AU2007203444C1

AU2007203444C1 - N-substituted piperidine derivatives as serotonin receptor agents

Info

Publication number: AU2007203444C1
Application number: AU2007203444A
Authority: AU
Inventors: Carl-Magnus Andersson; Alma Fejzic; Eva Louise Hansen; Jan Pawlas; Nathalie Schlienger
Original assignee: Acadia Pharmaceuticals Inc
Current assignee: Acadia Pharmaceuticals Inc
Priority date: 2002-06-24
Filing date: 2007-07-24
Publication date: 2010-03-11
Anticipated expiration: 2023-06-20
Also published as: AU2007203444A1; AU2007203444B2

Description

N-SUBSTITUTED PIPERIDINE DERIVATIVES AS SEROTONIN RECEPTOR AGENTS FIELD OF THE INVENTION 5 The present invention relates to azacyclic compounds with pharmacokinetic properties for the treatment of symptoms, diseases and disorders associated with monoamine receptors, including serotonin receptors. BACKGROUND OF THE INVENTION 10 Serotonin or 5-hydroxytryptamine (5-HT) plays a significant role in the functioning of the mammalian body. In the central nervous system, 5-HT is an important neurotransmitter and neuromodulator that is implicated in such diverse behaviors and responses as sleeping, eating, locomotion, perceiving pain, learning and memory, sexual behavior, and controlling body temperature and blood pressure. In the spinal column, 15 serotonin plays an important role in the control systems of the afferent peripheral nociceptors (Moulignier, Rev. Neurol. 150:3-15, (1994)). Peripheral functions in the cardiovascular, hematological, and gastrointestinal systems have also been ascribed to 5 HT. 5-HT has been found to mediate a variety of contractile, secretory, and electrophysiologic effects including vascular and nonvascular smooth muscle contraction, 20 and platelet aggregation. (Fuller, Biology of Serotonergic Transmission, 1982; Boullin, Serotonin In Mental Abnormalities 1:316 (1978); Barchas, et al., Serotonin and Behavior, (1973)). The 5-HT2A receptor subtype (also referred to as subclass) is widely yet discretely expressed in the human brain, including many cortical, limbic, and forebrain regions postulated to be involved in the modulation of higher cognitive and affective functions. 25 This receptor subtype is also expressed on mature platelets where it mediates, in part, platelet aggregation, one of the initial steps in the process of vascular thrombosis. Given the broad distribution of serotonin within the body, it is understandable that tremendous interest in drugs that affect serotonergic systems exists (Gershon, et al., The Peripheral Actions of 5-Hydroxytryptamine, 246 (1989); Saxena, et al., J. Cardiovascular 30 Pharmacol. 15: Supp. 7 (1990)). Serotonin receptors are members of a large human gene family of membrane-spanning proteins that function as transducers of intercellular communication. They exist on the surface of various cell types, including neurons and platelets, where, upon their activation by either their endogenous ligand serotonin or - ]a exogenously administered drugs, they change their conformational structure and subsequently interact with downstream mediators of cellular signaling. Many of these receptors, including the 5-HT2A subclass, are G-protein coupled receptors (GPCRs) that signal by activating guanine nucleotide binding proteins (G-proteins), resulting in the 5 generation, or inhibition of; second messenger molecules such as cyclic AMP, inositol phosphates, and diacylglyceml. These second messengers then modulate the function of a variety of intracellular enzymes, including kinases and ion channels, which ultimately affect cellular excitability and function. At least 15 genetically distinct 5-HT receptor subtypes have been identified and 10 assigned to one of seven families (5-HT1-7). Each subtype displays a unique distribution, preference for various ligands, and functional correlate(s). Serotonin may be an important component in various types of pathological conditions such as certain psychiatric disorders (depression, aggressiveness, panic attacks, obsessive compulsive disorders, psychosis, schizophrenia, suicidal tendency), certain 15 neurodegenerative disorders (Alzheimer-type dementia, Parkinsonism, Huntington's chorea), anorexia, bulimia, disorders associated with alcoholism, cerebral vascular accidents, and migraine (Meltzer, Neuropsychopharmacology, 21:106S-115S (1999); Barnes & Sharp, Neuropharmacology, 38:1083-1152 (1999); Glennon, Neurosci. Biobehavioral Rev., 14:35 (1990)). Recent evidence strongly implicates the 5-HT2 20 receptor subtype in the etiology of such medical conditions as hypertension, thrombosis, migraine, vasospasm, ischemia, depression, anxiety, psychosis, schizophrenia, sleep disorders and appetite disorders. Schizophrenia is a particularly devastating neuropsychiatric disorder that affects approximately 1% of the human population. It has been estimated that the total financial 25 cost for the diagnosis, treatment, and lost societal productivity of individuals affected by this disease exceeds 2% of the gross national product (GNP) of the United States. Current treatment primarily involves pharmacotherapy with a class of drugs known as antipsychotics. Antipsychotics are effective in ameliorating positive symptoms (e.g., hallucinations and delusions), yet they frequently do not improve negative symptoms (e.g., 30 social and emotional withdrawal, apathy, and poverty of speech). Currently, nine major classes of antipsychotics are prescribed to treat psychotic symptoms. Use of these compounds is limited, however, by their side effect profiles. Nearly all of the "typical" or older generation compounds have significant adverse effects -2on human motor function, These "extrapyranidal" side effects, so termed due to their effects on modulatory human motor systems, can be both acute (e.g., dystonic reactions, a potentially life threatening but rare neuroleptic malignant syndrome) and chronic (e.g., akathisias, tremors, and tardive dyskinesia). Drug development efforts have, therefore, 5 focused on newer "atypical" agents free of these adverse effects. Antipsychotic drugs have been shown to interact with a large number of central monoaminergic neurotransmitter receptors, including dopaminergic, serotonergic, adrenergic, muscarinic, and histaminergic receptors. It is likely that the therapeutic and adverse effects of these drugs are mediated by distinct receptor subtypes. The high degree 10 of genetic and pharmacological homology between these receptor subtypes has hampered the development of subtype-selective compounds, as well as the determination of the normal physiologic or pathophysiologic role of any particular receptor subtype. Thus there is a need to develop drugs that are selective for individual receptor classes and subclasses amongst monoaminergic neurotransmitter receptors. 15 The prevailing theory for the mechanism of action of antipsychotic drugs involves antagonism of dopamine D2 receptors. Unfortunately, it is likely that antagonism of dopamine D2 receptors also mediates the extrapyramidal side effects. Antagonism of 5 HT2A is an alternate molecular mechanism for drugs with antipsychotic efficacy, possibly through antagonism of heightened or exaggerated signal transduction through serotonergic 20 systems. 5-HT2A antagonists are therefore good candidates for treating psychosis without extrapyramidal side effects. Traditionally, these receptors have been assumed to exist in a quiescent state unless activated by the binding of an agonist (a drug that activates a receptor). It is now appreciated that many, if not most, of the GPCR monoamine receptors, including serotonin 25 receptors, can exist in a partially activated state in the absence of their endogenous agonists. This increased basal activity (constitutive activity) can be inhibited by compounds called inverse agonists. Both agonists and inverse agonists possess intrinsic activity at a receptor, in that they alone can activate or inactivate these molecules, respectively. In contrast, classic or neutral antagonists compete against agonists and 30 inverse agonists for access to the receptor, but do not possess the intrinsic ability to inhibit elevated basal or constitutive receptor responses. The present investigators have recently elucidated an important aspect of 5-HT2A receptor function by applying the Receptor Selection and Amplification Technology (U.S. -3- Patent 5,707,798, 1998; Chem Abstr. 128:111548 (1998) and citations therein), to the study of the 5-HT2 subclass of serotonin receptors. R-SAT is a phenotypic assay of receptor function that involves the heterologous expression of receptors in mammalian fibroblasts. Using this technology we were able to demonstrate that native 5-HT2A receptors possess 5 significant constitutive, or agonist-independent, receptor activity (U.S. Patent 6,358,698; Weiner et. al. J. Pharmacol. Exp. Ther. 2001, 299 (1), 268-276, both of which are hereby incorporated by reference herein in their entirety, including any drawings). Furthermore, by directly testing a large number of centrally acting medicinal compounds with known clinical activity in neuropsychiatric disease, we determined that compounds with 10 antipsychotic efficacy all shared a common molecular property. Nearly all of these compounds, which are used by psychiatrists to treat psychosis, were found to be potent 5 HT2A inverse agonists. This unique clinico-pharmacologic correlation at a single receptor subtype is compelling evidence that 5-HT2A receptor inverse agonism is a molecular mechanism of antipsychotic efficacy in humans. 15 Detailed pharmacological characterization of a large number, of antipsychotic compounds revealed that they possess broad activity at multiple related receptor subtypes. Most of these compounds display agonist, competitive antagonist, or inverse agonist activity at multiple monoaminergic receptor subtypes, including serotoninergic, dopaminergic, adrenergic, muscarinic and histaminergic receptors. This broad activity is 20 likely responsible for the sedating, hypotensive, and motor side effects of these compounds. It would therefore be of great advantage to develop compounds that are selective inverse agonists of the 5-HT2A receptor, but which have little or no activity on other monamine receptors subtypes, especially dopamine D2 receptors. Such compounds may be useful in the treatment of human disease (e.g., as anti-psychotics), and may avoid the adverse side 25 effects associated with non-selective receptor interactions. US 4,853,394 discloses N-(Hydroxyethylpiperid-4-yl) esters and aides which with gastic motility enhancing, anti-emetic activity and 5-HT antagonist activity. EP 0 260 070 discloses the acetic acid ester of 4-(4-(4-chlorophenyl)-4-hydroxy-1 piperidinyl)-1-(4-fluorophenyl)-1-butanone for the alleviation, palliation, mitigation, or 30 inhibition of the manifestations of psychic abnormalities. -4- SUMMARY OF THE INVENTION Disclosed herein are compounds of Formula I, R4 5 R3 nR2 R R2 Ar2 X N Ar' W 10 or a pharmaceutically acceptable salt, amide, ester, or prodrug thereof, wherein: R' is an optionally substituted (heterocyclyl)CI-6-alkyl, wherein the optionally 15 substituted heterocyclyl of the optionally substituted (heterocyclyl) CI- 6 -alkyl is selected from the group consisting of tetrahydrothiopyran, 4H-pyran, tetrahydropyran, piperidine, 1,3-dioxin, I,3-dioxane, 1,4-dioxin, 1,4-dioxane, piperazine, 1,3-oxathiane, I,4-oxathiin, 1,4-oxathiane, tetrahydro-1,4-thiazine, 2H-1,2-oxazine, maleimide, succinimide, barbituric acid, thiobarbituric acid, dioxopiperazine, hydantoin, 20 morpholine, trioxane, hexahydro-1,3,5-triazine, tetrahydrothiophene, tetrahydrofuran, pyrroline, pyrrolidine, pyrrolidone, pyrrolidione, pyrazoline, pyrazolidine, imidazoline, I,3-dioxole, I,3-dioxolan-4-yl, 1,3-dithiole, I,3-dithiolane, isoxazoline, isoxazolidine, oxazoline, oxazolidine, oxazolidinone, thiazoline, thiazolidine, 1,3-oxathiolane, and methylenedioxybenzene; and wherein the heterocyclyl can further include one or more 25 carbonyl groups; and wherein the heterocyclyl can be further fused to a benzyl ring;

R

2 and R 3 are independently selected from the group consisting of hydrogen, CI-6-alkyl and halogen, or such that R 2 together with R 3 forms a ring; m is selected from the group consisting of 0, 1 and 2; n is selected from the group consisting of 1, 2 and 3; 30 Ar' is an optionally substituted aryl or heteroaryl, wherein if Ar' is a substituted aryl or heteroaryl, the aryl ring or heteroaryl ring is substituted with one or more substitutents selected from the group consisting of CI.6-alkyl, CI-6-alkoxy, oxo, -5 1505446_1 (GHMatters) 14/08/09 carboxyl, amino, hydroxy, nitro, C 1 .-- alkylsulfonyl, CI-6-alkylsulfenyl, C 1

I

alkylsulfinyl, CI- 6 -alkoxycarbonyl, C 1 .--alkylcarbonyl, formyl, amino, mono-(CI alkyl)amino, di(CI.

6 -alkyl)amino, carbamoyl, mono-(C 1 .-- alkyl)aminocarbonyl, di(CI alkyl)aminocarbonyl, amino-CI-6-alkyl-aminocarbonyl, mono-(Ci.6-alkyl)amino-CI.6 5 alkyl-aminocarbonyl, di(CI.

6 -alkyl)amino-CI-6-alkyl-aminocarbonyl, CI- 1 alkylcarbonylamino, C 1 .-- alkylhydroxyimino, cyano, guanidino, carbamido, CIe alkanoyloxy, C 1

.

6 -alkylsulphonyloxy, dihalogen-CI- 6 -alkyl, trihalogen-C 1 .6-alkyl, haloalkoxy, heterocyclyl, halo, alkylamido, hydroxy-CI.

6 -alkyl, amino-CI.6-alkyl, and sulfamoyl;W is selected from the group consisting of oxygen and sulfur; 10 X is selected from the group consisting of optionally substituted methylene, optionally substituted ethylene, optionally substituted propylene, optionally substituted vinylene, and CH 2 N(RN), wherein RN is selected from hydrogen and Ci.

6 -alkyl; and Ar2 is an optionally substituted aryl or heteroaryl. Also disclosed are methods of inhibiting an activity of a monoamine receptor 15 comprising contacting the monoamine receptor or a system containing the monoamine receptor with an effective amount of one or more of the compounds of Formula I. Disclosed are also methods of inhibiting an activation of a monoamine receptor comprising contacting the monoamine receptor or a system containing the monoamine receptor with an effective amount of one or more of the compounds of Formula I. 20 Furthermore, methods of treating psychotic disease using a compound of Formula I are disclosed. - 5a 1505446_1 (GHMatters) 14/08/09 DETAILED DESCRIPTION OF THE INVENTION For the purpose ;of the current disclosure, the following definitions shall in their entireties be used to define technical terms, and shall also, in their entireties, be used to 5 define the scope of the composition of matter for which protection is sought in the claims. The term "Constitutive activity" is defined as the basal activity of a receptor which is independent of the presence of an agonist. Constitutive activity of a receptor may be measured using a number of different methods, including cellular (e.g., membrane) preparations (see, e.g., Barr &. Manning, J. Biol. Chem. 272:32979-87 (1997)), purified 10 reconstituted receptors with or without the associated G-protein in phospholipid vesicles (Cerione et al., Biochemistry 23:4519-25 (1984)), and functional cellular assays (U.S. Patent 6,358,698). The term "agonist" is defined as a compound that increases the activity of a receptor when it contacts the receptor. 15 The term "antagonist" is defined as a compound that competes with an agonist or inverse agonist for binding to a receptor, thereby blocking the action of an agonist or inverse agonist on the receptor. However, an antagonist (also known as a "neutral" antagonist) has no effect on constitutive receptor activity. The term "inverse agonist" is defined as a compound that decreases the basal 20 activity of a receptor (i.e., signaling mediated by the receptor). Such compounds are also known as negative antagonists. An inverse agonist is a ligand for a receptor that causes the receptor to adopt an inactive state relative to a basal state occurring in the absence of any ligand. Thus, while an antagonist can inhibit the activity of an agonist, an inverse agonist is a ligand that can alter the conformation of the receptor in the absence of an agonist. The 25 concept of an inverse agonist has been explored by Bond et al. in Nature 374:272 (1995). More specifically, Bond et al. have proposed that unliganded P2-adrenoceptor exists in an equilibrium between an inactive conformation and a spontaneously active conformation. Agonists are proposed to stabilize the receptor in an active conformation. Conversely, inverse agonists are believed to stabilize an inactive receptor conformation. Thus, while an 30 antagonist manifests its activity by virtue of inhibiting an agonist, an inverse agonist can additionally manifest its activity in the absence of an agonist by inhibiting the spontaneous conversion of an unliganded receptor to an active conformation. -6- The term "5-HT2A receptor" is defined as a receptor, having an activity corresponding to the activity of the human serotonin receptor subtype, which was characterized through molecular cloning and pharmacology as detailed in Saltzman et al., Biochem. Biophys. Res. Conm. 181:1469-78; and Julius et al., Proc. NaIl. Acad. Sci. USA 5 87:928-932. The term "subject" refers to an animal, preferably a mammal, most preferably a human, who is the object of treatment, observation or experiment. The term "selective" is defined as a property of a compound whereby an amount of the compound sufficient to effect a desired response from a particular receptor type, 10 subtype, class or subclass causes a substantially smaller or no effect upon the activity other receptor types. The terms "selectivity" or "selective," in relation to an inverse agonist, are understood as a property of a compound of the invention whereby an amount of compound that effectively inversely agonizes the 5-HT2A receptor, and thereby decreases its activity, 15 causes little or no inverse agonistic or antagonistic activity at other, related or unrelated, receptors. In particular, certain compounds of the invention have been found not to interact strongly with other serotonin receptors (5-HT 1A, IB, ID, 1E, 1F, 2B, 2C, 4A, 6, and 7) at concentrations where the signaling of the 5-HT2A receptor is strongly or completely inhibited. Preferably, the compounds of the invention are also selective with respect to 20 other monoamine-binding receptors, such as the dopaminergic, histaminergic, adrenergic and muscarinic receptors. Compounds that are highly selective for 5-HT2A receptors may have a beneficial effect in the treatment of psychosis, schizophrenia or similar neuropsychiatric disorders, while avoiding adverse effects associated with drugs hitherto suggested for this purpose. 25 The EC 5 0 for an agonist is intended to denote the concentration of a compound needed to achieve 50% of a maximal response seen in R-SAT. For inverse agonists, EC 5 0 is intended to denote the concentration of a compound needed to achieve 50% inhibition of an R-SAT response from basal, no compound, levels. As used herein, the term "coadministration" of pharmacologically active 30 compounds refers to the delivery of two or more separate chemical entities, whether in vitro or in vivo. Coadministration refers to the simultaneous delivery of separate agents; to the simultaneous delivery of a mixture of agents; as well as to the delivery of one agent -7followed by delivery of a second agent or additional agents. In all cases, agents that are coadministered are intended to work in conjunction with each other. In the present context the term "aryl" is intended to mean a carbocyclic aromatic ring or ring system. Moreover, the term "aryl" includes fused ring systems wherein at least 5 two aryl rings, or at least one aryl and at least one C 3 .s-cycloalkyl share at least one chemical bond. Some examples of "aryl" rings include optionally substituted phenyl, naphthalenyl, phenanthrenyl, anthracenyl, tetralinyl, fluorenyl, indenyl, and indanyl. The term "aryl" relates to aromatic, preferably benzenoid groups, connected via one of the ring forming carbon atoms, and optionally carrying one or more substituents selected from 10 heterocyclyl, heteroaryl, halo, hydroxy, amino, cyano, nitro, alkylamido, acyl, CI- 6 alkoxy,

C

1 .- alkyl, C 1 - hydroxyalkyl, C 1

.

6 aminoalkyl, CI.

6 alkylamino, alkylsulfenyl, alkylsulfinyl, alkylsulfonyl, sulfamoyl, or trifluoromethyl. The aryl group may be substituted at the para and/or meta positions. Representative examples of aryl groups include, but are not limited to, phenyl, 3-halophenyl, 4-halophenyl, 3-hydroxyphenyl, 4-hydroxyphenyl, 3 15 arninophenyl, 4-aminophenyl, 3-methylphenyl, 4-methylphenyl, 3-methoxyphenyl, 4 methoxyphenyl, 4-trifluoromethoxyphenyl 3-cyanophenyl, 4-cyanophenyl, dimethylphenyl, naphthyl, hydroxynaphthyl, hydroxymethylphenyl, trifluoromethylphenyl, alkoxyphenyl, 4 morpholin-4-ylphenyl, 4-pyrrolidin-1-ylphenyl, 4-pyrazolylphenyl, 4-triazolylphenyl, and 4-(2-oxopyrrolidin-1-yl)phenyl. 20 In the present context, the term "heteroaryl" is intended to mean a heterocyclic aromatic group where one or more carbon atoms in an aromatic ring have been replaced with one or more heteroatoms selected from the group comprising nitrogen, sulfur, phosphorous, and oxygen. Furthermore, in the present context, the term "heteroaryl" comprises fused ring 25 systems wherein at least one aryl ring and at least one heteroaryl ring, at least two heteroaryl rings, at least one heteroaryl ring and at least one heterocyclyl ring, or at least one heteroaryl ring and at least one C 3 .s-cycloalkyl ring share at least one chemical bond. The term "heteroaryl" is understood to relate to aromatic, C 3

.

8 cyclic groups further containing one oxygen or sulfur atom or up to four nitrogen atoms, or a combination of one 30 oxygen or sulfur atom with up to two nitrogen atoms, and their substituted as well as benzo- and pyrido-fused derivatives, preferably connected via one of the ring-forming carbon atoms. Heteroaryl groups may carry one or more substituents, selected from halo, hydroxy, amino, cyano, nitro, alkylamido, acyl, C 1 --alkoxy, CI.

6 -alkyl, CI.6-hydroxyalkyl, Cl.6-aminoalkyl, CI.-alkylamino, alkylsulfenyl, alkylsulfinyl, alkylsulfonyl, sulfamoyl, or trifluoromethyl. In some embodiments, heteroaryl groups may be five- and six-membered aromatic heterocyclic systems carrying 0, 1, or 2 substituents, which may be the same as or different from one another, selected from the list above. Representative examples of 5 heteroaryl groups include, but are not limited to, unsubstituted and mono- or di-substituted derivatives of furan, benzofuran, thiophene, benzothiophene, pyrrole, pyridine, indole, oxazole, benzoxazole, isoxazole, benzisoxazole, thiazole, benzothiazole, isothiazole, imidazole, benzimidazole, pyrazole, indazole, tetrazole, quionoline, isoquinoline, pyridazine, pyrimidine, purine and pyrazine, which are all preferred, as well as furazan, 10 1,2,3-oxadiazole, 1,2,3-thiadiazole, 1,2,4-thiadiazole, triazole, benzotriazole, pteridine, phenoxazole, oxadiazole, benzopyrazole, quinolizine, cinnoline, phthalazine, quinazoline, and quinoxaline. In some embodiments, the substituents are halo, hydroxy, cyano, O-C 1

.

6 alkyl, CI.

6 -alkyl, hydroxy-C 1 .--alkyl, amino-C 1 .-- alkyl. In the present context, the term "alkyl" and "C- 6 -alkyl" are intended to mean a 15 linear or branched saturated hydrocarbon chain wherein the longest chain has from one to six carbon atoms, such as methyl, ethyl, n-propyl, isopropyl, n-butyl, isobutyl, sec-butyl, tert-butyl, pentyl, isopentyl, neopentyl, and hexyl. An alkyl chain may be optionally substituted. The term "heterocyclyl" is intended to mean three-, four-, five-, six-, seven-, and 20 eight-membered rings wherein carbon atoms together with from 1 to 3 heteroatoms constitute said ring. A heterocyclyl may optionally contain one or more unsaturated bonds situated in such a way, however, that an aromatic nt-electron system does not arise. The heteroatoms are independently selected from oxygen, sulfur, and nitrogen. A heterocyclyl may further contain one or more carbonyl or thiocarbonyl 25 functionalities, so as to make the definition include oxo-systems and thio-systems such as lactams, lactones, cyclic imides, cyclic thioimides, cyclic carbamates, and the like. Heterocyclyl rings may optionally also be fused to aryl rings, such that the definition includes bicyclic structures. Preferred such fused heterocyclyl groups share one bond with an optionally substituted benzene ring. Examples of benzo-fused heterocyclyl 30 groups include, but are not limited to, benzimidazolidinone, tetrahydroquinoline, and methylenedioxybenzene ring structures. Some examples of "heterocyclyls" include, but are not limited to, tetrahydrothiopyran, 4H-pyran, tetrahydropyran, piperidine, 1,3-dioxin, 1,3-dioxane, 1,4 -9dioxin, 1,4-dioxane, piperazine, 1,3-oxathiane, 1,4-oxathiin, 1,4-oxathiane, tetrahydro-1,4 thiazine, 2H-1,2-oxazine , maleimide, succinimide, barbituric acid, thiobarbituric acid, dioxopiperazine, hydantoin, dihydrouracil, morpholine, trioxane, hexahydro.-1,3,5-triazine, tetrahydrothiophene, tetrahydrofuran, pyrroline, pyrrolidine, pyrrolidone, pyrrolidione, 5 pyrazoline, pyrazolidine, imidazoline, imidazolidine, 1,3-dioxole, 1,3-dioxolane, 1,3 dithiole, 1,3-dithiolane, isoxazoline, isoxazolidine, oxazoline, oxazolidine, oxazolidinone, thiazoline, thiazolidine, and 1,3-oxathiolane. Binding to the heterocycle may be at the position of a heteroatom or via a carbon atom of the heterocycle, or, for benzo-fused derivatives, via a carbon of the benzenoid ring. 10 The term "(heterocyclyl)C 1

-

6 -alkyl" is understood as heterocyclyl groups connected, as substituents, via an alkyl, each as defined herein. The heterocyclyl groups of (heterocyclyl)C 1

.

6 -alkyl groups may be substituted or unsubstituted. The term "(heterocyclyl)C 1 ..-alkyl" is intended to mean an alkyl chain substituted at least once with a heterocyclyl group, typically at the terminal position of the alkyl chain. 15 In the present context, the term "C 2

-

8 -alkenyl" is intended to mean a linear or branched hydrocarbon group having fiom two to eight carbon atoms and containing one or more double bonds. Some examples of C 2

-

8 -alkenyl groups include allyl, homo-allyl, vinyl, crotyl, butenyl, pentenyl, hexenyl, heptenyl and octenyl. Some examples of C 2 -s-alkenyl groups with more than one double bond include butadienyl, pentadienyl, hexadienyl, 20 heptadienyl, heptatrienyl and octatrienyl groups as well as branched forms of these. The position of the unsaturation (the double bond) may be at any position along the carbon chain. In the present context the term "C 2

-

8 -alkynyl" is intended to mean a linear or branched hydrocarbon group containing from two to eight carbon atoms and containing one 25 or more triple bonds. Some examples of C2- 8 -alkynyl groups include ethynyl, propynyl, butynyl, pentynyl, hexynyl, heptynyl and octynyl groups as well as branched forms of these. The position of unsaturation (the triple bond) may be at any position along the carbon chain. More than one bond may be unsaturated such that the "C 2

-

8 -alkynyl" is a di yne or enedi-yne as is known to the person skilled in the art. 30 In the present context, the term "C 3

-

8 -cycloalkyl" is intended to cover three-, four-, five-, six-, seven-, and eight-membered rings comprising carbon atoms only. A C 3

-

8 cycloalkyl may optionally contain one or more unsaturated bonds situated in such a way, however, that an aromatic 7E-electron system does not arise. - 10- Some examples of preferred "C 3 .- cycloalkyl" are the carbocycles cyclopropane, cyclobutane, cyclopentane, cyclopentene, cyclopentadiene, cyclohexane, cyclohexene, 1,3 cyclohexadiene, 1,4-cyclohexadiene, cycloheptane, cycloheptene. The terms "(aryl)CI.

6 -alkyl" is intended to mean an aryl group connected, as a 5 substituent, via a Cia-alkyl, each as defined herein. The aryl groups of(aryl)Ci- 6 -alkyl may be substituted or unsubstituted. Examples include benzyl, substituted benzyl, 2 phenylethyl, 3-phenylpropyl, and naphthylalkyl. The terms "(cycloalkyl)CI- 6 -alkyl" is intended to mean a cycloalkyl groups connected, as substituents, via an alkyl, each as defined herein. 10 When used herein, the term "O-CI- 6 -alkyl" is intended to mean Ci-6-alkyloxy, or alkoxy, such as methoxy, ethoxy, n-propoxy, isopropoxy, n-butoxy, isobutoxy, sec-butoxy, tert-butoxy, pentyloxy, isopentyloxy, neopentyloxy and hexyloxy The term "halogen" includes fluorine, chlorine, bromine and iodine. In the present context, i.e. in connection with the terms "C 1

.

6 -alkyl", "aryl", 15 "heteroaryl", "heterocyclyl", "C3.

8 -cycloalkyl", "heterocyclyl(C 1 l.-alkyl)", "(cycloalkyl)alkyl",

"O-CI-

6 -alkyl", "C 2

-

8 -alkenyl", and "C2- 8 -alkynyl", the term "optionally substituted" is intended to mean that the group in question may be substituted one or several times, such as 1 to 5 times, or 1 to 3 times, or 1 to 2 times, with one or more groups selected from Ci-6-alkyl, CI-6-alkoxy, oxo (which may be represented in the 20 tautomeric enol form), carboxyl, amino, hydroxy (which when present in an enol system may be represented in the tautomeric keto form), nitro, alkylsulfonyl, alkylsulfenyl, alkylsulfinyl,Ci-6-alkoxycarbonyl, Ci--alkylcarbonyl, formyl, amino, mono- and di(Ciz alkyl)amino; carbamoyl, mono- and di(Ci- 6 -alkyl)aminocarbonyl, amino-C 1

.

6 -alkyl aminocarbonyl, mono- and di(CI- 6 -alkyl)amino-CI-6-alkyl-aminocarbonyl,

C

1 4 25 alkylcarbonylamino, CI--alkylhydroxyimino, cyano, guanidino, carbamido, C 1

.

6 alkanoyloxy, CI-6-alkylsulphonyloxy, dihalogen-Ci-6-alkyl, trihalogen-C 1

.

6 -alkyl, heterocyclyl, heteroaryl, and halo. In general, the above substituents may be susceptible to further optional substitution. The term "salts" is intended to mean pharmaceutically acceptable acid addition salts 30 obtainable by treating the base form of a functional group, such as an amine, with appropriate acids such as inorganic acids, for example hydrohalic acids; typically hydrochloric, hydrobromic, hydrofluoric, or hydroiodic acid; sulfuric acid; nitric acid; phosphoric acid and the like; or organic acids, for example acetic, propionic, hydroacetic, - 11 - 2-hydroxypropanoic acid, 2-oxopropanoic acid, ethandioic, propanedioic, butanedioic, (Z) 2-butenedioic, (E)-butenedioic, 2-hydroxybutanedioic, 2,3-dihydroxybutanedioic, 2 hydroxy-1, 2 ,3-propanetricarboxylic, methanesulfonic, ethanesulfonic, benzenesulfonic, 4 methylbenzenesulfonic acid, cyclohexanesulfamic, 2-hydoxybenzoic, 4-amino-2 5 hydroxybenzoic, and other acids known to the skilled practitioner. The present invention includes within its scope prodrugs of the compounds of this invention. In general, such prodrugs are inactive derivatives of the compounds of this invention that are readily convertible in vivo into the required compound. Conventional procedures for the selection and preparation of suitable prodrug derivatives are described, 10 for example, in Design of Prodrugs, (ed. H. Bundgaard, Elsevier, 1985). Metabolites of these compounds include active species that are produced upon introduction of compounds of this invention into the biological milieu. Where the compounds according to the invention have at least one chiral center, they may exist as a racemate or as enantiomers. It should be noted that all such isomers 15 and mixtures thereof are included in the scope of the present invention. Furthermore, some of the crystalline forms for compounds of the present invention may exist as polymorphs and as such are intended to be included in the present invention. In addition, some of the compounds of the present invention may form solvates with water (i.e., hydrates) or common organic solvents. Such solvates are also included in the scope of this invention. 20 Where the processes for the preparation of the compounds according to the invention give rise to mixtures of stereoisomers, such isomers may be separated by conventional techniques such as preparative chiral chromatography. The compounds may be prepared in racemic form or individual enantiomers may be prepared by stereoselective synthesis or by resolution. The compounds may be resolved into their component 25 enantiomers by standard techniques, such as the formation of diastereomeric pairs by salt formation with an optically active acid, such as (-)-di-p-toluoyl-d-tartaric acid and/or (+) di-p-toluoyl-1-tartaric acid, followed by fractional crystallization and regeneration of the free base. The compounds may also be resolved using a chiral auxiliary by formation of diastereomeric derivatives such as esters, aides or ketals followed by chromatographic 30 separation and removal of the chiral auxiliary. The compounds of the present invention are effective upon administration orally. In vivo experiments performed in rodents have indicated that a lower dose of the compounds of the present invention results in equal or improved behavioral responses in animal models - 12 of psychosis. These results are indicative of a higher bioavailability of the compounds of the present invention, compared to the compounds disclosed in the prior art. An improved bioavailability is corroborated by the observation that the new compounds presented herein are not significantly more potent when assayed for their effects on serotonin receptors in 5 vitro, and yet represent a substantial improvement when orally administered. The highly improved efficacy observed after oral dosing is probably a result of increased metabolic stability, improved physicochemical properties, such as solubility or chemical stability, or different pharmacokinetic characteristics, such as distribution, permeability, or the like. Without being bound to a particular theory, it is reasonable to ascribe such differences to 10 the presence of a heterocyclic substituent at the nitrogen of the piperidine ring of these compounds. The presence of such a heterocyclic substituent could affect the behavior of these derivatives in terms of solubility and/or metabolic lability. The presence of heteroatoms in substituents close to the nitrogen would also be suspected to influence the basicity of the nitrogen, which, in turn, might affect properties such as distribution (LogD) 15 or metabolism. Generally, a high degree of bioavailability of any pharmaceutical is considered highly beneficial. This relates primarily to the ability to be able to administer an efficacious yet safe dose of the drug to all subjects irrespective of their potential predisposition to polymorphism-dependent drug metabolism. Examples of many such polymorphisms are 20 well known in the art. Thus, a drug which undergoes substantial metabolism, either during its first pass through the liver or in the gastrointestinal tract, will display a relatively low, and sometimes dose-dependent, bioavailability measured as the plasma concentration achieved after peroral distribution. Inter-individual differences in drug exposure are generally more severe when a drug is heavily metabolized, and, as a consequence, displays 25 low oral bioavailability. Subjects with polymorphisms resulting in changes in the activity of drug-metabolizing enzymes are likely to become exposed to very different (normally much higher) plasma levels than those displaying a normal metabolic activity. Hence, aspects of the present invention relate to novel compounds which display characteristics suggestive of superior drug properties when compared to those previously known in the art. 30 In general, compounds of Formula I are active at monoamine receptors, specifically serotonin receptors. Several compounds of the invention share the common property of acting as inverse agonists at the 5-HT2A receptor. Thus, experiments performed on cells transiently expressing the human phenotype of said receptor have shown that the - 13 compounds of general Formula I attenuate the signaling of such receptors in the absence of additional ligands acting upon the receptor. The compounds have thus been found to possess intrinsic activity at this receptor and are able to attenuate the basal, non-agonist stimulated, constitutive signaling responses that the 5-HT2A receptor displays. The 5 observation that the compounds of general Formula I are inverse agonists also indicates that these compounds have the ability to antagonize the activation of 5-HT2A receptors that is mediated by endogenous agonists or exogenous synthetic agonist ligands. In certain embodiments, the present invention provides compounds that show a relatively high degree of selectivity towards the 5-HT2A subtype of serotonin receptors 10 relative to other subtypes of the serotonin (5-HT) family of receptors as well as to other receptors, most particularly the monoaminergic G-protein coupled receptors, such as dopamine receptors. In other embodiments, the compounds of the present invention act as inverse agonists at the 5-HT2A subtype of serotonin receptors. The compounds of general Formula I may therefore be useful for treating or 15 alleviating symptoms of disease conditions associated with impaired function, in particular elevated levels of activity, of especially 5-HT2A receptors, whether this impaired function is associated with improper levels of receptor stimulation or phenotypical aberrations. Others have previously hypothesized that certain neuropsychological diseases might be caused by altered levels of constitutive activity of monoamine receptors. Such 20 constitutive activity might be modified via contacting the relevant receptor with a synthetic inverse agonist. By directly testing a large number of centrally acting medicinal compounds with known clinical activity in neuropsychiatric disease, we determined that compounds with antipsychotic efficacy all shared a common molecular property. Nearly all of these compounds that are used by psychiatrists to treat psychosis were found to be potent 5 25 HT2A inverse agonists. This correlation is compelling evidence that 5-HT2A receptor inverse agonism is a molecular mechanism of antipsychotic efficacy in humans. Detailed pharmacological characterization of a large number of antipsychotic compounds in our laboratory revealed that they possess broad activity at multiple related receptor subtypes. Most of these compounds display either agonist, competitive antagonist, 30 or inverse agonist activity at multiple monoaminergic receptor subtypes including serotoninergic, dopaminergic, adrenergic, muscarinic and histaminergic receptors. This broad activity is likely responsible for the sedating, hypotensive, and motor side effects of these compounds. It follows that the compounds disclosed herein will possess efficacy as, -14for example, novel antipsychotics, but will have fewer or less severe side effects that existing compounds. Thus, in the first aspect, the present invention relates to a compound of Formula 1, 5 R 1 N R3 R2 XN Ar 1 10 Ar n W or a pharmaceutically acceptable salt, amide, ester, or prodrug thereof, wherein: 15 R' is an optionally substituted (heterocyclyl)Cg.-alkyl, wherein the optionally substituted heterocyclyl of the optionally substituted (heterocyclyl) C 1

.

6 -alkyl is selected from the group consisting of tetrahydrothiopyran, 4H-pyran, tetrahydropyran, piperidine, 1,3-dioxin, 1,3-dioxane, 1,4-dioxin, 1,4-dioxane, piperazine, 1,3-oxathiane, 1,4-oxathiin, 1,4-oxathiane, tetrahydro-1,4-thiazine, 2H-1,2-oxazine, maleimide, 20 succinimide, barbituric acid, thiobarbituric acid, dioxopiperazine, hydantoin, morpholine, trioxane, hexahydro-I,3,5-triazine, tetrahydrothiophene, tetrahydrofuran, pyrroline, pyrrolidine, pyrrolidone, pyrrolidione, pyrazoline, pyrazolidine, imidazoline, 1,3-dioxole, 1,3-dioxolan-4-yl, I,3-dithiole, 1,3-dithiolane, isoxazoline, isoxazolidine, oxazoline, oxazolidine, oxazolidinone, thiazoline, thiazolidine, 1,3-oxathiolane, and 25 methylenedioxybenzene; and wherein the heterocyclyl can further include one or more carbonyl groups; and wherein the heterocyclyl can be further fused to a benzyl ring; R2 and R 3 are independently selected from the group consisting of hydrogen, C-alkyl and halogen, or such that R 2 together with R 3 forms a ring; m is selected from the group consisting of 0, 1 and 2; 30 n is selected from the group consisting of 1, 2 and 3; Arl is an optionally substituted aryl or heteroaryl, wherein if Arl is a substituted aryl or heteroaryl, the aryl ring or heteroaryl ring is substituted with one or - 15 1505446 _1 (CHMattera) 14/08/09 more substitutents selected from the group consisting of CI--alkyl, CI.

6 -alkoxy, oxo, carboxyl, amino, hydroxy, nitro, CI.

6 -alkylsulfonyl, Ci-6-alkylsulfenyl, C 1 -6 alkylsulfinyl, CI.6-alkoxycarbonyl, C 1 6-alkylcarbonyl, formyl, amino, mono-(C alkyl)amino, di(C.

6 -alkyl)amino, carbamoyl, mono-(CI-6-alkyl)aminocarbonyl, di(CI 5 alkyl)aminocarbonyl, amino-C 1 .-- alkyl-aminocarbonyl, mono-(C 6-alkyl)amino-CI.

alkyl-aminocarbonyl, di(CI- 6 -alkyl)amino-CI.-alkyl-aminocarbonyl, C 1 o alkylcarbonylamino, C 6-alkylhydroxyimino, cyano, guanidino, carbamido, C 1 alkanoyloxy, C 1 .-- alkylsulphonyloxy, dihalogen-CI 6 -alkyl, trihalogen-C 6-alkyl, haloalkoxy, heterocyclyl, halo, alkylamido, hydroxy-C 1 6 -alkyl, amino-CI--alkyl, and 10 sulfamoyl;W is selected from the group consisting of oxygen and sulfur; X is selected from the group consisting of optionally substituted methylene, optionally substituted ethylene, optionally substituted propylene, optionally substituted vinylene, and CH 2 N(RN), wherein RN is selected from hydrogen and C 1

.

6 -alkyl; and Ar 2 is an optionally substituted aryl or heteroaryl. 15 As discussed, the presence of a heterocyclic substituent at the nitrogen of the piperidine ring of these compounds is considered to improve the bioavailability of the compounds, in comparison to related compounds known to the person skilled in the art. In some embodiments, the heterocyclyl or (heterocyclyl)CI.

6 alkyl R' may be optionally substituted. The substituent may be selected from halogen, hydroxy, alkyl, 20 alkoxy, and amino. In some embodiments, the substituent may be on the alkyl chain or the ring system. In further embodiments the substituent is on the ring system. In certain embodiments, the heterocyclyl ring in R' may be selected from the group consisting of tetrahydrothiopyran, 4H-pyran, tetrahydropyran, piperidine, 1,3 dioxin, 1,3 - 15a 1505446 _1 (GHMattera) 14/08/09 dioxane, 1,4-dioxin, 1,4-dioxane, piperazine, 1,3-oxathiane, 1,4-oxathiin, 1,4-oxathiane, tetrahydro-1,4-thiazine, 2H-1,2-oxazine, maleimide, succinimide, barbituric acid, thiobarbituric acid, dioxopiperazine, hydantoin, dihydrouracil, morpholine, trioxane, hexahydro-1,3,5-triazine, tetrahydrothiophene, tetrahydrofuran, pyrroline, pyrrolidine, 5 pyrrolidone, pyrrolidione, pyrazoline, pyrazolidine, imidazoline, imidazolidine, 1,3 dioxole, 1,3-dioxolane, 1,3-dithiole, 1,3-dithiolane, isoxazoline, isoxazolidine, oxazoline, oxazolidine, oxazolidinone, thiazoline, thiazolidine, and 1,3-oxathiolane. In some embodiments, the heterocyclyl ring is selected from 1,3-dioxane, 1,3-dioxolane, and tetrahydropyran. 10 The azacyclic ring may be a 5, 6, or 7-membered ring as reflected in that m may be selected from 0, 1 and 2. In certain embodiments, however, the azacyclic ring is a 6 membered ring, wherein m is 1. The azacyclic ring, further to being substituted at the nitrogen position, may be substituted with R 2 and R 3 . R 2 and R 3 may be independently selected from the group 15 consisting of hydrogen, C1.

6 -alkyl, and halogen, or such that R2 together with R 3 forms a ring. That is to say that R 2 and R 3 may be biradicals which combine to form a 3-, 4-, 5-, 6-, or 7-membered ring system with the atoms of the azacyclic ring. In some embodiments, the azacyclic ring system is selected from R R RR NN N N N RL 9 R RR R R7 RI- -R 8 R 20 wherein R 7 and R 8 are independently selected from the group consisting of hydrogen, halogen, hydroxyl, and C 1 - alkyl. In certain embodiments R 7 and R 8 are hydrogen. In other embodiments, R 2 and R 3 are hydrogen. In some embodiments, R1 is an optionally substituted (heterocyclyl)C 6 -alkyl. In certain of these embodiments, R' is an optionally substituted (heterocyclyl)methyl, an 25 optionally substituted (heterocyclyl)ethyl, or an optionally substituted (heterocyclyl)propyl. In other embodiments, R' is an optionally substituted (heterocyclyl)ethyl. Ar' is linked to a central nitrogen atom via a short aliphatic chain 1, 2, or 3 carbon atoms in length. In certain embodiments, n is 1, resulting in a methylene spacer between the central nitrogen atom and Ar'. Ar' may be an optionally substituted aryl or heteroaryl. In -16some embodiments, Ar 1 is an optionally substituted aryl. In some embodiments, the central nitrogen atom is linked to an optionally substituted benzyl group. In certain embodiments Ar' is an optionally substituted aryl, which may be a 4 substituted aryl. The 4-substituent of the 4-substituted aryl may be any substituent known 5 to the person skilled in the art, such as a CI 6 -alkyl, C1.6-alkoxy, carboxyl, amino, hydroxy, thiol, nitro, cyano, guanidino, carbamido and halogen. In some embodiments, the halogen is fluoro, while in other embodiments, the halogeni s chloro. In other embodiments, Ar' is selected from the group consisting of alkyl-substituted phenyl, alkoxy-substituted phenyl, halogen-substituted phenyl, hydroxy-substituted phenyl 10 and amino-substituted phenyl. In some embodiments, the substituent may be present 0 to 5 times, or 0 to 4 times, or 0 to 3 times, such as 0, 1, 2, or 3 times. In certain embodiments, the substituent is present 1 to 2 times. In some embodiments, Ar' is a 4-substituted aryl selected from the group consisting of 4-halophenyl and 4-alkylphenyl. In some embodiments, the phenyl group is 4-fluorophenyl. 15 In other embodiments, Ar 1 is an optionally substituted heteroaryl. The heteroaryl may be substituted with substituents known to the person skilled in the art, such as a C alkyl, CI-6-alkoxy, carboxyl, amino, hydroxy, thiol, nitro, cyano, guanidino, carbamido and halogen. Further to being linked to both the azacyclic ring and to Ar' via a short aliphatic 20 chain, the central nitrogen is linked to Ar2 via a 2 to 4 carbon spacer unit. This spacer unit comprises a carbonyl or thiocarbonyl function wherein W is selected from the group consisting of oxygen and sulfur. In some embodiments W is oxygen. In certain embodiments, X may be selected from the group consisting of optionally substituted methylene, optionally substituted ethylene, optionally substituted propylene, 25 optionally substituted vinylene, and CH 2 N(RN). Thus X may extend the spacer unit by 1 to 3 atoms between the central nitrogen and Ar2 and render the central nitrogen part of an amide or carbamide. In some embodiments, X is selected from the group consisting of optionally substituted methylene, optionally substituted ethylene, and CH 2 N(RN). In some embodiments, X is an optionally substituted methylene, or CH 2 N(RN), wherein RN may be 30 hydrogen. In certain embodiments, Ar 2 may be an optionally substituted aryl or heteroaryl. In certain embodiments, Ar2 is an optionally substituted aryl. In some embodiments, A2 is a 4-substituted aryl. - 17 - In a further embodiment, Ar2 may be selected from the group consisting of alkoxy-substituted phenyl, halogen-substituted phenyl, hydroxy-substituted phenyl, amino-substituted phenyl, and heterocyclyl-substituted phenyl. In certain embodiments, Ar2 is a 4-substituted aryl wherein the substituent is 5 selected from the group consisting of alkyl, alkoxy, halogen, hydroxy, amino, alkylamino, heterocyclyl, and heteroaryl. In some embodiments, the substituent Ar 2 is selected from chloro, fluoro, hydroxy, methoxy, ethoxy, propoxy, isoproproxy, n butoxy, sec-butoxy, tert-butoxy, trifluoromethoxy, N-morpholinyl, N-pyrrolidinyl, N pyrazolyl, N-triazolyl and 2-oxopyrrolidinyl. 10 In another aspect, the present invention relates to a compound selected from the group consisting of N-( -[2-(1,3-Dioxan-2-yl)ethyl]piperidin-4-yl}-N-(4-fluorobenzyl)-2-[4-(2 hydroxy-2-methylpropoxy)phenyl]acetamide; N-{I -[3-(3,5-Dimethylpiperidin-I -yl)propyl]piperidin-4-yl}-N-(4 15 fluorobenzyl)-2-(4-isobutoxyphenyl)acetamide; l-[3-(4-{(4-Fluorobenzyl)-[2-(4-isobutoxyphenyl)acetyl]amino}piperidin-I yl)propyl]piperidine-4-carboxylic acid methyl ester; N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N-{I -[2-(l -methylpyrrolidin-2 yl)ethyl]piperidin-4-yl}acetamide; 20 N-{I -[3-(2,6-Dimethylmorpholin-4-yl)propyl]piperidin-4-yl}-N-(4 fluorobenzyl)-2-(4-isobutoxyphenyl)acetamide; N-(4-Fluorobenzyl)-N-{ I-[3-(3-hydroxypiperidin-I -yl)propyl]piperidin-4-yl} 2-(4-isobutoxyphenyl)acetamide; N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N-{I-[3-(2-methylpiperidin-I 25 yl)propyl]piperidin-4-yl}acetamide; N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N-[ I -(3-pyrrolidin- I-yl propyl)piperidin-4-yl]acetamide; N- {I -[3-(2,5-Dimethylpyrrolidin- I -yl)propyl]piperidin-4-yl} -N-(4 fluorobenzyl)-2-(4-isobutoxyphenyl)acetamide; 30 N-(4-Fluorobenzyl)-N- (I -[3-(3-hydroxymethylpiperidin- I yl)propyl]piperidin-4-yl } -2-(4-isobutoxyphenyl)acetamide; N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N-{ I -[3-(4-(S)-isopropyl-2-oxo -18 oxazolidin-3-yI)propyl]piperidin-4-yI } acetam ide; N-[2-(4-Fluorophenyl)ethyl]-2-(4-isobutoxyphenyl)-N- {I -[3-(4-(S)-isopropyl 2-oxo-oxazolidin-3-yI)propyl]piperidin-4-yl }acetamide; N-[2-(4-Fluorophenyl)ethyl]-N- {I -[3-(4-(S)-isopropyl-2-oxo-oxazolidin-3 5 yI)propyl]piperidin-4-yl } -2-(4-propoxyphenyl)acetamide; N-(4-Fluorobenzyl)-N- { I -[3-(4-(S)-isopropyl-2-oxo-oxazolidin-3 yI)propyl]piperidin-4-yI } -2-(4-propoxyphenyl)acetam ide; N-f { -[2-(1I,3-Dioxan-2-yI)ethyl]piperidin-4-y} -N-(4-fluorobenzyl)-2-(4 isobutoxyphenyl)acetamide; 10 N-(] -[2-( I,3-Dioxan-2-yI)ethyl]piperidin-4-yI)}-N-[2-(4-fluorophenyl)ethyl]-2 (4-isobutoxyphenyl)acetam ide; N- { -[2-(1I,3-Dioxan-2-yI)ethyl]piperidin-4-yI)}-N-[2-(4-fluorophenyl)ethyl]-2 (4-propoxyphenyl)acetam ide; N-f {I-[2-(1I,3-Dioxan-2-yI)ethyllpiperidin-4-yI }-N-(4-fluorobenzyl)-2-(4 15 propoxyphenyl)acetamide; N-f { -[2-(1I,3-Dioxan-2-yI)ethyl]piperidin-4-yI)}-N-(4-fluorobenzyl)-N'-(4 isobutoxybenzyl)carbamide; N-1 { -[2-( I,3-Dioxan-2-yI)ethyl]piperidin-4-yI)}-N-(4-fluorobenzyl)-2-(4 fluorophenyl)acetam ide; 20 N-f (I-[2-(1I,3-Dioxan-2-yI)ethyljpiperidin-4-yI)}-N-(4-tluorobenzyl)-2-p tolylacetam ide; 2-Benzofuran-5-yI-N- {I -[2-(1I,3-dioxan-2-yI)ethyl]piperidin-4-y }-N-(4 fluorobenzyl)acetam ide; N-f { -[2-(2,2-Dimethyl-1I,3-dioxolan-4-yI)ethyllpiperidin-4-yI }-N-(4 25 fluorobenzyl)-2-(4-isobutoxyphenyl)acetamide; N- {I-[2-(1I,3-Dioxan-4-yl)ethyl]piperidin-4-yI} -N-(4-fluorobenzyl)-2-(4 isobutoxyphenyl)acetamide; N-1 {I-[2-(1I,3-Dioxan-4-yI)ethyljpiperidin-4-y }-N-(4-fluorobenzyl)-2-(4 trifluoromethylphenyl)acetam ide; 30 2-(4-Cyanophenyl)-N-({ -[2-(1I,3-dioxan-4-yI)ethyl]piperidin-4-y }-N-(4 fluorobenzyl)acetamide; N-(4-Fluorobenzyl)-2-(4-isopropoxyphenyl)-N- { -[3-(3-methyl-2-oxo-2,3 - 19- 1505446_1 (GHMattera) 14/08/09 dibydro-benzoim idazol- I -yI)propyl]piperidin-4-yl }acetamide; 2-(4-M'ethoxyphenyl)-N-(4-m ethyl benzylI)-N- [I -(2-morphol in-4 ylethyl)piperid in-4-yI]acetam ide; 2-(4-Methoxyphenyl)-N-(4-methylbenzyl)-N-[ I -(3-morphol in-4 5 ylpropyl)piperidin-4-yI]acetamide; N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N-[ I -(3-morphol in-4 ylpropyl)piperidin-4-yl]acetamide; N-(4-Fluorobenzyl)-2-(4-i sopropoxyphenyl)-N-[ I -(3-morphol in-4-yi propyl)piperidin-4-yI]acetamide; 10 N- { I -[2-( I,3-Dioxan-4-yI)ethyl]piperidin-4-yI } -N-(4-fluorobenzyl)-2-(4 fluorophenyl)acetam ide; N-f { -[2-(1I,3-Dioxan-4-yI)ethyl]piperidin-4-y }-N-(4-fluorobenzyi)-2-(4 tri fiuoromethoxyphenyl)acetam ide; N- {I -[2-(1I,3-Dioxan-4-yI)ethyl]piperidin-4-yi)}-N-(4-fluorobenzyl)-2-(4 15 propoxyphenyl)acetamide; N-(4-F Iuorobenzyl)-2-(4- isobutoxyphenyl)-N-[ I -(tetrahydropyran-4 ylmethyl)piperidin-4-yljacetam ide; N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N-( {I-[2-(tetrahydropyran-4 yl)ethyl]piperidin-4-yI]acetamide; 20 N-f { -[2-((4S)-1I,3-Dioxane-4-yI)ethyl]piperidine4-y }-N-(4-fluorobenzyl)-2 (4-isobutoxyphenyl)acetamide; N- { 1 -[2-(1I,3-Dioxan-2-y!)ethyllpiperidin-4-yI)}-N-(4-fluorobenzyl)-2-(4 hydroxyphenyl)-acetam ide; N- { I-[2-(1I,3-Dioxan-2-yI)ethyl]piperidin-4-yI)}-N-(4-fluorobenzyl)-2-(4 25 methoxyphenyl)-acetam ide; N- {I-[2-( 1,3-Dioxan-2-yI)ethyllpiperidin-4-y }-N-(4-fluorobenzyl)-2-(4 isopropylphenyl)-acetam ide; N-f { -[2-(1I,3-Dioxan-2-yI)ethyl]piperidin-4-y }-N-(4-fluorobenzyl)-2-(4 tri fiuoromethoxy-phenyl)acetam ide; 30 N- { I-[2-(1I,3-Dioxan-2-yI)ethyllpiperidin-4-y }-N-(4-fluorobenzyl)-2-(4 ethoxyphenyl)-acetam ide; N- (I-[2-(1I,3-Dioxan-2-yI)ethyl]piperidin-4-yI }-N-(4-fluorobenzyl)-2-(4 -20- 1505446 1 (GHMattern) 14/08/09 isopropoxyphenyl)-acetam ide; N- (1I -[2-(1I,3 -Di oxan-2-yI[)ethyl] pi perid in-4-yI1) -N-(4-fluorobenzyl)-2 phenylacetamide; N- { 1 -[2-(1I,3 -Dioxan-2 -yI[)ethyl] pi perid in-4-y 1) -N -(4-fluorobenzyl1)-2-[4-(2 5 fluoroethoxy)-phenyl]acetamide; N-{ I -[2-(5,5-Dimethyl-1I,3dioxan-2-yI)ethyl]piperidin-4-yI)}-N-(4 fluorobenzyl)-2-(4-isobutoxyphenyl)acetamide; N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N- { I-[2-((R)-4-methyl-1I,3-dioxan 2-yI)ethyl]-piperidin-4-yI }acetam ide; 10 N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N- (I -[2-((S)-4-methyl- 1,3 dioxolan-2-yI)ethyl]piperidin-4-y} acetamide; N- { 1 -[2-(4,6-Dimethyl-1I,3-dioxan-2-yI)ethyl]piperidin-4-yI)}-N-(4 fluorobenzyl)-2-(4-isobutoxyphenyl)acetam ide; N-(4-Fluorobenzyl)-N- { I-[2-((R)-4-methyl-1I,3-dioxan-2-yI)ethyl] piperid in-4 15 yI}-2-(4-trifluoromethoxyphenyl)acetamide; N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N-f { -[2-(2,5,5-trimethyl- 1,3 dioxan-2-yI)ethyl] piperidin-4-yI }acetamide; N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N- { I-(3-piperidin- I-yI propyl)piperidin-4-yI }-acetamide; 20 N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N-f (I-[3-(2-oxo-piperid in-i yI)propyllpiperidin-4-yI }acetamide; N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N- {I -[3-(2-oxo-pyrrolidin- 1 yI)propyl]piperidin-4-yI }acetamide; N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N- {I -[3-((R)-4-isopropyl-2-oxo 25 oxazolid in-3-yI)propyl]piperidin-4-yI }acetam ide; N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N-1 {I-[3-(2-oxo-oxazolidin-3 yl)propyl]piperidin-4-yI }acetamide; N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N- {I -[3-((S)-4-methyl-2-oxo oxazolidin-3-yI)propyljpiperidin-4-yI }acetamide; 30 N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N- {I -[3-((S)-4-ethyl-2-oxo oxazolidin-3-yI)-propyl]piperidin-4-yl }acetamide; N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N- {I -[2-(1I,3-oxothiolan-2 -21 -1505446_1 ISHMattera) 14/08/09 yI)ethyl]piperidin-4-yi } acetamide; 2-(4-Bromophenyl)-N- { -[2-(1I,3-dioxan-2-yI)ethyl)piperidin-4-yI} -N-(4 fluorobenzyl)-acetam ide; N- {(I -[2-(1I,3-Dioxan-2-yI)ethyl)piperidin-4-y } -N-(4-fluorobenzyl)-2-(4 5 isobuty lam ino-phenyl)acetam ide; N- { I -[2-(1I,3-Dioxan-2-yI)ethyl)piperidin-4-yI } -N-(4-fluorobenzyl)-2-(4 propylam ino-phenyl)acetam ide; N- ( I -[2-(1I,3-Dioxan-2-yI)ethyl)piperidin-4-yI)}-N-(4-fluorobenzyl)-2-(4-( I n itropropyl)-phenyl)acetam ide; 10 N- { I -[2-(1I,3-Dioxan-2-yI)ethyl)piperidin-4-y} -N-(4-fluorobenzyl)-2-[4-(2 oxopyrrolidin-I -yI)phenyl)acetamide; N-( { -[2-(1I,3-Dioxan-2-yI)ethyl)piperidin-4-yI)}-N-(4-fluorobenzyl)-2-(4 isobutylsulfanyl-phenyl)acetamide; N- (I -[2-( 1,3-Dioxan-2-yI)ethyl)piperidin-4-yI }-N-(4-fluorobenzyl)-2-(4 15 iodophenyl)-acetam ide; 2-(4-Acetophenyl)-N- ( I -[2-( 1,3-d ioxan-2-yI)ethyl)piperid in-4-yi } -N-(4 fluorobenzyl)-acetam ide; N- { I -[2-(1I,3-Dioxan-2-yI)ethyl)piperid in-4-yl} -N-(4-fluorobenzyl)-2-(4 morpholin-4-yI-phenyl)acetamide; 20 N-1 { -[2-(1I,3-Dioxan-2-yI)ethyl)piperidin-4-yI)}-N-(4-fluorobenzyl)-2-(4 pyrazol- I -ylphenyl)acetamide; N-f {I-[2-(1I,3-Dioxan-2-yI)- I-methylethyl]piperidin-4-yI} -N-(4-fluorobenzyl) 2-(4-isobutoxyphenyl)-acetamide; N- { I-[2-(1I,3-Dioxan-4-yI)ethyl)piperidin-4-yI} -N-(4-fluorobenzyl)-2-(4. 25 pyrazol-1I-ylphenyl)acetam ide; N- ( I -[2-((4R)- 1, ,3-Dioxane-4-yI)ethyl Ip iperid ine-4-y 1) -N-(4- fluorobenzyl1)-2 (4-isobutoxyphenyl)acetam ide; N- { I-[2-(1I,3-Dioxan-2-yI)ethyl]piperidin-4-yI} -N-(4-fluorobenzyl)-2-[4 (I ,2,4-triazol-4-yI)phenyl]acetamide; 30 N- (1-[2-( 1,3-Dioxan-2-yI)ethyl]piperidin-4-y} -N-(4-fluorobenzyl)-N'-(4 isobutoxybenzyl)carbam ide; N-(4-Fluorobenzyl)-N -(4-isopropoxybenzyl)-N-[ I-(3-morphol in-4-yI - 22 - 1505446 _1 (GHMatters) 14/08/09 propyl)p iperi d in-4-y I] carbam ide; N-(4-Fluorobenzyl)-N '-(4-isopropoxybenzyl)-N-[ 1 -(3-piperidin- Il-yl propyl)piperidin-4-yl]carbamide; N-(4-Fluorobenzyl)-N '-(4-isopropoxybenzyl)-N-[ 1 -(3-((S)-4-isopropyl-2 5 oxazol idinon- 1 -yl-propyl)piperidin-4-yl]carbarnide; N-(4-Fluorobenzyl)-N '-(4-isopropoxybenzyI)-N- ( 1-[2-(2,5,5-trimethyl- 1,3 dioxan-2-yl)ethyl] } piperidin-4-yl]carbam ide; N-(4-Fluorobenzyl)-N '-(4-isopropoxybenzyl)-N- {[2-( I-methyl pyrrolidin-2 yl)ethyl]-piperidin-4-yl } carbamide; 10 N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N- { I -[2-(2-oxo-im idazolidin- I yl)ethyl] piperid in-4-yi } acetam ide; N-(4-Fluorobenzyl)-2-(4-isopropoxyphenyl)-N- { I -[2-(2-oxo-imidazolidin- I yl)ethyl]piperidin-4-yl) acetam ide; N-{ I -[2-(2,4-Dioxo- I ,4-dihydro-2H-quinazol in-3-yI)ethyl]piperidin-4-yI } -N 15 (4-fluorobenzyl)-2-(4-isopropoxyphenyl)acetam ide; N-(4-Fluorobenzyl)-2-(4-isopropoxyphenyl)-N- { I -[3-(3-methyl-2-oxo-2,3 dihydro-benzoimidazol- 1 -yl)propyljpiperidin-4-yI }acetamide; N-(4-Fluorobenzyl)-2-(4-isopropoxyphenyl)-N- {I -[4-(2-oxo-2,3 dihydrobenzoim idazol- I -yI)butyl]piperidin-4-yl }acetamide; 20 N-{ I -[2-(1I,3-Dioxolan-2-yI)ethyljpiperidin-4-yI} -N-(4-fluorobenzyl)-2-(4 isobutoxyphenyl)acetam ide; N-{ I -[2-(1I,3-Dioxolan-2-yl)ethyl]piperidin-4-yI }-2-(4-isopropoxyphenyl)-N (4-methylbenzyl)acetam ide; N-{ I -[2-(1I,3-Dioxolan-2-yI)ethyl]piperidin-4-yI }-N-(4-fluorobenzyl)-2-(4 25 propoxyphenyl)acetamide; N-(4-Fluorobenzyl)-N- { I-[2-((S)-4-methyl-1I,3-dioxolan-2-yI)ethyl] piperidin 4-yl }-2-(4-trifluoromethoxyphenyl)acetamide; N-(4-Fluorobenzyl)-2-(4-isopropylphenyl)-N- { I-[2-((S)-4-methyl- 1,3 d ioxolan-2-yl)ethyl]-piperid in-4-yI } acetam ide; 30 N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N- {I l-[2-(2-methyl-1I,3-dioxolan-2 yl)ethyl]-piperidin-4-yl } acetamide; N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N-1 {I-[3-(1I,3-dioxolan-2 - 23 - 1505446 _1 (GHllatters) 14/08/09 yI)propyl]piperidin-4-yl I acetamide; N-f { -[2-(1I,3-Dioxolan-2-yl)ethyl]piperidin-4-yl }-N-(4-fluorobenzyl)-N'-(4 isobutoxybenzyl)carbam ide; N- { I-[2-(1I,3-Dioxolan-2-yl)ethyl]piperidin-4-yl }-N-(4-fluorobenzyl)-N '-(4 5 isopropoxy-benzyl)carbamide; N-(4-Fluorobenzyl)-N '-(4-isopropoxybenzyl)-N- { I-[2-((S)-4-methyl- 1,3 dioxolane-2-yl)ethyl]piperidin-4-yl }carbamide; N- {I -[3-(1I,3-Dioxolan-2-yl)propyl]piperidin-4-yl }-N-(4-fluorobenzyl)-N '-(4 isopropoxybenzyl)carbam ide; 10 N-(4-Fluorobenyzl)-N-(piperidin-4-yI)-2-(4-isobutoxyphenyl)acetamide; 2-(2,3-Dihydrobenzofuran-5-yl)-N-f { -[2-(1I,3-dioxan-2-yl)ethyllpiperidin-4 yl }-N-(4-fluorobenzyl)acetamide; N-1 { -[2-(1I,3-Dioxan-4-yl)ethyl]piperidin-4-yl }-N-(4-fluorobenzyl)amine; 4-(4-Fluorobenzylamino)-piperidine- I -carboxylic acid benzyl ester; 15 N-( I -Benzyloxycarbonylpiperidin-4-yl)-N-(4-fluorobenzyl)-N '-(4 isopropoxybenzyl)carbam ide; N-(4-Fluorobenzyl)-N '-(4-isopropoxybenzyl)-N-piperidin-4-yl-carbamide; N-[ I -((S)-3,5-Dihydroxypentyl)piperidine-4-yl]-N-(4-fluorobenzyl)-2-(4 isobutoxyphenyl)acetamide; 20 2-(4-Benzyloxyphenyl)-N- { I -[2-(1I,3-dioxan-2-yl)ethyl]piperidin-4-y } -N-(4 fluorobenzyl)acetamide; N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N-( { -[2-(tetrahydropyran-2 yloxy)ethyl]-.piperidin-4-yl } acetamn ide; 2-[4-( 1-Hydroxyim inoethyl)phenyl]-N- { 1 -[2-(1I,3-dioxan-2-yl)ethyl)piperidin 25 4-yl}-N-(4-fluorobenzyl)acetamide; N-[ I -((R)-3,5-Dihydroxypentyl)piperidine-4-yl]-N-(4-fluorobenzyl)-2-(4 isobutoxyphenyl)acetam ide; 2-(4-Methoxyphenyl)-N-(4-methylbenzyl)-N- { I -[2-(2-oxo-imidazolidin- 1 yl)ethyl]piperidin-4-yl }acetamide, hydrochloride; 30 N- {I -[2-(2,4-Dioxo-1I,4-dihydro-2H-quinazol in-3-yl)ethyl]piperidin-4-yl }-2 (4-methoxyphenyl)-N-(4-methylbenzyl)acetamide, hydrochloride; - 24 - 1505446 _1 IGHMattera) 14/08/09 2-(4-Methoxyphenyl)-N-(4-methylbenzyl)-N-{ I -[3-(2-oxo-2,3 dihydrobenzoimidazol-I-yl)propyl]piperidin-4-yl}-acetamide, hydrochloride; and N- (1 -[2-(1,3-Dioxolan-2-yl)ethyl]piperidin-4-yl]-2-(4-methoxyphenyl)-N-(4 5 methylbenzyl)acetamide, hydrochloride. As stated, the present inventors have found that compounds of Formula I are effective modulators of the 5-HT2A subtype of human serotonin receptors. The invention thus further elates to a method of inhibiting an activity of a monoamine receptor comprising contacting the monoamine receptor or a system containing the 10 monoamine receptor with an effective amount of one or more of the compounds as defined herein. The monoamine receptor may be a serotonin receptor, typically of the 5-HT2A subclass. The serotonin receptor may alternatively be in the central nervous system or in the peripheral nervous system. Typically, the serotonin receptor may be in blood cells 15 or platelets. In certain embodiments, the serotonin receptor may be mutated or modified. The activity of a monoamine receptor that is modulated may typically be signaling activity. Moreover, the activity may typically be constitutive. The activity associated with serotonin receptor may typically be activation. 20 In another aspect, the present invention relates to a method of inhibiting an activation of a monoamine receptor comprising contacting the monoamine receptor or a system containing the monoamine receptor with an effective amount of one or more of the compounds as defined herein. The activation, which may be inhibited by the method of the invention, may typically be an activation resulting from an agonistic 25 agent. The agonistic agent may be exogenous or the agonistic agent may be endogenous. Moreover, the activation may be constitutive. Another aspect of the present invention relates to the treatment of disease conditions associated with dysfunction of monoamine receptor and to the use of a compound of Formula I for the preparation of a medicament for the treatment of a 30 disease condition associated with a monoamine receptor. The disease condition may be associated with - 25 1505446_1 (GHMattere) 14/08/09 activation of a monoamine receptor, such as associated with increased activity of monoamine receptor. In yet another aspect, the present invention relates to a method of treating schizophrenia comprising administering to a subject in need of such treatment a 5 therapeutically effective amount of a compound of Formula I, as defined herein. Alternatively stated, the invention relates, in part, to the use of a compound of Formula I for the preparation of a medicament for the treatment of schizophrenia. A further aspect relates to a method of treating migraine comprising administering to a subject in need of such treatment a therapeutically effective amount of a compound of Formula I. 10 Alternatively stated, the invention relates, in part, to the use of a compound of Formula I for the preparation of a medicament for the treatment of migraine. A further aspect of the invention relates to a method of treating psychosis comprising administering to a subject in need of such treatment a therapeutically effective amount of a compound of Formula I. Alternatively stated, the invention relates, in part, to the use of a compound of Formula I 15 for the preparation of a medicament for the treatment of psychosis. A still further aspect of the invention relates to a method of treating psychotic symptoms, such as hallucinations, consequent of administration of dopamine agonists, such as L-dopa, to individuals in need of treatment, such as people suffering from Parkinson's comprising administering a compound of Formula I. Alternatively stated, the invention relates, at least in part, to the 20 use of a compound of Formula I for the preparation of a medicament for the treatment of psychotic symptoms, such as hallucinations, consequent of administration of dopamine agonists, such as L-dopa, to individuals in need of treatment, such as people suffering from Parkinson's disease. Another aspect of the present invention relates to a method of treating a disease 25 condition associated with a monoamine receptor comprising administering to a subject in need of such treatment a therapeutically effective amount of one or more of the compound of Formula I, as defined herein. The disease condition may be selected from the group consisting of schizophrenia, schizoaffective disorders; psychosis and related behavioral abnormalities observed with neurodegenerative disorders including Parkinson's, 30 Alzheimer's disease, Lewy Body Dementia, Frontotemporal Dementia, Huntington's disease, and Spinocerebellar Atrophy; drug induced psychosis including side effects observed with selective serotonin reuptake inhibitor (SSRI) treatment of chronic neurodegenerative disorders such as Alzheimer's, Parkinson's and Huntington's disease; - 26 - Reynaud's Phenomena; migraine; hypertension; thrombosis; vasospasm; ischemia; depression; anxiety; "motor tics"; Tourette's syndrome; dyskinesias, on/off phenomena, tremor, rigidity, bradykinesia, psychomotor slowing, addiction, including alcohol addiction, opioid addiction, and nicotine addiction; sleep disorders; appetite disorders; decreases in 5 libido and ejaculatory problems. Thus, the invention thus relates to the use of a compound of Formula I, as defined herein, for the preparation of a medicament for the for the treatment of diseases and conditions selected from the group consisting of schizophrenia, schizoaffective disorders; psychosis and related behavioural abnormalities observed with neurodegenerative disorders including Parkinson's, Alzheimer's disease, Lewy Body 10 Dementia, Frontotemporal Dementia, Huntington's disease, and Spinocerebellar Atrophy; drug induced psychosis including side effects observed with SSRI treatment of chronic neurodegenerative disorders such as Alzheimer's, Parkinson's and Huntington's disease; Reynaud's Phenomena; migraine; hypertension; thrombosis; vasospasm; ischemia; depression; anxiety; "motor tics"; Tourette's syndrome; dyskinesias, on/off phenomena, 15 tremor, rigidity, bradykinesia, psychomotor slowing, addiction, including alcohol addiction, opioid addiction, and nicotine addiction; sleep disorders; appetite disorders; decreases in libido and ejaculatory problems. Another aspect of the present invention relates to the treatment of drug induced psychosis and the treatment of side effects observed with SSRI treatment behavioural 20 aspects of chronic neurodegenerative disorders, typically to the treatment of psychotic symptoms, such as hallucinations, consequent of administration of dopamine agonists, such as L-dopa, to individuals in need of treatment, such as people suffering from Parkinson's. Similarly, aspects of the invention relate to a method for the treatment of diseases and conditions as described herein comprising administering an adjunctive or therapeutic 25 amount of one or more of the compound of Formula I. The invention thus relates to the use of a compound of Formula I for the preparation of a medicament for the treatment of diseases and conditions as described herein wherein the compound of Formula I is the sole active agent in the medicament or is an adjunctive wherein the medicament further comprises an agent known to the person skilled in the art for the treatment of said diseases 30 and conditions. Other aspects of the invention relate to pharmaceutical compositions comprising an effective amount of a compound of general Formula I. Compounds of the present invention may be administered in any of the foregoing compositions and according to -27 dosage regimens established in the art whenever specific pharmacological modification of the activity of monoamine receptors is required. Aspects of the present invention also provide pharmaceutical compositions comprising one or more compounds of the invention together with a pharmaceutically 5 acceptable diluent or excipient. Preferably such compositions are in unit dosage forms such as tablets, pills, capsules (including sustained-release or delayed-release formulations), powders, granules, elixirs, tinctures, syrups and emulsions, sterile parenteral solutions or suspensions, aerosol or liquid sprays, drops, ampoules, auto-injector devices or suppositories; for oral, parenteral (e.g., intravenous, intramuscular or subcutaneous), 10 intranasal, sublingual or rectal administration, or for administration by inhalation or insufflation, and may be formulated in an appropriate manner and in accordance with accepted practices such as those disclosed in Remington's Pharmaceutical Sciences, (Gennaro, ed., Mack Publishing Co., Easton PA, 1990, herein incorporated by reference). Alternatively, the compositions may be in sustained-release form suitable for once-weekly 15 or once-monthly administration; for example, an insoluble salt of the active compound, such as the decanoate salt, may be adapted to provide a depot preparation for intramuscular injection. The present invention also contemplates providing suitable topical formulations for administration to, e.g., eye or skin or mucosa. A further aspect of the invention relates to a method for identifying a genetic 20 polymorphism predisposing a subject to being responsive to one or more of the compounds of Formula I, as defined herein, comprising: administering to a subject a therapeutically effective amount of the compound; measuring the response of said subject to said compound, thereby identifying a responsive subject having an ameliorated disease condition associated with a monoamine 25 receptor; and identifying a genetic polymorphism in the responsive subject, wherein the genetic polymorphism predisposes a subject to being responsive to the compound. The ameliorated disease condition is typically associated with the 5-HT class or 5-HT2A subclass of monoaminergic receptors. A further aspect of the invention relates to a method for identifying a subject 30 suitable for treatment with one or more of the compounds of Formula I, comprising detecting the presence of a polymorphism in a subject wherein the polymorphism predisposes the subject to being responsive to the compound, and wherein the presence of - 28 the polymorphism indicates that the subject is suitable for treatment with one or more of the compounds of Formula I. Methods of preparation 5 The compounds in accordance with the present invention may be synthesized by methods described below, or by modification of these methods. Ways of modifying the methodology include, among others, temperature, solvent, reagents etc, and will be obvious to those skilled in the art. For instance, compounds of the formula C may be synthesized from the 10 corresponding ketone A by reductive amination utilizing any primary amine. The reaction is conveniently carried out by stirring the reactants in an inert solvent such as methanol or ethanol containing acetic acid. As reducing agent NaBH 4 , NaCNBH 3 , BH 3 .pyridine or any related reagent may be used including solid-supported reagents. The reaction is typically carried out at room temperature. The ketone A, as exemplified by the piperidone, may be 15 chosen from a list of compounds corresponding to the Z-group listed in formula (1). The ketones can either be obtained commercially or synthesized by methodology disclosed in Lowe et al. J Med. Chem. 37: 2831-40 (1994); Carroll et al. J. Med. Chem. 35:2184-91 (1992); or Rubiralta et al. Piperidine - Structure, Perparation, Reactivity and Synthetic Applications of Piperidine and its Derivatives. (Studies in Organic Chemistry 43, Elsevier, 20 Amsterdam, 1991). The protecting group P includes groups such as those described in T. W. Greene and P. G. M. Wuts, Protective Groups in Organic Chemistry, 3. Ed. John Wiley & Sons, 1999, and they should be chosen in such a way, that they are stable to the reaction conditions applied and readily removed at a convenient stage using methodology known from the art. Typical protecting groups are N-Boc, N-Cbz, N-Bn. 25 Alternatively, the amine C can be synthesized from the primary amine B by reductive amination with any aldehyde. The reaction is conveniently carried out by stirring the reactants in an inert solvent such as methanol or ethanol containing acetic acid. As reducing agent NaBH 4 , NaCNBH 3 , BH 3 -pyridine or any related reagent may be used including solid-supported reagents. The reaction is typically carried out at room 30 temperature. The primary amine B, as exemplified by the 4-aminopiperidine, may be chosen from a list of compounds corresponding to the Z-groups listed in formula (I). The amines can either be obtained commercially or synthesized from the corresponding ketones. The protecting group P may be chosen as stated above. - 29 - Alternatively, the amine C can be synthesized from the primary amine B by alkylation with any alkylating agent (R-LI). The leaving group L, is suitably a halogen atom, e.g., bromine or iodine, or a sulfonate, e.g. tosylate or mesylate, or another leaving group favoring the reaction. The reaction is conveniently carried out by stirring the 5, reagents under basic conditions in an inert solvent, e.g., diisopropylethylamine in acetonitrile, or K 2 C0 3 in N;N-dimethylformamide. The reaction is typically carried out at temperatures between room temperature and 80 0 C. The primary amine B, as exemplified by the 4-aminopiperidine, may be chosen from a list of compounds corresponding to the Z groups listed in formula (I). The amines can either be obtained commercially or 10 synthesized from the corresponding ketones. The protecting group P may be chosen as stated above. N N Reducing agent fiji + R-NH 2 A C P N + R*CHO Reducing agent. C

NH

2 B Base B + R-L 1 C Wherein R and R* are defmed in agreement with Formula I, and P represents a suitable protecting group, and L, represents a suitable leaving group. 15 The secondary amine C may be acylated using any isocyanate or isothiocyanate (Qi-N=C=W) to give the corresponding ureas or thioureas D. The reaction is typically carried out by stirring the reactants, using an excess of isocyanate or isothiocyanate in an inert solvent, e.g., dichloromethane at a temperature between 0*C and room temperature and under dry conditions. The amine C may also be acylated using any carboxylic acid 20 halide (Q 2 COX), e.g., chloride, or carboxylic anhydride ((Q 2 C=0) 2 0) to give amides of the -30general structure E. The reaction is typically carried out using an excess of the acylating agent and a suitable base, e.g., triethylamine or diisopropylethylamine in an inert solvent, e.g., dichloromethane, at a temperature between 0*C and room temperature and under dry conditions. As an alternative to the carboxylic acid halides and carboxylic acid anhydrides, 5 the amine C may be acylated using a carboxylic acid (Q 2 COOH) and a suitable coupling reagent e.g. PyBroP, DCC or EDCI. The reaction is typically carried out using an excess of the acylating agent and the coupling reagent in an inert solvent, e.g., dichloromethane at a temperature between 0*C and room temperature and under dry conditions. The compounds of the general structure (E) may be converted into the corresponding thioamides using 10 methodology disclosed in Varma et al., Org. Lett. 1: 697-700 (1999); Cherkasov et al. Tetrahedron 41:2567 (1985); or Scheibye et al, Bull. Soc. Chim. BeIg. 87:229 (1978). N N + Q 1 -N=C=W H NH N N, W C D O P N Q2 ',X C + 0 (QSO R'N Q2

Q

2 OH , Coupling reagent E Wherein R, Qi, Q2, and W are defined in agreement with formula (1), P represents a 15 suitable protecting group, and X represents a halide. The substituent T on the ring nitrogen in compounds F or G can be introduced by a two step procedure. First, the protecting group on the urea D or the amide E is removed using well-known methods. For example, the N-Boc group is removed by treating the protected compound with 4 M HCl in dioxane or trifluoroacetic acid in dichloromethane. 20 Second, the secondary amines obtained from D and E can be alkylated by reductive -31amination using any aldehyde (T*-CHO) or ketone (T=O). The reaction is conveniently carried out by stirring the reactants in an inert solvent such as methanol or ethanol. As a reducing agent, solid-supported borohydride, NaBH 4 , NaCNBH 3 , BH 3 pyridine, H 2 /Pd-C or any related reagent may be used, including solid-supported reagents. The reaction is 5 typically carried out at room temperature. Alternatively, the compounds F and G can be synthesized from the secondary amine obtained from D or E as described above by alkylation with any alkylating agent (T- Li). The leaving group Li is suitably a halogen atom, e.g., bromine or iodine, or a sulfonate, e.g., tosylate or mesylate, or another leaving group favoring the reaction. The reaction is 10 conveniently carried out by stirring the reagents under basic conditions in an inert solvent, for example diisopropylethylamine in acetonitrile, or K 2

CO

3 in NN-dimethylformamide. The reaction is typically carried out at temperatures between room temperature and 80 0 C. Alternatively, the T-group can be introduced in the first step of the synthetic sequence leading to the compounds in accordance with the present invention by N 15 alkylation of compound H with any alkylating agent (T- Li). The leaving group Li is suitably a halogen atom, e.g., bromine or iodine, or a sulfonate, e.g., tosylate or mesylate, or another leaving group favoring the reaction. The reaction is conveniently carried out by stirring the reagent under basic conditions in an inert solvent, e.g., diisopropylethylamine in acetonitrile, or K 2

CO

3 in NN-dimethylformamide. The reaction is typically carried out at 20 temperatures between room temperature and 80*C. Alternatively the T-group can be introduced in the first step by reductive amination using any aldehyde (T*-CHO) or ketone (T=O) and a suitably protected compound H', exemplified by 4-piperidone ethylene ketal. The reaction is conveniently carried out by stirring the'reactants in an inert solvent such as methanol or ethanol. As a reducing agent, solid-supported borohydride, NaBH 4 , 25 NaCNBH 3 , BH 3 -pyridine, H 2 /Pd-C or any related reagent may be used, including solid supported reagents. The reaction is typically carried out at room temperature, but less reactive carbonyl compounds may require higher temperatures and/or the pre-formation of the corresponding imine under water removal before addition of the reducing agent. Removal of the protecting group gives the desired compound J. The secondary amine H 30 and H', as exemplified by 4-piperidone and its protected derivative, may be chosen from a list of compounds corresponding to the Z-groups listed in formula (I). The amines can either be obtained commercially or synthesized from methodology disclosed in Lowe et al., J. Med. Chem. 37:2831-40 (1994); and Carroll et al., J Med. Chem. 35:2184-91 (1992). - 32 - Alternatively, compounds of the general structure J may be synthesized starting from K using the method disclosed in: Kuehne et al., J. Org. Chem. 56:2701 (1991); and Kuehne et al., J. Org. Chem. (1991), 56:513. T T NN 1) Deprotection or 2) a: Reductive amination (T*CHO or T=O) D or E b: Alkylation (T-L 1 ) H ' RN N'Q1 R-N R Q2 w w F G HT T--1 o 0 H J N 1) Reductive amination (T*-CHO or T=0) J C O 2) Deprotection \._j H'

T-NH

2 NJ 0 K 5 Wherein R, Q1, Q2, W, and T are defined in agreement with formula (I), and L, is a suitable leaving group. Heterocyclylalkyl alkylating agents such as T-Li may be commerially available or are typically obtained by alkylation of a heterocycle with a bifunctional alkyl-linker, as - 33 shown below. The leaving groups Li and L 2 are suitably a halogen atom, e.g., chlorine, bromine or iodine, or a sulfonate, e.g., tosylate or mesylate, or another leaving group favoring the reaction. The reaction is conveniently carried out by stirring the reagent under basic conditions in an inert solvent, e.g., diisopropylethylamine in acetonitrile, or K 2 C0 3 in 5 NN-dimethylformamide. The reaction is typically carried out at temperatures between room temperature and 80"C. The alkylating agent hence obtained can be either reacted in situ in the next step with the secondare amine (i.e. deprotected D/E, or H) or isolated from the reaction mixture before its further use. Heterocyclylalkyl alcohols such as T*-CH 2 OH or T-OH may also be converted into suitable alkylating agents T-Li by transforming the 10 hydroxyl into a leaving group, e.g. by tosylation, mesylation or halogenation. Alternatively,

T*-CH

2 OH or T-OH may be oxidized to the corresponding aldehydes or ketones T*-CHO or T=O with, for example, pyridinium chlorochromate, CrO 3

-H

2 SO4, or via the Swern or Dess-Martin procedures, to be used in a reductive amination step with the secondary amines as described above. 15

L

2

-(CH

2 )p-L 1 YH 'Y-(CH 2

)FL

1

T-L

1 Wherein Y, p and T are defined in agreement with formula (I), and L, and L 2 are suitable leaving groups. The building blocks incorporating the aromatic groups Ari and Ar 2 may either be 20 obtained commercially or synthesized from methodology disclosed in the literature. The introduction of substituents on Ar and Ar 2 may be performed from a suitable precursor at any appropriate stage of the preparation of the compounds. For instance, compounds containing an alkoxy substituents may be typically prepared by Williamson ether synthesis from the corresponding hydroxyaryl derivatives. 25 Structures bearing an amine substituent on Arl or Ar 2 may be obtained from a suitable halo- or pseudohalo precursor (e.g. Br, I-, Cl-, triflate-, nonaflate-, tosylate substituted aryl derivatives) by metall-catalyzed amination chemistries, such as Pd- or Ni (Hartwig, Angew. Chem. Int. Ed., 1998, 37, 2046-2067; Yang & Buchwald, J Organometallic Chem., 1999, 576, 125-146; Hartwig in Modern Amination Methods; Ricci, 30 Ed.; Wiley-VCH: Weinheim, Germany, 2000) or Cu-catalyzed (Buchwald et al, Org. Lett., 2002, 4, 581-584; Kwong & Buchwald, Org. Lett., 2003, 5, 793-796). Alternatively, these -34compounds can be obtained from aniline-based precursors either by alkylation (Hickinbottom, J. Chem. Soc. 1930, 992), or by reductive amination (Emerson & Walters, J. Am. Chem. Soc., 1938, 60, 2023; Milovic et al, Synthesis, 1991, 11, 1043-1045), or by dehydrative alkylation (Rice & Kohn, J. Am. Chem. Soc., 1955, 77, 4052; Brown & Reid, 5 J. Am. Chem. Soc., 1924, 46, 1838). Additionally, compounds of this type may also be synthesized from corresponding boronic acids by Cu-catalyzed coupling (Antilla & Buchwald, Org. Lett., 2001, 3, 2077-2079). The structures bearing an aide substituent on Arl or Ar 2 may be obtained from a suitable halo- or pseudohalo precursor either by Pd catalyzed (Yin & Buchwald, J. Am. 10 Chem. Soc., 2002, 124, 6043-6048) or by Cu catalyzed (Buchwald et al, J Am. Chem. Soc., 2002, 124, 7421-7428) amidation chemistries. Alternatively, these compounds may also be obtained from the corresponding aniline precursors either by acylation (Wolf, Liebigs Ann. Chem., 1952, 576, 35; Yasukara et al, J. Chem. Soc. Perkin Trans. 1, 2000, 17, 2901-2902; Nigam & Weedon, J. Chem. Soc., 1957, 2000) or by formylation (Hirst & Cohen, J. Chem. 15 Soc., 1895, 67, 830; Olah & Kuhn, Chem. Ber. 1956, 89, 2211; Guthrie et al, Can. J. Chem., 1993, 71, 2109-2122). Compounds that carry an alkylsulfanyl substituent on Ar or Ar 2 be obtained from a suitable halo- or pseudohalo precursor by Pd catalyzed (Li, J. Org. Chem., 2002, 67, 3643 3650), or Cu catalyzed (Kwong & Buchwald, Org. Lett., 2002, 4, 3517-3520) 20 thioetherification chemistry. Alternatively, these compounds may be prepared by alkylation of corresponding benzenethiol precursors (Vogel, J. Chem. Soc., 1948, 1809; Landini & Rocca, Synthesis, 1974, 565-566; Bun-Hoi et al, J. Org. Chem., 1951, 16, 988). Alternatively, alkylarylsulfanyls may be obtained by irradiation of benzenethiols and alkenes (Screttas & Micha-Screttas, J. Org. Chem., 1978, 43, 1064-1071). 25 Compounds of the invention bearing an acyl group on Art or Ar 2 may be prepared from corresponding aryl iodides by Pd catalyzed (Cacchi et al, Org. Lett, 2003, 5, 289-293) acylation chemistry, Alternatively, they may be obtained from the corresponding benzenes by Friedel-Crafts chemistry (Read, J. Am. Chem. Soc., 1922, 44,1746-1755), or by addition of aryl-Grignard reagents to nitriles (Whitmore et al, J. Am. Chem. Soc., 1947, 69, 235-237) 30 or to acyl chlorides (Whitmore & Lester, J Am. Chem. Soc., 1942, 64, 1247), or by either Pd-catalyzed (GooBen & Ghosh, Angew. Chem. Int. Ed. Engl., 2001, 40, 3458-3460) or Rh catalyzed acylation of arylboronic acids. - 35 - Compounds of the invention that bear an N-containing aromatic heterocycle on Ar or Ar 2 can be obtained either by metall-catalyzed cross-couplings (Buchwald et al, Org. Lett., 2002, 2, 1403-1406; Buchwald et al, J Am. Chem. Soc., 2001, 123, 7727-7729; Buchwald et al, J. Am. Chem. Soc., 2002, 124, 11684-11688). Alternatively, they may be 5 accessed from suitable precursors such as aryl hydrazines, aryl amines or aryl nitriles according to literature procedures (e.g. Alvisi, Gazz. Chem. Ital., 1892, 22, 159; Finar, Godfrey, J Chein. Soc., 1954, 2293; Muri et al, Synth. Commun., 1998, 28, 1299-1321; Artico et al, Europ. J Med. Chem. Chim. Other , 1992, 27, 219-228; Biagi et al., Farmaco Ed. Sci. 1988, 43, 597-612; Stefancich et al, Farmaco Ed. Sci., 1984, 39, 752-764). 10 In general, during any of the processes for preparation of the compounds of the present invention, it may be necessary and/or desirable to protect sensitive or reactive groups on any of the molecules concerned. This may be achieved by means of conventional protecting groups, such as those described in Protective Groups in Organic Chemistry (ed. J.F.W. McOmie, Plenum Press, 1973); and Greene & Wuts, Protective 15 Groups in Organic Synthesis, John Wiley & Sons, 1991. The protecting groups may be removed at a convenient subsequent stage using methods known from the art. EXAMPLES The examples below are non-limiting and are only illustrative of some of the 20 embodiments of the present invention. Chemical Synthesis General procedures. 1H NMR spectra were recorded at 400 MHz on a Varian Mercury-VX400MHz spectrometer and chemical shifts are given in 5-values [ppm] 25 referenced to the residual solvent peak chloroform (CDCl 3 ) at 7.26 and methanol (CD 3 0D) at 3.31 ppm. Coupling constants, J, are reported in Hertz. Unless otherwise stated, the NMR spectra of the compounds are described for their free amine form. Due to the presence of rotamers, two sets of signals are generally observed and rotamer ratios are reported. Where the corresponding signals for each of the two rotamers could unmistakably 30 be identified, they are reported together [e.g. 4.66-4.58 and 3.76-3.68 (2m, 1H)]. Acidic ion-exchange solid phase extraction (SPE) cartridges were MEGA BE-SCX from Varian. Materials and solvents were of the highest grade available from commercial sources and were used without further purification. - 36- HPLC/LCMS Method. The analysis was performed on a combined prep/analytical Waters/Micromass system consisting of a ZMD single quadropole mass spectrometer equipped with electrospray ionization interface. The HPLC system consisted of a Waters 600 gradient pump with on-line degassing, a 2700 sample manager and a 996 PDA 5 detector. Separation was performed on an X-Terra MS C18, 5 pm 4.6x5Omm column. Buffer A: 10mM amoniumacetate in water, buffer B: 10mM ammoniuacetate in acetonitrile/water 95/5. A gradient was run from 30%B to 100%B in 7 min, hold at 100%B for 1 min and re-equilibrated for 5.5 min. The system was operated at 1 ml/min. Preparation of hydrochloride salts. Typically, the tertiary amines were dissolved 10 in dichloromethane, treated with an excess of 1M HCI in diethylether and precipitated from n-heptane. The solvents were removed in vacuo and after drying, the hydrochloride salts were obtained as colourless solids. Preparation of oxalate or tartrate salts. Typically, the tertiary amines were dissolved in methanol, treated with I eq. of the appropriate acid, the solvent removed and 15 the salt redissolved in dichloromethane and precipitated from n-heptane. The solvents were removed in vacuo affording the salts as colourless solids. Preparation of phenylacetyl chloride derivatives The phenylacetic acid derivative (15 mmol) was dissolved in dichloromethane (100 20 mL), and oxalylchloride (45 mmol) was added slowly. The reaction mixture was stirred for 4 hours and then evaporated to dryness. The product was obtained as a colourless oil and used immediately after preparation in the acylation step. 4-Isobutoxyphenylacetic acid (128NLS28) 25 Methyl 4-hydroxyphenyl acetate (14.6 g, 0.0885 mol) was dissolved in DMF (200 mL), potassium carbonate (31.0 g, 0.224 mmol) added and the mixture was stirred for 1 h at rt. 1-Bromo-2-methylpropane (19.2 mL, 0.177 mol) was added and the mixture was heated at 80"C for 3 days under vigorous stirring. The mixture was cooled to rt, filtered, the solvent removed and the residue partitioned between 1.5M NaOH and ethyl acetate. The 30 organic layer was evaporated, the residue dissolved in methanol (100 mL) and water (100 mL), KOH (10 g, 0.178 mol) added and the mixture stirred overnight at rt. The methanol was removed by evaporation, the mixture extracted with dichloromethane. The organic layer was discarded, the aqueous layer acidified with 4M HC to pH2-3 and extracted twice - 37 with dichloromethane. The combined organic layers were dried over Na 2

SO

4 , filtered and evaporated to give the title compound (16.9 g, 92%) as a colourless solid. 4-Propoxyphenylacetic acid (98AF77-66) 5 Prepared as described for 128NLS28 using propylbronide as the alkylating agent. 4-Isopropoxyphenylacetic acid (130AF24-163) Prepared as described for 128NLS28 using isopropylbromide as the alkylating agent. 10 N-I -[2-(1.3-Dioxolan-2-vilethyllpiperidin-4-yl}-N-(4-fluorobenzyl)-N'-(4 isobutoxybenzyl)carbamide, hydrochloride (80MBT86-2C) 4-Piperidone hydrochloride monohydrate (4.0 g, 26.0 mmol) was dissolved in dichloromethane (130 mL). After addition of triethylamine (8.66 g, 85.8 mmol), the 15 mixture was stirred for 10 min and then cooled to 0*C. Trifluoroacetic anhydride (12.0 g, 57.2 mmol) was added dropwise under stirring. After 2 h at room temperature, the reaction was stopped by addition of water (100 mL), and the aqueous phase was extracted with dichloromethane (2x100 mL). The combined organic phases were dried over Na 2

SO

4 , filtered and concentrated to give 1-(trifluoroacetyl)-4-piperidone (5.07 g, 100%). 20 4-Fluorobenzylamine (3.14 g, 25.9 mmol) was dissolved in methanol (150 mL). 1 (trifluoroacetyl)-4-piperidone (5.07 g, 25.9 mmol) was added, and the pH was adjusted to -5 with acetic acid. The reaction mixture was stirred for 5 min and NaBH 3 CN (2.46 g, 38.9 mmol) was added slowly under stirring. After 20 h at room temperature the reaction was concentrated. 2 M NaOH (100 mL) was added and the aqueous phase was extracted with 25 dichloromethane (2x100 mL). The combined organic phases were dried over Na 2

SO

4 , filtered and concentrated to give N-(4-fluorobenzyl)-1-(trifluoroacetyl)piperidin-4-amine (50ELH85, 2.91 g, 37%). 4-isobutoxyphenylacetic acid (7.6 g, 36.5 mmol) was dissolved in THF (50 mL). Proton Sponge" TM (8.2 g, 38 mmol) was added, and the mixture was stirred for 15 min. 30 Diphenylphosphoryl azide (10.6 g, 38 mmol) was added dropwise and the mixture was heated to reflux for 4 h. The mixture was cooled to room temperature and placed in the freezer at -18 'C for 20 h. The resulting white precipitate was vigorously stirred with diethyl ether (250 mL) for 15 min and filtered. The filtrate was evaporated to give crude 4 - 38 isobutoxybenzyl isocyanate (1.97 g, 9.6 mmol), which was dissolved in dichloromethane (50 mL) and added to a solution of 50ELH85 (2.91 g, 9.6 mmol) in dichloromethane (50 mL). The reaction mixture was stirred for 20 h and concentrated. The crude product was purified by flash chromatography (0-5% methanol in dichloromethane) to give N-(4 5 fluorobenzyl)-N-[1-(trifluoroacetyl)piperidin-4-yl]-N'-(4-isobutyloxybenzyl)carbamide (76ELH 17, 3.90 g, 91%). The compound 76ELH17 (3.90 g, 8.7 mmol) was dissolved in methanol (12 ml) and added to a 2 M solution of potassium carbonate in methanol (100 mL) under stirring. After 4 h the methanol was evaporated, and the aqueous phase was extracted with 10 dichloromethane (2x100 mL). The combined organic phases were dried over Na 2

SO

4 , filtered and concentrated to give a semi-pure solid (2.95 g), which was purified by flash chromatography (10% methanol in dichloromethane with 1% triethylamine) to give N-(4 fluorobenzyl)-N-(piperidin-4-yl)-N'-(4-isobutyloxybenzyl)carbamide (76ELH18, 1.40 g, 39%) as a colourless solid. LCMS m/z 414 [M+H]+. 'H-NMR (CDCl 3 ): 8 7.21-6.75 (m, 15 8H), 4.47-4.42 (m, 1H), 4.39 (t, J=5 Hz, 1H), 4.35 (s, 2H), 4.27 (d, .1=5 Hz, 2H), 3.68 (d, J=6 Hz, 2H), 3.13-3.06 (m, 2H), 2.74-2.66 (m, 2H), 2.11-1.99 (m, 1H), 1.78-1.71 (m, 311), 1.58-1.46 (m, 2H), 1.00 (d, J=6 Hz, 6H). The compound 76ELH18 (200 mg, 0.484 mmol) was dissolved in acetonitrile (20 mL). Potassium carbonate (74 mg, 0.553 mmol) and sodium iodide (80 mg, 0.553 mmol) 20 was added followed by 2-(2-bromoethyl)-1,3-dioxolane (100 mg, 0.553 mol). The reaction mixture was heated to reflux for 20 h. The mixture was concentrated, water (50 mL) was added, and the aqueous phase was extracted with dichloromethane (2x50 mL). The combined organic phases were dried over Na 2

SO

4 , filtered and evaporated. The resulting oil was purified twice by flash chromatography (5% methanol in 25 dichloromethane) to give a colourless oil (50 mg, 20%). Rf = 0.70 (MeOH/CH 2 Cl 2 1:9). LCMS m/z 514 [M+H]. 'H-NMR (CDCl 3 ): 8 7.21-6.75 (m, 811), 4.94 (t, J=4.5 Hz, 11H), 4.73-4.62 (in, 1H), 4.58 (t, J=5.5 Hz, 1H), 4.41 (s, 2H), 4.26 (d, J=5.5 Hz, 2H), 4.00-3.80 (m, 411), 3.68 (d, J=6.0 Hz, 211), 3.43-3.35 (m, 2H), 2.94-2.87 (m, 2H), 2.68-2.57 (m, 2H), 2.45-2.32 (m, 2H), 2.20-2.13 (in, 2H), 2.10-2.00 (m, 1H), 1.88-1.81 (m, 2H), 1.00 (d, J=6.0 30 Hz, 6H). HIPLC tR = 8.1 min. The collected compound was converted into its hydrochloride salt, which was obtained as a colourless solid (80MBT86-2C). - 39 - N- { 1-r2-(1,3-Dioxan-2-vl)ethyllpiperidin-4-yl} -N-(4-fluorobenzyl)-2-r442-hydroxv-2 methylpropoxy)phenyllacetamide, tartrate (106MBT54-D) Methyl (4-hydroxyphenyl)acetate (500 mg, 3.0 mmol) was dissolved in DMF (3 mL). K 2 C0 3 (829 mg, 6.0 mmol) was added followed by isobutylene oxide (800 JLL, 9.0 5 mmol). The mixture was heated to 150 *C by microwave irradiation for 30 min and concentrated . The residue was dissolved in a 1:1 mixture of methanol and water (20 mL). NaOH (I g) was added and the mixture was stirred for 30 min. Methanol was removed by rotary evaporation. The aqueous phase was acidified by 4 M HCl and extracted with dichloromethane (2x50 mL). The combined organic phases were extracted with 2 M NaOH 10 (2x50 mL). The combined aqueous phases were subsequently acidified by 4 M HCl and extracted with dichloromethane (2x50 mL). The combined organic phases were dried over Na 2

SO

4 , filtered and evaporated to afford [4-( 2 -hydroxy-2-methylpropoxy)phenyl]acetic acid (106MBT52-D, 470 mg, 70%) as a colourless solid. 1 H-NMR (CDCl 3 ): 8 7.19 (m, 21H), 6.88 (m, 2H), 3.78 (s, 2H), 3.57 (s, 2H), 1.34 (s. 6H). 15 The acid 106MBT52-D (150 mg, 0.67 mmol) was dissolved in dichloromethane (10 mL). N-{1-[2-(1,3-dioxan-2-yl)ethyl]piperidin-4-yl}-N-(4-fluorobenzyl)amine (118AF52 95, 180 mg, 0.56 mmol) was added followed by triethylamine (235 tL, 0.84 mmol). Bromo-tris-pyrrolidino-phosphonium hexafluorophosphate (PyBroP, 392 mg, 0.84 mmol) was added, and the mixture was stirred at room temperature for 2 h. The mixture was 20 concentrated and passed onto a prewashed (methanol) ion exchange column (0.88 mmol/g, Ig). The column was washed with methanol (8x4 mL) and the remaining product was eluted off the column with 10% NH 4 OH in methanol (2x4 mL) and evaporated. The resulting oil was dissolved in dichloromethane (20 mL) and washed with saturated aqueous NaHCO 3 (5x20 mL). The organic phase was dried over Na 2

SO

4 , filtered and evaporated. 25 The resulting oil was purified by flash chromatography (0-5% methanol in dichloromethane) to give a colourless oil (110 mg, 31%). Rf = 0.64 (MeOH/CH 2 Cl 2 1:9). LCMS n/z 529 [M+H]*. 'H-NMR (CDCl 3 , rotamers 0.4:0.6): 5 7.25-6.82 (m, 8H), 4.64 4,48 (m, 2.4H), 4.44 (s, 1.2H), 4.10-4.03 (m, 2H), 3.79-3.67 (m, 5.2H), 3.50 (s, 1.2H), 2.90-2.81 (m, 2H), 2.42-3.95 (m, 2H), 2.12-1.98 (m, 2.2H), 1.87-1.79 (m, 0.8H), 1.76-1.48 30 (in, 5.2H), 1.36-1.27 (m, 7.8H). HPLC tR = 6.1 min. The collected compound was converted into its tartrate salt, which was obtained as a colourless solid (106MBT54-D). -40 - N-(4-Fluorobenyzl)-N-(piperidin-4-yl)-2-(4-isobutoxyphenyl)acetamide (103NLS56). To a solution of the amine 118AF93-51 (10.37g, 30.3 mmol) and triethylamine (9.36 mL, 60.6 mmol) in dichloromethane (200 mL) a solution of 4-isobutoxyphenylacetyl chloride 128NLS28 (8.93 g, 39.4 mmol) in dichloromethane (100 mL) is added dropwise at 5 0"C. The solution is stirred at rt for 3h, then water is added and the mixture washed with sat. aq. NaHCO3. The organic layer was washed with 5% HC, water and brine, dried over sodium sulfate, filtered and evaporated in vacuo. The residue was purified by silica gel column chromatography eluting with a stepwise gradient of 0-50% ethyl acetate in n heptane, affording N-(4-fluorobenyzl)-N-[1-(benzyloxycarbonyl)piperidin-4-yl]-2-(4 10 isobutoxyphenyl)acetamide as a colourless oil. This compound was dissolved in abs. ethanol (200 mL) and hydrogenated overnight at rt using Pd/C (10%, 1 g) as a catalyst. The mixture was filtered over Celite, the solvent removed and the residue dried in vacuo to give a colourless oil (7.02 g, 58% over both steps). This compound was used without further purification. LCMS m/z 399 [M+H]*. 15 HPLC tR =8.8 min. N- { 1 -[3-(3,5-Dimethylpiperidin- 1 -yl)propyllpiperidin-4-yl} -N-(4-fluorobenzyl)-2-(4 isobutoxyphenyl)acetamide, dihydrochloride (103NLS45-B). To 3,5-dimethylpiperidine (43 pL, 0.33 mmol) in DMF (1 mL) was added 20 potassium carbonate (132 mg, 1.0 mmol), followed by 1-chloro-3-iodopropane (32 pmol, 0.30 mmol) and the mixture stirred at 50*C for 2h. After cooling to rt, a solution of 103NLS56 (100 mg, 0.25 mmol) in DMF (0.5 mL) was added, followed by sodium iodide (45 ng, 0.30 mmol). The mixture was shaken for 20 h at 60*C, filtered, evaporated to dryness and purified by silica gel column chromatography, eluting with a stepwise gradient 25 of 0-10% methanol in dichloromethane. The residue was further purified by passage over a reversed phase C 1 8 SPE cartridge, giving the desired compound (35 mg, 25%), which was converted into its dihydrochloride salt. Rf= 0.61 (MeOH/CH 2 Cl 2 1:9). LCMS m/z 552 [M+H]*. HPLC tR = 8.7 min. 30 143-(4- f(4-Fluorobenzyl)-[2-(4-isobutoxyphenyl)acetyllaminolpiperidin- I yl)propyllpiperidine-4-carboxylic acid methyl ester, dihydrochloride (103NLS45-E). Prepared following the same method as described for 103NLS45-B, using piperidine-4-carboxylic acid methyl ester (44 pL, 0.33 mmol). Yield: 7 mg, 5%. -41- LCMS m/z 582 [M+H]+. HPLC tR = 7.8 min. N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N-{1-[2-(1-methylpyrrolidin-2 yl)ethyllpiperidin-4-yl}acetamide, dioxalate (103NLS63-G). 5 To a solution of the amine 103NLS56 (15 mg, 0.038 mmol) in DMF (0.3 mL) was added a solution of 2-(2-chloroethyl)-1-methylpyrrolidine hydrochloride (8.4 mg, 0.045 mmol) in DMF (0.1 mL), followed by caesium carbonate (50 mg, 0.15 mmol) and sodium iodide (6.8 mg, 0.045 mmol). The mixture was stirred overnight at 60'C, partitioned between dichloromethane and sat. aq. NaHCO 3 solution. The organic layer was dried over 10 sodium sulfate, filtered and evaporated. The residue was purified by preparative reversed phase (C 18 ) HPLC and the obtained compound (10.5 mg, 54%) converted into its dioxalate salt. LCMS m/z 510 [M+H]*. HPLC tR = 8.1 min. 15 N-f -[3-(2,6-Dimethylmorpholin-4-yl)propyllpiperidin-4-yl}-N-(4-fluorobenzyl)-2-(4 isobutoxyphenyl)acetamide, dioxalate (103NLS69-A). To a solution of 2,6-dimethylmorpholine (6.1 pL, 49 pmol) in DMF (0.3 mL) 1 chloro-3-iodopropane (4.9 tiL, 45 pmol) in DMF (0.05 mL) was added, followed by caesium carbonate (50 mg, 0.15 mmol). The mixture was shaken at 50*C for 3 h. After 20 cooling to rt, the piperidine derivative 103NLS56 (15 mg, 38 ptmol) in DMF (0.1 mL) and sodium iodide (6.8 mg, 45 pmol) were added and stirring maintained overnight at 60*C. The mixture was partitioned between dichloromethane and sat. aq. NaHCO 3 solution. The organic layer was dried over sodium sulfate, filtered and evaporated. The residue was purified by preparative reversed phase (Cis) HPLC and the obtained compound (6.3 mg, 25 30%) converted into its dioxolate salt. LCMS n/z 554 [M+H]*. HPLC tR = 8.7 min. -42 - N-(4-Fluorobenzyl)-N-{1-r3-(3-hydroxypiperidin-1-yl)propllpiperd in-- -4 isobutoxyphenyl)acetamide. dioxalate (103NLS69-B). Prepared following the same method as described for 103NLS69-A, using 3 5 hydroxypiperidine hydrochloride (6.8 mg, 49 pmol). Yield: 7.9 mg, 30%. LCMS m/z 540 [M+H]*. HPLC tR = 8 .1 min. N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N-{1-r3-(2-methylpiperidin-1 yl)propyllpiperidin4-yllacetamide, dioxalate (103NLS69-C). 10 Prepared following the same method as described for 103NLS69-A, using 2 methylpiperidine (5.8 pL, 49 ptmol). Yield: 5.2 mg, 26%. LCMS m/z 538 [M+H]*. HPLC tR = 8.7 min. N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N-r1-(3-pyrrolidin-1-yl-propyl)piperidin-4 15 yljacetamide, dioxalate (103NLS69-D Prepared following the same method as described for 103NLS69-A, using pyrrolidine (5.0 pL, 49 [tmol). Yield: 4.6 mg, 24%. LCMS m/z 510 [M+HJ*. HPLC tR 8.4 min. 20 N- 1-3-(2,5-Dimethylpyrrolidin-1 -yl)propyllpiperidin-4-yll -N-(4-fluorobenzyl)-2-(4 isobutoxyphenyl)acetamide, dioxalate (103NLS69-E). Prepared following the same method as described for 103NLS69-A, using 2,5 dimethylpyrrolidine (6.0 pL, 49 pmol). Yield: 3.4 mg, 17%. LCMS ni/z 538 [M+H)*. HPLC tR =8.7 min. 25 N-(4-Fluorobenzyl)-N- f 1-[3-(3-hydroxymethylpiperidin-1 -yl)propyllpiperidin-4-yl} -2-(4 isobutoxyphenyl)acetamide, dioxalate (103NLS69-F). Prepared following the same method as described for 103NLS69-A, using 3 hydroxymethylpiperidine (5.5 pL, 49 imol). Yield: 5.5 mg, 26%. LCMS n/z 554 30 [M+H]*. HPLC tR = 8.0 min. - 43 -

(

4 S)-3-(3-chloropropyl)-4-isopropyloxazolidinon-2-one (103NLS94). Sodium hydride (60% suspension in oil, 288 mg, 7.2 mmol) was added to a solution of (S)-4-isopropyl-2-oxazolidinone (775 mg, 6.0 mmol) in dry tetrahydrofuran (50 mL) 5 under argon atmosphere. The suspension was stirred for 15 min at rt, then 1-bromo-3 chloropropane (1.18 mL, 12.0 mmol) was added dropwise over 30 min. The mixture was refluxed overnight, filtered and the filtrate evaporated in vacuo. Purification of the residue by silica gel column chromatography, eluting with a stepwise gradient of 0-4% methanol in dichloromethane afforded ( 4 S)-3-(3-chloropropyl)-4-isopropyloxazolidinon-2-one (824 mg, 10 67 %) as a colourless oil. N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N- { 1 -[3-(4-(S)-isopropyl-2-oxo-oxazolidin-3 yl)propyllpiperidin-4-ylj acetamide, oxalate (117NLSO 1). To a solution of 103NLS56 (207 mg, 0.52 mmol) potassium carbonate (215 mg, 15 1.56 mmol) was added, followed by the alkylating agent 103NLS94 (127 mg, 0.62 mmol) and sodium iodide (93 mg, 0.62 mmol). The mixture was stirred at 65'C overnight, the solvent removed and the residue partitioned between ethyl acetate and water. The organic layer was dried over Na 2

SO

4 , filtered and evaporated. The residue was purified by silica gel column chromatography, eluting with a stepwise gradient of 0-4% methanol in 20 dichloromethane. Further purification of the compound was performed by passage over an acidic ion exchange SPE cartridge, affording the desired compound (209 mg, 71%) as a colourless oil, which was converted into its oxalate salt. Rf = 0.35 (MeOH/CH 2 Cl 2 5:95). LCMS m/z 568 [M+H]+. 'H-NMR (CDCl 3 , rotamers 0.6:0.4) 6 7.21-6.80 (m, 8H, Ar-H), 4.60-4.53 (in, 0.6H, pip-H), 4.49 and 4.43 (2s, 25 2H, benzyl-H), 4.19-4.14 (in, 1H, oxa-CH 2 ), 4.06-4.01 (m, IH, oxa-CH 2 ), 3.77-3.67 (m, 4.2H, pip-H, oxa-NCH, CH2OiBu, benzyl-H), 3.53-3.46 (in, 2.2H, benzyl-H, OCONCH 2 ), 2.98-2.85 (in, 3H, pip-H, OCONCH 2 ), 2.39-2.25 (in, 2H, NCH 2 ), 2.10-2.00 (n, 3.2H,

CH(CH

3

)

2 , pip-H, CHOiBu), 1.85-1.50 (m, 6H, pip-H, NCH 2

CH

2 ), 1.29 (m, 0.8H, pip-H), 1.01-0.99 (m, 6H, CH 3 oBU), 0.89-0.83 (m, 6H, CH(CH 3

)

2 ). HPLC tR = 8.9 min. -44- N-r2-(4-Fluorophenyl)ethyll-2-(4-isobutoxyphenyl)-N- {-r3-(4-(S)-isopropyl-2-oxo oxazolidin-3-vl)propyllpiperidin-4-yllacetamide, oxalate (117NLS03-A). Prepared following the same method as described for 117NLSOI using N-[2-(4 5 fluorophenyl)ethyl]-2-(4-isobutoxyphenyl)-N-(piperidin-4-yl)acetamide (111 mg, 0.27 mmol, prepared by the procedure described for 103NLS56). Yield: 90 mg, 57%. Rf = 0.30 (MeOH/CH 2

CI

2 5:95). LCMS m/z 582 [M+H]*. 'H-NMR (CDCl 3 , rotamers 0.6:0.4)8 7.18-6.80 (m, 8H, Ar-H), 4.40-4.35 (m, 0.4H, pip-H), 4.20-4.15 (m, 1H, oxa-CH 2 ), 4.05-4.01 (m, 1H, oxa-CH 2 ), 3.75-3.46 (m, 6.6H, pip-H, oxa-NCH, CH 2 0iBu, 10 benzyl-H, OCONCH 2 ), 3.36 (m, 2H, ArCH 2

CH

2 N), 3.02-2.84 (m, 3H, pip-H, OCONCH 2 ), 2.81-2.75 (m, 2H, ArCH 2 ), 2.37-2.25 (m, 2H, NCH 2 ), 2.09-1.98 (m, 2.8H, CH(CH 3

)

2 , pip H, CHois 11 ), 1.85-1.62 (m, 6H, pip-H, NCH 2

CH

2 ), 1.31 (m, 1.2H, pip-H), 1.00-0.97 (m, 6H, CH3oiBu), 0.89-0.84 (m, 6H, CH(CH 3

)

2 ). HPLC tR = 9.1 min. 15 N-r2-(4-Fluorophenyl)ethyll-N-{1-r3-(4-(S)-isopropyl-2-oxo-oxazolidin-3 yl)propyllpiperidin-4-yll -2-(4-propoxyphenyl)acetamide, oxalate (117NLSO3-B). Prepared following the same method as described for 117NLSO1 using N-[2-(4 fluorophenyl)ethyl]-N-(piperidin-4-yl)-2-(4-propoxyphenyl)acetamide (108 mg, 0.27 mmol, prepared by the procedure described for 103NLS56). Yield: 76 mg, 50%. 20 Rf = 0.33 (MeOH/CH 2 Cl 2 5:95). LCMS m/z 568 [M+H]*. 'H-NMR (CDCl 3 , rotamers 0.6:0.4) 8 7.17-6.81 (m, 8H, Ar-H), 4.40-4.35 (m, 0.4H, pip-H), 4.20-4.15 (m, 1H, oxa-CH 2 ), 4.05-4.01 (m, 1H, oxa-CH 2 ), 3.90-3.85 (n, 2H, OCH 2 OPr), 3.72-3.48 (m, 4.6H, pip-H, oxa-NCH, benzyl-H, OCONCH 2 ), 3.36-3.30 (m, 2H, ArCH 2

CH

2 N), 2.99-2.86 (m, 3H, pip-H, OCONCH 2 ), 2.80-2.74 (m, 2H, ArCH 2 ), 2.38-2.26 (m, 2H, NCH2), 2.11-2.03 25 (m, 1.8H, CH(CH 3

)

2 , pip-H), 1.87-1.64 (m, 8H, pip-H, CH 2 oPr, NCH 2

CH

2 ), 1.31 (m, 1.2H, pip-H), 1.03-0.98 (m, 3H, CH 3 oPr), 0.88-0.83 (m, 6H, CH(CH 3

)

2 ). HPLC tR = 8.5 min. N-(4-Fluorobenzyl)-N- {1 -[3-(4-(S)-isopropyl-2-oxo-oxazolidin-3-yl)propyllpiperidin-4 yl} -2-(4-propoxyp~henyl)acetamide, oxalate (117NLSO3 -C). 30 Prepared following the same method as described for 117NLS01 using N-(4 fluorobenzyl)-N-(piperidin-4-yl)-2-(4-propoxyphenyl)acetamide (104 mg, 0.27 mmol, prepared by the procedure described for 103NLS56). Yield: 120 mg, 80%. - 45 - Rf = 0.36 (MeOHI/CH 2

CI

2 5:95). LCMS n/z 554 [M+H]*. 'H-NMR (CDC1 3 , rotamers 0.6:0.4) 5 7.19-6.78 (m, 8H, Ar-H), 4.57-4.48 (m, 0.6H, pip-H), 4.48 and 4.42 (2s, 2H, benzyl-H), 4.18-4.12 (m, 1H, oxa-CH 2 ), 4.04-4.00 (m, 1H, oxa-CH 2 ), 3.91-3.85 (m, 2H, OCH 20 Pr), 3.75-3.66 (m, 2.2H, pip-H, oxa-NCH, benzyl-H), 3.49-3.43 (m, 2.2H, 5 benzyl-H, OCONCH 2 ), 2.98-2.80 (m, 3H, pip-H, OCONCH 2 ), 2.33-2.25 (m, 2H, NCH 2 ), 2.05-1.50 (m, 10.2H, CH(CH 3

)

2 , NCH 2

CH

2 , pip-H, CH 2 opr), 1.27 (m, 0.8H, pip-H), 1.18 0.98 (m, 3H, CH 3 0 pr), 0.87-0.81 (m, 6H, CH(CH 3

)

2 ). HPLC tR = 8.3 min. N-f 1-[2-(1,3-Dioxan-2-yl)ethyllpiperidin-4-yl}-N-(4-fluorobenzyl)-2-(4 10 isobutoxyphenyl)acetamide. oxalate (103NLS63-F). Prepared following the same method as described for 117NLS01 using and 103NLS56 (262 mg, 0.657 mmol) and 2-(2-bromoethyl)-1,3-dioxane as the alkylating agent. No sodium iodide was required. Yield: 152 mg, 45%. Rf= 0.35 (MeOH/CH 2

CI

2 1:9). LCMS m/z 513 [M+H]*. 'H-NMR (CDCl 3 , rotamers 15 0.6:0.4) 8 7.26-6.80 (m, 8H, Ar-H), 4.63-4.39 (m, 3.6H, pip-H, dioxane-H, benzyl-H), 4.09-4.01 (m, 2H, dioxane-H), 3.78-3.64 (m, 5.2H, pip-H, dioxane-H, CH 2 0 isu, benzyl-H), 3.50 (s, 1.2H, benzyl-H), 2.92-2.79 (m, 2H, pip-H), 2.43-2.34 (m, 2H, NCH 2 ), 2.10-1.96 (m, 3.2H, dioxane-H, pip-H, CHOiBU), 1.88-1.48 (m, 6H, pip-H, NCH 2

CH

2 ), 1.35-1.24 (m, 1.8H, dioxane-H, pip-H), 1.01 (m, 6H, CH 3 oiu). HPLC tR= 8.8 min. 20 N-f1-[2-(1,3-Dioxan-2-yl)ethyllpiperidin-4-yl}-N-r2-(4-fluorophenyl)ethyll-2-(4 isobutoxyphenyl)acetamide, oxalate (117NLSO3-D). Prepared following the same method as described for 117NLSO3-A using 2-(2 bromoethyl)-1,3-dioxane as the alkylating agent. No sodium iodide was required. Yield: 25 99 mg, 70%. Rf = 0.35 (MeOH/CH 2 Cl 2 5:95). LCMS m/z 527 [M+H]*. 'H-NMR (CDCl 3 , rotamers 0.7:0.3) 8 7.18-6.80 (m, 8H, Ar-H), 4.58-4.54 (m, 1H, dioxane-H), 4.48-4.41 (m, 0.3H, pip-H), 4.10-4.06 (m, 2H, dioxane-H), 3.77-3.66 (m, 5.4H, dioxane-H, benzyl-H, CH2osu), 3.64-3.52 (m, 1.3H, benzyl-H, pip-H), 3.37-3.32 (m, 2H, CH 2 NCO), 2.99 and 30 2.89 (2m, 2H, pip-H), 2.82-2.76 (m, 2H, ArCH 2 ), 2.49-2.39 (m, 2H, NCH 2 ), 2.12-2.00 (m, 2.6H, dioxane-H, pip-H, CHOiBu), 1.88-1.67 (m, 6H, pip-H, CH2oisu, NCH 2

CH

2 ), 1.35-1.31 (m, 2.4H, dioxane-H, pip-H), 1.00 (t, 6H, J= 6.6, CH3oiB). HPLC tR =8.8 min. -46- N-f1-[2-(1,3-Dioxan-2-yllethyllpiperidin-4-yl}-N-[2-(4-fluorophenyl)ethyll-2-(4 propoxyphenyl)acetamide, oxalate (117NLS03-E). Prepared following the same method as described for 117NLSO3-B using 2-(2 bromoethyl)-1,3-dioxane as the alkylating agent. No sodium iodide was required. Yield: 5 90 mg, 65%. Rf = 0.23 (MeOHI/CH 2 Cl 2 5:95). LCMS m/z 513 [M+H]*. 'H-NMR (CDC1 3 , rotaners 0.7:0.3) 5 7.21-6.81 (m, 8H, Ar-H), 4.58-4.54 (m, 1H, dioxane-H), 4.48-4.42 (m 0.3H, pip-H), 4.10-4.06 (m, 2H, dioxane-H), 3.91-3.86 (m, 2H, CH 2 opr), 3.77-3.69 (m, 3.4H, dioxane-H, benzyl-H), 3.63-3.56 (m, 1.3H, benzyl-H, pip-H), 3.38-3.31 (m, 2H, 10 CH 2 NCO), 2.99 and 2.89 (2m, 2H, pip-H), 2.82-2.76 (m, 2H, ArCH 2 ), 2.49-2.39 (m, 2H,

NCH

2 ), 2.12-2.00 (m, 1.6H, dioxane-H, pip-H), 1.87-1.65 (m, 8H, pip-H, CH 2 opr,

NCH

2

CH

2 ), 1.35-1.31 (m, 2.4H, dioxane-H, pip-H), 1.05-1.00 (m, 3H, CH 3 0 Pr). HPLC tR = 8.0 min. 15 N-{1 -r2-(1,3-Dioxan-2-yl)ethyllpiperidin-4-yl}-N-(4-fluorobenzyl)-2-(4 propoxyphenyl)acetamide, tartrate (1 17NLSO3-F).. Prepared following the same method as described for 117NLS03-C using 2-(2 bromoethyl)-1,3-dioxane as the alkylating agent. No sodium iodide was required. Yield: 107 mg, 79%. 20 Rf = 0.41 (MeOHI/CH 2 Cl 2 5:95). LCMS m/z 499 [M+H] 4 . 'H-NMR (CDCl 3 , rotamers 0.6:0.4) 8 7.20-6.80 (m, 8H, Ar-H), 4.62-4.56 (n, 0.6H, pip-H), 4.54-4.51 (m, 1H, dioxane-H), 4.49 and 4.43 (2s, 2H, benzyl-H), 4.08-4.04 (m, 2H, dioxane-H), 3.92-3.87 (m, 2H, OCH 2 OPr), 3.76-3.68 (m, 3.2H, pip-H, dioxane-H, benzyl-H), 3.50 (s, 1.2H, benzyl-H), 2.90-2.83 (m, 2H, pip-H), 2.43-2.36 (m, 2H, NCH 2 ), 2.10-1.98 (m, 2.2H, dioxane-H, pip 25 H,), 1.86-1.51 (m, 8H, pip-H, CH 2 0 Pr, NCH 2

CH

2 ), 1.32-1.27 (m, 1.8H, dioxane-H, pip-H), 1.05-0.99 (m, 3H, CH 3 ). HPLC tR = 7.6 min. N-{ 1-[2-(1,3-Dioxan-2-yl)ethyllpiperidin-4-ylI -N-(4-fluorobenzyl)-N'-(4 isobutoxybenzyl)carbamide, tartrate (117NLS25). 30 Prepared following the same method as described for 117NLS01 using 2-(2 bromoethyl)-1,3-dioxane (24 pL, 0.18 mmol) as the alkylating agent and N-(4 fluorobenzyl)-N'-(4-isobutoxybenzyl)-AT-(piperidin-4-yl)carbamide (76ELH 18, 50 mg, 0.12 mmol). No sodium iodide was required. Yield: 38 mg, 60%. - 47 - Rf = 0.32 (MeOH/CH 2 Cl 2 1:9). LCMS m/z 528 [M+H]*. 'H-NMR (CDCl 3 ) 8 7.18 6.74 (m, 8H, Ar-H), 4.53 (t, 1H, J= 5.1, dioxane-H), 4.46 (t, 1H, J= 5.3, NH), 4.33-4.25 (i, 5H, pip-H, benzyl-H), 4.08-4.04 (in, 2H, dioxane-H), 3.75-3.68 (m, 2H, dioxane-H), 3.66 (d, 2H, J= 6.6, CH2oiBu), 2.93-2.88 (m, 2H, pip-H), 2.43-2.39 (m, 2H, NCH 2 ), 2,09 5 1.98 (m, 4H, CHOiBU, dioxane-H, pip-H), 1.77-1.56 (m, 6H, pip-H, NCH 2

CH

2 ), 1.32-1.28 (i, IH, dioxane-H), 0.99 (d, 6H, J= 6.6, CH 3 oiu). HPLC tR = 8.7 min. N-{1-f2-(1,3-Dioxan-2-yl)ethyllpiperidin-4-vl}-N-(4-fluorobenzyl)-2-(4 fluorophenyl)acetamide, tartrate (117NLS87-A). 10 To a solution of 118AF52-95 (300 mg, 0.93 mmol) and triethylamine (0.52 mL, 3.72 mmol) in dry THF (10 mL) at 0*C a solution of 4-fluorophenylacetyl chloride (0.19 mL, 1.39 mmol) in THF (5 mL) was added dropwise and stirring was continued at rt for 3 h. The reaction mixture was filtered and the filtrate evaporated to dryness. The residue was partitioned between ethyl acetate and 1M NaOH, the organic layer washed with brine, dried 15 over Na 2 S04, filtered and evaporated. Purification by silica gel column chromatography, eluting with a stepwise gradient of 0-8% methanol in dichloromethane, followed by purification of the compound by passage over an acidic ion exchange SPE cartridge, afforded the desired compound (131 mg, 31%), which was converted to its tartrate form as described above. 20 Rf= 0.39 (MeOH/CH 2 C1 2 1:9). LCMS ni/z 459 [M+H]*. 'H-NMR (CDC1 3 , rotamers 0.6:0.4) 8 7.25-6.88 (m, 8H, Ar-H), 4.58-4.52 (in, 0.6H, pip-H), 4.50 (t, IH, J = 5.1, dioxane-H), 4.48 and 4.44 (2s, 2H, benzyl-H), 4.06-4.02 (m, 2H, dioxane-H), 3.78 and 3.50 (2s, 2H, benzyl-H), 3.72-3.64 (n, 2.4H, pip-H, dioxane-H), 2.84 (in, 2H, pip-H), 2.40-2.35 (m, 2H, NCH 2 ), 2.07-1.99 (in, 2.2H, dioxane-H, pip-H), 1.85-1.50 (in, 6H, pip-H, 25 NCH 2

CH

2 ), 1.30-1.25 (m, 1.8H, dioxane-H, pip-H). HPLC tR = 6.9 min. N-{l-[2-(1,3-Dioxan-2-yl)ethyllpiperidin-4-vll-N-(4-fluorobenzyl)-2-p-tolylacetamide, tartrate (117NLS87-B). Prepared following the same method as described for 117NLS87-A using 4 30 methylphenylacetyl chloride and 11 8AF52-95 (300 mg, 0.93 mmol). Yield: 119 mg, 28%. Rf= 0.43 (MeOH/CH 2 Cl 2 1:9). LCMS m/z 455 [M+H]+. 'H-NMR (CDCl 3 , rotamers 0.5:0.5) 8 7.17-6.87 (in, 8H, Ar-H), 4.60-4.53 (in, 0.5H, pip-H), 4.50 (t, 1H, J = 5.1, dioxane-H), 4.48 and 4.41 (2s, 2H, benzyl-H), 4.05-4.01 (m, 2H, dioxane-H), 3.77-3.66 (m, - 48 - 3.5H, pip-H, benzyl-H, dioxane-H), 3.50 (s, 1H, benzyl-H), 2.87-2.80 (m, 2H, pip-H), 2.40 2.34 (m, 2H, NCH 2 ), 2.30 and 2.28 (2s, 3H, CH 3 ), 2.07-1.95 (m, 2H, dioxane-H, pip-H), 1.83-1.50 (m, 6H, pip-H, NCH 2

CH

2 ), 1.29-1.25 (m, 2H, dioxane-H, pip-H). HPLC tR = 7.7 mm. 5 2-Benzofuran-5-yl-N-{ 1-r2-(1,3-dioxan-2-l)ethyllpiperidin-4-vl}-N-(4 fluorobenzyl)acetamide, tartrate (128NLS22-A). Benzofuran-5-yl-acetic acid was prepared adapting a procedure by Dunn et al. (J. Med. Chem., 1986, 29, 2326) and converted into the corresponding acetyl chloride by 10 treatment with oxalylchloride. The title compound was prepared from 118AF52-95 (58 mg, 0.18 mmol) following the same method as described for 117NLS87-A. Yield: 27 mg, 43%. Rf= 0.52 (MeOH/CH 2 Cl 2 1:9). LCMS m/z 481 [M+H]*. 'H-NMR (CDC 3 , rotamers 0.6:0.4) 8 7.64-6.68 (m, 9H, Ar-H), 4.62-4.54 (m, 0.6H, pip-H) 4.53-4.44 (m, 3H, dioxane H, benzyl-H), 4.07-4.03 (m, 2H, dioxane-H), 3.82-3.61 (m, 3.2H, pip-H, benzyl-H, 15 dioxane-H), 3.45 (s, 1.2H, benzyl-H), 2.91-2.80 (m, 2H, pip-H), 2.44-2.35 (m, 2H, NCH 2 ), 2.08-1.98 (m, 2.2H, dioxane-H, pip-H), 1.85-1.56 (m, 6H, pip-H, NCH 2

CH

2 ), 1.32-1.27 (m, 1.8H, dioxane-H, pip-H). HPLC tR = 6.6 min. 2-(2,3-Dihydrobenzofuran-5-yl)-N-{1-[2-(1.3-dioxan-2-yl)ethyllpiperidin-4-yl} -N-(4 20 fluorobenzyl)acetamide, tartrate (128NLS22-B). The compound (2,3-Dihydrobenzofuran-5-yl)acetic acid was prepared adapting a procedure by Dunn et al. (J. Med. Chem., 1986, 29, 2326) and converted into the corresponding acetyl chloride by treatment with oxalylchloride. The title compound was prepared from 118AF52-95 (58 mg, 0.18 mmol) following the same method as described 25 for 117NLS87-A. Yield: 27 mg, 31%. Rf= 0.50 (MeOH/CH 2 Cl 2 1:9). LCMS m/z 483 [M+H]*. 'H-NMR (CDC 3 , rotamers 0.6:0.4) 8 7.10-6.60 (m, 7H, Ar-H), 4.55-4.40 (m, 5.6H, pip-H, dioxane-H. benzyl-H, ArOCH 2 ), 4.01-3.97 (m, 2H, dioxane-H), 3.72-3.62 (m, 3.2H, pip-H, benzyl-H, dioxane H), 3.41 (s, 1.2H, benzyl-H), 3.14-3.06 (m, 2H, OCH 2

CH

2 ), 2.80 (m, 2H, pip-H), 2.35-2.30 30 (m, 2H, NCH 2 ), 1.99-1.93 (m, 2.2H, dioxane-H, pip-H), 1.80-1.44 (m, 6H, pip-H,

NCH

2

CH

2 ), 1.27-1.22 (m, 1.8H, dioxane-H, pip-H). HPLC tR = 6.9 min. -49- N- 11 -2-(2.2-Dimethyl- 1,3-dioxolan-4-vl)ethyllpiperidin-4-vll -N-(4-fluorobenzyl)-2-(4-. isobutoxyphenyl)acetamide, tartrate (1 17NLS3 7). 1-(2',2'-Dimethyl- 1',3'-dioxolan-4'-yl)ethanol'was prepared according to literature procedures (Carman R.M et al., Aust. J. Chem., 1998, 51, 955) and oxidized to the 5 aldehyde by treatment with pyridinium chlorochromate. The crude aldehyde (80 mg, 0.55 mmol) was added to a solution of 103NLS56 (184 mg, 0.46 mmol) in methanol (5 mL). Acetic acid (0.05 mL) was added, followed by sodium cyanoborohydride (58 mg, 0.92 mmol) and the mixture stirred overnight at rt. The solvent was removed and the residue partitioned between dichloromethane and IM NaOH. The organic layer was washed with 10 sat. NHCl, dried over Na 2

SO

4 , filtered and evaporated. Purification by silica gel column chromatography eluting with 0-5% methanol in dichloromethane afforded the desired compound (50 mg, 21%), which was converted into its tartrate salt. Rf= 0.39 (MeOH/CH 2 Cl 2 1:9). LCMS m/z 527 [M+H]*. 1 H-NMR (CDCl 3 , rotamers 0.6:0.4) 5 7.22-6.79 (in, 8H, Ar-H), 4.62-4.54 (in, 0.6H, pip-H), 4.49 and 4.42 (2s, 2H, 15 benzyl-H), 4.06-3.98 (m, 1H, dioxolane-H), 3.75-3.66 (m,4.4H, pip-H, CH20IBU, benzyl-H), 3.48 (m, 2H, dioxolane-H), 2.89-2.83 (in, 2H, pip-H), 2.45-2.25 (m, 2H, NCH 2 ), 2.07-1.99 (m, 2.2H, pip-H, CHoiBU), 1.85-1.51 (in, 6H, pip-H, NCH 2

CH

2 ), 1.36-1.28 (m, 6.8H,

C(CH

3

)

2 , pip-H), 1.02-0.99 (m, 6H, CH 3 0iBu). HPLC tR = 9.3 min. 20 4-r2-(Tosyloxy)ethyll-1,3-dioxane (128NLS46-B). A suspension of 1,3,5-pentanetriol (1.01 g, 8.33 mmol), paraformaldehyde (0.46 g) and methanesulfonic acid (0.33 mL) in DMF (3 mL) is heated for 10 min at 130"C under microwave irradiation. The mixture was partitioned between ethyl acetate and water, the organic layer dried over Na 2

SO

4 , filtered and evaporated. The residue was dissolved in 25 methanol (3 mL), conc. HCI (0.09 mL) added, and the mixture heated at 80*C for 10 min under microwave irradiation. Ethyl acetate and 2M NaOH were added, the aqueous layer extracted twice with ethyl acetate and the combined organic layers washed with brine, dried over Na 2

SO

4 , filtered and evaporated. The crude product was treated with p-tosylchloride and DMAP following literature procedures (Moune et al., J. Org. Chem., 1997, 62, 3332). 30 The title compound (1.18 g, 49% overall crude yield) was obtained as a yellowish oil, which was used without purification. -50- N-{1-r2-(1,3-Dioxan-4-yl)ethyllpiperidin-4-yl}-N-(4-fluorobenzyl)amine (128NLS52). To a suspension of 4-piperidone monohydrate hydrochloride (1.26 g, 8.23 mmol) in acetonitrile (100 mL), potassium carbonate (3.4 g, 24.6 mmol) was added, followed by the 5 tosylate 128NLS46-B (3.54 g, 12.36 mmol) and sodium iodide (1.85 g, 12.35 mmol) and stirring was continued overnight at 60*C. The mixture was filtered, the filtrate evaporated in vacuo and the residue partitioned between IM NaOH and ethyl acetate. The organic layer was separated, the aqueous layer extracted twice with ethyl acetate and the combined organic layers dried over sodium sulphate, filtered and evaporated to dryness. Purification 10 of the residue by silica gel column chromatography, eluting with a stepwise gradient of 0 4% methanol in dichloromethane, afforded 1-[2-(1,3-dioxan-4-yl)ethyl]piperidin-4-one (128NLS50, 1.73 g, 98%). To a solution of 128NLS50 (1.73 g, 8.13'nnol) in methanol (100 mL) was added dropwise 4-fluorobenzylamine (0.93 mL, 8.13 mmol) and acetic acid. Sodium 15 cyanoborohydride (2.15 g, 40 mmol) was added slowly'to the mixture at 0"C and stirring was continued at rt overnight. The reaction mixture was concentrated in vacuo and the residue partitioned between dichloromethane and 1M NaOH, the aqueous layer extracted twice with dichloromethane and the combined organic layers dried over Na 2

SO

4 , filtered and evaporated to dryness. Purification of the residue by a short silica gel column 20 chromatography eluting with 0-30% methanol in dichloromethane gave the title compound (1.51 g, 58%) as a colourless solid. N-{ 1 -[2-(1.3-Dioxan-4-yl)ethyllpiperidin-4-yll-N-(4-fluorobenzyl)-2-(4 isobutoxyphenyl)acetamide, tartrate (128NLS62). 25 Prepared following the same method as described for 117NLS87-A using 4 isobutoxyphenylacetyl chloride and 128NLS52 (480 mg, 1.49 mmol). Yield: 458 mg, 60%. Rf = 0.36 (MeOH/CH 2 Cl 2 1:9). LCMS m/z 513 [M+H]*. 'H-NMR (CDCl 3 , rotamers 0.6:0.4) 8 7.21-6.80 (m, 8H, Ar-H), 5.01 (d, 1H, J= 6.1, dioxane-H), 4.66-4.56 (in, 1.6H, 30 pip-H, dioxane-H) 4.51 and 4.44 (2s, 2H, benzyl-H), 4.09-4.05 (n, 1H, dioxane-H), 3.77 and 3.51 (2s, 2H, benzyl-H), 3.70-3.57 (m, 4.4H, pip-H, dioxane-H, CH2OiBu), 2.91-2.83 (in, 2H, pip-H), 2.45-2.34 (in, 2H, NCH 2 ), 2.10-2.00 (m, 2.2H, pip-H, CHoiBu), 1.85-1.26 (in, 8.8H, pip-H, dioxane-H, NCH 2

CH

2 ), 1.03-1.00 (in, 6H, CH3OiBU). HPLC tR = 8.8 min. -51 - N-[1 -[2-(1.3-Dioxan-4-vl)ethyllpiperidin-4-yl}-N-(4-fluorobenzyl)-2-(4 trifluoromethylphenyl)acetamide, tartrate (128NLS54-A). Prepared following the same method as described for 117NLS87-A using 4 5 trifluorophenylacetyl chloride and 128NLS52 (116 mg, 0.32 mmol). Yield: 52 mg, 32%. Rf= 0.42 (MeOH/CH 2 Cl 2 1:9). LCMS m/z 509 [M+H]*. 'H-NMR (CDC1 3 , rotamers 0.6:0.4) 5 7.60-6.90 (m, 8H, Ar-H), 4.99 (d, 1H, J= 6.1, dioxane-H), 4.65-4.54 (m, 1.6H, pip-H, dioxane-H), 4.52 and 4.47 (2s, 2H, benzyl-H), 4.07-4.04 (m, 1H, dioxane-H), 3.88 (s, 0.8H, benzyl-H), 3.69-3.56 (m, 3.6H, benzyl-H, pip-H, dioxane-H), 2.89 (m, 2H, pip-H), 10 2.49-2.31 (m, 2H, NCH 2 ), 2.07-1.99 (m, 1.2H, pip-H), 1.89-1.36 (m, 8.8H, pip-H, dioxane H, NCH 2

CH

2 ). HPLC tR = 7.3 min. 2-(4-Cyanophenyl)-N- { 1 -[2-(1,3-dioxan-4-yl)ethyllpiperidin-4-ylI -N-(4 fluorobenzyl)acetamide, tartrate (128NLS54-C). 15 4-Cyanophenylacetic acid was synthesized according a method by Jaeger et al. (J. Chem. Soc., 1941, 744-747) and converted to the corresponding acetyl chloride by treatment with oxalylchloride. The title compound was prepared following the same method as described for 117NLS87-A using 4-cyanophenylacetyl chloride and 128NLS52 (116 mg, 0.32 mmol). Yield: 60 mg, 40%. 20 Rf= 0.40 (MeOHI/CH 2 Cl 2 1:9). LCMS m/z 466 [M+H] 4 . 'H-NMR (CDCl 3 , rotamers 0.7:0.3) 8 7.62-6.89 (m, 811, Ar-H), 4.97 (d, 1H, J= 6.1, dioxane-H), 4.63 (m, lH, dioxane H), 4.59-4.47 (m, 2.7H, pip-H, benzyl-H), 4.06-4.02 (m, 111, dioxane-H), 3.86 (s, 0.6H, benzyl-H), 3.69-3.55 (m, 3.7H, benzyl-H, pip-H, dioxane-H), 2.91-2.86 (m, 2H, pip-H), 2.47-2.30 (m, 2H, NCH 2 ), 2.05-1.39 (m, 1OH, pip-H, dioxane-H, NCH 2

CH

2 ). HPLC tR = 25 4.3 min. N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N-f I-r2-(2-oxo-imidazolidin-1 yl)ethyllpiperidin-4-yllacetamide, hydrochloride (69NLS97). Prepared following the same method as described for 117NLSO1 using 103NLS56 30 (240 mg, 0.60 mmol) and 1-(2-tosyloxyethyl)-2-imidazolidinone as the alkylating agent. Yield: 95 mg, 31%. LCMS m/z 511 [M+H]*.'H-NMR (CD 3 0D, rotamers 0.6:0.4) 8 7.24-6.81 (m, 8H, Ar-H), 4.56 and 4.52 (2s, 2H, benzyl-H), 4.41-4.37 and 3.93-3.88 (m, 1H, pip-H), 3.84 and - 52 - 3.56 (2s, 2H, benzyl-H), 3.73-3.69 (m, 2H, CH2OiBu), 3.46-3.20 (m, 6H, imid-CH 2 ,

NCH

2

CH

2 ), 2.99-2.85 (m, 2H, pip-H), 2.44 (n, 2H, NCH 2 ), 2.10-1.96 (m, 3.2H, pip-H, CHOiBu), 1.67-1.62 (m, 3H, pip-H), 1.30 (m, 0.8H, pip-H), 1.03-0.99 (m, 6H, J = 6.6, CH3OiB).HPLC tR = 9.5 min. 5 Choosing the appropriate secondary amines (prepared in analogy to the method described for 103NLS56), following compounds were prepared using a similar procedure: 2-(4-Methoxyphenyl)-N-(4-methylbenzyl)-N- {1-2-(2-oxo-imidazolidin-1 10 yl)ethyllpiperidin-4-yll acetamide, hydrochloride (63ELH39-B). LCMS m/z 465 [M+H]*.

1 H-NMR (CDCl 3 , rotamers 0.6:0.4) 8 7.30-6.80 (m, 8H), 4.60-4.53 (m, 0.6H), 4.50 and 4.43 (2s, 2H), 3.78 (m, 4.211), 3.51 (s, 1.2H), 3.46-3.24 (m, 6H), 2.92-2.79 (m, 2H), 2.46-2.40 (m, 2H), 2.35 and 2.29 (2s, 3H), 2.11-2.05 (m, 1.2H), 1.92-1.86 (m, 0.8H), 1.65-1.50 (m, 3.2H, partly covered by HDO signal), 1.31 (m, 0.811). 15 N-(4-Fluorobenzyl)-2-(4-isopropoxyphenyl)-N- I 1 -[2-(2-oxo-imidazolidin- 1 yl)ethyllpiperidin-4-yllacetamide, hydrochloride (63ELH87). N-(4-Fluorobenzyl)-2-(4-isopropoxyphenyl)-N- { I -[3-(3-methyl-2-oxo-2,3-dihydro 20 benzoinidazol-1-yl)propyllpiperidin-4-yllacetamide; hydrochloride (103NLS39) Prepared following the same method as described for 117NLSO1 using N-(4 fluorobenzyl)-N-(piperidin-4-yl)-2-(4-isoproxyphenyl)acetamide (229 mg, 0.59 nmol) and 1 -(3-chloropropyl)-3-methyl- 1,3 -dihydrobenzimidazol-2-one as the alkylating agent. Yield: 205 mg, 61%. Rf= 0.29 (MeOIH/CH 2 Cl 2 5:95). LCMS m/z 573 [M+H)*. 'H 25 NMR (CDCl 3 , rotamers 0.5:0.5) 8 7.18-6.78 (m, 12H, Ar-H), 4.59-4.43 (m, 3.5H, pip-H, OCH, benzyl-H), 3.88 (t, 2H, J= 6.8, NCONCH 2 ), 3.74 (m, 1.5H, pip-H, benzyl-H), 3.49 (s, 111, benzyl-H), 3.38 and 3.37 (2s, 3H, NCH 3 ), 2.93-2.79 (m, 2H, pip-H), 2.36-2.29 (m, 2H, NCH 2 ), 2.02-1.95 (m, 1H, pip-H), 1.90-1.46 (m, 6H, pip-H, NCH 2

CH

2 ), 1.31-1.25 (m, 7H, pip-H, CH(CH 3

)

2 ). HPLC tR 8.0 min. 30 Choosing the appropriate secondary amines (prepared in analogy to the method described for 103NLS56) and alkylating agents, following compounds were prepared using a similar procedure: - 53 - N- {1 -[2-(2,4-Dioxo- 1,4-dihydro-2H-quinazolin-3-yl)ethyl]piperidin-4-yl} -2-(4 methoxyphenyl)-N-(4-methylbenzyl)acetamide, hydrochloride (63ELH29A). 2-(4-Methoxyphenyl)-N-(4-methylbenzyl)-N-{1-[3-(2-oxo-2,3 dihydrobenzoimidazol-1-yl)propyl]piperidin-4-yl)-acetainde, hydrochloride (50ELH89). 5 N-(4-Fluorobenzyl)-2-(4-isopropoxyphenyl)-N-{l-[4-(2-oxo-2,3 dihydrobenzoimidazol-1-yl)butyl]piperidin-4-yl)acetamide, hydrochloride (63ELH91). N-{1-[2-(2,4-Dioxo-1,4-dihydro-2H-quinazolin-3-yl)ethyl]piperidin-4-yl}-N-(4 fluorobenzyl)-2-(4-isopropoxyphenyl)acetamide, hydrochloride (63ELH89). 10 4-(4-Fluorobenzylamino)-piperidine-1-carboxylic acid benzyl ester (1 18AF93-5 1). A solution of 4-fluorobenzylamine (5.48 g, 43.8 mmol) in a mixture of methanol and acetic acid (5:1, 60 mL) was added dropwise to a solution of benzyl 4-oxo-1-piperidine carboxylate (10.2 g, 43.8 mmol) in methanol (150 mL) at rt. To this mixture sodium cyanoborohydride (5.50 g, 87.5 mmol) was slowly added. After 20 hours stirring at rt the 15 reaction mixture was neutralized and the solvent was removed by evaporation under reduced pressure. The residue was partitioned between dichloromethane and water. The organic layer was dried over sodium sulphate, filtered and evaporated to dryness. Purification of the residue by silica gel column chromatography, eluting with 7% methanol in dichloromethane, afforded the desired compound (9.0 g, 60 %). 20 Rf= 0.56 (MeOH/CH 2 Cl 2 5:95). LCMS m/z 343 [M+H] IHPLC tR= 6.2 min. N-(1 -Benzyloxvcarbonylpiperidin-4-yl)-N-(4-fluorobenzyl)-N'-(4 isopropoxybenzyl)carbamide (118AF97-120). 1,8-Bis(dimethylanino)-naphtalene (3.19 g, 14.9 mmol) was added to a solution of 25 4-(isopropoxy)phenyl acetic acid (2.89 g, 14.9 mmol) in dry tetrahydrofuran (18 mL) at rt under argon atmosphere. After 25 minutes stirring at rt diphenylphosphoryl azide (4.10 g, 14.9 mmol) was added dropwise and the mixture refluxed for 6 hours. It was allowed to cool to rt and then stored at -20*C overnight to precipitate out the ammonium phosphate salt. A mixture of diethyl ether and ethyl acetate (1:1 '/,, 25 mL) was added to the cold 30 reaction mixture. The precipitate was filtered from the reaction mixture and washed with diethyl ether: ethyl acetate (1:1 V/,, 20 mL). The filtrate was evaporated to dryness giving 1 isocyanatomethyl-4-isopropoxybenzene as an oil (3.2 g), which was used in the next step without further purification. - 54 - Sodium carbonate (3.5 g, 25.3 mmol) was added to the solution of 4-(4 fluorobenzyl amino)-piperidinerl-carboxylic acid benzyl ester 118AF93-51 (5.7g, 16.7 mmol) in dry tetrahydrofuran (20 mL). To this suspension a solution of 1 isocyanatomethyl-4-isopropoxybenzene (3.2 g, 16.7 mmol) in dry tetrahydrofuran (10 mL) 5 was added under argon atmosphere. The reaction mixture was stirred overnight at rt. Afterwards the mixture was partitioned between dichloromethane and water. The organic layer was dried over sodium sulphate, filtered and evaporated to dryness. Purification of the residue by silica gel column chromatography, eluting with 8% methanol in dichloromethane afforded the desired compound (2.0 g, 22%). 10 Rf= 0.36 (MeOH/CH 2 Cl 2 , 5:95). LCMS m/z 534 [M+H]*. HPLC tR =10.2 min. N-(4-Fluorobenzyl)-N'-(4-isopropoxybenzyl)-N-piperidin-4-yl-carbamide, oxalate (118AF99-121). The desired compound was obtained by hydrogenation of 118AF97-120 (2.0 g, 3.75 15 mmol) in absolute ethanol (100 mL) using palladium on carbon as a catalyst. The product was purified by column chromatography on silica gel eluting with stepwise gradient of 5 10 % methanol in dichloromethane. Yield: 1.16 g, 77 %. Rf= 0.10 (MeOH/CH 2 Cl 2 10:90). LCMS m/z 400 [M+H].'H NMR (CDCl 3 ) 6 7.19 (in, 2H, Ar-H), 7.01-6.69 (in, 4H, Ar-H), 6.76 (in, 2H, Ar-H), 4.51-4.40 (in, 3H, pip-H, 20 OCH(CH 3 ), NH), 4.35 (s, 2H, benzyl-H), 4.28 (s, 1H, benzyl-H), 4.27 (s, 1H, benzyl-H), 3.14-3.07 (in, 2H, pip-H), 2.74-2.68 (in, 2H, pip-H), 2.10 (broad s, 1H, NH), 1.78-1.70 (in, 2H, pip-H), 1.58-1.48 (in, 2H, pip-H), 1.31 (d, 6H, J= 6.0, OCH(CH)). HPLC tR= 5.9 mm. 25 N-{1-r2-(1,3-Dioxolan-2-yl)ethyllpiperidin-4-yl}-N-(4-fluorobenzyl)-N'-(4-isopropoxy benzyl)carbamide, oxalate (130AF10-147). Potassium carbonate (0.21g, 1.50 mmol) was added to a solution of 118AF99-121 (0.3 g, 0.75 mmol) in dry NN-dimethylformamide (2 mL). The suspension was shaken for 30 minutes at 58'C. A solution of 2-(2-bromoethyl)-1,3-dioxolane (0.163 g, 0.90 mmol) in 30 dry NN-dimethylformamide (0.4 mL) was added dropwise to the warm suspension and the heating was continued overnight. The mixture was allowed to cool to rt, then filtered and partitioned between water and dichloromethane. The organic layer was washed with a aqueous solution of 4% magnesium sulphate and evaporated to dryness. Purification of the - 55 residue by silica gel column chromatography, eluting with 4% methanol in dichloromethane, afforded the desired compound (197 mg, 53 %). The product was converted to its oxalate form as described above. Rf= 0.39 (MeOH/CH 2 Cl 2 4:94). LCMS in/z 500 [M+H]*. 'H NMR (CDCl 3 ) S 7.17 5 (m, 2H, Ar-H), 7.00-6.95 (m, 4H, Ar-H), 6.76 (m, 2H, Ar-H), 4.88 (t, 1H, J = 4.8, dioxolane-H), 4.51-4.44 (m, 2H, NH, CH(CH 3

)

2 ), 4.36-4.26 (m, 5H, benzyl-H, pip-H), 3.95-3.80 (m, 4H, dioxolane-H), 2.98-2.91 (m, 2H, pip-H), 2.48-2.43 (m, 2H, NCH 2 ), 2.10 2.01 (m, 2H, pip-H), 1.85-1.79 (m, 2H, NCH 2

CH

2 ), 1.76-1.58 (m, 4H, pip-H), 1.30 (d, 6H, J= 6.0, CH(CH) 2 ). HPLC tR= 6.9 min. 10 Choosing the appropriate secondary amines (prepared in analogy to the method described for 103NLS56), following compounds were prepared using the same procedure: N- {1 -[2-(1, 3 -Dioxolan-2-yl)ethyl]piperidin-4-yl]-2-(4-methoxyphenyl)-N-(4 methylbenzyl)acetamide, hydrochloride (63ELH29B). 15 N- {I -[2-(1,3-Dioxolan-2-yl)ethyl]piperidin-4-yl} -N-(4-fluorobenzyl)-2-(4 isobutoxyphenyl)acetamide, hydrochloride (74AKU06-2). N- {1 -[2-(1,3-Dioxolan-2-yl)ethyl]piperidin-4-yl}-2-(4-isopropoxyphenyl)-N-(4 methylbenzyl)acetamide, hydrochloride (76ELH07). N- { 1-[2-(1,3-Dioxolan-2-yl)ethyl]piperidin-4-yl} -N-(4-fluorobenzyl)-2-(4 20 propoxyphenyl)acetamide, tartrate (38PH50). N-(4-Fluorobenzyl)-N'-(4-isopropoxybenzyl)-N- f 1 -[2-((S)-4-methyl- 1,3-dioxolane-2 yl)ethyllpiperidin-4-vllcarbamide, oxalate (130AF12-148). 4 M HCl (0.5 mL) and water (0.5 mL) were added to a solution of 130AFIO-147 25 (50 mg, 0.10 mmol) in 1.4-dioxane (1 mL). The mixture was stirred in a sealed flask for 10 minutes under microwave irradiation at 120*C. Afterwards the mixture was partitioned between dichloromethane and water. The organic layer was dried over sodium sulphate, filtered and evaporated to dryness. The residue was dissolved in 1.4-dioxane (1 mL) and a solution of (S)-(+)-propylene glycol (39 mg, 0.51 mmol) in 1.4-dioxane (0.5 mL) was 30 added. After addition of HCl (4M in dioxane, 0.5 mL) the mixture was stirred in a sealed flask for 20 minutes under microwave irradiation at 120*C. The mixture was partitioned between saturated sodium bicarbonate solution and dichloromethane. The organic layer was evaporated to dryness. Purification of the residue by silica gel column -56chromatography, eluting with a stepwise gradient of 4-8 % methanol in dichloromethane afforded the desired compound (2.1 mg, 4 %). The product was converted to its oxalate form as described above. Rf= 0.36 (MeOH/CH 2 Cl 2 4:94). LCMS m/z 514 [M+H]+. HPLC tR 7.2 min. 5 N-(4-Fluorobenzyl)-N'-(4-isopropoxybenzyl)-N-[1-(3-morpholin-4-vl-propyl)piperidin-4 yl]carbamide. oxalate (130AF09-145). A solution of 1-chloro-3-bromopropane in dry tetrahydrofuran (2 mL) was added to a cold suspension of morpholine (200 mg, 2.29 mmol) and sodium carbonate (0.63 g, 4.56 10 mmol) in dry tetrahydrofuran (8 mL) at 0*C. The mixture was stirred at 45*C overnight. The mixture was allowed to cool to rt, filtered and evaporated to dryness. Purification of the residue by silica gel column chromatography, eluting with a mixture of ethyl acetate and n-heptane (70:30), afforded 3 -chloro-1-morpholin-4-yl-propane (156 mg, 42 %). A solution of 3 -chloro-l-morpholin-4-yl-propane (7.6 mg, 0.046 mmol) in dry NN 15 dimethylformamide (0.10 mL) was added to a solution of 118AF99-121 (15 mg, 0.037 mmol) and caesium carbonate (40 mg, 0.123 mmol) in a mixture of dry NN dimethylfornanide and acetonitrile (1:2, 0.30 mL). After addition of sodium iodide (7.0 mg, 0.047 mmol) the mixture was shaken overnight at 60*C. The mixture was allowed to cool to rt. Acetonitrile was removed by evaporation under reduced pressure and the residue 20 was partitioned between dichloromethane (2 mL) and water (1 mL). The organic layer was evaporated to dryness. Purification of the residue by preparative reversed phase HPLC

(C

1 g) afforded the desired compound (6.1 mg, 32 %). LCMS m/z 527 [M+H]+. HPLC tR= 6.2 min. 25 Choosing the appropriate secondary amines (prepared in analogy to the method described for 103NLS56), following compounds were prepared using a similar procedure: 2

-(

4 -Methoxyphenyl)-N-(4-methylbenzyl)-N[ 1 -( 2 -morpholin-4-ylethyl)piperidin 4-yl]acetamide, dihydrochloride (63ELH40-2). 2 -(4-Methoxyphenyl)-N-(4-methylbenzyl)-N-[1-(3-morpholin-4-ylpropyl)piperidin 30 4-yl]acetamide, dihydrochloride (63ELH41-2). N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N-[ 1-(3-morpholin-4 ylpropyl)piperidin-4-yl]acetamide, dihydrochloride (74AKU07-2). - 57 -

N-(

4 -Fluorobenzyl)-2-(4-isopropoxyphenyl)-N-[1-(3-morpholin-4-yl propyl)piperidin-4-yl]acetamide, dihydrochloride (76ELH14-A). N-(4-Fluorobenzyl)-N'-(4-isopropoxvbenzyl)-N-r1-(3-Piperidin-1-vl-vropvl)piperidin-4 5 yllcarbamide, oxalate (130AF09-146). The desired compound was synthesized from piperidine, 1-chloro-3-bromopropane and 118AF99-121 (15 mg, 0.037 mmol) using the same method as for preparation of 130AF09-145. Yield: 5.8 mg, 30 %. LCMS m/z 525 [M+H]*. HPLC tR = 6.8 min. 10 N-(4-Fluorobenzyll-N'-(4-isopropoxvbenzyl)-N-[l-( 3 -((S)-4-isopropvl-2-oxazolidinon-1 yl-propyl)piperidin-4-yllcarbanide, tartrate (130AF14-152). The desired compound was synthesized from ( 4 S)-3-(3-chloropropyl)-4 isopropyloxazolidinon-2-one 103NLS94 (7.4 mg, 0.045 mmol) and 118AF99-121 (15 mg, 15 0.037 mmol) using the same method as for preparation of 130AF09-145. Yield: 3.3 mg, 16%. LCMS n/z 569 [M+H]+. HPLC tR= 8.2 min. N-(4-Fluorobenzyl)-N'-(4-isopropoxybenzyl)-N-fl-[2-(2.5.5-trimethyl-1,3-dioxan-2 20 yl)ethyl] I piperidin-4-yllcarbamide, oxalate (130AF07-143). The desired compound was synthesized from 2-bromo-1-(2,5,5-trimethyl-1,3 dioxan-2-yl)-ethane (10.7 mg, 0.045 mmol) and 118AF99-121 (15 mg, 0.037 mmol) using the same method as for preparation of 130AF09-145. Yield: 8.3 mg, 15 %. LCMS m/z 556 [M+H]+. HPLC tR = 9.6 min. 25 N- { 1-[3-(1, 3 -Dioxolan-2-yl)propyllpiperidin-4-yl}-N-(4-fluorobenzyl)-N'-(4 isopropoxybenzyl)carbamide, oxalate (130AF07-131). The desired compound was synthesized from 3-chloro-1-(1,3-dioxolan-2-yl) propane (6.79 mg, 0.045 mmol) and 118AF99-121 (15 mg, 0.037 mmol) using the same 30 method as for preparation of 130AF09-145. Yield: 5.6 mg, 11 %. LCMS m/z 514 [M+H]+. HPLC tR = 8.3 min. -58- N-[ 1 -(2,2-Dimethyl- 1.3-dioxan-5-yl)piperidin-4-yll-N-(4-fluorobenzyl)-N'-(4 isopropoxybenzyl)carbamide, oxalate (13OAFO5-129). A solution of 2,2-dimethyl-1,3-dioxan-5-one (9.75 mg, 0.075 mmol) in methanol (0.10 mL) was added to a solution of 118AF99-121 (15 mg, 0.037 mmol) in methanol (0.10 5 mL). The reaction mixture was stirred at rt after addition of acetic acid (60 pL of 1 M solution in methanol). After 2 h stirring a solution of sodium cyanoborohydride (5 mg, 0.079 mmol) in methanol (0.10 mL) was added and stirring was continued overnight at rt. The solvent was removed by evaporation under reduced pressure and the residue partitioned between 2 M aq. sodium hydroxide and dichloromethane. The layers were 10 separated by filtration over PTFE filter. The organic layer was evaporated to dryness. Purification of the residue by preparative reversed phase HPLC (C 18 ) afforded the desired compound (2.3 mg, 12 %). LCMS m/z 514 [M+H]+. HPLC tR = 9.0 min. 15 N-(4-Fluorobenzyl)-N'-(4-isopropoxybenzyl)-N- [[2-(1-methyl prrolidin-2-yl)ethyll piperidin-4-yllcarbamide, oxalate (130AF07-135) The desired compound was synthesized from 2-(2-chloroethyl)-1-methylpyrrolidine hydrochloride (7.7 mg, 0.041 mmol) and 118AF99-121 (15 mg, 0.037 mmol) using the same method as for the preparation of 130AF09-145. Yield: 4.4 mg, 23 %. 20 LCMS m/z 511 [M+H]+. HPLC tR = 7.0 min. N-r1-(2,2-Dimethyl-1,3-dioxan-5-yl)piperidin-4-yl]-N-(4-fluorobenzyl)-2-(4 isobutoxyphenyl)acetamide. oxalate (130AF22-105). A solution of 2,2-dimethyl-1,3-dioxan-5-one (81 mg, 0.62 mmol) in methanol (10 25 mL) was added dropwise to a solution of 103NLS56 (179 mg, 0.45 mmol) in methanol (10 mL). The reaction mixture was stirred at rt after addition of acetic acid (200 PL). After 2 hours sodium cyanoborohydride (56 mg, 0.90 mmol) was slowly added and stirring was continued overnight at rt. The mixture was neutralized with few drops of 2 M aq sodium hydroxide. The solvent was removed by evaporation under reduced pressure and the 30 residue partitioned between water and dichloromethane. The organic layer was dried over sodium sulphate, filtered and evaporated to dryness. Purification of the residue by silica gel column chromatography, eluting with 6% methanol in dichloromethane, afforded the desired compound (98 mg, 43%). - 59 - Rf = 0.32 (MeOH/CH 2 Cl 2 , 6:94). LCMS m/z 513 [M+H]. 'H NMR (CDCl 3 , rotamers 0.4:0.6) 5 7.26-6.79 (m, 8H, Ar-H), 4.63-4.54 (m, 0.6H, pip-H), 4.50 & 4.43 (2s, 2H, benzyl-H), 3.91 & 3.88 (2d, 1H, J= 5.6, dioxane-H), 3.79-3.67 (m, 6.2 H, dioxane-H, benzyl-H, pip-H, CH201Bu), 3.51 (s, 1.2H, benzyl-H), 2.98-2.88 (m, 2H, pip-H), 2.64-2.52 5 (m, 1H, dioxane-H), 2.38-2.28 (m, 1.2H, pip-H), 2.17-2.00 (m, 1.8H, CH(CH 3

)

2 , pip-H), 1.72-1.47 (m, 3.2H, pip-H), 1.43 (m, 0.8H, pip-H), 1.38-1.22 (m, 6H, dioxane-CH 3 ), 1.01 (m, 6H, CH(CH) 2 ). HPLC tR= 10.0 min. N-r1-(1, 3 -Dioxan-5-yl)-piperidin4-yl)-N-(4-fluorobenzyl)-2-(4 10 isobutoxyphenyl)acetamide. tartrate (130AF26-164). 3 M aq HCI (I mL) and water (1 mL) were added to a solution of 130AF22-105 (98.2 mg, 0.19 mmol) in 1.4-dioxane (2 mL) and the mixture stirred in a sealed flask under microwave irradiation for 10 minutes at 120*C. The mixture was partitioned between water and dichloromethane and the organic layer dried over sodium sulphate, filtered and 15 evaporated to dryness. The residue was dissolved in 1.4-dioxane (2 mL). To this solution a solution of formaldehyde (37% water solution, 101 mg, 1.16 mmol) in 1.4-dioxane (0.5 mL) was added. The reaction mixture was stirred in a sealed flask for 30 minutes under microwave irradiation at 120*C. Molecular sieves (4A) were added to the reaction mixture at rt and removed after 24 hours. The mixture was heated for an additional 20 minutes at 20 120*C under microwave irradiation and partitioned between dichloromethane and sodium bicarbonate. The organic layer was dried over sodium sulphate, filtered and evaporated to dryness. Purification of the residue by silica gel column chromatography, eluting with 6% methanol in dichloromethane, afforded the desired compound (17 mg, 18%). The product was converted to its tartrate form as described above. 25 Rf = 0.30 (MeOH/CH 2

C

2 , 6:94). LCMS i/z 485 [M+H]*. 'H NMR (CDCl 3 , rotamers 0.4:0.6) 8 7.21-6.80 (m, 8H, Ar-H), 4.88 (m, 1H, dioxane-H), 4.61-4.56 (m, 1.6H, dioxane-H, pip-H), 4.50 & 4.43 (2s, 2H, benzyl-H), 4.12-4.06 (m, 2H, dioxane-H) 3.85 3.60 (m, 5.2 H, dioxane-H, benzyl-H, pip-H, CH2OiBu), 3.51 (s, 1.2H, benzyl-H), 2.94-2.86 (m, 2H, pip-H), 2.59-2.48 (m, 1H, dioxane-H), 2.37-2.28 (m, 1.2H, pip-H), 2.17-2.01 (m, 30 1.8H, CH(CH 3

)

2 , pip-H), 1.68-1.46 (m, 3.2H, pip-H), 1.46-1.30 (m, 0.8H, pip-H), 1.02 (m, 6H, CH(CH 3

)

2 ). HPLC tR= 9.5 min. - 60 - N- [-(2.2-Dimethyl- 1,3-dioxan-5-yl)piperidin-4-yll-N-4-fluorobenzyl)-2-(4 fluorophenyl)acetamide, tartrate (130AF35-168). The desired compound was synthesized from 2,2-dimethyl-1,3-dioxan-5-one (59 mg, 0.45 nmol) and N-( 4 -fluorobenzyl)-2-(4-fluorophenyl)-N-piperidin-4-yl-acetamide (83 5 mg, 0.24 mmol) using the same method as for preparation of 130AF22-105. The starting material N-( 4 -fluorobenzyl)-2-(4-fluorophenyl)-N-piperidin-4-yl-acetamide was prepared in the same way as 103NLS56. Rf = 0.26 (MeOH/CH 2 Cl 2 , 5:95). LCMS m/z 459 [M+H]*. 'H NMR (CDC 3 , rotamers 0.4:0.6) 8 7.28-6.91 (m, 8H, Ar-H), 4.63-4.52 (m, 0.6H, pip-H), 4.51 & 4.46 (2s, 10 2H, benzyl-H), 3.92-3.88 (m, 2H, dioxane-H), 3.82-3.69 (m, 3.2 H, dioxane-H, benzyl-H, pip-H), 3.54 (s, 1.2H, benzyl-H), 2.99-2.90 (m, 2H, pip-H), 2.62-2.51 (m, 1H, dioxane-H), 2.39-2.28 (m, 1.2H, pip-H), 2.18-2.10 (m, 0.8H, pip-H), 1.72-1.50 (m, 3.2H, pip-H), 1.42 1.31 (in, 6.8H, pip-H, dioxane-CH 3 ). HPLC tR= 7.9 min. 15 N-(1-r2-(1,3-Dioxan-4-yl)ethyll]piperidin-4-yl}-N-(4-fluorobenzyl)-2-(4 fluorophenyl)acetamide, tartrate (130AF41-171). The starting material N-(4-fluorobenzyl)-2-(4-fluorophenyl)-N-piperidin-4-yl acetamide was prepared in the same way as 103NLS56. Potassium carbonate (64 mg, 0.46 mmol) was added to a solution of N-(4 20 fluorobenzyl)-2-(4-fluorophenyl)-N-piperidin-4-yl-acetamide (79.4 mg, 0.23 mmol) in dry N,N-dimethylformainide (3 mL). To this suspension a solution of 4-[2-(tosyloxy)ethyl]-1,3 dioxane 128NLS46B (99 mg, 0.35 mmol) in dry NN-dimethylfornamide (1 mL) was added dropwise at rt. The reaction mixture was stirred overnight at 60*C and it was partitioned between dichloromethane and water. The organic layer was dried over sodium 25 sulphate, filtered and evaporated to dryness. Purification of the residue by silica gel column chromatography, eluting with stepwise gradient of 2-5% methanol in dichloromethane, afforded the desired product (71 mg, 67%). The product was converted to its tartrate form as described above. Rf = 0.41 (MeOH/CH 2 Cl 2 , 6:96). LCMS m/z 459 [M+H] . 'H NMR (CDClI, 30 rotamers 0.4:0.6) 5 7.28-6.90 (m, 8H, Ar-H), 4.99 (in, 1H, dioxane-H), 4.77-4.64 (in, 1.6H, pip-H, dioxane-H), 4.52 (s, 2H, benzyl-H), 3.80-3.56 (in, 4.4H, dioxane-H, benzyl-H, pip H), 3.21-3.08 (m, 1.2H, pip-H), 2.96-2.88 (in, 0.8H, pip-H), 2.75-2.56 (in, 1.2H, NCH 2 ), - 61 - 2.52-2.24 (m, 2H, pip-H, NCH 2 ), 2.04-1.30 (m, 9.8H, pip-H, NCH 2

CH

2 , dioxane-H). HPLC tR= 6.4 min. N-fl-[2-(1.3-Dioxan-4-yl)ethyllpiperidin-4-l}-N-(4-fiuorobenzy)-2-(4 5 trifluoromethoxyphenyl)acetamide. tartrate (130AF80-186). Triethylamine (125 gL, 0.89 mmol) was added to a solution ofN-{1-[2-(1,3-dioxan 4 -yl)ethyl]piperidin-4-yl}-N-(4-fluorobenzyl)amine 128NLS52 (96 mg, 0.30 mmol) in dry dichloromethane (5 mL) at rt. The solution was cooled to -10*C and a solution of (4 trifluoromethoxyphenyl)acetyl chloride (71 mg, 0.30 mmol) in dry dichloromethane (1 mL) 10 was added dropwise. The reaction mixture was stirred overnight at rt. The solvent was removed by evaporation under reduced pressure. The residue was suspended in tetrahydrofuran and filtered. The filtrate was evaporated to dryness and the residue was purified by silica gel column chromatography, eluting with 4% methanol in dichloromethane, to give the desired compound (46 mg, 30%). The compound was 15 converted to its tartrate form as described above. Rf = 0.33 (MeOH/CH 2 Cl 2 , 6:94). LCMS in/z 459 [M+H]*. 'H NMR (CDCl 3 , rotamers 0.4:0.6) 8 7.34-6.91 (m, 8H, Ar-H), 5.01 (d, 1H, J = 6.0, dioxane-H), 4.66-4.54 (in, 1.6H, pip-H, dioxane-H), 4.52 & 4.49 (2s, 2H, benzyl-H), 4.09-4.05 (m, 1H, dioxane H), 3.83 (s, 0.8H, benzyl-H), 3.72-3.56 (m, 3.6 H, dioxane-H, benzyl-H, pip-H), 2.94-2.86 20 (m, 2H, pip-H), 2.50-2.32 (m, 2H, NCH 2 ), 2.11-2.00 (m, 1.2H, pip-H), 1.90-1.52 (in, 8.8H, pip-H, NCH 2

CH

2 , dioxane-H). HPLC tR= 7.6 min. N-f 1-[2-(1,3-Dioxan-4-yl)ethy11piperidin-4-yl -N-(4-fluorobenzyl)-2-(4 propoxyphenyl)acetamide, tartrate (130AF71-184). 25 Triethylamine (163 piL, 1.17 minol) was added to a solution of N-{l-[2-(1,3-dioxan 4-yl)ethyljpiperidin-4-yl}-N-(4-fluorobenzyl)amine 128NLS52 (126 mg, 0.39 mmol) in dry dichloromethane (5 mL) at rt. The solution was cooled to -15*C and a solution of (4 propoxyphenyl)acetyl chloride (92 mg, 0.43 mmol) in dry dichloromethane (2 mL) was added dropwise. The reaction mixture was stirred for 2 hours at rt. The solvent was 30 removed by evaporation under reduced pressure. The residue was suspended in tetrahydrofuran and filtered. The filtrate was evaporated to dryness and the residue was purified by silica gel column chromatography, eluting with a stepwise gradient of 0- 4% - 62 methanol in dichloromethane, to give the desired compound (66 mg, 34%). The product was converted to its tartrate form as described above. Rf = 0.16 (MeOH/CH 2 Cl 2 , 4:96). LCMS m/z 499 [M+H]. 'H NMR (CDC 3 , rotamers 0.4:0.6) 8 7.21-6.78 (m, 8H, Ar-H), 5.00 (m, 1H, dioxane-H), 4.66-4.54 (m, 1.6H, 5 pip-H, dioxane-H), 4.50 & 4.44 (2s, 2H, benzyl-H), 4.10-4.03 (m, 1H, dioxane-H), 3.92 3.87 (m, 2H, OCH 2 oPr), 3.78-3.50 (m, 4.4 H, dioxane-H, benzyl-H, pip-H), 2.92-2.82 (m, 2H, pip-H), 2.50-2.29 (m, 2H, NCH 2 ), 2.09-1.98 (m, 1.2H, pip-H), 1.88-1.27 (m, 10.8H, pip-H, NCH 2

CH

2 , dioxane-H, CH 2 opr), 1.05-099 (m, 3H, CH 3 0 pr). HPLC tR= 7.6 min. 10 N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyll-N-r1-(tetrahydropyran-4-yl)piperidin-4 yllacetamide, tartrate (130AF33-166). A solution of tetrahydro-4H-pyran-4-one (43 mg, 0.42 mmol) in methanol (1 mL) was added to a solution of 103NLS56 (57 mg, 0.14 mmol) in methanol (2 mL). After addition of acetic acid (100 pL) the reaction mixture was stirred for 15 minutes in a sealed 15 flask under microwave irradiation at 100*C. Afterwards sodium cyanoborohydride (26 mg, 0.42 mmol) was added to the mixture and stirring was continued for additional 60 min under microwave irradiation at 80*C. The mixture was passed over an acidic ion-exchange SPE cartridge. Further purification of the product by silica gel column chromatography, eluting with a stepwise gradient of 2-5% methanol in dichloromethane, afforded the desired 20 compound (19.2 mg, 28%). The compound was converted to its tartrate form as described above. Rf = 0.18 (MeOH/CH 2

C

2 , 5:95). LCMS n/z 483 [M+H]+. 1H NMR (CDCl 3 , rotamers 0.4:0.6) 5 7.21-6.80 (m, 8H, Ar-H), 4.64-4.56 (m, 0.6H, pip-H), 4.51& 4.45 (2s, 2H, benzyl-H), 4.02-3.96 (m, 2H, THP-H), 3.77-3.68 (m, 3.2H, benzyl-H, CH 20 iB,, pip-H), 25 3.51 (s, 1.2H, benzyl-H), 3.30 (t, 2H, J= 12.0, THP-H), 2.98-2.88 (m, 2H, pip-H), 2.46 2.34 (m, 1H, THP-H), 2.28-2.19 (m, 1.2H, pip-H), 2.10-1.99 (m, 1.8H, CHUB., pip-H), 1.73-1.47 (m, 7.2H, pip-H, THP-H), 1.39-1.33 (m, 0.8H, pip-H), 1.01 (m, 6H, CH 3 oiBu). HPLC tR = 8.0 Min. 30 N-(4-Fluorobenzyl)-2-(4-isobutoxyphenvl)-N-r l-(tetrahydmpyran-4-lmethyl)piperidin-4 yllacetamide, tartrate (130AF82-187) The title compound was synthesized from N-(4-fluorobenzyl)-2-(4 isobutoxyphenyl)-N-piperidin-4-yl-acetamide103NLS56 (110 mg, 0.27 mmol) and -63tetrahydro-2H-pyran-4-yl carbaldehyde (63 mg, 0.55 mmol) using the same method as for preparation of 130AF33-166. Yield: 18 mg, 13%. Rf = 0.30 (MeOH/CH 2 Cl 2 , 5:95). LCMS m/z 497 [M+H]*. HPLC tR= 8.4 min. 5 N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N-{1-[ 2 -(tetrahydropyran-4-yl)ethyllpiperidin 4-yllacetamide, tartrate (130AF83-188) The title compound was synthesized from N-(4-fluorobenzyl)-2-(4 isobutoxyphenyl)-N-piperidin-4-yl-acetamide1o3NLS56 (110 mg, 0.27 mmol) and tetrahydro-2H-pyran-4-yl acetalaldehyde (70.5 mg, 0.55 mmol) using the same method as 10 for preparation of 130AF33-166. Yield: 40 mg, 29%. Rf = 0.30 (MeOH/CH 2 Cl 2 , 5:95). LCMS m/z 511 [M+H]+. 'H NMR (CDCl 3 , rotamers 0.4:0.6) 8 7.21-6.80 (m, 8H, Ar-H), 4.65-4.55 (m, 0.6H, pip-H), 4.51& 4.44 (2s, 2H, benzyl-H), 3.95-3.89 (m, 2H, THP-H), 3.78-3.66 (m, 3.2H, benzyl-H, CH 20 jB., pip-H), 3.51 (s, 1.2H, benzyl-H), 3.34 (t, 2H, J= 12.0, THP-H), 2.92-2.82 (m, 2H, pip-H), 2.34 15 2.26 (m, 2H, NCH 2

CH

2 ), 2.11-1.96 (m, 2.2H, pip-H, CHoiBu), 1.84-1.20 (m, 11.8H, pip-H, THP-H, CH 2

CH

2 N), 1.02 (m, 6H, CH30iBu). HPLC tR= 8.2 min. N-(4-Fluorobenzyl)-2-(4-fluorophenyl)-N-r 1 -(tetrahydropyran-4-yl)piperidin-4 yllacetamide, tartrate (130AF37-169). 20 The desired compound was synthesized from tetrahydro-4H-pyran-4-one and N-(4 fluorobenzyl)-2-(4-fluorophenyl)-N-piperidin-4-yl-acetamide using the same method as for preparation of 130AF33-166. The starting material N-(4-fluorobenzyl)-2-(4-fluorophenyl) N-piperidin-4-yl-acetamide was prepared in the same way as 103NLS56. Rf = 0.29 (MeOH7CH 2 Cl 2 , 5:95). LCMS m/z 429 [M+H]*. 'H NMR (CDCl 3 , 25 rotamers 0.4:0.6) 5 7.29-6.91 (m, 8H, Ar-H), 4.644.55 (m, 0.6H, pip-H), 4.52 & 4.48 (2s, 2H, benzyl-H), 4.02-3.95 (m, 2H, THP-H), 3.80 (s, 0.8H, benzyl-H), 3.75-3.64 (m, 0.4H, pip-H), 3.54 (s, 1.2H, benzyl-H), 3.34 (t, 2H, J= 12.0, THP-H), 2.99-2.90 (m, 2H, pip-H), 2.48-2.36 (m, 1H, THP-H), 2.26-2.20 (m, 1.2H, pip-H), 2.08-2.00 (m, 0.8H, pip-H), 1.76 1.47 (m, 7.2H, pip-H, THP-H), 1.41-1.34 (m, 0.8H, pip-H). HPLC tR = 5.6 min. -64- N-[l-((S)-3,5-Dihydroxypentyl)piperidine-4-yll-N-(4-fluorobenzyl)-2-(4 isobutoxyphenyl)acetamide, tartrate (130AF65-182). The compound (R)-5-[(4-methylbenzenesulfonyl)oxy]pentane-1,3-diol was 5 synthesized according to Moune et al (J.Org.Chem., 1997, 62, 3332-3339). Potassium carbonate (83 mg, 0.60 mmol) was added to a solution of 103NLS56 (94 mg, 0.24 mmol) in dry N,N-dimethylformamide (3 mL). To this suspension a solution of (R)-5-[(4-methyl benzenesulfonyl)oxy]pentane-1,3-diol (82 mg, 0.28 mmol) in dry NN-dimethylformamide (1 mL) was added, followed by addition of sodium iodide (43 mg, 0.29 mmol). The 10 reaction mixture was stirred overnight at 60*C. It was allowed to cool to rt, filtered and evaporated to dryness. The residue was partitioned between dichloromethane and 2M aq sodium hydroxide. The organic layer was dried over sodium sulphate, filtered and evaporated to dryness. Purification of the residue by silica gel column chromatography, eluting with a stepwise gradient of 6-10% methanol in dichlomomethane, afforded the 15 desired compound (35 mg, 29%), which was converted to its tartrate form as described above. Rf = 0.48 (MeOH/CH 2 Cl 2 , 10:90). LCMS m/z 501 [M+H]*. HPLC tR= 7.4 min. N- {1 -[2-((4S)-1,3-Dioxane-4-yl)ethyllpiperidine-4-yl}-N-(4-fluorobenzyl)-2-(4 20 isobutoxyphenyl)acetamide, tartrate (130AF67-183). Paraformaldehyde (9 mg, 0.28 mmol) and hydrochloric acid (4M in 1.4-dioxane, 0.5 mL) were added to a solution of tartaric acid salt of 130AF65-182 (37 mg, 0.056 mmol) in 1.4-dioxane. The reaction mixture was stirred for 2 hours in a sealed flask under microwave irradiation at 120*C and partitioned between dichloromethane and sodium 25 bicarbonate. The organic layer was washed with brine, dried over sodium sulphate, filtered and evaporated to dryness. Purification of the residue by acidic ion-exchange SPE cartridge afforded the desired compound (9.0 mg, 31%), which was converted to its tartrate form as described above. The enantiomeric excess (ee) was determined to be 94% using chiral HPLC analysis (Chiralpak AD column, 4.6 x 250 mm; heptane/I-PrOH 50:50, 0.3% DEA; 30 0.5 mI~min; tR 20.5 min). Rf = 0.41 (MeOH/CH 2

C

2 , 8:92). LCMS m/z 513 [M+H]*. 1 H NMR (CDC1 3 , rotamers 0.4:0.6) 8 7.21-6.80 (m, 8H, Ar-H), 5.00 (in, 1H, dioxane-H), 4.68-4.54 (m, 1.6H, pip-H, dioxane-H), 4.51 & 4.45 (2s, 2H, benzyl-H), 4.06 (m, 1H, dioxane-H), 3.77-3.48 (in, - 65 - 6.4H, dioxane-H, benzyl-H, CH20iBu, pip-H), 2.98-2.79 (m, 2H, pip-H), 2.50-2.58 (m, 2H,

NCH

2 ), 2.14-1.99 (in, 2.2H, CHOiBu, pip-H), 1.90-1.25 (in, 8.8H, pip-H, NCH 2

CH

2 , dioxane-H), 1.02 (in, 6H, CH3DiBu). H{PLC tR= 8.7 min. 5 N-{1-r2-(1,3-Dioxan-2-yl)ethyllpiperidin-4-yl}-N-(4-fluorobenzyl) amine (118AF52-95). Sodium carbonate (17.4 g, 125.9 mmol) was added to a solution of 4-piperidone monohydrate hydrochloride (6.45 g, 42.0 mmol) in acetonitrile (200 mL). After 30 minutes stirring at rt a solution of 2-(2-bromoethyl)-1,3-dioxane (8.45 g, 43.3 mmol) in acetonitrile (50 mL) was added dropwise to the reaction mixture and stirring was continued overnight 10 at rt and at reflux for an additional 2 hours. The solvent was removed by evaporation under reduced pressure and the residue was partitioned between water and dichloromethane. The organic layer was dried over sodium sulphate, filtered and evaporated to dryness. Purification of the residue by silica gel column chromatography, eluting with 7% methanol in dichloromethane, afforded 1-[2-(1,3-dioxan-2-yl)ethyl]piperidin-4-one (6.19 g, 69%). 15 A solution of 1-[2-(1,3-dioxan-2-yl)ethyl]piperidin-4-one (6.19 g, 29 mmol) in methanol (80 mL) was added dropwise to a solution of 4-fluorobenzylamine (3.9 mL, 34 mmol) in methanol (100 mL) under argon atmosphere at rt. After 30 minutes stirring at rt the reaction mixture was acidified (pH = 5) with acetic acid and cooled to 0*C. Sodium cyanoborohydride (2.15 g, 40 mmol) was added slowly to the cold mixture and stirring was 20 continued at rt overnight. The reaction mixture was basified with 2M NaOH and concentrated in vacuo. The residue was partitioned between ethyl acetate and water. The organic layer was dried over sodium sulphate, filtered and evaporated to dryness. The residue was dissolved in abs. ethanol (57 mL). A solution of maleic acid (3.31 g, 28.5 mmol) in abs. ethanol (60 mL) was added to this solution resulting in precipitate formation. 25 The precipitate was collected by filtration and converted to the free base by a basic extraction. Yield: 8.5 g, 91%. Rf = 0.29 (MeOH/CH 2 Cl 2 , 7:93). LCMS m/z 323 [M+H]*.'H NMR (CDCl 3 ) 8 7.25 (in, 2H, Ar-H), 6.95 (in, 2H, Ar-H), 4.54 (t, 1H, J = 5.6, dioxane-H), 4.07-4.02 (in, 2H, dioxane-H), 3.73-3.67 (in, 4H, dioxane-H, benzyl-H), 2.85-2.79 (in, 2H, pip-H), 2.49-2.37 30 (in, 3H, NCH 2 , pip-H), 2.05-1.72 (in, 7H, pip-H, NCH 2

CH

2 , dioxane-H), 1.44-1.25 (in, 4H, dioxane-H, pip-H, NH). HPLC tR = 1.4 min. - 66 - 2-(4-Benzyloxyphenyl')-N-{ 1-[2-(1,3-dioxan-2-yl)ethyllpiperidin-4-yl}-N-(4 fluorobenzyl)acetamide, tartrate (11 8AF66-102). A solution of triethylamine (0.89 mL, 6.38 mmol) and 118AF52-95 (0.80 g, 2.48 mmol) in dry THF (10 mL) was cooled to 0*C. A solution of 4-benzyloxyphenylacetyl 5 chloride (0.72 g, 2.76 mmol) was added dropwise to the cold reaction mixture and stirring was continued at rt for 2 h. The reaction mixture was filtered and the filtrate evaporated to dryness. Purification of the residue by silica gel column chromatography, eluting with a stepwise gradient of 0-6% methanol in dichloromethane afforded the desired compound (0.53 g, 39%), which was converted to its tartrate form as described above. 10 Rf = 0.27 (MeOH/CH 2 Cl 2 , 7:93). LCMS m/z 547 [M+H]*. 'H NMR (CDC1 3 , rotamers 0.4:0.6) 8 7.46-6.86 (m, 13H, Ar-H), 5.08-5-02 (m, 2H, PhCH 2 0), 4.64-4.42 (m, 3.6H, pip-H, benzyl-H, dioxane-H), 4.114.02 (m, 2H, dioxane-H), 3.79-3.67 (m, 3.2H, dioxane-H, benzyl-H, pip-H), 3.50 (s, 1.2H, benzyl-H), 2.94-2.80 (m, 2H, pip-H), 2.46-2.34 (m, 2H, NCH 2 ), 2.12-1.98 (m, 2.2H, dioxane-H, pip-H), 1.87-1.50 (m, 6H, pip-H, 15 NCH 2

CH

2 ), 1.36-1.24 (m, 1.8H, pip-H, dioxane-H). HPLC tR= 8.9 min. N-{1-[2-(1,3-Dioxan-2-yl)ethyl]piperidin-4-yl}-N-(4-fluorobenzyl)-2-(4-h drox heny1 acetamide, tartrate (1 18AF67-103). The desired compound was afforded by hydrogenation of 118AF66-102 (0.50 g, 20 0.92 mmol) in absolute ethanol (200 mL) using palladium on carbon as a catalyst. The product was purified by column chromatography on silica gel eluting with a stepwise gradient of 3-6 % methanol in dichloromethane. The desired compound (0.22 g, 53 %) was converted to its tartrate form as described above. Rf = 0.30 (MeOH/CH 2

CI

2 , 6:94). LCMS m/z 457 '[M+H]*. 'H NMR (CDCl 3 , 25 rotamers 0.4:0.6) 8 7.13-6.86 (m, 6H, Ar-H), 6.72-6.64 (m, 2H, Ar-H), 4.66-4.57 (m, 0.6H, pip-H), 4.54 (m, 1H, dioxane-H), 4.48 & 4.37 (2s, 2H, benzyl-H), 4.08-4.01 (m, 2H, dioxane-H), 3.80-3.66 (m, 3.2H, dioxane-H, benzyl-H, pip-H), 3.47 (m, 1.2H, benzyl-H), 2.94-2.82 (m, 2H, pip-H), 2.47-2.39 (m, 2H, NCH 2 ), 2.10-1.97 (m, 2.2H, dioxane-H, pip H), 1.88-1.53 (m, 6H, pip-H, NCH 2 CH), 1.34-1.25 (m, 1.8H, pip-H, dioxane-H). HPLC tR 30 3.0 min. - 67 - N- {1-[2-(1,3-Dioxan-2-yl)ethyl~piperidin4-yl} -N-(4-fluorobenzyl)-2-(4-methoxyphenvl acetamide, tartrate (118AF60-96). A solution of triethylamine (0.57 mL, 4.09 mmol) and 118AF52-95 (328 mg, 1.02 5 mmol) in dry THF (5 mL) was cooled to 0*C. A solution of 4-methoxyphenylacetyl chloride (376 mg, 2.04 mmol) was added dropwise to the cold reaction mixture and stirring was continued for 20 h at rt. The reaction mixture was partitioned between 2M NaOH and water. The organic layer was dried over sodium sulphate, filtered and evaporated to dryness. The residue was purified by silica gel column chromatography, eluting with a 10 stepwise gradient of 0-6 % methanol in dichloromethane. Final purification of the product by acidic ion-exchange SPE cartridge afforded the desired compound (153 mg, 33 %), which was converted to its tartrate form as described above. Rf = 0.40 (MeOH/CH 2 Cl 2 , 4:96). LCMS m/z 471 [M+H]*. 1H NMR (CDClI, rotamers 0.4:0.6) 5 7.24-6.79 (in, 8H, Ar-H), 4.63-4.54 (m, 0.6H, pip-H), 4.52 (t, 1H, J= 15 5.2, dioxane-H), 4.49 & 4.44 (2s, 2H, benzyl-H), 4.09-4.01 (m, 2H, dioxane-H), 3.79-3.68 (m, 6.2H, dioxane-H, benzyl-H, pip-H, OCH 3 ), 3.50 (m, 1.2H, benzyl-H), 2.91-2.80 (m, 2H, pip-H), 2.43-2.36 (m, 2H, NCH 2 ), 2.10-1.98 (in, 2.2H, dioxane-H, pip-H), 1.86-1.51 (m, 6H, pip-H, NCH 2

CH

2 ), 1.34-1.26 (in, 1.8H, pip-H, dioxane-H). HPLC tR= 7.0 min. 20 N- {1-[2-(1,3-Dioxan-2-yl)ethyllpiperidin-4-yl}-N-(4-fluorobenzyl)-2-(4-isopropylphenyl) acetamide, tartrate (118AF63-100). The desired compound was synthesized from 118AF52-95 (400 mg, 1.24 mmol) and 4-isopropylphenylacetyl chloride (340 mg, 1.73 mmol) using the same method as for preparation of 118AF66-102. Further purification by acidic ion-exchange SPE cartridge 25 was performed. Yield: 273 mg, 46 %. Rf = 0.34 (MeOH/CH 2 Cl 2 , 7:93). LCMS m/z 483 [M+H]*. 'H NMR (CDCl 3 , rotamers 0.4:0.6) 8 7.22-6.89 (in, 8H, Ar-H), 4.64-4.43 (m, 3.6H, pip-H, dioxane-H, benzyl-H), 4.09-4.02 (in, 2H, dioxane-H), 3.79 (s, 0.8H, benzyl-H), 3.76-3.66 (m, 2.4H, dioxane-H, pip-H), 3.54 (m, 1.2H, benzyl-H), 2.92-2.79 (m, 3H, pip-H, CH(CH 3

)

2 ), 2.41 30 2.35 (m, 2H, NCH 2 ), 2.12-1.98 (m, 2.2H, dioxane-H, pip-H), 1.85-1.49 (n, 6H, pip-H,

NCH

2

CH

2 ), 1.34-1.19 (m, 7.8H, pip-H, dioxane-H, CH(CH 3

)

2 ). HPLC tR 8.6 min. - 68 - N- {1 -[2-(1,3-Dioxan-2-yl)ethyllpiperidin-4-ylI -N-(4-fluorobenzyl)-2-(4-trifluoromethoxy phenyl)acetamide, tartrate (1 18AF58-98). The desired compound was synthesized from 118AF52-95 (328 mg, 1.02 mmol) and 4-trifluoromethoxyphenylacetyl chloride (345 mg, 1.44 mmol) using the same method 5 as for preparation of 118AF66-102. Yield: 267 mg, 49 %. Rf = 0.31 (MeOH/CH 2 Cl 2 , 4:96). LCMS m/z 525 [M+H]*. 'H NMR (CDCl 3 , rotamers 0.4:0.6) 8 7.30-6.90 (in, 8H, Ar-H), 4.63-4.48 (m, 3.6H, pip-H, dioxane-H, benzyl-H), 4.05 (m, 2H, dioxane-H), 3.82 (s, 0.8H, benzyl-H), 3.76-3.62 (m, 2.4H, dioxane-H, pip-H), 3.55 (in, 1.2H, benzyl-H), 2.92-2.84 (in, 211, pip-H), 2.43-2.36 (m, 2H, 10 NCH 2 ), 2.10-1.96 (m, 2.21H, dioxane-H, pip-H), 1.88-1.79 (in, 0.811, pip-H), 1.76-1.52 (m, 5.2H, pip-H, NCH 2

CH

2 ), 1.38-1.26 (in, 1.8H, pip-H, dioxane-H). HPLC tR= 8.4 min. N-{1-[2-(1,3-Dioxan-2-yl)ethyllpiperidin-4-yl}-N-(4-fluorobenzyl)-2-(4-ethoxyphenyl) acetamide, oxalate (1 18AF68-104). 15 The desired compound was synthesized from 118AF52-95 (400 mg, 1.24 mmol) and 4-ethoxyphenylacetyl chloride (300 mg, 1.51 mmol) using the same method as for preparation of 118AF66-102. Further purification by acidic ion-exchange SPE cartridge was performed. Yield: 0.15 g, 25 %. Rf = 0.26 (MeOH/CH 2

CI

2 , 6:94). LCMS m/z 485 [M+H]*. 'H NMR (CDCl 3 , 20 rotamers 0.4:0.6) 8 7.20-6.79 (m, 8H, Ar-H), 4.64-4.54 (in, 0.6H, pip-H), 4.52 (t, 1H, J = 5.2, dioxane-H), 4.49 & 4.43 (2s, 2H, benzyl-H), 4.07-3.97 (m, 4H, dioxane-H, OCH 2 ), 3.76-3.66 (in, 3.211, dioxane-H, pip-H, benzyl-H), 3.49 (s, 1.2H, benzyl-H), 2.91-2.80 (in, 2H, pip-H), 2.42-2.32 (in, 2H, NCH 2 ), 2.10-1.97 (in, 2.2H, dioxane-H, pip-H), 1.86-1.48 (in, 6H, pip-H, NCH 2

CH

2 ), 1.42-1.36 (m, 3H, CH 3 ), 1.34-1.24 (in, 1.8H, pip-H, dioxane 25 H). HPLC tR = 7.6 min. N- {1 -r2-(1,3-Dioxan-2-yl)ethyllpiperidin-4-yl}-N-(4-fluorobenzyl)-2-(4 isopropoxyphenyl)-acetamide, oxalate (118AF73-107). The desired compound was synthesized from 118AF52-95 (400 mg, 1.24 mmol) 30 and 4-isopropoxyphenylacetyl chloride (340 mg, 1.60 mmol) using the same method as for preparation of 118AF66-102. Further purification by acidic ion-exchange SPE cartridge was performed. Yield: 91 mg, 15 %. - 69 - Rf = 0.58 (MeOH/CH 2

C

2 , 8:92). LCMS ni/z 499 [M+H]*. 'H NMR (CDC1 3 , rotamers 0.4:0.6) 8 7.19-6.78 (m, 8H, Ar-H), 4.64-4.42 (m, 4.6H, pip-H, dioxane-H, benzyl-H, CHoipr), 4.07 (m, 2H, dioxane-H), 3.76-3.68 (m, 3.2H, dioxane-H, pip-H, benzyl-H), 3.49 (s, 1.2H, benzyl-H), 2.91-2.80 (m, 2H, pip-H), 2.42-2.35 (m, 2H, NCH 2 ), 5 2.10-1.99 (m, 2.2H, dioxane-H, pip-H), 1.85-1.51 (m, 6H, pip-H, NCH 2

CH

2 ), 1.31 (m, 7.8H, OCH(CH) 2 , pip-H, dioxane-H). HPLC tR= 8.1 min. N-{1-[2-(1,3-Dioxan-2-yl)ethyllpiperidin-4-yll-N-(4-fluorobenzyl)-2-phenylacetamide, oxalate (1 18AF77-109). 10 The desired compound was synthesized from 118AF52-95 (300 mg, 0.93 mmol) and phenylacetyl chloride (197 mg, 1.27 mmol) using the same method as for preparation of 118AF66-102. Further purification by acidic ion-exchange SPE cartridge was performed. Yield: 68 mg, 17 %. Rf = 0.28 (MeOH/CH 2 Cl 2 , 5:95). LCMS m/z 441 [M+H]*. 'H NMR (CDC1 3 , 15 rotamers 0.4:0.6) 8 7.33-6.89 (m, 9H, Ar-H), 4.65-4.44 (m, 3.6H, pip-H, dioxane-H, benzyl-H), 4.09-4.03 (m, 2H, dioxane-H), 3.84 (s, 0.8H, benzyl-H), 3.76-3.67 (m, 2.4H, dioxane-H, pip-H), 3.57 (s, 1.2H, benzyl-H), 2.92-2.79 (m, 2H, pip-H), 2.44-2.34 (m, 2H,

NCH

2 ), 2.10-1.98 (m, 2.2H, dioxane-H, pip-H), 1.86-1.51 (m, 6H, pip-H, NCH 2

CH

2 ), 1.34 1.23 (m, 1.8H, pip-H, dioxane-H). HPLC tR= 6.1 min. 20 N- {1 -r2-(1,3 -Dioxan-2-yl)ethyllpiperidin-4-yl} -N-(4-fluorobenzyl)-2-[4-(2-fluoroethoxy) phenyllacetamide, oxalate (118AF85-113). The desired compound was synthesized from 118AF52-95 (360 mg, 1.11 mmol) and 4-(2-fluoroethoxy)phenylacetyl chloride (282 mg, 1.30 mmol) using the same method 25 as for preparation of 118AF66-102. Further purification by acidic ion-exchange SPE cartridge was performed. Yield: 84 mg, 15 %. Rf = 0.36 (MeOH/CH 2 Cl 2 , 5:95). LCMS m/z 503 [M+H]*. 'H NMR (CDC1 3 , rotamers 0.4:0.6) 8 7.27-6.84 (m, 8H, Ar-H), 4.80 (m, 1H, OCH 2

CH

2 F), 4.68 (m, 1H,

OCH

2

CH

2 F), 4.65-4.45 (m, 3.6H, pip-H, dioxane-H, benzyl-H), 4.22 (m, 1H, OCH 2

CH

2 F), 30 4.16 (m, 1H, OCH 2

CH

2 F), 4.10-4.03 (m, 2H, dioxane-H), 3.79-3.68 (m, 3.2H, dioxane-H, pip-H, benzyl-H), 3.51 (s, 1.2H, benzyl-H), 2.92-2.82 (m, 2H, pip-H), 2.44-2.36 (m, 2H,

NCH

2 ), 2.12-1.99 (m, 2.2H, dioxane-H, pip-H), 1.88-1.51 (m, 6H, pip-H, NCH 2

CH

2 ), 1.35 1.26 (m, 1.8H, pip-H, dioxane-H). HPLC tR 7.0 min. - 70 - N-11 -[2-(5,5-Dimethyl-1,3dioxan-2-yl)ethyllpiperidin-4-yl} -N-(4-fluorobenzyl)-2-(4 isobutoxyphenyl)acetamide, oxalate (118AF27-83). The desired compound was synthesized from N-{l-[2-(1,3-dioxan-2 5 yl)ethyl]piperidin-4-yl}-N-(4-fluorobenzyl)-2-(4-isobutoxyphenyl)acetamide 103NLS63F (22 mg, 0.042 mmol) and 2,2-dimethyl-1,3-propandiol (33 mg, 0.38 mmol) using the same method as for preparation of 130AF12-148. Purification of the product by reversed phase HPLC (C 1 8 ) afforded the title compound (2.8 mg, 12 %). LCMS m/z 541 [M+H]*. HPLC tR =9.9 min. 10 N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N- {1 -[2-((R)-4-methyl-1.3-dioxan-2-yl)ethyll piperidin-4-yllacetarnide, oxalate (1 18AF29-84). The desired compound was synthesized from N-{1-[2-(1,3-dioxan-2 yl)ethyl]piperidin-4-yl)-N-(4-fluorobenzyl)-2-(4-isobutoxyphenyl)acetamide 103NLS63F 15 (38 mg, 0.074 mmol) and (R)-(-)-1,3-butandiol (33 mg, 0.38 mmol) using the same method as for preparation of 130AF12-148. Purification of the product by reversed phase HPLC

(CI

8 ) afforded the title compound (11.6 mg, 28 %). LCMS m/z 527 [M+H]*. HPLC tR= 8.7 min. 20 N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N-{1-r2-((S)-4-methyl-1,3-dioxolan-2 yl)ethyll-piperidin-4-yllacetanide, oxalate (118AF31-85). The desired compound was synthesized from N-{1-[2-(1,3-dioxan-2 yl)ethyl]piperidin-4-yl)-N-(4-fluorobenzyl)-2-(4-isobutoxyphenyl)acetamide 103NLS63F (40 mg, 0.078 mmol) and (S)-(+)-propylene glycol (30 mg, 0.39 rnmol) using the same 25 method as for preparation of 130AF12-148. Purification of the product by reversed phase HPLC (C 18 ) afforded the title compound (21 mg, 53 %). LCMS m/z 513 [M+H]*. HPLC tR = 9.9 min. N-{1 -[2-(4,6-Dimethyl-1,3-dioxan-2-yl)ethylpiperidin-4-yll-N-(4-fluorobenzyl)-2-(4 30 isobutoxyphenyl)acetamide, oxalate (118AF37-88). The desired compound was synthesized from N-{1-[2-(1,3-dioxan-2 yl)ethyl]piperidin-4-yl}-N-(4-fluorobenzyl)-2-(4-isobutoxyphenyl)acetamide 103NLS63F (40 mg, 0.078 mmol) and 2,4-pentandiol (41 mg, 0.39 mmol) using the same method as for -71preparation of 130AF12-148. Purification of the product by reversed phase HPLC (C 18 ) afforded the title compound (9 mg, 21 %). LCMS m/z 541 [M+H]*. HPLC tR= 10.5 min. N-(4-Fluorobenzyl)-N-{1-[2-((S)-4-methyl--1,3-dioxolan-2-yl)ethyll piperidin-4-yl}-2-(4 5 trifluoromethoxyphenyl)acetamide, oxalate (118AF87-114). The desired compound was synthesized from N-{1-[2-(1,3-dioxan-2 yl)ethyl]piperidin-4-yl} -N-( 4 -fluorobenzyl)-2-(4-trifluoromethoxyphenyl)acetamide 118AF58-98 (70 mg, 0.13 mmol) and (S)-(+)-propylene glycol (53 mg, 0.69 mmol) using the same method as for preparation of 130AF12-148. Purification of the product by silica 10 gel column chromatography, eluting with a stepwise gradient of 0-4% methanol in dichloromethane, afforded the title compound (31 mg, 46%). Rf = 0.17 (MeOH/CH 2 Cl 2 4:96). LCMS m/z 525 [M+H]*. 1H NMR (CDCl 3 , rotamers 0.4:0.6) 8 7.34-6.91 (m, 8H, Ar H), 5.03 & 4.92 (2t, 1H, J = 4.8, dioxolane-H), 4.66-4.56 (m, 0.6H, pip-H), 4.52 & 4.49 (2s, 2H, benzyl-H), 4.22-4.07 (m, 1.4H, dioxolane-H), 3.95-3.89 (m, 0.6H, dioxolane-H), 15 3.84 (s, 0.8H, benzyl-H), 3.74-3.64 (m, 0.4H, pip-H), 3.57 (s, 1.2H, benzyl-H), 3.40-3.33 (m, 1H, dioxolane-H), 2.78-2.86 (m, 2H, pip-H), 2.49-2.38 (m, 2H, NCH 2 ), 2.10-2.01 (m, 1.2H, pip-H), 1.70-1.53 (m, 6H, pip-H, NCH 2

CH

2 ), 1.40-1.22 (m, 3.8H, pip-H, CH 3 ). HPLC tR= 8.7 min. 20 N-(4-Fluorobenzyl)-2-(4-isopropylphenvl)-N-{ 1 -r2-((S)-4-methyl- 13 -dioxolan-2-vl)ethyll piperidin-4-yll acetamide. oxalate (1 l8AF91-117). The desired compound was synthesized from N-{1-[2-(1,3-dioxan-2 yl)ethyl]piperidin-4-yl}-N-(4-fluorobenzyl)-2-(4-isopropylphenyl)acetamide 118AF63-100 (150 mg, 0.31 mmol) and (S)-(+)-propylene glycol (95 mg, 1.24 mmol) using the same 25 method as for preparation of 130AF12-148. Purification by silica gel column chromatography, eluting with a stepwise gradient of 0-4 % methanol in dichloromethane, afforded the title compound (51.2 mg, 34%). Rf = 0.19 (MeOH/CH 2 Cl 2 , 4:96). LCMS m/z 483 [M+H]*. 1 H NMR (CDCl 3 , rotamers 0.4:0.6) 8 7.24-6.90 (m, 8H, Ar-H), 5.03 & 4.92 (2t, 1H, J= 4.8, dioxolane-H), 30 4.67-4.55 (m, 0.6H, pip-H), 4.51 & 4.47 (2s, 2H, benzyl-H), 4.21-4.07 (m, 1.4H, dioxolane-H), 3.94-3.89 (m, 0.6H, dioxolane-H), 4.81-3.50 (m, 1.2H, benzyl-H, pip-H), 3.55 (s, 1.2H, benzyl-H), 3.40-3.33 (m, 1H, dioxolane-H), 2.94-2.83 (m, 3H, pip-H, -72-

CH(CH

3

)

2 ), 2.47-2.38 (m, 2H, NCH 2 ), 2.09-2.01 (m, 1.2, pip-H), 1.86-1.52 (m, 6H, pip-H,

NCH

2

CH

2 ), 1.31-1.19 (m, 9.8H, pip-H, CH 3 , CH(CH 3

)

2 ). HPLC tR= 8.6 min. N-(4-Fluorobenzyl)-N- { 1 -[2-((R)-4-methyl- 1,3 -dioxan-2-yl)ethyll piperidin-4-vl} -2-(4 5 trifluoromethoxyphenyl)acetamide, oxalate (118AF75-108). The desired compound was synthesized from N-{1-[2-(1,3-dioxan-2 yl)ethyl]piperidin-4-yl} -N-(4-fluorobenzyl)-2-(4-trifluoromethoxyphenyl)acetamide 118AF58-98 (70 mg, 0.13 mmol) and (R)-(-)-1,3-butandiol (60 mg, 0.66 mmol) using the same method as for preparation of 130AF12-148. Purification of the product by silica gel 10 column chromatography, eluting with a stepwise gradient of 0-4 % methanol in dichloromethane, afforded the title compound (28 mg, 40%). Rf = 0.24 (MeOH/CH 2 Cl 2 , 5:95). LCMS in/z 539 [M+H]*. 1H NMR (CDC 3 , rotamers 0.4:0.6) S 7.33-6.91 (m, 8H, Ar-H), 4.64-4.48 (m, 3.6H, benzyl-H, dioxane-H, pip-H), 4.04 (m, 1H, dioxane-H), 3.83 (s, 0.8H, benzyl-H), 3.75-3.63 (m, 2.4H, dioxane-H, 15 pip-H), 3.56 (s, 1.2H, benzyl-H), 2.92-2.83 (m, 2H, pip-H), 2.44-2.38 (m, 2H, NCH 2 ), 2.09 2.01 (m, 1.2 pip-H), 1.89-1.53 (m, 7H, dioxane-H, pip-H, NCH 2

CH

2 ), 1.44-1.31 (m, 1.8H, dioxane-H, pip-H), 1.19 (m, 3H, CH 3 ). HPLC tR 9.0 min. N-(4-Fluorobenzyl)-2-(4-isobutoxyphenvl)-N-f 1-[2-(2,5,5-trimethyl-1,3-dioxan-2-yl)ethyll 20 piperidin-4-yl} acetamide, oxalate (118AF33-86). The desired compound was synthesized from N-(4-fluorobenzyl)-2-(4 isobutoxyphenyl)-N-piperidin-4-yl-acetamide1O3NLS56 (145 mg, 0.36 mmol) and 2-(2 bromoethyl)-2,5,5-trimethyl-1,3-dioxane (104.5 mg, 0.44 mmol) using the same method as for synthesis of 130AF65-182. Purification of the product by silica gel column 25 chromatography, eluting with 5% methanol in dichloromethane, afforded the title compound (119 mg, 58%). Rf = 0.15 (MeOl/CH 2 Cl 2 , 5:95). LCMS n/z 555 [M+H] 4 . 'H NMR (CDCl 3 , rotamers 0.4:0.6) 8 7.20-6.79 (m, 8H, Ar-H), 4.66-4.56 (m, 0.6H, pip-H), 4.49 & 4.43 (2s, 211, benzyl-H), 3.76-3.68 (m, 3.2H, pip-H, benzyl-H, CH203,), 3.52-3.47 (m, 4H, dioxane 30 H), 3.41 (m, 1.2H, benzyl-H), 2.93-2.84 (m, 2H, pip-H), 2.48-2.40 (m, 2H, NCH 2 ), 2.11 2.00 (m, 2.2H, CHOiBu, pip-H), 1.87-1.80 (m, 2.8H, pip-H, NCH 2

CH

2 ), 1.72-1.50 (m, 3.2H, pip-H), 1.33 (s, 3.8H, CH 3 , pip-H), 1.02-0.87 (m, 12H, CH 3 ). HPLC tR= 9 .8 min. - 73 - N-(4-Fluorobenzvl)-2-(4-isobutoxvphenyl)-N-f1-r2-(2-methyl-1,3-dioxolan-2-vI ethyl1 piperidin-4-yl} acetamide, oxalate (118AF35-87). The desired compound was synthesized from N-(4-fluorobenzyl)-2-(4 isobutoxyphenyl)- N-piperidin-4-yl-acetamide 103NLS56 (311 mg, 0.78 mmol) and 2-(2 5 bromoethyl)-2-methyl-1,3-dioxolane (188 mg, 0.96 mmol) using the same method as for synthesis of 130AF65-182. Purification by silica gel column chromatography, eluting with 5% methanol in dichloromethane, afforded the title compound (61 mg, 15%). Rf = 0.20 (MeOH/CH 2 Cl 2 , 5:95). LCMS m/z 513 [M+H]*. 'H NMR (CDCl 3 , rotamers 0.4:0.6) 5 7.17-6.76 (m, 8H, Ar-H), 4.64-4.52 (m, 0.6H, pip-H), 4.47 & 4.41 (2s, 10 2H, benzyl-H), 3.93-3.82 (m, 4H, dioxolane-H), 3.76-3.63 (m, 3.2H, benzyl-H, CH2OiBu, pip-H), 3.47 (s, 1.2H, benzyl-H), 2.94-2.83 (m, 2H, pip-H), 2.43-2.32 (m, 2H, NCH 2 ), 2.12 1.97 (in, 2.2H, CHoiBs, pip-H), 1.84-1.72 (m, 2.8H, pip-H, NCH2CH 2 ), 1.70-1.50 (m, 3.2H, pip-H), 1.27 (s, 3.8H, CH 3 , pip-H), 0.98 (m, 6H, CH3oiBu). HPLC tR = 8.8 min. 15 N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N-f 1-r3-(1,3-dioxolan-2-yl)propyflpiperidin-4 yllacetamide, tartrate (1 18AF79-39). The desired compound was synthesized from N-(4-fluorobenzyl)-2-(4 isobutoxyphenyl)- N-piperidin-4-yl-acetamide 103NLS56 (156 mg, 0.39 mmol) and 2-(3 chloropropyl)-1,3-dioxolane (62 pL, 0.47 mmol) using the same method as for synthesis of 20 130AF65-182. Purification by silica gel column chromatography, eluting with a stepwise gradient of 0-4% methanol in dichloromethane, afforded the title compound (49 mg, 25%). Rf = 0.45 (MeOH/CH 2 Cl 2 , 7:93). LCMS nz 513 [M+H]*. 'H NMR (CDC1 3 , rotamers 0.4:0.6) 5 7.21-6.79 (m, 8H, Ar-H), 4.84 (t, 1H, J= 4.4, dioxolane-H), 4.66-4.56 (m, 0.6H, pip-H), 4.50 & 4.44 (2s, 2H, benzyl-H), 3.95-3.90 (m, 2H, dioxolane-H), 3.84 25 3.67 (m, 5.2H, benzyl-H, CH20iB, pip-H, dioxolane-H), 3.50 (s, 1.2H, benzyl-H), 2.94-2.84 (m, 2H, pip-H), 2.34-2.27 (m, 2H, NCH 2 ), 2.10-1.98 (m, 2.2H, CHoiBu, pip-H), 1.84-1.78 (m, 0.8H, pip-H), 1.71-1.50 (m, 7.2H, pip-H, NCH 2 CH), 1.34-1.25 (m, 0.8H, pip-H), 1.01 (m, 6H, CH301B.). HPLC tR 8.0 min. 30 N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N- {l-(3-piperidin-1-yl-propyl)piperidin-4-yl} acetamide, dihydrochloride (98AF36-43). The desired compound was synthesized from N-(4-fluorobenzyl)-2-(4 isobutoxyphenyl)- N-piperidin-4-yl-acetamidel03NLS56 (189 mg, 0.47 mmol), 1 -74piperidine (61 iL, 0.61 mmol) and 1-chloro-3-iodopropane (61 tL, 0.57 mmol) using the same method as for synthesis of 130AF09-145. Purification of the product by silica gel column chromatography, eluting with 10% methanol in dichloromethane, afforded the title compound (75.6 mg, 3 1%). 5 Rf= 0.13 (MeOH/CH 2 Cl 2 , 1:4). LCMS m/z 524 [M+H]*. 'H NMR (CDC1 3 , rotamers 0.4:0.6) 8 7.21-6.81 (m, 8H, Ar-H), 4.66-4.54 (m, 0.6H, pip-H), 4.51 & 4.45 (2s, 2H, benzyl-H), 3.78-3.68 (m, 3.2H, benzyl-H, CH20iBu, pip-H), 3.52 (s, 1.2H, benzyl-H), 2.93 2.83 (m, 2H, pip-H), 2.40-2.23 (m, 8H, NCH 2 ), 2.15-1.26 (m, 15H, pip-H, CH(CH 3

)

2 ,

CH

2 ), 1.02 (m, 6H, CH(CH 3

)

2 ). HPLC tR= 8.0 min. 10 N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N- {1 -[2-(tetrahydropyran-2-yloxy)ethyll piperidin-4-yllacetamide, oxalate (98AF41-44). The desired compound was synthesized from N-(4-fluorobenzyl)-2-(4 isobutoxyphenyl)- N-piperidin-4-yl-acetamide 103NLS56 (185 mg, 0.46 mmol) and 2-(2 15 chloroethoxy)-tetrahydro-2H-pyran (75 iL, 0.51 mmol) using the same method as for synthesis of 130AF09-145. Purification of the product by silica gel column chromatography, eluting with 4.5% methanol in dichloromethane, afforded the title compound (96 mg, 40%). Rf = 0.18 (MeOH/CH 2

C

2 , 4:96). LCMS n/z 527 [M+H]*. 'H NMR (CDCl 3 , 20 rotamers 0.4:0.6) 8 7.21-6.78 (m, 8H, Ar-H), 4.67-4.56 (m, 0.6H, pip-H), 4.54 (m, 1H, THP), 4.49 & 4.44 (2s, 2H, benzyl-H), 3.86-3.66 (m, 5.2H, benzyl-H, CH 2 01BU, pip-H, CHO), 3.58-3.43 (m, 3.2H, benzyl-H, CHO), 3.01-2.89 (m, 2H, pip-H), 2.62 & 2.55 (2t, 2H, J= 6.0, NCH 2

CH

2 O), 2.26-2.17 (m, 1.2H, pip-H), 2.12-1.96 (m, 1.8H, CHoBu, pip-H), 1.82-1.44 (m, 9.2H, pip-H, THP), 1.33-1.26 (m, 0.8H, pip-H), 1.01 (m, 6H, CH(CH) 2 ). 25 HPLC tR = 7.2 min. N-(4-Fluorobenzyl)-2-(4-isobutoxphenyl)-N- 1-[3-(2-oxo-piperidin-1 yl)propyllpiperidin-4-yllacetamide (98AF73-64). Sodium hydride (60% suspension in oil, 26 mg, 0.65 mmol) was added to a solution 30 of 2-piperidone (54 mg, 0.54 mmol) in dry THF (2 mL) under argon atmosphere. After 15 minutes stirring at rt the reaction mixture was cooled to 0*C over 15 minutes. A solution of 1-bromo-3-chloropropane (160 pL, 1.62 mmol) was added dropwise to the cold mixture and stirring was continued overnight at rt. The mixture was partitioned between water and - 75 ethyl acetate, the organic layer dried .over sodium sulphate, filtered and evaporated to dryness. Purification of the residue on silica gel column chromatography, eluting with a stepwise gradient of 60-80% ethyl acetate in n-heptane, afforded 1-(3-chloropropyl) piperidin-2-one (33 mg, 35%). 5 Rf= 0.22 (ethyl acetate/n-heptane 8:2). LCMS m/z 176 [M+H]*. HPLC tR= 1.8 min. A solution of 1-(3-chloropropyl)-piperidin-2-one (32 mg, 0.18 mmol) in dry DMF (2 mL) was added to a suspension of potassium carbonate (52 mg, 0.38 mmol) and N-(4 fluorobenzyl)-2-(4-isobutoxyphenyl)- N-piperidin-4-yl-acetamide 103NLS56 (62 mg, 0.15 imol) in dry DMF (2 mL). After addition of sodium iodide (25 mg, 0.17 mmol) the 10 mixture was stirred overnight at 48*C. Afterwards it was partitioned between water and dichloromethane. The organic layer were dried over sodium sulphate, filtered and evaporated to dryness. Purification of the residue by reversed phase HPLC (C 18 ) afforded the desired compound (2.6 mg, 3%). Rf= 0.11 (MeOH/CH 2 Cl 2 5:95). LCMS m/z 538 [M+H]*. HPLC tR= 8.2 min. 15 N-(4-Fluorobenzyl)-2-(4-isobutoxyphenvl)-N-{ 1 -r3-(2-oxo-pyrolidin-1 yl)propyllpiperidin-4-vllacetamide, hydrochloride (98AF76-65). The desired compound was synthesized from N-(4-fluorobenzyl)-2-(4 isobutoxyphenyl)- N-piperidin-4-yl-acetamide 103NLS56 (107 mg, 0.27 mmol), 2 20 pyrrolidone and 1-bromo-3-chloropropane using the same method as for synthesis of 98AF73-64. Purification of the product by silica gel column chromatography, eluting with a stepwise gradient of 4-8% methanol in dichloromethane, afforded the title compound (15 mg, 11%). Rf = 0.39 (MeOH/CH 2 Cl 2 1:9). LCMS m/z 524 [M+H]*. 'H NMR (CDCl 3 , rotamers 25 0.4:0.6) 8 7.20-6.80 (in, 8H), 4.65-4.53 (m, 0.6H), 4.50 & 4.44 (2s, 2H), 3.76-3.67 (in, 3.2H), 3.51 (m, 1.2H), 3.34 (t, 2H, J= 7.2), 3.26 (t, 2H, J= 7.2), 2.95-2.82 (m, 2H), 2.38 2.25 (m, 4H), 2.12-1.96 (m, 4.2H), 1.86-1.56 (in, 6H), 1.29 (i, 0.8H), 1.01 (m, 6H). HPLC tR 7.6 min. 30 N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N- {1 -[3-((R)-4-isopropyl-2-oxo-oxazolidin-3 yl)propyllpiperidin-4-yllacetanide, oxalate (98AF100-73). Sodium hydride (55% suspension in oil, 144 mg, 3.31 mmol) was added to a solution of (R)-4-isopropyl-2-oxazolidinone (356 mg, 2.75 mmol) in dry tetrahydrofuran -76- (17 mL) under argon atmosphere. The suspension was stirred for 1 hour at rt, then cooled to 0*C and a solution of 1-bromo-3-chloropropane in dry tetrahydrofuran (3 mL) was added dropwise. After 48 h stirring at 58*C the mixture was quenched with water. The solvent was removed by evaporation under reduced pressure and the residue partitioned between 5 water and dichloromethane. The organic layer was evaporated to dryness. Purification of the residue by silica gel column chromatography, eluting with a mixture of ethyl acetate and n-Heptane (70:30), afforded ( 4

R)-

3

-(

3 -chloropropyl)-4-isopropyloxazolidinon-2-one (401 mg, 71 %). A solution of ( 4

R)-

3 -(3-chloropropyl)-4-isopropyloxazolidinon-2-one (160 mg, 0.78 10 mmol) in dry DMF (2 mL) was added to a suspension of potassium carbonate (217 mg, 1.57 mmol) and N-(4-fluorobenzyl)-2-(4-isobutoxyphenyl)- N-piperidin-4-yl-acetamide 103NLS56 (250 mg, 0.63 mmol) in dry DMF (6 mL). After addition of sodium iodide (113 mg, 0.75 mmol) the mixture was stirred overnight at 62*C and partitioned between water and dichloromethane. The organic layer were dried over sodium sulphate, filtered and 15 evaporated to dryness. Purification of the residue by silica gel column chromatography, eluting with 5% methanol in dichloromethane, afforded the desired compound (143 mg, 40%). Rf = 0.28 (MeOHI/CH 2 Cl 2 6:96). LCMS m/z 568 [M+H]*. 'H NMR (CDCl 3 , rotamers 0.4:0.6) 8 7.20-6.78 (m, 8H, Ar-H), 4.61-4.51 (m, 0.6H, pip-H), 4.48 & 4.42 (2s, 20 2H, benzyl-H), 4.15 (t, lH, J= 8.8, oxa-H), 4.01 (m, 1H, oxa-H), 3.78-3.64 (m, 4.2H, pip H, benzyl-H, oxa-H, CH201BU), 3.48 (m, 2.2H, benzyl-H, CONCHCH 2 ), 2.92-2.79 (in, 3H, pip-H, CONCHCH 2 ), 2.34-2.22 (m, 2H, NCH 2

CH

2

CH

2 ), 2.10-1.96 (m, 3.2H, pip-H, CHip, CHOiBu), 1.76-1.50 (m, 6H, pip-H, NCH 2

CH

2 ), 1.32-1.26 (m, 0.8H, pip-H), 0.99 (m, 6H,

CH

3 oiBu), 0.81-0.87 (m, 6H, CH 3 ;t). HPLC tR = 9.1 min. 25 N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N-{1-[3-(2-oxo-oxazolidin-3 yl)propyl1piperidin-4-yl}acetamide, oxalate (98AF94-71). The desired compound was synthesized from N-(4-fluorobenzyl)-2-(4 isobutoxyphenyl)- N-piperidin-4-yl-acetamide 103NLS56 (298 mg, 0.75 mmol), 2 30 oxazolidoneand 1-bromo-3-chloropropane using the same method as for synthesis of 98AF100-73. Purification of the product by silica gel column chromatography, eluting with 5% methanol in dichloromethane, afforded the title compound (157 mg, 40%). - 77 - Rf = 0.23 (MeOH/CH 2 Cl 2 5:95). LCMS m/z 526 [M+H]'. 'H NMR (CDC 3 , rotamers 0.4:0.6) 8 7.20-6.78 (m, 8H, Ar-H), 4.61-4.50 (m, 0.6H, pip-H), 4.48 & 4.42 (2s, 2H, benzyl-H), 4.29-4-24 (m, 2H, oxa-OCH 2 ), 3.78-3.65 (m, 3.2H, pip-H, benzyl-H, CH20IBu), 3.52-3.48 (m, 3.2H, benzyl-H, oxa-NCH 2 ), 3.25 (t, 2H, J = 7.2, 5 CONCH 2

CH

2

CH

2 N), 2.89-2.80 (m, 2H, pip-H), 2.33-2.26 (m, 2H, NCH 2

CH

2

CH

2 NCO), 2.09-1.76 (m, 3H, pip-H, CHoiO,), 1.71-1.49 (m, 5.2H, pip-H, NCH 2

CH

2

CH

2 ), 1.33-1.27 (m, 0.8H, pip-H), 1.00 (m, 6H, CH30iBu). H{PLC tR= 7.8 min. (S)-4-Methyl-oxazolidin-2-one (118AF10-77). 10 Triethylamine (0.94 mL, 6.65 mmol) was added dropwise to a solution of L alaninol (500 mg, 6.65 mmol) and 1,1-carbonyldiimidazole (1.29 g, 7.98 mmol) in dry THF (10 mL) at rt, under argon atmosphere. The reaction mixture was stirred overnight at 60*C. The solvent was removed by evaporation under reduced pressure. Purification of the residue by silica gel column chromatography, eluting with 6% methanol in 15 dichloromethane, afforded the desired compound (450 mg, 67%). Rf = 0.39 (MeOHCH 2 Cl 2 6:94). 'H NMR (CDC 3 ) 5 6.74 (m, 1H), 4.45-4.34 (m, 1H), 4.98-4.77 (m, 2H), 1.17 (m, 3H). N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N- { 1 -[3-((S)-4-methyl-2-oxo-oxazolidin-3 20 yl)propyllpiperidin-4-yl}acetamide, tartrate (118AF18-81). The desired compound was synthesized from N-(4-fluorobenzyl)-2-(4 isobutoxyphenyl)- N-piperidin-4-yl-acetamide 103NLS56 (205 mg, 0.52 mmol), (S)-4 methyl-oxazolidin-2-one (118AF1O-77) and 1-bromo-3-chloropropane using the same method as for synthesis of 98AF100-73. Further purification by acidic ion-exchange SPE 25 cartridge was performed. Yield: 106 mg, 38%. Rf = 0.22 (MeOH/CH 2 Cl 2 6:94). LCMS n/z 540 [M+H]. 'H NMR (CDCl 3 , rotamers 0.4:0.6) 5 7.20-6.78 (m, 8H, Ar-H), 4.61-4.50 (m, 0.6H, pip-H), 4.48 & 4.42 (2s, 2H, benzyl-H), 4.34 (m, 1H, oxa-H), 3.84-3.66 (m, 5.2H, pip-H, benzyl-H, oxa-H,

CH

2 OIsu), 3.49 (s, 1.2H, benzyl-H), 3.42-3.34 (m, 1H, CONCH 2 ), 3.09-3.00 (m, 1H, 30 CONCH 2 ), 2.92-2.79 (m, 2H, pip-H), 2.33-2.26 (m, 2H, NCH 2 ), 2.10-1.98 (m, 2.2H, pip-H, CHOiBu), 1.86-1.76 (m, 0.8H, pip-H), 1.72-1.48 (m, 5.2H, pip-H, NCH 2

CH

2 ), 1.29 (m, 0.8H, pip-H), 1.22 (m, 3H, oxa-CH 3 ), 0.99 (m, 6H, CH30iBu). HPLC tR= 8.4 min. - 78 - (S)-4-Ethyl-oxazolidin-2-one (118AF08-76). Triethylamine (0.80 mL, 5.74 mmol) was added dropwise to a solution of (S)-(+)-2 amino-l-butanol (515 mg, 5.77 mmol) and 1,1-carbonyldiimidazole (1.10 g, 6.78 mmol) in dry THF (10 mL) at rt under argon atmosphere. The reaction mixture was stirred overnight 5 at rt. The solvent was removed by evaporation under reduced pressure. Purification of the residue by silica gel column chromatography, eluting with 6% methanol in dichloromethane, afforded the desired compound (485 mg, 73%). Rf = 0.42 (MeOH/CH 2

CI

2 6:94). 10 N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N-11-[3-((S)-4-ethyl-2-oxo-oxazolidin-3-yl) propyllpiperidin-4-yllacetamide. oxalate (118AF16-80). The desired compound was synthesized from N-(4-fluorobenzyl)-2-(4 isobutoxyphenyl)- N-piperidin-4-yl-acetamide 103NLS56 (202 mg, 0.51 mmol), (S)-4 ethyl-oxazolidin-2-one (118AF08-76) and 1-bromo-3-chloropropane using the same 15 method as for synthesis of 98AF100-73. Purification of the product by acidic ion-exchange SPE cartridge afforded the title compound (126 mg, 44%). Rf = 0.28 (MeOH/CH 2 Cl 2 6:94). LCMS m/z 554 [M+H]. 'H NMR (CDC1 3 , rotamers 0.4:0.6) 8 7.20-6.78 (m, 8H, Ar-H), 4.61-4.52 (m, 0.6H, pip-H), 4.48 & 4.42 (2s, 2H, benzyl-H), 4.32-4.26 (m, 1H, oxa-H), 3.94-3.88 (m, 1H, oxa-H), 3.76-3.66 (m, 4.2H, 20 pip-H, benzyl-H, oxa-H, CH20iBu), 3.49 (s, 1.2H, benzyl-H), 3.46-3.37 (m, 1H, CONCH 2 ), 3.04-2.96 (m, 1H, CONCH 2 ), 2.90-2.78 (m, 2H, pip-H), 2.33-2.24 (m, 2H, NCH 2 ), 2.11 1.96 (m, 2.2H, pip-H, CHOiBu), 1.82-1.75 (m, 0.8H, pip-H), 1.74-1.42 (m, 7.2H, pip-H,

NCH

2

CH

2 , CH 2

CH

3 ), 1.29 (m, 0.8H, pip-H), 1.00 (m, 6H, CH 3 0;B), 0.85 (m, 3H,

CH

2 CH3). IPLC tR= 8.7 min. 25 2-(2-Bromoethyl)-1,3-oxothiolane (121JP1 1). Adapting a procedure by Yamada et al (Tetrahedron Lett., 1998, 39, 7709-7712), boron trifluoride ether complex (5 mL, 40 mmol) was added dropwise to a mixture of 2-(2 bromoethyl)-1,3-dioxolane (1.45 g, 8.0 nunol) and 2-mercaptoethanol (2.81 mL, 40 mmol) 30 in dichloromethane (15 rnL) at rt under Ar atmosphere and stirred at rt overnight. Sat. aq. NaHCO 3 (100 mL) was added to the crude mixture, followed by extraction using Et 2 0 (3 x 100 mL), drying (Na 2

SO

4 ) and evaporation in vacuo. Purification by Kugelrohr distillation (90 *C, 1.0 nmHg) afforded 1.08 g of the title compound as a yellow oil. The purity of this - 79 material after distillation was 71% (determined by GC analysis) and it was used as such in the alkylation step (121JP12). N-(4-Fluorobenzyl)-2-(4-isobutoxyphenvl)-N- f 1 -[2-(1,3-oxothiolan-2-yl)ethyllpiperidin-4 5 vll acetamide, L-tartrate (121JP12). The title compound was prepared by the general procedure described above for 103NLS63-F using 103NLS56 (130 mg, 0.33 mmol) and 121JP1 1 (85 mg, 0.43 mmol) as the alkylating agent. Workup as in 121JP 11 followed by vacuum filtration chromatography over silica gel (VFC, ethyl acetate/n-heptane 0:1 - ethyl acetate/n-heptane 1:0-4 ethyl 10 acetate/MeOH 4:1) gave 85 mg (51 %) of 121JP12 as colourless thick oil. The L-tartrate salt was prepared as described above. Rf = 0.57 (MeOH/CH 2 Cl 2 1:10). LCMS m/z 515 [M+H]+. 'H-NMR (CDC1 3 , rotamers 0.5:0.5) 8 7.20-6.76 (m, 8H), 5.10-5.00 (m, 1H, oxothiolane-H), 4.66-4.54 (m, 0.5H, pip-H), 4.48 and 4.42 (2s, 2H, benzyl-H), 4.30-4.22 (m, 1H, oxothiolane-H), 3.78 15 3.64 (m, 4.5H, pip-H, benzyl-H, oxothiolane-H, OCH2ojBU), 3.48 (s, 1H, benzyl-H), 3.01 2.82 (m, 4H, pip-H, oxothiolane-H), 2.60-2.34 (m, 2H, NCH 2 ), 2.21-1.56 (m, 8H, pip-H,

NCH

2

CH

2 , CHOiBu), 1.32-1.22 (m, 1H, pip-H), 1.04-0.96 (m, 6H, CH 3 OiB,. HPLC tR 10-1 mm. 20 2-(4-Bromophenyl)-N- { 1-r2-(1,3-dioxan-2-yl)ethyl)piperidin-4-yl} -N-(4-fluorobenzyl) acetamide, L-tartrate (121JP13). The title compound was prepared by the procedure described above for 117NLS87 A using 118AF52-95 (200 mg, 0.62 mmol) and 4-bromophenylacetic acid (500 mg, 2.32 mmol). Sat. aq. NaHCO 3 (100 mL) was added to the crude mixture, followed by extraction 25 using CH 2 C1 2 (3 x 100 mL), drying (Na 2

SO

4 ) and evaporation in vacuo. VFC over silica gel (ethyl acetate/n-heptane 1:1-- ethyl acetate/n-heptane 1:0-> ethyl acetate/MeOH 2:1) gave 250 mg (78 %) of 121JP12 as a thick oil. The L-tartrate salt was prepared as described above. Rf = 0.49 (MeOH/CH 2

CI

2 1:10). LCMS m/z 521 [M+H]*. 'H-NMR (CDCl 3 , 30 rotaners 0.6:0.4) 8 7.50-6.88 (m, 8H), 4.62-4.57 (m, 0.4H, pip-H), 4.50 (t, 1H, J = 4.9, dioxane-H) 4.48 and 4.42 (2s, 2H, benzyl-H), 4.06-4.00 (m, 2H, dioxane-H), 3.76 and 3.50 (2s, 2H, benzyl-H), 3.75-3.60 (m, 2.6H, pip-H, dioxane-H), 3.01 and 2.90 (2d, 2H, J = 10.5, pip-H), 2.52 and 2.41 (2t, 2H, J= 8.0, NCH 2 ), 2.10-1.98 (m, 2.2 H, dioxane-H, pip - 80 - H), 1.97-1.58 (m, 6H, pip-H, NCH 2

CH

2 ), 1.38-1.20 (m, 1.8H, dioxane-H, pip-H). HPLC tR =8.3 min. N- { 1-[2-(1,3-Dioxan-2-vl)ethyl)piperidin-4-yll-N-(4-fluorobenzvl)-2-(4-isobutylamino 5 phenyl)acetamide, L-tartrate (121JP27). Adapting a protocol by Buchwald et al (J. Am. Chem. Soc., 1996, 118, 7215-7216), 121JP13 (100 mg, 192 tmol), isobutylamine (17 mg, 230 Imol), Pd 2 dba 3 (11.6 mg, 19.2 pmol), BINAP (12.0 mg, 38.4 [tmol) and NaOtBu (25.8 mg, 269 pmol) were weighed into a flask, toluene (2 mL) was added and the resulting mixture was stirred at 80 *C for 18 h. 10 Workup as in 121JP13 followed by preparative reversed-phase (C 18 ) HPLC afforded 25.7 mg (27.0 %) of 121JP27 as a thick colourless oil. The L-tartrate salt was prepared as described above. Rf = 0.30 (MeOH/CH 2 Cl 2 1:10). LCMS m/z 512 [M+H]*. 'H-NMR (CDCl 3 , rotamers 0.5:0.5) 8 7.10-6.81 (m, 6H), 6.59-6.49 (m, 2H), 4.65-4.55 (m, 0.5H, pip-H), 4.55 15 4.50 (m, 1H, dioxane-H), 4.50 and 4.43 (2s, 2H, benzyl-H), 4.10-4.02 (m, 2H, dioxane-H), 3.80-3.67 (m, 3.5H, pip-H, benzyl-H, dioxane-H) 3.45 (s, 1H, benzyl-H), 2.95-2.85 (m, 4H, pip-H, NHCH 2

CH(CH

3

)

2 )), 2.45-2.35 (m, 2H, NCH 2 ), 2.09-1.99 (m, 2H, dioxane-H, pip H), 1.91-1.50 (m, 7H, NCH 2

CH

2 , pip-H, NHCH 2

CH(CH

3

)

2 ), 1.38-1.25 (m, 2H, dioxane-H, pip-H), 0.98 (m, 6H, NHCH 2

CH(CH

3

)

2 ). HPLC tR = 8.2 min. 20 N- 1-[2-(1,3-Dioxan-2-yl)ethyl)piperidin-4-yl} -N-(4-fluorobenzyl)-2-(4-propylamino phenyllacetamide, L-tartrate (121JP28). Prepared identically as described in the protocol for the synthesis of 121JP27, using propylamine (16 mg, 230 pmol) instead of isobutylamine to afford 24 mg (25 %) of 25 121JP28 as a thick oil. The L-tartrate salt was prepared as described above. Rf = 0.33 (MeOH/CH 2 Cl 2 1:10). LCMS m/z 498 [M+H]*. 1 H-NMR (CDC 3 , rotamers 0.5:0.5) 8 7.11-6.82 (m, 6H), 6.53-6.43 (m, 2H), 4.58-4.49 (m, 0.5H, pip-H), 4.48 4.45 (m, 1H, dioxane-H), 4.42 and 4.35 (2s, 2H, benzyl-H), 4.05-3.95 (m, 2H, dioxane-H), 3.70-3.60 (m, 3.5H, pip-H, benzyl-H, dioxane-H), 3.40 (s, 1H, benzyl-H), 3.05-2.95 (m, 30 2H, pip-H), 2.85-2.70 (m, 2H, NHCH 2

CH

2

CH

3 ), 2.48-2.38 (m, 2H, NCH 2 ), 2.05-1.90 (m, 2H, dioxane-H, pip-H), 1.92-1.40 (m, 8H, NCH 2

CH

2 , pip-H, NHCH 2

CH

2

CH

3 ), 1.40-1.28 (m, 2H, dioxane-H, pip-H), 0.98 (m, 3H, NHCH 2

CH

2

CH

3 ). HPLC tR = 7.3 min. - 81 - N-{1-r2-(1,3-Dioxan-2-yl)ethyl)piperidin-4-yll-N-(4-fluorobenzyl)-2-(4-(1--nitropropyl) phenyl)acetamide,'L-tartrate (121JP34). Adapting a protocol by Vogl & Buchwald (J. Org. Chem., 2002, 67, 106-111), 121JP13 (135 mg, 0.26 mmol), 1-nitropropane (47 mg, 0.52 mmol), Cs 2

CO

3 (95 mg, 0.29 5 mmol), 2-di-tert-butylphosphinobiphenyl (15.5 mg, 52 pmol) and Pd 2 dba 3 (11.9 mg, 13pimol) were weighed into a flask, DME (2 mL) was added and the reaction was stirred at 60 *C for 20 h. Workup as in 121JP13 followed by preparative TLC (CH 2 Cl 2 /MeOH, 15:1, 10 x eluted) afforded 22 mg (16 %) of 121JP34 as a thick colourless oil. The L-tartrate salt of the title compound was prepared as described above. 10 Rf= 0.58 (MeOH/CH 2

CI

2 1:10). LCMS m/z 528 [M+H]+. HIPLC tR = 8.1 min. N-I -r2-(1.3-Dioxan-2-yl)ethyl)piperidin-4-yl} -N-(4-fluorobenzyl)-2-[4-(2-oxopyrrolidin 1 -yl)phenyl)acetamide, L-tartrate (12 1JP3 1). Adapting a protocol by Yin & Buchwald (J. Am. Chem. Soc., 2002, 124, 6043 15 6048), 121JP13 (124 mg, 0.24 mmol), pyrrolidone (24.7 mg, 0.29 mmol), Cs 2

CO

3 (111 mg, 0.34 mmol), Xantphos (20.8 mg, 0.036 nmol) and Pd 2 dba 3 (11.0 mg, 0.012 mmol) were weighed into a flask, dioxane (2 mL) was added and the reaction was stirred at 90 *C for 70 h. Workup as in 121JP13 and purification as in 121JP27 afforded 8 mg (7 %) of 121JP31 as a thick colourless oil. The L-tartrate salt was prepared as described above. 20 Rf = 0.31 (MeOH/CH 2 Cl 2 1:10). LCMS m/z 524 [M+H]+. 'H-NMR (CDCl 3 , rotaners 0.6:0.4) 8 7.60-6.80 (m, 8H), 4.60-4.50 (m, 0.4H, pip-H), 4.47 (t, IH, J= 5.1, dioxane-H) 4.42 and 4.38 (2s, 2H, benzyl-H), 4.04-3.97 (n, 2H, dioxane-H), 3.82-3.60 (m, 5.4H, pip-H, dioxane-H, benzyl-H, pyrrol-H), 3.25 (s, 1.2H, benzyl-H), 2.90-2.72 (m, 2H, pip-H), 2.60-2.50 (m, 2H, pyrrol-H), 2.39-2.32 (m, 2H, NCH 2 ) 2.18-1.90 (m, 4.2 H, 25 dioxane-H, pip-H, pyrrol-H), 1.81-1.40 (m, 6H, pip-H, NCH 2

CH

2 ), 1.32-1.18 (m, 1.8H, dioxane-H, pip-H). HPLC tR = 4.9 min. N-I 1-r2-(1,3-Dioxan-2-yl)ethyl)piperidin-4-yll-N-(4-fluorobenzyl)-2-(4-isobutylsulfanyl phenyllacetamide, L-tartrate (121 JP33). 30 Adapting a protocol by Li (J Org. Chem., 2002, 67, 3643-3650), 121JP13 (120 mg, 0.231 mmol), 2-methyl-1-propanethiol (25 mg, 0.28 inmol), [(t-Bu) 2

P(OH)]

2 PdCl 2 (11.6 mg, 0.0231 mmol) and NaOtBu (44 mg, 0.46 mmol) were weighed into a flask, toluene (2 mL) was added and the reaction was stirred at 110 *C for 16 h. Workup as in 121JP13 and - 82 purification as in 121JP27 afforded 1.7 mg (1.4 %) of 121JP33 as a thick colourless oil. The L-tartrate salt of the title compound was prepared as described above. Rf = 0.46 (MeOH/CH 2 Cl 2 1:10). LCMS m/z 529 [M+H]+.

1 H-NMR (CDC 3 , rotamers 0.6:0.4) 6 7.24-6.82 (m, 8H), 4.57-4.48 (m, 0.4H, pip-H), 4.47 (t, 1H, J = 5.1, 5 dioxane-H), 4.45 and 4.38 (2s, 2H, benzyl-H), 4.05-3.95 (m, 2H, dioxane-H), 3.72 (s, 0.8 H, benzyl-H), 3.70-3.60 (in, 2.6H, pip-H, dioxane-H) 3.44 (s, 1.2H, benzyl-H), 2.87-2.75 (m, 2H, pip-H), 2.72 (t, 2H, J = 6.5, SCH 2

CH(CH

3

)

2 )), 2.38-2.28 (m, 2H, NCH 2 ), 2.05 1.88 (m, 2.2H, dioxane-H, pip-H), 1.81-1.48 (m, 71, NCH 2

CH

2 , pip-H, SCH 2

CH(CH

3

)

2 ), 1.30-1.20 (in, 1.8H, dioxane-H, pip-H), 0.98 (t, 6H, J= 6.7, SCH 2

CH(CH

3

)

2 ). HPLC t R 10 8.8 min. N- {1-[2-(1.3-Dioxan-2-yl)ethyl)piperidin-4-vll-N-(4-fluorobenzyl)-2-(4-iodophenyl) acetamide, L-tartrate (12 1JP40). The title compound was prepared by the procedure described above 117NLS87-A 15 using 118AF52-95 (400 mg, 1.24 mmol) and 4-iodophenylacetic acid (1.22 g, 4.64 mmol). Workup as in 121JP13 and purification as in 121JP34 gave 320 mg (46 %) of 121JP40 as a colourless thick oil. The L-tartrate salt was prepared as described above. Rf = 0.52 (MeOH/CH 2

C

2 1:10). LCMS m/z 567 [M+H]+. 'H-NMR (CDC 3 , rotainers 0.6:0.4) 8 7.65-7.55 (in, 211), 7.16-6.85 (in, 6H), 4.59-4.50 (in, 0.6H, pip-H), 4.51 20 (t, 111, J = 5.0, dioxane-H), 4.50 and 4.42 (2s, 211, benzyl-H), 4.09-4.00 (in, 2H, dioxane H), 3.75 and 3.49 (2s, 2H, benzyl-H), 3.74-3.54 (m, 2.4 H, pip-H, dioxane-H), 2.85 (d, 2H, J= 10.6, pip-H), 2.41-2.35 (m, 2H, NCH 2 ), 2.08-1.95 (m, 2.2H, dioxane-H, pip-H), 1.88 1.50 (m, 6H, pip-H, NCH 2

CH

2 ), 1.39-1.27 (m, 1.811, dioxane-H, pip-H). HPLC tR = 8.6 mm. 25 2-(4-Acetophenyl)-N-{ 1-[2-(1,3-dioxan-2-yl)ethyl)piperidin-4-yl}-N-(4-fluorobenzyl) acetamide, L-tartrate (121JP44). Adapting a protocol by Cacchi et al (Org. Lett, 2003, 5, 289-293), 121JP40 (68 mg, 0.12 mmol), acetic anhydride (61 mg, 0.6 mmol), Pd 2 dba 3 (1.4 mg, 1.5 pmol), lithium 30 chloride (26 mg, 0.6 mmol) and EtNiPr 2 (31 mg, 0.24 mmol) were weighed into a flask, DMF (0.9 mL) was added and the resulting mixture was stirred at 100 'C for 18 h. Workup as in 121JP13 and purification as in 121JP34 afforded 19 mg (33 %) of 121JP44 as a thick colourless oil. The L-tartrate salt was prepared as described above. - 83 - Rf = 0.50 (MeOHI/CH 2

C

2 1:10). LCMS m/z 483 [M+H]*. 'H-NMR (CDCl 3 , rotamers 0.6:0.4) 7.88-7.78 (m, 2H), 7.36-6.84 (m, 6H), 4.58-4.49 (m, 0.4H, pip-H), 4.48 4.46 (m, 11, dioxane-i), 4.45 and 4.38 (2s, 2H, benzyl-H), 4.05-3.95 (m, 2H, dioxane-H), 3.81 and 3.55 (2s, 2H, benzyl-H), 3.70-3.60 (m, 2.6H, pip-H, dioxane-H) 2.85-2.75 (m, 2H, 5 pip-H), 2.54 and 2.52 (2s, 3H, CH 3 ), 2.38-2.27 (m, 2H, NCH 2 ), 2.05-1.92 (m, 2.2H, dioxane-H, pip-H), 1.81-1.45 (m, 6H, NCH 2

CH

2 , pip-H), 1.32-1.22 (m, 1.8H, dioxane-H, pip-H). HPLC tR = 5.5 min. 2-r4-(1-Hydroxyiminoethyl)phenyll-N-{ 1-[2-(1,3-dioxan-2-vl)ethyl)piperidin-4-yl} -N-(4 10 fluorobenzyl)acetamide, L-tartrate (121 JP48). 121JP44 (14 mg, 29 pmol), pyridine (4.6 mg, 58 pimol) and ethanol (5 mL) were placed in a flask, to which hydroxylamine hydrochloride (4.1 mg, 58 [pmol) was added and the resulting mixture was stirred at rt for 5 h. Workup as in 121JP13 and purification as in 121JP34 afforded 7 mg (49 %) of 121 JP48 as a thick colourless oil. The L-tartrate salt was 15 prepared as described above. Rf = 0.40 (MeOHI/CH 2

C

2 1:10). LCMS m/z 498 [M+H]*. 'H-NMR (CDC1 3 , rotamers 0.6:0.4) 7.63-7.51 (m, 2H), 7.33-6.88 (m, 6H), 4.66-4.58 (m, 0.4H, pip-H), 4.56 4.53 (m, 1H, dioxane-H), 4.51 and 4.40 (2s, 2H, benzyl-H), 4.10-4.04 (m, 2H, dioxane-H), 3.85 and 3.58 (2s, 2H, benzyl-H), 3.78-3.67 (m, 2.6H, pip-H, dioxane-I) 2.97-2.83 (m, 2H, 20 pip-H), 2.47-2.37 (m, 2H, NCH 2 ), 2.26 and 2.24 (2s, 3H, CH 3 ), 2.12-1.98 (m, 2.2H, dioxane-H, pip-H), 1.88-1.58 (m, 6H, NCH 2

CH

2 , pip-H), 1.37-1.29 (m, 1.8H, dioxane-H, pip-H). HPLC tR = 4.0 min. N- {1-r2-(1,3-Dioxan-2-yl)ethyl)piperidin-4-yl}-N-(4-fluorobenzyl)-2-(4-morpholin-4-yl 25 phenyl)acetarnide, L-tartrate (121JP49). Adapting a protocol by Buchwald et al (Org. Lett., 2002, 4, 581-584), 121JP40 (50 mg, 88 ptmol), morpholine (9.2 mg, 106 imol), CuI (1.7 mg, 8.8 Imol) and K 3

PO

4 (37.6 mg, 177 pnol) were weighed into a flask in air atmosphere, ethylene glycol (2 mL) was added and the resulting mixture was stirred at 80 *C for 16 h under air atmosphere. Workup 30 as in 121JP13 and purification as in 121JP34 afforded 4.7 mg (10 %) of 121JP49 as a thick colourless oil. The L-tartrate salt was prepared as described above. Rf = 0.33 (MeOH/CH 2 Cl 2 1:10). LCMS m/z 526 [M+H].lH-NMR (CDC1 3 , rotamers 0.6:0.4) 5 7.18-6.72 (m, 8H), 4.62 and 4.37 (2s, 2H, benzyl-H), 4.57-4.50 (m, - 84- 0.4H, pip-H), 4.50-4.42 (m, 1H, dioxane-H), 4.05-3.95 (m, 2H, dioxane-H), 3.82-3.75 (m, 4H, morph-H), 3.69 and 3.43 (2s, 2H, benzyl-H), 3.68-3.61 (m, 2.6H, pip-H, dioxane-H), 3.12-3.03 (m, 4H, morph-H), 2.85-2.75 (m, 2H, pip-H), 2.38-2.27 (m, 2H, NCH 2 ), 2.07 1.90 (m, 2.2H, dioxane-H, pip-H), 1.82-1.45 (m, 6H, NCH 2

CH

2 , pip-H), 1.30-1.22 (m, 5 1.8H, dioxane-H, pip-H). HPLC tR = 6.2 min. N-{1-r2-(1,3-Dioxan-2-yl)ethyl)piperidin-4-yll-N-(4-fluorobenzyl)-2-(4-pyrazol-1-y phenyl)acetanide, L-tartrate (121JP56). Adapting a protocol by Buchwald et al (J. Am. Chem. Soc., 2001, 123, 7727-7729), 10 121JP40 (48 mg, 85 pmol), pyrazole (7 mg, 102 ptmol), CuI (0.4 mg, 1.7 Imol), racemic trans-1,2-cyclohexanediamine (1.0 mg, 8.5 pmol), and K 2 C0 3 (25 mg, 181 Pmol) were weighed into a flask, dioxane (1.5 mL) was added and the resulting mixture was stirred at 110 *C for 60 h. Workup as in 121JP13 and purification as in 121JP34 afforded 3.9 mg (9 %) of 121JP56 as a thick colourless oil. The L-tartrate salt was prepared as described 15 above. Rf = 0.27 (MeOH/CH 2 Cl 2 1:10). LCMS m/z 507 [M+H]*. 'H-NMR (CDC1 3 , rotaners 0.6:0.4) 5 7.86 and 7.82 (2d, 1H, J= 2.2, pyraz-H), 7.64 (d, 1H, J= 4.4, pyraz-H), 7.62-6.83 (m, 8H), 6.42-6.36 (m, 1H, pyraz-H), 4.60-4.49 (m, 0.6H, pip-H), 4.48 (t, 1H, J= 5.1, dioxane-H), 4.45 and 4.38 (2s, 2H, benzyl-H), 4.05-3.95 (m, 2H, dioxane-Hl), 3.80 and 20 3.54 (2s, 2H, benzyl-H), 3.70-3,61 (m, 2.4H, pip-H, dioxane-H) 2.85-2.75 (m, 2H, pip-H), 2.38-2.28 (m, 2H, NCH2), 2.07-1.90 (m, 2.2H, dioxane-H, pip-H), 1.82-1.45 (m, 6H,

NCH

2 CH, pip-H), 1.35-1.22 (m, 1.8H, dioxane-H, pip-H). HPLC tR = 6.4 min. 2-(2-Bromopropyl)-1,3-dioxane (121JP80). 25 Adapting a procedure of BtIchi and Wfiest (J. Org. Chem, 1969, 34, 1122-1123), crotonaldehyde (3 g, 43 mmol) was added dropwise to conc. aq. HBr (5.2 g, 64 mmol) over 5 min at 5 *C under air atmosphere. After 15 min of stirring at 5 *C, during which time the mixture changed from colourless to brownish, 1,3-propanediol (8.1 g, 107 mmol) was added and the reaction was stirred at 5 *C for further 0.5 h before allowing it warm to rt, 30 and finally stirring it at rt for 2 h. The crude reaction mixture was then n-heptane extracted (2 x 200 mL), the combined n-heptane extracts were Na 2

SO

4 dried, evaporated in vacuo and 121JP80 was isolated by Kugelrohr distillation (75 *C, 0.18 mmHg) to obtain 124 mg (1.4 %) of the title compound as a colourless liquid. - 85 - Characterization Data: 'H-NMR (CDC1 3 ) 8 4.73 (dd, 1H, J = 7.2, 3.4), 4.26-4.18 (in, 1), 4.15-4.06 (m, 2H), 3.83-3.75 (m, 2H), 2.15-1.97 (m, 3H), 1.71 (d, 3H, J = 6.6), 1.38-1.32 (m, 1H). 5 N-{1-[2-(1,3-Dioxan-2-yl)-1-methylethyllpiperidin-4-yl}-N-(4-fluorobenzyl)-2-(4-iso butoxyphenyl)-acetamide, L-tartrate (121JP84). The title compound was prepared by the procedure described above 103NLS63-F using 103NLS56 (202 mg, 0.51 mmol) and 121JP80 (124 mg, 0.59 mmol) as the alkylating agent. Workup as in 121JP13 and purification as in 121JP34 gave 1.9 mg (0.7 %) of 10 121JP84 as a thick oil. The L-tartrate salt was prepared as described above. Rf = 0.43 (MeOH/CH 2

C

2 1:10). LCMS m/z 527 [M+H]*. 'H-NMR (CDC1 3 , otamers 0.5:0.5) 6 7.19-6.80 (m, 8H), 4.50-4.33 (m, 3.5H, dioxane-H, benzyl-H, pip-H), 4.04-3.93 (m, 2H, dioxane-H), 3.72-3.55 (m, 5.5H, dioxane-H, benzyl-H, pip-H, OCH2iBu), 3.42 (s, 111, benzyl-H), 2.78-2.59 (m, 2H, pip-H), 2.34-2.16 (m, 1H, NCH), 15 2.08-1.89 (m, 2H, pip-H, CHoiBu), 1.79-0.77 (m, 17H, CH 3 0iBu, NCHCH, NCHCH 2 , pip-H, dioxane-H). HPLC tR = 8.5 min. 4-lodophenylacetic acid ethyl ester (121JP58). 4-lodophenylacetic acid (3 g), ethanol (20 mL) and conc. H 2

SO

4 (5 mL) were 20 refluxed overnight. Ca. 15 mL ethanol was then evaporated, the residue was extracted with dichloromethane (3 x 100 mL), the combined organic extracts were washed with sat. aq. NaHCO 3 , dried over Na 2

SO

4 and evaporated in vacuo to afford 2.97 g (90 %) of 121JP58 as a yellow oil. Characterization Data: 'H-NMR (CDC 3 ) 5 7.62 (d, 2H, J = 8.4), 7.02 (d, 2H, J= 25 8.4), 4.07 (q, 2 H, J= 7.0), 3.59 (s, 2H), 1.12 (t, 3H, J= 7.0). 4-Pyrazol-1-ylphenylacetic acid ethyl ester (121JP64). 121JP58 (290 mg, 1.0 mmol) was treated identically as 121JP40 for the synthesis of 121JP56. After heating the reaction to 110 *C for 72 h and workup as in 121 J13, the crude 30 mixture was purified by VFC (CH 2 Cl 2 /MeOH 1:0 -+ 20:1) to furnish 180 mg (78 %) of 121JP64 as a yellow oil. - 86 - Characterization Data: IH-NMR (CDC1 3 ) S 7.92 (dd, 1H, J= 2.3, 1.0), 7.72 (d, 1H, J= 1.3), 7.62 (d, 2H, J= 8.7), 7.39 (d, 2H, J= 8.7), 6.42 (dd, 1H, J= 2.5, 1.9), 4.18 (q, 2 H, J= 7.0), 3.61 (s, 2H), 1.22 (t, 3H, J= 7.1). 5 4 -Pyrazol-1-ylphenylacetic acid (121JP68, 87). 121JP64 (180 mg, 0.78 mmol), lithium hydroxide monohydrate (164 mg, 3.9 mmol), H 2 0 (10 mL) and THF (10 mL) were stirred overnight at rt. The crude mixture was then extracted with dichloromethane (3 x 150 mL), the pH of the aqueous phase was adjusted to ca. pH 3 using 4M HC and extracted with dichloromethane (3 x 150 mL). The 10 combined organic layers were dried over Na 2

SO

4 , filtered and evaporated in vacuo to provide 128 mg (81 %) of 121JP68 as a yellow solid. Characterization Data: 'H-NMR (CDCl 3 ) 6 7.90 (m, 1H), 7.75 (m, 1H), 7.63 (d, 2H, J= 8.6), 7.38 (d, 2H, J= 8.6), 6.45 (m, 1H), 3.68 (s, 2H). 15 N- f 1 -[2-(1,3-Dioxan-4-yl)ethyl)piperidin-4-yl) -N-(4-fluorobenzyl)-2-(4-pyrazol- 1 -yl.

phenyl)acetamide, L-tartrate (121JP91). The title compound was prepared by the general procedure described above 117NLS87-A using 128NLS52 (87 mg, 0.27 mmol) and 121JP87 (60 mg, 0.27 mmol). Workup as in 121JP13 and purification as in 121JP34 gave 25 mg (18 %) of 121JP91 as a 20 colourless oil. The L-tartrate salt was prepared as described above. Rf = 0.34 (MeOH/CH 2 Cl 2 1:10). LCMS m/z 507 [M+H]*. 1 H-NMR (CDCl 3 , rotamers 0.5:0.5) 8 7.92 and 7.88 (2d, 1H, J= 2.2, pyraz-H), 7.71 (d, 1H, J= 4.7, pyraz-H), 7.69-6.90 (in, 8H), 6.48-6.42 (m, 1H, pyraz-H), 5.00 (d, 1H, J= 6.3, dioxane-H), 4.65 (d, 1H, J = 6.4, dioxane-H), 4.63-4.55 (in, 0.5H, pip-H), 4.52 and 4.46 (2s, 2W, benzyl-H), 25 4.10-4.02 (in, 1W, dioxane-H), 3.86 and 3.57 (2s, 2H, benzyl-H), 3.78-3.55 (m, 2.5H, pip H, dioxane-H) 2.93-2.82 (m, 2H, pip-I), 2.49-2.30 (in, 2H, NCH 2 ), 2.10-1.98 (m, 1H, pip H), 1.90-1.33 (m, 9H, NCH 2

CH

2 , pip-H, dioxane-H). HPLC tR = 5.2 min. N-[1 -((R)- 3 ,5-Dihydroxypentyl)piperidine-4-yl]-N-(4-fluorobenzyl)-2-(4 30 isobutoxyphenyl)acetamide, tartrate (130AF93-189). The desired compound was synthesized from (S)-5-[(4-methylbenzenesulfonyl)oxy] pentane-1,3-diol (Moune et al, JOrg.Chein., 1997, 62, 3332-3339) and 103NLS56 using the same method as described for the preparation of 130AF65-182. - 87 - Rf= 0.48 (MeOHCH 2 Cl 2 , 10:90). LCMS m/z 501 [M+H]*. HPLC tR= 7.4 min. N-f1-[2-((4R)-1,3-Dioxane-4-yl)ethyllpiperidine-4-yl}-N-(4-fluorobenzyl)-2-(4 isobutoxyphenyl)acetamide. tartrate (130AF95-190). 5 The desired compound (7.9 mg, 55%) was synthesized from 130AF93-189 (18.6 mg, 0.028 mmol) using the same method as for the synthesis of 130AF67-183. The enantiomeric excess was determined to be 99% using chiral HPLC analysis (Chiralpak AD column, 4.6 x 250 mm; heptane/I-PrOH 50:50, 0.3% DEA; 0.5 mL/min; tR 22.7 min). The 'H NMR and LCMS data were identical with 130AF67-183. 10 4-(1,2,4-Triazol-4-yl)phenylacetic acid (141JPOI). Adapting a protocol by Catarzi et al (J. Med Chem., 2001, 44, 3157-3165), diformylhydrazine (352 mg, 4.0 mmol) and then dropwise trimethylsilyl chloride (2.53 mL, 20 mmol) and Et 3 N (1.30 mL, 9.3 mmol) were added to a suspension of 4 15 aminophenylacetic acid (201 mg, 1.33 mmol) in anhydrous pyridine. The mixture was heated at 100 *C overnight, volatiles were removed at reduced pressure and the resulting solid was treated with water (6 mL), collected, washed with H 2 0 and dried in vacuo to provide 251 mg (93%) of 141JP01 as a light brown solid. LCMS m/z 204[M+H]*. 'H NMR (DMSO-d 6 ) 8 9.05 (s, 2H), 7.62 (d, 1H, J= 8.6), 7.40 (d, 1H, J= 8.2), 3.61 (s, 2H). 20 N-(1-[2-(1,3-Dioxan-2-yl)ethyllpiperidin-4-vl}-N-(4-fluorobenzyl)-2-r4(1.2,4-triazol-4 yllphenyllacetamide, L-tartrate (141JP13). The acid 141JP01 (35 mg, 0.17 mmol), N-{1-[2-(1,3-dioxan-2-yl)ethyl]piperidin-4 25 yl}-N-(4-fluorobenzyl)amine (118AF52-95, 55 mg, 0.17 mmol) and diisopropylethylamine (52 mg, 0.51 mmol) were dissolved in DMF (5 mL). Bromo-tris-pyrrolidino-phosphonium hexafluorophosphate (PyBroP, 119 mg, 0.25 mmol) was added, and the mixture was stirred at rt for 2 h. The mixture was concentrated and passed onto an acidic ion exchange SPE cartridge. The cartridge was washed with methanol (8x4 mL) and the remaining product 30 was eluted off the column with 10% NH 4 0H in methanol (2x4 mL) and evaporated. The resulting oil was purified as in 121JP34 to give 47 mg (54 %) of 141JP13 as a colourless oil. The L-tartrate salt was prepared as described above. -88- Rf = 0.26 (MeOHI/CH 2 Cl 2 1:10). LCMS m/z 508[M+H]*. 1 H-NMR (CDC1 3 , rotamers 0.5:0.5) 5 8.47 and 8.41 (2s, 1H1, -H), 7.48-6.89 (in, 8H, Ar-H), 4.62-4.56 (m, 0.6H, pip-H), 4.56-4.49 (m, 3H, dioxane-H, benzyl-H), 4.10-4.01 (m, 2H, dioxane-H), 3.79 and 3.61 (2s, 2H, benzyl-H), 3.77-3.67 (in, 2.4H, pip-H, dioxane-H), 2.94-2.84 (in, 2H, pip 5 H), 2.45-2.35 (n, 2H, NCH 2 ), 2.10-1.43 (m, 9H, dioxane-H, NCH 2

CH

2 , pip-H), 1.37-1.27 (in, 1 H, dioxane-H). In vitro determination of receptor activity Receptor Selection and Amplification (R-SAT) Assays. The functional receptor 10 assay, Receptor Selection and Amplification Technology (R-SAT-m), was used (with minor modifications from the procedure described previously (Brann, M. R. US Patent 5,707,798, 1998; Chem. Abstr. 1998, 128, 111548) to screen compounds for efficacy at the 5-HT2A receptor. Briefly, NIH3T3 cells were grown in 96 well tissue culture plates to 70-80% confluence. Cells were transfected for 12-16 h with plasmid DNAs using superfect (Qiagen 15 Inc.) as per manufacturer's protocols. R-SAT's were generally performed with 50 ng/well of receptor and 20 ng/well of p-galactosidase plasmid DNA. All receptor and G-protein constructs used were in the pSI mammalian expression vector (Promega Inc) as described previously. The 5-HT 2 A receptor gene was amplified by nested PCR from brain cDNA using the oligodeoxynucleotides based on the published sequence (Saltzman et. al, 20 Biochem. Biophys. Res. Comm. 1991, 181, 1469). For large-scale transfections, cells were transfected for 12-16 h, then trypsinized and frozen in DMSO. Frozen cells were later thawed, plated at 10,000-40,000 cells per well of a 96 well plate that contained drug. With both methods, cells were then grown in a humidified atmosphere with 5% ambient CO 2 for five days. Media was then removed from the plates and marker gene activity was measured 25 by the addition of the P-galactosidase substrate o-nitrophenyl p-D-galactopyranoside (ONPG, in PBS with 5% NP-40). The resulting colorimetric reaction was measured in a spectrophotometric plate reader (Titertek Inc.) at 420 nM. All data were analyzed using the computer program XLFit (IDBSm). Efficacy is the percent maximal repression compared to repression by a control compound (ritanserin in the case of 5-HT2A). pIC 5 0 is the 30 negative of the log(IC 5 o), where IC 50 is the calculated concentration in Molar that produces 50% maximal repression. -89- In vivo determination of behavioral effects Animals and Apparatus. Male NSA mice (Harlan; San Deigo, CA) were used as subjects. Mice weighed 20 - 30 g. Animals were housed 8/cage in the One Cage system 5 (One Cage; Lab Products, Inc., Seaford, DE) with bedding (1/8 inch Bed "0" Cob; Harlan Teklad, Madison, WI) in a room with controlled temperature 22 ± 3*C and a 12 hour light:dark cycle (lights on 6 am). Water and standard rodent chow (Harlan Teklad) were continuously available in the home cage. For testing, plastic locomotor activity cages (20 x 20 x 30 cm; AccuScan Instruments, Columbus, OH) were equipped with photocell beams 10 for monitoring horizontal activity. Data were collected using Versamax computer software (AccuScan Instruments). Procedure. For determination of spontaneous activity, test compounds were administered alone 15 (s.c. 10 min or p.o. 30 min before the session). For hyperactivity experiments, mice were injected with 0.3 mg/kg MK-801 i.p. 15 min presession (the peak dose for producing hyperactivity in an inverted-U dose-effect curve as determined in pilot experiments) in combination with vehicle or test compound. Motor activity data were collected during a 15 min session in a lit room. Mice had no prior exposure to the motor cages. Each dose or 20 dose combination was tested in a separate group of mice (n=8). Data Analysis. Distance traveled (cm) was calculated and averaged across animals in a group. An analysis of variance (ANOVA) and post-hoc Dunnett's t-test comparions to vehicle control 25 were conducted for each dose-response function. The lowest dose found to be significantly different from vehicle control was defined as the minimum effective dose (MED). - 90 - Compound Activit Table 1I_____ ______ 5HT2A %INH 5HT2A pIC5O MED In vivo pa (mg/kg) 103NLS45-B ' 4 7.6 117NLS01 104 9.71 103NLS63-F 101 9.5 103NLS69-A 96 8.7 117NLS03-B as 8.4 117NLS25 94 8.9 128NLS22-A 98 8.5 IIBAF37-88 105 9.2 098AF76-65 Q100 9.1 Y01~ IIBAF16-80 -o ~103 9.1 It is to be understood that, if any prior art publication is referred to herein, such reference does not constitute an admission that the publication forms a part of the common general knowledge in the art, in Australia or any other country. In the claims which follow and in the preceding description of the invention, 5 except where the context requires otherwise due to express language or necessary implication, the word "comprise" or variations such as "comprises" or "comprising" is used in an inclusive sense, i.e. to specify the presence of the stated features but not to preclude the presence or addition of further features in various embodiments of the invention. - 92 15054461 (GHMattere) 14/08/09

Claims

2. The compound of claim 1, wherein said optionally substituted heterocyclyl of the optionally substituted (heterocyclyl)CI- 6 -alkyl is optionally 15 substituted with one or more groups selected from the group consisting of hydrogen, halogen, hydroxy, alkoxy, alkyl, and amino.
3. The compound of any one of claims 1-2, wherein said optionally substituted heterocyclyl of the optionally substituted (heterocyclyl)C-alkyl is selected from the group consisting of tetrahydropyran, piperidine, 1,3-dioxane, morpholine, 20 pyrrolidine, pyrrolidone, 1,3-dioxolan-4-yl, oxazolidine, oxazolidinone, and 1,3 oxathiolane; and wherein the heterocyclyl can further include one or more carbonyl groups; and wherein the heterocyclyl can be further fused to a benzyl ring..
4. The compound of any one of claims 1-3, wherein said optionally 25 substituted heterocyclyl of the optionally substituted (heterocyclyl)C 6 -alkyl is selected from the group consisting of tetrahydropyran, piperidine, 1,3-dioxane, morpholine, pyrrolidine, pyrrolidone, oxazolidine, oxazolidinone, and 1,3-oxathiolane; and wherein the heterocyclyl can further include one or more carbonyl groups; and wherein the heterocyclyl can be further fused to a benzyl ring. 30 5. The compound of any one of claims 1-2, wherein said optionally substituted heterocyclyl of the optionally substituted (heterocyclyl) CI- 6 -alkyl is selected from the group consisting of tetrahydrothiopyran, 4H-pyran, 1,3-dioxin, 1,3 2 .. 41211 (GHMMe) 94 dioxane, 1,4-dioxin, 1,4-dioxane, I,3-oxathiane, 1,4-oxathiin, 1,4-oxathiane, tetrahydro-l,4-thiazine, 2H-1,2-oxazine, maleimide, succinimide, barbituric acid, thiobarbituric acid, dioxopiperazine, hydantoin, trioxane, hexahydro-1,3,5-triazine, tetrahydrothiophene, pyrroline, pyrrolidone, pyrrolidione, pyrazoline, imidazoline, 1,3 5 dioxole, 1,3-dithiole, 1,3-dithiolane, isoxazoline, isoxazolidine, oxazolidinone, 1,3 oxathiolane, and methylenedioxybenzene; and wherein the heterocyclyl can further include one or more carbonyl groups; and wherein the heterocyclyl can be further fused to a benzyl ring.
6. The compound of any one of claims 1-5, wherein R' is selected from the 10 group consisting of an optionally substituted (heterocyclyl)methyl, an optionally substituted (heterocyclyl)ethyl, and an optionally substituted (heterocyclyl)propyl.
7. The compound of claim 6, wherein R' is an optionally substituted (heterocyclyl)ethyl.
8. The compound of any one of claims 1-7, wherein R 2 and R 3 are 15 hydrogen.
9. The compound of any one of claims 1-8, wherein m is 1.
10. The compound of any one of claims 1-9, wherein n is 1.
11. The compound of any one of claims 1-10, wherein W is oxygen.
12. The compound of any one of claims 1-11, wherein Ar' is an optionally 20 substituted aryl, and if Ar' is a substituted aryl, the aryl ring is substituted with one or more substitutents selected from the group consisting of Cs-alkyl, C,--alkoxy, oxo, carboxyl, amino, hydroxy, nitro, CI- 6 -alkylsulfonyl, CI-6-alkylsulfenyl, CI. 6 alkylsulfinyl, C,.6-alkoxycarbonyl, CI. 6 -alkylcarbonyl, formyl, amino, mono-(C, alkyl)amino, di(C,-6-alkyl)amino, carbamoyl, mono-(CI- 6 -alkyl)aminocarbonyl, di(C, 25 alkyl)aminocarbonyl, amino-C, 6-alkyl-aminocarbonyl, mono-(CI- 6 -alkyl)amino-CI-, alkyl-am inocarbonyl, di(CI-6-alkyl)amino-Cl. 6 -alkyl-aminocarbonyl, C,1 alkylcarbonylamino, C,.6-alkylhydroxyimino, cyano, guanidino, carbamido, CI-, alkanoyloxy, CI-6-alkylsulphonyloxy, dihalogen-Cl. 6 -alkyl, trihalogen-Ci. 6 -alkyl, trifluoromethoxy, heterocyclyl, halo, alkylamido, hydroxy-CI, 6 -alkyl, amino-CI. 6 -alkyl, 30 and sulfamoyl.
13. The compound of any one of claims 1-12, wherein Ar' is 4-substituted aryl. 2.1211 (C Manm) 95
14. The compound of any one of claims 1-13, wherein Ar' is selected from the group consisting of alkyl-substituted phenyl, alkoxy-substituted phenyl, halogen substituted phenyl, hydroxy-substituted phenyl and amino-substituted phenyl.
15. The compound of claim 14, wherein said alkyl is selected from the group 5 consisting of methyl, ethyl, propyl, n-butyl, sec-butyl and tert-butyl, and said alkoxy is selected from the group consisting of methoxy, ethoxy, propoxy, n-butoxy, sec-butoxy, and tert-butoxy.
16. The compound of claim 14, wherein Ar' is halogen-substituted phenyl.
17. The compound of claim 16, wherein said halogen is fluoro. 10 18. The compound of any one of claims 1-17, wherein X is selected from the group consisting of optionally substituted methylene, optionally substituted ethylene, and CH 2 N(RN).
19. The compound of any one of claims 1-18, wherein X is an optionally substituted methylene. 15 20. The compound of any one of claims 1-18, wherein X is CH 2 N(RN).
21. The compound of any one of claims 1-20, wherein Ar2 is an optionally substituted aryl.
22. The compound of any one of claims 1-21, wherein Ar 2 is 4-substituted aryl. 20 23. The compound of any one of claims 21-22, wherein said substituent on Ar2 is selected from the group consisting of alkyl, alkoxy, halogen, hydroxy, amino, alkylamino, heteroaryl, and heterocyclyl.
24. The compound of any one of claims 21-23, wherein the substituent on Ar2 is selected from the group consisting of bromo, chloro, fluoro, iodo, hydroxy, 25 methoxy, ethoxy, propoxy, isopropoxy, n-butoxy, sec-butoxy, tert-butoxy, trifluoromethoxy, N-morpholinyl, N-pyrrolidinyl, N-pyrazolyl, N-triazolyl and 2 oxopyrrolidinyl.
25. A compound or a pharmaceutically acceptable salt thereof, selected from the group consisting of 30 N-{ -[2-(1,3-Dioxan-2-yl)ethyl]piperidin-4-yl}-N-(4-fluorobenzyl)-2-[4-(2 hydroxy-2-methylpropoxy)phenyl]acetamide; 20941211 (GHMater) 96 N-( { -[3-(3,5-Dimethylpiperid in-i -yI)propyl]piperidin-4-yl }-N-(4-fluorobenzyl) 2-(4-isobutoxyphenyl)acetam ide; I -[3-(4- {(4-Fluorobenzyl)-[2-(4-isobutoxyphenyl)acetyljamino} piperidin- I yI)propyl]piperidine-4-carboxylic acid methyl ester; 5 N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N- {I -[2-( 1-methylpyrrolidin-2 yI)ethyl]piperidin-4-yi }acetamide; N- { I-[3-(2,6-Dimethylmorpholin-4-yI)propyl]piperidin-4-y }-N-(4 fluorobenzyl)-2-(4-isobutoxyphenyl)acetamide; N-(4-Fluorobenzyl)-N- { I-[3-(3-hydroxypiperidin-1I-yI)propyl]piperidin-4-yI }-2 10 (4-isobutoxyphenyl)acetamide; N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N- {I -[3-(2-methylpiperidin- 1 yl)propyllpiperidin-4-yI }acetamide; N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N-[ I-(3-pyrrolidin- l-yI propyl)piperidin-4-yIjacetam ide; 15 N- { I-[3-(2,5-Dimethylpyrrolidin-1I-yI)propyl]piperidin-4-yI }-N-(4 fluorobehzy I)-2-(4-isobutoxyphenyl)acetam ide; N-(4-Fluorobenzyl)-N- (1-[3-(3-hydroxymethylpiperidin-1I-yI)propyllpiperidin 4-yI)}-2-(4-isobutoxyphenyl)acetam ide; N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N- { I-[3-(4-(S)-isopropyl-2-oxo 20 oxazol idin-3-yI)propyl]piperidin-4-yI }acetam ide; N-[2-(4-Fluorophenyl)ethyl]-2-(4-isobutoxyphenyl)-N-{ I-[3-(4-(S)-isopropyl-2 oxo-oxazol idin-3-yI)propyl]piperidin-4-yI }acetamide; N-[2-(4-Fluorophenyl)ethyl]-N-{ I -[3-(4-(S)-isopropyl-2-oxo-oxazol id in-3 yI)propyl]piperidin-4-yI} -2-(4-propoxyphenyl)acetamide; 25 N-(4-Fluorobenzyl)-N-1 {I-[3-(4-(S)-isopropyl-2-oxo-oxazolid in-3 yI)propyl]piperidin-4-yI)}-2-(4-propoxyphenyl)acetamide; N-1 { -[2-(1I,3-Dioxan-2-yI)ethyl]piperidin-4-yI }-N-(4-fluorobenzyl)-2-(4 isobutoxyphenyl)acetam ide; N-( { -[2-(1I,3-Dioxan-2-yI)ethyl]piperidin-4-yI)}-N-[2-(4-fluorophenyl)ethyl]-2 30 (4-isobutoxyphenyl)acetamide; N-( { -[2-(1I,3-Dioxan-2-yI)ethyl]piperidin-4-yI)}-N-[2-(4-fluorophenyl)ethyl]-2 (4-propoxyphenyl)acetam ide; 20941211 (G4 MWo9 97 N- { 1 -[2-(1I,3-Dioxan-2-yI)ethyl]piperidin-4-yI)}-N-(4-fluorobenzyl)-2-(4 propoxyphenyl)acetam ide; N-f { -[2-(1I,3-Dioxan-2-yI)ethyllpiperidin-4-yI }-N-(4-fluorobenzyl)-N'-(4 isobutoxybenzyl)carbam ide; 5 N- ( 1-[2-(1I,3-Dioxan-2-yI)ethyllpiperidin-4-vI)}-N-(4-fluorobenzyl)-2-(4 fluorophenyl)acetam ide; N-{ 1 -[2-(1I,3-Dioxan-2-yI)ethyllpiperidin-4-yI)}-N-(4-fluorobenzyl)-2-p tolylacetamide; 2-Benzofuran-5-yI-N- I -[2-(1I,3-dioxan-2-yI)ethyl]piperidin-4-y }-N-(4 10 fluorobenzyl)acetamide; N-f { -[2-(2,2-Dimethyl- 1,3-dioxolan-4-yI)ethyljpiperidin-4-yI)}-N-(4 fluorobenzyl)-2-(4-isobutoxyphenyl)acetamide; N-f { -[2-( 1,3-Dioxan-4-yI)ethyl]piperidin-4-yI)}-N-(4-fluorobenzyl)-2-(4 isobutoxyphenyl)acetam ide; 15 N-f { -[2-(1I,3-Dioxan-4-yI)ethyl]piperidin-4-yl }-N-(4-fluorobenzyl)-2-(4 trifluoromethylphenyl)acetam ide; 2-(4-Cyanophenyl)-N-f { -[2-(1I,3-dioxan-4-yl)ethyl]piperidin-4-yI }-N-(4 fluorobenzyl)acetamide; N-(4-Fluorobenzyl)-2-(4-isopropoxyphenyl)-N- {I -[3-(3-methyl-2-oxo-2,3 20 d ihydro-benzoimidazol- I -yI)propyl]piperidin-4-yI} acetam ide; 2-(4-Methoxyphenyl)-N-(4-methylbenzyl)-N-[ I -(2-morphol in-4 ylethyl)piperidin-4-yI]acetam ide; 2-(4-Methoxyphenyl)-N-(4-methylbenzyl)-N-[I -(3-morpholin-4 ylpropyl)piperidin-4-yI]acetamide; 25 N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N-[ I -(3-morpholin-4 ylpropyl)piperidin-4-yllacetamide; N-(4-Fluorobenzyl)-2-(4-isopropoxyphenyl)-N-[ I -(3-morpholin-4-yi propyl)piperidin-4-yI]acetam ide; N- { I -[2-(1I,3-Dioxan-4-yI)ethyl]piperidin-4-yl ) -N-(4-fluorobenzyl)-2-(4 30 fluorophenyl)acetamide: N- (1 -[2-(1I,3-Dioxan-4-yI)ethyl]piperidin-4-yi } -N-(4-fluorobenzyl)-2-(4 trifluoromethoxyphenyl)acetamide: 20"1,2-i IGHMwem) 98 N-({ 1-[2-(1I,3-Dioxan-4-yI)ethyl]piperidin-4-yI)}-N-(4-fluorobenzyl)-2-(4 propoxyphenyl)acetam ide; N-(4-F Iuorobenzyl)-2-(4-isobutoxyphenyl)-N-[ I -(tetrahydropyran-4 ylmethyl)piperidin-4-yIlacetamide; 5 N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N- { I -[2-(tetrahydropyran-4 yl)ethyl]piperidin-4-yI]acetam ide; N-( { -[2-((4S)-1I,3-Dioxane-4-yI)ethyllpiperidine-4-yI)}-N-(4-fluorobenzyl)-2-(4 isobutoxyphenyl)acetam ide; N- {I -[2-( 1,3-Dioxan-2-yI)ethyl]piperidin-4-y }-N-(4-fluorobenzyl)-2-(4 10 hydroxypbenyl)-acetamide; N- { I -2-(1I,3-Dioxan-2-yl)ethyl]piperidin-4-yl }-N-(4-fluorobenzyl)-2-(4 methoxyphenyl)-acetam ide; N-f { -[2-(1I,3-Dioxan-2-yI)ethyl]piperidin-4-yI)}-N-(4-fluorobenzyl)-2-(4 isopropylphenyl)-acetam ide; 1 5 N- { I -[2-(1I,3-Dioxan-2-yI)ethyl]piperidin-4-y }-N-(4-fluorobenzyl)-2-(4 tri fiuoromethoxy-phenyl)acetam ide; N-f { -[2-(1I,3-Dioxan-2-yI)ethyl]piperidin-4-yI)}-N-(4-fluorobenzyl)-2-(4 ethoxyphenyl)-acetam ide; N-f { -[2-(1I,3-Dioxan-2-yI)ethyl]piperidin-4-yI }-N-(4-fluorobenzyl)-2-(4 20 isopropoxyphenyl)-acetamide; N-f { -[2-(1I,3-Dioxan-2-yI)ethyllpiperidin-4-yI }-N-(4-fluorobenzyl)-2 phenylacetam ide; N- { I-[2-(1I,3-Dioxan-2-yI)ethyljpiperidin-4-yI)}-N-(4-fluorobenzyl)-2-[4-(2 fluoroethoxy)-phenyl]acetam ide; 25 N-f (1-[2-(5,5-Dimethyl-1I,3dioxan-2-yI)ethyllpiperidin-4-yI)}-N-(4 fluorobenzyl)-2-(4-isobutoxyphenyl)acetam ide; N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N- {I -[2-((R)-4-methyl-1I,3-dioxan 2-yI)ethyl]-piperid in-4-yI }acetam ide; N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N-f { -[2-((S)-4-methyl-1I,3-dioxolan 30 2-yl)ethyllpiperidin-4-yl }acetam ide; N- { 1-[2 -(4,6-Di methyl - 1, 3-d ioxan-2 -yl)ethy 1] piperid in-4-y 1} -N-(4 fluorobenzyl)-2-(4-isobutoxyphenyl)acetam ide; 2M1421_i GHMafler.) 99 N-(4-Fluorobenzyl)-N- {11-[2-((R)-4-methyl-1I,3-dioxan-2-yI)ethyl] piperidin- yI)}-2-(4-trifluoromethoxyphenyl)acetamide; N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N- { I-[2-(2,5,5-trimethyl- 1,3 dioxan-2-yI)ethyll piperidin-4-yI }acetamide; 5 N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N- { I-(3-piperidin- 1-yi propyl)piperidin-4-yI)}-acetam ide; N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N- { I-[3-(2-oxo-piperidin-lI yI)propyllpiperidin-4-yI }acetam ide; N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N- { I-[3-(2-oxo-pyrrol1din- I 10 yl)propyl]piperidin-4-yl~acetamide; N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N- { I-[3-((R)-4-isopropyl-2-oxo oxazol idin-3-yl)propyl]piperidin-4-yl }acetam ide; N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N- { I-[3-(2-oxo-oxazol idin-3 yI)propyl]piperidin-4-yI} acetamide; 15 N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N-1 { -[3-((S)-4-methyl-2-oxo oxazol idin-3-yI)propyl]piperidin-4-yl }acetam ide; N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N-f { -[3-((S)-4-ethyl-2-oxo oxazolidin-3-yI)-propyl]piperidin-4-yI }acetam ide; N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N-( { -[2-(1I,3-oxothiolan-2 20 yI)ethyllpiperidin-4-yI~acetamide; 2-(4-Bromophenyl)-N- { I -[2-(1I,3-dioxan-2-yI)ethyl)piperidin-4-yi }-N-(4 fluorobenzyl)-acetamide; N- { I-[2-(1I,3-Dioxan-2-yI)ethyl)piperidin-4-yI)}-N-(4-fluorobenzyl)-2-(4 isobutylamino-phenyl)acetamide; 25 N-( 1 -[2-( 1,3-Dioxan-2-yI)ethyl)piperidin-4-yI)}-N-(4-fluorobenzyl)-2-(4 propy lam ino-phenyl)acetam ide; N-( I -[2-(1I,3-Dioxan-2-yI)ethyl)piperidin-4-y } -N-(4-fluorobenzyl)-2-(4-( 1 nitropropyl)-phenyl)acetam ide; N-{ I-[2-(1I,3-Dioxan-2-yI)ethyl)piperidin-4-yI)}-N-(4-fluorobenzyl)-2-[4-(2 30 oxopyrrolid in-I -yI)phenyl)acetamide; N-( { -[2-(1I,3-Dioxan-2-yI)ethyl)piperidin-4-y }-N-(4-fluorobenzyl)-2-(4 isobutylsulfanyl-phenyl)acetam ide; 2094211I (GH4MaMer 100 N-{ -[2-(1,3-Dioxan-2-yl)ethyl)piperidin-4-yl}-N-(4-fluorobenzyl)-2-(4 iodophenyl)-acetamide; 2-(4-Acetophenyl)-N-{I-[2-(1,3-dioxan-2-yl)ethyl)piperidin-4-yI}-N-(4 fluorobenzyl)-acetamide; 5 N-{ -[2-(1,3-Dioxan-2-yl)ethyl)piperidin-4-yl}-N-(4-fluorobenzyl)-2-(4 morpholin-4-yI-phenyl)acetamide; N-{ I -[2-(1,3-Dioxan-2-yl)ethyl)piperidin-4-yl} -N-(4-fluorobenzyl)-2-(4 pyrazol- I -ylphenyl)acetamide; N-{ I -[2-(l,3-Dioxan-2-yl)- I -methylethyl]piperidin-4-yl } -N-(4-fluorobenzyl)-2 10 (4-isobutoxyphenyl)-acetamide; N-{ -[2-(1,3-Dioxan-4-yl)ethyl)piperidin-4-yl}-N-(4-fluorobenzyl)-2-(4 pyrazol-i-ylphenyl)acetamide; N-{ I -[2-((4R)-1,3-Dioxane-4-yl)ethyl]piperidine-4-yl}-N-(4-fluorobenzyl)-2 (4-isobutoxyphenyl)acetamide; and 15 N-{I-[2-(1,3-Dioxan-2-yl)ethyl]piperidin-4-yl}-N-(4-fluorobenzyl)-2-[4-(1,2,4 triazol-4-yl)phenyl]acetamide.
26. A compound or a pharmaceutically acceptable salt thereof, selected from the group consisting of N-{ I -[2-(1,3-Dioxan-2-yl)ethyl]piperidin-4-yl}-N-(4-fluorobenzyl)-N'-(4 20 isobutoxybenzyl)carbamide; N-(4-Fluorobenzyl)-N'-(4-isopropoxybenzyl)-N-[ I -(3-morpholin-4-yl propyl)piperidin-4-yl]carbamide; N-(4-Fluorobenzyl)-N'-(4-isopropoxybenzyl)-N-[ I -(3-piperidin- I-yl propyl)piperidin-4-yl]carbamide; 25 N-(4-Fluorobenzyl)-N'-(4-isopropoxybenzyl)-N-[ I -(3-((S)-4-isopropyl-2 oxazolidinon- I -yl-propyl)piperidin-4-yl]carbamide; N-(4-Fluorobenzyl)-N'-(4-isopropoxybenzyl)-N-{ 1 -[2-(2,5,5-trimethyl-1,3 dioxan-2-yl)ethyl]}piperidin-4-yl]carbamide; and N-(4-Fluorobenzyl)-N'-(4-isopropoxybenzyl)-N-{[2-(1-methyl pyrrolidin-2 30 yl)ethyl]-piperidin-4-yl}carbamide.
27. A compound or a pharmaceutically acceptable salt thereof, selected from the group consisting of 2094211 GH~ate)1 01 N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N- (1-[2-(2-oxo-im idazolid in-1I yI)ethyllpiperidin-4-yi } acetamide; N-(4-Fluorobenzyl)-2-(4-isopropoxyphenyl)-N-f { -[2-(2-oxo-im idazolidin- I yI)ethyl]piperidin-4-yI }acetamide; 5 N- {I -[2-(2,4-Dioxo-1I,4-dihydro-2H-quinazolin-3-yI)ethyllpiperidin-4-yI} -N-(4 fluorobenzyl)-2-(4-isopropoxyphenyl)acetam ide; N-(4-Fluorobenzyl)-2-(4-isopropoxyphenyl)-N- { I-[3-(3-methyl-2-oxo-2,3 dihydro-benzoimidazol- i-yI)propyllpiperidin-4-yI }acetamide; N-(4-Fluorobenzyl)-2-(4-isopropoxyphenyl)-N- { I-[4-(2-oxo-2,3 10 dihydrobenzoimidazol- 1-yI)butyl~piperidin-4-yI }acetam ide; N- {I -[2-(1I,3-Dioxolan-2-yI)ethyljpiperidin-4-yI)}-N-(4-fluorobenzyl)-2-(4 isobutoxyphenyl)acetamide; N-( 1I-[2-(1I,3 -D ioxo lan-2 -y I)ethyI] pipe rid in-4-y 1) -2 -(4- isopropoxypheny l)-N -(4 methylbenzyl)acetam ide; 15 N-f { -[2-(1I,3-Dioxolan-2-yI)ethyl]piperidin-4-y }-N-(4-fluorobenzyl)-2-(4 propoxyphenyl)acetam ide; N-(4-Fluorobenzyl)-N- {I -[2-((S)-4-methyl-1I,3-dioxolan-2-yI)ethyl] piperidin-4 yI} -2-(4-trifluoromethoxyphenyl)acetam ide; N-(4-Fluorobenzyl)-2-(4-isopropylphenyl)-N- (1-[2-((S)-4-methyl- I,3-dioxolan 20 2-yI)ethyl]-piperidin-4-yI }acetamide; N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N-f {I-[2-(2-methyl-1I,3-dioxolan-2 yI)ethyl]-piperidin-4-yI }acetamide; N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N-t {I-[3-(1I,3-dioxolan-2 yI)propyllpiperidin-4-yI }acetam ide; 25 N-{ I -[2-(I ,3-Dioxolan-2-yI)ethyl]piperidin-4-yI}-N-(4-fluorobenzyl)-N'-(4 isobutoxybenzyl)carbam ide; N-{ I -[2-(1I,3-Dioxolan-2-yI)ethyl]piperidin-4-yI}-N-(4-fluorobenzyl)-N'-(4 isopropoxy-benzyl)carbam ide; N-(4-Fluorobenzyl)-N '-(4-isopropoxybenzyl)-N- { I-[2-((S)-4-methyl- 1,3 30 dioxolane-2-yl)ethyljpiperidin-4-yI }carbam ide; and N- {I -[3-(1I,3-Dioxolan-2-yI)propyl]piperidin-4-yI }-N-(4-fluorobenzyl)-N '-(4 isopropoxybenzyl)carbam ide. 2OW111 (-M-)102
28. A compound or a pharmaceutically acceptable salt thereof, selected from the group consisting of N-(4-Fluorobenyzl)-N-(piperidin-4-yl)-2-(4-isobutoxyphenyl)acetamide; 2-(2,3-Dihydrobenzofuran-5-yi)-N-{ I-[2-(1,3-dioxan-2-yl)ethyl]piperidin-4-yl} 5 N-(4-fluorobenzyl)acetamide; N-{ 1-[2-(I,3-Dioxan-4-yl)ethyl]piperidin-4-yI}-N-(4-fluorobenzyl)amine; 4-(4-Fluorobenzylamino)-piperidine- I -carboxylic acid benzyl ester; N-(l -Benzyloxycarbonylpiperidin-4-yl)-N-(4-fluorobenzyl)-N'-(4 isopropoxybenzyl)carbamide; 10 N-(4-Fluorobenzyl)-N'-(4-isopropoxybenzyl)-N-piperidin-4-yl-carbamide; N-[ I -((S)-3,5-Dihydroxypentyl)piperidine-4-yl]-N-(4-fluorobenzyl)-2-(4 isobutoxyphenyl)acetamide; 2-(4-Benzyloxyphenyl)-N-{ I -[2-(1,3-dioxan-2-yl)ethyl]piperidin-4-yl} -N-(4 fluorobenzyl)acetamide; 15 N-(4-Fluorobenzyl)-2-(4-isobutoxyphenyl)-N-{ 1-[2-(tetrahydropyran-2 yloxy)ethyl]-piperidin-4-yl}acetamide; 2-[4-() -Hydroxyiminoethyl)phenyl]-N-{ 1-[2-(1,3-dioxan-2-yl)ethyl)piperidin-4 yI}-N-(4-fluorobenzyl)acetamide; and N-[ I -((R)-3,5-Dihydroxypentyl)piperidine-4-yl]-N-(4-fluorobenzyl)-2-(4 20 isobutoxyphenyl)acetam ide.
29. A compound selected from the group consisting of: 2-(4-Methoxyphenyl)-N-(4-methylbenzyl)-N-{ I -[2-(2-oxo-imidazolidin-l yl)ethyl]piperidin-4-yl}acetamide, hydrochloride; N-{ -[2-(2,4-Dioxo-1,4-dihydro-2 H-quinazolin-3-yl)ethyl]piperidin-4-yl}-2-(4 25 methoxyphenyl)-N-(4-methylbenzyl)acetamide, hydrochloride; 2-(4-Methoxyphenyl)-N-(4-methylbenzyl)-N-{ 1 -[3-(2-oxo-2,3 dihydrobenzoimidazol-1-yl)propyl]piperidin-4-yl}-acetamide, hydrochloride; and N-{ 1 -[2-(1,3-Dioxolan-2-yl)ethyl]piperidin-4-yl]-2-(4-methoxyphenyl)-N-(4 methylbenzyl)acetamide, hydrochloride. 30 30. A method of inhibiting an activity or an activation of a monoamine receptor comprising contacting the monoamine receptor with a compound of any one of claims 1-29. 2094121_ (GHMaters) 103
31. A method of treating a disease condition associated with a monoamine receptor comprising administering to a subject in need of such treatment a therapeutically effective amount of a compound of any one of claims 1-29.
32. The method of claim 31, wherein the disease condition is selected from 5 the group consisting of schizophrenia, schizoaffective disorders, psychosis, drug induced psychosis, and side effects observed with the treatment of chronic neurodegenerative disorders with a selective serotonin reuptake inhibitor (SSRI).
33. The method of claim 32, wherein said neurodegenerative disorder is selected from Alzheimer's disease, Parkinson's disease, Lewy Body Dementia, 10 Frontotemporal Dementia, Spinocerebellar Atrophy, and Huntington's disease.
34. The method of claim 31, wherein the disease condition is selected from the group consisting of Reynaud's Phenomena, migraine, hypertension, thrombosis, vasospasm, ischemia, depression, anxiety, motor tics, Tourette's syndrome, dyskinesias, on/off phenomena, tremor, rigidity, bradykinesia, psychomotor slowing, addiction, 15 alcohol addiction, opioid addiction, and nicotine addiction, sleep disorders, appetite disorders, decreases in libido and ejaculatory problems.
35. The method of claim 31, wherein the disease condition is associated with dysfunction, activation or increased activity of the monoamine receptor.
36. The method of any one of claims 30-35, wherein the monoamine 20 receptor is a serotonin receptor.
37. The method of claim 36, wherein the serotonin receptor is the 5-HT2A subclass.
38. The method of any one of claims 36-37, wherein the serotonin receptor is in the central nervous system, peripheral nervous system, or blood cells or platelets. 25 39. The method of any one of claims 36-38, wherein the serotonin receptor is mutated or modified.
40. The method of claim 30, wherein the activity is signaling activity, constitutive or associated with serotonin receptor activation.
41. The method of claim 30, wherein the activation is by an agonistic agent. 30 42. The method of claim 41, wherein the agonistic agent is exogenous or endogenous.
43. The method of claim 30, wherein the activation is constitutive. 2ON1211 (GHMW.,. 104
44. The method of claim 31, wherein the disease condition is associated with serotonin receptor activation.
45. Use of a compound of any one of Claims 1-29 for the preparation of a medicament for inhibiting an activity or an activation of a monoamine receptor. 5 46. Use of a compound of any one of Claims 1-29 for the preparation of a medicament for treating a disease condition associated with a monoamine receptor.
47. The use of claim 46, wherein the disease condition is selected from the group consisting of schizophrenia, schizoaffective disorders, psychosis, drug induced psychosis, and side effects observed with the treatment of chronic neurodegenerative 10 disorders with a selective serotonin reuptake inhibitor (SSRI).
48. The use of claim 47, wherein said neurodegenerative disorder is selected from Alzheimer's disease, Parkinson's disease, Lewy Body Dementia, Frontotemporal Dementia, Spinocerebellar Atrophy, and Huntington's disease.
49. The use of claim 46, wherein the disease condition is selected from the 15 group consisting of Reynaud's Phenomena, migraine, hypertension, thrombosis, vasospasm, ischemia, depression, anxiety, motor tics, Tourette's syndrome, dyskinesias, on/off phenomena, tremor, rigidity, bradykinesia, psychomotor slowing, addiction, alcohol addiction, opioid addiction, and nicotine addiction, sleep disorders, appetite disorders, decreases in libido and ejaculatory problems. 20 50. The use of claim 46, wherein the disease condition is associated with dysfunction, activation or increased activity of the monoamine receptor.
51. The use of any one of claims 45-50, wherein the monoamine receptor is a serotonin receptor.
52. The use of claim 51, wherein the serotonin receptor is the 5-HT2A 25 subclass.
53. The use of any one of claims 51-52, wherein the serotonin receptor is in the central nervous system, peripheral nervous system or blood cells or platelets.
54. The use of any one of claims 51-53, wherein the serotonin receptor is mutated or modified. 30 55. The use of claim 45, wherein the activity is signaling activity, constitutive or associated with serotonin receptor activation.
56. The use of claim 45, wherein the activation is by an agonistic agent. 20941211 (GHM.,Mr 105
57. The use of claim 56, wherein the agonistic agent is exogenous or endogenous.
58. The use of claim 45, wherein the activation is constitutive.
59. The use of claim 46, wherein the disease condition is associated with 5 serotonin receptor activation.
60. A pharmaceutical composition comprising a compound of any one of claims 1-29 and a pharmaceutically acceptable diluent or excipient.
61. Compounds of formula 1, processes for their preparation, pharmaceutical compositions containing them or methods or uses involving them, substantially as 10 herein described with reference to the examples. 2W941211 (GHManem ) 106