Title of Invention

NOVEL COMPOUNDS (4-HYDROXYBENZOMORPHANS) AS ANALGESICS, ANTIPRURITICS, ANTIDIRRHEAL AGENTS

Abstract

There is disclosed a compound of formula: wherein A is chosen from -C(=O)NH2 and -C(=S)NH2; R2 and R2a are both hydrogen or taken together R2 and R2a are =O; R3 is chosen from hydrogen, C1-C6 alkyl, vinyl, -CH=C(CH3)2, C5-C6 aryl, furanyl, thiophenyl, tetrahydrofuranyl, benzofuranyl, and benzyl; R4 is chosen from hydrogen, hydroxy, amino, C1-C4 alkoxy, C1-C20 alkyl and C1-C20 alkyl substituted with hydroxy or carbonyl; R11 is hydrogen; R12 is chosen from hydrogen, hydroxy, C1-C4 alkoxy and -NR13 R14; or together, R11 and R12 form a carbonyl or a vinyl substituent; R13 and R14 are chosen independently from hydrogen and C1 to C7 hydrocarbon; and the dotted line represents an optional double bond.

Full Text

WO 2006/052710 PCT/US2005/039911 4-HYDROXYBENZOMORPHANS Cross Reference to Related Application This application claims priority from US Provisional Application 60/625,348 filed November 5,2004, the entire disclosure of which is incorporated herein by reference. Field of the Invention [001] The invention relates to 4-hydroxybcnzomorphans substituted at the 3-position with carboxamide or thiocarboxamidc. The compounds are useful as analgesics, anti-diarrhea1 agents, anticonvulsants, antitussivcs, anti-cocaine, and ami-addiction medications. Background of the Invention [002] Opiates have been the subject of intense research since the isolation of morphine in 1805, and thousands of compounds having opiate or opiate-like activity have been identified. Many opioid receptor-interactive compounds including those used for producing analgesia (e.g., morphine) and those used for treating drug addiction (e.g., naltrexone and cyclazocinc) have been employed in human therapy. Almost all thcrapcutically useful opioids in the bcnzazocinc and morphinanc classes have a phenolic hydroxyl group (OH) at a position which is numbered "8" in the numbering system used for 2,6-mcthano-3-bcnzazocincs [e.g., cyclazocine and EKC (cthylkctocyclazocinc)] and which is numbered "3" in the numbering system used for morphinanes (e.g., morphine). 1 WO 2006/052710 PCT/US20O5/039911 [003] Although the compounds of the present invention do not possess the furan ring of the morphinans, the morphinan numbering system will be used: 2,6-Methauo-3-benzazocines are also known as benzomorphans, and this terminology will be used interchangeably herein. [004] Until the publications of Wentland et al, rBioQrg.Med.ChemLett. 11.623-626 (2001) and BioOrg.Med.Chem.Lett. 11, 1717-1721 (2001)] the uniform experience in the art of the past seventy years had been that removal or replacement of the phenolic 3-hydroxy group had led to pharmacologically inactive compounds. 2 WO 2006/052710 PCT/US2005/039911 Summary of the Invention [003] We have now found that when the 3-hydroxyl group is replaced by a number of small, polar, neutral residues, such as carboxamide and thiocarboxamidegroups, the adjacent 4-position may be substituted with a hydroxyl to produce compounds with au extraordinary affinity for the opioid receptor. The compounds of the invention are therefore useful as analgesics, anti-pruritics, anti-diarrheal agents, anticonvulsants, antitussives, anorexics, and anti-obesity drugs and as treatments for hyperalgesia, drug addiction, respiratory depression, dyskinesia, pain (including neuropathic pain), irritable bowel syndrome and gastrointestinal motility disorders. [006] In one aspect, the invention relates to compounds of formula I: A compound of formula: A is chosen from -C(=O)NH2 and -C(=S)NH 2; R2 and R2a are both hydrogen or taken together R2 and R2a are =0; R3 is chosen from hydrogen, lower alkyl, alkenyl, aryl, heterocyclyl, benzyl and hydroxyalkyl; R4 is chosen from hydrogen, hydroxy, amino, lower alkoxy, C1-C20 alkyl and Ct- C20 alkyl substituted with hydroxy or carbonyl; R" is hydrogen; R12 is chosen from hydrogen, hydroxy, lower alkoxy and -NR13R14 or 3 WO 2006/052710 PCT/US2005/039911 together, R" and R12 form a carboNyl or a vinyl substitueNt; R13 and R14 are chosen independently from hydrogen and C1 to C7 hydrocarbon.; and the dotted line represents an optional double bond. [007] In another aspect, the invention relates to methods for treating a disease or condition by altering a response mediated by an opioid receptor. The method comprises bringing a compound of formula I into contact with an opioid receptor. Diseases and conditions that are amenable to therapy with the compounds of the invention include pain, pruritis, diarrhea, irritable bowel syndrome, gastrointestinal motility disorder, obesity, respiratory depression, convulsions, coughing, hyperalgesia and drug addiction. Drug addiction, as used herein, includes alcohol, nicotine, opiate and cocaine addiction. There is evidence in the literature that the compounds may also be useful as immunosuppressants and antiinflammatories and for reducing ischemic damage (and cardioprotection), for improving learning and memory, and for treating urinary incontinence. Detailed Description of the Invention [008] From many years of SAR studies, it is known that the hydroxyl of morphinans and benzomorphans interacts with a specific site in the opiate receptor. Previous exploration of the tolerance of this site for functional groups other than phenolic hydroxyls has almost uniformly resulted in the complete or near-complete loss of opioid binding. We have earlier reported (WO 02/36573) that the hydroxyl could be replaced with one of several bioisosteres. Although a fairly wide range of primary and secondary carboxamides, as well as carboxylates, aminomethyl, hydroxymethyl and even dihydroimidazolyl exhibited binding in the desired range below 25 nanomolar, optimal activity was observed with a carboxamido, thiocarboxamido, hydroxyamidino or formamido group. We have now found that benzomorphans having a hydroxyl at 4 and the bioisostere "A" at position 3 have a surprising level of opioid activity. 4 WO 2006/052710 PCT/US2005/039911 [009] The phenolic 3-hydroxyl functionality of benzomorphans and morphinans can be chemically converted to an amide by a simple, flexible aud couvenient route described in WO 02/36573 and in WO 2004/007449, and thiocarboxarnido, hydroxyamidino and formamido compounds are also easily synthesized as described in those publications. Preferred residues A are -Q=O)NI1 2 and -CO=S)NH2 [010] It is known in the art that compounds that are µ, δ and Kagonists exhibit analgesic activity; compounds that are selective µ agonists exhibit aNti-diarrheal activity and are useful iu treating dyskinesia; µ antagonists aud Kagouists are useful in treating heroin, cocaine, alcohol and nicotine addiction; Kagouists are also anti- pnuitic agents aud are useful iu treating hyperalgesia. In general, the dextrorotatory isomers of morphinans are useful as antitussives and anticonvulsauts. [011] Exemplary opioid receptor ligands having known high affinity are shown iu the following Chart. in the compounds of the Chart produces compounds that exhibit strong affinity for opioid receptors. 5 6 WO 2006/052710 PCTAJS2005/039911 Chart (continued). Opioid Receptor Ligands Morphine and Morphinans [012] Other opioid receptors are reported in Aldrich, J.V. "Analgesics" in BurRer's Medicinal Chemistry and DruR Discovery, M.E.Wolff ed., John Wiley & Sous 1996, pages 321-44, the disclosures of which are incorporated herein by reference. 7 WO 2006/052710 PCT/US2005/39911 8 [013] The affinities of the compounds of the invention are determined by the method described in Wentland et al. [BioOrg. Med.Chem. Lett. 9. 183-187 (2000)]. Antinociceptive activity is evaluated by the method described in Jiang et al. [J Pharmacol. Exp. Ther. 264. 1021-1027 (1993), page 1022] or by the method described in Neumeyer et al [J. Med. Chem. 46. 5162 (2003). We have examined the receptor binding of compounds of formula I in a series of analogs of known compounds in which the OH is replaced by the A group and a hydroxyl is introduced adjacent the A group. The data is shown in Tables 1,2,3, and 4. Data for the standards used are also shown in the tables. The results of these in vitro tests are accepted by persons of skill in the art as predictive of therapeutic utility in vivo. 9 10 11 12 WO 2006/052710 PCT/US2005/039911 Definitions [014] Throughout this specification the terms and substbuents retain their definitions. [015] Alkyl is intended to include linear, branched, or cyclic hydrocarbon structures and combinations thereof. Lower alkyl refers to alkyl groups of from 1 to 6 carbon atoms. Examples of lower alkyl groups include methyl, ethyl, propyl, isopropyl, cyclopropyl, butyl, s-and t-butyl, cyclopropyl, cyclobutyl and the like. Preferred alkyl groups are those of C20 or below. Cycloalkyl is a subset of alkyl and includes cyclic hydrocarbon groups of from 3 to 8 carbon atoms. Examples of cycloalkyl groups include c-propyl, c-butyl, c-pentyl, norbornyl and the Like. [016] Alkoxy or alkoxyl refers to groups of from 1 to 8 carbon atoms of a straight, blanched, cyclic configuration and combinations thereof attached to the parent structure through an oxygen. Examples include methoxy, ethoxy, propoxy, isopropoxy, cyclopropyloxy, cyclohexyloxy and the like. Lower-alkoxy refers to groups containing one to four carbons. [017] Aryl and heteroaryl mean a S- or 6-membered aromatic or heteroaromatic ring containing 0-3 heteroatoms selected from O,N, or S-.abicyclic 9- or 10-membered aromatic or heteroaromatic ring system containing 0-3 heteroatoms selected from O,N, or Si or a tricyclic 13- or 14-membered aromatic or heteroaromatic ring system containing 0-3 heteroatoms selected from O,N, or S. The aromatic 6- to 14- membered carbocyclic rings include, e.g., benzene, naphthalene, indane, tetralin, and fluorene and the 5- to 10-membered aromatic heterocyclic rings include, e.g., imidazole, pyridine, indole, thiophene, beazopyranone, thiazole, furan, benzimidazole, quinoline, isoquinoline, quinoxaline, pyrimidine, pyrazine, tetrazole and pyrazole. 13 WO 2006/052710 PCT/US2005/0399ll [018] Arylalkyl means an alkyl residue attached to an aryl ring. Examples are benzyl, phenethyl and the like. Heteroarylalkyl means au alkyl residue attached to a heteroaryl riug. Examples include, e.g., pyridinylmethyl, pyrimidinylethyl and the like. [019] Heterocycle means a cycloalkyl or aryl residue in which one to two of the carbons is replaced by a heteroatom such as oxygen, nitrogen or sulfur. Heteroaryls form a subset of heterocycles. Examples of heterocycles that fall within the scope of the invention include pyrrolidine, pyrazole, pyrrole, indole, quinoline, isoquinoline, tetrahydroisoquinoline, benzofuran, benzodioxan, benzodioxole (commonly referred to as methylenedioxyphenyl, when occurring as a subsubstituent), tetrazole, morpholine, thiazole, pyridine, pyridazine, pyrimidine, thiophene, furan, oxazole, oxazoline, isoxazole, dioxane, tetrahydrofuran and the like. [020] Substituted alkyl, aryl, cycloalkyl, or heterocyclyl refer to alkyl, aryl, cycloalkyl, or heterocyclyl wherein up to three H atoms in each residue are replaced with halogen, hydroxy, loweralkoxy, carboxy, carboalkoxy, carboxamido, cyano, carbonyl, -NO2, -NR1R2; alkylthio, sulfoxide, sulfone, acylamino, amidino, phenyl, benzyl, heteroaryl, phenoxy, benzyloxy, heteroaryloxy, or substituted phenyl, benzyl, heteroaryl, phenoxy, benzyloxy, or heteroaryloxy. [021] Virtually all of the compounds described herein contain one or more asymmetric centers and may thus give rise to enantiomers, diastereomers, and other stereoisomeric forms that may be defined, in terms of absolute stereochemistry, as (R) or (S)-. The present invention is meant lo include all such possible isomers, as well as their raceinic and optically pure forms, hi general it has been found that the levo isomer of morphinans and benzomorphans is the more potent antinociceptive agent, while the dextro isomer may be useful as an antitussive or antispasmodic agent. Optically active (R)- and (S)- isoniers may be prepared using chiral synthons or chiral reagents, or resolved using conventional techniques. When the compounds described herein contain olefmic double bonds or other centers of 14 WO 2006/052710 PCT/US2005/039911 geometric asymmetry, and unless specified otherwise, it is intended that the compounds include both E and Z geometric isomers. Likewise, all tautomeric forms are also intended to be included. [022] As used herein, and as would be understood by the person of skill in the medical art, to which the invention pertains, the recitation of the compound includes pharrnaceutically acceptable salts, hydrates, solvates, clathrates, and polymorphs. The term "pharmaceutically acceptable salt" refers to salts prepared from pharmaceutically acceptable non-toxic acids or bases including inorganic acids and bases and organic acids and bases. Salts may be prepared from pharmaceuticalry acceptable non-toxic acids including inorganic and organic acids. Suitable pharmaceutically acceptable acid addition salts for the compounds of the present invention include acetic, benzenesulfonic (besylate), benzoic, camphorsulfonic, citric, ethenesulfonic, fumaric, ghuconic, glutamic, hydrobromic, hydrochloric, isethionic, lactic, maleic, malic, mandelic, methanesulfonic, mucic, nitric, pamoic, pantothenic, phosphoric, succiuic, sulruiic, taitaric acid, p-toluenesuifonic, and the like. The term "solvate" refers to a compound - in this case eszopiclone - in the solid state, wherein molecules of a suitable solvent are incorporated in the crystal lattice. A suitable solvent for therapeutic administration is physiologically tolerable at the dosage administered. Examples of suitable solvents for therapeutic administration are ethanol and water. When water is the solvent, the solvate is referred to as a hydrate. In general, solvates are formed by dissolving the compound in the appropriate solvent and isolating the solvate by cooling or using an antisolvent. The solvate is typically dried or azeotroped under ambient conditions. [023] The term "preventing" as used herein refers to administering a medicament beforehand to forestall or obtund an attack. The person of ordinary skill in the medical art (to which the present method claims are directed) recognizes that the term "prevent" is not an absolute term. In the medical art it is understood to refer to the prophylactic administration of a drug to substantially diminish the likelihood or 15 WO 2006/052710 PCT/US2005/039911 seriousness of a condition, and this is the sense intended in applicants' claims. The term "treating" includes prophylaxis as well as the amelioration of the acute symptoms. Note that "treating" refers to either or both of the amelioration of symptoms and the resolution of the underlying conditioa In many of the conditions of the invention, the administration of the opioid may act not directly on the disease state, but rather on some pernicious symptom, and the improvement of that symptom leads to a general and desirable amelioration of the disease state. [024] Although this invention is susceptible to embodiment in many different forms, preferred embodiments of the invention arc shown. It should be understood, however, that the present disclosure is to be considered as an exemplification of the principles of this invention and is not intended to limit the invention to the embodiments illustrated. It may be found upon examination that certain members of the claimed genus are not patentable to the inventors in this application. In this event, subsequent exclusions of species from the compass of applicants' claims are to be considered artifacts of patent prosecution and not reflective of the inventors' concept or description of their invention; the invention encompasses all of the members of the genus I that are not already in the possession of the public. Abbreviations [02S] The following abbreviations and terms have the indicated meanings throughout: Ac = acetyl AcOH = acetic acid BNB = 4-bromomethyl-3-nitrobenzoic acid Boc = 'u"+"'~»"-carbonyl Bu = butyl c- = cyclo DAMGO = Tyr-ala-Oly-NMePhe-NHCH 2OH DBU = diazabicyclo[5.4.0]undec-7-ene DCM = dichloromethane = methylene chloride = CH2Cl2 16 WO 2006/052710 PCT/US2005/039911 DEAD = diethyl azodicarboxylatc DIC = diisopropylcarbodiimidc DIEA = N,N-diisopropylcthyl aminc DMAP = 4-N,N-dimcthylaininopyridinc DMF = N,N-dimctlylforaiamidc DMSO = dimethyl sulfoxidc DPPF - l,l'-bis(diphcnylphosphino)fcrroccnc DVB = 1,4-divinylbcnzcnc EEDQ = 2-ethoxy- 1-cthoxycarbonyl- 1,2-dihydroqu incline Et3N = triethylamine EtOAc = ethyl acetate Fmoc = 9-fluorcnylmcthoxycarbonyl GC = gas chromatography HATU = O-(7-Azabcnzotriazol- l-yl) 1,1,3,3 -tctramcthyluronum hcxafluorophosphatc HUBt = hydroxybcnzotriazolc Mc = methyl mcsyl = mcthancsulfonyl MTBE = methyl t-butyl cthcr NMO = N-mcthylmorpholinc oxide PEG = polyethylene glycol Ph = phcnyl PhOH = phenol PhN(Tf)2 - N-phenyltrifluoromethanesulfonimide PfP = pcntafluorophcnol PPTS = pyridiniump-tolucncsulfonatc PyBroP = bromo-tris-pyrrolidino-phosphonium hcxafluorophosphatc rt = room temperature sat'd = saturated s- = secondary t- = tertiary Tf = Inflate, CF3SO2O- 17 WO 2006/052710 PCT/US2005/039911 TBDMS = t-butyldirnethylsilyl TFA = trifluoroacetic acid THF = tetrahydrofuran TMOF = trirnethyl orthoformate TMS = trimethylsilyl tosyl - p-toluenesulfonyl Trt = triphenylmethyl [026] Terminology related to "protecting", "deprotecting" and "protected" functionalities occurs throughout this application. Such terminology is well understood by persons of skill in the art and is used in the context of processes which involve sequential treatment with a series of reagents. In that context, a protecting group refers to a group that is used to mask a functionality during a process step in which it would otherwise react, but in which reaction is undesirable. The protecting group prevents reaction at that step, but may be subsequently removed to expose the original functionality. The removal or "deprotection" occurs after the completion of the reaction or reactions in which the functionality would interfere. Thus, when a sequence of reagents is specified, as it is in the processes of the invention, the person of ordinary skill can readily envision those groups that would be suitable as "protecting groups" Suitable groups for that purpose are discussed in standard textbooks in the field of chemistry, such as Protective Groups in Organic Synthesis by T.W.Greene [John Wiley & Sons, New York, 1991], which is incorporated herein by reference. 18 WO 2006/052710 PCT/US2005/039911 [027] The following examples illustrate the syntheses of various compounds of the present invention having formula I, many of which are found in the Tables. The remaining compounds listed in the Tables were prepared in a similar fashion. Furthermore, the invention is not limited to the compounds prepared in the examples or found in the Tables, and similar procedures may be used to prepare additional compounds having formula I. 19 [028] Unless indicated otherwise, the reactants and reagents used in the examples are readily available materials. Such materials can be conveniently prepared in accordance with conventional preparatory procedures or obtained from commercial sources. 'H NMR multiplicity data are denoted by s (singlet), d (doublet), t (triplet), q (quartet), m (multiplet), and br (broad). WO 2006/052710 PCT/US2005/039911 (A) Synthesis of 3-Carboxyamido-naltrexone 2 [029] The triflate 11 of naltrexone was prepared according to the method of'Wentland et al. (Bioorg. Med. Chem. Lett. 9. 183-187 (2000)), and the carboxamide 2 was prepared by the method described by Wentland et aL [(Bioorg. Med. Chem. Lett. 0 ,623-626 (2001); and Bioorg. Med. Chem. Lett. 11. 1717-1721 (2001)] involving Pd-catalyzed carbonylation of the tiiflate 11 in the presence of ammonia and the Pd(O) ligand, DPPF ([1,1'-bis(diphenyl phosphinoXerrocene].) and DMSO. (B) Synthesis of 3-Carboxyamido-4-hydroxy-naltrexone derivative 3 [030] Zinc dust (26 mg, 0.40 mmol) was added in portions to a solution of 2 (50 mg, 0.14 mmol) in HC1 (37%, 0.2 mL) and AcOH (2 mL) at reflux. After heating at reflux for a further 15 min, the reaction was cooled by the addition of ice/water (10 ruL) and basified (pH=9) with NH3/H2O, and the solution was extracted with EtOAc (3x10 mL). The organic extracts were washed with brine, dried, and concentrated. The residue was purified by column chromatography (SiO2, CH2Cl2 CH3OH :NH3/H2O= 15:1:0.01) to give compound 3 as a foam (25 mg, 50%). "H NMR (CDC13) δl3.28(s, IH, 4-OH), 7.15(d, IH, J=8.1, H-2), 6.47(d, IH, J=8.4, H- 1), 6.10(br, IH, N-II), 4.35(br, IH, N-H), 4.04(dd,lH, J=L 8, 13.5,11-5), 3.1 l(d, IH, J=6), 2.99( d, IH, J=5.7), 2.94( s, IH), 2.86( d, IH, J= 6), 2.84-2.75(m, 2H), 2.65-2.61(m, 2II),2.17-2.05(m, IH), 1.89-1.84(m, 2H), 0.85(m, EH), 0.56-0.50(m, 2H), 0.13-0.09(m, 2H). [ά]D25= -98.4° (c=0.6, CH2Cl2). MS m/z (ESI) 371(MH). 20 WO 2006/052710 PCT/US2005/039911 (A) Synthesis of 3-Methoxy-naLrexone derivative 12 [031] Using the procedure of Nan et al, J.Heterocyclic Chem. 34, 1195-1203 (1997), 95% sodium hydride (22 rug, 0.87 mmol) was added to a solution of naltrexone 1 (200 mg, 0.58 inoiol) in dry DMF (ImL ) at room temperature. After stirring for 15 min, the solution was cooled to 5 °C in an ice bath and methyl iodide (40 µl, 99 mg, 0.70 mmol) was added. After stirring for another 15 min the reaction solution was concentrated in vacua. The residue was purified by flash chromatography (SiO2, CH2Cl2:NH3/H2O=100:1) to give derivative 12 as a foam (131 Mg, 67%). 1HNMR (CDCl3) δ6.69(d, IH, J=8.0, H-2), 6.61(d, Hi, J=8.0, H-I), 4.67(s, IH, H-5), 3.89( s, 3H, 3-OCH3), 3.18( m, IH), 3.06( in, 211), 2.99( s; IH), 2.87(s, IH), 2.70(m, IH), 2.59(m, IH) 2.40(m, 2H), 2.41(m, 211), 2.31(in, 2H), 2.12(m, 211), 1.89(in, 2H), 1.59(m, IH), 0.87(m, IH), 0.55(m, 2II) 0.15(m, 2H). [α]D25=-181 7° (c=0.12, CH2Cl2). MSm/z (ESI) 356 (MH") (B) Synthesis of 3-rnethoxy-4-hydroxy-naltrexone derivative 4 1032] A modification of a known procedure Coop et al., J.Med. Chern. 42, 1673-1679 (1999) was used in this preparation. Zinc dust {114 mg, 1.72 mmol) was added in portions to a solution of derivative 12 (122 mg, 0.34 mmol) in HCl (37%, 0.2mL ) and AcOH (2 mL) at reflux. After heating at reflux for a further 15 min, the reaction was cooled by the addition of ice/water (20mL) and basified (pH=9) with 21 WO 2006/052710 PCT/US2005/039911 NH3/H2O, and the solution was extracted with EtOAc (3x1 OmL). The organic extracts were washed by brine, dried, and concentrated. The residue was purified by column chromatography (SiO2, CH2Cl2: CH3OH :NH3/H2O=20:1:0.01) to give compound 4 as a foam (85 mg, 70%). 1H NMR (CDCl3) δ6.67(d, m, J=8.0, II-2), 6.56(d, HI, J=8.0, II-I), 6.12(s, III, 4-O1I), 3.94(d, HI, J=13.0), 382( s, 311, 3- OCH3), 3.10( m, III), 2.97( m, IH), 2.80( m, 2H), 2.61(m, HI), 2.36(m, 2H), 2.15(m, 1H), 2.05(m, 2H), 1.82(m, HI), 0.54(m, 2H), 0.12(m, 2H). [α]D25=-96.2° (c=0.5, CH2Cl2 MSm/z (ESI) SSS(MH-). [033] Using the procedure of Coop et al. (J. Med. Chem. 42, 1673-1679 (1999); and Heterocycles 50, 39-42 (1999)), n-butyllithium (1.52 M inhexane, 1.6 mL, 2.50 mmol) was added to a solution of codeine (150 mg, 0.501 mmol) in THF at -78 °C After stiring at -78 °C for 1 h, the slight yellow solution was warmed to room temperature and then stirred for 20 min. The reaction was quenched with water (10 mL). The mixture was extracted with CHC13 three times. The combined organic phases were washed with brine, dried over sodium sulfate, filtered, and concentrated to give a solid residue, which was purified by flash chromatography (CH2Cl2:MeOH:NH4OH 15:1:0.1) to give dehydro compound 7 as a white foam (114 mg, 0.381 mmol, 76%): 1H NMR (500 MHZ5CDCI3) £6.68 (dd, III, J = 10.0, 2.0 Hz), 6.64 (d, m, J= 8.0 Hz), 6.55 (d, III, 7= 8.5 Hz), 6.00 (bs, HI), 5.89 (dd, 1H, J = 10.0, 3.0 Hz), 4.26 (d, 1H, 7= 15.5 Hz), 3.81 (s, 311), 3.22 (m, 1H), 3.02 (d, 1H,J= 18.5 Hz), 2.89 (s, 1H), 2.65 (m, 1H), 2.54 (m, 1H), 2.43 (s, 3H), 2.38 (d, 22 WO 2006/052710 PCT/US2005/039911 III, J= 15.0 Hz), 2.07 (m, III), 1.90(m, 2H); 13C NMR(125 MHz, CDCl3)δ 199.38, 149.53, 144.91, 144.58, 130.75, 130.18, 122.86, 118.10, 108.71, 55.93, 55.80, 48.88, 47.02, 46.95, 42.52, 40.47, 36.19, 24.32; MS (ESI) m/z 300 (M+H)1; Anal. Calcd. for Cl8H21NO3-0.5H2O:C 70.11, II 7.19, N 4.54. Found: C 69.94, II 6.87, N 4.38. [034] u-Butyllifhiuui (1.52 M in hexane, 1.6 mL, 2.50 mmol) was added to a solution of codeine (150 mg, 0.501 mmol) in TIIF at -78 °C. After stirring at -78 °C for 1 h, the slight yellow solution was wanned to room temperature aud then stirred for 20 ruin. The reaction was quenched with water (l0mL). The mixture was extracted with CIIC13 three times. The combined organic phases were washed with brine, dried over sodium sulfate, filtered, and concentrated to give a solid residue, which was dissolved in AcOH (10 mL) and stirred with 10% Pd/C (54 mg) under hydrogen atmosphere (30psi) for 20 h The reaction mixture was filtered and concentrated to give an off-white residue, which was purified by flash chroinatography (CH2Cl2IMeOHiNH4OH 14:1:0.1) to give compound 8 as a white solid (125 ing, 0.415 mmol, 83%): 1H NMR (500MHz, CDCI3) £6.67 (d, HI, J= 8.0 Hz)36.60 (d, El, J= 8.0 Hz), 6.09 (s, III), 4.23 (dd, III, J= 13.5, 2.5 Hz), 3.83 (s, 3H), 2.98 (d, HI, ,J= 18.5 Hz), 2.66 (m, III), 2.44 (in, 2H), 2.42 (s, 3H), 2.24 (m, 3H), 2.06 (m, 1H), 1.86 (m, 3H), 1.69 (in, 2H); MS (ESI) m/z 302 (M+H)1; Anal. Calcd. for C18H23NO3-0.5H2O: C 69.65, II 7.79, N 4.51. Found: C 70.04, II 7.68, N 4.39. 23 24 WO 2006/052710 PCT/US2005/039911 WO 2006/052710 PCT/US2005/039911 (A) Synthesis of Morphine-3-caibouitrile derivative 13 [035] Morphine-3-triflate was prepared according to the procedure described by Wentland et al. (J.Med. Chem. 3.3558-3565 (2000)) and was then added (420 mg, 1.007 mmol) to a dry flask along with zinc cyanide (354 mg, 3.022 mmol), and tetrakis(triphenylphosphine)palladiuin(0) (116 mg, 0.101 mmol) under nitrogen atmosphere. The flask was then equipped with a condenser, sealed with a septum, and vacuumedfaack-filled with argon for 5 cycles. Dry DMF (2.0 mL) was added via syringe and the resulting mixture was stirred for 20 h at 120 °C The reaction was then cooled to 25 °C, diluted with EtOAc (30 mL), washed once with saturated bicarbonate solution, twice with water, and once with brine. The organic phase was dried over sodium sulfate, filtered, and concentrated to give a solid residue, which was purified by flash chromatography (CH2Cl2:MeOH:NH4OH 30:1:0.1) to give 13 as a white solid (195 mg, 0.663 mmol, 66%): 1H NMR (500 MHz, CDCl3) δ l.2Q (d, IH, 7 = 8.1 Hz), 6.68 (d, IH, 7 = 8.1 Hz), 5.71 (rn, IH), 5.30 (m, IH), 5.02 (m, 1 H), 4.24 (bs, IH), 3.38 (m, IH), 3.12 (d, IH, J= 19.8 Hz), 2.68 (m, 3H), 2.44 (s, 3H), 2.33 (m, 2H), 2.10 (m, IH), 1.85 (m, IH); MS (ESI) m/z 295 (M+H)-; Anal. Calcd. for C18H18N2O2-0.125H2O:C 72.89, H 6.20, N 9.44. Found: C 72.74, H 6.14, N 9.28. (B) Synthesis of 7,8-Dihydro-inorphine-3-carbonitrile derivative 14 [036] A solution of compound 13 (81 mg, 0.28 mmol) and 10%Pd/C in 5 mL MeOH was hydro genated under the pressure of 40 psi. for 4 h at room temperature. The reaction mixture was filtered with celitc, and the solvent was removed to provide 14 as a foam (81 mg; 100%). 1H NMR( CDC13) 57.20(d,lH, J=8.1Hz), 6.69(d,lH, J=8.1Hz), 4.7(s,lH), 3.12-3.09(m, IH),3.0(d, IH, J=l9.5Hz), 2.55(m, IH), 2.44(m, IH), 2.4(m,lH), 2.35(s,3H), 2.25(m, 2H), 2.1(dd, IH, J=4.2,12.0), 1.94-1.84(m, 2H), 1.55(m, IH), 1.4(m, IH) ). [α]D25=-50.6° (c=0.64, CH2CL2). MSm/z (ESI) 297(MH-). 25 WO 2006/052710 PCT/US2005/039911 (C) Synthesis of Hydrocodone-3-carbonitrile derivative 15 [037] Oxalyl chloride (41.9 μl, 0.47 mmol) was dissolved in 1 mL anhydrous CH2Cl2, under argon at -78 °C. Dry DMSO (66.9 μl, 0.95 mmol) was then added. The reaction mixture stirred for 5 min and a solution of 14 (70 mg, 0.24 mmol) in 1 mL dry CH2Cl2 was added by syringe. The mixture stirred for 20 ruin at -78 °C and 164 μl Et3N was added to the reaction mixture and warmed to room temperature. The mixture was partitioned between water (10 mL) and CH2Cl2 (10 mL x 3). The combined organic solvent was dried (MgSO4), then concentrated in vacua. The resulting compound was purified by flash column (silica gel, CH2C l2:CH3OH:NH3/H2O = 20:1:0.01) to give 63.7mg (92 %) of 15 as a foam. 1H NMRt CDCl3)δ«7.28(d,lH, J=8.1Hz), 6.84(d,lH, J=8. lHz), 4.83(s,lH), 3.24(t, lH,J=2.4Hz), 3.1(d, IH, J=19.5Hz), 2.66(m, IH), 2.61(dt, 2H, J=2.4, 5.7Hz), 2.46(m,lH), 2.44(s,3H), 2.33(m, IH), 2.1(m, IH), 1.92-1.87(m, IH), 1 75(m, IH), 1.18(m, IH)) [α]D25=64.4o(c=0.87,CH2Cl2). MSm/z (ESI)295(MH") (D) Synthesis of 3-Carboxyamido-hydrocodone derivative 16 [038] A solution of 15 (72 mg, 0.25 mmol) and KOH in t-BuOH (10 mL) was heated at reflux and stirred for 2 h. After cooling, the reaction mixture was filtered with celite, and the filtrate was concentrated The residue was purified by flash column (silica gel, CH2Cl2:CH3OH:NH3/H2O= 20:1:0.01) to give 64.9mg (85 %.) of 16 as a foam. 1HNMR(CDCl3.)87.77(d,lH, J=8.1Hz),7.46(s, IH), 6.82(d,lH, J=8.1Hz), 5.89(s, EH), 4.80(s,lH), 3.2(dd, IH, J=2.7,6.0Hz), 3.1(d, EH, J=19.5Hz), 2.66(m, IH), 2.62(m, 2H), 2.46(m,lH), 2.44{s,3H), 2.33(d, IH, J=5.4Hz), 2.1(m, IH), 1.92- 1.87(m, IH), 1 75(m, IH), 1.18(m, IH) ). [α]D25= -96.6° (c=0.23, CH2Cl2). MS m/z (ESI) 313(MH") 26 WO 2006/052710 PCT/US2005/039911 (E) Synthesis of 3 -Carboxyamido-4-hydroxy-hydrocodone derivative 17 [039] A mixture of 16 (46 mg, 0.15 mmol), NH4C1 (78.9 mg, 0.88 mmol), zinc dust (57.3 mg, 0.88 mmol) and EtOII (95%, 15 mL) was heated at reflux for 4 h. After cooling, the mixture was filtered, and the solids were washed with NH/H2O (2 mL). The combined filtrates and the washings were concentrated and extracted with CH2Cl2 (10 mL x 3). The organic extracts were dried (MgSO4) and concentrated. The residue was purified by column chromatography (SiO2, CH2Cl2:CH3OH:NH/H2O = 10:1:0.01) to give 29 mg (63 %) of 17 as a foam. 1H NMR (CDC13) 5D.l(s, IH), 7.12(dd,lH, J=1.2, 8.1Hz),7.46(s, IH), 6.54(d,lH, J=8.1Hz), 6.02(br, 2H), 4.35(d,lH, J=13.5Hz), 2.99(m, 211), 2.92(m, 1H), 2.7(dd, IH, J=4.7, 13.9Hz), 2.46(m, 2H), 2.4(s,3H), 2.24(m,2H), 1.98(m, IH), 1.87(m, IH), 1.6(m,lH) ). [α]D25= -25.9° (c=0.7, CHCl2). MSm/z (ESI) 315(MH-). 27 WO 2006/052710 PCT/US2005/039911 28 Example 6- Synthesis of 3-Carboxamido-4-hydroxy-6(x-hvdroxv-naIbuDhine derivative 22a and 3-Carboxamido-4-hvdroxy-6 3-hydroxy-nalbuphinc derivative 22b WO 2006/052710 PCT/US2005/039911 (A) Synthesis of Nalbuphine-3-trillate 18 [040] To a dispersion of nalbuphine hydrochloride (714 mg, 1.812 mmol) in CH2C12 (30 mL) was added triethylamine (630 μL, 4.53 mmol) at 0 "C, followed by PhN(Tf) 2 (654 mg, 1.812 mmol) in one portion. The mixture was allowed to warm to room temperature and stirred overnight. The solvent was removed under reduced pressure, and the residue was partitioned between 6N NH4OH solution (50 mL) and CH2C12 (3x50 mL). The CH2CL2 extracts were combined and the volume was reduced to 50 mL under reduced pressure. The organic phase was washed with saturated aqueous Na2CO3 solution (3x50mL), then dried (Na2SO4) and concentrated to give 18 (886 mg, 1.812 mmol, 100%). 1H NMR (500 MHz, CDCI3) 5 6.95 (d, IH, J= 8.5 Hz), 6.69 (d, IH, J= 8.5 Hz), 4.97 (broad, ffl), 4.75 (d, IH, J = 5.0 Hz), 4.19 (m, IH), 3.12 (d, IH, J= 19.0 Hz), 2.85 (d, IH, .7 = 6.0 Hz), 2.66 (dd, IH, J = 19.0, 6.0 Hz), 2.52-2.44 (m, 4H), 2.25 (td, IH, J = 12.5, 5.0 Hz), 2.17 (td, IH, J= 12.5, 3.0 Hz), 2.07 (m, IH), 1.98-1.81 (m, 3H), 1.73-1.44 (m, 5H), 1.26 29 WO 2006/052710 PCT/US2005/039911 (m, 1H); 13C NMR (125 MIIz, CDCl3)5 149.5, 134.4, 1343, 130.2, 121.8, 119.6, 92.9, 69.8,66.6, 62.7, 60.8, 47.0, 43.4, 33.8, 32.8, 27.6, 27.1,26.9, 23.8, 23.7, 18.9; MS(ESI)m/z 490 (M+H)' (D) Synthesis of Nalbuphine-3-carbonitrile derivative 19 [041] To a three-neck flask equipped with a condenser was added compound 18 (886 mg, 1.812 mmol), Zu(CN)2 (638 mg, 5.436 mmol) and Pd(PPH3)4 (419 mg, 0.362 mmol) under nitrogen atmosphere. The flask was sealed and removed from the glove box. Anhydrous DMP (6 mL) was injected through the septum. The mixture was heated at 135 °C for 24 hours. DMF was removed under reduced pressure, and the residue was partitioned between saturated aqueous NaHCO3 solution (l00rnL) and ethyl acetate (3x1 00mL). The organic extracts were combined, dried (Na2SO4) and concentrated to give crude product, which was purified by flash chromatography [(hexane/ethyl acetate/ammouium hydroxide (1:1:0.01)] to give compound 19 as a while foam (549 mg, 1.50 mmol, 83%). 1H NMR (500 MIIz, CDC13) 5 7.25 (d, HI, J - 8.0 Hz), 6.73 (d, HI, J = 8.0 Hz), 4.77 (d, 1H, J = 5.0 Hz), 4.23 (m, III), 3.15 (d, III, J = 19.5 Hz), 2..S6 (d, III, J=6.0 Hz), 2.69 (dd, III, J= 19.5, 6.0 Hz), 2.49 (m, 4H), 2.26 (td, III, J= 13.0, 5.0 Hz), 215 (td, III, J = 11.5, 3.01Iz), 2.06 (m, 3H), 1.90 (m, III), 1.84 (m, 2H), 1.65 (m, 310, 1.47 (m, HI), 1.41 (m, HI), 1.18 (m. 1H); 13C NMR (125 MHz, CDCl3) δ 161.3, 139.8, 131.7, 131.3, 119.1, 115.8, 92.5, 90.4, 69.5, 66.4, 62.3, 60.6, 46.1, 43.0, 33.5, 32.8, 27.7, 26.9, 26.7, 24.2, 23.4, 18.7; MS (ESI) m/z 367 (M+H)1 (C) Synthesis of 6-Oxo-naIbuphine-3-carbonitrile derivative 20 [042] Oxalyl chloride (143 μL 1.64 mmol) in CH2Cl2 (5 ml) was cooled to -78 'C under nitrogen atmosphere and anhydrous DMSO (232 μL, 3.27 mmol) was added via a syringe. After 2 minutes, compouud 19 (335 mg, 0.915 mmol) in dry CH2C12 (5 mL) was added, and the stirring was continued for 15 minutes. Dry triethylamine (570 μL, 4.097 mmol)was added, and the stilting was continued for 5 30 WO 2006/052710 PCT/US2005/039911 minutes. After warmed to room temperature, the reaction mixture was partitioned between saturated aqueous NaHCO3 solution (50mL) and CH2Cl2(3x50 mL). The combined organic layer was washed with brine (100 mL), dried (Na2SO4)and concentrated to give crude product, which was purified by flash chromatography [CH2Cl2MeOH (25:1)] to give compound 20 (308 mg, 0.846 mmol, 92%). 1H NMR(500 MHz, CDCl3)δ 7.28 (d, III, J = 8.0 Hz), 6.80 (d, III, J = 8.0 Hz), 5.13 (broad, HI), 4.81 (s, HI), 3.19 (d, HI, J= 19.5 Hz), 3.03 (td, III, J= 14.5, 6.0 Hz), 2.97 (d, 1H, J = 6.0 Hz), 2.67 (dd, III, J - 19.5, 6.0 Hz), 2.60-2.48 (m, 4H), 2.44 (td, HI, J = 12.5, 5.5 Hz), 2.32 (m, III), 2.16-2.02 (m, 6H), 1.70 (m, 2IIX 153 (m, 2H); 13C NMR (125 MHz, CDCl3) δ 206.2, 159.2, 138.8, 132.0, 129.4, 119.5, 115.0, 92.7, 91.2, 69.8, 62.2, 60.3, 50.0, 43.2, 35.9, 33.5, 31.2, 30.6, 26.9, 26.7, 24.0, 18.7; MS (ESI) m/z 365 (M+H)1. (D) Synthesis of 3-Carboxamido-4-hydroxy-6-oxo-nalbuphiue derivative 21 [043] To a flask containing compound 20 (252 rug, 0.692 mmol) was added Zn dust (900 mg, 13.85 mmol), glacial acetic acid (5 mL) and concentrated IIC1 (0.69 mL, 8.3 mmol). After refluxing at 125 °C for 3 hours, the reaction mixture was cooled to 0'C and concentrated NH4OH solution was added to adjust pH to 10. The slurry mixture was extracted with CH2Cl2 (3x100 mL). The organic extracts were combined, dried (Na2SO4) and concentrated to yield 253 mg crude product. Flash chromatography gave compound 21 (187 mg, 0.487 mmol, 71%). 1H NMR (500 MHz, CDCI3) 5 13.14 (s, HI), 7.13 (d, III, J = 8.0 Hz), 6.56 (d, HI, J= 8.0 Hz), 6.30-5.40 (broad, 210, 4.65 (s, HI), 4.04 (dd, III, J= 11.0, 2.0 Hz), 3.02 (in, HI), 2.94 (d, m,J= 13.0 Hz), 2.89 (m, HI), 2.86 (m, HI), 2.50 (m, 3H), 2.45 (m, HI), 2.16-1.71 (m, 9H), 1.68 (m, 3H); 13C NMR (125 MIIz, CDC13) 5 212.5, 173.3, 162.0, 144.3, 127.2, 124.9, 117.5, 111.0, 68.9, 60.4, 59-9, 45.6, 44.7, 43.9, 37.7, 33.8, 32.7, 32.1, 27.0, 26.8, 26.7, 18.7; IR(film) vmax3354, 2928, 1709, 1653, 1617,1429 cm-l; MS (ESI) m/z 385 (M+H)'. 31 WO 2006/052710 PCT/US2005/039911 (E) Synthesis of 3-Carboxamide-4-hydroxy-6 a-hydroxy-nalbuphine derivative 22a and 3-Carboxamido-4-hydroxy-6 β-hydroxy-nalbuphinc derivative 22b [044] Compound 21 (115 mg, 0.3 mmol) was dissolved in MeOH (2 mL) and cooled to 0 "C. NaBH4 (46 mg, 1.2 mmol) was added in one portion. The reaction was stirred at 0 "C for two hours and quenched by the addition of saturated aqueous NH4C1 solution. McOH was removed under reduced pressure, and concentrated NH4OH solution was added to adjust pH to 10. The aqueous phase was extracted with CHC13 (4x50 niL), and the organic extracts were combined, dried (NaSOj) and concentrated to yield 97 mg crude product Flash cbromatography [CHCl/MeOH/NH 4OH (10:1:0.1)] gave isomers 22a (31.8 mg, 0.082 mmol, 17%) and 22b (40.7 mg, 0.105 mmol, 35%). 22a: WNMR (500 MHz, CDCI3) 8 13.43 (s, EH), 7.12 (d, EH, J - 8.0 Hz), 6.62 (d, IH, J= 8.0 Hz), 6.30-5.30 (broad, 2H), 4.60 (s, IH), 4.18 (s, IH), 3.47 (m, IH), 3.01 (d, EH, J = 19.0 Hz), 2.95 (td, IH, J = 19.0, 6.0 Hz), 2.66 (d, IH, ,7 = 5.5 Hz), 2.47-2.37 (m, 4H), 2.10-1.85 (m, 10H), 1.66-1.47 (m, 4H), 1.27 (m, IH); "CNMR (125 MHz, CDClj)S 173.6, 161.9, 144.3, 131.4, 123.9, 118.4, 110.5, 69.5, 67.8, 60.8, 60.4, 44.4, 39.5, 35.2, 33.7, 33.0, 27.7, 27.00, 26.96, 26.93, 26.7, 18.7; IR (film) v^ 3445 (broad), 2929, 1653, 1425 Cm-1;MS (ESI) m6387 (M+H)'. 22b: WNMR (500 MHz, CDCI3) 5 13.10 (s, EH), 7.15 (d, IH, J = 8.0 Hz), 6.60 (d, IH, J =8.0 Hz), 6.30-5.30 (broad, 2H), 4.46 (s, EH), 3.53 (m, EH), 3.38 (m, EH), 3.00 (d, EH, J = 19.5 Hz), 2.84 (td, EH, J = 19.5, 6.5 Hz), 2.71 (d, EH, J= 6.0 Hz), 2.46-2.38 (m, 4H), 2.07-1.49 (m, 14H), 1.34 (d, IH, J= 5.0 Hz); '-XNMR (125 MHz, CDClj) 8 173.6, 161.0, 143.9, 127.5, 124.5, 117.2, 110.3, 68.5, 66.7, 59.7, 59.6, 43.6, 41.4, 373, 33.1, 31.6, 29.8, 29.7, 26.0, 25.9 (2C), 17.8; IR (film) vmfflt3410 (broad), 2929, 1653, 1617, 1425 an"1; MS (ESI) m/z 387 (M+H)1 32 WO 2006/052710 PCT/US2005/039911 Example 7-Synthesis of 3-C3rboxamide-4-hydroxv-naltrexone derivative 24 [045] To a SO mL of flask containing nitrile 23 (made using the procedure of Kubota et al, Tetrahedron Letters 39(19). 2907-2910 (1998)) (452 mg, 1.29 mmol) was added 323 mesh zinc dust (1679 mg, 25.83 mmol), followed by the addition of 8 mL of glacial acetic acid and 1.29 mL of 12 M HCL A condenser was installed and the reaction mixture was then refluxed al 125 °C for 3 h. Some zinc balls formed at the bottom of the flask. The reaction was cooled to 0 °C and concentrated NH4OH was added dropwise to adjust the pH to about 10. Formation of a white slimy was observed. The mixture was extracted with methylene chloride (100 mL x 3). The organic phases were dried over sodium sulfate and concentrated to give a light yellow foam (484 mg), which was purified using flash chromatography (25; 1:0.1 CII2Cl2:MeOH:NII4OH) to give 3 as a white foam (264 mg, 0.713 mmol, 55%) and 24 as a white solid (100 mg, 0.281 mmol, 22%): mp 268-270 0C, 1H NMR (500 MHz, CDC13) £12.99 (s, HI), 7.15 (d, III, J = 8.0 Hz), 6.60 (d, 1H, J= 8.0 Hz), 6.60-5.40 (bs, 2H), 4.52 (bs, HI), 3.11 (m, HI), 3.00-2.80 (m, 3H), 2.60 (in, 1H), 2.31 (m, 2H), 2.10-1 70 (m, 4H), 1.60-1.35 (m, 5H), 1.18 (m, HI), 0.83 (m, HI), 0.50 (111, 211), 0.10 (m, 2H); MS (ESI)m/z 300 (M+H)', AnaL Calcd. for C21H28NC2O3O.375H2O, C 69.44, H 7.98, K 7.71. Found: C 69.46, II 8.11, N 7.42. [oc]25D= -85.0" (c=0.40, CHC13) 33 WO 2006/052710 PCT/US2005/039911 (A) Synthesis of 3-Carbouitrile-4-hydroxy-ualtrexoue derivative 25 [046] To a 30 mL of flask containing nitrite 23 (101 mg, 0.28 mmol) was added 325 mesh zinc dust (126 mg, 1.94 mmol) and ammonia hydrochloride (148 mg, 2.77 mmol), followed by 4 mL of EtOH:H2O (20:1). A condenser was installed and the reaction mixture was then refhixed at 95 °C for 3 h. The reaction was cooled to room temperature and filtered through a cake of celite. The celite was washed with MeOH The filtrates were concentrated and then partitioned between CH2C12 (40 mL x 3) and 40 mL OfNH4OH in water (pH 8-9). The organic phases were combined, dried over sodium sulfate and concentrated to give a solid (106 mg), which was purified using flash chromatography (25:1:0.1 CH2Cl2:MeOH:NH4OH) to give 25 as a white solid (63 mg, 0.17 mmol, 62%). 1H NMR (500 MHz, CDC13) £7.25 (d, 1H, J= 9.3 Hz), 7.40 (d, 1H, J =7.8 Hz), 5.12 (bs, 1H), 3.81 (d, III, J= 12.6 Hz), 3.40-2.60 (m, 6H), 2.41 (s, 2H), 2.30-1.75 (m, 5H), 1.60 (m, HI), 0.88 (m, HI), 0.56 (m, 2H), 0.14 (m, 2H); MS (ESI) in/z 300 (M+H)1; [a]25D=-64.3 (c= 0.56°: EtOH). (B) Synthesis of 3-Thiocarboxyamido-4-hydroxy-ualtrexoue derivative 26 [047] A mixture of nitrite 25 (49 mg, 0.139 mmol) and O,O-diethyl-dithiophosphork acid (475 μL, 2.78 mmol) in water (2 mL) and ethanol (4 mL) was heated at 80 °C for 22 h The reaction mixture was cooled to room temperature and partitioned 34 WO 2006/052710 PCT/US2005/039911 between saturated NaHCO3 (20 mL) and CH2C12(20 mL x 3). The organic phases were dried over sodium sulfate and concentrated to give 26 as a yellow solid (56 mg), which was purified using flash chromatography (40:1:0.1 EtOAc:MeOH:NH,,OH) to give a yellow foam (36 ing, 0.093 mmol, 67%). 1H NMR (500 MHz, CDCl3) £12.24 (s, IH), 7.20-7.06 (m, 3H), 6.59 (d, IH, J= 8.5 Hz), 4.72 (bs, IH), 4.02 (d, IH, J= 14.0 Hz), 3.14 (m, IH), 2.94 (m, 2H), 2.94-2.70 (m, 2H), 2.65 (m, IH), 2.20-1 70 (m, 6H), 0.87 (m, IH), 0.55 (m, 2H), 0.12 (m, 211); MS (ESI) m/z 300 (M+H)"; Anal. Calcd. for C21H20N2O3SO.25H2O; C 64.51, H6.83.N 7.16. Found: C 64.50, H 6.61,N 694. [α]25D=+85.0° (c=0.20, CHCl3). [048] Each of the patents, patent applications, and references mentioned herein is hereby incorporated by reference in its entirety. [049] While typical embodiments have been set forth for the purpose of illustration, the foregoing descriptions and examples should not be deemed to be a limitation on the scope of the invention. Accordingly, various modifications, adaptations, and alternatives may occur to one skilled in the art without departing from the spirit and scope of the present invention. 35 WE CLAIM: 1. A compound of formula: wherein A is chosen from -C(=O)NH2 and -C(=S)NH2; R2 and R2a are both hydrogen or taken together R2 and R2a are =O; R3 is chosen from hydrogen, C1-C6 alkyl, vinyl, -CH=C(CH3)2, C5-C6 aryl, furanyl, thiophenyl, tetrahydrofuranyl, benzofuranyl, and benzyl; R4 is chosen from hydrogen, hydroxy, amino, C1-C4 alkoxy, C1-C20 alkyl and C1-C20 alkyl substituted with hydroxy or carbonyl; R11 is hydrogen; R12 is chosen from hydrogen, hydroxy, C1-C4 alkoxy and -NR13 R14; or together, R11 and R12 form a carbonyl or a vinyl substituent; R13 and R14 are chosen independently from hydrogen and C1 to C7 hydrocarbon; and the dotted line represents an optional double bond. 2. A compound as claimed in claim 1 wherein R2 and R2a are hydrogen; R3 is chosen from hydrogen, cyclopropyl, and cyclobutyl, vinyl and tetrahydrofuranyl; R4 is chosen from hydrogen and hydroxyl; R11 is hydrogen; R12 is chosen from hydrogen and hydroxy; or together, R11 and R12 form a carbonyl. 3. A compound as claimed in claim 1 of formula: wherein R2 and R2a are both hydrogen or taken together R2 and R2a are =O; R3 is chosen from hydrogen, C1-C6 alkyl, vinyl, -CH2CH=C(CH3)2, C5-C6 aryl, furanyl, thiophenyl, tetrahydrofuranyl, benzofuranyl, and benzyl R4 is chosen from hydrogen, hydroxy, amino, C1-C4 alkoxy, C1-C20 alkyl and C1-C20 alkyl substituted with hydroxy or carbonyl; R11 is hydrogen; R12 is chosen from hydrogen, hydroxy, C1-C4 alkoxy and -NR13 R14; or together, R11 and R12 form a carbonyl or a vinyl substituent; R13 and R14 are chosen independently from hydrogen and C1 to C7 hydrocarbon; and the dotted line represents an optional double bond. 4. A compound as claimed in claim 3 wherein: R2 and R2a are hydrogen; R3 is chosen from hydrogen, cyclopropyl, and cyclobutyl, vinyl and tetrahydrofuranyl; R4 is chosen from hydrogen and hydroxyl; R11 is hydrogen; R12 is chosen from hydrogen and hydroxy; or together, R11 and R12 form a carbonyl. 5. A compound as claimed in claim 4 selected from the group of 6. A compound as claimed in claim 1 of formula: wherein R2 and R2a are both hydrogen or taken together R2 and R2a are =O; R3 is chosen from hydrogen, C1-C6 alkyl, vinyl, -CH2CH=C(CH3)2, C5-C6 aryl, furanyl, thiophenyl, tetrahydrofuranyl, benzofuranyl, and benzyl; R4 is chosen from hydrogen, hydroxy, amino, C1-C4 alkoxy, C1-C20 alkyl and C1-C20 alkyl substituted with hydroxy or carbonyl; R11 is hydrogen; R12 is chosen from hydrogen, hydroxy, C1-C4 alkoxy and -NR13 R14; or together, R11 and R12 form a carbonyl or a vinyl substituent; R13 and R14 are chosen independently from hydrogen and C1 to C7 hydrocarbon; and the dotted line represents an optional double bond. 7. A compound as claimed in claim 6 wherein: R2 and R2a are hydrogen; R3 is chosen from hydrogen, cyclopropyl, and cyclobutyl, vinyl and tetrahydrofuranyl; R4 is chosen from hydrogen and hydroxyl; R11 is hydrogen; R12 is chosen from hydrogen and hydroxy; or together, R11 and R12 form a carbonyl. 8. The compound of formula -as claimed in claim 5. ABSTRACT "NOVEL COMPOUNDS (4-HYDROXYBENZOMORPHANS) AS ANALGESICS, ANTIPRURITICS, ANTIDIRRHEAL AGENTS" There is disclosed a compound of formula: wherein A is chosen from -C(=O)NH2 and -C(=S)NH2; R2 and R2a are both hydrogen or taken together R2 and R2a are =O; R3 is chosen from hydrogen, C1-C6 alkyl, vinyl, -CH=C(CH3)2, C5-C6 aryl, furanyl, thiophenyl, tetrahydrofuranyl, benzofuranyl, and benzyl; R4 is chosen from hydrogen, hydroxy, amino, C1-C4 alkoxy, C1-C20 alkyl and C1-C20 alkyl substituted with hydroxy or carbonyl; R11 is hydrogen; R12 is chosen from hydrogen, hydroxy, C1-C4 alkoxy and -NR13 R14; or together, R11 and R12 form a carbonyl or a vinyl substituent; R13 and R14 are chosen independently from hydrogen and C1 to C7 hydrocarbon; and the dotted line represents an optional double bond.

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01789-kolnp-2007-form 5.pdf

01789-kolnp-2007-gpa.pdf

01789-kolnp-2007-international publication.pdf

01789-kolnp-2007-international search report.pdf

01789-kolnp-2007-pct priority document notification.pdf

01789-kolnp-2007-pct request form.pdf

1789-KOLNP-2007-(02-08-2013)-REPLY TO EXAMINATION REPORT.pdf

1789-KOLNP-2007-(14-02-2012)-CORRESPONDENCE.pdf

1789-KOLNP-2007-(15-07-2013)-CORRESPONDENCE.pdf

1789-KOLNP-2007-(15-07-2013)-FORM-3.pdf

1789-KOLNP-2007-(21-10-2011)-ABSTRACT.pdf

1789-KOLNP-2007-(21-10-2011)-AMANDED CLAIMS.pdf

1789-KOLNP-2007-(21-10-2011)-CORRESPONDENCE.pdf

1789-KOLNP-2007-(21-10-2011)-DESCRIPTION (COMPLETE).pdf

1789-KOLNP-2007-(21-10-2011)-FORM 1.pdf

1789-KOLNP-2007-(21-10-2011)-FORM 13.pdf

1789-KOLNP-2007-(21-10-2011)-FORM 2.pdf

1789-KOLNP-2007-(21-10-2011)-OTHERS.pdf

1789-KOLNP-2007-(21-10-2011)-PETITION UNDER RULE 137.pdf

1789-KOLNP-2007-(22-11-2012)-ANNEXURE TO FORM 3.pdf

1789-KOLNP-2007-(22-11-2012)-CORRESPONDENCE.pdf

1789-KOLNP-2007-AMENDED CLAIM.pdf

1789-KOLNP-2007-ASSIGNMENT.pdf

1789-KOLNP-2007-CANCELLED PAGES.pdf

1789-KOLNP-2007-CORRESPONDENCE.pdf

1789-KOLNP-2007-Examination Report Reply Recieved.pdf

1789-KOLNP-2007-EXAMINATION REPORT.pdf

1789-KOLNP-2007-FORM 13.pdf

1789-kolnp-2007-form-18.pdf

1789-KOLNP-2007-GPA.pdf

1789-KOLNP-2007-GRANTED-ABSTRACT.pdf

1789-KOLNP-2007-GRANTED-CLAIMS.pdf

1789-KOLNP-2007-GRANTED-DESCRIPTION (COMPLETE).pdf

1789-KOLNP-2007-GRANTED-FORM 1.pdf

1789-KOLNP-2007-GRANTED-FORM 2.pdf

1789-KOLNP-2007-GRANTED-FORM 3.pdf

1789-KOLNP-2007-GRANTED-FORM 5.pdf

1789-KOLNP-2007-GRANTED-SPECIFICATION-COMPLETE.pdf

1789-KOLNP-2007-INTERNATIONAL PUBLICATION.pdf

1789-KOLNP-2007-INTERNATIONAL SEARCH REPORT & OTHERS.pdf

1789-KOLNP-2007-OTHERS.pdf

1789-KOLNP-2007-OTHERS1.1.pdf

1789-KOLNP-2007-PETITION UNDER RULE 137-1.1.pdf

1789-KOLNP-2007-PETITION UNDER RULE 137.pdf

1789-KOLNP-2007-REPLY TO EXAMINATION REPORT.pdf