5-ht receptor ligands and uses thereof
专利摘要:
The present invention relates to compounds of formula (IA) which act as 5-HT receptor ligands and their use in the treatment of diseases associated with the activation of 5-HT 2 receptors in animals. Formula IA 公开号:KR20040010767A 申请号:KR10-2003-7016704 申请日:2002-06-17 公开日:2004-01-31 发明作者:유안-칭 포에베 치앙;폴 앤드류 다실바-자르딘;라비 에스 가리기파티;엔젤 구즈만-페레즈;윌리엄 알버트 노보미슬;윌리어드 맥코완 웰치;케빈 쿤-친 리우 申请人:화이자 프로덕츠 인코포레이티드; IPC主号:
专利说明:
5-HT receptor ligand and its use {5-HT RECEPTOR LIGANDS AND USES THEREOF} [2] Receptors for serotonin (5-hydroxytrytamine, 5-HT) are an important G protein-coupled receptor class. Serotonin plays a role in processes related to learning and memory, sleep, thermoregulation, emotions, motility, pain, sexual behavior, aggressive behavior, appetite, neurorodegenerative regulation, and biological rhythm. I think. As expected, serotonin is associated with pathophysiological conditions such as anxiety, depression, obsessive-compulsive disorders, schizophrenia, suicide, autism, migraine, vomiting, alcoholism and neurodegenerative disorders. . [3] Serotonin receptors are currently classified into seven subclasses (5-HT 1 to 5-HT 7 ). Hoyer, D. et al., "Vll International Union of Pharmacology classification of receptors for 5-hydroxytryptamine", Pharmacol. Rev. , 56 , 157-203 (1994). The subclasses were further divided into subtypes. For example, the 5-HT 2 receptor is currently divided into three subtypes, namely 5-HT 2a , 5-HT 2b and 5-HT 2c . Three subtypes of the 5-HT 2 receptor bind to phospholipase C, such as diacylglycerol (which activates protein kinase C) and inositol triphosphate (which releases Ca 2+ from intercellular storage). Two second messengers are generated. 5-HT 2c receptors are present at high density in choroid plexus epithelial cells, a major site of cerebrospinal fluid production. Sanders-Bush, E. and SE Mayer, "5-hydroxytryptamine (Serotonin) Receptor agonists and Antagonists", Goodman &Gilman's The Pharmacological Basis of Therapeutics, Chapter 11, 9 th Ed., McGraw-Hill, New York, NY (1996). [4] Julius (Julius) et al. Reported that the consumption of food increases, so the 5-HT 2c receptor-deficient transgenic (transgenic) mice exhibited a seizure and eating disorders in later, were isolated and classified the 5-HT 2c receptor ( See US Pat. No. 4,985,352 and US Pat. No. 5,698,766, respectively). Thus, compounds selective for the 5-HT 2c receptor may provide useful therapies for the treatment of seizures and eating disorders without exhibiting side effects commonly associated with the nonselectivity of the ligand. [5] Several compounds have been proposed as 5-HT 2c receptor agonists or antagonists for use in the treatment of obesity and other related diseases associated with reduced neurotransmission of serotonin in mammals. EP 863 136 (azetidine and pyrrolidine derivatives); EP 657426 (tricyclic pyrrole derivatives); EP 655440 (substituted 1-aminoethyl indole); EP 572863 (pyrazinoindole derivatives); WO 98/030548 (aminoalkylindazole compounds); WO 98/56768 (tricyclic pyrrole and pyrazole derivatives); WO 99/43647 (azetidine and pyrrolidine derivatives); WO 99/58490 (arylhydronaphthalenealkanamine derivatives); WO 00/12475 (indolin derivatives); WO 00/12482 (indazole derivatives); WO 00/12502 (pyrroloquinoline derivatives); WO 00/12510 (pyrroloindole, pyridoindole and azepineindole derivatives); WO 00/28993 (naphthylacetylpiperazine derivatives); WO 00/44737 (aminoalkylbenzofuran derivatives); And WO 00/76984 (2,3-disubstituted pyrazine). [6] The nonselectivity of ligands for various 5-HT receptors still remains a problem to be solved. The nonselectivity of some ligands is suspected to be responsible for several negative side effects such as hallucinations and cardiovascular complications. Thus, there remains a need for selective 5-HT 2c receptor ligands. [7] Summary of the Invention [8] The present invention provides compounds of formula (IA), nitrogen oxides thereof, useful as 5-HT 2 receptor ligands (particularly 5-HT 2a and 5-HT 2c receptor ligands); Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or solvates or hydrates of the compounds, the nitrogen oxides, the prodrugs or the salts. [9] [10] Y is nitrogen, [11] X and Z are each independently CR, wherein R is in each case hydrogen, halogen, (C 1 -C 4 ) alkyl, amino or (C 1 -C 4 ) alkylamino, and [12] W is oxy, thio, amino, (C 1 -C 4 ) alkylamino or acetylamino, [13] At least one of R 1a , R 1b , R 1d and R 1e is independently halogen, nitro, amino, (C 1 -C 4 ) alkylamino, cyano, -C (O) NH 2 , (C 1 -C 4 ) Alkyl, halo-substituted (C 1 -C 4 ) alkyl, (C 1 -C 4 ) alkoxy and halo-substituted (C 1 -C 4 ) alkoxy, or R 1a and R 1b Together form a 5- or 6-membered aromatic or partially-saturated or fully-saturated fused ring, or R 1a together with R 2a or R 2b form a 5- or 6-membered full-saturated fused ring, [14] R 1c is hydrogen, [15] R 2a and R 2b are each independently hydrogen, (C 1 -C 4 ) alkyl, partially-saturated or fully-saturated (C 3 -C 6 ) cycloalkyl, or one of them is 5 membered with R 1a or To form a six membered full-saturated fused ring, [16] n is 0, 1 or 2, [17] R 3a and R 3b are each independently hydrogen, halogen, (C 1 -C 4 ) alkyl, or hydroxy-, fluoro- or (C 1 -C 4 ) alkoxy-substituted (C 1 -C 4 ) alkyl ego, [18] R 4 is hydrogen, hydroxy, (C 1 -C 4 ) alkyl, hydroxy- or cyano-substituted (C 1 -C 4 ) alkyl, or (C 1 -C 4 ) alkylcarbonyl, (C 1 -C 4 ) alkoxy, (C 1 -C 4 ) alkoxycarbonyl, (C 3 -C 4 ) alkenyl or amino-protecting group. [19] Preferred compounds of formula (IA) are [20] Y is nitrogen, [21] X and Z are each independently CR, where R is in each case hydrogen, chloro, fluoro or methyl, [22] (i) R 1a is halogen, (C 1 -C 4 ) alkyl, trifluoromethyl, methoxy or trifluoromethoxy, and R 1b , R 1d and R 1e are each hydrogen, or (ii) R 1b is Halogen, methyl or methoxy, R 1a , R 1d and R 1e are each hydrogen, or (iii) R 1a and R 1b are each independently halogen or methyl, and R 1d and R 1e are each hydrogen, or (iv R 1b and R 1d are each independently halogen or methyl, R 1a and R 1e are each hydrogen, or (v) R 1a and R 1d are each independently halogen or methyl, and R 1b and R 1e are each hydrogen Or (vi) R 1a and R 1e are each independently halogen or methyl, R 1b and R 1d are each hydrogen, or (vii) R 1a , R 1b and R 1d are each independently halogen or methyl, R 1e is hydrogen, [23] W is oxy or amino, [24] n is 1, [25] R 2a and R 2b are each independently methyl or hydrogen, [26] R 3a and R 3b are each independently hydrogen or (C 1 -C 4 ) alkyl (preferably (2R) -methyl or (2R) -ethyl), [27] R 4 is hydrogen or (C 1 -C 4 ) alkyl, a nitrogen oxide thereof; Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or solvates or hydrates of the compound, the nitrogen oxide, the prodrug or the salt. [28] More preferred compounds are [29] Y is nitrogen, [30] X and Z are each independently CR, wherein R is hydrogen or methyl, [31] (i) R 1a is halogen, methyl or trifluoromethyl and R 1b , R 1d and R 1e are each hydrogen, or (ii) R 1b is halogen or methyl and R 1a , R 1d and R 1e are each Hydrogen, (iii) R 1a and R 1b are each independently halogen or methyl, R 1d and R 1e are each hydrogen, or (iv) R 1b and R 1d are each independently halogen or methyl, and R 1b And R 1e are each hydrogen, [32] W is oxy or amino, [33] n is 1, [34] R 2a and R 2b are each independently methyl or hydrogen, [35] R 3a is hydrogen, (2R) -methyl or (2R) -ethyl, [36] R 3b is hydrogen, [37] R 4 is hydrogen or (C 1 -C 4 ) alkyl, a nitrogen oxide thereof; Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or solvates or hydrates of the compound, the nitrogen oxide, the prodrug or the salt. [38] Most preferred compounds are [39] Y is nitrogen, [40] X and Z are each independently CR, wherein R is in each case hydrogen or methyl, [41] (i) R 1a is halogen, methyl or trifluoromethyl and R 1b , R 1d and R 1e are each hydrogen, or (ii) R 1b is halogen or methyl and R 1a , R 1d and R 1e are each Hydrogen, or (iii) R 1b and R 1d are each independently halogen or methyl, R 1a and R 1e are each hydrogen, or (iv) R 1a and R 1d are each independently halogen or methyl, and R 1b And R 1e are each hydrogen, [42] W is oxy or amino, [43] n is 1, [44] R 2a and R 2b are each independently methyl or hydrogen, [45] R 3a is hydrogen, (2R) -methyl or (2R) -ethyl, [46] R 3b is hydrogen, [47] R 4 is hydrogen or (C 1 -C 4 ) alkyl, a nitrogen oxide thereof; Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or solvates or hydrates of the compound, the nitrogen oxide, the prodrug or the salt. [48] Non-limiting examples of preferred compounds of formula (IA) include the following compounds, nitrogen oxides thereof; Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or solvates or hydrates of the compounds, the nitrogen oxides, the prodrugs or the salts. [49] 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [50] 6 '-(3-chloro-benzyloxy) -2-ethyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [51] 6 '-(3-fluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [52] 6 '-(3-chloro-benzyloxy)-(2R) -methyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [53] 6 '-(3-fluoro-benzyloxy)-(2R) -methyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [54] 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl 4'-oxide; [55] 6 '-(2,5-dichloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [56] 6 '-(2-fluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [57] 6 '-(3-nitro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [58] 3- (3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yloxymethyl) -benzonitrile; [59] 6 '-(2,5-difluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [60] 5'-bromo-6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [61] 6 '-(3-bromo-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [62] 3- (3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yloxymethyl) -phenylamine; [63] 6 '-(2-methyl-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [64] 6 '-(3-chloro-benzyloxy) -5'-fluoro-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [65] 5'-chloro-6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [66] 6 '-(Indan- (1S) -yloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [67] 6 '-(3-methy-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [68] 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl-3'-ylamine; [69] 6 '-(2-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [70] 6 '-[2- (3-chloro-phenyl) -ethoxy] -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [71] 6 '-(2-Chloro-benzyloxy)-(2R) -methyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [72] 6 '-(3,4-difluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [73] 6 '-(3,5-difluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [74] (3-fluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; [75] (3-chloro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; [76] (3,5-difluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; [77] 3-[(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-ylamino) -methyl] -benzonitrile; [78] (2,5-difluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; [79] (3,5-dichloro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; [80] (3-chloro-benzyl)-(2-methyl-3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; [81] (3-fluoro-benzyl)-(2-methyl-3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; [82] (2-chloro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; [83] (2-chloro-6-fluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; [84] (2,3-difluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; [85] N- (3-chloro-benzyl) -N- (3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -acetamide; [86] 6 '-(3-chloro-benzylsulfanyl) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; And [87] 6'-benzylsulfanyl-3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl, [88] More preferred examples of compounds of formula (IA) include the following compounds, nitrogen oxides thereof; Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or solvates or hydrates of the compounds, the nitrogen oxides, the prodrugs or the salts. [89] 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [90] 6 '-(3-chloro-benzyloxy)-(2R) -methyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [91] 6 '-(2-Chloro-benzyloxy)-(2R) -methyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [92] 6 '-(3-fluoro-benzyloxy)-(2R) -methyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [93] 6 '-(2-fluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [94] 6 '-(3-fluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [95] 6 '-(3-chloro-benzyloxy) -2-ethyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [96] 6 '-(2,5-difluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [97] 6 '-(2,5-dichloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [98] 6 '-(3,5-difluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [99] (3-fluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; [100] (3-chloro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; [101] (3,5-difluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; [102] (3,5-dichloro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; [103] (2-chloro-6-fluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; [104] 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl 4'-oxide; [105] N- (3-chloro-benzyl) -N- (3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -acetamide; [106] 6 '-(3-chloro-benzylsulfanyl) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; And [107] 6 '-(Indan- (1S) -yloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl. [108] Even more preferred compounds of formula (IA) include the following compounds, nitrogen oxides thereof; Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or solvates or hydrates of the compounds, the nitrogen oxides, the prodrugs or the salts. [109] 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [110] 6 '-(3-fluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [111] 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl 4'-oxide; [112] (3-fluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; [113] 6 '-(3-chloro-benzyloxy)-(2R) -methyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [114] 6 '-(3,5-difluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [115] 6 '-(2,5-difluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; And [116] 6 '-(Indan- (1S) -yloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl. [117] Preferred salts of the aforementioned compounds include citrate, fumarate, hydrochloride, L-maleate, succinate, D, L-tartrate, and more preferred salts are citrate, L-maleate and D, L-tartrate is included. [118] In another embodiment of the present invention, a compound of the formula IC, a nitrogen oxide thereof; Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or solvates or hydrates of the compounds, the nitrogen oxides, the prodrugs or the salts. [119] [120] Y is nitrogen, [121] X and Z are each independently CR, wherein R is in each case hydrogen, halogen, (C 1 -C 4 ) alkyl, amino or (C 1 -C 4 ) alkylamino, and [122] W is oxy, thio, amino, (C 1 -C 4 ) alkylamino or acetylamino, [123] Q is pyridin-2-yl, pyridin-3-yl, furan-3-yl, furan-2-yl, thiophen-2-yl, thiophen-3-yl, thiazol-2-yl, pyrrole-2 -Yl, pyrrole-3-yl, pyrazol-3-yl, quinolin-2-yl, quinolin-3-yl, isoquinolin-3-yl, benzofuran-2-yl, benzofuran-3-yl, iso Benzofuran-3-yl, benzothiophen-2-yl, benzothiophen-3-yl, indol-2-yl, indol-3-yl, 2H-imidazol-2-yl, oxazol-2-yl Isoxazol-3-yl, 1,2,4-oxadiazol-3-yl, 1,2,4-oxadiazol-5-yl, 1,3,4-oxadiazol-2-yl, 1,3,4-oxadiazol-5-yl, 1,2,4-triazol-3-yl, 1,2,3-thiadiazol-4-yl, 1,2,3-thiadiazole -5-yl, 1,3,4-thiadiazol-2-yl, 1,3,4-thiadiazol-5-yl and 1,2,4-oxathiazol-3-yl Wherein the heteroaryl group is selected from halo, (C 1 -C 4 ) alkyl, cyano, nitro, amino, (C 1 -C 4 ) alkylamino or (C 1 -C 4 ) alkyloxy 1 to 3 teeth independently selected Optionally substituted with ventilation, [124] R 2a and R 2b are each independently hydrogen, (C 1 -C 4 ) alkyl or partially-saturated or fully-saturated (C 3 -C 6 ) cycloalkyl, [125] R 3a and R 3b are each independently hydrogen, halogen, (C 1 -C 4 ) alkyl, or hydroxy-, fluoro- or (C 1 -C 4 ) alkoxy-substituted (C 1 -C 4 ) alkyl ego, [126] R 4 is hydrogen, hydroxy, (C 1 -C 4 ) alkyl, hydroxy- or cyano-substituted (C 1 -C 4 ) alkyl, or (C 1 -C 4 ) alkylcarbonyl, (C 1 -C 4 ) alkoxy, (C 1 -C 4 ) alkoxy-carbonyl or (C 3 -C 4 ) alkenyl. [127] Non-limiting examples of preferred compounds of formula (IC) include the following compounds, nitrogen oxides thereof; Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or solvates or hydrates of the compounds, the nitrogen oxides, the prodrugs or the salts. [128] 6 '-(pyridin-3-ylmethoxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [129] 2-methyl-6 '-(pyridin-3-ylmethoxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [130] 6 '-(thiophen-3-ylmethoxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [131] 6 '-([1,2,3] thiadiazol-4-ylmethoxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [132] 6 '-(6-fluoro-pyridin-2-ylmethoxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [133] 2-methyl-6 '-(6-methyl-pyridin-2-ylmethoxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [134] 6 '-(6-methyl-pyridin-2-ylmethoxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; And [135] 6 '-(6-chloro-pyridin-2-ylmethoxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl. [136] More preferred non-limiting examples of compounds of Formula (IC) include the following compounds, nitrogen oxides thereof; Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or solvates or hydrates of the compounds, the nitrogen oxides, the prodrugs or the salts. [137] 6 '-(6-methyl-pyridin-2-ylmethoxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [138] 6 '-(6-chloro-pyridin-2-ylmethoxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [139] 6 '-(6-fluoro-pyridin-2-ylmethoxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [140] 2- (6-Chloro-pyridin-2-ylmethoxy) -4-piperazin-1-yl-pyrimidine; And [141] 2-methyl-6 '-(6-methyl-pyridin-2-ylmethoxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl. [142] Some of the compounds described herein contain one or more chiral centers, such that all stereoisomers of the compounds (e.g., enantiomers and diastereomers) exemplified and discussed herein are within the scope of the present invention. I will understand that it belongs to. In addition, tautomeric forms of the compounds are also within the scope of the present invention. [143] In another embodiment of the invention, (1) a compound of formula (IA) or (IC), a nitrogen oxide thereof; Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or a solvate or hydrate of said compound, said nitrogen oxide, said prodrug or said salt, and (2) a pharmaceutically acceptable excipient, diluent or carrier. [144] In another embodiment of the invention, a method of treating a 5-HT 2 (preferably 5-HT 2c ) receptor-mediated disease, condition or disorder in an animal is provided by an effective amount of a compound of formula IB Administering. [145] [146] Y is nitrogen, [147] X and Z are each independently CR, wherein R is in each case hydrogen, halogen (preferably Cl or F), (C 1 -C 4 ) alkyl, amino or (C 1 -C 4 ) alkylamino) , [148] W is oxy, thio, amino, (C 1 -C 4 ) alkylamino or acetylamino, [149] R 1a , R 1b , R 1c , R 1d and R 1e are each independently hydrogen, halogen, nitro, cyano, amino, (C 1 -C 4 ) alkylamino, (C 1 -C 4 ) alkyl, halo- Substituted (C 1 -C 4 ) alkyl, (C 1 -C 4 ) alkoxy, halo-substituted (C 1 -C 4 ) alkoxy or —C (O) NH 2 , or R 1a and R 1b together Form a 5- or 6-membered aromatic or partially-saturated or fully-saturated fused ring, or R 1a together with R 2a or R 2b form a 5- or 6-membered full-saturated fused ring, [150] R 2a and R 2b are each independently hydrogen, (C 1 -C 4 ) alkyl, partially-saturated or fully-saturated (C 3 -C 6 ) cycloalkyl, or one of them is 5 membered with R 1a or To form a six membered full-saturated fused ring, [151] n is 0, 1 or 2, [152] R 3a and R 3b are each independently hydrogen, halogen, (C 1 -C 4 ) alkyl, or hydroxy-, fluoro- or (C 1 -C 4 ) alkoxy-substituted (C 1 -C 4 ) alkyl ego, [153] R 4 is hydrogen, hydroxy, (C 1 -C 4 ) alkyl, hydroxy- or cyano-substituted (C 1 -C 4 ) alkyl, or (C 1 -C 4 ) alkylcarbonyl, (C 1 -C 4 ) alkoxy, (C 1 -C 4 ) alkoxy-carbonyl or (C 3 -C 4 ) alkenyl. [154] Non-limiting examples of preferred compounds of formula (IB) include the following compounds, nitrogen oxides thereof; Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or solvates or hydrates of the compounds, the nitrogen oxides, the prodrugs or the salts. [155] 6'-benzyloxy-3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl; [156] 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [157] 6 '-(3-chloro-benzyloxy) -2-ethyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [158] 6 '-(3-fluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [159] 6 '-(3-chloro-benzyloxy)-(2R) -methyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [160] 6 '-(3-fluoro-benzyloxy)-(2R) -methyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [161] 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl 4'-oxide; [162] 6 '-(2,5-dichloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [163] 6 '-(2-fluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [164] 6 '-(3-nitro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [165] 3- (3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yloxymethyl) -benzonitrile; [166] 6 '-(2,5-difluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [167] 5'-bromo-6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [168] 6 '-(3-bromo-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [169] 3- (3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yloxymethyl) -phenylamine; [170] 6 '-(2-methyl-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [171] 6 '-(3-chloro-benzyloxy) -5'-fluoro-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [172] 5'-chloro-6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [173] 6 '-(Indan- (1S) -yloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [174] 6 '-(3-methy-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [175] 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl-3'-ylamine; [176] 6 '-(2-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [177] 6 '-[2- (3-chloro-phenyl) -ethoxy] -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [178] 6 '-(2-Chloro-benzyloxy)-(2R) -methyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [179] 6 '-(3,4-difluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [180] 6 '-(3,5-difluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [181] (3-fluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; [182] (3-chloro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; [183] (3,5-difluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; [184] 3-[(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-ylamino) -methyl] -benzonitrile; [185] (2,5-difluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; [186] (3,5-dichloro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; [187] (3-chloro-benzyl)-(2-methyl-3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; [188] (3-fluoro-benzyl)-(2-methyl-3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; [189] (2-chloro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; [190] (2-chloro-6-fluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; [191] (2,3-difluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; [192] N- (3-chloro-benzyl) -N- (3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -acetamide; [193] 6 '-(3-chloro-benzylsulfanyl) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; And [194] 6'-benzylsulfanyl-3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl. [195] Non-limiting examples of more preferred compounds of formula (IB) include the following compounds, nitrogen oxides thereof; Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or solvates or hydrates of the compounds, the nitrogen oxides, the prodrugs or the salts. [196] 6'-benzyloxy-3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl; [197] 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [198] 6 '-(3-chloro-benzyloxy)-(2R) -methyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [199] 6 '-(2-Chloro-benzyloxy)-(2R) -methyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [200] 6 '-(3-fluoro-benzyloxy)-(2R) -methyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [201] 6 '-(2-fluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [202] 6 '-(3-fluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [203] 6 '-(3-chloro-benzyloxy) -2-ethyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [204] 6 '-(2,5-difluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [205] 6 '-(2,5-dichloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [206] 6 '-(3,5-difluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [207] (3-fluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; [208] (3-chloro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; [209] (3,5-difluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; [210] (3,5-dichloro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; [211] (2-chloro-6-fluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; [212] 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl 4'-oxide; [213] N- (3-chloro-benzyl) -N- (3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -acetamide; [214] 6 '-(3-chloro-benzylsulfanyl) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; And [215] 6 '-(Indan- (1S) -yloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl. [216] Even more preferred compounds of the formula IB include the following compounds, nitrogen oxides thereof; Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or solvates or hydrates of the compounds, the nitrogen oxides, the prodrugs or the salts. [217] 6'-benzyloxy-3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl; [218] 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [219] 6 '-(3-fluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [220] 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl 4'-oxide; [221] (3-fluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; [222] 6 '-(3-chloro-benzyloxy)-(2R) -methyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [223] 6 '-(3,5-difluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; [224] 6 '-(2,5-difluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; And [225] 6 '-(Indan- (1S) -yloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl. [226] Compounds of the invention may be used in other agents such as apo-B / MTP inhibitors, MCR-4 agonists, CCK-A agonists, monoamine reuptake inhibitors, sympathomimetic agents, β 3 adrenergic receptor agonists, dopamine Agonists, melanocyte stimulating hormone receptor analogs, cannabinoid 1 receptor antagonists, melanin enrichment hormone antagonists, leptin, leptin analogs, leptin receptor agonists, galanin antagonists, lipase inhibitors, bombesin (bombesin) agonists, neuropeptide-Y antagonists, thyromimetic agents, dehydroepiandrosterone or the like, glucocorticoid receptor agonists or antagonists, orexin receptors Antagonists, urocortin binding protein antagonists, glucagon-lactic acid peptide-1 receptor agonists, ciliary Neurotrophic factor, AGRP (human agouti-related protein), ghrelin receptor antagonist, histamine 3 receptor antagonist or reverse agonist, neuromedin U receptor It may be administered together with an agonist or the like. [227] Combination treatment comprises (a) a single pharmaceutical composition comprising a compound of the invention as described above, one or more additional agents, and a pharmaceutically acceptable excipient, diluent or carrier; Or (b) (i) a first composition comprising a compound of formula (IA), IC or IB, and a pharmaceutically acceptable excipient, diluent or carrier, and (ii) one or more additional agents as described above, and pharmaceutically acceptable It may be administered as two separate pharmaceutical compositions comprising a second composition comprising possible excipients, diluents or carriers. The pharmaceutical compositions may be administered simultaneously or sequentially in any order. [228] In another aspect of the invention, a pharmaceutical kit is provided for use by a consumer to provide 5-HT 2 receptor-mediated diseases, conditions or disorders in an animal (preferably, 5-HT 2c receptor-mediated diseases, conditions or disorders) ). The kit comprises a) a suitable dosage form comprising a compound of the invention; And b) instructions describing a method of treating a 5-HT 2 receptor-mediated disease, condition or disorder using said dosage form. [229] In another embodiment of the invention, there is provided a pharmaceutical composition comprising: a) a first dosage form comprising (i) a compound of the invention and (ii) a pharmaceutically acceptable carrier, excipient or diluent; b) a second dosage form comprising (i) the additional agent described above, and (ii) a pharmaceutically acceptable carrier, excipient or diluent; And c) a container. [230] Another aspect of the invention is a method of treating FSD comprising administering a therapeutically effective amount of a compound of the invention to a woman suffering from female sexual dysfunction (FSD). The method may further comprise administering one or more additional active agents to treat FSD. Additional active agents include (1) estrogen receptor modulators, estrogen agonists, estrogen antagonists or combinations thereof; (2) testosterone replacement agents, testosterone (Tostrelle), dihydrotestosterone, dehydroepiandrosterone (DHEA), testosterone implants, or combinations thereof; (3) estrogens, combinations of estrogens with hydroxyprogesterone or hydroxyprogesterone acetate (MPA), or estrogen and methyl testosterone hormone replacement therapy agents; (4) one or more dopaminergic agents; (5) one or more NPY (neupeptide Y) inhibitors; (6) one or more melanocortin receptor agonists or modulators or melanocortin enhancers; (7) one or more NEP inhibitors; (8) one or more PDE inhibitors; And (9) one or more bombesin receptor antagonists or modulators. FSD treatments include female sexual arousal disorder (FSAD), female orgasm disorder (FOD), hypoactive sexual desire disorder (HSDD) or sexual pain disorder. [231] In another embodiment of the present invention, a method of treating MED is provided comprising administering a therapeutically effective amount of a compound of the present invention to a male suffering from male erectile dysfunction (MED). [232] Another aspect of the invention is a method of increasing the lean meat content in an edible animal, comprising administering to the edible animal an lean meat increase amount of the compound of the present invention or a composition comprising the compound of the present invention. In addition, the compounds of the present invention may be administered to an edible animal in conjunction with any of the aforementioned agents. [233] Justice [234] As used herein, the term "alkyl" refers to a hydrocarbon radical of the formula C n H 2n + 1 . Alkanes radicals may be straight or branched chain. For example, the term “(C 1 -C 4 ) alkyl” refers to a monovalent straight or branched chain aliphatic group having 1 to 4 carbon atoms (eg, methyl, ethyl, n-propyl, i-propyl, n- Butyl, i-butyl, s-butyl, t-butyl, and other constituent isomers having 1 to 4 carbon atoms (including stereoisomers). Alkanes radicals may be substituted or unsubstituted with one or more substituents. For example, the term "halo-substituted alkyl" refers to an alkyl group substituted with one or more halogen atoms (e.g., fluoromethyl, difluoromethyl, trifluoromethyl, perfluoroethyl, chloromethyl, Bromomethyl and the like). Similarly, the alkyl moiety in the alkoxy, alkylamino, dialkylamino or alkylthio group has the same meaning as the alkyl described above, and the halo-substituted alkyl moiety in the alkoxy, alkylamino, dialkylamino or alkylthio group It has the same meaning as the aforementioned halo-substituted alkyl. [235] The term "partially-saturated or fully-saturated cycloalkyl" refers to a partially or fully hydrogenated non-aromatic ring. For example, partially-saturated or fully-saturated (C 3 -C 6 ) cycloalkyl is cyclopropyl, cyclopropenyl, cyclobutyl, cyclobutenyl, cyclopentyl, cyclopentenyl, cyclopentadienyl, cyclohexyl, Groups such as cyclohexenyl, cyclohexadienyl and the like. The term "fused ring" refers to aromatic carbocyclic and heterocyclic ring systems as well as partially-saturated. Preferably, the heterocyclic ring contains one or two heteroatoms independently selected from nitrogen, oxygen and sulfur (optionally oxidized to the corresponding sulfone or sulfoxide). Non-limiting examples of fused ring systems include naphthalene, indane, indene, isoindene, benzofuran, isobenzofuran, isobenzofuran, benzo [b] thiophene, benzo [c] thiophene, indole, 3H-indole, 1H-isoindole, indazole, indoxazine, benzoxazole, anthranyl, tetralin, 2H-1-benzopyran, quinoline, isokinolin, cinnoline, quinazoline, 2H-1,3-benzoxazine, 2H -1,4-benzoxazine, 1H-2,3-benzoxazine, 4H-2,1-benzoxazine, 2H-1,2-benzoxazine, 4H-1,4-benzoxazine, and the like. [236] The term “heteroaryl” refers to an aromatic monocyclic or bicyclic ring system containing 1, 2 or 3 heteroatoms independently selected from nitrogen, oxygen and sulfur. Heteroaryl groups may be substituted or unsubstituted with 1 to 3 substituents. Preferred substituents include halo (Br, Cl, I or F), (C 1 -C 4 ) alkyl, cyano, nitro, amino, (C 1 -C 4 ) alkylamino and (C 1 -C 4 ) alkoxy do. Suitable heteroaryl groups include pyridin-2-yl, pyridin-3-yl, furan-3-yl, furan-2-yl, thiophen-2-yl, thiophen-3-yl, thiazol-2-yl, Pyrrole-2-yl, pyrrole-3-yl, pyrazol-3-yl, quinolin-2-yl, quinolin-3-yl, isoquinolin-3-yl, benzofuran-2-yl, benzofuran-3- 1, isobenzofuran-3-yl, benzothiophen-2-yl, benzothiophen-3-yl, indol-2-yl, indol-3-yl, 2H-imidazol-2-yl, oxazole- 2-yl, isoxazol-3-yl, 1,2,4-oxadiazol-3-yl, 1,2,4-oxadiazol-5-yl, 1,3,4-oxadiazole-2 -Yl, 1,3,4-oxadiazol-5-yl, 1,2,4-triazol-3-yl, 1,2,3-thiadiazol-4-yl, 1,2,3- Thiadiazol-5-yl, 1,3,4-thiadiazol-2-yl, 1,3,4-thiadiazol-5-yl, 1,2,4-oxathiazol-3-yl and the like Heteroaryl group selected from the group consisting of. [237] The term "substituted" means that the hydrogen atoms on the molecule are replaced with different atoms or molecules. Atoms or molecules replaced with hydrogen atoms are referred to as "substituents". The term "substituted" is specifically designed and accepted for substitutions customary in the art. However, it is generally understood by those skilled in the art that substituents should be chosen such that the substituents do not negatively affect the pharmacological properties of the compound or negatively interfere with the use of the medicament. [238] The term "nitrogen oxide" or "N-oxide" refers to the oxidation of one or more nitrogens in the pyrimidine or pyrazine ring of a compound of formula IA, IB or IC (eg mono- or di-oxide). Mononitrooxides can exist as single positional isomers or as mixtures of positional isomers (eg, mixtures of 1-N-oxide pyrimidine and 3-N-oxide pyrimidine, or 1-N-oxide pyrazine and 4-N-oxide). Mixture of pyrazine). [239] The term "protecting group" or "Pg" refers to a substituent that is commonly used to block or protect certain functional groups while reacting with other functional groups on the compound. For example, an "amino-protecting group" is a substituent attached to an amino group that blocks or protects an amino functional group in a compound. Suitable amino-protecting groups include acetyl, trifluoroacetyl, t-butoxycarbonyl (BOC), benzyloxycarbonyl (CBz) and 9-fluorenylmethyleneoxycarbonyl (Fmoc). Similarly, "hydroxy-protecting group" refers to a substituent of a hydroxy group that blocks or protects a hydroxy functional group. Suitable protecting groups include acetyl and silyl. "Carboxy-protecting group" refers to a substituent of a carboxy group that blocks or protects a carboxyl functional group. Typical carboxy-protecting groups include -CH 2 CH 2 SO 2 Ph, cyanoethyl, 2- (trimethylsilyl) ethyl, 2- (trimethylsilyl) ethoxymethyl, 2- (p-toluenesulfonyl) ethyl, 2 -(p-nitrophenylsulphenyl) ethyl, 2- (diphenylphosphino) -ethyl, nitroethyl and the like. For a general description of protecting groups and their uses, see Greene, TW Greene, " Protective Groups in Organic Synthesis, John Wiley & Sons, New York, 1991". [240] The term "ligand" refers to a compound that binds to a receptor. As used herein, a ligand may comprise partial or total agonist or antagonist activity. [241] The phrase “therapeutic effective amount” means (i) treating or preventing a particular disease, condition or disorder, (ii) ameliorating, alleviating or eliminating one or more symptoms of a particular disease, condition or disorder, or (iii) By an amount of a compound of the present invention is meant to prevent or delay the onset of one or more symptoms of certain diseases, conditions or disorders described herein. [242] The term "animal" refers to humans, pets (eg dogs, cats and horses), food-source animals, zoo animals, marine animals, birds and other similar animal species. "Edible animal" refers to meat feeding animals such as cattle, pigs, sheep and poultry. [243] The phrase “pharmaceutically acceptable” indicates that the substance or composition must be chemically and / or toxicologically compatible with the other ingredients, including the combination, and / or thereby the mammal should be treated. [244] The terms "treating", "treat", or "treatment" include both preventive and alleviative treatments. [245] The term "compound of the present invention", unless otherwise indicated, refers to compounds of formulas IA, IC and IB, nitrogen oxides thereof; Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or solvates or hydrates of the compound, the nitrogen oxide, the prodrug or the salt, as well as all stereoisomers (including diastereomers and enantiomers), tautomers and isotopically labeled compounds. . [1] The present invention relates to pyrazine compounds which act as 5-HT receptor ligands, in particular as 5-HT 2c receptor ligands, and their use in the prevention or treatment of diseases associated with the activation of 5-HT 2c receptors in animals. [246] The present invention provides compounds of formula (IB), nitrogen oxides thereof, which act as 5-HT 2 receptor ligands (preferably 5-HT 2c and / or 5-HT 2a receptor ligands); Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or a solvate or hydrate of said compound, said nitrogen oxide, said prodrug or said salt, thereby providing a method for treating or preventing a 5-HT 2 receptor-mediated disease, condition or disorder. [247] Formula IB [248] [249] Y is nitrogen, [250] X and Z are each independently CR, wherein R is in each case hydrogen, halogen, (C 1 -C 4 ) alkyl, amino or (C 1 -C 4 ) alkylamino, and [251] W is oxy, thio, amino, (C 1 -C 4 ) alkylamino or acetylamino, [252] R 1a , R 1b , R 1c , R 1d and R 1e are each independently hydrogen, halogen, nitro, cyano, amino, (C 1 -C 4 ) alkylamino, (C 1 -C 4 ) alkyl, halo- Substituted (C 1 -C 4 ) alkyl, (C 1 -C 4 ) alkoxy, halo-substituted (C 1 -C 4 ) alkoxy or —C (O) NH 2 , or R 1a and R 1b together Form a 5- or 6-membered aromatic or partially-saturated or fully-saturated fused ring, or R 1a together with R 2a or R 2b form a 5- or 6-membered full-saturated fused ring, [253] R 2a and R 2b are each independently hydrogen, (C 1 -C 4 ) alkyl, partially-saturated or fully-saturated (C 3 -C 6 ) cycloalkyl, or one of them is 5 membered with R 1a or To form a six membered full-saturated fused ring, [254] n is 0, 1 or 2, [255] R 3a and R 3b are each independently hydrogen, halogen, (C 1 -C 4 ) alkyl, or hydroxy-, fluoro- or (C 1 -C 4 ) alkoxy-substituted (C 1 -C 4 ) alkyl ego, [256] R 4 is hydrogen, hydroxy, (C 1 -C 4 ) alkyl, hydroxy- or cyano-substituted (C 1 -C 4 ) alkyl, or (C 1 -C 4 ) alkylcarbonyl, (C 1 -C 4 ) alkoxy, (C 1 -C 4 ) alkoxy-carbonyl or (C 3 -C 4 ) alkenyl. [257] Compounds of the invention may be synthesized, in particular in view of the description contained herein, by synthetic routes including processes similar to those known in the chemical art. Starting materials are generally obtained from commercial sources such as Aldrich Chemicals (Milwaukee, WI), or are readily prepared using methods well known to those skilled in the art (e.g., Lewis ( Louis F. Fieser and Mary Fieser, " Reagents for Organic Synthesis , v. 1-19, Wiley, New York (1967-1999 ed.)" Or " Beilsteins Handbuch der organischen Chemie , 4, Aufl. Ed. Springer-Verlag, Berlin "and its appendices, by the methods generally described (also available via the online database" Beilstein ", supra). [258] For illustrative purposes, the schemes shown below provide a possible route for synthesizing the compounds and intermediates of the invention. For a more detailed description of the individual reaction steps, see the Examples section. Those skilled in the art will appreciate that other synthetic routes may be used to synthesize the compounds of the present invention. Although specific starting materials and reagents are shown in the schemes and discussed below, other starting materials and reagents can be easily replaced to provide a variety of derivatives and / or reaction conditions. In addition, many of the compounds prepared by the methods described below may be further modified in light of the disclosure using conventional chemical knowledge well known to those skilled in the art. For example, sulfide linkages (i.e., W = S) may be prepared using their corresponding sulfinyl or sulfonyl groups (i.e., W = SO or by using conventional oxidation procedures (e.g., oxidation using m-chloroperbenzoic acid). SO 2 ) can be easily oxidized. [259] In the preparation of the compounds of the invention, protection of remote functional groups of intermediates (eg primary or secondary amines) may be required. The need for such protection will depend on the nature of the remote functional group and the conditions of the manufacturing method. Suitable amino-protecting groups (NH-Pg) include acetyl, trifluoroacetyl, t-butoxycarbonyl (BOC), benzyloxycarbonyl (CBz) and 9-fluorenylmethyleneoxycarbonyl (Fmoc) . The need for such protection is readily determined by one skilled in the art. For a general description of protecting groups and their use, see Greeni's Protective Groups in Organic Synthesis , John Wiley & Sons, New York, 1991. [260] Scheme I illustrates a process for the preparation of compounds of the invention wherein W is O, S, amino or (C 1 -C 4 ) alkylamino. [261] [262] Suitable bases such as sodium carbonate, potassium carbonate, cesium carbonate, sodium hydroxide (NaOH), potassium hydroxide, 1,8-diazabicyclo- [5.4.0] for about 1 to about 168 hours Solvents suitable in the presence of undec-7-ene (DBU), triethylamine (TEA) or pyridine), such as ethanol, t-butanol, n-butanol, toluene, dioxane, THF, DMF, or acetonitrile Among others, the halogen-disubstituted heteroaryl compound of formula (II) is reacted with a compound of formula (III) (R 4 may optionally be an amino-protecting group) to obtain intermediate (IV). Intermediate (IV) is subjected to a solvent (eg, in the presence of a suitable base such as sodium carbonate, potassium carbonate, cesium carbonate, NaOH, sodium hydride, DBU, TEA or pyridine) at about 25 ° C. to about 200 ° C. for about 1 to about 7 days. : Intermediate (V), wherein W is an amino linker or (C 1 -C 4 ) alkyl-substituted amino linker) by treatment with an excess of appropriate amine in EtOH, t-BuOH, dioxane, THF or DMF) To obtain. Suitable amines include benzylamine, 3-chlorobenzyl amine, 3-fluorobenzyl amine and the like. [263] Alternatively, the intermediate (IV) may be prepared using a solvent (eg THF, toluene, with or without a catalyst (eg 18-crown-6) at about 25 ° C. to about 200 ° C. for about 1 to about 48 hours. The compound of formula V can be obtained by reacting with an anion of a suitable alcohol or thiol in dioxane, DMF, benzene, or a mixture of benzene and water, where W is O or S. The anion may be selected from the corresponding alcohol or thiol in an inert solvent (e.g. toluene, dioxane, DMF, THF or benzene) at from about 25 ° C. to about 200 ° C. for about 1 to about 24 hours. , Sodium hydroxide, potassium hydroxide, potassium t-butoxide or sodium metal). [264] Suitable alcohols include benzyl alcohol, α-phenethyl alcohol, β-phenethyl alcohol, 3-fluoro-benzyl alcohol, 3-chloro-benzyl alcohol, 3-methoxybenzyl alcohol, 2-chlorobenzyl alcohol, 3-fluoro Rho-α-phenethyl alcohol, 2-chloro-α-phenethyl alcohol, 3-chloro-α-phenethyl alcohol, 2,5-difluorobenzyl alcohol, 2,5-dichlorobenzyl alcohol, 3,5- Difluorobenzyl alcohol, 3,5-dichlorobenzyl alcohol, 2-hydroxymethylpyridine, 2-hydroxymethyl-6-chloro-pyridine, 2-hydroxymethyl-6-methyl-pyridine and the like. [265] Suitable thiols include α-toluenethiol, (2-methylphenyl) methanethiol, 3- (trifluoromethyl) -α-toluenethiol, 2-chloro-α-toluenethiol, (3-methylphenyl) -methanethiol, 2 -Chloro-6-fluorobenzyl mercaptan, o-fluorobenzyl mercaptan, m-chlorobenzyl mercaptan, 2,4,6-trimethylbenzyl mercaptan and the like. [266] The sulfide linker can be oxidized to the corresponding sulfinyl or sulfonyl using standard oxidation procedures well known to those skilled in the art. [267] If R 4 is an amino-protecting group, deprotection of intermediate (V) yields amine (VI). For example, BOC-protected amines can be deprotected by treatment with trifluoroacetic acid (TFA) in CH 2 Cl 2 . Secondary amines (VI) may be acylated or converted to carbamate according to methods well known to those skilled in the art. Alternatively, secondary amines (VI) are alkylated to amines (VII) by methods well known to those skilled in the art. Preferred method is reductive alkylation. Generally, the reductive alkylation reaction is carried out by reacting intermediate (VI) with the desired aldehyde or ketone in a polar solvent at about 10 ° C. to about 140 ° C. for about 2 to about 24 hours in the presence of a 3 ′ molecular sieve. Switch to Typically, the same or slightly excess aldehyde or ketone is added to the amine. Suitable polar solvents include methylene chloride, 1,2-dichloroethane, dimethylsulfoxide, dimethylformamide, alcohols such as methanol or ethanol or mixtures thereof. Preferred solvent is methanol. In the same reaction vessel, the imine is reduced at about 0 ° C. to about 10 ° C. to reduce to tertiary amine in the presence of a reducing agent and then warmed to about 20 ° C. to about 40 ° C. for about 30 minutes to about 2 hours. Suitable reducing agents include pyridine-borane complexes and metal borohydrides such as sodium borohydride, sodium triacetoxy borohydride and sodium cyanoborohydride. Suitable aldehydes or ketones include paraformaldehyde, acetaldehyde, acetone and the like. [268] In another synthetic approach, intermediate (V), wherein W is an amino or (C 1 -C 4 ) alkyl-substituted amino linking group) is an amine or (C 1 -C 4 ) alkyl-substituted from compound (IV) Amino can be used to prepare via the metal-catalyzed coupling reaction described in Metal-Catalyzed Cross-Coupling Reaction (Editors: F. Diederich, PJ Stang; VCH, Weinheim, 1998). For example, the intermediate (IV) may be reacted with a suitable base (eg, sodium t-butoxide, sodium bicarbonate, and potassium bicarbonate) at about 25 ° C. to about 200 ° C. for about 1 to about 24 hours and a suitable phosphine ligand (eg, Racemate 2,2'-bis (diphenylphosphino) -1,1'-binafyl (BINAP), triphenylphosphine, tri-t-butylphosphine or 2-dicyclohexylphosphino-2 '-(N, N-dimethylamino) -biphenyl (AmPhos)) and a suitable solvent in the presence of a suitable palladium catalyst such as trisdibenzylidene-acetone dipalladium (Pd 2 (dba) 3 ) or palladium chloride) Example: Treatment with appropriate amines in xylene, toluene, THF and dioxane) afforded compounds of formula V wherein W is an amine linkage. The ratio of palladium to phosphine ligand is typically about 1: 1 to about 1: 5. Typically, about 0.01 to about 0.3 equivalents of catalyst are used for starting material (IV). [269] Compounds, wherein X and Z are CR but one or both of the R groups are not hydrogen can be obtained via appropriate dihalide (II). For example, a compound, wherein one R is NH 2 and the other R is H, can be obtained using 2-amino-3,5-dibromopyrazine as starting material. Alternatively, these types of compounds may be obtained by the functionalization of compounds of formula V, wherein X = Y = CH. These functionalization reactions are well known to those skilled in the art and include electrophilic aromatic substitution reactions such as halogenation (eg chlorination, bromination and fluorination). These reactions produce two possible monohalogenated compounds and dihalogenated compounds, which are easily separated by conventional purification methods such as chromatography. For example, a compound of Formula V, wherein X = Y = CH, R 4 is a nitrogen protecting group, in an inert solvent such as acetonitrile, chloroform, dichloromethane or THF for about 1 hour to about 24 hours Two possible monohalogenated compounds and reacted with a suitable electrophilic halogenating agent such as N-chlorosuccinamide, N-bromosuccinamide, bromine, chlorine or Selectfluor (trade name) at -78 ° C to about 100 ° C A mixture of halogenated compounds is obtained. The relative amounts of each of these may vary depending on the particular case. [270] The brominated pyrazine compounds described above can be modified with various other derivatives by methods known to those skilled in the art. Conveniently they can be transformed into alkyl derivatives via palladium-catalyzed reactions such as the Suzuki reaction using alkyl boronic acid or derivatives thereof. For example, suitable palladium catalysts, suitable ligands (e.g. AmPhos or BINAP), bases (e.g., in suitable solvents such as toluene, THF and dioxane) at about 25 to about 110 degrees Celsius : Reaction of brominated pyrazine with alkylboronic acid in the presence of sodium tert-butoxide, K 3 PO 4 or CsCO 3 ). [271] Alternatively, compound (VII) can be prepared according to the following scheme II. [272] [273] Intermediate (VIII) is prepared by reacting halogen-disubstituted heteroaryl compound (II) with 1 equivalent of an appropriate alcohol, thiol or amine using the aromatic nucleophilic substitution conditions described in Scheme I above. Intermediate (VIII) is converted to intermediate (V) by reaction with piperazine (III) using the aromatic nucleophilic substitution conditions or palladium-catalyzed coupling reaction conditions described in Scheme I. Compound (V) is then converted to Compound (VI) and Compound (VII) according to the procedure described in Scheme I. [274] In addition, compounds of the present invention, wherein W is an amino linking group (NH) or an alkylamino linking group, can be prepared by reductive alkylation of an amino group attached to a pyrazine ring as illustrated in Scheme III below. The synthesis procedure is similar to that described for the reductive alkylation of intermediate (VI) in Scheme I. [275] [276] Compounds of formula (IX) can be converted to benzyl amines (XI) by methods known in the art. A preferred method is initially reductive alkylation as described in Scheme I, wherein the Schiff base is formed using intermediate (X) and then reduced using an appropriate reducing agent. Suitable aldehydes and ketones (ie, compounds of formula X) include 3-chlorobenzaldehyde, 3-fluorobenzaldehyde, m-chloroacetophenone, m-chloropropiophenone, o-chloroacetophenone, 2-fluorobenzaldehyde, 2-chlorobenzaldehyde, 2,6-dichlorobenzaldehyde, 2,5-dichloroacetophenone, 2-chloro-5-methylacetophenone, 2,5-difluoroacetophenone, 2,5-difluoropropiophenone , 2,3-dichlorobenzaldehyde, 2,3-difluorobenzaldehyde, 2,5-difluorobenzaldehyde, 2-chloro-5-fluoroacetophenone, 5-chloro-2-methoxybenzaldehyde, 2-fluoro Rho-5-methoxybenzaldehyde, 2,5-dichlorobenzaldehyde, 3,5-dichlorobenzaldehyde, 3,5-dichloroacetophenone, 3,5-difluorobenzaldehyde, 2,3,5-trifluorobenzaldehyde, 2,3,5-trifluoroacetophenone, 2,3,5-trifluoropropiophenone, 2,3,5-t Richlorobenzaldehyde, 2,3,6-trifluorobenzaldehyde and the like. The resulting compound of formula (XI) is subjected to a suitable solvent (e.g. : Treatment with piperazine (III) in ethanol, t-butanol, n-butanol, toluene, dioxane, THF, DMF or acetonitrile) affords a compound of formula XII. [277] Compound (XII) may contain a suitable oxidizing agent such as peracid (eg m-chloroperbenzoic acid) in a suitable solvent (eg chloroform or dichloromethane) at from about −78 ° C. to about 65 ° C. for about 2 hours to about 24 hours. (mCPBA)) to oxidize to N-oxide. Other useful methods of carrying out this oxidation are well known to those skilled in the art. [278] Scheme IV below depicts another synthetic route for the synthesis of compound XVII (identical to compound (VI), wherein W is an amine linkage). [279] [280] Compound (II) is reacted with the appropriate BOC-protected amine in the presence of a base (eg sodium hydride) in DMF to afford the intermediate (XV). BOC-protected amines can be obtained by treating the corresponding amines with di-tert-butyl dicarbonate in CH 2 Cl 2 or THF. Compound (XV) is treated with compound (III) using aromatic nucleophilic substitution conditions or palladium-catalyzed coupling conditions as described in Scheme I to give compound (XVI). Compound (XVI) is deprotected using hydrochloride or trifluoroacetic acid in CH 2 Cl 2 or THF (as described above) to afford the desired product (XVII). [281] Scheme V below illustrates a process for the preparation of compounds of the invention wherein W is acetylamine. [282] [283] Acylation of compound (XVIII) using acetic anhydride in acetic acid affords an acylated product (XIX). Compound (XIX) is reacted with compound (III) (wherein R 4 is BOC) using aromatic nucleophilic substitution conditions or palladium-catalyzed coupling conditions as described in Scheme I to give compound (XX) do. Compound (XX) is alkylated with the appropriate alkyl halide in the presence of sodium hydride in DMF to afford compound (XXI). Compound (XXI) is deprotected with HCl or TFA in CH 2 Cl 2 or THF as described above to afford compound (XXII). [284] Conventional methods and / or techniques for separation and purification known to those skilled in the art can be used to isolate compounds of the invention and various intermediates associated therewith. Such techniques are well known to those skilled in the art and include, for example, all types of chromatography (high pressure liquid chromatography (HPLC), column chromatography using conventional adsorbents such as silica gel, and thin layer chromatography), Recrystallization, and differential (ie liquid-liquid) extraction techniques. [285] The compounds of the present invention can be used intact or isolated in the form of their pharmaceutically acceptable salts, solvates and / or hydrates. The term "salt" refers to an inorganic or organic salt of a compound of the present invention. These salts can be prepared in situ during the final isolation and purification of the compound, or by reacting the compound, N-oxide or prodrug separately with a suitable organic or inorganic acid and isolating the salt thus formed. Representative salts include hydrobromide, hydrochloride, hydroiodide, sulfate, bisulfate, nitrate, acetate, trifluoroacetate, oxalate, besylate, palmitate, pamoate, malonate, stearate, laurate , Maleate, borate, benzoate, lactate, phosphate, hexafluorophosphate, benzene sulfonate, tosylate, formate, citrate, maleate, fumarate, succinate, tartrate, naphthylate, mesylate , Glucoheptonate, lactobionate, laurylsulfonate salts and the like. Preferred salts include hydrochloride, fumarate, citrate, L-maleate and D, L-tartrate, and more preferred salts include citrate, L-maleate and D, L-tartrate . These are alkali and alkaline earth metals (e.g. sodium, lithium, potassium, calcium, magnesium, etc.), nontoxic ammonium, cations based on quaternary ammonium, and amine cations (which are ammonium, tetramethylammonium, tetraethylammonium, methylamine , Dimethylamine, trimethylamine, triethylamine, ethylamine, and the like. See Berge et al . , J. Pharm. Sci. , 66 , 1-19 (1977). [286] The term "nitrogen oxide" or "N-oxide" refers to the oxidation of one or more nitrogen atoms in a pyrazine ring. Oxidation of aromatic nitrogens is well known in the art. Typical oxidants include reagents such as hydrogen peroxide, trifluoroperacetic acid, m-chloroperbenzoic acid and the like. In general, oxidation takes place in an inert solvent such as methylene chloride or chloroform. The position of N-oxidation may vary depending on steric hindrance of substituents on adjacent carbon atoms. N-oxides or mixtures of N-oxides can be isolated or separated using conventional procedures such as liquid chromatography and / or selective crystals. [287] The term “prodrug” means a compound of formula IA, IB or IC, or a compound that is modified in vivo to produce a pharmaceutically acceptable salt, hydrate or solvate thereof. The modification can occur through various mechanisms in the blood, such as hydrolysis. Prodrugs are described in T. Higuchi and W. Stella, "Pro-drugs as Novel Delivery Systems," Vol. 14 of the A.C.S. Symposium Series, and in Bioreversible Carriers in Drug Design, ed. Edward B. Roche, American Pharmaceutical Association and Pergamon Press, 1987. [288] For example, if the compound of the present invention contains a carboxylic acid functional group, the prodrug may contain a hydrogen atom of an acid group, such as (C 1 -C 8 ) alkyl, (C 2 -C 12 ) alkanoyloxymethyl, carbon number. 1- (alkanoyloxy) ethyl of 4 to 9, 1-methyl-1- (alkanoyloxy) -ethyl of 5 to 10 carbon atoms, alkoxycarbonyloxymethyl of 3 to 6 carbon atoms, 1- of 4 to 7 carbon atoms (Alkoxycarbonyloxy) ethyl, 1-methyl-1- (alkoxycarbonyloxy) ethyl having 5 to 8 carbon atoms, N- (alkoxycarbonyl) aminomethyl having 3 to 9 carbon atoms, 1- (with 4 to 10 carbon atoms) N- (alkoxycarbonyl) amino) ethyl, 3-phthalidyl, 4-crotonlactonyl, gamma-butyrolactone-4-yl, di-N, N- (C 1 -C 2 ) alkylamino (C 2 -C 3 ) alkyl (eg β-dimethylaminoethyl), carbamoyl- (C 1 -C 2 ) alkyl, N, N-di (C 1 -C 2 ) alkylcarbamoyl- (C 1 -C 2 Esters formed by substitution with alkyl) and piperidino-, pyrrolidino- or morpholino (C 2 -C 3 ) alkyl It may include. [289] Similarly, if a compound of the present invention contains an alcoholic functional group, the prodrug may contain a hydrogen atom of the alcohol group as a group, such as (C 1 -C 6 ) alkanoyloxymethyl, 1-((C 1 -C 6 ) alkanoyl Oxy) ethyl, 1-methyl-1-((C 1 -C 6 ) alkanoyloxy) ethyl, (C 1 -C 6 ) alkoxycarbonyloxymethyl N- (C 1 -C 6 ) alkoxycarbonylaminomethyl , Succinoyl, (C 1 -C 6 ) alkanoyl, α-amino (C 1 -C 4 ) alkanoyl, arylacyl and α-aminoacyl, or α-aminoacyl-α-aminoacyl, wherein The α-aminoacyl group is independently a natural L-amino acid, P (O) (OH) 2 , -P (O) (O (C 1 -C 6 ) alkyl) 2 or glycosyl (hemiacetal of carbohydrates). And radicals formed by removing a hydroxyl group in the form of a). [290] If a compound of the present invention incorporates an amine functional group, the prodrug may contain hydrogen atoms of the amine group as a group, such as R-carbonyl, RO-carbonyl, NRR'-carbonyl, where R and R 'are each independently ( C 1 -C 10 ) alkyl, (C 3 -C 7 ) cycloalkyl, benzyl, or R-carbonyl is natural α-aminoacyl or natural α-aminoacyl-natural α-aminoacyl), -C ( OH) C (O) OY ', where Y' is H, (C 1 -C 6 ) alkyl or benzyl), -C (OY 0 ) Y 1 , where Y 0 is (C 1 -C 4 ) Alkyl, Y 1 is (C 1 -C 6 ) alkyl, carboxy (C 1 -C 6 ) alkyl, amino (C 1 -C 4 ) alkyl or mono-N- or di-N, N- (C 1- C 6 ) alkylaminoalkyl), -C (Y 2 ) Y 3 , wherein Y 2 is H or methyl and Y 3 is mono-N- or di-N, N- (C 1 -C 6 ) alkyl Amino, morpholino, piperidin-1-yl or pyrrolidin-1-yl). [291] The compounds of the present invention may contain asymmetric or chiral centers and therefore exist in several stereoisomeric forms. This means that racemic mixtures, including all isomers of the compounds of the present invention and mixtures thereof, form part of the present invention. In addition, the present invention includes all geometric and positional isomers. For example, if a compound of the present invention comprises a double bond or a fused ring, both cis- and trans-forms, and mixed forms are included within the scope of the present invention. Single positional isomers and mixtures of positional isomers generated from pyrimidine and pyrazine rings are also within the scope of the present invention. [292] Diastereomeric mixtures can be separated into individual diastereomers on the basis of their physicochemical differences by methods well known to those skilled in the art, such as chromatography and / or fractional crystallization. Enantiomers convert a mixture of enantiomers into a diastereomeric mixture by reacting with a suitable optically active compound (e.g., a chiral adjuvant such as chiral alcohol or Mosher's acid chloride), separating the diastereomers, separating the individual parts Stereoisomers can be separated by conversion (eg hydrolysis) to the corresponding pure enantiomers. In addition, some of the compounds of the present invention may be atropisomers (eg substituted biaryls) and are considered as part of the present invention. Enantiomers can also be separated using chiral HPLC columns. [293] The compounds of the present invention may exist in unsolvated or solvated forms with pharmaceutically acceptable solvents such as water, ethanol and the like, which means that the present invention includes solvated or unsolvated forms. [294] In addition, the compounds of the present invention may exist in several tautomeric forms, all of which are included within the scope of the present invention. For example, all tautomeric forms of imidazole residues are included within the invention. Also, for example, all ketoenol and imine-enamine forms of the compounds are included within the present invention. [295] In addition, the present invention encompasses the same isotopically-labelled compounds of the present invention as recited herein, but in which only one or more atoms have an atomic or mass number that is different from the atomic or mass number normally found in nature. It is substituted by. Examples of isotopes that may be incorporated into the compounds of the invention include hydrogen, carbon, nitrogen, oxygen, phosphorus, fluorine and chlorine, examples of which include 2 H, 3 H, 13 C, 14 C, 15 N, 18 O, 17 O, 31 P, 32 P, 35 S, 18 F, and 36 Cl. [296] Isotopically-labeled compounds of the invention (eg, labeled with 3 H and 14 C) are useful for analyzing compounds and / or substrate tissue distributions. Tritium (ie 3 H) and carbon-14 (ie 14 C) isotopes are particularly preferred in view of ease of preparation and detectability. In addition, substitution with heavier isotopes, such as deuterium (ie, 2 H), results in certain therapeutic advantages that result in better metabolic stability (eg, increase in half-life in vivo or decrease in required dosage). In certain cases. Isotropic-labeled compounds of the present invention can generally be prepared by substituting isotropic-labeled reagents with substitutions of isotropic-labeled reagents by the following procedures similar to those disclosed in the schemes and / or the examples below. . [297] Compounds of the invention are useful 5-HT 2 partial agonists or antagonists (preferably 5-HT 2a or 5-HT 2c partial agonists or antagonists); Accordingly, another embodiment of the invention is a pharmaceutical composition comprising a therapeutically effective amount of a compound of the invention and a pharmaceutically acceptable excipient, diluent or carrier. [298] Typical formulations are prepared by mixing the compound of the invention with a carrier, diluent or excipient. Suitable carriers, diluents and excipients are well known to those skilled in the art and include materials such as carbohydrates, waxes, water soluble and / or swellable polymers, hydrophilic or hydrophobic materials, gelatin, oils, solvents, water and the like. The particular carrier, diluent or excipient used will depend upon the means and purposes to which the compound of the invention is applied. Solvents are generally selected based on solvents known to those skilled in the art (GRAS) to be safe for administration to a mammal. Generally, safe solvents are nontoxic aqueous solvents such as water, and other nontoxic solvents that are soluble or miscible in water. Suitable aqueous solvents include water, ethanol, propylene glycol, polyethylene glycols (eg PEG400, PEG300) and the like and mixtures thereof. The formulation may also contain one or more buffers, stabilizers, surfactants, wetting agents, lubricants, emulsifiers, suspending agents, preservatives, antioxidants, opaquing agents, glidants, processing aids, colorants, sweeteners, flavoring agents, Flavoring agents and other known additives may be included to preserve the drug (ie, the compound of the present invention or pharmaceutical composition thereof) to a high degree, or may aid in the manufacture of a pharmaceutical product (ie, a medicament). [299] The formulations may be prepared using conventional dissolution and mixing procedures. For example, the bulk drug material (ie, a compound of the present invention or a stabilized form of the compound, such as a complex with a cyclodextrin derivative or other known complexing agent) may be in a suitable solvent in the presence of one or more excipients described above. Dissolves. The compounds of the present invention are typically formulated into pharmaceutical dosage forms to provide easy controllable administration of the drug and to provide the patient with a refined and easily operable product. [300] Pharmaceutical compositions (or formulations) for application may be packaged in a variety of ways depending on the method used to administer the drug. Generally, the product for dispensing includes a container in which the pharmaceutical formulation is placed in an appropriate form. Suitable containers are well known to those skilled in the art and include materials such as bottles (plastic and glass), sachets, ampoules, plastic bags, metal cylinders and the like. In addition, the container may include a tamper-proof assemblage to prevent indiscriminate access to the contents of the package. The container also has a label on its surface that describes its contents. The label may also include a suitable warning. [301] The present invention provides a therapeutically effective amount of a compound of the invention, or a therapeutically effective amount of a compound of the invention and a pharmaceutically acceptable excipient, diluent or carrier in an animal suffering from 5-HT 2 receptor-mediated disease, condition or disorder. Further provided is a method of treating a 5-HT 2 receptor-mediated disease, condition or disorder in said animal comprising administering a pharmaceutical composition comprising. The method is particularly useful for treating 5-HT 2c receptor-mediated diseases, conditions or disorders. Preferably, the compounds of the present invention act as partial agonists at the 5-HT 2c receptor site. More preferably, the compounds of the invention act as partial agonists at the 5-HT 2c receptor site and as antagonists at the 5-HT 2a receptor site. [302] Preferably, the 5-HT 2 receptor-mediated disease, condition or disorder is weight loss (e.g. reduced calorie intake), obesity, anorexia, premenstrual syndrome or late luteal phase syndrome, depression, atypical depression (atypical depression), bipolar disorder, psychosis, schizophrenia, migraine, alcoholism, tobacco abuse, panic disorder, anxiety, post-traumatic syndrome, memory loss, senile dementia, social phobia , Attention deficit hyperactivity disorder, disruptive behavior disorder, impulse control disorder, borderline personality disorder, obsessive compulsive disorder, chronic fatigue Syndrome, sexual dysfunction in men (eg, early ejaculation and impotence), sexual dysfunction in women, anorexia nervosa, sleep disorders (eg sleep apnea), autism, seizure disorders, liver , Mute, spinal cord injury, central nervous system damage (e.g., trauma, stroke, neurodegenerative disease or toxic or infectious CNS disease (e.g. encephalitis or meningitis)), cardiovascular disorders (e.g. thrombosis), Gastrointestinal disorders (e.g. dysfunction of external canal movement), diabetes insipidus and type II diabetes. Accordingly, the compounds of the present invention described herein are useful for treating or preventing 5-HT 2 receptor-mediated diseases, conditions or disorders. In conclusion, the compounds of the present invention (including the compositions and methods used herein) can be used in the manufacture of a medicament for the therapeutic use described herein. [303] Compounds of the invention can be administered to a patient at a dosage level of about 0.7 mg to about 7,000 mg per day. A typical adult of about 70 kg body weight typically has a dosage of about 0.01 mg to about 100 mg per kg body weight. However, the requirements may vary depending on the age and weight of the subject to be treated, the intended route of administration, the particular compound being administered, and the like, in the usual dosage ranges. Dosage ranges and optimal dosages for particular patients are well determined within the ability of those skilled in the art to understand the benefits of the present invention. In addition, the compounds of the present invention can be used in sustained, sustained release and delayed release formulations, which forms are also well known to those skilled in the art. [304] In addition, the compounds of the present invention can be used with other agents to treat the diseases / conditions described herein. Thus, there is also provided a method of treatment comprising administering a compound of the invention in combination with another agent. Suitable agents that can be used with the compounds of the present invention include anti-obesity agents such as apolipoprotein-B secretion / microsomal triglyceride transfer protein (apo-B / MTP) inhibitors, MCR-4 agonists, cholecystokinin ) -A (CCK-A) agonists, monoamine reuptake inhibitors (e.g. sibutramine), sympathomimetic agents, β 3 adrenergic receptor agonists, dopamine agonists (e.g. bromocriptine), melanocyte stimulating hormone receptors Analogues, cannabinoid 1 receptor antagonists, melanin enrichment hormone antagonists, leptin (OB protein), leptin analogues, leptin receptor agonists, galanin antagonists, lipase inhibitors (e.g. tetrahydrolipstatin) , Orlistat), anorexia antagonists (eg bombesin agonists), neuropeptide-Y antagonists, thyrotropic agents, dehydroepiandrosterone or its Private substances, glucocorticoid receptor agonists or antagonists, orexin receptor antagonists, urocortin binding protein antagonists, glucagon-like peptide-1 receptor agonists, ciliary neuronal factors (e.g., Regene, Taritown, NY) Axokine (AGRP), AGRP (Human Aguti), available from Regeneron Pharmaceuticals, Inc. and Procter & Gamble Company, Cincinnati, Ohio. Related proteins), ghrelin receptor antagonists, histamine 3 receptor antagonists or inverse agonists, neuromedin U receptor agonists and the like. Other anti-obesity agents, including the preferred formulations disclosed herein, are well known to those skilled in the art or will be readily understood in light of the present disclosure. [305] Particularly preferred are anti-obesity agents selected from the group consisting of orlistat, sibutramine, bromocriptine, ephedrine, leptin and pseudoephedrine. Preferably, the compounds and combination treatments of the present invention are administered in combination with exercise and appropriate diet. [306] Representative anti-obesity agents used in the combinations, pharmaceutical compositions and methods of the present invention can be prepared by methods known to those skilled in the art, for example sibutramine can be prepared as described in US Pat. No. 4,929,629. Can; Bromocriptine may be prepared as described in US Pat. No. 3,752,814 and US Pat. No. 3,752,888; Orlistat may be prepared as described in U.S. Patent 5,274,143, U.S. Patent 5,420,305, U.S. Patent 5,540,917, and U.S. Patent 5,643,874. All of the above cited US patents are incorporated herein by reference. [307] Dosages of additional agents (such as anti-obesity agents) also generally depend on a number of factors, including the health of the subject to be treated, the desired degree of treatment, the nature and type of current treatment, the frequency of treatment if present, and the nature of the desired effect Depends. In general, the dosage range of the anti-obesity agent is about 0.001 mg to about 100 mg, preferably about 0.1 mg to about 10 mg per kilogram of individual body weight. However, the general dosage range may vary depending on the age and weight of the subject to be treated, the intended route of administration, the particular anti-obesity agent to be administered, and the like. Dosage ranges and optimal dosages for particular patients are well determined within the ability of those skilled in the art to understand the benefits of the present invention. [308] In other embodiments of the invention, the compounds of the invention have been found to be useful in the treatment of sexual dysfunction. Sexual dysfunction (SD) is an important clinical problem that can affect both men and women. The cause of SD can be psychological as well as organic. The organic view of SD is typically caused by underlying vascular system diseases such as hypertension or diabetes, prescription medications and / or mental illnesses (eg depression). Physiological factors include fear, anxiety and interpersonal conflict. SD leads to personal anguish by impairing sexual function, hurting self-esteem, and disrupting personal relationships. In clinics, SD disorders are divided into female sexual dysfunction (FSD) and male sexual dysfunction (MSD) (Melman et al., 1999). FSD is usually defined as the difficulty or inability to find satisfaction in sexual expression in women. Male sexual dysfunction (MSD) is commonly associated with erectile dysfunction, also known as male erectile dysfunction (MED) (Benet et al., 1994, "Male Erectile dysfunction assessment and treatment options. Comp. Ther 20: 669-673 "). [309] Compounds of the invention are particularly advantageous for the prevention and / or treatment of sexual dysfunction in men (eg male erectile dysfunction-MED) and female sexual dysfunction (FSD) (eg female sexual arousal disorder (FSAD)). . [310] It is known that some individuals may suffer from male erectile dysfunction (MED). MED is defined as "inability to reach and / or maintain a penile erection for satisfactory sexual function" (NIH Consensus Development Panel on Impotence, 1993). [311] Erectile dysfunction (ED) (minimum, usually, impotence) in all well-known cases is 52% of men aged 40 to 70 years, with males above 70 years having the highest rates (Melman and Gingel ( Gingell, J. C), 1999, The epidemiology and pathophysiology of erectile dysfunction. J. Urology 161 : 5-11. This condition has a significant negative impact on the quality of life of the patient and his spouse, often leading to increased anxiety and tension resulting in depression and lower self-esteem. Unlike more than two decades ago, MEDs have been considered primarily psychologically disabled (Bennett et al., 1994, "Male Erectile dysfunction assessment and treatment options. Comp. Ther. 20: 669-673"), but now most patients are fundamentally It is known to have organic causes. As a result, many advances have usually been made in defining the mechanism of penile erection and the pathophysiology of MED. [312] Penile erection is a hemodynamic result that depends on the balance of contraction and relaxation of the corpus cavernosum smooth muscle and vasculature (Lerner, SE, et al., 1993, A review of erectile dysfunction: new insights and more questions. J Urology 149 : 1246-1255 "). Cavernous smooth muscle is also referred to herein as corporal smooth muscle or plural concepts of cavernous body. Relaxation of the cavernous smooth muscle causes an increase in blood flow to the trabecular space, which expands against the surrounding tunica and compresses the draining veins. This leads to a significant increase in blood pressure resulting in erection (Naylor, AM, 1998, "Endogenous neurotransmitters mediating penile erection. Br. J. Urology 81 : 424-431"). [313] Changes that occur during the erection process are complex and require a high degree of mutual control related to the peripheral, central and endocrine systems (Nayler, 1998). Cavernous smooth muscle contraction is regulated by noradrenaline neuronal distribution of the sympathetic nerve through the activity of the postsynaptic α 1 adrenergic receptor. MED may be associated with an increase in the endogenous smooth muscle tone of the corpus cavernosum. However, the process of spongy smooth muscle relaxation is partially mediated by non-adrenergic (non-cholinergic (NANC)) neurotransmission. In addition to NO, there are a number of other neurotransmitters found in the penis, such as calcitonin gene-related peptide (CGRP) and vascular intestinal peptide (VIP). The major relaxation factor responsible for mediating this relaxation is nitrogen oxides (NO), which are synthesized from L-arginine by nitrogen oxide synthase (NOS) (Taub, HC et al., 1993, "Relationship between contraction and relaxation in human and rabbit corpus cavernosum. Urology 42 : 698-704 "). Reduced cavernous smooth muscle tension is thought to help NO to induce relaxation of the cavernos. During male sexual arousal, NO is released from neurons and endothelial cells, binding to and activating soluble guanylate cyclase (sGC) located in smooth muscle cells and endothelial cells, thereby intracellular cyclic guanosine 3 ', 5'-monophosphate (cGMP) concentration is increased. This increase in cGMP leads to relaxation of the cavernous body, because intracellular calcium concentrations are reduced through an unidentified mechanism believed to be involved in protein kinase G activation ([Ca 2+ ] i ) (or Ca if possible). 2+ pump and Ca 2+ -activated K channel activation). [314] The category of female sexual dysfunction (FSD) is usually defined against the level of female sexual response (desire, arousal and orgasm) (SR Leiblum, 1998, "Definition and Classification of Female Sexual Disorders, Int"). J. Impotence Res. , 10, S104-S106 "). Desire or sexual desire is the motive for sexual expression. His expressions often include sexual thoughts when dealing with interested partners or when exposed to other sexual stimuli. Arousal includes vascular response to sexual stimulation, genital hyperemia and increased vaginal lubrication, important elements of vaginal elongation and increased genital sensation / sensitivity and subjective arousal response. Orgasm is the liberation of sexual tensions that peaked during excitement. Therefore, FSD occurs when a woman has no, insufficient or unsatisfactory response to any one or more of these conditions, typically desire, arousal and orgasm. [315] The American Psychiatric Association has identified four categories of female sexual dysfunction (FSD): FSAD, sexual desire reduction disorder (HSDD), female orgasm disorder (FOD), and sexual pain disorders (eg, dyspareunia and vagina). Convulsions) (see "The American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV)"). [316] DSM-IV defines four classes as follows. [317] HSDD refers to a condition where there is a continuous or regressive lack of sexual fantasies and desire for sexual activity. Judgment of lack or absence is made by the physician in charge of personal history and factors affecting function (eg age). [318] FSAD refers to a persistent or regressive ability that does not sustain or maintain a sufficient lubrication-swelling response to sexual stimulation until completion of sexual activity. [319] FOD refers to a persistent or regressive delay or absence of orgasm following normal sexual stimulation. Women have a wide range of types or intensities that trigger orgasms. The diagnosis of FOD should be based on the physician's judgment that the orgasm capacity of a woman is lower than her age, sexual experience, and adequacy of acceptable sexual stimulation. [320] Sexual pain disorders such as dyspareunia and vaginal cramps. Dyspareunia refers to persistent or recurrent genital pain associated with sexual intercourse. Vaginal spasms refer to persistent or recurrent unconscious spasms of the outer third muscle tissue of the vagina that interferes with sexual intercourse. [321] HSDD occurs when a woman has no or little sexual desire or no or little sexual thought or fantasy. This type of FSD can be caused by low testosterone levels attributable to natural or postmenopausal menopause. Other causes in both premenopausal women (ie, premenopausal and unhysterectomized women) and postmenopausal women Diseases, drugs, fatigue, depression and / or anxiety. Factors with potential (conscious or subconscious) mental shocks (eg, difficulties in human relationships or religious factors) may be related to the presence / progress of women's HSDD. The American Psychiatric Association's Diagnostic and Statistical Manual (DSM) IV states that female sexual arousal disorders (FSADs) do not sustain or maintain a sufficient lubrication-swelling response to sexual stimulation until completion of sexual activity. Persistence or regression ability ... This interruption clearly leads to distinct concerns or difficulties in human relationships ... ". [322] Arousal reactions consist of vasocongestion in the pelvis, vaginal lubrication and swelling and swelling of external genitalia. These disturbances lead to obvious distress or difficulty in human relations. [323] FSAD is a highly prevalent sexual disorder affecting premenopausal, postmenopausal and postmenopausal women (± hormonal replacement therapy (HRT)). It is associated with accompanying disorders such as depression, cardiovascular disease, diabetes and urogenital system (UG) disorders. First of all, FSAD results in lack of congestion / swelling, lubrication and satisfactory genital sensation. Next, FSAD results in decreased sexual desire, difficulty in sexual intercourse, and difficulty reaching orgasms. Recently, using animal data (Park et al., "Int. J. Impot. Res., 9, 27-37, 1997") in support of this view, at least a certain percentage of patients with FSAD symptoms. (Goldstein et al., "Int. J. Impot. Res., 10, S84-S90, 1998") have been speculated to be based on blood vessels. [324] Candidate drugs for treating FSAD under investigation for efficacy are mainly erectile dysfunction therapies that promote circulation to the male genitals. These are two types of formulations, oral or buccal agents (apomorphine, pentolamin, type 5 phosphodiesterase (PDE5) inhibitors, such as Sildenafil, which are injected into men or administered to the urethra and administered locally to the genitals to women. )) And prostaglandin (PGE 1 ). [325] Compounds of the present invention advantageously provide a means of restoring normal sexual arousal reactions. That is, it increases blood flow in the genitals, congesting the vagina, clitoris and labia. This results in increased vaginal lubrication through plasma transudation, increased vaginal flexibility and increased genital sensitivity. Therefore, the present invention provides a means for restoring or enhancing normal sexual arousal response. [326] The inventors regard female genitalia as follows. The reproductive organs consist of internal and external groups. Internal organs are located in the pelvis and consist of the ovary, uterus, uterus and vagina. External organs exist on the surface of the genitourinary diaphragm and under the pelvic arch. These include mons pubis, labia majora, labia minora, clitoris, vestibule, bulb and greater vestibular gland "(Gray's Anatomy, CD Clemente, 13 th American Edition) RJ Levin says, "Men and female genitals are developing embryologically from conventional tissue anlagen, and it is claimed that male and female genital structures are homologous to each other." Thus, the clitoris is the homology of the penis and the labia are the homology of the scrotum ... "(Levin's 1991 document" Exp. Clin. Endocrinol., 98, 61-69 "). [327] In summary, FSAD is characterized by insufficient response of the genitals to sexual stimulation. The genitals do not experience hyperemia, which is characteristic of normal sexual arousal. The vaginal wall is insufficiently lubricated, resulting in pain during intercourse. Orgasms can be disturbed. Arousal disorders, along with vascular system elements such as diabetes and atherosclerosis, can be caused by estrogen reduction by disease, during menopause or after childbirth and during lactation. Another cause results from treatment with diuretics, antihistamines, antidepressants, such as selective serotonin reuptake inhibitors (SSRIs) or antihypertensive agents. [328] FOD is a persistent or regressive difficulty, delay or absence of orgasm following sexual stimulation and excitement, which is a personal concern. [329] Sexual pain disorders (including dyspareunia and vaginal spasms) are characterized by pain resulting from sexual intercourse and sexual activity and may be caused by problems that reduce lubricity, endometriosis, pelvic inflammatory disease, inflammatory bowel disease, or urinary problems. Can be. [330] According to a further aspect, the present invention provides a method for treating and / or preventing male sexual dysfunction (MSD), in particular male erectile dysfunction (MED), using the compounds of the present invention as described in detail herein above. Additionally provided. As described in detail herein, particularly preferred for the treatment of MED is 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl to be. [331] According to a further aspect, the invention, as described in detail herein above, inhibits the activity of a compound of the invention, one or more compounds that inhibit the activity of PDE, in particular the activity of cGMP PDE5, and / or NEP. Further provided are methods for treating and / or preventing male sexual dysfunction using a combination of one or more compounds. [332] Men who exhibit an unsatisfactory or poor response to Viagra treatment may be given a combination therapy based on the compound of the invention alone or a combination therapy based on the compound of the invention and cGMP PDE5i (e.g. sildenafil). May be advantageous. For patients suffering from moderate MED from mild MED, a combination therapy based on the compounds of the invention alone or in combination with NEPi would be advantageous. It may also be reactive in patients with severe MED. Light, normal and severe MED is a term known to those skilled in the art, but may be guided by " The Journal of Urology , vol 151, 54-61 (Jan 1994)". [333] Published by Mosby-Wolfe, Clinical Andrology vol 23, no.4, p773-782, and chapter 3 of the book by 1. Eardley and K. Sethia "Erectile Dysfunction-Current Investigation and Management. The group of MED patients described in more detail below is as follows. Mental, endocrine, neurological, arteriogenic, drug-induced sexual dysfunction (lactogenic), and cavernosal factors, particularly sexual dysfunctions associated with venogenic causes. [334] Suitable cGMP PDE5 inhibitors for use with the compounds of the present invention for the treatment of MED according to the present invention include the following compounds. Pyrazolo [4,3-d] pyrimidin-7-ones disclosed in EP-A-0463756; Pyrazolo [4,3-d] pyrimidin-7-ones disclosed in International Application WO 01/27112; Pyrazolo [4,3-d] pyrimidin-7-ones disclosed in international application WO 01/27113; Indole-1,4-diones disclosed in WO95 / 19978; And triazine-4-ones as disclosed in published International Application WO99 / 24433. [335] 1-[[3- (6,7-dihydro-1-methyl-7-oxo-3-propyl-1H-pyrazolo [4,3-d] pyrimidin-5-yl) -4-ethoxyphenyl 5- [2-ethoxy-5- (4-methyl-1-piperazinylsulfonyl) phenyl] -1-methyl-3-n-, also known as] sulfonyl] -4-methyl piperazine Propyl-1,6-dihydro-7H-pyrazolo [4,3-d] pyrimidin-7-one (sildenafil) (see EP-A-0463756); 1- {6-Ethoxy-5- [3-ethyl-6,7-dihydro-2- (2-methoxyethyl) -7-oxo-2H-pyrazolo [4,3-d] pyrimidine- 5- [2-ethoxy-5- (4-ethylpiperazin-1-ylsulfonyl) pyridin-3-yl, also known as 5-yl] -3-pyridylsulfonyl} -4-ethylpiperazine. ] -3-ethyl-2- [2-methoxyethyl] -2,6-dihydro-7H-pyrazolo [4,3-d] pyrimidin-7-one (see Example 8 of WO 01/27113). ); 5- (5-acetyl-2-butoxy-3-pyridinyl) -3-ethyl-2- (1-ethyl-3-azetidinyl) -2,6-dihydro-7H-pyrazolo [4, 3-d] pyrimidin-7-one (see Example 132 of WO 01/27112); (6R, 12aR) -2,3,6,7,12,12a-hexahydro-2-methyl-6- (3,4-methylenedioxyphenyl) -pyrazino [2 ', 1': 6,1 ] Pyrido [3,4-b] indole-1,4-dione (IC-351, tadalafil), ie the compounds of Examples 78 and 95 of published international application WO 95/19978, and implementation The compounds of Examples 1, 3, 7 and 8; And 1-[[3- (3,4-dihydro-5-methyl-4-oxo-7-propylimidazo [5,1-f] -as-triazin-2-yl) -4- 2- [2-ethoxy-, also known as oxyphenyl] sulfonyl] -4-ethylpiperazine (ie, compounds of Examples 20, 19, 337 and 336 of published International Application WO 99/24433). 5- (4-ethyl-piperazin-1-yl-1-sulfonyl) -phenyl] -5-methyl-7-propyl-3H-imidazo [5,1-f] [1,2,4] tri Compounds such as azine-4-one (vardenafil); And pharmaceutically acceptable salts thereof. [336] In accordance with a further aspect of the present invention, MED treatment comprising 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl and sildenafil A composition for use is provided. [337] The suitability of any particular cGMP PDE5 inhibitor for use with the compounds of the present invention, after assessing the potency and selectivity using the methods in the literature, is determined according to standard pharmaceutical practices such as toxicity, absorbency, metabolism, pharmacokinetics, etc. Can be easily determined by evaluating. [338] Preferred cGMP PDE5 inhibitors for use herein have an IC 50 of less than 100 nanomoles, more preferably of less than 50 nanomoles, even more preferably of less than 10 nanomoles. Preferably, the CGMP PDE5 inhibitors for use in the pharmaceutical combinations according to the invention are selective for PDE5 enzymes. Preferably, they have a selectivity of PDE5 of at least 100 times, preferably at least 300 times, relative to PDE3. More preferably, PDE5 has a selectivity of at least 100 times and preferably at least 300 times relative to both PDE3 and PDE4. [339] Selectivity ratios can be readily determined by one skilled in the art. IC 50 values for PDE3 and PDE4 enzymes can be measured using established literature methods. See Ballard et al., Journal of Urology, 1998, vol. 159, pages 2164-2171. [340] Herein, NEP inhibitors having an NEP of EC 3.4.24.11 are preferred, more preferably, the NEP inhibitor is a selective inhibitor against EC 3.4.24.11, and more preferably the selective NEP inhibitor is a selective inhibitor against EC 3.4.24.11. It has an IC 50 of less than 100 nM (eg, ompatrilat, candoxatril, candoxatrilat, sampatrilat). Suitable NEP inhibitor compounds are described in EP-A-1097719. [341] Particularly preferred NEPi compounds as adjuvant for treating MED according to the present invention are those disclosed in co-pending international patent application PCT / IB02 / 00807 filed March 18, 2002. [342] (S) -2-[(1-{[3- (4-chlorophenyl) propyl] -carbamoyl} cyclo-pentyl) methyl] -4 as described in detail in Example 22 of PCT / IBO2 / 00807. Particular preference is given to -methoxybutanoic acid or a pharmaceutically acceptable salt thereof, such as its sodium salt. A detailed description of the synthesis of this compound and the sodium salt is provided in the experimental section below. [343] According to a further aspect of the invention 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl and (S) -2- [ Provided is a composition for treating MED, comprising (1-{[3- (4-chlorophenyl) propyl] carbamoyl} cyclo-pentyl) methyl] -4-methoxybutanoic acid. [344] According to a further aspect of the invention there is provided the use of a compound of the invention for treating female sexual dysfunction (FSD). [345] According to another aspect of the invention, there is provided the use of a compound of the invention and one or more additional active agents for treating female sexual dysfunction (FSD). [346] Preferably, the one or more additional active agents are selected from the group consisting of the following compounds. [347] 1) estrogen receptor modulators and / or estrogen agonists and / or estrogen antagonists; 2) testosterone replacements and / or testosterone (Tostrelle) and / or dihydrotestosterone and / or dehydroepiandrosterone (DHEA) and / or testosterone implants; 3) estrogens, estrogens and hydroxyprogesterone or hydroxyprogesterone acetate (MPA) (as a combination), or estrogen and methyl testosterone hormone replacement therapy; 4) one or more dopaminergic agents; 5) one or more NPY (neupeptide Y) inhibitors; 6) one or more melanocortin receptor agonists or modulators or melanocortin enhancers; 7) one or more NEP (neutral endopeptidase) inhibitors; 8) one or more PDE (phosphodiesterase) inhibitors; And 9) one or more bombesin receptor antagonists or modulators. [348] Preferably, the FSD is female sexual arousal disorder (FSAD). Alternatively, the FSD is female orgasm disorder (FOD). Alternatively, the FSD is sexually diminished disorder (HSDD). Alternatively, the FSD is sexual pain disorder, preferably dyspareunia or vaginal cramps. [349] Examples of estrogen receptor modulators and / or estrogen agonists and / or estrogen antagonists include raloxifene or lasofoxifene, (-)-cis-6-phenyl-5- [4- (2 -Pyrrolidin-1-yl-ethoxy) -phenyl] -5,6,7,8-tetrahydronaphthalen-2-ol and its pharmaceutically acceptable salts (compound (a) below), Its preparation is described in WO 96/21656. [350] [351] An example of a testosterone replacement is dehydroandrostendione. [352] Examples of hormone replacement therapies include Premarin, Cenestin, Oestrofeminal, Equin, Estrace, Estrofem, and Elleste Solo. ), Estring, Eastraderm TTS, Eastraderm Matrix, Dermestril, Premphase, Preempro, Prempak , Premique, Estratest, Estratest HS and Tibolone. [353] Examples of dopaminergic agents include apomorphine or selective D2, D3 or D2 / D 3 agonists such as pramipexole and ropirinol (as claimed in WO 0023056), L-dopa ( Dopa) or carbidopa, PNU95666 (as disclosed in WO 0040226). [354] Examples of NPY (neupeptide Y) inhibitors include NPY1 or NPY5 inhibitors, preferably NPY1 inhibitors. Preferably, the NPY inhibitors (including NPY Y1 and NPY Y5) have an IC 50 of less than 100 nM, more preferably less than 50 nM. Suitable NPY, in particular NPY1 inhibitor compounds are disclosed in EP-A-1097718. [355] Examples of melanocortin receptor agonists or modulators or melanocortin enhancers include melanotan II, PT-14, PT-141, or WO 09964002, WO 00074679, WO 09955679, WO 00105401, WO Compounds disclosed in 00058361, WO00114879, WO 00113112 or WO 09954358 are included. [356] Suitable NEP inhibitors are as described herein above. [357] According to a further aspect, the invention provides 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl and (S) -2- [ Provided is a composition for treating FSD, comprising (1-{[3- (4-chlorophenyl) propyl] carbamoyl} cyclo-pentyl) methyl] -4-methoxybutanoic acid. [358] Preferred PDE inhibitors include PDE 2, 3, 4, 5, 7 or 8 inhibitors, preferably PDE2 or PDE5 inhibitors, more preferably PDE5 inhibitors (as described herein above), most preferably sildenafil . [359] According to a further aspect, the present invention provides FSD treatment comprising 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl and sildenafil It provides a composition for. [360] Preferred examples of one or more bombesin receptor antagonists or modulators are antagonists or modulators for BB 1 , which include PCT / GB01 / 05018 (filed November 14, 2001) and PCT / GB00 / 04380 (11 2000) (Filed May 17). Bombesin BB 2 , BB 3 , or BB 4 receptor antagonists are also preferred. Preferred bombesin receptor antagonists are also referred to as "adjuvant" in PCT / IBO1 / 02399 (filed Dec. 10, 2001). [361] A list of all possible "additional active agents" can be found in PCT / IB01 / 02399, filed Dec. 10, 2001, where it is described as "adjuvant". [362] According to a further aspect of the invention, other 5-HT 2c receptor agonists may be used with the compounds of the invention. Such 5-HT 2c receptor agonists include Chaki and Nakazato, "Expert Opin. Ther. Patents (2001), 11 (11): 1677-1692" (particularly Section 3.9-5HT 2). , Pages 1687, and 1686, or Isaac's Document "Drugs of the Future (2001), 26 (4): 383-393" (see especially Figure 2 on page 385). Included, but not limited to. For greater clarity, the entirety of the documents mentioned above is incorporated herein by reference. [363] Preferably, the 5-HT 2c receptor agonist is a selective 5-HT 2c receptor agonist. [364] Receptor binding data or binding selectivity data may not always be related to or reflect functional data or functional selectivity data. For example, the compound may be a 5-HT 2c receptor agonist when analyzed by binding assays, but the compound may have the same potency as that of other 5-HT receptors. Thus, as used herein, the term "selective" in connection with a method of treating sexual dysfunction means "functionally selective." [365] Thus, according to another aspect, the present invention provides a 5-HT 2c receptor agonist, preferably selective 5, for the treatment of FSD, preferably FSAD, FOD, HSDD, or sexual pain disorders (dysparopathy or vaginal spasms). It further provides for the use of -HT 2c receptor agonist. [366] According to the method of the invention, the compound of the invention or a combination of the compound of the invention with one or more additional agents is administered to a subject in need of such treatment, preferably in the form of a pharmaceutical composition. In a combination aspect of the invention, the compounds of the invention and one or more other agents (eg, the anti-obesity agents described above) may be administered individually or in pharmaceutical compositions comprising both of the above. In general, such administration is preferably oral administration. However, parenteral or transdermal administration may be appropriate if the subject to be treated cannot be swallowed, or if oral administration is harmful or not desired. [367] According to the methods of the invention, when the combination of a compound of the invention and one or more other agents are administered together, such administration may proceed sequentially or simultaneously, with simultaneous administration methods being generally preferred. In continuous administration, the compounds of the present invention and additional agents may be administered in any order. Such administration is generally oral administration. Such administration is particularly preferably oral and simultaneous administration. When the compounds of the present invention and additional agents are administered sequentially, each administration can be carried out simultaneously or by other methods. [368] According to the present invention, the compound of the present invention or a combination of the compound of the present invention and one or more additional agents (referred to herein as "combinations") is preferably administered in the form of a pharmaceutical composition. Thus, the compounds or combinations of the present invention may be used in any conventional oral, rectal, transdermal, parenteral (eg, intravenous, intramuscular or subcutaneous), intravitreal, intravaginal, intraperitoneal, intravesical ), Topically (eg, powder, ointment or drop), buccal, or nasal dosage forms, may be administered to a patient individually or together. [369] Compositions suitable for oral infusion generally include sterile aqueous or non-aqueous solutions, dispersions, suspensions or emulsions, and sterile powders for reconstitution into sterile injectable solutions or dispersions. Examples of suitable aqueous and non-aqueous carriers, diluents, solvents or vehicles include water, ethanol, polyols (propylene glycol, polyethylene glycol, glycerol, and the like), suitable mixtures thereof, vegetable oils (e.g. olive oil) and injectable organic esters such as Ethyl oleate. Proper fluidity can be maintained, for example, by using coatings such as lecithin, by maintaining the required particle size in the case of dispersions, or by using surfactants. [370] These compositions may also contain reinforcing agents such as preservatives, wetting agents, emulsifiers and dispersants. Microbial contamination of the composition can be prevented using various antibacterial and antibacterial agents such as parabens, chlorobutanol, phenol, sorbic acid, and the like. It may also be desirable to include isotonic agents such as sugars, sodium chloride, and the like. Absorption of the injectable pharmaceutical composition can be delayed using agents that can delay absorption, such as aluminum monostearate and gelatin. [371] Solid dosage forms for oral administration include capsules, tablets, powders, and granules. In such solid dosage forms, the compounds or combinations of the invention may contain one or more conventional inert pharmaceutical excipients (or carriers) such as sodium citrate or dicalcium phosphate, or (a) fillers or extenders (e.g. starch, lactose) , Sucrose, mannitol, silisic acid and the like); (b) binders such as carboxymethylcellulose, alginate, gelatin, polyvinylpyrrolidone, sucrose, acacia and the like; (c) humectants (such as glycerol); (d) disintegrants such as agar-agar, calcium carbonate, potato or tapioca starch, alginic acid, certain complex silicates, sodium carbonate and the like; (e) solution retardants (eg, paraffin, etc.); (f) absorption accelerators (eg, quaternary ammonium compounds, etc.); (g) wetting agents (eg, cetyl alcohol, glycerol monostearate, etc.); (h) adsorbents such as kaolin, bentonite, etc .; And / or (i) lubricants such as talc, calcium stearate, magnesium stearate, solid polyethylene glycols, sodium lauryl sulfate, and the like. For capsules and tablets, the dosage form may also include a buffer. [372] Solid compositions of a similar type may also be used as fillers in soft or hard filled gelatin capsules using such excipients as lactose or milk sugar and high molecular weight polyethylene glycols and the like. [373] Solid dosage forms (eg tablets, dragees, capsules, and granules) can be prepared using coatings and shells, such as enteric coatings, and others well known in the art. In addition, they may contain opacifying agents and may also take compositions that retard the release of the compounds of the invention and / or additional agents. Examples of impregnation compositions that can be used are polymeric substances and waxes. The drug may also contain one or more excipients described above, where appropriate in microencapsulated form. [374] Liquid dosage forms for oral administration include pharmaceutically acceptable emulsions, solutions, suspensions, syrups and elixirs. In addition to the compounds or combinations of the present invention, liquid dosage forms include inert diluents commonly used in the art, such as water or other solvents, solubilizers and emulsifiers, such as ethyl alcohol, isopropyl alcohol, ethyl carbonate, ethyl acetate , Benzyl alcohol, benzyl benzoate, propylene glycol, 1,3-butylene glycol, dimethylformamide, oils such as cottonseed oil, peanut oil, corn germ oil, olive oil, castor oil, sesame seed oil Etc.), glycerol, tetrahydrofurfuryl alcohol, fatty acid esters of polyethylene glycol and sorbitan, mixtures of these substances, and the like. [375] In addition to these inert diluents, the compositions may also include reinforcing agents such as wetting agents, emulsifiers and suspending agents, sweetening agents, flavoring agents and flavoring agents. [376] Suspensions, in addition to the compounds or combinations of the invention, include suspending agents such as ethoxylated isostearyl alcohol, polyoxyethylene sorbitol and sorbitan esters, microcrystalline cellulose, aluminum metahydroxy, bentonite, agar-agar, and tra Gancanth, or mixtures of these substances, and the like. [377] Compositions for rectal or vaginal administration preferably include suppositories, which incorporate a compound or combination of the invention into a suitable non-irritating excipient or carrier (e.g. cocoa butter, polyethylene glycol or suppository wax) (which is at ordinary room temperature). Solid, but liquid at body temperature and thus melt in the rectum or vagina to release the active ingredient (s)). [378] Dosage forms for topical administration of a compound of the invention and a combination of a compound of the invention and an anti-obesity agent may include ointments, powders, sprays and inhalants. The drug may be mixed under sterile conditions with a pharmaceutically acceptable carrier and any preservatives, buffers or propellants that may be required. Ophthalmic formulations, eye ointments, powders and solutions are also included within the scope of the present invention. [379] The following describes examples of formulations, administrations, and the like useful for non-human animals. Compounds of the invention and combinations of compounds of the invention with anti-obesity agents can be administered orally or parenterally (eg, by injection). [380] The amount of the compound of the present invention and the combination of the compound of the present invention and an anti-obesity agent is administered to effect effective administration. Generally, the daily dosage administered orally to the animal is about 0.01 to about 1,000 mg / kg body weight, preferably about 0.01 and about 300 mg / kg body weight. [381] Conveniently, a compound (or combination) of the present invention may be contained and delivered in a beverage so that a therapeutic dose of the compound is ingested in a daily water supply. The compound may be weighed directly into the beverage, preferably in the form of a liquid, a water soluble concentrate (eg, an aqueous solution of a water soluble salt). [382] For convenience, the compounds (or combinations) of the invention can also be added directly to the feed, for example in the form of animal feed supplements (which are also referred to as premixes or concentrates). Premixes or concentrates of compounds in carriers are more and more commonly used for incorporation of formulations in feed. Suitable carriers include liquids or solids, if desired, for example water, various meals (eg alfalfa flour, soy flour, cottonseed oil flour, flax oil flour, corncob flour and corn flour), molasses, urea , Bone meal, and mineral mixtures used for example in poultry feed. Particularly effective carriers are the respective animal feeds themselves. That is a small amount of these feeds. The carrier promotes homogeneous distribution of the compound in the final feed blended with the premix. Preferably, the compound is evenly blended into the premix, subsequently into the feed. In this respect, the compound may be dispersed or dissolved in a suitable oil vehicle (eg, soybean oil, corn oil, cottonseed oil, etc.) or in a volatile organic solvent and then blended with the carrier. The proportion of the compound in the concentrate can vary, because the amount of the compound in the final feed can be adjusted by blending the premix in the appropriate proportion with the feed to obtain the desired level of compound. [383] High potency concentrates can be blended by a feed manufacturer with protein carriers such as soybean oil flour, and other flours described above to make concentrated supplements, which are suitable for feeding directly to animals. In this example, the animal will consume conventional daily food. Alternatively, such concentrated supplements can be added directly to the feed to obtain a nutritionally balanced final feed containing a compound of the present invention at a therapeutically effective level. The mixture is blended evenly in a standard procedure such as a twin shell blender to ensure homogeneity. [384] Similarly, if a supplement is used as the top dressing of the feed, it certainly helps to homogeneously distribute the compound over the top of the dressed feed. [385] Drinks and feeds effective in increasing lean meat accumulation and improving lean meat to fat ratio are generally prepared by mixing the compounds of the present invention with sufficient amounts of animal feed to obtain about 10 -3 to about 500 ppm of the compound in or in the feed. Can be. [386] Preferred drug-medicated pig, cow, sheep and goat feeds generally contain from about 1 to about 400 g of the compound (or combination) of the present invention per tonne of feed and the optimum amount for these animals is typically feed From about 50 to about 300 g per ton. [387] Preferred feed of poultry and pet livestock typically contains from about 1 to about 400 g, preferably from about 10 to about 400 g, of the compound (or combination) of the invention per tonne of feed. [388] In parenteral administration of animals, the compounds (or combinations) of the invention are prepared in the form of pastes or pellets, and are usually under the head or ear skin of the animal, in which lean meat accumulation is increased and improvements in lean meat to fat ratio are needed. It can be administered as an implant. [389] Generally, parenteral administration includes administering a drug of about 0.01 to about 20 mg / kg body weight / day to the animal by injecting a sufficient amount of the compound (or combination) of the present invention. Preferred dosages for poultry, pigs, cattle, sheep, goats and pet livestock are about 0.05 to about 10 mg / kg body weight / day of drug. [390] Paste formulations may be prepared by dispersing the drug in a pharmaceutically acceptable oil such as peanut oil, sesame oil, corn oil and the like. [391] Pellets containing a therapeutically effective amount of a compound, pharmaceutical composition, or combination of the present invention may be prepared by mixing the compound or combination of the present invention with a diluent (eg, carbowax, carnuba wax, etc.), and pellets Lubricants (eg magnesium or calcium stearate) may be added to improve the oxidization process. [392] Of course, it is recognized that one or more pellets are administered to the animal to reach the desired dosage level, thereby increasing lean meat accumulation and improving the ratio of lean meat to fat. Moreover, additional implants may be made periodically during animal treatment to maintain appropriate drug levels in the animal's body. [393] The present invention has several advantageous veterinary features. For pet owners or veterinarians who wish to increase lean meat and / or remove unwanted fat from pets, the present invention provides a means to accomplish this. For poultry and pig breeders, using the method of the present invention, less fat animals are produced in the meat industry which are higher priced. [394] Embodiments of the present invention are illustrated by the following examples. However, embodiments of the present invention are not limited to the specific details of these examples as other variations thereof are known and are also apparent to those skilled in the art in light of the disclosure of the present invention. [395] Unless otherwise specified, starting materials are generally commercial sources, such as Aldrich Chemicals Co. (Milwaukee, WI), Lancaster Synthesis, Inc. (New Hampshire). Wyndham, Inc., Acros Organics (Fairlon, NY), Maybridge Chemical Company, Ltd. (Cornwall, England), Tyger Scientific ( Princeton, NY) and AstraZeneca Pharmaceuticals (London, England). [396] General Experiment Procedure [397] NMR spectra were recorded at 400 MHz at room temperature for both on Varian Unity (tradename) 400 (available from Varian Inc., Palo Alto, Calif.). Chemical shifts are expressed in parts per million (ppm), based on residual solvent as internal reference. The peak shape is expressed as follows. s represents a single single; d represents a doublet; t represents a triplet; q represents 4 tablets; m represents a multiplet; bs represents a broad tablet; 2s represents two tablets. Atmospheric pressure chemical ionization mass spectra (APCI) were obtained on a Pisons Platform II spectrometer (carrier gas: acetonitrile: available from Micromass Ltd, Manchester, UK). . Chemical ionization mass spectra on Hewlett-Packard (tradename) 5989 instrument (Ammonia Ionization, PBMS: available from Hewlett-Packard Company, Palo Alto, CA). Cl) was obtained. Electrospray ionization mass spectra (ES) were obtained on a Waters ZMD instrument (carrier gas: acetonitrile: available from Waters Corp., Milford, Mass.). When describing the intensity of chlorine or bromine-containing ions, the predicted intensity ratio is observed (about 3: 1 for 35 Cl / 37 Cl-containing ions and 1: 1 for 79 Br / 81 Br-containing ions) And only the strength of the low mass ions is given. In any case, only representative 1 H NMR peaks are given. MS peaks are recorded in all examples. Optical rotation was performed at a given temperature using a PerkinElmer (trade name) 241 polarimeter (PerkinElmer Inc., Wellesley, Mass.) Using a sodium D line (λ = 589 nm). Measured in phase and reported as follows: [α] D temperature , concentration (c = g / 100ml), and solvent. [398] Baker silica gel (40 μm; Philips, NY Column chromatography was performed using JT Baker or silica gel 50 (EM Sciences, trade name, Gibbstown, NY). [399] Example 1 [400] Preparation of Intermediate 6'-Chloro-2,3,5,6-tetrahydro- [1,2 '] bipyrazinyl-4-carboxylic acid tert-butyl ester (I-1a) [401] of 2,6-dichloropyrazine (2.98 g, 20 mmol), piperazine-1-carboxylic acid tert-butyl ester (3.72 g, 20 mmol) and sodium carbonate (2.12 g, 20 mmol) in t-butanol (50 mL) The mixture was heated to reflux under nitrogen for 65 hours. The solution was concentrated in vacuo. The residue was partitioned between ethyl acetate (50 mL) and water (50 mL). The aqueous phase was extracted with ethyl acetate (3 x 30 mL). The combined organic extracts were washed with brine (50 mL), dried over magnesium sulfate, filtered and concentrated in vacuo to afford the title compound (I-1a) as a white solid. [402] 1 H NMR (400 MHz, CDCl 3 ) δ 7.96 (s, 1H); 7.82 (s, 1 H); 3.52-3.60 (m, 8 H); 1.46 (s, 9 H). MS (ES + ) calculated: 298.1, found: 299.1 (M + 1). [403] Preparation of Intermediate 6 '-(3-Chloro-benzyloxy) -2,3,5,6-tetrahydro- [1,2'] bipyrazinyl-4-carboxylic acid tert-butyl ester (I-1b) [404] 6'-Chloro-2,3,5,6-tetrahydro- [1,2 '] bipyrazinyl-4-carboxylic acid tert-butyl ester (I-1a) in toluene (6 mL) (300 mg, 1.0 Mmol), a mixture of 3-chlorobenzyl alcohol (0.142 mL, 1.2 mmol), KOH (191 mg, 3.4 mmol) and 18-crown-6 (10.6 mg, 0.04 mmol) was stirred under reflux for 5.5 hours and under vacuum Concentrated. The residue was partitioned between H 2 O (30 mL) and CH 2 Cl 2 (30 mL). The aqueous phase was separated and extracted with CH 2 Cl 2 (2 × 30 mL). The combined organic extracts were dried and concentrated in vacuo. The crude product was purified by preparative TLC (5% MeOH in CH 2 Cl 2 ) to afford the title compound (I-1b) (380 mg). [405] 1 H NMR (400 MHz, CDCl 3 ) δ 7.63 (s, 1H); 7.59 (s, 1 H); 7.40 (s, 1 H); 7.27 (s, 3 H); 5.26 (s, 2 H); 3.51 (s, 8 H); 1.46 (s, 9 H). MS (ES + ) calculated: 404.1, found: 405.0 (M + 1). [406] Preparation of 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl (1-A) [407] 6 '-(3-chloro-benzyloxy) -2,3,5,6-tetrahydro- [1,2'] bipyrazinyl-4-carboxylic acid tert-butyl in CH 2 Cl 2 (6 mL) To a solution of I-1 b) (380 mg, 0.94 mmol) trifluoroacetic acid (1.4 mL) was added. After stirring for 2 hours at room temperature, the solution was concentrated in vacuo. The residue was partitioned between 1M HCl (20 mL) and EtOAC (30 mL). The aqueous phase was washed with EtOAc (2 × 30 mL), basified with 3N NaOH and extracted with EtOAc (3 × 30 mL). The combined organic extracts were concentrated in vacuo to afford the title compound 1-A (252 mg) as an oil. [408] 1 H NMR (400 MHz, CDCl 3 ) δ 7.62 (s, 1H); 7.56 (s, 1 H); 7.40 (s, 1 H); 7.28-7.25 (m, 3 H); 5.26 (s, 2 H); 3.49 (t, 4 H); 2.95 (t, 4 H); 1.96 (s, 1 H). MS (ES + ) calculated: 304.1, found: 305.1 (M + 1). [409] Preparation of 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl, hydrochloride (1-B) [410] Solution of 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl (1-A) in CH 2 Cl 2 (4 mL) To 1M HCl in ether (1.5 mL) was added dropwise, followed by addition of hexane (4 mL). The solid was collected and dried to give hydrochloride salt (1-B) (300 mg). [411] 1 H NMR (400 MHz, CD 3 OD) δ 7.98 (br s, 1H); 7.72 (s, 1 H); 7.50 (s, 1 H); 7.39-7. 33 (m, 3 H); 5.48 (br s, 2 H); 4.00 (br s, 4 H); 3.35 (bs, 4 H). MS (ES + ) calculated: 304.1, found: 305.1 (M + 1). [412] Preparation of 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl, fumarate (1-C) [413] 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyra in a mixture of isopropyl ether (8 mL) and MeOH (1 mL) To a solution of Genyl 1-A (252 mg, 0.83 mmol) 0.5 M fumaric acid in MeOH (1.86 mL, 0.93 mmol) was added dropwise. The resulting mixture was stirred at rt for 1 h. The white solid was collected by filtration, washed with isopropyl ether, then with hexanes and dried under vacuum to afford the title compound (1-C). [414] 1 H NMR (400 MHz, CD 3 OD) δ 7.77 (s, 1H); 7.59 (s, 1 H); 7.44 (d, 1 H); 7.34-7.28 (m, 3 H); 6.67 (s, 2 H); 5.35 (s, 2 H); 3.82-3.79 (m, 4 H); 3.29-3.24. (M, 4H). MS (APCI + ) calculated: 304.1, found: 305.4 (M + 1). [415] Preparation of 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl, succinate (1-D) [416] 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyra in a mixture of isopropyl ether (3 mL) and MeOH (1 mL) To a solution of genyl (1-A) (183 mg, 0.60 mmol) 0.5M succinic acid in MeOH (1.32 mL, 0.66 mmol) was added dropwise. The resulting solution was concentrated. The residue was dissolved in a mixture of MeOH (0.5 mL) and isopropyl ether (4 mL). The clear solution was kept at room temperature for 19 hours. The white solid was collected by filtration, washed with isopropyl ether, then with hexanes and dried under vacuum to afford the title compound (1-D) (240 mg). [417] 1 H NMR (400 MHz, CD 3 OD) δ 7.75 (s, 1H); 7.57 (s, 1 H); 7.44 (d, 1 H); 7.34-7.29 (m, 3 H); 5.35 (s, 2 H); 3.79-3.76 (m, 4 H); 3.30-3.28. (M, 4H); 2.50 (s, 4 H). MS (APCI + ) calculated: 304.1, found: 305.3 (M + 1). [418] Using the appropriate starting materials, the preparation of compound (1-A) or its corresponding hydrochloride salt (1-B), fumarate salt (1-C), or succinate salt (1-D), described above In a similar manner to the series of reactions, the compounds listed in Table 1 were prepared. Other salts were prepared using similar procedures from the corresponding free bases. [419] [420] [421] [422] [423] [424] Example 2 [425] Preparation of Intermediate (3-Chloro-benzyl)-(6-chloro-pyrazin-2-yl) -amine (I-2a) [426] To a solution of 2-amino-6-chloropyrazine (100 mg, 0.77 mmol) in 7.7 mL of anhydrous toluene was added 3-chlorobenzaldehyde (87.4 μL, 0.77 mmol), followed by 50 mg of activated powdered 4 ′ molecular sieve. It was. The reaction was refluxed under nitrogen for 2 hours, then cooled to ambient temperature and treated with sodium borohydride (43.0 mg, 1.16 mmol). The resulting slurry was heated to reflux overnight under nitrogen. After cooling to ambient temperature, the reaction was filtered through a pad of Celite® and the filtrate was concentrated in vacuo to give a brown residue. Chromatography on a TLC plate for silica gel preparation (1: 1 hexanes: ethyl acetate) gave 71.0 mg of the title compound (I-2a). [427] 1 H NMR (400 MHz, CDCl 3 ) δ 7.78 (s, 1H); 7.71 (s, 1 H); 7.35-7.25 (m, 4 H); 5.53 (bs, 1 H); 4.53 (d, 2 H). MS (ES + ) calculated: 253, found: 254.3 (M + 1). [428] Preparation of Intermediate 6 '-(3-Chloro-benzylamino) -2,3,5,6-tetrahydro- [1,2'] bipyrazinyl-4-carboxylic acid tert-butyl ester (I-2b) [429] (3-Chloro-benzyl)-(6-chloro-pyrazin-2-yl) -amine (I-2a) (71.0 mg, 0.28 mmol) in 1.0 ml of ethanol, piperazine-1-carboxylic acid tert-butyl ester ( 260.2 mg, 1.40 mmol) and a mixture of 1,8-diazabicyclo [5.4.0] undec-7-ene (208.9 μl, 1.40 mmol) were refluxed under nitrogen for 18 hours. The reaction was then cooled to ambient temperature and poured into 20 ml of water. It was extracted with 2 x 30 mL of ethyl acetate and the combined organic extracts were washed with 3 x 15 mL of water and then with 15 mL of brine. The organic layer was then dried over sodium sulphate, filtered and concentrated in vacuo to afford a yellow residue, which was subjected to chromatography (preparative TLC, 1: 1 hexanes: ethyl acetate) to afford the title compound (I-2b). Obtained as a white solid (13.5 mg). [430] 1 H NMR (400 MHz, CDCl 3 ) δ 7.38 (s, 1H); 7.31 (s, 1 H); 7.25-7. 18 (m, 4 H); 4.81 (bs, 1 H); 4.48 (d, 2 H); 3.46 (bs, 8 H); 1.46 (s, 9 H). MS (ES + ) calculated: 403, found 404.3 (M + 1). [431] Preparation of (3-chloro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine (2-A) [432] The title compound (2-A) is a 6 '-(3-chloro-benzylamino) -2,3,5,6-tetrahydro- [1,2'] bipyrazinyl-4-carboxylic acid tert-butyl ester ( I-2b). Trifluoroacetic acid was added to a solution of compound (I-2b) in CH 2 Cl 2 . After stirring for 3 hours at room temperature, the mixture was poured into 1N NaOH and extracted with CH 2 Cl 2 (1 × 35 mL). The organic layer was washed with brine, dried and concentrated to give the title compound as free amine (2-A). [433] 1 H NMR (400 MHz, CD 3 OD) δ 7.33 (s, 1H); 7.27-7.15 (m, 5H); 4.46 (s, 2 H); 3.41 (dd, 4 H); 2.81 (dd, 4 H). MS (ES + ) calculated: 303.2, found: 304.3 (M + 1). [434] Example 3 [435] Example 3 describes another method for preparing a compound of the invention wherein W is oxygen, and also describes a compound of the invention wherein W is not oxygen, as described in Example 1. [436] Example 3-A [437] Preparation of Intermediate 3- (6-chloro-pyrazin-2-yloxymethyl) -benzonitrile (I-3a) [438] 60% in mineral oil (0.9 g, 22.5 mmol) in a solution of 3-hydroxymethyl-benzonitrile (2.0 g, 15.0 mmol) and 2,6-dichloro-pyrazine (2.24 g, 15.0 mmol) in THF (150 mL) NaH was added. After stirring for 2 hours at ambient temperature, the reaction mixture was poured into 1N HCl (100 mL) and extracted with ethyl acetate (1 x 250 mL). The organic layer was washed with brine, dried (Na 2 SO 4 ), filtered and concentrated to dryness. The crude material was chromatographed on hexane (1000 mL), followed by silica gel (40 g) eluting with ethyl acetate (500 mL) to afford 3.53 g of the desired pure product (I-3a) as a white solid. . [439] MS (ES + ) calculated: 245.0, found: 246.1 (M + 1). 1 H NMR (CDCl 3 ): δ 8.20 (d, 2H), 7.75 (d, 1H), 7.69-7.62 (m, 2H), 7.5 (t, 1H), 5.40 (s, 2H). [440] Preparation of Intermediate 3- (3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yloxymethyl) -benzonitrile (I-3b) [441] A mixture of 3- (6-chloro-pyrazin-2-yloxymethyl) -benzonitrile (I-3a) (3.53 g, 14.4 mmol) and piperazine (12.4 g, 143.70 mmol) in ethanol (144 mL) was prepared. Stirred to reflux for hours. The reaction mixture was concentrated to dryness and the residue was dissolved in ethyl acetate (300 mL). The ethyl acetate solution was washed with H 2 O (4 × 125 mL), brine (125 mL), dried (Na 2 SO 4 ), filtered and concentrated to dryness. The crude material was chromatographed on silica gel (40 g) with 5% methanol / methylene chloride with 1% NH 4 OH as eluent to afford 3.03 g of the desired product (I-3b) as a white solid. It was. [442] MS (ES + ) calculated: 295.1, found: 296.2 (M + 1). 1 H NMR (CDCl 3 ): δ 7.71 (d, 1H), 7.68-7.58 (2s + m, 4H), 7.47 (m, 1H), 5.32 (s, 2H), 3.54-3.50 (m, 4H), 2.98-2.95 (m, 4 H). [443] Preparation of 3- (3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yloxymethyl) -benzamide (3-A) [444] 3- (3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yloxy in a mixture of methanol (10 mL) and 1N NaOH (51.3 mL, 51.3 mmol) A solution of -methyl) -benzonitrile (l-3b) (3.03 g, 10.3 mM) was heated to 60 ° C. for 24 h. The reaction mixture was partitioned between H 2 O (150 mL) and ethyl acetate (300 mL). The organic layer was washed with H 2 O, brine, dried (Na 2 SO 4 ), filtered and concentrated to dryness. The crude material was chromatographed on silica gel (40 g) using 10% methanol / methylene chloride with 1% NH 4 OH as eluent to afford 834 mg of the title compound (3-A) as a white solid. . [445] MS (ES + ) calculated: 313.2, found: 314.3 (M + 1). 1 H NMR (CDCl 3 ): δ 7.96 (d, 1H), 7.80-7.78 (dd, 1H), 7.62-7.59 (s + m, 1H), 7.46-7.42 (s + m, 2H), 5.39 (s , 2H), 3.53-3.51 (m, 4H), 2.87-2.84 (m, 4H). [446] Example 3B [447] Preparation of Intermediate 2-chloromethyl-6-fluoro-pyridine (I-3c) [448] Compound (I-3d) was prepared following the procedure described in J. Org. Chem. , 2000, 65, 7718-7722. [449] Preparation of Intermediate (6-Fluoro-pyridin-2-yl) -methanol (I-3d) [450] To a solution of 2-chloromethyl-6-fluoro-pyridine (I-3c) (1.43 g, 9.84 mmol) in H 2 O (22 mL) was added K 2 CO 3 (1.77 g, 12.8 mmol). The reaction mixture was stirred at reflux overnight. First, the cooled aqueous mixture was extracted with heptane (2 × 20 mL) and then with ethyl acetate (2 × 50 mL). The ethyl acetate layers were combined, washed with brine, dried (Na 2 SO 4 ) and concentrated to dryness. The crude residue was chromatographed on silica gel (15 g) using 2% methanol / methylene chloride with 0.5% NH 4 OH as eluent to give 518.7 mg of the title compound (I-3d) as a yellow oil. [451] 1 H NMR (CDCl 3 ): δ 7.81-7.75 (q, 1H), 7.19-7.17 (m, 1H), 6.84-6.81 (m, 1H), 4.72 (s, 2H). [452] Preparation of Intermediate 2-chloro-6- (6-fluoro-pyridin-2-ylmethoxy) -pyrazine (I-3e) [453] To a solution of (6-fluoro-pyridin-2-yl) -methanol (I-3d) (368 mg, 2.89 mmol) and 2,6-dichloro-pyrazine (431.2 mg, 2.89 mM) in THF (14.7 mL) 60% NaH in mineral oil (174 mg, 4.34 mmol) was added at room temperature. The resulting mixture was stirred at ambient temperature for 19 hours and concentrated. The residue was purified by column chromatography (ethyl acetate / hexane = 1: 4) to give 560 mg of the title compound (I-3e). [454] MS (ES + ) calculated: 239.1, found: 240.1 (M + 1). 1 H NMR (CDCl 3 ): δ 8.24 (s, 1H), 8.19 (s, 1H), 7.85-7.79 (q, 1H), 7.34-7.32 (dd, 1H), 6.91-6.88 (dd, 1H), 5.42 (s, 2 H). [455] Preparation of 6 '-(6-fluoro-pyridin-2-ylmethoxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl (3-B) [456] 2-chloro-6- (6-fluoro-pyridin-2-ylmethoxy) -pyrazine (100 mg, 0.42 mmol) was piperazine (360 mg) according to the general procedure for the preparation of compound (I-3b). , 4.17 mmol) gave the title compound (3-B). The crude material was purified by preparative TLC using 5% methanol / methylene chloride with 1% NH 4 OH as eluent to afford 23 mg of the title product (3-B). [457] MS (ES + ) calculated: 289.1, found: 290.2 (M + 1). 1 H NMR (CDCl 3 ): δ 7.80-7.74 (q, 1H), 7.64-7.63 (2s, 2H), 7.32-7.30 (dd, 1H), 6.84-6.82 (dd, 1H), 5.36 (s, 2H ), 3.49-3.46 (m, 4H), 2.94-2.92 (m, 4H), 2.23 (br s, 1H). [458] Using the appropriate starting materials, the compounds listed in Table 2 were prepared in a similar manner to the series of reactions described above for the preparation of compounds (3-A and 3-B). [459] [460] Example 3-E [461] Preparation of Intermediate 3- (6-chloro-pyrazin-2-yloxymethyl) -benzonitrile (I-3f) [462] 2,6-dichloropyrazine (400 mg, 0.671 mmol), 3-hydroxymethyl-benzonitrile (428 mg, 0.805 mmol), KOH (181 mg, 0.805 mmol) and 18-crown-6 in toluene (10 mL) A mixture of (28 mg, 0.027 mmol) was stirred under reflux for 6 hours and concentrated in vacuo. The residue was partitioned between H 2 O and ethyl acetate. The aqueous phase was separated and extracted twice with ethyl acetate. The combined organic extracts were washed with water and brine, dried and concentrated in vacuo. Crude product (I-3f) (667.2 mg) was used in the next step without further purification. [463] Preparation of 3- (3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yloxymethyl-benzonitrile (3-E) [464] 3- (6-Chloro-pyrazin-2-yloxymethyl) -benzonitrile (I-3f) (667.2 mg, 2.716 mmol), piperazine (297 mg, 3.531 mmol) in toluene (10 mL), sodium t- A mixture of butoxide (287 mg, 2.987 mmol), BINAP (67.7 mg, 0.109 mmol), and Pd2 (dba) 3 (49.7 mg, 0.054 mmol) was heated to 90 ° C. overnight. The solution was cooled to room temperature and filtered through a pad of celite. The celite pad was washed 7 times with ethyl acetate. The combined filtrates were concentrated in vacuo to afford the crude title compound. The product was purified by chromatography (silica, 10% MeOH / dichloromethane + 1% NH 4 OH) to give 3- (3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl 180 mg of -6'-yloxymethyl) -benzonitrile (3-E) was obtained. [465] NMR (400 MHz, CD 3 OD) δ 7.81 (s, 1H); 7.74 (d, 1 H); 7.65 (m, 2 H); 7.54 (t, 1 H); 7.48 (s, 1 H); 5.40 (s, 2 H); 3.54 (t, 4H); 3.88 (t, 4 H). MS (ES + ) calculated: 295.1, found: 296.3 (M + 1). [466] Example 3-F [467] Intermediate 3'-chloro-6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl-4-carboxylic acid tert-butyl ester ( I-3h) and intermediate 5'-chloro-6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl-4-carboxylic acid 3 Preparation of Tea-Butyl Ester (I-3g) [468] 6 '-(3-chloro-benzyloxy) -2,3,5,6-tetrahydro- [1,2'] bipyrazinyl-4-carboxylic acid tert-butyl ester in CHCl 3 (10 mL) (1) -1b) (322 mg, 0.80 mmol) was treated with N-chlorosuccinamide (106 mg, 0.80 mmol) at 0 ° C. under nitrogen atmosphere. The resulting mixture was allowed to warm to rt and stirred for 16 h. The reaction mixture was partitioned between CHCl 2 and saturated aqueous NaHCO 3 solution. The organic phase was washed once with brine twice with saturated aqueous NaHCO 3 solution, dried over MgSO 4 (anhydrous), filtered and concentrated in vacuo. The residue was purified by flash chromatography (CHCl 2 -EtOAc 99: 1 to 95: 5). Three compounds were obtained in the following elution order. Dichlorinated material (45 mg, 13%), compound (I-3g) (116 mg, 33%) and compound (I-3h) (30 mg, 7%). The structures of the two monochlorinated products were distributed in the nuclear Overhauser effect (nOe) experiment. [469] Compound (I-3g): 1 H NMR (400 MHz, CDCl 3 ) δ 1.46 (s, 9H), 3.34-3.37 (m, 4H), 3.51-3.54 (m, 4H), 5.25 (s, 2H), 7.24-7.26 (m, 3 H), 7.37 (s, 1 H), 7.57 (s, 1 H). MS (ES + ) calculated: 438.1, found: 439.2 (M + 1). [470] Compound (I-3h): 1 H NMR (400 MHz, CDCl 3 ) δ 1.48 (s, 9H), 3.48-3.57 (m, 8H), 5.35 (s, 2H), 7.29-7.33 (m, 3H), 7.41-7.42 (m, 2 H). MS (ES + ) calculated: 438.1, found: 439.2 (M + 1). [471] Preparation of 3'-Chloro-6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl hydrochloride (3-F) [472] 3'-Chloro-6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl in 1,4-dioxane (0.5 mL) A solution of -4-carboxylic acid tert-butyl ester (Compound I-3g) (40 mg, 0.091 mmol) was treated with HCl in 1,4-dioxane (4M, 0.23 mL, 0.91 mmol) at 23 ° C. The resulting mixture was stirred at room temperature for 5 hours (precipitation occurred during this period) and treated with ether. The solid was collected by filtration and washed with ether to give the title compound (3-F) (27 mg, 72%). [473] 1 H NMR (400 MHz, DMSO-d 6 ) δ 3.18 (bs, 4H), 3.55 (bs, 4H), 5.35 (s, 2H), 7.40 (m, 3H), 7.52 (s, 1H), 7.77 ( s, 1H), 9.32-9.39 (m, 2H) MS (ES + ) calc .: 338.1. found: 339.3 (M + 1). [474] Example 3-G [475] 5'-fluoro-6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl-4-carboxylic acid tert-butyl ester ( I-3i): and [476] 3'-fluoro-6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl-4-carboxylic acid tert-butyl ester ( I-3i '): [477] 6 '-(3-Chloro-benzyloxy) -2,3,5,6-tetrahydro- [1,2'] bipyrazinyl-4-carboxylic acid tert-butyl ester in acetonitrile (12.4 mL) (1) -1b) (600 mg, 1.49 mmol) was added to Selectfluor (trade name) ([1- (chloromethyl) -4-fluoro-1,4-diazoniabicyclo [2.2. 2] -octane bis (tetrafluoroborate)]) (526 mg, 1.49 mmol). The resulting mixture was allowed to warm to rt and stirred for 16 h. The reaction mixture was partitioned between CH 2 Cl 2 and water. The organic phase was washed twice with water, twice with saturated aqueous NaHCO 3 solution, and twice with brine, dried over MgSO 4 (anhydrous), filtered and concentrated in vacuo. The residue was purified by flash chromatography (CHCl 2 -EtOAc 99: 1 to 95: 5). Three compounds were obtained in the following elution order. Difluorinated material (160 mg, 25%), intermediate (I-3i) (32 mg, 5%) and intermediate (I-3i ') (141 mg, 22%). The structures of two monofluorinated products were distributed to nOe experiments. [478] Intermediate (I-3i): 1 H NMR (400 MHz, CDCl 3 ) δ 1.48 (s, 9H), 3.41 (m, 4H), 3.54 (m, 4H), 5.36 (s, 2H), 7.05 (d, J = 3,1H), 7.30 (m, 3H), 7.43 (s, 1H). MS (ES + ) calculated: 422.2, found: 423.4 (M + 1). [479] Intermediate (I-3i '): 1 H NMR (400 MHz, CDCl 3 ) δ 1.45 (s, 9H), 3.49 (m, 8H), 5.22 (s, 2H), 7.10 (d, J = 3, 1H) , 7.25 (m, 3H), 7.37 (s, 1H) MS (ES + ) calcd: 422.2, found: 423.2 (M + 1). [480] Preparation of 6 '-(3-chloro-benzyloxy) -5'-fluoro-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl formate (3-G) [481] 6 '-(3-chloro-benzyloxy) -5'-fluoro-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl- in formic acid (96%, 0.5 mL) A solution of 4-carboxylic acid tert-butyl ester (1-3i) (50 mg, 0.12 mmol) was stirred at room temperature for 2 hours and concentrated in vacuo. The residue was triturated three times with ether. The title compound (3-I) was collected as a white solid (15 mg, 34%). MS (ES + ) calculated: 322.1, found: 323.4 (M + 1). [482] Example 3-H [483] 3'-bromo-6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl-4-carboxylic acid tert-butyl ester ( I-3j) and 5'-bromo-6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl-4-carboxylic acid 3 Preparation of Tea-Butyl Ester (I-3j) [484] 6 '-(3-chloro-benzyloxy) -2,3,5,6-tetrahydro- [1,2'] bipyrazinyl-4-carboxylic acid tert-butyl ester in CHCl 3 (44 mL) (1) -1b) (1.5 g, 3.7 mmol) was treated with N-bromosuccinamide (6.49 mg, 3.53 mmol) under nitrogen atmosphere at 0 ° C. The resulting mixture was allowed to warm to rt and stirred for 16 h. The reaction mixture was partitioned between CH 2 Cl 2 and saturated aqueous NaHCO 3 solution. The organic phase was washed with saturated aqueous NaHCO 3 solution and brine, dried over MgSO 4 (anhydrous), filtered and concentrated in vacuo. The residue was purified by flash chromatography (CHCl 2 -EtOAc 99: 1 to 96: 4). Three compounds were obtained in the following elution order. Dibrominated material (68 mg, 4%), intermediate (I-3j) (176 mg, 10%) and intermediate (I-3j ') (805 mg, 45%). The structures of the two monobrominated products were distributed to nOe experiments. [485] Intermediate (I-3j): 1 H NMR (400 MHz, CDCl 3 ) δ 1.49 (s, 9H), 3.32-3.37 (m, 4H), 3.55-3.58 (m, 4H), 5.28 (s, 2H), 7.27-7.31 (m, 3 H), 7.41 (s, 1 H), 7.65 (s, 1 H). MS (ES + ) calculated: 482.1, found: 483.4 (M + 1). [486] Intermediate (I-3j '): 1 H NMR (400 MHz, CDCl 3 ) δ 1.48 (s, 9H), 3.50 (m, 8H), 5.35 (s, 2H), 7.28-7.32 (m, 3H), 7.43 (m, 2 H). MS (ES + ) calculated: 482.1, found: 483.4 (M + 1). [487] Intermediate 6 '-(3-chloro-benzyloxy) -3'-methyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl-4-carboxylic acid tert-butyl ester ( I-3k) Preparation [488] 3'-Bromo-6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl-4 in THF (anhydrous, 1.2 ml) -Carboxylic acid tert-butyl ester (I-3j) (82 mg, 0.17 mmol), methylboronic acid (15.3 mg, 0.25 mmol), K 3 PO 4 (72 mg, 0.34 mmol), dppf (4.7 mg, 0.0085 mmol) ) And PdCl 2 dppf (CH 2 Cl 2 ) 2 (6.9 mg, 0.0085 mmol) were heated to reflux under a nitrogen atmosphere for 16 hours. The reaction mixture was cooled to rt and filtered through a pad of silica gel eluted with EtOAc-hexane (6: 4). The filtrate was concentrated in vacuo. The residue was purified by preparative TLC (EtOAc-hexane 1: 1) to give 72 mg of the title compound (I-3k) (> 99% yield). [489] MS (ES + ) calculated: 418.2, found: 419.2 (M + 1). [490] Preparation of 6 '-(3-chloro-benzyloxy) -3'-methyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl hydrochloride (3-H) [491] A solution of intermediate (I-3k) (72 mg, 0.17 mmol) in HCl was stirred at 23 ° C. in 1,4-dioxane (4M, 1.0 mL, 4 mmol) for 1 h at room temperature (precipitation Occurs), and treated with ether. The solid was collected by filtration and washed with ether to give 50 mg of the title compound (3-H) (75% yield). [492] MS (ES + ) calculated: 318.1, found: 319.2 (M + 1). [493] The compounds listed in Table 3 are 3-F (hydrochloride salt) and 3-G (formate) using N-chlorosuccinamide, N-bromosuccinamide, or selectfluorine to introduce halogen onto the pyrazine ring. Prepared using a procedure similar to that used for the preparation of salts). [494] [495] Example 3-N [496] Preparation of Intermediate 3-chloro-5- (3-chloro-benzyloxy) -pyrazine (I-31) [497] A solution of 3-chlorobenzyl alcohol (9.57 g, 67.1 mmol) in toluene (134 mL) was treated with NaH (60% dispersion in oil, 2.5 g, 67.1 mmol) in a 23 ° C. nitrogen atmosphere. The resulting suspension was heated to reflux for 30 minutes and cooled to room temperature. The mixture was treated with 2,6-dichloropyrazine (10.0 g, 67.1 mmol) and heated to reflux for 18 hours. The reaction mixture was cooled to room temperature and partitioned between water and EtOAc. The organic phase was washed with brine, dried over MgSO 4 (anhydrous), filtered and concentrated in vacuo. The residue was purified by flash chromatography (CH 2 Cl 2 -hexanes 3: 7) to give 10.0 g of the title compound (I-31) as clear oil (58%). [498] 1 H NMR (400 MHz, CDCl 3 ) δ 5.36 (s, 2H), 7.33 (m, 3H), 8.18 (s, 1H), 8.19 (s, 1H) MS (ES + ) calculated: 254.0, found: 255.2 (M + 1). [499] Preparation of Intermediate 3-chloro-5- (3-chloro-benzyloxy) -pyrazine 1-oxide (I-3m) [500] A solution of 3-chloro-5- (3-chloro-benzyloxy) -pyrazine (I-31) (500 mg, 1.97 mmol) in CHCl 3 (10 mL) was purified by m-chloroperbenzoic acid (mCPBA) under 0 ° C. nitrogen atmosphere. ) 680 mg (3.94 mmol). The resulting mixture was warmed to room temperature, stirred at 23 ° C. for 16 hours, heated to reflux for 2 hours and cooled to room temperature. The reaction mixture was treated with Ca (OH) 2 (680 mg, 3.94 mmol), stirred at rt for 3 h and filtered. The solid was washed with CH 2 Cl 2 . The filtrate and washes were combined, dried over MgSO 4 (anhydrous), filtered and concentrated in vacuo. The residue was purified by flash chromatography (EtOAc-hexane 4: 6) to give 465 mg of the title compound (I-3m) as a white solid (87%). [501] 1 H NMR (400 MHz, CDCl 3 ) δ 5.3 (s, 2H), 7.27 (m, 3H), 7.36 (s, 1H), 7.69 (s, 1H), 7.77 (s, 1H) MS (ES + ) Calc. 270.0. Found 271.2 (M + 1). [502] Intermediate 6 '-(3-Chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl 4'-oxide-4-carboxylic acid tert-butyl ester (I Preparation of -3n) [503] A solution of 3-chloro-5- (3-chloro-benzyloxy) -pyrazine 1-oxide (1-3 m) (200 mg, 0.74 mmol) in acetonitrile (2 mL) was subjected to piperazine-1-carboxylic acid under nitrogen atmosphere. Treated with tert-butyl ester (343 mg, 1.85 mmol) and heated to reflux for 5 hours. The reaction mixture was cooled to rt and partitioned between water and EtOAc. The organic phase was washed with saturated aqueous NaHCO 3 solution, dried over MgSO 4 (anhydrous), filtered and concentrated in vacuo. The residue was purified by preparative TLC (EtOAc-hexane 1: 1) to give 200 mg (64%) of the title compound (1-3n). [504] 1 H NMR (400 MHz, CDCl 3 ) δ 1.48 (s, 9H), 3.5 (m, 8H), 5.3 (s, 2H), 7.31 (m, 3H), 7.38 (s, 1H) MS (ES + ) Calc. 420.2. Found: 421.4 (M + 1). [505] Preparation of 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl 4'-oxide hydrochloride (3-N) [506] 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl 4'-oxide-4-carboxylic acid tert-butyl ester in HCl ( 1-3n) (100 mg, 0.24 mmol) was stirred in 1,4-dioxane (4M, 2.0 mL, 8 mmol) at 23 ° C. for 20 minutes at room temperature (precipitation takes place during this period). The solid was collected by filtration and washed with ether to give 85 mg (99%) of the title compound (3-N). [507] 1 H NMR (400 MHz, DMSO-d 6 ) δ 3.10 (bs, 4H), 3.73 (bs, 4H), 5.34 (s, 2H), 7.39-7.5 (m, 5H), 7.73 (s, 1H), 9.26-9.32 (m, 2H) MS (ES + ) calc'd: 320.1, found: 321.3 (M + 1). [508] Example 3-O [509] Preparation of Intermediate 5-bromo-3- (3-chloro-benzyloxy) -pyrazin-2-ylamine (I-3o) [510] 3-chlorobenzyl alcohol (2.36 mL, 20 mmol) was added slowly to a suspension of NaH (60% dispersion in mineral oil, 0.80 g, 20 mmol) in THF (25 mL) with vigorous stirring under dry nitrogen at room temperature, Gas was generated violently. The resulting suspension was stirred for 10 minutes at room temperature. 2-amino-3,5-dibromopyrazine (2.53 g, 10 mmol) was added dropwise to give a dark amber solution. The solution was heated to reflux for 2 hours and then cooled to room temperature. The solvent was removed in vacuo to give an oily brown solid, which was dissolved in EtOAc (50 mL). EtOAc solution was washed with saturated aqueous NaHCO 3 (75 mL). NaHCO 3 solution was extracted again with EtOAc (2 × 75 mL). The combined EtOAc extracts were washed with water (100 mL) and brine (75 mL), dried over Na 2 SO 4 , filtered and concentrated to give a viscous oily solid. The residue was filtered through a silica gel plug eluting with CH 2 Cl 2 , two first invalid volumes were discarded and the filtrate was concentrated to give a pink solid. The solid was dissolved in Et 2 O (50 mL) and treated with 4M HCl in 1,4-dioxane (10 mL, 40 mmol). The resulting suspension was stirred at rt for 30 min and the precipitate was collected by filtration and washed with Et 2 O (3 × 10 mL). The gray solid obtained was dried under vacuum to give 2.63 g of hydrochloride salt. The salt was converted to the free base by stirring vigorously in saturated aqueous NaHCO 3 (100 mL) and EtOAc (100 mL) at room temperature. After 30 minutes, the phases were separated and the aqueous phase was extracted with EtOAc (2 × 50 mL). The combined extracts were washed with brine, dried over Na 2 SO 4 (anhydrous), filtered and concentrated in vacuo to afford the title compound (I-3o) as a pink solid (1.83 g, 58% yield). [511] 1 H NMR (400 MHz, CDCl 3 ) δ 7.67 (s, 1H); 7.44 (d, 1 H); 7.35-7. 31 (m, 3 H); 5.36 (s, 2 H); 4.87 (broad s, 2H). MS (ES + ) calculated: 313.0, found: 314.2 (M + 1). [512] Preparation of Intermediate [5-Bromo-3- (3-chloro-benzyloxy) -pyrazin-2-yl] -carbamic acid tert-butyl ester (1-3p) [513] 5-Bromo-3- (3-chloro-benzyloxy) -pyrazin-2-ylamine (I-3o) (1.82 g, 5.8 mmol) and triethylamine (1.22 mL, 8.7 mmol) were dried under dry nitrogen. Dissolved in, 4-dioxane (29 mL). 4-dimethylaminopyridine (71 mg, 0.58 mmol) and di-tert-butyl dicarbonate (1.9 g, 8.7 mmol) were added dropwise and the solution was heated to 95 ° C. After the solution was stirred at 95 ° C. for 3 hours, additional amounts of TEA (0.61 mL, 4.4 mmol) and di-tert-butyl dicarbonate (0.95 g, 4.4 mmol) were added. The solution was stirred for another 30 min at 95 ° C., then cooled to rt, treated with brine and extracted with EtOAc (120 mL). The extract was washed with brine (120 mL), dried over Na 2 SO 4 (anhydrous), filtered and concentrated in vacuo to give a viscous amber oil. Purification by silica gel column (hexane / EtOAc 9: 1) and trituration with hexane (5 mL) gave the title compound (1-3p) as a pale yellow solid (2.26 g, 94% yield). [514] 1 H NMR (400 MHz, CDCl 3 ) δ 8.15 (s, 1H); 7.47 (s, 1 H); 7.33-7. 26 (m, 3 H); 5.42 (s, 2 H); 1.38 (s, 9 H). MS (ES + ) calculated: 413.0, found: 358.2 ([M-56] +1, a carbamic acid fraction generated upon ionization). [515] Intermediate 5'-tert-Butoxycarbonylamino-6 '-(3-chloro-benzyloxy) -2,3,5,6-tetrahydro- [1,2'] bipyrazinyl-4-carboxylic acid 3 Preparation of Tea-Butyl Ester (I-3g) [516] [5-Bromo-3- (3-chloro-benzyloxy) -pyrazin-2-yl] -carbamic acid tert-butyl ester (I-3p) (2.18 g, 5.3 mmol), piperazine-1-carboxylic acid Tert-butyl ester (1.18 g, 6.3 mmol), sodium tert-butoxide (0.71 g, 7.4 mmol), racemate BINAP (196 mg, 315 micromol) and tris (benzylideneacetone) dipalladium (96.5 Mg, 105 micromoles) were placed in vials fitted with septum caps. The vial was emptied and refilled three times with dry nitrogen and toluene (11 mL) was added. The mixture was heated to 80 ° C. for 2 hours and then cooled to room temperature. The resulting suspension was transferred to a flask with CH 2 Cl 2 and concentrated in vacuo to give an oily amber solid. Purification by silica gel column (hexane / EtOAc 7: 3) gave the title compound (I-3q) as a yellow foam (560 mg, 25% yield). [517] 1 H NMR (400 MHz, CDCl 3 ) δ 7.48 (s, 1H); 7.42 (s, 1 H); 7.32-7.28 (m, 3 H); 6.73 (broad s, 1 H); 5.33 (s, 2 H); 3.55-3.5 (m, 4H); 3.43-3.39 (m, 4 H) 1.51 (s, 9 H); 1,48 (s, 9 H). MS (ES + ) calculated: 519.2, found: 520.1 (M + 1). [518] Preparation of 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl-5'-ylamine (3-O) [519] 5'-tert-butoxycarbonylamino-6 '-(3-chloro-benzyloxy) -2,3,5,6-tetrahydro- [1,2'] bipyrazinyl-4-carboxylic acid tertiary -Butyl ester (I-3q) (50 mg, 96 micromoles) was dissolved in CH 2 Cl 2 (1 mL) and trifluoroacetic acid (1 mL) was added with stirring at room temperature. The solution was stirred at rt for 3 h and then diluted with CH 2 Cl 2 (20 mL). The CH 2 Cl 2 solution was washed with saturated aqueous NaHCO 3 (3 × 50 mL) and brine (25 mL), dried over Na 2 SO 4 (anhydrous), filtered and concentrated in vacuo to give the title compound (3-O). ) Was obtained as a reddish brown solid (29 mg, 95% yield). [520] 1 H NMR (400 MHz, CDCl 3 ) δ 7.44 (s, 1H); 7.33-7. 30 (m, 3 H); 7.12 (s, 1 H); 5.35 (s, 2 H); 4.35 (broad s, 2H); 3.29 (dd, 4H); 3.05 (dd, 4 H). MS (ES + ) calculated: 319.1, found: 320.4 (M + 1). [521] Example 3-P [522] Preparation of Intermediate 3'-Amino-6'-Bromo-2,3,5,6-tetrahydro- [1,2 '] bipyrazinyl-4-carboxylic acid tert-butyl ester (I-3r) [523] 2-amino-3,5-dibromopyrazine (1.26 g, 5.0 mmol) and piperazine-1-carboxylic acid tert-butyl ester (4.64 g, 25 mmol) were placed in dry RBF and under dry nitrogen with stirring Heated to 120 ° C. At this temperature the molten mixture was stirred for 6 hours and cooled to room temperature. The resulting slurry was diluted with EtOAc (20 mL) and stirred for 20 minutes. The amine salt was removed by filtration and washed with EtOAc (3 × 5 mL). The filtrate was washed with pH 4 buffer (35 mL) and brine (35 mL), dried over Na 2 SO 4 (anhydrous), filtered and concentrated in vacuo. The residue was purified by flash chromatography (hexane / EtOAc 7: 3) to give the title compound (I-3r) as off-white solid (1.64 g, 92% yield). [524] 1 H NMR (400 MHz, CDCl 3 ) δ 7.81 (s, 1H); 4.54 (m, 2 H); 3.75-3.38 (m, 4 H); 3.37-2.95 (m, 4 H); 1.47 (s, 9 H). MS (ES + ) calculated: 357.1, found: 358.3 (M + 1). [525] Intermediate 3'-amino-6 '-(3-chloro-benzyloxy) -2,3,5,6-tetrahydro- [1,2'] bipyrazinyl-4-carboxylic acid tert-butyl ester (I- 3s) manufacturing [526] 3'-amino-6 '-(3-chloro-benzyloxy) -2,3,5,6-tetrahydro- [1,2'] bipyrazinyl-4-carboxylic acid tert-butyl ester (I-3s ) 3'-amino-6'-bromo-2,3,5,6-tetrahydro- [1,2 '] bipyrazinyl-4-carboxylic acid tert-butyl ester I-3r (1.0 g, 2.8 Mmol) and 3-chlorobenzyl alcohol (0.36 mL, 3.1 mmol) in a similar manner to compound (I-1b) in Example 1. The title compound (I-3s) was obtained as a viscous red oil (394 mg, 34% yield). [527] 1 H NMR (400 MHz, CDCl 3 ) δ 7.45 (s, 1H); 7.42 (s, 1 H); 7.32-7. 22 (m, 3 H); 5.22 (s, H); 4.40-4.00 (broad s, 1H); 3.76-3. 34 (m, 4 H); 3.30-2.92 (m, 4 H); 1,48 (s, 9 H). MS (ES + ) calculated: 419.2, found: 420.4 (M + 1). [528] Preparation of 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl-3'-ylamine (3-P) [529] 3'-amino-6 '-(3-chloro-benzyloxy) -2,3,5,6-tetrahydro- [1,2'] bipyrazinyl-4-carboxylic acid tert-butyl ester (I-3s ) (150 mg, 357 micromoles) was dissolved in 1,4-dioxane (6 mL) and HCl solution (0.90 mL, 4M in 1,4-dioxane, 3.6 mmol) was added with stirring at 40 ° C. . The solution was stirred at 40 ° C. for 18 h and concentrated in vacuo to yield about 2 ml. The mixture was diluted with Et 2 O. The resulting brown solid was collected by filtration and washed twice with Et 2 O. The solid was purified by preparative HPLC to give the title compound (3-P) as a tan solid (19 mg, 17% yield). [530] 1 H NMR (400 MHz, CD 3 OD) δ 8.44 (s, 1H); 7.45 (d, 1 H); 7.39-7. 27 (m, 3 H); 5.28 (s, 2 H); 3.46-3.34 (m, 8 H). MS (ES + ) calculated: 319.1, found: 320.6 (M + 1). [531] Example 3-Q [532] Preparation of Intermediate (2-methyl-thiazol-4-yl) -methanol (I-3t) [533] Freshly distilled 2,2,6,6-tetramethylpiperidine (1.8 mL, 10.5 mmol) was dissolved in dry THF (50 mL) in flame-dried RBF and cooled to -78 ° C under dry nitrogen. . A solution of n-butyllithium (4.8 mL, 2.1 M in hexane, 10 mmol) was added slowly to the cooled solution with stirring. The resulting yellow solution was warmed to 0 ° C., stirred for 30 minutes, and cooled to −78 ° C. A solution of 4-methylthiazole (455 μl, 5.0 mmol) in dry THF (5 mL) was added by cannula. The resulting solution was stirred for 30 min at -78 ° C. Dry DMF (774 μl, 10 mmol) was added over 5 minutes with stirring. The solution was stirred for 1 h at -78 ° C and then warmed to room temperature. After stirring for 1 hour, the solution was diluted with EtOH (20 mL), sodium borohydride (0.57 g, 15 mmol) was added and at the same time gas was generated. The solution was stirred for 2 hours and then poured into aqueous saturated NH 4 Cl (100 mL). The phases were separated and the aqueous phase was extracted with CH 2 Cl 2 (3 × 50 mL). The combined organic extracts were washed with brine, dried over MgSO 4 (anhydrous), filtered and concentrated in vacuo. The residue was purified by flash chromatography (3% MeOH in CH 2 Cl 2 ) to give the title compound (I-3t) as a yellow oil (368 mg, 57% yield). [534] 1 H NMR (400 MHz, CDCl 3 ) δ 7.26 (s, 1H); 4.86 (s, 2 H); 4.37 (broad s, 1 H); 2.38 (s, 3 H). MS (EI) calculated: 129.0, found: 129 (M < + >). [535] Intermediate 6 '-(4-Methyl-thiazol-2-ylmethoxy) -2,3,5,6-tetrahydro- [1,2'] bipyrazinyl-4-carboxylic acid tert-butyl ester (I- 3u) manufacturing [536] (2-Methyl-thiazol-4-yl) -methanol (I-3t) (155 mg, 1.2 mmol) was dissolved in dry toluene (5 mL) under dry nitrogen and 6'-chloro-2,3,5 , 6-tetrahydro- [1,2 ']-bipyrazinyl-4-carboxylic acid tert-butyl ester (I-1a) (299 mg, 1.00 mmol), powdered KOH (191 mg, 3.4 mmol) and 18- Crown-6 (13.2 mg, 50 micromol) was added with stirring. The mixture was heated to reflux with vigorous stirring. The mixture was stirred at reflux for 3 hours and then cooled to room temperature. Toluene was removed under vacuum. The residue was purified by preparative thin layer chromatography (10% methanol / 90% CH 2 Cl 2 ) to give the title compound (I-3u) as a viscous amber oil (375 mg, 96% yield). [537] 1 H NMR (400 MHz, CDCl 3 ) δ 7.68 (s, 1H); 7.62 (s, 1 H); 6.88 (q, 1 H, J = 0.83 Hz); 5.58 (s, 2 H); 3.65-3.35 (m, 8 H); 2.45 (d, 3H, J = 0.83 Hz); 1.48 (s, 9 H). MS (APCI + ) calculated: 391.2, found: 392.2 (M + 1). [538] Preparation of 6 '-(4-methyl-thiazol-2-ylmethoxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl (3-Q) [539] 6 '-(4-Methyl-thiazol-2-ylmethoxy) -2,3,5,6-tetrahydro- [1,2'] bipyrazinyl-4-carboxylic acid tert-butyl ester (I-3u ) (376 mg, 0.96 mmol) was dissolved in anhydrous 1,4-dioxane (4 mL) and 4M HCl in 1,4-dioxane (4 mL, 16 mmol) was added with stirring. A gummy solid was deposited immediately. Methanol (2 mL) was added to dissolve the solid. The resulting solution was stirred at rt for 4 h and concentrated to give a sticky yellow solid. The residue was basified by addition of 1M NaOH (15 mL) and extracted with CH 2 Cl 2 (3 × 20 mL). The combined extracts were dried over Na 2 SO 4 (anhydrous), filtered and concentrated in vacuo to afford an amber oil. The oil was solidified while drying in vacuo to afford the title compound (3-Q) (274 mg, 98% yield). [540] 1 H NMR (400 MHz, CDCl 3 ) δ 7.67 (s, 1H); 7.61 (s, 1 H); 6.87 (q, 1 H, J = 100.83 Hz); 5.58 (s, 2 H); 3.57-3.53 (m, 4 H); 3.00-2.95 (m, 4 H); 2.45 (d, 3H, J = 0.83 Hz). MS (APCI + ) calculated: 291.1, found: 292.2 (M + 1). [541] Example 3-R [542] Preparation of 5'-Bromo-6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl formate (3-R) [543] 5'-Bromo-6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl- in formic acid (96%, 0.75 mL) A solution of 4-carboxylic acid tert-butyl ester (I-3j) (25 mg, 0.052 mmol) was stirred at rt for 2 h and concentrated in vacuo. The title compound (3-R) was collected as a white solid (26 mg,> 99%). [544] MS (ES + ) calculated: 382.0, found: 383.3 (M + 1). [545] Example 3-S [546] Preparation of 5'-Bromo-6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl methanesulfonate (3-S) [547] 5'-Bromo-6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyra in 1,4-dioxane (0.5 mL) A solution of genyl-4-carboxylic acid tert-butyl ester (I-3j) (25 mg, 0.052 mmol) was treated with methanesulfonic acid (6.7 μL, 0.104 mmol) and stirred at room temperature for 16 hours. The mixture was treated with ether to give a precipitate. The supernatant was removed. The residue was treated with ether. Again, the supernatant was removed to give a solid (26 mg, 87%). [548] MS (ES + ) calculated: 382.0, found: 383.3 (M + 1). [549] Example 4 [550] Example 4 describes another method for preparing a compound of the present invention, wherein W is nitrogen, and further describes a compound of the present invention, wherein W is nitrogen, which is not described in Examples 1 and 2 above. [551] Example 4-A [552] Preparation of Intermediate (3-Fluoro-benzyl) -carbamic acid tert-butyl ester (I-4a) [553] A mixture of 3-fluoro-benzylamine (0.25 mL, 2.19 mmol) and di-tert-butyl dicarbonate (0.5 mL, 2.19 mmol) in THF (5 mL) was stirred at ambient temperature for 2 hours. Was poured into H 2 O (15 mL) and extracted with EtOAc (2 × 20 mL). The organic layers were combined, washed with brine, dried (Na 2 SO 4 ) and concentrated in vacuo to afford the title compound (I-4a) (493 mg). 1 H NMR (CDCl 3 ): δ 1.4 (s, 9H), 4.3 (d, 2H), 6.91-6.98 (m, 2H), 7.02-7.04 (d, 1H), 7.26-7.30 (m, 1H). [554] Preparation of Intermediate (6-Chloro-pyrazin-2-yl)-(3-fluoro-benzyl) -carbamic acid tert-butyl ester (I-4b) [555] A solution of (3-fluoro-benzyl) -carbamic acid tert-butyl ester (I-4a) (1.21 g, 5.37 mmol) in DMF (50 mL) was diluted with 60% NaH in mineral oil (430 mg, 10.7 mmol). Treated. The resulting mixture was stirred at ambient temperature until gas was generated. The solution was treated with 2,6-dichloro-pyrazine (800 mg, 5.37 mmol) and the reaction mixture was heated to 80 ° C. under N 2 and stirred for 5 h. The reaction was cooled and concentrated to about 1/3 volume under vacuum. The reaction mixture was poured into H 2 O (50 mL) and extracted with ethyl acetate (1 × 200 mL). The organic layer was washed with H 2 O (4 × 50 mL), washed with brine, dried (Na 2 SO 4 ) and concentrated to dryness. The crude product was purified by chromatography (EtOAc / Hex 5:95) to give the title compound (I-4b) (1.14 g) as a colorless oil. [556] MS (ES + ) calculated: 337, found: 338.1 (M + 1). 1 H NMR (MeOD): δ 1.4 (s, 9H), 5.1 (s, 2H), 7.0 (m, 3H), 7.3 (m, 1H), 8.3 (s, 1H), 9.1 (s, 1H). [557] Intermediate (3-fluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -carbamic acid tert-butyl ester (I- 4c) Preparation [558] (6-Chloro-pyrazin-2-yl)-(3-fluoro-benzyl) -carbamic acid tert-butyl ester (1.14 g, 3.39 mmol) and piperazine (1.75 g, 20 mmol) in EtOH (34 mL) ) Solution was stirred at reflux for 19 h. The reaction mixture was cooled down and concentrated in vacuo. The residue was dissolved in ethyl acetate, washed with H 2 O (4 × 50 mL), brine, dried (Na 2 SO 4 ) and concentrated to dryness. The crude product was chromatographed on silica gel (90 g) using 5% MeOH in CH 2 Cl 2 as eluent to afford the title compound (I-4c) (1.09 g) as a pale yellow oil. [559] MS (ES + ) calculated: 387, found: 388.5 (M + 1). 1 H NMR (MeOD): δ 1.4 (s, 9H), 2.8 (m, 4H), 3.4 (m, 4H), 5.1 (s, 2H), 7.0 (m, 3H), 7.3 (m, 1H), 7.8 (s, 1H), 8.3 (s, 1H). [560] Preparation of (3-fluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine (4-A) [561] (3-Fluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -carbamic acid in CH 2 Cl 2 (1 mL) To a solution of tert-butyl ester (I-4c) (30 mg, 0.08 mmol) trifluoroacetic acid (0.5 mL) was added and the resulting mixture was stirred at ambient temperature for 19 h. The reaction mixture was poured into 1N NaOH (10 mL) and extracted with ethyl acetate (1 × 40 mL). The organic layer was washed with brine, dried (Na 2 SO 4 ) and concentrated to give the title compound (4-A) (19.3 mg). [562] MS (ES + ) calculated: 287, found: 288.4 (M + 1). 1 H NMR (CDCl 3 ): δ 2.9 (m, 4H), 3.5 (m, 4H), 4.5 (m, 2H), 4.8 (bm, 1H), 6.9 (m, 1H), 7.0 (m, 1H) , 7.3 (m, 3 H). [563] The compounds listed in Table 4 were prepared from the appropriate starting materials using the general procedure described in Example 4-A above. [564] [565] [566] Example 4-L [567] Preparation of (3-Fluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine hydrochloride salt (4-L) [568] (3-Fluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -carbamic acid tertiary- in methanol (6 mL) A solution of butyl ester (I-4c) (1.09 g, 2.82 mmol) was treated with 1.0 M HCl / ether (28.2 mL, 28.2 mmol). The reaction mixture was stirred at ambient temperature for 19 hours and concentrated in vacuo. The residue was repulped overnight in a mixture of methanol (5 mL) and ether (40 mL). The resulting tan solid was filtered and dried under high vacuum to afford the title compound (4-L) (745 mg). [569] MS (ES + ) calculated: 287, found: 288.4 (M + 1). 1 H NMR (MeOD): δ 3.3 (m, 4H), 3.9 (m, 4H), 4.6 (s, 2H), 7.0 (m, 1H), 7.1 (m, 11H), 7.2 (m, 1H), 7.3 (m, 2 H), 7.5 (s, 1 H). [570] Example 4-M [571] Preparation of Intermediate (3-chloro-benzyl) -carbamic acid tert-butyl ester (I-4d) [572] A solution of 3-chloro-benzylamine (0.25 mL, 2.05 mmol) and di-tert-butyl dicarbonate (0.47 mL, 2.1 mmol) in THF (10 mL) was stirred overnight at ambient temperature. The reaction mixture was concentrated in vacuo to afford a residue, which was subjected to chromatography on silica gel (40 g) using 10% ethyl acetate / hexanes as eluent to afford the title compound (I-4d) (458 mg). . [573] 1 H NMR (CDCl 3 ): δ 1.4 (s, 9H), 4.3 (bd, 2H), 4.8 (bm, 1H), 7.1 (m, 1H), 7.2 (bm, 3H). [574] Preparation of Intermediate (3-Chloro-benzyl)-(6-chloro-pyrazin-2-yl) -carbamic acid tert-butyl ester (I-4e) [575] A solution of (3-chloro-benzyl) -carbamic acid tert-butyl ester (458 mg, 1.9 mmol) in DMF (20 mL) was treated with 60% NaH in mineral oil (152 mg, 3.79 mmol). The resulting mixture was stirred at room temperature until gas evolution ceased and 2,6-dichloro-pyrazine (282 mg, 1.89 mmol) was added. The reaction mixture was stirred at 80 ° C. until LC / MS showed the reaction was complete. The reaction mixture was cooled down, poured into ethyl acetate and washed with H 2 O and brine. The organic layers were combined, dried (Na 2 SO 4 ) and concentrated to give the title compound (I-4e) (199 mg). [576] MS (ES + ) calculated: 353, found: 354.2 (M + 1). 1 H NMR (CDCl 3 ): δ 1.5 (s, 9H), 5.1 (s, 2H), 7.2 (m, 3H), 7.3 (m, 1H), 8.2 (s, 1H), 9.1 (s, 1H) . [577] Intermediate (3-chloro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -carbamic acid tert-butyl ester (I-4f Manufacturing [578] (3-Chloro-benzyl)-(6-chloro-pyrazin-2-yl) -carbamic acid tert-butyl ester (I-4e) (68 mg, 0.19 mmol) and piperazine (99) in ethanol (2 mL) Mg, 1.15 mmol) was refluxed overnight. The reaction mixture was cooled down, poured into 0.1 M NaOH and extracted with ethyl acetate. The organic layer was washed with H 2 O, brine, dried (Na 2 SO 4 ) and concentrated to give the title compound (I-4f) (38 mg). [579] MS (ES + ) calculated: 403, found 404.3 (M + 1). 1 H NMR (CDCl 3 ): δ 1.4 (s, 9H), 2.9 (m, 4H), 3.4 (m, 4H), 5.0 (s, 2H), 7.1 (m, 3H), 7.2 (m, 1H) , 7.8 (s, 1H), 8.3 (s, 1H). [580] Preparation of (3-chloro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine (4-M) [581] (3-Chloro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -carbamic acid tert-butyl ester (I-4f) (37.5 mg, 0.09 mmol) was treated with 4.0M HCl / dioxane (2 mL, 8 mmol). Methanol was added until a clear solution formed and the mixture was stirred overnight at ambient temperature. The reaction mixture was poured into 1N HCl and extracted with ethyl acetate. The aqueous phase was brought to pH 14 with 5N KOH and extracted with ethyl acetate. The organic layers were washed with brine, dried (Na 2 SO 4 ) and concentrated to give the title compound (4-M) (23.3 mg). [582] MS (ES + ) calculated: 303, found: 304.3 (M + 1). 1 H NMR (MeOD): δ 2.9 (m, 4H), 3.5 (m, 4H), 4.5 (bs, 2H), 7.3 (bm, 6H). [583] Example 4-N [584] Preparation of (3-chloro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine fumarate salt (4-N) [585] (3-chloro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6 in a mixture of methanol (15 mL) and isopropyl ether (90 mL) A solution of '-yl) -amine (4-M) (1.14 g, 3.74 mmol) was treated with a methanolic solution of fumaric acid (434 mg in 7.5 mL methanol, 3.74 mmol). The resulting mixture was stirred at rt for 1 h. Then additional isopropyl ether (120 mL) was added to the reaction mixture and stirred continuously for 10 minutes. The resulting solid was filtered from the solution and dried under high vacuum to afford the title compound (4-N) (1.25 g). [586] MS (ES + ) calculated: 303, found: 304.2 (M + 1). 1 H NMR (DMSO): δ 2.8 (m, 4H), 3.4 (m, 4H), 4.4 (m, 2H), 7.3 (bm, 6H). [587] Example 4-O [588] Preparation of (2-Chloro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine hydrochloride salt (4-O) [589] The BOC-protecting compound was obtained following the general procedure described in Example 4-A using 2-chloro-benzylamine as starting amine in the preparation of the initial intermediate. The protecting group is (2-chloro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -carbamic acid 3 in methanol (1 mL). Tea-butyl ester (102 mg, 0.25 mM) was removed and removed by treatment with 1.0 M HCl / ether (2.5 mL, 2.53 mmol). The resulting mixture was stirred and additional methanol was added until the solution was clear. The reaction mixture was then stirred overnight at ambient temperature. The ether was added to the reaction mixture until it was cloudy and then stirred for another 15 minutes. The solid was filtered from the mixture, washed with ether and air dried to give the title compound (4-O) (41.8 mg). [590] MS (ES + ) calculated: 303, found: 304.4 (M + 1). 1 H NMR (MeOD): δ 3.3 (m, 4H), 4.7 (bs, 2H), 7.3 (m, 3H), 7.4 (m, 2H), 7.5 (s, 1H). [591] Example 4-P [592] (2,5-Difluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine hydrochloride salt (4-P Manufacturing [593] The BOC-protecting compound was obtained following the general procedure described in Example 4-A using 2,5-difluoro-benzylamine as starting amine in the preparation of the initial intermediate and DMAP (1 equiv). The protecting group is (2,5-difluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl in methanol (1 ml). -Carbamic acid tert-butyl ester (99.6 mg, 0.24 mmol) is dissolved and treated with 1.0 M HCl / ether (3.68 mL, 3.68 mmol) and the reaction mixture is removed by stirring overnight at ambient temperature. Additional 1.0 M HCl / ether (2 mL) was added to the reaction mixture and stirred continuously at room temperature overnight. Since the reaction was still incomplete, concentrated HCl (2 drops) was added and the resulting mixture was stirred overnight at ambient temperature. Diethyl ether (20 mL) was added to the reaction mixture and stirred continuously for 1 hour. The solid was filtered from the reaction mixture, washed with ether and dried under high vacuum to afford the title compound (4-P) (64 mg). [594] MS (ES + ) calculated: 305, found: 306.3 (M + 1). 1 H NMR (MeOD): δ 3.3 (m, 4H), 3.9 (m, 4H), 4.6 (m, 2H), 7.0 (m, 1H), 7.1 (m, 2H), 7.3 (s, 1H), 7.5 (s, 1 H). [595] Example 4-Q [596] Intermediate 6 '-[methyl- (6-methyl-pyridin-2-ylmethyl) -amino] -2,3,5,6-tetrahydro- [1,2'] bipyrazinyl-4-carboxylic acid tertiary- Preparation of Butyl Ester (I-4g) [597] 6'-Chloro-2,3,5,6-tetrahydro- [1,2 '] bipyrazinyl-4-carboxylic acid tert-butyl ester (I-1a) in toluene (2 mL) (50 mg, 0.17) Mmol), methyl- (6-methyl-pyridin-2-ylmethyl) -amine (29.6 mg, 0.22 mmol), sodium tert-butoxide (45 mg, 0.46 mmol), BINAP (8.4 mg, 0.014 mmol), A mixture of tris (dibenzylideneacetone) dipalladium (0) (6.2 mg, 0.006 mmol) was stirred under reflux for 2 hours. The reaction mixture was cooled down, diluted with ethyl acetate and filtered through celite. The filtrate was concentrated in vacuo and the residue was purified via preparative TLC (5% methanol in methylene chloride) to give the title compound (I-4g) (14.2 mg). [598] MS (ES + ) calculated: 398, found: 399.4 (M + 1). 1 H NMR (CDCl 3 ): δ 1.5 (s, 9H), 2.6 (m, 3H), 3.2 (m, 3H), 3.5 (m, 8H), 4.9 (m, 2H), 6.9 (m, 1H) , 7.1 (m, 1 H), 7.4 (m, 2 H), 7.5 (m, 1 H). [599] Methyl- (6-methyl-pyridin-2-ylmethyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine (4-Q Manufacturing [600] 6 '-[Methyl- (6-methyl-pyridin-2-ylmethyl) -amino] -2,3,5,6-tetrahydro- [1,2']-bipyrazinyl-4-carboxylic acid tertiary- Butyl ester (I-4g) was deprotected with TFA as in the procedure described in Example 4-A to afford the title compound (4-Q). [601] MS (ES + ) calculated: 298, found: 299.4 (M + 1). 1 H NMR (CDCl 3 ): δ 2.5 (s, 3H), 2.9 (m, 4H), 3.1 (s, 3H), 3.4 (m, 4H), 4.8 (s, 2H), 6.9 (m, 1H) , 7.0 (m, 1 H), 7.4 (m, 3 H). [602] Example 4-R [603] Preparation of Intermediate 6-Methyl-Pyridine-2-carbonitrile (I-4 h) [604] 2-Methyl-pyridine 1-oxide (10.9 g, 100 mmol) was dissolved in methylene chloride (100 mL) and dried over MgSO 4 . The solution was filtered and the filtrate was added to trimethylsilyl cyanide (16.7 mL, 125 mmol) at ambient temperature. To this was added dropwise a solution of dimethylcarbamyl chloride (11.5 mL, 125 mmol) in methylene chloride (25 mL). The resulting mixture was stirred at ambient temperature for 24 hours. A solution of 10% K 2 CO 3 was added dropwise to the reaction mixture and stirred continuously for 10 minutes after the addition was complete. The layers were separated and the aqueous phase extracted with methylene chloride (2 x 50 mL). The combined organic extracts were dried (Na 2 SO 4 ) and concentrated to dryness under high vacuum to afford the title compound (I-4h) (6.64 g). [605] 1 H NMR (CDCl 3 ): δ 2.6 (s, 3H), 7.4 (m, 1H), 7.5 (m, 1H), 7.7 (m, 1H). [606] Preparation of Intermediate C- (6-Methyl-pyridin-2-yl) -methylamine (I-4i) [607] To a cooled solution of 1.0 M LiAlH 4 in THF (35.6 mL, 35.6 mmol) of 6-methyl-pyridine-2-carbonitrile (I-4h) (2.0 g, 16.9 mmol) in THF (34 mL) at 0 ° C. The solution was added dropwise. The reaction mixture was stirred at 0 ° C. for 5 minutes after the addition was complete and then quenched by addition of 1N NaOH (20 mL). The resulting reaction mixture was stirred for 1 hour, filtered through celite and washed well with ether. The filtrate was diluted with 1N NaOH (20 mL) and the organic layer was separated. The organic layer was then washed with brine, dried (Na 2 SO 4 ) and concentrated in vacuo to afford the desired product (I-4i) (1.02 g). [608] 1 H NMR (CDCl 3 ): δ 2.5 (s, 3H), 3.9 (s, 2H), 7.1 (m, 2H), 7.5 (m, 1H). [609] Preparation of Intermediate (6-methyl-pyridin-2-ylmethyl) -carbamic acid tert-butyl ester (I-4i) [610] The crude product was obtained following the general procedure of Example 4-A. The compound was purified on silica gel (40 g) using 20% ethyl acetate / hexanes as eluent to afford the title compound (1-41). [611] MS (ES + ) calculated: 222, found: 223.3 (M + 1). 1 H NMR (CDCl 3 ): δ 1.4 (s, 9H), 2.5 (s, 3H), 4.4 (m, 2H), 7.0 (m, 2H), 7.5 (m, 1H). [612] Preparation of Intermediate (6-Chloro-pyrazin-2-yl)-(6-methyl-pyridin-2-ylmethyl) -carbamic acid tert-butyl ester (I-4k) [613] The crude product was obtained following the general procedure of Example 4-A. The crude material was purified on silica gel (40 g) using 15% ethyl acetate / hexanes as eluent to afford the title compound (I-4k). [614] MS (ES + ) calculated: 334, found: 335.3 (M + 1). 1 H NMR (CDCl 3 ): δ 1.4 (s, 9H), 2.5 (s, 3H), 5.2 (s, 2H), 6.9 (m, 1H), 7.0 (m, 1H), 7.5 (m, 1H) , 8.2 (s, 1H), 9.2 (s, 1H). [615] Intermediate (6-Methyl-pyridin-2-ylmethyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -carbamic acid tert-butyl Preparation of Ester (I-41) [616] The crude product was obtained following the general procedure of Example 4-A. The crude material was purified via preparative TLC using 10% methanol / methylene chloride with 1% NH 4 OH as eluent to afford the desired compound (1-41). [617] MS (ES + ) calculated: 384, found: 385.4 (M + 1). 1 H NMR (CDCl 3 ): δ 1.4 (s, 9H), 2.5 (s, 3H), 2.8 (m, 4H), 3.3 (m, 4H), 5.1 (s, 2H), 6.9 (m, 2H) , 7.5 (m, 1H), 7.7 (s, 1H), 8.5 (s, 1H). [618] Intermediate (6-methyl-pyridin-2-ylmethyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine (I-4m) Manufacture [619] (6-Methyl-pyridin-2-ylmethyl)-(3,4,5,6-tetrahydro-2H- [1,2 ']-bipyrazinyl-6'-yl in methylene chloride (2 mL) A solution of carbamic acid tert-butyl ester (I-41) (196.9 mg, 0.51 mM) was treated with trifluoroacetic acid (0.39 mL, 5.12 mmol). The resulting mixture was stirred at ambient temperature overnight. The reaction mixture was quenched with saturated NaHCO 3 solution and the pH of the aqueous layer was brought to about 10 with 1N NaOH. The reaction mixture was diluted with methylene chloride and separated. The aqueous phase was extracted with methylene chloride, organic layers combined, dried (Na 2 SO 4 ) and concentrated to dryness to afford the desired product (I-4m). [620] MS (ES + ) calculated: 284. Found: 285.3 [621] (6-Methyl-pyridin-2-ylmethyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine fumarate salt (4- Manufacture of R) [622] (6-Methyl-pyridin-2-ylmethyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine (1- The title compound was obtained following the general procedure of Example 4-N using 4m). [623] MS (ES + ) calculated: 284, found: 285.3 (M + 1). 1 H NMR (MeOD): δ 2.5 (s, 3H), 3.1 (m, 4H), 3.6 (m, 4H), 4.6 (s, 2H), 6.7 (m, 2H), 7.2 (m, 2H), 7.3 (m, 2 H), 7.6 (m, 1 H). [624] Example 4-S [625] Preparation of Intermediate 3-[(6-chloro-pyrazin-2-ylamino) -methyl] -benzonitrile (I-4n) [626] 2,6-dichloropyrazine (75 mg, 0.503 mmol), 3-aminomethyl-benzonitrile (73 mg, 0.553 mmol) in toluene (2 mL), sodium t-butoxide (58 mg, 0.604 mmol), BINAP ( A mixture of 12.5 mg, 0.020 mmol) and Pd 2 (dba) 3 (9.2 mg, 0.010 mmol) was heated to reflux under nitrogen for 10 hours. The solution was cooled to room temperature and filtered through a pad of celite. The celite pad was washed several times with ethyl acetate. The combined filtrates were concentrated in vacuo to afford the crude title compound. The product was purified by chromatography (silica, 5% MeOH / dichloromethane) to give 37.6 mg of 3-[(6-chloro-pyrazin-2-ylamino) -methyl] -benzonitrile (1-4n). . [627] Preparation of 3-[(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-ylamino) -methyl] -benzonitrile (4-S) [628] 3-[(6-chloro-pyrazin-2-ylamino) -methyl] -benzonitrile (I-4n) (37.6 mg, 0.154 mmol) in toluene (2 mL), piperazine (16 mg, 0.185 mmol), A mixture of sodium t-butoxide (18 mg, 0.185 mmol), BINAP (3.8 mg, 0.006 mmol) and Pd 2 (dba) 3 (2.8 mg, 0.003 mmol) was heated to reflux under nitrogen for 10 hours. The solution was cooled to room temperature and filtered through celite pads. The celite pad was washed several times with ethyl acetate. The combined filtrates were concentrated in vacuo to afford the crude title compound (4-S). The product was purified by chromatography (silica, 10% MeOH / dichloromethane + 1% NH 4 OH) to give the title compound (4-S) (10 mg). [629] 1 H NMR (400 MHz, CD 3 OD) δ 7.67 (s, 1H); 7.63 (d, 1 H); 7.55 (d, 1 H); 7.45 (t, 1 H); 7.22 (s, 1 H); 7.18 (s, 1 H); 4.52 (s, 2 H); 3.40 (t, 4 H); 2.80 (t, 4 H). MS (ES + ) calculated: 294.1, found: 295.3 (M + 1). [630] Example 4-T [631] Intermediate indan-1-yl- (3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine-4-carboxylic acid tert-butyl ester (I- 4o) manufacturing [632] 6'-Chloro-2,3,5,6-tetrahydro- [1,2 '] bipyrazinyl-4-carboxylic acid tert-butyl ester (I-1 a) (100) in toluene (anhydrous, 2 mL) Mg, 0.33 mmol), (S) -1-aminoindane (49 mg, 0.37 mmol), sodium tert-butoxide (57 mg, 0.46 mmol), Pd 2 (dba) 3 (21 mg, 0.023 mmol) and A mixture of Amphos (29 mg, 0.073 mmol) was heated to reflux under a nitrogen atmosphere for 16 hours. The reaction mixture was cooled to room temperature and filtered through a pad of silica gel eluted with EtOAc-hexane (9: 1). I was. The filtrate was concentrated in vacuo. The residue was purified by preparative TLC (EtOAc-hexane 6: 4) to give 26 mg of the title compound (I-4o) (20%). [633] MS (ES + ) calculated: 395.2, found: 396.2 (M + 1). [634] Preparation of indan-1-yl- (3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine hydrochloride (4-T) [635] Indan-1-yl- (3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine-4-carboxylic acid tert-butyl ester in HCl -4o) (26 mg, 0.066 mmol) was stirred in 1,4-dioxane (4M, 1.0 mL, 4 mmol) at 23 ° C. for 2 hours at room temperature. The mixture was treated with ether and a precipitate appeared. The solid was collected by filtration. The solid was dissolved in methanol and concentrated in vacuo to afford the title compound (4-T) (10 mg, 41%). MS (ES + ) calculated: 295.2, found: 296.2 (M + 1). [636] Example 5 [637] Example 5 illustrates a representative compound of the invention wherein W is acetylamino. [638] Preparation of Intermediate N- (6-Chloro-pyrazin-2-yl) -acetamide (I-5a) [639] A solution of 6-chloro-pyrazin-2-ylamine (50 mg, 0.38 mmol) in acetic acid (1.9 mL) was treated with acetic anhydride (0.04 mL, 0.42 mmol). The mixture was heated to reflux for 1 hour, cooled to room temperature, poured into saturated NaHCO 3 (30 mL) and extracted with ethyl acetate (2 × 30 mL). The organic layers were combined, washed with brine, dried (Na 2 SO 4 ), filtered and concentrated to dryness to afford the title compound (I-5a) (58.6 mg). [640] MS (ES + ) calculated: 171.1, found: 172.0 (M + 1). 1 H NMR (CDCl 3 ): δ 9.42 (s, 1 H), 8.34 (s, 1 H), 7.90 (br s, 1 H) 2.24 (s, 3 H). [641] Preparation of Intermediate 6'-acetylamino-2,3,5, 6-tetrahydro- [1,2 '] bipyrazinyl-4-carboxylic acid tert-butyl ester (I-5b) [642] N- (6-chloro-pyrazin-2-yl) -acetamide (I-5a) (58.6 mg, 0.34 mmol) and piperazine-1-carboxylic acid tert-butyl ester (636 mg, in ethanol (2 mL) 3.42 mmol) was stirred at reflux for 24 hours. The reaction mixture was diluted with ethyl acetate (40 mL), washed with 0.1 M HCl (3 × 35 mL), brine, dried (Na 2 SO 4 ), filtered and evaporated to dryness. The crude residue was purified by preparative TLC using ethyl acetate as eluent to afford the title compound (I-5b) (36.9 mg). [643] MS (ES + ) calculated: 321.1, found: 322.3 (M + 1). 1 H NMR (CDCl 3 ): δ 8.75 (br s, 1H), 7.86 (s, 1H), 7.70 (br s, 1H) 2.20 (s, 3H), 1.46 (s, 9H). [644] Intermediate 6 '-[acetyl- (3-chloro-benzyl) -amino] -2,3,5,6-tetrahydro- [1,2'] bipyrazinyl-4-carboxylic acid tert-butyl ester (I- Manufacture of 5c) [645] 6'-acetylamino-2,3,5,6-tetrahydro- [1,2 '] bipyrazinyl-4-carboxylic acid tert-butyl ester (I-5b) in DMF (1.1 mL) (36.9 mg, 0.11 mmol) and 1-bromomethyl-3-chloro-benzene (15.8 μl, 0.12 mmol) were added 60% NaH in mineral oil (5 mg, 0.13 mmol) at room temperature. After stirring for 4 hours at room temperature, the reaction mixture was poured into H 2 O (10 mL) and extracted with ethyl acetate (50 mL). The organic layer was washed with H 2 O (3 × 10 mL), brine, dried (Na 2 SO 4 ), filtered and evaporated to dryness. The crude material was purified by preparative TLC using 50% ethyl acetate / ether with 1% NH 4 OH to afford the title compound (I-5c) (27.1 mg). [646] MS (ES + ) calculated: 445.2, found: 446.2 (M + 1). 1 H NMR (CD 3 OD): δ 8.07 (s, 1H), 7.85 (br s, 1H), 7.33-7.16 (m, 4H) 5.01 (s, 2H), 3.57-3.42 (m, 8H), 2.12 (s, 3 H), 1.46 (s, 9 H). [647] Of N- (3-chloro-benzyl) -N- (3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -acetamide (5-A) Produce [648] 6 '-[acetyl- (3-chloro-benzyl) -amino] -2,3,5,6-tetra-hydro- [1,2'] bipyrazinyl-4-carboxylic acid 3 in methylene chloride (1 mL) To a solution of tea-butyl ester (I-5c) (27.1 mg, 0.06 mmol) trifluoroacetic acid (1 mL) was added. The reaction mixture was stirred at rt until the reaction was complete. The reaction mixture was poured into saturated NaHCO 3 (20 mL) and extracted with methylene chloride (2 × 15 mL). The organic layers were combined, dried (Na 2 SO 4 ), filtered and concentrated to dryness to afford the title compound (5-A) (26.2 mg). [649] MS (ES + ) calculated: 345.1, found: 346.2 (M + 1). 1 H NMR (CDCl 3 ): δ 7.95 (s, 1 H), 7.74 (br s, 1 H), 7.32-7.11 (m, 4 H), 4.97 (s, 2H), 3.57-3.52 (m, 4H), 3.00 -2.96 (m, 4H), 2.26 (br s, 1H), 2.13 (s, 3H). [650] Example 6 [651] Example 6 is a NEPi compound- (S) -2-[(1-{[3- (4-chlorophenyl) as mentioned below for use with a compound of the present invention to treat female sexual dysfunction. ) Propyl] carbamoyl} cyclopentyl) methyl] -4-methoxy-butanoic acid. [652] Preparation of Intermediate 1- [2- (tert-Butoxycarbonyl-4-methoxybutyl] -cyclopentanecarboxylic acid (I-6a) [653] A solution of tert-butyl 3- (1-carboxycyclopentyl) propanoate (12 g, 49.5 mmol) (see Example 35 of EP 274234B1) in anhydrous tetrahydrofuran (100 mL) was added to hexane ( 52 mL) and tetrahydrofuran (200 mL) to a stirred solution of lithium diisopropylamide (130 mL). After 1 hour, a solution of 2-bromoethyl methyl ether in tetrahydrofuran (100 mL) was added while maintaining at -78 ° C. The reaction mixture was allowed to warm to room temperature overnight. The mixture was quenched with water (100 mL), brought to pH 1 with 2M hydrochloric acid and extracted with ethyl acetate (2 x 150 mL). The combined organic extracts were dried over magnesium sulfate and concentrated in vacuo to afford the crude acid, which was subjected to chromatography on silica. Eluting with increasing proportion of methanol in dichloromethane (pure dichloromethane up to 1:50) to give an oil (7.7 g, 25.6 mmol, 52%); Rf 0.3 Methanol, Dichloromethane 1:20. [654] 1 H NMR (CDCl 3 400 MHz) δ: 1.4 (s, 9H), 1.4-1.7 (m, 7H), 1.75-1.95 (m, 2H), 2.0-2.15 (m, 3H), 2.3-2.4 (m , 1H), 3.3 (s, 3H), 3.3-3.4 (m, 2H); LRMS: m / z 299 (MH). [655] Preparation of Intermediate 1-[(2S) -2- (tert-Butoxycarbonyl) -4-methoxybutyl] -cyclopentanecarboxylic acid (I-6b) [656] Intermediate (I-6a) and (+)-pseudoephedrine were recrystallized 9 times from hexane to give a white crystalline solid. The salt was dissolved in ethyl acetate, washed with 0.5 M hydrochloric acid, dried over magnesium sulfate and concentrated in vacuo. NMR analysis of the δ 3.3 peak of the (+)-pseudoephedrine salt showed (S) -acid as a light yellow oil in> 90% ee (enantiomeric excess) in 31% yield. [657] 1 H NMR (CDCl 3 400 MHz) δ: 1.4 (s, 9H), 1.4-1.7 (m, 7H), 1.75-1.9 (m, 2H), 2.0-2.15 (m, 3H), 2.35-2.45 (m , 1H), 3.3 (s, 3H), 3.3-3.4 (m, 2H); [α] D-5.2 (EtOH, c 1.2). [658] Intermediate tert-butyl (2S) -2-{[1-({[3- (4-chlorophenyl-propyl] amino} carbonyl) cyclopentyl] methyl} -4-methoxybutanoate (I-6c Manufacturing [659] To a solution of 1,1'-carbonyl diimidazole (73.9 g, 0.45 mol) in azeotropic anhydrous isopropyl acetate (339 ml), the intermediate (l-) was stirred at 60 ° C under an atmosphere of N 2 over 1.5 hours. 6b) isopropyl acetate solution was added. The transfer line was then washed with anhydrous isopropyl acetate (50 mL). The resulting solution was then stirred for another 4.5 hours at 60 ° C., then the reaction mixture was cooled to room temperature and stirred for 15 hours. Triethylamine (46.1 g, 0.46 mole) was then added to the resulting solution, followed by 3- (4-chlorophenyl) -propylamine hydrochloride (J. Med. Chem., 1996, 39, 4942 -51 ") (94.3 g, 0.46 mol) was added. The resulting mixture was then heated to 60 ° C. for 7 hours and then cooled to room temperature. Deionized water (100 mL) was then added to the reaction mixture with stirring, followed by addition of aqueous hydrochloric acid (190 mL of 5M solution) until the pH of the aqueous phase was 2-3. The aqueous phase was then separated and the organic layer was washed with aqueous potassium carbonate (50 mL of 0.5 M solution). The aqueous phase was separated and the organic phase was washed with saturated brine solution (100 mL). The aqueous phase was then separated and the organic phase was concentrated by distillation under vacuum to afford the title compound as a yellow oil (200.3 g, 443 mmol, 98% yield). [660] 1 H NMR (CDCl 3 300 MHz) δ: 1.45 (s, 9H), 1.45-1.56 (m, 1H), 1.56-1.74 (m, 6H), 1.74-2.11 (m, 7H), 2.32-2.43 (m , 1H), 2.64 (t, 2H), 3.22-3.30 (m, 2H), 3.27 (s, 3H), 3.30-3.38 (m, 2H), 5.75-5.85 (m, br, 1H), 7.13 (d , 2H), 7.26 (d, 2H); LRMS (ES positive): m / z 452 [M + H] ( 35 Cl). [661] (2S) -2-{[1-({[3- (4-chlorophenyl) propyl] amino} carbonyl) -cyclopentyl] methyl} -4-methoxybutanoic acid and its sodium salt (6-A) Manufacture [662] To a solution of intermediate (I-6c) (9.6 g, 21.2 mmol) in dichloromethane (52 mL) was added trifluoroacetic acid (16.3 mL, 212 mmol) and the resulting solution was washed with N 2 at room temperature for 3.75 h. Stirred under atmosphere. The reaction was then added with stirring to aqueous sodium carbonate solution (95 mL of 10% w / v solution) until the pH of the aqueous phase was 2-3. The phases were then separated and the organic layer was extracted with aqueous sodium carbonate solution (2 × 20 mL of 10% w / v solution). After the aqueous phases were combined, saturated brine (80 mL) was added followed by 2-butanone (40 mL). The layers were separated and the aqueous phase was extracted again with 2-butanone (2 × 50 mL). The combined organic layers were then dried by azeotropic distillation under atmospheric pressure to yield a volume of 70 mL, whereby crystals formed and the mixture was diluted with 2-butanone (70 mL). The product was then collected by filtration and dried in vacuo at 50 ° C. for 65 hours to afford the crude sodium salt of the title compound as a white solid (5.76 g), which was then purified by recrystallization as follows. Ethyl acetate (87 mL) and ethanol (13 mL) were added to the crude product, and residual insoluble material was removed by filtration. The ethanol was then removed by azeotropic distillation under atmospheric pressure (110 mL of solvent removed) and replaced with ethyl acetate (145 mL), resulting in crystals. The resulting crystallization product was then collected by filtration in vacuo to give the pure sodium salt of the title product as a white crystalline solid (4.51 g, 10.8 mmol, 51%); mp (ethyl acetate) 214-216 ° C. [663] 1 H NMR (DMSO-d 6 300 MHz) δ: 1.26-1.58 (m, 8H), 1.62-1.74 (m, 3H), 1.74-1.86 (m, 1H), 1.91-2.07 (m, 3H), 2.57 (t, 2H), 3.03 (q, 2H), 3.10 (s, 3H), 3.13-3.27 (m, 2H), 7.22 (d, 2H), 7.29 (d, 2H), 9.16 (t, br, 1H ); LRMS (ES negative); 789 [2M-H] - ( 35 Cl), 394 [MH] - ( 35 Cl). [664] For analysis purposes, this sodium salt was dissolved in water to give the title product (ie free acid), acidified with 5M hydrochloric acid and extracted with dichloromethane. The solvent was removed by blowing a nitrogen stream over the sample to afford the title product. [665] 1 H NMR (DMSO-d 6 300 MHz) δ: 1.22-1.80 (m, 11H), 1.81-1.96 (m, 2H), 1.96-2.08 (m, 1H), 2.93-2.27 (m, 1H), 2.53 (t, 2H), 3.03 (q, 2H), 3.11 (s, 3H), 3.16-3.25 (m, 2H), 7.20 (d, 2H), 7.30 (d, 2H), 7.51 (t, 1H); LRMS (ES negative); 789 [2M-H] (Cl), 394 [MH] (Cl); HPLC (Column: ChiralPak AS (25 × 0.46 cm); Mobile Phase: Hexane / IPA / Acetic Acid (95/5 / 0.5 v / v / v); Flow Rate: 1.0 mL / min; Temperature: Ambient Temperature; Injection Volume: 20 Μl; detection: UV at 220 nm; sample concentration: 1.0 mg / ml prepared in mobile phase Retention time: 11.4 min (5.7%) of small enantiomers, 14.3 min (94.3%) of multiple enantiomers. [666] Preparation of Monohydrate of Sodium Salt of Compound (6-A) [667] To the sodium salt of compound 6-A (200 mg) was added 1 ml of 3.9% water in isopropanol solution. The resulting slurry was stirred for 12 days and isolated by simultaneous filtration. The product obtained the PXRD patterns listed in Table 5 below. [668] [669] Differential Scanning Calorimetry (DSC) was operated using a Perkin Elmer DSC-7 instrument equipped with an automatic sample changer. About 3 mg of sample was accurately weighed into 50 μl of aluminum pan and crimp sealed with perforated lids. The sample was heated at 20 ° C./min over 40-300 ° C. while purging with nitrogen gas. Dehydrate at 50-150 ° C. and melt mainly at 212-225 ° C. It will be understood by the skilled person that the melting point can vary outside of this range by the impurities in the sample. [670] Anhydrous salt [671] The sodium salt of compound 6-A exhibited the PXRD patterns listed in Table 6 below. [672] [673] Biological analysis [674] The utility of the compounds of the present invention in the practice of the present invention is evidenced by their activity in one or more of the protocols described above. [675] 5HT 2c Joining procedure [676] The affinity of the compounds at the serotonin 5HT 2c binding site was determined by Swiss 3T3 mouse cells transfected with human 5HT 2c receptors for 3H-5HT (American Type Culture Collection, Manassas, VA). Measured by competitive binding), available from ATCC). The method was adopted from Roth et al. , J. of Pharm. And Exp. Therap. , 260 (3), 1362-1365 (1992). Cells were grown in DMEM high glucose medium, harvested, homogenized, centrifuged and resuspended in 50 mM Tris-HCL. These were incubated at 37 ° C. for 15 minutes, centrifuged, and then assay buffer (50 mM Tris-HCl, 4 mM CaCl 2 , 0.1% ascorbic acid and 100 μm pargyline at 100 vol / g). ), pH 7.7). Assay tubes contain 25 μl of 10 nM 3 H-5HT (1 nM final concentration) and 25 μl of vehicle (analysis buffer), blank (mianserin 10 μm) or test compound (10 × final volume). Contained. 200 μl of tissue homogenate was added to each tube, vortexed and incubated at 37 ° C. for 30 minutes. The sample was then taken under a Skatron ™ cell harvester (Molecula Devices Corp., Sunnival, Calif.) Using a GF / B filter pre-soaked in 0.5% polyethyleneimine (PEI) under vacuum. Quickly (available from Molecular Devices Corporation) and washed with cold 50 mM Tris-HCl (2 × 5 mL). The filter mat was removed and counted with a Wallac Betaplate counter (available from PerkinElmer Life Sciences, Gaithersburg, Midland). Ki was calculated using the percent inhibition of specific binding by the test compound, or extrapolated the concentration of test compound needed to inhibit half of the total specific binding for each compound. [677] Compounds from this example demonstrated a Ki value for 5HT 2c binding of about 0.1 to 586.5 nM (Example 1-AW). [678] 5HT 2A Joining procedure [679] The affinity of the compound at the serotonin 5HT 2A binding site was determined by competitive binding in NIH 3T3 mouse cells transfected with the rat 5HT 2A receptor using 125I-DOI. The method was adopted from Leonhardt et al., "Molecular Pharmacology, 42, 328-335 (1992)". Frozen cell paste was homogenized in 50 mM Tris-HCl buffer at pH 7.4 containing 2 mM MgCl 2 using Polytron and centrifuged at 45000 × g for 10 minutes. The resulting pellet was resuspended in fresh ice-cold 50 mM Tris-HCl buffer at pH 7.4 containing 2 mM MgCl 2 using polytron® and centrifuged again at 45000 × g for 10 minutes. The final pellet was resuspended in a concentration of 5 mg / ml in 50 mM Tris-HCl buffer at pH 7.4 containing 2 mM MgCl 2 . Wells in 96 well plates contained 25 μl 0.7 nM 125I-DOI (70 pM final concentration) and 25 μl of vehicle (assay buffer), blank (10 μm cycinerin) or test compound (10 × final volume). . 200 μl of tissue homogenate was added to each well and incubated at 37 ° C. for 15 minutes on a shaker. The sample was then quickly filtered through a cell incubator (Scartron®) using a GF / B filter pre-soaked in 0.5% polyethyleneimine (PEI) under vacuum and washed with cold 50 mM Tris-HCl. (2 x 5 ml). The filter mat was removed, dried and counted with a Wallac betaplate counter. The IC 50 for each compound is determined using the percent inhibition of specific binding and log concentration by the test compound, and the Ki value is obtained from the equation Ki = IC50 / (1 in Cheng-Prusof. Calculated based on + (L / Kd)), where L is the concentration of radioligand used in the binding assay and Kd is based on conventional saturation studies using radioligand. [680] Compounds from this example demonstrated Ki values for 5HT 2a binding of about 0.5 nM to 1.0 μM (Example 4-R). No 5HT 2a binding data was shown in Example 1-AE, 1-AF, 1-AL and 1-AH. [681] Functional analysis [682] Swiss 3T3 cells labeled with r-5HT 2C , r-5HT 2A , h-5HT 2C or h-5HT 2A receptors were seeded at a density of 12,500 cells / well in 384 well black / transparent collagen-coated plates. . After 48 hours, the cells were placed in a serum-free CO 2 incubator at 37 ° C. for 75 minutes at 37 ° C. in the presence of probenidide (2.5 mM), Fluo 4-AM (4 μm, fluonic acid ( soluble in DMSO containing pluronic acid). Unincorporated dye was removed by washing three times with HEPES-buffered saline containing Provenidide (2.5 mM) using a Skatron ™ cell washer (final volume 30 μL). [683] Plates were individually added to a fluorescence imaging plate reader (FLIPR 384 available from Molecular Devices Corporation) and fluorescence measurements took 2 seconds each time over 85 seconds. Test compounds were added simultaneously to all 384 wells after baseline reading for 20 seconds. Graphpad Prism (tradename) (available from GraphPad Software, Inc., San Diego, Calif.) Was used to create a concentration-response curve and to measure the efficacy of the agonist at 10 μM. Written as% reactivity to 5-HT (referred to as 100%). Antagonist potency (functional Kis) measures the inhibition of the test compound's response to 5-HT (10 nM for 5-HT 2c and 50 nM for 5-HT 2a ) and Predicted by application. [684] Functional data for the compounds listed in the Examples above using 5-HT 2c -labeled NIH 3T3 cells are summarized below. [685] Examples 1-A to 1-D, 1-G to 1-J, 1-L, 1-M, 1-O, 1-P, 1-AC, 1-AD, 1-AG, 1-AI, 1-AK, 1-AM to 1-AR, 1-AU to 1-CJ, 2-A, 3-A to 3-S, 4-A, 4-B, 4-E to 4-T and 5- A demonstrates an EC 50 value of 1.0 μM or less. [686] Examples 1-E, 1-F, 1-K, 1-Q, 1-S, 1-X, 1-AB, 1-AJ and 1-AL demonstrate EC 50 values greater than 1.0 μM. [687] Examples 1-N, 1-R, 1-U, 1-W, 1-Z, 1-AA, 1-AE, 1-AF, 1-AH, 1-AL, 1-AO, 1-AS, 1-AT, 4-C and 4-D acted as antagonists. [688] Example 1-V demonstrated no activity at 10 μM. [689] Voluntary food intake [690] Wistar rats were administered test compounds orally or subcutaneously with 30% β-cyclodextrin vehicle 30 minutes before the start of the dark cycle. Food intake was monitored using a computerized system that monitors the intake of individual animals. Feed intake was monitored for at least 16 hours after test compound administration. [691] Sexual dysfunction [692] Example A-Treatment of MED [693] Representative compounds of formula (I) have been shown to induce an increase in intracranial pressure (ICP) in conscious male rats. [694] Test compound : 6 '-(2,5-difluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl (Example IK) [695] ICP Protocol : Cavernous Pressure (ICP) can be measured by telemetric recording in conscious rats. The catheter is surgically implanted into the cavernous body. The end of the catheter is connected to a device that senses, processes, and transmits digital information from the animal. A receiver converts a radio-frequency signal from the implant into a digital pulse stream readable by the data acquisition system. PC-based systems collect telemetry data from animals. [696] Surgery : Anesthesia is usually performed using 5% isoflurane (registered trademark) in a carrier gas of 0.5 L / min oxygen and 1 L / min nitrogen oxide, and 2% isoflurane to maintain anesthesia. Lower it. Carprofen (Rimadyl® Large Animal Injection, 50 mg / ml) to minimize pain and discomfort at the induction of anesthesia, on the last day of surgery and the first morning after surgery. Pfizer Animal Health is administered subcutaneously (sc) 5 mg / kg. [697] Transplantation of cavernous probes : Shave the skin of the abdomen, extend to the penis and near the abdominal scrotum. Clean and disinfect shaved areas. Position the rat down. Draw a middle incision about 2 cm from the outer base of the penis to the tail. Expose the internal structure of the penis and identify the cavernous body. Draw an anatomical midline about 4 cm close to the abdominal cavity. Using a suitable trocar and cannula, the perforation of the abdominal wall is quite perforated using a suitable trocar and cannula without damaging any internal organs. The implant body is placed in the abdominal cavity with the catheter facing towards the tail and the catheter tip passes through the body wall through the pre-located cannula. The implant used was a model TA11PA-C40, 8 mm urinary catheter (Data Sciences International Inc.) equipped with a modified 3 mm vertex. A nonabsorbable suture chamber is used to secure the implant body to the abdominal wall and to partially approach the abdominal incision. The apex of the penis is cranially drawn and the tail incision is withdrawn to the surgical site. The internal structure of the penis is carefully isolated about 10 mm from surrounding tissue. Carefully turn the urethra spongiosum to one side to bring it closer to the spongy body. A modified over-the-needle catheter is used to perforate the cavernos up close to the membrane. The catheter apex is introduced through the prepositioned catheter and advanced until fully inserted. Carefully remove the adjacent catheter and attach the appropriate tissue to the insertion site. Check for leaks. The subcutaneous fat layer in the tail incision is blocked, followed by a suitable absorbable suture. About 5 ml of warm saline is added dropwise through the abdominal incision and the intermediate incision is completely blocked. Appropriate absorbable sutures are used to close the skin incision. [698] Postoperative Precautions : Measure food and water intake, monitor body weight daily for 7 days after surgery, and monitor 2-3 times weekly. Rectade® (Pfizer Animal Health) is given in the drink for 3 days after surgery. Rats are raised alone and transferred to inverted contrast conditions for 5 days after surgery. Have your designated veterinarian (or representative) continue to determine eligibility for 2 days after surgery. Seven days after surgery, rats are used for the experiment. [699] Experimental Procedure : Conduct the experiment in a room with inverted contrast conditions. During the experiment, rats are placed in cages on receiver pads (PhysioTel® Model RPC-1, Data Sciences International, Inc.) and acclimatized for about 1 hour. Make sure the rats consume their food and water (ad lib). Read the baseline of cavernosal pressure for about 5 minutes. The data is transferred to an Excel spreadsheet via a floppy diskette. The compound is injected into rats either subcutaneously or via a jugular vein catheter (JVC). If using JVC, flush with sterile saline after administration and seal the saline / glucose lock solution. The interval between compound administration and ICP measurement will vary depending on the compound to be tested. 30 to 60 minute post subcutaneous (sc) injection intervals are preferred. Test compounds were dissolved in 50% β-cyclodextrin in saline. These were administered 5-10 mg / kg subcutaneously (sc). Apomorphine hydrochloride hemihydrate (Sigma A-4393) at 60 μg / kg sc was used as a positive control with pre-erection characteristics. The ICP is recorded over 15 minutes starting 30 minutes after injection, ie 30 to 35 minutes, and repeated twice more 15 minutes starting at 60 minutes after injection and 120 minutes after injection, respectively. Record ICP for 15 minutes. The signal from the receiver pad is fed to the software (Dataquest ART® acquisition system, Data Sciences International, Inc.) via the Data Exchange Matrix (registered trademark). The data is transferred to an Excel spreadsheet via floppy diskette for analysis. [700] Table 1 sets forth ICP data obtained from studies using test compounds of Formula I as described above. The data in Table 7 show erection in rats conscious of 6 '-(2,5-difluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl. Prove that it induces a whole effect. This compound significantly increased the number of erectogenic events within a 15 minute test period when administered at 5 mg / kg s.c. There was no difference in the number of induced erections at 120 minutes after administration. [701] [702] Example B-Compounds of Formula I in Combination with PDE5i for MED Treatment [703] The effect of simultaneous administration of a compound of formula (I) in combination with a PDE5 inhibitor on penile cavernous pressure (ICP) in an anesthetized rabbit model for erection experiments can be measured according to the following protocol. [704] Experimental protocol [705] Intramuscular administration of male New Zealand rabbits (approximately 2.5 kg) with 0.5 ml / kg of Medetomidine (Domitor®) in advance while maintaining oxygen intake through a face mask (im) And intramuscular administration (im) of ketamine (Vetalar®) 0.25 ml / kg. The rabbit is uncuffed with endotracheal tube 3 ID (internal diameter), connected to a ventilator, maintained at a respiration rate of 30-40 times per minute, and an approximate tidal volume of 18-20 ml. And tracheotomise using a Portex (trade name) having a maximum airway pressure of 10 cm H 2 O. Anesthesia is then anesthetized with isoflurane and breathing continuously at 2 L / min with O 2 . The right marginal ear vein is cannulated using a 23G or 24G urinary catheter and perfuse the Lactated Ringer solution at 0.5 ml / min. The rabbits are kept at 3% isoflurane during invasive surgery and dropped to 2% to maintain anesthesia. The left jugular vein is exposed, isolated and then cannulated with a PVC catheter (17 gauge / 17G) for infusion of drug and test compound. [706] The left groin area of the rabbit was shaved and incised approximately 5 cm long along the thighs. Femoral veins and arteries are exposed, isolated and cannulated with PVC catheter (17G) for infusion of drug and test compound. A cannula is inserted into the femoral artery at a depth of 10 cm to ensure that the catheter reaches the abdominal aorta. The arterial catheter is connected to a Gould system to record blood pressure. Samples for blood gas analysis were also taken through the arterial catheter. Pressure at contraction and pressure at expansion were measured and the median arterial pressure was calculated using the formula "(pressure at expansion x 2 + pressure at contraction) ÷ 3". Pulse oxymeter and Po-ne-mah Data acquisition software system (Ponemah Physiology Platform, Gold Instrument Systems, Gould Instrument Systems Inc.) was used to measure heart rate. [707] An abdominal midline was excised to the abdominal cavity. An incision up to about 5 cm above the pubic bone was made. The fat and muscles were roughly incised out to expose the lower abdominal nerves passing under the body cavity. It is essential to keep it adjacent to the lateral curve of the pubic wall to prevent damage to the femoral veins and arteries present on the pubic bone. The sciatic and pelvic nerves are deep and found on the dorsal side of the rabbit after further incisions. Once the sciatic nerve is identified, the pelvic nerves are easily identified. The term pelvic nerve is applied incorrectly, and the anatomy book therefor does not fully describe the nerves. However, stimulation of nerves increases intracavernosal pressure and cavernous blood flow, and nerve distribution in the pelvic region. The pelvic nerve is located far from the surrounding tissue, and a Harvard bipolar stimulating electrode is placed around the nerve. After the nerves were slightly lifted up and slightly tense, the electrodes were held in place. About 1 ml of bright paraffin oil was placed around the nerves and electrodes. It acts as a protective lubricant to nerves and prevents blood contamination of the electrodes. The electrode was connected to a Grass S88 Stimulator. Pelvic nerves were stimulated using parameters such as -5 V, pulse width of 0.5 ms, and stimulation for 20 seconds using a frequency of 16 Hz. When the nerves were stimulated for 15-20 minutes each time, reproducible responses were obtained. Several stimuli using these parameters were conducted to achieve an intermediate control response. Compound (s) to be tested were injected through the jugular vein using a Harvard 22 infusion pump providing a continuous 15 minute stimulation cycle. Skin and connective tissue around the penis were removed to expose the penis. A catheter set (Insyte-W, Becton-Dickinson 20 Gauge 1.1 × 48 mM) was injected through the tunica albica into the left cavernous space and the saliva was removed to leave a flexible catheter. The catheter was connected to the gold system via a pressure transducer (Ohmeda 5299-04) to record intracavernosal pressure (ICP). Once the cavernous pressure was established, the catheter was sealed in place using a Vetbond (tissue adhesive, 3M). Heart rate was measured via a pulse oximeter and four-ne-ma data acquisition software system (Ponema Fishology Platform, Gold Instruments Systems, Inc.). [708] Intracavernosal blood flow is recorded numerically directly from a flowmeter using a Four-Ne-Ma data acquisition software system (Ponema Fishology Platform, Gold Instruments Systems Inc.), or a gold chart recorder trace. Indirectly recorded from the Gould chart recorder trace. The scale was set at the beginning of the experiment (0-125 ml / min / 100g tissue). [709] Record all data in the median ± s.e.m. (Standard error of the mean). Significant changes were identified using the Student's t-test. Test compounds are dissolved in 50% β-cyclodextrin in saline. They are administered subcutaneously (s.c.) at doses of 5-10 mg / kg. [710] Using the protocol previously described herein, 6 '-(2,5-difluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl (5 -10 mg / kg sc) and the selective inhibitor PDE5 (3-ethyl-5- {5- [4-ethylpiperazino) sulfonyl-2-propoxyphenyl} -2- (2-pyridylmethyl)- Simultaneous administration of 6,7-dihydro-2H-pyrazolo [4,3-d] pyrimidin-7-one (as described in WO 98/491066) (1 mg / kg iv (intravenous)) Can prove to have a beneficial effect on ICP. These studies suggest that simultaneous administration of PDE5 inhibitors with compounds of Formula I has a number of clinical advantages. These benefits include increased efficacy and opportunity to treat MED subgroups that do not respond to other MED mono-treatments. [711] Example C-Treatment of FSAD [712] Serotonin 5HT 2c receptor agonists enable increased pelvic neuro-stimulation in female genital blood flow in anesthetic rabbit models of sexual arousal. [713] Normal sexual arousal consists of a number of physiological responses observed during sexual arousal. These changes, such as vaginal, labia, clitoris hyperemia, result from an increase in genital blood flow. Congestion leads to an increase in vaginal lubrication through plasma leakage, an increase in vaginal flexibility (relaxation of vaginal smooth muscle), and an increase in sensitivity of the vagina and clitoris. [714] Female sexual arousal disorder (FSAD) is a very common sexual disorder affecting up to 40% of women in premenopausal, premenopausal and postmenopausal (± HRT) women. The first effect of FSAD is a decrease in genital hyperemia or swelling, which manifests itself as a lack of vaginal lubrication and a satisfactory genital sensation. Secondary influences include decreased sexual desire, pain in intercourse, and difficulty in reaching orgasms. The most common causes of FSAD are a decrease in genital blood flow that reduces vaginal, labia, and clitoris congestion (Berman, J., Goldstein, I., Erbin, T., 1999). "Double blind placebo controlled study with crossover to assess effect of sildenafil on physiological parameters of the female sexual response. J. Urol. , 161, 805"; Goldstein and Fulman's 1998 document "Vasculogenic female sexual dysfunction: vaginal engorgement and clitoral erectile insufficiency syndromes.Int. J. Impot. Res. , 10, S84-S90 "; Park, K., Goldstein, Andry, C. et al., 1997," Vasculogenic female sexual dysfunction: The hemodynamic basis for vaginal engorgement insufficiency and clitoral erectile insufficiency.Int. J. Impotence Res. , 9, 27-37 ";1999," Effect of sexual stimulation and, "by Webin, Salimpour, P. age on genital blood flow in women with sexual stimulation.J. Uro l. , 161, 688 "). [715] As described herein, the present invention provides a means for restoring or enhancing normal sexual arousal by enhancing blood flow in women with FSAD. [716] Way [717] Female New Zealand rabbits (approximately 2.5 kg) were given intramuscular administration (im) and ketamine (beta) in advance of 0.5 ml / kg of medetomidine (Domito®) while maintaining oxygen intake through a face mask. (Registered trademark)) Intramuscular administration (im) of 0.25 ml / kg is performed in combination. The rabbit is not surrounded by endotracheal tube 3 ID (internal diameter), connected to a ventilator, maintained at a respiration rate of 30-40 times per minute, with an approximate tidal volume of 18-20 mL and 10 cm H 2 O. Tracheostomy is performed using Fortex (TM) with the maximum intratracheal pressure. Anesthesia is then anesthetized with isoflurane and breathing continuously at 2 L / min with O 2 . The right marginal ear vein is cannulated using a 23G or 24G catheter, and the lactated Ringer solution is perfused at 0.5 ml / min. Rabbits are maintained with 3% isoflurane during invasive surgery and dropped to 2% to maintain anesthesia. [718] The left groin area of the rabbit was shaved and incised about 5 cm long along the thigh. Femoral veins and arteries are exposed, isolated and cannulated with PVC catheter (17G) for infusion of drug and test compound. A cannula is inserted into the femoral artery at a depth of 10 cm to ensure that the catheter reaches the abdominal aorta. This arterial catheter is connected to the gold system to record blood pressure. Samples for blood gas analysis were also taken through the arterial catheter. Pressure at contraction and pressure at expansion were measured and the median arterial pressure was calculated using the formula "(pressure at expansion x 2 + pressure at contraction) ÷ 3". Heart rate was measured via a pulse oximeter and four-ne-ma data acquisition software system (Ponema Fishology Platform, Gold Instruments Systems, Inc.). [719] An abdominal midline was excised to the abdominal cavity. An incision up to about 5 cm above the pubic bone was made. The fat and muscles were roughly incised out to expose the lower abdominal nerves passing under the body cavity. It is essential to keep it adjacent to the lateral curve of the pubic wall to prevent damage to the femoral veins and arteries present on the pubic bone. The sciatic and pelvic nerves are deep and found on the dorsal side of the rabbit after further incision. Once the sciatic nerve is identified, the pelvic nerves are easily identified. The term pelvic nerve is applied incorrectly, and the anatomy book therefor does not fully describe the nerves. However, stimulation of nerves increases intracavernosal pressure and cavernous blood flow, and nerve distribution in the pelvic region. The pelvic nerve is located far from the surrounding tissue and a Harvard bipolar stimulation electrode is placed around the nerve. After the nerves were slightly lifted up and slightly tense, the electrodes were held in place. About 1 ml of bright paraffin oil was placed around the nerves and electrodes. It acts as a protective lubricant to nerves and prevents blood contamination of the electrodes. The electrode was connected to a Grass S88 Stimulator. Pelvic nerves were stimulated using parameters such as -5 V, pulse width of 0.5 ms, stimulation for 10 seconds using a frequency of 2-16 Hz. When the nerves were stimulated for 15-20 minutes each time, reproducible responses were obtained. At the beginning of each experiment, a frequency response curve was determined to determine the optimal frequency, usually 4 Hz, to use as the submaximal response. The abdominal midline was dissected at the tail end of the pubis to expose the genital region. The connective tissue was removed to expose the membrane of the clitoris, which ensured that the wall was removed from the small blood vessel. The outer vaginal wall was also exposed by removing any connective tissue. One laser Doppler flow probe was inserted 3 cm into the vagina so that half of the probe shaft could still be seen. The second probe was positioned to rest just above the outer clitoris wall. The positions of these probes were then adjusted until a signal was obtained. The second probe was positioned just above the vessel surface on the outer vaginal wall. All probes were clamped in place. [720] Test compound [721] Compound 75 of Chaki and Nakazato, "Expert Opin. Ther. Patents (2001), 11 (11): 1677-1692" (see Figure 3.9-5HT 2c , p. 1687, and FIG. 7 on p. 1686), or 8,9-dichloro-2,3,4,4a corresponding to Compound 385 of Isaac's Drugs of the Future (2001), 26 (4): 383-393 (see FIG. 2 on page 385). Tetrahydro-1H-pyrazino [1,2-a] quinoxaline-5 (6H) -one. [722] 8,9-Dichloro-2,3,4,4a-tetrahydro-1H-pyrazino [1,2-a] quinoxalin-5 (6H) -one was dissolved in 50% β-cyclodextrin in saline. It was administered subcutaneously (s.c.) at a dose of 5 mg / kg. [723] Data record [724] Vaginal and clitoris blood flow can be recorded numerically directly from a flowmeter using a Four-Ne-Ma data acquisition software system (Ponema Fishology Platform, Gold Instrument Systems Inc.), or indirectly from a gold chart recorder trace. Recorded as. The scale was set at the beginning of the experiment (0-125 ml / min / 100g tissue). All data are reported as the median ± standard error of the median. Significant changes were identified using the Student's t-test. [725] result [726] Serotonin 5HT 2c receptor agonist (8,9-dichloro-2,3,4,4a-tetrahydro-1H-pyrazino [1,2-a] quinoxaline-5 (6H) -one; 5 mg / kg sc ) Acts as a potential enhancer of pelvic-nerve stimulated (PNS) increase in vaginal and clitoris blood flow in anesthetized rabbits (see Table 8 below). Thirty minutes after sc administration, the effect was significant and remained elevated for about one hour. The 5HT 2c agonist had no effect on basic genital blood flow in the absence of PNS (see Table 8 below). This reinforces our view that the 5HT 2c receptor agonist controls sexual arousal / genital blood flow, thereby enhancing the arousal response by augmenting the mechanism (s) for treating FSAD, and in the absence of sexual stimulation. It is. Since these agents also enhance the clitoris blood flow, they will similarly be effective in the treatment of orgasm disorders. [727] Table 8 below shows 8,9-dichloro-2,3,4,4a-tetrahydro-1H-pyrazino [1,2-a] quinoxalin-5 (6H) -one (5 mg / kg sc). This study demonstrates augmentation of the pelvic nerve stimulation in the post-subcutaneous bloodstream in an anesthetic rabbit model of sexual arousal by about 35%. [728]
权利要求:
Claims (45) [1" claim-type="Currently amended] A compound of formula (IA), a nitrogen oxide thereof; Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or solvates or hydrates of said compounds, said nitrogen oxides, said prodrugs or said salts. Formula IA Y is nitrogen, X and Z are each independently CR, wherein R is in each case hydrogen, halogen, (C 1 -C 4 ) alkyl, amino or (C 1 -C 4 ) alkylamino, and W is oxy, thio, amino, (C 1 -C 4 ) alkylamino or acetylamino, At least one of R 1a , R 1b , R 1d and R 1e is independently halogen, nitro, amino, (C 1 -C 4 ) alkylamino, cyano, -C (O) NH 2 , (C 1 -C 4 ) Alkyl, halo-substituted (C 1 -C 4 ) alkyl, (C 1 -C 4 ) alkoxy and halo-substituted (C 1 -C 4 ) alkoxy, or R 1a and R 1b Together form a 5 or 6 membered aromatic or partially-saturated or fully-saturated fused ring, or R 1a together with R 2a or R 2b form a 5 or 6 membered full-saturated fused ring, R 1c is hydrogen, R 2a and R 2b are each independently hydrogen, (C 1 -C 4 ) alkyl, partially-saturated or fully-saturated (C 3 -C 6 ) cycloalkyl, or one of them is 5 membered with R 1a or To form a six membered full-saturated fused ring, n is 0, 1 or 2, R 3a and R 3b are each independently hydrogen, halogen, (C 1 -C 4 ) alkyl, or hydroxy-, fluoro- or (C 1 -C 4 ) alkoxy-substituted (C 1 -C 4 ) alkyl ego, R 4 is hydrogen, hydroxy, (C 1 -C 4 ) alkyl, hydroxy- or cyano-substituted (C 1 -C 4 ) alkyl, or (C 1 -C 4 ) alkylcarbonyl, (C 1 -C 4 ) alkoxy, (C 1 -C 4 ) alkoxy-carbonyl or (C 3 -C 4 ) alkenyl. [2" claim-type="Currently amended] The method of claim 1, Y is nitrogen, X and Z are each independently CR, wherein R is in each case hydrogen, chloro, fluoro or methyl, (i) R 1a is halogen, (C 1 -C 4 ) alkyl, trifluoromethyl, methoxy or trifluoromethoxy, and R 1b , R 1d and R 1e are each hydrogen, or (ii) R 1b is Halogen, methyl or methoxy, R 1a , R 1d and R 1e are each hydrogen, or (iii) R 1a and R 1b are each independently halogen or methyl, and R 1d and R 1e are each hydrogen, or (iv R 1b and R 1d are each independently halogen or methyl, R 1a and R 1e are each hydrogen, or (v) R 1a and R 1d are each independently halogen or methyl, and R 1b and R 1e are each hydrogen Or (vi) R 1a and R 1e are each independently halogen or methyl, R 1b and R 1d are each hydrogen, or (vii) R 1a , R 1b and R 1d are each independently halogen or methyl, R 1e is hydrogen, W is oxy or amino, n is 1, R 2a and R 2b are each independently methyl or hydrogen, R 3a and R 3b are each independently hydrogen or (C 1 -C 4 ) alkyl, R 4 is hydrogen or (C 1 -C 4 ) alkyl, a nitrogen oxide thereof; Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or solvates or hydrates of said compounds, said nitrogen oxides, said prodrugs or said salts. [3" claim-type="Currently amended] The method of claim 1, Y is nitrogen, X and Z are each independently CR, wherein R is in each case hydrogen or methyl, (i) R 1a is halogen, methyl or trifluoromethyl and R 1b , R 1d and R 1e are each hydrogen, or (ii) R 1b is halogen or methyl and R 1a , R 1d and R 1e are each Hydrogen, or (iii) R 1b and R 1d are each independently halogen or methyl, R 1a and R 1e are each hydrogen, or (iv) R 1a and R 1d are each independently halogen or methyl, and R 1b And R 1e are each hydrogen, W is oxy or amino, n is 1, R 2a and R 2b are each independently methyl or hydrogen, R 3a is hydrogen, (2R) -methyl or (2R) -ethyl, R 3b is hydrogen, R 4 is hydrogen or (C 1 -C 4 ) alkyl, a nitrogen oxide thereof; Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or solvates or hydrates of said compounds, said nitrogen oxides, said prodrugs or said salts. [4" claim-type="Currently amended] The method of claim 1, 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-chloro-benzyloxy) -2-ethyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-fluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-chloro-benzyloxy)-(2R) -methyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-fluoro-benzyloxy)-(2R) -methyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl 4'-oxide; 6 '-(2,5-dichloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(2-fluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-nitro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 3- (3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yloxymethyl) -benzonitrile; 6 '-(2,5-difluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 5'-bromo-6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-bromo-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 3- (3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yloxymethyl) -phenylamine; 6 '-(2-methyl-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-chloro-benzyloxy) -5'-fluoro-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 5'-chloro-6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(Indan- (1S) -yloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-methy-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl-3'-ylamine; 6 '-(2-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-[2- (3-chloro-phenyl) -ethoxy] -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(2-Chloro-benzyloxy)-(2R) -methyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3,4-difluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3,5-difluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; (3-fluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; (3-chloro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; (3,5-difluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; 3-[(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-ylamino) -methyl] -benzonitrile; (2,5-difluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; (3,5-dichloro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; (3-chloro-benzyl)-(2-methyl-3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; (3-fluoro-benzyl)-(2-methyl-3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; (2-chloro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; (2-chloro-6-fluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; (2,3-difluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; N- (3-chloro-benzyl) -N- (3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -acetamide; 6 '-(3-chloro-benzylsulfanyl) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; And 6'-benzylsulfanyl-3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl, a nitrogen oxide thereof; Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or solvates or hydrates of said compounds, said nitrogen oxides, said prodrugs or said salts. [5" claim-type="Currently amended] The method of claim 1, 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-chloro-benzyloxy)-(2R) -methyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(2-Chloro-benzyloxy)-(2R) -methyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-fluoro-benzyloxy)-(2R) -methyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(2-fluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-fluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-chloro-benzyloxy) -2-ethyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(2,5-difluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(2,5-dichloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3,5-difluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; (3-fluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; (3-chloro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; (3,5-difluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; (3,5-dichloro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; (2-chloro-6-fluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl 4'-oxide; N- (3-chloro-benzyl) -N- (3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -acetamide; 6 '-(3-chloro-benzylsulfanyl) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; And 6 '-(Indan- (1S) -yloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl, a nitrogen oxide thereof; Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or solvates or hydrates of said compounds, said nitrogen oxides, said prodrugs or said salts. [6" claim-type="Currently amended] The method of claim 1, 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-fluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl 4'-oxide; (3-fluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; 6 '-(3-chloro-benzyloxy)-(2R) -methyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3,5-difluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(2,5-difluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; And 6 '-(Indan- (1S) -yloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl, a nitrogen oxide thereof; Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or solvates or hydrates of said compounds, said nitrogen oxides, said prodrugs or said salts. [7" claim-type="Currently amended] A compound of the formula: a nitrogen oxide thereof; Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or solvates or hydrates of said compounds, said nitrogen oxides, said prodrugs or said salts. [8" claim-type="Currently amended] The method of claim 1, Fumarate, hydrochloride, citrate, L-maleate or D of 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl , L-tartrate salt. [9" claim-type="Currently amended] (1) the compound according to any one of items 1 to 8, a nitrogen oxide thereof; Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or solvates or hydrates of the compound, the nitrogen oxide, the prodrug or the salt; And (2) A pharmaceutical composition comprising a pharmaceutically acceptable excipient, diluent or carrier. [10" claim-type="Currently amended] The method of claim 9, A pharmaceutical composition further comprising one or more other agents. [11" claim-type="Currently amended] The method of claim 10, Pharmaceutical composition wherein said at least one other agent is an anti-obesity agent. [12" claim-type="Currently amended] The method of claim 11, The anti-obesity agents include apolipoprotein-B secretion / microsomal triglyceride transfer protein (apo-B / MTP) inhibitors, MCR-4 agonists, cholecystokinin-A (CCK-A) agonists, monoamine resorption Inhibitors, sympathomimetic agents, β 3 adrenergic receptor agonists, dopamine agonists, melanocyte stimulating hormone receptor analogs, cannabinoid 1 receptor antagonists, melanin enriched hormone antagonists, leptin, leptin analogs, leptin receptor agonists , Galanin antagonists, lipase inhibitors, bombesin agonists, neuropeptide-Y antagonists, thyrotropins, dehydroepiandrosterone or its analogues, glucocorticoid receptor agonists or antagonists, orexin receptor antagonists, uro Cortin binding protein antagonists, glucagon-like peptide-1 receptor agonists, ciliated neuronal factor, AGRP (human Gow Ti-related proteins), ghrelin (ghrelin) receptor antagonists, histamine 3 receptor antagonists or inverse agonists, and neuromedin U pharmaceutical composition selected from the group consisting of a receptor agonist. [13" claim-type="Currently amended] (1) a compound of formula (IB) shown below, a nitrogen oxide thereof; Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or solvates or hydrates of the compound, the nitrogen oxide, the prodrug or the salt; (2) anti-obesity agents; And (3) A pharmaceutical composition comprising a pharmaceutically acceptable excipient, diluent or carrier. Formula IB Y is nitrogen, X and Z are each independently CR, wherein R is in each case hydrogen, halogen, (C 1 -C 4 ) alkyl, amino or (C 1 -C 4 ) alkylamino, and W is oxy, thio, amino, (C 1 -C 4 ) alkylamino or acetylamino, R 1a , R 1b , R 1c , R 1d and R 1e are each independently hydrogen, halogen, nitro, cyano, amino, (C 1 -C 4 ) alkylamino, (C 1 -C 4 ) alkyl, halo- Substituted (C 1 -C 4 ) alkyl, (C 1 -C 4 ) alkoxy, halo-substituted (C 1 -C 4 ) alkoxy or —C (O) NH 2 , or R 1a and R 1b together Form a 5- or 6-membered aromatic or partially-saturated or fully-saturated fused ring, or R 1a together with R 2a or R 2b form a 5- or 6-membered full-saturated fused ring, R 2a and R 2b are each independently hydrogen, (C 1 -C 4 ) alkyl, partially-saturated or fully-saturated (C 3 -C 6 ) cycloalkyl, or one of them is 5 membered with R 1a or To form a six membered full-saturated fused ring, n is 0, 1 or 2, R 3a and R 3b are each independently hydrogen, halogen, (C 1 -C 4 ) alkyl, or hydroxy-, fluoro- or (C 1 -C 4 ) alkoxy-substituted (C 1 -C 4 ) alkyl ego, R 4 is hydrogen, hydroxy, (C 1 -C 4 ) alkyl, hydroxy- or cyano-substituted (C 1 -C 4 ) alkyl, or (C 1 -C 4 ) alkylcarbonyl, (C 1 -C 4 ) alkoxy, (C 1 -C 4 ) alkoxy-carbonyl or (C 3 -C 4 ) alkenyl. [14" claim-type="Currently amended] The method of claim 13, The anti-obesity agents include apo-B / MTP inhibitors, MCR-4 agonists, CCK-A agonists, monoamine reuptake inhibitors, sympathomimetic agents, β 3 adrenergic receptors, dopamine agonists, melanocyte stimulating hormone receptors Substance, cannabinoid 1 receptor antagonist, melanin enrichment hormone antagonist, leptin, leptin analogue, leptin receptor agonist, galanin antagonist, lipase inhibitor, bombesin agonist, neuropeptide-Y antagonist, thyrotropin, de Hydroepiandrosterone or its analogs, glucocorticoid receptor agonists or antagonists, orexin receptor antagonists, urocortin binding protein antagonists, glucagon-like peptide-1 receptor agonists, ciliary neuronal factor, human agouti- Related proteins, ghrelin receptor antagonists, histamine 3 receptor antagonists or inverse agonists, and neuromedin U The pharmaceutical composition is selected from the group consisting of receptor agonists. [15" claim-type="Currently amended] The method according to claim 13 or 14, The compound of formula IB 6'-benzyloxy-3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl; 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-chloro-benzyloxy) -2-ethyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-fluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-chloro-benzyloxy)-(2R) -methyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-fluoro-benzyloxy)-(2R) -methyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl 4'-oxide; 6 '-(2,5-dichloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(2-fluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-nitro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 3- (3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yloxymethyl) -benzonitrile; 6 '-(2,5-difluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 5'-bromo-6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-bromo-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 3- (3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yloxymethyl) -phenylamine; 6 '-(2-methyl-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-chloro-benzyloxy) -5'-fluoro-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 5'-chloro-6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(Indan- (1S) -yloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-methy-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl-3'-ylamine; 6 '-(2-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-[2- (3-chloro-phenyl) -ethoxy] -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(2-Chloro-benzyloxy)-(2R) -methyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3,4-difluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3,5-difluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; (3-fluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; (3-chloro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; (3,5-difluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; 3-[(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-ylamino) -methyl] -benzonitrile; (2,5-difluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; (3,5-dichloro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; (3-chloro-benzyl)-(2-methyl-3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; (3-fluoro-benzyl)-(2-methyl-3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; (2-chloro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; (2-chloro-6-fluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; (2,3-difluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; N- (3-chloro-benzyl) -N- (3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -acetamide; 6 '-(3-chloro-benzylsulfanyl) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; And 6'-benzylsulfanyl-3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl, a nitrogen oxide thereof; Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or a solvate or hydrate of said compound, said nitrogen oxide, said prodrug or said salt. [16" claim-type="Currently amended] The method according to claim 13 or 14, The compound of formula IB 6'-benzyloxy-3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl; 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-chloro-benzyloxy)-(2R) -methyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(2-Chloro-benzyloxy)-(2R) -methyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-fluoro-benzyloxy)-(2R) -methyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(2-fluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-fluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-chloro-benzyloxy) -2-ethyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(2,5-difluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(2,5-dichloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3,5-difluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; (3-fluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; (3-chloro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; (3,5-difluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; (3,5-dichloro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; (2-chloro-6-fluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl 4'-oxide; N- (3-chloro-benzyl) -N- (3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -acetamide; 6 '-(3-chloro-benzylsulfanyl) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; And 6 '-(Indan- (1S) -yloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl, a nitrogen oxide thereof; Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or a solvate or hydrate of said compound, said nitrogen oxide, said prodrug or said salt. [17" claim-type="Currently amended] The method according to claim 13 or 14, The compound of formula IB 6'-benzyloxy-3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl; 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-fluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl 4'-oxide; (3-fluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; 6 '-(3-chloro-benzyloxy)-(2R) -methyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3,5-difluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(2,5-difluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; And 6 '-(Indan- (1S) -yloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl, a nitrogen oxide thereof; Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or a solvate or hydrate of said compound, said nitrogen oxide, said prodrug or said salt. [18" claim-type="Currently amended] A method of treating an animal suffering from 5-HT 2 receptor-mediated disease, condition or disorder, comprising: a therapeutically effective amount of a compound of formula (IB), a nitrogen oxide thereof; Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or administering to the animal a solvate or hydrate of said compound, said nitrogen oxide, said prodrug or said salt. Formula IB Y is nitrogen, X and Z are each independently CR, wherein R is in each case hydrogen, halogen, (C 1 -C 4 ) alkyl, amino or (C 1 -C 4 ) alkylamino, and W is oxy, thio, amino, (C 1 -C 4 ) alkylamino or acetylamino, R 1a , R 1b , R 1c , R 1d and R 1e are each independently hydrogen, halogen, nitro, cyano, amino, (C 1 -C 4 ) alkylamino, (C 1 -C 4 ) alkyl, halo- Substituted (C 1 -C 4 ) alkyl, (C 1 -C 4 ) alkoxy, halo-substituted (C 1 -C 4 ) alkoxy or —C (O) NH 2 , or R 1a and R 1b together Form a 5- or 6-membered aromatic or partially-saturated or fully-saturated fused ring, or R 1a together with R 2a or R 2b form a 5- or 6-membered full-saturated fused ring, R 2a and R 2b are each independently hydrogen, (C 1 -C 4 ) alkyl, partially-saturated or fully-saturated (C 3 -C 6 ) cycloalkyl, or one of them is 5 membered with R 1a or To form a six membered full-saturated fused ring, n is 0, 1 or 2, R 3a and R 3b are each independently hydrogen, halogen, (C 1 -C 4 ) alkyl, or hydroxy-, fluoro- or (C 1 -C 4 ) alkoxy-substituted (C 1 -C 4 ) alkyl ego, R 4 is hydrogen, hydroxy, (C 1 -C 4 ) alkyl, hydroxy- or cyano-substituted (C 1 -C 4 ) alkyl, or (C 1 -C 4 ) alkylcarbonyl, (C 1 -C 4 ) alkoxy, (C 1 -C 4 ) alkoxy-carbonyl or (C 3 -C 4 ) alkenyl. [19" claim-type="Currently amended] The method of claim 18, The compound of formula IB 6'-benzyloxy-3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl; 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-chloro-benzyloxy) -2-ethyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-fluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-chloro-benzyloxy)-(2R) -methyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-fluoro-benzyloxy)-(2R) -methyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl 4'-oxide; 6 '-(2,5-dichloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(2-fluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-nitro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 3- (3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yloxymethyl) -benzonitrile; 6 '-(2,5-difluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 5'-bromo-6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-bromo-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 3- (3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yloxymethyl) -phenylamine; 6 '-(2-methyl-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-chloro-benzyloxy) -5'-fluoro-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 5'-chloro-6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(Indan- (1S) -yloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-methy-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl-3'-ylamine; 6 '-(2-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-[2- (3-chloro-phenyl) -ethoxy] -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(2-Chloro-benzyloxy)-(2R) -methyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3,4-difluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3,5-difluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; (3-fluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; (3-chloro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; (3,5-difluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; 3-[(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-ylamino) -methyl] -benzonitrile; (2,5-difluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; (3,5-dichloro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; (3-chloro-benzyl)-(2-methyl-3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; (3-fluoro-benzyl)-(2-methyl-3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; (2-chloro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; (2-chloro-6-fluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; (2,3-difluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; N- (3-chloro-benzyl) -N- (3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -acetamide; 6 '-(3-chloro-benzylsulfanyl) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; And 6'-benzylsulfanyl-3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl, a nitrogen oxide thereof; Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or a solvate or hydrate of said compound, said nitrogen oxide, said prodrug or said salt. [20" claim-type="Currently amended] The method of claim 18, The compound of formula IB 6'-benzyloxy-3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl; 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-chloro-benzyloxy)-(2R) -methyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(2-Chloro-benzyloxy)-(2R) -methyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-fluoro-benzyloxy)-(2R) -methyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(2-fluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-fluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-chloro-benzyloxy) -2-ethyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(2,5-difluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(2,5-dichloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3,5-difluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; (3-fluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; (3-chloro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; (3,5-difluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; (3,5-dichloro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; (2-chloro-6-fluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl 4'-oxide; N- (3-chloro-benzyl) -N- (3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -acetamide; 6 '-(3-chloro-benzylsulfanyl) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; And 6 '-(Indan- (1S) -yloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl, a nitrogen oxide thereof; Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or a solvate or hydrate of said compound, said nitrogen oxide, said prodrug or said salt. [21" claim-type="Currently amended] The method of claim 18, The compound of formula IB 6'-benzyloxy-3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl; 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-fluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3-chloro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl 4'-oxide; (3-fluoro-benzyl)-(3,4,5,6-tetrahydro-2H- [1,2 '] bipyrazinyl-6'-yl) -amine; 6 '-(3-chloro-benzyloxy)-(2R) -methyl-3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(3,5-difluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(2,5-difluoro-benzyloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; And 6 '-(Indan- (1S) -yloxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl, a nitrogen oxide thereof; Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or a solvate or hydrate of said compound, said nitrogen oxide, said prodrug or said salt. [22" claim-type="Currently amended] The method according to any one of claims 18 to 21, And wherein said 5-HT 2 receptor-mediated disease, condition or disorder is 5-HT 2c receptor-mediated disease, condition or disorder. [23" claim-type="Currently amended] The method according to any one of claims 18 to 21, The 5-HT 2 receptor-mediated disease, condition, or disorder is weight loss, obesity, anorexia, premenstrual syndrome or late luteal phase syndrome, depression, atypical depression, bipolar disorder , Psychosis, schizophrenia, migraine, alcoholism, tobacco abuse, panic disorder, anxiety, post-traumatic syndrome, memory loss, senile dementia, social phobia, attention deficit hyperactivity disorder ), Disruptive behavior disorder, impulse control disorder, borderline personality disorder, obsessive compulsive disorder, chronic fatigue syndrome, sexual dysfunction in men, women's sexuality Dysfunction, anorexia nervosa, sleep disorders, autism, seizure disorders, epilepsy, mute, spinal cord injury, central nervous system damage, cardiovascular disorders, gastrointestinal disorders, urinary insufficiency It is selected from the group consisting of (diabetes insipidus) and type II diabetes. [24" claim-type="Currently amended] A method of treating an animal suffering from a 5-HT 2 receptor-mediated disease, condition or disorder, the method comprising administering to said animal a therapeutically effective amount of the pharmaceutical composition of any one of claims 9 to 13. [25" claim-type="Currently amended] The method of claim 24, And wherein said 5-HT 2 receptor-mediated disease, condition or disorder is 5-HT 2c receptor-mediated disease, condition or disorder. [26" claim-type="Currently amended] The method of claim 24, The 5-HT 2 receptor-mediated disease, condition or disorder is weight loss, obesity, anorexia nervosa, premenstrual syndrome or luteal syndrome, depression, atypical depression, bipolar disorder, psychosis, schizophrenia, migraine, alcoholism, tobacco abuse, Panic disorder, anxiety, post-traumatic syndrome, memory loss, senile dementia, social phobia, attention deficit hyperactivity disorder, disruptive behavior disorder, impulse control disorder, borderline personality disorder, obsessive compulsive disorder, chronic fatigue syndrome, sexual dysfunction of men, women Sexual dysfunction, anorexia nervosa, sleep disorders, autism, seizure disorders, epilepsy, mute, spinal cord injury, central nervous system damage, cardiovascular disorders, gastrointestinal disorders, diabetes insipidus and type II diabetes. [27" claim-type="Currently amended] A method of treating an animal suffering from 5-HT 2 receptor-mediated disease, condition or disorder, a) a therapeutically effective amount of a compound of formula (IB), a nitrogen oxide thereof; Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or solvates or hydrates of the compound, the nitrogen oxide, the prodrug or the salt; And b) apo-B / MTP inhibitors, MCR-4 agonists, CCK-A agonists, monoamine reuptake inhibitors, sympathomimetic agents, β 3 adrenergic receptor agonists, dopamine agonists, melanocyte stimulating hormone receptor analogs, Cannabinoid 1 receptor antagonist, melanin enrichment hormone antagonist, leptin, leptin-like substance, leptin receptor agonist, galanin antagonist, lipase inhibitor, bombesin agonist, neuropeptide-Y antagonist, thyrotropin, dehydroepi Androsterone or its analogs, glucocorticoid receptor agonists or antagonists, orexin receptor antagonists, urocortin binding protein antagonists, glucagon-like peptide-1 receptor agonists, ciliary neuronal factor, AGRP, ghrelin receptor antagonists , Histamine 3 receptor antagonist or inverse agonist, and neuromedin U receptor agonist Administering to the animal at least one additional agent of a selected therapeutically effective amount. Formula IB Y is nitrogen, X and Z are each independently CR, wherein R is in each case hydrogen, halogen, (C 1 -C 4 ) alkyl, amino or (C 1 -C 4 ) alkylamino, and W is oxy, thio, amino, (C 1 -C 4 ) alkylamino or acetylamino, R 1a , R 1b , R 1c , R 1d and R 1e are each independently hydrogen, halogen, nitro, cyano, amino, (C 1 -C 4 ) alkylamino, (C 1 -C 4 ) alkyl, halo- Substituted (C 1 -C 4 ) alkyl, (C 1 -C 4 ) alkoxy, halo-substituted (C 1 -C 4 ) alkoxy or —C (O) NH 2 , or R 1a and R 1b together Form a 5- or 6-membered aromatic or partially-saturated or fully-saturated fused ring, or R 1a together with R 2a or R 2b form a 5- or 6-membered full-saturated fused ring, R 2a and R 2b are each independently hydrogen, (C 1 -C 4 ) alkyl, partially-saturated or fully-saturated (C 3 -C 6 ) cycloalkyl, or one of them is 5 membered with R 1a or To form a six membered full-saturated fused ring, n is 0, 1 or 2, R 3a and R 3b are each independently hydrogen, halogen, (C 1 -C 4 ) alkyl, or hydroxy-, fluoro- or (C 1 -C 4 ) alkoxy-substituted (C 1 -C 4 ) alkyl ego, R 4 is hydrogen, hydroxy, (C 1 -C 4 ) alkyl, hydroxy- or cyano-substituted (C 1 -C 4 ) alkyl, or (C 1 -C 4 ) alkylcarbonyl, (C 1 -C 4 ) alkoxy, (C 1 -C 4 ) alkoxy-carbonyl or (C 3 -C 4 ) alkenyl. [28" claim-type="Currently amended] The method of claim 27, The compound of formula IB, a nitrogen oxide thereof; Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or solvates or hydrates of the compound, the nitrogen oxide, the prodrug or the salt; And simultaneously administering said one or more additional agents. [29" claim-type="Currently amended] The method of claim 27, The compound of formula IB, a nitrogen oxide thereof; Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or solvates or hydrates of the compound, the nitrogen oxide, the prodrug or the salt; And sequentially administering said one or more additional agents. [30" claim-type="Currently amended] The method of claim 27, The compound of formula IB, a nitrogen oxide thereof; Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or solvates or hydrates of the compound, the nitrogen oxide, the prodrug or the salt; And the one or more additional agents, The compound of formula IB, a nitrogen oxide thereof; Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or solvates or hydrates of the compound, the nitrogen oxide, the prodrug or the salt; A method of administration as a single pharmaceutical composition comprising the one or more additional agents and pharmaceutically acceptable excipients, diluents, carriers or mixtures thereof. [31" claim-type="Currently amended] The method of claim 27, The compound of formula IB, a nitrogen oxide thereof; Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or solvates or hydrates of the compound, the nitrogen oxide, the prodrug or the salt; And the one or more additional agents, (i) a compound of Formula IB, a nitrogen oxide thereof; Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or solvates or hydrates of the compound, the nitrogen oxide, the prodrug or the salt; And a pharmaceutically acceptable excipient, diluent or carrier; And (ii) a second composition comprising said at least one additional pharmaceutical agent and a pharmaceutically acceptable excipient, diluent or carrier. [32" claim-type="Currently amended] A method of increasing the lean content in an edible animal, the method comprising: increasing the lean content of a compound of the formula IB, a nitrogen oxide thereof; Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or administering a solvate or hydrate of said compound, said nitrogen oxide, said prodrug or said salt to said food animal. Formula IB Y is nitrogen, X and Z are each independently CR, wherein R is in each case hydrogen, halogen, (C 1 -C 4 ) alkyl, amino or (C 1 -C 4 ) alkylamino, and W is oxy, thio, amino, (C 1 -C 4 ) alkylamino or acetylamino, R 1a , R 1b , R 1c , R 1d and R 1e are each independently hydrogen, halogen, nitro, cyano, amino, (C 1 -C 4 ) alkylamino, (C 1 -C 4 ) alkyl, halo- Substituted (C 1 -C 4 ) alkyl, (C 1 -C 4 ) alkoxy, halo-substituted (C 1 -C 4 ) alkoxy or —C (O) NH 2 , or R 1a and R 1b together Form a 5- or 6-membered aromatic or partially-saturated or fully-saturated fused ring, or R 1a together with R 2a or R 2b form a 5- or 6-membered full-saturated fused ring, R 2a and R 2b are each independently hydrogen, halogen, (C 1 -C 4 ) alkyl, partially-saturated or fully-saturated (C 3 -C 6 ) cycloalkyl, or one of them is combined with R 1a and 5 To form a membered or six membered full-saturated fused ring, n is 0, 1 or 2, R 3a and R 3b are each independently hydrogen, (C 1 -C 4 ) alkyl, or hydroxy-, fluoro- or (C 1 -C 4 ) alkoxy-substituted (C 1 -C 4 ) alkyl, R 4 is hydrogen, hydroxy, (C 1 -C 4 ) alkyl, hydroxy- or cyano-substituted (C 1 -C 4 ) alkyl, or (C 1 -C 4 ) alkylcarbonyl, (C 1 -C 4 ) alkoxy, (C 1 -C 4 ) alkoxy-carbonyl or (C 3 -C 4 ) alkenyl. [33" claim-type="Currently amended] A method of increasing lean meat content in an edible animal, the method comprising administering to the edible animal an lean meat increase amount of the pharmaceutical composition of claim 9. [34" claim-type="Currently amended] A compound of formula IC, a nitrogen oxide thereof; Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or solvates or hydrates of said compounds, said nitrogen oxides, said prodrugs or said salts. Chemical Formula IC Y is nitrogen, X and Z are each independently CR, wherein R is in each case hydrogen, halogen, (C 1 -C 4 ) alkyl, amino or (C 1 -C 4 ) alkylamino, and W is oxy, thio, amino, (C 1 -C 4 ) alkylamino or acetylamino, Q is pyridin-2-yl, pyridin-3-yl, furan-3-yl, furan-2-yl, thiophen-2-yl, thiophen-3-yl, thiazol-2-yl, pyrrole-2 -Yl, pyrrole-3-yl, pyrazol-3-yl, quinolin-2-yl, quinolin-3-yl, isoquinolin-3-yl, benzofuran-2-yl, benzofuran-3-yl, iso Benzofuran-3-yl, benzothiophen-2-yl, benzothiophen-3-yl, indol-2-yl, indol-3-yl, 2H-imidazol-2-yl, oxazol-2-yl Isoxazol-3-yl, 1,2,4-oxadiazol-3-yl, 1,2,4-oxadiazol-5-yl, 1,3,4-oxadiazol-2-yl, 1,3,4-oxadiazol-5-yl, 1,2,4-triazol-3-yl, 1,2,3-thiadiazol-4-yl, 1,2,3-thiadiazole -5-yl, 1,3,4-thiadiazol-2-yl, 1,3,4-thiadiazol-5-yl and 1,2,4-oxathiazol-3-yl Wherein the heteroaryl group is selected from halo, (C 1 -C 4 ) alkyl, cyano, nitro, amino, (C 1 -C 4 ) alkylamino or (C 1 -C 4 ) alkyloxy 1 to 3 teeth independently selected Optionally substituted with ventilation, R 2a and R 2b are each independently hydrogen, (C 1 -C 4 ) alkyl or partially-saturated or fully-saturated (C 3 -C 6 ) cycloalkyl, R 3a and R 3b are each independently hydrogen, halogen, (C 1 -C 4 ) alkyl, or hydroxy-, fluoro- or (C 1 -C 4 ) alkoxy-substituted (C 1 -C 4 ) alkyl ego, R 4 is hydrogen, hydroxy, (C 1 -C 4 ) alkyl, hydroxy- or cyano-substituted (C 1 -C 4 ) alkyl, or (C 1 -C 4 ) alkylcarbonyl, (C 1 -C 4 ) alkoxy, (C 1 -C 4 ) alkoxy-carbonyl or (C 3 -C 4 ) alkenyl. [35" claim-type="Currently amended] The method of claim 34, wherein 6 '-(pyridin-3-ylmethoxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 2-methyl-6 '-(pyridin-3-ylmethoxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(thiophen-3-ylmethoxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-([1,2,3] thiadiazol-4-ylmethoxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(6-fluoro-pyridin-2-ylmethoxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 2-methyl-6 '-(6-methyl-pyridin-2-ylmethoxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; 6 '-(6-methyl-pyridin-2-ylmethoxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl; And 6 '-(6-chloro-pyridin-2-ylmethoxy) -3,4,5,6-tetrahydro-2H- [1,2'] bipyrazinyl, a nitrogen oxide thereof; Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or solvates or hydrates of said compounds, said nitrogen oxides, said prodrugs or said salts. [36" claim-type="Currently amended] A method of treating or preventing an animal suffering from 5-HT 2 receptor-mediated disease, condition or disorder, comprising: a therapeutically effective amount of the compound of claim 34, a nitrogen oxide thereof; Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or administering to the animal a solvate or hydrate of said compound, said nitrogen oxide, said prodrug or said salt. [37" claim-type="Currently amended] The method of claim 36, And wherein said 5-HT 2 receptor-mediated disease, condition or disorder is 5-HT 2c receptor-mediated disease, condition or disorder. [38" claim-type="Currently amended] The method of claim 36, The 5-HT 2 receptor-mediated disease, condition or disorder is weight loss, obesity, anorexia nervosa, premenstrual syndrome or luteal syndrome, depression, atypical depression, bipolar disorder, psychosis, schizophrenia, migraine, alcoholism, tobacco abuse, Panic disorder, anxiety, post-traumatic syndrome, memory loss, senile dementia, social phobia, attention deficit hyperactivity disorder, disruptive behavior disorder, impulse control disorder, borderline personality disorder, obsessive compulsive disorder, chronic fatigue syndrome, sexual dysfunction of men, women Sexual dysfunction, anorexia nervosa, sleep disorders, autism, seizure disorders, epilepsy, mute, spinal cord injury, central nervous system damage, cardiovascular disorders, gastrointestinal disorders, diabetes insipidus and type II diabetes. [39" claim-type="Currently amended] A method of treating female sexual dysfunction (FSD), comprising: a therapeutically effective amount of a compound of any one of claims 1 to 8, 34 and 35, a nitrogen oxide thereof; Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or administering a solvate or hydrate of said compound, said nitrogen oxide, said prodrug or said salt to a woman in need of said treatment. [40" claim-type="Currently amended] A method of treating female sexual dysfunction (FSD), comprising a therapeutically effective amount of a compound of formula (IB), a nitrogen oxide thereof; Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or administering a solvate or hydrate of said compound, said nitrogen oxide, said prodrug or said salt to a woman in need of said treatment. Formula IB Y is nitrogen, X and Z are each independently CR, wherein R is in each case hydrogen, halogen, (C 1 -C 4 ) alkyl, amino or (C 1 -C 4 ) alkylamino, and W is oxy, thio, amino, (C 1 -C 4 ) alkylamino or acetylamino, R 1a , R 1b , R 1c , R 1d and R 1e are each independently hydrogen, halogen, nitro, cyano, amino, (C 1 -C 4 ) alkylamino, (C 1 -C 4 ) alkyl, halo- Substituted (C 1 -C 4 ) alkyl, (C 1 -C 4 ) alkoxy, halo-substituted (C 1 -C 4 ) alkoxy or —C (O) NH 2 , or R 1a and R 1b together Form a 5- or 6-membered aromatic or partially-saturated or fully-saturated fused ring, or R 1a together with R 2a or R 2b form a 5- or 6-membered full-saturated fused ring, R 2a and R 2b are each independently hydrogen, (C 1 -C 4 ) alkyl, partially-saturated or fully-saturated (C 3 -C 6 ) cycloalkyl, or one of them is 5 membered with R 1a or To form a six membered full-saturated fused ring, n is 0, 1 or 2, R 3a and R 3b are each independently hydrogen, halogen, (C 1 -C 4 ) alkyl, or hydroxy-, fluoro- or (C 1 -C 4 ) alkoxy-substituted (C 1 -C 4 ) alkyl ego, R 4 is hydrogen, hydroxy, (C 1 -C 4 ) alkyl, hydroxy- or cyano-substituted (C 1 -C 4 ) alkyl, or (C 1 -C 4 ) alkylcarbonyl, (C 1 -C 4 ) alkoxy, (C 1 -C 4 ) alkoxy-carbonyl or (C 3 -C 4 ) alkenyl. [41" claim-type="Currently amended] The method of claim 39, Further comprising administering one or more additional active agents to treat FSD. [42" claim-type="Currently amended] The method of claim 40, Further comprising administering one or more additional active agents to treat FSD. [43" claim-type="Currently amended] 43. The method of claim 41 or 42, Wherein the one or more additional active agents are selected from (1) estrogen receptor modulators, estrogen agonists, estrogen antagonists or combinations thereof; (2) testosterone replacement agents, testosterone (Tostrelle), dihydrotestosterone, dehydroepiandrosterone (DHEA), testosterone implants, or combinations thereof; (3) estrogens, combinations of estrogens with hydroxyprogesterone or hydroxyprogesterone acetate (MPA), or estrogen and methyl testosterone hormone replacement therapy agents; (4) one or more dopaminergic agents; (5) one or more NPY (neupeptide Y) inhibitors; (6) one or more melanocortin receptor agonists or modulators or melanocortin enhancers; (7) one or more NEP inhibitors; (8) one or more PDE inhibitors; And (9) one or more bombesin receptor antagonists or modulators. [44" claim-type="Currently amended] 43. The method of any of claims 40-42, The FSD is female sexual arousal disorder (FSAD), female orgasm disorder (FOD), hypoactive sexual desire disorder (HSDD) or sexual pain disorder. [45" claim-type="Currently amended] A method of treating male erectile dysfunction (MED), comprising: a therapeutically effective amount of a compound of any one of claims 1 to 8, 34 and 35, a nitrogen oxide thereof; Prodrugs of said compounds or said nitrogen oxides; Pharmaceutically acceptable salts of said compounds, said nitrogen oxides or said prodrugs; Or administering a solvate or hydrate of said compound, said nitrogen oxide, said prodrug or said salt to a man in need of said treatment.
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引用文献:
公开号 | 申请日 | 公开日 | 申请人 | 专利标题
法律状态:
2001-06-21|Priority to US29995301P 2001-06-21|Priority to US60/299,953 2002-06-17|Application filed by 화이자 프로덕츠 인코포레이티드 2002-06-17|Priority to PCT/IB2002/002293 2004-01-31|Publication of KR20040010767A
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申请号 | 申请日 | 专利标题 US29995301P| true| 2001-06-21|2001-06-21| US60/299,953|2001-06-21| PCT/IB2002/002293|WO2003000666A1|2001-06-21|2002-06-17|5-ht receptor ligands and uses thereof| 相关专利
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