Discovery of a novel, potent and orally active series of γ-lactams as selective NK1 antagonists

Strategic replacement of the nitrogen of the lead compound 1 in the original cyclic urea series with a carbon resulted in the discovery of a novel, potent and orally more efficacious gamma-lactam series of selective NK(1) antagonists. Optimization of the lactam series culminated in the identification of compounds with high binding affinity and excellent oral CNS activity. (C) 2008 Elsevier Ltd. All rights reserved.