AU766235B2

AU766235B2 - IL-8 receptor antagonists

Info

Publication number: AU766235B2
Application number: AU56161/00A
Authority: AU
Inventors: Gregory Martin Benson; Melvin Clarence Rutledge; Katherine L. Widdowson
Original assignee: SmithKline Beecham Corp
Current assignee: SmithKline Beecham Corp
Priority date: 1999-06-16
Filing date: 2000-06-15
Publication date: 2003-10-09
Anticipated expiration: 2020-06-15
Also published as: TR200103638T2; IL145762A0; MXPA01013005A; CO5190696A1; HUP0201582A3; JP2003501463A; CN1356899A; KR20020015347A; AU5616100A; AR024350A1; NZ514696A; CA2377386A1; ZA200109480B; NO20016052D0; PL352213A1; BR0011122A; WO2000076501A1; EP1185265A4; CZ20014472A3; NO20016052L

Description

WO 00/76501 PCT/US00/16506 IL-8 RECEPTOR ANTAGONISTS FIELD OF THE INVENTION This invention relates to novel benzo-2-triazole substituted compounds, pharmaceutical compositions, processes for their preparation, and use thereof in treating IL-8, GROa, GROp, GROy and NAP-2 mediated diseases.

BACKGROUND OF THE INVENTION Many different names have been applied to Interleukin-8 such as neutrophil attractant/activation protein-1 (NAP-1), monocyte derived neutrophil chemotactic factor (MDNCF), neutrophil activating factor (NAF), and T-cell lymphocyte chemotactic factor.

Interleukin-8 is a chemoattractant for neutrophils, basophils, and a subset of T-cells. It is produced by a majority of nucleated cells including macrophages, fibroblasts, endothelial and epithelial cells exposed to TNF, IL-lo, IL-11 or LPS, and by neutrophils themselves when exposed to LPS or chemotactic factors such as FMLP. M. Baggiolini et al., J. Clin. Invest. 84, 1045 (1989); J. Schroderet al, J. Immunol. 139, 3474 (1987) and J. Immunol. 144, 2223 (1990) Strieter, et al., Science 243, 1467 (1989) and J. Biol. Chem. 264,10621 (1989); Cassatella et al., J. Immunol. 148, 3216 (1992).

GROa, GROp, GROy and NAP-2 also belong to the chemokine a family. Like IL-8 these chemokines have also been referred to by different names. For instance GROa, P, y have been referred to as MGSAa, b and g respectively (Melanoma Growth Stimulating Activity), see Richmond et al., J. Cell Physiology 129, 375 (1986) and Chang et al., J. Immunol 148,451 (1992). All of the chemokines of the a-family which possess the ELR motif directly preceding the CXC motif bind to the IL-8 B receptor.

IL-8, GROa, GROp, GROy, NAP-2, and ENA-78 stimulate a number of functions in vitro. They have all been shown to have chemoattractant properties for neutrophils, while IL-8 and GROa have demonstrated T-lymphocytes, and basophiles chemotactic activity. In addition IL-8 can induce histamine release from basophils from both normal and atopic individuals GRO-a and IL-8 can in addition, induce lysozomal enzyme release and respiratory burst from neutrophils. IL-8 has also been shown to increase the surface expression of Mac-1 (CD1 lb/CD18) on neutrophils without de novo protein synthesis. This may contribute to increased adhesion of the neutrophils to vascular endothelial cells. Many known diseases are characterized by massive neutrophil infiltration. As IL-8, GROa, GROp, GROy and NAP-2 promote the accumulation and activation of neutrophils, these chemokines have been implicated in a wide range of acute and chronic inflammatory disorders including psoriasis and rheumatoid arthritis, Baggiolini et al., FEBS Lett. 307, 97 (1992); Miller et al., Crit. Rev.

Immunol. 12, 17 (1992); Oppenheim et al., Annu. Rev. Immunol. 9, 617 (1991); Seitz et al., J.

Clin. Invest. 87, 463 (1991); Miller et al., Am. Rev. Respir. Dis. 146,427 (1992); Donnely et al., Lancet 341, 643 (1993). In addition the ELR chemokines (those containing the amino WO 00/76501 PCTIUS00/16506 acids ELR motif just prior to the CXC motif) have also been implicated in angiostasis. Strieter et al., Science 258, 1798 (1992).

In vitro, IL-8, and NAP-2 induce neutrophil shape change, chemotaxis, granule release, and respiratory burst, by binding to and activating receptors of the seventransmembrane, G-protein-linked family, in particular by binding to IL-8 receptors, most notably the B-receptor. Thomas et al., J. Biol. Chem. 266, 14839 (1991); and Holmes et al., Science 253, 1278 (1991). The development of non-peptide small molecule antagonists for members of this receptor family has precedent. For a review see R. Freidinger in: Progress in Drug Research, Vol. 40, pp. 33-98, Birkhauser Verlag, Basel 1993. Hence, the IL-8 receptor represents a promising target for the development of novel anti-inflammatory agents.

Two high affinity human IL-8 receptors (77% homology) have been characterized: IL-8Ra, which binds only IL-8 with high affinity, and IL-8Rb, which has high affinity for IL-8 as well as for GROcc, GROP, GROy and NAP-2. See Holmes et al., supra; Murphy et al., Science 253, 1280 (1991); Lee et al., J. Biol. Chem. 267, 16283 (1992); LaRosa et al., J. Biol.

Chem. 267, 25402 (1992); and Gayle et al., J. Biol. Chem. 268, 7283 (1993).

There remains a need for treatment, in this field, for compounds which are capable of binding to the IL-8 a or b receptor. Therefore, conditions associated with an increase in IL-8 production (which is responsible for chemotaxis of neutrophil and T-cells subsets into the inflammatory site) would benefit by compounds which are inhibitors of IL-8 receptor binding.

SUMMARY OF THE INVENTION This invention provides for a method of treating a chemokine mediated disease, wherein the chemokine is one which binds to an IL-8 a or 1 receptor and which method comprises administering an effective amount of a compound of Formula or (II) ora pharmaceutically acceptable salt thereof. In particular the chemokine is IL-8.

This invention also relates to a method of inhibiting the binding of IL-8 to its receptors in a mammal in need thereof which comprises administering to said mammal an effective amount of a compound of Formula or (II).

The present invention also provides for the novel compounds of Formula and (II) and pharmaceutical compositions comprising a compound of Formula and (II) and a pharmaceutical carrier or diluent.

Compounds of Formula useful in the present invention are represented by the structure: IR 18

N

(R

1 )m

N

-x R

H

(I)

wherein R is -NH -C(X 2 (CR 3

RI

4 v

Z;

WO 00/76501 PC'T/USOO/16506 J2

(CR

1 5

R

16 )p Z is W, HET, an optionally substituted CI-.

10 alkyl, an optionally substituted C 2 10 alkenyl, or an optionally substituted C 2 1 0 alkynyl; X is C(X 1 2 S(0)2, PO(0R, 4 or N-1; XI is independently hydrogen, halogen, CI-1i0 alkyl, NR4R5, CI-1iO C(O)NR4R5, optionally substituted CI-1lO alkyl, CI1.0 alkoxy, halosubstituted CI-1iO alkoxy, hydroxy, aryl, aryl CIA4 alkyl, aryloxy, aryl Cj..4 alkyloxy, heteroaryl, heteroarylalkyl, heterocyclic, heterocyclic C I -4alkyl, or heteroaryl C 1 4 alkyloxy;

X

2 is or =S; RI is independently selected from hydrogen; halogen; nitro; cyano; halosubstituted ClI alkyl; C Ii1 alkyl; C2-10 alkenyl; ClIlO1 alkoxy halosubstituted C I- 10 alkoxy; azide; (CR8R8)q S(0)tR 4 hydroxy; hydroxy Cl..4alkyl; aryl; aryl CJ-4 alkyl;, aryloxy; aryl C1-4 alkyloxy; heteroaryl; heteroarylalkyl; heterocyclic, heterocyclic C l..4alkyl; heteroaryl C 1 -4 alkyloxy; aryl C210 alkenyl; heteroaryl C2-10 alkenyl; heterocyclic C2-.10 alkenyl; (CR8R8)qNR4R5; C2-10 alkenyl C(O)NR4R5; (CR8R8)q C(O)NR4R5; (CR 8 R8)q C(0)NR4RIO; S(O)3R8; (CR8R8)q C(O)Rj 1; C2-10 alkenyl C(0)Rl 1; C2-10 alkenyl C(0)OR 11; C(O)R 11; (CR8R8)q C(0)0R 12; (CR8R8)q OC(0) R 11; (CR8R 8 )q 11; (CRB 8 )qC(NR 4

)NR

4

R

5

(CR

8 R8)q NR 4

C(NR

5 )R 11; (CR8R8)q NHS(0) 2

R

17 or (CR8R8)q S(0) 2

NR

4

R

5 or two R I moieties together may form 0-(CH2)sO or a 5 to 6 membered saturated or unsaturated ring; and wherein the aryl, heteroaryl, and heterocyclic containing moieties may all be optionally substituted; n is an integer having a value of I to 3; m is an integer having a value of I to 3; q is 0, or an integer having a value of I to s is an integer having a value of I to 3; t is 0, or an integer having a value of I or 2; v is 0, or an integer having a value of I to 4; p is an integer having a value of I to 3; HTET is an optionally substituted heteroaryl; R4 and R5 are independently hydrogen, optionally substituted C 1 -4 alkyl, optionally substituted aryl, optionally substituted aryl C I -4alkyl, optionally substituted heteroaryl, optionally substituted heteroaryl C I 4alkyl, heterocyclic, or heterocyclic CI1- alkyl, or R4 and R5 together with the nitrogen to which they are attached form a 5 to 7 member ring which may optionally comprise an additional heteroatom selected from OIN/S; Y is independently selected from hydrogen; halogen; nitro; cyano; halosubstituted Cl- 1 alkyl; Cl- 1 alkyl; C2-1 0 alkenyl; CI-.10 alkoxy; halosubstituted Ci -10 alkoxy; azide; (CR8R8)q S(O)tR4; hydroxy; hydroxyC I 4alkyl; aryl; aryl Cl1 4 alkyl; aryloxy; arylC 1 -4 wo WO 0/6501 PCr/USOO/1 6506 alkyloxy; heteroaryl; heteroarylalkyl; heteroaryl C 1 4 alkyloxy; heterocyclic, heterocyclic C I 4alkyl; aryl C2-10 alkenyl; heteroaryl C2-10 alkenyl; heterocyclic C2-10 alkenyl; (CR8R 8 )q NR4R5; C2-1 0 alkenyl C(O)NR4R5; (CR8R8)q C(O)NR4R5; (CR 8 R8)q C(O)NR4R1o; S(O)3R8; (CR8R 8 )q C(Q)RI 1; C210 alkenyl C(O)RllI; C2-l0 alkenyl C(O)ORilI; (CR8R 8 )q C(O)0R12; (CRSR8)q OC(O) RI 1; (CRgR8)q NR4C(O)RllI;

(CR

8

R

8 )qC(NR, 4

)NR

4

R

5 (CR8R8)q NR 4

C(NR

5 )R 1 1

(CR

8 R8)q NHS(O)2Ra; or (CR8R 8 )q S(O) 2

NR

4

R

5 or two Y moieties together may form O-(CH2)sQ or a 5 to 6 membered saturated or unsaturated ring; and wherein the aryl, heteroaryl, and heterocyclic containing moieties may all be optionally substituted; R6 and R7 are independently hydrogen or a C 1 -4 alkyl group, or R6 and R7 together with the nitrogen to which they are attached form a 5 to 7 member ring which ring may optionally contain an additional heteroatom which heteroatom is selected from oxygen, nitrogen or sulfur; *R8 is independently hydrogen or C 1-4 alkyl; R 1 is C I alkyl C(O)2R8; Ri II is hydrogen, C1-4 alkyl, optionally substituted aryl, optionally substituted aryl C 1 4alkyl, optionally substituted heteroaryl, optionally substituted heteroarylC 14alkyl, optionally substituted heterocyclic, or optionally substituted heterocyclicC 14alkyl; R12 is hydrogen, CllO0 alkyl, optionally substituted aryl or optionally substituted arylalkyl; R13 and RJ4 are independently hydrogen, or optionally substituted C-4 alkyl, or one of R13 and Rl4 may be optionally substituted aryl;

R

1 5 and R 16 are independently hydrogen, or an optionally substituted CI-4 alkyl; R 17 is C l~alkyl, aryl, arylalkyl, heteroaryl, beteroarylC 1 4alkyl, heterocyclic, or heterocyclicCI-4alkyl, wherein the aryl, heteroaryl and heterocyclic containing moieties may all be optionally substituted; R18 is hydrogen, optionally substituted ClI-1 alkyl, CI-lO alkoxy, halosubstituted CI..lO alkoxy, hydroxy, arylC 14 alkyl, arylC 2-4 alkenyl, heteroaryl, heteroaryl-C 1 -alkyJ, heteroarylC 2 4 alkenyl, heterocyclic, or heterocyclicC 1- alkyl, wherein the aryl, heteroaryl and heterocyclic containing moieties may all be optionally substituted;

R

19 is cyano, nitro, S(O) 2

NR

4

R

5

S(O)

2

RI

7 alkyl, arylC 1 4 alkyl, arylC 2-4 alkenyl, heteroaryl, heteroaryl-C I- 4 alkyl, heteroarylC2-4 alkenyl, heterocyclic, or heterocyclicC 1 -4 alkyl; and wherein the alkyl, aryl, heteroaryl and heterocyclic containing moieties may all be optionally substituted; Ra is NR 6

R

7 alkyl, arylC 1 4 alkyl, aryIC 2-4 alkenyl, heteroaryl, heteroaryl-C I 4alkyl, heteroarylC 2 4 alkenyl, heterocyclic, or heterocyclicC 1 4 alkyl; and wherein the aryl, heteroaryl and heterocyclic containing moeities may all be optionally substituted; WO 00/76501 __Y)n Y)n Wis'o the E containing ring is optionally selected from PCT/USOO/16506 the W ;or* asterix denoting point of attachment of the ring; or a pharmaceutically acceptable salt thereof.

Compounds of Formula (II) useful in the present invention are represented by the structure:

N

R

wherein R is -NH -C(X 2 (CR 1 3 R I 4 )v Z; J2

(CR

1 5 R 16 )p Z is W, HET, (Y)n ,optionally substituted CI- 1 0 alkyl, optionally substituted

C

2 10 alkenyl, or optionally substituted C 2 10 alkynyl; X is N,or C(X 1 Xj is hydrogen, halogen, Cl-10 alkyl, NR4R5, CI-O alkyl-NR4R5, C(O)NR4R5, optionally substituted CI-10 alkyl, Cll1o alkoxy, halosubstituted Ci-lo alkoxy, hydroxy, aryl, aryl Cl1 4 alkyl, aryloxy; aryl Cl-4 alkyloxy, heteroaryl, heteroarylalkyl, heterocyclic, heterocyclic C I 4alkyl, or heteroaryl CI-4 alkyloxy;

X

2 is or=S R 1 is independently selected from hydrogen; halogen; nitro; cyano; halosubstituted C I- 1 0 alkyl; ClI-1 alkyl; C2-10 alkenyl; CI-10 alkoxy;, halosubstituted CI-1O aikoxy; azide; (CR8R8)q S(0)tR4, hydroxy; hydroxy C 1 4alkyl; ary); aryl C 1-4 alkyl; aryloxy; aryl C 1 4 alkyloxy; heteroaryl; heteroarylalkyl; heterocyclic, heterocyclic C 1 4alkyl; heteroaryl C 1-4 *WO 00/76501 PCTIUSOO/1 6506 alkyloxy; aryl C2-10 alkenyl; heteroaryl C2-10 alkenyl; heterocyclic C2-1lO alkenyl;

(CR

8

R

8 )qNR4R5; C2- 1lo alkenyl C(O)NR4R5; (CR 8

R

8 )q C(O)NR4R5; (CR8R 8 )q C(O)NR4R 10; S (0)3R8; (CR 8

R

8 )q C(O)Ri 11; C2-10 alkenyl C(O)Ri 11; C2-1l0 alkenyl C(O)OR 11; C(O)R 11; (CR 8 R8)q C(O)OR 12; (CR 8

R

8 )q OC(O) RI 11; (CR8Rg)qNR4C(O)RI 1; (CR8R 8 )qC(NR 4

)NR

4

R

5 (CR8R8)q NR 4

C(NR

5

)R

1 1 (CR8R8)q NHS(O) 2 R 1 7 (CR8R8)q S(O) 2

NR

4

R

5 or two R 1 moieties together may form O-(CH2)s-O or a 5 to 6 membered saturated or unsaturated ring; and wherein the aryl, heteroaryl, and heterocyclic containing moieties may all be optionally substituted; n is an integer having a value of I to 3; m is an integer having a value of I to 3; q is 0, or an integer having a value of I to t is 0, or an integer having a value of I or 2; s is an integer having a value of 1 to 3; v is 0, or an integer having a value of I to 4; p is an integer having a value of I to 3; HET is an optionally substituted heteroaryl; R4 and R5 are independently hydrogen, optionally substituted C 1 4 alkyl, optionally substituted aryl, optionally substituted aryl C I 4alkyl, optionally substituted heteroaryl, optionally substituted heteroaryl C 14alkyl, heterocyclic, heterocyclic C 1 4 alkyl, or R4 and R5 together with the nitrogen to which they are attached form a 5 to 7 member ring which may optionally comprise an additional heteroatom selected from OINIS; Y is independently selected from hydrogen; halogen; nitro; cyano; halosubstituted C 1 0 alkyl; C I -1 alkyl; C2-10 alkenyl; ClI.-10 alkoxy; halosubstituted CIO1 alkoxy; azide;

(CR

8

R

8 )q S(O)tR4; hydroxy; hydroxyC 14alkyl; aryl; aryl C 1-4 alkyl; aryloxy; arylC 14 alkyloxy; beteroaryl; heteroarylalkyl; heteroaryl Cl14 alkyloxy; heterocyclic, heterocyclic C I 4a~kyl; aryl C2-10 alkenyl; beteroaryl C2-I10 alkenyl; heterocyclic C2- 10 alkenyl; (CR8R 8 )q NR 4 R5; C2- 10 alkenyl C(O)NR4R5; (CR 8 R8)q C(O)NR4R5; (CR8R8)q C(O)NR4Rl10; S(O)3R8; (CR 8 R8)q C(O)R 11; C2- 1 alkenyl C(O)R 11; C2- 1 alkenyl C(O)OR 11; (CR 8

R

8 )q C(Q)0R 12; (CR 8

R

8 )q OC(O) R 11; (CR 8

R

8 )qC(NR 4

)NR

4

R

5 (CR8R8)q NR 4

C(NR

5 )Rjj1; (CR8R 8 )q NR4C(O)RJ 1; (CR 8 R8)q NHS(O)2Ra; (CR8R8)q

S(O)

2

NR

4

R

5 or two Y moieties together may form O.(CH2)S0 or a 5 to 6 membered saturated or unsaturated ring; and wherein the aryl, heteroaryl, and heterocyclic containing moieties may all be optionally substituted; R6 and R7 are independently hydrogen or a CI-4 alkyl group, or R6 and R7 together with the nitrogen to which they are attached form a 5 to 7 member ring which ring may optionally contain an additional heteroatomn which heteroatom is selected from oxygen, nitrogen or sulfur; R8 is independently hydrogen or Cl 4 alkyl; Rio is CI-1lO alkyl C(O)2R8; WO 00/76501 PCT/US00/16506 RI is hydrogen, C1-4 alkyl, optionally substituted aryl, optionally substituted aryl Cl-4alkyl, optionally substituted heteroaryl, optionally substituted heteroarylC -4alkyl, optionally substituted heterocyclic, or optionally substituted heterocyclicC -4alkyl; Rl2 is hydrogen, Cl-10 alkyl, optionally substituted aryl or optionally substituted arylalkyl; R13 and RI4 are independently hydrogen, or optionally substituted C1-4 alkyl, or one of R 13 and RI4 may be optionally substituted aryl;

R

15 and R 16 are independently hydrogen, or an optionally substituted C1-4 alkyl; R17 is C1-4alkyl, aryl, arylalkyl, heteroaryl, heteroarylCi-4alkyl, heterocyclic, or heterocyclicCl-4alkyl; and wherein the aryl, heteroaryl and heterocyclic containing moieties may all be optionally substituted; Ra is NR 6

R

7 alkyl, arylC1- 4 alkyl, arylC 2 4 alkenyl, heteroaryl, heteroaryl-C -4alkyl, heteroarylC 2 4 alkenyl, heterocyclic, or heterocyclicC 14 alkyl; and wherein the aryl, heteroaryl and heterocyclic containing moieties may all be optionally substituted; Y)n Y)n Wis ,or the E containing ring is optionally selected from 0 (Y)n 0 n(Y) ;or n(Y) the asterix denoting point of attachment of the ring; or a pharmaceutically acceptable salt thereof.

DETAILED DESCRIPTION OF THE INVENTION The compounds of Formula and (II) may also be used in association with the veterinary treatment of mammals, other than humans, in need of inhibition of IL-8 or other chemokines which bind to the IL-8 a and b receptors. Chemokine mediated diseases for treatment, therapeutically or prophylactically, in animals include disease states such as those noted herein in the Methods of Treatment section.

As readily seen, the difference between compounds of Formula and (II) lies in the unsaturation of the A containing ring, and hence the substitutions on the X moiety. The remaining terms, defined below, are the same for both compounds of Formula and (II) unless otherwise indicated.

In compounds of Formula suitably RI is independently selected from hydrogen; halogen; nitro; cyano; halosubstituted CI-10 alkyl, such as CF3; Ci-10 alkyl, such as methyl, *WO 00/76501 PCT/US00/16506 ethyl, isopropyl, or n-propyl; C 2 -10 alkenyl; C -10 alkoxy, such as methoxy, or ethoxy; halosubstituted CI-10 alkoxy, such as trifluoromethoxy; azide; (CR8Rg)q S(O)tR4, wherein t is 0, 1 or 2; hydroxy; hydroxy Cl-4alkyl, such as methanol or ethanol; aryl, such as phenyl or naphthyl; aryl C1-4 alkyl, such as benzyl; aryloxy, such as phenoxy; aryl C1-4 alkyloxy, such as benzyloxy; heteroaryl; heteroarylalkyl; heteroaryl Cl-4 alkyloxy; aryl C2-10 alkenyl; heteroaryl C2-10 alkenyl; heterocyclic C2-10 alkenyl; (CR 8

R

8 )qNR4R5; C 2 -10 alkenyl C(0)NR4R5; (CRgRg)q C(O)NR4R5; (CR 8

R

8 )q C(O)NR4R10; S(0)3H; S(0)3R8; (CRgRg)q C(O)RI1; C2-10 alkenyl C(O)R 1; C2-10 alkenyl C(O)ORI 1; C(O)R1 (CR 8 R8)q C(O)OR12; (CR 8

R

8 )q OC(0) R 1; (CR 8

R

8 )q NR4C(0)RI 1; (CR8R8)qC(NR 4

)NR

4

R

5 (CR8Rg)q NR 4

C(NR

5

)R

1 1

(CR

8 Rg)q NHS(0) 2

R

17 (CRgR 8 )q S(0) 2

NR

4

R

5 or two RI moieties together may form O-(CH2)s-O or a 5 to 6 membered saturated or unsaturated ring.

All of the aryl, heteroaryl, and heterocyclic containing moieties may be optionally substituted as defined herein below.

Preferably, RI is hydrogen, halogen, cyano, nitro, CF3, (CR 8

R

8 )q C(O)NR4R5, C 2 alkenyl C(0)NR4R5, (CR 8 Rg)q C(O)R4R10, C 2 10 alkenyl C(O)OR12, heteroaryl, heteroaryl

CI-

4 alkyl, heteroaryl C 2 10 alkenyl, or S(0) 2 NR4R5. More preferably, R 1 is halogen, cyano, or nitro. For compounds of Formula and RI is preferably in the 4-position.

For use herein the term "the aryl, heteroaryl, and heterocyclic containing moieties" refers to both the ring and the alkyl, or if included, the alkenyl rings, such as aryl, arylalkyl, and aryl alkenyl rings. The term "moieties" and "rings" may be interchangeably used throughout.

Suitably, s is an integer having a value of 1 to 3.

It is recognized that R 1 moiety may be substituted on either the benzene ring or the X containing ring, if possible.

When RI forms a dioxybridge, s is preferably 1. When RI forms an additional unsaturated ring, it is preferably 6 membered resulting in a naphthylene ring system. These ring systems may be substituted independently, 1 to 3 times by the other RI moieties as defined above.

Suitably, R4 and R5 are independently hydrogen, optionally substituted Cl-4 alkyl, optionally substituted aryl, optionally substituted aryl C1-4alkyl, optionally substituted heteroaryl, optionally substituted heteroaryl Cl-4alkyl, heterocyclic, or heterocyclicC 1-4 alkyl, or R4 and R5 together with the nitrogen to which they are attached form a 5 to 7 member ring which may optionally comprise an additional heteroatom selected from O/N/S.

Suitably, R6 and R7 are independently hydrogen or a C1-4 alkyl group, or R6 and R7 together with the nitrogen to which they are attached form a 5 to 7 member ring which ring may optionally contain an additional heteroatom which heteroatom is selected from oxygen, nitrogen or sulfur.

Suitably, Rg is independently hydrogen or C 1-4 alkyl.

Suitably, q is 0 or an integer having a value of 1 to wo WO 0/6501 PCT/USOO/I 6506 Suitably, RIO is CI-1i0 alkyl C(O)2R8, such as CH2C(O)2H or CH2C(O)2CH3.

Suitably, R I 1 is hydrogen, CI14 alkyl, aryl, aryl CI14 alkyl, heteroaryl, heteroaryl C 1-4alkyl, heterocyclic, or heterocyclic CI-.4alkyl.

Suitably, R12 is hydrogen, C 1 0 alkyl, optionally substituted aryl or optionally substituted arylalkyl.

Suitably, Rl13 and R 14 are independently hydrogen, or an optionally substituted C 1-4 alkyl which may be straight or branched as defined herein, or one of R13 and R 14 are an optionally substituted aryl.

Suitably, v is 0, or an integer having a value of I to 4.

When R 1 3 or R 14 are an optionally substituted alkyl, the alkyl moiety may be substituted one to three times independently by halogen; halosubstituted Cl1 -4 alkyl such as trifluoromethyl; hydroxy; hydroxy CI -4alkyl, CIA- alkoxy; such as methoxy, or ethoxy, halosubstituted CI-1lO alkoxy, S(O)tR4; aryl; NR4R5; NHC(O)R4; C(O)NR4R5; or C(O)0R 8 Suitably, R17 is CI-4alkyl, aryl, arylalkyl. heteroaryl, heteroarylCI-4alkyl, heterocyclic, or heterocyclicCI-4alkyl, wherein all of the aryl, heteroaryl and heterocyclic containing moieties may all be optionally substituted.

Suitably, Y is independently selected from hydrogen; halogen; nitro; cyano; halosubstituted CI-i0 alkyl; Cl-10 alkyl; C2-10 alkenyl;, CI-10 alkoxy;, halosubstituted CI-lO alkoxy; azide; (CR8R8)q S(O)tR4; hydroxy; hydroxyCl.4alkyl; aryl; aryl C1-4 alkyl; aryloxy; ary]CI-4 alkyloxy; heteroaryl; heteroarylalkyl; heteroaryl Cl1 4 alkyloxy; heterocyclic, heterocyclic Cl-4alkyl; aryl C2-10 alkenyl; heteroaryl C2-10 alkenyl; heterocyclic alkenyl; (CR8R 8 )q NR4R5; C2-10 alkenyl C(O)NR4R 5

(CR

8 R8)q C(O)NR4R5; (CR8R 8 )q C(Q)NR4R1O; S(O)3H; S(O)3R8; (CR8R8)q C(O)Ri 1; C2-10 alkenyl C(O)Rl 1; C2-10 alkenyl C(O)ORl 1; (CR 8

R

8 )q C(O)0R12; (CR 8

R

8 )q OC(O) RI 1; (CR 8

R

8 )qC(NR 4

)NR

4

R

5

(CR

8

R

8 )q NR 4

C(NR

5 )R 1 1

(CR

8

R

8 )q NR4C(O)R 11; (CR 8

R

8 )q NHS(O)2Ra; or (CR 8

R

8 )q

S(O)

2

NR

4

R

5 or two Y moieties together may form O-(CH2)s-O or a 5 to 6 membered saturated or unsaturated ring. The aryl, heteroaryl and heterocyclic containing moieties noted above may all be optionally substituted as defined herein.

When Y forms a dioxybridge, s is preferably I. When Y forms an additional unsaturated ring, it is preferably 6 membered resulting in a naphthylene ring system. These ring systems may be substituted 1 to 3 times by other Y moieties as defined above.

Suitably, Ra is NR 6

R

7 alkyl, aryl C 1 4 alkyl, arylC 2-4 alkenyl, heteroaryl, heteroaryl-C 1 4 alky1, heteroarylC 2 4 alkenyl, heterocyclic, heterocyclicC 14 alkyl, wherein all of the aryl, heteroaryl and heterocyclic containing rings may all be optionally substituted.

Y is preferably a halogen, C 1 4 alkoxy, optionally substituted aryl, optionally substituted aryloxy or arylalkoxy, methylene dioxy, NR 4

R

5 thio C 14alkyl, thioaryl, halosubstituted alkoxy, optionally substituted CJ 4 alkyl, or hydroxy alkyl. Y is more preferably mono-substituted halogen, disubstituted halogen, mono-substituted alkoxy, WO 00/76501 PCT/US00/16506 disubstituted alkoxy, methylenedioxy, aryl, or alkyl, more preferably these groups are mono or di-substituted in the position or 3'-position on a phenyl ring.

While Y may be substituted in any of the ring positions, n is preferably one. While both RI and Y can both be hydrogen, it is preferred that at least one of the rings be substituted, preferably both rings are substituted.

Suitably, R is -NH -C(X 2 (CR13R14)v Z.

C (CR 15

R

1 )p Suitably, Z is W, HET, (Y)n an optionally substituted C 1 10 alkyl, an optionally substituted C 2 10 alkenyl, or an optionally substituted C2- 10 alkynyl.

Suitably, p is an integer having a value of I to 3.

X

2 is suitably or =S.

In compounds of Formula suitably X is C(X 1 2 S(0) 2

PO(OR

4 or C=N-R19.

Suitably, R 19 is cyano, nitro, S(0) 2

NR

4

R

5 S(0) 2

R

1 7 alkyl, arylC 14 alkyl, arylC 2-4 alkenyl, heteroaryl, heteroaryl-Cl-4alkyl, heteroarylC 2 4 alkenyl, heterocyclic, heterocyclicC1-4 alkyl, wherein the alkyl, aryl, heteroaryl and heterocyclic containing rings may all be optionally substituted. Preferably R 19 is cyano.

When X is C(X 1 2 X) is suitably independently hydrogen, halogen, NR 4

R

5 alkylNR 4

R

5 C(0)NR4R5, Cl-10 alkyl-C(0)NR4R5, optionally substituted C- 10 alkyl, C alkoxy; halosubstituted Cl-10 alkoxy, aryl; aryl C1-4 alkyl; aryloxy; aryl C1-4 alkyloxy; heteroaryl; heteroarylalkyl; heterocyclic, heterocyclic Cl-4alkyl; or heteroaryl C1-4 alkyloxy.

The CI.

10 alkyl group may be optionally substituted one or more times by hydroxy, NR 4

R

5 or halogen. Preferably, at least one of X 1 is hydrogen.

Preferably, for compounds of Formula X is C(S) or a C(O) moiety, more preferably C(O).

Suitably, R 1 8 is hydrogen, optionally substituted Cl-10 alkyl, CI-10 alkoxy, halosubstituted C1-10 alkoxy, hydroxy, arylC1- 4 alkyl, arylC 2-4 alkenyl, heteroaryl, heteroaryl-C -4alkyl, heteroarylC 2 4 alkenyl, heterocyclic, or heterocyclicC 1 4 alkyl, wherein all of the aryl, heteroaryl and heterocyclic rings may all be optionally substituted. Preferably

R

1 8 is hydrogen or alkyl, more preferably hydrogen.

In compounds of Formula suitably X is N, or C(X preferably X is N.

Preferably, when X is C(XI), X 1 is hydrogen or halosubstituted alkyl.

It is recognized that in compounds of Formula (II) that the ring system can exist in a tautomeric form.

Suitably when Z is a heteroaryl (HET) ring, it is suitably a heteroaryl ring or ring system. If the HET moiety is a multi ring system, the ring containing the heteroatom does not need to be directly attached to the urea moiety through the (R 13

R

1 4)v linkage of the ring(s) in -WO oon6501 PCT/US00/16506 these ring systems may be optionally substituted as defined herein. Preferably the HET moiety is a pyridyl, which may be 3- or 4-pyridyl. If the ring is a multi system ring it is preferably benzimidazole, dibenzothiophene, or an indole ring. Other rings of interest include, but are not limited to thiophene, furan, pyrimidine, pyrrole, pyrazole, quinoline, isoquinoline, quinazolinyl, oxazole, thiazole, thiadiazole, triazole, imidazole, or benzimidazole.

The HET ring may be optionally substituted independently one to five, preferably 1 to 3 times by Y as defined above. The substitutions may be in any of the ring(s) of the HET system, such as in a benzimidazole ring.

Suitably R 15 and R 1 6 are independently hydrogen, or an optionally substituted C1-4 alkyl as defined above for R 1 3 and R 14 SY)n Y)n Suitably, W is or Suitably, the E containing ring is optionally selected from S(Y)n (Y)n SO n(Y) ;or n(Y) the asterix denoting point of attachment of the ring.

The E ring denoted by its point of attachment through the asterix may optionally be present. If it is not present the ring is a phenyl moiety which is substituted by the

R

1 terms as shown. The E ring may be substituted by the (Y)n moiety in any ring, saturated or unsaturated, and is shown for purposes herein substituted only in the unsaturated ring(s).

While Y in the W term may be substituted in any of the 5 ring positions of the phenyl moiety (when E is absent), Y is preferably mono-substituted in the 2'-position or position, with the preferably being unsubstituted. If the phenyl ring is disubstituted, substituents are preferably in the 2' or 3' position of a monocyclic ring. While both RI and Y can both be hydrogen, it is prefered that at least one of the rings be substituted, preferably both rings are substituted.

As used herein, "optionally substituted" unless specifically defined shall mean such groups as halogen, such as fluorine, chlorine, bromine or iodine; hydroxy; hydroxy substituted C1- 0 alkoxy, such as methoxy or ethoxy; S(O)m' C- 10 alkyl, wherein m'is 0, 1 or 2, such as methyl thio, methyl sulfinyl or methyl sulfonyl; amino, mono di-substituted amino, such as in the NR4R5 group; NHC(O)R 4 C(O)NR4R 5 C(O)OH; S(0)2NR4R5; -WO 00/76501 PCTIUS00/16506 NHS(0)2R20, C1-10 alkyl, such as methyl, ethyl, propyl, isopropyl, or t-butyl; halosubstituted alkyl, such CF3; an optionally substituted aryl, such as phenyl, or an optionally substituted arylalkyl, such as benzyl or phenethyl, optionally substituted heterocylic, optionally substituted heterocylicalkyl, optionally substituted heteroaryl, optionally substituted heteroaryl alkyl, wherein these aryl, heteroaryl, or heterocyclic moieties may be substituted one to two times by halogen; hydroxy; hydroxy substituted alkyl; CI-10 alkoxy; alkyl; amino, mono di-substituted amino, such as in the NR4R5 group; C1-10 alkyl, or halosubstituted C1-10 alkyl, such as CF3.

is suitably C1-4 alkyl, aryl, aryl C -4alkyl, heteroaryl, heteroarylCl-4alkyl, heterocyclic, or heterocyclicC I-4alkyl.

Suitable pharmaceutically acceptable salts are well known to those skilled in the art and include basic salts of inorganic and organic acids, such as hydrochloric acid, hydrobromic acid, sulphuric acid, phosphoric acid, methane sulphonic acid, ethane sulphonic acid, acetic acid, malic acid, tartaric acid, citric acid, lactic acid, oxalic acid, succinic acid, fumaric acid, maleic acid, benzoic acid, salicylic acid, phenylacetic acid and mandelic acid. In addition, pharmaceutically acceptable salts of compounds of Formula may also be formed with a pharmaceutically acceptable cation, for instance, if a substituent group comprises a carboxy moiety. Suitable pharmaceutically acceptable cations are well known to those skilled in the art and include alkaline, alkaline earth, ammonium and quatemary ammonium cations.

The following terms, as used herein, refer to: "halo" all halogens, that is chloro, fluoro, bromo and iodo.

"Cl- 1 0 alkyl" or "alkyl" both straight and branched chain radicals of 1 to 10 carbon atoms, unless the chain length is otherwise limited, including, but not limited to, methyl, ethyl, n-propyl, iso-propyl, n-butyl, sec-butyl, iso-butyl, tert-butyl, n-pentyl and the like.

"cycloalkyl" is used herein to mean cyclic radicals, preferably of 3 to 8 carbons, including but not limited to cyclopropyl, cyclopentyl, cyclohexyl, and the like.

"alkenyl" is used herein at all occurrences to mean straight or branched chain radical of 2-10 carbon atoms, unless the chain length is limited thereto, including, but not limited to ethenyl, 1-propenyl, 2-propenyl, 2-methyl-l-propenyl, 1-butenyl, 2-butenyl and the like.

"aryl" phenyl and naphthyl; "heteroaryl" (on its own or in any combination, such as "heteroaryloxy", or "heteroaryl alkyl") a 5-10 membered aromatic ring system in which one or more rings contain one or more heteroatoms selected from the group consisting of N, O or S, such as, but not limited, to pyrrole, pyrazole, furan, thiophene, quinoline, isoquinoline, quinazolinyl, pyridine, pyrimidine, oxazole, thiazole, thiadiazole, triazole, imidazole, or benzimidazole.

"heterocyclic" (on its own or in any combination, such as "heterocyclicalkyl") a saturated or partially unsaturated 4-10 membered ring system in which one or more rings contain one or more heteroatoms selected from the group consisting of N, O, or S; such as, but 12- WO 00/76501 PCTIUSOO/16506 not limited to, pyrrolidine, piperidine, piperazine, morpholine, tetrahydropyran, or imidazolidine.

"arylalkyl" or "heteroarylalkyl" or "heterocyclicalkyl' is used herein to mean Cl- alkyl, as defined above, attached to an aryl, heteroaryl or heterocyclic moiety, as also defined herein, unless otherwise indicated.

"sulfinyl' the oxide S of the corresponding sulfide, the term "thio" refers to the sulfide, and the term "sulfonyl" refers to the fully oxidized S(0)2 Moiety.

"wherein two Ri moieties (or two Y moieties) may together form a 5 or 6 membered saturated or unsaturated ring" is used herein to mean the formation of an aromatic ring system, such as napthylene, or is a phenyl moiety having attached a 6 membered partially saturated or unsaturated ring such as a C6 cycloalkenyl, i.e. hexene, or a C5 cycloalkenyl moiety, such as cyclopentene.

Exemplified compounds of Formula include: N-4-(Benzimidazoline-2-one-N'-(2'-bromophenyl)urea; 1H,3H-2,1I,3-benzothiazole 2,2-dioxide)-N'-(2-bromophenyl) urea N-4-(7-Cyano- I -N-methyl-benzimidazoline-2-thione)-N'-(2,3-dichlorophenyl) urea N-4-(7-Cyano-benzimidazoline-2-thione)-N'-(2 bromophenyl) urea N-4-(7-Cyano- I-methyl-benzimidazoline-2-thione)-N'-(2 bromophenyl) urea N-4-(7-Cyano- I -methylbenzimidazoline-2-one)-N'-(2,3-dichlorophenyl) urea N-4-(7-Cyano-benzimidazoline-2-one)-N'-(2-bromophenyl)urea N-4-(7-Cyano-benzimidazoline-2-thione)-N'-(2,3-dichlorophenyl) urea N-4-(7-Cyano benzimi dazoline-2-imine)-N'-(2-bromophenyl) urea; and N-(4-Cyano-2-oxo-3-metbylbenzimidazol-7-yl)-N'-(2-bromophenyl) urea.

Exemplified compounds of Formula (II) include: N-7-(Benzotriazole)-N'-(2-bromophenyl)urea; N-7-(4-Bromobenzotriazole)-N'-(2,3-dichorophenyl)urea; N-7-(4-Bromo-2-trifluoromethyl-benzimidazolyl)-N'-(2-bromophenyl)urea; N-4-(2-Trifluoromethyl-benzimidazolyl)-N'-(2-bromophenyl)urea N-7-(4-Cyano-benzotriazole)-N'-(2,3-dichlorophenyl) urea N-7-(4-Cyano-benzotriazole)-N'-(2-bromophenyl)urea N-7-(4-Cyano-2-trifluoromethyl-benzimidazolyl)-N'-(2-bromophenyl)urea N-7-(4-Cyano-benzimidazolyl)-N'-(2,3-dichlorophenyl) urea; and N-7-(4-Cyano-benzimidazolyl)-N'-(2-bromophenyl) urea.

For purposes herein, the above noted nomenclature is based upon the numbering of the ring systems as follows: -WO 00/76501 PCT/US00/16506 6 0N N 2 N 3 4 4 3

N

1 N 2 6 -^SN 7 1 (for Formula and (for Formula METHODS OF PREPARATION The compounds of Formula may be obtained by applying synthetic procedures, some of which are illustrated in the Schemes below. The synthesis provided for in these Schemes is applicable for the producing of Formula having a variety of different Z and R 1 groups which are reacted, employing optional substituents which are suitably protected to achieve compatibility with the reactions outlined herein. Subsequent deprotection, in those cases, then affords compounds of the nature generally disclosed. Once the urea nucleus has been established, further compounds of these formulas may be prepared by applying standard techniques for functional group interconversion, well known in the art. While the schemes are shown with various compounds of Formula this is merely for illustration purposes only and not a limitation on the extent of synthesis available using these methods.

Scheme 1 1 NH 2

NH,

1

N

o NH -N 2 2 a)NaNO 2 HOAc If the 2-nitro substituted heterocyclic compound 2-scheme I is not commercially available it can be made by treating the commercially available 3-nitro phenylene diamine 1scheme 1 with sodium nitrite in a protic solvent such as HOAc.

Scheme 2 14- WO 00/76501 PCT/US00/16506

NH

2 a -NH 6 -NH 2

+NH

1 0 2 a)Triphosgene, Et 3 N, DMF If the 2-nitro substituted heterocyclic compound 2-scheme 2 is not commercially available it can be made by treating the commercially available 3-nitro phenylene diamine 1scheme 2 with triphosgene and triethylamine in DMF or the thiophosgene to form the thio urea. Or alternatively with another carbonyl with no leaving groups such as carbonyl diimidazole.

Scheme 3

'N

a, b CF

NH

2

H

1 2 a)Trifluoroacetic anhydride b)Toluene, reflux If the 2-nitro substituted heterocyclic compound 2-scheme 3 is not commercially available it can be made by treating the commercially available 3-nitro phenylene diamine Ischeme 3 with the corresponding anhydride then refluxing in toluene.

Scheme 4 S-NHBz NH NH a.b.c. d, I N H a NHBz NH NH 1 2 o-0 3 a) Et 3 N, THF, -70 0 C b) SOCI 2 c) m-CPBA d) H 2 Pd/C e) NaNO 3 3M H 2 S0 4 If the 2-nitro substituted heterocyclic compound 3-scheme 4 is not commercially available it can be made by treating compound 2-scheme 4, under standard nitrating conditions WO 00/76501 PCT/US00/16506 (using HNO 3 or NaNO 3 at 23 0 C. If heterocyclic compound 2-scheme 4 is not commercially available it can be made from the commercially available 1, 2-dibenzyldiamine i-scheme 4 with triethylamine at -70 0 C, then thionyl chloride followed by oxidation with m-CPBA and reduction of the benzyl groups using H 2 Pd in MeOH.

Scheme

NH

2

NH

2 1

H

N

P=O

N OPh

H

0 "02 a) PhOP(0)Cl 2 b) NaNO 3 If the 2-nitro substituted heterocyclic compound 2-scheme 5 is not commercially available it can be made by treating the commercially available 1, 2-diamine 1-scheme 5 with PhOP(O)C1 2 followed by standard nitrating conditions (using HNO 3 or NaNO 3 at 23 0

C.

Scheme 6 r NH 2 a N Tl- H

NH

2 o-N 1 0 2 a) Formaldehyde, reflux If the heterocyclic compound 2-scheme 6 is not commercially available it can be made by treating the commercially available 1, 2-diamine I-scheme 6 with formaldehyde at reflux.

Scheme 7

N

a

II

NH,

N2

N,

NHN H 3NH NH 3 0 '0 1 a) H 2 Pd/C, MeOH b) PhNCO, DMF, WO 00/76501 PCT/US00/16506 If the desired aniline 2-scheme 7 is not commercially available the corresponding nitro compound 1-scheme 4 is then reduced under standard condition (H 2 Pd/C or SnCl 2 The ortho substituted phenyl urea in 3-scheme 7 may be prepared by standard conditions involving the condensation of the commercially available substituted aryl isocyanate(Aldrich Chemical Co., Milwaukee,Wi.) with the corresponding aniline 2-scheme 7 in an aprotic solvent such as (DMF or toluene).

Scheme 8 0-NN NH 0N0 N N NH a b c NHN

II

a) CuCN,pyridine,DMF b)TMHI,DMSO,Na-tertpentoxide c)NaNO2, HOAc d)Pd/C H 2 MeOH If the 7-amino substituted heterocyclic compound 4-scheme 8 is not commercially available it can be made by treating the commercially available 2-bromo-5-nitroaniline lscheme 8 with a nucleophile such as, copper cyanide or alternatively this can be used for palladium catalysized coupling reactions, and pyridine in an aprotic solvent such as DMF to form the 2-cyano-5-nitroaniline 2-scheme 8. The diamine 3-scheme 8 can be formed by reacting 2-cyano-5-nitroaniline 2-scheme 8 with tetramethyl hydrazine iodide and a strong hindered base such as sodium t-pentoxide, in an aprotic solvent such as DMSO. The 7-amino- 4-cyanobenzotriazole 4-scheme 8 can be made by reacting the diamine 3-scheme 8 with sodium nitrite, in a protic solvent such as HOAc, followed by reduction of the nitro group with a suitably reducing agent, such as Pd/C in MeOH. Alternatively the diamine 3-Scheme 8 can be used to synthesize the other named heterocyclics described herein. The aromatic rings of the compounds can be further functionalized by conditions well known in the art such as bromination or other electrophilic substitution reactions. These substituents can be further manipulated using standard nucleophilic substitutions such as reaction with an anion (such as sodium methoxide), or in palladium catalyzed coupling reaction chemistry.

The amino substituted heterocyclic compound 4-scheme-8 can then be converted to the corresponding urea by condensation with a commercially available isocyanate.

Another aspect of the present invention are the novel compounds of the formula: WO 00/76501 PCT/US00/16506

N

S I II I H

NH

2 wherein R 1 and m are as defined in Formula Preferably, R 1 is bromo or cyano.

Preferably R 1 is substituted in the 4-position of the ring.

Another aspect of the present invention are the novel compounds of Formula (IV): 0 0 O N O

N

(R

1 )m NH, wherin R 1 and m are as defined for Formula provided that RI is other than hydrogen.

Preferably R 1 is cyano, or bromo.

Another aspect of the present invention is the novel process of making a compound of the formula: (R,)m

N

I

N

H

NH2 NH 2

(III)

by reacting a compound of the formula:

N

b .NH 2

NH

2

(IV)

with sodium nitrite in a protic solvent, followed by reduction of the nitro group to yield a compound of Formula (III).

Lastly, another aspect of the present invention is the analagous process for producing a compound of Formula (II) as defined above, which process comprises a) reacting a compound of the formula: -18- WO 00/76501 PCT/US00/16506 (R,)m

N

NN

H

NH

2 with a compound of the formula: C(X2)-N-(CRI3RI4)v Z; wherein R 1 m, X 2

RI

3

R

1 4 v and Z are as defined in Formula (II) to yield a compound of Formula (II).

SYNTHETIC EXAMPLES The invention will now be described by reference to the following examples which are merely illustrative and are not to be construed as a limitation of the scope of the present invention. All temperatures are given in degrees centigrade, all solvents are highest available purity and all reactions run under anhydrous conditions in an argon atmosphere unless otherwise indicated.

In the Examples, all temperatures are in degrees Centigrade Mass spectra were performed upon a VG Zab mass spectrometer using fast atom bombardment, unless otherwise indicated. IH-NMR (hereinafter "NMR") spectra were recorded at 250 MHz using a Bruker AM 250 or Am 400 spectrometer. Multiplicities indicated are: s=singlet, d=doublet, t=triplet, q=quartet, m=multiplet and br indicates a broad signal. Sat. indicates a saturated solution, eq indicates the proportion of a molar equivalent of reagent relative to the principal reactant.

General Method B: Synthesis of N, phenyl urea To a solution of phenyl equiv.) in dimethyl formamide (1ml) the corresponding aniline (1.0 equiv.) was added. The reaction mixture was stirred at 80 0 C until complete (3-16 hours), then removed solvent under vacuum. The purification, yields and spectral characteristics for each individual compound are listed below.

Example I Preparation of N-[5-Bromo-2-benzotriazolel-N'-[2, 3-dichlorophenyll urea a)Preparation of 4-nitrobenzotriazole To a solution of 3-nitro-phenylenediamine(15.3g, 100 millimole (hereinafter mmol)) in acetic acid (50milliliter (hereinafter"ml")) was stirred with sodium nitrite(6.9g, 100 mmol).

The mixture was then heated to 600 C for 1 hour (hereinafter The reaction was then cooled to room temperature and water was added, the desired product precipitated out of solution and the mixture was filtered to give the desired product(10.7 grams (hereinafter"g"), 'H NMR (CD 3

SOCD

3 8 8.58 1H), 8.44 1H), 7.61 1H).

b)Preparation of 4-aminobenzotriazole To a solution of 4-nitrobenzotriazole(4g, 24.4mmol) in methanol(250ml) was added Pd/C The mixture was flushed with argon, then hydrogen was bubbled through the solution for 10 minutes (hereinafter "min") and a hydrogen atmosphere was maintained at WO 00/76501 PCTIUSOO/16506 balloon pressure for 4 hors. The reaction mixture was flushed with argon and 10% Pd/C was additionally added and a hydrogen atmosphere was maintained at balloon pressure overnight. The mixture was filtered through celite and the celite was washed with methanol.

The solvent was evaporated and chromatography of the resulting solid on silica gel (5%MeOHI CHCI 2 gave the desired product(2.Og, 82 'H NMR (CD 3

SO

2

CD

3 8 8.71 (s, I 7.16 111), 6.75 I 6.36 I 5.90 I H).

c) Preparation of 4-amino-7-bromobenzotriazole To a solution of 4-aminobenzotriazole(550 milligram (hereinafter 4.1lmmol) in acetic acid (lOmI) was added potassium bromide (520mg, 4.4mmol), ammonium molybdate(67mg, O.55mmol) and hydrogen peroxide The mixture was stirred at 250 C for 3 hors. The solvent was evaporated and chromatography of the resulting solid on silica gel (EtOAc/ Hexane(lequiv./Iequiv.)) gave the desired product(400 mg, 45 'H NMR (CD 3

SO

2

CD

3 8 7.29 I 6.49 I 6.05 (bs, 3H).

d) Preparation of N-7- [4-Bromo-[2,4]-benzotfiazole]-N'-[2, 3-dichlorophenyl] urea N-[5-Bromo-2-benzotriazole]-N'-[2, 3-dichlorophenyl] urea was prepared from 4amino-7-bromobenzotriazole (330mg, 1.50 mmol) according to the procedure in General Method B. The product was purified by chromatography of the resulting solid on silica gel(EtOAcf hexane(2equiv./3equiv.)). (4 10mg, 'H NMR (CD 3

SOCD

3 8 10.42 (s, I 9.25 I 8.20 (dd, I 7.96 I 7.64 IlH), 7.33 (in, 2H).

Example 2 Preparation of N-7-fbenzimidazolin-3-onel-N'4f2-bromophenvlI urea a)Preparation of 4-nitro-benzimidazolin-2-one To a solution of 3-nitro-phenylenediamine(lI.Og, 6.53 minol) in dimethylforamide(20m1) was added triphosgene(0.775g, 2.60 mmol)and triethylamine(Il. 7.80mmol). The mixture was then heated to 800 C for about 1 hour. The solvents were then evaporated and the product was precipitated out of solution with methylene chloridelhexane(lequiv./20equiv.). (700mg, 64%1). 'H NMR (CD 3

SO

2

CD

3 8 11.61 I 11.35 I 7.85 I 7.34 (d,lIH), 7.15 I H).

b)Preparation of 4-amino-benzimidazolin-2-one To a solution of 4-nitro-benzimidazolin-2-one (700mg, 3.9mmol) in mnethanol (50m1)and acetic acid(lOml) was added 10% Pd/C (200mg). The mixture was flushed with argon, then hydrogen was bubbled through the solution for 10 min. and a hydrogen atmosphere was maintained at balloon pressure overnight. The mixture was filtered through celite and the celite was washed with methanol. The solvent was evaporated and chromatography of the resulting solid on silica gel (I 0%MeOHI CH,C 2 gave the desired product(5O0mg, 86 'H NMR (CD 3

SO

2

CD

3 8 10.34 IlH), 10.0 1 I 6.66 I1H), 6.24 (d,1IH), 6.22 1H), 5.15 (bs, 2H).

c)Preparation of N-[benzimidazolin-3-one]-N'-[2-bromophenyl] urea N- [benzimidazolin-3-one] -N'-[2-bromophenyl] urea was prepared from 4-aminobenzimidazolin-2-one (80mg, 0.54 mmol) according to the procedure in General Method B.

,WO 00/76501 PCTIUSOOIl6SO6 The product was purified by chromatography of the resulting solid on silica gel(EtOAc/ hexane(lequiv.iequiv.)). (120mg, 'H NMR (CD 3

SOCD

3 5 10.68 1H), 10.03 (s, I 9.08 IlH), 8.15 I 8.08 IlH), 7.62 IlH), 7.34 I1H), 6.99 I1H), 6.92 (d, 2H), 6.73 IH).

Example 3 Preparation of N-F4-bromo-2-trifluoromethyl-7-benzimidazolvll-N'-r2-bromoohenvll urea a)Preparation of 4-nitro-2-trifluoromethylbenzimidazole To a solution of 3-nitiro-phenylenediamine(1 .0g, 6.53 mmcl) was added trifluoroacetic anhydride(1.37g, 6.53mmoI). The mixture was then stirred for I hr. The solvents were then evaporated and the product was refluxed in toluene for 2 hrs. The solvents were then evaporated and the desired product was obtained(1.43g, 95 'H NMR (CD 3

SO

2

CD

3 8 9.40 I 8.31 1H), 8.39 1H), 7.58 IH).

b)Preparation of 4-amino-2-trifluoromethylbenzimidazole To a solution of 4-nitro-2-trifluoromethylbenzimidazole (700mg, 3.Ommol) in methanol(50m1)and was added 10%7 Pd/C (200mg). The mixture was flushed with argon, then hydrogen was bubbled through the solution for 10 min. and a hydrogen atmosphere was maintained at balloon pressure overnight. The mixture was filtered through celite and the celite was washed with methanol. The solvent was evaporated and chromatography of the resulting solid on silica gel (l0%MeOHI CH,C1 2 gave the desired product(560mg, 93 'H NMR (CD 3

SO

2

CD

3 8 10.49 IlH), 7.09 I 6.72 I 6.30 I 5.52 (bs, 2H).

c)Preparation of 4-amino-7-bromo-2-trifluoromethylbenzimidazole To a solution of 4-amino-2-trifluoromethylbenzimidazole (I180mg, 0.9mmol) in acetic acid(l Oml) was added potassium bromide(l 17mg, 0.99mmol), ammonium molybdate(l 2mg, 0.O99mmoI) and hydrogen peroxide(0.2m1,30%). The mixture was stirred at 250 C for 3 hrs.

The solvent was evaporated and chromatography of the resulting solid on silica gel (EtOAc/ Hexane(lequiv./lequiv)) gave the desired product(lO3mg, 39 'H NMR (CD 3 OD): 8 7.11 I 6.35 IlH).

d)Preparation of N-[4-bromo-2-trifluoromethyl-7-benzimidazolyl]-N-[2-bromophenyl] urea N-[4-bromo-2-trifluoromethyl-7-benzimidazolyl]-N-[2-bromophenyl] urea was prepared from 4-amino-7-bromo-2-trifluoromethylbenzimidazole (33mg, 0.54 ramol) according to the procedure in General Method B. The product was purified by chromatography of the resulting solid on silica gel(EtOAc/bhexane (lequiv./lequiv.)). 'H NMR (CD 3

SOCD

3 S9.95 1H), 9.54 lH), 9.07 lH), 8.06 lH), 7.99 (d, IH), 7.62 1H), 7.33 1H), 7.01 1H).

Example 4 Preparation of N-r4-Triazolophenyll-N'-f2-bromophenylI urea a)Preparation of 2, 6-Dinitro( 1-phenylsulfonyl)aniline To the solution of 2, 6-dinitroaniline (2 g, 10.92 mmol) in THF (20 mL), sodium hydride (437 mg, 10.92 mmol) was added. After 10 minutes, benzenesulfonyl chloride (1.4 .WO 00/76501 PCT/US00/16506 mL, 10.92 mmol) was added. The reaction mixture was stirred at room temperature for 16 hours. Then. the reaction mixture was partitioned between ethyl acetate and water. The combined organic layer was dried over MgSO,, filtered and concentrated under reduced pressure and chromatography of the resulting liquid on silica gel (hexane/ethyl acetate(5equiv/. lequiv.)) gave product (2.6 g, EI-MS m/z 324 b) Preparation of 2, 6-Diamino(1-phenylsulfonyl)aniline To the solution of 2, 6-Dinitro(l-phenylsulfonyl)aniline (450 mg, 1.39 mmol) in ethanol mL), Tin (II) chloride (1.57 g, 6.95 mmol) was added. The reaction mixture was stirred at reflux for 4 hours. Then was cooled to room temperature. The NaHCO 3 (aqueous) was added to pH= 7. Then was extracted with ethyl acetate The combined organic layer was dried over MgSO,, filtered and concentrated under reduced pressure to give product (338mg, EI-MS m/z 264 c) Preparation of N-(2-Benzenesulfonylamino-3-aminophenyl)-N'-(2-bromophenyl)urea To a solution of 2-bromo phenyl isocyanate (0.16 mg, 1.28 mmol) in DMF (1.5 mL), the 2, 6-diamino(1-phenylsulfonyl)aniline (338 mg, 1.28 mmol) was added. The reaction mixture was stirred at 80 0 C for 16 hours, then cooled to room temperature. Chromatography of the resulting liquid on silica gel (hexane/ethyl acetate(5equiv./lequiv. to lequiv./lequiv.)) gave product (430 mg, EI-MS m/z 461 d)Preparation of N-(4-Triazolophenyl)-N'-(2-bromophenyl)urea) The N-(2-Benzenesulfonylamino-3-aminophenyl)-N'-(2-bromophenyl)urea (235 mg, 0.51 mmol) was added to HCI/HO (0.51 mL/1.02 mL), cooled to 0"C. Sodium nitrate (35.4 mg, 0.51 mmol) was added to the reaction mixture. The reaction mixture was stirred at 0°C for minutes. The sodium cyanide (25 mg, 0.51 mmol) was added to reaction mixture and warmed to room temperature. The reaction mixture was stirred at room temperature for 18 hours. Then it was extracted with three times by ethyl acetate. The organic extracts were combined, dried over MgSO,, filtered and concentrated under reduced pressure and chromatography of the resulting solid on silica gel gave product (100 mg, EI-MS m/z 333 Example Preparation of N-7-[2-trifluoromethylbenzimidazolvll-N'-r2-bromophenyl urea a)Preparation of 4-nitro-2-trifluoromethylbenzimidazole To a solution of 3-nitro-phenylenediamine(1.Og, 6.53 mmol) was added trifluoroacetic anhydride(1.37g, 6.53mmol). The mixture was then stirred for 1 hr. The solvents were then evaporated and the product was refluxed in toluene for 2 hrs. The solvents were then evaporated and the desired product was obtained (1.43g, 'H NMR (CD 3

SO

2

CD

3 i 9.40 1H), 8.31 1H), 8.39 1H), 7.58 1H).

b)Preparation of 4-amino-2-trifluoromethylbenzimidazole To a solution of 4-nitro-2-trifluoromethylbenzimidazole (700mg, 3.0mmol) in was added 10% Pd/C (200mg). The mixture was flushed with argon, then wo oon6501 PCT/USOO/16506 hydrogen was bubbled through the solution for 10 min. and a hydrogen atmosphere was maintained at balloon pressure overnight. The mixture was filtered through celite and the celite was washed with methanol. The solvent was evaporated and chromatography of the resulting solid on silica gel (Il0%MeOI CHC1,) gave the desired product(560mg, 93 'H NMR (CD 3

SO

2

CD

3 5 10.49 IlH), 7.09 11H), 6.72 I 6.30 (d,lIH), 5.52 (bs, 2H).

c) Preparation of N-7-112-trifluoromethyl benzimidazolyl]-N-12-bromophenylj urea N-7-[2-trifluoromethyl benzimidazolyl]-N'-[2-bromophenylI urea was prepared from 4-amino-2-trifluoromethylbenzimidazole (360mg, 1.79 ramol) according to the procedure in General Method B. The product was purified by chromatography of the resulting solid on silica gel(EtOAc/ hexane(lequiv.iequiv.)). (35mg, 'H NMR (CD 3

SO

2

CD

3 6 9.94 I 9.89 I 9.02 I 8.09 I 8.00 I 7.61 I 7.32 (in, 2H), 7.20 IlH), 7.00 IlH).

Example 6 Preparation of N-(4-Cyano- I H-benzotriazol-7-vl)-N-(2,3-dichlororphenvl) urea a) Preparation of To a solution of 2-bromo-5-nitroaniline (5.0g, 23 mmol) in dimethylforarnide (lO0mI) and pyridine (20m1) was stiffed with copper(I) cyanide (2.05g,64 mmol). The mixture was then heated to 1600 C for 48 hrs. The reaction was then cooled to room temperature and filtered through celite, the celite was washed with ethyl acetate. The solvent was evaporated and chromatography of the resulting solid on silica gel (25%EtOAc/ Hexane) gave the desired product (2.64 g, 70 'H NMR (CD 3

COCD

3 867.75 I 7.70 I 7.44 (dd. I H), 6.25(bs, 2H).

b)Preparation of To a solution of 2-cyano-5-nitroaniline (435 mg, 2.67mmol) in dimethylsulfoxide (25m1) was added tetramethylhydrazine iodide (534 mng, 2.67mrnol) and sodium t-pentoxide (880 mg, 8.0lmmol). The mixture was stirred at room temperature for 12 hrs., the reaction was quenched with 10% HCL. Precipitated solids were filtered and the remaining solution was extracted with ethyl acetate, the solvent was evaporated and chromatography of the resulting solid on silica gel (25%EtOAc/ Hexane) gave the desired product (254 mg, 53 'H NMR

(CD

3

COCD

3 867.49 IH), 7.03 (bs, 2H), 6.80 IlH), 5.78(bs, 2H).

c)Preparation of 4-cyano-7-nitrobenzotriazole To a solution of 2-cyano-5-nitro-phenylenediamine (120 mg, 0.67 inmol) in acetic acid (20m1) was stirred with sodium nitrite (50 mag, 0.72 minol). The mixture was then heated to 600 C for I hr. The reaction was then cooled to room temperature and the solvents were e vaporated and chromatography of the resulting solid on silica gel (50%EtOAc/ Hexane) gave the desired product (120mrg, 95 'H NMR (CD 3

COCD

3 58.70 IH), 8.25 IH).

d) Preparation of 4-cyano-7-aminobenzotriazole To a solution of 4-cyano-7-nitrobenzotriazole (120 mg, 0.63mmol) in methanol (250m]) was added 10% Pd/C (1 The mixture was flushed with argon, then hydrogen was WO 00/76501 PCT/US00/16506 bubbled through the solution for 10 min. and a hydrogen atmosphere was maintained at balloon pressure for 4 hrs. The reaction mixture was flushed with argon and 10% Pd/C (l.0g) was additionally added and a hydrogen atmosphere was maintained at balloon pressure for 1 hr. The mixture was filtered through celite and the celite was washed with methanol. The solvent was evaporated and chromatography of the resulting solid on silica gel CHC1) gave the desired product (95 mg, 94 'H NMR (CD 3 0D): 5 7.58 1H), 6.53 (d, 1H).

e) Preparation of N-[5-cyano-2-benzotriazole]-N'-[2,3-dichlorophenyl] urea N-[5-cyano-2-benzotriazole]-N'-[2,3-dichlorophenyl] urea was prepared from 7amino-4-cyanobenzotriazole (95mg, 0.60 mmol) according to the procedure in General Method B. The product was purified by chromatography of the resulting solid on silica gel (EtOAc/ hexane(2equiv./3equiv.)). (410mg, 'H NMR (CD 3

COCD

3 5 10.85 1H), 9.40 1H), 8.34 1H), 8.20 1H), 7.94 1H), 7.36 1H), 7.31 1H).

Example 7 Preparation of N-(2-Bromophenyl)-N'-(4-cvano-lH-benzotriazol-7-yl) urea To a solution of 2-bromo-5-nitroaniline (5.0g, 23 mmol) in dimethylforamide (100ml) and pyridine (20ml) was stirred with copper cyanide (2.05g,64 mmol). The mixture was then heated to 1600 C for 48 hrs. The reaction was then cooled to room temperature and filtered through celite, the celite was washed with ethyl acetate. The solvent was evaporated and chromatography of the resulting solid on silica gel (25%EtOAc/ Hexane) gave the desired product (2.64 g, 70 'H NMR (CD 3

COCD

3 8 7.75 1H), 7.70 1H), 7.44 (dd, 1H), 6.25(bs, 2H).

b) Preparation of To a solution of 2-cyano-5-nitroaniline (435 mg, 2.67mmol) in dimethylsulfoxide (25ml) was added tetramethylhydrazine iodide (534 mg, 2.67mmol) and sodium t-pentoxide (880 mg, 8.01mmol). The mixture was stirred at room temperature for 12 hrs., the reaction was quenched with 10% HCI. Precipitated solids were filtered and the remaining solution was extracted with ethyl acetate, the solvent was evaporated and chromatography of the resulting solid on silica gel(25%EtOAc/ Hexane) gave the desired product (254 mg, 53 'H NMR

(CD

3

COCD

3 8 7.49 1H), 7.03 (bs, 2H), 6.80 1H), 5.78(bs, 2H).

c) Preparation of 4-cyano-7-nitrobenzotriazole To a solution of 2-cyano-5-nitro-phenylenediamine (120 mg, 0.67 mmol) in acetic acid was stirred with sodium nitrite (50 mg, 0.72 mmol). The mixture was then heated to 600 C for 1 hr. The reaction was then cooled to room temperature and the solvents were evaporated and chromatography of the resulting solid on silica gel (50%EtOAc/ Hexane) gave the desired product (120 mg, 95 'H NMR (CD 3

COCD

3 8 8.70 1H), 8.25 1H).

d)Preparation of 4-cyano-7-aminobenzotriazole To a solution of 4-cyano-7-nitrobenzotriazole (120 mg, 0.63mmol) in methanol (250ml) was added 10% Pd/C The mixture was flushed with argon, then hydrogen was wo oon6501 PCT/USOO/I 6506 bubbled.through the solution for 10 min. and a hydrogen atmosphere was maintained at balloon pressure for 4 hrs. The reaction mixture was flushed with argon and 10% Pd/C was additionally added and a hydrogen atmosphere was maintained at balloon pressure for I hr. The mixture was filtered through celite and the celite was washed with methanol. The solvent was evaporated and chromatography of the resulting solid on silica gel CH,Cl,) gave the desired product (95 mg, 94 'H NMR (CD 3 OD): 8 7.58 11H), 6.53 (d,

IH).

e) Preparation of N-[4-cyano-[1I,4]-benzotriazol-7y11-N'-[2-bromophenyl] urea N-[5-cyano-2-benzotriazolel-N'-[2-bromophenyl] urea was prepared from 7-amino-4cyanobenzotriazole (95mg, 0.60 mmol) according to the procedure in General Method B. The product was purified by chromatography of the resulting solid on silica gel(EtOAc/ hexane(2equiv./3equiv.)). (410Omg, 'H NMR (CD3SO 2 CD3): 8 10.83 IlH), 9.18 (s, IH), 8.20 I 8.05 I1H), 7.99 I 7.66 I1H), 7.40 I 7.06 I H).

Using the analogous procedures to those indicated above or in the schematics, the following compounds may be synthesized: Example 8: N-(2H,4H-3,2,4-benzothiazole 3,3-dioxide)-N'-(2-bromophenyl) urea I NMR (DMSO-d 6 8 10.96(s, lH), 10.32(s, 1H), 9.05(s, 1H), 8.49(s, IHI), 8.08(d, IH, J=1 1.50Hz), 7.63(d, lH, 1=1 1.50Hz), 7.35(t, IH), 7.18(d, IH, 1=1 1.50), 7.01(t, IH),6.91(t, IH), 6.60(d, IH, J=1 1.50) Example 9: N-(5-cyano-4-N-methyl-benzimidazolin-3-thione)-N'-(23-dichloro-phenyl) urea 1 NMR (DMSO-d 6 8 11.20(s, I 9.52(s, IlH), 8.62(s, I 8.15(m,2H), 7.61 I H, J=1I3.25Hz), 7.45(d, I H, J=1I3.25Hz), 7.37(m, 2H), 3.94(d, 3H) Example 10: N-(5-cyano-benzimidazolin-3-thione)-N'-(2 bromophenyl) urea I H NMR (DMSO-d 6 8 11l.57(s, III), 10.43(s, I 9.5 1(s, I 8.3 1(s, IlH), 8.09(d, I H, J=1I3.25Hz), 7.68(d, IH, 1=13.25Hz), 7.54(d, III, J=13.25), 7.44-7.36(m, 2H), 7.07(t, III) Example 11: N-(5-cyano-4-N-methyl-benzimidazolin-3-thione)-N'-(2 bromophenyl) ureaIH NMR (DMSO-d 6 8 11l.25(s, IH), 9.51(s, 1H), 8.31(s, IH), 8.09(d, 1H, J=13.25), 7.67(d, IH, 1=13.25Hz), 7.61(d, 1H, J=13.25Hz), 7.50(d, IIH, J=13.25), 7.39(t, 1H), 7.06(t, IH), 3.94(s, 3H) Example 12: N-(4-Cyano-2-oxo-3-methylbenzimidazol-7-yl)-N-(2,3-dichlorophenyl) urea I NMR (DMSO-d 6 8 10.94(s, I 9.46(s, 1IH), 8.65(s, I 8.18(m, I 7.40-7.3 1(m, 3H1), 7.26(d, l1H, J=13.25Hz), 3.55(s, 3H) WO 00176501 PCT/USOO/16506 Example 13: N-(4-Cyano-2-oxo-2,3-dihydrobenzimidazol-7-yl)-N'-(2-bromo-phenyl)urea 1

H

NMR (DMSO-d 6 5 11l.86(s, I1H), 10.82(s, I 9.94(s, IlH), 8.70(s, 8.65(d, 1 H, 1=13.25Hz), 8.1 1(d, 11-, J=13.25Hz), 7.85(t, 7.76(m, 2H), 7.50(t, 1H) Example 14: N-(4-Cyano-2-trifluoromethyl-7-benzimidazolyl)-N'-(2-bromophenyl) urea 1 NMR (DMSO-d 6 8 10.30(s, 9.25(s, 8.24(s, 7.96(m, 7.85(d, 11-, 1=13.251-z), 7.66(d, 11-, J=13.25H-z), 7.49(t, IH), 7.07(t, 111) Example 15: N-(4-Cyano-7-benzimidazolyl)-N'-(2,3-dichlorophenyl) urea IH NMR (DMSOd 6 8 10.45(s, 11H), 10.34(s, 9.48(s, 11H), 8.44(s, 8.l5(m, 21-1), 7.68(d, 11-, J=13.2511z), 7.85(t, 11H), 7.37(m, 2H) Example 16: N-(4-Cyano-7-benzimidazolyl)-N'-(2-bromophenyl) urea 1 1- NMR (Acetone-d 6 8 11.8 1(s, 9.45(s, 8.84(s, 9.34(s, lH), 8.26(m, 7.65(d, 7.41(t, 11-), 7.06(t, 11-) Example 17: N-(5-cyano-benzimidazolin-3-thione)-N'-(2,3-dichlorophenyl) urea I H NMR (DMSO-d 6 8 1 1.54(s, 10.42(s, 1H), 9.52(s, 8.62(s, 8.15(m, 7.54(d, IH, 1=13.25Hz), 7.40-7.30(t, m, 31-) Example 18: N-(5-cyano-N-cyano-2-guanidine)-N'-(2-bromophenyl) urea I H NMR d 6 8 10.89(s, 1 1.02(s, 9.66(s, IH), 8.42(s, 8.04(d, 11H, 1=13.25H-z), 7.66(d, IH, 1=13.25H-z), 7.50(m, 111), 7.40(t, 7.06(t, 11H) Example 19: N-(4-Cyano-2-oxo-3-methylbenzimidazol-7-yl)-N'-(2-bromophenyl) urea, alternatively called: N-4-(7-Cyano- Il-methylbenzimidazolin-2-one)-N'-(2-bromophenyl) urea 1 1- NMR (DMSO-d 6 d 10.89(s, lH), 9.39(s, 8.30(s, 8.10(d, 11-, 1=13.25), 7.76(d, 1I-1, J=1I3.25Hz), 7.45-7.32(m, 7.26(d, 1 H, J= 13.25), 7.03 IH1-), 3.57 31-).

METHOD OF TREATMENT Tecompounds of Formula and/or Formula or pharmaceutically acceptable salts thereof, can be used in the manufacture of a medicament for the prophylactic or therapeutic treatment of any disease state in a human, or other mammal, which is exacerbated or caused by excessive or unregulated IL-8 cytokine production by such mammal's cell, such as but not limited to monocyte s and/or macrophagres, or other chemokines which bind to the IL-8 (x or f3 receptor, also referred to as the type I or type It receptor.

For purposes herein, the term "compounds of Formula or "Formula will also refer to "compounds of Formula (II1)" or "Formula unless otherwise indicated.

WO 00/76501 PCT/US00/16506 Accordingly, the present invention provides a method of treating a chemokine mediated disease, wherein the chemokine is one which binds to an IL-8 a or 5 receptor and which method comprises administering an effective amount of a compound of Formula or a pharmaceutically acceptable salt thereof. In particular, the chemokines are IL-8, GROa, GROP, GROy, NAP-2, or ENA-78.

The compounds of Formula are administered in an amount sufficient to inhibit cytokine function, in particular IL-8, GROa, GRO3, GROy, NAP-2, or ENA-78, such that they are biologically regulated down to normal levels of physiological function, or in some case to subnormal levels, so as to ameliorate the disease state. Abnormal levels of IL-8, GROct, GROP, GROy, NAP-2, or ENA-78 for instance in the context of the present invention, constitute: levels of free IL-8 greater than or equal to 1 picogram per mL; (ii) any cell associated IL-8, GROa, GROP, GROy, NAP-2, or ENA-78 above normal physiological levels; or (iii) the presence of IL-8, GROa, GROP, GROy, NAP-2, or ENA-78 above basal levels in cells or tissues in which IL-8, GROcr, GROp, GROy, NAP-2, or ENA-78 respectively, is produced.

There are many disease states in which excessive or unregulated IL-8 production is implicated in exacerbating and/or causing the disease. Chemokine mediated diseases include psoriasis, atopic dermatitis, arthritis, asthma, chronic obstructive pulmonary disease, adult respiratory distress syndrome, inflammatory bowel disease, Crohn's disease, ulcerative colitis, stroke, septic shock, endotoxic shock, gram negative sepsis, toxic shock syndrome, cardiac and renal reperfusion injury, glomerulonephritis, thrombosis, graft vs. host reaction, alzheimers disease, allograft rejections, malaria, restinosis, angiogenesis, atherosclerosis, osteoporosis, gingivitis, undesired hematopoietic stem cells release and diseases caused by respiratory viruses, including but not limited to rhinovirus and influenza virus, herpesviruses, including but not limited to herpes simplex I and II, and hepatitis viruses, including but not limited to Hepatitis B and Hepatitis C virus.

The association of interleukin-8 and rhinovirus may be found in articles such as: Turner,et al., Clin. Infect. Dis. (1998), 26(4), 840-846; Sanders, et al., J. Virol. (1998), 72(2), 934-942; Sethi, et al., Clin. Exp. Immunol. (1997), 110(3), 362-369; Zhu, et al., Am. J.

Physiol. (1997), 273(4, Pt. L814-L824; Terajima, et al., Am. J. Physiol. (1997), 273(4, Pt.

L749-L759; Grunberg, et al., Clin. Exp. Allergy (1997), 27(1), 36-45; and Johnston, et al., J. Infect. Dis. (1997), 175(2), 323-329.

The association of interleukin-8 and osteoporosis may be found in articles such as: Streckfus et al., J. Gerontol., Ser. A (1997), 52A(6), M343-M351; Hermann, T. WO 95/31722; and Chaudhary, et al., Endocrinology (Baltimore) (1992), 130(5), 2528-34.

These diseases are primarily characterized by massive neutrophil infiltration, T-cell infiltration, or neovascular growth, and are associated with increased IL-8, GROa, GROP, GROy or NAP-2 production which is responsible for the chemotaxis of neutrophils into the inflammatory site or the directional growth of endothelial cells. In contrast to other WO 0076501 PCT/US00/16506 inflammatory cytokines (IL-1, TNF, and IL-6), IL-8, GROoa, GROJ, GROy or NAP-2 has the unique property of promoting neutrophil chemotaxis, enzyme release including but not limited to elastase release as well as superoxide production and activation. The a-chemokines but particularly GROa, RO, GRO GRy or NAP-2, working through the IL-8 type I or II receptor can promote the neovascularization of tumors by promoting the directional growth of endothelial cells. Therefore, the inhibition of IL-8 induced chemotaxis or activation would lead to a direct reduction in the neutrophil infiltration.

Recent evidence also implicates the role of chemokines in the treatment of HIV infections, Littleman et al., Nature 381, pp 6 6 1 (1996) and Koup et al., Nature 381, pp 667 (1996).

The present invention also provides for a means of treating, in an acute setting, as well as preventing, in those individuals deemed susceptible to, CNS injuries by the chemokine receptor antagonist compounds of Formula CNS injuries as defined herein include both open or penetrating head trauma, such as by surgery, or a closed head trauma injury, such as by an injury to the head region. Also included within this definition is ischemic stroke, particularly to the brain area.

Ischemic stroke may be defined as a focal neurologic disorder that results from insufficient blood supply to a particular brain area, usually as a consequence of an embolus, thrombi, or local atheromatous closure of the blood vessel. The role of inflammatory cytokines in this are has been emerging and the present invention provides a mean for the potential treatment of these injuries. Relatively little treatment, for an acute injury such as these has been available.

TNF-a is a cytokine with proinflammatory actions, including endothelial leukocyte adhesion molecule expression. Leukocytes infiltrate into ischemic brain lesions and hence compounds which inhibit or decrease levels of TNF would be useful for treatment of ischemic brain injury. See Liu et al., Stoke, Vol. 25., No. 7, pp 1481-88 (1994) whose disclosure is incorporated herein by reference.

Models of closed head injuries and treatment with mixed 5-LO/CO agents is discussed in Shohami et al., J. of Vaisc Clinical Physiology and Pharmacology, Vol. 3, No. 2, pp. 99- 107 (1992) whose disclosure is incorporated herein by reference. Treatment which reduced edema formation was found to improve functional outcome in those animals treated.

Present evidence also indicates the use of IL-8 inhibitors in the treatment of atherosclerosis. The first reference, Boisvert et al., J Clin Invest, 1998, 101:353-363 shows, through bone marrow transplantation, that the absence of IL-8 receptors on stem cells (and, therefore, on monocytes/macrophages) leads to a reduction in the development of atherosclerotic plaques in LDL receptor deficient mice. Additinal supporting references are: Apostolopoulos, et al., Arterioscler Thromb Vasc Biol. 1996, 16:1007-1012; Liu, et al., Arterioscler Thromb Vasc Biol, 1997, 17:317-323; Rus, et al., Atherosclerosis. 1996, 127:263- 271.; Wang et al., J Biol Chem. 1996, 271:8837-8842; Yue, et al., Eur J Pharmacol. 1993, WO 00/76501 PCT/US00/16506 240:81-84; Koch, et al., Am J Pathol, 1993, 142:1423-1431.; Lee, et al., Immunol Lett, 1996, 53, 109-113.; and Terkeltaub et al., Arterioscler Thromb, 1994, 14:47-53.

The compounds of Formula are administered in an amount sufficient to inhibit IL-8, binding to the IL-8 alpha or beta receptors, from binding to these receptors, such as evidenced by a reduction in neutrophil chemotaxis and activation. The discovery that the compounds of Formula are inhibitors of IL-8 binding is based upon the effects of the compounds of Formulas in the in vitro receptor binding assays which are described herein.

The compounds of Formula have been shown to be inhibitors of type II IL-8 receptors.

As used herein, the term "IL-8 mediated disease or disease state" refers to any and all disease states in which IL-8, GROa, GROp, GROy, NAP-2, or ENA-78 plays a role, either by production of IL-8, GRO., GROP, GROy, NAP-2, or ENA-78 themselves, or by IL-8, GROa, GROP, GROy, NAP-2, or ENA-78 causing another monokine to be released, such as but not limited to IL-1, IL-6 or TNF. A disease state in which, for instance, IL-1 is a major component, and whose production or action, is exacerbated or secreted in response to IL-8, would therefore be considered a disease stated mediated by IL-8.

As used herein, the term "chemokine mediated disease or disease state" refers to any and all disease states in which a chemokine which binds to an IL-8 a or 1 receptor plays a role, such as but not limited to IL-8, GROc, GROp, GROy, NAP-2, or ENA-78. This would include a disease state in which, IL-8 plays a role, either by production of IL-8 itself, or by IL- 8 causing another monokine to be released, such as but not limited to IL-I, IL-6 or TNF. A disease state in which, for instance, IL-1 is a major component, and whose production or action, is exacerbated or secreted in response to IL-8, would therefore be considered a disease stated mediated by IL-8.

As used herein, the term "cytokine" refers to any secreted polypeptide that affects the functions of cells and is a molecule which modulates interactions between cells in the immune, inflammatory or hematopoietic response. A cytokine includes, but is not limited to, monokines and lymphokines, regardless of which cells produce them. For instance, a monokine is generally referred to as being produced and secreted by a mononuclear cell, such as a macrophage and/or monocyte. Many other cells however also produce monokines, such as natural killer cells, fibroblasts, basophils, neutrophils, endothelial cells, brain astrocytes, bone marrow stromal cells, epideral keratinocytes and B-lymphocytes. Lymphokines are generally referred to as being produced by lymphocyte cells. Examples of cytokines include, but are not limited to, Interleukin-1 Interleukin-6 Interleukin-8 Tumor Necrosis Factor-alpha (TNF-a) and Tumor Necrosis Factor beta (TNF-B).

As used herein, the term "chemokine" refers to any secreted polypeptide that affects the functions of cells and is a molecule which modulates interactions between cells in the immune, inflammatory or hematopoietic response, similar to the term "cytokine" above. A chemokine is primarily secreted through cell transmembranes and causes chemotaxis and 29- ,WO 00/76501 PCT/US00/16506 activation of specific white blood cells and leukocytes, neutrophils, monocytes, macrophages, T-cells, B-cells, endothelial cells and smooth muscle cells. Examples of chemokines include, but are not limited to, IL-8, GROct, GROP, GROy, NAP-2, ENA-78, IP-10, MIP- a MIP-3, PF4, and MCP 1, 2, and 3.

In order to use a compound of Formula or a pharmaceutically acceptable salt thereof in therapy, it will normally be formulated into a pharmaceutical composition in accordance with standard pharmaceutical practice. This invention, therefore, also relates to a pharmaceutical composition comprising an effective, non-toxic amount of a compound of Formula and a pharmaceutically acceptable carrier or diluent.

Compounds of Formula pharmaceutically acceptable salts thereof and pharmaceutical compositions incorporating such may conveniently be administered by any of the routes conventionally used for drug administration, for instance, orally, topically, parenterally or by inhalation. The compounds of Formula may be administered in conventional dosage forms prepared by combining a compound of Formula with standard pharmaceutical carriers according to conventional procedures. The compounds of Formula (I) may also be administered in conventional dosages in combination with a known, second therapeutically active compound. These procedures may involve mixing, granulating and compressing or dissolving the ingredients as appropriate to the desired preparation. It will be appreciated that the form and character of the pharmaceutically acceptable character or diluent is dictated by the amount of active ingredient with which it is to be combined, the route of administration and other well-known variables. The carrier(s) must be "acceptable" in the sense of being compatible with the other ingredients of the formulation and not deleterious to the recipient thereof.

The pharmaceutical carrier employed may be, for example, either a solid or liquid.

Exemplary of solid carriers are lactose, terra alba, sucrose, talc, gelatin, agar, pectin, acacia, magnesium stearate, stearic acid and the like. Exemplary of liquid carriers are syrup, peanut oil, olive oil, water and the like. Similarly, the carrier or diluent may include time delay material well known to the art, such as glyceryl mono-stearate or glyceryl distearate alone or with a wax.

A wide variety of pharmaceutical forms can be employed. Thus, if a solid carrier is used, the preparation can be tableted, placed in a hard gelatin capsule in powder or pellet form or in the form of a troche or lozenge. The amount of solid carrier will vary widely but preferably will be from about 25mg. to about Ig. When a liquid carrier is used, the preparation will be in the form of a syrup, emulsion, soft gelatin capsule, sterile injectable liquid such as an ampule or nonaqueous liquid suspension.

Compounds of Formula may be administered topically, that is by non-systemic administration. This includes the application of a compound of Formula externally to the epidermis or the buccal cavity and the instillation of such a compound into the ear, eye and nose, such that the compound does not significantly enter the blood stream. In contrast, WO 00/76501 PCT/US00/16506 systemic administration refers to oral, intravenous, intraperitoneal and intramuscular administration.

Formulations suitable for topical administration include liquid or semi-liquid preparations suitable for penetration through the skin to the site of inflammation such as liniments, lotions, creams, ointments or pastes, and drops suitable for administration to the eye, ear or nose. The active ingredient may comprise, for topical administration, from 0.001% to 10% w/w, for instance from 1% to 2% by weight of the formulation. It may however comprise as much as 10% w/w but preferably will comprise less than 5% w/w, more preferably from 0.1% to 1% w/w of the formulation.

Lotions according to the present invention include those suitable for application to the skin or eye. An eye lotion may comprise a sterile aqueous solution optionally containing a bactericide and may be prepared by methods similar to those for the preparation of drops.

Lotions or liniments for application to the skin may also include an agent to hasten drying and to cool the skin, such as an alcohol or acetone, and/or a moisturizer such as glycerol or an oil such as castor oil or arachis oil.

Creams, ointments or pastes according to the present invention are semi-solid formulations of the active ingredient for external application. They may be made by mixing the active ingredient in finely-divided or powdered form, alone or in solution or suspension in an aqueous or non-aqueous fluid, with the aid of suitable machinery, with a greasy or nongreasy base. The base may comprise hydrocarbons such as hard, soft or liquid paraffin, glycerol, beeswax, a metallic soap; a mucilage; an oil of natural origin such as almond, corn, arachis, castor or olive oil; wool fat or its derivatives or a fatty acid such as steric or oleic acid together with an alcohol such as propylene glycol or a macrogel. The formulation may incorporate any suitable surface active agent such as an anionic, cationic or non-ionic surfactant such as a sorbitan ester or a polyoxyethylene derivative thereof. Suspending agents such as natural gums, cellulose derivatives or inorganic materials such as silicaceous silicas, and other ingredients such as lanolin, may also be included.

Drops according to the present invention may comprise sterile aqueous or oily solutions or suspensions and may be prepared by dissolving the active ingredient in a suitable aqueous solution of a bactericidal and/or fungicidal agent and/or any other suitable preservative, and preferably including a surface active agent. The resulting solution may then be clarified by filtration, transferred to a suitable container which is then sealed and sterilized by autoclaving or maintaining at 98-100 for half an hour. Alternatively, the solution may be sterilized by filtration and transferred to the container by an aseptic technique. Examples of bactericidal and fungicidal agents suitable for inclusion in the drops are phenylmercuric nitrate or acetate benzalkonium chloride (0.01 and chlorhexidine acetate Suitable solvents for the preparation of an oily solution include glycerol, diluted alcohol and propylene glycol.

-31- WO 00/76501 PCT/US00/16506 Compounds of formula may be administered parenterally, that is by intravenous, intramuscular, subcutaneous intranasal, intrarectal, intravaginal or intraperitoneal administration. The subcutaneous and intramuscular forms of parenteral administration are generally preferred. Appropriate dosage forms for such administration may be prepared by conventional techniques. Compounds of Formula may also be administered by inhalation, that is by intranasal and oral inhalation administration. Appropriate dosage forms for such administration, such as an aerosol formulation or a metered dose inhaler, may be prepared by conventional techniques.

For all methods of use disclosed herein for the compounds of Formula the daily oral dosage regimen will preferably be from about 0.01 to about 80 mg/kg of total body weight. The daily parenteral dosage regimen about 0.001 to about 80 mg/kg of total body weight. The daily topical dosage regimen will preferably be from 0.1 mg to 150 mg, administered one to four, preferably two or three times daily. The daily inhalation dosage regimen will preferably be from about 0.01 mg/kg to about 1 mg/kg per day. It will also be recognized by one of skill in the art that the optimal quantity and spacing of individual dosages of a compound of Formula or a pharmaceutically acceptable salt thereof will be determined by the nature and extent of the condition being treated, the form, route and site of administration, and the particular patient being treated, and that such optimums can be determined by conventional techniques. It will also be appreciated by one of skill in the art that the optimal course of treatment, the number of doses of a compound of Formula or a pharmaceutically acceptable salt thereof given per day for a defined number of days, can be ascertained by those skilled in the art using conventional course of treatment determination tests.

The invention will now be described by reference to the following biological examples which are merely illustrative and are not to be construed as a limitation of the scope of the present invention.

BIOLOGICAL EXAMPLES The IL-8, and Gro-a chemokine inhibitory effects of compounds of the present invention are determined by the following in vitro assay: Receptor Binding Assays: [1251] IL-8 (human recombinant) is obtained from Amersham Corp., Arlington Heights, IL, with specific activity 2000 Ci/mmol. Gro-a is obtained from NEN- New England Nuclear. All other chemicals are of analytical grade. High levels of recombinant human IL-8 type a and b receptors were individually expressed in Chinese hamster ovary cells as described previously (Holmes, et al., Science, 1991, 253, 1278). The Chinese hamster ovary membranes were homogenized according to a previously described protocol (Haour, et al., J Biol Chem., 249 pp 2195-2205 (1974)). Except that the homogenization buffer is changed to 10mM Tris- HCL, ImM MgS04, 0.5mM EDTA (ethylene-diaminetetra-acetic acid), Im MPMSF (aaWO 00/7601 PCTIUS00/16506 toluenesulphonyl fluoride), 0.5 mg/L Leupeptin, pH 7.5. Membrane protein concentration is determined using Pierce Co. micro-assay kit using bovine serum albumin as a standard. All assays are performed in a 96-well micro plate format. Each reaction mixture contains 1251 IL- 8 (0.25 nM) or 1251 Gro-a and 0.5 pg/mL of IL-8Ra or 1.0 pg/mL of IL-8Rb membranes in mM Bis-Trispropane and 0.4 mM Tris HCI buffers, pH 8.0, containing 1.2 mM MgSO4, 0.1 mM EDTA, 25 mM NaCI and 0.03% CHAPS. In addition, drug or compound of interest is added which has been pre-dissolved in DMSO so as to reach a final concentration of between 0.01nM and 100 uM. The assay is initiated by addition of 12 5 -IL-8. After 1 hour at room temperature the plate is harvested using a Tomtec 96-well harvester onto a glass fiber filtermat blocked with 1% polyethylenimine/ 0.5% BSA and washed 3 times with 25 mM NaCI, 10 mM TrisHCl, 1 mM MgSO4, 0.5 mM EDTA, 0.03 CHAPS, pH 7.4. The filter is then dried and counted on the Betaplate liquid scintillation counter. The recombinant IL-8 Ra, or Type I, receptor is also referred to herein as the non-permissive receptor and the recombinant IL-8 Rb, or Type II, receptor is referred to as the permissive receptor.

Representative compounds of Formula and Examples 1 to 11, and 13 to 19 herein demonstrated positive inhibitory activity of 30 pmg in this assay. For The compound of Example 12 did not demonstrate activity at <30 pmg in this assay, likely due to solubility issues.

Chemotaxis Assay: The in vitro inhibitory properties of these compounds are determined in the neutrophil chemotaxis assay as described in Current Protocols in Immunology, vol. I, Suppl 1, Unit 6.12.3., whose disclosure is incorporated herein by reference in its entirety. Neutrophils where isolated from human blood as described in Current Protocols in Immunology Vol. I, Suppl 1 Unit 7.23.1, whose disclosure is incorporated herein by reference in its entirety. The chemoattractants IL-8, GROa, GROP, GROy and NAP-2 are placed in the bottom chamber of a 48 multiwell chamber (Neuro Probe, Cabin John, MD) at a concentration between 0.1 and 100 nM. The two chambers are separated by a 5um polycarbonate filter. When compounds of this invention are tested, they are mixed with the cells (0.001 1000 nM) just prior to the addition of the cells to the upper chamber. Incubation is allowed to proceed for between about 45 and 90 min. at about 37 0 C in a humidified incubator with 5% CO 2 At the end of the incubation period, the polycarbonate membrane is removed and the top side washed, the membrane then stained using the Diff Quick staining protocol (Baxter Products, McGaw Park, IL, USA). Cells which have chemotaxed to the chemokine are visually counted using a microscope. Generally, four fields are counted for each sample, these numbers are averaged to give the average number of cells which had migrated. Each sample is tested in triplicate and each compound repeated at least four times. To certain cells (positive control cells) no compound is added, these cells represent the maximum chemotactic response of the cells. In the case where a negative control (unstimulated) is desired, no chemokine is added to the -33- ,WO 00/76501 PCT/US00/16506 bottom chamber. The difference between the positive control and the negative control represents the chemotactic activity of the cells.

Elastase Release Assay: The compounds of this invention are tested for their ability to prevent Elastase release from human neutrophils. Neutrophils are isolated from human blood as described in Current Protocols in Immunology Vol. I, Suppl I Unit 7.23.1. PMNs 0.88 x 106 cells suspended in Ringer's Solution (NaCI 118, KC1 4.56, NaHCO 3 25, KH 2

PO

4 1.03, Glucose 11.1, HEPES mM, pH 7.4) are placed in each well of a 96 well plate in a volume of 50 ul. To this plate is added the test compound (0.001 1000 nM) in a volume of 50 ul, Cytochalasin B in a volume of 50 ul (20ug/ml) and Ringers buffer in a volume of 50 ul. These cells are allowed to warm (37 OC, 5% C02, 95% RH) for 5 min before IL-8, GROa, GRO3, GROy or NAP-2 at a final concentration of 0.01 1000 nM was added. The reaction is allowed to proceed for 45 min.

before the 96 well plate is centrifuged (800 xg 5 min.) and 100 ul of the supernatant removed.

This supernatant is added to a second 96 well plate followed by an artificial elastase substrate (MeOSuc-Ala-Ala-Pro-Val-AMC, Nova Biochem, La Jolla, CA) to a final concentration of 6 ug/ml dissolved in phosphate buffered saline. Immediately, the plate is placed in a fluorescent 96 well plate reader (Cytofluor 2350, Millipore, Bedford, MA) and data collected at 3 min.

intervals according to the method of Nakajima et al J. Biol Chem 254 4027 (1979). The amount of Elastase released from the PMNs is calculated by measuring the rate of MeOSuc- Ala-Ala-Pro-Val-AMC degradation.

TNF-a in Traumatic Brain Injury Assay This assay provides for examination of the expression of tumor necrosis factor mRNA in specific brain regions which follow experimentally induced lateral fluid-percussion traumatic brain injury (TBI) in rats. Since TNF-a is able to induce nerve growth factor (NGF) and stimulate the release of other cytokines from activated astrocytes, this post-traumatic alteration in gene expression of TNF-a plays an important role in both the acute and regenerative response to CNS trauma. A suitable assay may be found in WO 97/35856 or WO 97/49286 whose disclosures are incorporated herein by reference.

CNS Injury model for IL-P mRNA This assay characterizes the regional expression of interleukin-18 (IL-1B) mRNA in specific brain regions following experimental lateral fluid-percussion traumatic brain injury (TBI) in rats. Results from these assays indicate that following TBI, the temporal expression of IL-1 mRNA is regionally stimulated in specific brain regions. These regional changes in cytokines, such as IL-18 play a role in the post-traumatic pathologic or regenerative sequelae of brain injury. A suitable assay may be found in WO 97/35856 or WO 97/49286 whose disclosures are incorporated herein by reference.

In vivo athereoschlerosis assay: In vivo models for measuring atherosclerosis in mice is based on the assay of Paigen et al with small modifications as described below. See Paigen B, Morrow A, Holmes PA, Mitchell D, ,WO 00/76501 PCT/US00/16506 Williams RA. Quantitative assessment of atherosclerotic lesions in mice. Atherosclerosis 68: 231-240 (1987); and Groot PHE, van Vlijmen BJM, Benson GM, Hofker MH, Schiffelers R, Vidgeon-Hart M, Havekes LM. Quantitative assessment of aortic atherosclerosis in APOE*3 Leiden transgenic mice and its relationship to serum cholesterol exposure. Arterioscler Thromb Vase Biol. 16: 926-933 (1996).

Sectioning and staining of the aortic sinus Cross-sections of the aortic root are taken as has been described previously Briefly, the hearts are bisected just below the level of the atria and the base of the heart plus aortic root are taken for analysis. After equilibrating the tissue in OCT compound overnight the hearts are immersed in OCT compound on a cryostat chuck (Bright Instrument Company Ltd., UK) with the aorta facing the chuck. The tissue is frozen by surrounding the chuck with dry ice. The hearts are then sectioned perpendicular to the axis of the aorta, starting within the heart and working in the direction of the aorta. Once the aortic root has been identified by the appearance of the three valve leaflets, alternate 10 mm sections are taken and mounted on gelatinised slides. Sections are air dried for 1 hour and subsequently rinsed briefly in 60% isopropyl alcohol. The sections are stained with Oil Red O, counterstained with Mayer's haematoxylin, cover slipped using glycerol gelatine and sealed with nail varnish.

Quantification of atherosclerosis in the aortic root Ten alternate sections of the aortic root are imaged using an Olympus BH-2 microscope equipped with an 4x objective and a video camera (Hitachi, HV-C10). Twenty-four bit colour images are acquired and analysed using a PC (Datacell Pentium P5-133, Datacell, Berks, fitted with a framegrabbing board (Snapper, Active Imaging Ltd, Berks, and running Optimas software (version 5.1, Optimas Corp., WA, The images are captured under identical lighting, microscope, camera and PC conditions. Quantification of the atherosclerotic lesion areas is performed by drawing around the lesions by hand using the Optimas software. Colour thresholds are set that quantify the areas that are stained red within the lesions. Absolute values for the crosssectional areas of the lesions and the areas stained red are obtained by calibrating the software using an image of the grid on a haemocytometer slide.

All publications, including but not limited to patents and patent applications, cited in this specification are herein incorporated by reference as if each individual publication were specifically and individually indicated to be incorporated by reference herein as though fully set forth.

The above description fully discloses the invention including preferred embodiments thereof. Modifications and improvements of the embodiments specifically disclosed herein are within the scope of the following claims. Without further elaboration, it is believed that one skilled in the are can, using the preceding description, utilize the present invention to its fullest extent. Therefore the Examples herein are to be construed as merely illustrative and not a limitation of the scope of the present invention in any way. The embodiments of the invention in which an exclusive property or privilege is claimed are defined as follows.

Documentl7-l11/08/03 Throughout this specification and the claims which follow, unless the context requires otherwise, the word "comprise", and variations such as "comprises" and "comprising", will be understood to imply the inclusion of a stated integer or step or group of integers or steps but not the exclusion of any other integer or step or group of integers or steps.

The reference to any prior art in this specification is not, and should not be taken as, an acknowledgment or any form or suggestion that that prior art forms part of the common general knowledge in Australia.

,co •coo.

Claims

1. A method of treating a chemokine mediated disease in a mammal in need thereof, wherein the chemokine binds to an 11-8 cc or 03 receptor, selected from the group consisting of malaria, restinosis, angiogenesis, atherosclerosis, osteoporosis, gingivitis, undesired hematopoietic stem cells release and diseases caused by respiratory viruses, herpesviruses, and hepatitis viruses, which method comprises administering to said mammal an effective amount of a compound according to the formula: (Rj)MN eR18 -x R H wherein R is -NH -C(X 2 (CR I 3 R I 4 )v Z; J2 (CR 1 R 1 6 )P Z is W, H-ET, ,an optionally substituted C 1 1 I 0 alkyl, an optionally substituted C 2 10 alkenyl, or an optionally substituted C 2 1 0 alkynyl; X is C(X 0 2 S(0) 2 PO(0R 4 or =-19 XI is independently hydrogen, halogen, Ci-1O alkyl, NR4R5, Cl-10 optionally substituted C I-10 alkyl, ClI-J1O alkoxy, halosubstituted C I-l1O alkoxy, hydroxy, aryl, aryl CI1A- alkyl, aryloxy, aryl Cl1-4 alkyloxy, heteroaryl, heteroarylalkyl, heterocyclic, heterocyclic C 1-4alkyl, or heteroaryl CI-4 alkyloxy; X 2 is or =S; RI is independently selected from hydrogen; halogen; nitro; cyano; halosubstituted alkyl; Cl-1O alkyl; C2-1l0 alkenyl; Cl-10 alkoxy; halosubstituted CI-10 alkoxy; azide; (CR 8 R8)q S(O)tR4, hydroxy; hydroxy C I 4alkyl; aryl; aryl C 1 -4 alkyl; aryloxy; aryl Cl1 4 alkyloxy; heteroaryl; heteroarylalkyl; heterocyclic; heterocyclic C 1 4alkyl; heteroaryl C 1-4 alkyloxy; aryl C2-10 alkenyl; heteroaryl C2-1l0 alkenyl; heterocyclic C 2 -10 alkenyl; (CR 8 R8)qNR4R5; C2-10 alkenyl C(O)NR4R5; (CR8R8)q C(O)NR4R5; (CR 8 R8)q C(O)NR4RIO; S(O)3R8; (CR 8 R8)q C(O)Rj 1; C21 alkenyl C(O)Rl 1; C2-10 alkenyl C(O)0RI 1 C(O)Rii1; (CR 8 Rg)q C(O)ORl2; (CR 8 R 8 )q OC(O) RI 1; (CR 8 R8)qC(NR 4 )NR 4 R 5 (CRgR 8 )q NR 4 C(NR 5 )R 1 1; (CR 8 R 8 )q NR4C(O)R 11; (CR 8 R 8 )q NHS(O) 2 R 1 7 (CR 8 R 8 )q S(O) 2 NR 4 R 5 or two R 1 moieties together may form O-(CH2)sO or a 5 to 6 membered saturated or unsaturated ring; and wherein the aryl, heteroaryl, and heterocyclic containing moieties may all be optionally substituted; 4 1 wooo6501 PCT/US00/16506 n is an integer having a value of 1 to 3; m is an integer having a value of 1 to 3; q is 0, or an integer having a value of 1 to s is an integer having a value of 1 to 3; t is 0, or an integer having a value of I or 2; v is 0, or an integer having a value of 1 to 4; p is an integer having a value of 1 to 3; HET is an optionally substituted heteroaryl; R4 and R5 are independently hydrogen, optionally substituted C1-4 alkyl, optionally substituted aryl, optionally substituted aryl Cl-4alkyl, optionally substituted heteroaryl, optionally substituted heteroaryl Cl-4alkyl, heterocyclic, or heterocyclic C -4 alkyl, or R4 and R5 together with the nitrogen to which they are attached form a 5 to 7 member ring which may optionally comprise an additional heteroatom selected from O/N/S; Y is independently selected from hydrogen; halogen; nitro; cyano; halosubstituted CI-10 alkyl; C -10 alkyl; C2-10 alkenyl; C1-10 alkoxy; halosubstituted C- 10 alkoxy; azide; (CR8R8)q S(O)tR4; hydroxy; hydroxyCl-4alkyl; aryl; aryl C1-4 alkyl; aryloxy; arylCI-4 alkyloxy; heteroaryl; heteroarylalkyl; heteroaryl C1-4 alkyloxy; heterocyclic, heterocyclic Cl-4alkyl; aryl C2-10 alkenyl; heteroaryl C2-10 alkenyl; heterocyclic C2-10 alkenyl; (CR8R8)q NR4R5; C2-10 alkenyl C(O)NR4R5; (CR8Rg)q C(O)NR4R5; (CR8Rg)q C(O)NR4R1O; S(0)3R8; (CRgRg)q C(O)RI C2-10 alkenyl C(O)RI 1; C2-10 alkenyl C(O)OR 11; (CR8R8)q C(O)OR12; (CRgRg)q OC(O) RI 1; (CRgR8)q NR4C(O)R 1l; (CR8R8)qC(NR 4 )NR 4 R 5 (CR8R8)q NR 4 C(NR 5 )R 1 1 (CR8R8)q NHS(0)2Ra; (CRgRg)q S(0) 2 NR 4 R 5 or two Y moieties together may form O-(CH2)sO or a 5 to 6 membered saturated or unsaturated ring; and wherein the aryl, heteroaryl, and heterocyclic containing moieties may all be optionally substituted; R6 and R7 are independently hydrogen or a C1- 4 alkyl group, or R6 and R7 together with the nitrogen to which they are attached form a 5 to 7 member ring which ring may optionally contain an additional heteroatom which heteroatom is selected from oxygen, nitrogen or sulfur; R8 is independently hydrogen or C -4 alkyl; RIO is CI-10 alkyl C(0)2Rg; RI is hydrogen, C1-4 alkyl, optionally substituted aryl, optionally substituted aryl CI-4alkyl, optionally substituted heteroaryl, optionally substituted heteroarylC I-4alkyl, optionally substituted heterocyclic, or optionally substituted heterocyclicC l-4alkyl; R12 is hydrogen, CI-10 alkyl, optionally substituted aryl or optionally substituted arylalkyl; R13 and RI4 are independently hydrogen, optionally substituted C1-4 alkyl, or one of R13 and RI4 may be optionally substituted aryl; R 15 and R 16 are independently hydrogen, or an optionally substituted C1-4 alkyl; R 17 is C I -4alkyl, aryl, arylalkyl, heteroaryl, heteroarylC I...-alkyl, heterocyclic, or heterocyclicC 4alkyl, wherein the aryl, heteroaryl and heterocyclic moieties may all be optionally substituted; R 18 is hydrogen, optionally substituted C 1-10 alkyl, CI-1iO alkoxy, halosubstituted CI-1iO alkoxy, hydroxy, arylC 1 -4 alkyl, arylC 2-4 alkenyl, heteroaryl, beteroaryl-C 1 -akyI, heteroaryC 2 4 alkenyl, heterocyclic, or heterocyclicC 1 4 alkyl, wherein all the aryl, heteroaryl and heterocyclic containing moieites may all be optionally substituted; R 19 is cyano, nitro, S(O) 2 NR 4 R 5 S(O) 2 R 17 alkyl, aryIC 1 4 alkyl, aryiC 2-4 alkenyl, heteroaryl, heteroaryl-C I alkyl, heteroarylC 2 4 alkenyl, heterocyclic, or heterocyclicC 1- alkyl, wherein the alkyl, aryl, heteroaryl and heterocyclic containing moieites may all be optionally suibstituted; Ra is NR 6 R 7 alkyl, arYlC 1 4 alkyl, aryiC 2-4 alkenyl, heteroaryl, heteroaryl-C 1 4 alkyl, heteroarylC 2 4 alkenyl, heterocyclic, or heterocyclicC 1 -4 alkyl, wherein the aryl, heteroaryl and heterocyclic containing moieites may all be optionally substituted; Y)n )n Ir% W;e the E containing ring is optionally selected from 0 o .n(Y asterix *denoting point of attachment of the ring; or a pharmaceutically acceptable salt thereof. the

2. The method according to Claim I wherein RI1 is halogen, cyano, nitro, CF3, alkenYl C(O)NR4R5, C(0) R4RIW, alkenYl C(O)QR12, beteroarYl, heteroarylalkyl heteroaryl alkenyl, or

3. The method according to Claim I wherein X is C(O) or C

4. The method according to any one of Claims 1 to 3 wherein Z is W.' The method according to Claim 4 wherein Y is halogen, C 1 4 alkoxy, optionally substituted aryl, optionally substituted arylalkoxy, methylene dioxy,

38- '41, W WO OOn65OI PCTIUSOO/16506 thioC I 4akyl, thioaryl, halosubstituted alkoxy, optionally substituted Cl14alkyI, or hydroxy alkyl. 6. The method according to Claim 1 wherein the compound is selected from the group consisting of: N-4-(Benzimidazoline-2-one-N'-(2'-bromophenyl)urea; IH,3H-2,1I,3-benzothiazole 2,2-dioxide)-N'-(2-bromophenyl) urea; N-4-(7-Cyano-I-N-methyl-benzimidazoline-2-thione)-N'-(2,3-dichlorophenyl) urea; N-4-(7-Cyano-benzimidazoline-2-thione)-N-(2 bromophenyl) urea; N-4-(7-Cyano-1-methyl-benzimidazoline-2-thione)-N'-(2 bromophenyl) urea; N-(4-Cyano-2-oxo-3-methylbenzimidazol-7-yl)-N'-(2-bromophenyl) urea N-4-(7-Cyano-benzimidazoline-2-one)-N-(2-bromophenyl)urea; N-4-(7-Cyano-benzimidazoline-2-thione)-N'-(2,3-dichlorophenyl) urea; and N-4-(7-Cyano benzimidazoline-2-imine)-N'-(2-bromophenyl) urea; or a pharmaceutically acceptable salt thereof.