US2006258707A1PendingUtilityA1

Benzimidazolidinone derivatives as muscarinic agents

Individually held — no corporate assignee on recordPriority: Oct 2, 2001Filed: Jul 19, 2006Published: Nov 16, 2006
Est. expiryOct 2, 2021(expired)· nominal 20-yr term from priority
A61P 43/00A61P 25/00C07D 235/26A61K 31/4164A61P 27/06C07D 209/34C07D 413/06A61P 25/16A61K 31/421C07D 451/02C07D 417/06C07D 401/06A61K 31/404A61P 25/20C07D 277/68C07D 263/58A61K 31/426A61P 25/28A61K 31/445A61P 25/18C07D 209/38A61P 25/14A61P 25/24A61P 27/00C07D 209/08C07D 209/00A61K 31/423
60
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Claims

Abstract

Benzimidazolidinone derivative compounds, which increase acetylcholine signaling or effect in the brain, and highly selective muscarinic agonists, particularly for the M 1 and/or M 4 receptor subtypes, pharmaceutical compositions comprising the same, as well as methods of treating psychosis using these compounds are disclosed.

Claims

exact text as granted — not AI-modified
1 . A compound of Formula I  
       
         
           
           
               
               
           
         
       
       or a pharmaceutically acceptable salt or prodrug thereof, wherein 
 X is selected from the group consisting of C, O, N and S  
 Z is selected from the group consisting of CH and N  
 Y is selected from the group consisting of ═O, ═N and ═S or tautomers thereof,  
 SPU is a spacer unit providing a distance d between Z and N wherein 
 -SPU- is a biradical selected from the group consisting of —(CR 6 R 7 ) n -A- and —C 3-8 -cycloalkyl-  
 wherein n is 2, 3, 4, or 5 and  
 A is absent or an optionally substituted —C 3-8 -cycloalkyl;  
 
 N together with R 1  and R 2  form a heterocyclic ring wherein said heterocyclic ring is piperidine 
 and wherein the heterocyclic ring is substituted with one or more substituents R 4  selected from the group consisting of halogen, C 1-8 -alkyl, C 3-8 -cycloalkyl, C 1-8 -alkoxy, C 1-8 -alkylcarbonyl, C 1-8 -alkylidene, C 2-8 -alkenyl, C 2-8 -alkynyl, C 1-6 -alkyloxyimino, and C 1-6 -alkyloxyamino each of which may be optionally substituted with a substituent R 5    
 and wherein at least one of said substituents R 4  is R 4′  selected from the group consisting of C 1-8 -alkyl, C 3-8 -cycloalkyl, C 1-8 -alkoxy, C 1-8 -alkylcarbonyl, C 1-8 -alkylidene, each of which may be optionally substituted with a substituent R 5 ;  
 
 R 5  is selected from the group consisting of hydrogen, halogen, hydroxy, C 1-8 -alkyl, C 1-8 -alkoxy, C 3-8 -cycloalkyl, C 3-8 -heterocyclyl, C 1-8 -alkylcarbonyl, C 1-8 -alkylidene, C 2-8 -alkenyl and C 2-8 -alkynyl;  
 R X  may be absent or selected from the group consisting of hydrogen, optionally substituted C 1-8 -alkyl, optionally substituted C 3-8 -cycloalkyl, optionally substituted C 2-8 -alkenyl, optionally substituted C 2-8 -alkynyl, CH 2 —N(R 5 )(R 5 ), CH 2 —OR 5 , CH 2 —SR 5 , CH 2 —O—C(═O)R 5 , CH 2 —O—C(═S)R 5 ;  
 R 3  may be present 0-4 times and! selected from the group consisting of halogen, hydroxy, optionally substituted C 1-8 -alkyl, C 1-8 -alkoxy, optionally substituted C 1-8 -alkylidene, optionally substituted C 2-8 -alkenyl, optionally substituted C 2-8 -alkynyl optionally substituted aryl, optionally substituted heteroaryl, optionally substituted C 3-8 -cycloalkyl, optionally substituted C 3-8 -heterocyclyl, and optionally substituted C 1-8 -alkylcarbonyl;  
 each R 6  and each R 7  is optionally and independently selected from the group consisting of hydrogen, halogen, hydroxy, optionally substituted C 1-8 -alkyl, C 1-8 -alkoxy, optionally substituted C 1-8 -alkylidene, optionally substituted C 2-8 -alkenyl, optionally substituted C 2-8 -alkynyl optionally substituted aryl, optionally substituted heteroaryl, optionally substituted C 3-8 -cycloalkyl, optionally substituted C 3-8 -heterocyclyl, and optionally substituted C 1-8 -alkylcarbonyl.  
 
     
     
         2 . The compound of  claim 1 , wherein Z is N.  
     
     
         3 . The compound of  claim 2 , wherein X is selected from the group consisting of N, S, and O.  
     
     
         4 . The compound of  claim 3 , wherein —Y is ═O.  
     
     
         5 . The compound of  claim 1 , wherein N(R 1 )R 2  is selected from the group consisting of a piperidine with at least one substituent R 4  in the 2-position, a piperidine with at least one substituent R 4  in the 3-position, and a piperidine with at least one substituent R 4  in the 4-position.  
     
     
         6 . The compound of  claim 5 , wherein N(R 1 )R 2  is a piperidine with at least one substituent R 4  in the 4-position.  
     
     
         7 . The compound of  claim 1 , wherein N(R 1 )R 2  is  
       
         
           
           
               
               
           
         
         wherein R 4  is selected from the group consisting of hydrogen, halogen, C 1-8 -alkyl, C 3-8 -cycloalkyl, C 1-8 -alkoxy, C 1-8 -alkylcarbonyl, C 1-8 -alkylidene, C 2-8 -alkenyl, and C 2-8 -alkynyl each of which may be optionally substituted with a substituent R 5    
         and wherein R 4′  is selected from the group consisting of C 1-8 -alkyl, C 1-8 -alkoxy, C 3-8 -cycloalkyl, C 1-8 -alkylidene, C 2-8 -alkenyl, and C 2-8 -alkynyl each of which may be optionally substituted with a substituent R 5 ; and  
         R 5 is selected from the group consisting of hydrogen, halogen, hydroxy, C 1-8 -alkyl, C 3-8 -cycloalkyl, C 1-8 -alkylidene, C 2-8 -alkenyl and C 2-8 -alkynyl.  
       
     
     
         8 . The compound of  claim 7 , wherein R 4  is hydrogen.  
     
     
         9 . The compound of  claim 1 , wherein R 4′  is selected from the group consisting of C 1-8 -alkyl, C 1-8 -alkoxy, C 3-8 -cycloalkyl, C 1-8 -alkylidene, each of which may be optionally substituted with a substituent R 5 .  
     
     
         10 . The compound of  claim 1 , wherein R 4  is selected from the group consisting of C 3-8 -alkyl, C 3-8 -alkoxy, and C 3-8 -alkylidene, each of which may be optionally substituted with a substituent R 5  wherein R 5  is selected from the group consisting of hydrogen, halogen, hydroxy and C 1-8 -alkyl.  
     
     
         11 . The compound of  claim 1 , wherein R 4  is selected from the group consisting of an optionally substituted butyl, an optionally substituted pentyl, an optionally substituted propyloxy, and 3-(C 1-8 -alkyl)-butylidene.  
     
     
         12 . The compound of  claim 1 , wherein 
 X is selected from the group consisting of O, N and S;    Z is N;    Y is ═O or tautomers thereof;    SPU is a spacer unit providing a distance d between Z and N wherein -SPU- is —(CR 6 R 7 ) n -A-, n is 3, and A is absent;    N together with R 1  and R 2  form a piperidine ring substituted with one or more substituents R 4  selected from the group consisting of hydroxy, halogen, C 1-8 -alkyl, C 3-8 -cycloalkyl, C 1-8 -alkoxy, C 1-8 -alkylcarbonyl, C 1-8 -alkylidene, C 2-8 -alkenyl, C 2-8 -alkynyl, C 1-6 -alkyloxyimino, and C 1-6 -alkyloxyamino each of which may be optionally substituted with a substituent R 5      and wherein at least one of said substituents R 4  is R 4′  selected from the group consisting of C 1-8 -alkyl, C 3-8 -cycloalkyl, C 1-8 -alkoxy, C 1-8 -alkylidenec, each of which may be optionally substituted with a substituent R 5 ;    R 5  is selected from the group consisting of hydrogen, halogen, hydroxy, C 1-8 -alkyl, C 1-8 -alkoxy, C 3-8 -cycloalkyl, C 3-8 -heterocyclyl, C 1-8 -alkylcarbonyl, C 1-8 -alkylidene, C 2-8 -alkenyl and C 2-8 -alkynyl;    R X  may be absent or selected from the group consisting of hydrogen, optionally substituted C 1-8 -alkyl    R 3  may be present 0-4 times and selected from the group consisting of halogen, hydroxy, optionally substituted C 1-8 -alkyl, C 1-8 -alkoxy, optionally substituted C 1-8 -alkylidene, optionally substituted C 2-8 -alkenyl, optionally substituted C 2-8 -alkynyl optionally substituted aryl, optionally substituted heteroaryl, optionally substituted C 3-8 -cycloalkyl, optionally substituted C 3-8 -heterocyclyl, and optionally substituted C 1-8 -alkylcarbonyl; and    each R 6  and each R 7  is optionally and independently selected from the group consisting of hydrogen, halogen, hydroxy, optionally substituted C 1-8 -alkyl, C 3-8 -cycloalkyl.    
     
     
         13 . A pharmaceutical composition comprising a compound according to  claim 1 , together with pharmaceutically acceptable carriers or excipients.  
     
     
         14 . A method of treating or preventing mental disease or disorder in a mammal comprising identifying a mammal in need thereof and administering to said mammal at least one compound of Formula I  
       
         
           
           
               
               
           
         
       
       or a pharmaceutically acceptable salt or prodrug thereof, wherein 
 X is selected from the group consisting of C, O, N and S  
 Z is selected from the group consisting of CH and N  
 Y is selected from the group consisting of ═O, ═N and ═S or tautomers thereof;  
 SPU is a spacer unit providing a distance d between Z and N wherein 
 -SPU- is a biradical selected from the group consisting of —(CR 6 R 7 ) n -A- and —C 3-8 -cycloalkyl-  
 wherein n is 1, 2, 3, 4, or 5 and  
 A is absent or an optionally substituted —C 3-8 -cycloalkyl;  
 
 N together with R 1  and R 2  form a heterocyclic ring wherein said heterocyclic ring is piperidine 
 and wherein the heterocyclic ring is substituted with one or more substituents R 4  selected from the group consisting of halogen, C 1-8 -alkyl, C 3-8 -cycloalkyl, C 1-8 -alkoxy, C 1-8 -alkylcarbonyl, C 1-8 -alkylidene, C 2-8 -alkenyl, C 2-8 -alkynyl, C 1-6 -alkyloxyimino, and C 1-6 -alkyloxyamino each of which may be optionally substituted with a substituent R 5    
 and wherein at least one of said substituents R 4  is R 4′  selected from the group consisting of C 1-8 -alkyl, C 3-8 -cycloalkyl, C 1-8 -alkoxy, C 1-8 -alkylcarbonyl, C 1-8 -alkylidene, each of which may be optionally substituted with a substituent R 5 ;  
 
 R 5  is selected from the group consisting of hydrogen, halogen, hydroxy, C 1-8 -alkyl, C 1-8 -alkoxy, C 3-8 -cycloalkyl, C 3-8 -heterocyclyl, C 1-8 -alkylcarbonyl, C 1-8 -alkylidene, C 2-8 -alkenyl and C 2-8 -alkynyl;  
 R X  may be absent or selected from the group consisting of hydrogen, optionally substituted C 1-8 -alkyl, optionally substituted C 3-8 -cycloalkyl, optionally substituted C 2-8 -alkenyl, optionally substituted C 2-8 -alkynyl, CH 2 —N(R 5 )(R 5 ), CH 2 —OR 5 , CH 2 —SR 5 , CH 2 —O—C(═O)R 5 , CH 2 —O—C(═S)R 5 ;  
 R 3  may be present 0-4 times and selected from the group consisting of halogen, hydroxy, optionally substituted C 1-8 -alkyl, C 1-8 -alkoxy, optionally substituted C 1-8 -alkylidene, optionally substituted C 2-8 -alkenyl, optionally substituted C 2-8 -alkynyl optionally substituted aryl, optionally substituted heteroaryl, optionally substituted C 3-8 -cycloalkyl, optionally substituted C 3-8 -heterocyclyl, and optionally substituted C 1-8 -alkylcarbonyl;  
 each R 6  and each R 7  is optionally and independently selected from the group consisting of hydrogen, halogen, hydroxy, optionally substituted C 1-8 -alkyl, C 1-8 -alkoxy, optionally substituted C 1-8 -alkylidene, optionally substituted C 2-8 -alkenyl, optionally substituted C 2-8 -alkynyl optionally substituted aryl, optionally substituted heteroaryl, optionally substituted C 3-8 -cycloalkyl, optionally substituted C 3 -s-heterocyclyl, and optionally substituted C 1-8 -alkylcarbonyl.  
 
     
     
         15 . The method of  claim 14 , wherein the mental disorder is selected from the group consisting of cognitive impairment, forgetfulness, confusion, memory loss, attentional deficits, deficits in visual perception, depression, sleep disorders, and psychosis.  
     
     
         16 . The method of  claim 14 , wherein the mental disorder is selected from the group consisting of neurodegenerative diseases, Alzheimer's disease, Parkinson's disease, schizophrenia, Huntington's chorea, Friederich's ataxia, Gilles de la Tourette's Syndrome, Down Syndrome, Pick disease, dementia, clinical depression, age-related cognitive decline, attention-deficit disorder, and sudden infant death syndrome.  
     
     
         17 . A method of treating or preventing a disease or disorder associated with increased intraocular pressure in a mammal comprising identifying a mammal in need thereof and administering to said mammal at least one compound of Formula I  
       
         
           
           
               
               
           
         
       
       or a pharmaceutically acceptable salt or prodrug thereof, wherein 
 X is selected from the group consisting of C, O, N and S  
 Z is selected from the group consisting of CH and N  
 Y is selected from the group consisting of ═O, ═N and ═S or tautomers thereof;  
 SPU is a spacer unit providing a distance d between Z and N wherein 
 -SPU- is a biradical selected from the group consisting of —(CR 6 R 7 ) n -A- and —C 3-8 -cycloalkyl-  
 wherein n is 1, 2, 3, 4, or 5 and  
 A is absent or an optionally substituted -C 3-8 -cycloalkyl;  
 
 N together with R 1  and R 2  form a heterocyclic ring wherein said heterocyclic ring is piperidine 
 and wherein the heterocyclic ring is substituted with one or more substituents R 4  selected from the group consisting of halogen, C 1-8 -alkyl, C 3-8 -cycloalkyl, C 1-8 -alkoxy, C 1-8 -alkylcarbonyl, C 1-8 -alkylidene, C 2-8 -alkenyl, C 2-8 -alkynyl, C 1-6 -alkyloxyimino, and C 1-6 -alkyloxyamino each of which may be optionally substituted with a substituent R 5    
 and wherein at least one of said substituents R 4  is R 4′  selected from the group consisting of C 1-8 -alkyl, C 3-8 -cycloalkyl, C 1-8 -alkoxy, C 1-8 -alkylcarbonyl, C 1-8 -alkylidene, each of which may be optionally substituted with a substituent R 5 ;  
 
 R 5  is selected from the group consisting of hydrogen, halogen, hydroxy, C 1-8 -alkyl, C 1-8 -alkoxy, C 3-8 -cycloalkyl, C 3-8 -heterocyclyl, C 1-8 -alkylcarbonyl, C 1-8 -alkylidene, C 2-8 -alkenyl alkenyl and C 2-8 -alkynyl;  
 R X  may be absent or selected from the group consisting of hydrogen, optionally substituted C 1-8 -alkyl, optionally substituted C 3-8 -cycloalkyl, optionally substituted C 2-8 -alkenyl, optionally substituted C 2-8 -alkynyl, CH 2 —N(R 5 )(R 5 ), CH 2 —OR 5 , CH 2 —SR 5 , CH 2 —O—C(═O)R, 5 , CH 2 —O—C(═S)R 5 ;  
 R 3  may be present 0-4 times and selected from the group consisting of halogen, hydroxy, optionally substituted C 1-8 -alkyl, C 1-8 -alkoxy, optionally substituted C 1-8 -alkylidene, optionally substituted C 2-8 -alkenyl, optionally substituted C 2-8 -alkynyl optionally substituted aryl, optionally substituted heteroaryl, optionally substituted C 3-8 -cycloalkyl, optionally substituted C 3-8 -heterocyclyl, and optionally substituted C 1-8 -alkylcarbonyl;  
 each R 6  and each R 7  is optionally and independently selected from the group consisting of hydrogen, halogen, hydroxy, optionally substituted C 1-8 -alkyl, C 1-8 -alkoxy, optionally substituted C 1-8 -alkylidene, optionally substituted C 2-8 -alkenyl, optionally substituted C 2-8 -alkynyl optionally substituted aryl, optionally substituted heteroaryl, optionally substituted C 3-8 -cycloalkyl, optionally substituted C 3-8 -heterocyclyl, and optionally substituted C 1-8 -alkylcarbonyl.  
 
     
     
         18 . A method of increasing an activity of a cholinergic receptor comprising contacting the cholinergic receptor or a system containing the cholinergic receptor with an effective amount of at least one compound of Formula I  
       
         
           
           
               
               
           
         
       
       or a pharmaceutically acceptable salt or prodrug thereof, wherein 
 X is selected from the group consisting of C, O, N and S  
 Z is selected from the group consisting of CH and N  
 Y is selected from the group consisting of ═O, ═N and ═S or tautomers thereof,  
 SPU is a spacer unit providing a distance d between Z and N wherein 
 -SPU- is a biradical selected from the group consisting of —(CR 6 R 7 ) n -A- and —C 3-8 -cycloalkyl-  
 wherein n is 1, 2, 3, 4, or 5 and  
 A is absent or an optionally substituted —C 3-8 -cycloalkyl;  
 
 N together with R 1  and R 2  form a heterocyclic ring wherein said heterocyclic ring is piperidine 
 and wherein the heterocyclic ring is substituted with one or more substituents R 4  selected from the group consisting of halogen, C 1-8 -alkyl, C 3-8 -cycloalkyl, C 1-8 -alkoxy, C 1-8 -alkylcarbonyl, C 1-8 -alkylidene, C 2-8 -alkenyl, C 2-8 -alkynyl, C 1-6 -alkyloxyimino, and C 1-6 -alkyloxyamino each of which may be optionally substituted with a substituent R 5    
 and wherein at least one of said substituents R 4  is R 4′  selected from the group consisting of C 1-8 -alkyl, C 3-8 -cycloalkyl, C 1-8 -alkoxy, C 1-8 -alkylcarbonyl, C 1-8 -alkylidene, each of which may be optionally substituted with a substituent R 5 ;  
 
 R 5  is selected from the group consisting of hydrogen, halogen, hydroxy, C 1-8 -alkyl, C 1-8 -alkoxy, C 3-8 -cycloalkyl, C 3-8 -heterocyclyl, C 1-8 -alkylcarbonyl, C 1-8 -alkylidene, C 2-8 -alkenyl and C 2-8 -alkynyl;  
 R X  may be absent or selected from the group consisting of hydrogen, optionally substituted C 1-8 -alkyl, optionally substituted C 3-8 -cycloalkyl, optionally substituted C 2-8 -alkenyl, optionally substituted C 2-8 -alkynyl, CH 2 —N(R 5 )(R 5 ), CH 2 —OR 5 , CH 2 —SR 5 , CH 2 —O—C(═O)R 5 , CH 2 —O—C(═S)R 5 ;  
 R 3  may be present 0-4 times and selected from the group consisting of halogen, hydroxy, optionally substituted C 1-8 -alkyl, C 1-8 -alkoxy, optionally substituted C 1-8 -alkylidene, optionally substituted C 2-8 -alkenyl, optionally substituted C 2-8 -alkynyl optionally substituted aryl, optionally substituted heteroaryl, optionally substituted C 3-8 -cycloalkyl, optionally substituted C 3-8 -heterocyclyl, and optionally substituted C 1-8 -alkylcarbonyl;  
 each R 6  and each R 7  is optionally and independently selected from the group consisting of hydrogen, halogen, hydroxy, optionally substituted C 1-8 -alkyl, C 1-8 -alkoxy, optionally substituted C 1-8 -alkylidene, optionally substituted C 2-8 -alkenyl, optionally substituted C 2-8 -alkynyl optionally substituted aryl, optionally substituted heteroaryl, optionally substituted C 3-8 -cycloalkyl, optionally substituted C 3-8 -heterocyclyl, and optionally substituted C 1-8 -alkylcarbonyl.  
 
     
     
         19 . The method of  claim 18 , wherein the compound is a cholinergic agonist.  
     
     
         20 . The method of  claim 19 , wherein the compound is selective for one or both of the M 1  and M 4  muscarinic receptor subtypes.  
     
     
         21 . The method of  claim 18 , wherein the compound further acts as a D 2  antagonist or D 2  inverse agonist.  
     
     
         22 . A method of treating or preventing pain in a mammal, comprising administering an effective amount of a compound of  claim 1  to said mammal.  
     
     
         23 . A method of prophylactic or curative treatment of psychosis or alleviation of symptoms of psychosis in a mammal, comprising administering to said mammal an effective amount of a compound of Formula I  
       
         
           
           
               
               
           
         
       
       or a pharmaceutically acceptable salt or prodrug thereof, wherein 
 X is selected from the group consisting of C, O, N and S  
 Z is selected from the group consisting of CH and N  
 Y is selected from the group consisting of ═O, ═N and ═S or tautomers thereof;  
 SPU is a spacer unit providing a distance d between Z and N wherein 
 -SPU- is a biradical selected from the group consisting of —(CR 6 R 7 ) n -A- and —C 3-8 -cycloalkyl-  
 wherein n is 1, 2, 3, 4, or 5 and  
 A is absent or an optionally substituted —C 3-8 -cycloalkyl;  
 
 N together with R 1  and R 2  form a heterocyclic ring wherein said heterocyclic ring is piperidine 
 and wherein the heterocyclic ring is substituted with one or more substituents R 4  selected from the group consisting of halogen, C 1-8 -alkyl, C 3-8 -cycloalkyl, C 1-8 -alkoxy, C 1-8 -alkylcarbonyl, C 1-8 -alkylidene, C 2-8 -alkenyl, C 2-8 -alkynyl, C 1-6 -alkyloxyimino, and C 1-6 -alkyloxyamino each of which may be optionally substituted with a substituent R 5    
 and wherein at least one of said substituents R 4  is R 4′  selected from the group consisting of C 1-8 -alkyl, C 3-8 -cycloalkyl, C 1-8 -alkoxy, C 1-8 -alkylcarbonyl, C 1-8 -alkylidene, each of which may be optionally substituted with a substituent R 5 ;  
 
 R 5  is selected from the group consisting of hydrogen, halogen, hydroxy, C 1-8 -alkyl, C 1-8 -alkoxy, C 3-8 -cycloalkyl, C 3-8 -heterocyclyl, C 1-8 -alkylcarbonyl, C 1-8 -alkylidene, C 2-8 -alkenyl and C 2-8 -alkynyl;  
 R X  may be absent or selected from the group consisting of hydrogen, optionally substituted Ci g-alkyl, optionally substituted C 3-8 -cycloalkyl, optionally substituted C 2-8 -alkenyl, optionally substituted C 2-8 -alkynyl, CH 2 —N(R 5 )(R 5 ), CH 2 —OR 5 , CH 2 —SR 5 , CH 2 —O—C(═O)R 5 , CH 2 —O—C(═S)R 5 ;  
 R 3  may be present 0-4 times and selected from the group consisting of halogen, hydroxy, optionally substituted C 1-8 -alkyl, C 1-8 -alkoxy, optionally substituted C 1-8 -alkylidene, optionally substituted C 2-8 -alkenyl, optionally substituted C 2-8 -alkynyl optionally substituted aryl, optionally substituted heteroaryl, optionally substituted C 3-8 -cycloalkyl, optionally substituted C 3-8 -heterocyclyl, and optionally substituted C 3-8 -alkylcarbonyl;  
 each R 6  and each R 7  is optionally and independently selected from the group consisting of hydrogen, halogen, hydroxy, optionally substituted C 1-8 -alkyl, C 1-8 -alkoxy, optionally substituted C 1-8 -alkylidene, optionally substituted C 2-8 -alkenyl, optionally substituted C 2-8 -alkynyl optionally substituted aryl, optionally substituted heteroaryl, optionally substituted C 3-8 -cycloalkyl, optionally substituted C 3-8 -heterocyclyl, and optionally substituted C 1-8 -alkylcarbonyl.  
 
     
     
         24 . A method of modulating or preventing the progression or formation of amyloid plaques in an individual susceptible to or affected by Alzheimer's Disease, comprising administering an effective amount sufficient to modulate amyloid precursor protein processing of a compound of Formula I  
       
         
           
           
               
               
           
         
       
       or a pharmaceutically acceptable salt or prodrug thereof, wherein 
 X is selected from the group consisting of C, O, N and S  
 Z is selected from the group consisting of CH and N  
 Y is selected from the group consisting of ═O, ═N and ═S or tautomers thereof;  
 SPU is a spacer unit providing a distance d between Z and N wherein 
 -SPU- is a biradical selected from the group consisting of —(CR 6 R 7 ) n -A- and —C 3-8 -cycloalkyl-  
 wherein n is 1, 2, 3, 4, or 5 and  
 A is absent or an optionally substituted —C 3-8 -cycloalkyl;  
 
 N together with R 1  and R 2  form a heterocyclic ring wherein said heterocyclic ring is piperidine 
 and wherein the heterocyclic ring is substituted with one or more substituents R 4  selected from the group consisting of halogen, C 1-8 -alkyl, C 3-8 -cycloalkyl, C 1-8 -alkoxy, C 1-8 -alkylcarbonyl, C 1-8 -alkylidene, C 2-8 -alkenyl, C 2-8 -alkynyl, C 1-6 -alkyloxyimino, and C 1-6 -alkyloxyamino each of which may be optionally substituted with a substituent R 5    
 and wherein at least one of said substituents R 4  is R 4′  selected from the group consisting of C 1-8 -alkyl, C 3-8 -cycloalkyl, C 1-8 -alkoxy, C 1-8 -alkylcarbonyl, C 1-8 -alkylidene, each of which may be optionally substituted with a substituent R 5 ;  
 
 R 5  is selected from the group consisting of hydrogen, halogen, hydroxy, C 1-8 -alkyl, C 1-8 -alkoxy, C 3-8 -cycloalkyl, C 3-8 -heterocyclyl, C 1-8 -alkylcarbonyl, C 1-8 -alkylidene, C 2-8 alkenyl and C 2-8 -alkynyl;  
 R X  may be absent or selected from the group consisting of hydrogen, optionally substituted C 1-8 -alkyl, optionally substituted C 3-8 -cycloalkyl, optionally substituted C 2-8 -alkenyl, optionally substituted C 2-8 -alkynyl, CH 2 —N(R 5 )(R 5 ), CH 2 —OR 5 , CH 2 —SR 5 , CH 2 —O—C(═O)R 5 , CH 2 —O—C(═S)R 5 ;  
 R 3  may be present 0-4 times and selected from the group consisting of halogen, hydroxy, optionally substituted C 1-8 -alkyl, C 1-8 -alkoxy, optionally substituted C 1-8 -alkylidene, optionally substituted C 2-8 -alkenyl, optionally substituted C 2-8 -alkynyl optionally substituted aryl, optionally substituted heteroaryl, optionally substituted C 3-8 -cycloalkyl, optionally substituted C 3-8 -heterocyclyl, and optionally substituted C 1-8 -alkylcarbonyl;  
 each R 6  and each R 7  is optionally and independently selected from the group consisting of hydrogen, halogen, hydroxy, optionally substituted C 1-8 -alkyl, C 1-8 -alkoxy, optionally substituted C 1-8 -alkylidene, optionally substituted C 2-8 -alkenyl, optionally substituted C 2-8 -alkynyl optionally substituted aryl, optionally substituted heteroaryl, optionally substituted C 3-8 -cycloalkyl, optionally substituted C 3-8 -heterocyclyl, and optionally substituted C 1-8 -alkylcarbonyl.

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