Arylglycinamide derivatives, processes for the manufacture thereof and pharmaceutical compositions containing these compounds

Abstract

The invention relates to new arylglycinamide derivatives of general formula I ##STR1## and the pharmaceutically acceptable salts thereof, wherein R.sup.1, R.sup.2, R.sup.3, R.sup.4, R.sup.5 and Ar have the meanings given in the specification, and the preparation and use thereof. The new compounds are valuable neurokin (tachykinin) antagonists.

Description

The invention relates to new arylglycinamide derivatives of general formula I ##STR2## and the pharmaceutically acceptable salts thereof, processes for preparing them and pharmaceutical compositions containing these compounds. The compounds are valuable neurokinin (tachykinin) antagonists.

The abbreviations used in the specification and claims are explained as follows:

CDI=Carbonyldiimidazole DCCI=Dicyclohexylcarbodiimide HOBt=1-Hydroxybenzotriazole THF=Tetrahydrofuran DMF=Dimethylformamide RT=Room temperature DMAP=4-Dimethylaminopyridine TBTU=O-Benzotriazolyl-tetramethyluronium-tetrafluoroborate

In order to show the formulae, a simplified representation is used. In the representation of the compounds all CH.sub.3 -- substituents are represented by a single bond, and for example the following formula ##STR3## represents ##STR4## The invention relates to new arylglycinamide derivatives of general formula I ##STR5## or the pharmaceutically acceptable salts thereof, wherein Ar denotes unsubstituted or mono- to penta-substituted phenyl, or unsubstituted or mono- or di-substituted naphthyl, in which the substituents of the phenyl and naphthyl independently of each other denote halogen (F, Cl, Br, I), (C.sub.1-4)alkyl, O-(C.sub.1-4)alkyl, CF.sub.3, OCF.sub.3 or NR.sup.9 R.sup.10 (wherein R.sup.9 and R.sup.10 independently of each other denote H, methyl or acetyl);

R.sup.1 and R.sup.2 together with the N to which they are bound form a 6-membered ring of the formula ##STR6## wherein X denotes oxygen, N(CH.sub.2).sub.n R.sup.6 or CR.sup.7 R.sup.8, wherein n is 0, 1 or 2, R.sup.6 is (C.sub.3-7)cycloalkyl, phenyl or naphthyl, wherein the phenyl may be mono- to tri-substituted by halogen (F, Cl, Br, I), (C.sub.1-4)alkyl, O-(C.sub.1-4)alkyl, CF.sub.3, OCF.sub.3 or NR.sup.9 R.sup.10 (wherein R.sup.9 and R.sup.10 independently of each other denote H, methyl or acetyl); R.sup.7 and R.sup.8 have one of the following meanings: a) R.sup.7 and R.sup.8 represent H if R.sup.3 is unsubstituted or substituted phenyl, b) R.sup.7 is ##STR7## if R.sup.8 is H, --CONH.sub.2, --NHC(O)CH.sub.3, or --N(CH.sub.3)C(O)CH.sub.3, or c) R.sup.7 and R.sup.8 together form the group ##STR8## R.sup.3 denotes H, (C.sub.1-4)alkyl, unsubstituted or mono- to tri-substituted phenyl, wherein the substituents independently of one another represent halogen (F, Cl, Br, I), (C.sub.14)alkyl, O-(C.sub.14)alkyl, CF.sub.3, OCF.sub.3 or NR.sup.9 R.sup.10 (wherein R.sup.9 and R.sup.10 independently of one another denote H, methyl or acetyl); R.sup.4 denotes (CH.sub.2).sub.m phenyl or (CH.sub.2) naphthyl, wherein m is 1, 2 or 3 and phenyl may be substituted by 1 to 3 substituents, wherein the substituents independently of one another are halogen (F, Cl, Br, I), (C.sub.14)alkyl, O-(C.sub.14)alkyl, CF.sub.3, OCF.sub.3 or NR.sup.9 R.sup.10 (wherein R.sup.9 and R.sup.10 independently of one another denote H, methyl or acetyl); and R.sup.5 denotes H, (C.sub.1-4)alkyl, (C.sub.3-6)cycloalkyl or CH.sub.2 COOH.

The compounds according to the invention are valuable neurokinin (tachykinin) antagonists which have both substance P-antagonism and also neurokinin A- or neurokinin B-antagonistic properties. They are useful for the treatment and prevention of neurokinin-mediated diseases.

Compounds of general formula I may contain acid groups, chiefly carboxyl groups, and/or basic groups such as, for example, amino functions. Compounds of general formula I may therefore be obtained either as internal salts, as salts with pharmaceutically acceptable inorganic acids such as hydrochloric acid, sulphuric acid, phosphoric acid or sulphonic acid or organic acids (such as, for example, maleic acid, fumaric acid, citric acid, tartaric acid or acetic acid) or as salts with pharmaceutically acceptable bases such as alkali or alkaline earth metal hydroxides or carbonates, zinc or ammonium hydroxides or organic amines such as, for example, diethylamine, triethylamine or triethanolamine, etc.

The compounds according to the invention may occur as racemates but may also be obtained as pure enantiomers, i.e. in (R)- or (S)-form.

The preferred compounds of general formula I are those wherein X is N(CH.sub.2).sub.n R.sup.6, wherein n is 0, 1 or 2 and R.sup.6 denotes (C.sub.3-6)cycloalkyl, preferably cyclohexyl;

wherein X is CR.sup.7 R.sup.8, wherein R.sup.7 is 1-piperidinyl, 1-pyrrolidinyl or 4-morpholinyl and R.sup.8 =H or --CONH.sub.2, wherein preferably R.sup.7 is 1-piperidinyl and R.sup.8 is H; wherein R.sup.3 is H or methyl, preferably H; wherein R.sup.4 is (CH.sub.2).sub.m phenyl, wherein m is 1, 2 or 3 and phenyl is unsubstituted or up to tri-substituted, preferably wherein m is 1 or 2 and phenyl is disubstituented; wherein R.sup.4 is (CH.sub.2).sub.1-2 phenyl, wherein the phenyl is substituted by 2 CF.sub.3 groups which are preferably at positions 3 and 5; wherein R.sup.5 represents H or (C.sub.1-4)alkyl, preferably H or methyl; wherein Ar denotes phenyl having 0, 1, 2 or 3 substituents, preferably unsubstituted phenyl.

The term naphthyl used above includes both 1-naphthyl and 2-naphthyl.

Test results for compounds according to the invention:

The receptor affinity for the NK.sub.1 -receptor (substance P-receptor) is determined on human lymphoblastoma cells (IM-9) with cloned NK.sub.1 -receptors, measuring the displacement of .sup.125 1-labelled substance P. The K.sub.i -values thus obtained demonstrate the efficacy of the compounds:

______________________________________ K.sub.i______________________________________Compound of Example 3: 1.4 nM Compound of Example 4: 1.0 nM Compound of Example 5: 1.3 nM Compound of Example 33: 1.3 nM.______________________________________

The compounds according to the invention are valuable neurokinin (tachykinin) antagonists which have, in particular, NK.sub.1 -antagonism, but also NK.sub.2 - and NK.sub.3 -antagonistic properties.

The compounds according to the invention are valuable neurokinin (tachykinin) antagonists which have both substance P-antagonism and also neurokinin A- or neurokinin B-antagonistic properties. They are useful for the treatment and prevention of neurokinin-mediated diseases such as respiratory complaints, e.g. asthma, bronchitis, rhinitis, coughs or expectoration and inflammatory eye diseases such as conjunctivitis, inflammatory skin diseases such as dermatitis and urticaria, inflammatory intestinal complaints such as ulcerative colitis or Crohn's disease, other inflammatory diseases such as polyarthritis or osteoarthritis and pain (e.g. migraine) and gastrointestinal diseases such as irritable bowel and diarrhoea.

The invention therefore also relates to the use of the compounds according to the invention as remedies and pharmaceutical preparations which contain these compounds. They are preferably for use in humans. The compounds according to the invention may be administered by intravenous, subcutaneous, intramuscular, intraperitoneal or intranasal route or by inhalation, by transdermal route, if desired with the aid of iontophoresis or enhancers known from the literature, and by oral route.

For parenteral administration, the compounds of formula I or the physiologically acceptable salts thereof, optionally with conventional substances such as solubilisers, emulsifiers or other adjuvants, may be made into solution, suspension or emulsion. Suitable solvents include, for example, water, physiological saline solutions or alcohols, e.g. ethanol, propanediol or glycerol, sugar solutions such as glucose or mannitol solutions or a mixture of various solvents.

In addition, the compounds may be administered by means of implants, e.g. of polylactide, polyglycolide or polyhydroxybutyric acid or by means of intranasal preparations.

The compounds according to the invention may be prepared by generally known methods.

The compounds may be prepared in various ways. The two commonest methods are shown in the following plan: ##STR9##

Method A. The carboxylic acid may be linked to the amine HN(R.sup.5)R.sup.4 in various ways. The usual methods are coupling methods such as those used in peptide chemistry. A coupling reagent such as TBTU, DCCI/HOBt, CDI, etc., is added to the coupling partners in an approximately equivalent amount. Suitable solvents are DMF, THF, CH.sub.2 Cl.sub.2, CHCl.sub.3, acetonitrile or other inert solvents or mixtures thereof. The appropriate temperature range is between -50.degree. C. and +120.degree. C., preferably between 0.degree. C. and 40.degree. C.

The carboxylic acid may also initially be converted by means of SOCl.sub.2, SO.sub.2 Cl.sub.2, PCl.sub.3, PCl.sub.5 or PBr.sub.3 or mixtures thereof, by known methods, into the corresponding acid halide which is subsequently reacted with the amine HN(R.sup.5)R.sup.4 in an inert solvent such as CH.sub.2 Cl.sub.2, THF or dioxane at temperatures between -50.degree. C. and +100.degree. C., typically between 0.degree. C. and 20.degree. C.

Another alternative is to convert the carboxylic acid initially into the alkylester, usually the methylester, by known methods and then to react this ester with the amine HN(R.sup.5)R.sup.4 in an inert solvent such as DMF, dioxane or THF. The reaction temperatures are between 20.degree. C. and 150.degree. C., typically between 50.degree. C. and 120.degree. C. The reaction may also be carried out in a pressurised container.

Process B. In this, the .alpha.-halo-arylacetamide derivative obtained according to known procedures is reacted with the amine R.sup.1 (R.sup.2)NH, thereby generating hydrogen halide. In order to mop up the cleaved (or excess) hydrogen halide, inorganic bases are used such as K.sub.2 CO.sub.3, NaHCO.sub.3 or CaCO.sub.3, or organic bases may be used such as triethylamine, Hunig base, pyridine or DMAP, or an excess of the amine R.sup.1 (R.sup.2)NH may be used. DMF, THF, dioxane or other inert solvents are used. The temperature range for the reaction is from 0 to 100.degree. C., typically from 10 to 80.degree. C.

Process C. The compounds according to the invention in which R.sup.5 is not H may also be prepared as follows: first of all, the corresponding compound in which R.sup.5 is H is synthesised according to process A or B. Then N-alkylation is carried out as follows in order to introduce alkyl, cycloalkyl or CH.sub.2 COOH. The compound according to the invention wherein R.sup.5 is H is deprotonated with an equivalent quantity of NaH, NaNH.sub.2, KOH, NaOCH.sub.3 or some other strong base. Anhydrous inert solvents such as THF, dioxane or diethylether are used. Then the corresponding alkylating agent is added slowly in the form of the corresponding halide, tosylate or mesylate. The reaction is carried out in the temperature range from -50.degree. C. to +100.degree. C., typically between 0.degree. C. and +50.degree. C. The method is described in detail in Example 33.

EXAMPLE 1 ##STR10##

1st Step: 2.2 g of 1-cyclohexylpiperazine were dissolved in 150 ml of anhydrous DMF, mixed with 2 g of K.sub.2 CO.sub.3, stirred at RT and then coo led to 5.degree. C. 2.7 g of methyl (R,S)-.alpha.-bromophenylacetic acid were added and the suspension was stirred overnight at RT. The precipitate was filtered off and the filtrate was evaporated down. The residue was taken up in ethyl acetate, extracted twice with 10% KHCO.sub.3 solution and once with saturated NaCl solution. The organic phase was dried over Na.sub.2 SO.sub.4, filtered and evaporated down, and 3.7 g of (R,S)-1-cyclohexyl-4-(methyl 2-phenylacetate)-piperazine were obtained in the form of-a yellow oil.

Yield: about 100%.

2nd Step: 2.3 g of the product of the first step were dissolved in 10 ml of methanol, mixed with 14 ml of 1N NaOH and the resulting emulsion was stirred overnight at RT. The clear reaction solution was neutralised by the addition of 14 ml of 1N HCl, evaporated to dryness, the residue was treated with isopropanol and the solid matter was collected by suction filtration. The filtrate was evaporated down and the residue was triturated again with isopropanol, the solid matter was suction filtered and combined with the solid obtained earlier. In this way, 1.6 g of (R,S)-1-cyclohexyl-4-(2-phenylacetic acid)-piperazine were obtained as a white solid.

Yield: 75%.

3rd Step: 0.6 g of the product of the second step, 0.48 g of 3,5-bis-(trifluoromethyl)-benzylamine and 0.32 g of HOBT were suspended in 60 ml of THF/CH.sub.2 Cl.sub.2 (1:1) and adjusted to pH 8.5 by the addition of about 0.7 ml of Hunig base. 0.77 g of TBTU were added and the mixture was stirred overnight at RT. The clear reaction solution was evaporated down in vacuo, the residue was taken up in CH.sub.2 Cl.sub.2 and extracted twice with 10% KHSO.sub.4 solution, once with saturated NaCl solution, twice with 10% KHCO.sub.3 solution and once more with saturated NaCl solution. The organic phase was dried over Na.sub.2 SO.sub.4, filtered off and evaporated down, whereupon crystallisation took place. 0.685 g of (R,S)-1-cyclohexyl-4-[2-phenylacetic acid-N-(3,5-bis-trifluoromethylbenzyl)amide] were obtained as a yellowish solid. Yield 64%.

Mp: 124-129.degree. C. FAB-MS: (M+H).sup.+ =528.2.

EXAMPLE 2 ##STR11##

1st Step: 0.49 g of 3,5-bis-(trifluoromethyl)-benzylamine were dissolved in 30 ml of anhydrous CH.sub.2 Cl.sub.2, 0.3 ml of triethylamine were added, the mixture was cooled in an ice bath and over 20 minutes a solution of 0.46 g of (R,S)-.alpha.-bromophenylacetyl chloride in 10 ml of CH.sub.2 Cl.sub.2 was added dropwise. After the mixture had stood at RT over a weekend, the solvent was eliminated and the solid residue was triturated with diethylether, suction filtered and the filtrate was evaporated down. 0.6 g of .alpha.-bromophenylacetic acid N-(bis-trifluoromethyl-benzyl)-amide were obtained as a light beige solid.

Yield: 43.5%.

2nd Step: 0.21 g of 4-propionylamino-piperidine hydrochloride were dissolved in 30 ml of anhydrous DMF, 0.33 g of K.sub.2 CO.sub.3 were added and the mixture was stirred for 30 minutes at room temperature. Over 20 minutes absolution of 0.68 g of the product of the first step in 10 ml of DMF were added dropwise to this mixture, which was then stirred overnight at room temperature. The suspension was filtered, the filtrate was evaporated down, the oily residue obtained was taken up in ethyl acetate, extracted twice with 10% KHCO.sub.3 solution and once with saturated NaCl solution. The organic phase was dried over Na.sub.2 SO.sub.4, filtered, the filtrate was evaporated down and the semi-solid residue obtained was triturated with diethylether and suction filtered. 0.33 g of (R,S)-4-propionylamino-1-[2-phenylacetic acid-N(3,5-bis-trifluoromethyl-benzyl)-amide]-piperidine were obtained as a white solid.

Yield: 64%. Mp: 189-191.degree. C. FAB-MS: (M+H).sup.+ =516.4.

EXAMPLE 33 ##STR12##

0.3 g of the compound according to Example 25 were converted into the corresponding base by treatment with KHCO.sub.3 and dried. The resulting product was dissolved in 5 ml of anhydrous THF, 34 mg of NaH (60% in oil) were added and the mixture was stirred for 1.5 hours at RT. Then 0.1 g of methyliodide were added and the mixture was stirred overnight. The reaction mixture was mixed with 2 ml of THF/water (1:1) then with 25 ml of water and extracted 3 times with ether. The combined ether extracts were dried over Na.sub.2 SO.sub.4 and evaporated down in vacuo, thereby obtained 170 mg of the desired compound in the form of a free base (oil). This was converted into the dihydrochloride by the addition of an excess of ethereal HCl, the dihydrochloride being obtained in the form of yellow crystals.

Yield: 113 mg (36%). Mp: >240.degree. C.; FAB-MS: (M+H).sup.+ =556.4

The other compounds of the invention may be prepared analogously, e.g. as follows:

EXAMPLE 3 ##STR13##

Mp: 235-238.degree. C. FAB-MS: (M+H).sup.+ =542.2.

EXAMPLE 4 ##STR14##

Mp: 24.degree. C. (Decomp.). FAB-MS: (M+H).sup.+ =542.3.

EXAMPLE 5 ##STR15##

Mp: 158 164.degree. C.; FAB-MS: (M+H).sup.+ =556.4.

EXAMPLE 6 ##STR16##

Mp: 97-99.degree. C.; FAB-MS: (M+H).sup.+ =556.3.

EXAMPLE 7 ##STR17##

Mp: >240.degree. C. (Decomp.); FAB-MS: (M+H).sup.+ =528.4.

EXAMPLE 8 ##STR18##

Mp: 102-105.degree. C.; FAB-MS: (M+H).sup.+ =640.3.

EXAMPLE 9 ##STR19##

Mp: 141-149.degree. C.; FAB-MS: (M+H).sup.+ =579.2.

EXAMPLE 10 ##STR20##

Mp: 218-223.degree. C.; FAB-MS: (M+H).sup.+ =579.3.

EXAMPLE 11 ##STR21##

Mp: >220.degree. C. (Decomp.); FAB-MS (M+H).sup.+ =571.3

EXAMPLE 12 ##STR22##

Mp: 205-210.degree. C.; FAB-MS: (M+H).sup.+ =591.3.

EXAMPLE 13 ##STR23##

Mp: 87-95.degree. C.; FAB-MS: (M+H).sup.+ =571.2

EXAMPLE 14 ##STR24##

Mp: 164-166.degree. C.; FAB-MS: (M+H).sup.+ =537.3.

EXAMPLE 15 ##STR25##

Mp: 208-210.degree. C.; FAB-MS: (M+H).sup.+ =578.3.

EXAMPLE 16 ##STR26##

Mp: 110-115.degree. C.; FAB-MS: (M+H).sup.+ =542.3.

EXAMPLE 17 ##STR27##

Mp: 118-123.degree. C.; FAB-MS: (M+H).sup.+ =556.3

EXAMPLE-18 ##STR28##

Mp: 134-136.degree. C.; FAB-MS: (M+H).sup.+ =514.3

EXAMPLE 19 ##STR29##

Mp: >240.degree. (Decomp.): FAB-MS: (M+H).sup.+ =564

EXAMPLE 20 ##STR30##

Mp: 180-185.degree. C.; FAB-MS: (M+H).sup.+ =564.3

EXAMPLE 21 ##STR31##

Mp: 228-232.degree. C.; FAB-MS: (M+H).sup.+ =606/608

EXAMPLE 22 ##STR32##

Mp: 70-73.degree. C.; FAB-MS: (M+H) =586

EXAMPLE 23 ##STR33##

Mp: 248-254.degree. C.; FAB-MS: (M+H).sup.+ =596/598/600

EXAMPLE 24 ##STR34##

Mp: 210.degree. C.; FAB-MS: (M+H).sup.+ =664.1

EXAMPLE 25 ##STR35##

Mp: 192-199.degree. C.; FAB-MS: (M+H).sup.+ =542.3

EXAMPLE 26 ##STR36##

Mp: 112-118.degree. C.; FAB-MS: (M+H).sup.+ =562/564

EXAMPLE 27 ##STR37##

Mp: 124-127.degree. C.; FAB-MS: (M+H).sup.+ =606/608

EXAMPLE 28 ##STR38##

Mp: 118-120.degree. C.; FAB-MS: (M+H).sup.+ =606/608

EXAMPLE 29 ##STR39##

Mp: 120-122.degree. C.; FAB-MS: (M+H).sup.+ =562/564

EXAMPLE 30 ##STR40##

Mp: >240.degree. C.; FAB-MS: (M+H).sup.+ =562/564

EXAMPLE 31 ##STR41##

Mp: >240.degree. C.; FAB-MS: (M+H).sup.+ =546.3

EXAMPLE 32 ##STR42##

Mp: 125-130.degree. C. (Decomp.); FAB-MS: (M+H).sup.+ =610.4

EXAMPLE 34 ##STR43##

Mp: 145-151.degree. C.; FAB-MS: (M+H).sup.+ =641.3

EXAMPLE 35 ##STR44##

EXAMPLE 36 ##STR45##

Mp: 175-176.5.degree. C.

EXAMPLE 37 ##STR46##

Mp: 157-158.degree. C.

EXAMPLE 38 ##STR47##

Mp: 155-172.degree. C. FAB-MS: (M+H).sup.+ =592.2

EXAMPLE 39 ##STR48##

EXAMPLE 40 ##STR49##

EXAMPLE 41 ##STR50##

EXAMPLE 42 ##STR51##

Mp: 142-150.degree. C. FAB-MS: (M+H.sup.+)=558.2

EXAMPLE 43 ##STR52##

EXAMPLE 44 ##STR53##

Mp: 107-111.degree. C.; FAB-MS: (M+H).sup.+ =575.6

EXAMPLE 45 ##STR54##

EXAMPLE 46 ##STR55##

EXAMPLE 47 ##STR56##

EXAMPLE 48 ##STR57##

EXAMPLE 49 ##STR58##

EXAMPLE 50 ##STR59##

EXAMPLE 51 ##STR60##

EXAMPLE 52 ##STR61##

Mp: 133-143.degree. C.

EXAMPLE 53 ##STR62##

EXAMPLE 54 ##STR63##

EXAMPLE 55 ##STR64##

EXAMPLE 56 ##STR65##

EXAMPLE 57 ##STR66##

EXAMPLE 58 ##STR67##

Mp: 212-216.degree. C. (Decomp.)

EXAMPLE 59 ##STR68##

Mp: 244-246.degree. C. (Decomp.) FAB-MS: (M+H).sup.+ =624.1/626.2/628

EXAMPLE 60 ##STR69##

Mp: 113-123.degree. C.

EXAMPLE 61 ##STR70##

Mp: 195-205.degree. C.

EXAMPLE 62 ##STR71##

Mp: 210-218.degree. C. FAB-MS: (M+H).sup.+ =620/622

EXAMPLE 63 ##STR72##

Mp: 215-224.degree. C. FAB-MS: (M+H).sup.+ =576/578

EXAMPLE 64 ##STR73##

Mp: 85-92.degree. C. FAB-MS: (M+H).sup.+ =572.5

Pharmaceutically Preparations: Injectable solution ______________________________________200 mg of active substance* 1.2 mg of monopotassium dihyrogen phospate = KH.sub.2 PO.sub.4 0.2 mg of disodium hydrogen phosphate = (buffer) NaH.sub.2 PO.sub.4.2H.sub.2 O 94 mg of sodium chloride or (isotonic) 520 mg of glucose 4 mg of albumin (protease protection) q.s. sodium hydroxide solution q.s. hydrochloric acid to adjust the pHto pH 6 sufficient water to make a 10 ml solution for injection______________________________________ Injectable solution ______________________________________200 mg of active substance* 94 mg of sodium chloride or 520 mg of glucose 4 mg of albumin q.s. sodium hydroxide solution q.s. hydrochloric acid to adjust the pHto pH 9 sufficient water to make a 10 ml solution for injections______________________________________ Lyophilisate ______________________________________200 mg of active substance* 520 mg of mannitol (isotonic/structural component) 4 mg of albuminSolvent 1 for lyophilisate 10 ml of water for injectionsSolvent 2 for lyophilisate 20 mg of Polysorbate .RTM. 80 = Tween .RTM. 80 (surfactant) 10 ml of water for injections______________________________________ *Active substance: compounds according to the invention, e.g. those of an on of Examples 1 to 64. Dosage for humans weighing 67 kg: 1 to 500 mg

Claims

1. An arylglycinamide derivative of the formula I

or the pharmaceutically acceptable salts thereof,

wherein ##STR74## Ar denotes unsubstituted or mono- or di-substituted naphthyl, in which the substituents of the naphthyl independently of each other denote halogen (F, Cl, Kr, I), (C.sub.1-4)alkyl O-(C.sub.1-4)alkyl, CF.sub.3, OCF.sub.3 or NR.sup.9 R.sup.10 (wherein R.sup.9 and R.sup.10 independently of each other denote H, methyl or acetyl);

R.sup.1 and R.sup.2 together with the N to which they are bound form a 6-membered ring of the formula ##STR75## wherein X denotes oxygen;

R.sup.3 denotes H, (C.sub.1-4)alkyl, unsubstituted or mono- to tri-substituted phenyl, wherein the substituents independently of one another represent halogen (F, Cl, Br, I), (C.sub.1-4)alkyl, O-(C.sub.1-4)alkyl, CF.sub.3, OCF.sub.3 or NR.sup.9 R.sup.10 (wherein R.sup.9 and R.sup.10 independently of one another denote H, methyl or acetyl);

R.sup.4 denotes (CH.sub.2).sub.m phenyl or (CH.sub.2).sub.m naphthyl, wherein m is 1, 2 or 3 and phenyl may be substituted by 1 to 3 substituents, wherein the substituents independently of one another are halogen (F, Cl, Br, I), (C.sub.1-4)alkyl, O-(C.sub.1-4)alkyl, CF.sub.3, OCF.sub.3 or NR.sup.9 R.sup.10 (wherein R.sup.9 and R.sup.10 independently or one another denote H, methyl or acetyl);

and

R.sup.5 denotes H, (C.sub.1-4)alkyl, (C.sub.3-6)cycloalkyl or CH.sub.2 COOH.

2. A compound according to claim 1, wherein R.sup.3 is H or methyl.

3. A compound according to claim 1, wherein R.sup.4 is (CH.sub.2).sub.m phenyl, wherein m is 1, 2 or 3 and phenyl is unsubstituted or up to tri-substituted.

4. A compound according to claim 3, wherein R.sup.4 is (CH.sub.2).sub.1-2 phenyl, wherein the phenyl is substituted by 2 CF.sub.3 groups.

5. A compound according to claim 1, wherein R.sup.5 denotes H or (C.sub.1-4)alkyl.

6. A pharmaceutical preparation comprising a compound in accordance with claim 1 and a pharmaceutically acceptable carrier.

7. A method for treating a neurokinin-mediated disease which comprises administering to a host suffering from such condition a therapeutically effective amount of a compound according to claim 1.