3-cyclopropyl and 3-cyclobutyl pyrrolidine modulators of chemokine receptor activity

Abstract

The present invention is directed to pyrrolidine compounds of the formula I: (wherein R1, R2, R3, R4c, R4d, and R4f are defined herein) which are useful as modulators of chemokine receptor activity. In particular, these compounds are useful as modulators of the chemokine receptors CCR-3 and/or CCR-5.

Description

BACKGROUND OF THE INVENTION

Chemokines are chemotactic cytokines that are released by a wide variety of cells to attract macrophages, T cells, eosinophils, basophils and neutrophils to sites of inflammation (reviewed in Schall, Cytokine, 3, 165-183 (1991) and Murphy, Rev. Immun., 12, 593-633 (1994)). There are two classes of chemokines, C-X-C (α) and C-C (β), depending on whether the first two cysteines are separated by a single amino acid (C-X-C) or are adjacent (C-C). The α-chemokines, such as interleukin-8 (IL-8), neutrophil-activating protein-2 (NAP-2) and melanoma growth stimulatory activity protein (MGSA) are chemotactic primarily for neutrophils, whereas 62 -chemokines, such as RANTES, MIP-1α, MIP-1β, monocyte chemotactic protein-1 (MCP-1), MCP-2, MCP-3 and eotaxin are chemotactic for macrophages, T-cells, eosinophils and basophils (Deng, et al., Nature, 381, 661-666 (1996)).

The chemokines bind specific cell-surface receptors belonging to the family of G-protein-coupled seven-transmembrane-domain proteins (reviewed in Horuk, Trends Pharm. Sci., 15, 159-165 (1994)) which are termed “chemokine receptors.” On binding their cognate ligands, chemokine receptors transduce an intracellular signal though the associated trimeric G protein, resulting in a rapid increase in intracellular calcium concentration. There are at least seven human chemokine receptors that bind or respond to β-chemokines with the following characteristic pattern: CCR-1 (or “CKR-1” or “CC-CKR-1”) [MIP-1α, MIP-1β, MCP-3, RANTES] (Ben-Barruch, et al., J. Biol. Chem., 270, 22123-22128 (1995); Beote, et al, Cell, 72, 415-425 (1993)); CCR-2A and CCR-2B (or “CKR-2A”/“CKR-2A” or “CC-CKR-2A”/“CC-CKR-2A”) [MCP-1, MCP-3, MCP4]; CCR-3 (or “CKR-3” or “CC-CKR-3”) [eotaxin, RANTES, MCP-3] (Combadiere, et al., J. Biol. Chem., 270, 16491-16494 (1995); CCR-4 (or “CKR-4” or “CC-CKR-4”) [MIP-1α, RANTES, MCP-1] (Power, et al., J. Biol. Chem., 270, 19495-19500 (1995)); CCR-5 (or “CKR-5” or “CC-CKR-5”) [MIP-1α, RANTES, MIP-1β] (Sanson, et al., Biochemistry, 35, 3362-3367 (1996)); and the Duffy blood-group antigen [RANTES, MCP-1] (Chaudhun, et al., J. Biol. Chem., 269, 7835-7838 (1994)). The β-chemokines include eotaxin, MIP (“macrophage inflammatory protein”), MCP (“monocyte chemoattractant protein”) and RANTES (“regulation-upon-activation, normal T expressed and secreted”).

Chemokine receptors, such as CCR-1, CCR-2, CCR-2A, CCR-2B, CCR-3, CCR-4, CCR-5, CXCR-3, CXCR-4, have been implicated as being important mediators of inflammatory and immunoregulatory disorders and diseases, including asthma, rhinitis and allergic diseases, as well as autoimmune pathologies such as rheumatoid arthritis and atherosclerosis. A review of the role of chemokines in allergic inflammation is provided by Kita, H., et al., J. Exp. Med. 183, 2421-2426 (1996). An antagonist of the CCR3 receptor, Met-chemokine beta 7, has been proposed to be useful in ameliorating leukocyte infiltration associated with allergic inflammation (Nibbs, et al., J. Immunol., 164, 1488-1497 (2000)). Accordingly, agents which modulate chemokine receptors would be useful in such disorders and diseases. Compounds which modulate chemokine receptors would be especially useful in the treatment and prevention of atopic conditions including allergic rhinitis, dermatitis, conjunctivitis, and particularly bronchial asthma.

A retrovirus designated human immunodeficiency virus (HIV-1) is the etiological agent of the complex disease that includes progressive destruction of the immune system (acquired immune deficiency syndrome; AIDS) and degeneration of the central and peripheral nervous system. This virus was previously known as LAV, HTLV-III, or ARV.

Certain compounds have been demonstrated to inhibit the replication of HIV, including soluble CD4 protein and synthetic derivatives (Smith, et al., Science, 238, 1704-1707 (1987)), dextran sulfate, the dyes Direct Yellow 50, Evans Blue, and certain azo dyes (U.S. Pat. No. 5,468,469). Some of these antiviral agents have been shown to act by blocking the binding of gp120, the coat protein of HIV, to its target, the CD4 glycoprotein of the cell.

Entry of HIV-1 into a target cell requires cell-surface CD4 and additional host cell cofactors. Fusin has been identified as a cofactor required for infection with virus adapted for growth in transformed T-cells, however, fusin does not promote entry of macrophagetropic viruses which are believed to be the key pathogenic strains of HIV in vivo. It has recently been recognized that for efficient entry into target cells, human immunodeficiency viruses require the chemokine receptors CCR-5 and CXCR-4, as well as the primary receptor CD4 (Levy, N. Engl. J. Med., 335(20), 1528-1530 (Nov. 14, 1996). The principal cofactor for entry mediated by the envelope glycoproteins of primary macrophage-trophic strains of HIV-1 is CCR5, a receptor for the β-chemokines RANTES, MIP-1α and MIP-1β (Deng, et al., Nature, 381, 661-666 (1996)). HIV attaches to the CD4 molecule on cells through a region of its envelope protein, gp120. It is believed that the CD-4 binding site on the gp120 of HIV interacts with the CD4 molecule on the cell surface, and undergoes conformational changes which allow it to bind to another cell-surface receptor, such as CCR5 and/or CXCR-4 This brings the viral envelope closer to the cell surface and allows interaction between gp41 on the viral envelope and a fusion domain on the cell surface, fusion with the cell membrane, and entry of the viral core into the cell. It has been shown that β-chemokine ligands prevent HIV-1 from fusing with the cell (Dragic, et al., Nature, 381, 667-673 (1996)). It has further been demonstrated that a complex of gp120 and soluble CD4 interacts specifically with CCR-5 and inhibits the binding of the natural CCR-5 ligands MIP-1α and MIP-1β (Wu, et al., Nature, 384, 179-183 (1996); Trkola, et al., Nature, 384, 184-187 (1996)).

Humans who are homozygous for mutant CCR-5 receptors which do not serve as co-receptors for HIV-1 in vitro appear to be unusually resistant to HIV-1 infection and are not immuno-compromised by the presence of this genetic variant ( Nature, 382, 722-725 (1996)). Absence of CCR-5 appears to confer protection from HIV-1 infection ( Nature, 382, 668-669 (1996)). Other chemokine receptors may be used by some strains of HIV-1 or may be favored by non-sexual routes of transmission. Although most HIV-1 isolates studied to date utilize CCR-5 or fusin, some can use both as well as the related CCR-2B and CCR-3 as co-receptors ( Nature Medicine, 2(11), 1240-1243 (1996)). Nevertheless, drugs targeting chemokine receptors may not be unduly compromised by the genetic diversity of HIV-1 (Zhang, et al., Nature, 383, 768 (1996)). Accordingly, an agent which could block chemokine receptors in humans who possess normal chemokine receptors should prevent infection in healthy individuals and slow or halt viral progression in infected patients. By focusing on the host's cellular immune response to HIV infection, better therapies towards all subtypes of HIV may be provided. These results indicate that inhibition of chemokine receptors presents a viable method for the prevention or treatment of infection by HV and the prevention or treatment of AIDS.

The peptides eotaxin, RANTES, MIP-1α, MIP-1β, MCP-1, and MCP-3 are known to bind to chemokine receptors. As noted above, the inhibitors of HIV-1 replication present in supernatants of CD8+ T cells have been characterized as the β-chemokines RANTES, MIP-1α and MIP-1β.

SUMMARY OF THE INVENTION

The present invention is directed to compounds which are modulators of chemokine receptor activity and are useful in the prevention or treatment of certain inflammatory and immunoregulatory disorders and diseases, allergic diseases, atopic conditions including allergic rhinitis, dermatitis, conjunctivitis, and asthma, as well as autoimmune pathologies such as rheumatoid arthritis and atherosclerosis. The invention is also directed to pharmaceutical compositions comprising these compounds and the use of these compounds and compositions in the prevention or treatment of such diseases in which chemokine receptors are involved.

The present invention is further concerned with compounds which inhibit the entry of human immunodeficiency virus (HIV) into target cells and are of value in the prevention of infection by HIV, the treatment of infection by HIV and the prevention and/or treatment of the resulting acquired immune deficiency syndrome (AIDS). The present invention also relates to pharmaceutical compositions containing the compounds and to a method of use of the present compounds and other agents for the prevention and treatment of AIDS and viral infection by HIV.

DETAILED DESCRIPTION OF THE INVENTION

The present invention is directed to compounds of formula I:

wherein:

R 1 is —X—R 8 , wherein X is selected from the group consisting of:

(1) —CH 2 —,

(2) —CO—,

(3) —CH 2 CH 2 —,

(4) —CH 2 CH 2 CH 2 —, and

(5) —CH(C 1-6 alkyl)—,

and wherein R 8 is a selected from:

phenyl, naphthyl, biphenyl, fluorenyl, indenyl, indanyl, dihydronaphthyl, tetrahydronaphthyl, octahydronaphthyl, adamantyl, and heterocycle, which may be unsubstituted or substituted, where the substituents are independently selected from:

(a) C 1-6 alkyl, C 2-6 alkenyl, C 2-6 alkynyl, wherein the alkyl, alkenyl, or alkynyl is unsubstituted or substituted, wherein the substituents are independently selected from:

(i) hydroxy,

(ii) halogen,

(iii) —NR 9 R 10 , wherein R 9 and R 10 are independently selected from hydrogen, C 1-6 alkyl, C 2-6 alkenyl, and C 2-6 alkynyl, wherein the alkyl, alkenyl, or alkynyl is unsubstituted or substituted, wherein the substituents are independently selected from:

(A) phenyl, unsubstituted or substituted, wherein the substituents are independently selected from: halogen, hydroxy, C 1-6 alkyl, C 1-6 alkoxy, —CO 2 (C 1-6 alkyl), —NH 2 , —NH(C 1-6 alkyl), —N(C 1-6 alkyl)(C 1-6 alkyl), or trifluoromethyl,

(B) naphthyl, unsubstituted or substituted, wherein the substituents are independently selected from: halogen, hydroxy, C 1-6 alkyl, C 1-6 alkoxy, —CO 2 (C 1-6 alkyl), —NH 2 , —NH(C 1-6 alkyl), —N(C 1-6 alkyl)(C 1-6 alkyl), or trifluoromethyl,

(C) heterocycle,unsubstituted or substituted, wherein the substituents are independently selected from: halogen, hydroxy, C 1-6 alkyl, C 1-6 alkoxy, —CO 2 (C 1-6 alkyl), —NH 2 , —NH(C 1-6 alkyl), —N(C 1-6 alkyl)(C 1-6 alkyl), or trifluoromethyl,

(D) hydroxy,

(E) —O(C 1-6 alkyl),

(F) —CO 2 (C 1-6 alkyl),

(G) —S(O) n —(C 1-6 alkyl), wherein n is an integer selected from 0, 1 and 2,

(H) halogen,

(I) —NH 2 ,

(J) —NH(C 1-6 alkyl), and

(K) —N(C 1-6 alkyl)(C 1-6 alkyl),

(iv) —NR 9 —COR 10 ,

(v) —NR 9 —CO 2 R 10 ,

(vi) —CO—NR 9 R 10 ,

(vii) —OCO—NR 9 R 10 ,

(viii) —NR 9 CO—NR 9 R 10 ,

(ix) —S(O) 2 —NR 9 R 10 , wherein n is an integer selected from 0, 1 and 2,

(x) —NR 9 S(O) 2 —R 10 ,

(xi) —NR 9 S(O) 2 —NR 9 R 10 ,

(xii) —S(O) n —R 9 ,

(xiii) ——CF 3 ,

(xiv) —CHF 2 ,

(xv) —CH 2 F,

(xvi) —O—R 9 ,

(xvii) —O(C 1-6 alkyl)-O—R 9 ,

(xviii) phenyl,

(xix) naphthyl,

(xx) indenyl,

(xxi) indanyl,

(xxii) heterocycle,

(xxiii) —CO-phenyl,

(xxiv) —CO-naphthyl,

(xxv) —CO-indenyl,

(xxvi) —CO-indanyl,

(xxvii) —CO-heterocycle,

(xxviii) —OCO—R 9 ,

(xxix) —OCO 2 —R 9 , and

(xxx) —CO—R 9 ,

(b) —O—C 1-6 alkyl, —O—C 2-6 alkenyl, —O—C 2-6 alkynyl, wherein the alkyl, alkenyl, or alkynyl is unsubstituted or substituted, wherein the substituents are independently selected from:

(i) hydroxy,

(ii) halogen,

(iii) —NR 9 R 10 ,

(iv) —NR 9 —COR 10 ,

(v) —NR 9 —CO 2 R 10 ,

(vi) —CO—NR 9 R 10 ,

(vii) —OCO—NR 9 R 10 ,

(viii) —NR 9 CO—NR 9 R 10 ,

(ix) —S(O) 2 —NR 9 R 10 ,

(x) —NR 9 S(O) 2 —R 10 ,

(xi) —NR 9 S(O) 2 —NR 9 R 10 ,

(xii) —S(O) n —R 9 ,

(xiii) —CF 3 ,

(xiv) —CHF 2 ,

(xv) —CH 2 F,

(xvii) —O—R 9 ,

(xvii) —O(C 1-6 alkyl)-O—R 9 ,

(xviii) phenyl,

(xix) naphthyl,

(xx) indenyl,

(xxi) indanyl,

(xxii) heterocycle,

(xxiii) —CO-phenyl,

(xxiv) —CO-naphthyl,

(xxv) —CO-indenyl,

(xxvi) —CO-indanyl,

(xxvii) —CO-heterocycle,

(xxviii) —OCO—R 9 ,

(xxix) —OCO 2 —R 9 , and

(xxx) —CO—R 9 ,

(c) —NO 2 ,

(d) hydroxy,

(e) halogen,

(f) —NR 9 R 10 ,

(g) —NR 9 —COR 10 ,

(h) —NR 9 —CO 2 R 10 ,

(i) —CO—NR 9 R 10 ,

(i) —OCO—NR 9 R 10 ,

(k) —NR 9 CO—NR 9 R 10 ,

(l) —S(O) 2 —NR 9 R 10 ,

(m) —NR 9 S(O) 2 —R 10 ,

(n) —NR 9 S(O) 2 —NR 9 R 10 ,

(o) —S(O) n —R 9 ,

(p) —CF 3 ,

(q) —CHF 2 ,

(r) —CH 2 F,

(s) —OCO—R 9 ,

(t) —OCO 2 —R 9 , and

(u) —CO—R 9 ;

R 2 is selected from the group consisting of:

wherein R 5 is a selected from:

(1) —NR 6 CO—O—R 7 , wherein R 6 is hydrogen, C 1-6 alkyl or C 1-6 alkyl-C 5-6 cycloalkyl, and R 7 is C 1-6 alkyl, C 5-6 cycloalkyl, benzyl or phenyl, wherein the alkyl, cycloalkyl, benzyl or phenyl is unsubstituted or substituted with halogen, C 1-3 alkyl, C 1-3 alkoxy or trifluoromethyl,

(2) phenyl, which is unsubstituted or substituted with halogen, hydroxy, C 1-6 alkyl, C 1-6 alkoxy, —CO 2 (C 1-6 alkyl), —NH 2 , —NHR 9 , —NR 9 R 10 , or trifluoromethyl,

(3) -pyridyl,

(4) -thienyl,

(5) —C 1-6 alkyl-phenyl, —C 1-6 alkyl-naphthyl, —C 1-6 alkyl-indenyl, —C 1-6 alkyl-indanyl, and —C 1-6 alkyl-heterocycle, wherein the phenyl, naphthyl, indenyl, indanyl, or heterocycle is unsubsituted or substituted with: halogen, hydroxy, C 1-6 alkyl, C 1-6 alkoxy, —CO 2 (C 1-6 alkyl), —NH 2 , —NHR 9 , —NR 9 R 10 , or trifluoromethyl;

and wherein the —C 1-6 alkyl is optionally substituted with oxo, hydroxy, C 1-6 alkoxy, acetoxy, or halogen,

(6) —O—C 1-6 alkyl-phenyl, —O—C 1-6 alkyl-naphthyl, —O—C 1-6 alkyl-indenyl, —O—C 1-6 alkyl-indanyl, and —O—C 1-6 alkyl-heterocycle, wherein the phenyl, naphthyl, indenyl, indanyl, or heterocycle is unsubsituted or substituted with: halogen, hydroxy, C 1-6 alkyl, C 1-6 alkoxy, —CO 2 (C 1-6 alkyl), —NH 2 ,—NHR 9 , —NR 9 R 10 , or trifluoromethyl,

(7) —C 1-4 alkyl-O—C 1-4 alkyl-phenyl, wherein the phenyl is unsubsituted or substituted with halogen, hydroxy, C 1-6 alkyl, C 1-6 alkoxy, —CO 2 (C 1-6 alkyl), —NH 2 , —NHR 9 , —NR 9 R 10 , or trifluoromethyl, and

(8) —C 1-4 akyl-S(O) n —C 1-4 alkyl-phenyl, wherein the phenyl is unsubsituted or substituted with halogen, hydroxy, C 1-6 alkyl, C 1-6 alkoxy, —CO 2 (C 1-6 alkyl), —NH 2 ,—NHR 9 , —NR 9 R 10 , or trifluoromethyl;

and wherein R 11 is a selected from:

(1) -hydrogen,

(2) —OH,

(3) —C 1-6 alkyl, and

(4) -halogen;

R 3 is a 3- or 4-membered ring selected from: cyclopropyl, cyclobutyl, aziridinyl, azetidinyl, cyclopropoxy, and cyclobutoxy; which may be unsubstituted or substituted, where the substituents are independently selected from:

(1) C 1-6 alkyl, C 2-6 alkenyl, C 2-6 alkynyl, wherein the alkyl, alkenyl, or alkynyl is unsubstituted or substituted, wherein the substituents are independently selected from:

(a) hydroxy,

(b) halogen,

(c) —NH 2 ,

(d) —NHR 9 ,

(e) —NR 9 R 10 ,

(f) —NR 9 —COR 10 ,

(g) —NR 9 —CO 2 R 10 ,

(h) —CO—NR 9 R 10 ,

(i) —CO—R 9 ,

(j) —S(O) 2 —NR 9 R 10 ,

(k) —CF 3 ,

(l) —CHF 2 ,

(m) —CH 2 F,

(n) —O—R 9 ,

(o) —O(C 1-6 alkyl)-O—R 9 , and

(p) phenyl,

(2) —O—C 1-6 alkyl, unsubstituted or substituted with a substituent which is independently selected from:

(a) hydroxy,

(b) halogen,

(c) —NH 2 ,

(d) —NHR 9 ,

(e) —NR 9 R 10 ,

(f) —NR 9 —COR 10 ,

(g) —NR 9 —CO 2 R 10 ,

(h) —CO—NR 9 R 10 ,

(i) —CO—R 9 ,

(j) —S(O) 2 —NR 9 R 10 ,

(k) —CF 3 ,

(l) —CHF 2 ,

(m) —CH 2 F,

(n) —O—R 9 ,

(o) —O(C 1-6 alkyl)-O—R 9 , and

(p) phenyl,

(3) hydroxy,

(4) halogen,

(5) —NH 2 ,

(6) —NHR 9 ,

(7) —NR 9 R 10 ,

(8) —NR 9 —COR 10 ,

(9) —NR 9 —CO 2 R 10 ,

(10) —CO—NR 9 R 10 ,

(11) —CO—R 9 ,

(12) —S(O) 2 —R 9 ,

(13) —S(O) 2 —NR 9 R 10 ,

(14) —CF 3 ,

(15) —CHF 2 ,

(16) —CH 2 F,

(17) —O—R 9 ,

(18) —O(C 1-6 alkyl)-O—R 9 , and

(19) phenyl,

R 4c , R 4d , and R 4f are independently selected from the group consisting of:

(1) hydrogen, and

(2) C 1-6 alkyl;

and pharmaceutically acceptable salts thereof and individual diastereomers thereof.

Preferred compounds of the present invention include those of formula Ia:

wherein:

R 1 , R 2 and R 3 are defined herein; and pharmaceutically acceptable salts and individual diastereomers thereof.

Preferred compounds of the present invention include those of the formula Ib:

wherein:

R 1 is —X—R 8 , wherein X is selected from the group consisting of:

(1) —CH 2 —,

(2) —CO—, and

(3) —CH 2 CH 2 —,

and wherein R 8 is a selected from:

phenyl, naphthyl, biphenyl, fluorenyl, indenyl, indanyl, dihydronaphthyl, tetrahydronaphthyl, octahydronaphthyl, adamantyl, and heterocycle, which may be unsubstituted or substituted, where the substituents are independently selected from:

(a) C 1-6 alkyl, C 2-6 alkenyl, C 2-6 alkynyl, wherein the alkyl, alkenyl, or alkynyl is unsubstituted or substituted, wherein the substituents are independently selected from:

(i) hydroxy,

(ii) halogen,

(iii) —NR 9 R 10 , wherein R 9 and R 10 are independently selected from hydrogen, C 1-6 alkyl, C 2-6 alkenyl, and C 2-6 alkynyl, wherein the alkyl, alkenyl, or alkynyl is unsubstituted or,substituted, wherein the substituents are independently selected from:

(A) phenyl, unsubstituted or substituted, wherein the substituents are independently selected from: halogen, hydroxy, C 1-6 alkyl, C 1-6 alkoxy, —CO 2 (C 1-6 alkyl), —NH 2 , —NH(C 1-6 alkyl), —N(C 1-6 alkyl)(C 1-6 alkyl), or trifluoromethyl,

(B) naphthyl, unsubstituted or substituted, wherein the substituents are independently selected from: halogen, hydroxy, C 1-6 alkyl, C 1-6 alkoxy, —CO 2 (C 1-6 alkyl), —NH 2 , —NH(C 1-6 alkyl), —N(C 1-6 alkyl)(C 1-6 alkyl), or trifluoromethyl,

(C) heterocycle,unsubstituted or substituted, wherein the substituents are independently selected from: halogen, hydroxy, C 1-6 alkyl, C 1-6 alkoxy, —CO 2 (C 1-6 alkyl), —NH 2 , —NH(C 1-6 alkyl), —N(C 1-6 alkyl)(C 1-6 alkyl), or trifluoromethyl,

(D) hydroxy,

(E) —O(C 1-6 alkyl),

(F) —CO 2 (C 1-6 alkyl),

(G) —S(O) n —(C 1-6 alkyl), wherein n is an integer selected from 0, 1 and 2,

(H) halogen,

(I) —NH 2 ,

(J) —NH(C 1-6 alkyl), and

(K) —N(C 1-6 alkyl)(C 1-6 alkyl),

(iv) —NR 9 —COR 10 ,

(v) —NR 9 —CO 2 R 10 ,

(vi) —CO—NR 9 R 10 ,

(vii) —OCO—NR 9 R 10 ,

(viii) —NR 9 CO—NR 9 R 10 ,

(ix) —S(O) 2 —NR 9 R 10 , wherein n is an integer selected from 0, 1 and 2,

(x) —NR 9 S(O) 2 —R 10 ,

(xi) —NR 9 S(O) 2 —NR 9 R 10 ,

(xii) —S(O) n —R 9 ,

(xiii) —CF 3 ,

(xiv) —CHF 2 ,

(xv) —CH 2 F,

(xvi) —O—R 9 ,

(xvii) —O(C 1-6 alkyl)-O—R 9 ,

(xviii) phenyl,

(xix) naphthyl,

(xx) indenyl,

(xxi) indanyl,

(xxii) heterocycle,

(xxiii) —CO-phenyl,

(xxiv) —CO-naphthyl,

(xxv) —CO-indenyl,

(xxvi) —CO-indanyl,

(xxvii) —CO-heterocycle,

(xxviii) —OCO—R 9 ,

(xxix) —OCO 2 —R 9 , and

(xxx) —CO—R 9 ,

(b) —O—C 1-6 alkyl, —O—C 2-6 alkenyl, —O—C 2-6 alkynyl, wherein the alkyl, alkenyl, or alkynyl is unsubstituted or substituted, wherein the substituents are independently selected from:

(i) hydroxy,

(ii) halogen,

(iii) —NR 9 R 10 ,

(iv) —NR 9 —COR 10 ,

(v) —NR 9 —CO 2 R 10 ,

(vi) —CO—NR 9 R 10 ,

(vii) —OCO—NR 9 R 10 ,

(viii) —NR 9 CO—NR 9 R 10 ,

(ix) —S(O) 2 —NR 9 R 10 ,

(x) —NR 9 S(O) 2 —R 10 ,

(xi) —NR 9 S(O) 2 —NR 9 R 10 ,

(xii) —S(O) n —R 9 ,

(xiii) —CF 3 ,

(xiv) —CHF 2 ,

(xv) —CH 2 F,

(xvii) —O—R 9 ,

(xvii) —O(C 1-6 alkyl)-O—R 9 ,

(xviii) phenyl,

(xix) naphthyl,

(xx) indenyl,

(xxi) indanyl,

(xxii) heterocycle,

(xxiii) —CO-phenyl,

(xxiv) —CO-naphthyl,

(xxv) —CO-indenyl,

(xxvi) —CO-indanyl,

(xxvii) —CO-heterocycle,

(xxviii) —OCO—R 9 ,

(xxix) —OCO 2 —R 9 ,and

(xxx) —CO—R 9 ,

(c) —NO 2 ,

(d) hydroxy,

(e) halogen,

(f) —NR 9 R 10 ,

(g) —NR 9 —COR 10 ,

(h) —NR 9 —CO 2 R 10 ,

(i) —CO—NR 9 R 10 ,

(j) —OCO—NR 9 R 10 ,

(k) —NR 9 CO—NR 9 R 10 ,

(l) —S(O) 2 —NR 9 R 10 ,

(m) —NR 9 S(O) 2 —R 10 ,

(n) —NR 9 S(O) 2 —NR 9 R 10 ,

(o) —S(O) n —R 9 ,

(p) —CF 3 ,

(q) —CHF 2 ,

(r) —CH 2 F,

(s) —OCO—R 9 ,

(t) —OCO 2 —R 9 , and

(u) —CO—R 9 ;

R 2 is:

wherein R 5 is a selected from:

(1) —NR 6 CO—O—R 7 , wherein R 6 is hydrogen, C 1-6 alkyl or C 1-6 alkyl-C 5-6 cycloalkyl, and R 7 is C 1-6 alkyl, C 5-6 cycloalkyl, benzyl or phenyl, wherein the alkyl, cycloalkyl, benzyl or phenyl is unsubstituted or substituted with halogen, C 1-3 alkyl, C 1-3 alkoxy or trifluoromethyl,

(2) phenyl, which is unsubstituted or substituted with halogen, hydroxy, C 1-6 alkyl, C 1-6 alkoxy, —CO 2 (C 1-6 alkyl), —NH 2 ,—NHR 9 , —NR 9 R 10 , or trifluoromethyl,

(3) -pyridyl,

(4) -thienyl,

(5) —C 1-6 alkyl-phenyl, —C 1-6 alkyl-naphthyl, —C 1-6 alkyl-indenyl, —C 1-6 alkyl-indanyl, and —C 1-6 alkyl-heterocycle, wherein the phenyl, naphthyl, indenyl, indanyl, or heterocycle is unsubsituted or substituted with: halogen, hydroxy, C 1-6 alkyl, C 1-6 alkoxy, —CO 2 (C 1-6 alkyl), —NH 2 ,—NHR 9 ,—NR 9 R 10 , or trifluoromethyl;

and wherein the —C 1-6 alkyl is optionally substituted with oxo, hydroxy, C 1-6 alkoxy, acetoxy, or halogen,

(6) —O—C 1-6 alkyl-phenyl, —O—C 1-6 alkyl-naphthyl, —O—C 1-6 alkyl-indenyl, —O—C 1-6 alkyl-indanyl, and —O—C 1-6 alkyl-heterocycle, wherein the phenyl, naphthyl, indenyl, indanyl, or heterocycle is unsubsituted or substituted with: halogen, hydroxy, C 1-6 alkyl, C 1-6 alkoxy, —CO 2 (C 1-6 alkyl), —NH 2 , —NHR 9 , —NR 9 R 10 , or trifluoromethyl,

(7) —C 1-4 alkyl-O—C 1-4 alkyl-phenyl, wherein the phenyl is unsubsituted or substituted with halogen, hydroxy, C 1-6 alkyl, C 1-6 alkoxy, —CO 2 (C 1-6 alkyl), —NH 2 , —NHR 9 , —NR 9 R 10 , or trifluoromethyl, and

(8) —C 1-4 alkyl-S(O) n —C 1-4 alkyl-phenyl, wherein the phenyl is unsubsituted or substituted with halogen, hydroxy, C 1-6 alkyl, C 1-6 alkoxy, —CO 2 (C 1-6 alkyl), —NH 2 , —NHR 9 , —NR 9 R 10 , or trifluoromethyl;

and wherein R 11 is a selected from:

(1) -hydrogen,

(2) —OH,

(3) —C 1-6 alkyl, and

(4) -halogen;

R 12 and R 13 are independently selected from:

(1) C 1-6 alkyl, C 2-6 alkenyl, C 2-6 alkynyl, wherein the alkyl, alkenyl, or alkynyl is unsubstituted or substituted, wherein the substituents are independently selected from:

(a) hydroxy,

(b) halogen,

(c) —NH 2 ,

(d) —NHR 9 ,

(e) —NR 9 R 10 ,

(f) —NR 9 —COR 10 ,

(g) —NR 9 —CO 2 R 10 ,

(h) —CO—NR 9 R 10 ,

(i) —CO—R 9 ,

(j) —S(O) 2 —NR 9 R 10 ,

(k) —CF 3 ,

(l) —CHF 2 ,

(m) —CH 2 F,

(n) —O—R 9 ,

(o) —O(C 1-6 alkyl)-O—R 9 , and

(p) phenyl,

(2) —O—C 1-6 alkyl, unsubstituted or substituted with a substituent which is independently selected from:

(a) hydroxy,

(b) halogen,

(c) —NH 2 ,

(d) —NHR 9 ,

(e) —NR 9 R 10 ,

(f) —NR 9 —COR 10 ,

(g) —NR 9 —CO 2 R 10 ,

(h) —CO—NR 9 R 10 ,

(i) —CO—R 9 ,

(j) —S(O) 2 —NR 9 R 10 ,

(k) —CF 3 ,

(l) —CHF 2 ,

(m) —CH 2 F,

(n) —O—R 9 ,

(o) —O(C 1-6 alkyl)-O—R 9 , and

(p) phenyl,

(3) hydroxy,

(4) halogen,

(5) —NH 2 ,

(6) —NHR 9 ,

(7) —NR 9 R 10 ,

(8) —NR 9 —COR 10 ,

(9) —NR 9 —CO 2 R 10 ,

(10) —CO—NR 9 R 10 ,

(11) —CO—R 9 ,

(12) —S(O) 2 —R 9 ,

(13) —S(O) 2 —NR 9 R 10 ,

(14) —CF 3 ,

(15) —CHF 2 ,

(16) —CH 2 F,

(17) —O—R 9 ,

(18) —O(C 1-6 alkyl)-O—R 9 , and

(19) phenyl;

m is an integer selected from 0 and 1;

and pharmaceutically acceptable salts thereof and individual diastereomers thereof.

More preferred compounds of the present invention include those of the formula Ic:

wherein:

R 1 , R 5 and m are defined herein;

and pharmaceutically acceptable salts and individual diastereomers thereof.

More preferred compounds of the present invention further include those of the formula:

wherein:

R 1 and R 5 are defined herein;

and pharmaceutically acceptable salts and individual diastereomers thereof.

Highly preferred compounds of the present invention further include those of the formula Id:

wherein:

R 1 is —X—R 8 , wherein X is selected from the group consisting of:

(1) —CH 2 —, and

(2) —CO—,

and wherein R 8 is a selected from:

phenyl, naphthyl, indenyl, indanyl, indolyl, quinolyl, isoquinolyl, benzofuranyl, dihydrobenzofuranyl, methylenedioxybenzoyl, benzopyrazolyl, and benzotriazolyl, which may be unsubstituted or substituted, where the substituents are independently selected from:

(a) C 1-6 alkyl, C 2-6 alkenyl, C 2-6 alkynyl, wherein the alkyl, alkenyl, or alkynyl is unsubstituted or substituted, wherein the substituents are independently selected from:

(i) hydroxy,

(ii) halogen,

(iii) —NR 9 R 10 , wherein R 9 and R 10 are independently selected from hydrogen, C 1-6 alkyl, C 2-6 alkenyl, and C 2-6 alkynyl, wherein the alkyl, alkenyl, or alkynyl is unsubstituted or substituted, wherein the substituents are independently selected from:

(A) phenyl, unsubstituted or substituted, wherein the substituents are independently selected from: halogen, hydroxy, C 1-6 alkyl, C 1-6 alkoxy, —CO 2 (C 1-6 alkyl), —NH 2 , —NH(C 1-6 alkyl), —N(C 1-6 alkyl)(C 1-6 alkyl), or trifluoromethyl,

(B) naphthyl, unsubstituted or substituted, wherein the substituents are independently selected from: halogen, hydroxy, C 1-6 alkyl, C 1-6 alkoxy, —CO 2 (C 1-6 alkyl), —NH 2 , —NH(C 1-6 alkyl), —N(C 1-6 alkyl)(C 1-6 alkyl), or trifluoromethyl,

(C) heterocycle,unsubstituted or substituted, wherein the substituents are independently selected from: halogen, hydroxy, C 1-6 alkyl, C 1-6 alkoxy, —CO 2 (C 1-6 alkyl), —NH 2 , —NH(C 1-6 alkyl), —N(C 1-6 alkyl)(C 1-6 alkyl), or trifluoromethyl,

(D) hydroxy,

(E) —O(C 1-6 alkyl),

(F) —CO 2 (C 1-6 alkyl),

(G) —S(O) n —(C 1-6 alkyl), wherein n is an integer selected from 0, 1 and 2,

(H) halogen,

(I) —NH 2 ,

(J) —NH(C 1-6 alkyl), and

(K) —N(C 1-6 alkyl)(C 1-6 alkyl),

(iv) —NR 9 —COR 10 ,

(v) —NR 9 —CO 2 R 10 ,

(vi) —CO—NR 9 R 10 ,

(vii) —OCO—NR 9 R 10 ,

(viii) —NR 9 CO—NR 9 R 10 ,

(ix) —S(O) 2 —NR 9 R 10 , wherein n is an integer selected from 0, 1 and 2,

(x) —NR 9 S(O)—R 10 ,

(xi) —NR 9 S(O) 2 —NR 9 R 10 ,

(xii) —S(O) n —R 9 ,

(xiii) —CF 3 ,

(xiv) —CHF 2 ,

(xv) —CH 2 F,

(xvi) —O—R 9 ,

(xvii) —O(C 1-6 alkyl)-O—R 9 ,

(xviii) phenyl,

(xix) naphthyl,

(xx) indenyl,

(xxi) indanyl,

(xxii) heterocycle,

(xxiii) —CO-phenyl,

(xxiv) —CO-naphthyl,

(xxv) —CO-indenyl,

(xxvi) —CO-indanyl,

(xxvii) —CO-heterocycle,

(xxviii) —OCO—R 9 ,

(xxix) —OCO 2 —R 9 , and

(xxx) —CO—R 9 ,

(b) —O—C 1-6 alkyl, —O—C 2-6 alkenyl, —O—C 2-6 alkynyl, wherein the alkyl, alkenyl, or alkynyl is unsubstituted or substituted, wherein the substituents are independently selected from:

(i) hydroxy,

(ii) halogen,

(iii) —NR 9 R 10 ,

(iv) —NR 9 —COR 10 ,

(v) —NR 9 —CO 2 R 10 ,

(vi) —CO—NR 9 R 10 ,

(vii) —OCO—NR 9 R 10 ,

(viii) —NR 9 CO—NR 9 R 10 ,

(ix) —S(O) 2 —NR 9 R 10 ,

(x) —NR 9 S(O) 2 —R 10 ,

(xi) —NR 9 S(O) 2 —NR 9 R 10 ,

(xii) —S(O) n —R 9 ,

(xiii) —CF 3 ,

(xiv) —CHF 2 ,

(xv) —CH 2 F,

(xvii) —O—R 9 ,

(xvii) —O(C 1-6 alkyl)-O—R 9 ,

(xviii) phenyl,

(xix) naphthyl,

(xx) indenyl,

(xxi) indanyl,

(xxii) heterocycle,

(xxiii) —CO-phenyl,

(xxiv) —CO-naphthyl,

(xxv) —CO-indenyl,

(xxvi) —CO-indanyl,

(xxvii) —CO-heterocycle,

(xxviii) —OCO—R 9 ,

(xxix) —OCO 2 —R 9 , and

(xxx) —CO—R 9 ,

(c) —NO 2 ,

(d) hydroxy,

(e) halogen,

(f) —NR 9 R 10 ,

(g) —NR 9 —COR 10 ,

(h) —NR 9 —CO 2 R 10 ,

(i) —CO—NR 9 R 10 ,

(j) —OCO—NR 9 R 10 ,

(k) —NR 9 CO—NR 9 R 10 ,

(l) —S(O) 2 —NR 9 R 10 ,

(m) —NR 9 S(O) 2 —R 10 ,

(n) —NR 9 S(O) 2 —NR 9 R 10 ,

(o) —S(O) n —R 9 ,

(p) —CF 3 ,

(q) —CHF 2 ,

(r) —CH 2 F,

(s) —OCO—R 9 ,

(t) —OCO 2 —R 9 , and

(u) —CO—R 9 ;

wherein R 5 is a selected from:

(1) phenyl, which is unsubstituted or substituted with halogen, hydroxy, C 1-6 alkyl, C 1-6 alkoxy, —CO 2 (C 1-6 alkyl), —NH 2 , —NHR 9 , —NR 9 R 10 , or trifluoromethyl,

(2) —C 1-6 alkyl-phenyl, —C 1-6 alkyl-naphthyl, —C 1-6 alkyl-indenyl, —C 1-6 alkyl-indanyl, and —C 1-6 alkyl-heterocycle, wherein the phenyl, naphthyl, indenyl, indanyl, or heterocycle is unsubsituted or substituted with: halogen, hydroxy, C 1-6 alkyl, C 1-6 alkoxy, —CO 2 (C 1-6 alkyl), —NH 2 , —NHR 9 , —NR 9 R 10 , or trifluoromethyl; and wherein the —C 1-6 alkyl is optionally substituted with oxo, hydroxy, C 1-6 alkoxy, acetoxy, or halogen,

(3) —O—C 1-6 alkyl-phenyl, —O—C 1-6 alkyl-naphthyl, —O—C 1-6 alkyl-indenyl, —O—C 1-6 alkyl-indanyl, and —O—C 1-6 alkyl-heterocycle, wherein the phenyl, naphthyl, indenyl, indanyl, or heterocycle is unsubsituted or substituted with: halogen, hydroxy, C 1-6 alkyl, C 1-6 alkoxy, —CO 2 (C 1-6 alkyl), —NH 2 , —NHR 9 , —NR 9 R 10 , or trifluoromethyl,

(4) —C 1-4 alkyl-O—C 1-4 alkyl-phenyl, wherein the phenyl is unsubsituted or substituted with halogen, hydroxy, C 1-6 alkyl, C 1-6 alkoxy, —CO 2 (C 1-6 alkyl), —NH 2 , —NHR 9 , —NR 9 R 10 , or trifluoromethyl, and

(5) —C 1-4 alkyl-S(O) n —C 1-4 alkyl-phenyl, wherein the phenyl is unsubsituted or substituted with halogen, hydroxy, C 1-6 alkyl, C 1-6 alkoxy, —CO 2 (C 1-6 alkyl), —NH 2 , —NHR 9 , —NR 9 R 10 , or trifluoromethyl;

m is an integer selected from 0 and 1;

and pharmaceutically acceptable salts thereof and individual diastereomers thereof.

In the present invention it is preferred that

R 1 is —X—R 8 , wherein X is selected from the group consisting of:

(1) —CH 2 —, and

(2) —CO—,

and wherein R 8 is a selected from:

phenyl, naphthyl, biphenyl, indenyl, indanyl, and heterocycle, which may be unsubstituted or substituted, where the substituents are independently selected from:

(a) C 1-6 alkyl, C 2-6 alkenyl, C 2-6 alkynyl, wherein the alkyl, alkenyl, or alkynyl is unsubstituted or substituted, wherein the substituents are independently selected from:

(i) hydroxy,

(ii) halogen,

(iii) —NR 9 R 10 , wherein R 9 and R 10 are independently selected from hydrogen, C 1-6 alkyl, C 2-6 alkenyl, and C 2-6 alkynyl, wherein the alkyl, alkenyl, or alkynyl is unsubstituted or substituted, wherein the substituents are independently selected from:

(A) phenyl, unsubstituted or substituted, wherein the substituents are independently selected from: halogen, hydroxy, C 1-6 alkyl, C 1-6 alkoxy, —CO 2 (C 1-6 alkyl), —NH 2 , —NH(C 1-6 alkyl), —N(C 1-6 alkyl)(C 1-6 alkyl), or trifluoromethyl,

(B) naphthyl, unsubstituted or substituted, wherein the substituents are independently selected from: halogen, hydroxy, C 1-6 alkyl, C 1-6 alkoxy, —CO 2 (C 1-6 alkyl), —NH 2 , —NH(C 1-6 alkyl), —N(C 1-6 alkyl)(C 1-6 alkyl), or trifluoromethyl,

(C) heterocycle,unsubstituted or substituted, wherein the substituents are independently selected from: halogen, hydroxy, C 1-6 alkyl, C 1-6 alkoxy, —CO 2 (C 1-6 alkyl), —NH 2 , —NH(C 1-6 alkyl), —N(C 1-6 alkyl)(C 1-6 alkyl), or trifluoromethyl,

(D) hydroxy,

(E) —O(C 1-6 alkyl),

(F) —CO 2 (C 1-6 alkyl),

(G) —S(O) n —(C 1-6 alkyl), wherein n is an integer selected from 0, 1 and 2,

(H) halogen,

(I) —NH 2 ,

(J) —NH(C 1-6 alkyl), and

(K) —N(C 1-6 alkyl)(C 1-6 alkyl),

(iv) —NR 9 —COR 10 ,

(v) —NR 9 —CO 2 R 10 ,

(vi) —CO—NR 9 R 10 ,

(vii) —OCO—NR 9 R 10 ,

(viii) —NR 9 CO—NR 9 R 10 ,

(ix) —S(O) 2 —NR 9 R 10 , wherein n is an integer selected from 0, 1 and 2,

(x) —NR 9 S(O) 2 —R 10 ,

(xi) —NR 9 S(O) 2 —NR 9 R 10 ,

(xii) —S(O) n —R 9 ,

(xiii) —CF 3 ,

(xiv) —CHF 2 ,

(xv) —CH 2 F,

(xvi) —O—R 9 ,

(xvii) —O(C 1-6 alkyl)-O—R 9 ,

(xviii) phenyl,

(xix) naphthyl,

(xx) indenyl,

(xxi) indanyl,

(xxii) heterocycle,

(xxiii) —CO-phenyl,

(xxiv) —CO-naphthyl,

(xxv) —CO-indenyl,

(xxvi) —CO-indanyl,

(xxvii) —CO-heterocycle,

(xxviii) —OCO—R 9 ,

(xxix) —OCO 2 —R 9 , and

(xxx) —CO—R 9 ,

(b) —O—C 1-6 alkyl, —O—C 2-6 alkenyl, —O—C 2-6 alkynyl, wherein the alkyl, alkenyl, or alkynyl is unsubstituted or substituted, wherein the substituents are independently selected from:

(i) hydroxy,

(ii) halogen,

(iii) —NR 9 R 10 ,

(iv) —NR 9 —COR 10 ,

(v) —NR 9 —CO 2 R 10 ,

(vi) —CO—NR 9 R 10 ,

(vii) —OCO—NR 9 R 10 ,

(viii) —NR 9 CO—NR 9 R 10 ,

(ix) —S(O) 2 —NR 9 R 10 ,

(x) —NR 9 S(O) 2 —R 10 ,

(xi) —NR 9 S(O) 2 —NR 9 R 10 ,

(xii) —S(O) n —R 9 ,

(xiii) —CF 3 ,

(xiv) —CHF 2 ,

(xv) —CH 2 F,

(xvii) —O—R 9 ,

(xvii) —O(C 1-6 alkyl)-O—R 9 ,

(xviii) phenyl,

(xix) naphthyl,

(xx) indenyl,

(xxi) indanyl,

(xxii) heterocycle,

(xxiii) —CO-phenyl,

(xxiv) —CO-naphthyl,

(xxv) —CO-indenyl,

(xxvi) —CO-indanyl,

(xxvii) —CO-heterocycle,

(xxviii) —OCO—R 9 ,

(xxix) —OCO 2 —R 9 , and

(xxx) —CO—R 9 ,

(c) —NO 2 ,

(d) hydroxy,

(e) halogen,

(f) —NR 9 R 10 ,

(g) —NR 9 —COR 10 ,

(h) —NR 9 —CO 2 R 10 ,

(i) —CO—NR 9 R 10 ,

(j) —OCO—NR 9 R 10 ,

(k) —NR 9 CO—NR 9 R 10 ,

(l) —S(O) 2 —NR 9 R 10 ,

(m) —NR 9 S(O) 2 —R 10 ,

(n) —NR 9 S(O) 2 —NR 9 R 10 ,

(o) —S(O) n —R 9 ,

(p) —CF 3 ,

(q) —CHF 2 ,

(r) —CH 2 F,

(s) —OCO—R 9 ,

(t) —OCO 2 —R 9 , and

(u) —CO—R 9 .

In the present invention it is even more preferred that R 1 is —X—R 8 , wherein X is selected from the group consisting of:

(1) —CH 2 —, and

(2) —CO—,

and wherein R 8 is a selected from:

phenyl, naphthyl, indenyl, indanyl, indolyl, quinolyl, isoquinolyl, benzofuranyl, dihydrobenzofuranyl, methylenedioxybenzoyl, benzopyrazolyl, and benzotriazolyl, which may be unsubstituted or substituted, where the substituents are independently selected from:

(a) C 1-6 alkyl, C 2-6 alkenyl, C 2-6 alkynyl, wherein the alkyl, alkenyl, or alkynyl is unsubstituted or substituted, wherein the substituents are independently selected from:

(i) hydroxy,

(ii) halogen,

(iii) —NR 9 R 10 , wherein R 9 and R 10 are independently selected from hydrogen, C 1-6 alkyl, C 2-6 alkenyl, and C 2-6 alkynyl, wherein the alkyl, alkenyl, or alkynyl is unsubstituted or substituted, wherein the substituents are independently selected from:

(A) phenyl, unsubstituted or substituted, wherein the substituents are independently selected from: halogen, hydroxy, C 1-6 alkyl, C 1-6 alkoxy, —CO 2 (C 1-6 alkyl), —NH 2 , —NH(C 1-6 alkyl), —N(C 1-6 alkyl)(C 1-6 alkyl), or trifluoromethyl,

(B) naphthyl, unsubstituted or substituted, wherein the substituents are independently selected from: halogen, hydroxy, C 1-6 alkyl, C 1-6 alkoxy, —CO 2 (C 1-6 alkyl), —NH 2 , —NH(C 1-6 alkyl), —N(C 1-6 alkyl)(C 1-6 alkyl), or trifluoromethyl,

(C) heterocycle,unsubstituted or substituted, wherein the substituents are independently selected from: halogen, hydroxy, C 1-6 alkyl, C 1-6 alkoxy, —CO 2 (C 1-6 alkyl), —NH 2 , —NH(C 1-6 alkyl), —N(C 1-6 alkyl)(C 1-6 alkyl), or trifluoromethyl,

(D) hydroxy,

(E) —O(C 1-6 alkyl),

(F) —CO 2 (C 1-6 alkyl),

(G) —S(O) n —(C 1-6 alkyl), wherein n is an integer selected from 0, 1 and 2,

(H) halogen,

(I) —NH 2 ,

(J) —NH(C 1-6 alkyl), and

(K) —N(C 1-6 alkyl)(C 1-6 alkyl),

(v) —NR 9 —COR 10 ,

(vi) —NR 9 —CO 2 R 10 ,

(vii) —CO—NR 9 R 10 ,

(viii) —OCO—NR 9 R 10 ,

(ix) —NR 9 CO—NR 9 R 10 ,

(x) —S(O) 2 —NR 9 R 10 , wherein n is an integer selected from 0, 1 and 2,

(xi) —NR 9 S(O) 2 —R 10 ,

(xii) —NR 9 S(O) 2 —NR 9 R 10 ,

(xiii) —S(O) n —R 9 ,

(xiv) —CF 3 ,

(xv) —CHF 2 ,

(xvi) —CH 2 F,

(xvii) —O—R 9 ,

(xviii) —O(C 1-6 alkyl)-O—R 9 ,

(xix) phenyl,

(xx) naphthyl,

(xxi) indenyl,

(xxii) indanyl,

(xxiii) heterocycle,

(xxiv) —CO-phenyl,

(xxv) —CO-naphthyl,

(xxvi) —CO-indenyl,

(xxvii) —CO-indanyl,

(xxviii) —CO-heterocycle,

(xxix) —OCO—R 9 ,

(xxx) —OCO 2 —R 9 , and

(xxxi) —CO—R 9 ,

(b) —O—C 1-6 alkyl, —O—C 2-6 alkenyl, —O—C 2-6 alkynyl, wherein the alkyl, alkenyl, or alkynyl is unsubstituted or substituted, wherein the substituents are independently selected from:

(i) hydroxy,

(ii) halogen,

(iii) —NR 9 R 10 ,

(iv) —NR 9 —COR 10 ,

(v) —NR 9 —CO 2 R 10 ,

(vi) —CO—NR 9 R 10 ,

(vii) —OCO—NR 9 R 10 ,

(viii) —NR 9 CO—NR 9 R 10 ,

(ix) —S(O) 2 —NR 9 R 10 ,

(x) —NR 9 S(O) 2 —R 10 ,

(xi) —NR 9 S(O) 2 —NR 9 R 10 ,

(xii) —S(O) n —R 9 ,

(xiii) —CF 3 ,

(xiv) —CHF 2 ,

(xv) —CH 2 F,

(xvii) —O—R 9 ,

(xvii) —O(C 1-6 alkyl)-O—R 9 ,

(xviii) phenyl,

(xix) naphthyl,

(xx) indenyl,

(xxi) indanyl,

(xxii) heterocycle,

(xxiii) —CO-phenyl,

(xxiv) —CO-naphthyl,

(xxv) —CO-indenyl,

(xxvi) —CO-indanyl,

(xxvii) —CO-heterocycle,

(xxviii) —OCO—R 9 ,

(xxix) —OCO 2 —R 9 , and

(xxx) —CO—R 9 ,

(c) —NO 2 ,

(d) hydroxy,

(e) halogen,

(f) —NR 9 R 10 ,

(g) —NR 9 —COR 10 ,

(h) —NR 9 —CO 2 R 10 ,

(i) —CO—NR 9 R 10 ,

(j) —OCO—NR 9 R 10 ,

(k) —NR 9 CO—NR 9 R 10 ,

(l) —S(O) 2 —NR 9 R 10 ,

(m) —NR 9 S(O) 2 —R 10 ,

(n) —NR 9 S(O) 2 —NR 9 R 10 ,

(o) —S(O) n —R 9 ,

(p) —CF 3 ,

(q) —CHF 2 ,

(r) —CH 2 F,

(s) —OCO—R 9 ,

(t) —OCO 2 —R 9 , and

(u) —CO—R 9 .

In the present invention it is highly preferred that

R 1 is selected from the group consisting of:

(1) —CH 2 -phenyl,

(2) —CO-phenyl,

(3) —CH 2 -(2,4-dichlorophenyl),

(4) —CO-(2,4-dichlorophenyl),

(5) —CH 2 -(2-naphthyl),

(6) —CO-(1-naphthyl),

(7) —CH 2 -indolyl, and

(8) —CO-indolyl.

In the present invention it is most preferred that

R 1 is selected from the group consisting of:

(1) —CH 2 -phenyl,

(2) —CO-phenyl,

(3) —CH 2 -(2,4-dichlorophenyl),

(4) —CH 2 -(7-indolyl), and

(5) —CO-(7-indolyl).

In the present invention it is preferred that

R 2 is:

wherein R 5 selected from:

(1) phenyl, which is unsubstituted or substituted with halogen, hydroxy, C 1-6 alkyl, C 1-6 alkoxy, or trifluoromethyl,

(2) —C 1-6 alkyl-phenyl, wherein the phenyl is unsubsituted or substituted with: halogen; hydroxy, C 1-6 alkyl, C 1-6 alkoxy, or trifluoromethyl; and wherein the —C 1-6 alkyl is optionally substituted with oxo, hydroxy, C 1-6 alkoxy, acetoxy, or halogen,

(3) —O—C 1-6 alkyl-phenyl, wherein the phenyl is unsubsituted or substituted with halogen, hydroxy, C 1-6 alkyl, C 1-6 alkoxy, or trifluoromethyl,

(4) —C 1-4 alkyl-O—C 1-4 alkyl-phenyl, wherein the phenyl is unsubsituted or substituted with halogen, hydroxy, C 1-6 alkyl, C 1-6 alkoxy, or trifluoromethyl, and

(5) —C 1-4 alkyl-S(O) n —C 1-4 alkyl-phenyl, wherein n is an integer selected from 0, 1 and 2, and wherein the phenyl is unsubsituted or substituted with halogen, hydroxy, C 1-6 alkyl, C 1-6 alkoxy, or trifluoromethyl.

In the present invention it is more preferred that

R 2 is:

wherein R 5 is a selected from:

(1) phenyl, which is unsubstituted or substituted with halogen, hydroxy, C 1-6 alkyl, C 1-6 alkoxy, or trifluoromethyl,

(2) —C 2-4 alkyl-phenyl, wherein the phenyl is unsubsituted or substituted with chloro, fluoro, trifluoromethyl, methyl or ethyl and wherein the —C 2-4 alkyl is optionally substituted with oxo, hydroxy, halogen, or methoxy,

(3) —C 1-3 alkyl-O—C 1-3 alkyl-phenyl, wherein the phenyl is unsubsituted or substituted with chloro, fluoro, trifluoromethyl, methyl or ethyl, and

(4) —C 1-3 alkyl-S(O) n —C 1-3 alkyl-phenyl, wherein the phenyl is unsubsituted or substituted with chloro, fluoro, trifluoromethyl, methyl or ethyl.

In the present invention it is still more preferred that

R 2 is:

wherein R 5 is a selected from:

(1) phenyl, which is unsubstituted or substituted with halogen, hydroxy, C 1-6 alkyl, C 1-6 alkoxy, or trifluoromethyl,

(2) —C 3-4 alkyl-phenyl, wherein the phenyl is unsubsituted or substituted with chloro, fluoro or methyl, and wherein the —C 3-4 alkyl is optionally substituted with oxo, hydroxy, or methoxy,

(3) —C 1-3 alkyl-O—C 1-3 alkyl-phenyl, wherein the phenyl is unsubsituted or substituted with chloro, fluoro or methyl, and

(4) —C 1-3 alkyl-S(O) n —C 1-3 alkyl-phenyl, wherein the phenyl is unsubsituted or substituted with chloro, fluoro or methyl.

In the present invention it is highly preferred that

R 2 is:

In the present invention it is preferred that

R 3 is a 3- or 4-membered ring selected from: cyclopropyl, cyclobutyl, aziridinyl, azetidinyl, cyclopropoxy, and cyclobutoxy; which may be unsubstituted or substituted, where the substituents are independently selected from:

(1) C 1-6 alkyl, which is unsubstituted or substituted, wherein the substituents are independently selected from:

(a) hydroxy,

(b) halogen,

(c) —NH 2 ,

(d) —NHR 9a ,

(e) —NR 9 R 10 , wherein R 9a and R 10a are independently selected from C 1-6 alkyl, wherein the alkyl is unsubstituted or substituted, wherein the substituents are independently selected from:

(A) halogen,

(B) phenyl, and

(C) —CO 2 (C 1-6 alkyl),

(f) —NR 9 —COR 10 ,

(g) —NR 9 —CO 2 R 10 ,

(h) —CF 3 ,

(i) —CHF 2 ,

(j) —CH 2 F,

(k) —O—R 9 , and

(l) phenyl,

(2) —O—C 1-6 alkyl, unsubstituted or substituted with a substituent which is independently selected from:

(a) hydroxy,

(b) halogen,

(c) —NH 2 ,

(d) —NHR 9 ,

(e) —NR 9 R 10 ,

(f) —NR 9 —COR 10 ,

(g) —NR 9 —CO 2 R 10 ,

(h) —CF 3 ,

(i) —O—R 9 , and

(j) phenyl,

(3) —CO 2 (C 1-6 alkyl),

(4) hydroxy,

(5) halogen,

(6) —CF 3 ,

(7) —CHF 2 ,

(8) —CH 2 F,

(9) —S(O) 2 —R 9 ,

(10) —S(O) 2 —NR 9 R 10 ,

(11) —CO—R 9 ,

(12) —O—R 9 , and

(13) —O(C 1-6 alkyl)-O—R 9 .

In the present invention it is more preferred that

R 3 is cyclopropyl or cyclobutyl, which may be unsubstituted or substituted, where the substituents are independently selected from:

(1) C 1-6 alkyl, which is unsubstituted or substituted, wherein the substituents are independently selected from:

(a) hydroxy,

(b) —O(C 1-6 alkyl), and

(c) —CO 2 (C 1-6 alkyl).

In the present invention it is most preferred that

R 3 is unsubstituted cyclopropyl or cyclobutyl.

In the present invention it is preferred that

R 4c , R 4d , and R 4h are independently selected from the group consisting of:

(1) hydrogen, and

(2) C 1-6 alkyl.

In the present invention it is more preferred that

R 4c , and R 4h are each hydrogen and that R 4d is selected from the group consisting of hydrogen, and —CH 3 .

In the present invention it is most preferred that

R 4c , R 4d , and R 4h are each hydrogen.

The compounds of the instant invention have at least two asymmetric centers at the ring junction of the substitutents bearing R 2 and R 3 . Additional asymmetric centers may be present depending upon the nature of the various substituents on the molecule. Each such asymmetric center will independently produce two optical isomers and it is intended that all of the possible optical isomers and diastereomers in mixtures and as pure or partially purified compounds are included within the ambit of this invention. The relative configurations of the most preferred compounds of this invention are of the trans orientation, i.e. as depicted:

The independent syntheses of these diastereomers or their chromatographic separations may be achieved as known in the art by appropriate modification of the methodology disclosed herein. Their absolute stereochemistry may be determined by the x-ray crystallography of crystalline products or crystalline intermediates which are derivatized, if necessary, with a reagent containing an asymmetric center of known absolute configuration.

As appreciated by those of skill in the art, halo or halogen as used herein are intended to include chloro, fluoro, bromo and iodo. Similarly, C 1-8 , as in C 1-8 alkyl is defined to identify the group as having 1, 2, 3, 4, 5, 6, 7 or 8 carbons in a linear or branched arrangement, such that C 1-8 alkyl specifically includes methyl, ethyl, propyl, butyl, pentyl, hexyl, heptyl and octyl. The term “heterocycle” as used herein is intended to include the following groups: benzimidazolyl, benzofuranyl, benzopyrazolyl, benzotriazolyl, benzothiophenyl, benzoxazolyl, carbazolyl, carbolinyl, cinnolinyl, furanyl, imidazolyl, indolinyl, indolyl, indolazinyl, indazolyl, isobenzofuranyl, isoindolyl, isoquinolyl, isothiazolyl, isoxazolyl, naphthyridinyl, oxadiazolyl, oxazolyl, pyrazinyl, pyrazolyl, pyridopyridinyl, pyridazinyl, pyridyl, pyrimidyl, pyrrolyl, quinazolinyl, quinolyl, quinoxalinyl, thiadiazolyl, thiazolyl, thienyl, triazolyl, azetidinyl, 1,4-dioxanyl, hexahydroazepinyl, piperazinyl, piperidinyl, pyrrolidinyl, morpholinyl, thiomorpholinyl, dihydrobenzimidazolyl, dihydrobenzofuranyl, dihydrobenzothiophenyl, dihydrobenzoxazolyl, dihydrofuranyl, dihydroimidazolyl, dihydroindolyl, dihydroisooxazolyl, dihydroisothiazolyl, dihydrooxadiazolyl, dihydrooxazolyl, dihydropyrazinyl, dihydropyrazolyl, dihydropyridinyl, dihydropyrimidinyl, dihydropyrrolyl, dihydroquinolinyl, dihydrotetrazolyl, dihydrothiadiazolyl, dihydrothiazolyl, dihydrothienyl, dihydrotriazolyl, dihydroazetidinyl, methylenedioxybenzoyl, tetrahydrofuranyl, and tetrahydrothienyl.

Exemplifying the invention is the use of the compounds disclosed in the Examples and herein.

Specific compounds within the present invention include a compounds which selected from the group consisting of:

1-(1-Naphthoyl)-3-(RS)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(SR)-(cyclopropyl)pyrrolidine;

1-(3,4-Dichlorobenzoyl)-3-(RS)-(4-(4-fluorophenyl)piperdinylmethyl)-4-(SR)-(cyclopropyl)pyrrolidine;

1-(4-Chlorobenzyl)-3-(RS)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(SR)-(cyclopropyl)pyrrolidine;

1-(1-Naphthoyl)-3-(RS)-(4-hydroxy-4-(3-phenylpropyl)piperdinylmethyl)-4-(SR)-(cyclopropyl)pyrrolidine;

1-(3,4-Dichlorobenzoyl)-3-(RS)-(4-hydroxy-4-(3-phenylpropyl) piperidinylmethyl)-4-(SR)-(cyclopropyl)pyrrolidine;

1-(4-Chlorobenzyl)-3-(RS)-(4-hydroxy-4(3-phenylpropyl)piperidinylmethyl)-4-(SR)-(cyclopropyl)pyrrolidine;

1-(1-Naphthoyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine;

1-(3-Thienlcarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine;

1-(7-Indolecarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine;

1-(7-Benzo-2,3-dihydrofuranylcarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine;

1-(4-Indolecarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine;

1-(2,4-Dichlorobenzoyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine;

1-(3,4-Dichlorobenzoyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine;

1-(8-Quinolinecarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine;

1-(N-Methyl-7-indolecarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine;

1-(N-Methyl-7-indolinylcarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine;

1-(N-Allyl-7-indolecarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine;

1-(N-(3-methoxypropyl)-7-indolecarbonyl)-3-(R)-(4-(4-fluoro-phenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine;

1-(N-(3-Aminopropyl)-7-indolecarbonyl)-3-(R)-(4-(4-fluoro-phenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine;

1-(N-(3-Ethoxycarbonylaminopropyl)-7-indolecarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4(S)-(cyclopropyl)pyrrolidine;

1-(N-(3-Methylsulfonylaminopropyl)-7-indolecarbonyl)-3-(R)-(4-(4-fluorophenyl)pipeiidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine;

1-(N-(3-Acetylaminopropyl)-7-indolecarbonyl)-3-(R)-(4-(4-fluoro-phenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine;

1-(1-Naphthoyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclobutyl)pyrrolidine;

1-(7-Indolecarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclobutyl)pyrrolidine;

1-(4-Indolecarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclobutyl)pyrrolidine;

1-(3,4-Dichlorobenzoyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclobutyl)pyrrolidine;

1-(8-Quinolinecarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclobutyl)pyrrolidine;

1-(N-Methyl-7-indolecarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclobutyl)pyrrolidine;

and pharmaceutically acceptable salts thereof and individual diastereomers thereof.

The subject compounds are useful in a method of modulating chemokine receptor activity in a patient in need of such modulation comprising the administration of an effective amount of the compound.

The present invention is directed to the use of the foregoing spiro-substituted azacycles as modulators of chemokine receptor activity. In particular, these compounds are useful as modulators of the chemokine receptors, including CCR-3, and/or CCR-5.

The utility of the compounds in accordance with the present invention as modulators of chemokine receptor activity may be demonstrated by methodology known in the art, such as the assay for CCR-5 binding as disclosed by Van Riper, et al., J. Exp. Med., 177, 851-856 (1993), and the assay for CCR-3 binding as disclosed by Daugherty, et al., J. Exp. Med., 183, 2349-2354 (1996). Cell lines for expressing the receptor of interest include those naturally expressing the receptor, such as EOL-3 or THP-1, or a cell engineered to express a recombinant receptor, such as CHO, RBL-2H3, HEK-293. For example, a CCR3 transfected AML14.3D10 cell line has been placed on restricted deposit with American Type Culture Collection in Rockville, Md. as ATCC No. CRL-12079, on Apr. 5, 1996. The utility of the compounds in accordance with the present invention as inhibitors of the spread of HIV infection in cells may be demonstrated by methodology known in the art, such as the HIV quantitation assay disclosed by Nunberg, et al., J. Virology, 65 (9), 4887-4892 (1991).

In particular, the compounds of the following examples had activity in binding to the CCR-3 or the CCR-5 receptor in the aforementioned assays, generally with an IC 50 of less than about 1 μM. Such a result is indicative of the intrinsic activity of the compounds in use as modulators of chemokine receptor activity.

Mammalian chemokine receptors provide a target for interfering with or promoting eosinophil and/or lymphocyte function in a mammal, such as a human. Compounds which inhibit or promote chemokine receptor function, are particularly useful for modulating eosinophil and/or lymphocyte function for therapeutic purposes. Accordingly, the present invention is directed to compounds which are useful in the prevention and/or treatment of a wide variety of inflammatory and immunoregulatory disorders and diseases, allergic diseases, atopic conditions including allergic rhinitis, dermatitis, conjunctivitis, and asthma, as well as autoimmune pathologies such as rheumatoid arthritis and atherosclerosis.

For example, an instant compound which inhibits one or more functions of a mammalian chemokine receptor (e.g., a human chemokine receptor) may be administered to inhibit (i.e., reduce or prevent) inflammation. As a result, one or more inflammatory processes, such as leukocyte emigration, chemotaxis, exocytosis (e.g., of enzymes, histamine) or inflammatory mediator release, is inhibited. For example, eosinophilic infiltration to inflammatory sites (e.g., in asthma) can be inhibited according to the present method.

Similarly, an instant compound which promotes one or more functions of a mammalian chemokine receptor (e.g., a human chemokine) is administered to stimulate (induce or enhance) an inflammatory response, such as leukocyte emigration, chemotaxis, exocytosis (e.g., of enzymes, histamine) or inflammatory mediator release, resulting in the beneficial stimulation of inflammatory processes. For example, eosinophils can be recruited to combat parasitic infections.

In addition to primates, such as humans, a variety of other mammals can be treated according to the method of the present invention. For instance, mammals including, but not limited to, cows, sheep, goats, horses, dogs, cats, guinea pigs, rats or other bovine, ovine, equine, canine, feline, rodent or murine species can be treated. However, the method can also be practiced in other species, such as avian species (e.g., chickens).

Diseases and conditions associated with inflammation and infection can be treated using the method of the present invention. In a preferred embodiment, the disease or condition is one in which the actions of eosinophils and/or lymphocytes are to be inhibited or promoted, in order to modulate the inflammatory response.

Diseases or conditions of humans or other species which can be treated with inhibitors of chemokine receptor function, include, but are not limited to: inflammatory or allergic diseases and conditions, including respiratory allergic diseases such as asthma, particularly bronchial asthma, allergic rhinitis, hypersensitivity lung diseases, hypersensitivity pneumonitis, eosinophilic pneumonias (e.g., Loeffler's syndrome, chronic eosinophilic pneumonia), delayed-type hypersentitivity, interstitial lung diseases (ILD) (e.g., idiopathic pulmonary fibrosis, or ILD associated with rheumatoid arthritis, systemic lupus erythematosus, ankylosing spondylitis, systemic sclerosis, Sjogren's syndrome, polymyositis or dermatomyositis); systemic anaphylaxis or hypersensitivity responses, drug allergies (e.g., to penicillin, cephalosporins), insect sting allergies; autoimmune diseases, such as rheumatoid arthritis, psoriatic arthritis, multiple sclerosis, systemic lupus erythematosus, myasthenia gravis, juvenile onset diabetes; glomerulonephritis, autoimmune thyroiditis, Behcet's disease; graft rejection (e.g., in transplantation), including allograft rejection or graft-versus-host disease; inflammatory bowel diseases, such as Crohn's disease and ulcerative colitis; spondyloarthropathies; scleroderma; psoriasis (including T-cell mediated psoriasis) and inflammatory dermatoses such an dermatitis, eczema, atopic dermatitis, allergic contact dermatitis, urticaria; vasculitis (e.g., necrotizing, cutaneous, and hypersensitivity vasculitis); eosinphilic myositis, eosinophilic fasciitis; cancers with leukocyte infiltration of the skin or organs. Other diseases or conditions in which undesirable inflammatory responses are to be inhibited can be treated, including, but not limited to, reperfusion injury, atherosclerosis, certain hematologic malignancies, cytokine-induced toxicity (e.g., septic shock, endotoxic shock), polymyositis, dermatomyositis.

Diseases or conditions of humans or other species which can be treated with promoters of chemokine receptor function, include, but are not limited to: immunosuppression, such as that in individuals with immunodeficiency syndromes such as AIDS, individuals undergoing radiation therapy, chemotherapy, therapy for autoimmune disease or other drug therapy (e.g., corticosteroid therapy), which causes immunosuppression; immunosuppression due congenital deficiency in receptor function or other causes; and infectious diseases, such as parasitic diseases, including, but not limited to helminth infections, such as nematodes (round worms); (Trichuriasis, Enterobiasis, Ascariasis, Hookworm, Strongyloidiasis, Trichinosis, filariasis); trematodes (flukes) (Schistosomiasis, Clonorchiasis), cestodes (tape worms) (Echinococcosis, Taeniasis saginata, Cysticercosis); visceral worms, visceral larva migrans (e.g., Toxocara), eosinophilic gastroenteritis (e.g., Anisaki spp., Phocanema ssp.), cutaneous larva migrans ( Ancylostona braziliense, Ancylostoma caninum ).

The compounds of the present invention are accordingly useful in the prevention and treatment of a wide variety of inflammatory and immunoregulatory disorders and diseases, allergic conditions, atopic conditions, as well as autoimmune pathologies.

In another aspect, the instant invention may be used to evaluate putative specific agonists or antagonists of chemokine receptors, including CCR-1, CCR-2, CCR-2A, CCR-2B, CCR-3, CCR-4, CCR-5, CXCR-3, and CXCR-4. Accordingly, the present invention is directed to the use of these compounds in the preparation and execution of screening assays for compounds which modulate the activity of chemokine receptors. For example, the compounds of this invention are useful for isolating receptor mutants, which are excellent screening tools for more potent compounds. Furthermore, the compounds of this invention are useful in establishing or determining the binding site of other compounds to chemokine receptors, e.g., by competitive inhibition. The compounds of the instant invention are also useful for the evaluation of putative specific modulators of the chemokine receptors, including CCR-2, and/or CCR-5. As appreciated in the art, thorough evaluation of specific agonists and antagonists of the above chemokine receptors has been hampered by the lack of availability of non-peptidyl (metabolically resistant) compounds with high binding affinity for these receptors. Thus the compounds of this invention are commercial products to be sold for these purposes.

The present invention is further directed to a method for the manufacture of a medicament for modulating chemokine receptor activity in humans and animals comprising combining a compound of the present invention with a pharmaceutical carrier or diluent.

The present invention is further directed to the use of these compounds in the prevention or treatment of infection by a retrovirus, in particular, the human immunodeficiency virus (HIV) and the treatment of, and delaying of the onset of consequent pathological conditions such as AIDS. Treating AIDS or preventing or treating infection by HIV is defined as including, but not limited to, treating a wide range of states of HIV infection: AIDS, ARC (AIDS related complex), both symptomatic and asymptomatic, and actual or potential exposure to HIV. For example, the compounds of this invention are useful in treating infection by HIV after suspected past exposure to HIV by, e.g., blood transfusion, organ transplant, exchange of body fluids, bites, accidental needle stick, or exposure to patient blood during surgery.

In a preferred aspect of the present invention, a subject compound may be used in a method of inhibiting the binding of a chemokine to a chemokine receptor, such as CCR-3 or CCR-5, of a target cell, which comprises contacting the target cell with an amount of the compound which is effective at inhibiting the binding of the chemokine to the chemokine receptor.

The subject treated in the methods above is a mammal, preferably a human being, male or female, in whom modulation of chemokine receptor activity is desired. “Modulation” as used herein is intended to encompass antagonism, agonism, partial antagonism and/or partial agonism. In a preferred aspect of the present invention, modulation refers to antagonism of chemokine receptor activity. The term “therapeutically effective amount” means the amount of the subject compound that will elicit the biological or medical response of a tissue, system, animal or human that is being sought by the researcher, veterinarian, medical doctor or other clinician.

The term “composition” as used herein is intended to encompass a product comprising the specified ingredients in the specified amounts, as well as any product which results, directly or indirectly, from combination of the specified ingredients in the specified amounts. By “pharmaceutically acceptable” it is meant the carrier, diluent or excipient must be compatible with the other ingredients of the formulation and not deleterious to the recipient thereof.

The terms “administration of” and or “administering a” compound should be understood to mean providing a compound of the invention or a prodrug of a compound of the invention to the individual in need of treatment.

Combined therapy to modulate chemokine receptor activity and thereby prevent and treat inflammatory and immunoregulatory disorders and diseases, including asthma and allergic diseases, as well as autoimmune pathologies such as rheumatoid arthritis and atherosclerosis, and those pathologies noted above is illustrated by the combination of the compounds of this invention and other compounds which are known for such utilities.

For example, in the treatment or prevention of inflammation, the present compounds may be used in conjunction with an antiinflammatory or analgesic agent such as an opiate agonist, a lipoxygenase inhibitor, such as an inhibitor of 5-lipoxygenase, a cyclooxygenase inhibitor, such as a cyclooxygenase-2 inhibitor, an interleukin inhibitor, such as an interleukin-1 inhibitor, an NMDA antagonist, an inhibitor of nitric oxide or an inhibitor of the synthesis of nitric oxide, a non-steroidal antiinflammatory agent, or a cytokine-suppressing antiinflammatory agent, for example with a compound such as acetaminophen, asprin, codiene, fentanyl, ibuprofen, indomethacin, ketorolac, morphine, naproxen, phenacetin, piroxicam, a steroidal analgesic, sufentanyl, sunlindac, tenidap, and the like. Similarly, the instant compounds may be administered with a pain reliever; a potentiator such as caffeine, an H2-antagonist, simethicone, aluminum or magnesium hydroxide; a decongestant such as phenylephrine, phenylpropanolamine, pseudophedrine, oxymetazoline, ephinephrine, naphazoline, xylometazoline, propylhexedrine, or levo-desoxy-ephedrine; an antiitussive such as codeine, hydrocodone, caramiphen, carbetapentane, or dextramethorphan; a diuretic; and a sedating or non-sedating antihistamine. Likewise, compounds of the present invention may be used in combination with other drugs that are used in the treatment/prevention/suppression or amelioration of the diseases or conditions for which compounds of the pressent invention are useful. Such other drugs may be administered, by a route and in an amount commonly used therefor, contemporaneously or sequentially with a compound of the present invention. When a compound of the present invention is used contemporaneously with one or more other drugs, a pharmaceutical composition containing such other drugs in addition to the compound of the present invention is preferred. Accordingly, the pharmaceutical compositions of the present invention include those that also contain one or more other active ingredients, in addition to a compound of the present invention. Examples of other active ingredients that may be combined with a compound of the present invention, either administered separately or in the same pharmaceutical compositions, include, but are not limited to: (a) VLA-4 antagonists such as those described in U.S. Pat. No. 5,510,332, WO 95/15973, WO96/01644, WO96/06108, WO96120216, WO96/22966, WO96/31206, WO96/4078 1, WO97/03094, WO97/02289, WO 98/42656, WO98/53814, WO98/53817, WO98/53818, WO98/54207, and WO98/58902; (b) steroids such as beclomethasone, methylprednisolone, betamethasone, prednisone, dexamethasone, and hydrocortisone; (c) immunosuppressants such as cyclosporin, tacrolimus, rapamycin and other FK-506 type immunosuppressants; (d) antihistamines (HI-histamine antagonists) such as bromopheniramine, chlorpheniramine, dexchlorpheniramine, triprolidine, clemastine, diphenhydramine, diphenylpyraline, tripelennamine, hydroxyzine, methdilazine, promethazine, trimeprazine, azatadine, cyproheptadine, antazoline, pheniramine pyrilamine, astemizole, terfenadine, loratadine, cetirizine, fexofenadine, descarboethoxyloratadine, and the like; (e) non-steroidal anti-asthmatics such as β2-agonists (terbutaline, metaproterenol, fenoterol, isoetharine, albuterol, bitolterol, and pirbuterol), theophylline, cromolyn sodium, atropine, ipratropium bromide, leukotriene antagonists (zafirlukast, montelukast, pranlukast, iralukast, pobilukast, SKB-106,203), leukotriene biosynthesis inhibitors (zileuton, BAY-1005); (f) non-steroidal antiinflammatory agents (NSAIDs) such as propionic acid derivatives (alminoprofen, benoxaprofen, bucloxic acid, carprofen, fenbufen, fenoprofen, fluprofen, flurbiprofen, ibuprofen, indoprofen, ketoprofen, miroprofen, naproxen, oxaprozin, pirprofen, pranoprofen, suprofen, tiaprofenic acid, and tioxaprofen), acetic acid derivatives (indomethacin, acemetacin, alclofenac, clidanac, diclofenac, fenclofenac, fenclozic acid, fentiazac, furofenac, ibufenac, isoxepac, oxpinac, sulindac, tiopinac, tolmetin, zidometacin, and zomepirac), fenamic acid derivatives (flufenamic acid, meclofenamic acid, mefenamic acid, niflumic acid and tolfenamic acid), biphenylcarboxylic acid derivatives (diflunisal and flufenisal), oxicams (isoxicam, piroxicam, sudoxicam and tenoxican), salicylates (acetyl salicylic acid, sulfasalazine) and the pyrazolones (apazone, bezpiperylon, feprazone, mofebutazone, oxyphenbutazone, phenylbutazone); (g) cyclooxygenase-2 (COX-2) inhibitors; (h) inhibitors of phosphodiesterase type IV (PDE-IV); (i) other antagonists of the chemokine receptors, especially CCR-1, CCR-2, CCR-3 and CCR-5; () cholesterol lowering agents such as HMG-CoA reductase inhibitors (lovastatin, simvastatin and pravastatin, fluvastatin, atorvastatin, and other statins), sequestrants (cholestyramine and colestipol), nicotinic acid, fenofibric acid derivatives (gemfibrozil, clofibrat, fenofibrate and benzafibrate), and probucol; (k) anti-diabetic agents such as insulin, sulfonylureas, biguanides (metformin), ac-glucosidase inhibitors (acarbose) and glitazones (troglitazone and pioglitazone); (1) preparations of interferon beta (interferon beta-1α, interferon beta-1β); (m) other compounds such as 5-aminosalicylic acid and prodrugs thereof, antimetabolites such as azathioprine and 6-mercaptopurine, and cytotoxic cancer chemotherapeutic agents. The weight ratio of the compound of the compound of the present invention to the second active ingredient may be varied and will depend upon the effective dose of each ingredient. Generally, an effective dose of each will be used. Thus, for example, when a compound of the present invention is combined with an NSAID the weight ratio of the compound of the present invention to the NSAID will generally range from about 1000:1 to about 1:1000, preferably about 200:1 to about 1:200. Combinations of a compound of the present invention and other active ingredients will generally also be within the aforementioned range, but in each case, an effective dose of each active ingredient should be used.

The present invention is further directed to combinations of the present compounds with one or more agents useful in the prevention or treatment of AIDS. For example, the compounds of this invention may be effectively administered, whether at periods of pre-exposure and/or post-exposure, in combination with effective amounts of the AIDS antivirals, immunomodulators, anti-infectives, or vaccines known to those of ordinary skill in the art.

ANTIVIRALS
	Drug Name	Manufacturer	Indication
	097	Hoechst/Bayer	HIV infection, AIDS,
			ARC (non-nucleoside
			reverse transcriptase
			inhibitor)
	141 W94	Glaxo Wellcome	HIV infection, AIDS,
			ARC (protease
			inhibitor)
	1592U89	Glaxo Wellcome	HIV infection, AIDS,
			ARC
	Acemannan	Carrington Labs	ARC
		(Irving, TX)
	Acyclovir	Burroughs Wellcome	HIV infection, AIDS,
			ARC, in combination
			with AZT
	AD-439	Tanox Biosystems	HIV infection, AIDS,
			ARC
	AD-519	Tanox Biosystems	HIV infection, AIDS,
			ARC
	Adefovir	Gilead Sciences	HIV infection
	dipivoxil
	AL-721	Ethigen	ARC, PGL
		(Los Angeles, CA)	HIV positive, AIDS
	Alpha	Glaxo Wellcome	Kaposi's sarcoma,
	Interferon		HIV in combination
			w/Retrovir
	Ansamycin	Adria Laboratories	ARC
	LM427	(Dublin, OH)
		Erbamont
		(Stamford, CT)
	Antibody which	Advanced Biotherapy	AIDS, ARC
	neutralizes pH	Concepts
	labile alpha	(Rockville, MD)
	aberrant
	Interferon
	AR177	Aronex Pharm	HIV infection, AIDS,
			ARC
	beta-fluoro-ddA	Nat'l Cancer Institute	AIDS-associated
			diseases
	(−) 6-Chloro-	Merck	HIV infection, AIDS,
	4(S)-cyclopropyl-		ARC
	ethynyl-4(S)-		(non-nucleoside
	trifluoro-methyl-		reverse transcriptase
	1,4-dihydro-2H-		inhibitor)
	3,1-benzoxazin-2-
	one
	CI-1012	Warner-Lambert	HIV-1 infection
	Cidofovir	Gilead Science	CMV retinitis, herpes,
			papillomavirus
	Curdlan sulfate	AJI Pharma USA	HIV infection
	Cytomegalovirus	MedImmune	CMV retinitis
	immune globin
	Cytovene	Syntex	sight threatening CMV
	Ganciclovir		peripheral CMV
			retinitis
	Delaviridine	Pharmacia-Upjohn	HIV infection, AIDS,
			ARC (protease
			inhibitor)
	Dextran Sulfate	Ueno Fine Chem.	AIDS, ARC, HIV
		Ind. Ltd. (Osaka,	positive asymptomatic
		Japan)
	ddC	Hoffman-La Roche	HIV infection, AIDS,
	Dideoxycytidine		ARC
	ddI	Bristol-Myers Squibb	HIV infection, AIDS,
	Dideoxyinosine		ARC; combination
			with AZT/d4T
	DMP-450	AVID	HIV infection, AIDS,
		(Camden, NJ)	ARC (protease
			inhibitor)
	EL10	Elan Corp, PLC	HIV infection
		(Gainesville, GA)
	Efavirenz,	Dupont-Merck	HIV infection, AIDS,
	DMP-266	Pharmaceuticals	ARC (non-nucleoside
			reverse transcriptase
			inhibitor)
	Famciclovir	Smith Kline	herpes zoster, herpes
			simplex
	FTC	Emory University	HIV infection, AIDS,
			ARC (reverse
			transcriptase inhibitor)
	GS 840	Gilead	HIV infection, AIDS,
			ARC (reverse
			transcriptase inhibitor)
	GW 141	Glaxo Welcome	HIV infection, AIDS,
			ARC (protease
			inhibitor)
	GW 1592	Glaxo Welcome	HIV infection, AIDS,
			ARC (reverse
			transcriptase inhibitor)
	HBY097	Hoechst Marion	HIV infection, AIDS,
		Roussel	ARC (non-nucleoside
			reverse transcriptase
			inhibitor)
	Hypericin	VIMRx Pharm.	HIV infection, AIDS,
			ARC
	Recombinant	Triton Biosciences	AIDS, Kaposi's
	Human
	Interferon Beta	(Almeda, CA)	sarcoma, ARC
	Interferon alfa-n3	Interferon Sciences	ARC, AIDS
	Indinavir	Merck	HIV infection, AIDS,
			ARC, asymptomatic
			HIV positive, also in
			combination with
			AZT/ddI/ddC
	ISIS 2922	ISIS Pharmaceuticals	CMV retinitis
	KNI-272	Nat'l Cancer Institute	HIV-assoc. diseases
	Lamivudine, 3TC	Glaxo Wellcome	HIV infection, AIDS,
			ARC (reverse
			transcriptase inhibitor);
			also with AZT
	Lobucavir	Bristol-Myers Squibb	CMV infection
	Nelfinavir	Agouron	HIV infection, AIDS,
		Pharmaceuticals	ARC (protease
			inhibitor)
	Nevirapine	Boeheringer Ingleheim	HIV infection, AIDS,
			ARC (protease
			inhibitor)
	Novapren	Novaferon Labs, Inc.	HIV inhibitor
		(Akron, OH)
	Peptide T	Peninsula Labs	AIDS
	Octapeptide	(Belmont, CA)
	Sequence
	Trisodium	Astra Pharm.	CMV retinitis, HIV
	Phosphono-	Products, Inc	infection, other CMV
	formate		infections
	PNU-140690	Pharmacia Upjohn	HIV infection, AIDS,
			ARC (protease
			inhibitor)
	Probucol	Vyrex	HIV infection, AIDS
	RBC-CD4	Sheffield Med. Tech	HIV infection, AIDS,
		(Houston TX)	ARC
	Ritonavir	Abbott	HIV infection, AIDS,
			ARC (protease
			inhibitor)
	Saquinavir	Hoffmann-LaRoche	HIV infection, AIDS,
			ARC (protease
			inhibitor)
	Stavudine; d4T	Bristol-Myers Squibb	HIV infection, AIDS,
	Didehydrodeoxy-		ARC
	thymidine
	Valaciclovir	Glaxo Wellcome	genital HSV & CMV
			infections
	Virazole	Viratek/ICN	asymptomatic HIV
	Ribavirin	(Costa Mesa, CA)	positive, LAS, ARC
	VX-478	Vertex	HIV infection, AIDS,
			ARC
	Zalcitabine	Hoffmann-La Roche	HIV infection, AIDS,
			ARC, with AZT
	Zidovudine; AZT	Glaxo Wellcome	HIV infection, AIDS,
			ARC, Kaposi's
			sarcoma, in combina-
			tion with other
			therapies

IMMUNO-MODULATORS
	Drug Name	Manufacturer	Indication
	AS-101	Wyeth-Ayerst	AIDS
	Bropirimine	Pharmacia Upjohn	advanced AIDS
	Acemannan	Carrington Labs, Inc.	AIDS, ARC
		(Irving, TX)
	CL246,738	American Cyanamid	AIDS, Kaposi's
		Lederle Labs	sarcoma
	EL10	Elan Corp, PLC	HIV infection
		(Gainesville, GA)
	Gamma	Genentech	ARC, in combination
	Interferon		w/TNF (tumor
			necrosis factor)
	Granulocyte	Genetics Institute	AIDS
	Macrophage	Sandoz
	Colony
	Stimulating
	Factor
	Granulocyte	Hoeschst-Roussel	AIDS
	Macrophage	Immunex
	Colony
	Stimulating
	Factor
	Granulocyte	Schering-Plough	AIDS, combination
	Macrophage		w/AZT
	Colony
	Stimulating
	Factor
	HIV Core	Rorer	seropositive HIV
	Particle
	Immunostimulant
	IL-2	Cetus	AIDS, in combination
	Interleukin-2		w/AZT
	IL-2	Hoffman-La Roche	AIDS, ARC, HIV, in
	Interleukin-2	Immunex	combination w/AZT
	IL-2	Chiron	AIDS, increase in CD4
	Interleukin-2		cell counts
	(aldeslukin)
	Immune Globulin	Cutter Biological	pediatric AIDS, in
	Intravenous	(Berkeley, CA)	combination w/AZT
	(human)
	IMREG-1	Imreg	AIDS, Kaposi's
		(New Orleans, LA)	sarcoma, ARC, PGL
	IMREG-2	Imreg	AIDS, Kaposi's
		(New Orleans, LA)	sarcoma, ARC, PGL
	Imuthiol Diethyl	Merieux Institute	AIDS, ARC
	Dithio Carbamate
	Alpha-2	Schering Plough	Kaposi's sarcoma
	Interferon		w/AZT, AIDS
	Methionine-	TNI Pharmaceutical	AIDS, ARC
	Enkephalin	(Chicago, IL)
	MTP-PE	Ciba-Geigy Corp.	Kaposi's sarcoma
	Muramyl-
	Tripeptide
	Granulocyte	Amgen	AIDS, in combination
	Colony		w/AZT
	Stimulating
	Factor
	Remune	Immune Response	immunotherapeutic
		Corp.
	rCD4	Genentech	AIDS, ARC
	Recombinant
	Soluble Human
	CD4
	rCD4-IgG		AIDS, ARC
	hybrids
	Recombinant	Biogen	AIDS, ARC
	Soluble Human
	CD4
	Interferon	Hoffman-La Roche	Kaposi's sarcoma
	Alfa 2a		AIDS, ARC, in
			combination w/AZT
	SK&F106528	Smith Kline	HIV infection
	Soluble T4
	Thymopentin	Immunobiology	HIV infection
		Research Institute
	Tumor Necrosis	Genentech	ARC, in combination
	Factor; TNF		w/gamma Interferon

ANTI-INFECTIVES
	Drug Name	Manufacturer	Indication
	Clindamycin with	Pharmacia Upjohn	PCP
	Primaquine
	Fluconazole	Pfizer	cryptococcal
			meningitis, candidiasis
	Pastille	Squibb Corp.	prevention of
	Nystatin Pastille		oral candidiasis
	Ornidyl	Merrell Dow	PCP
	Eflornithine
	Pentamidine	LyphoMed	PCP treatment
	Isethionate (IM &	(Rosemont, IL)
	IV)
	Trimethoprim		antibacterial
	Trimethoprim/		antibacterial
	sulfa
	Piritrexim	Burroughs Wellcome	PCP treatment
	Pentamidine	Fisons Corporation	PCP prophylaxis
	isethionate for
	inhalation
	Spiramycin	Rhone-Poulenc	cryptosporidial
			diarrhea
	Intraconazole-	Janssen Pharm.	histoplasmosis;
	R51211		cryptococcal
			meningitis
	Trimetrexate	Warner-Lambert	PCP

ANTI-INFECTIVES
	Drug Name	Manufacturer	Indication
	Clindamycin with	Pharmacia Upjohn	PCP
	Primaquine
	Fluconazole	Pfizer	cryptococcal
			meningitis, candidiasis
	Pastille	Squibb Corp.	prevention of
	Nystatin Pastille		oral candidiasis
	Ornidyl	Merrell Dow	PCP
	Eflornithine
	Pentamidine	LyphoMed	PCP treatment
	Isethionate (IM &	(Rosemont, IL)
	IV)
	Trimethoprim		antibacterial
	Trimethoprim/		antibacterial
	sulfa
	Piritrexim	Burroughs Wellcome	PCP treatment
	Pentamidine	Fisons Corporation	PCP prophylaxis
	isethionate for
	inhalation
	Spiramycin	Rhone-Poulenc	cryptosporidial
			diarrhea
	Intraconazole-	Janssen Pharm.	histoplasmosis;
	R51211		cryptococcal
			meningitis
	Trimetrexate	Warner-Lambert	PCP

It will be understood that the scope of combinations of the compounds of this invention with AIDS antivirals, immunomodulators, anti-infectives or vaccines is not limited to the list in the above Table, but includes in principle any combination with any pharmaceutical composition useful for the treatment of AIDS.

Preferred combinations are simultaneous or alternating treatments of with a compound of the present invention and an inhibitor of HIV protease and/or a non-nucleoside inhibitor of HIV reverse transcriptase. An optional fourth component in the combination is a nucleoside inhibitor of HIV reverse transcriptase, such as AZT, 3TC, ddC or ddI. Preferred agents for combination therapy include: Zidovudine, Lamivudine, Stavudine, Efavirenz, Ritonavir, Nelfinavir, Abacavir, Indinavir, 141-W94 (4-amino-N-((2 syn,3S)-2-hydroxy-4-phenyl-3-((S)-tetrahydrofuran-3-yloxycarbonylamino)-butyl)-N-isobutyl-benzenesulfonamide), N-(2(R)-hydroxy-1(S)-indanyl)-2(R)-phenylmethyl-4-(S)-hydroxy-5-(1-(4-(2-benzo[b]furanylmethyl)-2(S)-N′(t-butylcarbox-amido)-piperazinyl))-pentaneamide, and Delavirdine. A preferred inhibitor of HIV protease is indinavir, which is the sulfate salt of N-(2(R)-hydroxy-1(S)-indanyl)-2(R)-phenylmethyl4-(S)-hydroxy-5-(1-(4-(3-pyrdyl-methyl)-2(S)-N′-(t-butylcarbo-xamido)-piperazinyl))-pentane-amide ethanolate, and is synthesized according to U.S. Pat. No. 5,413,999. Indinavir is generally administered at a dosage of 800 mg three times a day. Other preferred inhibitors of HIV protease include nelfinavir and ritonavir. Preferred non-nucleoside inhibitors of HIV reverse transcriptase include (−) 6-chloro-4(S)-cyclopropylethynyl-4(S)-trifluoromethyl-1,4-dihydro-2H-3,1-benzoxazin-2-one, which may be prepared by methods disclosed in EP 0,582,455. The preparation of ddC, ddI and AZT are also described in EPO 0,484,071. These combinations may have unexpected effects on limiting the spread and degree of infection of HIV. Preferred combinations with the compounds of the present invention include the following: (1) Zidovudine and Lamivudine; (2) Stavudine and Lamivudine; (3) Efavirenz; (4) Ritoavir; (5) Nelfinavir; (6) Abacavir, (7) Indinavir; (8) 141-W94; and (9) Delavirdine. Preferred combinations with the compounds of the present invention further include the following (1) indinavir, with efavirenz or (−) 6-chloro-4(S)-cyclopropylethynyl-4(S)-trifluoromethyl-1,4-dihydro-2H-3,1-benzoxazin-2-one, and, optionally, AZT and/or 3TC and/or ddI and/or ddC; (2) indinavir, and any of AZT and/or ddI and/or ddC.

In such combinations the compound of the present invention and other active agents may be administered separately or in conjunction. In addition, the administration of one element may be prior to, concurrent to, or subsequent to the administration of other agent(s).

The compounds of the present invention may be administered by oral, parenteral (e.g., intramuscular, intraperitoneal, intravenous, ICV, intracistemal injection or infusion, subcutaneous injection, or implant), by inhalation spray, nasal, vaginal, rectal, sublingual, or topical routes of administration and may be formulated, alone or together, in suitable dosage unit formulations containing conventional non-toxic pharmaceutically acceptable carriers, adjuvants and vehicles appropriate for each route of administration. In addition to the treatment of warm-blooded animals such as mice, rats, horses, cattle, sheep, dogs, cats, monkeys, etc., the compounds of the invention are effective for use in humans.

The pharmaceutical compositions for the administration of the compounds of this invention may conveniently be presented in dosage unit form and may be prepared by any of the methods well known in the art of pharmacy. All methods include the step of bringing the active ingredient into association with the carrier which constitutes one or more accessory ingredients. In general, the pharmaceutical compositions are prepared by uniformly and intimately bringing the active ingredient into association with a liquid carrier or a finely divided solid carrier or both, and then, if necessary, shaping the product into the desired formulation. In the pharmaceutical composition the active object compound is included in an amount sufficient to produce the desired effect upon the process or condition of diseases. As used herein, the term “composition” is intended to encompass a product comprising the specified ingredients in the specified amounts, as well as any product which results, directly or indirectly, from combination of the specified ingredients in the specified amounts.

The pharmaceutical compositions containing the active ingredient may be in a form suitable for oral use, for example, as tablets, troches, lozenges, aqueous or oily suspensions, dispersible powders or granules, emulsions, hard or soft capsules, or syrups or elixirs. Compositions intended for oral use may be prepared according to any method known to the art for the manufacture of pharmaceutical compositions and such compositions may contain one or more agents selected from the group consisting of sweetening agents, flavoring agents, coloring agents and preserving agents in order to provide pharmaceutically elegant and palatable preparations. Tablets contain the active ingredient in admixture with non-toxic pharmaceutically acceptable excipients which are suitable for the manufacture of tablets. These excipients may be for example, inert diluents, such as calcium carbonate, sodium carbonate, lactose, calcium phosphate or sodium phosphate; granulating and disintegrating agents, for example, corn starch, or alginic acid; binding agents, for example starch, gelatin or acacia, and lubricating agents, for example magnesium stearate, stearic acid or talc. The tablets may be uncoated or they may be coated by known techniques to delay disintegration and absorption in the gastrointestinal tract and thereby provide a sustained action over a longer period. For example, a time delay material such as glyceryl monostearate or glyceryl distearate may be employed. They may also be coated by the techniques described in the U.S. Pat. Nos. 4,256,108; 4,166,452; and 4,265,874 to form osmotic therapeutic tablets for control release.

Formulations for oral use may also be presented as hard gelatin capsules wherein the active ingredient is mixed with an inert solid diluent, for example, calcium carbonate, calcium phosphate or kaolin, or as soft gelatin capsules wherein the active ingredient is mixed with water or an oil medium, for example peanut oil, liquid paraffin, or olive oil.

Aqueous suspensions contain the active materials in admixture with excipients suitable for the manufacture of aqueous suspensions. Such excipients are suspending agents, for example sodium carboxymethylcellulose, methylcellulose, hydroxy-propylmethylcellulose, sodium alginate, polyvinyl-pyrrolidone, gum tragacanth and gum acacia; dispersing or wetting agents may be a naturally-occurring phosphatide, for example lecithin, or condensation products of an alkylene oxide with fatty acids, for example polyoxyethylene stearate, or condensation products of ethylene oxide with long chain aliphatic alcohols, for example heptadecaethyleneoxycetanol, or condensation products of ethylene oxide with partial esters derived from fatty acids and a hexitol such as polyoxyethylene sorbitol monooleate, or condensation products of ethylene oxide with partial esters derived from fatty acids and hexitol anhydrides, for example polyethylene sorbitan monooleate. The aqueous suspensions may also contain one or more preservatives, for example ethyl, or n-propyl, p-hydroxybenzoate, one or more coloring agents, one or more flavoring agents, and one or more sweetening agents, such as sucrose or saccharin.

Oily suspensions may be formulated by suspending the active ingredient in a vegetable oil, for example arachis oil, olive oil, sesame oil or coconut oil, or in a mineral oil such as liquid paraffin. The oily suspensions may contain a thickening agent, for example beeswax, hard paraffin or cetyl alcohol. Sweetening agents such as those set forth above, and flavoring agents may be added to provide a palatable oral preparation. These compositions may be preserved by the addition of an anti-oxidant such as ascorbic acid.

Dispersible powders and granules suitable for preparation of an aqueous suspension by the addition of water provide the active ingredient in admixture with a dispersing or wetting agent, suspending agent and one or more preservatives. Suitable dispersing or wetting agents and suspending agents are exemplified by those already mentioned above. Additional excipients, for example sweetening, flavoring and coloring agents, may also be present.

The pharmaceutical compositions of the invention may also be in the form of oil-in-water emulsions. The oily phase may be a vegetable oil, for example olive oil or arachis oil, or a mineral oil, for example liquid paraffin or mixtures of these. Suitable emulsifying agents may be naturally-occurring gums, for example gum acacia or gum tragacanth, naturally-occurring phosphatides, for example soy bean, lecithin, and esters or partial esters derived from fatty acids and hexitol anhydrides, for example sorbitan monooleate, and condensation products of the said partial esters with ethylene oxide, for example polyoxyethylene sorbitan monooleate. The emulsions may also contain sweetening and flavoring agents.

Syrups and elixirs may be formulated with sweetening agents, for example glycerol, propylene glycol, sorbitol or sucrose. Such formulations may also contain a demulcent, a preservative and flavoring and coloring agents.

The pharmaceutical compositions may be in the form of a sterile injectable aqueous or oleagenous suspension. This suspension may be formulated according to the known art using those suitable dispersing or wetting agents and suspending agents which have been mentioned above. The sterile injectable preparation may also be a sterile injectable solution or suspension in a non-toxic parenterally-acceptable diluent or solvent, for example as a solution in 1,3-butane diol. Among the acceptable vehicles and solvents that may be employed are water, Ringer's solution and isotonic sodium chloride solution. In addition, sterile, fixed oils are conventionally employed as a solvent or suspending medium. For this purpose any bland fixed oil may be employed including synthetic mono- or diglycerides. In addition, fatty acids such as oleic acid find use in the preparation of injectables.

The compounds of the present invention may also be administered in the form of suppositories for rectal administration of the drug. These compositions can be prepared by mixing the drug with a suitable non-irritating excipient which is solid at ordinary temperatures but liquid at the rectal temperature and will therefore melt in the rectum to release the drug. Such materials are cocoa butter and polyethylene glycols.

For topical use, creams, ointments, jellies, solutions or suspensions, etc., containing the compounds of the present invention are employed. (For purposes of this application, topical application shall include mouth washes and gargles.)

The pharmaceutical composition and method of the present invention may further comprise other therapeutically active compounds as noted herein which are usually applied in the treatment of the above mentioned pathological conditions.

In the treatment or prevention of conditions which require chemokine receptor modulation an appropriate dosage level will generally be about 0.01 to 500 mg per kg patient body weight per day which can be administered in single or multiple doses. Preferably, the dosage level will be about 0.1 to about 250 mg/kg per day; more preferably about 0.5 to about 100 mg/kg per day. A suitable dosage level may be about 0.01 to 250 mg/kg per day, about 0.05 to 100 mg/kg per day, or about 0.1 to 50 mg/kg per day. Within this range the dosage may be 0.05 to 0.5, 0.5 to 5 or 5 to 50 mg/kg per day. For oral administration, the compositions are preferably provided in the form of tablets containing 1.0 to 1000 milligrams of the active ingredient, particularly 1.0, 5.0, 10.0, 15.0. 20.0, 25.0, 50.0, 75.0, 100.0, 150.0, 200.0, 250.0, 300.0, 400.0, 500.0, 600.0, 750.0, 800.0, 900.0, and 1000.0 milligrams of the active ingredient for the symptomatic adjustment of the dosage to the patient to be treated. The compounds may be administered on a regimen of 1 to 4 times per day, preferably once or twice per day.

It will be understood, however, that the specific dose level and frequency of dosage for any particular patient may be varied and will depend upon a variety of factors including the activity of the specific compound employed, the metabolic stability and length of action of that compound, the age, body weight, general health, sex, diet, mode and time of administration, rate of excretion, drug combination, the severity of the particular condition, and the host undergoing therapy.

Several methods for preparing the compounds of this invention are illustrated in the following Schemes and Examples. Starting materials are made from known procedures or as illustrated.

Several methods for preparing the compounds of this invention are illustrated in the following Schemes and Examples.

In one protocol, the compounds of the present invention are prepared by alkylating heterocycle 1 (wherein X is a leaving group such as, for example, bromide, iodide, methanesulfonate, p-toluenesulfonate, trifluoromethanesulfonate) with cyclic amine 2 under appropriate conditions to provide compound 3. Cyclic amine 2 is available commercially or can be prepared using the methods given below.

Alternatively, heterocycle 4, bearing a carbonyl group, can be combined with the cyclic amine 2 and the intermediate imine or iminium species is reduced to tertiary amine 3 under homogenous conditions (e.g. using sodium cyanoborohydride, sodium borohydride, or sodium triacetoxyborohydride) or in the presence of hydrogen and a heterogeneous catalyst (e.g. palladium on carbon or Raney nickel).

In an alternative embodiment of the present invention, heterocycle 5, bearing an activated acyl side chain (wherein X′, for example, is a chloride or bromide atom, or is a hydroxybenzotriazole residue from activation of the corresponding carboxylic acid with HOBt in the presence of a suitable carbodiimide) is allowed to react with cyclic amine 2 to provide the corresponding tertiary amide 6. Compound 6 can then be treated with a suitable reducing agent (e.g. diborane; borane in THF; borane dimethylsulfide, or lithium aluminum hydride) to provide the desired product 7.

An alternative preparation of the target compounds is carried out as shown in Scheme 2. Treatment of alcohol 8 with zinc azide bis(pyridine) complex in the presence of triphenylphosphine and diethyl azodicarboxylate, or with diphenylphosphoryl azide, or with hydrazoic acid, provides azide 9. Reduction of 9, for example, with hydrogen and palladium on carbon, affords primary amine 10. This amine can be doubly alkylated with a bis-electrophile such as 13 under basic conditions, to provide the compound 14. Bis-electrophiles can be prepared from substituted glutaric anhydride derivatives such as 11 by reduction to diol 12 followed by double activation, using, for example, p-toluenesulfonyl chloride in pyridine, or triphenylphosphine carbon tetrabromide in acetonitrile, to provide 13 (where X=Br or OTs).

The preparation of compounds within the scope of the instant invention which bear a 1,3,4-trisubstituted pyrrolidine framework is detailed in Scheme 3. Treatment of a trans-cinnamic ester such as 15 with N-benzyl-N-methoxymethyl-N-(trimethylsilyl)-methylamine (16) in the presence of a catalytic amount of an acid such as TFA, titanium tetrafluoride lithium fluoride or cesium fluoride according to the procedure of Padwa et al ( J. Org. Chem. 1987, 52, 235) preferentially affords the 3,4-trans pyrrolidine 17. Executing this sequence starting from the cis-cinnamic ester results in preferential formation of the 3,4-cis pyrrolidine. Reduction of ester 17 with diisobutylaluminum hydride, lithium aluminium hydride, or sodium bis(2-methoxyethoxy)aluminum hydride, provides the primary alcohol 18. Oxidation of 18 to the aldehyde 19 can be carried out under numerous conditions, such as with the Swern reaction, with DMSO and oxalyl chloride at low temperature, followed by triethylamine, or with various chromium trioxide-based reagents (see March J. “Advanced Organic Chemistry”, 4th ed., John Wiley & Sons, New York, pp. 1167-1171 (1992)). Reductive amination with cyclic amine 2 provides diamine 20. Alternatively, The N-benzyl group is cleaved in a hydrogen atmosphere in the presence of 10% palladium on carbon or with Pearlmans' catalyst [Pd(OH) 2 /C] to provide the secondary amine 21.

In cases when certain substituents are labile to hydrogenolysis conditions, alternative methods to remove the benzyl group of compound 20 are described in Scheme 4. Compound 20 may be converted to the allyloxycarbamate derivative by stirring with allylchloroformate at rt in a solvent such as TIF (T. Shono, Y. Matsumura, J. Org. Chem., 1984, 48, 300) Subsequent reaction with hydrazine hydrate and KOH in ethylene glycol at elevated temperatures provides the amine 21. Compound 20 may also be converted to its 2,2,2,-trichloroethyloxy-carbamate derivative by stirring with 2,2,2-trichloroethylchloroformate in a solvent such as acetonitrile (V. H. Rawal, R. J. Jones, J. Org. Chem., 1987, 52, 19). This derivative is then converted to amine 21 by reaction with zinc powder in acetic acid a slightly elevated temperatures such as at 40° C.

Scheme 5 describes a modification of Scheme 3 when substituents are not compatible with hydrogenolysis of the benzyl group of compound 20. In this variation, treatment of a trans-cinnamic ester 15 with N-allyl-N-methoxymethyl-N-(trimethylsilyl)-methylamine (16′) according to procedures described in Scheme 3 provides N-allylpyrrolidine derivative 17′. The reagent N-allyl-N-methoxymethyl-N-(trimethylsilyl)-methylamine is prepared after procedures described by Padwa et al ( J. Org. Chem. 1985, 50, 4006 and J. Org. Chem. 1987, 52, 235). Subsequent elaboration as described in Scheme 3 gives compound 20′.

The unsubstituted pyrrolidine 21 may be further functionalized as shown in Scheme 6. Reductive amination with suitable aldehydes under standard conditions provides the tertiary amine 22. The pyrrolidine nitrogen may be alkylated with a suitable halide, methanesulfonate, p-toluene-sulfonate, etc. carried out under standard conditions to provide N-alkylated pyrrolidine 22. Alternatively, compound 22 is acylated with, for example, acid chlorides or bromides, or activated esters utilizing a variety of the standard coupling conditions to give amide 23. For example, reaction of compound 22 and a carboxylic acid with BOP-Cl and triethylamine in a solvent such as methylene chloride is a commonly used procedure. The sulfonamide 24 is prepared under standard conditions by exposing 21 to an alkyl or aryl sulfonyl chloride in the presence of a suitable base to neutralize the formed hydrogen chloride.

Compounds possessing geminal substituents on positions 3 or 4 (or on both C3 and C4) of the pyrrolidine ring are prepared by the method shown in Scheme 7. Cycloaddition of unsaturated aldehyde 25 with reagent 16 or 16′ as described in Schemes 3 or 5 provides pyrrolidine aldehyde 26. Further elaboration of 26 can be achieved as described in the previous Schemes.

An alternative approach to the synthesis of chemokine modulators is described in Example 8. Ester derivatives 17 (Scheme 3) or 17′ (Scheme 5) are first debenzylated or deallylated by procedures described in Schemes 3, 4 or 5 to give secondary amine derivative 27. Compound 27 can then be elaborated as described in Scheme 6 to provide compound 28. The ester group of 28 can be selectively reduced with a reagent such as lithium borohydride in THF to give the alcohol 29 which is then converted to aldehyde 30 under Swern conditions as described in Scheme 3. Aldehyde 39 is then converted to derivative 22 (or 23 or 24) by reductive amination (Scheme 3).

The preparation of optically active compounds described in Scheme 9 follows procedures described by Ma et.al., ( Tetrahedron: Assymmetry 1997, 8, 883). Reaction of a trans-acrylic acid with oxalyl chloride or pivaloyl chloride and triethylamine in THF provide the mixed anhydride intermediate. This is then treated with the lithium salt of an appropriate chiral auxiliary such as (S)-benzyl-2-oxazolidinone in THF at reduced temperatures, such as −78° C. to give amide 28. This acrylamide is then reacted with N-benzyl-N-methoxymethyl-N-(trimethylsilyl)-methylamine (16) or N-allyl-N-methoxymethyl-N-(trimethylsilyl)-methylamine (16′) as described in Schemes 3 and 5, respectively, to give pyrrolidine intermediate 29 or the corresponding N-allyl derivative. Modest diastereoselectivity is achieved in these cyclizations as shown by Ma et al. However, the separate optically active isomers may be easily obtained by simple chromatography on silica gel. Reaction of the selected diastereomer 29 with LiAlH 4 in THF at 0° C. provides the optically active version of compound 18 which is further elaborated as described in the previous Schemes.

The various piperidine derivatives, when not commercially available, are prepared as described in the following Schemes.

The synthesis of 4-arylpiperidine groups is presented in Scheme 10. Enolate formation of the 4-piperidone derivative 29 followed by formation of the vinyl triflate with either 2-[N,N-bis(trifluoromethyl sulfonyl)amino]-5-chloropyridine or with N-phenyltriflimide provides triflate ether 30. Palladium-mediated coupling with a suitable aryl stannane or aryl boronic acid provides the tetrahydropyridine derivative 31. The Boc protecting group can be removed with TFA to give amine 32 which is then hydrogenated under standard conditions to give piperidine 33. Alternatively, tetrahydropyridine derivative 31 is first hydrogenated and then deprotected. Modification of the aryl group of compound 31 or 33 is achieved using appropriate chemical modification schemes.

A method of preparing 4-(3-aryl-1-propyl)-4-hydroxypiperidine derivatives is described in Scheme 11. A suitable 3-arylpropyl halide 34 in THF at −78° C. is reacted with a base such as t-butyl lithium. This is then reacted with a protected 4-piperidone derivative such as N-benzyl4-piperidone 35 to give the arylpropylpiperidine derivative 36. Deprotection by hydrogenation with Pd(OH) 2 /C (Pearlman's catalyst) gives piperidine derivative 37 which can be reacted with compound 19 as described in Scheme 3.

A method of preparing 4-aryloxyethylpiperidine derivatives is described in Scheme 12. Reaction of commercially available N-benzyl-4-hydroxyethylpiperidine with an appropriate aryl alcohol under standard Mitsunobu conditions, followed by deprotection gives the corresponding piperidine derivative. The corresponding mercapto derivative is prepared by reaction of compound 38 with an aryldisulfide and tri-n-butylphosphine in TBF with heating at reflux to give compound 41. Compound 41 is then converted to compound 42 as described in Scheme 4.

Compound 45 can be prepared prepared (Scheme 13) by alkylation of compound 44 (prepared from isonipecotic acid) with an arylmethylhalide, bromide, iodide, methanesulfonate, p-toluene-sulfonate, or trifluoromethanesulfonate in a solvent such as THF with a base such as sodium hydride. Subsequently, compound 45 is deprotected by reaction with trifluoroacetic acid in a solvent such as methylene chloride to give compound 46.

In Scheme 14, the preparation of 4-(3-aryl-2-hydroxypropyl) piperidines is described. Compound 38 is converted to aldehyde 46 by the Swem-type conditions (oxalyl chloride, DMSO, Et 3 N). Reaction of compound 46 with Grignard reagents or other related nucleophiles gives hydroxy derivative 47. Compound 47 is then converted to piperidine 48 by procedures described in Scheme 4.

Compound 47 can be further derivatized as depicted in Scheme 15. Ether dervatives 48 can be prepared by reaction with an alkylhalide, tosylate or triflate in the presence of a base such as sodium hydride in an aprotic inert solvent such as THF. Alternatively, an excess of silver oxide (A 12 O) is used in place of the base. In an alternate procedure, reaction of an alcohol with trifluoromethane sulfonic anhydride (Tf 2 O, triflic anhydride) in dichloromethane at reduced temperature, preferably −78° C. gives the preformed triflate. To this solution is added compound 47, the reaction mixture is warmed to room temperature and stirring is continued until reaction is complete.

Esters (compound 49) can be prepared by reaction of a pre-formed carboxylic acid chloride with compound 47 in a basic solvent such as pyridine or triethylamine. The acid chlorides, when not purchased, are prepared by stirring the carboxylic acids in reagents such as oxalyl chloride or thionyl chloride. C4 sulfonate derivatives are prepared in a similar manner by reaction with sulfonyl chlorides.

C4 carbamate and carbonate derivatives (compound 52) are prepared by first reacting compound 47 with carbonyldiimidazole (CDI) to obtain the imidazolecarbonyl intermediate which is then reacted with an amine (R 1 R 2 NH) or an alcohol to give the corresponding carbonate or carbamate derivatives.

Compound 47 can be oxidized to the corresponding ketone 51 by any number of standard conditions. It can then be reaction with Grignard reagents or related nucleophiles (as in Scheme 14) to give the tertiary hydroxy derivative 52. This alcohol can then be further modified as described in this scheme.

In Scheme 16, the preparation of 4-(3-phenyl-3-hydroxypropyl) piperidines is described. Oxidation of compound 44 under Swern conditions gives aldehyde derivative 53. It is then reacted with diethyl(2-aryl-2-oxoethyl)phosphonate and a base such as KOtBu in a solvent such as TBF to give the conjugated ketone derivative 54. Reduction with hydrogen in the presence of Pd/C preferentially at 50 psi gives the hydroxy compound 55 which is converted to piperidine derivative 56 as previously described. Prior to deprotection, compound 55 can be further modified as depicted in Scheme 15.

The synthesis of a framework for piperidine-based chemokine receptor modulators is given in Scheme 17. Enolate formation of the 4-piperidone derivative 35 followed by formation of the vinyl triflate with either 2-[N,N-bis(trifluoromethylsulfonyl)amino]-5-chloropyridine or with N-phenyltriflimide provides compound 57. Palladium-catalysed carbonylation in the presence of methanol then affords unsaturated ester 58. Conjugate addition of an aryl magnesium halide reagent in the presence of a copper catalyst and chlorotrimethylsilane to this species, followed by treatment with the magnesium salt of a suitable cyclic amine, then yields amide 59. Reduction with LiAlH 4 or borane.THF affords the tertiary amine 60, which is hydrogenated under standard conditions to the secondary piperidine 61. This compound is alkylated, acylated or sulfonated by analogy to the conditions described for compound 21 in Scheme 4.

Synthesis of a piperidine derivative with an alternate presentation of the 3- and 4-substituents is given in Scheme 18. Formation of the enolate of ketoester 62 (prepared from commercially available 3-carbomethoxy-4-oxopiperidine and Boc anhydride) followed by addition of either 2-[N,N-bis(trifluoro-methylsulfonyl)amino]-5-chloropyridine or N-phenyltriflimide provides vinyl triflate 63. Palladium-mediated coupling with a suitable aryl stannane or aryl boronic acid provides unsaturated ester 64. Treatment of this compound with the magnesium salt of a suitable cyclic amine then affords amide 65, which can be reduced successively with magnesium metal in methanol followed by alane in THF, to provide the tertiary amine 66. Removal of the Boc group under standard acidic conditions yields secondary amine 67, which can be alkylated, acylated or sulfonated by analogy to the conditions described in Scheme 6.

The cyclic amine II employed in the preceding Schemes can be obtained commercially in many cases or is prepared by a number of procedures. For example, as shown in Scheme 19, compound 68, the N-t-butoxycarbonyl protected form of isonipecotic acid (4-piperidine-carboxylic acid) is activated under standard conditions, for example with a carbodiimide, and converted into ester 69 or amide 70. Alternatively, acid 68 is converted into the N-methyl-N-methoxy amide, 71, which upon reaction with organomagnesium and organolithium reagents forms the ketone 72. The Boc group of 69, 70 and 72 is removed under acidic conditions to provide the corresponding secondary amines.

Alternatively, CBZ-protected piperidine 73 is allowed to react with oxalyl chloride and then sodium azide, to provide the corresponding acyl azide, which can then be thermally rearranged to isocyanate 74 (Scheme 20). Compound 74 is treated with an alcohol ROH or an amine RR′NH to form carbamate 75 or urea 76, respectively, each of which is deprotected with hydrogen in the presence of palladium on carbon to secondary amines 77 or 78.

If the carbamate 75 has R=—(CH 2 ) x CH 2 Cl, where x=1-3, then treatment with a suitable base, such as sodium hydride, lithium hexamethyldisilazide or potassium t-butoxide, can induce cyclization to compound 79 (Scheme 21). For other R groups, carbamate 75 is treated with an alkylating agent R′X, where R′=primary or secondary alkyl, allyl, propargyl or benzyl, while X=bromide, iodide, tosylate, mesylate or trifluoromethanesulfonate, in the presence of a suitable base, such as sodium hydride, lithium hexamethyldisilazide or potassium t-butoxide, to give derivative 80; a similar process can be employed for urea 76. In each case, removal of the CBZ protecting group under standard conditions provides the secondary amines 81 and 82.

Additional derivatization of a piperidine with nitrogen functionality at C4 is carried out as shown in Scheme 22. For example, if the ring nitrogen is protected with a CBZ group, as with isocyanate 74, treatment with tert-butyl alcohol in the presence of copper(I) chloride, provides Boc derivative 83. This compound is selectively deprotected to the free amine 84. This amine is acylated with an acid chloride, a chlorofonnate, an isocyanate, or a carbamyl chloride, to provide compounds 85, 75 or 76. Alternatively, amine 84 is sulfonated with an alkyl or arylsulfonyl chloride, to give sulfonamide 86. Compounds 85 and 86 optionally is alkylated under the conditions given above. As shown in Scheme 21, removal of the CBZ group under reductive conditions gives the desired secondary amines.

Substituted spiro(indoline-3,4′-piperidine) derivatives can be prepared as shown in Scheme 23 starting from the substituted phenylhydrazine 87 and the aldyhyde 88. Following the Fischer indole reaction and reduction of the intermediate imine with a mild reducing agent such as sodium borohydride, the indoline 89 can be combined with an electrophile such as an acyl chloride or a sulfonyl chloride. The protecting group on compound 90, for example a benzyloxycarbonyl group, can be removed by treatment with hydrogen in the presence of palladium on carbon or by exposure to trimethylsilyl iodide, to give the deprotected substituted spiro(indoline-3,4′-piperidine) 91.

Preparation of spiro(2,3-dihydrobenzothiophene-3,4′-piperidine) derivatives is shown in Scheme 24. Reaction piperidone 29 with the lithium salt of methyl phenyl sulfoxide affords adduct 92. Base-mediated elimination-rearrangement and basic cleavage provides the allylic alcohol 93. The alcohol is converted to rearranged allylic chloride 94 with thionyl chloride in toluene in the presence of 2,6-lutidine as a proton scavenger. Displacement of the chloride with the 2-bromothiophenol 95 provides allylic sulfide 96, which can be cyclized under radical conditions to give spiro(2,3-dihydrobenzothiophene-3,4′-piperidine) 97. Cleavage of the t-butoxycarbonyl group under standard conditions, such as trifluoroacetic acid, then provides the desired spirocycle 98.

Spiro(2,3-dihydrobenzofuran-3,4′-piperidine) derivatives are prepared as illustrated in Scheme 25. Treatment of an appropiately substituted ester of 2-fluorophenylacetate 99 with mechlorethamine hydrochloride 100 under basic conditions provides piperidine 101, which on treatment with a strong reducing agent such as lithium aluminum hydride produces the corresponding 4-(hydroxymethyl) compound 102. Cyclization with base provides benzofuran 103, and cleavage of the N-methyl group is then carried out using 1-chloroethyl chloroformate or other suitable N-demethylating agents, to provide the desired intermediate 104.

Spiro(2-oxo-1,2,3,4-tetrahydroquinoline-4,4′-piperidine) and spiro(1-oxo-1,2,3,4-tetrahydroisoquinoline-4,4′-piperidine) are prepared as shown in Scheme 26. Starting from the spiro(2-oxoindane-3,4′-piperidine) LXXXVIII (described in Claremon, D. A. et al, European Patent 0 431 943 943 A2, Evans, B. E. et al, U.S. Pat. No. 5,091,387, Davis, L. et al, U.S. Pat. No. 4,420,485, all of which are incorporated by reference, and Parham et al, Journal of Organic Chemistry, 41, 2628 (1976)), deprotection of the piperidine nitrogen is carried out by treatment with acid, for example trifluoroacetic acid, to provide ketone 106. After protection as the trifluoroacetamide, the product is exposed to hydrazoic acid in the presence of sulfuric acid. Heating of this mixture effects a Schmidt rearrangement, to provide both tetrahydroquinoline 107 and the tetrahydroisoquinoline 108. These spiro compounds are then separated and coupled to functionalized aldehydes by the methodology given above.

Cyclic amines (compound 2) which are 4-arylpiperazines functionality are prepared using methods described in the following Schemes. Starting materials are made from known procedures or as illustrated. Substituted purines are prepared as disclosed in U.S. Pat. No. 5,057,517; imidazo(1.2-a)pyrazinyl, as disclosed in U.S. Pat. No. 4,242,344; (1,2,4)-triazolo(1.5-a)pyrazinyl as disclosed in J. Org. Chem, 1974, 39, 2143 and J.C.S. Perkin I, 1980, 506; 1,7-naphthyridinyl as disclosed in J. Org. Chem. 1963, 28, 1753; furo(3.2-c)pyridinyl as disclosed in J. Heterocyclic Chem., 1982 ,19, 1207; and substituted 6-H-7,8-dihydro-thiopyrano(3.2-d)pyrimidyl as disclosed in Arch. Int. Pharmacodyn. 1986, 280, pp302-313.

Optionally, Compound III formed in the alkylation step is further modified in subsequent reactions. In one illustration of such an approach, the piperazine fragment may contain a nitro group, which is reduced to the amine after the coupling step. The resulting amine is further modified by acylation to provide the desired compounds. The piperazine fragment may also contain a protecting group such as a benzyl ester or a t-butyl ester. After reductive amination the protecting group is removed and the resulting acid is further reacted to provide additional analogs. Alternatively, the aldehyde portion may also contain a protecting group such as a t-butoxycarbonyl for an amino function. After reductive amination, the t-butoxycarbonyl group is removed by treatment with a strong acid such as trifluoroacetic acid, formic acid or hydrochloric acid and the resulting amine may be acylated to provide other analogs.

The piperazine starting materials used in the coupling reaction are prepared using methods described in the literature; more specifically as described in U.S. Pat. No. 5,057,517; U.S. Pat. No. 4,242,344; J. Org. Chem, 1974, 39, 2143 and J.C.S. Perkin I, 1980, 506; J. Org. Chem. 1963, 28, 1753; J. Heterocyclic Chem., 1982 ,19, 1207; Arch. Int. Pharmacodyn. 1986, 280, pp302-313; Meurer, L. C. et al., J. Med. Chem., 1992, 35, 3845-3857. None of these published compounds are disclosed to be chemokine receptor modulators. Alternatively, the piperazine substrates is prepared as illustrated in Schemes 27-30.

Substituted 4-arylpiperazines are prepared from appropriate fluorobenzene derivative as shown in Scheme 27. Thus, reaction of 2-fluorobenzonitrile with 1-t-butoxycarbonylpiperazine in the presence of a base such as K 2 CO 3 gives 1-t-butoxycarbonyl-4-(2-cyanophenyl)-piperazine (compound 109. Reduction of the cyano group by hydrogenation in the presence of Raney nickel or by other known methods gives benzyl amine 110, which is acylated or sulfonylated, to provide piperazine 111. The t-butoxycarbonyl protecting group is removed under acidic conditions, for example by treatment with trifluoroacetic acid or anhydrous HCl to give 1-unsubstituted piperazine 112 which can be used in the reductive amination or alkylation steps described in Scheme 1. Similar reactions using 2-chloro-nitrobenzene in the place of 2-fluorobenzonitrile provides compounds containing a substituted aniline. Analogs containing a benzoic acid or its derivatives are prepared by substituting 2-fluorobenzoic acid in this sequence.

Arylpiperazine derivatives containing heterocyclic substituents are synthesized as shown in Scheme 28. Reaction between 2-fluorobenzaldehyde and 1-t-butoxycarbonylpiperazine gives 1-t-butoxycarbonyl-4-(2-formylphenyl)-piperazine compound 113. Reduction of this aldehyde and treatment of the alcohol 114 with methanesulfonyl chloride gives 115 (X=mesylate), while treatment of 114 with triphenylphosphine and carbon tetrabromide gives 115 (X=bromide). Displacement of the leaving group by a heterocycle such as imidazole in the presence of a base provides piperazine 116. Removal of the t-butoxycarbonyl protecting group under standard anhydrous acidic conditions furnishes compound 117 which is used in the coupling reactions described in Scheme I.

Preparation of piperazines containing a heteroaryl substituent is outlined in Scheme 29. Reaction of 1-t-butoxycarbonyl-piperazine with a chloro substituted heteroaromatic compound such as 8-chloro-1,7-naphthyridine or 8-chloro-(1,2,4)-triazolo(1,5-a)pyrazine gives N-protected piperazine 108. Removal of the t-butoxycarbonyl protecting group under standard conditions by treatment with acid provides piperazine 109 for use in the coupling steps outlined in Scheme 1.

Preparation of target pyrrolidines using solid support technology is outlined in Scheme 22. Coupling of intermediate B to a commercially available 4-sulfamylbenzoyl polystyrene resin A (or a alkyl sulfamyl resin) is carried out with diisopropylcarbodiimide or with other activating agents, for example dicyclohexylcarbodiimide, EDAC, oxalyl chloride, etc. Agents that result in the formation of the symmetrical anhydride from B (which then serves as the acylating agent) are also suitable for this purpose. Removal of the Boc group is carried out with trifluoroacetic acid or other acidic reagents, to give resin-bound pyrrolidine C. This intermediate is then coupled with sulfonyl chlorides or carbonyl chlorides in the presence of a suitable amine, preferably a hindered tertiary amine such as diisopropylethylamine (DIEA), lutidine, DBU, etc., to provide the N-functionalized pyrrolidine D. Alkylation of the acyl sulfonamide nitrogen can be carried out with trimethylsilyldiazomethane, diazomethane, with bromoacetonitrile in the presence of DBU and DMF, or under Mitsunobu conditions with a phenol such as pentafluorophenol. Reaction of the resulting N-alkylated intermediate with an amine NH(Ra)R b at a temperature between 0 and 140° C., preferably around 50° C., for 4-24 hr, preferably about 14 hr, then cleaves the pyrrolidine from the resin as amide E. Reduction of the newly formed amide (and other amide functionality, if present) with borane methyl sulfide complex (or other hydride reducing agents, such as borane-pyridine, borane-THF, lithium aluminum hydride, lithium di-(sec)butyl borohydride, etc) followed by hydrolysis with dilute hydrogen chloride in methanol at a temperature between 0 and 140° C., preferably around 50° C., for 4-24 hr, preferably about 14 hr, provides either sulfonamide F or amine G.

Cyclic amines (compound II) from Scheme 1 which are spirocyclic piperidines are prepared using azacyclic starting materials prepared using methods described in the literature; more specifically, as described in Claremon, D. A. et al, European Patent Publication 0 431 943, Evans, B. E. et al, U.S. Pat. No. 5,091,387, Davis, L. et al, U.S. Pat. No. 4,420,485, and Parham et al, Journal of Organic Chemistry, 41, 2628 (1976). None of the compounds in the foregoing references are alleged to be chemokine receptor modulators.

In some cases the order of carrying out the foregoing reaction schemes may be varied to facilitate the reaction or to avoid unwanted reaction products. The following examples are provided for the purpose of further illustration only and are not intended to be limitations on the disclosed invention.

EXAMPLE 1

1-Allyl-3-(RS)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(SR)-(cyclopropyl)pyrrolidine

Step 1: N-Allyl-N-(trimethylsilylmethyl)amine

To 118 mL (1.57 mol) of allylamine warmed at 40° C. in an inert atmosphere was very slowly added 100 mL (0.72 mol) of chloromethyl trimethylsilane (approximate rate of 1 mL/min). The reaction mixture was slowly warmed to 70° C. and stirred for 24 h. The reaction mixture was cooled to 0° C. and to it was added water to break up the gel and then 300 mL of 2N NaOH solution. The reaction mixture was extracted with ether. The combined organic fractions were washed with 500 mL of sat'd NaCl solution, dried over Na 2 SO 4 , filtered and the filtrate was concentrated. The residue was purified by distillation (bp 80-84° C. @ 100 torr) to give 75 g of the title compound.

Step 2. N-Allyl-N-(methoxymethyl)-N-trimethylsilylmethyl)amine

To 75 g (0.57 mol) of N-allyl-N-(trimethylsilylmethyl)amine at 0° C. was slowly added 67 mL (0.88 mol) of aqueous formaldehyde (37% w/w). After stirring for 5 min, 65 mL (1.6 mol) of methanol was added followed by the addition of 94 g (0.68 mol) of K 2 CO 3 . The reaction mixture was warmed to rt and stirred for 12 h. The reaction mixture was partitioned between 300 mL of water and 300 mL of ether. The organic fraction was washed with water and sat'd NaCl solution. The combined aqueous fractions were extracted with ether. The combined organic fractions were dried over Na 2 SO 4 , filtered and the filtrate was concentrated to give 89 g of the title compound which was used without further purification.

Step 3. Methyl-3-(cyclopropyl)acrylate

To a solution of 18.2 g (100 mmol) of trimethylphosphonoacetate in 20 mL of TBF at −20° C. was added 100 mL (100 mmol) of sodium bis(triethylsilyl)amide [NaN((Me) 3 Si) 2 ] (1 M in THF) and the reaction mixture was stirred for 30 min. To this reaction mixture was added a solution of 5 g (71.3 mmol) of cyclopropanecarboxaldehyde (Aldrich) in 50 mL THF and the reaction mixture was stirred for 1 h at −20° C. The reaction mixture was then partitioned between H 2 O and ethyl acetate. The aqueous layer was extracted with ether, and the combined organic fractions were washed with sat'd NaCl solution, dried over MgSO 4 and filtered. The filtrate was concentrated to give 9 g of the title compound which was used without further purification.

Step 4. 1-Allyl-3-(RS)-carbomethoxy-4-(SR)-(cycloproyl)pyrrolidine

To a solution of 9 g (71 mmol) of methyl-3-(cyclopropyl)acrylate and 26.5 g (142 mmol) of N-allyl-N-(methoxymethyl)-N-trimethylsilylmethyl)amine in 200 mL of CH 2 Cl 2 at 0° C. was added dropwise 1 mL of trifluoroacetic acid and the reaction mixture was stirred for 3 h while warming to rt. The reaction mixture was diluted with sat'd NaHCO 3 solution and extracted twice with CH 2 Cl 2 . The combined organic fractions were dried over Na 2 SO 4 , filtered and the filtrate was concentrated. The residue was purified by chromatography (silica, EtOAc:hexanes, 1:4) to give 8.5 g of the title compound. 1 H NMR (CDCl 3 ) d (key peaks) 6.41 (m, 1H), 5.87 (m, 1H), 5.04-5.20 (m, 1H), 3.69, 3.67 (s, 3H), 0.93 (m, 1H), 0.61 (m, 1H), 0.43 (m, 1H), 0.02 (m, 2H); Mass Spect (CI) m/e 210 (M+1).

Step 5. 1-Allyl-3-(RS)-formyl-4-(SR)-(cyclopropyl)pyrrolidine

To a solution of 5.2 g (25 mmol) of 1-allyl-3-(RS)-carbomethoxy-4-(RS)-(cycloproyl)pyrrolidine in 50 mL of toluene at −60° C. was added 27 mL (40 mmol) of diisobutylaluminumhydride (DIBAL-H) (1.5 M in toluene) and the reaction mixture was stirred at −60° C. for 4 h. The reaction mixture was quenched with a 10% solution of HOAc in ether and the mixture was warmed to −20° C. To this was added 200 mL of a sat'd solution of Rochelle's salt (potassiumsodiumtartrate) and this mixture was stirred at rt for 12 h. The reaction mixture was extracted with ethyl acetate and the combined organic fractions were dried over Na 2 SO 4 , filtered and the filtrate was concentrated. The residue was purified by chromatography (silica, ethyl acetate:hexanes, 1:3) to give 3.8 g of the title compound. Mass Spect (CI) m/e 179 (M+1).

Step 6. 4-(4-Pluorophenyl)piperidine

A mixture of 10 g (47 mmol) of 4-(4-fluorophenyl)tetrahydro pyridine hydrochloride (Aldrich-Saylor) and 1.18 g of 10% Pd/C in 100 mL of degassed MeOH (N 2 ) was stirred under hydrogen at 45 psi for 18 h. The reaction mixture was then filtered though a thin pad of celite eluting with MeOH. The filtrate was concentrated and the residue was stirred in 75 mL of ether. To it at 0° C. was added 5 g of solid NaOH. The layers were separated and the aqueous layer was extracted with ether. The combined organic fractions were washed with sat'd NaCl solution, dried over Na 2 SO 4 , filtered and the filtrate was concentrated. The residue was crystalized from cold heptane to give 10 g of the title compound.

Step 7. 1-Allyl-3-(RS)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(SR)-(cyclopropyl)pyrrolidine

To a solution of 1.8 g (10 mmol) of 1-allyl-3-(RS)-formyl-4-(SR)-(cyclopropyl)pyrrolidine and 2.68 g (15 mmol) of 4-(4-fluorophenyl)piperidine in 30 mL of dichloroethane at rt was added portionwise 6.36 g (30 mmol) of sodiumtriacetoxyborohydride. After stirring for 3 h at rt, the reaction mixture was partitioned between CH 2 Cl 2 and sat'd K 2 CO 3 . The organic fraction was dried over MgSO 4 , filtered and the filtrate was concentrated. The residue was purified by chomatography (silica, ethyl acetate:hexanes, 1:3) to give 2.1 g of the title compound.

1 H NMR (CDCl 3 ) d (key peaks) 7.18, (m, 2H), 6.98 (m, 2H), 5.94 (m, 1H), 5.22 (d, J=7.1Hz, 1H), 5.13 (d, J=7.1Hz, 1H), 0.79 (m, 1H), 0.44 (m, 2H), 0.24 (m, 1H), 0.08 (m, 1H); Mass Spectrum (CI) m/e 343 (M+1).

EXAMPLE 2

3-(RS)-(4-(4-Fluorophenyl)piperidinylmethyl)-4-(SR)-(cyclopropyl)pyrrolidine

A mixture of 0.2 g (0.58 mmol) of 1-allyl-3-(RS)-(4-(4-fluoro phenyl)piperidinylmethyl)-4-(SR)-(cyclopropyl)pyrrolidine and 0.02 g (0.02 mmol) of Wilkinson's catalyst [Rh(PPh) 3 Cl] in 10 mL of an 90% solution of CH 3 CN and water in a Dean-Stark apparatus was heated at reflux and stirred for 3 h. The reaction mixture was cooled to rt and concentrated. The residue was purified by chomatography (silica, CHCl 3 : MeOH: NH 3 , 90: 10:1) to give the title compound.

Mass Spectrum (ESI) m/e 303 (M+1).

EXAMPLE 3

1-(1-Naphthoyl)-3-(RS)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(SR)-(cyclopropyl)pyrrolidine

To a solution of 0.02 g (0.067 mmol) of 3-(RS)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(SR)-(cyclopropyl)pyrrolidine and 0.12 mL of pyridine in 2 mL of CH 2 Cl 2 at rt was added 0.19 g (1 mmol) of 1-naphthoyl chloride and the reaction mixture was stirred for 1 h. The reaction mixture was partitioned between ethyl acetate and sat'd NaHCO 3 solution. The organic fraction was dried over MgSO 4 , filtered and the filtrate was concentrated. The residue was purified by chomatography (HPLC Waters Nova-Pak 8×10 RCM 25-40% MeOH in H 2 O 0.5%TFA) to give the title compound.

1 H NMR (CDCl 3 ) d (key peaks) 7.85 (m, 3H), 7.44-7.58 (m, 4H), 0.82-0.50 (m, 3H), 0.30 (m, 1H), 0.14-0.10 (m,1H); Mass Spectrum (CI) m/e=457 (M+1).

EXAMPLE 4

1-(3,4-Dichlorobenzoyl)-3-(RS)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(SR)-(cyclopropyl)pyrrolidine

The title compound was prepared as described in Example 3.

1 H NMR (CDCl 3 ) d (key peaks) 7.64 (m, 1H), 7.51 (m, 1H), 7.39 (m,1H), 0.80-0.40 (m,3H), 0.30-0.01 (m, 2H); Mass Spectrum (CI) m/e=475 (M+1 35Cl, 35Cl) 477 (M+1 37Cl, 37Cl).

EXAMPLE 5

1-(4-Chlorobenzyl)-3-(RS)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(SR)-(cyclopropyl)pyrrolidine

To a solution of 0.02 g (0.07 mmol) of 3-(RS)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(SR)-(cyclopropyl)pyrrolidine and 0.018 g (0.1 mmol) of 4-chlorobenzaldehyde (Aldrich) in 5 mL of dichloroethane at rt was added 0.063 g (0.3 mmol) of sodium triacetoxyborohydride and the reaction mixture was stirred for 3 h. To the reaction mixture was added a few drops of H 2 O and 5 mL of sat'd K 2 CO 3 solution. The reaction mixture was extracted with ethyl acetate. The organic fractions were dried over Na 2 SO 4 , filtered and the filtrate was concentrated. The residue was purified by chomatography (silica, acetone: hexanes, 15%) to give the title compound.

1 H NMR (CDCl 3 ) d (key peaks) 7.57 (m, 2H), 7.37 (m, 2H), 7.15 (m,1H), 6.95 (m, 1H), 0.94-0.65 (m, 1H), 0.62-0.42 (m, 2H), 0.26-0.04 (m, 2H); Mass Spectrum (CI) m/e 427 (M+1 35Cl) and 429 (M+1 37Cl).

EXAMPLE 6

1-(1-Naphthoyl)-3-(RS)-(4hydroxy-4-(3-phenylpropyl)piperidinylmethyl)-4-(SR)-(cyclopropyl)pyrrolidine

Step 1. 1-Allyl-3-(RS)-(4-hydroxy-4-(3-phenylpropyl)piperidinylmethyl)-4-(SR)-(cyclopropyl)pyrrolidine

The title compound was prepared from 1-allyl-3-(RS)-formyl-4-(SR)-(cyclopropyl)pyrrolidine and 4-hydroxy-4-(3-phenylpropyl)piperidine as described in Example 1, Step 7.

Step 2. Preparation of 4-hydroxy-4-(3-phenylpropyl)piperidine

Step 2A. 1-Benzyl-4-hydroxy-4-(3-phenylpropyl)piperidine

To a solution of 3.8 mL (25 mmol) of 1-bromo-3-phenyl propane in 200 mL of ether at −78° C. was slowly added 30 mL (50 mmol) of t-BuLi (1.7 M in pentane). The reaction mixture was warmed to −20° C. for 15 min, then it was recooled to −78° C. To this reaction mixture was slowly added a solution of 2.61 g (13.8 mmol) of 1-benzyl-4-piperidone in 20 mL of ether. After 15 min, the reaction mixture was poured into, 200 mL of sat'd NH 4 Cl solution. The reaction mixture was extracted with ethyl acetate and the combined organic fractions were washed with sat'd NaCl solution, dried over MgSO 4 filtered and the filtrate was concentrated. The residue was purified by chromatography (silica, hexanes:ethyl acetate, 1:1) to give 3.3 g of the title compound.

Step 2B. 4-Hydroxy-4-(3-phenylpropyl)piperidine

A mixture of 3.3 g (10.7 mmol) of 1-benzyl-4-hydroxy-4-(3-phenylpropyl)piperidine and 0.5 g of Pd(OH) 2 (Pearlman's catalyst) in 80 mL of MeOH was hydrogenated at 50 psi for 24 h. The reaction mixture was filtered through a thin pad of celite and concentrated to give the title compound.

Step 3. 1-(1-Naphthoyl)-3-(RS)-(4-hydroxy-4-(3-phenylpropyl)piperidinylmethyl)-4-(SR)-(cyclopropyl)pyrrolidine

The title compound was prepared from 3-(RS)-(4-hydroxy-4-(3-phenylpropyl)piperidinylmethyl)-4-(RS)-(cyclopropyl)pyrrolidine by procedures described in Examples 2 and 3.

Mass Spectrum (CI) m/e=497 (M+1).

EXAMPLE 7

1-(3,4-Dichlorobenzoyl)-3-(RS)-(4-hydroxy-4-(3-phenylpropyl) piperidinylmethyl)-4-(SR)-(cyclopropyl)pyrrolidine

The title compound was prepared from 3-(RS)-(4-hydroxy-4-(3-phenylpropyl)piperidinylmethyl)-4-(SR)-(cyclopropyl)pyrrolidine as described in Example 6. Mass Spectrum (CI) m/e=515 (M+1 35Cl, 35Cl) and 517 (M+1 37Cl, 37Cl).

EXAMPLE 8

1-(4-Chlorobenzyl)-3-(RS)-(4hydroxy-4-(3-phenylpropyl)piperidinylmethyl)-4-(SR)-(cyclopropyl)pyrrolidine

The title compound was prepared from 3-(RS)-(4-hydroxy-4-(3-phenylpropyl)piperidinylmethyl)-4-(SR)-(cyclopropyl)pyrrolidine as described in Example 5. Mass Spectrum (CI) m/e=467 (M+1 35Cl) and 469 (M+1 37Cl).

EXAMPLE 9

1-(1-Naphthoyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine

Step 1. 3-(Cyclopropyl)acrylic acid

A solution of 6 g (48 mmol) of methyl-3-(cyclopropyl)acrylate (Example 1, Step 3) and 5.7 g (100 mmol) of KOH in 25 mL of MeOH and 2 mL of H 2 O was stirred at 40° C. for 2 h. The reaction mixture was concentrated. Addition of 2N HCl to the residue resulted in its precipitation as a white solid. The solid was collected by filtration and was washed with H 2 O and dried to give 4.5 g of the title compound.

Step 2. N-trans-3-(Cyclopropyl)acryloyl-4-(S)-benzyl-2-oxazolidinone

To a solution of 2.8 g (25 mmol) of 3-(cyclopropyl)acrylic acid and 4.6 mL (33 mmol) of triethylamine in 150 mL of THF at 0° C. was added 3.7 ML (30 mmol) of pivaloyl chloride. The reaction mixture was allowed to warm to rt and was stirred for 2 h, then was cooled to −78° C.

Meanwhile, to a solution of 5.3 g (30 mmol) of (S)-benzyl-2-oxazolidinone in 50 mL of THF at −78° C. under nitrogen, was added 22 mL of nbutyllithium (1.6M, 35 mmol) and the solution was stirred for 30 min at −78° C. This was added via cannula to the first solution. After addition was complete, the solution was allowed to warm to room temperature for 2 h.

The reaction was quenched by addition of saturated aqueous NH 4 Cl and the mixture was extracted with ethyl acetate. The organic layer was washed with brine, dried over MgSO 4 , and filtered. The solution was concentrated and the residue was purified by chromatography (silica, ethyl acetate:hexanes, 1:5) to afford 3.2 g the title compound; 1 H NMR (CDCl 3 ) d 7.38-7.18 (m, 5H), 6.68 (m, 1H), 4.72 (m, 1H), 4.19 (m, 1H), 3.32 (m, 1H), 2.82 (m, 1H),1.74 (m, 1H), 1.04 (m, 2H), 0.74 (m, 2H); Mass spectrum (ESI) m/e=272 (M+1).

Step 3. (S)-N-(1-Allyl-4-(S)-(cyclopropyl)-3-(R)-pyrrolidinylcarbonyl)-4-benzyl-2-oxazolidinone and (S)-N-(Allyl-4-(R)-(cyclopropyl)-3-(S)-pyrrolidinylcarbonyl)-4-benzyl-2-oxazolidinone

To a solution of 1.9 g (7 mmol) of N-trans-3-(cyclopropyl)acryloyl-4-(S)-benzyl-2-oxazolidinone (Step 2) in 50 mL of CH 2 Cl 2 at 0° C. was added 2.2 g (12 mmol) of N-(methoxymethyl-N-trimethyl silylmethylallylamine (Example 1, Step 2). Then 0.2 mL (2.6 mmol) of trifluoroacetic acid was added and the solution was stirred at 0° C. for 3 h. The solution was poured into saturated NaHCO 3 solution and the layers were separated. The aqueous layer was washed with CH 2 Cl 2 and the combined organic fractions were washed with brine, dried over MgSO 4 , filtered, and the filtrate was concentrated. the residue was purified by chromatography (silica, ethyl acetate:hexanes, 1:4 to 1:2) to afford 2 g of the title compound (S)-N-[(1-Allyl)-4-(R)-(cyclopropyl)-3-(R)-pyrrolidinylcarbonyl]-4-benzyl-2-oxazolidinone. 1 H NMR (CDCl 3 ) d (key peaks) 7.88-7.16 (m, 5H), 5.91 (m, 1H), 5.21 (m, 1H), 5.12 (m, 1H), 4.70 (m, 1H), 0.85 (m, 1H), 0.48 (m, 2H), 0.18 (m, 2H); Mass spectrum (ESI) m/e=355 (M+1).

Futher elution afforded 0.85 g of the title compound (S)-N-[(1-allyl)-4-(S)-(cyclopropyl)-3-(S)-pyrrolidinylcarbonyl]-4-benzyl-2-oxazolidinone. Mass spectrum (ESI) m/e=355 (M+1).

Step 4. 1-Allyl-3-(S)-hydroxymethyl-4-(S)-(cyclopropyl)pyrrolidine

To a solution of 0.7 g (2 mmol) of (S)-N-[(1-allyl)-4-(S)-(cyclopropyl)-3-(S)-pyrrolidinylcarbonyl]-4-benzyl-2-oxazolidinone (Step 2) in 5 mL of THF at 0° C. was added 2.2 mL (2.2 mmol) of a solution of LiAlH 4 (1.0 M in THF). The solution was stirred at rt for 3 h, then was quenched by addition of 5 mL of sat'd Na 2 SO 4 and 5 mL of ether. The combined organic fractions were dried over Na 2 SO 4 , filtered, and the filtrate concentrated. The residue was purified by chromatography (silica, acetone:hexanes, 1:5) to afford 0.3 g of the title compound.

1 H NMR (CDCl 3 ) d (key peaks) 5.89 (m, 1H), 5.20 (m, 1H), 5.11 (m, 1H), 3.72 (m, 1H), 3.53 (m, 1H), 0.76 (m, 1H), 0.45 (m, 2H), 0.12 (m, 2H); Mass spectrum (ESI) m/e=182 (M+1); [a] D =31 2.43 (c.=1.60, CHCl 3 ).

Step 5. 1-Allyl-3-(S)-formyl-4-(S)-(cyclopropyl)pyrrolidine

A solution of 1.6 mL (3.2 mmol) of oxalyl chloride (2M in CH 2 Cl 2 ) was cooled to −78° C. under nitrogen. To this was added 0.45 mL (6.7 mmol) of DMSO and the mixture was stirred at −78° C. for 15 min. A solution of 0.29 g (1.6 mmol) of 1-allyl-3-(S)-hydroxymethyl-4-(S)-(cyclopropyl)pyrrolidine in 2 mL of dry CH 2 Cl 2 was added and the mixture was stirred at −78° C. for 30 min. Then 0.95 mL (6.8 mmol) of triethylamine were added and the solution was allowed to warm to 0° C. over 1 h. The reaction mixture was partitioned between 40 mL of ether and 20 mL of water and the layers were separated. The aqueous layer was washed with ether and the combined organic extracts were washed with saturated NaHCO 3 solution and sat'd NaCl solution. The organic fraction was dried over Na 2 SO 4 , filtered, and concentrated to afford the title compound, which was used directly in the next step.

Step 6. 1-Allyl-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine

The title compound was prepared as described in Example 1, Step 7.

Mass spectrum (ESI) m/e=343 (M+1).

Step 7. 3-(S)-(4-(4-Fluorophenyl)piperidinylmethyl)-4-(S)(cyclopropyl)pyrrolidine

The title compound was prepared as described in Example 2. Mass Spectrum (ESI) m/e 303 (M+1).

Step 6. 1-(1-Naphthoyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine

The title compound was prepared from 3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine and 1-naphtbyl chloride as described in Example 3. Mass Spectrum (ESI) m/e 457 (M+1).

EXAMPLE 10

1-(3-Thienlcarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine

The title compound was prepared as described in Example 9.

Mass Spectrum (ESI) m/e 413 (M+1).

EXAMPLE 11

1-(7-Indolecarbonyl)-3-(R)-(4-(4fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine

To a solution of 0.02 g (0.067 mmol) of 3-(S)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine and 0.0012 g of (0.01 mmol) dimethylanrinopyridine (DMAP) in 2 mL of CH 2 Cl 2 at rt was added 0.019 g (0.1 mmol) of 1,3-(3-dimethylaminopropyl)-3-ethylcarbodiimide hydrochloride (EDC) and 0.016 g (0.1 mmol) of 7-indolecarboxylic acid and the reaction mixture was stirred for 1 h. The reaction mixture was partitioned between ethyl acetate and sat'd NaHCO 3 solution. The organic fraction was dried over MgSO 4 , filtered and the filtrate was concentrated. The residue was purified by chomatography (HPLC Waters Nova-Pak 8×10 RCM 25-40% MeOH in H 2 O 0.5% TFA) to give the title compound.

1 H NMR (CD 3 OD) d (key peaks) 7.91 (m, 1H), 7.50 (m, 1H), 7.39 (m, 1H), 7.32-7.22 (m, 1H), 7.10-7.01 (m, 3H), 0.82-0.10 (m, 5H); Mass Spectrum (ESI) m/e 446 (M+1).

EXAMPLE 12

1-(7-Benzo-2,3-dihydrofuranylcarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine

The title compound was prepared as described in Example 9.

Mass Spectrum (ESI) m/e 449 (M+1).

EXAMPLE 13

1-(4-Indolecarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine

The title compound was prepared as described in Example 11.

Mass Spectrum (ESI) m/e 446 (M+1).

EXAMPLE 14

1-(2,4-Dichlorobenzoyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine

The title compound was prepared as described in Example 9.

Mass Spectrum (ESI) m/e 475 (M+1 35Cl, 35Cl), 477 (M+1 37Cl, 37Cl).

EXAMPLE 15

1-(3,4-Dichlorobenzoyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4′-(S)-(cyclopropyl)pyrrolidine

The title compound was prepared as described in Example 9.

Mass Spectrum (ESI) m/e 475 (M+1 35Cl, 35Cl), 477 (M+1 37Cl, 37Cl).

EXAMPLE 16

1-(8-Quinolinecarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine

The title compound was prepared as described in Example 9.

Mass Spectrum (ESI) m/e 458 (M+1).

EXAMPLE 17

1-(N-Methyl-7-indolecarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine

To a solution of 0.015 g (0.06 mmol) of 18-crown-6 and 0.060 mL (0.06 mmol) of KOtBu (1M in THF) in 2 mL of THF was added 0.15 g (0.34 mmol) of 1-(7-indolecarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine and the mixture was stirred for 15 min after which 0.0062 mL (0.1 mmol) methyl iodide was added. After 2 h another 0.005 mL of methyl iodide was added and the reaction mixture was stirred for 1 h. The reaction mixture was partitioned between ethyl acetate and sat'd NaHCO 3 solution. The organic fraction was dried over MgSO 4 , filtered and the filtrate was concentrated. The residue was purified by chomatography (silica, Waters RCM 8×10 Novapak) (acetone:hexanes, 1:5) to give the title compound. 1 H NMR (CD 3 OD) d (key peaks) 7.58 (m, 2H), 7.15-6.92 (m, 5H), 7.39 (m, 1H), 6.53 (m, 1H), 3.80 (s, 3H), 0.06 (m, 5H); Mass Spectrum (CI) m/e=460 (M+1).

EXAMPLE 18

1-(N-Methyl-7-indolinylcarbonyl-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine

Step 1. N-methylindoline

To a solution of 4.5 (40 mmol) of indoline and 9.8 nL (56 mmol) of diisopropylethylamine in 8 mL of DMF at rt was slowly added a solution of 3.5 mL (56 mmol) of methyl iodide in 12 mL of DMF and the reaction was stirred for 2 h. The reaction mixture was poured into 80 mL of water and extracted with ether. The combined organic fractions were washed with water and sat'd NaCl solution, dried over MgSO 4 and filtered. The filtrate was concentrated and the residue was purified by chromatography (silica, EtOAc:hexanes, 5:95) to give 3.76 g of the title compound. 1 H NMR (CDCl 3 ) δ7.1 (m, 2H), 6.7 (t, 1H), 6.55 (d, 1H), 3.35 (t, 2H), 3.0 (t, 2H), 2.8 (s, 3H).

Step 2. 7-Carboethoxy-N-methylindoline

To a solution of 2.4 mL (16 mmol) of trimethylethylenediamine (TMEDA) in 4 mL of hexanes under a nitrogen atmosphere at −30° C. was slowly added 9.25 mL (16 mmol) of a 1.7 N solution of t-butyl lithium in pentane. To this yellow slurry was added a solution of 1 g (7.5 mmol) of N-methylindoline in 6 mL of hexanes and the reaction mixture was stirred overnight at rt. The reaction mixture was transferred by cannula to a solution of 4.5 mL (37 mmol) of diethylcarbonate in 5 mL of ether and the reaction mixture was stirred at rt. After 2 h, the reaction mixture was partitioned between water and ethyl acetate. The organic fractions were washed with sat'd NaCl solution, dried over MgSO 4 and filtered. The filtrate was concentrated and the residue was purified by chromatography (silica, ether:hexanes, 5:95) to give 0.3 g of the title compound. 1 H NMR (CDCl 3 ) δ7.5 (d, 1H), 7.15 (d, 1H), 7.15 (d, 1H), 6.7 (t, 1H), 4.4 (q, 2H), 3.5 (t, 2H), 3.0 (t, 2H), 2.9 (s, 3H), 1.4 (t, 3H).

Step 2. 7-Carboxy-N-methylindoline

A mixture of 0.3 g (1.5 mmol) of 7-carboethoxy-N-methylindoline and 0.4 g (7 mmol) of KOH in 5 mL of EtOH and 1 mL of water was stirred at 50° C. After 12 h, the reaction mixture was concentrated and partitioned between water and ether. The aqueous fraction was acidified with 2N HCl and extracted with ether. The acidified aqueous fraction was concentrated to a white residue which was triturated with EtOH. The EtOH fraction was concentrated to give 0.17 g of the title compound. 1 H NMR (CD 3 OD) δ8.1 (d, 1H), 7.8 (d, 1H), 7.65 (t, 1H), 4.0 (t, 2H), 3.45 (t, 2H), 3.3 (s, 3H).

Step 3. 1-(N-Methyl-7-indolinylcarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine

The title compound was prepared from 7-carboxy-N-methylindoline and 3-(S)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine (Example 9) as described in Example 11. Mass Spectrum (EI) m/e 462 (M+1).

EXAMPLE 19

1-(N-Allyl-7-indolecarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine

Step 1. N-Allyl-7-bromoindole

To a mixture of 3.57 g (32 mmol) of potassium t-butoxide and 8.4 g (32 mmol) of 18-crown-6 in 50 mL of ether at rt was added a solution of 5 g (25.5 mmol) of 7-bromoindole. After stirring for 10 min, the reaction mixture was cooled to 0° C. and to it was added 4 mL (46 mmol) of allyl bromide. After stirring for 24 h, the reaction mixture was partitioned between water and ether. The organic fractions were washed with sat'd NaCl solution, dried over MgSO 4 and filtered. The filtrate was concentrated and the residue was purified by chromatography (silica, hexanes) to give 4.3 g of the title compound. 1 H NMR (CDCl 3 ) δ7.6 (d, 1H), 7.4 (d, 1H), 7.1 (s, 1H), 7.0 (t, 1H), 6.55 (s, 1H), 6.1 (m, 1H), 5.22 (m, 2H), 5.18 (dd, 1H), 4.9 (dd, 1H).

Step 2. 7-Carboethoxy-N-allylindole

To a solution of 4.3 g (18 mmol) of N-allyl-7-bromoindole in 10 mL of ether at −78° C. was added by cannula 22.5 mL (38 mmol) of a 1.7 N solution of t-butyl lithium in pentane that had been cooled to −78° C. After stirring for 10 min, this reaction mixture was slowly transferred by cannula to a solution of 8.8 mL (72 mmol) of diethyl carbonate in 40 mL of ether cooled at −78° C., and the reaction mixture was allowed to slowly warm to rt. After stirring for 1 h, the reaction mixture was quenched with water and extracted with ether. The combined organic fractions were washed with water and a sat'd solution of NaCl, dried over MgSO 4 and filtered. The filtrate was concentrated and the residue was purified by chromatography (silica, 1% ether:hexanes) to give 3.3 g of the title coimpound. 1 H NMR (CDCl 3 ) δ7.8 (d, 1H), 7.7 (d, 1H), 7.1 (m, 2H), 6.6 (d, 1H), 5.9 (m, 1H), 5.1 (d, 1H), 5.0 (m, 2H), 4.85 (d, 1H), 4.4 (q, 2H), 1.4 (t, 3H).

Step 3. 7-Carboxy-N-allylindole

The title compound was prepared from 7-carboethoxy-N-allylindole according to procedures described in Example 18 Step 2. 1 H NMR (CDCl 3 ) δ7.9 (m, 2H), 7.2 (m, 2H), 6.65 (d, 1H), 5.95 (m, 1H), 5.15 (m, 3H), 4.9 (d, 1H).

Step 4. 1-(N-Allyl-7-indolecarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine

The title compound was prepared from 7-carboxy-N-allylindole and 3-(S)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine (Example 11) as described in Example 11. Mass Spectrum (EI) m/e 486 (M+1).

EXAMPLE 20

1-(N-(3-methoxypropyl)-7-indolecarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine

The title compound was prepared as described in Example 19. Mass Spectrum (EI) m/e 518 (M+1).

The preparation of the precursor 7-carboethoxy-N-(3-methoxypropyl)indole is described.

Step 1. 7-Carboethoxy-N-(3-hydroxypropyl)indole

To a solution of 4 g (17 mmol) of 7-carboethoxy-N-allylindole (Example 19, Step 2) in 35 mL of THF at 0° C. was added dropwise 8.8 mL (8.8 mmol) of a 1M solution of borane in THF. After stirring at 0° C. for 2 h, 3 mL (0.006 mol) of a 2N solution of NaOH in water was added to the reaction mixture followed by 1.8 mL (0.017 mol) of a solution of hydrogen peroxide in water (30% w/w). After stirring for 1 h, the reaction mixture was partitioned between water and ether. The aqueous layer was extracted with ether and the combined organic fractions were washed with water and sat'd NaCl solution, dried over MgSO 4 and filtered. The filtrate was concentrated and the residue was purified by chromatography (silica, acetone:hexanes, 1:3) to give 1.7 g of the title compound. 1 H NMR (CDCl 3 ) δ7.8 (dd, 1H), 7.7 (dd, 1H), 7.18 (d, 1H), 7.12 (t, 1H), 6.6 (d, 1H), 4.54 (t, 2H), 4.45 (q, 2H), 3.5 (t, 2H), 1.9 (m, 2H), 1.45 (t, 3H).

Step 2. 7-Carboethoxy-N-(3-methoxypropyl)indole

To a solution of 0.4 g (1.6 mmol) of 7-carboethoxy-N-(3-hydroxypropyl)indole and 0.6 mL (9.6 mmol) of methyl iodide in 1 mL of DMF in a covered flask at rt was added 0.46 g (2 mmol) of Ag 2 O and the reaction mixture was stirred for 12 h. The reaction mixture was filtered through a pad of celite and concentrated. The residue was partitioned between water and EtOAc. The organic fraction was dried over MgSO 4 , filtered and concentrated. The residue was purified by chromatography (silica, EtOAc:hexanes, 1:10) to give 0.38 g of the title compound. 1 H NMR (CDCl 3 ) δ7.8 (d, 1H), 7.75 (d, 1H), 7.2 (m, 2H), 6.6 (d, 1H), 4.6 (t, 2H), 4.5 (q, 2H), 3.3 (s, 3H), 3.15 (t, 2H), 1.95 (m, 2H), 1.45 (t, 3H).

EXAMPLE 21

1-(N-(3-Aminopropyl)-7-indolecarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine

Step 1. 7-Carboethoxy-N-(3-phthalidamidopropyl)indole

A mixture of 1 g (4 mmol) of 7-carboethoxy-N-(3-hydroxypropyl)indole (Example 20, Step 1), 1.23 g (8.4 mmol) of phthalimide, 2.12 g (8 mmol) of triphenylphosphine and 1.28 g (8 mmol) of diethylazodicarboxylate in 15 mL of THF was stirred for 12 h at rt. The reaction mixture was concentrated and partitioned between ether and water that had been made basic. The combined organic fractions were dried over MgSO 4 , filtered andthe filtrate was concentrated. The residue was purified by chromatography (silica, EtOAc:hexanes, 1:4) to give 1.09 g of the title compound. 1 H NMR (CDCl 3 ) δ7.8 (m, 2H), 7.7 (m, 4H), 7.2 (d, 1H), 7.1 (t, 1H), 4.45 (t, 2H), 4.2 (q, 2H), 3.7 (t, 2H), 2.1 (m, 2H), 1.35 (t, 3H).

Step 2. 7-Carboethoxy-N-(3-t-butoxycabonylaminopropyl)indole

To a solution of 0.93 g (2.5 mmol) of carboethoxy-N-(3-phthalidamidopropyl)indole in 21 mL of isopropanol and 3.5 mL of water was added 0.47 g (12 mmol) of NaBH 4 and the reaction mixture was stirred overnight at rt. To the reaction mixture was carefully added 2.4 mL of glacial acetic acid and the reaction mixture was heated at reflux for 24 h. The reaction mixture was concentrated and the residue was partitioned between EtOAc and 2N HCl. The aqueous layer was made basic with solid K 2 CO 3 and extracted with EtOAc. The combined organic fractions were washed with sat'd NaCl solution, dried over Na 2 SO 4 , filtered and the filtrate was concentrated to give 0.57 g of 7-carboethoxy-N-(3-aminopropyl)indole that was used without further purification.

A mixture of 0.57 g (2 mmol) of 7-carboethoxy-N-(3-aminopropyl)indole and 0.535 g (2.45 mmol) of BOC 2 O in 7 mL of THF was stirred overnight at rt. The reaction mixture was concentrated and the residue was purified by chromatography (silica, acetone:hexanes, 1:10) to give 0.53 g of the title compound. NMR (CDCl 3 ) δ7.8 (d, 1H), 7.7 (d, 1H), 7.1 (m, 2H), 6.6 (d, 1H)., 4.45 (q, 2H), 4.4 (t, 2H), 3.05 (m, 2H), 1.9 (m, 2H), 1.4 (m, 12H).

Step 3. 7-Carboxy-N-(3-t-butoxycabonylaminopropyl)indole

The title compound (0.38 g) was prepared from 7-carboethoxy-N-(3-t-butoxycabonylaminopropyl)indole according to procedures described in Example 18, Step 2. NMR (CD 3 OD) δ7.6 (d, 1H), 7.4 (d, 1H), 7.2 (s, 1H), 7.0 (t, 1H), 6.5 (s, 1H), 4.45 (m, 2H), 2.9 (m, 2H), 1.85 (m, 2H), 1.4 (s, 9H).

Step 4. 1-(N-(3-Aminopropyl)-7-indolecarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine.

1-(N-(3-t-butoxycarbonylaminopropyl)-7-indolecarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine (0.13 g) was prepared from 0.125 g (4 mmol) of 3-(S)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine (Example 9) and 0.13 g (4.3 mmol) of 7-carboxy-N-(3-t-butoxycabonylaminopropyl)indole as described in Example 11. It was purified by chromatography (silica, acetone:hexanes, 3:7).

To a solution of 0.1 g (0.16 mmol) of 1-(N-(3-t-butoxycarbonyl aminopropyl)-7-indolecarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine in 2 mL of CH 2 C 2 was added 0.3 mL of a 1M solution of TFA in dichloroethane and the reaction mixture was stirred at rt for 24 h. The reaction mixture was then diluted with toluene and concentrated. The residue was purified by chromatography (silica, CHCl 3 : MeOH: NH 3 , 90:10:1) to give 0.07 g of the title compound. Mass Spectrum (EI) m/e 503 (M+1).

EXAMPLE 22

1-(N-(3-Ethoxycarbonylaminopropyl)-7-indolecarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine

To a solution of 0.02 g (0.4 mmol) of 1-(N-(3-aminopropyl)-7-indolecarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine and 0.02 mL (0.12 mmol) of diisopropylethylamine in 2 mL of CH 2 C 2 was added 0.007 mL (3 mmol) of ethylchlorofornate and the reaction mixture was stirred overnight at rt. To the reaction mixture was added 1 mL of sat'd NaHCO 3 solution and the mixture was partitioned between EtOAc and water. The organic fractions were washed with sat'd NaCl solution, dried over MgSO 4 , filtered and the filtrate was concentrated. The residue was purified by chromatography (silica, acetone:hexanes, 1:3) to give 15 mg of the title compound. Mass Spectrum (EI) m/e 575 (M+1).

EXAMPLE 23

1-(N-(3-Methylsulfonylaminopropyl)-7-indolecarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine

A solution of 0.021 g (0.042 mmol) of 1-(N-(3-aminopropyl)-7-indolecarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine, 0.009 mL (0.065 mmol) of triethylamine and 0.009 g (0.05 mmol) of methanesulfonic anydride in 2 mL of CH 2 Cl 2 was stirred for 3 h at rt. To the reaction mixture was added 1 mL of sat'd NaHCO 3 solution and the mixture was partitioned between EtOAc and water. The organic fractions were washed with sat'd NaCl solution, dried over MgSO 4 , filtered and the filtrate was concentrated. The residue was purified by chromatography (silica, acetone:hexanes, 3:7) to give 16 mg of the title compound. Mass Spectrum (EI) m/e 581 (M+1).

EXAMPLE 24

1-(N-(3-Acetylaminopropyl)-7-indolecarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine

A solution of 0.02 g (0.04 mmol) of 1-(N-(3-aminopropyl)-7-indolecarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine, 0.025 mL (0.18 mmol) of triethylamine and 0.015 mL (0.16 mmol) of acetic anydride in 2 mL of CH 2 Cl 2 was stirred for 12 h at rt. The reaction mixture was partitioned between EtOAc and water. The organic fractions were washed with sat'd NaCl solution, dried over MgSO 4 , filtered and the filtrate was concentrated. The residue was purified by chromatography (silica, acetone:hexanes, 1:1) to give 17 mg of the title compound. Mass Spectrum (EI) m/e 545 (M+1).

The following compounds are prepared employing the methods as described in the previous Examples.

EXAMPLE 25

1-(1-Naphthoyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclobutyl)pyrrolidine

EXAMPLE 26

1-(7-Indolecarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclobutyl)pyrrolidine

EXAMPLE 27

1-(4-Indolecarbonyl)-3-(R)-(4-(4-fluorophenyl)pipenidinylmethyl)-4-(S)-(cyclobutyl)pyrrolidine

EXAMPLE 28

1-(3,4-Dichlorobenzoyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclobutyl)pyrrolidine

EXAMPLE 29

1-(8-Quinolinecarbonyl)-3-R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclobutyl)pyrrolidine

EXAMPLE 30

1-(N-Methyl -7-indolecarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclobutyl)pyrrolidine

While the invention has been described and illustrated with reference to certain particular embodiments thereof, those skilled in the art will appreciate that various adaptations, changes, modifications, substitutions, deletions, or additions of procedures and protocols may be made without departing from the spirit and scope of the invention. For example, effective dosages other than the particular dosages as set forth herein above may be applicable as a consequence of variations in the responsiveness of the mammal being treated for any of the indications with the compounds of the invention indicated above. Likewise, the specific pharmacological responses observed may vary according to and depending upon the particular active compounds selected or whether there are present pharmaceutical carriers, as well as the type of formulation and mode of administration employed, and such expected variations or differences in the results are contemplated in accordance with the objects and practices of the present invention. It is intended, therefore, that the invention be defined by the scope of the claims which follow and that such claims be interpreted as broadly as is reasonable.

Claims

1. A compound of the formula I: wherein:R1 is —X—R8, wherein X is selected from the group consisting of:(1) —CH2—, (2) —CO—, (3) —CH2CH2—, (4) —CH2CH2CH2—, and (5) —CH(C1-6 alkyl)-, and wherein R8 is a selected from:phenyl, naphthyl, biphenyl, fluorenyl, indenyl, indanyl, dihydronaphthyl, tetrahydronaphthyl, octahydronaphthyl, adamantyl, and heterocycle, which may be unsubstituted or substituted, where the substituents are independently selected from: (a) C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, wherein the alkyl, alkenyl, or alkynyl is unsubstituted or substituted, wherein the substituents are independently selected from: (i) hydroxy, (ii) halogen, (iii) —NR9R10, wherein R9 and R10 are independently selected from hydrogen, C1-6 alkyl, C2-6 alkenyl, and C2-6 alkynyl, wherein the alkyl, alkenyl, or alkynyl is unsubstituted or substituted, wherein the substituents are independently selected from: (A) phenyl, unsubstituted or substituted, wherein the substituents are independently selected from: halogen, hydroxy, C1-6alkyl, C1-6 alkoxy, —CO2(C1-6 alkyl), —NH2, —NH(C1-6 alkyl), —N(C1-6 alkyl)(C1-6 alkyl), or trifluoromethyl, (B) naphthyl, unsubstituted or substituted, wherein the substituents are independently selected from: halogen, hydroxy, C1-6 alkyl, C1-6 alkoxy, —CO2(C1-6 alkyl), —NH2, —NH(C1-6 alkyl), —N(C1-6 alkyl)(C1-6 alkyl), or trifluoromethyl, (C) heterocycle, unsubstituted or substituted, wherein the substituents are independently selected from: halogen, hydroxy, C1-6alkyl, C1-6 alkoxy, —CO2(C1-6 alkyl), —NH2, —NH(C1-6 alkyl), —N(C1-6 alkyl)(C1-6 alkyl), or trifluoromethyl, (D) hydroxy, (E) —O(C1-6 alkyl), (F) —CO2(C1-6 alkyl), (G) —S(O)n—(C1-6 alkyl), wherein n is an integer selected from 0, 1 and 2, (H) halogen, (I) —NH2, (J) —NH(C1-6 alkyl), and (K) —N(C1-6 alkyl)(C1-6 alkyl), (iv) —NR9—COR10, (v) —NR9—CO2R10, (vi) —CO—NR9R10, (vii) —OCO—NR9R10, (viii) —NR9CO—NR9R10, (ix) —S(O)2—NR9R10, wherein n is an integer selected from 0, 1 and 2, (x) —NR9S(O)2—R10, (xi) —NR9S(O)2—NR9R10, (xii) —S(O)n—R9, (xiii) —CF3, (xiv) —CHF2, (xv) —CH2F, (xvi) —O—R9, (xvii) —O(C1-6 alkyl)-O—R9, (xviii) phenyl, (xix) naphthyl, (xx) indenyl, (xxi) indanyl, (xxii) heterocycle, (xxiii) —CO-phenyl, (xxiv) —CO-naphthyl, (xxv) —CO-indenyl, (xxvi) —CO-indanyl, (xxvii) —CO-heterocycle, (xxviii) —OCO—R9, (xxix) —OCO2—R9, and (xxx) —CO—R9, (b) —O—C1-6 alkyl, —O—C2-6 alkenyl, —O—C2-6 alkynyl, wherein the alkyl, alkenyl, or alkynyl is unsubstituted or substituted, wherein the substituents are independently selected from: (i) hydroxy, (ii) halogen, (iii) —NR9R10, (iv) —NR9—COR10, (v) —NR9—CO2R10, (vi) —CO—NR9R10, (vii) —OCO—NR9R10, (viii) —NR9CO—NR9R10, (ix) —S(O)2—NR9R10, (x) —NR9S(O)2—R10, (xi) —NR9S(O)2—NR9R10, (xii) —S(O)n—R9, (xiii) —CF3, (xiv) —CHF2, (xv) —CH2F, (xvii) —O—R9, (xvii) —O(C1-6 alkyl)-O—R9, (xviii) phenyl, (xix) naphthyl, (xx) indenyl, (xxi) indanyl, (xxii) heterocycle, (xxiii) —CO-phenyl, (xxiv) —CO-naphthyl, (xxv) —CO-indenyl, (xxvi) —CO-indanyl, (xxvii) —CO-heterocycle, (xxviii) —OCO—R9, (xxix) —OCO2—R9, and (xxx) —CO—R9, (c) —NO2, (d) hydroxy, (e) halogen, (f) —NR9R10, (g) —NR9—COR10, (h) —NR9—CO2R10, (i) —CO—NR9R10, (j) —OCO—NR9R10, (k) —NR9CO—NR9R10, (l) —S(O)2—NR9R10, (m) —NR9S(O)2—R10, (n) —NR9S(O)2—NR9R10, (o) —S(O)n—R9, (p) —CF3, (q) —CHF2, (r) —CH2F, (s) —OCO—R9, (t) —OCO2—R9, and (u) —CO—R9; R2 is selected from the group consisting of: wherein R5 is a selected from:(1) —NR6CO—O—R7, wherein R6 is hydrogen, C1-6 alkyl or C1-6 alkyl-C5-6 cycloalkyl, and R7 is C1-6 alkyl, C5-6 cycloalkyl, benzyl or phenyl, wherein the alkyl, cycloalkyl, benzyl or phenyl is unsubstituted or substituted with halogen, C1-3alkyl, C1-3 alkoxy or trifluoromethyl, (2) phenyl, which is unsubstituted or substituted with halogen, hydroxy, C1-6 alkyl, C1-6 alkoxy, —CO2(C1-6 alkyl), —NH2, —NHR9, —NR9R10, or trifluoromethyl, (3) -pyridyl, (4) -thienyl, (5) —C1-6alkyl-phenyl, —C1-6 alkyl-naphthyl, —C1-6 alkyl-indenyl, —C1-6 alkyl-indanyl, and —C1-6 alkyl-heterocycle, wherein the phenyl, naphthyl, indenyl, indanyl, or heterocycle is unsubstituted or substituted with: halogen, hydroxy, C1-6 alkyl, C1-6 alkoxy, —CO2(C1-6 alkyl), —NH2, —NHR9, —NR9R10, or trifluoromethyl; and wherein the —C1-6 alkyl is optionally substituted with oxo, hydroxy, C1-6 alkoxy, acetoxy, or halogen, (6) —O—C1-6 alkyl-phenyl, —O—C1-6 alkyl-naphthyl, —O—C1-6 alkyl-indenyl, —O—C1-6 alkyl-indanyl, and —O—C1-6 alkyl-heterocycle, wherein the phenyl, naphthyl, indenyl, indanyl, or heterocycle is unsubstituted or substituted with: halogen, hydroxy, C1-6 alkyl, C1-6 alkoxy, —CO2(C1-6 alkyl), —NH2, —NHR9, —NR9R10, or trifluoromethyl, (7) —C1-4alkyl-O—C1-4alkyl-phenyl, wherein the phenyl is unsubstituted or substituted with halogen, hydroxy, C1-6alkyl, C1-6 alkoxy, —CO2(C1-6 alkyl), —NH2, —NHR9, —NR9R10, or trifluoromethyl, and (8) —C1-4alkyl-S(O)n—C1-4alkyl-phenyl, wherein the phenyl is unsubstituted or substituted with halogen, hydroxy, C1-6 alkyl, C1-6 alkoxy, —CO2(C1-6 alkyl), —NH2, —NHR9, —NR9R10, or trifluoromethyl; and wherein R11 is a selected from:(1) -hydrogen, (2) —OH, (3) —C1-6 alkyl, and (4) -halogen; R3 is a 3- or 4-membered ring selected from: cyclopropyl, cyclobutyl, aziridinyl, azetidinyl, oxiranyl and oxycyclobutyl; which may be unsubstituted or substituted, where the substituents are independently selected from:(1) C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, wherein the alkyl, alkenyl, or alkynyl is unsubstituted or substituted, wherein the substituents are independently selected from: (a) hydroxy, (b) halogen, (c) —NH2, (d) —NHR9, (e) —NR9R10, (f) —NR9—COR10, (g) —NR9—CO2R10, (h) —CO—NR9R10, (i) —CO—R9, (j) —S(O)2—NR9R10, (k) —CF3, (l) —CHF2, (m) —CH2F, (n) —O—R9, (o) —O(C1-6 alkyl)-O—R9, and (p) phenyl, (2) —O—C1-6alkyl, unsubstituted or substituted with a substituent which is independently selected from: (a) hydroxy, (b) halogen, (c) —NH2, (d) —NHR9, (e) —NR9R10, (f) —NR9—COR10, (g) —NR9—CO2R10, (h) —CO—NR9R10, (i) —CO—R9, (j) —S(O)2—NR9R10, (k) —CF3, (l) —CHF2, (m) —CH2F, (n) —O—R9, (o) —O(C1-6 alkyl)-O—R9, and (p) phenyl, (3) hydroxy, (4) halogen, (5) —NH2, (6) —NHR9, (7) —NR9R10, (8) —NR9—COR10, (9) —NR9—CO2R10, (10) —CO—NR9R10, (11) —CO—R9, (12) —S(O)2—R9, (13) —S(O)2—NR9R10, (14) —CF3, (15) —CHF2, (16) —CH2F, (17) —O—R9, (18) —O(C1-6 alkyl)-O—R9, and (19) phenyl, R4c, R4d, and R4f are independently selected from the group consisting of:(1) hydrogen, and (2) C1-6 alkyl; and pharmaceutically acceptable salts thereof and individual diastereomers thereof.

2. A compound of the formula Ib: wherein:R1 is —X—R8, wherein X is selected from the group consisting of:(1) —CH2—, (2) —CO—, and (3) —CH2CH2—, and wherein R8 is a selected from:phenyl, naphthyl, biphenyl, fluorenyl, indenyl, indanyl, dihydronaphthyl, tetrahydronaphthyl, octahydronaphthyl, adamantyl, and heterocycle, which may be unsubstituted or substituted, where the substituents are independently selected from: (a) C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, wherein the alkyl, alkenyl, or alkynyl is unsubstituted or substituted, wherein the substituents are independently selected from: (i) hydroxy, (ii) halogen, (iii) —NR9R10, wherein R9 and R10 are independently selected from hydrogen, C1-6 alkyl, C2-6 alkenyl, and C2-6 alkynyl, wherein the alkyl, alkenyl, or alkynyl is unsubstituted or substituted, wherein the substituents are independently selected from: (A) phenyl, unsubstituted or substituted, wherein the substituents are independently selected from: halogen, hydroxy, C1-6alkyl, C1-6alkoxy, —CO2(C1-6 alkyl), —NH2, —NH(C1-6 alkyl), —N(C1-6 alkyl)(C1-6 alkyl), or trifluoromethyl, (B) naphthyl, unsubstituted or substituted, wherein the substituents are independently selected from: halogen, hydroxy, C1-6alkyl, C1-6alkoxy, —CO2(C1-6 alkyl), —NH2, —NH(C1-6 alkyl), —N(C1-6 alkyl)(C1-6 alkyl), or trifluoromethyl, (C) heterocycle, unsubstituted or substituted, wherein the substituents are independently selected from: halogen, hydroxy, C1-6alkyl, C1-6alkoxy, —CO2(C1-6 alkyl), —NH2, —NH(C1-6 alkyl), —N(C1-6 alkyl)(C1-6 alkyl), or trifluoromethyl, (D) hydroxy, (E) —O(C1-6 alkyl), (F) —CO2(C1-6 alkyl), (G) —S(O)n—(C1-6 alkyl), wherein n is an integer selected from 0, 1 and 2, (H) halogen, (I) —NH2, (J) —NH(C1-6 alkyl), and (K) —N(C1-6 alkyl)(C1-6 alkyl), (iv) —NR9—COR10, (v) —NR9—CO2R10, (vi) —CO—NR9R10, (vii) —OCO—NR9R10, (viii) —NR9CO—NR9R10, (ix) —S(O)2—NR9R10, wherein n is an integer selected from 0, 1 and 2, (x) —NR9S(O)2—R10, (xi) —NR9S(O)2—NR9R10, (xii) —S(O)n—R9, (xiii) —CF3, (xiv) —CHF2, (xv) —CH2F, (xvi) —O—R9, (xvii) —O(C1-6 alkyl)-O—R9, (xviii) phenyl, (xix) naphthyl, (xx) indenyl, (xxi) indanyl, (xxii) heterocycle, (xxiii) —CO-phenyl, (xxiv) —CO-naphthyl, (xxv) —CO-indenyl, (xxvi) —CO-indanyl, (xxvii) —CO-heterocycle, (xxviii) —OCO—R9, (xxix) —OCO2—R9, and (xxx) —CO—R9, (b) —O—C1-6alkyl, —O—C2-6 alkenyl, —O—C2-6 alkynyl, wherein the alkyl, alkenyl, or alkynyl is unsubstituted or substituted, wherein the substituents are independently selected from: (i) hydroxy, (ii) halogen, (iii) —NR9R10, (iv) —NR9—COR10, (v) —NR9—CO2R10, (vi) —CO—NR9R10, (vii) —OCO—NR9R10, (viii) —NR9CO—NR9R10, (ix) —S(O)2—NR9R10, (x) —NR9S(O)2—R10, (xi) —NR9S(O)2—NR9R10, (xii) —S(O)n—R9, (xiii) —CF3, (xiv) —CHF2, (xv) —CH2F, (xvii) —O—R9, (xvii) —O(C1-6 alkyl)-O—R9, (xviii) phenyl, (xix) naphthyl, (xx) indenyl, (xxi) indanyl, (xxii) heterocycle, (xxiii) —CO-phenyl, (xxiv) —CO-naphthyl, (xxv) —CO-indenyl, (xxvi) —CO-indanyl, (xxvii) —CO-heterocycle, (xxviii) —OCO—R9, (xxix) —OCO2—R9, and (xxx) —CO—R9, (c) —NO2, (d) hydroxy, (e) halogen, (f) —NR9R10, (g) —NR9—COR10, (h) —NR9—CO2R10, (i) —CO—NR9R10, (j) —OCO—NR9R10, (k) —NR9CO—NR9R10, (l) —S(O)2—NR9R10, (m) —NR9S(O)2—R10, (n) —NR9S(O)2—NR9R10, (o) —S(O)n—R9, (p) —CF3, (q) —CHF2, (r) —CH2F, (s) —OCO—R9, (t) —OCO2—R9, and (u) —CO—R9; wherein R5 is a selected from:(1) —NR6CO—O—R7, wherein R6 is hydrogen, C1-6 alkyl or C1-6 alkyl-C5-6 cycloalkyl, and R7 is C1-6 alkyl, C5-6 cycloalkyl, benzyl or phenyl, wherein the alkyl, cycloalkyl, benzyl or phenyl is unsubstituted or substituted with halogen, C1-3alkyl, C1-3alkoxy or trifluoromethyl, (2) phenyl, which is unsubstituted or substituted with halogen, hydroxy, C1-6alkyl, C1-6alkoxy, —CO2(C1-6 alkyl), —NH2, —NHR9, —NR9R10, or trifluoromethyl, (3) -pyridyl, (4) -thienyl, (5) —C1-6alkyl-phenyl, —C1-6alkyl-naphthyl, —C1-6alkyl-indenyl, —C1-6alkyl-indanyl, and —C1-6alkyl-heterocycle, wherein the phenyl, naphthyl, indenyl, indanyl, or heterocycle is unsubsituted or substituted with: halogen, hydroxy, C1-6alkyl, C1-6alkoxy, —CO2(C1-6 alkyl), —NH2, —NHR9, —NR9R10, or trifluoromethyl; and wherein the —C1-6alkyl is optionally substituted with oxo, hydroxy, C1-6alkoxy, acetoxy, or halogen, (6) —O—C1-6alkyl-phenyl, —O—C1-6alkyl-naphthyl, —O—C1-6alkyl-indenyl, —O—C1-6alkyl-indanyl, and —O—C1-6alkyl-heterocycle, wherein the phenyl, naphthyl, indenyl, indanyl, or heterocycle is unsubsituted or substituted with: halogen, hydroxy, C1-6alkyl, C1-6alkoxy, —CO2(C1-6 alkyl), —NH2, —NHR9, —NR9R10, or trifluoromethyl, (7) —C1-4alkyl-O—C1-4alkyl-phenyl, wherein the phenyl is unsubsituted or substituted with halogen, hydroxy, C1-6alkyl, C1-6alkoxy, —CO2(C1-6 alkyl), —NH2, —NHR9, —NR9R10, or trifluoromethyl, and (8) —C1-4alkyl-S(O)n—C1-4alkyl-phenyl, wherein the phenyl is unsubsituted or substituted with halogen, hydroxy, C1-6alkyl, C1-6alkoxy, —CO2(C1-6 alkyl), —NH2, —NHR9, —NR9R10, or trifluoromethyl; and wherein R11 is a selected from:(1) -hydrogen, (2) —OH, (3) —C1-6alkyl, and (4) -halogen; R12 and R13 are independently selected from:(1) C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, wherein the alkyl, alkenyl, or alkynyl is unsubstituted or substituted, wherein the substituents are independently selected from: (a) hydroxy, (b) halogen, (c) —NH2, (d) —NHR9, (e) —NR9R10, (f) —NR9—COR10, (g) —NR9—CO2R10, (h) —CO—NR9R10, (i) —CO—R9, (j) —S(O)2—N9R10, (k) —CF3, (l) —CHF2, (m) —CH2F, (n) —O—R9, (o) —O(C1-6 alkyl)-O—R9, and (p) phenyl, (2) —O—C1-6alkyl, unsubstituted or substituted with a substituent which is independently selected from: (a) hydroxy, (b) halogen, (c) —NH2, (d) —NHR9, (e) —NR9R10, (f) —NR9—COR10, (g) —NR9—CO2R10, (h) —CO—NR9R10, (i) —CO—R9, (j) —S(O)2—NR9R10, (k) —CF3, (l) —CHF2, (m) —CH2F, (n) —O—R9, (o) —O(C1-6 alkyl)-O—R9, and (p) phenyl, (3) hydroxy, (4) halogen, (5) —NH2, (6) —NHR9, (7) —NR9R10, (8) —NR9—COR10, (9) —NR9—CO2R10, (10) —CO—NR9R10, (11) —CO—R9, (12) —S(O)2—R9, (13) —S(O)2—NR9R10, (14) —CF3, (15) —CHF2, (16) —CH2F, (17) —O—R9, (18) —O(C1-6 alkyl)-O—R9, and (19) phenyl; m is an integer selected from 0 and 1;and pharmaceutically acceptable salts thereof and individual diastereomers thereof.

3. The compound of claim 2 of the formula Id: wherein:R1 is —X—R8, wherein X is selected from the group consisting of:(1) —CH2—, and (2) —CO—, and wherein R8 is a selected from:phenyl, naphthyl, indenyl, indanyl, indolyl, quinolyl, isoquinolyl, benzofuranyl, dihydrobenzofuranyl, methylenedioxybenzoyl, benzopyrazolyl, and benzotriazolyl, which may be unsubstituted or substituted, where the substituents are independently selected from: (a) C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, wherein the alkyl, alkenyl, or alkynyl is unsubstituted or substituted, wherein the substituents are independently selected from: (i) hydroxy, (ii) halogen, (iii) —NR9R10, wherein R9 and R10 are independently selected from hydrogen, C1-6 alkyl, C2-6 alkenyl, and C2-6 alkynyl, wherein the alkyl, alkenyl, or alkynyl is unsubstituted or substituted, wherein the substituents are independently selected from: (A) phenyl, unsubstituted or substituted, wherein the substituents are independently selected from: halogen, hydroxy, C1-6alkyl, C1-6alkoxy, —CO2(C1-6 alkyl), —NH2, —NH(C1-6 alkyl), —N(C1-6 alkyl)(C1-6 alkyl), or trifluoromethyl, (B) naphthyl, unsubstituted or substituted, wherein the substituents are independently selected from: halogen, hydroxy, C1-6alkyl, C1-6alkoxy, —CO2(C1-6 alkyl), —NH2, —NH(C1-6 alkyl), —N(C1-6 alkyl)(C1-6 alkyl), or trifluoromethyl, (C) heterocycle, unsubstituted or substituted, wherein the substituents are independently selected from: halogen, hydroxy, C1-6alkyl, C1-6alkoxy, —CO2(C1-6 alkyl), —NH2, —NH(C1-6 alkyl), —N(C1-6 alkyl)(C1-6 alkyl), or trifluoromethyl, (D) hydroxy, (E) —O(C1-6 alkyl), (F) —CO2(C1-6 alkyl), (G) —S(O)n—(C1-6 alkyl), wherein n is an integer selected from 0, 1 and 2, (H) halogen, (I) —NH2, (J) —NH(C1-6 alkyl), and (K) —N(C1-6 alkyl)(C1-6 alkyl), (iv) —NR9—COR10, (v) —NR9—CO2R10, (vi) —CO—NR9R10, (vii) —OCO—NR9R10, (viii) —NR9CO—NR9R10, (ix) —S(O)2—NR9R10, wherein n is an integer selected from 0, 1 and 2, (x) —NR9S(O)2—R10, (xi) —NR9S(O)2—NR9R10, (xii) —S(O)n—R9, (xiii) —CF3, (xiv) —CHF2, (xv) —CH2F, (xvi) —O—R9, (xvii) —O(C1-6 alkyl)-O—R9, (xviii) phenyl, (xix) naphthyl, (xx) indenyl, (xxi) indanyl, (xxii) heterocycle, (xxiii) —CO-phenyl, (xxiv) —CO-naphthyl, (xxv) —CO-indenyl, (xxvi) —CO-indanyl, (xxvii) —CO-heterocycle, (xxviii) —OCO—R9, (xxix) —OCO2—R9, and (xxx) —CO—R9, (b) —O—C1-6alkyl, —O—C2-6 alkenyl, —O—C2-6 alkynyl, wherein the alkyl, alkenyl, or alkynyl is unsubstituted or substituted, wherein the substituents are independently selected from: (i) hydroxy, (ii) halogen, (iii) —NR9R10, (iv) —NR9—COR10, (v) —NR9—CO2R10, (vi) —CO—NR9R10, (vii) —OCO—NR9R10, (viii) —NR9CO—NR9R10, (ix) —S(O)2—NR9R10, (x) —NR9S(O)2—R10, (xi) —NR9S(O)2—NR9R10, (xii) —S(O)n—R9, (xiii) —CF3, (xiv) —CHF2, (xv) —CH2F, (xvii) —O—R9, (xvii) —O(C1-6 alkyl)-O—R9, (xviii) phenyl, (xix) naphthyl, (xx) indenyl, (xxi) indanyl, (xxii) heterocycle, (xxiii) —CO-phenyl, (xxiv) —CO-naphthyl, (xxv) —CO-indenyl, (xxvi) —CO-indanyl, (xxvii) —CO-heterocycle, (xxviii) —OCO—R9, (xxix) —OCO2—R9, and (xxx) —CO—R9, (c) —NO2, (d) hydroxy, (e) halogen, (f) —NR9R10, (g) —NR9—COR10, (h) —NR9—CO2R10, (i) —CO—NR9R10, (j) —OCO—NR9R10, (k) —NR9CO—NR9R10, (l) —S(O)2—NR9R10, (m) —NR9S(O)2—R10, (n) —NR9S(O)2—NR9R10, (o) —S(O)n—R9, (p) —CF3, (q) —CHF2, (r) —CH2F, (s) —OCO—R9, (t) —OCO2—R9, and (u) —CO—R9; wherein R5 is a selected from:(1) phenyl, which is unsubstituted or substituted with halogen, hydroxy, C1-6alkyl, C1-6alkoxy, —CO2(C1-6 alkyl), —NH2, —NHR9, —NR9R10, or trifluoromethyl, (2) —C1-6alkyl-phenyl, —C1-6alkyl-naphthyl, —C1-6alkyl-indenyl, —C1-6alkyl-indanyl, and —C1-6alkyl-heterocycle, wherein the phenyl, naphthyl, indenyl, indanyl, or heterocycle is unsubsituted or substituted with: halogen, hydroxy, C1-6alkyl, C1-6alkoxy, —CO2(C1-6 alkyl), —NH2, —NHR9, —NR9R10, or trifluoromethyl; and wherein the —C1-6alkyl is optionally substituted with oxo, hydroxy, C1-6alkoxy, acetoxy, or halogen, (3) —O—C1-6alkyl-phenyl, —O—C1-6alkyl-naphthyl, —O—C1-6alkyl-indenyl, —O—C1-6alkyl-indanyl, and —O—C1-6alkyl-heterocycle, wherein the phenyl, naphthyl, indenyl, indanyl, or heterocycle is unsubsituted or substituted with: halogen, hydroxy, C1-6alkyl, C1-6alkoxy, —CO2(C1-6 alkyl), —NH2, —NHR9, —NR9R10, or trifluoromethyl, (4) —C1-4alkyl-O—C1-4alkyl-phenyl, wherein the phenyl is unsubsituted or substituted with halogen, hydroxy, C1-6alkyl, C1-6alkoxy, —CO2(C1-6 alkyl), —NH2, —NHR9, —NR9R10, or trifluoromethyl, and (5) —C1-4alkyl-S(O)n—C1-4alkyl-phenyl, wherein the phenyl is unsubsituted or substituted with halogen, hydroxy, C1-6alkyl, C1-6alkoxy, —CO2(C1-6 alkyl), —NH2, —NHR9, —NR9R10, or trifluoromethyl; m is an integer selected from 0 and 1;and pharmaceutically acceptable salts thereof and individual diastereomers thereof.

4. The compound of claim 1 wherein:R1 is selected from the group consisting of:(1) —CH2-phenyl, (2) —CO-phenyl, (3) —CH2-(2,4-dichlorophenyl), (4) —CO-(2,4-dichlorophenyl), (5) —CH2-(2-naphthyl), (6) —CO-(1-naphthyl), (7) —CH2-indolyl, and (8) —CO-indolyl.

5. The compound of claim 1 wherein:R1 is selected from the group consisting of:(1) —CH2-phenyl, (2) —CO-phenyl, (3) —CH2-(2,4-dichlorophenyl), (4) —CH2-(7-indolyl), and (5) —CO-(7-indolyl).

6. The compound of claim 1 wherein: wherein R5 is selected from:(1) phenyl, which is unsubstituted or substituted with halogen, hydroxy, C1-6alkyl, C1-6alkoxy, or trifluoromethyl, (2) —C1-6alkyl-phenyl, wherein the phenyl is unsubsituted or substituted with: halogen, hydroxy, C1-6alkyl, C1-6alkoxy, or trifluoromethyl; and wherein the —C1-6alkyl is optionally substituted with oxo, hydroxy, C1-6alkoxy, acetoxy, or halogen, (3) —O—C1-6alkyl-phenyl, wherein the phenyl is unsubsituted or substituted with halogen, hydroxy, C1-6alkyl, C1-6alkoxy, or trifluoromethyl, (4) —C1-4alkyl-O—C1-4alkyl-phenyl, wherein the phenyl is unsubsituted or substituted with halogen, hydroxy, C1-6alkyl, C1-6alkoxy, or trifluoromethyl, and (5) —C1-4alkyl-S(O)n—C1-4alkyl-phenyl, wherein n is an integer selected from 0, 1 and 2, and wherein the phenyl is unsubsituted or substituted with halogen, hydroxy, C1-6alkyl, C1-6alkoxy, or trifluoromethyl.

7. The compound of claim 1 wherein: wherein R5 is a selected from:(1) phenyl, which is unsubstituted or substituted with halogen, hydroxy, C1-6alkyl, C1-6alkoxy, or trifluoromethyl, (2) —C2-4alkyl-phenyl, wherein the phenyl is unsubsituted or substituted with chloro, fluoro, trifluoromethyl, methyl or ethyl and wherein the —C2-4alkyl is optionally substituted with oxo, hydroxy, halogen, or methoxy, (3) —C1-3alkyl-O—C1-3alkyl-phenyl, wherein the phenyl is unsubsituted or substituted with chloro, fluoro, trifluoromethyl, methyl or ethyl, and (4) —C1-3alkyl-S(O)n—C1-3alkyl-phenyl, wherein the phenyl is unsubsituted or substituted with chloro, fluoro, trifluoromethyl, methyl or ethyl.

8. The compound of claim 1 wherein:R2 is: wherein R5 is a selected from:(1) phenyl, which is unsubstituted or substituted with halogen, hydroxy, C1-6alkyl, C1-6alkoxy, or trifluoromethyl, (2) —C3-4alkyl-phenyl, wherein the phenyl is unsubsituted or substituted with chloro, fluoro or methyl, and wherein the —C3-4alkyl is optionally substituted with oxo, hydroxy, or methoxy, (3) —C1-3alkyl-O—C1-3alkyl-phenyl, wherein the phenyl is unsubsituted or substituted with chloro, fluoro or methyl, and (4) —C1-3alkyl-S(O)n—C1-3alkyl-phenyl, wherein the phenyl is unsubsituted or substituted with chloro, fluoro or methyl.

9. The compound of claim 1 wherein:R2 is:

10. The compound of claim 1 wherein:R3 is a 3- or 4-membered ring selected from: cyclopropyl, cyclobutyl, aziridinyl, azetidinyl, cyclopropoxy, and cyclobutoxy; which may be unsubstituted or substituted, where the substituents are independently selected from:(1) C1-6 alkyl, which is unsubstituted or substituted, wherein the substituents are independently selected from: (a) hydroxy, (b) halogen, (c) —NH2, (d) —NHR9a, (e) —NR9R10, wherein R9a and R10a are independently selected from C1-6 alkyl, wherein the alkyl is unsubstituted or substituted, wherein the substituents are independently selected from: (A) halogen, (B) phenyl, and (C) —CO2(C1-6 alkyl), (f) —NR9—COR10, (g) —NR9—CO2R10, (h) —CF3, (i) —CHF2, (j) —CH2F, (k) —O—R9, and (l) phenyl, (2) —O—C1-6alkyl, unsubstituted or substituted with a substituent which is independently selected from: (a) hydroxy, (b) halogen, (c) —NH2, (d) —NHR9, (e) —NR9R10, (f) —NR9—COR10, (g) —NR9—CO2R10, (h) —CF3, (i) —O—R9, and (j) phenyl, (3) —CO2(C1-6 alkyl), (4) hydroxy, (5) halogen, (6) —CF3, (7) —CHF2, (8) —CH2F, (9) —S(O)2—R9, (10) —S(O)2—NR9R10, (11) —CO—R9, (12) —O—R9, and (13) —O(C1-6 alkyl)-O—R9.

11. The compound of claim 1 wherein:R3 is cyclopropyl or cyclobutyl, which may be unsubstituted or substituted, where the substituents are independently selected from:(1) C1-6 alkyl, which is unsubstituted or substituted, wherein the substituents are independently selected from: (a) hydroxy, (b) —O(C1-6 alkyl), and (c) —CO2(C1-6 alkyl).

12. The compound of claim 1 wherein:R3 is unsubstituted cyclopropyl or cyclobutyl.

13. The compound of claim 1 wherein:R4c, and R4h are each hydrogen and R4d is selected from the group consisting of hydrogen, and —CH3.

14. The compound of claim 1 which is of the stereochemical configuration:

15. A compound which is selected from the group consisting of:1-(1-Naphthoyl)-3-(RS)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(SR)-(cyclopropyl)pyrrolidine; 1-(3,4-Dichlorobenzoyl)-3-(RS)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(SR)-(cyclopropyl)pyrrolidine; 1-(4-Chlorobenzyl)-3-(RS)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(SR)-(cyclopropyl)pyrrolidine; 1-(1-Naphthoyl)-3-(RS)-(4-hydroxy-4-(3-phenylpropyl)piperidinylmethyl)-4-(SR)-(cyclopropyl)pyrrolidine; 1-(3,4-Dichlorobenzoyl)-3-(RS)-(4-hydroxy-4-(3-phenylpropyl) piperidinylmethyl)-4-(SR)-(cyclopropyl)pyrrolidine; 1-(4-Chlorobenzyl)-3-(RS)-(4-hydroxy-4-(3-phenylpropyl)piperidinylmethyl)-4-(SR)-(cyclopropyl)pyrrolidine; 1-(1-Naphthoyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine; 1-(3-Thienlcarbonyl)-3-(R)-(4-(4-fluorophenyl)piperdinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine; 1-(7-Indolecarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine; 1-(7-Benzo-2,3-dihydrofuranylcarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine; 1-(4-Indolecarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine; 1-(2,4-Dichlorobenzoyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine; 1-(3,4-Dichlorobenzoyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine; 1-(8-Quinolinecarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine; 1-(N-Methyl-7-indolecarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine; 1-(N-Methyl-7-indolinylcarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine; 1-(N-Allyl-7-indolecarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine; 1-(N-(3-methoxypropyl)-7-indolecarbonyl)-3-(R)-(4-(4-fluoro-phenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine; 1-(N-(3-Aminopropyl)-7-indolecarbonyl)-3-(R)-(4-(4-fluoro-phenyl)piperdinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine; 1-(N-(3-Ethoxycarbonylaminopropyl)-7-indolecarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine; 1-(N-(3-Methylsulfonylaminopropyl)-7-indolecarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine; 1-(N-(3-Acetylaminopropyl)-7-indolecarbonyl)-3-(R)-(4-(4-fluoro-phenyl)pipendinylmethyl)-4-(S)-(cyclopropyl)pyrrolidine; 1-(1-Naphthoyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclobutyl)pyrrolidine; 1-(7-Indolecarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclobutyl)pyrrolidine; 1-(4-Indolecarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclobutyl)pyrrolidine; 1-(3,4-Dichlorobenzoyl)-3-(R)-(4-(4-fluorophenyl)pipenidinylmethyl)-4-(S)-(cyclobutyl)pyrrolidine; 1-(8-Quinolinecarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclobutyl)pyrrolidine; 1-(N-Methyl-7-indolecarbonyl)-3-(R)-(4-(4-fluorophenyl)piperidinylmethyl)-4-(S)-(cyclobutyl)pyrrolidine; and pharmaceutically acceptable salts thereof and individual diastereomers thereof.

16. A pharmaceutical composition which comprises an inert carrier and a compound of claim 1.

17. A method of treating inflammatory or immunoregulatory disorders or diseases in a subject in need thereof comprising administering a chemokine receptor antagonistic effective amount of a compound of claim 1.