3- and 6-quinolines with N-attached heterocyclic CGRP receptor antagonists
View Patent ↗Compounds of Formula (I): (where variables R 1A , R 1B , R 2 , R 3 , R 4 , A, and Z are as defined herein) which are useful as antagonists of CGRP receptors, and useful in the treatment or prevention of diseases in which CGRP receptors are involved, such as headache, and in particular migraine and cluster headache. The invention is also directed to pharmaceutical compositions comprising these compounds and the use of these compounds and compositions in the prevention or treatment of such diseases in which CGRP receptors are involved.
1. A compound of Formula I:
wherein:
E 1 and E 2 are each independently selected from the group consisting of:
(1) ═N—,
(2) ═N + (O − )—, and
(3) ═C(R 5 )—
wherein at least one of E 1 and E 2 must contain nitrogen;
each Q is ═C(R 5 )—;
A 1 , A 2 and A 3 are each independently selected from the group consisting of:
(1) a bond,
(2) —CR 1 R 2 —,
(3) —NR b —,
(4) —CR 1 R 2 —NR b —,
(5) —CR 1 R 2 —CH 2 —,
(6) —O—CR 1 R 2 —,
(7) —CR 1 R 2 —O—, and
(8) —C(═O)—,
provided that at least one of A 1 , A 2 and A 3 is not a bond;
R 1 and R 2 are each independently selected from the group consisting of:
(1) hydrogen,
(2) C 1-6 alkyl, which is unsubstituted or substituted with 1-5 substituents each independently selected from the group consisting of:
(a) —C 3-6 cycloalkyl, which is unsubstituted or substituted with 1-5 halo,
(b) —OR a ,
(c) halo, and
(d) phenyl, which is unsubstituted or substituted with 1-5 halo,
(3) —OR a ,
(4) halo, and
(5) phenyl or pyridinyl, which is unsubstituted or substituted with 1-5 substituents each independently selected from the group consisting of:
(a) halo,
(b)—OR a ,
(c)—CN, and
(d)—C 1-6 alkyl, which is unsubstituted or substituted with 1-5 halo;
R 5 is selected from the group consisting of:
(1) hydrogen
(2) —C 1-6 alkyl, which is unsubstituted or substituted with 1-6 halo,
(3) halo,
(4) —OR a , and
(5) —CN;
B is a heterocycle selected from the group consisting of:
where B is linked to A 1 via a nitrogen atom in B and
where B is unsubstituted or substituted with 1-6 substitutents independently selected from the group consisting of R 3 , R 4 , R 6 , R 7 , R 8 and R 9 ;
R 3 , R 4 , R 6 , R 7 , R 8 and R 9 are each independently selected from the group consisting of:
(1) hydrogen,
(2) —C 1-6 alkyl, which is unsubstituted or substituted with 1-5 substituents each independently selected from the group consisting of:
(a) halo,
(b) —OR a ,
(c) —C 3-6 cycloalkyl,
(d) phenyl or heterocycle, wherein said heterocycle is selected from the group consisting of: benzodioxolyl, imidazolyl, indolyl, pyridyl, pyrimidinyl, pyrazinyl, pyridazinyl, piperdinyl, piperazinyl, pyrrolidinyl, thienyl, morpholinyl, thiazolyl and oxazolyl, which phenyl or heterocycle is unsubstituted or substituted with 1-5 substituents each independently selected from the group consisting of:
(i) halo,
(ii) —C 1-6 alkyl, which is unsubstituted or substituted with 1-5 halo, and
(iii) —OR a ,
(e) —CO 2 R a ,
(f) —C(═O)NR b R c ,
(g) —S(O) v R d ,
(h) —CN,
(i) —NR b R a ,
(j) —N(R b )C(═O)R a ,
(k) —N(R b )SO 2 R d ,
(l) —CF 3 ,
(m) —O—CO 2 R d ,
(n) —O—(C═O)—NR b R c ,
(o) —NR b —(C═O)—NR b R c , and
(p) —C(═O)R a ,
(3) —C 3-6 cycloalkyl, which is unsubstituted or substituted with 1-5 substituents each independently selected from the group consisting of:
(a) halo,
(b) —CN,
(c) —C 1-6 alkyl, which is unsubstituted or substituted with 1-5 halo,
(d) —OR a ,and
(e) phenyl, which is unsubstituted or substituted with 1-5 substituents each independently selected from the group consisting of:
(i) —OR a ,
(ii) halo,
(iii) —CN, and
(iv) —C 1-6 alkyl, which is unsubstituted or substituted with 1-5 halo,
(4) phenyl or heterocycle, wherein said heterocycle is selected from: benzimidazolyl, benzoxazinyl, benzoxazolyl, indanyl, indolyl, morpholinyl, oxadiazolyl, oxazolyl, pyridyl, pyrimidinyl, pyrazinyl, pyrazolyl, pyridazinyl, piperdinyl, piperazinyl, pyrrolidinyl, thienyl, tetrazolyl, thiazolyl, and triazolyl, which phenyl or heterocycle is unsubstituted or substituted with 1-5 substituents each independently selected from the group consisting of:
(a) halo,
(b) OR a ,
(c)—C 3-6 cycloalkyl,
(d) phenyl or pyridyl, which is unsubstituted or substituted with 1-5 substituents each independently selected from the group consisting of:
(i) halo,
(ii) C 1-6 alkyl, which is unsubstituted or substituted with 1-6 halo, and
(iii) —OR a ,
(e) —CO 2 R a ,
(f) —C(═O)NR b R c ,
(g) —S(O) v R d ,
(h) —CN,
(i) —NR b R c ,
(j) —N(R b )C(═O)R a ,
(k) —N(R b )SO 2 R d ,
(l) —O—CO 2 R d ,
(m) —O—(C═O)—NR b R c ,
(n) —NR b —(C═O)—NR b R c ,
(o) oxo,
(p) —C(═O)R a , and
(q) —C 1-6 alkyl, which is unsubstituted or substituted with 1-6 halo,
(5) halo,
(6) oxo,
(7) —OR a ,
(8) —CN,
(9) —CO 2 R a ,
(10) —C(═O)R a ,
(11) —NR b R c ,
(12) —S(O) v R d ,
(13) —C(═O)NR b R c ,
(14) —O—(C═O)R a ,
(15) —O—CO 2 R d ,
(16) —N(R b )CO 2 R d ,
(17) —O—(C═O)—NR b R c ,
(18) —NR b —(C═O)—NR b R c ,
(19) —SO 2 NR b R c , and
(20) —N(R b )SO 2 R d ,
or R 7 and R 8 and the atom(s) to which they are attached join to form a ring selected from the group consisting of azetidinyl, aziridinyl, cyclobutyl, cycloheptyl, cyclohexyl, cyclooctyl, cyclopentyl, cyclopropyl, dihydrobenzofuranyl, dihydrobenzopyranyl, dioxanyl, dioxoalanyl, indanyl, indenyl, indolinyl, isoindolinyl, morpholinyl, oxetanyl, piperazinyl, piperidinyl, pyrrolidinyl, tetrahydrofuranyl, tetrahydroisoquinolinyl, tetrahydronaphthyl, tetrahydroquinolinyl, tetrahydropyranyl, tetrahydrothiapyranyl, tetrahydrothienyl, thiamorpholinyl, and thietanyl, wherein the sulfur is optionally oxidized to the sulfone or sulfoxide, which ring is unsubstituted or substituted with 1-5 substituents each independently selected from the group consisting of:
(a) —C 1-6 alkyl, which is unsubstituted or substituted with 1-3 substituents each independently selected from the group consisting of:
(i) halo,
(ii) —OR a ,
(iii) —C 3-6 cycloalkyl,
(iv) —CO 2 R a ,
(v) —NR b R c ,
(vi) —S(O) v R d ,
(vii) —C(═O)NR b R c , and
(viii) phenyl, which is unsubstituted or substituted with 1-5 halo,
(b) phenyl or heterocycle, wherein heterocycle is selected from the group consisting of: pyridyl, pyrimidinyl, pyrazinyl, pyridazinyl, piperdinyl, piperazinyl, pyrrolidinyl, thienyl, morpholinyl, thiazolyl and oxazolyl, wherein the phenyl or heterocycle is optionally fused to the ring, and which phenyl or heterocycle is unsubstituted or substituted with 1-5 substituents each independently selected from:
(i) halo,
(ii) —C 1-6 alkyl, which is unsubstituted or substituted with 1-5 halo, and
(iii) —OR a ,
(c)—OR a ,
(d)halo,
(e)—CO 2 R a ,
(f)—C(═O)NR b R c ,
(g)—S(O) v R d ,
(h)—CN,
(i)—NR b R c ,
(j)—N(R b )C(═O)R a ,
(k)—N(R b )SO 2 R d ,
(l) —O—(C═O)R a ,
(m)—O—CO 2 R d ,
(n)—O—(C═O)—NR b R c ,
(o)—NR b —(C═O)—NR b R c ,
(p)—C(═O)R a , and
(q) oxo;
R PG is independently selected from the group consisting of:
(1) hydrogen,
(2) —C 1-6 alkyl which is unsubstituted or substituted with 1-5 halo,
(3) —CH 2 OR a ,
(4) —CH 2 —O—CH 2 CH 2 Si(CH 3 ) 3 ,
(5) —(CH 2 ) k -phenyl, which is unsubstituted or substituted with 1-3 substituents each independently selected from the group consisting of:
(a) halo,
(b) —OR a ,
(c) —CN, and
(d) —C 1-6 alkyl, which is unsubstituted or substituted with 1-6 halo;
J is
Y is
R 16a and R 16b and the atom(s) to which they are attached join to form a pyridyl ring which ring is unsubstituted or substituted with 1-5 substituents each independently selected from the group consisting of:
(a)—C 1-6 allcyl, which is unsubstituted or substituted with 1-3 substituents each independently selected from the group consisting of:
(i) halo,
(ii) —OR a ,
(iii) —C 3-6 cycloalkyl,
(iv) phenyl or heterocycle, wherein heterocycle is selected from pyridyl, pyrimidinyl, pyrazinyl, pyridazinyl, piperidinyl, piperazinyl, pyrrolidinyl, thienyl and morpholinyl, which phenyl or heterocycle is unsubstituted or substituted with 1-5 substituents each independently selected from the group consisting of:
(I) —OR a ,
(II) halo,
(III) —CN, and
(IV) —C 1-6 alkyl which is unsubstituted or substituted with 1-6 halo,
(v) —CO 2 R a ,
(vi) —NR b R c ,
(vii) —S(O) v R d ,
(viii) —C(═O)NR b R c ,
(ix) —N(R b )CO 2 R a , and
(x) —N(R b )SO 2 R d ,
(b) phenyl or heterocycle, wherein said heterocycle is selected from pyridyl, pyrimidinyl, pyrazinyl, pyridazinyl, piperidinyl, azetidinyl, piperazinyl, pyrrolidinyl, thienyl and morpholinyl, which phenyl or heterocycle is unsubstituted or substituted with 1-5 substituents each independently selected from the group consisting of:
(i) halo,
(ii) —OR a ,
(iii) —CN, and
(iv) —C 1-6 alkyl which is unsubstituted or substituted with 1-6 halo,
(c) halo,
(d) —S(O) v R d ,
(e) —OR a ,
(f) —CN,
(g) —C(═O)R a ,
(h) —NR b R c ,
(i) —C(═O)NR b R c ,
(j) —CO 2 R a ,
(k) —(NR b )CO 2 R a ,
(l) —O—(C═O)—NR b R c ,
(m) —(NR b )—(C═O)—NR b R c ,
(n) oxo, and
(o) —(NR b )SO 2 R d ;
R a is selected from the group consisting of:
(1) hydrogen,
(2) C 1-6 alkyl, which is unsubstituted or substituted with 1-7 substituents each independently selected from the group consisting of:
(a) halo,
(b) —O—C 1-6 alkyl, which is unsubstituted or substituted with 1-6 halo,
(c) hydroxyl,
(d) —C(═O)—O—C 1-6 alkyl, which is unsubstituted or substituted with 1-6 halo,
(e) —CN, and
(f) phenyl or heterocycle wherein said heterocycle is selected from the group consisting of pyridyl, pyrimidinyl, thienyl, pyridazinyl, piperidinyl, azetidinyl, furanyl, piperazinyl, pyrrolidinyl, morpholinyl, tetrahydrofuranyl, tetrahydropyranyl and pyrazinyl, which phenyl or heterocycle is unsubstituted or substituted with 1-3 substituents each independently selected from the group consisting of:
(i) halo,
(ii) —O—C 1-6 alkyl, which is unsubstituted or substituted with 1-6 halo,
(iii) —CN,
(iv) nitro,
(v) hydroxyl, and
(vi) —C 1-6 allcyl, which is unsubstituted or substituted with 1-6 halo,
(3) phenyl or heterocycle wherein said heterocycle is selected from pyridyl, indolyl, pyrimidinyl, thienyl, pyridazinyl, piperidinyl, azetidinyl, furanyl, piperazinyl, pyrrolidinyl, morpholinyl, tetrahydrofuranyl, tetrahydropyranyl and pyrazinyl, which phenyl or heterocycle is unsubstituted or substituted with 1-3 substituents each independently selected from the group consisting of:
(a) halo,
(b) —CN,
(c) —O—C 1-6 allcyl, which is unsubstituted or substituted with 1-6 halo,
(d) nitro,
(e) hydroxyl, and
(f) —C 1-6 alkyl, which is unsubstituted or substituted with 1-6 halo, and
(4) —C 3-6 cycloalkyl, which is unsubstituted or substituted with 1-6 halo;
R b and R c are each independently selected from the group consisting of:
(1) hydrogen,
(2) C 1-6 alkyl, which is unsubstituted or substituted with 1-7 substituents each independently selected from the group consisting of:
(a) halo,
(b) —OR a ,
(c) —CN,
(d) —CO 2 R a ,
(e) phenyl or heterocycle, wherein said heterocycle is selected from the group consisting of pyridyl, pyrimidinyl, thienyl, pyridazinyl, piperidinyl, azetidinyl, furanyl, piperazinyl, pyrrolidinyl, morpholinyl, tetrahydrofuranyl, tetrahydropyranyl and pyrazinyl, which phenyl or heterocycle is unsubstituted or substituted with 1-3 substituents each independently selected from the group consisting of:
(i) halo,
(ii) —OR a ,
(iii) —C 1-6 alkyl, which is unsubstituted or substituted with 1-6 halo, and
(iv) nitro,
(3) phenyl or heterocycle, wherein said heterocycle is selected from the group consisting of pyridyl, pyrimidinyl, thienyl, pyridazinyl, piperidinyl, azetidinyl, furanyl, piperazinyl, pyrrolidinyl, morpholinyl, tetrahydrofuranyl, tetrahydropyranyl and pyrazinyl, which phenyl or heterocycle is unsubstituted or substituted with 1-3 substituents each independently selected from the group consisting of:
(a) halo,
(b) —OR a ,
(c) —C 1-6 alkyl, which is unsubstituted or substituted with 1-6 halo,
(d) —C 3-6 cycloalkyl, which is unsubstituted or substituted with 1-6 halo,
(e) —CN, and
(f) —CO 2 R a ,
(4) —C 3-6 cycloalkyl, which is unsubstituted or substituted with 1-6 halo;
or R b and R c and the nitrogen to which they are attached join to form a 4-, 5-, or 6-membered ring optionally containing an additional heteroatom selected from N, O and S, wherein the sulfur is optionally oxidized to the sulfone or sulfoxide, which ring is unsubstituted or substituted with 1-4 substituents each independently selected from the group consisting of:
(a) halo,
(b) —OR a , and
(c) —C 1-6 alkyl, which is unsubstituted or substituted with 1-6 halo, and
(d) phenyl;
R d is selected from the group consisting of:
(1) C 1-6 alkyl, which is unsubstituted or substituted with 1-7 substituents each independently selected from the group consisting of:
(a) halo,
(b) —OR a ,
(c) —CO 2 R a
(d) —CN, and
(e) phenyl or heterocycle wherein said heterocycle is selected from the group consisting of pyridyl, pyrimidinyl, thienyl, pyridazinyl, piperidinyl, azetidinyl, furanyl, piperazinyl, pyrrolidinyl, morpholinyl, tetrahydrofuranyl, tetrahydropyranyl and pyrazinyl, which phenyl or heterocycle is unsubstituted or substituted with 1-3 substituents each independently selected from the group consisting of:
(i) halo,
(ii) —OR a ,
(iii) —CN,
(iv) nitro, and
(v) —C 1-6 alkyl, which is unsubstituted or substituted with 1-6 halo,
(2) phenyl or heterocycle wherein said heterocycle is selected from the group consisting of pyridyl, pyrimidinyl, thienyl, pyridazinyl, piperidinyl, azetidinyl, furanyl, piperazinyl, pyrrolidinyl, morpholinyl, tetrahydrofuranyl, tetrahydropyranyl and pyrazinyl, which phenyl or heterocycle is unsubstituted or substituted with 1-3 substituents each independently selected from the group consisting of:
(a) halo,
(b) —OR a ,
(c) —C 1-6 alkyl, which is unsubstituted or substituted with 1-6 halo,
(d) —C 3-6 cycloalkyl, which is unsubstituted or substituted with 1-6 halo
(e) nitro,
(f) —CN, and
(g) —CO 2 R a ,
(3)—C 3-6 cycloalkyl, which is unsubstituted or substituted with 1-6 halo;
m is 1;
n is 1;
v is 0, 1, or 2;
k is 0, 1, or 2;
or a pharmaceutically acceptable salt thereof and tautomers thereof and individual enantiomers and diastereomers thereof.
2. A compound of claim 1 , or a pharmaceutically acceptable salt thereof, wherein A 2 and A 3 are each a bond, and A 1 is selected from the group consisting of:
(1)—CR 1 R 2 —,
(2) —NR b —,
(3) —CR 1 R 2 —NR b —,
(4) —CR 1 R 2 —CH 2 —,
(5)—O—CR 1 R 2 —,
(6) —CR 1 R 2 —O—, and
(7) —C(═O)—.
3. A compound of claim 1 , or a pharmaceutically acceptable salt thereof, wherein B is selected from the group consisting of:
wherein B is unsubstituted or substituted with 1-6 substitutents independently selected from the group consisting of R 3 , R 4 , R 6 , R 7 , R 8 and R 9 , and
R 3 , R 4 , R 6 , R 7 , R 8 and R 9 are each independently selected from the group consisting of:
(1)hydrogen,
(2)—C 1-6 alkyl, which is unsubstituted or substituted with 1-5 substituents each independently selected from the group consisting of:
(a) halo,
(b) —OR a ,
(c) —C 3-6 cycloalkyl,
(d) phenyl, which phenyl is unsubstituted or substituted with 1-5 halogen,
(3)—C 3-6 cycloalkyl, which is unsubstituted or substituted with 1-5 substituents each independently selected from the group consisting of:
(a) halo,
(b) —CN,
(c) —C 1-6 alkyl, which is unsubstituted or substituted with 1-5 halo,
(d) —OR a , and
(e) phenyl, which is unsubstituted or substituted with 1-5 substituents each independently selected from the group consisting of:
(i)—OR a ,
(ii) halo,
(iii) —CN, and
(iv)—C 1-6 alkyl, which is unsubstituted or substituted with 1-5 halo,
(4) phenyl, which is unsubstituted or substituted with 1-5 halogen, and
(5) oxo,
or R 7 and R 8 and the atom(s) to which they are attached join to form a ring selected from the group consisting of cycloheptyl, cyclohexyl, cyclooctyl, cyclopentyl or tetrahydronaphthyl, which ring is unsubstituted or substituted with 1-5 substituents each independently selected from the group consisting of:
(a) —C 1-6 alkyl, which is unsubstituted or substituted with 1-3 substituents each independently selected from halo,
(b) phenyl, wherein the phenyl is optionally fused to the ring, and which phenyl or heterocycle is unsubstituted or substituted with 1-5 substituents each independently selected from the group consisting of:
(i) halo,
(ii) —C 1-6 alkyl, which is unsubstituted or substituted with 1-5 halo, and
(iii) —OR a .
4. A compound of claim 1 , or a pharmaceutically acceptable salt thereof, wherein B is selected from the group consisting of:
wherein B is unsubstituted or substituted with 1-6 substitutents independently selected from the group consisting of R 3 , R 4 , R 6 , R 7 , R 8 and R 9 , or R 7 and R 8 and the atom(s) to which they are attached join to form a ring selected from the group consisting of cycloheptyl, cyclohexyl, cyclopentyl, and tetrahydronaphthyl.
5. A compound of claim 1 , or a pharmaceutically acceptable salt thereof, wherein B is selected from the group consisting of:
wherein B is substituted with 1-6 substitutents independently selected from the group consisting of R 3 , R 4 , R 6 , R 7 , R 8 and R 9 , and at least one of R 3 , R 4 , R 6 , R 7 , R 8 and R 9 is oxo.
6. A compound of claim 1 , or a pharmaceutically acceptable salt thereof, wherein B is selected from the group consisting of:
wherein B is unsubstituted or substituted with 1-6 substitutents independently selected from the group consisting of R 3 , R 4 , R 6 , R 7 , R 8 and R 9 , and at least one of R 3 , R 4 , R 6 , R 7 , R 8 and R 9 is phenyl, optionally substituted with one or two halo.
7. A compound of claim 1 , or a pharmaceutically acceptable salt thereof, wherein E 1 is nitrogen and E 2 is ═C(R 5 )—.
8. A compound of claim 1 , or a pharmaceutically acceptable salt thereof, wherein E 2 is nitrogen and E 1 is ═C(R5)—.
9. A compound of claim 1 , or a pharmaceutically acceptable salt thereof, which is a compound of formula (II)
or a pharmaceutically acceptable salt thereof and tautomers thereof and individual enantiomers and diastereomers thereof.
10. A compound of claim 9 , or a pharmaceutically acceptable salt thereof, wherein A 2 and A 3 are each a bond, and A 1 is selected from the group consisting of:
(1) —CR 1 R 2 —,
(2) —NR b —,
(3) —CR 1 R 2 —NR b —,
(4) —CR 1 R 2 —CH 2 —,
(5)—O—CR 1 R 2 —,
(6) —CR 1 R 2 —O—, and
(7) —C(═O)—.
11. A compound of claim 10 , or a pharmaceutically acceptable salt thereof, wherein B is selected from the group consisting of:
12. A compound of claim 11 , or a pharmaceutically acceptable salt thereof, wherein E 1 is nitrogen and E 2 is ═C(R 5 )—.
13. A compound of claim 9 , or a pharmaceutically acceptable salt thereof, wherein E 2 is nitrogen and E 1 is ═C(R 5 )—.
14. A compound of claim 1 , or a pharmaceutically acceptable salt thereof, which is a compound of formula (III)
or a pharmaceutically acceptable salt thereof and tautomers thereof and individual enantiomers and diastereomers thereof.
15. A compound of claim 14 , or a pharmaceutically acceptable salt thereof, wherein B is selected from the group consisting of:
16. A compound of claim 1 , which is a compound of formula (IV)
or a pharmaceutically acceptable salt thereof and tautomers thereof and individual enantiomers and diastereomers thereof.
17. A compound of claim 1 , which is selected from the group consisting of
(7S)-3-{[(6S)-6-(3,5-Difluorophenyl)-3,3-dimethyl-2-oxopiperidin-1-yl]methyl}-6,8-dihydrospiro[cyclopenta[g]quinoline-7,3′-pyrrolo[2,3 -b]pyridin]-2′(1′H)-one;
(7 S)-3 -{[(3R)-3 -(3 ,5-Difluorophenyl)-3-methyl-5-oxo-1,4-diazaspiro[5.6]dodec-4-yl]methyl}-6,8-dihydrospiro[cyclopenta[g]quinoline-7,3′-pyrrolo[2,3-b]pyridin]-2′(1′H)-one;
(7S)-3-{[(9S)-11-Oxo-9-phenyl-6,10-diazaspiro[4.6]undec-10-yl]methyl}-6,8-dihydrospiro[cyclopenta[g]quinoline-7,3′-pyrrolo[2,3-b]pyridin]-2′(1′H)-one;
(7S)-3-[(2-Phenylpiperidin-1-yl)methyl]-6,8-dihydrospiro [cyclopenta[g]quinoline-7,3′-pyrrolo[2,3 -b]pyridin]-2′(1′H)-one;
(7S)-3-{[(2R)-2-(3,5-Difluorophenyl)-2,5,5-trimethyl-6-oxopiperazin-1-yl]methyl}-6,8-dihydrospiro[cyclopenta[g]quinoline-7,3′-pyrrolo[2,3-b]pyridin]-2′(1′H)-one, isomer B;
(7S)-3-{[2-(3,5-Difluorophenyl)-2,4,5,5-tetramethyl-6-oxopiperazin-1-yl]methyl}-6,8-dihydrospiro[cyclopenta[g]quinoline-7,3′-pyrrolo[2,3-b]pyridin]-2′(1′H)-one, isomer B;
(7S)-3-[(11-Oxo-8-phenyl-6,10-diazaspiro[4.6]undec-10-yl)methyl]-6,8-dihydrospiro [cyclopenta[g]quinoline-7,3′-pyrrolo[2,3 -b]pyridin]-2′(1′H)-one;
or a pharmaceutically acceptable salt thereof.
18. A compound of claim 1 , which is selected from the group consisting of
or a pharmaceutically acceptable salt thereof.
19. A pharmaceutical composition which comprises an inert carrier and the compound of claim 1 .
20. A method for treating headache in a mammalian patient in need of such which comprises administering to the patient a therapeutically effective amount of the compound of claim 1 , or individual stereoisomer thereof.
21. The method of claim 20 , wherein headache is migraine headache or cluster headache.