogen or optionally protected hydroxy; n,
t, u, v, w, X and Y have each the same meaning as defined above)
or its salt to give a compound of the formula (VII):

(wherein a, b, c, d, n, R0p, t, u, v, w, X and Y have each the
same meaning as defined above), followed by subjecting the
compound (VII) to intramolecular dehydrative ring closure to
give a compound of the formula (VIII):

(wherein a, b, c, d, n, R0p, t, u, v, w, X and Y have each the

same meaning as defined above), and optionally removing
wherefrom the protecting group(s) and/or oxidizing nitrogen
atom(s) of the compound (VIII).
The present process refers to a process for preparing a
compound of the formula (I) wherein E is methine or hydroxy
substituted methine, namely a compound of the formula (1-2).
The reaction between a compound of the formula (V) and
a carboxylic acid of the formula (VI) is usually carried out
by employing 0.5 moles to excessive mole, preferably 1 mole to
1.5 moles of the carboxylic acid (VI), relative to 1 mole of
a compound of the formula (V).
The reaction is usually carried out in an inert solvent.
Preferable examples of such solvent are methylene chloride,
chloroform, tetrahydrofuran, dimethyformamide, pyridine and
the like, and a mixture thereof and the like.
The above reaction is preferably carried out in the
presence of a condensing agent including, for example,
N,N'-dicyclohexylcarbodiimide, N,N'-diisopropylcarbodiimide,
1-(3-dimethylaminopropyl)-3-ethylcarbodiimide,
1-(3-dimethylaminopropyl)-3-ethylcarbodiimide hydrochloride,
benzotriazol-1-yloxy-tris-(dimethylamino)phosphonium
hexafluorophosphate,
benzotriazol-1-yloxy-tris-pyrrolidine-phosphonium
hexafluorophosphate, bromotris(dimethylamino)phosphonium
hexafluorophosphate, diphenylphosphoric azide,
1,1'-carbonyldiimidazole and the like.
Such condensing agent can be usually used in 1 mole to
excess moles, preferably 1 to 1.5 moles, relative to 1 mole of
a compound of the formula (VI).

The reaction temperature is usually from -50°C to 100°C,
preferably -20°C to 50°C.
The reaction time is usually 30 minutes to 7 days,
preferably 1 to 24 hours.
In place of the carboxylic acid of the formula (VI), an
activated derivative of said carboxylic acid may be reacted
with a compound of the formula (V) , thereby a compound of the
formula (1-2) can be prepared.
Examples of such activated derivatives of the carboxylic
acid of the formula (VI) are acid halides, mixed anhydrides,
active esters, active amides and the like.
The acid halides of the carboxylic acid of the formula
(VI) can be prepared by reacting a carboxylic acid of the
formula(VI) with a halogenating agent in a conventional manner.
The halogenating agent used includes, for example, thionyl
chloride, phosphorus trichloride, phosphorus pentachloride,
phosphorus oxychloride, phosphorus tribromide, oxalyl
chloride, phosgene and the like.
The mixed anhydrides of the carboxylic acid of the formula
(VI) can be prepared by reacting a carboxylic acid of the formula
(VI) with an alkyl chlorocarbonate (e.g. ethyl chlorocarbonate),
an aliphatic carboxylic acid chloride (e.g. pivaloyl chloride)
and the like according to the conventional method.
The active esters of the carboxylic acid of the formula
(VI) can be prepared by reacting a carboxylic acid of the formula
(VI) with an N-hydroxy compound (e.g. N-hydroxysuccinimide,
N-hydroxyphthalimide, 1-hydroxybenzotriazole); a phenol
compound (e.g. 4-nitrophenol, 2,4-dinitrophenol,
2,4,5-trichlorophenol, pentachlorophenol) and the like in the

presence of a condensing agent (e.g. N,N'-dicyclohexyl-
carbodiimide, 1-(3-dimethylaminopropy1)-3-
ethylcarbodiimide) according to the conventional method.
The active amides of the carboxylic acid of the formula
(VI) can be prepared by reacting a carboxylic acid of the formula
(VI) with 1,1'-carbonyldiimidazole,
1,1'-carbonylbis(2-methyl-imidazole) and the like according
to the conventional method.
The reaction between a compound of the formula (V) and
a reactive derivative of the carboxylic acid of the formula (VI)
is usually carried out by employing 0. 5 moles to excessive mole,
preferably 1 mole to 1.5 moles of the reactive derivative of
the carboxylic acid (VI), relative to 1 mole of compound (V).
The reaction is usually carried out in an inert solvent.
Preferable examples of such inert solvent are methylene
chloride, chloroform, tetrahydrofuran, dimethylformamide,
pyridine and the like, and a mixture thereof and the like.
The above reaction may proceed in the absence of a base,
but it is preferable to carry out the reaction in the presence
of a base to promote the reaction smoothly.
The bases include organic bases (e.g. triethylamine,
diisopropylethylamine, pyridine, 4-dimethylaminopyridine),
or inorganic bases (e.g. sodium hydroxide, potassium hydroxide,
sodium carbonate, potassium carbonate, sodium hydrogen
carbonate).
It is preferable to employ 1 mole to excessive mole of
said base to 1 mole of a compound of the formula (V) . When the
base is liquid, such base can also be used as a solvent.
The reaction temperature is usually -50°C to 100°C.

preferably -20°C to 50°C.
The reaction time is usually 5 minutes to 7 days,
preferably 30 minutes to 24 hours.
A usual treatment is carried out after completion of the
reaction to obtain a crude product of a compound of formula (VII).
The resulting compound of the formula (VII) may be, with or
without purification according to the conventional manner,
subjected to optional intramolecular ring closure
condensation.
The intramolecular ring closure condensation for
preparing a compound of the formula (VIII) from the compound
(VII) is usually carried out in the presence of an inert solvent
or without any solvent.
Preferred examples of such inert solvents are ethanol,
propanol, butanol, pentanol, 1,4-dioxane, dimethoxyethane,
dimethylformamide, dimethyl sulfoxide, benzene, toluene,
xylene, pyridine and the like, and a mixture thereof and the
like.
The reaction temperature is usually from room temperature
to the boiling point of the solvent used, preferably 80°C to
190°C.
The reaction time is usually from 5 hours to 7 days,
preferably from 12 hours to 3 days.
The above ring closure may be carried out in the presence
of a dehydrating agent or a catalytic-amount of Lewis acid. The
dehydrating agent includes, for example, cesium fluoride,
phosphorus oxychloride, phosphorus pentachloride,
polyphosphoric acid, thionyl chloride and the like. As the
Lewis acid, there are exemplified by scandium

trifluoromethanesulfonate, yttrium trifluoromethanesulfonate,
lanthanum trifluoromethanesulfonate, lanthanide
trifluoromethanesulfonate and the like. The ring closure is
carried out preferably without any solvent, or in the presence
of a solvent such as methylene chloride, chloroform, benzene,
toluene, xylene and the like or a mixture thereof.
The amount of the dehydrating agent to be used is usually
1 mole to excessive mole, preferably 2 to 10 moles, relative
to 1 mole of a compound of the formula(VII), and that of the
Lewis acid is 10 to 200 mole %, preferably 10 to 100 mole %.
In general, the reaction temperature is preferably from
room temperature to the boiling point of the solvent used.
The reaction time is from one hour to 7 days, preferably
from 5 hours to 3 days.
A compound of the formula (1-2) can be produced by treating
a reaction mixture in the usual way after removal of the said
protecting group(s) when the product has a protecting group
after completion of the reaction, or by treating the mixture
directly in the usual way when the protecting group is absent.
The removal of the protecting group(s) , the oxidation of
nitrogen atom(s) and the post-treatment may be conducted
according to the method described in the above Production
Process 1.
Production Process 3
A compound of the formula (1-2) or N-oxide derivative
thereof:


(wherein A, B, C, D, n, R°, T, U, V, W, X and Y have each the
same meaning as defined above) can be prepared by reacting a
compound of the formula (V):

(wherein a, b, c and d have each the same meaning as defined
above) or its salt with a compound of the formula (IX):

(wherein n, t, R0p, u, v, w, X and Y have each the same meaning
as defined above) or its salt to give a compound of the formula

(wherein a, b, c, d, n, R0p, t, u, v, w, X and Y have each the
same meaning as defined above), and optionally removing
wherefrom protecting group(s) and/or oxidizing nitrogen

atom(s) of the compound (VIII).
The present process refers to a process for preparing a
compound of the formula (I) wherein E is methine or hydroxy
substituted methine, namely a compound of the formula (1-2).
The reaction between a compound of the formula (V) and
a compound of the formula (IX) is usually carried out by
employing 0. 5 to 5 moles, preferably 0. 7 to 3 moles of a compound
of the formula (IX), relative to 1 mole of a compound of the
formula (V).
The reaction is usually carried out in the absence of a
solvent or in an inert solvent. Preferred examples of the inert
solvent are benzene, toluene, xylene, methylene chloride,
chloroform, hexane and the like, and a mixture thereof and the
like.
The reaction temperature is usually from -20°C to the
boiling point of the solvent used, preferably 20°C to 200°C.
The reaction time is usually from 30 minutes to 7 days,
preferably from 3 hours to 3 days.
The above reaction is preferably carried out in the
presence of a Lewis acid such as zinc dichloride, titanium
tetrachloride, scandium trifluoromethanesulfonate, ytterbium
trifluoromethanesulfonate, lanthanum
trifluoromethanesulfonate and the like.
The amount of the Lewis acid used is 10 to 200 mole %,
preferably 20 to 100 mole % per mole of a compound of the formula
(V).
When the reaction is carried out in the presence of a Lewis
acid, it is preferable to effect the reaction without any
solvent, or in the presence of a solvent such as methylene

chloride, chloroform, benzene, toluene, xylene and the like,
or a mixture thereof and the like.
In general, the reaction temperature is from 0°C to the
boiling point of the solvent used, preferably room temperature
to 150°C.
The reaction time is usually from 1 hour to 7 days,
preferably 12 hours to 3 days.
A compound of the formula (1-2) can be produced by treating
a reaction mixture in the usual way after removal of the said
protecting group(s) when the product has a protecting group
after completion of the reaction, or by treating the mixture
directly in the usual way when the protecting group is absent.
The removal of the protecting group(s), the oxidation of
nitrogen atom(s) and the post-treatment may be conducted
according to the method described in the above Production
Process 1.
Production Process 4
A compound of the formula (1-3) or N-oxide derivative
thereof:

(wherein A1, B\ C^ and D1 are independently methine or nitrogen,
said methine being optionally substituted by a substituent
selected from the group consisting of halogen, cyano, lower
alkyl, halo-lower alkyl, hydroxy, lower alkoxy, halo-lower

alkoxy, lower alkoxycarbonyl, lower alkylsulfonyl, lower
alkylsulfonyloxy, -N(R1)R2 and -Ar1, and at least one of A1, BC1 and D1 is said methine having a group represented by -Ar1;
Ar1, E, n, R1, R2, T, U, V, W, X and Y have each the same meaning
as defined above) can be prepared by reacting a compound of the
formula (X):

(wherein a0, b°, c° and d° are independently methine or nitrogen,
said methine being optionally substituted by a substituent
selected from the group consisting of halogen, cyano, lower
alkyl, halo-lower alkyl, lower alkoxy, halo-lower alkoxy,
lower alkoxycarbonyl, lower alkylsulfonyl, lower
alkylsulfonyloxy, -N(Rlp)R2p and optionally protected hydroxy,
and at least one of a0, b°, c° and d° is said methine group having
a halogen or trif luoromethanesulfonyloxy group; Ep is nitrogen,
methine or methine substituted by optionally protected hydroxy;
and n, P, Rlp, R2p, t, u, v, w, X and Y have each the same meaning
as defined above)
with a compound of the formula (XI):
Met—Ar1p (XI)
(wherein Met is a common organometallic atom, and Arlp has the
same meaning as defined above) in the presence of a catalyst
to give a compound of the formula (XII):


(wherein a1, b1, c1 and d1 are independently methine or nitrogen,
said methine being optionally substituted by a substituent
selected from the group consisting of halogen, cyano, lower
alkyl, halo - lower alkyl, lower alkoxy, halo - lower alkoxy, lower
alkoxycarbonyl, lower alkylsulfonyl, lower alkylsulfonyloxy,
-N(Rlp)R2p, -Arlp and optionally protected hydroxy, and at least
one of a1, bx, c1 and d1 is said methine having a group represented
by -Arlp; and Arlp, Ep, n, P, Rlp, R2p, t, u, v, w, X and Y have
each the same meaning as defined above), and optionally removing
wherefrom the protecting group(s) and/or oxidizing nitrogen
atom(s) of the compound (XII).
The present process refers to a process for preparing a
compound of the formula (I) wherein at least one of A, B, C and
D is methine having a group represented by -Ar1, namely a
compound of the formula (1-3).
The common organometallic atoms represented by Met are
those usually employed in the cross-coupling reaction, and
include, for example, lithium, boron, silicon, magnesium,
aluminum, zinc, tin and the like, among which boron, zinc, and
tin are preferable. As the concrete embodiment of the practical
use of such metal atoms, boron is used in the form of boric acid
or boric acid ester, etc., zinc is used in the form of zinc
chloride, zinc bromide or zinc iodide, etc., and tin is used
in the form of tri-lower alkyl tin, etc.

The reaction between a compound of the formula (X) and
a compound of the formula (XI) is usually carried out by
employing 0. 5 to 5 moles, preferably 0. 7 to 3 moles of a compound
of the formula (XI), relative to 1 mole of a compound of the
formula (X).
The catalyst used in the reaction includes a transition
metal generally employed in the cross-coupling reaction such
as copper, nickel, palladium and the like. More precisely,
preferable examples of such catalyst are
tetrakis(triphenylphosphine)palladium(0), palladium(II)
acetate, bis(triphenylphosphine) palladium(II) chloride,
[1,1'-bis(diphenylphosphino)ferrocene]palladium(II)
dichloride and the like.
The reaction is usually carried out in an inert solvent.
Preferred examples of such inert solvents are water, benzene,
toluene, xylene, methylene chloride, chloroform,
dimethoxyethane, tetrahydrofuran, dioxane, dimethylformamide
and the like, or a mixture thereof and the like.
The reaction temperature is usually from room temperature
to the boiling point of the solvent used, preferably 20°C to
200°C.
The reaction time is usually 30 minutes to 7 days,
preferably 3 hours to 2 days.
The above reaction is preferably carried out in the
presence of a base such as inorganic bases (e.g. sodium
hydroxide, potassium hydroxide, sodium hydrogen carbonate,
sodium carbonate, potassium carbonate, cesium carbonate),
organic bases (e.g. triethylamine, diisopropylamine) and the
like.

The amount of the base used is usually 0.5 to 5 moles,
preferably 0.7 to 3 moles of said base, relative to 1 mole of
a compound of the formula (X).
A compound of the formula (1-3) can be prepared by treating
a reaction mixture in the usual way after removal of the said
protecting group(s) when the product has a protecting group
after completion of the reaction, or by treating the mixture
directly in the usual way when the protecting group is absent.
The removal of the protecting group(s), the oxidiation
of nitrogen atom(s) and the post-treatment may be conducted
according to the method described in the above Production
Process 1.
The compounds of the formula (1-1), (1-2) or (1-3) may
be readily isolated and purified by the conventional separation
technique, and examples of such technique are solvent
extraction, recrystallization, column chromatography,
preparative thin layer chromatography and the like.
These compounds may be converted into the
pharmaceutically acceptable salts or esters by the conventional
method, and on the contrary, the conversion of the salts or
esters into free compounds may also be carried out according
to the conventional method.
The compounds of the formulae (II), (III), (V), (VI), (IX)
and (XI) are commercially available, or can be prepared
according to the common methods or analogous methods thereto,
or the methods shown in Examples and Reference Examples,
optionally employed in combination.
The salts of compounds of formula (III), (V), (VI) and
(IX) refer to the common salts, for example, base addition salt

to carboxyl group when the compound has a carboxyl group, or
acid addition salt to amino or basic heterocyclyl when the
compound has amino or basic heterocyclyl group (s), and the like.
Aforesaid base addition salts include salts with alkali
metals (for example sodium, potassium); alkaline earth metals
(for example calcium, magnesium); ammonium or organic amines
(for example trimethylamine, triethylamine, dicyclohexylamine,
ethanolamine, diethanolamine, triethanolamine, procaine,
N,N'-dibenzylethylenediamine), and the like.
Aforesaid acid addition salts include salts with
inorganic acids (for example hydrochloric acid, sulfuric acid,
nitric acid, phosphoric acid, perchloric acid), organic acids
(for example maleic acid, fumaric acid, tartaric acid, citric
acid, ascorbic acid, trifluoroacetic acid), sulfonic acids (for
example methanesulfonic acid, isethionic acid,
benzenesulfonic acid, p-toluenesulfonic acid), and the like.
The utility of compounds of the present invention as a
medicament is proved by the following pharmacological tests.
Pharmacological Test 1 (NPY binding inhibition test)
cDNA sequence encoding human NPY Y5 receptor (c.f.
International patent publication number W096/16542) was cloned
into expression vectors pcDNA3, pRc/RSV (made by Invitrogen
Inc.) and pCI-neo (made by Promega Inc.). The expression
vectors thus obtained were transfected to host cells COS-7, CHO
and LM(tk-) (American Type Culture Collection) by cationic
lipid method (Proceedings of the National Academy of Sciences
of the United States of America, 84: 7413(1987)) to give NPY
Y5 receptor expression cells.

A membrane sample prepared from the cells which expressed
NPY Y5 receptor was incubated together with a test compound and
[125I]peptideYY (made by NEN) (20,000cpm) in an assay buffer (25
mM Tris buffer, pH7.4, containing 10 mM magnesium chloride, 1
mM phenylmethylsulfonyl fluoride, 0.1% bacitracin and 0.5%
bovine serum albumin) at 25° C for 2 hours, then filtered through
a glass filter GF/C and washed with 5 mM Tris buffer (pH7.4)
containing 0.3% BSA. The radioactivity of the cake on the glass
filter was measured. Non-specific binding was measured in the
presence of 1 \iM peptide YY, and a 50% Inhibitory Concentration
(IC50) of the test compound against specific peptideYY binding
was determined (Endocrinology, 131: 2090(1992)). The results
are shown in Table 1.

As shown above, the compounds of this invention potently
inhibited peptideYY (NPY homologue) binding to NPY Y5
receptors.
Pharmacological Test 2 (Antagonistic effect on
D-Trp34NPY-induced feeding behavior)
A chronic guide cannula (26 gauge, length 11 mm) was
inserted stereotaxicly into the third cerebral ventricle of
male SD rats (7-8 weeks old, 200-300g) anesthetized with
ketamine/xylazine (single intraperitoneal administration of

74 and 11 mg/kg) and fixed by dental resin. The top of the guide
cannula was located 2.2mm behind bregma, and 8 mm depth from
the skull surface on the median line. After about 1-week
recovery period, D-Trp34NPY (lng/0.4[iL/head, synthetic
cerebrospinal fluid containing 0.05% bovine serum albumin) was
injected into the third ventricle. A test compound suspended
in 0. 5% aqueous methylcellulose was administered orally 2 hours
before the administration of D-Trp34NPY, and the food
consumption was measured 2 hours after the administration of
D-Trp34NPY.
The results revealed that 10 mg/kg of the compound of this
invention significantly suppressed the increase in food
consumption induced by D-Trp34NPY (NPY homologue) which was
administered to the third ventricle.
Pharmacological Test 3 (Pharmacokinetics test)
A test compound was orally or intravenously administered
to male SD rats (7-10 weeks old, 200-400g) which abstained from
food overnight. About 100 pL of blood was collected from the
tail vein at predetermined time, using a heparinized capillary.
The blood was centrifuged (4°C, 6,000 r.p.m., 10 minutes) to
collect the plasma, to which was added 3-fold amount of ethanol
containing an internal standard. The mixture was stirred,
allowed to stand at -20°C for 20 minutes, and then centrifuged
(4°C, 10,000 r.p.m. , 10 minutes). The supernatant was analyzed
by LC/MS/MS, and the concentration of the test compound in the
plasma was measured using a relative calibration curve.
The results revealed that the bioavailability of the
compound of Example 6 was 78% and its half-life in the blood

was 3.0 hours.
Pharmacological Test 4 (Brain/cerebrospinal fluid transport
test)
A test compound was orally or intravenously administered
to male SD rats (7-10 weeks old, 200-400g), and whole blood was
collected from the abdominal aorta of said rats anesthetized
with ether at predetermined time, using a heparin-treated
syringe. Then, the head skin was cut open, and a dental 30G
needle was inserted between the cervical vertebrae, and it was
further inserted into the cavum subarachnoideale. After 50 to
100 μL cerebrospinal fluid had been collected by a 1 ml-syringe
through a tube connected to said dental 30G needle, the brain
was extracted. The blood sample was centrifuged (4°C, 6,000
r.p.m., 10 minutes) to collect the plasma, to which was added
3-fold amount of ethanol containing an internal standard, and
the mixture was stirred. The brain sample was homogenized after
addition of 2 ml water, an aliquot of the homogenate was taken
and 3-fold amount of ethanol containing an internal standard
was added thereto and stirred. The cerebrospinal fluid was
stirred after adding 3-fold amount of ethanol containing an
internal standard. The samples thus obtained were allowed to
stand at -20°C for 20 minutes, and then centrifuged (4°C, 12,000
g, 10 minutes) . The supernatant was analyzed by LC/MS/MS, and
the concentration of the test compound in the plasma, brain,
and cerebrospinal fluid were measured by the method using a
relative calibration curve.
The results revealed that concentrations of the compound
of Example 6 in the brain, cerebrospinal fluid and plasma were

1.10 nmol/g, 0.033 μM and 2.77 μM respectively, 2 hours after
oral administration (10 mg/kg).
The compounds of the formula (I) can be administered
orally or parenterally and, by formulating into a suitable
administrable form, may be administered as a therapeutic agent
for various diseases, including, for example, cardiovascular
disorders such as angina, acute or congestive heart failure,
myocardial infarction, hypertension, nephropathy, electrolyte
abnormality, vasospasm, arteriosclerosis, etc., central
nervous system disorders such as bulimia, depression, anxiety,
seizure, epilepsy, dementia, pain, alcoholism, drug withdrawal,
circadian rhythm disorders, schizophrenia, memory impairment,
sleep disorders, cognitive impairment, etc., metabolic diseases
such as obesity, diabetes, hormone abnormality,
hypercholesterolemia, hyperlipidemia, gout, fatty liver, etc.,
genital or reproductive disorders such as infertility, preterm
labor, sexual dysfunction, etc., gastro-intestinal disorders,
respiratory disorder, inflammatory diseases or glaucoma, and
the like, also for example, atherosclerosis, hypogonadism,
hyperandrogenism, polycystic ovary syndrome, hirsutism,
gastro-intestinal motility disorder, obesity-related
gastro-esophageal reflux, obesity hypoventilation
(Pickwickian syndrome), sleep apnea, inflammation,
systemic inflammation of the vasculature, osteoarthritis,
insulin resistance, bronchoconstriction, alcohol
preference, metabolic syndrome, Alzheimer's disease, cardiac
hypertrophy, left ventricular hypertrophy,
hypertriglyceridemia, low HDL cholesterol, cardiovascular
disorders such as coronary heart disease (CHD), cerebrovascular

disease, stroke, peripheral vascular disease, sudden death,
gallbladder diseases, cancer (breast, endometrial, colon),
breathlessness, hyperuricemia, impaired fertility, low back
pain, or increased anesthetic risk, and the like. In clinical
use, the compounds of this invention may be administered after
being formulated, together with pharmaceutically acceptable
additives, into an appropriate preparation according to the
mode of administration. As for said additives, those which are
usually used in the field of pharmaceutical formulation may be
used, for example, gelatin, lactose, sucrose, titanium oxide,
starch, crystalline cellulose, hydroxypropyl methylcellulose,
carboxymethylcellulose, corn starch, microcrystalline wax,
white petrolatum, magnesium methasilicate aluminate,
anhydrous calcium phosphate, citric acid, trisodium citrate,
hydroxypropyl cellulose, sorbitol, sorbitan fatty acid ester,
polysorbate, sucrose fatty acid ester, polyoxyethylene,
hydrogenated castor oil, polyvinylpyrrolidone, magnesium
stearate, light silicic anhydride, talc, vegetable oil. benzyl
alcohol, gum arable, propylene glycol, polyalkylene glycol,
cyclodextrin or hydroxypropyl cyclodextrin and the like.
A mixture with said additives may be formulated into the
form of solid preparations (for example tablets, capsules,
granules, powder, suppositories); or liquid preparations (for
example syrups, elixirs, injections). Such preparations may be
formulated according to the techniques well-known in the art
of pharmaceutical formulation. Liquid preparations may be in
the form of preparations which are dissolved or suspended in
water or other appropriate media when used, and injectable
preparations in particular may be dissolved or suspended in

physiological saline or glucose solution if necessary,
optionally together with a buffer and a preservative.
When compounds of this invention are used clinically, for
example, a daily dose for an adult is 0.01-100 mg/kg, preferably
0.03-1 mg/kg with simultaneous or divided administration when
administered orally, and 0. 001-10 mg/kg, preferably 0.001-0.1
mg/kg, more preferably 0.01-0.1 mg/kg with simultaneous or
divided administration when administered parenterally, though
the dose and the frequency of dosage may vary depending upon
the sex, age, body weight, the degree of symptoms and the kind
and range of the desired treatment effects.
An ordinarily skilled physician, veterinarian or
clinician can readily determine and prescribe the effective
amount of the drug required to prevent, suppress or arrest the
progress of diseases.
All the said preparations may contain 1.0 to 100 wt.%,
preferably 1.0 to 60 wt.% of compounds of this invention and
may also contain other therapeutically effective compounds.
The compounds of the present invention can be used in
combination with other agents useful for treating metabolic
disorders and/or eating disorders. The individual component
of such combinations can be administered separately at
different times or concurrently in divided or single
combination forms during the course of therapy. The instant
invention is therefore to be understood as embracing all such
regimes of simultaneous or divided administration and the term
"administering" is to be interpreted accordingly. The scope
of combinations of the compounds of this invention with other
agents useful for treating metabolic disorders and/or eating

disorders includes in principle any combination of any
pharmaceutical composition useful for treating metabolic
disorders and/or eating disorders.
Diabetes is caused by multiple factors and is most simply
characterized by elevated levels of plasma glucose
(hyperglycemia) in the fasting state. There are two generally
recognized forms of diabetes: type 1 diabetes, or
insulin-dependent diabetes mellitus (IDDM), in which patients
produce little or no insulin, the hormone which regulates
glucose utilization, and type 2 diabetes, or
noninsulin-dependent diabetes mellitus (NIDDM), wherein
patients produce insulin and even exhibit hyperinsulinemia
(plasma insulin levels that are the same or even elevated in
comparison with non-diabetic subjects), while at the same time
demonstrating hyperglycemia. Type 1 diabetes is typically
treated with exogenous insulin administered via injection.
However, type 2 diabetics often develop "insulin resistance",
such that the effect of insulin in stimulating glucose and lipid
metabolism in the main insulin-sensitive tissues, namely,
muscle, liver and adipose tissues, is diminished. Patients who
are insulin resistant but not diabetic have elevated insulin
levels that compensate for their insulin resistance, so that
serum glucose levels are not elevated. In patients with NIDDM,
the plasma insulin levels, even when they are elevated, are
insufficient to overcome the pronounced insulin resistance,
resulting in hyperglycemia.
Insulin resistance is primarily due to a receptor binding
defect that is not yet completely understood. Resistance to
insulin results in insufficient activation of glucose uptake.

diminished oxidation of glucose and storage of glycogen in
muscle, inadequate insulin repression of lipolysis in adipose
tissue and inadequate glucose production and secretion by the
liver.
The persistent or uncontrolled hyperglycemia that occurs
in diabetics is associated with increased morbidity and
premature mortality. Type 2 diabetics are at increased risk
of developing cardiovascular complications, e.g.,
atherosclerosis, coronary heart disease, stroke, peripheral
vascular disease, hypertension, nephropathy, neuropathy and
retinopathy.
Non-insulin dependent diabetes is also associated with
cardiac hypertrophy, in particular left ventricular
hypertrophy (Devereux, R. B. , Circulation, 101:2271-2276
(2000)). Cardiac hypertrophy, such as left ventricular
hypertrophy, is due to the response of the heart to chronic
pressure or volume overload. Left ventricular hypertrophy
(LVH) is characterized by thickening of the left ventricular
wall, including increased left ventricular mass and increased
left ventricular wall thickness, and is defined as a left
ventricular mass index exceeding 131 g/m2 of the body surface
area in men, and 100 g/m2 in women (Savage et al., The Framingham
Study, Circulation, 75 (1 Pt 2): 26-33 (1987).
Left ventricular hypertrophy is independently associated
with increased incidence of cardiovascular disease, such as
congestive heart failure, ischaemic heart disease,
cardiovascular and all-cause mortality, sudden death, and
stroke. Regression of left ventricular hypertrophy has been
associated with a reduction in cardiovascular risk. It has also

been found that the incidence of morbid events in patients with
progression of left ventricular hypertrophy is greater than in
patients with regression of left ventricular hypertrophy.
Current treatments for hypertrophy include
non-pharmacological interventions, such as weight reduction,
sodium restriction, and aerobic physical exercise can reduce
left ventricular mass (Ghali, J.K. et al. , American Journal of
Geriatric Cardiology, 6:38-49 (1997).
Many patients who have insulin resistance but have not
yet developed type 2 diabetes are also at a risk of developing
metabolic syndrome, also referred to as syndrome X, insulin
resistance syndrome, or plurimetabolic syndrome. The period
of 5 to 10 years preceding the development of impaired glucose
tolerance is associated with a number of hormonal imbalances,
which give rise to an enlargement of visceral fat mass,
hypertension, insulin resistance, and hyperlipidemia
(Bjornstop, P., Current Topics in Diabetes Research, eds.
Belfore, F., Bergman, R. N. , andMolinath, G. M., Front Diabetes,
Basel, Karger, 12:182-192 (1993)). Similarly, metabolic
syndrome is characterized by insulin resistance, along with
abdominal obesity, hyperinsulinemia, high blood pressure, low
HDL and high VLDL. Although the causal relationship between
the various components of metabolic syndrome remains to be
confirmed, insulin resistance appears to play an important role
(Requen, G.M., et al., N. Eng. J. Med. 334:374-381 (1996);
Despres, J-P., et al., N. Engl. J. Med. 334:952-957 (1996);
Wajchenberg, B. L., et al.. Diabetes /Metabolism Rev. 10:19-29
(1994)). Metabolic syndrome patients, whether or not they
develop overt diabetes mellitus, are at increased risk of

developing the cardiovascular complications listed above.
Associations have also been found between left ventricular
hypertrophy and metabolic syndrome (Marcus, R. et al.
Circulation, 90:928-936 (1994); Lind, L. et al. . J Hypertens.
13:433-38 (1995); Paolisso, G et al.. Am J Hypertens.,
10:1250-1256 (1997).
Diabetes is treated with a variety of therapeutic agents
including insulin sensitizers, such as PPARy agonists, such as
glitazones; biguanides; protein tyrosine phosphatase-IB
inhibitors; dipeptidyl peptidase IV inhibitors; insulin;
insulin mimetics; sulfonylureas; meglitinides; a-glucoside
hydrolase inhibitors; and a-amylase inhibitors.
Increasing the plasma level of insulin by administration
of sulfonylureas (e.g. tolbutamide and glipizide) or
meglitinides, which stimulate the pancreatic (5-cells to secrete
more insulin, and/or by injection of insulin when sulfonylureas
or meglitinides become ineffective, can result in insulin
concentrations high enough to stimulate insulin-resistant
tissues . However, dangerously low levels of plasma glucose can
result, and increasing insulin resistance due to the even higher
plasma insulin levels can occur. The biguanides increase
insulin sensitivity resulting in some correction of
hyperglycemia. Metformin monotherapy is often used for
treating type 2 diabetic patients who are also obese and/or
dyslipidemic. Lack of appropriate response to metformin is
often followed by treatment with sulfonylureas,
thiazolidinediones, insulin, or alpha glucosidase inhibitors.
However, the two biguanides, phenformin and metformin, can also
induce lactic acidosis and nausea/diarrhea, respectively.

Alpha glucosidase inhibitors, such as acarbose, work by
delaying absorption of glucose in the intestine.
Alpha-amylase inhibitors inhibit the enzymatic degradation of
starch or glycogen into maltose, which also reduces the amounts
of bioavailable sugars.
The glitazones, also known as thiazolidinediones (i.e.
5-benzylthiazolidine-2,4-diones), are a more recently
described class of compounds with potential for a novel mode
of action in ameliorating many symptoms of type 2 diabetes.
These agents substantially increase insulin sensitivity in
muscle, liver and adipose tissue in several animal models of
type 2 diabetes resulting in partial or complete correction of
the elevated plasma levels of glucose without occurrence of
hypoglycemia. The glitazones that are currently marketed are
agonists of the peroxisome proliferator activated receptor
(PPAR) gamma subtype. PPAR-gamma agonism is generally
believed to be responsible for the improved insulin
sensitization that is observed with the glitazones. Newer PPAR
agonists that are being developed for treatment of Type 2
diabetes and/or dyslipidemia are agonists of one or more of the
PPAR alpha, gamma and delta subtypes.
However, treatment of diabetes with PPAR y agonists has
been associated with cardiac hypertrophy, or an increase in
heart weight. Recent labeling revisions for Avandia
(rosiglitazone maleate), a PPARy agonist, indicate that
patients may experience fluid accumulation and volume-related
events such as edema and congestive heart failure. Cardiac
hypertrophy related to PPARy agonist treatment is typically
treated by withdrawing PPAR treatment.

Treatment of type 2 diabetes also typically includes
physical exercise, weight control and dieting. While physical
exercise and reductions in dietary intake of calories will
dramatically improve the diabetic condition, compliance with
this treatment is very poor because of well-entrenched
sedentary lifestyles and excess food consumption, especially
of foods containing high amounts of saturated fat. However,
weight reduction and increased exercise are difficult for most
people with diabetes.
Abnormal glucose homeostasis is also associated both
directly and indirectly with obesity, hypertension and
alterations in lipid, lipoprotein and apolipoprotein
metabolism. Obesity increases the likelihood of insulin
resistance, and increases the likelihood that the resulting
insulin resistance will increase with increasing body weight.
Therefore, therapeutic control of glucose homeostasis, lipid
metabolism, obesity and hypertension are critically important
in the clinical management and treatment of diabetes mellitus.
Obesity, which can be defined as a body weight more than
20% above the ideal body weight, is a major health concern in
Western societies . It is estimated that about 97 million adults
in the United States are overweight or obese. Obesity is the
result of a positive energy balance, as a consequence of
increased ratio of caloric intake to energy expenditure. The
molecular factors regulating food intake and body weight
balance are incompletely understood. [B. Staelsetal., J. Biol.
Chem. 270(27), 15958 (1995); F. Lonnquist et al. , Nature
Medicine 1(9). 950 (1995)]. Although the genetic and/or

environmental factors leading to obesity are poorly understood,
several genetic factors have been identified.
Epidemiological studies have shown that increasing
degrees of overweight and obesity are important predictors of
decreased life expectancy. Obesity causes or exacerbates many
health problems, both independently and in association with
other diseases. The medical problems associated with obesity,
which can be serious and life-threatening, include type 2
diabetes mellitus, hypertension, elevated plasma insulin
concentrations, insulin resistance, dyslipidemias,
hyperlipidemia, endometrial, breast, prostate, kidney and
colon cancer, osteoarthritis; respiratory complications, such
as obstructive sleep apnea, gallstones, arterioscelerosis,
heart disease, abnormal heart rhythms, and heart arrythmias
(Kopelman, P.G., Nature 404, 635-643 (2000)). Obesity is also
associated with metabolic syndrome, cardiac hypertrophy, in
particular left ventricular hypertrophy, premature death, and
with a significant increase in mortality and morbidity from
stroke, myocardial infarction, congestive heart failure,
coronary heart disease, and sudden death.
Abdominal obesity has been linked with a much higher risk
of coronary artery disease, and with three of its major risk
factors: high blood pressure, diabetes that starts in adulthood,
and high levels of fats (lipids) in the blood. Losing weight
dramatically reduces these risks. Abdominal obesity is
further closely associated with glucose intolerance,
hyperinsulinemia, hypertriglyceridemia, and other disorders
associated with metabolic syndrome (syndrome X), such as raised
high blood pressure, decreased levels of high density

lipoproteins (HDL) and increased levels of very low density
lipoproteins (VLDL) (Montague et al.. Diabetes, 2000, 49:
883-888) .
Obesity and obesity-related disorders, such as diabetes,
are often treated by encouraging patients to lose weight by
reducing their food intake or by increasing their exercise level,
thereby increasing their energy output. A sustained weight
loss of 5% to 10% of body weight has been shown to improve the
comorbidities associated with obesity, such as diabetes, and
can lead to improvement of obesity-related disorders such as
diabetes, left ventricular hypertrophy, osteoarthritis, and
pulmonary and cardiac dysfunction.
Weight loss drugs used for the treatment of obesity
include orlistat (Davidson, M.H. etal. (1999) JAMA 281: 235-42),
dexfenfluramine (Guy Grand, B. et al. (1989) Lancet 2:1142-5),
sibutramine (Bray, G. A. et al. (1999) Obes. Res. &:189-98) and
phentermine (Douglas, A. et al. (1983) Int. J. Obes. 7:591-5).
However, the side effects of these drugs and anti-obesity agents
may limit their use. Dexfenfluramine was withdrawn from the
market because of suspected heart valvulopathy; orlistat is
limited by gastrointestinal side effects; and the use of
sibutramine is limited by its cardiovascular side effects which
have led to reports of deaths and its withdrawal from the market
in Italy.
The term "diabetes," as used herein, includes both
insulin-dependent diabetes mellitus (i.e. , IDDM, also known as
type 1 diabetes) and non-insulin-dependent diabetes mellitus
(i.e. , NIDDM, also known as Type 2 diabetes) . Type 1 diabetes,
or insulin-dependent diabetes, is the result of an absolute

deficiency of insulin, the hormone which regulates glucose
utilization. Type 2 diabetes, or insulin-independent diabetes
(i.e. , non-insulin-dependent diabetes mellitus), often occurs
in the face of normal, or even elevated levels of insulin and
appears to be the result of the inability of tissues to respond
appropriately to insulin. Most of the Type 2 diabetics are also
obese. The compositions of the present invention are useful
for treating both Type 1 and Type 2 diabetes. The compositions
are especially effective for treating Type 2 diabetes. The
compositions of the present invention are also useful for
treating and/or preventing gestational diabetes mellitus.
Treatment of diabetes mellitus refers to the
administration of a compound or combination of the present
invention to treat diabetes. One outcome of treatment may be
decreasing the glucose level in a subject with elevated glucose
levels. Another outcome of treatment may be decreasing insulin
levels in a subject with elevated insulin levels. Another
outcome of treatment is decreasing plasma triglycerides in a
subject with elevated plasma triglycerides. Another outcome
of treatment is decreasing LDL cholesterol in a subject with
high LDL cholesterol levels. Another outcome of treatment is
increasing HDL cholesterol in a subject with low HDL cholesterol
levels. Another outcome of treatment is increasing insulin
sensivity. Another outcome of treatment may be enhancing
glucose tolerance in a subject with glucose intolerance. Yet
another outcome of treatment may be decreasing insulin
resistance in a subject with increased insulin resistance or
elevated levels of insulin.

Prevention of diabetes mellitus refers to the
administration of a compound or combination of the present
invention to prevent the onset of diabetes in a subject in need
thereof.
The term "hypertension" as used herein includes essential,
or primary, hypertension wherein the cause is not known or where
hypertension is due to greater than one cause, such as changes
in both the heart and blood vessels; and secondary hypertension
wherein the cause is known. Causes of secondary hypertension
include, but are not limited to obesity; kidney disease;
hormonal disorders; use of certain drugs, such as oral
contraceptives, corticosteroids, cyclosporin, and the like.
The term "hypertension" encompasses high blood pressure, in
which both the systolic and diastolic pressure levels are
elevated, and isolated systolic hypertension, in which only the
systolic pressure is elevated to greater than or equal to 140
mm Hg, while the diastolic pressure is less than 90 mm Hg. One
outcome of treatment is decreasing blood pressure in a subject
with high blood pressure.
Dyslipidemias or disorders of lipid metabolism, include
various conditions characterized by abnormal concentrations of
one or more lipids (i.e. cholesterol and triglycerides), and/or
apolipoproteins (i.e., apolipoproteins A, B, C and E), and/or
lipoproteins (i.e. , the macromolecular complexes formed by the
lipid and the apolipoprotein that allow lipids to circulate in
blood, such as LDL, VLDL and IDL) . Hyperlipidemia is associated
with abnormally high levels of lipids , LDL and VLDL cholesterol,
and/or triglycerides.

The term "metabolic syndrome", also known as syndrome X,
is defined in the Third Report of the National Cholesterol
Education Program Expert Panel on Detection, Evaluation and
Treatment of High Blood Cholesterol in Adults (ATP-III). E.S.
Ford et al., JAMA, vol. 287 (3), Jan. 16, 2002, pp 356-359.
Briefly, a person is defined as having metabolic syndrome if
the person has three or more of the following symptoms:
abdominal obesity, hypertriglyceridemia, low HDL cholesterol,
high blood pressure, and high fasting plasma glucose. The
criteria for these are defined in ATP-III.
The term "left venticular hypertrophy" (LVH) as used
herein includes three patterns of left ventricular hypertrophy
that have been identified based on left ventricular mass index
(LVMI = left ventricular mass in grams divided by body surface
area in meters2) and relative wall thickness (RWT = 2 x posterior
wall thickness/left ventricular end diastolic diameter).
Concentric LVH is typically exemplified by a left ventricular
mass index of 144 and a relative wall thickness of 0.52;
eccentric LVH is typically exemplified by a left ventricular
mass index of 136 and a relative wall thickness of 0.38; and
concentric left ventricular remodeling which is typically
exemplified by a LVMI of 93 and a relative wall thickness of
0.49. Normal LVMI are typically 85 and normal RWT approximately
0.36. Patients with concentric left ventricular (LV)
remodeling have a cardiovascular risk intermediate between
those with normal left ventricular structure and those with left
ventricular hypertrophy.
One outcome of treatment of diabetes while minimizing
cardiac hypertrophy, or left ventricular hypertrophy, may be

a decrease in ventricular mass. Another outcome of treatment
of diabetes while minimizing cardiac hypertrophy or left
ventricular hypertrophy may be a decrease in the rate of
increase of ventricular mass. Another outcome of treatment of
diabetes while minimizing cardiac hypertrophy or left
ventricular hypertrophy may be a decrease in ventricular wall
thickness. Another outcome of treatment of diabetes while
minimizing cardiac hypertrophy of left ventricular hypertrophy
may be the decrease in the rate of increase in ventricular wall
thickness.
The term "obesity" as used herein is a condition in which
there is an excess of body fat. The operational definition of
obesity is based on the Body Mass Index (BMI), which is
calculated as body weight per height in meters squared (kg/m2) .
"Obesity" refers to a condition whereby an otherwise healthy
subject has a Body Mass Index (BMI) greater than or equal to
30 kg/m2, or a condition whereby a subject with at least one
co-morbidity has a BMI greater than or equal to 27 kg/m2. An
"obese subject" is an otherwise healthy subject with a Body Mass
Index (BMI) greater than or equal to 30 kg/m2 or a subject with
at least one co-morbidity with a BMI greater than or equal to
27 kg/m2. A "subject at risk of obesity" is an otherwise healthy
subject with a BMI of 25 kg/m2 to less than 30 kg/m2 or a subject
with at least one co-morbidity with a BMI of 25 kg/m2 to less
than 27 kg/m2.
The increased risks associated with obesity occur at a
lower Body Mass Index (BMI) in Asians. In Asian countries,
including Japan, "obesity" refers to a condition whereby a
subject with at least one obesity-induced or obesity-related

co-morbidity, that requires weight reduction or that would be
improved by weight reduction, has a BMI greater than or equal
to 25 kg/m2. In Asian countries, including Japan, an "obese
subject" refers to a subject with at least one obesity-induced
or obesity-related co-morbidity that requires weight reduction
or that would be improved by weight reduction, with a BMI greater
than or equal to 25 kg/m2. In Asia-Pacific, a "subject at risk
of obesity" is a subject with a BMI of greater than 23 kg/m2
to less than 25 kg/m2.
As used herein, the term "obesity" is meant to encompass
all of the above definitions of obesity.
Obesity-induced or obesity-related co-morbidities
include, but are not limited to, diabetes, non-insulin
dependent diabetes mellitus - type 2, diabetes associated with
obesity, impaired glucose tolerance, impaired fasting glucose,
insulin resistance syndrome, dyslipidemia, hypertension,
hypertension associated with obesity, hyperuricacidemia, gout,
coronary artery disease, myocardial infarction, angina
pectoris, sleep apnea syndrome, Pickwickian syndrome, fatty
liver; cerebral infarction, cerebral thrombosis, transient
ischemic attack, orthopedic disorders, arthritis deformans,
lumbodynia, emmeniopathy, and infertility. In particular,
co-morbidities include: hypertension, hyperlipidemia,
dyslipidemia, glucose intolerance, cardiovascular disease,
sleep apnea, diabetes mellitus, and other obesity-related
conditions.
Treatment of obesity and obesity-related disorders
refers to the administration of the compounds or combinations
of the present invention to reduce or maintain the body weight

of an obese subject. One outcome of treatment may be reducing
the body weight of an obese subject relative to that subject's
body weight immediately before the administration of the
compounds or combinations of the present invention. Another
outcome of treatment may be preventing body weight regain of
body weight previously lost as a result of diet, exercise, or
pharmacotherapy. Another outcome of treatment may be
decreasing the occurrence of and/or the severity of
obesity-related diseases. The treatment may suitably result
in a reduction in food or calorie intake by the subject,
including a reduction in total food intake, or a reduction of
intake of specific components of the diet such as carbohydrates
or fats; and/or the inhibition of nutrient absorption; and/or
the inhibition of the reduction of metabolic rate; and in weight
reduction in patients in need thereof. The treatment may also
result in an alteration of metabolic rate, such as an increase
in metabolic rate, rather than or in addition to an inhibition
of the reduction of metabolic rate; and/or in minimization of
the metabolic resistance that normally results from weight
loss.
Prevention of obesity and obesity-related disorders
refers to the administration of the compounds or combinations
of the present invention to reduce or maintain the body weight
of a subject at risk of obesity. One outcome of prevention may
be reducing the body weight of a subject at risk of obesity
relative to that subject's body weight immediately before the
administration of the compounds or combinations of the present
invention. Another outcome of prevention may be preventing
body weight regain of body weight previously lost as a result

of diet, exercise, or pharmacotherapy. Another outcome of
prevention may be preventing obesity from occurring if the
treatment is administered prior to the onset of obesity in a
subject at risk of obesity. Another outcome of prevention may
be decreasing the occurrence and/or severity of obesity-related
disorders if the treatment is administered prior to the onset
of obesity in a subject at risk of obesity. Moreover, if
treatment is commenced in already obese subjects, such
treatment may prevent the occurrence, progression or severity
of obesity-related disorders, such as, but not limited to,
arteriosclerosis, Type 2 diabetes, polycystic ovary disease,
cardiovascular diseases, osteoarthritis, dermatological
disorders, hypertension, insulin resistance,
hypercholesterolemia, hypertriglyceridemia, and
cholelithiasis.
The term "atherosclerosis" as used herein encompasses
vascular diseases and conditions that are recognized and
understood by physicians practicing in the relevant fields of
medicine. Atherosclerotic cardiovascular disease, coronary
heart disease (also known as coronary artery disease or ischemic
heart disease), cerebrovascular disease and peripheral vessel
disease are all clinical manifestations of atherosclerosis and
are therefore encompassed by the terms "atherosclerosis" and
"atherosclerotic disease." The combination comprised of a
therapeutically effective amount of an anti-obesity agent in
combination with a therapeutically effective amount of an
anti-diabetic agent may be administered to prevent or reduce
the risk of occurrence, or recurrence where the potential exists,
of a coronary heart disease event, a cerebrovascular event, or

intermittent claudication. Coronary heart disease events are
intended to include CHD death, myocardial infarction (i.e., a
heart attack), and coronary revascularization procedures.
Cerebrovascular events are intended to include ischemic or
hemorrhagic stroke (also known as cerebrovascular accidents)
and transient ischemic attacks. Intermittent claudication is
a clinical manifestation of peripheral vessel disease. The
term "atherosclerotic disease event" as used herein is intended
to encompass coronary heart disease events, cerebrovascular
events, and intermittent claudication. It is intended that
persons who have previously experienced one or more non-fatal
atherosclerotic disease events are those for whom the potential
for recurrence of such an event exists.
Circadian rhythms affect a variety of physiological
parameters: rest-activity, sleep-wake cycles, body
temperature, rhythms in hormone levels, oscillations in general
physiology and the like. When these parameters are out of
synchrony with the daily clock, a circadian rhythm imbalance
occurs which can affect physiology, performance on a variety
of tasks and one' s emotional well being. The present invention
is useful, for example, in the prevention or treatment of
conditions associated with circadian rhythmicity as well as
mental and physical disorders associated with travel across
time zones and with rotating shift-work schedules.
In another embodiment, the present invention provides a
method for the prevention or treatment of a circadian rhythm
disorder in a mammal, including time-zone change (jet-lag)
syndrome, shift-work sleep disorder, delayed sleep-phase
syndrome, advanced sleep-phase syndrome, and non-24-hour

sleep-wake disorder, which comprises administering to the
mammal an effective amount of a NPY Y5 receptor antagonist.
In another embodiment, the present invention provides a
method for shortening the time of re-entrainment (return to
normal entrainment of the circadian rhythms; synchronized to
the environmental light-dark cycle) in a subject following a
shift in the sleep-wake cycle which comprises administering to
the subject an appropriate amount of a NPY Y5 antagonist.
In another embodiment, the present invention provides a
method for alleviating the effects of jet lag in a traveler,
especially a mammal, which comprises administering to the
traveler an alertness increasing amount of a NPY Y5 antagonist.
The purpose of this embodiment is to assist the body to adjust
physiologically to the changes in sleep and feeding patterns
when crossing several time zones.
In another more preferred embodiment, the present
invention provides a method for resetting the internal
circadian clock in a subject to match the subject's current
activity/sleep cycle. For example shift workers changing from
a day to a night shift or vice versa, which comprises
administering to the subject an appropriate amount of a NPY Y5
antagonist.
The present invention is further directed to the use of
NPY Y5 antagonist, for enhancing or improving sleep quality as
well as preventing and treating sleep disorders and sleep
disturbances in a mammal. In particular, the present invention
provides a method for enhancing or improving sleep quality by
increasing sleep efficiency and augmenting sleep maintenance.
In addition, the present invention provides a method for

preventing and treating sleep disorders and sleep disturbances
in a mammal which comprising the administration of a NPY Y5
antagonist. The present invention further provides a
pharmaceutical composition for enhancing or improving sleep
quality and increasing sleep efficiency and sleep maintenance.
The present invention is useful for the treatment of sleep
disorders, including Disorders of Initiating and Maintaining
Sleep (insomnias) ("DIMS") which can arise from
psychophysiological causes, as a consequence of psychiatric
disorders (particularly related to anxiety), from drugs and
alcohol use and abuse (particularly during withdrawal stages),
childhood onset DIMS, nocturnal myoclonus and restless legs and
non specific REM disturbances as seen in ageing.
The following outcomes in a subject which are provided
by the present invention may be correlated to enhancement in
sleep quality: an increase in the value which is calculated
from the time that a subject sleeps divided by the time that
a subject is attempting to sleep; a decrease in sleep latency
(the time it takes to fall asleep); a decrease in the number
of awakenings during sleep; a decrease in the time spent awake
following the initial onset of sleep; an increase in the total
amount of sleep; an increase the amount and percentage of REM
sleep; an increase in the duration and occurrence of REM sleep;
a reduction in the fragmentation of REM sleep; an increase in
the amount and percentage of slow-wave (i.e. stage 3 or 4) sleep;
an increase in the amount and percentage of stage 2 sleep; a
decrease in the number of awakenings, especially in the early
morning; an increase in daytime alertness; and increased sleep
maintenance. Secondary outcomes which may be provided by the

present invention include enhanced cognitive function and
increased memory retention. A "method for enhancing the
quality of sleep" refers to a method that results in outcomes
in a subject which may be correlated to enhancement in sleep
quality, including, but not limited to, the outcomes correlated
to enhancement of sleep quality as defined above.
The present invention is further useful for the
prevention and treatment of sleep disorders and sleep
disturbances including sleep problems associated with insomnia,
hypersomnia, sleep apnea, narcolepsy, nocturnal myoclonus, REM
sleep interruptions, jet-lag, shift workers* sleep
disturbances, dysomnias, night terror, night eating syndrome,
insomnias associated with depression or with emotional/mood
disorders, dysfunctions associated with sleep (parasomnias),
as well as sleep walking and enuresis, as well as sleep disorders
which accompany aging. Sleep disorders and sleep disturbances
are generally characterized by difficulty in initiating or
maintaining sleep or in obtaining restful or enough sleep.
In addition, certain drugs may also cause reductions in
REM sleep as a side effect and the present invention may be used
to correct those types of sleeping disorders as well. The
present invention would also be of benefit in the treatment of
syndromes such as fibromyalgia which are manifested by
non-restorative sleep and muscle pain or sleep apnea which is
associated with respiratory disturbances during sleep. It
will be clear to one skilled in the art that the present invention
is not limited to just sleep disorders and sleep disturbances,
but is applicable to a wide variety of conditions which result
from a diminished quality of sleep.

The present invention is also concerned with treatment
and prevention of these conditions, and with the use of a NPY
Y5 antagonist, combinations, and compositions thereof, for the
manufacture of a medicament useful for treating or preventing
these conditions.
In the present invention, it is preferred that the subject
mammal is a human. Although the present invention is applicable
both old and young people, it may find greater application in
elderly people. Further, although the invention may be
employed to enhance the sleep of healthy people, it may be
especially beneficial for enhancing the sleep quality of people
suffering from sleep disorders or sleep disturbances.
The compositions of the present invention may be used in
combination with other drugs that may also be useful in the
treatment, prevention, or control of disorders, such as
hypertension, hypertension associated with obesity,
hypertension-related disorders, cardiac hypertrophy, left
ventricular hypertrophy, and metabolic syndrome, obesity and
obesity-related disorders, for which compounds comprising the
compositions are useful. Such other drugs may be administered,
by a route and in an amount commonly used therefore,
contemporaneously or sequentially with a composition of the
present invention. When a composition of the present invention
is used contemporaneously with one or more other drugs, a
pharmaceutical composition in unit dosage form containing such
other drugs and the composition of the present invention is
preferred. However, the combination therapy also includes
therapies in which the composition of the present invention and
one or more other drugs are administered on different

overlapping schedules. It is also contemplated that when used
in combination with one or more other active ingredients, the
composition of the present invention and the other active
ingredients may be used in lower doses than when each is used
singly. Accordingly, the pharmaceutical compositions of the
present invention include those that contain one or more other
active ingredients, in addition to a composition of the present
invention.
Examples of other active ingredients that may be
administered in combination with a composition of the present
invention, and either administered separately or in the same
pharmaceutical composition, include, but are not limited to:
(a) anti-diabetic agents such as (i) PPARy agonists such
as glitazones (e.g. ciglitazone; darglitazone; englitazone;
isaglitazone (MCC-555); pioglitazone; rosiglitazone;
troglitazone; BRL49653; CLX-0921; 5-BTZD, and the like), and
GW-0207, LG-100641, and LY-300512, and the like; (ii)
biguanides such as buformin; metformin; and phenformin, and the
like; (iii) protein tyrosine phosphatase-IB (PTP-1B)
inhibitors; (iv) sulfonylureas such as acetohexamide;
chlorpropamide; diabinese; glibenclamide; glipizide;
glyburide; glimepiride; gliclazide; glipentide; gliquidone;
glisolamide; tolazamide; and tolbutamide, and the like; (v)
meglitinides such as repaglinide, and nateglinide, and the
like; (vi) alpha glucoside hydrolase inhibitors such as
acarbose; adiposine; camiglibose; emiglitate; miglitol;
voglibose; pradimicin-Q; salbostatin; CKD-711; MDL-25,637;
MDL-73,945; and MOR 14, and the like; (vii) alpha-amylase
inhibitors such as tendamistat, trestatin, and Al-3688, and the

like; (viii) insulin secreatagogues such as linogliride; and
A-4166, and the like; (ix) fatty acid oxidation inhibitors, such
as clomoxir, and etomoxir, and the like; (x) A2 antagonists,
such as midaglizole; isaglidole; deriglidole; idazoxan;
earoxan; and fluparoxan, and the like; (xi) insulin or insulin
mimetics, such as biota, LP-100, novarapid, insulin detemir,
insulin lispro, insulin glargine, insulin zinc suspension
(lente and ultralente); Lys-Pro insulin, GLP-1 (73-7)
(insulintropin); and GLP-1 (7-36)-NH2), and the like; (xii)
non-thiazolidinediones such as JT-501, and farglitazar
(GW-2570/GI-262579), and the like; (xiii) PPARa/y dual agonists
such as MK-0767, CLX-0940, GW-1536, GW1929, GW-2433, KRP-297,
L-796449, LR-90, and SB 219994, and the like; (xiv) other
insulin sensitizing drugs; and (xv) VPAC2 receptor agonists;
(b) lipid lowering agents such as (i) bile acid
sequestrants such as, cholestyramine, colesevelem, colestipol,
dialkylaminoalkyl derivatives of a cross-linked dextran;
Colestid®; LoCholest®; and Questran®, and the like; (ii)
HMG-CoA reductase inhibitors such as atorvastatin,
itavastatin, fluvastatin, lovastatin, pravastatin, rivastatin,
rosuvastatin, simvastatin, and ZD-4522, and the like; (iii)
HMG-CoA synthase inhibitors; (iv) cholesterol absorption
inhibitors such as stanol esters, beta-sitosterol, sterol
glycosides such as tiqueside; and azetidinones such as
ezetimibe, and the like; (v) acyl coenzyme A -cholesterol acyl
transferase (ACAT) inhibitors such as avasimibe, eflucimibe,
KY505, SMP 797, and the like; (vi) CETP inhibitors such as JTT
705. torcetrapib, CP 532,632, BAY63-2149, SC 591. SC 795, and
the like; (vii) squalene synthetase inhibitors; (viii)

anti-oxidants such as probucol, and the like; (ix) PPARa
agonists such as beclofibrate, benzafibrate, ciprofibrate,
clofibrate, etofibrate, fenofibrate, gemcabene, and
gemfibrozil, GW7647, BM 170744, LY518674; and other fibric acid
derivatives, such as Atromid®, Lopid® and Tricor®, and the like;
(x) FXR receptor modulators such as GW 4064, SR 103912, and the
like; (xi) LXR receptor such as GW 3965, T9013137, and
XTC0179628, and the like; (xii) lipoprotein synthesis
inhibitors such as niacin; (xiii) renin angiotensin system
inhibitors; (xiv) PPAR5 partial agonists; (xv) bile acid
reabsorption inhibitors, such as BARI 1453, SC435, PHA384640,
S8921, AZD7706, and the like; (xvi) PPARS agonists such as GW
501516, and GW 590735, and the like; (xvii) triglyceride
synthesis inhibitors; (xviii) microsomal triglyceride
transport (MTTP) inhibitors, such as inplitapide, LAB687, and
CP346086, and the like; (xix) transcription modulators; (xx)
squalene epoxidase inhibitors; (xxi) low density lipoprotein
(LDL) receptor inducers; (xxii) platelet aggregation
inhibitors; (xxiii) 5-LO or FLAP inhibitors; and (xiv) niacin
receptor agonists; and
(c) anti-hypertensive agents such as (i) diuretics, such
as thiazides, including chlorthalidone, chlorthiazide,
dichlorophenamide, hydroflumethiazide, indapamide, and
hydrochlorothiazide; loop diuretics, such as bumetanide,
ethacrynic acid, furosemide, and torsemide; potassium sparing
agents, such as amiloride, and triamterene; and aldosterone
antagonists, such as spironolactone, epirenone, and the like;
(ii) beta-adrenergic blockers such as acebutolol, atenolol,
betaxolol, bevantolol, bisoprolol, bopindolol, carteolol.

carvedilol, celiprolol, esmolol, indenolol, metaprolol,
nadolol, nebivolol, penbutolol, pindolol, propanolol, sotalol,
tertatolol, tilisolol, and timolol, and the like; (iii)
calcium channel blockers such as amlodipine, aranidipine,
azelnidipine, barnidipine, benidipine, bepridil, cinaldipine,
clevidipine, diltiazem, efonidipine, felodipine, gallopamil,
isradipine, lacidipine, lemildipine, lercanidipine,
nicardipine, nifedipine, nilvadipine, nimodepine, nisoldipine,
nitrendipine, manidipine, pranidipine, and verapamil, and the
like; (iv) angiotensin converting enzyme (ACE) inhibitors such
as benazepril; captopril; cilazapril; delapril; enalapril;
fosinopril; imidapril; losinopril; moexipril; quinapril;
quinaprilat; ramipril; perindopril; perindropril; quanipril;
spirapril; tenocapril; trandolapril, and zofenopril, and the
like; (v) neutral endopeptidase inhibitors such as omapatrilat,
cadoxatril and ecadotril, fosidotril, sampatrilat, AVE7688,
ER4030, and the like; (vi) endothelin antagonists such as
tezosentan, A308165, and YM62899, and the like; (vii)
vasodilators such as hydralazine, clonidine, minoxidil, and
nicotinyl alcohol, and the like; (viii) angiotensin II receptor
antagonists such as candesartan, eprosartan, irbesartan,
losartan, pratosartan, tasosartan, telmisartan, valsartan,
and EXP-3137, FI6828K, and RNH6270, and the like; (viv) a/|3
adrenergic blockers as nipradilol, arotinolol and amosulalol,
and the like; (x) alpha 1 blockers, such as terazosin, urapidil,
prazosin, bunazosin, trimazosin, doxazosin, naftopidil,
indoramin, WHIP 164, and XEN010, and the like; (xi) alpha 2
agonists such as lofexidine, tiamenidine, moxonidine.

rilmenidine and guanobenz, and the like; and (xii) aldosterone
inhibitors, and the like; and
(d) anti-obesity agents, such as (i) 5HT (serotonin)
transporter inhibitors, such as paroxetine, fluoxetine,
fenfluramine, fluvoxamine, sertraline, and imipramine; (ii)
NE (norepinephrine) transporter inhibitors, such as GW 320659,
despiramine, talsupram, and nomifensine; (iii) CB-1
(cannabinoind-1 receptor) antagonist/inverse agonists, such
as rimonabant (Sanofi Synthelabo), SR-147778 (Sanofi
Synthelabo), BAY 65-2520 (Bayer), and SLV 319 (Solvay), and
those disclosed in U.S. Patent Nos. 5,532,237, 4,973,587,
5,013.837. 5.081,122. 5,112.820, 5,292,736, 5,624,941 and US
6,028,084; and WO 96/33159, WO 98/33765, W098/43636, W098/43635,
WO 01/09120, WO 01.96330, W098/31227, W098/41519, WO98/37061,
WO00/10967, WO00/10968, WO97/29079, WO99/02499, WO 01/58869,
WO 02/076949, WO 01/64632, WO 01/64633, WO 01/64634, WO
03/006007, and WO 03/007887; and EPO Application No. EP-658546;
(iv) ghrelin antagonists, such as those disclosed in WO 01/87335.
and WO 02/08250; (v) H3 (histamine H3) antagonist/inverse
agonists, such as thioperamide, 3-(lH-imidazol-4-yl)propyl
N-(4-pentenyl)carbamate, clobenpropit, iodophenpropit,
imoproxifan, GT2394 (Gliatech), and A331440, and those
disclosed in WO 02/15905; and
O-(3-(1H-imidazol-4-yl)propanol]carbamates (Kiec-Kononowicz,
K. et al., Pharmazie, 55:349-55 (2000)), piperidine-containing
histamine H3-receptor antagonists (Lazewska, D. et al.,
Pharmazie, 56:927-32 (2001), benzophenone derivatives and
related compounds (Sasse, A. et al.. Arch. Pharm.(Weinheim)
334:45-52 (2001)), substituted N-phenylcarbamates

(Reidemeister, S. et al., Pharmazie, 55:83-6 (2000)), and
proxifan derivatives (Sasse, A. et al., J. Med. Chem..
43:3335-43 (2000)); (vi) melanin-concentrating hormone 1
receptor (MCH1R) antagonists, such as T-226296 (Takeda),
SNP-7941 (Synaptic), and those disclosed in WO 01/82925, WO
01/87834, WO 02/051809, WO 02/06245, WO 02/076929. WO 02/076947,
WO 02/04433, WO 02/51809, WO 02/083134, WO 02/094799, WO
03/004027, and Japanese Patent Application No. JP 13226269;
(vii) MCH2R (melanin concentrating hormone 2R)
agonist/antagonists; (viii) NPY1 (neuropeptide Y Yl)
antagonists, such as BIBP3226,
2-[1-(5-chloro-3-isopropyloxycarbonylaminophenyl)ethylamino
]-6-[2-(5-ethyl-4-methyl-1,3-thiazol-2-yl)ethyl]-4-morpholi
nopyridine, BIBO 3304, LY-357897, CP-671906, and GI-264879A;
and those disclosed in U.S. Patent No. 6,001,836; and WO
96/14307, WO 01/23387, WO 99/51600, WO 01/85690, WO 01/85098,
WO 01/85173. and WO 01/89528; (ix) NPY5 (neuropeptide Y Y5)
antagonists, such as L-152.804, GW-569180A, GW-594884A,
GW-587081X, GW-548118X; FR 235,208; FR226928, FR 240662,
FR252384; 1229U91, GI-264879A, CGP71683A, LY-377897, LY366377,
PD-160170, SR-120562A, SR-120819A, JCF-104, and H409/22; and
those compounds disclosed in U.S. Patent Nos. 6,140,354,
6,191.160, 6,258,837, 6,313,298, 6,337.332, 6,329,395, and
6,340,683; U.S. Patent Nos. 6,326,375; 6,329,395; 6,337,332;
6,335,345; European Patent Nos. EP-01010691, and EP-01044970;
and PCT International Patent Publication Nos. WO 97/19682, WO
97/20820, WO 97/20821, WO 97/20822, WO 97/20823, WO 98/27063.
WO 00/107409, WO 00/185714, WO 00/185730, WO 00/64880, WO
00/68197, WO 00/69849, WO 01/09120, WO 01/14376, WO 01/85714,

WO 01/85730, WO 01/07409, WO 01/02379, WO 01/02379, WO 01/23388,
WO 01/23389, WO 01/44201, WO 01/62737, WO 01/62738, WO 01/09120.
WO 02/20488, WO 02/22592, WO 02/48152, WO 02/49648 and WO
02/094789; and Norman et al. , J. Med. Chem. 43:4288-4312 (2000);
(x) leptin, such as recombinant human leptin (PEG-OB, Hoffman
La Roche) and recombinant methionyl human leptin (Amgen); (xi)
leptin derivatives, such as those disclosed in Patent Nos.
5.552,524; 5,552,523; 5,552,522; 5,521,283; and PCT
International Publication Nos. WO 96/23513; WO 96/23514; WO
96/23515; WO 96/23516; WO 96/23517; WO 96/23518; WO 96/23519;
and WO 96/23520; (xii) opioid antagonists, such as nalmefene
(Revex ®), 3-methoxynaltrexone, naloxone, and naltrexone; and
those disclosed in WO 00/21509; (xiii) orexin antagonists, such
as SB-334867-A; and those disclosed in WO 01/96302, WO 01/68609,
WO 02/51232, WO 02/51838, and WO 03/023561; (xiv) BRS3
(bombesin receptor subtype 3) agonists; (xv) CCK-A
(cholecystokinin-A) agonists, such as AR-R 15849, GI 181771,
JMV-180, A-71378, A-71623 and SR146131, and those disclosed in
US 5,739,106; (xvi) CNTF (ciliary neurotrophic factors), such
as GI-181771 (Glaxo-SmithKline); SR146131 (Sanofi
Synthelabo); butabindide; and PD170,292, PD 149164 (Pfizer);
(xvii) CNTF derivatives, such as axokine (Regeneron); and WO
94/09134, WO 98/22128, and WO 99/43813; (xviii) GHS (growth
hormone secretagogue receptor) agonists, such as NN703,
hexarelin, MK-0677, SM-130686, CP-424,391, L-692,429 and
L-163,255, and those disclosed in U.S. Patent No. 6358951, U.S.
Patent Application Nos. 2002/049196 and 2002/022637; and WO
01/56592, and WO 02/32888; (xix) 5HT2c (serotonin receptor 2c)
agonists, such as BVT933, DPCA37215, IK264; PNU 22394;

WAY161503, R-1065, and YM 348; and those disclosed in U.S.
Patent No. 3,914,250; and WO 02/36596, WO 02/48124, WO 02/10169,
WO 01/66548, WO 02/44152; WO 02/51844, WO 02/40456, and WO
02/40457; (xx) Mc3r (melanocortin 3 receptor) agonists;
(xxi) Mc4r (melanocortin 4 receptor) agonists, such as
CHIR86036 (Chiron); ME-10142, and ME-10145 (Melacure), and
those disclosed in WO 99/64002, WO 00/74679, WO 01/991752. WO
01/74844, WO 01/70708, WO 01/70337, WO 01/91752, WO 02/059095,
WO 02/059107, WO 02/059108, WO 02/059117, WO 02/12166, WO
02/11715, WO 02/12178, WO 02/15909, WO 02/068387, WO 02/068388,
WO 02/067869, WO 03/007949, and WO 03/009847; (xxii) monoamine
reuptake inhibitors, such as sibutratmine (Meridia
®/Reductil®) and a salt thereof, and those compounds disclosed
in U.S. Patent Nos. 4,746,680, 4,806,570, and 5,436,272, and
U.S. Patent Publication No. 2002/0006964, and WO 01/27068, and
WO 01/62341; (xxiii) serotonin reuptake inhibitors, such as
dexfenfluramine, fluoxetine, and those in U.S. Patent No.
6,365,633, and WO 01/27060, and WO 01/162341; (xxiv) GLP-1
(glucagon-like peptide 1) agonists; (xxv) Topiramate
(Topimax®); (xxvi) phytopharm compound 57 (CP 644,673);
(xxvii) ACC2 (acetyl-CoA carboxylase-2) inhibitors; (xxviii)
p"3 (beta adrenergic receptor 3) agonists, such as AD9677/TAK677
(Dainippon/ Takeda), CL-316,243, SB 418790, BRL-37344,
L-796568, BMS-196085, BRL-35135A, CGP12177A, BTA-243, GW
427353, Trecadrine, Zeneca D7114, and SR 59119A, and those
disclosed in US Patent Application Nos . 5,705,515, US 5 , 451677 ;
and WO 01/74782, and WO 02/32897; (xxix) DGAT1 (diacylglycerol
acyltransferase 1) inhibitors; (xxx) DGAT2 (diacylglycerol
acyltransferase 2)inhibitors; (xxxi) FAS (fatty acid synthase)

inhibitors, such as Cerulenin and C75; (xxxii) PDE
(phosphodiesterase) inhibitors, such as theophylline,
pentoxifylline, zaprinast, sildenafil, amrinone, milrinone,
cilostamide, rolipram, and cilomilast; (xxxii) thyroid hormone
P agonists, such as KB-2611 (KaroBioBMS), and those disclosed
in WO 02/15845; and Japanese Patent Application No. JP
2000256190; (xxxiii) UCP-1 (uncoupling protein 1), 2, or 3
activators, such as phytanic acid,
4-[(E)-2-(5,6,7,8-tetrahydro-5,5,8,8-tetramethyl-2-napthale
nyl)-l-propenyl]benzoic acid (TTNPB), and retinoic acid; and
those disclosed in WO 99/00123; (xxxiv) acyl-estrogens, such
as oleoyl-estrone , disclosed in del Mar-Grasa, M. et al..
Obesity Research, 9:202-9 (2001); (xxxv) glucocorticoid
antagonists; (xxxvi) lip HSD-1 (11-beta hydroxy steroid
dehydrogenase type 1) inhibitors, such as BVT 3498, BVT 2733,
and those compounds disclosed in WO 01/90091, WO 01/90090, WO
01/90092; (xxxvii) SCD-1 (stearoyl-CoA desaturase-1)
inhibitors; (xxxviii) dipeptidyl peptidase IV (DP-IV)
inhibitors, such as isoleucine thiazolidide, valine
pyrrolidide, NVP-DPP728. LAF237, P93/01, TSL 225, TMC-2A/2B/2C,
FE 999011, P9310/K364, VIP 0177, SDZ 274-444; and the compounds
disclosed in WO 03/004498, WO 03/004496, EP 1 258 476 , WO
02/083128, WO 02/062764, WO 03/000250, WO 03/002530, WO
03/002531, WO 03/002553, WO 03/002593, WO 03/000180. and WO
03/000181; (xxxviii) lipase inhibitors, such as
tetrahydrolipstatin (orlistat/Xenical®), Triton WR1339,
RHC80267, lipstatin, teasaponin, and diethylumbelliferyl
phosphate, FL-386, WAY-121898, Bay-N-3176, valilactone,
esteracin, ebelactone A, ebelactone B, and RHC 80267, and those

disclosed in WO 01/77094, and U.S. Patent Nos. 4,598,089.
4,452,813, 5,512,565, 5,391,571, 5,602,151. 4,405,644,
4,189,438, and 4,242,453; (xxxix) fatty acid transporter
inhibitors; (xxxx) dicarboxylate transporter inhibitors;
(xxxxi) glucose transporter inhibitors; (xxxxii) phosphate
transporter inhibitors; (xxxxiii) melanocortin agonists, such
as Melanotan II or those described in WO 99/64002 and WO
00/746799; (xxxxiv) melanin concentrating hormone
antagonists; (xxxxv) galanin antagonists; (xxxxvi) CCK
agonists; (xxxxvii) corticotropin-releasing hormone agonists;
and (xxxxviii) phosphodiesterase-3B (PDE3B) inhibitors; and
the like.
The above combinations include combinations of a
composition of the present invention not only with one other
active compound, but also with two or more other active
compounds. Non-limiting examples include combinations of the
compositions of the present invention with one, two or more
active compounds selected from lipid-lowering agents, and
anti-hypertensive agents. Combinations of the compositions of
the present invention with one, two or more active compounds
selected from lipid lowering agents, and anti-diabetic agents
are useful to treat, control or prevent metabolic syndrome. In
particular, compositions comprising an anti-obesity agent, an
anti-hypertensive agent, in addition to an anti-diabetic agent
and/or a lipid lowering agent will be useful to synergistically
treat, control or prevent metabolic syndrome.
EXAMPLES

The following Examples and Reference Examples are
provided to illustrate the present invention more concretely,
but they should not be construed as limiting the invention in
any way.
The mass spectrum was determined by electron spray
ionization (ESI) method using Quattroll (Product of Micromass
Ltd.).
Unless otherwise noted, melting point was disclosed in
this specification without correction.
Example 1
Preparation of 5,6-dichloro- 2- [ 1 -methylsulfonyl-
spiro[indoline-3,4'-piperidin]-1'-yl]benzimidazole
(l)Preparation of 2,5,6.-trichloro-N-tetrahydropyranyl-
benzimidazole
To a solution of 2,5,6-trichlorobenzimidazole (2.07 g,
9.33 mmol) in tetrahydrofuran (20 mL) were added
3,4-dihydro-2H-pyran (2.55 mL, 28.0 mmol) and camphor sulfonic
acid (216 mg, 0.93 mmol). The mixture was stirred at room
temperature for 3 hours, and the reaction mixture was
neutralized by addition of 0. 1M aqueous sodium hydroxide, then
extracted with ethyl acetate. The organic layer was washed with
saturated brine, dried over anhydrous sodium sulfate, and
concentrated in vacuo. The residue was purified by silica gel
column chromatography (C-300, hexanerethyl acetate = 4:1)
to give the title compound (487 mg, 9 %).
(2) Preparation of 5,6-dichloro-2-[1-methylsulfonyl-
spiro[indoline-3,4'-piperidin]-1'-yl]benzimidazole

To a solution of 2,5,6-trichloro-N-tetrahydropyranyl-
benzimidazole (213 mg, 0.70 mmol) and 1-methylsulfonyl-
spiro[indoline-3,4'-piperidine] hydrochloride (168 mg, 0.56
mmol) in dioxane (10 mL) was added cesium carbonate (562 mg,
0.47 mmol). The mixture was stirred at 150°C for 14 hours in
a sealed tube and then cooled. After addition of water, the
reaction mixture was extracted with ethyl acetate. The organic
layer was dried over sodium sulfate, and concentrated in vacuo.
The resulting residue was dissolved in methanol (10 mL), and
camphor sulfonic acid (100 mg, 0.70 mmol) was added thereto,
then stirred at room temperature for 12 hours. The reaction
mixture was concentrated in vacuo, and the residue was
neutralized with 0.1M aqueous sodium hydroxide, then extracted
with chloroform. The organic layer was washed with brine, dried
over anhydrous sodium sulfate, and concentrated in vacuo. The
precipitate formed upon addition of ethyl acetate to the residue
was collected by filtration and dried to give the title compound
(86 mg, 34 %).
1HNMR (300 MHz, DMSO-d6, δ ppm) : 1. 73-1. 79 (2H, m) , 1.85-1.96
(2H, m), 3.05 (3H, s), 3.18-3.30 (2H, m) , 3.96 (2H, s) ,
4.08-4.18 (2H, m), 7.00-7.05 (1H, m), 7.20-7.32 (5H, m); mass
spectrum (ESI):452 (M+H)
The following compound was prepared according to the
procedure described in Example 1.
Example 2
2-[1-Methylsulfonylspiro[indoline-3.4'-piperidin]-1'-yl]-5-
chlorobenzimidazole
1NMR (300 MHz, DMSO-d6, δ ppm) : 1.72-1.80 (2H, m) , 1.87-1.98

(2H, m) , 3.06 (3H, s) , 3.12-3.28 (2H, m) , 3.96 (2H, s) , 4.08-4.17
(2H, m), 6.85-7.30 (7H, m) , 11.51 (1H, s); mass
spectrum(ESI):418(M+H)
Example 3
8-[3,4-dihydro-3-oxospiro[isoquinoline-l(2H),4'-piperidin]-
1'-yl]-2-phenylpurine
1NMR (300 MHz, DMSO-d6, δ ppm) : 1.87(2H, d, J=13.8Hz) ,2.15
(2H, m), 3.62 (4H, m) , 4.20 (2H, brd, J=12.6Hz), 7.24 (3H,
m),7.43 (4H, m) , 8.31 (1H, t, J=3.9Hz), 8.36 (2H, dd, J=6.9Hz),
8.50 (1H, brs); mass spectrum (ESI) : 411(M+H)
Example 4
Preparation of trans-5-methoxycarbonyl-2- [3' -
oxospiro[cyclohexane-l,1'(3'H)-isobenzofuran]-4-
yl]benzimidazole
(1) Preparation of trans-N-[2-amino-5-methoxycarbonyl-
phenyl]-3'-oxospiro[cyclohexane-l,1'(3'H)-isobenzofuran]-
4-carboxamide
To a solution of trans-3'-oxospiro[cyclohexane-
1,1'(3'H)-isobenzofuran]-4-carboxylic acid (20 mg, 0.081
mmol) and methyl 3,4-diaminobenzoate (20 mg, 0.12 mmol) in
pyridine (1 mL) was added 1-(3-dimethylaminopropyl)-3-
ethylcarbodiimide hydrochloride (25 mg, 0.13 mmol). The
mixture was stirred at room temperature for one hour under a
nitrogen atmosphere, and then concentrated. After addition of
saturated aqueous sodium bicarbonate to the residue, the
mixture was extracted with ethyl acetate. The organic layer
was dried over anhydrous magnesium sulfate, and concentrated

in vacuo. The residue was washed with ethyl acetate-hexane,
and dried to give the title compound (30.4 mg, 95 %).
(2) Preparation of trans-5-methoxycarbonyl-2-[3'-
oxospiro[cyclohexane-l,l'(3'H)-isobenzofuran]-4-
yl]benzimidazole
To a solution of trans-N-[2-amino-5-methoxycarbonyl-
phenyl]-3'-oxospiro[cyclohexane-1,1'(3'H)-
isobenzofuran]-4-carboxamide (27.7 mg, 0.070 mmol) in xylene
(2 mL) was added a catalytic amount of p-toluenesulfonic acid
monohydrate. The mixture was heated under reflux for 3 hours,
cooled to room temperature, and concentrated in vacuo. The
residue was purified by preparative thin-layer chromatography
(chloroform : methanol=20 : 1) to give the title compound (20
mg, 75 %).
1HNMR (300 MHz, CD3OD, δ ppm) : 1.78-2.55 (8H, m) , 3.25-3.44
(1H, m), 3.93 (3H, s), 7.51-7.58 (4H, m) , 7.85( 1H, dd,J=1.0Hz,
7.6Hz), 7.93 (1H, dd, J=1.6Hz, 8.6Hz), 8.27 (1H, s); mass
spectrum (ESI) : 377(M+H)
The following compound was prepared according to the
procedure described in Example 4.
Example 5
Trans-2-[3-oxospiro[6-azaisobenzofuran-l(3H),1'-
cyclohexan]-4'-yl]-5-phenylbenzimidazole
1HNMR (400 MHz, CDC13, δ ppm) : 1.80-2.02 (2H, m), 2.16-2.68
(6H, m), 3.30-3.44 (1H, m) , 7.20-7.90 (9H, m), 8.85 (1H, d,
J=4.8Hz), 8.97 (1H, s); mass spectrum (ESI) : 396(M+H)

Example 6
Preparation of trans-8-[3'-oxospiro[cyclohexane-l,1' (3'H)-
isobenzofuran]-4-yl]-2-phenylpurine
(1) Preparation of trans-N-[4-amino-2-phenyl-5-
pyrimidyl]-3'-oxospiro[cyclohexane-l,1'(3'H)-
isobenzofuran]-4-carboxamide
To a solution of trans-3'-oxospiro[cyclohexane-
1,1'(3'H)-isobenzofuran]-4-carboxylic acid (190 mg, 0.77
mmol) and 2-phenyl-4, 5-diaminopyrimidine (130 mg, 0.70 mmol)
in pyridine (3.5 mL) was added 1-(3-dimethylaminopropyl)-3-
ethylcarbodiimide hydrochloride (25 mg, 0.13 mmol) at 0°C. The
mixture was stirred at room temperature for 10 hours under a
nitrogen atmosphere and then concentrated. After addition of
saturated aqueous sodium bicarbonate to the residue, the
mixture was extracted with ethyl acetate. The organic layer
was dried over anhydrous magnesium sulfate and concentrated.
The residue was purified by silica gel column chromatography
(chloroform : methanol=10 : 1) to give the title compound (212
mg, 73 %).
(2) Preparation of trans-8-[3'-oxospiro[cyclohexane-
1,1'(3'H)-isobenzofuran]-4-yl]-2-phenylpurine
To a solution of trans-N-[4-amino-2-phenyl-5-
pyrimidyl]-3'-oxospiro[cyclohexane-l,1'(3'HJ-
isobenzofuran] -4-carboxamide (100 mg, 0.24 mmol) in pyridine
(3.5 mL) was added phosphorus oxychloride (0.027 mL, 0.28 mmol).
The mixture was stirred at 50°C for 12 hours under a nitrogen
atmosphere. The reaction mixture was cooled to room
temperature, and then concentrated in vacuo. The residue was

diluted with ethyl acetate, and the mixture was washed
successively with saturated aqueous sodium bicarbonate and
saturated brine, dried over anhydrous magnesium sulfate, and
concentrated in vacuo. The resulting residue was purified by
preparative thin-layer chromatography (chloroform:methanol=
10 : 1) to give the title compound (87 mg, 91 %).
1HNMR (300 MHz. CDC13, δ ppm) : 1.70-1.90 (2H, m) , 2.20-2.50
(6H, m), 3.25-3.40 (1H, m) , 7.40-7.70 (6H, m), 7.89 (1H, d,
J=7.8Hz), 8.40-8.50 (2H, m) , 9.21 (1H, s); mass spectrum (ESI)
: 397 (M+H)
The following compounds were prepared according to the
procedure described in Example 6.
Example 7
Cis-8-[3'-oxospiro[cyclohexane-l.1'(3'H)-isobenzofuran]-4-
yl ] - 2-phenylpurine
1HNMR (300 MHz, CDCI3, δ ppm) : 1. 80-2 .00 (2H, m) , 2.05-2.45 (6H,
m), 2.95-3.15 (1H, m), 7.36 (1H, d. J=7.8Hz), 7.45-7.65 (4H,
m), 7.65-7.80 (1H, m), 7.99 (1H, d, J=7.5Hz), 8.42-8.55 (2H,
m), 9.16 (1H. s); mass spectrum (ESI) : 397 (M+H)
Example 8
Trans-2-(2-fluorophenyl)-8-[3'-oxospiro[cyclohexane-
1,1'(3'H)-isobenzofuran]-4-yl]purine
1HNMR (300 MHz, CDC13. δ ppm) : 1.60-1.90 (2H, m) , 2.05-2.35
(6H, m), 3.00-3.10 (1H, m), 7.20-7.75 (6H, m), 7.88 (1H, d,
J=7.5Hz), 8.09 (1H, t, J=6.0Hz), 9.28 (1H, s); mass spectrum
(ESI) : 415 (M+H)

Example 9
Trans-2-[2-(difluoromethoxy)phenyl]-8-[3'-
oxospiro[cyclohexane-l,1'(3'H)-isobenzofuran]-4-yl]purine
1HNMR (300 MHz, CDC13, δ ppm) : 1.40-1.90 (2H, m) , 2.00-2.55
(6H, m), 2.85-3.00 (1H, m), 6.70 (1H, t, J=7.5Hz), 7.20-7.75
(5H, m), 7.88 (1H, d, J=7.5Hz), 7.97 (1H, d, J=7.5Hz), 8.55-8.70
(1H, m), 9.25 (1H, s); mass spectrum (ESI) : 463(M+H)
Example 10
Trans-2-(2,6-difluorophenyl)-8-[3'-oxospiro[cyclohexane-
1,1'(3'H)-isobenzofuran]-4-yl]purine
1HNMR (300 MHz. DMSO-d6, δ ppm) : 1.75-1.88 (2H, m) , 2.21-3.03
(6H, m), 3.41-3.52 (1H, br). 7.25 (2H, t, J=7.8Hz), 7.50-7.80
(5H, m) , 7.82 (1H, d, J=7.8Hz) , 9.18 (1H, s); mass spectrum (ESI)
: 433(M+H)
Example 11
Trans-8-[3-oxospiro[6-azaisobenzofuran-l(3H), 1' -
cyclohexan]-4'-yl]-2-phenylpurine
1HNMR (300 MHz, CDC13, δ ppm) : 1.50-1.90 (2H, m) , 2.15-2.40
(4H, m), 3.10-3.24 (1H, m), 7.47-7.65 (3H, m), 7.77 (1H, d,
J=4.8Hz), 8.35-8.50 (2H, m), 8.85 (1H, d. J=5.1Hz), 8.95 (1H,
s), 9.23 (1H, s) ; mass spectrum (ESI) : 398 (M+H)
Example 12
Trans-2-(3-fluorophenyl)-8-[3-oxospiro[6-azaisobenzofuran-
1(3H),1'-cyclohexan]-4'-yl]purine
1HNMR (300 MHz. DMSO-d6, δ ppm) : 1.88-2.56 (8H, m) , 3.38-3.50
(1H, m) , 7.28-7.40 (1H, m). 7.50-7.65 (1H, m), 7.87 (1H, d.

J=4.9Hz), 8.16 (1H, dd, J=l.lHz,10.8Hz), 8.29 (1H, d, J=7.8Hz),
8.87 (1H. d, J=4.9Hz), 9.15 (1H, s), 9.19 (1H, s); mass spectrum
(ESI) : 416 (M+H)
Example 13
Trans-2-(4-fluorophenyl)-8-[3-oxospiro[6-azaisobenzofuran-
1(3H),1'-cyclohexan]-4'-yl]purine
(1) Preparation of trans-N-[4-amino-2-(4-fluorophenyl)-5-
pyrimidinyl]-3-oxospiro[6-azaisobenzofuran-l(3H),1'-
cyclohexane]-4'-carboxamide
To a solution of trans-3-oxospiro[6-azaisobenzofuran-
1(3H),1'-cyclohexane]-4'-carboxylic acid (4.96 g, 20.0 mmol)
and 2-(4-fluorophenyl)-4,5-diaminopyrimidine (3.7 g, 18.1
mmol) in pyridine (60 mL) was added
1-(3-dimethylaminopropyl)-3-ethylcarbodiimide hydrochloride
(4.5 g, 23.5 mmol) at 0°C. The mixture was stirred at room
temperature for 4 hours under a nitrogen atmosphere, and water
(500 mL) and ethyl acetate (120 mL) were added thereto. The
resulting precipitate was collected by filtration and dried to
give the title compound as a colorless solid (3.97 g, 51 %).
The filtrate was extracted with ethyl acetate, and the extract
was dried over anhydrous magnesium sulfate, then concentrated.
The residue was suspended in ethyl acetate, stirred for a while,
filtered off, and dried to further give the title compound (3.13
g, 39 %).
1HNMR (400 MHz, DMS0-d6, δ ppm) : 1.85-1.95 (2H, m) , 2.00-2.30
(6H, m), 2.75-2.85 (1H, m) , 6.82 (2H. brs), 7.25 (2H, t,
J=7.2Hz). 7.84 (1H, d, J=5.2Hz), 8.25-8.35 (2H, m), 8.40 (1H,
s), 8.86 (1H. d, J=5.2Hz), 9.11 (1H, s), 9.23 (1H, s); mass

spectrum (ESI) : 434 (M+H)
(2) Preparation of trans-2-(4-fluorophenyl)-8-[3-
oxospiro[6-azaisobenzofuran-l(3H),1'-cyclohexan]-4'-
yl]purine
To a solution of trans-N-[4-amino-2-(4-fluorophenyl)-5-
pyrimidinyl]-3-oxospiro[6-azaisobenzofuran-l(3H), 1'-
cyclohexane]-4'-carboxamide (6.89 g, 15.9 mmol) in pyridine
(100 mL) was added phosphorus oxychloride (2.3 mL, 24.6 mmol)
at 0°C. After stirring at 50°C for 16 hours under a nitrogen
atmosphere, the reaction mixture was cooled down to room
temperature and concentrated in vacuo. Ice-water was added to
the residue, and the mixture was stirred for a while, then
extracted with chloroform. The organic layer was dried over
anhydrous magnesium sulfate, and concentrated in vacuo. The
residue was purified by silica gel column chromatography
(C-300, chloroform : tetrahydrofuran = 4 : 1) to give the title
compound (hereinafter referred to as Compound No. 13) as a
colorless solid (3.0 g, 45 %).
1HNMR (400 MHz, CDC13, δ ppm) : 1.44-2.58 (8H, m), 3.30-3.50
(1H, m), 7.19 (2H, t, J=8.8Hz). 7.80 (1H, d, J=4.8Hz), 8.46 (2H,
dd, J=5.6Hz, 8.8Hz), 8.88 (1H, d, J=4.8Hz), 8.96 (1H, s), 9.18
(1H, s); mass spectrum (ESI) : 416 (M+H)
(3) Preparation of a crystal (Form-A) of Compound No. 13
Tetrahydrofuran (1.5 L) was added to the compound (5.0 g)
obtained in the above procedure (2) . The mixture was dissolved
by heating under reflux, and concentrated until the volume of
the solvent was reduced to about 30 mL. The solution was cooled

to room temperature, and the precipitated crystal formed upon
stirring was collected by filtration to give a colorless crystal
(Form-A, 4.1 g) of Compound No. 13.
M.p. 285°C-288°C (Yanagimoto Seisakusho, MP-S3).

The above powder X-ray diffraction data were measured
using an automated X-ray apparatus RINT-Ultima+system (2kW)
(Rigaku International Corporation). The analysis was carried
out as follows:

X-ray source : Cu
Tube voltage/tube current : 40 kV/30 mA
Monochromator : automated monochromator
Goniometer : wide angle goniometer
Scan step : 0.02 deg.
Scan velocity : 2.00 deg./min.
Divergence slit : 1 deg.
Scattering slit : 1 deg.
Receiving slit : 0.15 mm
Determination temperature : 5°C to 40°C
(4) Preparation of a crystal (Form-B) of Compound No. 13
The crystal (Form-A, 4. 6 g) obtained in the above procedure
(3) was added to tetrahydrofuran (1.5 L), and the mixture was
dissolved by heating under reflux. The solution was then cooled
to 0°C, and a solution of maleic acid (1.33 g) in ethanol (10
ml) was added thereto. After the solvent was concentrated in
vacuo, the residue was washed with ethyl acetate to give a
maleate (6.0 g) of Compound No. 13.
The maleate (6.0 g) was suspended in water (300 ml), and
the suspension was vigorously stirred at room temperature for
9 hours. The resulting precipitate was collected by filtration
to give a colorless crystal (Form-B, 4.4 g) of Compound No. 13.
M.p. 246°C-252°C (Yanagimoto Seisakusho, MP-S3).


The above X-ray diffraction data were measured under the
same conditions as in Example 13(3) except that the tube current
was changed to 40 mA.
(5) Preparation of a crystal (Form-C) of Compound No. 13
The crystal (Form-A, 680 mg) of Compound No. 13 obtained
in the above procedure of (3) was suspended in water (35 mL).
The suspension was stirred while heated under reflux for 15

hours, and the resulting precipitate was collected by
filtration to give a colorless crystal (Form-C, 650 mg) of
Compound No. 13.
M.p. 267°C-270°C (Mettler hot stage FP82).

The above X-ray diffraction data were measured under the
same conditions as in Example 13(3).
(6) Preparation of a crystal (Form-C) of Compound No. 13

(Alternative method of the procedure (5))
(6-1) 2-Propanol (20 mL) and IN aqueous potassium hydroxide
(2.6 mL) were successively added to Compound No. 13 (1.0 g) at
0°C, followed by stirring at the same temperature for 30 minutes.
After dropwise addition of 0.15N hydrochloric acid (20 ml) to
the reaction solution, the resulting precipitate was collected
by filtration, and then dried to give a colorless solid (740
mg) .
(6-2) The solid (380 mg) obtained above was suspended in IN
hydrochloric acid (10 mL), and the suspension was stirred at
room temperature for 12 hours. The resulting precipitate was
collected by filtration to give a colorless crystal (Form-C,
290 mg) of Compound No. 13.
The following compounds were prepared according to the
procedure described in Example 6.
Example 14
Trans-2-(2-fluorophenyl)-8-[3-oxospiro[4-azaisobenzofuran-
1(3H),1'-cyclohexane]-4'-yl]purine
1HNMR (300 MHz, CDC13. δ ppm) : 1.60-1.90 (2H, m) , 2.10-2.50
(6H, m), 2.97-3.10 (1H, m), 7.20-7.45 (6H, m), 7.45-7.63 (2H,
m), 7.93 (1H, d, J=7.8Hz), 8.12 (1H, t, J=7.8Hz), 8.92 (1H, d,
J=4.5Hz), 9.28 (1H, s); mass spectrum (ESI) : 416 (M+H)
Example 15
Trans-2-(2,4-difluorophenyl)-8-[3-oxospiro[4-
azaisobenzofuran-l(3H),1'-cyclohexan]-4'-yl]purine
1HNMR (300 MHz, CDC13, δ ppm) : 1.58-2.60 (8H, m) , 3.10-3.80

(1H, m), 6.84-7.14 (2H, m). 7.78 (1H, d, J=4.8Hz), 8.17 (1H,
dd, J=8.4Hz, J=14.8Hz), 8.87 (1H, d, J=4.8Hz), 8.94 (1H, s),
9.20 (1H, s); mass spectrum (ESI) : 434 (M+H)
Example 16
Trans-2-(4-fluorophenyl)-8-[3-oxospiro[5-azaisobenzofuran-
1(3H), 1'-cyclohexan]-4'-yl]purine
1HNMR (300 MHz, DMSO-d6, δ ppm) : 1.80-2.60 (8H, m) , 2.96-3.48
(1H, m), 7.22-7.42 (2H, m), 7.81 (1H, d, J=4.2Hz), 8.38-8.54
(2H, m), 8.84 (1H, d, J=4.2Hz), 9.07(2H, s). 9.10 (2H, s); mass
spectrum (ESI) : 416 (M+H)
Example 17
Preparation of Trans - 2 - (2, 5 - dif luorophenyl) - 8 -
[3-oxospiro[6-azaisobenzofuran-l(3H),1'-cyclohexan]-4'-
yl]purine
(1) Working up in the same manner as Example 13 by use of
trans-3-oxospiro[6-azaisobenzofuran-l(3H),1'-cyclohexane]-
4'-carboxylic acid (24.0 g, 97.1 mmol) and 2-(2,5-
difluorophenyl)-4,5-diaminopyrimidine (19.4 g, 87 mmol),
there was obtained the title compound (hereinafter referred to
as Compound No. 17) as a colorless solid (11.3 g, 30 %).
1HNMR(300 MHz, DMSO-d6, δ ppm) : 1.83-2.02 (8H, m) , 3.38-3.49
(1H, br), 7.31-7.48 (2H, m), 7.78-7.92 (2H, m), 8.88 (1H, d,
J=4.9Hz), 9.19 (2H, s); mass spectrum (ESI) : 434 (M+H)
(2) Preparation of a crystal (Form-A) of Compound No. 17
Ethanol (390 mL) was added to Compound No. 17 (3.9 g)
obtained in the above procedure (1) . The mixture was dissolved

by heating under reflux, and concentrated until the volume of
the solvent was reduced to 120 mL. The solution was cooled down
to room temperature, and stirred for 12 hours. The resulting
precipitate was collected by filtration to give a colorless
crystal (Form-A, 3.6 g) of Compound No.17.
M.p. 265°C-270°C (Mettler hot stage FP82).

The above powder X-ray diffraction data were measured in
the same manner as Example 13(3).

(3) Preparation of a crystal (Form-B) of Compound No. 17
2-Propanol (10 mL) and IN aqueous potassium hydroxide (1.2
mL) were successively added to Compound No. 17 (500 mg) at 0°C,
followed by stirring for 30 minutes. After dropwise addition
of 0.15N hydrochloric acid (10 mL), the mixture was further
stirred for 30 minutes . The resulting precipitate was collected
by filtration to give a colorless crystal (Form-B, 390 mg) of
Compound No. 17.
M.p. 223°C-227°C (Mettler hot stage FP82).


The above powder X-ray diffraction data were measured
under the same conditions as Example 13(3).
The following compounds were prepared according to the
procedure described in Example 6.
Example 18
Trans-2-(5-chloro-2-fluorophenyl)-8-[3-oxospiro[6-aza-
isobenzofuran-l(3H),1'-cyclohexan]-4'-yl]purine
1HNMR (300 MHz, CDC13, δ ppm) : 1.70-1.95 (2H, m) , 2.20-2.60
(6H, m), 3.20-3.40 (1H, m), 7.10-7.30 (1H, m), 7.40-7.55 (1H,
m), 7.78 (1H, d, J-5.1HZ), 8.10-8.25 (1H, m). 8.87 (1H, d.
J=5.1Hz), 8.93 (1H, s), 9.27 (1H, s); mass spectrum (ESI) : 450
(M+H)
Example 19
Trans-8-[5-fluoro-3-oxospiro[6-azaisobenzofuran-l(3H),1'-
cyclohexan]-4'-yl]-2-phenylpurine
1HNMR (300 MHz, DMS0-d6, δ ppm) : 1.90-2.06 (2H, m) , 2.10-2.28
(4H, m), 2.29-2.45 (2H, m), 3.35-3.45 (1H, m). 7.42-7.56 (3H,
m), 7.70 (1H, d, J=3.3Hz), 8.44 (2H, dd, J=7.8Hz, J=1.8Hz), 8.82
(1H, s), 9.12 (1H, s); mass spectrum (ESI) : 416 (M+H)
Example 20
Trans-8-[5-fluoro-3-oxospiro[6-azaisobenzofuran-l(3H),1'-
cyclohexan]-4'-yl]-2-(2-fluorophenyl)purine
1HNMR (400MHz, DMSO-d6. δ ppm) : 1.90-2.70 (8H, m) , 3.08-3.60
(1H, m), 7.24-7.42 (2H, m), 7.42-7.60 (1H, m), 7.69 (1H, s),
8.00-8.14 (1H, m), 8.80 (1H, s), 9.13 (1H, s); mass spectrum

(ESI) : 434 (M+H)
Example 21
Trans-2-(2,4-difluorophenyl)-8-[5-fluoro-3-oxo-
spiro[6-azaisobenzofuran-l(3H), 1'-cyclohexan]-4'-yl]purine
1HNMR (400 MHz, DMSO-d6, δ ppm) : 1.90-2.06 (2H, m) , 2.06-2.60
(6H, m), 3.16-3.50 (1H, m), 7.14-7.30 (1H, m), 7.30-7.42 (1H,
m), 7.69 (1H, s), 8.02-8.18 (1H, m), 8.79 (1H, s), 9.12 (1H,
s); mass spectrum (ESI) : 459 (M+H)
Example 22
Trans-2-chloro-8-[3'-oxospiro[cyclohexane-l,1'(3'H)-
isobenzofuran]-4-yl]purine
1HNMR (300 MHz, DMSO-d6, δ ppm) : 1.73-1.82 (2H, m) , 1.96-2.20
(4H, m), 2.23-2.35 (2H, m) , 3.14-3.32 (1H, m) , 7.56-7.65 (1H,
m) , 7.76-7.87 (3H, m) , 8.82 (1H, s); mass spectrum (ESI) : 355,
357 (M+H)
Example 23
Preparation of trans-2- (6-fluoropyridin-2-yl) -8-[3' -
oxospiro[cyclohexane-l,l'(3'H)-isobenzofuran]-4-yl]purine
(1) Preparation of trans-2-chloro-8-[3'-
oxospiro[cyclohexane-l,1'(3'H)-isobenzofuran]-4-yl]-7-
(2-trimethylsilylethoxymethyl)purine
To a solution of trans-2-chloro-8-[3' -
oxospiro[cyclohexane-l,l'(3'H)-isobenzofuran]-4-yl]purine
(205 mg, 0.49 mmol) in dimethylformamide (5 mL) were added
2-(trimethylsilyl)ethoxymethyl chloride (0.12 mL, 0.59 mmol)
and 60% sodium hydride (30 mg, 0.75 mmol). The mixture was

stirred at 50°C for 3 days, cooled to room temperature, and
diluted with ethyl acetate and water. The organic layer was
washed successively with water and saturated brine, dried over
anhydrous sodium sulfate, and concentrated in vacuo. The
residue was purified by silica gel column chromatography
(C-300, hexane : ethyl acetate = 3 : 2) to give the title compound
(115mg, 41%).
(2) Preparation of trans-2-(6-fluoropyridine-2-yl)-8-[3'-
oxospirotcyclohexane-1,1'(3'H)-isobenzofuran]-4-
yl]purine
To a solution of trans-2-chloro-8-[3'-
oxospiro[cyclohexane-l,l'(3'H)-isobenzofuran]-4-yl]-7-(2-
trimethylsilylethoxymethyl)purine (100 mg, 0.21 mmol) in
toluene (2 mL) were added 6-fluoro-2-trimethyl-
stannylpyridine (80 mg, 0.21 mmol) and [1,1'-
bis(diphenylphosphino)ferrocene]palladium(II) dichloride (17
mg, 0.02 mmol). The mixture was stirred under reflux at 120°C
for 15 hours under a nitrogen atmosphere. After the reaction
solution was cooled to room temperature, it was diluted with
ethyl acetate and water. The organic layer was washed
successively with water and saturated brine, dried over
anhydrous magnesium sulfate, and then concentrated in vacuo.
The residue was purified by silica gel column chromatography
(C-300, hexane : ethyl acetate=2 : 3) to give the title compound
(67 mg, 59 %) .
1HNMR (300 MHz, CDC13, δ ppm) : 1.67-1.95 (2H, m), 2.15-2.36
(6H, m), 3.40-3.52 (1H, m), 7.03-7.11 (1H. m), 7.42-7.63 (3H,
m), 7.87 (1H, d, J=7.5Hz), 8.04 (1H, q, J=7.7Hz), 8.56 (1H, d.

J=7.7Hz), 9.23 (1H, s), 12.4 (1H, brs); mass spectrum (ESI) :
416 (M+H)
The following compounds were prepared according to the
procedure described in Example 23.
Example 24
Trans-2-(2-furyl)-8-[3'-oxospiro[cyclohexane-l,1'(3'H)-
isobenzofuran]-4-yl]purine
1HNMR (300 MHz, CDC13 ,δ ppm) : 1.73-1.85 (2H, m) , 2 . 25-2 . 47 ( 6H,
m), 3.40-3.48 (1H, m) , 6.64-6.66 (1H, m) , 7.35 (1H, d, J=3.5Hz),
7.43-7.55 (2H, m), 7.60-7.68 (2H, m), 7.89 (1H, d, J=7.6Hz),
9.16 (1H, s), 11.17 (1H, s); mass spectrum (ESI) : 387 (M+H)
Example 25
Trans-2-(indol-5-yl)-8-[3-oxospiro[6-azaisobenzofuran-
1(3H),1' -cyclohexan]-4'-yl]purine
^NMR (300 MHz, CDCI3, δ ppm) : 1.70-1.82 (2H, m) , 2.05-2.35
(6H, m), 3.13-3.22 (1H, m), 6.66 (1H, d, J=2.5Hz), 7.26-7.32
(1H, m), 7.55 (1H, d, J=8.5Hz), 7.79 (1H, d, J=5.0Hz), 8.24 (1H,
d, J=8.5Hz), 8.69 (1H, s), 8.85 (1H, d, J=5.0Hz), 9.00 (1H, s),
9.17 (1H, s); mass spectrum (ESI) : 437 (M+H)
Example 26
Preparation of trans-6-(4-fluorophenyl)-2-[3'-
oxospiro[cyclohexane-1,1'(3'H)-isobenzofuran]-4-
yl]imidazo[4,5-b]pyridine
(1)Preparation of 2-amino-5-(4-fluorophenyl)-3-
nitropyridine
To a suspension of 2-amino-5-bromo-3-nitropyridine (2.2

g, 10.1 mmol) in dimethoxyethane (20 mL) were added
4-fluorophenylboronic acid (4.83 g, 13.1 mmol),
tetrakis(triphenylphosphine)palladium (580 mg, 0.50 mmol) and
2N aqueous sodium carbonate solution(10 mL). The mixture was
stirred at 80°C for 9 hours under a nitrogen atmosphere. After
the reaction mixture was cooled to room temperature, it was
diluted with ethyl acetate to give a precipitate, which was
collected by filtration, washed with ethyl acetate and then
dried to give the title compound (1.76 g, 76 %).
(2) Preparation of 2,3-diamino-5-(4-fluorophenyl)pyridine
2-Amino-5-(4-fluorophenyl)-3-nitropyridine (200 mg,
0.86 mmol) was suspended in a mixture of methanol (5 mL), ethyl
acetate (5 mL), tetrahydrofuran (5 mL) and triethylamine (2 mL) .
After addition of 10% palladium carbon (100 mg), the mixture
was stirred at room temperature for 1.5 hours under a hydrogen
atmosphere. The reaction mixture was filtered, and the
filtrate was concentrated in vacuo. The residue was purified
by silica gel column chromatography (C-300, chloroform :
methanol=50 : 1) to give the title compound (76 mg, 44 %) as
a white solid.
(3) Preparation of trans-N-[2-amino-5-(4-fluorophenyl)-3-
pyridyl]-3'-oxospiro[cyclohexane-l,1'(3'H)-isobenzofuran]-
4-carboxamide
To a solution of 2,3-diamino-5-(4-fluorophenyl)pyridine
(76 mg, 0.37 mmol) and trans-3'-oxospiro[cyclohexane-
1,1* (3'H) -isobenzofuran] -4-carboxylic acid (92 mg, 0.37 mmol)
in pyridine (1 mL) was added

1-(3-dimethylaminopropyl)-3-ethylcarbodiimide hydrochloride
(86 mg, 0.45 mmol) . The mixture was stirred at room temperature
for 28 hours under a nitrogen atmosphere, and concentrated in
vacuo. After addition of saturated aqueous sodium bicarbonate
to the residue, the mixture was extracted with ethyl acetate.
The organic layer was dried over anhydrous magnesium sulfate,
and concentrated in vacuo. The residue was further washed with
ethyl acetate and then dried to give the title compound (132
mg, 82 %).
(4) Preparation of trans-6-(4-fluorophenyl)-2-[3'-
oxospiro[cyclohexane-l,1'(3'H)-isobenzofuran]-4-
yl]imidazo[4,5-b]pyridine
To a solution of trans-N-[2-amino-5-(4-fluorophenyl)-3-
pyridyl]-3'-oxospiro[cyclohexane-l,1'(3'Hj-
isobenzofuran] -4-carboxamide (130 mg, 0.30 mmol) in pyridine
(4 mL) was added phosphorus oxychloride (0.15 mL, 1.5 mmol).
The mixture was stirred at 50°C for 16 hours . After the reaction
mixture was cooled to room temperature, it was concentrated in
vacuo. Aqueous ammonia was added to the residue, and the
mixture was extracted with chloroform. The organic layer was
dried over anhydrous magnesium sulfate, and concentrated in
vacuo. The residue was purified by preparative thin-layer
chromatography (chloroform : methanol=10 : 1) to give the title
compound (32 mg, 32 %).
1HNMR (300 MHz, CDC13, δ ppm) : 1.75-2.09 (2H, m) , 2.23-2.75
(6H, m), 3.63 (1H, brs) , 7.00-7.69 (7H, m) , 7.88 (1H, d,
J=7.4Hz), 8.29 (1H, brs), 8.53 (1H, brs), 13.2-13.6 (1H, br);
mass spectrum (ESI) : 414 (M+H)

Example 27
Trans-5-(2-fluorophenyl)-2-[3-oxospiro[6-azaisobenzofuran-
1(3H),1'-cyclohexan]-4'-yl]imidazo[4,5-b]pyridine
(1) Working up in the same manner as Example 13 by use of
trans-3'-oxospiro[cyclohexane-1,1'(3'H)-isobenzofuran]-4-
carboxylic acid (13.1 g, 53 mmol) and
2,3-diamino-6-(2-fluorophenyl)pyridine (10.8 g, 53 mmol),
there was obtained the title compound (hereinafter referred to
as Compound No. 27) as a colorless solid (7.4 g, 34 %).
1HNMR (400 MHz, DMSO-d6, δ ppm) : 1.70-2.80 (8H, m) , 2.80-3.68
(1H, m), 7.20-7.50 (2H, m), 7.61 (1H, d, J=7.2Hz), 7.76-8.02
(2H, m), 7.85 (1H, d, J=4.8Hz), 8.08 (1H, d, J=8.4Hz), 8.86 (1H,
d, J=4.8Hz), 9.21 (1H. s); mass spectrum (ESI) : 415( M+H)
(2) Preparation of a crystal (Form-A) of Compound No. 27
Ethyl acetate (2.0 L) was added to Compound No. 27 (6.1
g) obtained in the above procedure (1). The mixture was
dissolved by heating to reflux, and concentrated until the
volume of the solvent was reduced to 30 mL. The solution was
cooled down to room temperature, and stirred vigorously. The
resulting precipitate was collected by filtration to give a
colorless crystal (Form-A, 5.7 g) of Compound No 27.
M.p. 242°C-244°C (BUCHI Melting Point B-545).


The above powder X-ray diffraction data were measured
under the same conditions as in Example 13(3).
(3) Preparation of a crystal (Form-B) of Compound No. 27
The coloress crystal (Form-A, 20 mg) of Compound No. 27
obtained in the above procedure was suspended in water (2 ml).
The suspension was stirred while heated under reflux for 12
hours, and the resulting precipitate was collected by
filtration to give a colorless crystal (Form-B, 19 mg) of

Compound No. 27.
M.p. 255°C-256°C (BUCHI Melting Point B-545).

The above powder X-ray diffraction data were measured in
the same manner as Example 13(3).
The following compounds were prepared according to the
procedure described in Example 26.
Example 28

Trans-6-(2-fluorophenyl)-2-[3-oxospiro[6-azaisobenzofuran-
1(3H),1'-cyclohexan]-4'-yl]imida2o[4,5-c]pyridine
1HNMR (400 MHz, DMSO-d6, δ ppm) : 1.70-2.70 (8H, m) , 2.70-3.60
(1H, m), 7.20-7.48 (3H, m), 7.48-8.12 (2H, m), 7.85 (2H, d,
J=4.8Hz), 8.86 (1H, d, J=4.8Hz), 9.00 (1H, s), 9.16 (1H, s);
mass spectrum (ESI) : 415 (M+H)
Example 29
Trans-2-[3'-oxospiro[cyclohexane-l,1'(3'H)-isobenzofuran]-
4-yl]-5-phenylimidazo[4,5-b]pyrazine
1HNMR (400 MHz, CDC13, δ ppm) : 1.70-2.70 (8H, m) , 3.22-3.60
(1H, m), 7.20-8.20 (9H, m), 8.70-9.00 (1H, m); mass spectrum
(ESI) : 397 (M+H)
Example 30
Trans-2-[3'-oxospiro[cyclohexane-l,1'(3'H)-isobenzofuran]-
4-yl]-6-phenylimidazo[4,5-b]pyridazine
1HNMR (400 MHz, DMSO-d6, δ ppm) : 1.70-1.90 (2H, m) , 2.00-2.80
(6H, m), 3.20-3.40 (1H, m) , 7.40-8.00 (7H, m) , 8.10-8.40 (3H,
m); mass spectrum (ESI) : 397 (M+H)
Example 31
Trans-2-(2-fluorophenoxy)-8-[3'-oxospiro[cyclohexane-
1,1'(3'H)-isobenzofuran]-4-yl]purine
1HNMR (300 MHz, DMSO-d6, δ ppm) : 1.73-1.87 (2H, m) , 2.04-2.25
(4H, m), 2.29-2.41 (2H, m) , 3.25-3.50 (1H, m) , 7.24-7.45 (4H,
m), 7.59 (1H, d, J=7.6Hz), 7.64-7.80 (2H, m), 7.83 (1H, d,
J=7.6Hz), 8.85 (1H, s), 13.28 (1H, brs); mass spectrum (ESI)
: 431 (M+H)

Example 32
Trans-2-(2,6-difluorophenoxy)-8-[3'-oxospiro[cyclohexane-
1,1'(3'H)-isobenzofuran]-4-yl]purine
1HNMR (300 MHz, DMSO-d6, δ ppm) : 1.72-1.84 (2H, m) , 2.03-2.25
(4H, m), 2.31-2.41 (2H, m), 3.23-3.49 (1H, m), 7.26-7.44 (3H,
m), 7.59 (1H, d, J=7.3Hz), 7.65-7.80 (2H, m) , 7.83 (1H, d,
J=7.3Hz), 8.87 (1H, s), 13.38 (1H, brs); mass spectrum (ESI)
: 449 (M+H)
Example 33
Trans-2-morpholino-8-[3'-oxospiro[cyclohexane-1,1'(3'H)-
isobenzofuran] -4-yl]purine
1HNMR (300 MHz, DMSO-d6, δ ppm) : 1.72-1.86 (2H, m) , 2.05-2.23
(4H, m), 2.24-2.38 (2H, m) , 3.21-3.42 (1H, m) , 3.65-3.74 (8H,
m), 7.57-7.68 (2H, m), 7.73 (1H, d, J=7.7Hz), 7.84 (1H, d.
J=7.7Hz), 8.67 (1H, s), 12.72 (1H, brs); mass spectrum (ESI)
: 406 (M+H)
Example 34
Trans-2-(N-methylanilino)-8-[3'-oxospiro[cyclohexane-
1,1'(3'H)-isobenzofuran]-4-yl]purine
1HNMR (300 MHz, DMSO-d6, δ ppm) : 1.71-1.87 (2H, m) , 2.02-2.22
(4H, m), 2.23-2.38 (2H, m), 3.20-3.41 (1H, m), 3.51 (3H, s),
7.14-7.23 (1H, m), 7.33-7.44 (4H, m), 7.60 (1H, t, J=7.4Hz),
7.66 (1H, d, J=7.4Hz), 7.74 (1H, t, J=7.4Hz), 7.84 (1H, d,
J=7.4Hz), 8.66 (1H, s), 12.81 (1H, brs); mass spectrum (ESI)
: 426 (M+H)

Example 35
Trans-2-(4-fluorophenyl)-8-[7-hydroxy-3-oxospiro[6-azaisobe
nzofuran-l(3H), 1'-cyclohexan]-4'-yl]purine
1HNMR(400MHz, CD3OD, 6ppm):2.22-2.50(2H, m) , 2.50-2.80(6H, m) ,
3.42-3.70(1H, m). 6.62(1H, d, J=6.8Hz), 7.12-7.30(2H, m) ,
7.51(1H, d, J=6.8Hz), 8.40-8.58(2H, m) , 8.98(1H, s); mass
spectrum(ESI):432(M+H)
Example 36
Trans-2-(4-fluorophenyl)-8-[3-oxospiro[ 6 -azaisobenzofuran-1
(3H), 1'-cyclohexan]-4'-yl]purine 6-oxide
1HNMR(400MHz, DMSO-d6, 6ppm):1.80-2.02(2H, m), 2.02-2.28(4H,
m), 2.28-2.62(2H, m) , 3.02-3.60(1H, m) , 7.32(2H, t, J=8.8Hz),
7.82(1H, d, J=6.8Hz), 8.32(2H, d, J=6.8Hz), 8.42-8.54(2H, m) ,
8.84(1H, s), 9.08(1H, s), 9.18(1H, s); mass
spectrum(ESI):432(M+H)
Example 37
Trans-2-(4-fluoro-2-hydroxyphenyl)-8-[3-oxospiro[6-azaisobe
nzofuran-l(3H), 1'-cyclohexan]-4'-yl]purine
1HNMR(400MHz, CD3OD, δ ppm):1.94-2.10(2H, m) , 2.22-2.58(6H, m),
3.42-3.58(lH, m) , 6.62-6.78(2H, m) , 7.82-7.90(1H. m) ,
8.50-8.62(lH, m), 8.83(1H, d, J=4.8Hz), 9.04(1H, s), 9.09(1H,
s); mass spectrum(ESI):432(M+H)
Example 38
Trans-2-(4-fluorophenyl)-6-hydroxy-8-[3-oxospiro[6-azaisobe
nzofuran-l(3H), 1'-cyclohexan]-4'-yl]purine
1HNMR(400MHz, CD3OD, δ ppm):1.94-2.10(2H, m) , 2.22-2.46(6H, m) ,

3.22-3.40(lH, m), 7.29(2H, t, J=8.4Hz), 7.85(1H, d, J=4.4Hz),
8.08-8.18(2H, m) , 8.83(1H, d, J=4.4Hz), 9.18(1H, s); mass
spectrum(ESI):432(M+H)
Example 39
Trans-2-(4-hydroxyphenyl)-8-[3-oxospiro[6-azaisobenzofuran-
1(3H), 1'-cyclohexan]-4'-yl]purine
1HNMR (400MHz, CD3OD, δ ppm):1.94-2.10(2H, m) , 2.26-2.58(6H, m) ,
3.52-3.62(lH, m) , 7.14(2H, d, J=8.8Hz), 7.88(1H, d, J=5.2Hz),
8.35(2H, d, J=8.8Hz), 8.85(1H, d, J=5.2Hz), 9.05(1H, s),
9.13(1H, s); mass spectrum(ESI):414(M+H)
Example 40
Trans-2-(4-fluoro-3-hydroxyphenyl)-8-[3-oxospiro[6-azaisobe
nzofuran-l(3H), 1'-cyclohexan]-4'-yljpurine
1HNMR(400MHz, DMSO-d6, δ ppm):1.80-2.70(8H, m), 3.00-3.54(1H,
m), 7.23(1H, d, J=7.6Hz), 7.80-8.00(2H, m) , 8.07(1H, d,
J=7.6Hz), 8.86(1H, d, J=5.2Hz), 9.06(1H, s), 9.16(1H, s); mass
spectrum(ESI):432(M+H)
Example 41
Cis-2-(4-fluorophenyl)-8-[4'-hydroxy-3-oxospiro[6-azaiso-be
nzofuran-l(3H), 1'-cyclohexan]-4'-yl]purine
1HNMR(400MHz, CD3OD, δ ppm):1.94-3.42(8H, m) , 7.10-7.26(2H, m) ,
7.80-7.98(lH, m), 8.20-8.40(2H, m) , 8.80-8.96(1H, m) , 9.01(1H,
s), 9.09(1H, s); mass spectrum(ESI):432(M+H)
Reference Example 1
Preparation of 2-phenyl-4,5-diaminopyrimidine

2-phenyl-4-chloro-5-nitro-6-aminopyrimidine (367 mg,
1.46 nimol) which was produced according to the method described
in the Journal of Chemical Society (C), 1408-1412 (1969) was
suspended in a mixture of methanol (3 mL), ethyl acetate (2 mL)
and triethylamine (0.21 mL). After addition of 10%
palladium-carbon (40 mg), the mixture was stirred at room
temperature for 2 hours under a hydrogen atmosphere and then
filtered. The filtrate was concentrated in vacuo, and purified
by silica gel column chromatography (C-300, chloroform :
methanol=50 : 1) to give the title compound (175 mg, 64 %) as
a brown solid.
^NMR (300 MHz, CDC13. δ ppm) : 7.35-7.47 (3H, m) , 7.97 (1H,
s), 8.20-8.27 (1H, m); mass spectrum (ESI) : 187 (M+H)
Reference Example 2
Preparation of 2-phenyl-4,5-diaminopyrimidine
To a solution of 2-phenyl-5-nitropyrimidine (50.1 g, 250
mmol), which was produced according to the method described in
the Journal of American Chemical Society, 78, 1434-1437 (1956),
in dimethyl sulfoxide (1 L) were added trimethylammonium
hydrazine iodide (106 g) and potassium t-butoxide (61.5 g). The
mixture was stirred at room temperature for 2.5 hours, and then
added to IN hydrochloric acid. The resulting precipitate was
collected by filtration to give a compound and the compound was
dissolved in methanol (700 mL). After addition of 10% palladium
carbon (8 g) to the solution, the mixture was stirred at room
temperature overnight under a hydrogen atmosphere. The
reaction mixture was filtered and the filtrate was concentrated
in vacuo to give the title compound (25.9 g, 86 %) as a brown

solid.
Reference Example 3
Preparation of 2-phenyl-4,5-diaminopyrimidine
Zinc chloride (136 mg), potassium t-butoxide (505 mg) and
O-methylhydroxylamine monohydrochloride (125 mg) were
successively added to a solution of 2-phenyl-5-nitropyrimidine
(201 mg, 1.00 mmol), which was prepared according to the method
described in the Journal of American Chemical Society, 78,
1434-1437 (1956), in dimethyl sulfoxide (5 mL) . The mixture
was stirred at room temperature for 40 minutes, and saturated
aqueous ammonium chloride was added thereto, then the mixture
was extracted with ethyl acetate. The organic layer was washed
with 5% aqueous sodium bicarbonate, dried over aqueous sodium
sulfate, and concentrated in vacuo. The residue was dissolved
in methanol (8 mL), and 10% palladium carbon (50 mg) was added
thereto. The mixture was stirred at room temperature for one
hour under a hydrogen atmosphere, and then filtered. The
filtrate was concentrated in vacuo to give the title compound
(148 mg, 80 %) as a brown solid.
Reference Example 4
Preparation of 2,3-diamino-6-(2-fluorophenyl)pyridine
(l)Preparation of 6-amino-2-bromo-5-nitropyridine
To a solution of commercially available 2,6-dichloro-5-
nitropyridine (20.0 g, 95.3 mmol) in ethanol (300 mL) was added
aqueous ammonia (60 mL), and the mixture was stirred at room
temperature for 10 hours. The resulting precipitate was
filtered, washed with ethanol, and dried in vacuo to give

6-amino-2-chloro-5-nitropyridine (13.8 g, 83%). The compound
thus obtained was suspended in an acetic acid solution (130 mL)
of 30% hydrogen bromide. The suspension was stirred at 100°C
for 26 hours, cooled to room temperature, and concentrated in
vacuo. The resulting residue was extracted with ethyl acetate.
The organic layer was washed with saturated aqueous sodium
bicarbonate and saturated brine, dried over anhydrous magnesium
sulfate, and concentrated in vacuo. The residue thus obtained
was recrystallized from ethyl acetate to give the title compound
(14.93 g, 86 %).
(2) Preparation of 2,3-diamino-6-(2-fluorophenyl)pyridine
To a solution of 6-amino-2-bromo-5-nitropyridine (2.0 g,
9.2 mmol) and 2-fluorophenylboronic acid (2.57 g, 18 mmol) in
dimethoxyethane (60 mL) were added 2M aqueous sodium carbonate
solution (18 mL) and tetrakistriphenylphosphine palladium(O)
(106 mg, 0.092 mmol). The mixture was stirred at 105°C for 16
hours under a nitrogen atmosphere. After the reaction mixture
was cooled to room temperature, it was extracted with ethyl
acetate. The organic layer was washed with saturated brine,
dried over anhydrous magnesium sulfate, and concentrated in
vacuo. The residue was dissolved in a mixture of ethyl acetate
(30 mL) and methanol (30 mL). To the solution was added 10%
palladium carbon (200 mg) , and the mixture was stirred at room
temperature for 14 hours under a hydrogen atmosphere. After
removal of the palladium catalyst by filtration, the filtrate
was concentrated in vacuo. The residue was purified by silica
gel column chromatography (chloroform : methanol=30 : 1) to give
the title compound (1.87 g, 100 %) as a reddish brown oil.

1HNMR (300 MHz, CD3OD, δ ppm) : 6.89-6.96 (2H, m) , 7.06-7.12
(1H, m), 7.15-7.20 (1H, m). 7.25-7.30 (1H ,m), 7.65-7.70 (1H,
m); mass spectrum (ESI) : 204 (M+H)
Reference Example 5
Preparation of 4,5-diamino-2-(4-fluorophenyl)pyrimidine
(1) Preparation of 2-(4-fluorophenyl)-4,6-dihydroxy-5-
nitropyrimidine
4,6-dihydroxy-2-(4-fluorophenyl)pyrimidine (11 g, 53
mmol) described in European patent No. 136976A was gradually
added to fuming nitric acid (100 mL) at 0°C. The reaction
temperature was raised to room temperature, and the mixture was
stirred for 15 hours. The reaction mixture was poured onto
ice-water (150 mL), and then neutralized with sodium carbonate
at 0°C. The resulting precipitate was collected by filtration
and dried to give the objective compound as a solid (9.2 g, 68
%).
(2) Preparation of 4,6-dichloro-2-(4-fluorophenyl)-5-
nitropyrimidine
Phosphorus oxychloride (17 mL) and N,N-dimethylaniline
(4.21 mL) were added to 2-(4-fluorophenyl)-4,6-dihydroxy-
5-nitropyrimidine (8.2 g, 32.6 mmol). The mixture was heated
under reflux for 3 hours, cooled down to room temperature, and
concentrated in vacuo to give a residue, to which was added
ice-water. The resulting precipitate was collected by
filtration, washed with water, and dried to give the objective
compound as a solid (9.0 g, 96 %).

(3) Preparation of 4-amino-6-chloro-2-(4-fluorophenyl)-5-
nitropyrimidine
28% aqueous ammonia (3.1 mL) was added to a solution of
4,6-dichloro-2-(4-fluorophenyl)-5-nitropyrimidine (5.0 g,
17.4 mmol) in tetrahydrof uran (50mL) at -50°C until the starting
material disappeared. After addition of 3N hydrochloric acid
(5 mL) to the reaction solution at the same temperature, the
reaction temperature was raised and then the mixture was
concentrated in vacuo. Water was added to the residue, and the
resulting suspension was filtered, then dried to give the
objective compound as a solid (4.05 g, 87 %).
(4) Preparation of 4,5-diamino-2-(4-fluorophenyl)pyrimidine
4-amino-6-chloro-2-(4-fluorophenyl)-5-nitropyrimidine
(15.3 g, 57 mmol) was dissolved in a mixture of methanol (200
mL) and ethyl acetate (100 mL), and after adding thereto 10%
palladium on carbon (2.88 g) and triethylamine (12 mL), the
mixture was stirred in a hydrogen stream for 18 hours. The
reaction mixture was filtered and the filtrate was concentrated
in vacuo to give a residue, to which was added water. The
mixture was extracted with ethyl acetate, and the organic layer
was dried over anhydrous magnesium sulfate, then concentrated
in vacuo. The residue was purified by silica gel column
chromatography (C-300, chloroform : methanol = 20 : 1) to give
the title compound as a brown solid (7.16 g, 68 %).
1HNMR (400 MHz, DMSO-d6. δ ppm) : 4.83 (2H, s), 6.36 (1H. s),
7.10-7.23 (2H, m) , 7.64 (1H ,s), 8.11-8.22 (2H, m) ; mass
spectrum (ESI) : 205 (M+H)

Reference Example 6
Preparation of 4,5-diamino-2-(2,5-difluoro- phenyl)-
pyrimidine
Working up in the same manner as Reference Example 5, there
was obtained the title compound (59.7 g) as a yellow solid from
3,5-dihydroxy-2-(2,5-difluorophenyl)pyrimidine (125 g).
Mass spectrum (ESI) : 223 (M+H)
Formulation Example 1
20.0 g of the compound of Example 6, 417 g of lactose,
80 g of crystalline cellulose and 80g of partial alpha-starch
were blended with a V-cone blender. To the mixture was added
3.0 g of magnesium stearate, and the whole was blended. The
blended powder was compressed into 3000 tablets by conventional
procedure so that each tablet has a weight of 150 mg and a
diameter of 7.0 mm.

Formulation Example 2
10.8 g of hydroxypropylcellulose 2910 and 2.1 g of
polyethylene glycol 6000 were dissolved in 172.5 g of purified
water. To the solution was dispersed 2.1 g of titanium dioxide
to provide a coating liquid. 2,500 tablets separately prepared

according to Formulation Example 1 were subjected to
spray-coating with the coating liquid using HICOATER-MINI to
provide film coated tablets with a weight of 155 mg.

Industrial Applicability
Compounds of the present invention (I) exhibit NPY
antagonistic effects, show excellent pharmacokinetics such as
transport into brain or transport to cerebrospinal fluid, etc. ,
and are very safe. Thus, the compound of the present invention
(I) are useful as agents for the treatment of various diseases
related to NPY, for example, cardiovascular disorders such as
angina, acute or congestive heart failure, myocardial
infarction, hypertension, nephropathy, electrolyte
abnormality, vasospasm, arteriosclerosis, etc., central
nervous system disorders such as bulimia, depression, anxiety,
seizure, epilepsy, dementia, pain, alcoholism, drug
withdrawal, circadian rhythm disorders, schizophrenia, memory
impairment, sleep disorders, cognitive impairment, etc.,
metabolic diseases such as obesity, diabetes, hormone
abnormality, hypercholesterolemia, hyperlipidemia, gout,
fatty liver, etc., genital or reproductive disorders such as
infertility, preterm labor, sexual dysfunction, etc.,
gastro-intestinal disorders, respiratory disorder.

inflammatory diseases or glaucoma, and the like, also for
example, atherosclerosis, hypogonadism, hyperandrogenism,
polycystic ovary syndrome, hirsutism, gastro-intestinal
motility disorder, obesity-related gastro-esophageal
reflux, obesity hypoventilation (Pickwickian syndrome),
sleep apnea, inflammation, systemic inflammation of the
vasculature, osteoarthritis, insulin resistance,
bronchoconstriction, alcohol preference, metabolic
syndrome, Alzheimer's disease, cardiac hypertrophy, left
ventricular hypertrophy, hypertriglyceridemia, low HDL
cholesterol, cardiovascular disorders such as coronary heart
disease (CHD), cerebrovascular disease, stroke, peripheral
vascular disease, sudden death, gallbladder diseases, cancer
(breast, endometrial, colon), breathlessness, hyperuricemia,
impaired fertility, low back pain, or increased anesthetic
risk, and the like.

WE CLAIM;
1. A compound of the formula (I)

wherein B and D are methine, said methine being unsubstituted or
substituted by a substituent selected from the group consisting of halogen,
cyano, C1-6 attcyl, hato-C1-6 alkyl, hydroxy, C1-6 aMcoxy, halo-C1-6 alkoxy, C2-7
alkoxycarbonyl, C1-6 attcylsuifonyl, C1-6 alkylsulfonyloxy, -N(R1)R2 and -Q1-Ar1,
and A and C are nitrogen;
Ar1 is aryl selected from the group consisting of phenyl and naphthyl, or
heteroaryl selected from the group consisting of pyrrolyl, furyl, thienyi,
imidazolyl, pyrazolyl, thiazolyl, isothiazolyl, oxazolyl, isoxazolyt, triazolyl,
tetrazolyl, oxadiazolyl, 1, 2,3-thiadiazolyl, 1,2,4-thiadiazolyl, 1,3,4-
thiadiazolyl, pyridyl, pyrazlmyl, pyrimidinyl, pyridazinyl, 1,2,4-tirazinyl, 1,3,5-
triazinyl, indolyl, benzofuranyl, benzothienyf, benzoimidazolyl, benzoxazolyf,
benzoisoxazolyi, benzothiazolyl, benzoisothiazolyl, indazolyl, purinyl, quinolyl,
isoquinolyl, phthalazinyl,niaphthylidinyl, quinoxalinyl, quinazolinyl, cinnolinyl,
pteridinyl and pyrido [3,2-b jpyridyl, any of which is unsubstituted or
substituted by a substituent selected from the group consisting of halogen,

nitro, hdyroxy, C1-6 alkyl, halo- C1-6 alkyl, hydroxy-C1-6 alkyl, cyclo-C3-6 aikyf,
C2-6 alkenyl, C1-6 akoxy, halo-C1-6 alkoxy/ C1-6 alkylthio, C1-6 alkylsulfonyl,
carboxyl, C2-7 alkanoyl, C2-7 aHcoxycarbonyl, C2-7 alkanoylamino and -Q2-Ar2;
Ar2 is aryl selected from the group consisting of phenyl and naphthyl, or
heteroaryl selected from the group consisting of pyrrolyl, furyl, thienyl,
lmidazolyl, pyrazolyl, thiazolyl, isothiazolyl, oxazolyl, isoxazolyl, triazolyl,
tetrazolyl, oxadiazolyl, 1,2,3-thiadiazolyl, 1,2,4-thiadiazolyl, 1,3,4-thia-
diazolyl, pyridyl, pyrazinyl, pyrimidinyl, pyridazinyl, 1,2,4-triazinyl, 1,3,5-
triazinyl, indolyl, benzoluranyl, benzothienyl, benzoimidazolyl benzoxazolyl,
benzoisoxazolyl, benzothiazolyl, benzoisothiazolyl, indazolyl, purinyl, quinolyl,
isoquinolyl, phthalazinyl, naphthylidinyi, quinoxalinyl, quinazolinyl, cinnolinyl,
pteridinyl and pyrido [3,2-b]pyridyl, any of which is unsubstituted or
substituted by a substituent selected from the group consisting of halogen,
cyano, C1-6 alkyl, halo-C1-6 alkyl, hydroxy- C1-6 alkcyl, hydroxy, C1-6 alkoxy,
halo-C1-6 akoxy, C1-6 xalcylamino,di C1-6 alkylamino, C2-7 alkanoyl and aryl
selected from the group consisting of phenyl and naphthyl;
E is methine or hydroxy substituted me thine;
N is O;
Q1 and Q2 are independently a single bond, oxygen, carbonyl or -N(R3)-;
R1 and R2 are independently hydrogen or C1-6 aHcyl, or R1 and R2, taken
together, form C2-5 alkylene which is not intervened or intervened by oxygen,
sulfur or imino;
R3 is hydrogen or C1-6 alkyl;
T, V and W are independently methine, said methine being unsubstituted

or substituted by a substituent selected from the group consisting of halogen,
C1-6 alkyl, halo - C1-6 alkyl, hydroxy, C1-6 alkoxy and halo-C1-6 alkoxy, and
and U is nitrogen;
X is -CO-;
Y is -0- and a salt, ester or N-oxide derivative thereof.
2. The compound as claimed in claim 1, wherein T, V and W are
independently methine unsubstituted or substituted by halogen, C1-6 alkyl,
hydroxy or C1-6 alkoxy.
3. The compound of the formula (I-b) as claimed in claim i,

wherein B and D are independently methine, said methine being
unsubsitituted or substituted by a substituent selected from the group
consisting of halogen, cyano, C1-6 alkyl, halo-C1-6 alkyl, hydroxy, C1-6 alkoxy,
halo- C1-6 aikoxy, C2-7 alkoxycarbonyl, C1-6 alkylsulfonyl, C1-6 alkylsulfonyloxy, -
N(R1)R2 and -Q1-Ar1, and A and C are nitrogen;
Ar1 is aryl selected from the group consisting of phenyl and naphthyl, or
heteroaryl selected from the group consisting of pyrrolyl, furyl, thienyl,
imidazolyl, pyrzoryl, thiazolyl, isothiazolyl, oxazolyl, isoxazolyl, triazolyl, tetrazolyl,
oxadiazolyl, 1, 2, 3-thiadiazolyl, 1,2,4-thiadiazolyl, 1,3,4-thiadiazolyl, pyridyl,
pyrazinyl, pyrimidinyl, pyridazinyl, 1,2,4-triazinyl, 1,3,5-triazinyl,, indolyl,

benzofuranyl, benzothienyl, benzoimidazolyl,benzoxazolyl, benzoisoxazolyl,
benzothiazolyl, benzoisothiazolyl, indazolyl, purinyl, quinolyl, isoquinolyl,
phthalazinyl, naphthylidinyl, quinoxalinyl, quinazolinyl, cinnolinyl, pteridinyl and
pyrido [3,2-b] pyridyl, any of which is unsubstituted or substituted by a
substituent selected from the group consisting of halogen, nitro, hydroxy, C1-6
alkyl, halo-C1-6 alkyl, hydroxy-C1-6 alkyl cyclo-C3-6 alkyl, C2-6 alkenyl, C1-6 alkoxy,
halo-C1-6 alkoxy, C1-6 alkylthio, C1-6 alkylsulfonyl, carboxyl, C2-7 alkanoyl, C2-7
alkoxy car bonyI and -Q2-Ar2;
Ar2 is aryl selected from the group consisting of phenyl and naphthyl, or
heteroaryl selected from the group consisting of pyrrolyl, furyl, thienyl,
imidazoiyl, pyrazolyl, thiazolyl, isothiazolyl, oxazolyl, isoxazolyl, triazolyl,
tetrazolyl, oxadiazolyl, 1,2,3-thiadiazolyl, 1,2,4-thiadiazolyl, 1,3,4-thiadiazolyl,
pyridyl, pyrazinyl, pyrimidinyl, pyridazinyl, 1,2,4-triazinyl, 1,3,5-triazinyl, indolyl,
benzofuranyl, benzothienyl, benzoimidazolyl, benzoxazolyl, benzoisoxazolyl,
benzothiazolyl, benzoisothiazolyl, indazolyl, purinyl, quinolyl, isoquinolyl,
phthalazinyl, napahthylidinyl, quinoxalinyl, quinazolinyl, cinnolinyl, pteridinyl and
pyrido [3,2-b] pyridyl, any of which is unsubstituted or substituted by a
substituent selected from the group consisting of halogen, cyano, C1-6 alkyI, halo-
C1-6 alkyl, hydroxy-C1-6 alkyl, hydroxy, C1-6 aikoxy, halo-C1-6 aikoxy, C1-6
aIky (amino, di-C1-6 alkylamino, C2-7 alkanoyl and aryl selected from the group
consisting of phenyl and naphthyl;
Q1 and Q2 are independently a single bond, oxygen, carbonyl or -N(R3) -;
R° is hydrogen or hydroxy;
R1 and R2 are independently hydrogen or C1-6 alkyl, or R1 and R2, taken
together, form C2-5 alkylene which is not intervened or intervened by oxygen,
sulfur or imino;
R3 is hydrogen or C1-6 alkyl;

T,V and W are methine, said methine being unsubstituted or substituted
by a substituent selected from the group consisting of halogen, C1-6 alkyI,
halo-C1-6 alkyl, hydroxy, C1-6 alkoxy andhalo-C1-6 alkoxy, and U is nitrogen.
4. The compound as claimed in claim 3, wherein each of T, V and W is
unsubstituted methine.
5. The compound as claimed in claim 3, wherein one of T, V and W is
methine having a substituted selected from the group consisiting of halogen,
C1-6 alkyl, hydroxy and C1-6 alkoxy.
6. The compound as claimed in claim 3, wherein one of T, V and W is
methine having a substituted selected from the group consisting of fluorine
and hydroxy.
7. The compound as claimed in any one of claims 1,3,4 ,5 and 6,wherein
Ar1 is phenyl which is unsubstituted or substituted by a subs, tituent selected
from the group consisting of halogen, nitro, hydroxy, C1-6 alky), halo-C1-6
alkyl/ hydroxy- - C1-6 alkyl, cyclo-C3-6, alkyl, C2-6 alktnyl, C1-6 alkoxy, halo-C1-6
alkoxy, C1-6 alkylthio, C1-6 alkylsulfonyl, carboxyl, C2-7 alkanoyl, C2-7
alkoxycarbonyl, C2-7 alkanoylamino and -Q2-Ar2.
8. The compound as claimed in any one of claims 1,3,4,5 and 6 wherein
Ar1 is heteroaryl selected from the group consisting of pyrrolyl, furyl, thienyl,
imidazolyl, pyrazolyl, thiazolyl, isothiazolyl, oxazolyl, isoxazolyl, triazolyl,

tetrazolyl, oxadiazolyl, 1,2,3-thiadiazolyl, 1,2,4-thiadiazolyl, 1,3,4-thiadiazolyl,
pyridyl, pyrazinyl, pyrimidinyl, pyridazinyl, 1,2,4-triazinyl, 1,3,5-triazinyl,
indolyl, benzofuranyl, benzothienyl, benzoimidazolyl, benzoxazolyl,
benzoisoxazolyl, benzothiazolyl, benzoisothiazolyl, indazolyl, purinyl,
quinolyl, isoquinolyl, phthaiazinyl, naphthylidinyl, quinoxalinyl, quinazolinyl,
cinnolinyl, pteridinyl and pyrido [3,2-b]pyridyl, which is unsubstituted or
substituted by a substituent selected from the group consisting of halogen,
nitro, hydroxy, C1-6 alkyl, halo-C1-6 alkyl, hydroxy-C1-6 alkyl, cyclo-C3-6 alkyl,
C2-6 alkenyl, C1-6 alkoxy, halo- C1-6 alkoxy, C1-6 alkylthio, C1-6 alkylsulfonyl,
carboxyl, C2-7 alkanoyl, C2-7 alkoxycarbonyl, C2-7 alkanoylamino and -Q2-Ar2.
9. The compound as claomeid in claim 8, wherein the heteroaryl is pyridyl.
10. The compound as claimed in claim 1, which is selected from the group
consisting of:
trans-8-[3-oxospiro[6-azaisobenzofuran-l (3H), 1'-cyclo-
hexan]-4'-yl]-2-phenylpurine (Example 11),
trans-2-(3-fluorophenyl)-8-[3-oxospiro[6-azaisobenzofuran-1(3H), 1 '-
cyclohexan]-4'-yl]purtne (Example 12),
trans-2-(4-fluorophenyl)-8-[3-oxospiro[6-azaisobenzofuran-l(3H),
1'-cyclohexan]-4'-yl]purine (Example 13),
trans-2-(2,5-difluorophenyl)-8-[3-oxospiro[6-azaisobenzofuran-l(3H),1'
cyclohexan3-4'-yl]purine (Example 17),
trans-8-[5-fluoro-3-oxospiro[6-azaisobenzofuran-l(3H), 1'-cyclohexan]-
4'-y)]-2-pheny)purine (Example 19),
trans-8-[5-fluoro-3-oxospiro[6-azaisobenzofuran-1(3H), 1'-cyclohexan]-
4'yl]-2-(2-fluorophenyl) purine (Example 20),



13. The compound as claimed in claim 1, which is trnas-8-[5-fluoro-3-
oxospiro[6-azaisobenzofuran-l(3H), 1 '-cyclohexan]-4'-yl]-2-(2-
fluoropbenyl)purine (Example 20),
14. A process for preparing a compound as claimed in claim 1 of the
formula (1-2):

wherein B and D are methine, said methine being unsubstituted or
substituted by a substitutent selected from the group consisting of halogen,
cyano, C1-6 alkyl, halo-C1-6 alkyl, hydroxy, C1-6 alkoxy, haio-C1-6 alkoxy, C2-7
alkoxycarbonyl, C1-6 alkylsulfonyl, C1-6 alkylsulfonyloxy, -N(R1)R2 and -Q1-Ar1,
and A and C are nitrogen;
Ar1 is aryl selected from the group consisting of phenyl and naphthyl, or
heteroaryl selected from the group consisting of pyrrolyl, furyl, thienyl,
imidazolyl, pyrazolyl, thiazolyl, isothiazolyl, oxazolyl, isoxazolyl, triazolyl,
tetrazolyl, oxadiazoly,, 1,2,3-thiadiazolyl, 1,2,4-thiadiazolyl, 1,3,4-thiadiazolyl,

pyridyl, pyrazinyl, pyrimidinyl, pyridazinyl, 1,2,4-triazinyl, 1,3,5-triazinyl,
indolyl, benzofuranyl, benzothienyl, benz0oimidazolyl, benzoxazolyl,
benzoisoxazolyl, benzothiazolyl, benzoisothiazolyl, indazolyl, purinyl, quinolyl,
isoquinolyl, phthalazinyl, naphthylidinyI, quinoxalinyl, quinazolinyl, cinnolinyl,
pteridinyl and pyrido [3,2-b] pyridyl, any of which is unsubstituted or
substituted by a substituent selected from the group consisting of halogen,
nitro, hydroxy, C1-6 alkyl, halo-C1-6 alkyl, hydroxy-C1-6 alkyl, cyclo-C3-6 alkyl,
C2-6 alkenyl, C1-6 alkoxy, halo-C11-6 alkoxy, C1-6 alkylthio, C1-6 alkylsulfonyl,
carboxyl, C2-7 alkanoyl, C2-7 alkoxycarbonyl, C2-7 aHcanoylamino and -Q2-Ar2;
Ar2 is aryl selected from the group consisting of phenyl and naphthyl, or
heteroaryl selected from the group consisting of pyrrolyl, furyl, thienyl,
imidazolyl, pyrazolyl, thiazolyl, isothiazolyl, oxazolyl, isoxazolyl, triazolyl,
tetrazolyl, oxadiazoiyi. 1,2,3-thiadiazolyi, 1,2,4-thiadiazoiyi, 1,3,4-thiadiazoiyl,
pyridyl, pyrazinyl, pyrimidinyl, pyridazinyl, 1,2,4-triazinyi, 1,3,5-triazinyl,
indolyl, benzofuranyl, benzothienyl, benzoimidazolyl, benzoxazolyl,
benzoisoxazolyl,, benzothiazolyl, benzoisothiazolyl, indazolyl, purinyl, quinolyl,
isoquinoiyl, phthalazinyl, naphthyiidiny 1, quinoxalinyl, quinazoiinylm,
cinnolinyl, pteridinyl and pyrido [3,2-b]pyridyl, and of which is unsubstituted
or substituted by a substituent selected from the group consisting of halogen,
cyano, C1-6 alkyl,halo-C1-6 alkyl, hydroxy-C1-6 alkyl, hydroxy ,C1-6 alkoxy, halo-
C1-6 alkoxy, C1-6 alkylamino, di-C1-6 alkylamino, C2-7 alkanoyl and aryl selected
from the group consisting of phenyl and naphthyl;

Q1 and Q2 are independently a single bond, oxygen, carbonyl or -N(R3)-;
R° is hydrogen or hydroxy;
R1 and R2 are independently hydrogen or C1-6 alkyl, or R1 and R2, taken
together, form C2-5 alkylene which is not intervened or intervened by oxygen,
sulfur or imino;
T, V and W are methine , said methine being unsubstituted or
substituted by a substituent selected from the group consisting of halogen,
C1-6 alkyl, halo-C1-6 alkyl, hydroxy, C1-6 aikoxy and haio-C1-6 aikoxy, and U is
nitrogen;
n, R3, X and Y have each the same meaning as defined below, or a salt,
ester or N-oxide derivative thereof,
which comprises reacting a compound of the formula (V):

Wherein b and d are methine, said methine being unsubstituted or
substituted by a substituent selected from the group consisting of halogen,
cyano, C1-6 alkyl, halo-C1-6 alkyl, C1-6 alkoxy, halo- C1-6 aikoxy, C2-7
alkoxycarbonyl, C1-6 alkylsulfonyl, C1-6 alkylsulfonyloxy, -N(R1p)R2p, -Q1p-Ar1p
and unprotected or protected hydroxy, and at least one of a and c are
nitrogen;

Ar1p is aryl selected from the group consisting of phenyl and naphthyl, or
heteroaryl selected from the group consisting of pyrrolyl, furyl, thienyf,
imidazolyl, pyrazolyl, thiazolyl, isothiazolyl, oxazolyl, isoxazolyl, triazolyl,
tetrazolyl, oxadiazolyl, 1,2,3-thiadiazolyl, 1,2,4-thiadiazolyl, 1,3,4-thiadiazolyl,
pyridyl, pyrazinyl, pyrimidinyl, pyridazinyl, 1,2,4-triazinyl, 1,3,5-triazinyl,
indolyl, benzofuranyl, benzothienyl, benzoimidazolyl, benzoxazolyl,
benzoisoxazolyl, benzothiazolyl, benzoisothiazolyl, indazolyl, purinyl, quinolyl,
isoquinoiyi, phthaiazinyl, naphthylidinyl, quinoxalinyl, quinazolinyl, cinnolinyl,
pteridinyl and pyrido [3,2-b]pyridyl, any of which is unsubstituted or
substituted by a substituent selected from the group consisting of halogen,
nitro, C1-6 alkyl, halo-C1-6 alkyl, cydo-C3-6 alkyl, C2-6 alkenyl, C1-6 alkoxy, halo-
C1-6 alkoxy, C1-6 alkylthio, C1-6 alkylsulfonyl, C2-7 alkanoyl, C2-7 alkoxycarbonyl,
C2-7 alkanoylamino, -Q2p-Ar2p, unprotected or protected hydroxy, unprotected
or protected hydroxy-C1-6 alkyl and unprotected or protected carboxyl;
Ar2p is aryl selected from the group consisting of phenyl and naphthyl, or
heteroaryl selected from the group consisting of pyrrolyl, furyl, thienyl,
imidazolyl, pyrazolyl, thiazolyl, isothiazolyl, oxazolyl, isoxazolyl, triazolyl,
tetrazolyl, oxadiazolyl, 1,2,3-thiadiazolyl, 1,2,4-thiadiazolyl, 1,3,4-thiadiazolyl,
pyridyl, pyrazinyl, pyrimidinyl, pyridazinyl, 1,2,4-triazlnyl, 1,3,5-trlazinyl,
indolyl, benzofuranyl, benzothienyl, benzoimidazolyl, benzoxazolyl,
benzoisoxazolyl, benzothiazoiyl, benzoisothiazoiyl, indazolyi, purinyi, quinolyl,
isoquinoiyi, phthalazinyl, naphthylidinyi, quinoxalinyl, quinazolinyl, cinnolinyl,
pteridinyl and pyrido [3,2-b]pyridyl, any of which is unsubstituted or
substituted by a substituent selected from the group consisting of halogen,

cyano, C1-6 alkyl, halo-C1-6 atkyl, C1-6 alkoxy, halo-C1-6 alkoxy, C1-6 alkylamino,
di-C1-6 alkylamino, C2-7 alkanoyl, arylselected from the group consisting of
phenyl and naphthyl, unprotected or protected hydroxy- C1-6 alkyl and
unprotected or protected hydroxy;
Q1p and Q2p are independently a single bond, oxygen, unprotedted or
protected carbonyl or -N(R3)-;
R1p and R2p are independently an amino-protecting group, an imino-
protecting group, hydrogen or C1-6 alkyl, or R1p and R2p, taken together, form
C2-5 alkytene which is not intervened or intervened by oxygen, sulfur or
unprotected or protected imino; and
R3 is hydrogen or C1-6 alkyl, or its salt with a compound of the formula
(VI):
wherein n is 0;
R0p is hydrogen or unprotected or protected hydroxy;
t, v and w are me thine, the said methine being unsubstituted or
substituted by a substituent selected from the group consisting of halogen,

C1-6 alkyl, halo-C1-6 alkyl, C1-6 alkoxy, halo-C1-6 alkoxy and unprotected or
protected hydroxy, and u is nitrogen;
X is -CO-;
Y is -0- or its salt, subjecting the resulting compound of the formula
(VII):

wherein a, b, c, d, n, R0p, t, u, v, w, X and Y have each the same meaning as
defined above, to intramolecular dehydrative ring closure to give a compound
of the formula (VIII):


wherein a, b, c, d, n, R0p, t, u, v, w, X and Y have each the same meaning as
defined above, and optionally removing the protecting group(s) from the
compound (VIII) and/or oxidizing nitrogen atom(s) of the compound (VIII).

The present invention relates to a compound of the formula
(I):

(wherein A, B, C and D are independently nitrogen or optionally
substituted methine; E is nitrogen, methine or hydroxy
substituted methine; n is 0 or 1; T, U, V and W are independently
nitrogen or optionally substituted methine; X is -N(SO2R4)-, -
N(COR5)- or -CO-; Y is -C(R6)(R7)-, -O- or -N(R8)-, provided that
the compound (I) when E is nitrogen, n is 0, X is -CO-, and Y
is -O- is excluded) and the like, which are useful as an agent
for the treatment of various diseases related to NPY, for
example cardiovascular disorders such as angina, acute or
congestive heart failure, myocardial infarction,
hypertension, nephropathy, electrolyte abnormality,
vasospasm, arteriosclerosis, etc., central nervous system
disorders such as bulimia, depression, anxiety, seizure,
epilepsy, dementia, pain, alcoholism, drug withdrawal,
circadian rhythm disorders, schizophrenia, memory impairment,
sleep disorders, cognitive impairment, etc. , metabolic diseases
such as obesity, diabetes, hormone abnormality,
hypercholesterolemia, hyperlipidemia, gout, fatty liver,
etc., genital or reproductive disorders such as infertility,
preterm labor, sexual dysfunction, etc., gastro-intestinal

disorders, respiratory disorder, inflammatory diseases or
glaucoma, and the like, also for example, atherosclerosis,
hypogonadism, hyperandrogenism, polycystic ovary syndrome
(Pickwickian syndrome), hirsutism, gastro-intestinal
motility disorder, obesity-related gastro-esophageal
reflux, obesity hypoventilation, sleep apnea,
inflammation, systemic inflammation of the vasculature,
osteoarthritis, insulin resistance, bronchoconstriction,
alcohol preference, metabolic syndrome, Alzheimer's disease,
cardiac hypertrophy, left ventricular hypertrophy,
hypertriglyceridemia, low HDL cholesterol, cardiovascular
disorders such as coronary heart disease (CHD), cerebrovascular
disease, stroke, peripheral vascular disease, sudden death,
gallbladder diseases, cancer (breast, endometrial, colon),
breathlessness, hyperuricemia, impaired fertility, low back
pain, or increased anesthetic risk, and the like.

Documents:

1893-KOLNP-2004-(04-10-2012)-CORRESPONDENCE.pdf

1893-KOLNP-2004-(05-03-2012)-CORRESPONDENCE.pdf

1893-KOLNP-2004-(14-09-2011)-CERTIFIED COPIES(OTHER COUNTRIES).pdf

1893-KOLNP-2004-(14-09-2011)-CORRESPONDENCE.pdf

1893-KOLNP-2004-(14-09-2011)-FORM 13.pdf

1893-KOLNP-2004-ASSIGNMENT.pdf

1893-KOLNP-2004-CORRESPONDENCE.pdf

1893-KOLNP-2004-FORM 16.pdf

1893-KOLNP-2004-FORM 27-1.1.pdf

1893-KOLNP-2004-FORM 27.pdf

1893-KOLNP-2004-FORM-27.pdf

1893-kolnp-2004-granted-abstract.pdf

1893-kolnp-2004-granted-claims.pdf

1893-kolnp-2004-granted-correspondence.pdf

1893-kolnp-2004-granted-description (complete).pdf

1893-kolnp-2004-granted-examination report.pdf

1893-kolnp-2004-granted-form 1.pdf

1893-kolnp-2004-granted-form 18.pdf

1893-kolnp-2004-granted-form 2.pdf

1893-kolnp-2004-granted-form 26.pdf

1893-kolnp-2004-granted-form 3.pdf

1893-kolnp-2004-granted-form 5.pdf

1893-kolnp-2004-granted-reply to examination report.pdf

1893-kolnp-2004-granted-specification.pdf

1893-kolnp-2004-granted-translated copy of priority document.pdf

1893-KOLNP-2004-PA.pdf


Patent Number 229473
Indian Patent Application Number 1893/KOLNP/2004
PG Journal Number 08/2009
Publication Date 20-Feb-2009
Grant Date 18-Feb-2009
Date of Filing 09-Dec-2004
Name of Patentee BANYU PHARMACEUTICAL CO. LTD.
Applicant Address 2-3 NIHOMBASHI HONCHO 2-CHOME, CHUO-KU, TOKYO
Inventors:
# Inventor's Name Inventor's Address
1 OGINO YOSHIO BANYU PHARMACEUTICAL CO. LTD., TSUKUBA RESEARCH INSTITUTE, 3, OKUBU, TSUKUBA-SHI, IBARAKI 300 2611
2 OTAKE NORIKAZU BANYU PHARMACEUTICAL CO. LTD., TSUKUBA RESEARCH INSTITUTE, 3, OKUBU, TSUKUBA-SHI, IBARAKI 300 2611
3 MORIYA MINORU BANYU PHARMACEUTICAL CO. LTD., TSUKUBA RESEARCH INSTITUTE, 3, OKUBU, TSUKUBA-SHI, IBARAKI 300 2611
4 KANATANI AKIO BANYU PHARMACEUTICAL CO. LTD., TSUKUBA RESEARCH INSTITUTE, 3, OKUBU, TSUKUBA-SHI, IBARAKI 300 2611
5 FUKAMI TAKEHIRO BANYU PHARMACEUTICAL CO. LTD., TSUKUBA RESEARCH INSTITUTE, 3, OKUBU, TSUKUBA-SHI, IBARAKI 300 2611
6 MATSUDA KENJI BANYU PHARMACEUTICAL CO. LTD., 2-3, NIHOMBASHI HONCHO 2-CHOME, CHUO-KU, TOKYO 103 8416
7 NAGAE YOSHIKAZU BANYU PHARMACEUTICAL CO. LTD., TSUKUBA RESEARCH INSTITUTE, 3, OKUBU, TSUKUBA-SHI, IBARAKI 300 2611
PCT International Classification Number C07D 471/2004
PCT International Application Number PCT/JP2003/008161
PCT International Filing date 2003-06-26
PCT Conventions:
# PCT Application Number Date of Convention Priority Country
1 190978/2002 2003-06-28 Japan