Title of Invention

INDOELS AND BENZOIMIDAZOLES AS MODULATORS OF THE HISTAMINE H4 RECEPTOR

Abstract Benzoimidazole and indole compounds are described, which are useful as H4 receptor modulators. Such compounds may be used in pharmaceutical compositions and methods for the treatment of disease states, disorders, and conditions mediated by H4 receptor activity, such as allergy, asthma, autoimmune diseases, and pruritis.
Full Text INDOLES AND BENZOIMIDAZOLES AS HISTAMINE H4 RECEPTOR
MODULATORS
This application claims the benefit of US provisional patent application
serial number 60/790,421, filed on April 7, 2006, which is incorporated herein by
reference.
Field of the Invention
The present invention relates to certain indole and benzoimidazole
compounds, pharmaceutical compositions containing them, and methods of using
them for the treatment of disease states;, disorders, and conditions mediated by
histamine H4 receptor activity.
Background of the Invention
The histamine H4 receptor (H4R) is the most recently identified receptor for
histamine (for reviews, see: Fung-Leung, W.-P., et al., Curr. Opin. Invest. Drugs
2004, 5(11), 1174-1183; de Esch, I.J.P., et al., Trends Pharmacol. Sci. 2005,
26(9), 462-469). The receptor is found in the bone marrow and spleen and is
expressed on eosinophils, basophils, mast cells (Liu, C, et al., Mol. Pharmacol.
2001, 59(3), 420-426; Morse, K.L., et al., J. Pharmacol. Exp. Ther. 2001, 296(3),
1058-1066; Hofstra, C.L., et al., J. Pharmacol. Exp. Ther. 2003, 305(3). 1212-
1221; Lippert. U.. et al., J. Invest. Dermatol. 2004, 123(1), 116-123; Voehringer,
D., et al.. Immunity 2004, 20(3), 267-277), CD8* T cells (Gantner, F., et al., J.
Pharmacol. Exp. Ther. 2002, 303(1), 300-307), dendritic cells, and human
synovial cells from rheumatoid arthritis patients (Ikawa, Y., et al., Blol. Pharm.
Bull. 2005, 28(10), 2016-2018). However, expression in neutrophils and
monocytes is less well defined (Ling, P., tst al., Br. J. Pharmacol. 2004, 142(1).
161-171). Receptor expression is at least, in part controlled by various
inflammatory stimuli (Coge, F., et al., Biochem. Biophys. Res. Commun. 2001.
284(2), 301-309; Morse, et al.. 2001), thus; supporting that H4 receptor activation
influences inflammatory responses. Because of its preferential expression on
immunocompetent cells, the H* receptor iss closely related with the regulatory
functions of histamine during the immune response.
A biological activity of histamine in the context of immunology and
autoimmune diseases is closely related with the allergic response and its

deleterious effects, such as inflammation. Events that elicit the inflammatory
response include physical stimulation (including trauma), chemical stimulation,
infection, and invasion by a foreign body. The inflammatory response is
characterized by pain, increased temperature, redness, swelling, reduced
function, or a combination of these.
. Mast cell degranulation (exocytosis) releases histamine and leads to an
inflammatory response that may be initially characterized by a histamine-
modulated wheat and flare reaction. A wide variety of immunological stimuli (e.g.,
allergens or antibodies) and non-immunological (e.g., chemical) stimuli may
cause the activation, recruitment, and de-granulation of mast cells. Mast cell
activation initiates allergic inflammatory responses, which in turn cause the
recruitment of other effector cells that further contribute to the inflammatory
response. It has been shown that histamine induces chemotaxis of mouse mast
cells (Hofstra, et al., 2003). Chemotaxis does not occur using mast cells derived
from H4 receptor knockout mice. Furthermore, the response is blocked by an H4-
specific antagonist, but not by H-i, hfe or H3 receptor antagonists (Hofstra, et al.,
2003; Thurmond, R.L., etal., J. Pharmacol. Exp. Ther. 2004. 309(1). 404-413).
The in vivo migration of mast cells to histamine has also been investigated and
shown to be H4 receptor dependent (Thurmond, et al., 2004). The migration of
mast cells may play a role in allergic rhinitis and allergy where increases in mast
cell number are found (Kirby, J.G., et al., Am. Rev. Respir. Dis. 1987,136(2),
379-383; Crimi, E., et al., Am. Rev. Respir. Dis. 1991, 144(6), 1282-1286; Amin,
K., et al., Am. J. Resp. Crit. Care Med. 2000, 162(6), 2295-2301; Gauvreau, G.M..
et al., Am. J. Resp. Crit. Care Med. 2000,161(5), 1473-1478; Kassel, O., et al..
Clin. Exp. Allergy 2001. 31(9). 1432-1440). In addition, it is known that in
response to allergens there is a redistribution of mast cells to the epithelial lining
of the nasal mucosa (Fokkens. W.J., el: al., Clin. Exp. Allergy 1992, 22(7), 701-
710; Slater, A., et al., J. Laryngol. Otol. 1996,110, 929-933). These results show
that the chemotactic response of mast cells is mediated by histamine H4
receptors.
It has been shown that eosinophils can chemotax towards histamine
(O'Reilly, M., et al., J. Recept. Signal Transduction 2002, 22(1-4), 431-448;
Buckland, K.F., et al., Br. J. Pharmacol 2003,140(6), 1117-1127; Ling et al..

2004). Using H4 selective ligands, it has been shown that histamine-induced
chemotaxis of eosinophils is mediated through the H4 receptor (Buckland, et al.,
2003; Ling et al., 2004). Cell surface expression of adhesion molecules
CD11b/CD18 (LFA-1) and CD54 (ICAM-1) on eosinophils increases after
histamine treatment (Ling, et al., 2004). This increase is blocked by H4 receptor
antagonists but not by H1, H2, or H3 receptor antagonists.
The H4R also plays a role in dendritic cells and T cells. In human
monocyte-derived dendritic cells, H4R stimulation suppresses IL-12p70 production
and drives histamine-rnediated chemctaxis (Gutzmer, R., et al., J. Immunol. 2005,
174(9), 5224-5232). A role for the H4 receptor in CD8* T cells has also been
reported. Gantner, et al., (2002) showed that both H4 and hfe receptors control
histamine-induced IL-16 release from hiuman CD8+ T cells. IL-16 is found in the
bronchoalveolar fluid of allergen- or histamine-challenged asthmatics (Mashikian,
V.M., et al., J. Allergy Clin. Immunol. 1998,101 (6, Part 1), 786-792; Krug, N., et
al., Am. J. Resp. Crit. Care Med. 2000,162(1), 105-111) and is considered
important in CD4* cell migration. The activity of the receptor in these cell types
indicates an important role in adaptive immune responses such as those active in
autoimmune diseases.
In vivo H4 receptor antagonists were able to block neutrophillia in zymosan-
induced peritonitis or pleurisy models (Takeshita, K., et al., J. Pharmacol. Exp.
Ther. 2003, 307(3), 1072-1078; Thurmond, et al., 2004). In addition, H4 receptor
antagonists have activity in a widely used and well-characterized model of colitis
(Varga, C, et al.. Eur. J. Pharmacol. 2005, 522(1-3), 130-138). These results
support the conclusion that H4 receptor antagonists have the capacity to be anti-
inflammatory in vivo.
Another physiological role of hisiamine is as a mediator of itch and Hi
receptor antagonists are not completely effective in the clinic. Recently, the H4
receptor has also been implicated in hUstamine-induced scratching in mice (Bell,
J.K., et al.. Br. J. Pharmacol. 2004,142(2), 374-380). The effects of histamine
could be blocked by H4 antagonists. These results support the hypothesis that
the H4 receptor is involved in histamine-induced itch and that H4 receptor
antagonists will therefore have positive effects in treating pruritis.

Modulation of H4 receptors controls the release of inflammatory mediators
and inhibits leukocyte recruitment, thus providing the ability to prevent and/or treat
H4-mediated diseases and conditions, including the deleterious effects of allergic
responses such as inflammation. Compounds according to the present invention
have H4 receptor modulating properties Compounds according to the present
invention have leukocyte recruitment inhibiting properties. Compounds according
to the present invention have anti-inflammatory properties.
Examples of textbooks on the subject of inflammation include: 1) Gallin,
J.I.; Snyderman, R., Inflammation: Basic Principles and Clinical Conrelates, 3rd
ed.; Lippincott Williams & Wilkins: Philadelphia, 1999; 2) Stvrtinova, V., et al..
Inflammation and Fever. Pathophysiology Principles of Diseases (Textbook for
Medical Students); Academic Press: N€tw York. 1995; 3) Cecil; et al. Textbook Of
Medicine, 18th ed.; W.B. Saunders Co., 1968; and 4) Stedman's Medical
Dictionary.
Background and review material on inflammation and conditions related
with inflammation can be found in articles such as the following: Nathan, C,
Nature 2002, 420(6917), 846-852; Tracey. K.J., Nature 2002, 420(6917), 853-
859; Coussens, L.M., et al.. Nature 2002,420(6917), 860-867; Libby, P.. Nature
2002, 420, 868-874; Benoist, C, et al., Mature 2002, 420(6917), 875-878;
Weiner, H.L., et al.. Nature 2002,420(6917), 879-884; Cohen, J., Nature 2002.
420(6917), 885-891; Steinberg, D., Nature Med. 2002, 8(11), 1211-1217.
Thus, small-molecule histamine H«receptor modulators according to this
invention control the release of inflammatory mediators and inhibit leukocyte
recruitment, and may be useful in treating inflammation of various etiologies,
including the following conditions and diseases: inflammatory disorders, allergic
disorders, dermatological disorders, autoimmune disease, lymphatic disorders,
pruritis, and immunodeficiency disorders. Diseases, disorders and medical
conditions that are mediated by histamino H4 receptor activity include those
referred to herein.
Indole and benzoimidazole amides were disclosed as histamine H4
receptor modulators in Intl. Patent Appl. Publ. No. WO02/072548 (Sept. 19,
2002). 4-Pyrrolidino pyrimidines have also been disclosed as histamine H4
receptor modulators (See, Intl. Patent Appl. Publ. Nos. WO05/014556 (Feb. 17,

2005) and WO05/054239 (June 16,2005). However, there still remains a need
for potent histamine H4 receptor modulators with desirable pharmaceutical
properties.
Summary of the Invention
Certain indole and benzoimidazole derivatives have now been found to
have histamine H4 receptor-modulating activity.
In one general aspect, the invention relates to compounds of the following
ther is
This invention also relates to any of the following: pharmaceutically
acceptable salts of compounds of Formula (I), pharmaceutically acceptable
prodrugs of compounds of Formula (I), and pharmaceutically active metabolites of
compounds of Formula (I).
In other embodiments, the compound of Formula (I) is a compound
selected from those species described or exemplified in the detailed description
below.

In a further general aspect, the invention relates to pharmaceutical
compositions comprising an effective amount of at least one of an agent selected
from compounds of Formula (I) and piarmaceutically acceptable salts,
pharmaceutically acceptable prodrugs, and pharmaceutically active metabolites
thereof. Some embodiments of pharmaceutical compositions according to the
invention further comprise a pharmacciutically acceptable excipient.
In another general aspect, the invention is directed to a method of treating
a subject suffering from or diagnosed with a disease, disorder, or medical
condition mediated by histamine H4 reiieptor activity, comprising administering to
the subject in need of such treatment an effective amount of at least one
compound of Formula (I), or a pharmaceuticafly acceptable salt, pharmaceutically
acceptable prodrug, or pharmaceutically active metabolite of such compound. In
certain preferred embodiments of the inventive method, the disease, disorder, or
medical condition is inflammation. Inflammation herein refers to the response
that develops as a consequence of histamine release, which in turn is caused by
at least one stimulus. Examples of such stimuli are immunologica! stimuli and
non-immunologicai stimuli.
In another general aspect, the invention is directed to a method for
modulating histamine H4 receptor activity, comprising exposing histamine H«
receptor to an effective amount of at least one of a compound of Formula (I) and
a salt thereof.
In other embodiments of methods! and compositions according to this
invention, the compound of Formula (I) is a compound selected from those
species described or exemplified in the detailed description below.
Additional embodiments, features, and advantages of the invention will be
apparent from the following detailed description and through practice of the
invention.
Detailed Description of Invention and Its Preferred Embodiments
The invention may be more fully appreciated by reference to the following
description, including the following glossary of terms and the concluding
examples. For the sake of brevity, the disclosures of the publications, including
patents, cited in this specification are heroin incorporated by reference.

As used herein, the terms "including", "containing" and "comprising" are
used herein in their open, non-limiting sense.
The term "alkyl" refers to a straight- or branched-chain alkyi group having
from 1 to 12 carbon atoms in the chain. Examples of alkyl groups include methyl
(Me, which also may be structurally depicted by the symbol T), ethyl (Et), n-
propyl, isopropyl, butyl, isobutyl, sec-butyl, tert-butyl (tBu), pentyl, isopentyl, tert-
pentyl, hexyl, isohexyl. and groups that in light of the ordinary skill in the art and
the teachings provided herein would be considered equivalent to any one of the
foregoing examples.
The term "alkenyT refers to a straight- or branched-chain alkenyl group
having from 2 to 12 carbon atoms in Vn& chain. (The double bond of the alkenyl
group is formed by two sp2 hybridized carbon atoms.) Illustrative alkenyl groups
include prop-2-enyl, but-2-enyl, but-3-enyl, 2-methylprop-2-enyl, hex-2-enyl, and
groups that in light of the ordinary skill in the art and the teachings provided herein
would be considered equivalent to any one of the foregoing examples.
The term "cycloalkyl" refers to a saturated or partially saturated,
monocyclic, fused polycyclic, or spiro polycyclic carbocycle having from 3 to 12
ring atoms per carbocycle. Illustrative examples of cycloalkyl groups include the
following entities, in the form of properly bonded moieties:

A "heterocycloalkyl" refers to a monocyclic, or fused, bridged, or spiro
polycyclic ring structure that is saturated or partially saturated and has from 3 to
12 ring atoms per ring structure selected from carbon atoms and up to three
heteroatoms selected from nitrogen, oxygen, and sulfur. The ring structure may
optionally contain up to two oxo groups on carbon or sulfur ring members.
Illustrative entities, in the form of properly bonded moieties, include:

.. H H
The term "heteroaryi" refers to a monocyclic, fused bicyciic, or fused
polycyciic aromatic heterocycle (ring structure having ring atoms selected from
carbon atoms and up to four heteroatoms selected from nitrogen, oxygen, and
sulfur) having from 3 to 12 ring atoms per heterocycle. Illustrative examples of
heteroaryi groups include the following entities, in the form of properly bonded
moieties:

Those skilled in the art will recognize that the species of heteroaryi,
cycloalkyl, and heterocycloalkyl groups listed or illustrated above are not
exhaustive, and that additional species witnin the scope of these defined terms
may also be selected.
The term "halogen" represents chlorine, fluorine, bromine, or iodine. The
term "halo" represents chloro, fluoro, bromo, or iodo.

The term "substituted" means that the specified group or moiety bears one
or more substituents. The term "unsubstituted" means that the specified group
bears no substituents. The term "optionally substituted" means that the specified
group is unsubstituted or substituted by one or more substituents. Where the
term "substituted" is used to describe a structural system, the substitution is
meant to occur at any valency-allowed position on the system.
Any formula given herein is intended to represent compounds having
structures depicted by the structural formula as well as certain variations or forms.
In particular, compounds of any formuls given herein may have asymmetric
centers and therefore exist in different enantiomeric forms. All optical isomers
and stereoisomers of the compounds of the general formula, and mixtures
thereof, are considered within the scope of the formula. Thus, any formula given
herein is intended to represent a racemate, one or more enantiomeric forms, one
or more diastereomeric forms, one or more atropisomeric forms, and mixtures
thereof.
Furthermore, certain structures may exist as geometric isomers (i.e., cis
and trans isomers), as tautomers, or as atropisomers. Additionally, any formula
given herein is intended to represent hydrates, solvates, and polymorphs of such
compounds, and mixtures thereof.
The symbols »■■■■ and "■^— are used as meaning the same spatial
arrangement in chemical structures shown herein. Analogously, the symbols
•■">> and "••" ■ are used as meaning the same spatial arrangement in
chemical structures shown herein.
To provide a more concise description, some of the quantitative
expressions given herein are not qualified with the term "about". It is understood
that, whether the term "about" is used explicitly or not, every quantity given herein
is meant to refer to the actual given value, and it is also meant to refer to the
approximation to such given value that would reasonably be inferred based on the
ordinary skill in the art, including equivalents and approximations due to the
experimental and/or measurement conditions for such given value. Whenever a
yield is given as a percentage, such yield refers to a mass of the entity for which
the yield is given with respect to the maximum amount of the same entity that

could be obtained under the particular stoichiometric conditions. Concentrations
that are given as percentages refer to mass ratios, unless indicated differently.
Reference to a chemical entity herein stands for a reference to any one of:
(a) the actually recited form of such chemical entity, and (b) any of the forms of
such chemical entity in the medium in which the compound is being considered
when named. For example, reference herein to a compound such as R-COOH,
encompasses reference to any one of, for example, R-COOH(S), R-COOH(80)), and
R-COO'(8Oi). in this example, R-COOH[S) refers to the solid compound, as it could
be for example in a tablet or some other solid pharmaceutical composition or
preparation; R-COOH solvent; and R-COO"(5Oi) refers to the dissociated form of the compound in a
solvent, such as the dissociated form of the compound in an aqueous
environment, whether such dissociated form derives from R-COOH, from a salt
thereof, or from any other entity that yields R-COO" upon dissociation in the
medium being considered. In another example, an expression such as "exposing
an entity to compound of formula R-COOH" refers to the exposure of such entity
to the form, or forms, of the compound R-COOH that exists, or exist, in the
medium in which such exposure takes place. In this regard, if such entity is for
example in an aqueous environment, it is understood that the compound R-
COOH is in such same medium, and therefore the entity is being exposed to
species such as R-COOH(aq)and/or R-COO(aq), where the subscript "(aq)"stands
for "aqueous" according to its conventional meaning in chemistry and
biochemistry. A carboxylic acid functional group has been chosen in these
nomenclature examples; this choice is not intended, however, as a limitation but it
is merely an illustration. It is understood that analogous examples can be
provided in terms of other functional groups, including but not limited to hydroxyl,
basic nitrogen members, such as those in amines, and any other group that
interacts or transforms according to known manners in the medium that contains
the compound. Such interactions and transformations include, but are not limited
to, dissociation, association, tautomerism, solvolysis, including hydrolysis,
solvation, including hydration, protonation, and deprotonation. No further
examples in this regard are provided herein because these interactions and

transformations in a given medium are known by any one of ordinary skill in the
art.
Any formula given herein is also intended to represent unlabefed forms as
well as isotopically labeled forms of the compounds. Isotopically labeled
compounds have structures depicted by the formulas given herein except that
one or more atoms are replaced by an atom having a selected atomic mass or
mass number. Examples of isotopes that can be incorporated into compounds of
the invention include isotopes of hydrogen, carbon, nitrogen, oxygen,
phosphorous, fluorine, chlorine, and iodine, such as 2H, 3H, 11C, 13C, 14C, 15N. 18O,
ITO 3ip 32p 35S iaF 36C, 125^ respectively. Such isotopically labelled
compounds are useful in metabolic studies (preferably with 14C), reaction kinetic
studies (with, for example 2H or 3H), detection or Imaging techniques [such as
positron emission tomography (PET) or single-photon emission computed
tomography (SPECT)] including drug or substrate tissue distribution assays, or in
radioactive treatment of patients. In particular, an 18F or 11C labeled compound
may be particularly preferred for PET or SPECT studies. Further, substitution
with heavier isotopes such as deuterium (i.e., 2H) may afford certain therapeutic
advantages resulting from greater metabolic stability, for example increased in
vivo half-life or reduced dosage requirements. Isotopically labeled compounds of
this invention and prodrugs thereof can generally be prepared by carrying out the
procedures disclosed in the schemes or in the examples and preparations
described below by substituting a readily available isotopically labeled reagent for
a non-isotopically labeled reagent.
When referring to any formula given herein, the selection of a particular
moiety from a list of possible species for a specified variable is not intended to
define the same choice of the species for the variable appearing elsewhere. In
other words, where a variable appears more than once, the choice of the species
from a specified list is independent of the choice of the species for the same
variable elsewhere in the formula, unless stated otherwise.
By way of a first example on substituent terminology, if substituent Sample
is one of Si and S2, and substituent S2ex«rpte is one of S3 and S4, then these
assignments refer to embodiments of this invention given according to the
ChOiCeS Sample IS Si and S2example IS S3; Sexample IS S1 and S2 exampla IS S4', Sample

is S2 and S2example is S3; S1 eample is S2 and S2example is S4; and equivalents of each
one of such choices. The shorter terminology "S1eXample is one of S1 and S2. and
S2example is one of S3 and S4" is accordingly used herein for the sake of brevity, but
not by way of limitation. The foregoing first example on substituent terminology,
which is stated in generic terms, is meant to illustrate the various substituent
assignments described herein. The foregoing convention given herein for
substituents extends, when applicable, to members such as R1"6, A, and m, and
any other generic substituent symbol used herein.
Furthermore, when more than one assignment is given for any member or
substituent, embodiments of this invention comprise the various groupings that
can be made from the listed assignments, taken independently, and equivalents
thereof. By way of a second example cm substituent terminology, if rt is herein
is S2 and S2example is S3; S1 eample is S2 and S2example is S4; and equivalents of each
one of such choices. The shorter terminology "S1eXample is one of S1 and S2. and
S2example is one of S3 and S4" is accordingly used herein for the sake of brevity, but
these choices. The shorter terminology "Sexampie is one of Si, S2, and S3" is
accordingly used herein for the sake of brevity, but not by way of limitation. The
foregoing second example on substituent terminology, which is stated in generic
terms, is meant to illustrate the various substituent assignments described herein.
The foregoing convention given herein for substituents extends, when applicable,
to members such as R1"6, A, and m, and any other generic substituent symbol
used herein.
The nomenclature "d/ with j > i, when applied herein to a class of
substituents, is meant to refer to embodiments of this invention for which each
and every one of the number of carbon members, from i to j including i and j, is
independently realized. By way of example, the term C1-3 refers independently to
embodiments that have one carbon member (C1), embodiments that have two
carbon members (C2), and embodiments that have three carbon members (C3)
The term Cn-malkyl refers to an aliphatic chain, whether straight or
branched, with a total number N of carbon members in the chain that satisfies n s
N £ m, with m > n.

Any disubstituent referred to herein is meant to encompass the various
attachment possibilities when more than one of such possibilities are allowed.
For example, reference to disubstituent -A-B-, where A * B, refers herein to such
disubstituent with A attached to a first substituted member and B attached to a
second substituted member, and it also refers to such disubstituent with A
attached to the second substituted member and B attached to the first substituted
member.
According to the foregoing interpretive considerations on assignments and
nomenclature, it is understood that explicit reference herein to a set implies,
where chemically meaningful and unless indicated otherwise, independent
reference to embodiments of such set, and reference to each and every one of
the possible embodiments of subsets of the set referred to explicitly.

The invention includes also pharrr aceutically acceptable salts of the
compounds represented by Formula (i), preferably of those described above and
of the specific compounds exemplified herein.
A "pharmaceutically acceptable salt" is intended to mean a salt of a free
acid or base of a compound represented by Formula (I) that is non-toxic,
biologically tolerable, or otherwise biologically suitable for administration to the

subject. See, generally, S.M. Berge, et al., "Pharmaceutical Salts", J. Pharm.
Sci.. 1977, 66:1-19. and Handbook of Pharmaceutical Salts, Properties,
Selection, and Use, Stahl and Wermuth, Eds., Wiley-VCH and VHCA, Zurich,
2002. Examples of pharfnaceutically acceptable salts are those that are
pharmacologically effective and suitable for contact with the tissues of patients
without undue toxicity, irritation, or allergic response. A compound of Formula (I)
may possess a sufficiently acidic group, a sufficiently basic group, or both types of
functional groups, and accordingly read with a number of inorganic or organic
bases, and inorganic and organic acids, to form a pharmaceutically acceptable
salt. Examples of pharmaceutically acceptable salts include sulfates,
pyrosulfates, bisulfates, sulfites, bisulfites, phosphates, monohydrogen-
phosphates, dihydrogenphosphates, metaphosphates, pyrophosphates,
chlorides, bromides, iodides, acetates, propionates, decanoates, caprytates,
acrylates, formates, isobutyrates, caproates, heptanoates. propiolates, oxalates,
malonates, succinates, suberates, sebacates, fumarates, maleates, butyne-1,4-
dioates, hexyne-1,6-dioates, benzoates chlorobenzoates, methylbenzoates,
dinitrobenzoates, hydroxybenzoates, rmthoxybenzoates, phthalates, sulfonates,
xylenesulfonates, phenylacetates, phenylpropionates, phenylbutyrates, citrates,
lactates, v-hydroxybutyrates, glycolates, tartrates, methane-sulfonates,
propanesulfonates, naphthalene-1-sulfcnates, naphthalene-2-sulfonates, and
mandelates.
If the compound of Formula (I) contains a basic nitrogen, the desired
pharmaceutically acceptable salt may bo prepared by any suitable method
available in the art, for example, treatment of the free base with an inorganic acid,
such as hydrochloric acid, hydrobromic acid, sulfuric acid, sulfamic acid, nitric
acid, boric acid, phosphoric acid, and the like, or with an organic acid, such as
acetic acid, phenylacetic acid, propionic acid, stearic acid, lactic acid, ascorbic
acid, malelc acid, hydroxymaleic acid, isethionic acid, succinic acid, valeric acid,
fumaric acid, malonic acid, pyruvic acid, oxalic acid, glycolic acid, salicylic acid,
oleic acid, palmitic acid, lauric acid, a pyranosidyl acid, such as glucuronic acid or
galacturonic acid, an alpha-hydroxy acid, such as mandelic acid, citric acid, or
tartaric acid, an amino acid, such as aspartic acid or glutamic acid, an aromatic
acid, such as benzoic acid, 2-acetoxybenzoic acid, naphthoic acid, or cinnamic

acid, a sulfonic acid, such as laurylsulfonic acid, p-toluenesulfonic acid,
methanesulfonic acid, ethanesulfonic acid, any compatible mixture of acids such
as those given as examples herein, and any other acid and mixture thereof that
are regarded as equivalents or acceptable substitutes in light of the ordinary level
of skill in this technology.
If the compound of Formula (I) is an acid, such as a carboxylic acid or
sulfonic acid, the desired pharmaceutically acceptable salt may be prepared by
any suitable method, for example, treatment of the free acid with an inorganic or
organic base, such as an amine (primaiy, secondary or tertiary), an alkali metal
hydroxide, alkaline earth metal hydroxide, any compatible mixture of bases such
as those given as examples herein, anc any other base and mixture thereof that
are regarded as equivalents or acceptable substitutes in light of the ordinary level
of skill in this technology. Illustrative examples of suitable salts include organic
salts derived from amino acids, such as glycine and arginine, ammonia,
carbonates, bicarbonates, primary, secondary, and tertiary amines, and cyclic
amines, such as benzylamines, pyrrolidines, piperidine, morpholine, and
piperazine, and inorganic salts derived from sodium, calcium, potassium,
magnesium, manganese, iron, copper, zinc, aluminum, and lithium.
The invention also relates to treatment methods employing
pharmaceutically acceptable prodrugs of the compounds of Formula (I). The term
"prodrug" means a precursor of a designated compound that, following
administration to a subject, yields the compound in vivo via a chemical or
physiological process such as solvolysis or enzymatic cleavage, or under
physiological conditions (e.g., a prodrug on being brought to physiological pH is
converted to the compound of Formula (I)). A "pharmaceutically acceptable
prodrug" is a prodrug that is not toxic, biologically intolerable, or otherwise
biologically unsuitable for administration to the subject. Illustrative procedures for
the selection and preparation of suitable prodrug derivatives are described, for
example, in "Design of Prodrugs", ed. H. Bundgaard, Elsevier, 1985.
Examples of prodrugs include compounds having an amino acid residue,
or a polypeptide chain of two or more (e.g., two, three or four) amino acid
residues, covalently joined through an amide or ester bond to a free amino,
hydroxy, or carboxylic acid group of a compound of Formula (I). Examples of

amino acid residues include the twenty naturally occurring amino acids,
commonly designated by three letter symbols, as well as 4-hydroxyprotine,
hydroxylysine, demosine, isodemosine, 3-methylhistidine, norvalin, beta-alanine,
gamma-aminobutyric acid, citrulline homocysteine, homoserine, omithine and
methionine sulfone.
Additional types of prodrugs may be produced, for instance, by derivatizing
free carboxyl groups of structures of Formula (I) as amides or alkyl esters.
Examples of amides include those derived from ammonia, primary C1-6alkyl
amines and secondary di(C1-6alkyl) amines. Secondary amines include 5- or 6-
membered heterocycloalkyl or heteroaryl ring moieties. Examples of amides
include those that are derived from ammonia. C1-3alkyl primary amines, and di(C1-3
2alkyl)amines. Examples of esters of the invention include C1-7alkyl, C5-
7cycloalkyl, phenyl, and phenyl(C1-6alkyl) esters. Preferred esters include methyl
esters. Prodrugs may also be prepared by derivatizing free hydroxy groups using
groups including hemisuccinates, phosphate esters, dimethylaminoacetates, and
phosphoryloxymethyloxycarbonyls, following procedures such as those outlined in
Adv. Drug Delivery Rev. 1996, 19, 115. Carbamate derivatives of hydroxy and
amino groups may also yield prodrugs. Carbonate derivatives, sulfonate esters,
and sulfate esters of hydroxy groups may also provide prodrugs. Derivatization of
hydroxy groups as (acyloxy)methyl and (acyloxy)ethyl ethers, wherein the acyl
group may be an alkyl ester, optionally substituted with one or more ether, amine,
or carboxylic acid functionalities, or where the acyl group is an amino acid ester
as described above, is also useful to yield prodrugs. Prodrugs of this type may be
prepared as described in J. Med. Chem. 1996, 39,10. Free amines can also be
derivatlzed as amides, sulfonamides or p hosphonamides. All of these prodrug
moieties may incorporate groups including ether, amine, and carboxylic acid
functionalities.
Pharmaceutically active metabolites may also be used in the methods of
the invention. A "pharmaceutically active metabolite" means a pharmacologically
active product of metabolism in the body of a compound of Formula (I) or salt
thereof. Prodrugs and active metabolites of a compound may be determined
using routine techniques known or available in the art. See, e.g., Bertolini, et al.,
J. Med. Chem. 1997, 40, 2011-2016; Shan, et al., J. Pham. Sci. 1997. 86 (7).

765-767; Bagshawe, Drug Dev. Res. 1995. 34, 220-230; Bodor, Adv. Drug Res.
1984, 13, 224-331; Bundgaard, Design of Prodrugs (Elsevier Press, 1985); and
Larsen, Design and Application of Prodrugs, Drug Design and Development
(Krogsgaard-Larsen, et al., eds., Harwood Academic Publishers, 1991).
The compounds of Formula (I) and their pharmaceutically acceptable salts,
pharmaceutically acceptable prodrugs, and pharmaceutically active metabolites
(collectively, "agents") of the present invention are useful as histamine H4
receptor modulators in the methods of the invention. The agents may be used in
the inventive methods for the treatment or prevention of medical conditions,
diseases, or disorders mediated through modulation of the histamine H4 receptor,
such as those described herein. Agents; according to the invention may therefore
be used as an anti-inflammatory agents. Symptoms or disease states are
intended to be included within the scope of "medical conditions, disorders, or
diseases."
Accordingly, the invention relates to methods of using the pharmaceutical
agents described herein to treat subjects; diagnosed with or suffering from a
disease, disorder, or condition mediated through histamine H4 receptor activity,
such as inflammation.
In a preferred embodiment, an agent of the present invention is
administered to treat inflammation. Inflammation may be associated with various
diseases, disorders, or conditions, such as inflammatory disorders, allergic
disorders, dermatological disorders, autoimmune disease, lymphatic disorders,
and immunodeficiency disorders, including the more specific conditions and
diseases given below. Regarding the onset and evolution of inflammation,
inflammatory diseases or inflammation-mediated diseases or conditions include,
but are not limited to, acute inflammation, allergic inflammation, and chronic
inflammation.
Illustrative types of inflammation treatable with a histamine H4 receptor-
modulating agent according to the invention include inflammation due to any one
of a plurality of conditions such as allergy, asthma, chronic obstructed pulmonary
disease (COPD), atherosclerosis, rheumatoid arthritis, multiple sclerosis,
inflammatory bowel diseases (including colitis, Crohn's disease, and ulcerative
colitis), psoriasis, pruritis, itchy skin, atopic dermatitis, urticaria (hives), ocular

inflammation, conjunctivitis, nasal polyps, allergic rhinitis, nasal itch, scloroderitia,
autoimmune thyroid diseases, immume-mediated (also known as type 1) diabetes
mellitus and lupus, which are characterized by excessive or prolonged
inflammation at some stage of the disease. Other autoimmune diseases that lead
to inflammation include Myasthenia gnavis, autoimmune neuropathies, such as
Guillain-Barre, autoimmune uveitis, autoimmune hemolytic anemia, pernicious
anemia, autoimmune thrombocytopenia, temporal arteritis, anti-phospholipid
syndrome, vasculitides, such as wegener's granulomatosis, Behcefs disease,
dermatitis herpetiformis, pemphigus vuigaris, vitiligio, primary biliary cirrhosis,
autoimmune hepatitis, autoimmune oophoritis and orchitis, autoimmune disease
of the adrenal gland, polymyositis, dermatomyositis, spondyloarthropathies, such
as ankylosing spondylitis, and Sjogren'j, syndrome.
Pruritis with a histamine H4 receptor-modulating agent according to the
invention includes that which is a symptom of allergic cutaneous diseases (such
as atopic dermatitis and hives) and other metabolic disorders (such as chronic
renal failure, hepatic cholestasis, and diabetes mellitus).
In another preferred embodiment, an agent of the present invention is
administered to treat allergy, asthma, autoimmune diseases, or pruritis.
The term "treat" or "treating" as used herein is intended to refer to
administration of an agent or composition of the invention to a subject for the
purpose of effecting a therapeutic or prophylactic benefit through modulation of
histamine H4 receptor activity. Treating includes reversing, ameliorating,
alleviating, inhibiting the progress of, less ening the severity of, or preventing a
disease, disorder, or condition, or one or more symptoms of such disease,
disorder or condition mediated through modulation of histamine H4 receptor
activity. The term "subject" refers to a mammalian patient in need of such
treatment, such as a human. "Modulators" include both inhibitors and activators,
where "inhibitors" refer to compounds that decrease, prevent, inactivate,
desensitize or down-regulate histamine H4 receptor expression or activity, and
"activators" are compounds that increase, activate, facilitate, sensitize, or up-
regulate histamine H4 receptor expression or activity.

In treatment methods according to the invention, an effective amount of at
least one pharmaceutical agent according to the invention is administered to a
subject suffering from or diagnosed as having such a disease, disorder, or
condition. An "effective amount" means an amount or dose sufficient to generally
bring about the desired therapeutic or prophylactic benefit in patients in need of
such treatment for the designated disease, disorder, or condition. Effective
amounts or doses of the agents of the present invention may be ascertained by
routine methods such as modeling, dose escalation studies or clinical trials, and
by taking into consideration routine factors, e.g., the mode or route of
administration or drug delivery, the pharmacokinetics of the agent, the severity
and course of the disease, disorder, or condition, the subject's previous or
ongoing therapy, the subject's health status and response to drugs, and the
judgment of the treating physician. An example of a dose is in the range of from
about 0.001 to about 200 mg of agent per kg of subject's body weight per day,
preferably about 0.05 to 100 mg/kg/day, or about 1 to 35 mg/kg/day, in single or
divided dosage units (e.g., BID, TID, QID). Fora 70-kg human, an illustrative
range for a suitable dosage amount is from about 0.05 to about 7 g/day, or about
0.2 to about 2.5 g/day.
Once improvement of the patient's disease, disorder, or condition has
occurred, the dose may be adjusted for preventative or maintenance treatment.
For example, the dosage or the frequency of administration, or both, may be
reduced as a function of the symptoms., to a level at which the desired therapeutic
or prophylactic effect is maintained. Of course, if symptoms have been alleviated
to an appropriate level, treatment may cease. Patients may, however, require
intermittent treatment on a long-term basis upon any recurrence of symptoms.
In addition, the agents of the invention may be used in combination with
additional active compounds in the treatment of the above conditions. The
additional compounds may be coadministered separately with an agent of
Formula (I) or included with such an agent as an additional active ingredient in a
pharmaceutical composition according to the invention. In an illustrative
embodiment, additional active compounds are those that are known or discovered
to be effective in the treatment of conditions, disorders, or diseases mediated by
histamine H4 receptor activity, such as another histamine H4 receptor modulator

or a compound active against another target associated with the particular
condition, disorder, or disease. The combination may serve to increase efficacy
(e.g., by including in the combination a compound potentiating the potency or
effectiveness of an agent according to the invention), decrease one or more side
effects, or decrease the required dose of the agent according to the invention.
When referring to modulating the target receptor, an "effective amount"
means an amount sufficient to affect the activity of such receptor. Measuring the
activity of the target receptor may be performed by routine analytical methods.
Target receptor modulation is useful in a variety of settings, including assays.
The agents of the invention are uised, alone or in combination with one or
more other active ingredients, to formulate pharmaceutical compositions of the
invention. A pharmaceutical composition of the invention comprises: (a) an
effective amount of at least one pharmaceutical agent in accordance with the
invention; and (b) a pharmaceutically acceptable excipient.
A "pharmaceutically acceptable excipient" refers to a substance that is not
toxic, biologically intolerable, or otherwises biologically unsuitable for administration
to a subject, such as an inert substance, added to a pharmacological composition
or otherwise used as a vehicle, carrier, or diluent to facilitate administration of a
pharmaceutical agent and that is compatible therewith. Examples of excipients
include calcium carbonate, calcium phosphate, various sugars and types of
starch, cellulose derivatives, gelatin, vegetable oils, and polyethylene glycols.
Delivery forms of the pharmaceutical compositions containing one or more
dosage units of the pharmaceutical agents may be prepared using suitable
pharmaceutical excipients and compounding techniques known or that become
available to those skilled in the art. The compositions may be administered in the
inventive methods by a suitable route of delivery, e.g., oral, parenteral, rectal,
topical, or ocular routes, or by inhalation.
The preparation may be in the form of tablets, capsules, sachets, dragees,
powders, granules, lozenges, powders for reconstitution, liquid preparations, or
suppositories. Preferably, the compositions are formulated for intravenous
infusion, topical administration, or oral administration.
For oral administration, the compounds of the invention can be provided in
the form of tablets or capsules, or as a solution, emulsion, or suspension. To

prepare the oral compositions, the agents may be formulated to yield a dosage of,
e.g., from about 0.05 to about 50 mg/kg daily, or from about 0.05 to about 20
mg/kg daily, or from about 0.1 to about 10 mg/kg daily.
Oral tablets may include the agent and any other active ingredients mixed
with compatible pharmaceutically acceptable excipients such as diluents,
disintegrating agents, binding agents, lubricating agents, sweetening agents,
flavoring agents, coloring agents and preservative agents. Suitable inert fillers
include sodium and calcium carbonates, sodium and calcium phosphate, lactose,
starch, sugar, glucose, methyl cellulose, magnesium stearate, mannitol, sorbitol,
and the like. Examples of liquid oral excipients include ethanol, glycerol, water,
and the like. Starch, polyvinyl-pyrrolidone (PVP), sodium starch glycolate,
microcrystalline cellulose, and alginic acid are examples of disintegrating agents.
Binding agents may include starch and gelatin. The lubricating agent, if present,
may be magnesium stearate, stearic acid or talc. If desired, the tablets may be
coated with a material such as glyceryl monostearate or glyceryl distearate to
delay absorption in the gastrointestinal tract, or may be coated with an enteric
coating.
Capsules for oral administration include hard and soft gelatin capsules. To
prepare hard gelatin capsules, active ingredient may be mixed with a solid, semi-
solid, or liquid diluent. Soft gelatin capsules may be prepared by mixing the active
ingredient with water, an oil such as peanut oil or olive oil, liquid paraffin, a
mixture of mono and di-glycerides of short chain fatty acids, polyethylene glycol
400, or propylene glycol.
Liquids for oral administration may be in the form of suspensions,
solutions, emulsions or syrups or may be lyophilized or presented as a dry
product for reconstitution with water or other suitable vehicle before use. Such
liquid compositions may optionally contain: pharmaceutically-acceptable
excipients such as suspending agents (for example, sorbitol, methyl cellulose,
sodium alginate, gelatin, hydroxyethylcellulose, carboxymethylcellulose, aluminum
stearate gel and the like); non-aqueous vehicles, e.g., oil (for example, almond oil
or fractionated coconut oil), propylene glycol, ethyl alcohol, or water, preservatives
(for example, methyl or propyl p-hydroxybenzoate or sorbic acid); wetting agents
such as lecithin; and, if desired, flavoring or coloring agents.

The active agents of this invention may also be administered by non-oral
routes. For example, the compositions may be formulated for rectal
administration as a suppository. For parenteral use, including intravenous,
intramuscular, intraperitoneal, or subcutaneous routes, the agents of the invention
may be provided in sterile aqueous solutions or suspensions, buffered to an
appropriate pH and isotonicity or in parenterally acceptable oil. Suitable aqueous
vehicles include Ringer's solution and isotonic sodium chloride. Such forms may
be presented in unit-dose form such as ampules or disposable injection devices,
in multi-dose forms such as vials from which the appropriate dose may be
withdrawn, or in a solid form or pre-concentrate that can be used to prepare an
injectable formulation. Illustrative infusion doses range from about 1 to 1000
ng/kg/minute of agent, admixed with a pharmaceutical carrier over a period
ranging from several minutes to several days
For topical administration, the agents may be mixed with a pharmaceutical
carrier at a concentration of about 0.1% to about 10% of drug to vehicle. Another
mode of administering the agents of the invention may utilize a patch formulation
to affect transdermal delivery.
Agents may alternatively be administered in methods of this invention by
inhalation, via the nasal or oral routes, e.g., in a spray formulation also containing
a suitable carrier.
Examples of agents useful in methods of the invention will now be
described by reference to illustrative synthetic schemes for their general
preparation below and the specific examples that follow. Artisans will recognize
that, to obtain the various compounds herein, starting materials may be suitably
selected so that the ultimately desired substituents will be carried through the
reaction scheme with or without protection as appropriate to yield the desired
product. Alternatively, it may be necessary or desirable to employ, in the place of
the ultimately desired substituent, a suitable group that may be carried through
the reaction scheme and replaced as appropriate with the desired substituent.
Unless otherwise specified, the variables are as defined above in reference to
Formula (I).


Referring to Scheme A, compounds of Formula (I) are prepared by amide
coupling procedures known to one skilled in the art. For example, acids (V) are
coupled with amines (VI) directly, in the presence of an activating agent such as
1,1'-carbonyl-diimidazole (CDI), bromotripyrrolidinophosphonium
hexafluorophsphate (PyBroP), O-(7-azabenzotriazol-1-yl)-N,N,N',N'-
tetramethyluronium phosphate (HATU), 1-(3-dimethylaminopropyl)-3-
ethylcarbodiimide/1-hydroxybenzotriazoHe (EDC/HOBt), and the like.
Alternatively, acids (V) are activated as mixed anhydrides or acid chlorides, and
then coupled with amines (VI) in the presence of a suitable base such as
triethylamine (TEA), iPr2NEt, pyridine, imidazole, or the like. Suitable amino
protecting groups may be used in place of R3 and/or R4 and removed following
the coupling.
Compounds prepared according to the schemes described above may be
obtained as single enantiomers, diasteretomers, or regioisomers, or as racemic
mixtures or mixtures of enantiomers, diastereomers, or regioisomers. Where
regioisomeric or diastereomeric mixtures! are obtained, isomers may be separated
using conventional methods such as chromatography or crystallization. Where
racemic (1:1) and non-racemic (not 1:1) mixtures of enantiomers are obtained,
single enantiomers may be isolated using conventional separation methods
known to one skilled in the art. Particularly useful separation methods may
include chiral chromatography, recrystallization, diastereomeric salt formation, or
derivatization into diastereomeric adducis followed by separation.
The following examples are provided to further illustrate aspects of the
invention and various preferred embodiments.

EXAMPLES
Chemistry:
In obtaining the compounds described in the examples below and the
corresponding analytical data, the following experimental and analytical protocols
were followed unless otherwise indicated.
Unless otherwise stated, reaction mixtures were magnetically stirred at
room temperature (rt). Where solutions are "dried," they are generally dried over
a drying agent such as Na2SO4 or MgSO4- Where mixtures, solutions, and
extracts were "concentrated", they were typically concentrated on a rotary
evaporator under reduced pressure.
Thin-layer chromatography was performed using Merck silica gel 60 F254
2.5 cm x 7.5 cm 250 Mm or 5.0 cm x 10.0 cm 250 um pre-coated silica gel plates.
Preparative thin-layer chromatography was performed using EM Science silica gel
60 F254 20 cm x 20 cm 0.5 mm pre-coated plates with a 20 cm x 4 cm
concentrating zone.
Normal-phase flash column chromatography (FCC) was performed on
silica gel (SiO2) eluting with 2 M NH3 in MeOM/DCM, unless otherwise noted.
Reversed-phase analytical HPLC was performed on a Hewlett Packard
HPLC Series 1100, with a Phenomenex Luna C18 (5 um. 4.6x150 mm) column.
Detection was done at X = 254 nm. Thet flow rate was 1 mL/min. The gradient
was 10 to 99% CH3CN/H2O (0.05% trifluoroacetic acid (TFA)) over 5.0 min.
Reversed-phase preparative HPLC (preparative HPLC) was performed on
a Shimadzu LC-8A equipped with a Gemini C18 column (5 pan, 21.2 x 180 mm).
Detection was done at X = 254 nm. The gradient was 10 to 100%
acetonitrile/water (0.05% TFA) over 15 min at a flow rate of 25 mL/min.
Mass spectra (MS) were obtained on an Agilent series 1100 MSD using
electrospray ionization (ESI) in positive mode unless otherwise indicated.
Calculated (calcd.) mass corresponds to the exact mass.
Nuclear magnetic resonance (NMR) spectra were obtained on Bruker
model DRX spectrometers. The format of the 1H NMR data below is: chemical
shift in ppm downfield of the tetramethylsilane reference (multiplicity, coupling
constant J in Hz, integration).

Chemical names were generated using ChemDraw Version 6.0.2
(CambridgeSoft, Cambridge, MA).
Example 1: rS.S)-(2.5-Dia2a-bicvclof2.2.nhept-2-y)-(1H-indol-2-yl)-(methanone
hydrochloride salt.

Step A: 1 H-lndole-2-carbonvl chloride. To a suspension of indole-2-
carboxylic acid (800 mg, 4.9 mmof) in CH2CI2 was added oxalyl chloride (1.28 mL,
14.9 mmol) and N.N-dimethylformamide (DMF; 0.05 mL). After 1.5 h at 40 °C,
the mixture was concentrated to give a yellow solid (874 mg, 98%), which was
used without purification in subsequent reactions.
Step B: (S.S)-5-( 1 H-lndole-2-carbonyl)-2,5-diaza-bicvclof2.2.1 (heptane-2-
carboxvlic acid tert-butvl ester. To a 0 °C suspension of indole-2-carbonyl
chloride (100 mg, 0.56 mmol) in CH2CI2 was added a solution of TEA (235 uL,
1.67 mmol) and (S,S)-2,5-diaza-bicyclo[2.2.1]heptane-2-carboxylic acid tert-butyl
ester (156 mg, 0.84 mmol) in CH2CI2. After 1.5 h at 0 °C, the mixture was diluted
with saturated aqueous (satd. aq.) NaHCO3 and extracted with CH2Cb (3x15 mL).
The combined organic layers were washed with satd. aq. NaCI (20 mL), dried
(Na2SO4), and.concentrated to give a yellow liquid, which was purified by FCC to
give a yellow solid (130 mg, 46%). 1H NMR (CDCI3): 9.37-9.17 (m, 1H). 7.70-
7.64 (m, 1H). 7.47-7.41 (m, 1H). 7.35-7.2H (m, 1H), 7.19-7.10 (m, 1H), 6.86-6.78
(m, 1H), 5.13 (s, 1H), 4.77-4.50 (m, 1H), 4.02-3.80 (m. 1H), 3.80-3.39 (m, 2H),
2.08-1.88 (m, 2H), 1.54-1.35 (m, 9H).
Step C. To a solution of (S,S)-5-(1H-indole-2-carbonyl)-2,5-diaza-
bicyclo[2.2.1]heptane-2-carboxylic acid tert-butyl ester (124 mg, 0.36 mmol) in
formic acid was added 5.0 N HCI (75 pL, 1.82 mmol). After 1 h at rt, the solution
was diluted with MeOH (30 mL) and concentrated to give a purple solid (87 mg,
99%). MS (ESI): mass calcd. for Ci4H15N;»O, 241.12; m/z found, 242.3 [M+H]*.
1H NMR (MeOD): 7.67-7.63 (m, 1H). 7.49-7.44 (m, 1H), 7.28-7.22 (m. 1H), 7.12-
7.05 (m, 1H>, 7.01-6.97 (m. 1H). 5.49 (s. 1H). 5.41-5.02 (m, 1H), 4.58 (s, 1H),
4.28-3.39 (m, 4H), 3.33-3.29 (m. 1H), 2.32-2.21

To a solution of (S,SH2.5-diaza-bicyclo[2.2.1]hept-2-yl)-(1H-indol-2-yl)-
methanone hydrochloride (50 mg, 0.18 rnmol), TEA (50 uL, 0.36 mmol), and
formaldehyde (6 uL, 0.22 mmol) in dichloroethane (DCE)/MeOH (10:1, 3 mL) was
added NaB(OAc)3H (115 mg, 0.54 mmol). After 2 h at rt, the mixture was diluted
with satd. aq. NaHCC>3 and extracted with CH2CI2 (3x). The combined organic
layers were washed with satd aq. NaCI, dried (NaaSCv), and concentrated to yield
an orange solid (44 mg, 96%). MS (ESI): mass calcd. for C15H17N30,255.14;
m/z found, 256.4 [M+H]+. 'H NMR (mixture of rotamers; CDCI3): 10.34-10.08 (m,
1H), 7.64-7.54 (m, 1H), 7.44-7.35 (m, 1H), 7.24-7.16 (m, 1H), 7.09-7.00 (m, 1H),
6.80 (s. 0.5H), 6.67 (s. 0.5H), 4.99-4.86 i[m, 1H), 4.05-3.95 (m, 0.7H), 3.84-3.77
(m, 0.3H), 3.71-3.62 (m, 1H), 3.55-3.46 (m, 0.7H), 2.82-2.69 (m. 1H), 2.46-2.31 (m. 3H), 1.98-1.88 (m, 1H), 1.79-1.70 (m,
1H).

M
Step A: f 1 -(1 H-lndole-2-carbonvlVpvrrolidin-3-yl1-methvl-carbamic acid
tert-butvl ester. To a solution of indole-2-carboxylic acid (388 mg, 2.40 mmol) and
methyl-pyrrolidin-3-yl-carbamic acid tert-butyl ester (401 mg, 2.00 mmol) in THF
(16 mL) was added CDI (356 mg, 2.20 mmol). After 18 h at rt, the mixture was
concentrated, diluted with CH2CI2, washed with satd. aq. Na2CO3 and water, dried
(Na2SO4), and concentrated. The residues was purified by FCC to give the title
compound (565 mg, 69%). MS (ESI): mass calcd. for C19H25N3O3, 343.19: m/z
found, 344 [M+H]+. 1H NMR (CDCI3): 9.73 (s, 1H), 7.67 (d, J = 8.0, 1H). 7.46 (dd,
J = 8.3. 0.8. 1H). 7.29 (t, J = 8.2, 1H), 6.89 (d. J = 1.3. 1H), 4.89 (br s, 1H), 4.26-

3.49 (m, 4H)t 2.85 (s, 3H). 2.36-1.96 (m. 2H), 1.76 (s, 1H), 1.49 (s, 9H). Anal.
Caled for C19H26N3O3: C, 66.45; H, 7.34; N, 12.24. Found: C, 66.42; H, 7.55; N,
12.10.
Step B. A solution of [1-(1H-indole-2-carbonyl)-pyrrolidin-3-ylJ-methyl--
carbamic acid tert-butyl ester (0.500 g, 1.46 mmol) in CH2Cl2 (20 mL) was treated
with TFA (8 mL). After 18 h at rt, the mixture was concentrated to give the title
compound (520 mg, 99%). MS (ESI): mass calcd. for C16H17N3O, 243.14; m/z
found, 244.4 [M+HJ* MS (ESI): mass calcd. for C16H17N3O. 243.43; m/z found.
244.3 [M+H]+. 1H NMR (MeOD): 7.68-7.63 (m, 1H), 7.48-7.43 (m, 1H), 7.28-7.21
(m. 1H), 7.11-7.05 (m, 1H), 7.05-7.00 (rn, 1H), 4.44-3.76 (m. 5H), 2.85-2.74 (m,
3H), 2.67-2.08 (m, 2H).
Example 4: (RH1 H-lndol-2-vl)-(3-methvlamtno-pvrrolidin-1-yl)-methanone
hvdrochloride salt.

Step A: f 1-( 1 H-lndole-2-carbonvl)-pyrrolidin-3-yll-methyl-carbamic acid
tert-butvl ester. The title compound was prepared from (R)-methyl-pyrrolidin-3-yl-
carbamic acid tert-butyl ester as described in Example 1, Step B, to give a yellow
solid (30 mg. 16%). 1H NMR (CDCI3): 10.06-9.90 (m, 1H), 7.70-7.64 (m, 1H),
7.50-7.44 (m, 1H), 7.33-7.27 (m, 1H). 7.16-7.10 (m, 1H), 6.90-6.87 (m. 1H). 5.10-
4.64 (m, 1H). 4.20-3.83 (m, 2.5H). 3.79-3.58 (m. 1.5 H), 2.89-2.80 (m. 1H), 2.31-
2.00 (m. 2H). 1.55-1.44 (m, 9H).
Step B. The title compound was prepared as described in Example 1,
Step C. to give a pale pink solid (21 mg, 99%). MS (ESI): mass calcd. for
Ci4H16N3Ot 243.14; m/z found, 244.3 [M+H]\ 1H NMR (MeOD): 7.68-7.63 (m,
1H), 7.48-7.43 (m, 1H), 7.28-7.21 (m, 1H), 7.11-7.05 (m, 1H), 7.05-7.00 (m, 1H),
4.44-3.76 (m. 5H), 2.85-2.74 (m, 3H). 2.67-2.08 (m, 2H).
Example 5: cis-nH-lndol-2-vl)-foctahvdropvrrolof3.4-biPvridin-6-vl>-methanone
trifluoroacetic acid salt.


Step A: 6-nH-lndole-2-cartK>nvl)-octahvdro-DViTOlof3.4-biDvridine-1-
carboxvlic acid tert-butvl ester. To a solution of indole-2-carboxylic acid (67.4 ring,
0.42 mmol) in THF (2.8 mL) was added CDI (68.3 mg, 0.42 mmol) and cis-
octahydro-pyrrolo[3,4-b]pyridine-1-carJ)oxylic acid tert-butyl ester (100 mg, 0.44
mmol). After 72 h at rt, the mixture was diluted with satd. aq. NaHCO3 and
extracted with CH2CI2 (3x). The combined organic layers were washed with satd.
aq. NaCI, dried (Na2SO4). and concentrated to give a yellow liquid, which was
purified by FCC (EtOAc/hexanes) to give a yellow solid (50 mg, 44%). *H NMR
(mixture of rotamers; CDCI3): 7.79-7.72 (m, 1H), 7.72-7.64 (m, 1H), 7.49-7.39 (m,
1H). 7.34-7.29 (m, 1H), 7.25-7.19 (m. 1H), 7.17-7.09 (m, 1H), 6.94-6.89 (m, 1H),
6.89-6.85 (m, 1H), 4.20-3.95 (m. 2H), 3.95-3.86 (m, 0.5H), 3.86-3.69 (m, 2H),
3.69-3.59 (m, 0.5H), 2.91-2.71 (m, 1H), 2.40-2.30 (m, 0.4H), 2.30-2.19 (m, 0.6H),
1.89-1.67 (m, 2H), 1.54-1.42 (m. 9H), 1.41-1.21 (m, 2H).
Step B. The title compound was prepared as described in Example 1,
Step C, to give a blue oil, which was purified by preparative HPLC to give the title
compound (18 mg, 60%). MS (ESI): mass calcd. for Ci6Hi9N3O, 269.15; m/z
found, 270.4 [M+HJ* 1H NMR (mixture of rotamers; DMSO): 11.78-11.69 (m,
1H), 7.68 (s, 1H), 7.47-7.42 (m, 1H), 7.22-7.16 (m. 1H), 7.01-6.97 (m. 0.5H), 6.90-
6.87 (m, 0.5H), 3.94-3.76 (m, 2H), 3.70-3.42 (m, 3H), 2.89-2.77 (m, 1H), 2.38-
2.17 (m, 1.5 H), 1.80-1.47 (m, 3.5 H), 1.42-1.32 (m, 1H).
Example 6: (S.SH1 H-lndol-2-vlWoctahvdro-pvrrolof3.4-blpvridin-6-vl)-
methanone trifluoroacetic acid salt.

The title compound was prepared from commercially available (S,S>-
octahydro-pyrrolo[3,4-b]pyridine (Haorui Pharma-Chem, Inc., Batch #050312,
95% enantiomeric excess (ee)) as described in Example 5. The crude material

was purified by preparative HPLC. MS (ESI): mass calcd. for C16H17N3O, 269.15;
m/z found, 270.4 [M+H]+ 1H NMR (mbture of rotamers; DMSO): 11.78-11.69 (m.
1H), 7.68 (s, 1H). 7.47-7.42 (m. 1H), 7.22-7.16 (m. 1H), 7.01-6.97 (m. 0.5H). 6.90-
6.87 (m. 0.5H), 3.94-3.76 (m, 2H), 3.70-3.42 (m. 3H), 2.89-2.77 (m, 1H), 2.38-
2.17 (m. 1.5 H). 1.80-1.47 (m, 3.5 H), 1.42-1.32 (m, 1H).
Example 7: cis-(5-Chloro-1H-ben2oimodazol-2-vl) - octahvdro-pyrrolor3.4-
bipyridin-6-yl)-methanone.

To a suspension of 5-chloro-2-triohloromethyl-1H-benzoimidazole (30 mg,
0.11 mmol) and K2CO3 (46 mg, 0.33 mmol) in CH3CN/H2O (10:1, 3 mL) was
added cis-octahydro-pyrrolo[3,4-bjpyridine (28 mg, 0.22 mmol). After 1 h at 100
°C, the mixture was filtered and extracted with Ch^Cfe- The organic layer was
dried (Na2SO4) and concentrated to give a yellow oil, which was purified by FCC
to give a brown solid (14 mg, 40%). MS (ESI): mass calcd. for C15H17CIN4O,
304.11; m/z found, 305.4 [M+HJ*. 'H NMR (mixture of rotamers; MeOD): 7.70-
7.58 (m, 2H), 7.35-7.25 (m, 1H). 4.43-4.28 (m» 0.6H), 4.19-4.09 (m, 0.6H), 3.77-
3.69 (m, 1H), 3.46-3.40 (m, 0.3H), 3.38-3.33 (m. 0.3H), 3.33-3.28 (m, 2H), 3.04-
2.82 (m. 1.5H), 2.71-2.53 (m, 1H), 2.50-2.31 (m, 1.5H). 1.95-1.43 (m, 4H).
Example 8: (RH5-Chloro-iH-indol-2-vl>-(3-methvlamino-Dvrrolidin-1-vl>-
methanone.

Step A: 5-Chloroindole-2-carbonvl chloride. The title compound was
prepared from 5-chloroindole-2-carboxylit; acid as described in Example 1, Step
A, to give a brown solid (810 mg, 98%), which was used without purification in
subsequent reactions.
Step B. The title compound was prepared from (R)-methyl-pyrrolidin-3-yl-
amine as in Example 1, Step B, to give a pale yellow solid, which was purified by

FCC to give a yellow solid (26 mg, 24%). MS (ESI): mass calcd. for
C14H16CIN3O, 277.10; m/z found, 278.3 [M+H]+. 1H NMR (CDCI3). 10.08-9.85 (m,
1H), 7.66-7.58 (m, 1H), 7.42-7.35 (m, IH), 7.25-7.19 (m, 1H), 6.82-6.76 (m, 1H).
4.11-3.98 (m, 1H), 3.97-3.84 (m, 1.6 H), 3.83-3.73 (m.0.4 H). 3.72-3.59 (m. 1H),
3.50-3.40 (m, 0.5 H), 3.40-3.33 (m, 0.5 H). 2.29-2.12 (m. 1H). 2.07-1.93 (m, 0.5
H), 1.90-1.78 (m. 0.5 H), 1.46-1.10 (m. 1H).
Example 9: (S)-(5-Chloro-1 H-indol-2-yl )-(3-methvlarnino-pvrrolidin-1-vtV
methanone.

The title compound was prepared from (S)-methyl-pyrrolidin-3-yl-amine as
described in Example 7, Step B, to give a yellow solid (48 mg, 44%). MS (ESI):
mass calcd. for Ci4Hi6CIN3O, 277.10; m/z found, 278.3 [M+H]+. 1H NMR (mixture
of rotamers; CDCI3): 10.02-9.74 (m, 1H>, 7.62 (s, 1H), 7.41-7.35 (m, 1H), 7.25-
7.20 (m, 1H), 6.80 (s, 1H), 4.12-3.99 (m, 1.5H), 3.98-3.84 (m, 0.5H), 3.83-3.73
(m, 1H), 3.72-3.57 (m, 1H), 3.49-3.40 (m, 0.4H), 3.40-3.28 (m, 0.6H). 2.54-2.45
(m, 3H), 2.28-2.12 (m, 0.6H), 2.06-1.93 (m. 0.4H), 1.91-1.78 (m. 1H). 1.55-1.30
(m, 1H).
Example 10: cis-(5-Chloro-1 H-indol-2-vl>-(octahvdro-Dvrrolof3.4-biPvr1din-6-vl)-
methanone,
1
Step A: 6-(5-Chloro-1H-indole-2-carbonvl)-octahvdro-Pvrrolof3.4-
blpvridine-1-carboxvlic acid tert-butvl ester. The title compound (50 mg, 45%)
was prepared as in Example 1, Step B. 1H NMR (mixture of rotamers; DMSO):
7.69-7.58 (m, 1H), 7.46-7.34 (m, 1H), 7.26-7.20 (m. 1H), 6.83 (s, 0.5H), 6.79 (s,
0.5H), 5.07-4.63 (m, 1H), 4.18-3.85 (m, 2.5H), 3.84-3.78 (m, 0.5H), 3.77-3.69 (m,
1.5H), 3.68-3.59 (m. 0.5H). 2.91-2.72 (m, 1H), 2.41-2.20 (m. 1H), 1.93-1.62 (m,
2H), 1.59-1.43 (m, 9H). 1.42-1.27 (m, 2H), 0.98-0.73 (m, 1H).

Step B. The title compound was prepared as described in Example 1,
Step C, to give a pale yellow solid, which was purified by preparative HPLC (18
mg, 60%). The resulting trifluoroacetic acid salt was dissolved in satd. aq.
NaHCO3 and extracted with CH2CI2. The combined organic extracts were dried
and concentrated to give the title compound. MS (ESI): mass calcd. for
C16H18CIN3O, 303.11; rn/z found, 304.4 [M+H]. 1H NMR (mixture of rotamers;
DMSO): 11.78-11.69 (m, 1H), 7.68 (s, 1H), 7.47-7.42 (m, 1H), 7.22-7.16 (m. 1H),
7.01-6.97 (m. 0.5H), 6.90-6.87 (m, 0.5H), 3.94-3.76 (m, 2H), 3.70-3.42 (m, 3H),
2.89-2.77 (m, 1H), 2.38-2.17 (m, 1.5H), 1.80-1.47 (m, 3.5H), 1.42-1.32 (m, 1H).
Racemic 6-(5-chloro-1 H-indole-2-carbonyl)-octahydro-pyrroto[3,4-
b]pyridine-1-carboxylic acid tert-butyl ester was separated into enantiomers by
supercritical fluid chromatography (SFC) on a Jasco SFC equipped with an AS-H
column, and using an isocratic gradient of 15% MeOH/0.2% TEA/85% CO20 at a
rate of 2 mL/min at 25 °C and 100 bar. The individual enantiomers were
deprotected as in Example 1, Step C, to provide Examples 11 and 12, each
greater than 99% ee.
Example 11: (R.R)-(5-Chloro-1H-indol-2yl)-(octahvdro-pvrrolo[3.4-blovridin-6-yl]
methanone hvdrochloride salt.
MS (ESI): mass calcd. for C16H18CIN3O, 303.11; m/z found, 304.4 [M+H]+
1H NMR (mixture of rotamers; DMSO): 7 68-7.59 (m, 1H), 7.47-7.41 (m, 1H),
7.24-7.17 (m, 1H). 7.07 (s, 0.5H), 6.96 (s, 0.5H), 4.34-4.23 (m. 0.5H), 4.21-4.11
(m, 1H), 4.05-3.83 (m, 3H), 3.72-3.61 (m, 0.5H), 3.41-3.33 (m. 1H), 3.25-3.15 (m.
0.6H), 3.13-2.98 (m, 1.4H), 2.96-2.76 (m, 1H), 2.00-1.76 (m, 4H).
Example 12: (S.S)-(5-Chloro-1H-indol-2-ylHoctahydro-pvrrolo[3T4-b|Dvridin-6-vlV
methanone hvdrochloride salt.
MS (ESI): mass calcd. for Ci6H18CIN3O, 303.11; m/z found, 304.4 [M+H]+.
1H NMR (mixture of rotamers; DMSO): 7.I58-7.59 (m, 1H), 7.47-7.41 (m, 1H),
7.24-7.17 (m. 1H), 7.07 (s, 0.5H), 6.96 (s. 0.5H), 4.34-4.23 (m. 0.5H), 4.21-4.11
(m, 1H). 4.05-3.83 (m, 3H), 3.72-3.61 (m, 0.5H), 3.41-3.33 (m, 1H), 3.25-3.15 (m,
0.6H). 3.13-2.98 (m, 1.4H), 2.96-2.76 (m, IH), 2.00-1.76 (m, 4H).
Example 12A: (S.S>-f5-Criloro-1H-indol-2vl)-foctahvdro-pvrrolof3.4-biPvridin-6-
vl)-rnethanone.

The title compound was prepared from commercially available (S.S)-
octahydro-pyrrolo[3,4-b]pyridine (Haomi Pharma-Chem, Inc., Batch #050312,
95% ee) as described in Example 6.
The compounds in Examples 13-31 were prepared using methods
analogous to those described in the preceding examples.
Example 11: (R.R)-(5-Chloro-1H-indol-2yl)-(octahvdro-pvrrolo[3.4-blovridin-6-yl]
methanone hvdrochloride salt.

MS (ESI): mass calcd. for C16H18FN3O, 287.14; m/z found, 288.4 [M+HJ*
1H NMR (mixture of rotamers; DMSO): 11.80-11.69 (m, 1H), 9.96-9.76 (m. 1H),
8.87-8.63 (m, 1H), 7.51-7.33 (m. 1H), 7.12-7.04 (m, 1H), 7.04-6.99 (m, 0.7H).
6.95-6.90 (m, 0.3H), 4.23-4.14 (m. 0.4H), 4.07-3.96 (m, 1H). 3.93-3.83 (m. 1.6H),
3.82-3.67 (m, 2H), 3.23-3.11 (m, 1H), 2.97-2.82 (m, 1H), 2.82-2.71 (m, 0.7H),
2.71-2.61 (m, 0.3H). 1.87-1.58 (m, 4H).
Example 11: (R.R)-(5-Chloro-1H-indol-2yl)-(octahvdro-pvrrolo[3.4-blovridin-6-yl]
methanone hvdrochloride salt.

MS (ESI): mass calcd. for C16H13N4O3, 314.14; m/z found, 315.4 [M+H)+.
1H NMR (mixture of rotamers; DMSO): 11.00-10.88 (m, 1H), 9.79-9.59 (m, 1H).
8.96-8.72 (m, 1H), 8.31-8.17 (m, 2H), 7.42-7.31 (m, 2H), 4.24-4.15 (m, 0.4H),
4.03-3.94 (m. 1H), 3.93-3.85 (m, 1.6H), 3.85-3.71 (m, 1.6H), 3.64-3.51 (m. 0.4H),
3.26-3.12 (m, 1H). 2.99-2.85 (m, 1H), 2.83-2.73 (m, 0.6H), 2.72-2.63 (m, 0.4H),
1.88-1.58 (m. 4H).
Example 11: (R.R)-(5-Chloro-1H-indol-2yl)-(octahvdro-pvrrolo[3.4-blovridin-6-yl]
methanone hvdrochloride salt.

F
MS (ESI): mass calcd. for C16H17N3O, 305.13; m/z found, 306.4 [M+M]+.
1H NMR (mixture of rotamers; DMSO):. 9.78-9.67 (m, 1H). 8.82-8.67 (m. 1H).
7.12-7.08 (m. 0.6H), 7.08-7.03 (m, 1H], 7.03-6.99 (m, 0.4H), 6.97-6.88 (m, 1H),
4.27-4.18 (m, 0.4H), 4.09-3.97 (m, 1H), 3.94-3.83 (m, 1.6H), 3.82-3.66 (m, 1.6H).
3.60-3.50 (m. 0.4H). 3.24-3.12 (m, 1H), 2.98-2.82 (m, 1H). 2.81-2.72 (m. 0.6H),
2.70-2.59 (m. 0.4H), 1.87-1.59 (m. 4H).
Example 11: (R.R)-(5-Chloro-1H-indol-2yl)-(octahvdro-pvrrolo[3.4-blovridin-6-yl]
methanone hvdrochloride salt.
F
I i
MS (ESI): mass calcd. for C14H18FN3O, 261.13; m/z found, 262.4 [M+H]+
1H NMR (MeOD): 7.48-7.39 (m, 1H), 7.35-7.27 (m, 1H). 7.07-6.99 (m. 1H). 6.99-
6.94 (m, 1H), 4.18-4.01 (m, 1H), 4.00-3 58 (m, 3H), 3.55-3.42 (m, 1H). 2.58-2.42
(m, 3H), 2.40-2.17 (m, 1H), 2.13-2.02 (m, 0.5H), 1.99-1.85 (m, 0.5H).
Example 11: (R.R)-(5-Chloro-1H-indol-2yl)-(octahvdro-pvrrolo[3.4-blovridin-6-yl]
methanone hvdrochloride salt.
F
MS (ESI): mass calcd. for C14H16FIM3O, 261.13; m/z found, 262.4 [M+H]+
1H NMR (MeOD): 7.48-7.39 (m, 1H), 7.35-7.27 (m, 1H), 7.07-6.99 (m, 1H). 6.99-
6.94 (m, 1H), 4.18-4.01 (m, 1H), 4.00-3.58 (m, 3H), 3.55-3.42 (m, 1H), 2.58-2.42
(m, 3H), 2.40-2.17 (m. 1H), 2.13-2.02 (m, 0.5H), 1.99-1.85 (m, 0.5H).
Example 11: (R.R)-(5-Chloro-1H-indol-2yl)-(octahvdro-pvrrolo[3.4-blovridin-6-yl]
methanone hvdrochloride salt.


MS (ESI): mass calcd. for C15H18N3O. 257.15; m/z found. 258.4 [M+Hf.
1H NMR (MeOD): 7.50-7.43 (m. 1H), 7.35-6.95 (m, 3H), 4.12-3.98 (m, 1H), 3.96-
3.75 (m, 1.5H). 3.73-3.59 (m, 1H), 3.57-3.48 (m, 0.5H), 3.36-3.33 (m, 1H), 2.52
(s, 3H), 2.43-2.37 (m, 3H), 2.28-2.13 (m, 1H), 2.02-1.90 (m, 0.5H). 1.90-1.77 (m,
0.5H).
Example 19: (R)-(3-Methvlamino-pyrrolidin-1-yl)-(7-methvl-1H-indol-2-yl)-
methanone.

MS (ESI): mass calcd. for C15H19N3O, 257.15; m/z found, 258.4 [M+Hf.
1H NMR (MeOD): 7.47 (d. J = 7.5, 1H), 7.05-6.94 (m. 2H), 6.91 (s, 1H), 3.99-3.85
(m, 1H), 3.82-3.67 (m, 1.5H). 3.63-3.50 (m, 1H), 2.50 (s, 3H), 2.38-2.28 (m. 3H), 2.15-2.00 (m, 1H), 1.87-1.77 (m, 0.5H),
1.76-1.65 (m, 0.5H).
Example 19: (R)-(3-Methvlamino-pyrrolidin-1-yl)-(7-methvl-1H-indol-2-yl)-
methanone.

MS (ESI): mass calcd. for C15H19N3O. 257.15; m/z found. 258.4 [M+Hf. 1H
NMR (MeOD): 7.40 (s, 1H), 7.37-7.31 (m, 1H), 7.11-7.02 (m. 1H), 6.85 (s, 1H),
4.06-3.91 (m. 1H), 3.89-3.71 (m, 1.5H), 3.69-3.55 (m. 1H), 3.53-3.43 (m, 0.5H),
3.34-3.17 (m, 1H), 2.46-2.31 (m, 6H), 2.23-2.04 (m. 1H), 1.97-1.84 (m, 0.5H),
1.83-1.71 (m. 0.5H).
Example 19: (R)-(3-Methvlamino-pyrrolidin-1-yl)-(7-methvl-1H-indol-2-yl)-
methanone.


MS (ESI): mass calcd. for dsHmNsO. 257.15; m/z found. 258.4 [M+H]+. 1H
NMR (MeOD): 7.40 (s, 1H), 7.37-7.31 |m, 1H), 7.11-7.02 (m, 1H), 6.85 (s. 1H),
4.06-3.91 (m, 1H). 3.89-3.71 (m, 1.5H), 3.69-3.55 (m. 1H), 3.53-3.43 (m, 0.5H),
3.34-3.17 1.83-1.71 (m, 0.5H).
Example 22: (SM4.6-Difluoro-1 H-indol-2-vl)-(3-methvlaminc-Dvrrolidin-1-vl)-
methanone.

MS (ESI): mass calcd. for Ci4H1sF2N3O, 279.12; m/z found, 280.4 [M+H]+
1H NMR (MeOD): 7.04-6.96 (m, 2H), 6.(59-6.61 (m, 1H), 4.12-3.97 (m. 1H), 3.96-
3.87 (m, 0.5H), 3.86-3.76 (m, 1H). 3.72-3.60 (m, 1H), 3.58-3.50 (m. 0.5H), 3.43-
3.35 (m, 0.5H), 3.34-3.28 (m, 0.5H). 2.4i>-2.36 (m, 3H), 2.31-2.13 (m, 1H), 2.05-
1.94 (m, 0.5H), 1.92-1.80 (m, 0.5H).
Example 23: (RVf4.6-DtfluorOr1H-ipdol-2-vl>-f3Hmethvlamino-pyrro>klin-1-^)-
methanone.
F
H
MS (ESI): mass calcd. for C14H1SF:2N3O, 279.12; m/z found, 280.4 [M+H]+
1H NMR (MeOD): 7.04-6.96 (m, 2H), 6.69-6.61 (m, 1H), 4.12-3.97 (m, 1H). 3.96-
3.87 (m. 0.5H), 3.86-3.76 (m, 1H), 3.72-3.60 (m, 1H), 3.58-3.50 (m. 0.5H), 3.43-
3.35 (m. 0.5H), 3.34-3.28 (m. 0.5H), 2.45-2.36 (m, 3H), 2.31-2.13 (m, 1H), 2.05-
1.94 (m. 0.5H), 1.92-1.80 (m. 0.5H).
Example 24: f3-Amino-pvrrolidin-1-vlV(5-chloro-1 H-indol-2-vlWmetrianone
hvdrochloride salt.

(
MS (ESI): mass calcd. for Ci3H)4CIN3O, 263.08; m/z found. 264.3 [M+H]*
1H NMR (MeOD): 7.68-7.63 (m, 1H), 7.47-7.41 (m, 1H), 7.25-7.18 (m, 1H), 7.06-
6.91 (m, 1H), 4.36-3.75 (m. 5H), 2.62-2.37 (m. 1H), 2.33-2.07 (m, 1H).
Example 25: -
methanone.

MS (ESI): mass calcd. for C15HieCIN3O, 291.11; m/z found, 292.3 [M+H]+.
^H NMR (DMSO): 7.70-7.65 (m, 1H), 7.46 (s, 1H), 7.44-7.43 (m, 1H), 7.22-7.17
(m, 1H), 7.01 (s, 1H), 6.94 (s, 1H). 4.07-3.94 (m, 2H), 3.86-3.69 (m. 1H), 3.59-
3.44 (m, 1H), 3.36-3.24 (m, 2H), 3.19-3 14 (m, 1H), 2.22-2.18 (m. 6H).
Example 26: {3-Dimethvlamino-Dvrrolidin-1-vlM1 H-indol-2-vl Vmethanone.
MS (ESI): mass calcd. for Ci6His,N3O. 257.15; m/z found. 258.4 [M+Hf.
1H NMR (CDCI3): 9.62 (br s, 1H), 7.65 (d, J = 8.5.1H). 7.43 (d. J = 9.0. 1H). 7.28
(d. J = 8.2,1H), 7.12 (t, J = 8.0, 1H), 6.84 (br s. 1H). 5.5-5.35 (m, 1H). 3.33 (br s,
3H), 2.92 (m, 1H), 2.86-2.77 (m. 1H), 2.65-2.55 (m, 1H), 2.37 (s, 3H). 2.35-2.26
(m.2H). 1.94 (brs. 1H).
Example 27: ds-h H-lndol-2-yl)-(1 -methyl-o(rtahydro-pvrrolo[3.4-bTpvridin-6-viy-
methanone.


MS (ESI): mass calcd. for C17H21N3O, 283.17; m/z found, 284.4 [M+H]\ nH
NMR (mixture of rotamers; CDCI3): 9.49-9.38 (m. 1H). 7.71-7.63 (m. 1H), 7.47-
7.41 (m, 1H), 7.32-7.27 (m, 1H). 7.17-7.10 (m, 1H). 6.93-6.89 (m, 0.6H), 6.88-
6.85 (m, 0.4H), 4.15-4.10 (m, 0.4H), 4.08-4.02 (m, 0.6H), 4.00-3.89 (m, 1.3H),
3.86-3.73 (m, 1H), 3.67-3.59 (m, 0.7H), 2.92-2.87 (m. 0.4H), 2.85-2.72 (m, 1H),
2.72-2.66 (m, 0.6H), 2.56-2.46 (m, 0.7N), 2.45-2.37 (m, 0.3H), 2.35-2.27 (m. 3H),
2.25-2.12 (m, 1H), 1.92-1.54 (m. 5H).
Example 28: cis-(5-Chloro-1H-indol-2-yn-(1-methvt-octahvclro-Dvrrolo(3.4-
blDvridin-6-vl)-methanoHe.

MS (ESI): mass calcd. for C17H20CIN3O, 317.13; m/z found, 318.4 [M+H]*
1H NMR (mixture of rotamers; CDCI3): 9.95-9.79 (m, 1H), 7.66-7.58 (m, 1H),
7.42-7.34 (m, 1H), 7.25-7.19 (m, 1H), 6.86-6.81 (m. 0.6H), 6.81-6.77 (m, 0.4H),
4.14-4.07 (m, 0.7H), 4.07-4.04 (m. 0.3H), 4.00-3.86 (m, 1.4H), 3.85-3.72 (m, 1H),
3.67-3.59 (m, 0.6H), 2.91-2.86 (m, 0.4H), 2.85-2.73 (m, 1H), 2.71-2.65 (m, 0.6H),
2.56-2.38 (m. 1H), 2.35-2.27 (m, 3H), 2.25-2.11 (m, 1H), 1.92-1.53 (m. 5H).
Example 29: cis-(5-MethvM H-indol-2-vlV^octahvdro-pvrrolof3.4-biDvridin-6-vl>-
methanone hydrochloride salt.

MS (ESI): mass calcd. for C17H21N3O, 283.17; m/z found, 284.4 [M+HJ\ 1H
NMR (DMSO): 7.54 (s, 1H), 7.46-7.42 (m, 1H), 7.21-7.13 (m, 1H), 6.91 (s. 1H),
4.19-4.09 (m, 0.4H), 4.03-3.91 (m, 1H), 3.86-3.75 (m. 1.6H), 3.73-3.67 (m. 2H),
3.29-3.11 (m, 1H), 2.91-2.79 (m, 1H), 2.74-2.64 (m, 0.7H), 2.52-2.42 (m, 0.3H),
1.84-1.51 (m, 4H).

Example 30: nH-Benzoimidazol-2-v»-f3-methvlamino-PViTOtidin-1-vt>-methanone
hvdrochloride salt.

MS (ESI): mass calcd. for daHieMjO, 244.13; m/z found, 245.3 [M+HJ*
1H NMR (MeOD): 5-8.15 (m, 1H), 7.92-7.78 (m, 1H), 7.70-7.52 (m, 1M), 4.53-
4.25 (m, 1H), 4.24-3.38 (m, 4H), 2.91-2.59 (m, 3H), 2.67-2.49 (m, 0.7H), 2.48-
2.21 (m, 1H), 2.19-2.07 (m. 0.3H).
Example 31: (1H-Benzoimidazol-2-v>V(0-dimethvlamino-DvtTolwJin-1-vl)-
methanone.

1H NMR (mixture of rotamers; CDCI3): 7.92-7.35 (m, 2H). 7.25 (m, 2H),
6.70-6.55 (m, 0.5H), 5.45-5.30 (m. 0.5H), 3.69 (s. 1H), 3.16 (s, 2H), 2.90-2.75 (m,
2H), 2.70-2.52 (m, 1H), 2.40-2.20 (m, 6H), 1.95-1.80 (m, 1H).
Biological Testing:
Binding Assay on Recombtnant Human Histamine H4 Receptor
SK-N-MC cells or COS7 cells were transiently transfected with pH4R and
grown in 150 cm2 tissue culture dishes. Cells were washed with saline solution,
scraped with a cell scraper and collected by centrifugation (1000 rpm, 5 min).
Cell membranes were prepared by homogenization of the cell pellet in 20 mM
Tris-HCI with a polytron tissue homogeni2:er for 10 sec at high speed.
Homogenate was centrifuged at 1000 rpm for 5 min at 4 "C. The supernatant
was then collected and centrifuged at 20,000 x g for 25 min at 4 "C. The final
pellet was resuspended in 50 mM Tris-HGI. Cell membranes were incubated with
H-histamine (5-70 nM) in the presence or absence of excess histamine (10,000
nM). Incubation occurred at room temperature for 45 min. Membranes were
harvested by rapid filtration over Whatman GF/C filters and washed 4 times with
ice-cold 50 mM Tris HCI. Filters were then dried, mixed with scintillant and


counted for radioactivity. SK-N-MC or COS7 cells expressing human histamine
H4 receptor were used to measure the affinity of binding of other compounds and
3
their ability to displace H-ligand binding by incubating the above-described
reaction in the presence of various concentrations of inhibitor or compound to be
tested. For competition binding studies using 3H-histamine, K| values were
calculated, based on an experimentally determined Ko value of 5 nM and a ligand
concentration of 5 nM, according to Y.-G. Cheng and W.H. Prusoff (Biochem.
Pharmacol. ig73, 22(23):3099-3108): l compounds tested in this assay are presented in Table 1 as an average (mean) of
results obtained. Where activity is shown as greater than (>) a particular value,
the value is the solubility limit of the compound in the assay medium or the
highest concentration tested in the assay.


While the invention has been illustrated by reference to examples, it is
understood that the invention is intended not to be limited to the foregoing
detailed description.

What is claimed is:
1. A chemical entity that is a compound of Formula (I):

wherein:
A is CH or N;
each R1 is independently Cl, Br, methyl, ethyl, NO2, or CF3;
m is 0, 1, or 2;
R2 is H;
R3 is H, methyl, or ethyl; and
1) R4 is H, methyl, or ethyl; one of Rs and R6 is H, methyl, or ethyl and the other is
H;or
2) R4 and R* together form - 3) R4 and R6 together form -CHr-; and R5 is H;
a pharmaceutically acceptable salt of compound of Formula (I), a
pharmaceutically acceptable prodrug of compound of Formula (I), or a
pharmaceutically active metabolite of compound of Formula (I).
2. A chemical entity as defined in claim 1, wherein A is CH.
3. A chemical entity as defined in claim 1, wherein A is N.
4. A chemical entity as defined in claim 1, wherein R1 is Cl.
5. A chemical entity as defined in claim 1, wherein m is 0 or 1.
6. A chemical entity as defined in claim 1, wherein R3 is H or methyl.
7. A chemical entity as defined in claim 1, wherein R4 is methyl, R5 is H, and
R6 is H.

8. A chemical entity as defined in claim 1, wherein R4 and Rs together form
-(CH2)3-, and R6 is H.
9. A chemical entity as defined in claim 1, wherein R4 and R6 together form -
CHjr-, and R5 is H.
10. A chemical entity as defined in claim 1, wherein said Formula (I) is Formula
(II):
11. A chemical entity selected from:
(S,S)-(2,5-Diaza-bicyclo[2.2.1 Jhept-2-yl)-| 1 H-indol-2-yl)-methanone;
(S,S)-( 1 H-lndol-2-yl)-(5-methyl-2,5-diaza-bicyclo[2.2.1 ]hept-2-yl)-methanone;
(1 H-lndol-2-yl)-(3-methylamino-pyrrolidin-1 -yl)-methanone;
(R)-(1 H-lndol-2-yl)-(3-methylamino-pyrrolidin-1 yl)-methanone;
cis-(1H-lndol-2-yl)-(octahydro-pyrrolo[3,4b]pyridin-6-yl)-methanone;
(S,S)-( 1 H-lndo!-2-yl)-(octahydrc~pyrrolo[3,4-b]pyridin-6-yl)-methanone;
cis-(5-Chloro-1H-benzoimidazol-2-yl)-(oc1ahydro-pyrrolo[3,4-b]pyridin-6-yl)-
methanone;
(R)-(5-Chloro-1 H-indol-2-yl)-(3-methylami no-pyrrolidin-1 -yl)-methanone;
(S)-(5-Chloro-1H-indol-2-yl)-(3-methylamino-pyrrolidin-1-yl)-methanone;
cis-(5-Chloro-1H-indol-2-yl)-(octahydro-p)frrolo[3,4-b]pyridin-6-yl)-methanone;
(R,R)-(5-Chloro-1H-indol-2-yl)-(octahydro-pynrolo[3,4-b]pyridin-6-yl)-methanone;
(S,S)-(5-Chloro-1H-indol-2-yl)-(octahydro-pyrrolo[3,4-b]pyridin-6-yl)-methanone;
cis-(5-Fluoro-1H-indol-2-yl)-(octahydro-pvrrolo[314-b]pyridin-6-yl)-methanone;
cis-(7-Nitro-1H-indol-2-yl)-(octahydro-pyrrolo[3.4-b]pyridin-6-yl)-methanone;
cis-(4,6-Difluoro-1H-indol-2-yl)-(octahydrci-pyrrolo[3,4-b]pyridin-6-yl)-methanone;
(S)-(5-Fluoro-1H-indol-2-yl)-(3-methylamino-pyrrolidin-1-yl)-methanone;
(R)-(5-Fluoro-1H-indol-2-yl)-(3-methylamino-pyrrolidin-1-yl)-methanone;

(S)-(3-Methylamino-pyrroliclin-1-yl)-(7-mBthyMH-indol-2-yl)-methanone;
(R)-(3-Methylamino-pyrroliclin-1-yl)-(7-methyl-1H-indol-2-yl)-methanone,
(SH3-Methylamino-pyrrolidin-1-yl)-(5-m«thyl-1H-indoi-2-yl)-methanone;
(R>-(3-Methylamino-pyrrolidin-1-yl)-(5-mBthyl-1 H-indol-2-yl)-methanone;
(S>-(4,6-DifIuoro-1H-indol-2-yl)-(3-methyiamino-pyrrolidin-1-yl)-methanone;
.(R)-(4,6-Difluoro-1H-indol-2-yl)-(3-methylamino-pyrrolidin-1-yl)-nnethanone;
(3-Amino-pyrrolJdin-i -yl)-(5-chloro-1 H-inclol-2-yl)-methanone;
(5-Chloro-1H-indol-2-yI)-(3-dimethylaminpyrrolidin-1-yl)-methanono;
(3-Dimethylamino-pyrrolidin-1 -yl)-(1 H-indol-2-yl)-methanone;
cis-(1H-lndol-2-yl)-(1-methyJ-octahydro-pyrrolo[3,4-bJpyridin-6-yl)-methanone;
cis-tS-Chloro-IH-indol^-ylJ-ti-methyl-octahydro-pymoloP^-blpyridin-e-yl)-
methanone;
cis-(5-Methyl-1H-indol-2-yl)-(octahydro-pyrrolof3,4-b]pyridin-6-yl)"methanone;
(1H-Benzoimidazol-2-yl)-(3-methylamino-pyrrolidin-1-yl)-methanone;
(1 H-Benzoimida2ol-2-yl)-(3-dimethylaminc>-pyrrolidin-1 -yl)-methanone; and
pharmaceutically acceptable salts thereof.
12. A chemical entity as defined in claim 1, wherein said chemical entity is a
compound of Formula (I) or a pharmaceutically acceptable salt of said compound
5 of Formula (I).
13. A chemical entity as defined in claim 10, wherein said chemical entity is a
compound of Formula (II) or a pharmaceutically acceptable salt of said compound
of Formula (II).
D
14. A pharmaceutical composition for treating a disease, disorder, or medical
condition mediated by histamine H4 receptor activity, comprising:
an effective amount of at least one of an agent selected from compounds of
5 Formula (I), pharmaceutically acceptable «alts of compounds of Formula (I),
pharmaceutically acceptable prodrugs of compounds of Formula (I), and
pharmaceutically active metabolites of compounds of Formula (I);


wherein:
A is CH or N;
each R1 is independently Cl, Br, methyl, ethyl, NO2, or CF3;
m is 0,1, or 2;
R2 is H;
R3 is H, methyl, or ethyl; and
1) R4 is H, methyl, or ethyl; one of R5 and R6 is H, methyl, or ethyl and the other is
• H; or
2) R4 and R5 together form -(CH2)3-; and R8 is H; or
3) R4 and R6 together form -CH2-; and iR5 is H.

15. A pharmaceutical composition as recited in claim 14, wherein said Formula
(I) is Formula (II).
16. A pharmaceutical composition according to claim 14, wherein said agent is
selected from:
(S,S)-(2,5-Diaza-bicyclo[2.2.1]hept-2-yl)-(1H-indol-2-yl)-methanone;
(S,S}-(1H-lndol-2-yl)-(5-methyl-2,5-diaza-t'icyclo[2.2.1]hept-2-yl)-methanone;
(1 H-lndol-2-yl)-(3-methylamino-pyrrolidin-1 -yl)-methanone;
(R)-(1 H-lndol-2-yl)-(3-methylamino-pyrroliclin-1 -yl)-methanone;
cis-(1H-lndol-2-ylHoctahydro-pyrrolo[3,4-ti]pyridin-6-yl)-methanone;
(S,S)-(1H-lndol-2-yl)-(octahydro-pyrrolo[3,4-b]pyridin-6-yl)-methanone;
cis-(5-Chloro-1H-benzoimidazol-2-yl)-(octahydro-pyrrolo[3,4-b]pyridin-6-yl)-
methanone;
(R)-(5-Chloro-1H-indol-2-yl)-(3-methylamino-pyrrolidin-1-yl)-methanone;
(S)-(5-Chloro-1H-indol-2-yl)-(3-methylamino-pyrrolidin-1-yl)-methanone;
cis-(5-Chloro-1H-indol-2-yl)-(octahydro-pyriolo[3,4-b]pyridin-6-yl)-methanone;
(R,R)-(5-Chloro-1H-indol-2-ylHoctahydro-pyrrolo[3,4-b]pyridin-6-yl)-methanone;

(S,S)-(5-Chloro-1H-indol-2-yl)-(octahydrc>-pyiTolo[3,4-b]pyriclin-6-yl)-mothanone;
cis-(5-Fluoro-1H-indol-2-yl)-(octahydro-pyrrolo[3,4-b]pyridin-6-yf)-methanone;
cis-(7-Nitro-1 H-indol-2-yl )-(octahydro-pyrrolo[3,4-b]pyridin-6-yl)-methanone;
cis-(4,6-Difluoro-1H-indol-2-yl)-(octahydro-pyrrolo[3,4-b]pyridJn-6-yl)-methanone;
(SH5-Fluoro-1H-indol-2-ylH3-methylamino-pyrrblidin-1-yl)-methanone;
(R)-(5-Fluoro-1 H-indol-2-yl )-(3-methylamino-pyrrolidin-1-yl)-methanone;
(S)-(3-Methylamino-pyrrolidin-1-yl)-(7-m©thyl-1 H-indol-2-yl )-methanone;
(R)-(3-Methylamino-pyrrolidin-1-yl)-(7-nn€ithyl-1H-indol-2-yl)-methanone;
(S)-(3-Methylamino-pyrrolidin-1-yl)-(5-methyl-1 H-indol-2-yl )-methanone;
(R)-(3-Methylamino-pyrrolidin-1-yl)-(5-methyl-1 H-indol-2-yl )-methanone;
(S)-(4,6-DJfluoro-1 H-indol-2-yl )-(3-methylamino-pyirolidin-1-yl)-nnethanone;
(R)-(4,6-Difluoro-1H-indol-2-yl)-(3-methylamino-pyrrolidin-1-yl)-methanone;
(3-Amino-pyrrolidin-1 -yl)-(5-chloro-1 H-inclol-2-yl)-methanone;
(5-Chloro-1H-indol-2-yl)-(3-dime*hy|am'ni3-pyrirolic'in-'-yl)-nrie*nanone;
(3-Dimethylamino-pyrrolidin-1-yl)-('H-indol-2-yl)-methanone;
cis-(1H-lndol-2-yl)-(1-methyl-octahydro-p/rTOlo[3.4-b]pyridin-6-yl)-methanone;
cis-(5-Chloro-iH-indol-2-yl)-(1-methyl-oc1ahydro-pyrrolo[3,4-b]pyridin-6-yl)-
methanone;
cis-(5-Methyl-1 H-indol-2-yl )-(octahydro-pyrrolo[3,4-b]pyridin-6-yl)-methanone;
(1H-Benzoimidazol-2-yl)-(3-methylamino-pyrrolidin-1-yl)-methanone;
(1 H-Benzoimidazol-2-yl)-(3-dimethylamino-pyrrolidin-1 -yl)-methanone; and
pharmaceutically acceptable salts thereof.
17. A method of treating a subject suffering from or diagnosed with a disease,
disorder, or medical condition mediated by histamine H4 receptor activity,
comprising administering to a subject in need of such treatment an effective
amount of at least one agent selected from compounds of Formula (I),
pharmaceutically acceptable salts of compounds of Formula (I), pharmaceutically
acceptable prod rugs of compounds of Formula (I), and pharmaceutically active
metabolites of compounds of Formula (I):


wherein:
A is CH or N;
each R1 is independently Cl, Br, methyl, ethyl, NO2, or CF3;
m is O, 1,or 2;
R2 is H;
R3 is H, methyl, or ethyl; and
1) R4 is H, methyl, or ethyl; one of R5 and R6 is H, methyl, or ethyl and the other is
H;or
2) R4 and R5 together form -(CH2)3-; and R6 is H; or
3) R4 and RB together form -CH2-; and R5 is H.

18. A method as recited in claim 17, wherein said Formula (I) is Formula (II).
19. A method according to claim 17, wherein said agent is selected from:
(S,S)-(2,5-Diaza-bicyclo[2.2.1]hept-2-yl)-('! H-indol-2-yl)-methanone;
(S,S)-(1H-lndol-2-ylH5-methyl-2,5-diaza-tiicyclo[2.2.1]hept-2-yl)-methanone;
(1 H-lndol-2-yl)-(3-methylamino-pyrrolidin-i -yl)-methanone;
(R)-(1H-lndol-2-yl)-(3-methylamino-pyrroliclin-1-yl)-methanone;
cis-(1H-lndol-2-yl)-(octahydrc-pyrrolo[3,4-ti]pyridin-6-yl)-methanone;
(S,S)-(1H-lndol-2-ylHoctahydro-pyrrolo[3,4-b]pyridin-6-yl)-methanone;
cis-(5-Chloro-1H-ben2oimidazol-2-yl)-(octahydro-pyrrolo[3,4-b]pyrid»n-6-yl)-
methanone;
(R)-(5-Chloro-1H-indol-2-yl)-(3-methylamino-pyrrolidin-1-yl)-methanone;
(S)-(5-Chloro-1H-indol-2-yl)-(3-methylamino)-pyrrolidin-1-yl)-methanone;
cis-(6-Chloro-1H-indol-2-yl)-(octahydro-pyrrolo[3,4-b]pyrldin-6-yl)-methanone;
(R.R)-(5-Chloro-IH-indol-2-yl)-(octahydino-pyrrolop,4-blpyridin-e-yl)-methanone;
(S,S)-(5-Chloro-1H-indol-2-yl)-(octahydro-pyrrolo[3,4-b]pyrldin-6-yl)-methanone;
ds-(5-Fluoro-1H-indol-2-yl)-(octahydro-pym)lo[3,4-blpyridin-6-yl)-methanone;

cis-(7-Nitro-1H-indol-2-yl)-(octahydro-pyirolo[3,4-b]pyridin-6-yl)-methanone;
ds-(4,6-Difluoro-1H-indol-2-yl)-(octahydro-pyrrolo[3.4-b]pyridin-6-yl>-mettianone;
(S)-(5-Fluoro-1H-indol-2-yl)-(3-methylamino-pyrrolidin-1-yl)-methanone;
(R)-(5-Fluoro-1 H-indol-2-yl)-(3-methylamino-pyrrolidin-1 -yl)-methanone;
(S)-(3-Methylamino-pyrrolidin-1 -yl)-(7-m«thyl-1 H-indol-2-yl)-methanone;
(RH3-Methylamino-pyrrolidin-1-yl)-(7-m«thyl-1H-indol-2-yl)-methanone;
(SH3-Methylamino-pyrrolidin-1-yl)-(5-meithyl-1H-indol-2-yl)-methanone;
(R)-(3-Methylamino-pyrrolidin-1 -y\y(5-TmtXby\^ H-indol-2-yl)-methanone;
(SH^.6-Difluoro-1H-indol-2-yl)-(3-methylamJno-pym)lidin-1-yl)-methanone;
(R)-(4,6-Difluoro-1H-indol-2-yl)-(3-methylamino-pynnolidin-1-yl)-mothanono;
(3-Amino-pyrrolidin-1 -yl)-(5-chloro-1 H-inclol-2-yl)-methanone;
(5-Chloro1H-indol-2-yl)-(3-dimethylamin (3-Dimethylamino-pyrrolidin-1 -yl)-(1 H-indol-2-yl)-methanone;
cis-(1H-lndol-2-yl)-(1-methyl-octahydro-pyrrolot3f4-b]pyridin-6-yl)-methanone;
cis-(5-Chloro-1H-indol-2-yl)-(1-methyl-octahydro-pyrrolo[3.4-b]pyiidin-6-yl)-
methanone;
cis-(5-Methyl-1H-indol-2-yl)-(octahydro-pyrTOlo[3,4-b]pyridin-6-yl)-methanone;
(1H-Benzoimidazol-2-yl>-(3-iTiethylamino-pyrFo!idin-1-yl)-methanone;
(1H-Benzoimidazol-2-yl)-(3-dimethylamino-pyrrolidin-1-yl)-methanone; and
pharmaceutically acceptable salts thereof.
20. A method according to claim 17, wherein the disease, disorder, or medical
condition is inflammation.
21. A method according to claim 17, wherein the disease, disorder, or medical
condition is selected from the group consisting of: inflammatory disorders,
allergic disorders, dermatological disorders, autoimmune disease, lymphatic
disorders, and immunodeficiency disorders.
)
22. A method according to claim 17, wherein the disease, disorder, or medical
condition is selected from: allergy, asthma, chronic obstructed pulmonary
disease (COPD), atherosclerosis, rheumatoid arthritis, multiple sclerosis,
inflammatory bowel diseases, colitis, Crohn's disease, ulcerative colitis, psoriasis,

pruritis, itchy skin, atopic dermatitis, urticaria, hives, ocular inflammation,
conjunctivitis, nasal polyps, allergic rhinitis, nasal itch, scleroderma, autoimmune
thyroid diseases, immune-mediated diabetes mellitus, lupus, Myasthenia gravis,
autoimmune neuropathies, Guillain-Barre, autoimmune uveitis, autoimmune
hemolytic anemia, pernicious anemia, autoimmune thrombocytopenia, temporal
arteritis, anti-phospholipid syndrome, vasculitides, Wegener's granulomatosis,
Behcet's disease, dermatitis herpetiformis. pemphigus vulgaris, vttiligio, primary
biliary cirrhosis, autoimmune hepatitis, autoimmune oophoritis, autoimmune
orchitis, autoimmune disease of the adrenal gland, polymyositis, dermatomyositis,
spondyloarthropathies, ankylosing spondylitis, and Sjogren's syndrome.
23. A method according to claim 17, wherein the disease, disorder, or medical
condition is selected from: allergy, asthma, autoimmune diseases, and pruritis.
24. A method for modulating histamine H4 receptor activity, comprising
exposing histamine H4 receptor to an effective amount of at least one agent
selected from a compound of Formula (I) and a salt of a compound of Formula (I):
wherein:
A is CH or N;
each R1 is independently Cl, Br, methyl, ethyl, NO2, or CF3;
misO, 1,or2;
R2 is H;
R3 is H, methyl, or ethyl; and
1) R4 is H, methyl, or ethyl; one of R5 and R6 is H, methyl, or ethyl and the other is
H;or
2) R4 and R5 together form -(CH2)3-; arid R6 is H; or
3) R4 and R6 together form -CH2-; and R5 is H.
25. A method as recited in claim 24, wherein said Formula (I) is Formula (II).

26. A method according to claim 24, wherein said at least one agent is at least
one of:
(S,S)-(2,5-Diaza-bicyclo[2.2.1 ]hept-2-yl)- (1 H-indol-2-yl)-methanone;
(S,S)-(1H-lndol-2-yl)-(5-methyl-2,5-diaza-bicyclo[2.2.1]hept-2-yl)-methanone;
(1H-lndol-2-yl)-(3-methylamino-pyrrolidin-1-yl)-methanone;
(R)-(1 H-l ndol-2-yl)-(3-methylamino-pyrrolidin-1 -yl)-methanone;
cis-(1H-lndol-2-yl)-(octahydro-pyrrolo[3,4-b]pyridin-6-yl)-methanone;
(S,S)-(1H-lndol-2-yl)-(octahydro-pyrrolo[Si,4-b]pyridin-6-yl)-methanone;
cis-(5-Chloro-1H-benzoimidazol-2-yl)-(octahydro-pyrrolo[3,4-b]pyridin-6-yl)-
methanone;
(R)-(5-Chloro-1H-indol-2-yl)-(3-methylamino-pyrrolidin-1-yl)-methanone;
(S)-(5-Chloro-1H-indol-2-yl)-(3-methylamino-pyrrolidin-1-yl)-methanone;
cis-(5-Chloro-1H-indol-2-yl)-(octahydro-pyrrolo[3,4-b]pyridin-6-yl)-methanone;
(R,R)-(5-Chloro-1H-indol-2-yl)-(octahydro-pyrrolo[3,4-b]pyridin-6-yl)-methanone;
(S,S)-(5-Chloro-1H-indol-2-ylHoctahydro-pyrrolo[3,4-b]pyridin-6-yl)-methanone;
cis-(5-Fluoro-1H-indol-2-yl)-(octahydro-pyrrolo[3,4-blpyridin-6-yl)-methanone;
cis-(7-Nitro-1H-indol-2-yl)-(octahydro-pyrrolo[3,4-b]pyridin-6-yl)-methanone;
cis-(4,6-Difluoro-1H-indol-2-yl)-(octahydropyrrolo[3,4-b]pyridin-6-yl)-methanone;
(S)-(5-Fluoro-1H-indol-2-yl)-(3-methylamino-pyrrolidin-1-yl)-methanone;
(RH5-Fluoro-1H-indol-2-yl)-(3-methylamino-pyrrolidin-1-yl)-methanone;
(S)-(3-Methylamino-pyrrolidin-1-yl)-(7-methiyl-1H-indol-2-yl)-methanone;
(R)-(3-Methylamino-pyrrolidin-1-yl)-(7-methiyl-1H-indol-2-yl)-methanone;
(S)-(3-Methylamino-pyrrolidin-1-yl)-(5-methyl-1H-indol-2-yl)-methanone;
(R)-(3-Methylamino-pyrrolidin-1-yl)-(5-methyl-1H-indol-2-yl)-methanone;
(S)-(4,6-Difluoro-1H-indol-2-ylH3-methylamino-pyrrolidin-1-yl)-methanone;
(R)-(4,6-Difluoro-1H-indol-2-yl)-(3-methylamino-pyrrolidin-1-yl)-methanone;
(3-Amino-pyrrolidin-1 -yl)-(5-chtoro-i H-indol -2-yl)-methanone;
(6-Chloro-1 H-indol-2-yl)-(3-dimethylamin6-pyrrolidin-1 -yl)-methanone;
(3-Dimethylamino-pyrrolidin-1 -yl)-(1 H-indol-2-yl)-methanone;
cis-(1H-!ndol-2-yl>-(1-methyl-octahydro-pyrrolo[3,4-b]pyridin-6-yl)-methanone;
cis-(5-Chloro-1H-indol-2-yl)-(1-methyl-octahydro-pynx>lo[3,4-b]pyridin-6-yl)-
methanone;

cis-(5-Methyl-1H-indol-2-yl)-(octahydro-pynrolo[3,4-b]pyridin-6-yl)-methanone;
(1 H-Benzoimidazol-2-yl)-(3-methylamino-pyrrolidin-1 -yl}-methanone;
(1 H-Benzoimidazol-2-yl)-(3-dimethylam no-pyrrolidin-1 -yl)-methanone; and
salts thereof.

Benzoimidazole and indole compounds are described,
which are useful as H4 receptor modulators. Such
compounds may be used in pharmaceutical compositions
and methods for the treatment of disease states,
disorders, and conditions mediated by H4 receptor
activity, such as allergy, asthma, autoimmune diseases,
and pruritis.

Documents:

4526-KOLNP-2008-(27-08-2012)-PETITION UNDER RULE 137.pdf

4526-KOLNP-2008-(27-08-2012)ABSTRACT.pdf

4526-KOLNP-2008-(27-08-2012)AMANDED CLAIMS.pdf

4526-KOLNP-2008-(27-08-2012)DESCRIPTION (COMPLETE).pdf

4526-KOLNP-2008-(27-08-2012)EXAMINATION REPORT REPLY RECEIVED.pdf

4526-KOLNP-2008-(27-08-2012)FORM-1.pdf

4526-KOLNP-2008-(27-08-2012)FORM-2.pdf

4526-KOLNP-2008-(27-08-2012)FORM-3.pdf

4526-KOLNP-2008-(27-08-2012)FORM-5.pdf

4526-KOLNP-2008-(27-08-2012)OTHERS PCT FORM.pdf

4526-KOLNP-2008-(27-08-2012)OTHERS.pdf

4526-kolnp-2008-abstract.pdf

4526-KOLNP-2008-ASSIGNMENT.pdf

4526-kolnp-2008-claims.pdf

4526-KOLNP-2008-CORRESPONDENCE-1.1.pdf

4526-kolnp-2008-correspondence.pdf

4526-kolnp-2008-description (complete).pdf

4526-kolnp-2008-form 1.pdf

4526-kolnp-2008-form 18.pdf

4526-kolnp-2008-form 2.pdf

4526-KOLNP-2008-FORM 3.1.PDF

4526-kolnp-2008-form 3.pdf

4526-kolnp-2008-form 5.pdf

4526-kolnp-2008-gpa.pdf

4526-kolnp-2008-specification.pdf


Patent Number 265551
Indian Patent Application Number 4526/KOLNP/2008
PG Journal Number 10/2015
Publication Date 06-Mar-2015
Grant Date 27-Feb-2015
Date of Filing 07-Nov-2008
Name of Patentee JANSSEN PHARMACEUTICA N.V.
Applicant Address TURNHOUTSEWEG 30, B-2340 BEERSE
Inventors:
# Inventor's Name Inventor's Address
1 BRAD M. SAVALL 9512 RCNDA AVENUE, SAN DIEGO, CALIFORNIA 92123
2 JAMES P. EDWARDS 8723 HESDY COURT, SAN DIEGO, CALIFORNIA 92129
3 CHANDRAVADAN R. SHAH 14213 DALHOUSIE ROAD, SAN DIEGO, CALIFORNIA 92129
PCT International Classification Number A01N 43/52, C07D 263/62
PCT International Application Number PCT/US2007/008218
PCT International Filing date 2007-03-30
PCT Conventions:
# PCT Application Number Date of Convention Priority Country
1 60/790,421 2006-04-07 U.S.A.