Medicaments for the treatment of anxiety

Drug – bio-affecting and body treating compositions – Designated organic active ingredient containing – Having -c- – wherein x is chalcogen – bonded directly to...

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514331, 514393, 514535, A61K 31445, A61K 31415, A61K 3124

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057634599

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BRIEF SUMMARY
This application is a 371 of PCT/GB93/01013, filed 05/18/93.
This invention relates to a method of treatment of anxiety in mammals, including humans.
European Journal of Pharmacology 146 (1988), 187-188, and Naunyn-Schmiedeberg's Arch. Pharmacol. (1989) 340:403-410, describe a non classical 5-hydroxytryptamine receptor, now designated the 5-HT4 receptor.
EP-A-501322 (Glaxo Group Limited), WO 93/02677, WO 93/03725, WO 93/05038, WO 93/05040 and PCT/GB93/00506 (SmithKline Beecham plc) describe compounds having 5-HT.sub.4 receptor antagonist activity.
For instance, WO 93/02677 describes compounds of formula (I), or a pharmaceutically acceptable salt thereof ##STR1## wherein the dotted circle represents one or two double bonds in any position in the 5-membered ring; X, Y and Z independently represent oxygen, sulphur, nitrogen or carbon, provided that at least one of X, Y and Z represents oxygen, sulphur or nitrogen; U represents nitrogen or carbon; ##STR2## in which: R.sup.1 represents hydrogen, hydroxy, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, (C.sub.1-6 alk alkoxy, hydroxy (C.sub.1-6) alkyl, halogen, amino, cyano, --CONR.sup.6 R.sup.7 or --SO.sub.2 NR.sup.6 R.sup.7, in which R.sup.6 and R.sup.7 independently represents hydrogen, C.sub.1-6 alkyl, C.sub.2-6 alkenyl or C.sub.2-6 alkynyl; C.sub.1-6 alkylcarbonyl; ##STR3## in which R.sup.8 represents hydrogen, C.sub.1-6 alkyl, C.sub.2-6 alkenyl or C.sub.2-6 alkynyl; from 1 to 5 carbon atoms and optionally containing an --O--, --S--, --NH-- or --Nalkyl-- linkage; and system having carbon bridgehead(s); or is hydrogen or C.sub.1-6 alkyl and the other is hydrogen, C.sub.1-10 alkyl, C.sub.2-6 alkenyl, C.sub.2-6) alkynyl or aryl(C.sub.1-6)alkyl.
WO 93/05040 describes compounds of formula (IIl), or a pharmaceutically acceptable salt thereof ##STR4## wherein X is of sub-formula (a) or (b): ##STR5## wherein L is N or CR.sub.c wherein R.sub.c is hydrogen, C.sub.1-6 alkoxy, halo, C.sub.1-6 alkyl or cyano; alkoxy; C.sub.2-6 alkanoyl, or C.sub.2-6 alkanoyl C.sub.1-3 alkyl; C.sub.1-6 alkyl group, halo, hydroxy or C.sub.1-6 alkoxy; R.sub.5 is hydrogen, halo, C.sub.1-6 alkyl, C.sub.1-6 alkoxy, nitro, amino or C.sub.1-6 alkylthio; R.sub.6 is hydrogen, halo, C.sub.1-6 alkyl, C.sub.1-6 alkoxy or amino;
WO 93/03725 describes compounds of formula (IV) or a pharmaceutically acceptable salt thereof; ##STR6## wherein L is N or CR.sub.S wherein R.sub.S is hydrogen, C.sub.1-6 alkoxy, halogen, C.sub.1-4 alkyl or cyano; alkoxy; C.sub.2-6 alkanoyl or C.sub.2-6 alkanoyl C.sub.1-3 alkyl; C.sub.1-6 alkyl group, halo, hydroxy or C.sub.1-6 alkoxy; or C.sub.1-6 alkylthio; and ##STR7## wherein n.sup.1 is 0, 1, 2, 3 or4; n.sup.2 is2, 3, 4 or 5;
WO 93/05038 describes compounds of formula (V) and pharmaceutically acceptable salts thereof: ##STR8## in which X.sub.1 --(CH.sub.2).sub.x --X.sub.2 forms a 5-7 membered ring wherein: alkoxy; or C.sub.1-6 alkylthio; ##STR9## wherein --(CH.sub.2).sub.n.sup.1 is attached at carbon or nitrogen and aralkyl; and heterocyclic bioisostere.
PCT/GB93/00506 describes compound of formula (VI), or a pharmaceutically acceptable salt thereof ##STR10## wherein X is O, S, SO, SO.sub.2, CH.sub.2, CH or NR wherein R is hydrogen or C.sub.1-6 alkyl; alkoxy; ##STR11## wherein n.sup.1 is 1, 2, 3 or 4; n.sup.2 is 0, 1, 2, 3 or 4; n.sup.3 is2, 3, 4 or 5; (CH.sub.2).sub.z --R.sub.10 wherein R.sub.10 is selected from cyano, hydroxyl, C.sub.1-6 alkoxy, phenoxy, C(O)C.sub.1-6 alkyl, COC.sub.6 H.sub.5, --CONR.sub.11 R.sub.12, NR.sub.11 COR.sub.12 , SO.sub.2 NR.sub.11 R.sub.12 or NR.sub.11 SO.sub.2 R.sub.12 wherein R.sub.11 and R.sub.12 are hydrogen or C.sub.1-6 alkyl; and heterocyclic bioisostere.
Some 5-HT.sub.3 receptor antagonists have been disclosed as of potential use in the treatment of anxiety (see GB 2153821A, EP-A-229444 (Glaxo Group Ltd.) and EP-A-201165 (Beecham Group p.l.c)).
We have now discovered that a compound which acts as an antagonist at 5-HT.sub.4 receptors is of potential use in the treatment of anxiety, such as general anxiety disorder (GAD), mixed anx

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