Summary
Novelty: 1,4-Disubstituted piperazines are claimed specifically for the treatment of migraine and vascular headache. The compounds are 5HT1D receptor subtype agonists. In addition, it is notable that the compounds are similar to previously claimed 5HT reuptake inhibitors (EP-464604-A). It is possible that both of the above activities contribute to the overall ‘serotonergic’ character of the claimed compounds.
Biology: 5HT1D affinity is demonstrated in competition-binding assays against 5HT in brain membranes. Most compounds exhibit IC50 values less than 20 nM.
Chemistry: Three multistep synthetic schemes are presented, forming a subsidiary part of the claim. These processes are exemplified by approximately forty compounds and intermediates. Several compounds are specifically claimed, the preferred compound being 1-[3-(5-fluoro-1H-indol-3-yl)propyl]-4-(5-methoxy-4-pyrimidinyl)piperazine.