Pharmaceutical uses and synthesis of nicotinanilide-N-oxides

[0001] This application claims the benefit of U.S. Provisional Patent Application No. 60/258,730, filed Dec. 29, 2000, where this provisional application is incorporated herein by reference in its entirety.

[0002] The present invention relates to nicotinanilide N-oxide compounds useful as pharmaceutical agents, to methods for their production, to pharmaceutical compositions which include these compounds, and to methods for their use in various therapies.

[0003] Chemotactic cytokines (chemokines) are a class of potent inflammatory mediators that have the potential to attract specific subsets of leukocytes to sites of inflammation. Chemokines are typically low-molecular-mass (7-9 kd) proteins that can be divided into four subfamilies (CCC or -subfamily, CXC or -subfamily, CX₃C) and are categorized by their primary amino acid structure. The CXC subfamily is characterized by the two conserved Cys residues (C) near the N-terminus and separated by an amino acid (X). Some of the CXC chemokines, of which IL-8 and GRO- are representative, belong further to the ELR subfamily (Glu-Leu-Arg) and are important in the recruitment and activation of neutrophils via the CXCR1 and CXCR2 receptors.

[0004] The interaction of chemokines with specific cell populations is mediated by G-protein-coupled seven-transmembrane receptors (7TMR). Chemokine receptors can be classified into four groups (CR, CCR, CXCR, CX3CR) based upon their primary amino acid sequence. The CXCR1 receptor binds with high affinity to IL-8 and low affinity to NAP-2, ENA-78 (epithelial cell-derived neutrophil-activating factor), GRO-, -, and -, whereas, CXCR2 binds with high affinity to all of the mentioned CXC chemokines. Both CXCR1 and CXCR2 receptors are found primarily on neutrophils and a subset of T-cells. W. Holmes et al., Science 253:1278 (1991); P. Murphy et al., Science 253:1280 (1991); A. Chuntharapai et al., J. Immunol. 153:5682 (1994); L. Xu et al., J. Leukocyte Biol. 57:335 (1995).

[0005] CXCR1 and CXCR2 have been shown to mediate the responses to CXC chemokines in neutrophils (polymorphonuclear neutrophils; PMN) and are essential to the acute inflammatory response. P. Grob et al., J. Biol. Chem. 265:8311 (1990); J. Besemer et al., J. Biol. Chem. 264:17, 409 (1989); A. Samanta et al., J. Exp. Med. 169:1185 (1989); W. Holmes et al., Science 253:1280 (1991); P. Murphy et al., Science 253:1280 (1991). Although both receptors are involved in neutrophil chemotaxis, in vitro studies using human neutrophils have shown inconclusively if chemotaxis is mediated by one or both receptors. IL-8 induced chemotaxis studies using anti-receptor monoclonal antibodies in CXCR1 and CXCR2 cell lines have led to conflicting reports. J. Quan et al., Biochem. Biophys. Res. Commun. 219:405 (1996); A. Chuntharapai et al., J. Immunol. 155:2587 (1995); M. Hammond et al., J. Immunol. 155:1428 (1995). There is also evidence to indicate that the transendothelial migration of CLA T-cells is a CXCR2 mediated event. L. Santamaria-Babi et al., Eur. J. Immunol. 26:2056 (1996).

[0006] The role, in inflammatory disorders, of neutrophil chemotaxis mediated by the CXCR1 and CXCR2 receptors is generally accepted. It has been reported that neutrophils are implicated in the pathogenesis of the acute respiratory distress syndrome (ARDS) in patients with sepsis. J. Repine et al., Am. Rev. Respir. Dis. 144:251 (1991). A causal role of PMNs in the lung injury associated with trauma is also widely accepted. G. Goldman et al., Ann. Surg. 212:513 (1990); S. Linas et al., Am. J. Physiol. 255:F728 (1988); R Simpson et al., Prog. Clin. Biol. Res. 388:265 (1994); S. Donnelly, Arch. Emerg. Med. 10:108 (1993); S. Donnelly, Resuscitation 28:87 (1994). For example, sepsis-related ARDS patients have increased levels of IL-8, ENA-78, ad GRO- in their bronchoalveolar lavage fluids. R. Goodman et al., Am. J. Respir. Crit. Care Med. 154:602 (1996); J. Villard, Am. J. Respir. Crit. Care Med. 152:1549 (1995). Additionally, it has been demonstrated that CXCR1 functions as the single dominant CXC chemokine receptor for neutrophil chemotaxis in patients with sepsis. C. Cummings, J. Immunol. 162:2341 (1999).

[0007] High levels of IL-8 and tissue neutrophil infiltration have been observed in the synovial tissues of rheumatoid arthritis patients (H. Endo, Lymphokine Cytokine Res. 10:245 (1991)). Evidence has been presented that GRO- and IL-8 are important mediators involved in the recruitment of neutrophils in the early and late phase of lipopolysaccharide-induced (LPS) rabbit arthritis. A. Matsukawa et al., Lab. Invest. 79:591 (1999). The murine CXCR2 receptor has also shown to be necessary for neutrophilic inflammation in a mouse model of gouty synovitis. R. Terkeltaub et al., Arthritis. Rheum. 41:900 (1998).

[0008] CXC chemokines have attracted attention as being important in the development of atherosclerosis. R. Terkeltaub et al., Curr. Opin. Lipidol. 9:397 (1998). The role of CXCR1 and CXCR2 ligands on monocyte function in atherosclerosis in rabbits was published by D. Schwartz et al., J. Clin. Invest. 94:1968 (1994). Knockout mice that lacked CXCR2 expression had diminished lesion size. W. Boisvert et al., J. Clin. Invest. 101:353 (1998).

[0009] The involvement of the CXCR2 receptor in the pathological inflammatory response elicited by central nervous system (CNS) cells as related to Alzheimer's disease is also gaining significant attention. M. Xia et al., J. Neurovirol. 5:32 (1999). Reports have focused on the upregulation of CXCR2 expression on dystrophic neurites of senile plaques. M Xia et al., Am. J. Pathol. 150:1267 (1997); R. Horuk et al., J. Immunol. 158:2882 (1997).

[0010] High levels of IL-8 and neutrophil infiltration have been observed in the pathogenesis of a number of other disease indications. This includes ulcerative colitis (Y. Mahida, Clin. Sci. 82:273 (1992); R. Izzo, Am. J. Gastroenterol 87:1447 (1992)) and psoriasis (R. Gillitzer et al., J. Invest. Dermatol. 107:778 (1996); T. Kojima., J. Invest. Dermatol 101:767 (1993)). CXCR1 and CXCR2 chemokines and their roles in tumor growth and metastasis have been reviewed. J. Wang, J. Immunol. Meth. 220:1 (1998).

[0011] To date, a limited number of CXCR1 and CXCR2 antagonists have been reported. It was reported that a bis-aryl urea was able selectively inhibit CXCR2 and prevent neutrophil migration and chemotaxis in a rabbit model. J. White, J. Biol. Chem. 273:10095 (1998). Other CXCR1 and CXCR2 receptor antagonists have focused on NH2-terminal truncations and modifications of IL-8, GRO-, and ELR motif. S. Jones et al., J. Biol. Chem. 272:16166. Murine neutrophil recruitment in vivo could also be inhibited via CXCR2 receptor blocking using a truncated human GRO- analog. There are currently no CXCR1 or CXCR2 receptor antagonist based therapies widely available.

[0012] There is a continued need for the treatment of diseases mediated by the CXCR1 and CXCR2 receptors. Small molecule antagonists of CXC receptors and their ligands such as GRO- and IL-8 would be useful in the control of harmful inflammatory processes as well as important tools for the investigation of receptor-ligand interactions.

[0013] The present invention relates to novel nicotinanilide N-oxide compounds useful as pharmaceutical agents, to methods for their production, to pharmaceutical compositions which include these compounds and a pharmaceutical carrier, and to pharmaceutical methods of treatment. The compounds of the present invention are G-protein-coupled, seven transmembrane domain (7TM) receptor antagonists. In particular, the compounds of the invention are useful for the prophylaxis and treatment of diseases or conditions involving inflammation due to neutrophil chemotaxis mediated via the CXCR1 and CXCR2 receptors. This invention also relates to intermediates and processes useful in the preparation of such compounds.

[0014] In one aspect, the present invention provides a compound having the structure (I):

[0015] and optical isomers, diastereomers, enantiomers and pharmaceutically acceptable salts thereof, wherein R¹ is selected from R⁵ and R⁵(C₁-C₆heteroalkylene)- where R⁵ is selected from hydrogen, halogen, alkyl, heteroalkyl, aryl, heteroaryl, carbocycle aliphatic ring and heterocycle aliphatic ring, amino or hydroxy; R² and R³ are independently hydrogen, alkyl, heteroalkyl, aryl, aryl(akylene), heteroaryl, heteroaryl(alkylene), carbocycle, carbocycle(alkylene), heterocycle, and heterocycle(alkylene); each occurrence of R⁴ is independently selected from halogen, alkyl, heteroalkyl, aryl, heteroaryl, carbocycle aliphatic ring and heterocycle aliphatic ring, amino or hydroxy; and n is 0, 1, 2 or 3.

[0016] In various aspects, the present invention provides compounds of structure (I) as defined above, however: n is 0; or n is 1; or R² is H; or n is 0 and R² is H; or n is 1 and R² is H.

[0017] In addition, in any of the above-described aspects, the present invention provides compounds wherein R¹ is R⁵SO₂ and R⁵ is selected from alkyl, heteroalkyl, aryl, carbocycle, aryl(alkylene), and carbocycle(alkylene); or R¹ is R⁵SO₂ and R⁵ is selected from alkyl, heteroalkyl, aryl, carbocycle, aryl(alkylene), and carbocycle(alkylene) where alkyl is C₁-C₁₀alkyl, heteroalkyl is C₁-C₁₀alkyl with 1, 2 or 3 heteroatoms selected from N, O and S, aryl is phenyl, substituted phenyl, naphthyl or substituted naphthyl, carbocycle is C₃-C₈carbocycle, and alkylene is C₁-C₁₀alkylene; or R¹ is R⁵SO₂ and R⁵ is selected from alkyl, heteroalkyl, aryl, carbocycle, aryl(alkylene), and carbocycle(alkylene) such that R¹ is selected from (C₁-C₆alkyl)SO₂, PhSO₂, fluorinatedphenylSO₂, PhCH₂SO₂, cyclopentylSO₂, m-carboxyphenylSO₂, m-methylphenylSO₂, and HOOC(C₁-C₄alkylene)SO₂.

[0018] In addition, in any of the above-described aspects, unless otherwise inconsistent therewith, the present invention provides compounds of structure (I) wherein R¹ is selected from halogen, amino, hydrocarbylamino, dihydrocarbylamino, hydrocarbyloxy, hydrocarbylthio, heterocyclyl, (heteroalkyl)amino, and (heteroaryl)amino; optionally, R¹ is selected from amino, (C₁-C₆alkyl)(C₁-C₆alkyl)amino, PhNH, PhCH₂NH,

[0019] and HOCH₂CH₂NH; optionally, R¹ is selected from halide and (C₁-C₆alkyl)S; optionally R¹ is chloride.

[0020] In addition, in any of the above-described aspects, unless otherwise inconsistent therewith, the present invention provides compounds of structure (I) wherein R³ is selected from aryl, aryl(alkylene), heteroaryl, and heteroaryl(alkylene); optionally R³ is aryl.

[0021] In another aspect, the present invention provides a compound having structure (II)

[0022] In addition, in any of the above-described aspects, unless otherwise inconsistent therewith, the present invention provides compounds of structure (I) wherein R³ is benzyl or phenyl, the benzyl or phenyl having 0, 1, 2, 3 or 4 substituents selected from alkoxy, alkoxycarbonyl, alkyl, alkylamido, alkylcarbonyl, amido, benzyl optionally substituted with halogen, benzyloxy, carboxy, cyano, dialkylamido, haloalkyl, haloalkyloxy, halogen, hydroxy, nitro, oxoalkyl, phenyl optionally substituted with halogen, thioalkyl, thiocyanate, and thiohaloalkyl.

[0023] In addition, in any of the above-described aspects, unless otherwise inconsistent therewith, the present invention provides compounds of structure (I) wherein R³ is selected from cycloalkyl, cycloalkyl(alkylene), cycloalkyl(heteroalkylene), heterocycloalkyl, heterocycloalkyl(alkylene), heterocycloalkyl(heteroalkylene), heteroaryl, heteroaryl(alkylene), and heteroaryl(heteroalkylene).

[0024] In addition, in any of the above-described aspects, unless otherwise inconsistent therewith, the present invention provides compounds of structure (I) wherein R¹ is selected from halogen, heteroalkyl or amino, R² is H, R³ is aryl and R⁴ is H.

[0025] In addition, the present invention provides each of the following compounds, either separately (i.e., in isolation) or in any combination: 6-chloro-N-(4-fluoro-phenyl)-1-oxy-nicotinamide; N-(4-fluoro-phenyl)-6-(2-hydroxy-ethylamino)-1-oxy-nicotinamide; 6-bromo-N-(4-fluoro-phenyl)-1-oxy-nicotinamide; 5,6-dichloro-N-(4-fluoro-phenyl)-1-oxy-nicotinamide; 6-ethanesulfonyl-N-(4-fluoro-phenyl)-1-oxy-nicotinamide; N-(4-fluorophenyl)-1-oxy-6-(propane-2-sulfonyl)-nicotinamide; N-(4-fluoro-phenyl)-6-methanesulfonyl-1-oxy-nicotinamide; 6-benzenesulfonyl-N-(4-fluoro-phenyl)-1-oxy-nicotinamide; N-(4-fluoro-phenyl)-1-oxy-6-phenylmethanesulfonyl-nicotinamide; 6-chloro-N-(3-chloro-4-fluoro-phenyl)-1-oxy-nicotinamide; and 6-chloro-N-(4-iodo-phenyl)-1-oxy-nicotinamide.

[0026] In another aspect, the present invention provides composition comprising a compound or compounds as set forth in any of the above-mentioned aspects, and a pharmaceutically acceptable carrier, adjuvant or incipient.

[0027] Furthermore, the present invention provides a method for antagonizing chemokine receptors comprising administering to a patient in need thereof an effective amount of a compound as set forth in any of the above-mentioned aspects.

[0028] The present invention also provides a method for inhibiting a chemokine-mediated cellular event comprising administering to a patient in need thereof an effective amount of a compound as set forth in any of the above-mentioned aspects. Optionally, the compounds inhibits a CXCR1 receptor; and/or inhibits a CXCR2 receptor.

[0029] The present invention additionally provides a method for the treatment of a disorder selected from Inflammatory Bowel Disease (IBD), psoriasis, rheumatoid arthritis, Acute Respiratory Distress Syndrome (ARDS), cancer, atherosclerosis, reperfusion injury, and graft vs. host disease.

[0030] In a further aspect, the present invention provides a method for inhibiting a G-protein-coupled, seven-transmembrane domain (7TM) receptor in a patient comprising administering to the patient a compound as set forth in any of the above-mentioned aspects in an amount effective to inhibit the receptor. Optionally, the compound modulates the binding of MIP-1 to a NPY cell receptor; and/or the compound modulates the binding of MIP-1 to a somatostatin cell receptor; and/or the compound modulates the binding of MIP-1 to a CCR5 cell receptor.

[0031] The present invention also provides a method for treating an inflammation event, comprising administering to a patient in need thereof, through a therapeutically or prophylactically acceptable manner, a therapeutically or pharmaceutically effective amount of a compound as set forth in any of the above-mentioned aspects. Optionally, the administration is selected from transdermal, oral, intravenous, intramuscular, vaginal, rectal, pulmonary, subcutaneous, sublingual and transmucosal administration.

[0032] Furthermore, the present invention provides a method for identifying a binding partner to a compound as set forth in any of the above-mentioned aspects comprising: immoblizing proteins known to be involved in the TNF- signaling pathway onto a suitable carrier; and passing a solution of said compounds in isolation or mixture over said proteins and analyzing for compound:protein complex formation using surface plasmon resonance (SPR).

[0033] In another aspect, the present invention provides a method for identifying a binding partner to a compound as set forth in any of the above-mentioned aspects comprising: providing said compound(s) bound to a solid support to provide solid phase compounds; contacting a cell or cell components with said solid phase compounds in isolation or mixture; removing uncomplexed cellular material, for example by gentle washing with aqueous buffer; and recovering said binding partner from the solid phase compounds.

[0034] These and other related aspects of the present invention are set forth in more detail below.

[0035] In one aspect, the present invention provides nicotinanilide-N-oxide compounds having the structure (I):

[0036] and optical isomers, diastereomers, enantiomers, solvates and pharmaceutically acceptable salts thereof, wherein R¹ is selected from R⁵ and R⁵(C₁-C₆heteroalkylene)- where R⁵ is selected from hydrogen, halogen, alkyl, heteroalkyl, aryl, heteroaryl, carbocycle aliphatic ring and heterocycle aliphatic ring, amino or hydroxy; R² and R³ are independently hydrogen, alkyl, heteroalkyl, aryl, aryl(akylene), heteroaryl, heteroaryl(alkylene), carbocycle, carbocycle(alkylene), heterocycle, and heterocycle(alkylene); each occurrence of R⁴ is independently selected from halogen, alkyl, heteroalkyl, aryl, heteroaryl, carbocycle aliphatic ring and heterocycle aliphatic ring, amino or hydroxy; and n is 0, 1, 2 or 3. In addition, the present invention provides pharmaceutical compositions including said nicotinanilide-N-oxide compounds, and method of using said compounds and compositions, particularly in therapy.

[0037] Prior to setting forth a detailed description of the compounds, compositions and methods of the present invention, the following definitions as used herein are provided.

[0038] Definition of Terms

[0039] Alkyl is a saturated or unsaturated, straight or branched, hydrocarbon chain. In various embodiments, the alkyl group has 1-18 carbon atoms, i.e., is a C1-C18 group, or is a C1-C12 group, a C1-C6 group, or a C1-C4 group. Independently, in various embodiments, the alkyl group has zero branches (i.e., is a straight chain), one branch, two branches, or more than two branches. Independently, in one embodiment, the alkyl group is saturated. In another embodiment, the alkyl group is unsaturated. In various embodiments, the unsaturated alkyl may have one double bond, two double bonds, more than two double bonds, and/or one triple bond, two triple bonds, or more than two triple bonds. Exemplary alkyl groups include, without limitation, CH₃, CH₃CH₂, CH₂CH, CH₃CH₂CH₂, CH₂(CH₃)CH₂, CH₃C(CH₃)₂CH₂. Alkyl chains may be substituted or unsubstituted. In one embodiment, the alkyl chains are unsubstituted. In another embodiment, the alkyl chain is substituted, e.g., with 1 substituent (i.e., the alkyl group is monosubstituted), or 1-2 substituents, or 1-3 substituents, or 1-4 substituents, etc. When substituted with a heteroatom, the substituted alkyl group may be referred to as a heteroalkyl.

[0040] Alkylene refers to a divalent alkyl radical, i.e., if hydrogen were to occupy one open valence site of an alkylene group then a alkyl group would result. Exemplary alkylene groups include, without limitation, CH₂, CH₂CH₂, CHCH, CH₂CH₂CH₂, CH(CH₃)CH₂, CH₂C(CH₃)₂CH₂. As with alkyl groups, the alkylene group may be substituted or unsubstituted. In one embodiment, the alkylene group is unsubstituted. In another embodiment, the alkylene group is substituted, e.g., with 1 substituent (i.e., the alkylene group is monosubstituted), or 1-2 substituents, or 1-3 substituents, or 1-4 substituents, etc. When substituted with a heteroatom, the substituted alkylene group may optionally be referred to as a heteroalkylene. In one embodiment, the alkylene group is joined to an aryl group, so as to form an aryl(alkylene) group, also referred to as an aralkyl group. In one embodiment, aryl(alkylene) refers to C₇-C₂₀ groups, such as benzyl, -methylbenzyl, ,-dimethylbenzyl, phenylethyl (a.k.a. phenethyl), phenylpropyl, phenylbutyl and phenylhexyl are exemplary aralkyl groups. In another embodiment, the aralkyl group is C₇-C₁₁. In other embodiments, the alkylene group may be joined to a heteroaryl group (so as to form a heteroaryl(alkylene) group), a carbocycle group (so as to form a carbocycle(alkylene) group), and a heterocycle group (so as to form a heterocycle(alkylene) group).

[0041] Aryl is an aromatic hydrocarbon ring system. The ring system may be monocyclic or polycyclic (i.e., bicyclic, tricyclic, etc.). In various embodiments, the monocyclic aryl ring is C5-C10, or C5-C7, or C5-C6, where these carbon numbers refer to the number of carbon atoms that make up the ring system. A C6 ring system, i.e., phenyl, is a preferred aryl ring. In various embodiments, the polycyclic ring is a bicyclic aryl ring, where preferred bicyclic aryl rings are C8-C12, or C9-C10. A naphthyl ring, which has 10 carbon atoms, is a preferred polycyclic aryl ring. Aryl rings may be substituted or unsubstituted. In one embodiment, the aryl ring is unsubstituted. In another embodiment, the aryl ring is substituted with 1 substituent (i.e., the aryl ring is monosubstituted), or 1-2 substituents, or 1-3 substituents, or 1-4 substituents, etc.

[0042] Carbocyclic aliphatic ring, also referred to as carbocycle or cycloalkyl, is a saturated or unsaturated, monocyclic or polycyclic (i.e., bicyclic, tricyclic, etc.) hydrocarbon ring. Carbocyclic aliphatic rings are not aromatic. A polycyclic hydrocarbon ring may include fused, spiro or bridged ring structures. In various embodiments, the monocyclic carbocyclic aliphatic ring is a C3-C10, or a C4-C7, or a C5-C6 ring system. In various embodiments, the polycyclic carbocyclic aliphatic ring is a C6-C12, or a C9-C10 ring system. In one embodiment, the polycyclic ring is bicyclic. In another embodiment, the polycyclic ring is bicyclic or tricyclic. Carbocyclic aliphatic rings include cyclopropylcyclopentyl, cyclohexyl, cyclohexenyl, cycloheptyl, and cyclooctyl. Carbocycles may be substituted or unsubstituted. In one embodiment, the carbocycle is unsubstituted. In another embodiment, the carbocycle is substituted with, e.g., 1 substituent (i.e., the alkyl group is monosubstituted), or 1-2 substituents, or 1-3 substituents, or 1-4 substituents, etc.

[0043] Haloalkyl is an alkyl chain substituted with one or more halogens. A preferred haloalkyl is trifluoromethyl.

[0044] Halogen refers to fluoride, chloride, bromide or iodide. In a preferred embodiment, halogen refers to fluoride or chloride.

[0045] Heteroalkyl is a monovalent, saturated or unsaturated, straight or branched, chain containing carbon and at least one heteroatom. The heteroalkyl group may, in various embodiments, have one heteroatom, or 1-2 heteroatoms, or 1-3 heteroatoms, or 1-4 heteroatoms. Heteroalkyl chains may contain from 1 to 18 (i.e., 1-18) member atoms (carbon and heteroatoms) in the chain, and in various embodiments contain 1-12, or 1-6, or 1-4 member atoms. Independently, in various embodiments, the heteroalkyl group has zero branches (i.e., is a straight chain), one branch, two branches, or more than two branches. Independently, in one embodiment, the heteroalkyl group is saturated. In another embodiment, the heteroalkyl group is unsaturated. In various embodiments, the unsaturated heteroalkyl may have one double bond, two double bonds, more than two double bonds, and/or one triple bond, two triple bonds, or more than two triple bonds. Heteroalkyl chains may be substituted or unsubstituted. In one embodiment, the heteroalkyl chain is unsubstituted. In another embodiment, the heteroalkyl chain is substituted. A substituted heteroalkyl chain may have 1 substituent (i. e., be monosubstituted), or may have 1-2 substituents, or 1-3 substituents, or 1-4 substituents, etc.

[0046] Heteroalkylene refers to an alkylene group wherein one or more of the carbons is replaced with a heteroatom. Thus, the heteroalkylene group is a saturated or unsaturated, straight or branched chain divalent radical that contains at least one heteroatom. The heteroalkylene group may, in various embodiments, have one heteroatom, or 1-2 heteroatoms, or 1-3 heteroatoms, or 1-4 heteroatoms. Heteroalkylene chains may contain from 1 to 18 (i.e., 1-18) member atoms (carbons and/or heteroatoms) in the chain, and in various embodiments contain 1-12, or 1-6, or 1-4 member atoms. Independently, in various embodiments, the heteroalkylene group has zero branches (i.e., is a straight chain), one branch, two branches, or more than two branches. Independently, in one embodiment, the heteroalkylene group is saturated. In another embodiment, the heteroalkylene group is unsaturated. In various embodiments, the unsaturated heteroalkylene may have one double bond, two double bonds, more than two double bonds, and/or one triple bond, two triple bonds, or more than two triple bonds.

[0047] Heteroaryl is an aromatic ring system containing carbon and at least one heteroatom, that is, the heteroaryl group includes at least one aromatic ring containing a heteroatom, i.e., a heteroaryl ring. The heteroaryl ring may, in various embodiments, have 1 heteroatom, 1-2 heteroatoms, 1-3 heteroatoms, or 1-4 heteroatoms in the heteroaryl ring. Heteroaryl groups may be monocyclic or polycyclic (i.e., bicyclic, tricyclic, etc.), where the polycyclic ring may contained fused, spiro or bridged ring junctions. In one embodiment, the heteroaryl is monocyclic, while in another embodiment the heteroaryl group is selected from monocyclic and bicyclic rings. Monocyclic heteroaryl rings may contain from about 5 to about 10 member atoms (carbon and heteroatoms), preferably from 5-7, and most preferably from 5-6 member atoms in the ring. Bicyclic heteroaryl groups may contain from about 8-12 member atoms, or 9-10 member atoms in the rings. In a polycyclic heteroaryl group, at least one ring contains heteroatoms, and the heteroatom-containing ring is aromatic. The additional rings may or may not, independently in each ring, contain heteroatom(s). If an additional ring contains heteroatom(s), then in various embodiments an additional ring has 1 heteroatom, 1-2 heteroatoms, or 1-3 heteroatoms. Independently, the additional rings may or may not be aromatic, that is, they may be saturated, unsaturated but not aromatic, or aromatic. The heteroaryl group may be unsubstituted or substituted. In one embodiment, the heteroaryl group is unsubstituted. In another embodiment, the heteroaryl group is substituted. The substituted heteroaryl group may, in various embodiments, contain 1 substituent, 1-2 substituents, 1-3 substituents, or 1-4 substituents. Exemplary heteroaryl groups include, without limitation, benzofuran, benzothiophene, furan, imidazole, indole, isothiazole, oxazole, pyrazine, pyrazole, pyridazine, pyridine, pyrimidine, pyrrole, quinoline, thiazole and thiophene.

[0048] Heteroatom is a nitrogen, sulfur, or oxygen atom. Groups containing more than one heteroatom may contain different heteroatoms, i.e., heteroatoms are selected on an independent basis upon each occurrence.

[0049] Heterocyclic aliphatic ring, also referred to as heterocyclyl or cycloheteroalkyl or heterocycloalkyl, is a saturated or unsaturated, monocyclic or polycyclic (i.e., bicyclic, tricyclic, etc.) ring containing carbon and at least one heteroatom. Heterocyclic aliphatic rings are not aromatic. The heterocyclic aliphatic ring may, in various embodiments, have one heteroatom, or 1-2 heteroatoms, or 1-3 heteroatoms, or 1-4 heteroatoms, etc. In one embodiment, the heterocyclic aliphatic ring is monocyclic, where the monocyclic ring may have 3-10, or 4-7, or 5-6 member atoms. In another embodiment, the heterocyclic aliphatic ring is polycyclic, where in various embodiments, the ring may be bicyclic, or may be tricyclic, or may be either bicyclic or tricyclic. A polycyclic ring system may have one or more fused, spiro or bridged ring systems. The polycyclic heterocyclic aliphatic ring system may have 6-12, or 9-10 member atoms. The heterocyclic ring may be unsubstituted or substituted. In one embodiment, the heterocyclic ring is unsubstituted. In another embodiment, the heterocyclic ring is substituted. The substituted heterocyclic ring may contain 1 substituent, or 1-2 substituents, or 1-3 substituents, or 1-4 substituents, etc. Exemplary heterocyclic aliphatic rings include piperazyl, morpholinyl, tetrahydrofuranyl, tetrahydropyranyl and piperidyl.

[0050] Lower alkyl is an alkyl chain comprised of 1-6, preferably 1-4 carbon atoms.

[0051] Pharmaceutically acceptable salt and salts thereof means organic or inorganic salts of the pharmaceutically important molecule. A pharmaceutically acceptable salt may involve the inclusion of another molecule such as an acetate ion, a succinate ion or other counterion. The counterion may be any organic or inorganic moiety that stabilizes the charge on the parent compound. Furthermore, a pharmaceutically important organic molecule may have more than one charged atom in its structure. Situations where multiple charged atoms are part of the molecule may have multiple counterions. Hence, the molecule of a pharmaceutically acceptable salt may contain one or more than one charged atoms and may also contain, one or more than one counterion. The desired charge distribution is determined according to methods of drug administration. Examples of pharmaceutically acceptable salts are well known in the art but, without limiting the scope of the present invention, exemplary presentations can be found in the Physician's Desk Reference, The Merck Index, The Pharmacopoeia and Goodman & Gilman's The Pharmacological Basis of Therapeutics.

[0052] Substituents replace a hydrogen atom with a non-hydrogen atom on an alkyl, heteroalkyl, aryl, heteroaryl, carbocycle, and/or heterocyclyl group as defined herein. Where the substituent contains a heteroatom, that heteroatom may be at any acceptable oxidation state for that particular atom, e.g., sulfur as part of a substituent may vary from an oxidation state of 2 to 8, and may be part of a complex or chelate as in a sulfoxide a mercapto-phosphine or metal chelated in a thia-crown ether. Suitable substituents that may be located on one or more of these groups include the following: alkoxy (i.e., alkyl-O, e.g., methoxy, ethoxy, propoxy, butoxy, pentoxy), aryloxy (e.g., phenoxy, chlorophenoxy, tolyloxy, methoxyphenoxy, benzyloxy, alkyloxycarbonylphenoxy, alkyloxycarbonyloxy, acyloxyphenoxy), acyloxy (e.g., propionyloxy, benzoyloxy, acetoxy), carbamoyloxy, carboxy, mercapto, alkylthio, acylthio, arylthio (e.g., phenylthio, chlorophenylthio, alkylphenylthio, alkoxyphenylthio, benzylthio, alkyloxycarbonyl-phenylthio), amino (e.g., amino, mono- and di- C1-C3 alkanylamino, methylphenylamino, methylbenzylamino, C1-C3 alkanylamido, acylamino, carbamamido, ureido, guanidino, nitro and cyano). Moreover, any substituent may have from 1-5 further substituents attached thereto.

[0053] Amino means a trivalent amine substituted with up to 2 alkyl groups as defined above or with 1 alkyl group and a hydrogen group, or with one aryl and one alkyl groups, or with two aryl groups, or with two or more hydrogen groups or with the substitution required to complete the nitrogen's valence requirements. Amino further includes amino salts where the nitrogen is hypervalent, having four bonds and may or may not have a charge and a counterion. The counterion, when present, may be an external inorganic and/or organic counterion and/or may be an internal counterion. Inorganic counterions include, for example, anions such as halo anions and other non-metal anions. Examples of organic counterions include, for example, anionic organic moieties such as acetate, citrate and other anionic organic moieties.

[0054] As stated previously, the present invention provides nicotinanilide-N-oxide compounds having the structure (I):

[0055] The inventive compounds include optical isomers, diastereomers, enantiomers, solvates and pharmaceutically acceptable salts including the structure (I). The structure (I) does not show an optically active center. Accordingly, the optical isomers of the present invention have an optically active center in one or more of R¹, R², R³ and R⁴. When an optically active center is present in an inventive compound, the invention provides for mixtures of optically active compounds as well as isolated optically active compounds. An optically active compound may be isolated by, for example, chiral resolution techniques. Likewise, the presence of diastereomeric and enantiomeric forms of the compounds of structure (I) depend on the identities of R¹, R^2, R³ and R⁴. Again, when the compounds of the invention may be present in diastereomerically pure or mixed form, or enantiomerically pure or mixed form, the present invention provides for both mixtures and isolated compounds.

[0056] Pharmaceutically acceptable salts of the compounds of structure (I) may be formed, depending on whether one or more of R¹, R², R³ and R⁴ contain an acidic or basic site. Suitable counterions for the pharmaceutically acceptable salts include chloride, sulfate, phosphate, citrate, fumarate, methanesulfonate, acetate, tartrate, maleate, lactate, mandelate, salicylate, succinate and other salts known in the art.

[0057] The value of n in the compounds of the invention may be 0, 1, 2 or 3. In one aspect of the invention n is 0, such that the anilide ring contains three hydrogen substituents in addition to R¹. In another aspect, n is 1 such that the anilide rings contains 2 hydrogen substituents. In another aspect, n is 2 such that the anilide rings contains 1 hydrogen substituents. In another aspect, n is selected from 0 and 1. In another aspect, n is selected from 0, 1 and 2. In another aspect, n is selected from 1 and 2.

[0058] The identity of R¹ is selected from R⁵ and R⁵(C₁-C₆heteroalkylene)- where R⁵, is, selected from hydrogen, halogen, alkyl, heteroalkyl, aryl, heteroaryl, carbocycle aliphatic ring, heterocycle aliphatic ring, amino and hydroxy. In one aspect, R¹ is R⁵ and does not include R⁵(C₁-C₆heteroalkylene)-. In another aspect, R¹ is R⁵(C₁-C₆heteroalkylene)- and does not include R⁵ alone.

[0059] In another aspect, R¹ is R⁵SO₂ (i.e., R¹ is R⁵(C₁-C₆heteroalkylene)- where (C₁-C₆heteroalkylene) is SO₂) and R⁵ is selected from alkyl, heteroalkyl, aryl, carbocycle, aryl(alkylene), and carbocycle(alkylene). In various aspects, alkyl refers to C₁-C₁₀alkyl; heteroalkyl refers to C₁-C₁₀alkyl with 1, 2 or 3 heteroatoms selected from N, O and S; aryl refers to phenyl, substituted phenyl, naphthyl or substituted naphthyl; carbocycle refers to C₃-C₈carbocycle; and alkylene refers to C₁-C₁₀alkylene. In various other aspects, R¹ is selected from (C₁-C₆alkyl)SO₂, PhSO₂, fluorinatedphenylSO₂, PhCH₂SO₂, cyclopentylSO₂, m-carboxyphenylSO₂, m-methylphenylSO₂, and HOOC(C₁-C₄alkylene)SO₂.

[0060] In another aspect, R¹ is selected from halogen, amino, hydrocarbylamino, dihydrocarbylamino, hydrocarbyloxy, hydrocarbylthio, heterocyclyl, (heteroalkyl)amino, and (heteroaryl)amino. In various aspects, R¹ is selected from amino, (C₁-C₆alkyl)(C₁-C₆alkyl)amino, PhNH, PhCH₂NH,

[0061] and HOCH₂CH₂NH. In yet other aspects R¹ is selected from halide and (C₁-C₆alkyl)S, where R¹ may be, in one aspect, chloride.

[0062] The compounds of the invention have amide substitution on the anilide ring, and in particular have a C(O)NR²R³ substituent on the anilide ring. The R² and R³ groups are independently selected from hydrogen, alkyl, heteroalkyl, aryl, aryl(akylene), heteroaryl, heteroaryl(alkylene), carbocycle, carbocycle(alkylene), heterocycle, and heterocycle(alkylene). In one aspect, R² is hydrogen. In another aspect, R² is hydrogen when n is 0. In another aspect, R² is hydrogen when n is 1.

[0063] In various aspects, and optionally in addition to the other particular aspects defined above, the compounds of the invention have R³ selected from aryl, aryl(alkylene), heteroaryl, and heteroaryl(alkylene). In one aspect, R³ is aryl. In another aspect, R³ is para-fluorophenyl. In another aspect, R² is hydrogen, n is zero, and R³ is para-fluorophenyl, so that the invention provides compounds having structure (II):

[0064] In another aspect, the present invention provides compounds of structure (I) wherein R³ is benzyl or phenyl, the benzyl or phenyl having 0, 1, 2, 3 or 4 substituents selected from alkoxy, alkoxycarbonyl, alkyl, alkylamido, alkylcarbonyl, amido, benzyl optionally substituted with halogen, benzyloxy, carboxy, cyano, dialkylamido, haloalkyl, haloalkyloxy, halogen, hydroxy, nitro, oxoalkyl, phenyl optionally substituted with halogen, thioalkyl, thiocyanate, and thiohaloalkyl, where in a preferred aspect R² is defined as hydrogen.

[0065] In another aspect, the present invention provides compound of structure (I) wherein R³ is selected from cycloalkyl, cycloalkyl(alkylene), cycloalkyl(heteroalkylene), heterocycloalkyl, heterocycloalkyl(alkylene), heterocycloalkyl(heteroalkylene), heteroaryl, heteroaryl(alkylene), and heteroaryl(heteroalkylene), where in a preferred aspect R² is defined as hydrogen.

[0066] In compounds of the invention, R⁴ is independently selected from halogen, alkyl, heteroalkyl, aryl, heteroaryl, carbocycle aliphatic ring and heterocycle aliphatic ring, amino and hydroxy. In one aspect, R⁴ is independently selected from halogen, alkyl, heteroalkyl, amino and hydroxy. In one aspect, R⁴ is selected from halogen and alkyl.

[0067] Nicotinanilide-N-oxides of the present invention may be prepared as depicted in Scheme 1. The starting material 1 in Scheme 1 is an activated nicotinic acid, where Y is a suitable carbonyl-activating group such as halogen, 1-hydroxybenzotriazole, 7-aza-1-hydroxybenzotriazole, or other leaving group capable of being displaced by an amine. Also in 1, n is 0, 1, 2 or 3, and R¹ is either R¹ or a synthetic precursor to R¹, where R¹ is selected from R⁵ and R⁵(C₁-C₆heteroalkylene)- and R⁵ is selected from hydrogen, halogen, alkyl, heteroalkyl, aryl, heteroaryl, carbocycle aliphatic ring and heterocycle aliphatic ring, amino or hydroxy. In 1, each occurrence of R⁴ is independently selected from halogen, alkyl, heteroalkyl, aryl, heteroaryl, carbocycle aliphatic ring and heterocycle aliphatic ring, amino or hydroxy; or is a suitable synthetic precursor to a listed R⁴ group.

[0068] Compounds of formula 1 are either commercially available from standard chemical supply houses, or may be readily prepared from the corresponding commercially available nicotinic acids upon treatment with an activating agent, e.g., thionyl chloride. Alternatively, they may be prepared by methodology known to one of skill in the art, based on information in the chemical and patent literature, and compounds known in the literature. See, e.g., Arch. Pharm. (Weinheim Ger.) 290:20-25, 1957; J. Fluorine Chemistry, 101(1):45-60, 2000; J. Chem. Soc. 5045-5048, 1965; J. Chem. Soc. 73:234, 1898; J. Med. Chem. 35(3):518-525, 1992; U.S. Pat. Nos. 3,950,160, 3,766,195 and 3,637,716; German Patent DE 25 38 950, and Great Britain Patent GB 1,134,651.

[0069] Commercially available chemicals may be obtained from standard commercial sources including Acros Organics (Pittsburgh Pa.), Aldrich Chemical (Milwaukee Wis., including Sigma Chemical and Fluka), Apin Chemicals Ltd. (Milton Park UK), Avocado Research (Lancashire U.K.), BDH Inc. (Toronto, Canada), Bionet (Cornwall, U.K.),Chemservice Inc. (West Chester Pa.), Crescent Chemical Co. (Hauppauge N.Y.), Eastman Organic Chemicals, Eastman Kodak Company (Rochester N.Y.), Fisher Scientific Co. (Pittsburgh Pa.), Fisons Chemicals (Leicestershire UK), Frontier Scientific (Logan Utah), ICN Biomedicals, Inc. (Costa Mesa Calif.), Key Organics (Cornwall U.K.), Lancaster Synthesis (Windham N.H.), Maybridge Chemical Co. Ltd. (Cornwall U.K.), Parish Chemical Co. (Orem Utah), Pfaltz & Bauer, Inc. (Waterbury CN), Polyorganix (Houston Tex.), Pierce Chemical Co. (Rockford Ill.), Riedel de Haen AG (Hannover, Germany), Spectrum Quality Product, Inc. (New Brunswick, N.J.), TCI America (Portland Oreg.), Trans World Chemicals, Inc. (Rockville Md.), and Wako Chemicals USA, Inc. (Richmond Va.).

[0070] Compounds described in the chemical literature as referred to herein may be identified though various reference books and databases. Suitable reference books and treatise that detail the synthesis of reactants useful in the preparation of compounds of the present invention, or provide references to articles that describe the preparation, include for example, Fuhrhop, J. and Penzlin G. Organic Synthesis: Concepts, Methods, Starting Materials, Second, Revised and Enlarged Edition (1994) John Wiley & Sons ISBN: 3-527-29074-5; Hoffman, R. V. Organic Chemistry, An Intermediate Text (1996) Oxford University Press, ISBN 0-19-509618-5; Larock, R. C. Comprehensive Organic Transformations: A Guide to Functional Group Preparations 2nd Edition (1999) Wiley-VCH, ISBN: 0-471-19031-4; March, J. Advanced Organic Chemistry: Reactions, Mechanisms, and Structure 4th Edition (1992) John Wiley & Sons, ISBN: 0-471-60180-2; Otera, J. (editor) Modem Carbonyl Chemistry (2000) Wiley-VCH, ISBN: 3-527-29871-1; Patai, S. Patai's 1992 Guide to the Chemistry of Functional Groups (1992) Interscience ISBN: 0-471-93022-9; Quin, L. D. et al. A Guide to Organophosphorus Chemistry (2000) Wiley-Interscience, ISBN: 0-471-31824-8; Solomons, T. W. G. Organic Chemistry 7th Edition (2000) John Wiley & Sons, ISBN: 0-471-19095-0; Stowell, J. C., Intermediate Organic Chemistry 2nd Edition (1993) Wiley-Interscience, ISBN: 0-471-57456-2; Industrial Organic Chemicals: Starting Materials and Intermediates: An Ullmann's Encyclopedia (1999) John Wiley & Sons, ISBN: 3-527-29645-X, in 8 volumes; Organic Reactions (1942-2000) John Wiley & Sons, in over 55 volumes; and Chemistry of Functional Groups John Wiley & Sons, in 73 volumes. Specific and analogous reactants may also be identified through the indices of known chemicals prepared by the Chemical Abstract Service of the American Chemical Society, which are available in most public and university libraries, as well as through on-line databases (the American Chemical Society, Washington, D.C., www.acs.org may be contacted for more details). Chemicals that are known but not commercially available in catalogs may be prepared by custom chemical synthesis houses, where many of the standard chemical supply houses (e.g., those listed above) provide custom synthesis services.

[0071] As shown in Scheme 1, the nicotinic acid derivative 1 couples with a primary or secondary amine (HNR²R³) to provide an amide intermediate 2. The coupling reaction is typically carried out in a suitable solvent, e.g., dichloromethane (DCM), in the presence of a suitable base, e.g. a tertiary amine such as diisopropylethylamine (DIEA), at a suitable reaction temperature, e.g., room temperature (rt).

[0072] In amines of the formula HNR²R³, R² and R³ are independently selected from hydrogen, alkyl, heteroalkyl, aryl, aryl(akylene), heteroaryl, heteroaryl(alkylene), carbocycle, carbocycle(alkylene), heterocycle, and heterocycle(alkylene). Many such amines are available from chemical supply houses, or may be prepared by methodology well known in the chemical literature.

[0073] The intermediate 2 may be oxidized under suitable conditions to give the nicotinanilide N-oxide 3. For example, 2 may be reacted with a suitable oxidizing reagent, e.g., aqueous hydrogen peroxide, in a suitable solvent such as acetic acid or trifluoroacetic acid at a suitable reaction temperature, e.g., between about rt and about 70 C. If desired, the nicotinanilide N-oxide 3 may be reacted under suitable reaction conditions to change any one or more of R¹, R², R³ and R⁴ and so form nicotinanilide N-oxide 3a, where R¹, R², R³ and R⁴ in 3a are as defined above.

[0074] Alternatively, the intermediate 2 may be reacted under suitable reaction conditions to change any one or more of R¹, R^2, R³ and R⁴ and so provide the intermediate 2a. This intermediate 2a may then be exposed to oxidizing reaction conditions to form nicotinanilide N-oxide 3a. In each of 2 and 2a, R¹, R^2, R³ and R⁴ are as defined above.

[0075] For example, when R¹ in intermediate 2 is a leaving group, e.g., halide, the intermediate 2 may be treated with a nucleophile that replaces the halide with another R¹ group. Suitable conditions for this type of transformation involve performing the reaction in a suitable solvent, e.g., tetrahydrofuran (THF), at a temperature, e.g., between room temperature and about 90 C., and optionally under pressure, e.g., a sealed tube. Suitable nucleophiles include, but are not limited to, organoamines (e.g., dimethylamine, benzylamine, imidazole), alkoxides (e.g., sodium methoxide) and thiolates (e.g., sodium thiomethoxide).

[0076] The oxidizing conditions that convert 2 to 3, or 2a to 3a, may simultaneously oxidize one or more of the R¹, R², R³ and R⁴ groups. For instance, when R¹ is NR⁵R⁶ or SR⁵, the resulting intermediate may be oxidized under the same conditions as above to give the 6-N-oxide or the 6-sulfone, respectively.

[0077] Scheme 2 illustrates another route to nicotinanilide N-oxides 3.

[0078] As shown in Scheme 2, nicotinic acid 4 is oxidized under suitable conditions as described above (e.g., with hydrogen peroxide), followed by coupling to a primary or secondary amine, HNR²R³. Suitable conditions for this type of coupling involve performing the reaction in a suitable solvent, e.g. THF, in the presence of a suitable coupling agent, e.g. 2-ethoxy-1-ethoxycarbonyl-1,2-dihydroquinoline (EEDQ), and if necessary, a suitable tertiary amine such as DIEA. Nicotinic acids 4 are commercially available or may be readily prepared from commercially available nicotinic acids.

[0079] C. Pharmaceutical Compositions

[0080] In another aspect, the present invention provides a composition containing a nicotinanilide N-oxide compound of formula (I) in admixture with a pharmaceutically acceptable adjuvant, carrier, diluent or excipient, i.e., the present invention provides a pharmaceutical composition containing a compound of formula (I). The pharmaceutical composition may contain optional ingredient(s) if desired.

[0081] The pharmaceutical compositions of the present invention may be in any form which allows for the composition to be administered to a patient. Typical routes of administration include, without limitation, oral, topical, parenteral, sublingual, rectal, vaginal, and intranasal. The term parenteral as used herein includes subcutaneous injections, intravenous, intramuscular, intrasternal injection or infusion techniques. Pharmaceutical composition of the invention are formulated so as to allow the active ingredients contained therein to be bioavailable upon administration of the composition to a patient. Compositions that will be administered to a patient take the form of one or more dosage units, where for example, a tablet may be a single dosage unit, and a container of nicotinanilide N-oxide in aerosol form may hold a plurality of dosage units.

[0082] The composition may be in the form of a solid, liquid or gas (aerosol). In one aspect, the carrier(s) are particulate, so that the compositions are, for example, in tablet or powder form. The carrier(s) may be liquid, with the compositions being, for example, an oral syrup or injectable liquid. In addition, the carrier(s) may be gaseous, so as to provide an aerosol composition useful in, e.g., inhalatory administration.

[0083] When intended for oral administration, the composition is preferably in either solid or liquid form, where semi-solid, semi-liquid, suspension and gel forms are included within the forms considered herein as either solid or liquid.

[0084] As a solid composition for oral administration, the composition may be formulated into a powder, granule, compressed tablet, pill, capsule, chewing gum, wafer or the like form. Such a solid composition will typically contain one or more inert diluents or edible carriers. In addition, one or more of the following adjuvants may be present: binders such as carboxymethylcellulose, ethyl cellulose, microcrystalline cellulose, gum tragacanth or gelatin; excipients such as starch, lactose or dextrins, disintegrating agents such as alginic acid, sodium alginate, Primogel, corn starch and the like; lubricants such as magnesium stearate or Sterotex; glidants such as colloidal silicon dioxide; sweetening agents such as sucrose or saccharin, a flavoring agent such as peppermint, methyl salicylate or orange flavoring, and a coloring agent.

[0085] When the composition is in the form of a capsule, e.g., a gelatin capsule, it may contain, in addition to materials of the above type, a liquid carrier such as polyethylene glycol or a fatty oil.

[0086] The composition may be in the form of a liquid, e.g., an elixir, syrup, solution, emulsion or suspension. The liquid may be for oral administration or for delivery by injection, as two examples. When intended for oral administration, preferred composition contain, in addition to the present compounds, one or more of a sweetening agent, preservatives, dye/colorant and flavor enhancer. In a composition intended to be administered by injection, one or more of a surfactant, preservative, wetting agent, dispersing agent, suspending agent, buffer, stabilizer and isotonic agent may be included.

[0087] The liquid pharmaceutical compositions of the invention, whether they be solutions, suspensions or other like form, may include one or more of the following adjuvants: sterile diluents such as water for injection, saline solution, preferably physiological saline, Ringer's solution, isotonic sodium chloride, fixed oils such as synthetic mono or digylcerides which may serve as the solvent or suspending medium, polyethylene glycols, glycerin, propylene glycol or other solvents; antibacterial agents such as benzyl alcohol or methyl paraben; antioxidants such as ascorbic acid or sodium bisulfite; chelating agents such as ethylenediaminetetraacetic acid; buffers such as acetates, citrates or phosphates and agents for the adjustment of tonicity such as sodium chloride or dextrose. The parenteral preparation can be enclosed in ampoules, disposable syringes or multiple dose vials made of glass or plastic. Physiological saline is a preferred adjuvant. An injectable pharmaceutical composition is preferably sterile.

[0088] A liquid compositions intended for either parenteral or oral administration should contain an amount of the inventive compound such that a suitable dosage will be obtained. Typically, this amount is at least 0.01% of a compound of the invention in the composition. When intended for oral administration, this amount may be varied to be between 0.1 and about 70% of the weight of the composition. Preferred oral compositions contain between about 4% and about 50% of the active vanadium(V) complex. Preferred compositions and preparations according to the present invention are prepared so that a parenteral dosage unit contains between 0.01 to 1% by weight of active compound.

[0089] The pharmaceutical composition may be intended for topical administration, in which case the carrier may suitably comprise a solution, emulsion, ointment or gel base. The base, for example, may comprise one or more of the following: petrolatum, lanolin, polyethylene glycols, bee wax, mineral oil, diluents such as water and alcohol, and emulsifiers and stabilizers. Thickening agents may be present in a pharmaceutical composition for topical administration. If intended for transdermal administration, the composition may include a transdermal patch or iontophoresis device. Topical formulations may contain a concentration of the inventive compound of from about 0.1 to about 10% w/v (weight per unit volume).

[0090] The composition may be intended for rectal administration, in the form, e.g., of a suppository which will melt in the rectum and release the drug. The composition for rectal administration may contain an oleaginous base as a suitable nonirritating excipient. Such bases include, without limitation, lanolin, cocoa butter and polyethylene glycol.

[0091] The composition may include various materials which modify the physical form of a solid or liquid dosage unit. For example, the composition may include materials that form a coating shell around the active ingredients. The materials which form the coating shell are typically inert, and may be selected from, for example, sugar, shellac, and other enteric coating agents. Alternatively, the active ingredients may be encased in a gelatin capsule.

[0092] The composition in solid or liquid form may include an agent which binds to the nicotinanilide N-oxide compounds of the invention and thereby assists in the delivery of the active compound. Suitable agents which may act in this capacity include a monoclonal or polyclonal antibody, a protein or a liposome.

[0093] Materials used in preparing the pharmaceutical compositions should be pharmaceutically pure and non-toxic in the amounts used. It will be evident to those of ordinary skill in the art that the optimal dosage of the active ingredient(s) in the pharmaceutical composition will depend on a variety of factors. Relevant factors include, without limitation, the type of subject (e.g., human), the particular form of the active ingredient, the manner of administration and the composition employed.

[0094] The pharmaceutical composition of the present invention may consist of gaseous dosage units, e.g., it may be in the form of an aerosol. The term aerosol is used to denote a variety of systems ranging from those of colloidal nature to systems consisting of pressurized packages. Delivery may be by a liquefied or compressed gas or by a suitable pump system which dispenses the active ingredients. Aerosols of compounds of the invention may be delivered in single phase, bi-phasic, or tri-phasic systems in order to deliver the active ingredient(s). Delivery of the aerosol includes the necessary container, activators, valves, subcontainers, and the like, which together may form a kit. Preferred aerosols may be determined by one skilled in the art, without undue experimentation.

[0095] Whether in solid, liquid or gaseous form, the pharmaceutical composition of the present invention may contain one or more known pharmacological agents used in the treatment of inflammation.

[0096] The pharmaceutical compositions may be prepared by methodology well known in the pharmaceutical art. For example, a composition intended to be administered by injection can be prepared by combining a nicotinanilide N-oxide compounds of formula (I) with water so as to form a solution. A surfactant may be added to facilitate the formation of a homogeneous solution or suspension. Surfactants are compounds that non-covalently interact with the nicotinanilide N-oxide compound so as to facilitate dissolution or homogeneous suspension of the compound in the aqueous delivery system.

[0097] D. Biological Applications

[0098] The present invention provides nicotinanilide N-oxide, compositions containing a nicotinanilide N-oxide, and methods of using nicotinanilide N-oxide compounds to inhibit chemokine-mediated cellular events involving IL-8, including IL-8a (CXCR1 receptor) and IL-8b (CXCR2 receptor). Thus, in one aspect, the present invention provides a method to modulate binding of IL-8 to cell receptors, and/or modulate the consequential intracellular events comprising administering to a subject in a need thereof an effective amount of a nicotinanilide N-oxide compounds of formula (I). Thus, in one aspect, the present invention provides a method for the inhibition of IL-8 or other CXC chemokines binding to CXCR1 and/or CXCR2 receptors comprising administering an effective amount of a compound of formula (I) to a subject in need thereof. In another aspect, the present invention provides a method for reducing the levels of IL-8 within a subject comprising administering to a subject in need thereof an effective amount of a compound of formula (I). In another aspect, the present invention provides a method for treating, preventing, or treating and/or preventing one or more of inflammatory and autoimmune diseases such as Inflammatory Bowel Disease (IBD), psoriasis, rheumatoid arthritis, Acute Respiratory Distress Syndrome (ARDS), cancer, atherosclerosis, reperfusion injury, and graft vs. host disease, comprising administering to a subject in need thereof an effective amount of a compound of formula (I).

[0099] In another aspect, the present invention provides a method of using nicotinanilide N-oxide compounds, and compositions comprising nicotinanilide N-oxide compounds, to inhibit G-protein-coupled, seven-transmembrane domain (7TM) receptors. Thus, in one aspect, the present invention provides a method to modulate the binding of MIP-1 to CCR5 cell receptors. In another aspect, the present invention provides a method to modulate the binding of Peptide YY (PYY) to NPY cell receptors. In another aspect, the present invention provides a method to modulate the binding of somatostatin to somatostatin cell receptors. In one aspect, the nicotinanilide N-oxide compound modulates by reducing the effective binding of MIP-1 to cell receptor.

[0100] The present invention provides a method for treating an inflammation event, comprising administering to a patient in need thereof, through a therapeutically or prophylactically acceptable manner, a therapeutically or pharmaceutically effective amount of the compound of formula (I). Administering may be selected from transdermal, oral, intravenous, intramuscular, vaginal, rectal, pulmonary, subcutaneous, sublingual and transmucosal administration.

[0101] The effective amount or therapeutically effective amount of a compound of the present invention will depend on the route of administration, the type of mammal being treated, and the physical characteristics of the specific mammal under consideration. These factors and their relationship to determining this amount are well known to skilled practitioners in the medical arts. This amount and the method of administration can be tailored to achieve optimal efficacy but will depend on such factors as weight, diet, concurrent medication and other factors which those skilled in the medical arts will recognize.

[0102] In another aspect, the present invention provides a method for identifying a binding partner to a nicotinanilide-N-oxide compound as disclosed herein, where the method comprises: immoblizing protein known to be involved in the TNF- signaling pathway onto a suitable carrier; and passing a solution of said compounds in isolation or mixture over said protein and analyzing for compound:protein complex formation using surface plasmon resonance (SPR). This method may be performed in analogy to the method described in Karlsson, R et al. Biosensor Analysis of Drug-Target Interactions: Direct and Competitive Binding Assays for Investigation of Interactions Between Thrombin and Thrombin Inhibitors Anal. Biochem. 2000, 278(1), 1-13. For other examples of identifying small molecule-protein interactions using SPR see the Biacore website: http://www.biacore.com.

[0103] In another aspect, the present invention provides a method for identifying a binding partner to a nicotinanilide N-oxide compound as disclosed herein, where the method comprises: contacting a cell or cell components with said nicotinanilide N-oxide compound in isolation or mixture; removing uncomplexed cellular material, for example by gentle washing with aqueous buffer; and recovering said binding partner from the compounds. The nicotinanilide N-oxide compound(s) are preferably bound to a solid support See, e.g., methodology reported in Shimizu, N et al. High Performance Affinity Beads for Identifying Drug Receptors Nature Biotechnology, 2000, 18(8), 877-881).

[0104] As to each publication or patent referenced herein, that publication or patent is incorporated herein by reference in its entirety for all purposes.

[0105] From the foregoing it will be appreciated that, although specific embodiments of the invention have been described herein for purposes of illustration, various modifications may be made without deviating from the spirit and scope of the invention. Accordingly, the invention is not limited except as by the appended claims.

[0106] The following examples are offered by way of illustration, and not by way of limitation.

[0107] A. 6-Chloro-N-(4-fluoro-phenyl)-nicotinamide

[0108] To a suspension of 6-chloronicotinoyl chloride (10.5 g, 59.7 mmole) in dry dichloromethane (100 mL) was added 4-fluoroaniline (5.6 mL, 59.7 mmole), followed by the dropwise addition of N,N-diisopropylethylamine (21 mL, 119 mmol). After stirring for 90 min at room temperature, the mixture was diluted with ethyl acetate (20 mL) and washed with water. The combined organic extracts were dried over anhydrous sodium sulfate, filtered, and concentrated in vacuo. Purification by recrystallization using ethyl acetate/hexanes gave 13.8 g (92%) of a white solid. ¹H NMR (300 MHz, CDCl₃) 7.09-7.12 (m, 2H), 7.47-7.50 (m, 1H), 7.56-60 (m, 2 H), 7.7 (bs, 1H), 8.15-8.18 (m, 1H), 8.84 (m, 1H); MS (EI) m/z 251.13 (MH).

[0109] B. 6-Chloro-N-(4-fluoro-phenyl)-1-oxy-nicotinamide

[0110] To a solution of 6-chloro-N-(4-fluoro-phenyl)-nicotinamide (2.06 g, 8.2 mmole) in 30 mL of acetic acid was added 30 mL of aqueous hydrogen peroxide (30%). The mixture was warmed to 70 C. and stirred for 18 hours, and then 20 mL of additional hydrogen peroxide (30%) was added and stirred for 2 hours. The mixture was then cooled, concentrated in vacuo and diluted with water (100 mL). Isolation of the precipitate by vacuum filtration afforded 0.43 g (20%) of the desired product as a white solid: ¹H NMR (300 MHz, DMSO-d₆) 7.19 (m 2H), 7.75 (M, 3H), 7.95 (M, 1H), 8.94 (d, 1H, J2.2 Hz), 10.5 (s, 1H); MS (EI) m/z 267.19 (MH).

[0111] C. 6-Dimethylamino-N-(4-fluoro-phenyl)-1-oxy-nicotinamide

[0112] In a sealed tube was placed 6-chloro-N-(4-fluoro-phenyl)-1-oxy-nicotinamide (0.016 g, 0.060 mmole) and dimethylamine (2 mL of a of 2.0 M solution in THF). The mixture was heated to 90 C. for 4 h, then cooled and poured into ethyl acetate and water. The organic layer was removed, dried over sodium sulfate, filtered, and the solvents removed in vacuo. Purification by trituration using ethyl acetate/hexanes gave 6 mg (36%) of the desired product as a white solid: ¹H NMR (300 MHz, DMSO-d₆) 3.00 (m, 6H), 7.10 (m, 3H), 7.7 (m, 3H), 8.68 (m, 1H), 10.26 (m, 1H); MS (EI) m/z 276.27 (MH).

[0113]

[0114] In a sealed tube was placed 6-chloro-N-(4-fluoro-phenyl)-1-oxy-nicotinamide (0.020 g, 0.070 mmole) and benzylamine (1 mL). The mixture was heated to 90 C. for 18 h, then cooled and poured into ether. The resulting precipitate was collected by vacuum filtration and purified by trituration with methanol/ethyl acetate to give 16 mg (70%) of the desired product as a white solid. ¹H NMR (300 MHz, CD₃OD) 4.60 (m, 2H), 6.85 (m, 1H), 7.05 (m, 3H), 7.33 (m, 4H), 7.63 (m, 3H), 7.87 (m, 1H), 8.73 (s, 1H); MS (EI) m/z 338.26 (MH).

[0115]

[0116] In a sealed tube was placed 6-chloro-N-(4-fluoro-phenyl)-1-oxy-nicotinamide (0.020 g, 0.070 mmole) and aniline (1 mL). The mixture was heated to 90 C. for 18 h then cooled and poured into ether. The resulting precipitate was collected by vacuum filtration and purified by trituration with ethyl acetate to give 13.1 mg (59%) of the desired product as a white solid. ¹H NMR (300 MHz, DMSO-₆) 7.17 (m, 5H), 7.35 (m, 4H), 7.75 (m, 2H), 8.92 (d, 1H, J2.2 Hz), 9.75 (s, 1H), 10.24 (s, 1H); MS (EI) m/z 322.23 (MH).

[0117]

[0118] In a sealed tube was placed 6-chloro-N-(4-fluoro-phenyl)-1-oxy-nicotinamide (0.020 g, 0.070 mmole) and methylamine (1 mL of a 2.0 M solution in water). The mixture was heated to 90 C. for 18 h, then cooled and poured into ether. The resulting precipitate was collected by vacuum filtration and purified by flash chromatography (10% methanol in ammonia saturated dichloromethane) to give 5.6 mg (21%) of the desired product as a white solid. ¹H NMR (300 MHz, CD₃OD) 3.05 (s, 3H), 6.94 (m, 1H), 7.06 (m, 2H), 7.64 (m, 2H), 8.00 (m, 1H), 8.70 (m, 1H); MS (EI) m/z 260.26 (MH).

[0119]

[0120] In a sealed tube was placed 6-chloro-N-(4-fluoro-phenyl)-1-oxy-nicotinamide (0.020 g, 0.070 mmole), imidazole (95 mg, 1.4 mmol), and THF (1 mL). The mixture was heated to 90 C. for 18 h, then cooled and poured into cold water. The resulting precipitate was collected by vacuum filtration to give 10.4 mg (46%) of the desired product as a white solid. ¹H NMR (300 MHz, DMSO-d₆) 7.18, (m, 3H), 7.78 (m, 5H), 8.53 (bs, 1H), 8.96 (s, 1H), 10.56 (s, 1H); MS (EI) m/z 299.23 (MH).

[0121]

[0122] In a sealed tube was placed 6-chloro-N-(4-fluoro-phenyl)-1-oxy-nicotinamide (0.020 g, 0.070 mmole), and ethanolamine (1 mL). The mixture was heated to 90 C. for 18 h, then cooled and poured into cold water. The resulting precipitate was collected by vacuum filtration to give 4.3 mg (21%) of the desired product as a white solid. MS (EI) m/z 292.26 (MH).

[0123]

[0124] In a sealed tube was placed 6-chloro-N-(4-fluoro-phenyl)-1-oxy-nicotinamide (0.020 g, 0.070 mmole), pyrrolidine (0.031 mL, 0.375 mmol), and THF (1 mL). The mixture was heated to 90 C. for 18 h, then cooled and poured into ethyl acetate. The resulting precipitate was collected by vacuum filtration to give 16.1 mg (70%) of the desired product as a white solid. MS (EI) m/z 302.25 (MH).

[0125]

[0126] In a sealed tube was placed 6-chloro-N-(4-fluoro-phenyl)-1-oxy-nicotinamide (0.020 g, 0.070 mmole), amylamine (0.043 mL, 0.375 mmol), and THF (1 mL). The mixture was heated to 90 C. for 18 h and then cooled and poured into water. The resulting precipitate was collected by vacuum filtration and purified by trituration with ethyl acetate/methanol to give 16.2 mg (68%) of the desired product as a white solid. MS (EI) m/z 318.28 (MH).

[0127]

[0128] In a sealed tube was placed 6-chloro-N-(4-fluoro-phenyl)-1-oxy-nicotinamide (0.020 g, 0.070 mmole) and ammonium hydroxide (2 mL of a 14.8 M solution in water). The mixture was heated to 90 C. for 18 h and then cooled and the volatiles removed in vacuo. The resulting precipitate was purified by flash chromatography (10% methanol in ammonia saturated dichloromethane to give 9.5 mg (51%) of the desired product as a white solid. MS (EI) m/z 248.25 (MH).

[0129]

[0130] To 8 mL of trifluoracetic acid at 0 C. was added 1 mL of aqueous hydrogen peroxide (30%) over a 5 minute period, followed by the addition of 6-bromo-N-(4-fluoro-phenyl)-nicotinamide (0.1 g, 0.34 mmol) in one portion. The mixture was warmed to 45 C. and stirred for 18 hours. The mixture was cooled diluted with water (1 mL) and concentrated in vacuo. Purification by trituration using hot ethyl acetate produced the desired product as a white solid: MS (EI) m/z 312.89 (MH).

[0131]

[0132] The title compound was prepared in a similar fashion to 2-Chloro-N-(4-fluoro-phenyl)-6-methyl-1-oxy-nicotinamide in Example 14. MS (EI) m/z 247.1 (MH).

[0133] A. 6-Chloro-1-oxy-nicotinic acid

[0134] To 400 mL of trifluoracetic acid at 0 C. was added 50 mL of aqueous hydrogen peroxide (30%) over a 5 minute period, followed by the addition of 6-chloro-nicotinic acid (3.07 g, 19.5 mmole) in one portion. The mixture was warmed to 45 C. and stirred for 18 hours, and then 30 mL of additional aqueous hydrogen peroxide (30%) was added in one portion and stirred for 2 h. The mixture was cooled and concentrated in vacuo. Purification by trituration using hot ethyl acetate produced 2.18 g (64%) of the desired product as a white solid: ¹H NMR (300 MHz, DMSO-d₆) 8.65 (d, 1H, J1.9 Hz), 7.85 (m, 1H), 7.7 (m, 1H), 3.3 (bs, 1H); MS (EI) m/z 174.13/176.13 (MH).

[0135] General Procedure a for the Synthesis of 6-chloro-N-substituted-1-oxy-nicotinamides

[0136] To a suspension of 6-chloro-1-oxy-nicotinic acid (0.040 g, 0.23 mmol) in dry chloroform (5 mL) was added a selected amine (0.3 mmol) followed by the addition of (2-ethyoxy-1-ethoxycarbonyl-1,2-dihydroquinoline, 0.32 mmole). After stirring for 24 hours at room temperature the mixture was diluted with hexanes and the solids isolated by vacuum filtration. Purification of the solids by trituration with ethyl acetate and hexanes afforded the desired 1-oxy-nicotinamides.

[0137] Compounds prepared by the general procedure outlined in Example 12 where synthesized from the appropriate amine, as set forth in Table 1.

TABLE 1
N-Benzhydryl-6-chloro-1-oxy-nicotinamide:
MS (EI) m/z 339.21 (M H).
6-Chloro-N-(2-fluoro-phenyl)-1-oxy-nicotinamide:
MS (EI) m/z 267.23 (M H).
6-Chloro-N-(3-chloro-4-fluoro-phenyl)-1-oxy-nicotinamide:
MS (EI) m/z 299.20 (M H).
6-Chloro-N-(4-nitro-phenyl)-1-oxy-nicotinamide:
MS (EI) m/z 292.24 (M H).
N-(3-Bromo-phenyl)-6-chloro-1-oxy-nicotinamide:
MS (EI) m/z 325.16 (M H).
6-Chloro-N-(4-fluoro-3-trifluoromethyl-phenyl)-1-oxy-nicotinamide:
MS (EI) m/z 333.21 (M H).
6-Chloro-N-(3-fluoro-4-methyl-phenyl)-1-oxy-nicotinamide:
MS (EI) m/z 279.27 (M H).
6-Chloro-N-(3-iodo-phenyl)-1-oxy-nicotinamide:
MS (EI) m/z 373.12 (M H).
3-(6-Chloro-1-oxy-pyridine-3-carbonyl)-amino-4-methoxy-benzoic acid:
MS (EI) m/z 323.06 (M H).
6-Chloro-N-(3,4-dimethyl-phenyl)-1-oxy-nicotinamide:
MS (EI) m/z 275.25 (M H).
6-Chloro-N-(3,4-difluoro-phenyl)-1-oxy-nicotinamide:
MS (EI) m/z 283.22 (M H).
N-(4-Benzyloxy-phenyl)-6-chloro-1-oxy-nicotinamide:
MS (EI) m/z 353.23 (M H).
6-Chloro-N-(3-chloro-4-iodo-phenyl)-1-oxy-nicotinamide:
MS (EI) m/z 407.06 (M H).
N-(4-Bromo-3-chloro-phenyl)-6-chloro-1-oxy-nicotinamide:
MS (EI) m/z 361.09 (M H).
N-(4-Bromo-3-methyl-phenyl)-6-chloro-1-oxy-nicotinamide:
MS (EI) m/z 341.15 (M H).
6-Chloro-N-(3-methoxy-phenyl)-1-oxy-nicotinamide:
MS (EI) m/z 277.26 (M H).
N-(4-Bromo-phenyl)-6-chloro-1-oxy-nicotinamide:
MS (EI) m/z 327.11 (M H).
N-(3,5-Bis-trifluoromethyl-phenyl)-6-chloro-1-oxy-nicotinamide:
MS (EI) m/z 383.15 (M H).
6-Chloro-1-oxy-N-(3-trifluoromethoxy-phenyl)-nicotinamide:
MS (EI) m/z 331.19 (M H).
6-Chloro-N-(4-fluoro-3-methyl-phenyl)-1-oxy-nicotinamide:
MS (EI) m/z 279.24 (M H).
6-Chloro-N-(3-fluoro-4-methoxy-phenyl)-1-oxy-nicotinamide:
MS (EI) m/z 295.22 (M H).
6-Chloro-N-(4-methoxy-phenyl)-1-oxy-nicotinamide:
MS (EI) m/z 277.23 (M H).
6-Chloro-1-oxy-N-(4-trifluoromethyl-phenyl)-nicotinamide:
MS (EI) m/z 315.19 (M H).
6-Chloro-N-(2-hydroxy-phenyl)-1-oxy-nicotinamide:
MS (EI) m/z 263.23 (M H).
6-Chloro-N-(4-fluoro-2-methyl-phenyl)-1-oxy-nicotinamide:
MS (EI) m/z 279.24 (M H).
6-Chloro-N-(3,4-dichloro-phenyl)-1-oxy-nicotinamide:
MS (EI) m/z 315.00 (M H).
6-Chloro-N-(3-fluoro-phenyl)-1-oxy-nicotinamide:
MS (EI) m/z 265.11 (M H).
6-Chloro-N-(4-iodo-phenyl)-1-oxy-nicotinamide:
MS (EI) m/z 372.93 (M H).
N-(4-tert-Butyl-phenyl)-6-chloro-1-oxy-nicotinamide:
MS (EI) m/z 303.29 (M H).
6-Chloro-N-(4-chloro-3-trifluoromethyl-phenyl)-1-oxy-nicotinamide:
MS (EI) m/z 349.15 (M H).
6-Chloro-N-(3-chloro-phenyl)-1-oxy-nicotinamide:
MS (EI) m/z 281.19 (M H).
6-Chloro-1-oxy-N-(3-trifluoromethyl-phenyl)-nicotinamide:
MS (EI) m/z 315.20 (M H).
6-Chloro-N-(3-ethoxy-phenyl)-1-oxy-nicotinamide:
MS (EI) m/z 291.25 (M H).
N-(3-Carbamoyl-phenyl)-6-chloro-1-oxy-nicotinamide:
MS (EI) m/z 290.24 (M H).
N-(4-Acetyl-phenyl)-6-chloro-1-oxy-nicotinamide:
MS (EI) m/z 289.24 (M H).
N-benzyl-6-chloro-1-oxy-nicotinamide:
MS (EI) m/z 261.25 (M H).
6-Chloro-N-(4-fluoro-benzyl)-1-oxy-nicotinamide:
MS (EI) m/z 279.24 (M H).
6-Chloro-N-cyclopentyl-1-oxy-nicotinamide:
MS (EI) m/z 241.21 (M H).
6-Chloro-N-cyclohexyl-1-oxy-nicotinamide:
MS (EI) m/z 255.27 (M H).
6-Chloro-N-furan-2-ylmethyl-1-oxy-nicotinamide:
MS (EI) m/z 251.26 (M H).
6-Chloro-1-oxy-N-phenyl-nicotinamide:
MS (EI) m/z 247.26 (M H).
3-(6-Chloro-1-oxy-pyridine-3-carbonyl)-amino-benzoic acid tert-butyl
ester: MS (EI) m/z 347.27 (M H).
3-(6-Chloro-1-oxy-pyridine-3-carbonyl)-amino-benzoic acid:
MS (EI) m/z 291.19 (M H).
3-(6-Chloro-1-oxy-pyridine-3-carbonyl)-amino-4-methyl-benzoic acid:
MS (EI) m/z 307.09 (M H).
3-(6-Chloro-1-oxy-pyridine-3-carbonyl)-amino-4-methoxy-benzoic acid:
MS (EI) m/z 323.06 (M H).
5-(6-Chloro-1-oxy-pyridine-3-carbonyl)-amino-isophthalic acid:
MS (EI) m/z 337.05 (M H).
3-(6-Chloro-1-oxy-pyridine-3-carbonyl)-amino-2,5,6-trifluoro-benzoic
acid: MS (EI) m/z 346.97 (M H).
6-Chloro-1-oxy-N-(3-trifluoromethylsulfanyl-phenyl)-nicotinamide:
MS (EI) m/z 347.13 (M H).
6-Chloro-N-(3-methylsulfanyl-phenyl)-1-oxy-nicotinamide:
MS (EI) m/z 293.19 (M H).
N-(4-butyl-phenyl)-6-chloro-1-oxy-nicotinamide:
MS (EI) m/z 303.17 (M H).
N-(3-bromo-4-trifluoromethoxy-phenyl)-6-chloro-1-oxy-nicotinamide:
MS (EI) m/z 410.95 (M H).
6-(6-Chloro-1-oxy-pyridine-3-carbonyl)-amino-2,3-difluoro-benzoic
acid: MS (EI) m/z 327.07 (M H).
6-Chloro-N-(2,3-difluoro-phenyl)-1-oxy-nicotinamide:
MS (EI) m/z 283.12 (M H).
6-Chloro-N-(4-chloro-phenyl)-1-oxy-nicotinamide:
MS (EI) m/z 281.07 (M H).
6-Chloro-N-(3-eyano-phenyl)-1-oxy-nicotinamide:
MS (EI) m/z 272.08 (M H).
6-Chloro-N-(3,4-dimethoxy-phenyl)-1-oxy-nicotinamide:
MS (EI) m/z 307.09 (M H).
6-Chloro-1-oxy-N-(3,4,5-trimethoxy-phenyl)-nicotinamide:
MS (EI) m/z 337.07 (M H).
6-Chloro-1-oxy-N-(4-thiocyanate-phenyl)-nicotinamide:
MS (EI) m/z 304.05 (M H).
4-(6-Chloro-1-oxy-pyridine-3-carbonyl)-amino-benzoic acid methyl
ester: MS (EI) m/z 305.05 (M H).
6-Chloro-N-(3,3-dimethyl-butyl)-1-oxy-nicotinamide:
MS (EI) m/z 255.18 (M H).
6-Chloro-N-(2,4-difluoro-benzyl)-1-oxy-nicotinamide:
MS (EI) m/z 297.12 (M H).
6-Chloro-1-oxy-N-(4-trifluoromethoxy-phenyl)-nicotinamide:
MS (EI) m/z 331.18 (M H).
5-(6-Chloro-1-oxy-pyridine-3-carbonyl)-amino-2-hydroxy-benzoic acid:
m/z 307.07 (M H).
6-Chloro-N-(3,4-difluoro-benzyl)-1-oxy-nicotinamide:
m/z 297.13 (M H).
6-Chloro-N-(2-methylsulfanyl-phenyl)-1-oxy-nicotinamide:
m/z 295.07 (M H).
6-Chloro-N-(4-methylsulfanyl-phenyl)-1-oxy-nicotinamide:
m/z 295.04 (M H).

[0138]

[0139] To 16 mL of trifluoracetic acid at 0 C. was added 2 mL of aqueous hydrogen peroxide (30%) over a 5 minute period followed by the addition of 2,6-dichloro-N-(4-fluoro-phenyl)-nicotinamide (0.107 g, 0.377 mmole) in one portion. The mixture was warmed to room temperature and stirred for 18 hours. The mixture was concentrated in vacuo. Purification by trituration using hot ethyl acetate produced 8 mg (7%) of the desired product as a white solid: MS (EI) m/z 299.16 (MH).

[0140]

[0141] To 8 mL of trifluoracetic acid at 0 C. was added 1 mL of aqueous hydrogen peroxide (30%) over a 5 minute period followed by the addition of 2-chloro-N-(4-fluoro-phenyl)-6-methyl-nicotinamide (0.100 g, 0.379 mmole) in one portion. The mixture was warmed to 50 C. and stirred for 18 hours, and then 1 mL of additional aqueous hydrogen peroxide (30%) was added in one portion and stirred for 24 h. The mixture was cooled and concentrated in vacuo. Purification by reverse phase HPLC produced 4 mg (4%) of the desired product as a white solid: MS (EI) m/z 279.15 (MH).

[0142]

[0143] To 8 mL of trifluoracetic acid at 0 C. was added 1 mL of aqueous hydrogen peroxide (30%) over a 5 minute period followed by the addition of 5,6-dichloro-N-(4-fluoro-phenyl)-nicotinamide (0.100 g, 0.35 mmole) in one portion. The mixture was warmed to 50 C. and stirred for 18 hours, and then 1 mL of additional aqueous hydrogen peroxide (30%) was added in one portion and stirred for 24 h. The mixture was cooled and concentrated in vacuo. Purification by trituration using methanol/ethyl acetate produced 11 mg (10%) of the desired product as a white solid: 299.14 (MH).

[0144]

[0145] To a suspension of 6-chloro-N-(4-fluoro-phenyl)-1-oxy-nicotinamide (0.040 g, 0.15 mmole) in dry tetrahydrofuran (1 mL) was added sodium methoxide (0.024 g, 0.045 mmol) and dry methanol (0.5 mL). After stirring for 1 hour at room temperature additional sodium methoxide (0.024 g, 0.045 mmol) was added and stirred for 15 minutes. The mixture was diluted with ethyl acetate (20 mL) and washed with water. The combined organic extracts were dried over anhydrous sodium sulfate, filtered, and concentrated in vacuo. Purification by trituration using ethyl acetate gave 18 mg (46%) of the desired product as a white solid. MS (EI) m/z 263.21 (MH).

[0146]

[0147] To a suspension of 6-chloro-N-(4-fluoro-phenyl)-1-oxy-nicotinamide (0.033 g, 0.12 mmole) in dry tetrahydrofuran (1 mL) was added sodium thiomethoxide (0.013 g, 0.18 mmol). After stirring for 1 h at room temperature the mixture was diluted with ice water and the solids isolated by vacuum filtration to provide 26 mg (79%) of the desired product as a white solid. MS (EI) m/z 277.17 (MH).

[0148]

[0149] To a suspension of 6-chloro-N-(4-fluoro-phenyl)-1-oxy-nicotinamide (0.102 g, 0.38 mmole) in dry tetrahydrofuran (4 mL) was added sodium thioethoxide (0.080 g, 0.96 mmol). The mixture was stirred for 3 hours. Approximately half of the volatiles were removed in vacuo and the remaining solids diluted with ice water and the solids isolated by vacuum filtration. The solids were purified by trituration using ethyl acetate/methanol to provide 37 mg (37%) of the desired product as a white solid. MS (EI) m/z 291.14 (MH).

[0150]

[0151] To a solution of 6-dimethylamino-N-(4-fluoro-phenyl)-nicotinamide (0.027 g, 0.11 mmol, prepared as in Example 1) in 2 mL of dry dichloromethane/methanol (4:1) was added 3-chloroperoxybenzoic acid (0.020 g, 0.12 mmol) at 0 C. The reaction mixture was then heated to reflux and additional 3-chloroperoxybenzoic acid (0.040 g, 0.24 mmol) was added. After heating for a total of 7 h the reaction mixture was cooled, diluted with chloroform and washed with aqueous sodium carbonate (1M), dried over sodium sulfate, and concentrated in vacuo. Purification by flash chromatography, using 10% methanol/dichloromethane saturated with ammonia, yielded 4 mg (13%) of the desired product as a white solid. MS (EI) m/z 274.18 (MH).

[0152]

[0153] A. 6-Ethylsulfanyl-N-(4-fluoro-phenyl)-nicotinamide

[0154] Into a round-bottomed flask equipped with a condenser was placed 6-chloro-N-(4-fluoro-phenyl)-nicotinamide (0.20 g, 0.80 mmol), tetrahydrofuran (6 mL), and sodium thioethoxide (0.10 g, 1.2 mmol). The mixture was heated to reflux for 4 h at which time additional sodium thioethoxide (0.10 g, 1.2 mmol) was added and stirred for 2 additional hours. The reaction mixture was then cooled and poured into ice water and the solids isolated by vacuum filtration to provide 0.15 g (68%) of the product as a white solid. MS (EI) m/z 275.2 (MH).

[0155] B. 6-Ethanesulfonyl-N-(4-fluoro-phenyl)-1-oxy-nicotinamide

[0156] To 8 mL of trifluoracetic acid at 0 C. was added 1 mL of aqueous hydrogen peroxide (30%) over a 5 minute period followed by the addition of 6-ethylsulfanyl-N-(4-fluoro-phenyl)-nicotinamide (0.050 g, 0.18 mmol) in one portion. The mixture was warmed to room temperature and stirred for 18 h. Approximately half of the volatiles were removed in vacuo and the remaining solids diluted with ice water and the solids isolated by vacuum filtration to provide 0.031 g (53%) of the product as a white solid. MS (EI) m/z 323.07 (MH).

[0157] The compounds listed in Table 2 were prepared from 6-chloro-N-(4-fluoro-phenyl)-nicotinamide and the appropriate thiolate in the same manner as 6-ethanesulfonyl-N-(4-fluoro-phenyl)-1-oxy-nicotinamide:

TABLE 2
N-(4-Fluoro-phenyl)-6-methanesulfonyl-1-oxy-nicotinamide:
MS (EI) m/z 309.20 (M H).
N-(4-Fluoro-phenyl)-1-oxy-6-(propane-2-sulfonyl)-nicotinamide:
MS (EI) m/z 337.14 (M H).
N-(4-Fluoro-phenyl)-1-oxy-6-(propane-1-sulfonyl)-nicotinamide:
MS (EI) m/z 337.15 (M H).
N-(4-Fluoro-phenyl)-1-oxy-6-phenylmethanesulfonyl-nicotinamide:
MS (EI) m/z 385.23 (M H).
6-Cyclopentanesulfonyl-N-(4-fluoro-phenyl)-1-oxy-nicotinamide:
MS (EI) m/z 363.20 (M H).
3-5-(4-Fluoro-phenylcarbamoyl)-1-oxy-pyridine-2-sulfonyl-benzoic acid:
MS (EI) m/z 415.10 (M H).
3-5-(4-Fluoro-phenylcarbamoyl)-1-oxy-pyridine-2-sulfonyl-propionic
acid: MS (EI) m/z 367.17 (M H).
N-(4-Fluoro-phenyl)-1-oxy-6-(2,3,5,6-tetrafluoro-benzenesulfonyl)-
nicotinamide: MS (EI) m/z 443.17 (M H).
N-(4-Fluoro-phenyl)-1-oxy-6-(toluene-3-sulfonyl)-nicotinamide:
MS (EI) m/z 385.29 (M H).
6-(4-Fluoro-benzenesulfonyl)-N-(4-fluoro-phenyl)-1-oxy-nicotinamide:
MS (EI) m/z 389.27 (M H).
6-Benzenesulfonyl-N-(4-fluoro-phenyl)-1-oxy-nicotinamide:
MS (EI) m/z 371.18 (M H).

[0158] The IL-8 and GRO- chemokine inhibitory effects of compounds of the present invention were determined by the following in vitro assays:

[0159] Preparation of PMNs

[0160] Peripheral blood from healthy human volunteers was collected into heparin, diluted in an equal volume of PBS, layered over Ficoll-Paque Plus (Pharmacia Biotech, Uppsala, Sweden), and spun at 400g for 30 min. The PMN rich fraction was removed and residual erythrocytes were lysed with hypotonic saline. The polymorphonuclear neutrophils (PMNs) were washed once with assay buffer (Dulbecco's PBS containing divalent cations and 0.1% endotoxin-free BSA), and resuspended at 1E7 cells/mL in the same buffer. PMNs were loaded with 5 M calcein AM (Molecular Probes, Eugene, Oreg.), washed twice and resuspended in assay buffer.

[0161] Chemotaxis Assay

[0162] Chemotaxis assays with test compounds of the present invention were generally performed according to the method described by Frevert et al., J. Immunol. Meth. 213:41-52 (1998) using either GRO- or IL-8 as summarized below.

[0163] Growth Regulatory Oncogene a (GRO-) driven chemotaxis assays were performed according to the following protocol. The lower chambers of a ChemoTx plate (Neuro Probe, Gaithersburg, Md.) were filled with 29 L of 50 nM GRO- (PeproTech, Rocky Hill, N.J.) and test compound. The empty upper chambers were affixed to the lower (plate), and 25 L of PMN suspension (3E6 cells/mL), without (control) or with 0.04-40 M test compound, preincubated 30 min, was added to the upper wells. Test compounds were dissolved in DMSO (100%) at 20 mM and diluted in assay buffer to the desired concentrations; final DMSO concentration was 0.2%. Neutrophil migration proceeded for 40 min at 37 C. in a humidified incubator with 5% CO₂. After removing nonmigrated cells from the top of the plate, migrated cells were quantified by reading fluorescence on a Wallac Victor.

[0164] Maximum chemotactic response was determined by cells to which no compound was added (positive control), whereas the negative control (unstimulated) was defined by the absence of chemokine in the lower chamber. The ratio of the positive to negative controls represents the chemotactic index of the cells. The results from this assay are reported in Tables 3-5, under the column headings IL-8 and GRO-, and under the sub-column headings ChTx (for chemotaxis).

[0165] Binding Assays

[0166] ¹²⁵I IL-8 (human recombinant) was obtained from NEN Life Science Products, Inc., Boston, Mass., with specific activity of 2200 Ci/mmol. Recombinant human IL-8 was obtained from R&D Systems, Minneapolis, Minn. IL-8 type receptor membranes were prepared from human Sf9 cells co-expressed with Gi312 proteins by BioSignal, Montreal, Canada. Wheat Germ Agglutinin Scintillation Proximity Assay Beads were obtained from Amersham Pharmacia Biotech, Piscataway, N.J. All assays were performed in a 96-well, solvent resistant, white PicoPlate obtained from Packard Instruments. Each reaction mixture contained ¹²⁵I IL-8 (0.16 nM), 5 g/well IL-8R and 1 mg/well WGA-SPA beads in 25 mM Hepes (pH 7.4), containing 2 mM CaCl₂, 1 mM MgCl₂, 0.1% BSA and 0.03% CHAPS. In addition, drug or compound of interest was added which had been pre-dissolved in DMSO so as to reach a final concentration of between 0.01 nM and 80 M, with a maximum final DMSO concentration of 1%. Nonspecific binding was defined by the presence of 8-16 nM unlabelled IL-8. The assay was initiated by the addition of WGA-SPA beads in 25 mM Hepes (pH 7.4) containing 2 mM CaCl₂ and 1 mM MgCl₂. After 4-6 hours of gentle agitation at room temperature, the plate was counted on the Packard TopCount liquid scintillation counter.

[0167] Selected compounds were screened by Panlabs (Bothell Wash.) using their CXCR2 filtermat binding assay. This assay measures binding of ¹²⁵IInterleukin-8 to human interleukin-CXCR2 (IL8RB) receptors and is also described in Ahuja, S. K. and Murphy, P. M., J. Biol. Chem. 271:20545-20550, 1996. In summary, CHO cells stably transfected with a plasmid encoding the human CXCR2 (IL8RB) chemokine receptor were used to prepare membranes in modified HEPES pH 7.4 buffer. A 2 g aliquot of membrane was incubated with 15 pM ¹²⁵IInterleukin-8 for 60 minutes at room temperature. Non-specific binding was estimated in the presence of 10 nM interleukin-8. Membranes were filtered and washed 3 times and the filters were counted to determine ¹²⁵IInterleukin-8 specifically bound. Compounds were screened at 10 M and results are reported in terms of Specific Binding (%) in Tables 3-5. Reference Data:

	Compound	IC50 (nM)	Ki (nM)	nH
	GRO (or MGSA)	0.098	0.098	0.9
	Interleukin-8*	0.035	0.024	0.7
	NAP-2	3.1	2.2	0.6
	MGSA Melanoma Growth Stimulatory Activity;
	*Indicates standard reference agent used;
	NAP-2 Neutrophil Activating Peptide-2

[0168] Data obtained by the above-described assays are reported in Tables 3-5. Binding assay results and ChTx (%) results are reported as * for % values of less than or equal to 40, and ** for % values greater than 40. When no value appears in a cell, the relevant test was not performed.

[0169] The compounds referred to in Table 3 have the following basic structure, and vary only in the identity of R¹.

[0170] The compounds referred to in Table 4 have the following basic structure, and vary only in the identity of R² and R³.

[0171] The compounds having test results presented in Table 5 are shown in their entireties within that Table, with the proviso that PhF represents para-fluorophenyl.

TABLE 3
	IL-8	GRO-
	Binding	ChTx
R1	20 uM, %	20 M, %
Cl	**(1)	**
	*	*
	*	*
	**	*
	**	**
	*	*
	*	**
	*	**
	*	*
	*	*
	**	**
	*	**
	**	**
	**	**
	*	*
	**	**
	**	**
	**	**
	**	**
	**	**
	**	*
	**	*
	**	*
	**	**
	*	**
Br		**
	* (2)	*
(1) by the Panlabs assay, this compound also received a rating of **.
(2) by the Panlabs assay, this compound received a rating of **.

[0172]

TABLE 4
	IL-8	GRO-
	Binding	ChTx
NR2R3	20 uM, %	20 M, %
	*	**
	*	**
	*	**
	*	**
	*	**
	*	**
	*	*
	*	**
	*	*
	*	*
	*	**
	*	**
	*	**
	*	**
	*	**
	*	**
	*	*
	**	**
	*	*
	*	*
	*	*
	*	*
	*	*
	*	*
	*	**
	*	**
	*	**
	*	**
	*	**
	*	**
	*	**
	*	**
	*	C*
	*	*
	*	*
	*	*
	*	*
	*	*
	*	*
	*	*
		**
		**
		*
		**
		**
		*
		*
		**
		*
		**
		*
		**
		**
		**
		**
		**
		*
		*
		**
		**
		**
		**
		*
		*
		*

[0173]

	TABLE 5
		GRO-
		ChTx
	Structure	20 M, %
		**
		**
		*

[0174] Selected N-oxide compounds were tested in the five biological assays as described below, with the results provided in Table 6. In Table 6, * indicates a value of less than or equal to 40, while ** indicates a value of greater than 40. These biological activities were measured at Panlabs (Bothell, Wash.).

[0175] CCR5 Assay (Chemokine CCR5 (Human))

[0176] This assay measures the binding of ¹²⁵IMIP-1 to human chemokine CCR5 receptors. See Samson, M., et al., J. Biol. Chem. 272:24934-24941, 1997. In brief, CHO-K1-_p242-CCR5 cells stably transfected with a plasmid encoding the human chemokine CCR5 receptor were used to prepare membranes in modified HEPES buffer at pH 7.4 using standard techniques. A 1 g aliquot was incubated with 0.1 nM ¹²⁵IMIP-1 for 120 minutes at 25 C. Non-specific binding was estimated in the presence of 0.1 M MIP-1. Membranes were filtered and washed 3 times and filters were counted to determine ¹²⁵IMIP-1 specifically bound. Compounds were screened at 10 M. The data obtained from this assay is reported in Table 6 (row titled CCR5), in terms of specific binding (%). Reference Data:

	Compound	IC50 (nM)	Ki (nM)	nH
	MIP-1	0.039	0.030	0.8
	*MIP-1	0.074	0.057	0.9
	RANTES	0.012	0.0093	0.9
	*Indicates standard reference agent used.
	MIP microphage inflammatory protein.
	RANTES regulated on activation of normal T-cell expressed and secreted

[0177] CXCR1 Assay (Chemokine CXCR1/Interleukin IL-8_A (Human))

[0178] This assay measures binding of ¹²⁵IInterleukin-8 to human interleukin-CXCR1 (ILR8A) receptors. See Ahuja, S. K. and Murphy, P. M. J. Biol. Chem. 271:20545-20550, 1996 for details. In brief, CHO cells stably transfected with a plasmid encoding the human CXCR1 (IL8RA) chemokine receptor were used to prepare membranes in modified HEPES pH 7.4 buffer using standard techniques. A 5 g aliquot of membrane was incubated with 8 pM ¹²⁵IInterleukin-8 for 60 minutes at room temperature. Non-specific binding was estimated in the presence of 10 nM interleukin-8. Membranes were filtered and washed 3 times and the filters were counted to determine ¹²⁵IInterleukin-8 specifically bound. Compounds were screened at 10 M, with the data reported in Table 6 (row titled CXCR1) in terms of specific binding (%). Reference Data:

	Compound	IC50 (nM)	Ki (nM)	nH
	GRO (or MGSA)	>10,000
	*Interleukin-8	0.035	0.007	1.0
	NAP-2	>10,000
	*Indicates standard reference agent used.
	GRO Growth Regulatory Oncogene .
	MGSA Melanoma Growth Stimulatory Activity.
	NAP-2 Neutrophil Activating Peptide-2

[0179] CXCR2 Assay (Chemokine CXCR2/Interleukin IL-8B (Human))

[0180] This assay measures binding of ¹²⁵IInterleukin-8 to human interleukin-CXCR2 (IL8RB) receptors. See Ahuja, S. K. and Murphy, P. M., J. Biol. Chem. 271: 20545-20550, 1996, for details. In brief, CHO cells stably transfected with a plasmid encoding the human CXCR2 (IL8RB) chemokine receptor were used to prepare membranes in modified HEPES pH 7.4 buffer using standard techniques. A 2 g aliquot of membrane was incubated with 15 pM ¹²⁵IInterleukin-8 for 60 minutes at room temperature. Non-specific binding was estimated in the presence of 10 nM interleukin-8. Membranes were filtered and washed 3 times and the filters were counted to determine ¹²⁵IInterleukin-8 specifically bound. Compounds were screened at 10 M, with the results reported in Table 6 (row titled CXCR2) in terms of specific binding (%).

	Compound	IC50 (nM)	Ki (nM)	nH
	GRO (or MGSA)	0.098	0.068	0.9
	*Interleukin-8	0.035	0.024	0.7
	NAP-2	3.1	2.2	0.6
	*Indicates standard reference agent used.
	GRO Growth Regulatory Oncogene .
	MGSA Melanoma Growth Stimulatory Activity.
	NAP-2 Neutrophil Activating Peptide-2.

[0181] NPY₁ Assay (Neuropeptide Y₁ (Human))

[0182] This assay measures binding of ¹²⁵IPeptide YY (PYY) to human neuropeptide Y₁ (NPY₁) receptors. See Fuhlendorff, J., et al. Proc. Natl Acad. Sci. USA 87:182-186, 1990 and Sheikh, S. P., et al. J. Biol. Chem. 264: 6648-6654, 1989. In brief, SK-N-MC (human neuroblastoma) cells were used in modified HBSS pH 7.4 buffer using standard techniques. The cells (10⁶) were incubated with 12.5 pM ¹²⁵IPYY for 45 minutes at 25 C. Non-specific binding was estimated in the presence of 0.1 M NPY (human, rat). Cells were centrifuged and pellets were counted to determine ¹²⁵IPYY specifically bound. Compounds were screened at 10 M, with the results shown in Table 6 (row titled NPY₁), reported in terms of specific binding (%). Reference Data:

	Compound	IC50 (nM)	Ki (nM)	nH
	*NPY (human, rat)	4.0	3.9	1.0
	NPY (porcine)	7.8	7.6	0.9
	NPY (13-36)	2,200	2,100	1.1
	*Indicates standard reference agent used.

[0183] Somatostatin Assay

[0184] This assay measures binding of ¹²⁵Ityr¹ Somatostatin to somatostatin receptors. See Thermos, K. and Reisine, T. Mol. Pharmacol. 33:370-377, 1988, and Srikant, C. B. and Heisler, S., Endocrinology 117:271-278, 1985. In brief, AtT-20 (mouse pituitary) cells were used to prepare membranes in modified Tris-HCl pH 7.5 buffer using standard techniques. A 200 g aliquot of membrane was incubated with 0.04 nM ¹²⁵Ityr¹ Somatostatin for 60 minutes at 25 C. Non-specific binding was estimated in the presence of 1 M somatostatin-14. Membranes were filtered and washed 3 times and the filters were counted to determine ¹²⁵Ityr¹ Somatostatin specifically bound. Compounds were screened at 10 M, with the data reported in Table 6 (row titled Somat.) in terms of specific binding (%). Reference Data:

	Compound	IC50 (nM)	Ki (nM)	nH
	*Somatostatin	0.93	0.54	0.8
	D-Trp8 Somatostatin	0.23	0.13	1.1
	*Indicates standard reference agent used.

[0185]

	TABLE 6
	Structure
Assay
CCR5		**	*	**
CXCR1	**	**	**	*
CXCR2	**	**	**	**
NPY1	*	**	*	**
Somat.	*	**	*	*
	Structure
Assay
CCR5	**	*	**	*	*
CXCR1	*	*	*	*	**
CXCR2	**	**	**	**	**
NPY1	**	*	*
Somat.	*	*	*		*

[0186] All references cited herein are hereby incorporated by reference.

[0187] From the foregoing it will be appreciated that, although specific embodiments of the invention have been described herein for purposes of illustration, various modifications may be made without deviating from the spirit and scope of the invention. Accordingly, the invention is not limited except as by the appended claims.