Demonstration of synthesis method to create beneficial compounds in hyponatremia treatment.
A one-pot, two-step sequence involving a regiospecific quaternization of readily available aryl-fused N,N-acetals followed by a stereospecific nucleophilic ring opening has been developed. A wide range of nucleophiles have been shown to be compatible with this reaction sequence. This operationally simple methodology provides an effective route for the synthesis of a variety of trans-2,5-disubstituted tetrahydroarylazepines. In a demonstration of the utility of this reaction sequence, mozavaptan, a compound that is beneficial in the treatment of hyponatremia, has been efficiently prepared.
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McDonald et al. (2026) studied this question.
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