U.S. patent application number 14/617825 was filed with the patent office on 2015-10-08 for methods for inhibiting drug degradation.
The applicant listed for this patent is SEQUOIA PHARMACEUTICALS, INC.. Invention is credited to Dehui DUAN, Michael EISSENSTAT, John W. Erickson, Sergei GULNIK.
Application Number | 20150284352 14/617825 |
Document ID | / |
Family ID | 40985963 |
Filed Date | 2015-10-08 |
United States Patent
Application |
20150284352 |
Kind Code |
A1 |
EISSENSTAT; Michael ; et
al. |
October 8, 2015 |
METHODS FOR INHIBITING DRUG DEGRADATION
Abstract
Methods of inhibiting cytochrome P450 enzymes are provided that
can be used for improving the treatment of diseases by preventing
degradation of drugs or other molecules by cytochrome P450.
Pharmaceutical compositions are provided that can act as boosters
to improve the pharmacokinetics, enhance the bioavailability, and
enhance the therapeutic effect of drugs that undergo in vivo
degradation by cytochrome P450 enzymes.
Inventors: |
EISSENSTAT; Michael;
(Frederick, MD) ; DUAN; Dehui; (Frederick, MD)
; GULNIK; Sergei; (Frederick, MD) ; Erickson; John
W.; (Potomac, MD) |
|
Applicant: |
Name |
City |
State |
Country |
Type |
SEQUOIA PHARMACEUTICALS, INC. |
Potomac |
MD |
US |
|
|
Family ID: |
40985963 |
Appl. No.: |
14/617825 |
Filed: |
February 9, 2015 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
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12919012 |
Jan 13, 2011 |
8952056 |
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PCT/US2009/034924 |
Feb 23, 2009 |
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14617825 |
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61030536 |
Feb 21, 2008 |
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Current U.S.
Class: |
514/20.5 ;
514/171; 514/253.01; 514/27; 514/283; 514/290; 514/291; 514/469;
549/469 |
Current CPC
Class: |
A61P 29/00 20180101;
A61P 25/18 20180101; A61K 45/06 20130101; A61P 25/04 20180101; A61P
31/18 20180101; A61P 9/00 20180101; A61P 25/08 20180101; A61P 35/00
20180101; A61P 31/14 20180101; A61K 31/343 20130101; A61P 25/28
20180101; A61P 3/10 20180101; A61P 31/00 20180101; C07D 307/79
20130101 |
International
Class: |
C07D 307/79 20060101
C07D307/79; A61K 45/06 20060101 A61K045/06; A61K 31/343 20060101
A61K031/343 |
Claims
1-25. (canceled)
26. A method of inhibiting cytochrome P450 monooxygenase comprising
administering to a patient a compound represented by a formula:
X-A-B-X' wherein: X is a lipophilic group containing from 1 to 12
carbon atoms optionally containing from 1 to 3 heteroatoms
independently selected from the group consisting of O, S, and N, A
is selected from the group consisting of a bond, --OCON(R2)-,
--S(O).sub.nN(R2)-, --CON(R2)-, --COCO(NR2)-, --N(R2)CON(R2)-,
--N(R2)S(O).sub.nN(R2)-, N(R2)CO or --N(R2)COO--; B is
--(CG.sub.1G.sub.2).sub.m-, wherein m is 0-6 and wherein G.sub.1
and G.sub.2 are the same or different and wherein each G.sub.1 and
G.sub.2 independently is selected from the group consisting of a
bond, H, halo, haloalkyl, OR, optionally substituted alkyl,
optionally substituted alkenyl, optionally substituted alkynyl,
optionally substituted aryl, optionally substituted cycloalkyl,
optionally substituted cycloalkylalkyl, optionally substituted
aralkyl, optionally substituted heteroaryl, optionally substituted
heteroaralkyl, and optionally substituted heterocycloalkyl wherein
each optional substitution independently is selected from the group
consisting of alkyl, halo, cyano, CF.sub.3, OR, C.sub.3-C.sub.7
cycloalkyl, C.sub.5-C.sub.7 cycloalkenyl, R6, OR2, SR2,
N(R2).sub.2, OR3, SR3, NR2R3, OR6, SR6, and NR2R6, and wherein
G.sub.1 and G.sub.2, together with the atoms to which they are
attached, optionally may form a 3-7-membered carbocyclic or
heterocyclic ring containing up to three heteroatoms selected from
the group consisting of N, S and O, and wherein said ring
optionally may be substituted with up to 3 R7 moieties, X' is
##STR00087## wherein M is selected from the group consisting of: a
bond, OC(R8).sub.q, --CO--, --SO--, --O--, --O--CO--, --N(D)-SO--,
--N(D)-CO--, --N(D)-(R8).sub.q-, --N(CO-D)-(R8).sub.q-,
--N(SO.sub.n-D)-(R8).sub.q-, --SO.sub.n--N(D)-(R8).sub.q-, or
--CO.sub.n--N(D)-(R8).sub.q-, wherein M can be linked in either
orientation with respect to the benzofuran ring, wherein D is
selected from hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl,
cycloalkylalkyl, heterocycloalkyl, heterocycloalkylalkyl, aryl,
heteroaryl, heteroaralkyl or aralkyl, O-alkyl, O-cycloalkyl,
O-cycloalkylalkyl, O-heterocycloalkyl, O-heterocycloalkylalkyl,
O-heteroaralkyl, O-aralkyl, N(R2)-alkyl, N(R2)-cycloalkyl,
N(R2)-cycloalkylalkyl, N(R2)-heterocycloalkyl,
N(R2)-heterocycloalkylalkyl, N(R2)-heteroaralkyl, and
N(R2)-aralkyl, wherein D optionally is substituted by alkyl, halo,
nitro, cyano, O-alkyl, or S-alkyl; wherein R is H, alkyl,
haloalkyl, alkenyl, alkynyl, alkoxyalkyl, cycloalkyl,
cycloalkylalkyl, heterocycloalkyl, heteroaryl,
heterocycloalkylalkyl, aryl, aralkyl, and heteroaralkyl; wherein
each R2 is independently selected from the group consisting of H,
C.sub.1-C.sub.12 alkyl, C.sub.3-C.sub.8 cycloalkyl, aryl, aralkyl,
heteroaryl, heteroaralkyl, and heterocycloalkyl each further
optionally substituted with one or more substituents selected from
the group consisting of C.sub.2-C.sub.6 alkenyl, C.sub.2-C.sub.6
alkynyl, C.sub.3-C.sub.8 cycloalkyl, C.sub.5-C.sub.8 cycloalkenyl,
heterocyclo, halo, OR, ROH, R-halo, NO.sub.2, CN, CO.sub.nR,
CON(R).sub.2, C(S)R, C(S)N(R).sub.2, SO.sub.nN(R).sub.2, SR,
SO.sub.nR, N(R).sub.2, N(R)CO.sub.nR, NRS(O).sub.nR,
NRC[.dbd.N(R)]N(R).sub.2, N(R)N(R)CO.sub.nR, NRPO.sub.nN(R).sub.2,
NRPO.sub.nOR, oxo, .dbd.N--OR, .dbd.N--N(R).sub.2, .dbd.NR,
.dbd.NNRC(O)N(R).sub.2, .dbd.NNRCO.sub.nR,
.dbd.NNRS(O).sub.nN(R).sub.2, and .dbd.NNRS(O).sub.n(R); or each R2
is independently selected from the group consisting of
C.sub.1-C.sub.6 alkyl; substituted by aryl or heteroaryl; which
groups optionally are substituted with one or more substituents
selected from the group consisting of halo, OR, ROH, R-halo,
NO.sub.2, CN, CO.sub.nR, CON(R).sub.2, C(S)R, C(S)N(R).sub.2,
SO.sub.nN(R).sub.2, SR, SO.sub.nR, N(R).sub.2, N(R)CO.sub.nR,
NRS(O).sub.nR, NRC[.dbd.N(R)]N(R).sub.2, N(R)N(R)CO.sub.nR,
NRPO.sub.nN(R).sub.2, NRPO.sub.nOR; R3 is C.sub.2-C.sub.6 alkenyl,
C.sub.2-C.sub.6 alkynyl, C.sub.3-C.sub.8 cycloalkyl,
C.sub.5-C.sub.8 cycloalkenyl, or heterocyclo; which groups
optionally are substituted with one or more substituents selected
from the group consisting of halo, OR2, R2-OH, R2-halo, NO.sub.2,
CN, CO.sub.nR2, C(O)N(R2).sub.2, C(O)N(R2)N(R2).sub.2, C(S)R2,
C(S)N(R2).sub.2, S(O).sub.nN(R2).sub.2, SR2, SO.sub.nR2,
N(R).sub.2, N(R2)CO.sub.nR2, NR2S(O).sub.nR2,
NR2C[.dbd.N(R2)]N(R2).sub.2, N(R2)N(R2)CO.sub.nR2, oxo,
.dbd.N--OR2, .dbd.N--N(R2).sub.2, .dbd.NR2,
.dbd.NNRC(O)N(R2).sub.2, .dbd.NNR2C(O).sub.nR2,
.dbd.NNR2S(O).sub.nN(R2).sub.2, and .dbd.NNR2S(O).sub.n(R2); R6 is
aryl or heteroaryl, wherein said aryl or heteroaryl optionally is
substituted with one or more groups selected from the group
consisting of aryl, heteroaryl, R2, R3, halo, OR2, R2OH, R2-halo,
NO.sub.2, CN, CO.sub.nR2, C(O)N(R2).sub.2, C(O)N(R2)N(R2).sub.2,
C(S)R2, C(S)N(R2).sub.2, S(O).sub.nN(R2).sub.2, SR2, SO.sub.nR2,
N(R).sub.2, N(R2)CO.sub.nR2, NR2S(O).sub.nR2,
NR2C[.dbd.N(R2)]N(R2).sub.2, N(R2)N(R2)CO.sub.nR2, OC(O)R2,
OC(S)R2, OC(O)N(R2).sub.2, and OC(S)N(R2).sub.2; R7 is H, oxo,
C.sub.1-C.sub.12 alkyl; C.sub.3-C.sub.8 cycloalkyl, aryl, aralkyl,
heteroaryl, heteroaralkyl, or heterocycloalkyl, each further
optionally substituted with one or more substituents selected from
the group consisting of C.sub.2-C.sub.6 alkenyl, C.sub.2-C.sub.6
alkynyl, C.sub.3-C.sub.8 cycloalkyl, C.sub.5-C.sub.8 cycloalkenyl,
heterocyclo; halo, OR, ROH, R-halo, NO.sub.2, CN, CO.sub.nR,
CON(R).sub.2, C(S)R, C(S)N(R).sub.2, SO.sub.nN(R).sub.2, SR,
SO.sub.nR, N(R).sub.2, N(R)CO.sub.nR, NRS(O).sub.nR,
NRC[.dbd.N(R)]N(R).sub.2, N(R)N(R)CO.sub.nR, NRPO.sub.nN(R).sub.2,
NRPO.sub.nOR, oxo, .dbd.N--OR, .dbd.N--N(R).sub.2, .dbd.NR,
.dbd.NNRC(O)N(R).sub.2, .dbd.NNRCO.sub.nR,
.dbd.NNRS(O).sub.nN(R).sub.2, and .dbd.NNRS(O).sub.n(R); R8 is
alkyl, haloalkyl, alkenyl, alkynyl, alkoxyalkyl, cycloalkyl,
cycloalkylalkyl, heterocycloalkyl, heteroaryl,
heterocycloalkylalkyl, aryl, aralkyl, and heteroaralkyl; wherein
n=1-2, and q=0-1, wherein the benzene ring of the benzofuran moiety
optionally is substituted by up to three substituents independently
selected from the group consisting of R2, halo, OR, ROH, R-halo,
NO.sub.2, CN, CO.sub.nR, CON(R).sub.2, C(S)R, C(S)N(R).sub.2,
SO.sub.nN(R).sub.2, SR, SO.sub.nR, N(R).sub.2, N(R)CO.sub.nR,
NRS(O).sub.nR, NRC[.dbd.N(R)]N(R).sub.2, N(R)N(R)CO.sub.nR,
NRPO.sub.nN(R).sub.2, and NRPO.sub.nOR, wherein said up to three
substituents do not form a ring between any adjacent carbon atoms
of said benzene ring, and with the proviso that said compound does
not contain a basic aliphatic amine function and does not contain a
carboxylic acid group, and provided that: when X is a 5-7 membered
non-aromatic monocyclic heterocycle, optionally fused or bridged
with one or more 3-7 membered non-aromatic monocyclic heterocycle
to form a polycyclic system, wherein any of said heterocyclic ring
systems contains one or more heteroatoms selected from O, N, S, and
P, and when B is ##STR00088## wherein U is selected from optionally
substituted alkyl, optionally substituted alkenyl, optionally
substituted alkynyl, optionally substituted aryl, optionally
substituted cycloalkyl, or optionally substituted aralkyl, then J
cannot be --N(D)-SO.sub.n-- or --N(D)-CO.sub.n.
27. The method according to claim 26, wherein the compound is
administered prior to, and/or substantially contemporaneously with,
a drug wherein efficacy of said drug is compromised due to
degradation by cytochrome P450 monooxygenase.
28. The method according to claim 26, wherein the drug is selected
from the group consisting of Cyclosporine, Tacrolimus (FK506),
Sirolimus (rapamycin), Indinavir, Ritonavir, Saquinavir,
Felodipine, Isradipine, Nicardipine, Nisoldipine, Nimodipine,
Nitrendipine, Nifedipine, Verapamil, Etoposide, Tamoxifen,
Vinblastine, Vincristine, Taxol, Atorvastatin, Fluvastatin,
Lovastatin, Pravastatin, Simvastatin, Terfenadine, Loratadine,
Astemizole, Alfentanil, Carbamazepine, Azithromycin,
Clarithromycin, Erythromycin, Itraconazole, Rifabutin, Lidocaine,
Cisapride, Sertraline, Pimozide, Triazolam, Anastrazole, Busulfan,
Corticosteroids (dexamethasone, methylprednisone and prednisone),
Cyclophosphamide, Cytarabine, Docetaxel, Doxorubicin, Erlotinib,
Exemestane, Gefitinib, Idarubicin, Ifosphamide, Imatinib mesylate,
Irinotecan, Ketoconazole, Letrozole, Paclitaxel, Teniposide,
Tretinoin, Vinorelbine, quinidine, alprazolam, diazepam, midazolam,
nelfinavir, chlorpheniramine, amlodipine, diltiazem, lercanidipine,
cerivastatin, estradiol, hydrocortisone, progesterone,
testosterone, alfentanyl, aripiprazole, cafergot, caffeine,
cilostazol, cocaine, codeine, dapsone, dextromethorphan,
domperidone, eplerenone, fentanyl, finasteride, gleevec,
haloperidol, irinotecan, Levo-Alpha Acetyl Methadol (LAAM),
methadone, nateglinide, odansetron, propranolol, quinine,
salmeterol, sildenafil, trazodone, vincristine, zaleplon, zolpidem,
ixabepilone, Agenerase (APV), Aptivus (TPV), Crixivan (IDV),
Invirase (SQV), Lexiva (FPV), Prezista (DRV), Reyataz (ATV)
Viracept (NFV), Elvitegravir, Selzentry, Vicriviroc, Telaprevir,
Telithromycin, tandospirone or buspirone.
29. A compound represented by a formula: X-A-B-X' wherein: X is a
lipophilic group containing from 1 to 12 carbon atoms optionally
containing from 1 to 3 heteroatoms independently selected from the
group consisting of O, S, and N, A is --OCON(R2)-,
--S(O).sub.nN(R2)-, --CON(R2)-, --COCO(NR2)-, --N(R2)CON(R2)-,
--N(R2)S(O).sub.nN(R2)-, N(R2)CO or --N(R2)COO--; B is
(CG.sub.1G.sub.2).sub.m-, wherein m is 2-6 and wherein G.sub.1 and
G.sub.2 are the same or different and wherein each G.sub.1 and
G.sub.2 independently is selected from the group consisting of a
bond, H, halo, haloalkyl, OR, optionally substituted alkyl,
optionally substituted alkenyl, optionally substituted alkynyl,
optionally substituted aryl, optionally substituted cycloalkyl,
optionally substituted cycloalkylalkyl, optionally substituted
aralkyl, optionally substituted heteroaryl, optionally substituted
heteroaralkyl, and optionally substituted heterocycloalkyl wherein
each optional substitution independently is selected from the group
consisting of alkyl, halo, cyano, CF.sub.3, OR, C.sub.3-C.sub.7
cycloalkyl, C.sub.5-C.sub.7 cycloalkenyl, R6, OR2, SR2,
N(R2).sub.2, OR3, SR3, NR2R3, OR6, SR6, and NR2R6, and wherein
G.sub.1 and G.sub.2, together with the atoms to which they are
attached, optionally may form a 3-7-membered carbocyclic or
heterocyclic ring containing up to three heteroatoms selected from
the group consisting of N, S and O, and wherein said ring
optionally may be substituted with up to 3 R7 moieties, X' is
##STR00089## wherein J is selected from: --N(D)-SO.sub.n--,
--N(D)-CO--, --N(D)-(R8).sub.q-, --N(CO-D)-(R8).sub.q-,
--N(SO.sub.n-D)-(R8).sub.q-, --SO.sub.n--N(D)-(R8).sub.q-, or
--CO.sub.n--N(D)-(R8).sub.q-, wherein D is selected from hydrogen,
alkyl, alkenyl, alkynyl, cycloalkyl, cycloalkylalkyl,
heterocycloalkyl, heterocycloalkylalkyl, aryl, heteroaryl,
heteroaralkyl or aralkyl, O-alkyl, O-cycloalkyl, O-cycloalkylalkyl,
O-heterocycloalkyl, O-heterocycloalkylalkyl, O-heteroaralkyl,
O-aralkyl, N(R2)-alkyl, N(R2)-cycloalkyl, N(R2)-cycloalkylalkyl,
N(R2)-heterocycloalkyl, N(R2)-heterocycloalkylalkyl,
N(R2)-heteroaralkyl, N(R2)-aralkyl, wherein D optionally is
substituted by alkyl, halo, nitro, cyano, O-alkyl, or S-alkyl;
wherein R is H, alkyl, haloalkyl, alkenyl, alkynyl, alkoxyalkyl,
cycloalkyl, cycloalkylalkyl, heterocycloalkyl, heteroaryl,
heterocycloalkylalkyl, aryl, aralkyl, and heteroaralkyl; wherein
each R2 is independently selected from the group consisting of H,
C.sub.1-C.sub.12 alkyl, C.sub.3-C.sub.8 cycloalkyl, aryl, aralkyl,
heteroaryl, heteroaralkyl, and heterocycloalkyl each further
optionally substituted with one or more substituents selected from
the group consisting of C.sub.2-C.sub.6 alkenyl, C.sub.2-C.sub.6
alkynyl, C.sub.3-C.sub.8 cycloalkyl, C.sub.5-C.sub.8 cycloalkenyl,
heterocyclo; halo, OR, ROH, R-halo, NO.sub.2, CN, CO.sub.nR,
CON(R).sub.2, C(S)R, C(S)N(R).sub.2, SO.sub.nN(R).sub.2, SR,
SO.sub.nR, N(R).sub.2, N(R)CO.sub.nR, NRS(O).sub.nR,
NRC[.dbd.N(R)]N(R).sub.2, N(R)N(R)CO.sub.nR, NRPO.sub.nN(R).sub.2,
NRPO.sub.nOR, oxo, .dbd.N--OR, .dbd.N--N(R).sub.2, .dbd.NR,
.dbd.NNRC(O)N(R).sub.2, .dbd.NNRCO.sub.nR,
.dbd.NNRS(O).sub.nN(R).sub.2, and .dbd.NNRS(O).sub.n(R); or each R2
is independently selected from the group consisting of
C.sub.1-C.sub.6 alkyl; substituted by aryl or heteroaryl; which
groups optionally are substituted with one or more substituents
selected from the group consisting of halo, OR, ROH, R-halo,
NO.sub.2, CN, CO.sub.nR, CON(R).sub.2, C(S)R, C(S)N(R).sub.2,
SO.sub.nN(R).sub.2, SR, SO.sub.nR, N(R).sub.2, N(R)CO.sub.nR,
NRS(O).sub.nR, NRC[.dbd.N(R)]N(R).sub.2, N(R)N(R)CO.sub.nR,
NRPO.sub.nN(R).sub.2, NRPO.sub.nOR; R3 is C.sub.2-C.sub.6 alkenyl,
C.sub.2-C.sub.6 alkynyl, C.sub.3-C.sub.8 cycloalkyl,
C.sub.5-C.sub.8 cycloalkenyl, or heterocyclo; which groups
optionally are substituted with one or more substituents selected
from the group consisting of halo, OR2, R2-OH, R2-halo, NO.sub.2,
CN, CO.sub.nR2, C(O)N(R2).sub.2, C(O)N(R2)N(R2).sub.2, C(S)R2,
C(S)N(R2).sub.2, S(O).sub.nN(R2).sub.2, SR2, SO.sub.nR2,
N(R).sub.2, N(R2)CO.sub.nR2, NR2S(O).sub.nR2,
NR2C[.dbd.N(R2)]N(R2).sub.2, N(R2)N(R2)CO.sub.nR2, oxo,
.dbd.N--OR2, .dbd.N--N(R2).sub.2, .dbd.NR2,
.dbd.NNRC(O)N(R2).sub.2, .dbd.NNR2C(O).sub.nR2,
.dbd.NNR2S(O).sub.nN(R2).sub.2, and .dbd.NNR2S(O).sub.n(R2); R6 is
aryl or heteroaryl, wherein said aryl or heteroaryl optionally are
substituted with one or more groups selected from the group
consisting of aryl, heteroaryl, R2, R3, halo, OR2, R2OH, R2-halo,
NO.sub.2, CN, CO.sub.nR2, C(O)N(R2).sub.2, C(O)N(R2)N(R2).sub.2,
C(S)R2, C(S)N(R2).sub.2, S(O).sub.nN(R2).sub.2, SR2, SO.sub.nR2,
N(R).sub.2, N(R2)CO.sub.nR2, NR2S(O).sub.nR2,
NR2C[.dbd.N(R2)]N(R2).sub.2, N(R2)N(R2)CO.sub.nR2, OC(O)R2,
OC(S)R2, OC(O)N(R2).sub.2, and OC(S)N(R2).sub.2; R7 is H, oxo,
C.sub.1-C.sub.12 alkyl; C.sub.3-C.sub.8 cycloalkyl, aryl, aralkyl,
heteroaryl, heteroaralkyl, or heterocycloalkyl, each further
optionally substituted with one or more substituents selected from
the group consisting of C.sub.2-C.sub.6 alkenyl, C.sub.2-C.sub.6
alkynyl, C.sub.3-C.sub.8 cycloalkyl, C.sub.5-C.sub.8 cycloalkenyl,
heterocyclo; halo, OR, ROH, R-halo, NO.sub.2, CN, CO.sub.nR,
CON(R).sub.2, C(S)R, C(S)N(R).sub.2, SO.sub.nN(R).sub.2, SR,
SO.sub.nR, N(R).sub.2, N(R)CO.sub.nR, NRS(O).sub.nR,
NRC[.dbd.N(R)]N(R).sub.2, N(R)N(R)CO.sub.nR, NRPO.sub.nN(R).sub.2,
NRPO.sub.nOR, oxo, .dbd.N--OR, .dbd.N--N(R).sub.2, .dbd.NR,
.dbd.NNRC(O)N(R).sub.2, .dbd.NNRCO.sub.nR,
.dbd.NNRS(O).sub.nN(R).sub.2, and .dbd.NNRS(O).sub.n(R); R8 is
alkyl, haloalkyl, alkenyl, alkynyl, alkoxyalkyl, cycloalkyl,
cycloalkylalkyl, heterocycloalkyl, heteroaryl,
heterocycloalkylalkyl, aryl, aralkyl, and heteroaralkyl; wherein
n=1-2, and wherein q=0-1, provided that: when X is a 5-7 membered
non-aromatic monocyclic heterocycle, optionally fused or bridged
with one or more 3-7 membered non-aromatic monocyclic heterocycle
to form a polycyclic system, wherein any of said heterocyclic ring
systems contains one or more heteroatoms selected from O, N, S, and
P, and when B is ##STR00090## wherein U is selected from optionally
substituted alkyl, optionally substituted alkenyl, optionally
substituted alkynyl, optionally substituted aryl, optionally
substituted cycloalkyl, or optionally substituted aralkyl, then J
cannot be --N(D)-SO.sub.n-- or --N(D)-CO.sub.n--.
30. The compound according to claim 29, wherein X is selected from
the group consisting of alkyl, alkenyl, alkynyl, alkoxyalkyl,
cycloalkyl, cycloalkylalkyl, heterocycloalkyl, heteroaryl,
heterocycloalkylalkyl, aryl, aralkyl, and heteroaralkyl; wherein X
optionally is substituted with one or more substituents selected
from the group consisting of C.sub.2-C.sub.6 alkenyl,
C.sub.2-C.sub.6 alkynyl, C.sub.3-C.sub.8 cycloalkyl,
C.sub.5-C.sub.8 cycloalkenyl, heterocyclo; halo, OR, ROH, R-halo,
NO.sub.2, CN, CO.sub.nR, CON(R).sub.2, C(S)R, C(S)N(R).sub.2,
SO.sub.nN(R).sub.2, SR, SO.sub.nR, N(R).sub.2, N(R)CO.sub.nR,
NRS(O).sub.nR, NRC[.dbd.N(R)]N(R).sub.2, N(R)N(R)CO.sub.nR,
NRPO.sub.nN(R).sub.2, NRPO.sub.nOR, oxo, .dbd.N--OR,
.dbd.N--N(R).sub.2, .dbd.NR, .dbd.NNRC(O)N(R).sub.2,
.dbd.NNRCO.sub.nR, .dbd.NNRS(O).sub.nN(R).sub.2, and
.dbd.NNRS(O)(R).
31. The compound according to claim 29 wherein X is selected from
the group consisting of alkyl, cycloalkyl, aryl, aralkyl,
heteroaryl, and heteroaralkyl.
32. The compound according to claim 29 wherein X optionally is
substituted with one or more substituents selected from the group
consisting of halo, OR, ROH, R-halo, CN, CO.sub.nR, CON(R).sub.2,
SO.sub.nN(R).sub.2, SR, SO.sub.nR, N(R).sub.2, N(R)CO.sub.nR,
NRS(O).sub.nR, oxo, and .dbd.N--OR.
33. The compound according to claim 29, wherein X optionally is
substituted with one or more substituents selected from the group
consisting of halo, OR, CO.sub.nR, CON(R).sub.2,
SO.sub.nN(R).sub.2, SO.sub.nR, N(R).sub.2, N(R)CO.sub.nR, and
oxo.
34. The compound according to claim 29 wherein G.sub.1 and G.sub.2
are the same or different and independently are selected from the
group consisting of a bond, H, OR, optionally substituted alkyl,
optionally substituted aryl, optionally substituted cycloalkyl,
optionally substituted cycloalkylalkyl, optionally substituted
aralkyl, optionally substituted heteroaryl, and optionally
substituted heteroaralkyl.
35-48. (canceled)
49. A compound represented by a formula: X-A-B-X' wherein: X is a
lipophilic group containing from 1 to 12 carbon atoms optionally
containing from 1 to 3 heteroatoms independently selected from the
group consisting of O, S, and N, A is selected from the group
consisting of a bond, --OCON(R2)-, --S(O).sub.nN(R2)-, --CON(R2)-,
--COCO(NR2)-, --N(R2)CON(R2)-, --N(R2)S(O).sub.nN(R2)-, N(R2)C0 or
--N(R2)COO--; B is --(CG.sub.1G.sub.2).sub.m-, wherein m is 0-6 and
wherein G.sub.1 and G.sub.2 are the same or different and wherein
each G.sub.1 and G.sub.2 independently is selected from the group
consisting of a bond, H, halo, haloalkyl, OR, optionally
substituted alkyl, optionally substituted alkenyl, optionally
substituted alkynyl, optionally substituted aryl, optionally
substituted cycloalkyl, optionally substituted cycloalkylalkyl,
optionally substituted aralkyl, optionally substituted heteroaryl,
optionally substituted heteroaralkyl, and optionally substituted
heterocycloalkyl wherein each optional substitution independently
is selected from the group consisting of alkyl, halo, cyano,
CF.sub.3, OR, C.sub.3-C.sub.7 cycloalkyl, C.sub.5-C.sub.7
cycloalkenyl, R6, OR2, SR2, N(R2).sub.2, OR3, SR3, NR2R3, OR6, SR6,
and NR2R6, and wherein G.sub.1 and G.sub.2, together with the atoms
to which they are attached, optionally may form a 3-7-membered
carbocyclic or heterocyclic ring containing up to three heteroatoms
selected from the group consisting of N, S and O, and wherein said
ring optionally may be substituted with up to 3 R7 moieties, X' is
##STR00091## wherein M is selected from the group consisting of: a
bond, OC(R8).sub.q, --CO--, --SO.sub.n--, -0-, --O--CO--,
--N(D)-SO.sub.n--, --N(D)-CO.sub.n--, --N(D)-(R8).sub.q-,
--N(CO-D)-(R8).sub.q-, --N(SO.sub.n-D)-(R8).sub.q-,
--SO.sub.n--N(D)-(R8).sub.q-, or --CO.sub.n--N(D)-(R8).sub.q-,
wherein M can be linked in either orientation with respect to the
benzofuran ring, wherein D is selected from hydrogen, alkyl,
alkenyl, alkynyl, cycloalkyl, cycloalkylalkyl, heterocycloalkyl,
heterocycloalkylalkyl, aryl, heteroaryl, heteroaralkyl or aralkyl,
O-alkyl, O-cycloalkyl, O-cycloalkylalkyl, O-heterocycloalkyl,
O-heterocycloalkylalkyl, O-heteroaralkyl, O-aralkyl, N(R2)-alkyl,
N(R2)-cycloalkyl, N(R2)cycloalkylalkyl, N(R2)-heterocycloalkyl,
N(R2)-heterocycloalkylalkyl, N(R2)-heteroaralkyl, and
N(R2)-aralkyl, wherein D optionally is substituted by alkyl, halo,
nitro, cyano, O-alkyl, or S-alkyl; wherein R is H, alkyl,
haloalkyl, alkenyl, alkynyl, alkoxyalkyl, cycloalkyl,
cycloalkylalkyl, heterocycloalkyl, heteroaryl,
heterocycloalkylalkyl, aryl, aralkyl, and heteroaralkyl; wherein
each R2 is independently selected from the group consisting of H,
C.sub.1-C.sub.12 alkyl, C.sub.3-C.sub.8 cycloalkyl, aryl, aralkyl,
heteroaryl, heteroaralkyl, and heterocycloalkyl each further
optionally substituted with one or more substituents selected from
the group consisting of C.sub.2-C.sub.6 alkenyl, C.sub.2-C.sub.6
alkynyl, C.sub.3-C.sub.8 cycloalkyl, C.sub.5-C.sub.8 cycloalkenyl,
heterocyclo, halo, OR, ROH, R-halo, NO.sub.2, CN, CO.sub.nR,
CON(R).sub.2, C(S)R, C(S)N(R).sub.2, SO.sub.nN(R).sub.2, SR,
SO.sub.nR, N(R).sub.2, N(R)CO.sub.nR, NRS(O).sub.nR,
NRC[.dbd.N(R)]N(R).sub.2, N(R)N(R)CO.sub.nR, NRPO.sub.nN(R).sub.2,
NRPO.sub.nOR, oxo, .dbd.N--OR, .dbd.N--N(R).sub.2, .dbd.NR,
.dbd.NNRC(O)N(R).sub.2, .dbd.NNRCO.sub.nR,
.dbd.NNRS(O).sub.nN(R).sub.2, and .dbd.NNRS(O).sub.n(R); or each R2
is independently selected from the group consisting of
C.sub.1-C.sub.6 alkyl; substituted by aryl or heteroaryl; which
groups optionally are substituted with one or more substituents
selected from the group consisting of halo, OR, ROH, R-halo,
NO.sub.2, CN, CO.sub.nR, CON(R).sub.2, C(S)R, C(S)N(R).sub.2,
SO.sub.nN(R).sub.2, SR, SO.sub.nR, N(R).sub.2, N(R)CO.sub.nR,
NRS(O).sub.nR, NRC[.dbd.N(R)]N(R).sub.2, N(R)N(R)CO.sub.nR,
NRPO.sub.nN(R).sub.2, NRPO.sub.nOR; R3 is C.sub.2-C.sub.6 alkenyl,
C.sub.2-C.sub.6 alkynyl, C.sub.3-C.sub.8 cycloalkyl,
C.sub.5-C.sub.8 cycloalkenyl, or heterocyclo; which groups
optionally are substituted with one or more substituents selected
from the group consisting of halo, OR2, R2-OH, R2-halo, NO.sub.2,
CN, CO.sub.nR2, C(O)N(R2).sub.2, C(O)N(R2)N(R2).sub.2, C(S)R2,
C(S)N(R2).sub.2, S(O).sub.nN(R2).sub.2, SR2, SO.sub.nR2,
N(R).sub.2, N(R2)CO.sub.nR2, NR2S(O).sub.nR2,
NR2C[.dbd.N(R2)]N(R2).sub.2, N(R2)N(R2)CO.sub.nR2, oxo,
.dbd.N--OR2, .dbd.N--N(R2).sub.2, .dbd.NR2,
.dbd.NNRC(O)N(R2).sub.2, .dbd.NNR2C(O).sub.nR2,
.dbd.NNR2S(O).sub.nN(R2).sub.2, and .dbd.NNR2S(O).sub.n(R2); R6 is
aryl or heteroaryl, wherein said aryl or heteroaryl optionally is
substituted with one or more groups selected from the group
consisting of aryl, heteroaryl, R2, R3, halo, OR2, R2OH, R2-halo,
NO.sub.2, CN, CO.sub.nR2, C(O)N(R2).sub.2, C(O)N(R2)N(R2).sub.2,
C(S)R2, C(S)N(R2).sub.2, S(O).sub.nN(R2).sub.2, SR2, SO.sub.nR2,
N(R).sub.2, N(R2)CO.sub.nR2, NR2S(O).sub.nR2,
NR2C[.dbd.N(R2)]N(R2).sub.2, N(R2)N(R2)CO.sub.nR2, OC(O)R2,
OC(S)R2, OC(O)N(R2).sub.2, and OC(S)N(R2).sub.2; R7 is H, oxo,
C.sub.1-C.sub.12 alkyl; C.sub.3-C.sub.8 cycloalkyl, aryl, aralkyl,
heteroaryl, heteroaralkyl, or heterocycloalkyl, each further
optionally substituted with one or more substituents selected from
the group consisting of C.sub.2-C.sub.6 alkenyl, C.sub.2-C.sub.6
alkynyl, C.sub.3-C.sub.8 cycloalkyl, C.sub.5-C.sub.8 cycloalkenyl,
heterocyclo; halo, OR, ROH, R-halo, NO.sub.2, CN, CO.sub.nR,
CON(R).sub.2, C(S)R, C(S)N(R).sub.2, SO.sub.nN(R).sub.2, SR,
SO.sub.nR, N(R).sub.2, N(R)CO.sub.nR, NRS(O).sub.nR,
NRC[.dbd.N(R)]N(R).sub.2, N(R)N(R)CO.sub.nR, NRPO.sub.nN(R).sub.2,
NRPO.sub.nOR, oxo, .dbd.N--OR, .dbd.N--N(R).sub.2, .dbd.NR,
.dbd.NNRC(O)N(R).sub.2, .dbd.NNRCO.sub.nR,
.dbd.NNRS(O).sub.nN(R).sub.2, and .dbd.NNRS(O).sub.n(R); R8 is
alkyl, haloalkyl, alkenyl, alkynyl, alkoxyalkyl, cycloalkyl,
cycloalkylalkyl, heterocycloalkyl, heteroaryl,
heterocycloalkylalkyl, aryl, aralkyl, and heteroaralkyl; wherein
n=1-2, and q=0-1, wherein the benzene ring of the benzofuran moiety
optionally is substituted by up to three substituents independently
selected from the group consisting of R2, halo, OR, ROH, R-halo,
NO.sub.2, CN, CO.sub.nR, CON(R).sub.2, C(S)R, C(S)N(R).sub.2,
SO.sub.nN(R).sub.2, SR, SO.sub.nR, N(R).sub.2, N(R)CO.sub.nR,
NRS(O).sub.nR, NRC[.dbd.N(R)]N(R).sub.2, N(R)N(R)CO.sub.nR,
NRPO.sub.nN(R).sub.2, and NRPO.sub.nOR, wherein said up to three
substituents do not form a ring between any adjacent carbon atoms
of said benzene ring, and with the proviso that said compound does
not contain a basic aliphatic amine function and does not contain a
carboxylic acid group, and provided that: when X is a 5-7 membered
non-aromatic monocyclic heterocycle, optionally fused or bridged
with one or more 3-7 membered non-aromatic monocyclic heterocycle
to form a polycyclic system, wherein any of said heterocyclic ring
systems contains one or more heteroatoms selected from O, N, S, and
P, and when B is ##STR00092## wherein U is selected from optionally
substituted alkyl, optionally substituted alkenyl, optionally
substituted alkynyl, optionally substituted aryl, optionally
substituted cycloalkyl, or optionally substituted aralkyl, then J
cannot be --N(D)-SO-- or --N(D)-CO.sub.n.
50. A formulation comprising a effective amount of a compound
according to claim 29 and a pharmaceutically acceptable diluent,
carrier, or excipient.
51. A composition comprising an effective amount of a compound
according to claim 29 and an effective amount of a drug wherein in
vivo efficacy of said drug is compromised due to degradation by
cytochrome P450 monooxygenase.
52. A composition comprising a compound of claim 29 and an
antiretroviral agent.
53-54. (canceled)
Description
[0001] This application claims the benefit of U.S. Provisional
Application 61/030,536 filed Feb. 21, 2008, which is by
incorporated by reference.
[0002] The technology described herein provides methods of
inhibiting cytochrome P450 enzymes. The technology also provides
methods of enhancing the therapeutic effect of drugs that are
metabolized by cytochrome P450 enzymes, methods of decreasing the
toxic effects of drugs that are metabolized to toxic by-products by
cytochrome P450 enzymes, methods of increasing oral bioavailability
of drugs that are metabolized by cytochrome P450 enzymes, and
methods of curing diseases that are caused or exacerbated by the
activity of cytochrome P450 enzymes.
BACKGROUND
[0003] Cytochrome P450s (CYP450) are a family of enzymes involved
in the oxidative metabolism of both endogenous and exogenous
compounds. CYP450 enzymes are widely distributed in the liver,
intestines and other tissues (Krishna et al., Clinical
Pharmacokinetics. 26:144-160, 1994). CYP450 enzymes catalyze the
phase I reaction of drug metabolism, to generate metabolites for
excretion. The classification of CYP450s is based on homology of
the amino acid sequence (Slaughter et al The Annals of
Pharmacotherapy 29:619-624, 1995). In mammals, there is over 55%
homology of the amino acid sequence of CYP450 subfamilies. The
differences in amino acid sequence constitute the basis for a
classification of the superfamily of CYP450 enzymes into families,
subfamilies and isozymes.
[0004] CYP450 contains an iron cation and is a membrane bound
enzyme that can carry out electron transfer and energy transfer.
CYP450, when bound to carbon monoxide (CO), displays a maximum
absorbance (peak) at 450 nm in the visible spectra, and is
therefore called P450 (Omura et al., J. Biol. Chem. 239:2370,
1964).
[0005] Over 200 genes encoding CYP450s have been identified, and
are divided among over 30 gene families. These gene families are
organized into subfamilies, which vary in regulation of gene
expression and in amino acid sequence homology, substrate
specificity, catalytic activity, and physiological role of the
encoded enzymes. Representative P450 genes and substrates of the
encoded enzymes are discussed below.
[0006] Listed below are examples of known substrates of members of
various CYP450 subfamilies. See also the discussion in Klassen,
ed., Casarett and Doull's Toxicology: The Basic Science of Poisons,
McGraw-Hill, 1996, pp. 150 ff. Further information about CYP450
substrates, can be found in Gonzales and other review articles
cited above. Current information sources available via the Internet
include the "Cytochrome P450 Homepage", maintained by David Nelson,
the "Cytochrome P450 Database", provided by the Institute of
Biomedical Chemistry & Center for Molecular Design, and the
"Directory of P450-containing Systems", provided by Kirill N.
Degtyarenko and Peter Fabian.
[0007] CYP1A1: diethylstilbestrol, 2- and 4-hydroxyestradiol
[0008] CYP1A2: acetaminophen, phenacetin, acetanilide (analgesics),
caffeine, clozapine (sedative), cyclobenzaprine (muscle relaxant),
estradiol, imipramine (antidepressant), mexillitene
(antiarrhythmic), naproxen (analgesic), riluzole, tacrine,
theophylline (cardiac stimulant, bronchodilator, smooth muscle
relaxant), warfarin.
[0009] CYP2A6: coumarin, butadiene, nicotine
[0010] CYP2A13: nicotine
[0011] CYP2B1: phenobarbital, hexobarbital
[0012] CYP2C9: NSAIDs such as diclofenac, ibuprofen, and piroxicam;
oral hypoglycemic agents such as tolbutamide and glipizide;
angiotensin-2 blockers such as irbesartan, losartan, and valsartan;
naproxen (analgesic); phenytoin (anticonvulsant, antiepileptic);
sulfamethoxazole, tamoxifen (antineoplastic); torsemide; warfarin,
flurbiprofen
[0013] CYP2C19: hexobarbital, mephobarbital, imipramine,
clomipramine, citalopram, cycloguanil, the anti-epileptics
phenytoin and diazepam, S-mephenytoin, diphenylhydantoin,
lansoprazole, pantoprazole, omeprazole, pentamidine, propranolol,
cyclophosphamide, progesterone
[0014] CYP2D6: antidepressants (imipramine, clomipramine,
desimpramine), antipsychotics (haloperidol, perphenazine,
risperidone, thioridazine), beta blockers (carvedilol,
S-metoprolol, propafenone, timolol), amphetamine, codeine,
dextromethorphan, fluoxetine, S-mexiletine, phenacetin,
propranolol
[0015] CYP2E1: acetaminophen; chlorzoxazone (muscle relaxant),
ethanol; caffeine, theophylline; dapsone, general anesthetics such
as enflurane, halothane, and methoxyflurane; nitrosamines
[0016] CYP3A4: HIV Protease Inhibitors such as indinavir,
ritonavir, lopinavir, amprenavir, tipranavir, darunavir, and
saquinavir; HIV integrase inhibitors such as elvitegravir,
Hepatitis C virus (HCV) protease inhibitors, benzodiazepines such
as alprazolam, diazepam, midazolam, and triazolam; immune
modulators such as cyclosporine; antihistamines such as astemizole
and chlorpheniramine; HMG CoA Reductase inhibitors such as
atorvastatin, cerivastatin, lovastatin, and simvastatin; channel
blockers such as diltiazem, felodipine, nifedipine, nisoldipine,
nitrendipine, and verapamil; antibiotics such as clarithromycin,
erythromycin, and rapamycin; various steroids including cortisol,
testosterone, progesterone, estradiol, ethinylestradiol,
hydrocortisone, prednisone, and prednisolone; acetaminophen,
aldrin, alfentanil, amiodarone, astemizole, benzphetamine,
budesonide, carbamazepine, cyclophosphamide, ifosfamide, dapsone,
digitoxin, quinidine (anti-arrhythmic), etoposide, flutamide,
imipramine, lansoprazole, lidocaine, losartan, omeprazole, retinoic
acid, FK506 (tacrolimus), tamoxifen, taxol and taxol analogs such
as taxotere, teniposide, terfenadine, buspirone, haloperidol
(antipsychotic), methadone, sildenafil, trazodone, theophylline,
toremifene, troleandomycin, warfarin, zatosetron, zonisamide.
[0017] CYP6A1: fatty acids.
[0018] The efficacy of a drug can be dramatically affected by its
metabolism in the body. For drugs that are rapidly metabolized it
can be difficult to maintain an effective therapeutic dose in the
body, and the drug often must be given more frequently, in higher
dose, and/or be administered in a sustained release formulation.
Moreover, in the case of compounds for treating infectious disease,
such as viral or bacterial infections, the inability to maintain an
effective therapeutic dose can lead to the infectious agent
becoming drug resistant. Many compounds that have strong biological
efficacy and that would otherwise be potentially powerful
therapeutics are rendered essentially useless by virtue of their
short half-lives in vivo. A common pathway of metabolism for drugs
containing lipophilic moieties is via oxidation by one or more
CYP450 enzymes. These enzymes metabolize a drug to a more polar
derivative that is more readily excreted through the kidney or
liver. First pass metabolism refers to the elimination of drugs via
liver and intestinal CYP450 enzymes. First pass metabolism can lead
to poor drug absorption from the GI tract due to extensive
intestinal CYP450 metabolism, low plasma blood levels due to
hepatic CYP450 metabolism, or both. Poor oral bioavailability due
to CYP450 metabolism is a major reason for the failure of drugs
candidates in clinical trials. In some instances, metabolic
by-products of CYP450 enzymes are highly toxic and can result in
severe side effects, cancer, and even death.
[0019] Some examples of the effects of drug metabolism by CYPs
include:
[0020] Acetaminophen: Ethanol up-regulates CYP2E1, which
metabolizes acetaminophen to a reactive quinone. This reactive
quinone intermediate, when produced in sufficient amounts, causes
liver damage and necrosis.
[0021] Sedatives: The sedative phenobarbital (PB) up-regulates
several P450 genes, including those of the CYP2B and CYP3A
subfamilies. Upregulation of these enzymes increases the metabolism
and reduces the sedative effects of PB and the related sedative
hexobarbital.
[0022] Antibiotics: The antibiotics rifampicin, rifampin,
rifabutin, erythromycin, and related compounds are inducers of the
CYP3A4 gene and are substrates of the enzyme product.
[0023] Anti-cancer agents: Taxol and taxotere are potent
anti-cancer agents. Both drugs are extensively metabolized by
CYP3A4 and have poor oral bioavailability. These drugs are only
efficacious in parenteral formulations which, due to their poor
solubility properties, are highly noxious to patients.
[0024] Nicotine: CYP2A6 and 2A13 convert nicotine, a non-toxic
component of cigarette smoke, into NNK, a highly potent carcinogen
that contributes to lung cancer from smoking.
[0025] Oral contraceptive/estrogen replacement therapy: Estrogens
and estradiols are the active ingredients in oral contraceptives
and in hormonal replacement therapies for post-menopausal women.
Women who are also taking antibiotics such as rifampicin or
erythromycin, or glucocorticoids such as dexamethasone, or who
smoke, risk decreased efficacy of the estrogenestradiol treatments
due to increased metabolism of these compounds by up-regulated
CYP3A4 and/or CYP1A2 enzymes.
[0026] Dextromethorphan: CYP2D6 metabolizes dextromethrophan to
dextrorphan. Individuals who express high levels of CYP2D6
(so-called rapid metabolizers) do not receive therapeutic benefits
from dextromethorphan due to extensive first-pass metabolism and
rapid systemic clearance.
[0027] Protease Inhibitors: Protease inhibitors and non-nucleoside
reverse transcriptase inhibitors currently indicated for use in
treatment of HIV or HCV are typically good substrates of cytochrome
P450 enzymes; in particular, they are metabolized by CYP3A4 enzymes
(see e.g., Sahai, AIDS 10 Suppl 1:S21-5, 1996) with possible
participation by CYP2D6 enzymes (Kumar et al., J. Pharmacol. Exp.
Ther. 277(1):423-31, 1996). In addition to being good CYP3A4
substrates, some protease inhibitors are reported to also be
inhibitors of this enzyme, while some non-nucleoside reverse
transcriptase inhibitors, such as nevirapine and efavirenz, are
inducers of CYP3A4 (see e.g., Murphy et al., Expert Opin. Invest
Drugs 59: 1183-99, 1996).
[0028] Human CYP450 isozymes are widely distributed among tissues
and organs (Zhang et al., Drug Metabolism and Disposition.
27:804-809, 1999). With the exception of CYP1A1 and CYP2A13, most
human CYP450 isozymes are located in the liver, but are expressed
at different levels (Waziers J. Pharmacol. Exp. Ther. 253: 387,
1990). A solution to the problem of drug degradation and first-pass
metabolism is to control the rate of drug metabolism. When the
rates of drug absorption and metabolism reach a steady state, a
maintenance dose can be delivered to achieve a desired drug
concentration that is required for drug efficacy. Certain natural
products have been shown to increase bioavailability of a drug. For
example, the effect of grapefruit juice on drug pharmacokinetics is
well known. See Edgar et al., Eur. J. Clin. Pharmacol. 42:313,
(1992); Lee et al., Clin. Pharmacol. Ther. 59:62, (1996); Kane et
al., Mayo Clinic Proc. 75:933, (2000). This effect of grapefruit
juice is due to the presence of natural P450-inhibiting components.
Other compounds also have been used for inhibition of P450. For
example, the HIV-1 protease inhibitor Ritonavir.RTM. is now more
commonly prescribed for use in combination with other, more
effective, HIV protease inhibitors because of its ability to
"boost" those other compounds by inhibiting P450-mediated
degradation.
[0029] Present methods of inhibiting cytochrome P450 enzymes are
not wholly satisfactory because of toxicity issues, high cost, and
other factors. For example, using ritonavir to inhibit cytochrome
P450 is not desirable in disorders other than HIV infection. It is
apparent, therefore, that new and improved methods of inhibiting
cytochrome P450 enzymes are greatly to be desired. In particular,
methods where an inhibitor can be co-administered with another
biologically active compound that is metabolized by cytochrome P450
enzymes are highly desirable.
SUMMARY OF THE TECHNOLOGY
[0030] The technology provides methods of inhibiting cytochrome
P450 enzymes. The technology also provides methods of enhancing the
therapeutic effect of drugs that are metabolized by cytochrome P450
enzymes, methods of decreasing the toxic effects of drugs that are
metabolized to toxic by-products by cytochrome P450 enzymes,
methods of increasing oral bioavailability of drugs that are
metabolized by cytochrome P450 enzymes, and methods of curing
diseases that are caused or exacerbated by the activity of
cytochrome P450 enzymes.
[0031] An advantage of the technology is that it provides improved
inhibitors of cytochrome P450 enzymes. Another advantage is that it
provides a method of controlling the pharmacokinetic properties of
drugs. Another advantage is that it helps control the rate of
metabolism of drugs. Another advantage is that it controls the
degradation of drugs. Another advantage is that it enhances the
bioavailability of drugs. Another advantage is that it enhances the
efficacy of drugs. Another advantage is that it boosts the efficacy
of certain drugs so that the drugs can be administered at a lower
concentration or dosage thereby reducing their toxicity. Another
advantage is that these properties can lower the overall cost
associated with the treatment of disorders.
[0032] More particularly, in one aspect, the technology provides a
method of inhibiting cytochrome P450 monooxygenase by administering
a compound represented by a formula:
X-A-B-X'
[0033] where:
[0034] X is a lipophilic group containing from 1 to 12 carbon atoms
optionally containing from 1 to 3 heteroatoms independently
selected from the group consisting of O, S, and N,
[0035] A is selected from the group consisting of a bond,
--OCON(R2)-, --S(O).sub.nN(R2)-, --CON(R2)-, --COCO(NR2)-,
--N(R2)CON(R2)-, --N(R2)S(O).sub.nN(R2)-, N(R2)CO or
--N(R2)COO--;
[0036] B is --(CG.sub.1G.sub.2).sub.m-, where m is 0-6 and where
G.sub.1 and G.sub.2 are the same or different and where each
G.sub.1 and G.sub.2 independently is selected from the group
consisting of a bond, H, halo, haloalkyl, OR, optionally
substituted alkyl, optionally substituted alkenyl, optionally
substituted alkynyl, optionally substituted aryl, optionally
substituted cycloalkyl, optionally substituted cycloalkylalkyl,
optionally substituted aralkyl, optionally substituted heteroaryl,
optionally substituted heteroaralkyl, and optionally substituted
heterocycloalkyl where each optional substitution independently is
selected from the group consisting of alkyl, halo, cyano, CF.sub.3,
OR, C.sub.3-C.sub.7 cycloalkyl, C.sub.5-C.sub.7 cycloalkenyl, R6,
OR2, SR2, N(R2).sub.2, OR3, SR3, NR2R3, OR6, SR6, and NR2R6, and
where G.sub.1 and G.sub.2, together with the atoms to which they
are attached, optionally may form a 3-7-membered carbocyclic or
heterocyclic ring containing up to three heteroatoms selected from
the group consisting of N, S and O, and where the ring optionally
may be substituted with up to 3 R7 moieties,
[0037] X' is
##STR00001##
[0038] where M is selected from the group consisting of: a bond,
OC(R8).sub.q, --CO--, --SO.sub.n--, --O--, --O--CO--,
--N(D)-SO.sub.n--, --N(D)-CO.sub.n--, --N(D)-(R8).sub.q-,
--SO.sub.n--N(D)-(R8).sub.q-, or --CO.sub.n--N(D)-(R8).sub.q-,
[0039] where M can be linked in either orientation with respect to
the benzofuran ring,
[0040] where D is selected from hydrogen, alkyl, alkenyl, alkynyl,
cycloalkyl, cycloalkylalkyl, heterocycloalkyl,
heterocycloalkylalkyl, aryl, heteroaryl, heteroaralkyl, aralkyl, or
O-alkyl, where D optionally is substituted by alkyl, halo, nitro,
cyano, O-alkyl, or S-alkyl;
[0041] where R is H, alkyl, haloalkyl, alkenyl, alkynyl,
alkoxyalkyl, cycloalkyl, cycloalkylalkyl, heterocycloalkyl,
heteroaryl, heterocycloalkylalkyl, aryl, aralkyl, and
heteroaralkyl;
[0042] where each R2 is independently selected from the group
consisting of H, C.sub.1-C.sub.12 alkyl, C.sub.3-C.sub.8
cycloalkyl, aryl, aralkyl, heteroaryl, heteroaralkyl, and
heterocycloalkyl each further optionally substituted with one or
more substituents selected from the group consisting of
C.sub.2-C.sub.6 alkenyl, C.sub.2-C.sub.6 alkynyl, C.sub.3-C.sub.8
cycloalkyl, C.sub.5-C.sub.8 cycloalkenyl, heterocyclo; halo, OR,
ROH, R-halo, NO.sub.2, CN, CO.sub.nR, CON(R).sub.2, C(S)R,
C(S)N(R).sub.2, SO.sub.nN(R).sub.2, SR, SO.sub.nR, N(R).sub.2,
N(R)CO.sub.nR, NRS(O).sub.nR, NRC[.dbd.N(R)]N(R).sub.2,
N(R)N(R)CO.sub.nR, NRPO.sub.nN(R).sub.2, NRPO.sub.nOR, oxo,
.dbd.N--OR, .dbd.N--N(R).sub.2, .dbd.NR, .dbd.NNRC(O)N(R).sub.2,
.dbd.NNRCO.sub.nR, .dbd.NNRS(O).sub.nN(R).sub.2, and
.dbd.NNRS(O).sub.n(R);
[0043] or each R2 is independently selected from the group
consisting of C.sub.1-C.sub.6 alkyl; substituted by aryl or
heteroaryl; which groups optionally are substituted with one or
more substituents selected from the group consisting of halo, OR,
ROH, R-halo, NO.sub.2, CN, CO.sub.nR, CON(R).sub.2, C(S)R,
C(S)N(R).sub.2, SO.sub.nN(R).sub.2, SR, SO.sub.nR, N(R).sub.2,
N(R)CO.sub.nR, NRS(O).sub.nR, NRC[.dbd.N(R)]N(R).sub.2,
N(R)N(R)CO.sub.nR, NRPO.sub.nN(R).sub.2, NRPO.sub.nOR;
[0044] R3 is C.sub.2-C.sub.6 alkenyl, C.sub.2-C.sub.6 alkynyl,
C.sub.3-C.sub.8 cycloalkyl, C.sub.5-C.sub.8 cycloalkenyl, or
heterocyclo; which groups optionally are substituted with one or
more substituents selected from the group consisting of halo, OR2,
R2-OH, R2-halo, NO.sub.2, CN, CO.sub.nR2, C(O)N(R2).sub.2,
C(O)N(R2)N(R2).sub.2, C(S)R2, C(S)N(R2).sub.2,
S(O).sub.nN(R2).sub.2, SR2, SO.sub.nR2, N(R).sub.2,
N(R2)CO.sub.nR2, NR2S(O).sub.nR2, NR2C[.dbd.N(R2)]N(R2).sub.2,
N(R2)N(R2)CO.sub.nR2, oxo, .dbd.N--OR2, .dbd.N--N(R2).sub.2,
.dbd.NR2, .dbd.NNRC(O)N(R2).sub.2, .dbd.NNR2C(O).sub.nR2,
.dbd.NNR2S(O).sub.nN(R2).sub.2, and .dbd.NNR2S(O).sub.n(R2);
[0045] R6 is aryl or heteroaryl, where the aryl or heteroaryl
optionally are substituted with one or more groups selected from
the group consisting of aryl, heteroaryl, R2, R3, halo, OR2, R2OH,
R2-halo, NO.sub.2, CN, CO.sub.nR2, C(O)N(R2).sub.2,
C(O)N(R2)N(R2).sub.2, C(S)R2, C(S)N(R2).sub.2,
S(O).sub.nN(R2).sub.2, SR2, SO.sub.nR2, N(R).sub.2,
N(R2)CO.sub.nR2, NR2S(O).sub.nR2, NR2C[.dbd.N(R2)]N(R2).sub.2,
N(R2)N(R2)CO.sub.nR2, OC(O)R2, OC(S)R2, OC(O)N(R2).sub.2, and
OC(S)N(R2).sub.2;
[0046] R7 is H, oxo, C.sub.1-C.sub.12 alkyl; C.sub.3-C.sub.8
cycloalkyl, aryl, aralkyl, heteroaryl, heteroaralkyl, or
heterocycloalkyl, each further optionally substituted with one or
more substituents selected from the group consisting of
C.sub.2-C.sub.6 alkenyl, C.sub.2-C.sub.6 alkynyl, C.sub.3-C.sub.8
cycloalkyl, C.sub.5-C.sub.8 cycloalkenyl, heterocyclo; halo, OR,
ROH, R-halo, NO.sub.2, CN, CO.sub.nR, CON(R).sub.2, C(S)R,
C(S)N(R).sub.2, SO.sub.nN(R).sub.2, SR, SO.sub.nR, N(R).sub.2,
N(R)CO.sub.nR, NRS(O).sub.nR, NRC[.dbd.N(R)]N(R).sub.2,
N(R)N(R)CO.sub.nR, NRPO.sub.nN(R).sub.2, NRPO.sub.nOR, oxo,
.dbd.N--OR, .dbd.N--N(R).sub.2, .dbd.NR, .dbd.NNRC(O)N(R).sub.2,
.dbd.NNRCO.sub.nR, .dbd.NNRS(O).sub.nN(R).sub.2, and
.dbd.NNRS(O).sub.n(R);
[0047] R8 is alkyl, haloalkyl, alkenyl, alkynyl, alkoxyalkyl,
cycloalkyl, cycloalkylalkyl, heterocycloalkyl, heteroaryl,
heterocycloalkylalkyl, aryl, aralkyl, and heteroaralkyl;
[0048] where n=1-2, and q=0-1,
[0049] where the benzene ring of the benzofuran moiety may
optionally by substituted by up to three substituents independently
selected from the group consisting of R2, halo, OR, ROH, R-halo,
NO.sub.2, CN, CO.sub.nR, CON(R).sub.2, C(S)R, C(S)N(R).sub.2,
SO.sub.nN(R).sub.2, SR, SO.sub.nR, N(R).sub.2, N(R)CO.sub.nR,
NRS(O).sub.nR, NRC[.dbd.N(R)]N(R).sub.2, N(R)N(R)CO.sub.nR,
NRPO.sub.nN(R).sub.2, and NRPO.sub.nOR, where the up to three
substituents do not form a ring between any adjacent carbon atoms
of the benzene ring, and with the proviso that the compound does
not contain a basic aliphatic amine function and does not contain a
carboxylic acid group.
[0050] In a specific embodiment, there is provided a method of
inhibiting cytochrome P450 monooxygenase in a patient by
administering to the patient a compound represented by the
formula:
X-A-B-X'
[0051] where:
[0052] X is a lipophilic group containing from 1 to 12 carbon atoms
optionally containing from 1 to 3 heteroatoms independently
selected from the group consisting of O, S, and N,
[0053] A is --OCON(R2)-, --S(O).sub.nN(R2)-, --CON(R2)-,
--COCO(NR2)-, --N(R2)CON(R2)-, --N(R2)S(O).sub.nN(R2)-, N(R2)CO or
--N(R2)COO--;
[0054] B is --(CG.sub.1G.sub.2).sub.m-, where m is 2-6 and where
G.sub.1 and G.sub.2 are the same or different and where each
G.sub.1 and G.sub.2 independently is selected from the group
consisting of a bond, H, halo, haloalkyl, OR, optionally
substituted alkyl, optionally substituted alkenyl, optionally
substituted alkynyl, optionally substituted aryl, optionally
substituted cycloalkyl, optionally substituted cycloalkylalkyl,
optionally substituted aralkyl, optionally substituted heteroaryl,
optionally substituted heteroaralkyl, and optionally substituted
heterocycloalkyl where each optional substitution independently is
selected from the group consisting of alkyl, halo, cyano, CF.sub.3,
OR, C.sub.3-C.sub.7 cycloalkyl, C.sub.5-C.sub.7 cycloalkenyl, R6,
OR2, SR2, N(R2).sub.2, OR3, SR3, NR2R3, OR6, SR6, and NR2R6, and
where G.sub.1 and G.sub.2, together with the atoms to which they
are attached, optionally may form a 3-7-membered carbocyclic or
heterocyclic ring containing up to three heteroatoms selected from
the group consisting of N, S and O, and where the ring optionally
may be substituted with up to 3 R7 moieties,
[0055] X' is
##STR00002##
[0056] where J is selected from:
[0057] --N(D)-SO.sub.n--, --N(D)-CO.sub.n--, --N(D)-(R8).sub.q-,
--N(CO-D)-(R8).sub.q-, --N(SO.sub.n-D)-(R8).sub.q-,
--SO.sub.n--N(D)-(R8).sub.q-, or --CO.sub.n--N(D)-(R8).sub.q-,
[0058] wherein D is selected from hydrogen, alkyl, alkenyl,
alkynyl, cycloalkyl, cycloalkylalkyl, heterocycloalkyl,
heterocycloalkylalkyl, aryl, heteroaryl, heteroaralkyl or aralkyl,
O-alkyl, O-cycloalkyl, O-cycloalkylalkyl, O-heterocycloalkyl,
O-heterocycloalkylalkyl, O-heteroaralkyl, O-aralkyl, N(R2)-alkyl,
N(R2)-cycloalkyl, N(R2)-cycloalkylalkyl, N(R2)-heterocycloalkyl,
N(R2)-heterocycloalkylalkyl, N(R2)-heteroaralkyl, N(R2)-aralkyl,
wherein D optionally is substituted by alkyl, halo, nitro, cyano,
O-alkyl, or S-alkyl;
[0059] where R is H, alkyl, haloalkyl, alkenyl, alkynyl,
alkoxyalkyl, cycloalkyl, cycloalkylalkyl, heterocycloalkyl,
heteroaryl, heterocycloalkylalkyl, aryl, aralkyl, and
heteroaralkyl;
[0060] where each R2 is independently selected from the group
consisting of H, C.sub.1-C.sub.12 alkyl, C.sub.3-C.sub.8
cycloalkyl, aryl, aralkyl, heteroaryl, heteroaralkyl, and
heterocycloalkyl each further optionally substituted with one or
more substituents selected from the group consisting of
C.sub.2-C.sub.6 alkenyl, C.sub.2-C.sub.6 alkynyl, C.sub.3-C.sub.8
cycloalkyl, C.sub.5-C.sub.8 cycloalkenyl, heterocyclo; halo, OR,
ROH, R-halo, NO.sub.2, CN, CO.sub.nR, CON(R).sub.2, C(S)R,
C(S)N(R).sub.2, SO.sub.nN(R).sub.2, SR, SO.sub.nR, N(R).sub.2,
N(R)CO.sub.nR, NRS(O).sub.nR, NRC[.dbd.N(R)]N(R).sub.2,
N(R)N(R)CO.sub.nR, NRPO.sub.nN(R).sub.2, NRPO.sub.nOR, oxo,
.dbd.N--OR, .dbd.N--N(R).sub.2, .dbd.NR, .dbd.NNRC(O)N(R).sub.2,
.dbd.NNRCO.sub.nR, .dbd.NNRS(O).sub.nN(R).sub.2, and
.dbd.NNRS(O).sub.n(R);
[0061] or each R2 is independently selected from the group
consisting of C.sub.1-C.sub.6 alkyl; substituted by aryl or
heteroaryl; which groups optionally are substituted with one or
more substituents selected from the group consisting of halo, OR,
ROH, R-halo, NO.sub.2, CN, CO.sub.nR, CON(R).sub.2, C(S)R,
C(S)N(R).sub.2, SO.sub.nN(R).sub.2, SR, SO.sub.nR, N(R).sub.2,
N(R)CO.sub.nR, NRS(O).sub.nR, NRC[.dbd.N(R)]N(R).sub.2,
N(R)N(R)CO.sub.nR, NRPO.sub.nN(R).sub.2, NRPO.sub.nOR;
[0062] R3 is C.sub.2-C.sub.6 alkenyl, C.sub.2-C.sub.6 alkynyl,
C.sub.3-C.sub.8 cycloalkyl, C.sub.5-C.sub.8 cycloalkenyl, or
heterocyclo; which groups optionally are substituted with one or
more substituents selected from the group consisting of halo, OR2,
R2-OH, R2-halo, NO.sub.2, CN, CO.sub.nR2, C(O)N(R2).sub.2,
C(O)N(R2)N(R2).sub.2, C(S)R2, C(S)N(R2).sub.2,
S(O).sub.nN(R2).sub.2, SR2, SO.sub.nR2, N(R).sub.2,
N(R2)CO.sub.nR2, NR2S(O).sub.nR2, NR2C[.dbd.N(R2)]N(R2).sub.2,
N(R2)N(R2)CO.sub.nR2, oxo, .dbd.N--OR2, .dbd.N--N(R2).sub.2,
.dbd.NR2, .dbd.NNRC(O)N(R2).sub.2, .dbd.NNR2C(O).sub.nR2,
.dbd.NNR2S(O).sub.nN(R2).sub.2, and .dbd.NNR2S(O).sub.n(R2);
[0063] R6 is aryl or heteroaryl, where the aryl or heteroaryl
optionally are substituted with one or more groups selected from
the group consisting of aryl, heteroaryl, R2, R3, halo, OR2, R2OH,
R2-halo, NO.sub.2, CN, CO.sub.nR2, C(O)N(R2).sub.2,
C(O)N(R2)N(R2).sub.2, C(S)R2, C(S)N(R2).sub.2,
S(O).sub.nN(R2).sub.2, SR2, SO.sub.nR2, N(R).sub.2,
N(R2)CO.sub.nR2, NR2S(O).sub.nR2, NR2C[.dbd.N(R2)]N(R2).sub.2,
N(R2)N(R2)CO.sub.nR2, OC(O)R2, OC(S)R2, OC(O)N(R2).sub.2, and
OC(S)N(R2).sub.2;
[0064] R7 is H, oxo, C.sub.1-C.sub.12 alkyl; C.sub.3-C.sub.8
cycloalkyl, aryl, aralkyl, heteroaryl, heteroaralkyl, or
heterocycloalkyl, each further optionally substituted with one or
more substituents selected from the group consisting of
C.sub.2-C.sub.6 alkenyl, C.sub.2-C.sub.6 alkynyl, C.sub.3-C.sub.8
cycloalkyl, C.sub.5-C.sub.8 cycloalkenyl, heterocyclo; halo, OR,
ROH, R-halo, NO.sub.2, CN, CO.sub.nR, CON(R).sub.2, C(S)R,
C(S)N(R).sub.2, SO.sub.nN(R).sub.2, SR, SO.sub.nR, N(R).sub.2,
N(R)CO.sub.nR, NRS(O).sub.nR, NRC[.dbd.N(R)]N(R).sub.2,
N(R)N(R)CO.sub.nR, NRPO.sub.nN(R).sub.2, NRPO.sub.nOR, oxo,
.dbd.N--OR, .dbd.N--N(R).sub.2, .dbd.NR, .dbd.NNRC(O)N(R).sub.2,
.dbd.NNRCO.sub.nR, .dbd.NNRS(O).sub.nN(R).sub.2, and
.dbd.NNRS(O).sub.n(R);
[0065] R8 is alkyl, haloalkyl, alkenyl, alkynyl, alkoxyalkyl,
cycloalkyl, cycloalkylalkyl, heterocycloalkyl, heteroaryl,
heterocycloalkylalkyl, aryl, aralkyl, and heteroaralkyl;
[0066] where n=1-2, and
[0067] where q=0-1.
[0068] In another aspect, X may be alkyl, alkenyl, alkynyl,
alkoxyalkyl, cycloalkyl, cycloalkylalkyl, heterocycloalkyl,
heteroaryl, heterocycloalkylalkyl, aryl, aralkyl, or heteroaralkyl;
where X optionally is substituted with one or more substituents
selected from the group consisting of C.sub.2-C.sub.6 alkenyl,
C.sub.2-C.sub.6 alkynyl, C.sub.3-C.sub.8 cycloalkyl,
C.sub.5-C.sub.8 cycloalkenyl, heterocyclo; halo, OR, ROH, R-halo,
NO.sub.2, CN, CO.sub.nR, CON(R).sub.2, C(S)R, C(S)N(R).sub.2,
SO.sub.nN(R).sub.2, SR, SO.sub.nR, N(R).sub.2, N(R)CO.sub.nR,
NRS(O).sub.nR, NRC[.dbd.N(R)]N(R).sub.2, N(R)N(R)CO.sub.nR,
NRPO.sub.nN(R).sub.2, NRPO.sub.nOR, oxo, .dbd.N--OR,
.dbd.N--N(R).sub.2, .dbd.NR, .dbd.NNRC(O)N(R).sub.2,
.dbd.NNRCO.sub.nR, .dbd.NNRS(O).sub.nN(R).sub.2, and
.dbd.NNRS(O).sub.n(R). In one embodiment, X may be selected from
the group consisting of alkyl, cycloalkyl, aryl, aralkyl,
heteroaryl, and heteroaralkyl. X optionally is substituted with one
or more substituents selected from the group consisting of halo,
OR, ROH, R-halo, CN, CO.sub.nR, CON(R).sub.2, SO.sub.nN(R).sub.2,
SR, SO.sub.nR, N(R).sub.2, N(R)CO.sub.nR, NRS(O).sub.nR, oxo, and
.dbd.N--OR.
[0069] In other aspects, G.sub.1 and G.sub.2 may be the same or
different and independently are selected from the group consisting
of a bond, H, OR, optionally substituted alkyl, optionally
substituted aryl, optionally substituted cycloalkyl, optionally
substituted cycloalkylalkyl, optionally substituted aralkyl,
optionally substituted heteroaryl, and optionally substituted
heteroaralkyl. In specific embodiments, G.sub.1 and G.sub.2 do not
form a ring, or at least one G.sub.1 and at least one G.sub.2 form
a ring. G.sub.1 and G.sub.2 may be different and, in certain
embodiments, neither G.sub.1 nor G.sub.2 is OH.
[0070] In other aspects G1 and G2 are selected from the group
consisting of H, O-alkyl, alkyl, optionally substituted aryl and
optionally substituted aralkyl.
[0071] In the embodiments above, J may be
[0072] --N(D)-SO.sub.n--, --N(D)-CO.sub.n--, --N(D)-(R8).sub.q-,
--N(CO-D)-(R8).sub.q-, --N(SO.sub.n-D)-(R8).sub.q-,
--SO.sub.n--N(D)-(R8).sub.q-, or --CO.sub.n--N(D)-(R8).sub.q-.
[0073] In the embodiments above, D may be hydrogen, alkyl, alkenyl,
alkynyl, cycloalkyl, cycloalkylalkyl, heterocycloalkyl,
heterocycloalkylalkyl, aryl, heteroaryl, heteroaralkyl or aralkyl,
O-alkyl, O-cycloalkyl, O-cycloalkylalkyl, O-heterocycloalkyl,
O-heterocycloalkylalkyl, O-heteroaralkyl, O-aralkyl, N(R2)-alkyl,
N(R2)-cycloalkyl, N(R2)-cycloalkylalkyl, N(R2)-heterocycloalkyl,
N(R2)-heterocycloalkylalkyl, N(R2)-heteroaralkyl, N(R2)-aralkyl,
wherein D optionally is substituted by alkyl, halo, nitro, cyano,
O-alkyl, or S-alkyl.
[0074] In any of the embodiments above, when X is a 5-7 membered
non-aromatic monocyclic heterocycle, optionally fused or bridged
with one or more 3-7 membered non-aromatic monocyclic heterocycle
to form a polycyclic system, wherein any of said heterocyclic ring
systems contains one or more heteroatoms selected from O, N, S, and
P, and
[0075] when
[0076] B is
##STR00003##
where U is selected from optionally substituted alkyl, optionally
substituted alkenyl, optionally substituted alkynyl, optionally
substituted aryl, optionally substituted cycloalkyl, or optionally
substituted aralkyl, and
[0077] then J cannot be --N(D)-SO.sub.n-- or --N(D)-CO.sub.n--.
[0078] In the methods described above, the cytochrome P450
monoxygenase may be CYP3A4 or CYP3A5.
[0079] In other embodiments, the compound used in the methods
described above does not inhibit HIV protease.
[0080] In specific embodiments, the patient may be suffering from
chronic pain, depression, epilepsy, psychosis, inflammation,
cancer, cardiovascular disease, diabetes, neurodegenerative disease
such as Alzheimer's disease, and/or infection, for example,
infection with a hepatitis-causing virus or HIV.
[0081] In other embodiments, the compound is administered
substantially contemporaneously with a drug where efficacy of the
drug is compromised due to degradation by cytochrome P450
monooxygenase. The drug may be, for example, Cyclosporine,
Tacrolimus (FK506), Sirolimus (rapamycin), Indinavir, Ritonavir,
Saquinavir, Felodipine, Isradipine, Nicardipine, Nisoldipine,
Nimodipine, Nitrendipine, Nifedipine, Verapamil, Etoposide,
Tamoxifen, Vinblastine, Vincristine, Taxol, Atorvastatin,
Fluvastatin, Lovastatin, Pravastatin, Simvastatin, Terfenadine,
Loratadine, Astemizole, Alfentanil, Carbamazepine, Azithromycin,
Clarithromycin, Erythromycin, Itraconazole, Rifabutin, Lidocaine,
Cisapride, Sertraline, Pimozide, Triazolam, Anastrazole, Busulfan,
Corticosteroids (dexamethasone, methylprednisone and prednisone),
Cyclophosphamide, Cytarabine, Docetaxel, Doxorubicin, Erlotinib,
Exemestane, Gefitinib, Idarubicin, Ifosphamide, Imatinib mesylate,
Irinotecan, Ketoconazole, Letrozole, Paclitaxel, Teniposide,
Tretinoin, Vinorelbine, quinidine, alprazolam, diazepam, midazolam,
nelfinavir, chlorpheniramine, amlodipine, diltiazem, lercanidipine,
cerivastatin, estradiol, hydrocortisone, progesterone,
testosterone, alfentanyl, aripiprazole, cafergot, caffeine,
cilostazol, cocaine, codeine, dapsone, dextromethorphan,
domperidone, eplerenone, fentanyl, finasteride, gleevec,
haloperidol, irinotecan, Levo-Alpha Acetyl Methadol (LAAM),
methadone, nateglinide, odansetron, propranolol, quinine,
salmeterol, sildenafil, trazodone, vincristine, zaleplon, zolpidem,
ixabepilone, Agenerase (APV), Aptivus (TPV), Crixivan (IDV),
Invirase (SQV), Lexiva (FPV), Prezista (DRV), Reyataz (ATV)
Viracept (NFV), Elvitegravir, Selzentry, Vicriviroc, Telaprevir,
Telithromycin, tandospirone or buspirone.
[0082] The details of one or more examples are set forth in the
accompanying reaction schemes and description. Further features,
aspects, and advantages of the technology will become apparent from
the description, the schemes, and the claims.
BRIEF DESCRIPTION OF THE DRAWINGS
[0083] FIG. 1 shows examples of cytochrome P450 inhibitors of the
invention. These examples are merely illustrative and not limiting
of the present invention. All of the compounds shown have a Ki that
is better than 100 nM.
DETAILED DESCRIPTION
[0084] The technology provides methods of inhibiting cytochrome
P450 (CYP) enzymes. More particularly, the technology provides
methods for enhancing the therapeutic effect of drugs in which the
efficacy is compromised due to degradation mediated by cytochrome
P450. The methods include administering compounds or pharmaceutical
compositions containing the compounds in any therapeutic regimen
where one or more primary drugs is metabolized by a CYP. The
compounds or pharmaceutical compositions can be administered when
the primary drug either becomes inactive or is converted to a toxic
metabolite due to metabolism by a CYP. The compounds or
compositions can inhibit or reduce the rate of degradation of drugs
that are effective against a variety of diseases and that are
degraded by one or more cytochrome P450 enzymes. Upon
co-administration, the compounds and compositions can, for example,
maintain intracellular concentrations of the drugs at a therapeutic
level for a sustained period of time. The methods are useful, for
example, in treating a variety of disorders such as, cardiac
arrhythmia, depression, psychosis, chronic pain, and infections
such as HIV or HCV. The compounds or compositions can be
administered either alone or in combination with drugs such as
analgesics, anti-depressants, anti-psychotics, antibiotics,
anti-arrhythmics, steroids, anesthetics, muscle relaxants, cardiac
stimulants, NSAIDs, anti-epileptics, or protease inhibitors, such
as HIV or HCV protease inhibitors. The drugs may be, for example,
The drug may be, for example, Cyclosporine, Tacrolimus (FK506),
Sirolimus (rapamycin), Indinavir, Ritonavir, Saquinavir,
Felodipine, Isradipine, Nicardipine, Nisoldipine, Nimodipine,
Nitrendipine, Nifedipine, Verapamil, Etoposide, Tamoxifen,
Vinblastine, Vincristine, Taxol, Atorvastatin, Fluvastatin,
Lovastatin, Pravastatin, Simvastatin, Terfenadine, Loratadine,
Astemizole, Alfentanil, Carbamazepine, Azithromycin,
Clarithromycin, Erythromycin, Itraconazole, Rifabutin, Lidocaine,
Cisapride, Sertraline, Pimozide, Triazolam, Anastrazole, Busulfan,
Corticosteroids (dexamethasone, methylprednisone and prednisone),
Cyclophosphamide, Cytarabine, Docetaxel, Doxorubicin, Erlotinib,
Exemestane, Gefitinib, Idarubicin, Ifosphamide, Imatinib mesylate,
Irinotecan, Ketoconazole, Letrozole, Paclitaxel, Teniposide,
Tretinoin, Vinorelbine, quinidine, alprazolam, diazepam, midazolam,
nelfinavir, chlorpheniramine, amlodipine, diltiazem, lercanidipine,
cerivastatin, estradiol, hydrocortisone, progesterone,
testosterone, alfentanyl, aripiprazole, cafergot, caffeine,
cilostazol, cocaine, codeine, dapsone, dextromethorphan,
domperidone, eplerenone, fentanyl, finasteride, gleevec,
haloperidol, irinotecan, Levo-Alpha Acetyl Methadol (LAAM),
methadone, nateglinide, odansetron, propranolol, quinine,
salmeterol, sildenafil, trazodone, vincristine, zaleplon, zolpidem,
ixabepilone, Agenerase (APV), Aptivus (TPV), Crixivan (IDV),
Invirase (SQV), Lexiva (FPV), Prezista (DRV), Reyataz (ATV)
Viracept (NFV), Elvitegravir, Selzentry, Vicriviroc, Telaprevir,
Telithromycin, tandospirone or buspirone.
[0085] In particular, the technology provides a method of
inhibiting cytochrome P450 monooxygenase by administering to a
patient, a compound represented by a formula:
X-A-B-X'
[0086] where:
[0087] X is a lipophilic group containing from 1 to 12 carbon atoms
optionally containing from 1 to 3 heteroatoms independently
selected from the group consisting of O, S, and N,
[0088] A is selected from the group consisting of a bond,
--OCON(R2)-, --S(O).sub.nN(R2)-, --CON(R2)-, --COCO(NR2)-,
--N(R2)CON(R2)-, --N(R2)S(O).sub.nN(R2)-, N(R2)CO or
--N(R2)COO--;
[0089] B is (CG.sub.1G.sub.2).sub.m-, where m is 0-6 and where
G.sub.1 and G.sub.2 are the same or different and where each
G.sub.1 and G.sub.2 independently is selected from the group
consisting of a bond, H, halo, haloalkyl, OR, optionally
substituted alkyl, optionally substituted alkenyl, optionally
substituted alkynyl, optionally substituted aryl, optionally
substituted cycloalkyl, optionally substituted cycloalkylalkyl,
optionally substituted aralkyl, optionally substituted heteroaryl,
optionally substituted heteroaralkyl, and optionally substituted
heterocycloalkyl where each optional substitution independently is
selected from the group consisting of alkyl, halo, cyano, CF.sub.3,
OR, C.sub.3-C.sub.7 cycloalkyl, C.sub.5-C.sub.7 cycloalkenyl, R6,
OR2, SR2, N(R2).sub.2, OR3, SR3, NR2R3, OR6, SR6, and NR2R6, and
where G.sub.1 and G.sub.2, together with the atoms to which they
are attached, optionally may form a 3-7-membered carbocyclic or
heterocyclic ring containing up to three heteroatoms selected from
the group consisting of N, S and O, and where the ring optionally
may be substituted with up to 3 R7 moieties,
[0090] X' is
##STR00004##
[0091] where M is selected from the group consisting of: a bond,
OC(R8).sub.q, --CO--, --SO.sub.n--, --O--, --O--CO--,
--N(D)-SO.sub.n--, --N(D)-CO.sub.n--, --N(D)-(R8).sub.q-,
--SO.sub.n--N(D)-(R8).sub.q-, or CO--N(D)-(R8).sub.q-,
[0092] where M can be linked in either orientation with respect to
the benzofuran ring,
[0093] where D is selected from hydrogen, alkyl, alkenyl, alkynyl,
cycloalkyl, cycloalkylalkyl, heterocycloalkyl,
heterocycloalkylalkyl, aryl, heteroaryl, heteroaralkyl or aralkyl,
O-alkyl, where D optionally is substituted by alkyl, halo, nitro,
cyano, O-alkyl, or S-alkyl;
[0094] where R is H, alkyl, haloalkyl, alkenyl, alkynyl,
alkoxyalkyl, cycloalkyl, cycloalkylalkyl, heterocycloalkyl,
heteroaryl, heterocycloalkylalkyl, aryl, aralkyl, and
heteroaralkyl;
[0095] where each R2 is independently selected from the group
consisting of H, C.sub.1-C.sub.12 alkyl, C.sub.3-C.sub.8
cycloalkyl, aryl, aralkyl, heteroaryl, heteroaralkyl, and
heterocycloalkyl each further optionally substituted with one or
more substituents selected from the group consisting of
C.sub.2-C.sub.6 alkenyl, C.sub.2-C.sub.6 alkynyl, C.sub.3-C.sub.8
cycloalkyl, C.sub.5-C.sub.8 cycloalkenyl, heterocyclo; halo, OR,
ROH, R-halo, NO.sub.2, CN, CO.sub.nR, CON(R).sub.2, C(S)R,
C(S)N(R).sub.2, SO.sub.nN(R).sub.2, SR, SO.sub.nR, N(R).sub.2,
N(R)CO.sub.nR, NRS(O).sub.nR, NRC[.dbd.N(R)]N(R).sub.2,
N(R)N(R)CO.sub.nR, NRPO.sub.nN(R).sub.2, NRPO.sub.nOR, oxo,
.dbd.N--OR, .dbd.N--N(R).sub.2, .dbd.NR, .dbd.NNRC(O)N(R).sub.2,
.dbd.NNRCO.sub.nR, .dbd.NNRS(O).sub.nN(R).sub.2, and
.dbd.NNRS(O).sub.n(R);
[0096] or each R2 is independently selected from the group
consisting of C.sub.1-C.sub.6 alkyl; substituted by aryl or
heteroaryl; which groups optionally are substituted with one or
more substituents selected from the group consisting of halo, OR,
ROH, R-halo, NO.sub.2, CN, CO.sub.nR, CON(R).sub.2, C(S)R,
C(S)N(R).sub.2, SO.sub.nN(R).sub.2, SR, SO.sub.nR, N(R).sub.2,
N(R)CO.sub.nR, NRS(O).sub.nR, NRC[.dbd.N(R)]N(R).sub.2,
N(R)N(R)CO.sub.nR, NRPO.sub.nN(R).sub.2, NRPO.sub.nOR;
[0097] R3 is C.sub.2-C.sub.6 alkenyl, C.sub.2-C.sub.6 alkynyl,
C.sub.3-C.sub.8 cycloalkyl, C.sub.5-C.sub.8 cycloalkenyl, or
heterocyclo; which groups optionally are substituted with one or
more substituents selected from the group consisting of halo, OR2,
R2-OH, R2-halo, NO.sub.2, CN, CO.sub.nR2, C(O)N(R2).sub.2,
C(O)N(R2)N(R2).sub.2, C(S)R2, C(S)N(R2).sub.2,
S(O).sub.nN(R2).sub.2, SR2, SO.sub.nR2, N(R).sub.2,
N(R2)CO.sub.nR2, NR2S(O).sub.nR2, NR2C[.dbd.N(R2)]N(R2).sub.2,
N(R2)N(R2)CO.sub.nR2, oxo, .dbd.N--OR2, .dbd.N--N(R2).sub.2,
.dbd.NR2, .dbd.NNRC(O)N(R2).sub.2, .dbd.NNR2C(O).sub.nR2,
.dbd.NNR2S(O).sub.nN(R2).sub.2, and .dbd.NNR2S(O).sub.n(R2);
[0098] R6 is aryl or heteroaryl, where the aryl or heteroaryl
optionally are substituted with one or more groups selected from
the group consisting of aryl, heteroaryl, R2, R3, halo, OR2, R2OH,
R2-halo, NO.sub.2, CN, CO.sub.nR2, C(O)N(R2).sub.2,
C(O)N(R2)N(R2).sub.2, C(S)R2, C(S)N(R2).sub.2,
S(O).sub.nN(R2).sub.2, SR2, SO.sub.nR2, N(R).sub.2,
N(R2)CO.sub.nR2, NR2S(O).sub.nR2, NR2C[.dbd.N(R2)]N(R2).sub.2,
N(R2)N(R2)CO.sub.nR2, OC(O)R2, OC(S)R2, OC(O)N(R2).sub.2, and
OC(S)N(R2).sub.2;
[0099] R7 is H, oxo, C.sub.1-C.sub.12 alkyl; C.sub.3-C.sub.8
cycloalkyl, aryl, aralkyl, heteroaryl, heteroaralkyl, or
heterocycloalkyl, each further optionally substituted with one or
more substituents selected from the group consisting of
C.sub.2-C.sub.6 alkenyl, C.sub.2-C.sub.6 alkynyl, C.sub.3-C.sub.8
cycloalkyl, C.sub.5-C.sub.8 cycloalkenyl, heterocyclo; halo, OR,
ROH, R-halo, NO.sub.2, CN, CO.sub.nR, CON(R).sub.2, C(S)R,
C(S)N(R).sub.2, SO.sub.nN(R).sub.2, SR, SO.sub.nR, N(R).sub.2,
N(R)CO.sub.nR, NRS(O).sub.nR, NRC[.dbd.N(R)]N(R).sub.2,
N(R)N(R)CO.sub.nR, NRPO.sub.nN(R).sub.2, NRPO.sub.nOR, oxo,
.dbd.N--OR, .dbd.N--N(R).sub.2, .dbd.NR, .dbd.NNRC(O)N(R).sub.2,
.dbd.NNRCO.sub.nR, .dbd.NNRS(O).sub.nN(R).sub.2, and
.dbd.NNRS(O).sub.n(R);
[0100] R8 is alkyl, haloalkyl, alkenyl, alkynyl, alkoxyalkyl,
cycloalkyl, cycloalkylalkyl, heterocycloalkyl, heteroaryl,
heterocycloalkylalkyl, aryl, aralkyl, and heteroaralkyl;
[0101] where n=1-2, and q=0-1,
[0102] where the benzene ring of the benzofuran moiety may
optionally by substituted by up to three substituents independently
selected from the group consisting of R2, halo, OR, ROH, R-halo,
NO.sub.2, CN, CO.sub.nR, CON(R).sub.2, C(S)R, C(S)N(R).sub.2,
SO.sub.nN(R).sub.2, SR, SO.sub.nR, N(R).sub.2, N(R)CO.sub.nR,
NRS(O).sub.nR, NRC[.dbd.N(R)]N(R).sub.2, N(R)N(R)CO.sub.nR,
NRPO.sub.nN(R).sub.2, and NRPO.sub.nOR, where the up to three
substituents do not form a ring between any adjacent carbon atoms
of the benzene ring, and with the proviso that the compound does
not contain a basic aliphatic amine function and does not contain a
carboxylic acid group.
[0103] In a specific embodiment, the invention provides methods of
inhibiting cytochrome P450 monooxygenase in a patient by
administering to the patient a compound represented by the
formula:
X-A-B-X'
[0104] where:
[0105] X is a lipophilic group containing from 1 to 12 carbon atoms
optionally containing from 1 to 3 heteroatoms independently
selected from the group consisting of O, S, and N,
[0106] A is --OCON(R2)-, --S(O).sub.nN(R2)-, --CON(R2)-,
--COCO(NR2)-, --N(R2)CON(R2)-, --N(R2)S(O).sub.nN(R2)-, N(R2)CO or
--N(R2)COO--;
[0107] B is --(CG.sub.1G.sub.2).sub.m-, where m is 2-6 and where
G.sub.1 and G.sub.2 are the same or different and where each
G.sub.1 and G.sub.2 independently is selected from the group
consisting of a bond, H, halo, haloalkyl, OR, optionally
substituted alkyl, optionally substituted alkenyl, optionally
substituted alkynyl, optionally substituted aryl, optionally
substituted cycloalkyl, optionally substituted cycloalkylalkyl,
optionally substituted aralkyl, optionally substituted heteroaryl,
optionally substituted heteroaralkyl, and optionally substituted
heterocycloalkyl where each optional substitution independently is
selected from the group consisting of alkyl, halo, cyano, CF.sub.3,
OR, C.sub.3-C.sub.7 cycloalkyl, C.sub.5-C.sub.7 cycloalkenyl, R6,
OR2, SR2, N(R2).sub.2, OR3, SR3, NR2R3, OR6, SR6, and NR2R6, and
where G.sub.1 and G.sub.2, together with the atoms to which they
are attached, optionally may form a 3-7-membered carbocyclic or
heterocyclic ring containing up to three heteroatoms selected from
the group consisting of N, S and O, and where the ring optionally
may be substituted with up to 3 R7 moieties,
[0108] X' is
##STR00005##
[0109] where J is selected from:
[0110] --N(D)-SO.sub.n--, --N(D)-CO.sub.n--, --N(D)-(R8).sub.q-,
--N(CO-D)-(R8).sub.q-, --N(SO.sub.n-D)-(R8).sub.q-,
--SO.sub.n--N(D)-(R8).sub.q-, or --CO.sub.n--N(D)-(R8).sub.q-,
[0111] where D is selected from hydrogen, alkyl, alkenyl, alkynyl,
cycloalkyl, cycloalkylalkyl, heterocycloalkyl,
heterocycloalkylalkyl, aryl, heteroaryl, heteroaralkyl or aralkyl,
O-alkyl, O-cycloalkyl, O-cycloalkylalkyl, O-heterocycloalkyl,
O-heterocycloalkylalkyl, O-heteroaralkyl, O-aralkyl, N(R2)-alkyl,
N(R2)-cycloalkyl, N(R2)-cycloalkylalkyl, N(R2)-heterocycloalkyl,
N(R2)-heterocycloalkylalkyl, N(R2)-heteroaralkyl, N(R2)-aralkyl,
wherein D optionally is substituted by alkyl, halo, nitro, cyano,
O-alkyl, or S-alkyl;
[0112] where R is H, alkyl, haloalkyl, alkenyl, alkynyl,
alkoxyalkyl, cycloalkyl, cycloalkylalkyl, heterocycloalkyl,
heteroaryl, heterocycloalkylalkyl, aryl, aralkyl, and
heteroaralkyl;
[0113] where each R2 is independently selected from the group
consisting of H, C.sub.1-C.sub.12 alkyl, C.sub.3-C.sub.8
cycloalkyl, aryl, aralkyl, heteroaryl, heteroaralkyl, and
heterocycloalkyl each further optionally substituted with one or
more substituents selected from the group consisting of
C.sub.2-C.sub.6 alkenyl, C.sub.2-C.sub.6 alkynyl, C.sub.3-C.sub.8
cycloalkyl, C.sub.5-C.sub.8 cycloalkenyl, heterocyclo; halo, OR,
ROH, R-halo, NO.sub.2, CN, CO.sub.nR, CON(R).sub.2, C(S)R,
C(S)N(R).sub.2, SO.sub.nN(R).sub.2, SR, SO.sub.nR, N(R).sub.2,
N(R)CO.sub.nR, NRS(O).sub.nR, NRC[.dbd.N(R)]N(R).sub.2,
N(R)N(R)CO.sub.nR, NRPO.sub.nN(R).sub.2, NRPO.sub.nOR, oxo,
.dbd.N--OR, .dbd.N--N(R).sub.2, .dbd.NR, .dbd.NNRC(O)N(R).sub.2,
.dbd.NNRCO.sub.nR, .dbd.NNRS(O).sub.nN(R).sub.2, and
.dbd.NNRS(O).sub.n(R);
[0114] or each R2 is independently selected from the group
consisting of C.sub.1-C.sub.6 alkyl; substituted by aryl or
heteroaryl; which groups optionally are substituted with one or
more substituents selected from the group consisting of halo, OR,
ROH, R-halo, NO.sub.2, CN, CO.sub.nR, CON(R).sub.2, C(S)R,
C(S)N(R).sub.2, SO.sub.nN(R).sub.2, SR, SO.sub.nR, N(R).sub.2,
N(R)CO.sub.nR, NRS(O).sub.nR, NRC[.dbd.N(R)]N(R).sub.2,
N(R)N(R)CO.sub.nR, NRPO.sub.nN(R).sub.2, NRPO.sub.nOR;
[0115] R3 is C.sub.2-C.sub.6 alkenyl, C.sub.2-C.sub.6 alkynyl,
C.sub.3-C.sub.8 cycloalkyl, C.sub.5-C.sub.8 cycloalkenyl, or
heterocyclo; which groups optionally are substituted with one or
more substituents selected from the group consisting of halo, OR2,
R2-OH, R2-halo, NO.sub.2, CN, CO.sub.nR2, C(O)N(R2).sub.2,
C(O)N(R2)N(R2).sub.2, C(S)R2, C(S)N(R2).sub.2,
S(O).sub.nN(R2).sub.2, SR2, SO.sub.nR2, N(R).sub.2,
N(R2)CO.sub.nR2, NR2S(O)R2, NR2C[.dbd.N(R2)]N(R2).sub.2,
N(R2)N(R2)CO.sub.nR2, oxo, .dbd.N--OR2, .dbd.N--N(R2).sub.2,
.dbd.NR2, .dbd.NNRC(O)N(R2).sub.2, .dbd.NNR2C(O).sub.nR2,
.dbd.NNR2S(O).sub.nN(R2).sub.2, and .dbd.NNR2S(O).sub.n(R2);
[0116] R6 is aryl or heteroaryl, where the aryl or heteroaryl
optionally are substituted with one or more groups selected from
the group consisting of aryl, heteroaryl, R2, R3, halo, OR2, R2OH,
R2-halo, NO.sub.2, CN, CO.sub.nR2, C(O)N(R2).sub.2,
C(O)N(R2)N(R2).sub.2, C(S)R2, C(S)N(R2).sub.2,
S(O).sub.nN(R2).sub.2, SR2, SO.sub.nR2, N(R).sub.2,
N(R2)CO.sub.nR2, NR2S(O).sub.nR2, NR2C[.dbd.N(R2)]N(R2).sub.2,
N(R2)N(R2)CO.sub.nR2, OC(O)R2, OC(S)R2, OC(O)N(R2).sub.2, and
OC(S)N(R2).sub.2;
[0117] R7 is H, oxo, C.sub.1-C.sub.12 alkyl; C.sub.3-C.sub.8
cycloalkyl, aryl, aralkyl, heteroaryl, heteroaralkyl, or
heterocycloalkyl, each further optionally substituted with one or
more substituents selected from the group consisting of
C.sub.2-C.sub.6 alkenyl, C.sub.2-C.sub.6 alkynyl, C.sub.3-C.sub.8
cycloalkyl, C.sub.5-C.sub.8 cycloalkenyl, heterocyclo; halo, OR,
ROH, R-halo, NO.sub.2, CN, CO.sub.nR, CON(R).sub.2, C(S)R,
C(S)N(R).sub.2, SO.sub.nN(R).sub.2, SR, SO.sub.nR, N(R).sub.2,
N(R)CO.sub.nR, NRS(O).sub.nR, NRC[.dbd.N(R)]N(R).sub.2,
N(R)N(R)CO.sub.nR, NRPO.sub.nN(R).sub.2, NRPO.sub.nOR, oxo,
.dbd.N--OR, .dbd.N--N(R).sub.2, .dbd.NR, .dbd.NNRC(O)N(R).sub.2,
.dbd.NNRCO.sub.nR, .dbd.NNRS(O).sub.nN(R).sub.2, and
.dbd.NNRS(O)(R);
[0118] R8 is alkyl, haloalkyl, alkenyl, alkynyl, alkoxyalkyl,
cycloalkyl, cycloalkylalkyl, heterocycloalkyl, heteroaryl,
heterocycloalkylalkyl, aryl, aralkyl, and heteroaralkyl;
[0119] where n=1-2, and
[0120] where q=0-1.
[0121] In another aspect, X may be alkyl, alkenyl, alkynyl,
alkoxyalkyl, cycloalkyl, cycloalkylalkyl, heterocycloalkyl,
heteroaryl, heterocycloalkylalkyl, aryl, aralkyl, or heteroaralkyl;
where X optionally is substituted with one or more substituents
selected from the group consisting of C.sub.2-C.sub.6 alkenyl,
C.sub.2-C.sub.6 alkynyl, C.sub.3-C.sub.8 cycloalkyl,
C.sub.5-C.sub.8 cycloalkenyl, heterocyclo; halo, OR, ROH, R-halo,
NO.sub.2, CN, CO.sub.nR, CON(R).sub.2, C(S)R, C(S)N(R).sub.2,
SO.sub.nN(R).sub.2, SR, SO.sub.nR, N(R).sub.2, N(R)CO.sub.nR,
NRS(O).sub.nR, NRC[.dbd.N(R)]N(R).sub.2, N(R)N(R)CO.sub.nR,
NRPO.sub.nN(R).sub.2, NRPO.sub.nOR, oxo, .dbd.N--OR,
.dbd.N--N(R).sub.2, .dbd.NR, .dbd.NNRC(O)N(R).sub.2,
.dbd.NNRCO.sub.nR, .dbd.NNRS(O).sub.nN(R).sub.2, and
.dbd.NNRS(O).sub.n(R). In one embodiment, X may be selected from
the group consisting of alkyl, cycloalkyl, aryl, aralkyl,
heteroaryl, and heteroaralkyl. X optionally is substituted with one
or more substituents selected from the group consisting of halo,
OR, ROH, R-halo, CN, CO.sub.nR, CON(R).sub.2, SO.sub.nN(R).sub.2,
SR, SO.sub.nR, N(R).sub.2, N(R)CO.sub.nR, NRS(O).sub.nR, oxo, and
.dbd.N--OR.
[0122] In other aspects, G.sub.1 and G.sub.2 may be the same or
different and independently are selected from the group consisting
of a bond, H, OR, optionally substituted alkyl, optionally
substituted aryl, optionally substituted cycloalkyl, optionally
substituted cycloalkylalkyl, optionally substituted aralkyl,
optionally substituted heteroaryl, and optionally substituted
heteroaralkyl. In specific embodiments, G.sub.1 and G.sub.2 do not
form a ring, or at least one G.sub.1 and at least one G.sub.2 form
a ring. G.sub.1 and G.sub.2 may be different and, in certain
embodiments, neither G.sub.1 nor G.sub.2 is OH.
[0123] In other aspects G1 and G2 are selected from the group
consisting of H, O-alkyl, alkyl, optionally substituted aryl and
optionally substituted aralkyl.
[0124] In the embodiments above, J may be
[0125] --N(D)-SO.sub.n--, --N(D)-CO.sub.n--, --N(D)-(R8).sub.q-,
--N(CO-D)-(R8).sub.q-, --N(SO.sub.n-D)-(R8).sub.q-,
--SO.sub.n--N(D)-(R8).sub.q-, or --CO.sub.n--N(D)-(R8).sub.q-.
[0126] In the embodiments above, D may be hydrogen, alkyl, alkenyl,
alkynyl, cycloalkyl, cycloalkylalkyl, heterocycloalkyl,
heterocycloalkylalkyl, aryl, heteroaryl, heteroaralkyl or aralkyl,
O-alkyl, O-cycloalkyl, O-cycloalkylalkyl, O-heterocycloalkyl,
O-heterocycloalkylalkyl, O-heteroaralkyl, O-aralkyl, N(R2)-alkyl,
N(R2)-cycloalkyl, N(R2)-cycloalkylalkyl, N(R2)-heterocycloalkyl,
N(R2)-heterocycloalkylalkyl, or N(R2)-heteroaralkyl, N(R2)-aralkyl,
where D optionally is substituted by alkyl, halo, nitro, cyano,
O-alkyl, or S-alkyl.
[0127] In the compounds, when X is a 5-7 membered non-aromatic
monocyclic heterocycle, optionally fused or bridged with one or
more 3-7 membered non-aromatic monocyclic heterocycle to form a
polycyclic system, where any of the heterocyclic ring systems
contains one or more heteroatoms selected from O, N, S, and P,
and
[0128] when B is
##STR00006##
where U is selected from optionally substituted alkyl, optionally
substituted alkenyl, optionally substituted alkynyl, optionally
substituted aryl, optionally substituted cycloalkyl, or optionally
substituted aralkyl, then J cannot be --N(D)-SO.sub.n-- or
--N(D)-CO.sub.n.
[0129] In the methods described above, the cytochrome P450
monoxygenase may be CYP3A4 or CYP3A5.
[0130] In other embodiments, the compound used in the methods
described above does not inhibit HIV protease. In the context of
the present invention, a compound is said to not inhibit HIV
protease when the Ki of the compound is greater than about 1 .mu.M.
Such a Ki means that the compound is not clinically useful for
inhibiting HIV protease in a patient infected with HIV.
[0131] In specific embodiments, the patient may be suffering from
chronic pain, depression, epilepsy, psychosis, inflammation,
cancer, cardiovascular disease, diabetes, neurodegenerative
disease, and/or infection, for example, infection with a
hepatitis-causing virus or HIV.
[0132] In other embodiments, the compound is administered
substantially contemporaneously with a drug where efficacy of the
drug is compromised due to degradation by cytochrome P450
monooxygenase.
[0133] This technology also envisions the quaternization of any
basic nitrogen-containing groups of the compounds disclosed herein.
The basic nitrogen can be quaternized with any agents known to
those of ordinary skill in the art including, for example, lower
alkyl halides, such as methyl, ethyl, propyl and butyl chloride,
bromides and iodides; dialkyl sulfates including dimethyl, diethyl,
dibutyl and diamyl sulfates; long chain halides such as decyl,
lauryl, myristyl and stearyl chlorides, bromides and iodides; and
aralkyl halides including benzyl and phenethyl bromides. Water or
oil-soluble or dispersible products can be obtained by such
quaternization.
[0134] By way of illustration, but not of limitation, an exemplary
CYP inhibitor according to the technology has the structure:
##STR00007##
[0135] In this molecule, D is isobutyl, B is --(CH.sub.2).sub.3, A
is --OCON(n-hexyl)-, and X is t-butyl. Certain CYP inhibitors that
contain a hydroxyethylene moiety are simultaneously HIV protease
inhibitors. These compounds also can be represented by the formula
X-A-B-X' with the requirement that B must contain a hydroxyethylene
group, i.e. one G group must be a hydroxyl and an adjacent G group
must be H. Typically, a CYP inhibitor is found to exhibit HIV
protease inhibitor activity when B has the structure:
--CH(G)CH(OH)CH.sub.2-- where G in this instance is not OH, and
typically, though not necessarily, is aralkyl. Advantageously X is
a bis-tetrahydrofuranyl moiety and A is a urethane linker.
[0136] The table below shows examples of various X, A, B and J
moieties, although it will be recognized that these examples are
merely illustrative and not limiting of the present invention.
TABLE-US-00001 X A B J ##STR00008## ##STR00009## ##STR00010##
##STR00011## ##STR00012## ##STR00013## ##STR00014## ##STR00015##
##STR00016## ##STR00017## ##STR00018## ##STR00019## ##STR00020##
##STR00021## ##STR00022## ##STR00023## ##STR00024## ##STR00025##
##STR00026## ##STR00027## ##STR00028## ##STR00029## ##STR00030##
##STR00031## ##STR00032## ##STR00033## ##STR00034## ##STR00035##
##STR00036## ##STR00037## ##STR00038## ##STR00039## ##STR00040##
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[0137] The term "pharmaceutically effective amount" or
"therapeutically effective amount" or "therapeutic dose" or
"efficacious dose" refers to an amount that when administered to a
subject is effective in inhibiting cytochrome P450 enough to reduce
or prevent the in vivo degradation of a co-administered drug and
thereby improve the pharmacokinetics of the drug and/or boost its
efficacy. The term "treating" as used herein refers to the
alleviation of symptoms of a particular disorder in a subject, such
as a human patient, or the improvement of an ascertainable
measurement associated with a particular disorder. The term
"prophylactically effective amount" refers to an amount effective
in preventing an infection, for example an HIV infection, in a
subject, such as a human patient. As used herein, a "subject"
refers to a mammal, including a human.
[0138] The term "co-administered drug" or "drug" refers to a
compound given to a patient or subject, which may be a human, for
prophylactic or therapeutic treatment. For example, a drug or a
co-administered drug may be a compound or composition listed in the
U.S. Pharmacopeia, or the Physician's Desk Reference. In specific
embodiments a drug or co-administered drug is selected from
Cyclosporine, Tacrolimus (FK506), Sirolimus (rapamycin), Indinavir,
Ritonavir, Saquinavir, Felodipine, Isradipine, Nicardipine,
Nisoldipine, Nimodipine, Nitrendipine, Nifedipine, Verapamil,
Etoposide, Tamoxifen, Vinblastine, Vincristine, Taxol,
Atorvastatin, Fluvastatin, Lovastatin, Pravastatin, Simvastatin,
Terfenadine, Loratadine, Astemizole, Alfentanil, Carbamazepine,
Azithromycin, Clarithromycin, Erythromycin, Itraconazole,
Rifabutin, Lidocaine, Cisapride, Sertraline, Pimozide, Triazolam,
Anastrazole, Busulfan, Corticosteroids (dexamethasone,
methylprednisone and prednisone), Cyclophosphamide, Cytarabine,
Docetaxel, Doxorubicin, Erlotinib, Exemestane, Gefitinib,
Idarubicin, Ifosphamide, Imatinib mesylate, Irinotecan,
Ketoconazole, Letrozole, Paclitaxel, Teniposide, Tretinoin,
Vinorelbine, telithromycin, quinidine, alprazolam, diazepam,
midazolam, nelfinavir, chlorpheniramine, amlodipine, diltiazem,
lercanidipine, cerivastatin, estradiol, hydrocortisone,
progesterone, testosterone, alfentanyl, aripiprazole, buspirone,
cafergot, caffeine, cilostazol, cocaine, codeine, dapsone,
dextromethorphan, docetaxel, domperidone, eplerenone, fentanyl,
finasteride, gleevec, haloperidol, irinotecan, Levo-Alpha Acetyl
Methadol (LAAM), methadone, nateglinide, odansetron, propranolol,
quinine, salmeterol, sildenafil, terfenadine, trazodone,
vincristine, zaleplon, zolpidem, ixabepilone, Agenerase (APV),
Aptivus (TPV), Crixivan (IDV), Invirase (SQV), Lexiva (FPV),
Prezista (DRV), Reyataz (ATV) Viracept (NFV), Elvitegravir,
Selzentry, Vicriviroc, Telaprevir, Telithromycin, tandospirone or
buspirone. A drug may also be a compound that, because of its
metabolism in a subject, may not otherwise be effective for
treating a condition in the subject unless administered with a
compound that inhibits CYP activity.
[0139] The term "antiretroviral agent" as used herein refers to a
compound that inhibits the ability of a retrovirus to effectively
infect a host. Antiretroviral agents can inhibit a variety of
process including the replication of viral genetic materials, or
entry of retroviruses into cells. In some embodiments,
antiretroviral agents are selected from the group consisting of:
protease inhibitor, a reverse transcriptase inhibitor, and a viral
fusion inhibitor. In other embodiments the antiretroviral agents
are selected from the group consisting of: abacavir, didanosine,
emtricitabine, lamivudine, stavudine, tenofovir, zidovudine,
elvucitabine, apricitabine, zalcitabine, delavirdine, efavirenz,
nevirapine, rilpivirine, etravirine, atazanavir, darunavir,
fosamprenavir, indinavir, lopinavir, Kaletra, nelfinavir,
ritonavir, saquinavir, tipranavir, enfuvirtide, maraviroc,
vicriviroc, raltegravir, elvitegravir, interferon, albuferon,
telaprevir, boceprevir, and viramidine.
[0140] The term "lipophilic group" as used herein refers to a group
that, when a part of a compound, increases the affinity or
propensity of the compound to bind, attach or dissolve in fat,
lipid or oil rather than water. A measure of the lipophilicity or
hydrophobicity of compounds of the technology can be calculated
using the Hansch equation:
Log 1/C=kP
[0141] where C is the concentration of a compound in a given
solvent and P is the hydrophobicity. Details of this method can be
obtained from J. Amer. Chem. Soc, 86:5175 (1964) and Drug Design I,
edited by E. J. Ariens, Academic Press (1971), both of which are
hereby incorporated by reference in their entireties.
[0142] Examples of a typical lipophilic group include, but are not
limited to, alkyl groups such as methyl, ethyl, n-propyl,
isopropyl, n-butyl, isobutyl, t-butyl, n-pentyl, isopentyl,
neopentyl, amyl, n-hexyl, n-heptyl, cyclohexyl, cycloheptyl, octyl,
nonyl, decyl, undecyl, and dodecyl, alkenes such as ethylene,
propylene, butene, pentene, hexene, cyclohexene, heptene,
cycloheptene, octene, cyclooctene, nonene, decene, undecene,
dodecene, 1,3-butadiene, alkynes such as propyne and butyne, aryls
such as phenyl, naphthyl, anthracenyl, phenanthrenyl, fluorenyl,
aralkyls such as benzyl, heterocyclyls such as tetrahydrothiophene,
dihydrobenzofuran, heteroaryls such as pyrrole, furan, thiophene,
pyrazole, thiazole, indole, carbazole, benzofuran, benzothiophene,
indazole, benzothiazole, purine, pyridine, pyridazine, pyrazine,
triazine, quinoline, acridine, isoquinoline, and
phenanthroline.
[0143] For small groups containing heteroatom substituents, such as
small heterocycles with a high ratio of heteroatoms to carbon
atoms, the introduction of substituents that reduce the heteroatom
to carbon atom ratio renders the group lipophilic. For example, a
triazole ring can be rendered more lipophilic by the introduction
of alkyl substituents. Similarly, non-lipophilic substituents such
as hydroxy or amido can be rendered lipophilic by introducing
additional carbon atoms, for example by exchanging a hydroxymethyl
group to a hydroxybenzyl group, or by exchanging a carboxamido
group to a dialkyl carboxamido group.
[0144] The term "substituted", whether preceded by the term
"optionally" or not, and substitutions contained in formulas of
this technology, include the replacement of one or more hydrogen
radicals in a given structure with the radical of a specified
substituent. When more than one position in a given structure can
be substituted with more than one substituent selected from a
specified group, the substituents can be either the same or
different at every position (for example, in the moiety
--N(R2)(R2), the two R2 substituents can be the same or different).
In some embodiments where a structure can be optionally
substituted, any or all of the hydrogens present may be replaced by
substituents. In some embodiments, 0-3 hydrogen atoms may be
replaced. In other embodiments, 0-1 hydrogen atoms may be replaced.
Substituents advantageously enhance cytochrome P450 inhibitory
activity in permissive mammalian cells, or enhance the
deliverability by improving solubility characteristics, or
pharmacokinetic or pharmacodynamic profiles as compared to the
unsubstituted compound. Combinations of substituents and variables
envisioned by this technology are limited to those that result in
the formation of stable compounds. Enhancements to cytochrome P450
inhibitory activity, deliverability and pharmacokinetic parameters
achieved by the addition of substituents may result in synergistic
enhancement of a compound's action and suitability for use in one
or more applications.
[0145] The term "stable", as used herein, refers to compounds which
possess stability sufficient to allow manufacture, formulation, and
administration to a mammal by methods known in the art. Typically,
such compounds are stable at a temperature of 40.degree. C. or
less, in the absence of moisture or other chemically reactive
conditions, for at least a week. In one embodiment the compounds
have less than 5% degradation after storage in the dark at
40.degree. C. or less, in the absence of moisture or other
chemically reactive conditions. In another embodiment compounds
have less than 10% degradation after storage in the dark at
40.degree. C. or less, in the absence of moisture or other
chemically reactive conditions.
[0146] The term "alkyl", alone or in combination with any other
term, refers to a straight-chain or branched-chain saturated
aliphatic hydrocarbon radical containing the specified number of
carbon atoms, or where no number is specified, advantageously from
1 to about 12 or 1 to 15 carbon atoms. Examples of alkyl radicals
include, but are not limited to: methyl, ethyl, n-propyl,
isopropyl, n-butyl, isobutyl, sec-butyl, tert-butyl, pentyl,
isoamyl, n-hexyl and the like.
[0147] The term "alkenyl", alone or in combination with any other
term, refers to a straight-chain or branched-chain mono- or
poly-unsaturated aliphatic hydrocarbon radical containing the
specified number of carbon atoms, or where no number is specified,
advantageously from 2-6 or 2-10 carbon atoms. Alkenyl groups
include all possible E and Z isomers unless specifically stated
otherwise. Examples of alkenyl radicals include, but are not
limited to, ethenyl, propenyl, isopropenyl, butenyl, isobutenyl,
pentenyl, hexenyl, hexadienyl and the like.
[0148] The term "alkynyl," alone or in combination with any other
term, refers to a straight-chain or branched-chain hydrocarbon
radical having one or more triple bonds containing the specified
number of carbon atoms, or where no number is specified,
advantageously from 2 to about 10 carbon atoms. Examples of alkynyl
radicals include, but are not limited to, ethynyl, propynyl,
propargyl, butynyl, pentynyl and the like.
[0149] The term "alkoxy" refers to an alkyl ether radical, where
the term "alkyl" is as defined above. Examples of suitable alkyl
ether radicals include, but are not limited to, methoxy, ethoxy,
n-propoxy, isopropoxy, n-butoxy, isobutoxy, sec-butoxy, tert-butoxy
and the like.
[0150] The terms "alkylamino" or "dialkylamino" include amino
radicals substituted by one or two alkyl groups, where the term
"alkyl" is defined above, and the alkyl groups can be the same or
different. Examples of suitable alkylamino and dialkylamino
radicals include, but are not limited to, methylamino, ethylamino,
isopropylamino, dimethylamino, methylethylamino, ethylbutylamino
and the like.
[0151] The term "hydroxyalkyl" refers to an alkyl radical as
defined above in which one of the hydrogen atoms is replaced by
hydroxy group. Examples of suitable hydroxyalkyl radicals include,
but are not limited to, hydroxymethyl, 2-hydroxypropyl and the
like.
[0152] The term "alkoxyalkyl" refers to an alkyl radical as defined
above in which one of the hydrogen atoms is replaced by an alkoxy
radical as defined above.
[0153] The terms "aminoalkyl", "alkylaminoalkyl" or
"dialkylaminoalkyl" refers to an alkyl radical as defined above in
which one of the hydrogen atoms is replaced by an amino or
"alkylamino" or "dialkylamino" radical as defined above.
[0154] The term "halo" or "halogen" includes fluorine, chlorine,
bromine or iodine. Halogens may be limited to fluorine, chlorine,
and bromine or fluorine and chlorine.
[0155] The term "haloalkyl" includes alkyl groups with one or more
hydrogens replaced by halogens.
[0156] The term "thioalkyl" includes alkyl radicals having at least
one sulfur atom, where alkyl has the significance given above. An
example of a thioalkyl is CH.sub.3SCH.sub.2. The definition also
encompasses the corresponding sulfoxide and sulfone of this
thioalkyl CH.sub.3S(O)CH.sub.2 and CH.sub.3S(O).sub.2CH.sub.2
respectively. Unless expressly stated to the contrary, the terms
"--SO.sub.2--" and "--S(O).sub.2--" as used herein include sulfone
or sulfone derivative (i.e., both appended groups linked to the S),
and not a sulfinate ester.
[0157] The terms "carboalkoxy" or "alkoxycarbonyl" include alkyl
esters of a carboxylic acid. Examples of "carboalkoxy" or
"alkoxycarbonyl" radicals include, but are not limited to
ethoxycarbonyl (or carboethoxy), Boc (or t-butoxycarbonyl), Cbz (or
benzyloxycarbonyl) and the like.
[0158] The term "alkanoyl" includes acyl radicals derived from an
alkanecarboxylic acid. Examples of alkanoyl radicals include, but
are not limited to acetyl, propionyl, isobutyryl and the like.
[0159] The term "aryl," alone or in combination with any other
term, refers to a carbocyclic aromatic radical (such as phenyl or
naphthyl) containing a specified number of carbon atoms. In some
embodiments aryl radicals contain from 6-16 carbon atoms, and in
other embodiments aryl radicals contain from 6 to 14 or 6-10 carbon
atoms in their ring structures. Aryl radicals may be optionally
substituted with one or more substituents selected from alkyl,
alkoxy, (for example methoxy), nitro, halo, amino, mono or
dialkylamino, carboalkoxy, cyano, thioalkyl, alkanoyl, carboxylate,
and hydroxy. Examples of aryl radicals include, but are not limited
to phenyl, p-tolyl, 4-hydroxyphenyl, 1-naphthyl, 2-naphthyl,
indenyl, indanyl, azulenyl, fluorenyl, anthracenyl and the
like.
[0160] The term "aralkyl", alone or in combination, includes alkyl
radicals as defined above in which one or more hydrogen atoms is
replaced by an aryl radical as defined above. Examples of aralkyl
radicals include, but are not limited to benzyl, 2-phenylethyl and
the like. The alkyl radical of a aralkyl group may be an alkyl
radical having 1 to 4, 1 to 6, 1 to 8, 2 to 4, 2 to 6 or 2 to 8
carbon atoms.
[0161] The term "aralkanoyl" includes acyl radicals derived from an
aryl-substituted alkanecarboxylic acid such as phenylacetyl,
3-phenylpropionyl(hydrocinnamoyl), 4-phenylbutyryl,
(2-naphthyl)acetyl, 4-chlorohydrocinnamoyl, 4-aminohydrocinnamoyl,
(1-naphthyl)acetyl, 4-methoxyhydrocinnamoyl, and the like.
[0162] The term "aroyl" includes acyl radicals derived from an
aromatic carboxylic acid such as benzoyl, 4-chlorobenzoyl,
4-carboxybenzoyl, 4-benzyloxycarbonyl)benzoyl, 1-naphthoyl,
2-naphthoyl, 6-carboxy-2-naphthoyl,
6-(benzyloxycarbonyl)-2-naphthoyl, 3-benzyloxy-2-naphthoyl,
3-hydroxy-2-naphthoyl, 3-(benzyloxyformamido)-2-naphthoyl, and the
like.
[0163] The term "arylsulfonyl" includes sulfonyl radicals derived
from an aromatic sulfonic acid such as benzenesulfonyl,
4-chlorobenzenesulfonyl, 1-naphthalenesulfonyl,
2-naphthalenesulfonyl, and the like.
[0164] The term "carbocycle" refers to a non-aromatic, stable 3- to
8-membered carbon ring which can be saturated, mono-unsaturated or
poly-unsaturated. The carbocycle can be attached at any endocyclic
carbon atom which results in a stable structure. In some
embodiments, carbocycles having 5-7 carbons may be employed,
whereas in other embodiments carbocycles having 5 or 6 carbon atoms
may be employed.
[0165] The term "cycloalkyl", alone or in combination, includes
alkyl radicals which contain from about 3 to about 8 carbon atoms
and are cyclic. Examples of such cycloalkyl radicals include
cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl and the like.
[0166] The term "cycloalkenyl" alone or in combination includes
alkenyl radicals as defined above which contain about 3-8 carbon
atoms and are cyclic.
[0167] In some embodiments, carbocycle, cycloalkyl or cycloalkenyl
groups contain 3 or 4 carbon atoms in their ring structure. In
other embodiments of carbocycles, cycloalkyl or cycloalkenyl groups
contain 5 or 6 carbon atoms in their ring structure. In still other
embodiments of carbocycles, cycloalkyl or cycloalkenyl groups
contain 7 or 8 carbon atoms in their ring structure.
[0168] The term "cycloalkyl", alone or in combination, includes
alkyl radicals which contain from about 3 to about 8 carbon atoms
and are cyclic. Examples of such cycloalkyl radicals include
cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl and the like.
[0169] The term "heterocyclyl" or "heterocyclo" or
"heterocycloalkyl" refers to a stable 3-7 membered monocyclic
heterocycle or 8-11 membered bicyclic heterocycle which is either
saturated or partially unsaturated, and which can be optionally
benzofused if monocyclic and which is optionally substituted on one
or more carbon atoms by halogen, alkyl, alkoxy, oxo, and the like,
and/or on a secondary nitrogen atom (i.e., --NH--) by alkyl,
aralkoxycarbonyl, alkanoyl, alkoxycarbonyl, arylsulfonyl, phenyl or
phenylalkyl or on a tertiary nitrogen atom (i.e., +N--) by oxido
and which is attached via a carbon atom. Each heterocycle consists
of one or more carbon atoms and from one to four heteroatoms
selected from the group consisting of nitrogen, oxygen and sulfur.
As used herein, the terms "nitrogen and sulfur heteroatoms" include
oxidized forms of nitrogen and sulfur, and the quaternized form of
any basic nitrogen. A heterocyclyl radical can be attached at any
endocyclic carbon or heteroatom which results in the creation of a
stable structure. Preferred heterocycles include 5-7 membered
monocyclic heterocycles, and 8-10 membered bicyclic heterocycles.
Examples of such groups are imidazolinyl, imidazolidinyl,
indazolinyl, perhydropyridazyl, pyrrolinyl, pyrrolidinyl,
piperidinyl, pyrazolinyl, piperazinyl, morpholinyl,
thiamorpholinyl, thiazolidinyl, thiamorpholinyl sulfone,
oxopiperidinyl, oxopyrrolidinyl, oxoazepinyl, tetrahydropyranyl,
tetrahydrofuranyl, dioxolyl, dioxinyl, benzodioxolyl, dithiolyl,
tetrahydrothienyl, sulfolanyl, dioxanyl, dioxolanyl,
tetahydrofurodihydrofuranyl, tetrahydropyranodihydrofuranyl,
dihydropyranyl, tetradyrofurofuranyl and
tetrahydropyranofuranyl.
[0170] The term "heteroaryl" refers to stable 5-6 membered
monocyclic or 8-11 membered bicyclic or 13-16 membered tricyclic
aromatic heterocycles where heterocycle is as defined above. In
some embodiments, heteroatoms present in heteroaryl radicals are
limited to one or more independently selected O, N or S atoms.
Non-limiting examples of such groups include imidazolyl, quinolyl,
isoquinolyl, indolyl, indazolyl, pyridazyl, pyridyl, pyrrolyl,
pyrazolyl, pyrazinyl, quinoxalinyl, pyrimidinyl, furyl, thienyl,
triazolyl, thiazolyl, carbolinyl, tetrazolyl, benzofuranyl,
oxazolyl, benzoxazolyl, benzimidazolyl, benzthiazolyl, isoxazolyl,
isothiazolyl, furazanyl, thiadiazyl, acridinyl, phenanthridinyl,
and benzocinnolinyl.
[0171] The term "heterocycloalkylalkyl" refers to an alkyl radical
as defined above which is substituted by a heterocycloalkyl radical
as defined above. The alkyl radical of a heterocycloalkylalkyl
group may be an alkyl radical having 1 to 4, 1 to 6, 1 to 8, 2 to
4, 2 to 6 or 2 to 8 carbon atoms.
[0172] The term "heteroaralkyl" alone or in combination, includes
alkyl radicals as defined above in which one or more hydrogen atom
is replaced by a hetoroaryl group as defined above. The alkyl
radical of a heteroaralkyl group may be an alkyl radical having 1
to 4, 1 to 6, 1 to 8, 2 to 4, 2 to 6 or 2 to 8 carbon atoms.
[0173] As used herein, the compounds of this technology (e.g.,
compounds of the formula X-A-B-X') are defined to include
pharmaceutically acceptable derivatives or prodrugs thereof. A
"pharmaceutically acceptable derivative or prodrug" includes a
pharmaceutically acceptable salt, ester, salt of an ester, or other
derivative of a compound of this technology which, upon
administration to a recipient, is capable of providing (directly or
indirectly) a compound of this technology. Particularly favored
derivatives and prodrugs are those that increase the
bioavailability of the compounds of this technology when such
compounds are administered to a mammal (e.g., by allowing an orally
administered compound to be more readily absorbed into the blood)
or which enhance delivery of the parent compound to a biological
compartment (e.g., the brain or lymphatic system) relative to the
parent species. Examples of prodrugs of hydroxy containing
compounds are amino acid esters or phosphonate or phosphate esters
that can be cleaved in vivo hydrolytically or enzymatically to
provide the parent compound. These have the advantage of providing
potentially improved solubility.
[0174] The compounds of this technology (e.g., compounds of the
formula X-A-B-X') can contain one or more asymmetric carbon atoms
and thus occur as racemates and racemic mixtures, single
enantiomers, diastereomeric mixtures and individual diastereomers.
All such isomeric forms of these compounds are expressly included
in the technology described herein. Each stereogenic carbon can be
of the R or S configuration. Although the specific compounds
exemplified in this application can be depicted in a particular
stereochemical configuration, compounds having either the opposite
stereochemistry at any given chiral center or mixtures thereof are
also envisioned. Thus, the compounds provided herein may be
enantiomerically pure, or be stereoisomeric or diastereomeric
mixtures.
[0175] It is also to be understood that the compounds provided
herein may have tautomeric forms. All such tautomeric forms are
included within the scope of the instant disclosure. For example, a
3-enamino-2-oxindole where the amino group of the enamine has a
hydrogen substituent has the tautomeric form of a
3-imino-2-hydroxyindole.
[0176] Also included in the present application are one or more of
the various polymorphs of the compounds. A crystalline compound
disclosed in the present application may have a single or may have
multiple polymorphs, and these polymorphs are intended to be
included as compounds of the present application. Also, where a
single polymorph is noted, the polymorph may change or interconvert
to one or more different polymorphs, and such polymorph or
polymorph mixtures are included in the present application.
Preparation of Compounds
[0177] The compounds can be prepared according to synthetic methods
known in the art set forth, for example, in U.S. Pat. No. 6,319,946
to Hale et al., W02008022345A2 (Eissenstat et al.), and in J. Med.
Chem. 36: 288-291 (1993), the disclosures of which are incorporated
herein by reference in their entireties, together with procedures
of the type described below. Reactions and processes for obtaining
the compounds, particularly the formation of ester and amide
linkages, may also be found in treatises and text, including, but
not limited to, Advanced Organic Synthesis, 4th Edition, J. March,
John Wiley & Sons, 1992 or Protective Groups in Organic
Synthesis 3rd Edition, T. W. Green & P. G. M. Wuts, John Wiley
& Sons, 1999, each of which is hereby incorporated by
reference.
[0178] The starting materials and reagents used in preparing these
compounds are either available from commercial suppliers such as
Aldrich Chemical Co., (Milwaukee, Wis.), Bachem (Torrance, Calif.),
or Sigma (St. Louis, Mo.) or are prepared by methods known to those
skilled in the art following procedures set forth in references
such as Fieser and Fieser's Reagents for Organic Syntheses, Volumes
1-85 (John Wiley and Sons); Rodd's Chemistry of Carbon Compounds,
Volumes 1-5 and Supplementals (Elsevier Science Publishers, 1989);
Organic Reactions, Volumes 1-71 (John Wiley and Sons), Advanced
Organic Synthesis, 4th Edition, J. March, John Wiley & Sons,
1992, and Larock's Comprehensive Organic Transformations (VCH
Publishers Inc., 1989).
[0179] Protective groups, such as those described in Protective
Groups in Organic Synthesis 3rd Edition, T. W. Green & P. G. M.
Wuts, John Wiley & Sons, 1999 may be employed for a variety of
purposes in the preparation of compounds encompassed by this
disclosure. They may be employed to control the number or placement
of substituents, or to protect functionalities that are otherwise
unstable to reaction conditions employed for the introduction or
modification of other substituents in a molecule. Where employed,
such protective groups may be removed by suitable means.
Alternatively, where the protective group is desirable in the
product they may be introduced and not removed.
[0180] In one reaction series, some compounds of the formula
X-A-B-X' may be prepared by the condensation of hydroxyethylamine A
with benzofuran-5-sulfonyl chloride provided compound 36. This
material can be selectively O-alkylated in the presence of base and
an alkylating agent such as iodomethane to provide compound 5. See
Barrish, et al. J. Med. Chem. 1758-1768 (1994). Further alkylation
on the urethane nitrogen can be accomplished using excess base and
alkylating agent. Removal of the Boc group under acidic conditions
such as trifluoroacetic acid provides the amine which is subject to
condensation with acid chlorides, anhydrides, sulfonyl chlorides,
chloroformates, carbamoyl chloride, isocyanates and the like to
provide the corresponding amide, sulfonamide, urethane, or urea.
Alternatively, reductive amination of the amine with an aldehyde
under acidic conditions can provide the secondary amine which can
be subjected to similar condensation reactions to give the N-alkyl
products (e.g., N-alkyl amide).
[0181] Other amines besides isobutylamine can be used to ring open
the epoxide leading to different N-substituted sulfonamides as the
products.
[0182] Homologation of Boc-phenylalaninol using a mesylation,
cyanide, reduction, reductive alkylation protocol provided
Boc-diamine 224, which was treated with benzofuran-5-sulfonyl
chloride as above. See Lim et al., Bioorg. Med. Chem. Lett,
1913-1916 (2004), Dallaire et al. Tetrahedron Lett 5129-5132
(1998), Mecozzi et al., J. Org. Chem. 8264-8267(2001).
Alternatively the amine from the reduction can first be
sulfonylated, followed by N-alkylation on the sulfonamide nitrogen
in the presence of a strong base. Additional base and alkylating
agent can provide alkylation of the urethane nitrogen. The Boc
group can be removed under acidic conditions either on either the
NH or N-alkyl intermediate and the products further elaborated as
above by condensation with acid chlorides, anhydrides, sulfonyl
chlorides, chloroformates, carbamoyl chloride, or isocyanates.
Alternatively the ethylene diamine analogs of these compounds can
be prepared by reacting the activated phenylalaninol with azide
instead of cyanide followed by reduction as in Rosenberg, et al.,
J. Med. Chem. 1582-1590 (1990). Elaboration of this core is as
above.
[0183] The benzyl group in the core can be replaced by a
benzyloxymethyl group by reducing the commercially available doubly
protected Boc-Cbz-diaminobutyric acid analog to give the alcohol,
removing the Cbz protecting group and sulfonylating the resulting
amine as above. See Webber et al., J. Med. Chem. 2786-2805 (1998),
Catalano, et al., Bioorg. Med. Chem. Lett., 275-278 (2004).
Alkylating the hydroxy group using a strong base such as sodium
hydride and an alkylating agent provides ethers such as compound
12. These can be further elaborated as in the examples above.
[0184] Alternatively compounds without branching in the diamine
core can be prepared by taking the well known Boc-diamines, and
condensing with benzofuransulfonyl chloride. See Fiedler, et al.;
Helv. Chim. Acta 1511-1519 (1993), Chatterjee, et al., Bioorg. Med.
Chem. Lett., (2603-2606) 1999, Saari, et al., J. Med. Chem.
3132-3138 (1991). These products can be N-alkylated on the
sulfonamide nitrogen and then optionally on the urethane nitrogen
and further elaborated similarly to above. Alternatively the
primary amine can be reductively aminated using an aldehyde under
reducing conditions and then condensed with benzofuransulfonyl
chloride to provide similar products.
Assessment of Compounds
[0185] The potency of the compounds can be measured using assays,
for example, an in vitro fluorometric assay. Typically, the ability
of a test compound to inhibit P450 is assayed by determining the
concentration of the test compound required to decrease the rate of
metabolism of a CYP substrate (also referred to herein as reference
compound) by half. The CYP substrate can be, for example,
dibenzylfluorescein. The ability of a test compound to inhibit the
rate of metabolism of a reference compound by half is known as the
IC.sub.50 value. Human liver microsomes can be used for this
purpose. Test compounds can be diluted with a suitable solvent,
such as acetonitrile, in wells of a microtiter plate. Known
cytochrome P450 inhibitors such as ritonavir and ketoconazole can
be used as references. A suitable buffer solution and NADPH or an
NADPH generating system such as, for example, G6P dehydrogenase can
be used. After mixing the inhibitors with the buffer and NADPH
system, the plates can be incubated for a suitable time at a
suitable temperature. A solution containing human liver microsomes
can be added. A buffer containing a fluorogenic substrate, such as
dibenzylfluorescein, can be added and the plates allowed to
incubate for a suitable time at a suitable temperature. The
IC.sub.50 values for the test compounds can be measured by
determining the amount of fluorescence in each well and analyzing
the values using commercially available software programs such as,
for example, Grafit.RTM. (Erithacus Software Ltd., Surrey,
U.K.).
Increasing the Half-Life of Therapeutics by Preventing their
Metabolism by Cytochrome P450 Enzymes
(Use of Compounds of the Technology for "Boosting")
[0186] CYP P450 enzymes are responsible for the metabolic
degradation of a variety of drug molecules, thus disturbing their
pharmacokinetics and reducing their bioavailabilty. Where CYP
enzymes contribute to the metabolism of compounds, compositions
that can inhibit CYP enzymes can improve the pharmacokinetics and
bioavailability of such drugs.
[0187] In certain embodiments, the technology provides methods for
inhibiting cytochrome P450 monooxygenase by administering to a
patient one or more compounds described herein. The compound can
function as a potent cytochrome P450 inhibitor and can improve the
pharmacokinetics of a drug (or a pharmaceutically acceptable salt
thereof) which is metabolized by cytochrome P450 monooxygenase. The
compound or its pharmaceutically acceptable salt can be
administered by itself or in combination with another drug. When
administered in combination, the two therapeutic agents (e.g., a
compound of the formula X-A-B-X' and a drug) can be formulated as
separate compositions which are administered at the same time or
different times, or the two therapeutic agents can be administered
as a single composition.
[0188] The compounds of the technology are effective for inhibiting
a variety of CYP enzymes. In particular, many of the compounds are
highly potent inhibitors of CYP3A4, which is responsible for
degrading many pharmaceutically important drugs. Use of the
compounds of the technology therefore permits reduced rates of drug
degradation and consequently extended durations of action in vivo.
Consequently, these compounds are useful for "boosting" the
activities of a variety of drugs, including, but not limited to,
HIV protease inhibitors by inhibiting CYP3A4-mediated degradation
of those inhibitors.
[0189] Drugs which are metabolized by cytochrome P450 monooxygenase
and which benefit from coadministration with a compound of the
technology include, but are not limited to, the immunosuppressants
cyclosporine, FK-506 and rapamycin, the chemotherapeutic agents
taxol and taxotere, the antibiotic clarithromycin and the HIV
protease inhibitors A-77003, A-80987, indinavir, saquinavir,
amprenavir, nelfinavir, fosamprenavir, lopinavir, atazanavir,
darunavir, tipranavir, DMP-323, XM-450, BILA 2011 BS, BILA 1096 BS,
BILA 2185 BS, BMS 186,318, LB71262, SC-52151, SC-629
(N,N-dimethylglycyl-N-(2-hydroxy-3-(((4-methoxyphenyl)sulphonyl)(2-methyl-
propyl)amino)-1-(phenylmethyl)propyl)-3-methyl-L-valinamide),
PPL-100, SPI-256 and KNI-272.
[0190] In other examples, the drug may be a tyrosine kinase
inhibitor, such as Gleevec (imatinib), Erlotinib, Sorafenib,
Sunitinib, dasitinib, lapatinib, and the like. Other kinase
inhibitors, such as serinethreonine kinase inhibitors, also may be
"boosted." Suitable kinase inhibitors for boosting also are
described in Keri et al.; "Signal Transduction Therapy with
Rationally Designed Kinase Inhibitors," Current Signal Transduction
Therapy, 1, 67-95 67 (2006). The drug may also be an HSP90
inhibitor such as geldanamycin, herbimycin, and others, as
described by Workman et al.: "Drugging the cancer chaperone HSP90:
Combinatorial therapeutic exploitation of oncogene addiction and
tumor stress" Workman, Ann N Y Acad Sci, 1113:202-216 (2007). In
other examples, the drug may be an inhibitor of HCV NS3 protease,
NS4a cofactor, NS4B, NS5a replicase or NS5B polymerase. Drugs for
treating HIV include, in addition to HIV protease inhibitors,
inhibitors of CD4-gp120 interaction, CCR5 and CRCX4 coreceptors,
and inhibitors of the LEDGF-integrase interaction.
[0191] Protease inhibitors and non-nucleoside reverse transcriptase
inhibitors currently indicated for use in treatment of HIV or HCV
are typically good substrates of cytochrome p450 enzymes; in
particular, they are metabolized by CYP3A4 enzymes (see e.g.,
Sahai, AIDS 10 Suppl 1:S21-5, 1996) with possible participation by
CYP2D6 enzymes (Kumar et al., J. Pharmacol. Exp. Ther.
277(1):423-31, 1996). The compounds described herein can block the
action and up-regulation of these enzymes, thus reducing the
metabolism of the protease inhibitors, allowing for lower doses and
reduction of sometimes serious side effects.
[0192] Some embodiments described herein are directed to a method
for improving the pharmacokinetics of an HIV protease inhibitor (or
a pharmaceutically acceptable salt thereof) which is metabolized by
cytochrome P450 monooxygenase. The methods comprising
coadministering a compound of the technology or a pharmaceutically
acceptable salt or co-crystal thereof. Such a combination of a
compound of the technology described herein or a pharmaceutically
acceptable salt or co-crystal thereof and an HIV protease inhibitor
or a pharmaceutically acceptable salt thereof which is metabolized
by cytochrome P450 monooxygenase is useful for inhibiting HIV
protease in humans and is also useful for inhibition, treatment or
prophylaxis of an HIV infection or AIDS (acquired immune deficiency
syndrome) in humans. When administered in combination, the two
therapeutic agents can be formulated as separate compositions which
are administered at the same time or different times, or the
therapeutic agents can be administered as a single composition. In
some embodiments the HIV protease inhibitors are selected from
A-77003, A-80987, amprenavir atazanavir, darunavir, fosamprenavir,
indinavir, lopinavir, nelfinavir, ritonavir, saquinavir,
tipranavir, DMP-323, XM-450, BILA 2011 BS, BILA 1096 BS, BILA 2185
BS, BMS 186,318, LB71262, SC-52151, SC-629,
(N,N-dimethylglycyl-N-(2-hydroxy-3-(((4-methoxyphenyl)sulphonyl)(2-methyl-
propyl)amino)-1-(phenylmethyl)propyl)-3-methyl-L-valinamide),
PPL-100, SPI-256 or KNI-272.
Methods of Administration of Compounds
[0193] The compounds of the technology can be administered in the
form of pharmaceutically acceptable salts derived from inorganic or
organic acids. Included among such acid salts, for example, are the
following: acetate, adipate, alginate, aspartate, benzoate,
benzenesulfonate, bisulfate, butyrate, citrate, camphorate,
camphorsulfonate, cyclopentanepropionate, digluconate,
dodecylsulfate, ethanesulfonate, fumarate, glucoheptanoate,
glycerophosphate, hemisulfate, heptanoate, hexanoate,
hydrochloride, hydrobromide, hydroiodide, 2-hydroxyethanesulfonate,
lactate, maleate, methanesulfonate, 2-naphthalenesulfonate,
nicotinate, oxalate, pamoate, pectinate, persulfate,
3-phenylpropionate, picrate, pivalate, propionate, succinate,
tartrate, thiocyanate, tosylate and undecanoate.
[0194] Other pharmaceutically acceptable salts include salts with
an inorganic base, organic base, inorganic acid, organic acid, or
basic or acidic amino acid. Inorganic bases which form
pharmaceutically acceptable salts include alkali metals such as
sodium or potassium, alkali earth metals such as calcium and
magnesium, aluminum, and ammonia. Organic bases which form
pharmaceutically acceptable salts include trimethylamine,
triethylamine, pyridine, picoline, ethanolamine, diethanolamine,
triethanolamine, dicyclohexylamine. Inorganic acids which form
pharmaceutically acceptable salts include hydrochloric acid,
hydroboric acid, nitric acid, sulfuric acid, and phosphoric acid.
Organic acids appropriate to form salts include formic acid, acetic
acid, trifluoroacetic acid, fumaric acid, oxalic acid, tartaric
acid, maleic acid, citric acid, succinic acid, malic acid,
methanesulfonic acid, benzenesulfonic acid, and p-toluenesulfonic
acid. Basic amino acids used to form salts include arginine, lysine
and ornithine. Acidic amino acids used to form salts include
aspartic acid and glutamic acid.
[0195] The compounds described herein may also be prepared and
administered as a composition comprising a co-crystals with other
compounds (co-crystal formers). "Co-crystal" as used herein means a
crystalline material comprised of two or more unique solids at room
temperature, each containing distinctive physical characteristics,
such as structure, melting point and heats of fusion. Co-crystals
are described, for example, in U.S. Pub. No.: 20070026078 A1, which
is incorporated by reference in its entirety. They are also
described in N. A. Meanwell, Annual Reports in Medicinal Chemistry,
Volume 43, 2008, and D. P. McNamara, Pharmaceutical Research, Vol.
23, No. 8, 2006, which is incorporated by reference in its
entirety.
[0196] The technology also contemplates compositions which can be
administered orally or non-orally in the form of, for example,
granules, powders, tablets, capsules, syrup, suppositories,
injections, emulsions, elixirs, suspensions or solutions, by mixing
these effective components, individually or simultaneously, with
pharmaceutically acceptable carriers, excipients, binders, diluents
or the like.
[0197] As a solid formulation for oral administration, the
composition can be in the form of powders, granules, tablets, pills
and capsules. In these cases, the compounds can be mixed with at
least one additive, for example, sucrose, lactose, cellulose sugar,
mannitol, maltitol, dextran, starch, agar, alginates, chitins,
chitosans, pectins, tragacanth gum, gum arabic, gelatins,
collagens, casein, albumin, synthetic or semi-synthetic polymers or
glycerides. These formulations can contain, as in conventional
cases, further additives, for example, an inactive diluent, a
lubricant such as magnesium stearate, a preservative such as
paraben or sorbic acid, an anti-oxidant such as ascorbic acid,
tocopherol or cysteine, a disintegrator, a binder, a thickening
agent, a buffer, a sweetener, a flavoring agent and a perfuming
agent. Tablets and pills can further be prepared with enteric
coating.
[0198] Examples of liquid preparations for oral administration
include pharmaceutically acceptable emulsions, syrups, elixirs,
suspensions and solutions, which can contain an inactive diluent,
for example, water.
[0199] As used herein, "non-orally" includes subcutaneous
injection, intravenous injection, intramuscular injection,
intraperitoneal injection or instillation. Injectable preparations,
for example, sterile injectable aqueous suspensions or oil
suspensions, can be prepared by known procedures in the fields
concerned, using a suitable dispersant or wetting agent and
suspending agent. The sterile injections can be, for example, a
solution or a suspension, which is prepared with a non-toxic
diluent administrable non-orally, such as an aqueous solution, or
with a solvent employable for sterile injection. Examples of usable
vehicles or acceptable solvents include water, Ringer's solution
and an isotonic aqueous saline solution. Further, a sterile
non-volatile oil can usually be employed as solvent or suspending
agent. A non-volatile oil and a fatty acid can be used for this
purpose, including natural or synthetic or semi-synthetic fatty
acid oil or fatty acid, and natural or synthetic mono- or di- or
tri-glycerides.
[0200] The pharmaceutical compositions can be formulated for nasal
aerosol or inhalation and can be prepared as solutions in saline,
and benzyl alcohol or other suitable preservatives, absorption
promoters, fluorocarbons, or solubilizing or dispersing agents.
[0201] Rectal suppositories can be prepared by mixing the drug with
a suitable vehicle, for example, cocoa butter and polyethylene
glycol, which is in the solid state at ordinary temperatures, in
the liquid state at temperatures in intestinal tubes and melts to
release the drug.
[0202] The pharmaceutical composition can be easily formulated for
topical administration with a suitable ointment containing one or
more of the compounds suspended or dissolved in a carrier, which
include mineral oil, liquid petroleum, white petroleum, propylene
glycol, polyoxyethylene, polyoxypropylene compound, emulsifying wax
and water. In addition, topical formulations can be formulated with
a lotion or cream containing the active compound suspended or
dissolved in a carrier. Suitable carriers include mineral oil,
sorbitan monostearate, polysorbate 60, cetyl esters wax, cetaryl
alcohol, 2-octyldodecanol, benzyl alcohol and water.
[0203] In some embodiments, the pharmaceutical compositions can
include .alpha.-, .beta.-, or .gamma.-cyclodextrins or their
derivatives. In certain embodiments, co-solvents such as alcohols
can improve the solubility and/or the stability of the compounds in
pharmaceutical compositions. In the preparation of aqueous
compositions, addition salts of the compounds can be suitable due
to their increased water solubility.
[0204] Appropriate cyclodextrins are .alpha.-, .beta.-, or
.gamma.-cyclodextrins (CDs) or ethers and mixed ethers thereof
where one or more of the hydroxy groups of the anhydroglucose units
of the cyclodextrin are substituted with C.sub.1-C.sub.6 alkyl,
such as methyl, ethyl or isopropyl, e.g., randomly methylated
.beta.-CD; hydroxy C.sub.1-6 alkyl, particularly hydroxyethyl,
hydroxypropyl or hydroxybutyl; carboxy C.sub.1-C.sub.6alkyl,
particularly carboxymethyl or carboxyethyl;
C.sub.1-C.sub.6alkyl-carbonyl, particularly acetyl; C.sub.1-C.sub.6
alkyloxycarbonylC.sub.1-C.sub.6alkyl, or
carboxyC.sub.1-C.sub.6alkyloxyC.sub.1-C.sub.6alkyl, particularly
carboxymethoxypropyl or carboxyethoxypropyl;
C.sub.1-C.sub.6alkylcarbonyloxyC.sub.1-C.sub.6alkyl, particularly
2-acetyloxypropyl. Especially noteworthy as complexants and/or
solubilizers are .beta.-CD, randomly methylated .beta.-CD,
2,6-dimethyl-.beta.-CD, 2-hydroxyethyl-.beta.-CD,
2-hydroxyethyl-.gamma.-CD, hydroxypropyl-.gamma.-CD and
(2-carboxymethoxy)propyl-.beta.-CD, and in particular
2-hydroxypropyl-.beta.-CD (2-HP-.beta.-CD).
[0205] The term "mixed ether" denotes cyclodextrin derivatives
where at least two cyclodextrin hydroxy groups are etherified with
different groups such as, for example, hydroxypropyl and
hydroxyethyl.
[0206] The compounds can be formulated in combination with a
cyclodextrin or a derivative thereof as described in U.S. Pat. No.
5,707,975. Although the formulations described therein are with
antifungal active ingredients, they are equally relevant for
formulating compounds (e.g., compounds of the formula X-A-B-X'),
and composition comprising compounds of that formula described
herein. The formulations described therein are particularly
suitable for oral administration and comprise an antifungal as
active ingredient, a sufficient amount of a cyclodextrin or a
derivative thereof as a solubilizer, an aqueous acidic medium as
bulk liquid carrier and an alcoholic co-solvent that greatly
simplifies the preparation of the composition. The formulations can
also be rendered more palatable by adding pharmaceutically
acceptable sweeteners and/or flavors.
[0207] Other convenient ways to enhance the solubility of the
compounds of the technology in pharmaceutical compositions are
described in WO 9405263, WO 9842318, EP-A-499,299 and WO 9744014,
all incorporated herein by reference.
[0208] In some embodiments, the compounds can be formulated in a
pharmaceutical composition comprising a therapeutically effective
amount of particles consisting of a solid dispersion comprising a
compound of formula I, and one or more pharmaceutically acceptable
water-soluble polymers.
[0209] The term "solid dispersion" defines a system in a solid
state comprising at least two components, where one component is
dispersed more or less evenly throughout the other component or
components. When the dispersion of the components is such that the
system is chemically and physically uniform or homogenous
throughout or consists of one phase as defined in thermodynamics,
such a solid dispersion is referred to as "a solid solution".
[0210] Solid solutions are preferred physical systems because the
components therein are usually readily bioavailable to the
organisms to which they are administered.
[0211] The term "solid dispersion" also comprises dispersions which
are less homogenous throughout than solid solutions. Such
dispersions are not chemically and physically uniform throughout or
comprise more than one phase.
[0212] The water-soluble polymer in the particles is conveniently a
polymer that has an apparent viscosity of 1 to 100 mPa*s when
dissolved in a 2% aqueous solution at 20 C.
[0213] Preferred water-soluble polymers are hydroxypropyl
methylcelluloses (HPMC). HPMC having a methoxy degree of
substitution from about 0.8 to about 2.5 and a hydroxypropyl molar
substitution from about 0.05 to about 3.0 are generally water
soluble. Methoxy degree of substitution refers to the average
number of methyl ether groups present per anhydroglucose unit of
the cellulose molecule. Hydroxypropyl molar substitution refers to
the average number of moles of propylene oxide which have reacted
with each anhydroglucose unit of the cellulose molecule.
[0214] The particles as defined hereinabove can be prepared by
first preparing a solid dispersion of the components, and then
optionally grinding or milling that dispersion. Various techniques
exist for preparing solid dispersions including melt-extrusion,
spray-drying and solution-evaporation.
[0215] It can further be convenient to formulate the compounds in
the form of nanoparticles which have a surface modifier adsorbed on
the surface thereof in an amount sufficient to maintain an
effective average particle size of less than 1000 nm. Useful
surface modifiers are believed to include those which physically
adhere to the surface of the antiretroviral agent but do not
chemically bond to the antiretroviral agent.
[0216] Suitable surface modifiers can preferably be selected from
known organic and inorganic pharmaceutical excipients. Such
excipients include various polymers, low molecular weight
oligomers, natural products and surfactants. Preferred surface
modifiers include nonionic and anionic surfactants.
[0217] The compounds can also be incorporated in hydrophilic
polymers and applied as a film over many small beads, thus yielding
a composition with good bioavailability which can conveniently be
manufactured and which is suitable for preparing pharmaceutical
dosage forms for oral administration. The beads comprise a central,
rounded or spherical core, a coating film of a hydrophilic polymer
and an antiretroviral agent and a seal-coating polymer layer.
Materials suitable for use as cores are pharmaceutically acceptable
and have appropriate dimensions and firmness. Examples of such
materials are polymers, inorganic substances, organic substances,
saccharides and derivatives thereof. The route of administration
can depend on the condition of the subject, co-medication and the
like.
[0218] Dosages of the compounds and compositions described herein
are dependent on age, body weight, general health conditions, sex,
diet, dose interval, administration routes, excretion rate,
combinations of drugs and conditions of the diseases treated, while
taking these and other necessary factors into consideration.
Generally, dosage levels of between about 10 .mu.g per day to about
5000 mg per day, preferably between about 25 mg per day to about
1000 mg per day of the compound are useful for the inhibition of
CYP enzymes. Typically, the pharmaceutical compositions of this
technology will be administered from about 1 to about 3 times per
day or alternatively, as a continuous infusion. Alternatively,
sustained release formulations, may be employed, Sustained release
formulations include, but are not limited to, transdermal or
iontophoretic patches, osmoitic devices, or sustained release
tablets or suppositories that generally employ expandable or
erodible polymer compositions. Such administrations can be used as
a chronic or acute therapy.
[0219] The amount of active ingredient(s) that can be combined with
the carrier materials to produce a single dosage form will vary
depending upon the host treated and the particular mode of
administration. A typical preparation will contain from about 5% to
about 95% active compound (w/w). In some embodiments, such
preparations contain from about 20% to about 80% active
compound.
[0220] While these dosage ranges can be adjusted by a necessary
unit base for dividing a daily dose, as described above, such doses
are decided depending on the diseases to be treated, conditions of
such diseases, the age, body weight, general health conditions,
sex, diet of the patient then treated, dose intervals,
administration routes, excretion rate, and combinations of drugs,
while taking these and other necessary factors into consideration.
For example, a typical preparation will contain from about 5% to
about 95% active compound (w/w). Preferably, such preparations
contain from about 10% to about 80% active compound. The desired
unit dose of the composition of this technology is administered
once or multiple times daily.
[0221] In some embodiments, the technology contemplates
compositions and formulations comprising one or more of the
compounds in combination with one or more other drugs that can be
metabolized or degraded by CYP.
[0222] The CYP inhibitors of this technology can be administered to
a patient either as a single agent (for use with a separate dose of
another drug) or in a combined dosage form with at least one other
drug. Additional drugs also can be used to increase the therapeutic
effect of these compounds.
[0223] The compounds of this technology can be administered to
patients being treated with a drug that is metabolized by a CYP
enzyme. Such drugs include, but are not limited to, anesthetics
such as ropivacaine, enflurane, halothane, isoflurane,
methoxyflurane, and sevoflurane; antiarrhythmics such as
mexiletine; antidepressants such as amitriptyline, clomipramine,
fluvoxamine, bupropion, and imipramine; anti-epileptics such as
diazepam, phenytoin, S-mephenytoin, and phenobarbitone;
antihistamines such as astemizole, chlorpheniramine, and
terfenidine; antipsychotics such as clozapine, olanzapine, and
haloperidol; beta blockers such as carvedilol, S-metoprolol,
propafenone, and timolol; calcium channel blockers such as
amlodipine, diltiazem, felodipine, lercanidipine, nifedipine,
nisoldipine, nitrendipine, and verapamil; hypoglycemic agents such
as tolbutamide and glipizide; immune modulators such as
cyclosporine and tacrolimus; muscle relaxants such as
cyclobenzaprine, tizanidine, and carisoprodol; steroids such as
estradiol; antimigraine agents such as zolmitriptan; agents used to
treat breathing aliments such as zileuton and theophylline; agents
used to treat Alzheimer's disease such as tacrine; agents used to
treat pain such as naproxen and acetaminophen; agents used to treat
amyotrophic lateral sclerosis such as riluzole; anti-nausea agents
such as ondansetron; chemotherapeutics such as paclitaxel,
ifosfamide, and cyclophosphamide; loop diuretics such as torsemide;
antidiabetic agents such as repaglinide; statin, such as
cerivastatin; antimalarial agents such as amodiaquine; proton pump
inhibitors such as lansoprazole, omeprazole, pantoprazole, and
rabeprazole; and sulfonylureas such as glyburide, glibenclamide,
glipizide, glimepiride, and tolbutamide. Patients being treated
with a protease inhibitor, a reverse transcriptase inhibitor, a
viral fusion inhibitor, or an integrase inhibitor can also be
treated with the compounds provided herein. The CYP inhibitors
provided herein can be co-administered with the other drug(s). The
compounds of the technology can also be administered in combination
with other cytochrome P450 inhibitors (e.g., ritonavir),
immunomodulators (e.g., bropirimine, anti-human alpha interferon
antibody, IL-2, and HE-2000) with antibiotics (e.g., pentamidine
isothiorate) cytokines (e.g., Th2), modulators of cytokines,
chemokines or the receptors thereof (e.g., CCR5) or hormones (e.g.,
growth hormone) to ameliorate, combat, or eliminate infections as
therapeutically appropriate.
[0224] CYP inhibitors can also be used as standalone therapeutics
for CYP-mediated diseases, or as prophylactic agents for preventing
the production of toxic metabolites. For example, an inhibitor of
CYP2A6 or 2A13 can be used to ameliorate the carcinogenic effects
of tobacco usage.
[0225] Such combination therapy in different formulations can be
administered simultaneously, separately or sequentially. The CYP
inhibitors can be administered prior to administration of the other
drug to reduce CYP levels and minimize degradation of the drug. In
specific embodiments, the CYP inhibitor is administered, 30
minutes, 1 hour, four hours, twelve hours or twenty four hours
prior to initial administration of the other drug. The CYP
inhibitors tend to have a long half in vivo, presumably as a result
of inhibiting their own metabolism. This means that once treatment
has begun, the CYP inhibitor may be administered less frequently
than the drug, although the skilled artisan will recognize that
different administration regiments may be needed in specific
situations. In certain instances, CYP inhibitors can also induce
expression of CYPs and the skilled artisan will appreciate that in
such circumstances, administration of the CYP inhibitor may need to
be more frequent. Alternatively, such combinations can be
administered as a single formulation, whereby the active
ingredients are released from the formulation simultaneously or
separately.
[0226] The following examples illustrate further the technology
but, of course, should not be construed in any way of limiting its
scope.
EXAMPLES
Example 1
Assay of IC.sub.50 for CYP Inhibitors: Determinations Using
Dibenzylfluorescein Metabolism by Human Liver Microsomes
[0227] A microtiter plate based, fluorometric assay was used for
the determination of the concentration of a test compound that will
decrease by half the maximal rate of dibenzylfluorescein, a CYP3A4
substrate, metabolism by human liver microsomes. The assay was run
as described by Crespi et al. Anal. Biochem. 248:188-90 (1997).
[0228] Test compounds were diluted in acetonitrile in wells of a
polypropylene microtiter plate (Denville Scientific, Inc. Metuchen,
N.J.). Three fold serial dilutions of the test article were made
from the first well into the next seven wells of a row. Two wells
of each row were used for positive controls containing no test
compound and two for negatives containing 500 .mu.M Ritonavir in
acetonitrile. Test compounds in acetonitrile (0.004 mL) were added
to wells of a micro titer plate (Catalog No. 3598, Corning Costar,
Cambridge, Mass.) containing a solution (0.096 mL) of 0.2 M
KPO.sub.4 Buffer (pH 7.4) and a NADPH generating system (2.6 mM
NADP, 6.6 mM glucose-6-phosphate, 3.3 mM MgCl.sub.2 and 0.8
Units/mL G6P dehydrogenase (BD/Gentest, Woburn, Mass.). The plates
were incubated for 10 minutes at 37.degree. C. prior to addition of
0.1 mL of pre-warmed 0.1 mg/mL human liver microsomes (Xeno Tech,
LLC, Lenexa, Kans.) in 0.2 M KPO.sub.4 Buffer containing 2 .mu.M
dibenzylfluorescein (BDGentest, Woburn, Mass.). The plates were
incubated for 10 minutes at 37.degree. C. and the reaction are
stopped by the addition of 0.075 mL of 2N NaOH. Plates were
incubated at 37.degree. C. for 1 hours prior to determining the
amount of fluorescence in each well with a fluorescent plate reader
(Spectra Max Gemini XS, Molecular Devices) at excitation/emission
wavelengths of 485 and 538 nm (25 nm), respectively. Data were
exported and analyzed using GraFit.RTM. (Erithacus Software Ltd.,
Surrey, U.K.). The background corrected data is fit to a
2-parameter equation for the determination of the IC.sub.50.
Example 2
Synthetic Methods
[0229] The following experimental protocols and transformations are
illustrative of the methods used to synthesize the compounds of the
technology. Syntheses of the compounds below are exemplified,
although the skilled artisan will recognize that these exemplary
methods are of general applicability.
##STR00075##
[0230] hydroxyethylamine A
##STR00076##
Example 2a
##STR00077##
[0232] (1-Benzyl-2-hydroxy-3-isobutylamine-propyl)-carbamic acid
tert-butyl ester (SM A, 10.08 g, 30 mmol, 1.0 equiv.) and
1-benzofuran-5-sulfonyl chloride (SM B, 9.74 g, 45 mmol, 1.5
equiv.) were dissolved in dichloromethane (100 mL). To the solution
was added triethylamine (8.36 mL, 60 mmol, 2.0 equiv.) at room
temperature. The mixture was stirred at the same temperature for
2.5 h, after which time the reaction was quenched through the
addition of 0.5 N hydrochloric acid aqueous solution (50 mL). The
phases were separated and then the organic layer was sequentially
washed with 5% sodium bicarbonate (50 mL) and water (50 mL). The
final organic solution was dried over anhydrous sodium sulfate and
concentrated in vacuo. The residue was purified by
recrystallization from ethyl acetatehexane (3090, v/v) to afford a
white solid, 13.09 g, m.p. 121.1-122.4.degree. C. The filtrate was
concentrated and the residue was purified on silica gel (0-50%
ethyl acetate in hexane) to afford 1.13 g additional target
compound. Yield 14.22 g (92%). MS 1055 (2MNa).sup.+, 539
(MNa).sup.+, 417 (M-BOC).sup.+ and 575 (AcOM).sup.-. Purity 97%
(HPLC).
Example 2b
##STR00078##
[0234] A 250 mL three-neck round-bottom flask was equipped with a
magnetic stirbar, an argon inlet adapter and an air outlet adapter
connected to a bubbler. The flask was charged with compound 36
(12.38 g, 24 mmol, 1.0 equiv.), anhydrous THF (96 mL), and methyl
iodide (3.0 mL, 48 mmol, 2.0 equiv.) under argon. The mixture was
cooled to 0.degree. C. and treated with sodium hydride (1.92 g, 48
mmol, 2.0 equiv.) in portions. The resulting suspension was stirred
for 3 h while the reaction was allowed to return to ambient
temperature. Then 100 ml of water was added. The clear solution was
concentrated in vacuo to remove the most of THF and was then
extracted with ethyl acetate three times. The combined organic
phase was washed with 0.5 N hydrochloric acid (50 mL), 5% sodium
bicarbonate (50 mL), and brine (50 mL). It was then dried over
anhydrous sodium sulfate and concentrated in vacuo to afford a
yellow solid, which was purified by recrystallization from ethyl
acetatehexane (2080, v/v) to afford a nearly colorless solid (9.15
g, 72%). A second recrystallization (ethyl acetatehexane, 1560)
afforded a white solid (7.92 g), m.p. 115.3-115.8.degree. C.
.sup.1H NMR (6, CDCl.sub.3): 8.22 (s, 1H), 7.78-7.91 (m, 2H), 7.70
(d, J=8.4 Hz, 1H), 7.22-7.45 (m, 5H), 6.99 (s, 1H), 4.50-4.71 (m,
1H), 3.96-4.14 (m, 1H), 3.63-3.77 (m, 1H), 3.51 (s, 4H), 2.59-3.29
(m, 5H), 2.00-2.18 (m, 1H), 1.40 (s, 9H), 1.06 (d, J=6.4 Hz, 3H),
0.96 (d, J=6.4 Hz, 3H). MS 1083 (2MNa).sup.+, 553 (MNa).sup.+, 431
(M-BOC).sup.+ and 589 (AcOM).sup.-. Purity 96% (HPLC).
Example 2c
##STR00079##
[0236] To a solution of 36 (2.20 g, 4.26 mmol) in dichloromethane
(6 mL) was added trifluoroacetic acid (3 mL) at 0.degree. C. The
mixture was stirred at room temperature for 30 min, after which
time 20% sodium bicarbonate (20 mL) was added. The two phases were
separated and the aqueous layer was extracted three times with
ethyl acetate. The combined organic phase was washed once with
brine, dried over anhydrous sodium sulfate and then concentrated in
vacuo. The residue was purified on silica gel with ethyl acetate
(0-100%) in hexane as eluant to afford 201 as a white solid (1.23
g, 72%).
[0237] A solution of 201 (125 mg, 0.3 mmol, 1.0 equiv.),
p-toluenesulfonic acid (19 mg, 0.1 mmol, 0.33 equiv.), and 37%
aqueous formaldehyde (112 .mu.L, 1.5 mmol, 5.0 equiv.) in THF (3
mL) was stirred at room temperature for 3 h, then diluted with
ethyl acetate (15 mL). The solution was washed with 5% sodium
bicarbonate once and brine once, then dried over anhydrous sodium
sulfate, and concentrated to an oil in vacuo. The crude product 202
was used directly in the next step.
[0238] To a solution of 202 in dichloromethane (2 mL) at 0.degree.
C. was added trifluoroacetic acid (2 mL) and triethylsilane (0.2
mL). The mixture was stirred at room temperature for 2 h and then
quenched with saturated sodium bicarbonate. This solution was
extracted three times with ethyl acetate. The combined organic
phase was dried over anhydrous sodium sulfate and concentrated to
dryness. The crude product 203 was used directly in the next
step.
[0239] To a solution of 203 in dichloromethane (3 mL) was added
triethylamine (84 .mu.L, 0.6 mmol, 2.0 equiv.) and 1.0 M isopropyl
chloroformate solution in toluene (0.45 mL, 0.45 mmol, 1.5 equiv.).
The mixture was stirred at room temperature for 1.5 h and then the
solution was mixed with a small amount of silica gel and evaporated
in vacuo to dryness. The residue was purified on silica gel to
afford a white solid, 49 (42 mg, 27% overall). MS 517 (MH).sup.+
and 575 (AcOM).sup.-. Purity 99% (HPLC).
Example 2d
##STR00080##
[0241] To a solution of 5 (200 mg, 0.377 mmol) in dichloromethane
(1 mL) was added trifluoroacetic acid (0.5 mL) at 0.degree. C. The
mixture was stirred at room temperature for 30 min, after which
time 20% sodium bicarbonate (10 mL) was added. The phases were
separated and aqueous layer extracted three times with ethyl
acetate. The combined organic phase was washed once with brine,
dried over anhydrous sodium sulfate and then concentrated in vacuo.
The crude product (211, 105 mg) was used directly in the next
step.
[0242] To a solution of 211 in dichloromethane (2 mL) was added
triethylamine (68 .mu.L, 0.448 mmol, 2.0 equiv.) and 1.0 M
isopropyl chloroformate solution in toluene (0.37 mL, 0.366 mmol,
1.5 equiv.). The mixture was stirred at room temperature for 1.5 h
and a small amount of silica gel was added. Then the solution was
evaporated to dryness in vacuo. The residue was purified on silica
gel (0-40% ethyl acetate in hexane) to afford a white solid, 212
(90 mg, 71%). MS 517 (MH).sup.+ and 575 (AcOM).sup.-. Purity>99%
(HPLC).
[0243] To a solution of 212 (61 mg, 0.118 mmol, 1.0 equiv.) in THF
(1 mL) was added potassium tert-butoxide (53 mg, 0.473 mmol, 4.0
equiv.). After the mixture was stirred at room temperature for 30
min, methyl iodide (29 .mu.L, 0.473 mmol, 4.0 equiv.) was added.
The reaction was stirred overnight and then quenched with methanol.
The solution was mixed with a small amount of silica gel and
concentrated to dryness and the residue was purified on silica gel
(0-40% ethyl acetate in hexane) to afford 4 (33 mg, 53%). MS 1083
(2MNa).sup.+, 531 (MH).sup.+ and 567 (MCl).sup.-. Purity>99%
(HPLC).
Example 2e
##STR00081##
[0245] To an ice-cooled solution of Boc-L-phenylalaninol (2.51 g,
10.0 mmol, 1.0 equiv.) in dichloromethane (40 mL) were added
triethylamine (2.1 mL, 15.0 mmol, 1.5 equiv.) and methanesulfonyl
chloride (1.2 mL, 15 mmol, 1.5 equiv.). The reaction mixture was
stirred for 30 min at 0.degree. C. then 30 min at room temperature.
The organic phase was washed consecutively with brine, 1M HCl,
brine, 5% aqueous NaHCO.sub.n, and brine, dried over anhydrous
sodium sulfate and concentrated under reduced pressure to afford
the mesylate as a yellow oil (221), which was used directly in the
next step.
[0246] 221 was dissolved in DMF (20 mL), and sodium cyanide (1.2 g,
25 mmol, 2.5 equiv.) was added. The reaction mixture was heated to
60.degree. C. and stirred for 3 h. After cooling to room
temperature, water (120 mL) was added and the precipitate was
collected and washed with water twice and dried in vacuo overnight.
The solid was chromatographed (0-50% ethyl acetate in hexane) on
silica gel to afford 222 as a white solid (0.6 g, 23% yield for the
two steps). 222 (104 mg, 0.4 mmol, 1.0 equiv.) and cobaltous
chloride hexahydrate (190 mg, 0.8 mmol, 2.0 equiv.) were dissolved
in methanol and sodium borohydride (151 mg, 4.0 mmol, 10 equiv.)
was added in portions with stirring at 0.degree. C. Evolution of
hydrogen gas and then a black precipitate was observed during the
addition. When the addition was complete, stirring was continued
for 1 hour at room temperature. Then the reaction was quenched by
the addition of 1.0 M aqueous HCl (6 mL). The mixture was stirred
until the black precipitate was dissolved. After the removal of
methanol in vacuo and unreacted starting material by extraction
with ether, the aqueous layer was made alkaline with concentrated
ammonium hydroxide and extracted with ethyl acetate three times.
The combined organic phase was washed twice with brine, dried over
anhydrous sodium sulfate, and concentrated. Crude 223 (79.4 mg) was
used directly in the next step.
[0247] To a solution of 223 (79 mg, 0.3 mmol, 1.0 equiv.) in
methanol (3 mL) were added sodium acetate (54 mg, 0.66 mmol, 2.2
equiv.), acetic acid (38 .mu.L, 0.66 mmol, 2.2 equiv.) and
isobutyraldehyde (60 .mu.L, 0.66 mmol, 2.2 equiv.). The mixture was
stirred and treated with sodium borohydride (50 mg, 1.32 mmol, 4.4
equiv.). After the reaction solution was stirred for 30 min at room
temperature, 20% aqueous NaHCO.sub.n was added. The reaction
mixture was extracted with ethyl acetate three times and the
combined organic phase was washed with brine twice, dried over
anhydrous sodium sulfate and concentrated in vacuo to afford crude
224 (92 mg), which was used directly in the next step.
[0248] To a solution of 224 (45 mg, 0.14 mmol, 1.0 equiv.) in
dichloromethane (1.5 mL) was added benzofuran-5-sulfonyl chloride
(46 mg, 0.21 mmol, 1.5 equiv.) and triethylamine (39 .mu.L, 0.28
mmol, 2.0 equiv.). The mixture was stirred at room temperature for
1 h and then the solution was mixed with a small amount of silica
gel and evaporated in vacuo to dryness. The residue was
chromatographed on silica gel to afford 11 as a white solid, (26
mg, 38%). MS 1023 (2MNa).sup.+, 401 (M-Boc).sup.+ and 559
(AcOM).sup.-. Purity>99% (HPLC).
Example 2f
##STR00082##
[0250] Boc-L-phenylalaninol (1.01 g, 4.0 mmol, 1.0 equiv.) and
p-toluenesulfonyl chloride (0.92 g, 4.8 mmol, 1.2 equiv.) were
dissolved in dichloromethane (20 mL) and to the solution was added
triethylamine (0.84 mL, 6.0 mmol, 1.5 equiv.) at room temperature.
The resulting mixture was stirred for 3 h, and then the reaction
was quenched with saturated ammonium chloride solution. The phases
were separated and the water layer was extracted with ether twice.
The combined organic phase was washed once with brine, dried over
anhydrous sodium sulfate and concentrated in vacuo. The residue was
chromatographed on silica gel (0-20% ethyl acetate in hexane) to
afford 231 as a white solid (0.61 g, 38%). Purity 99% (HPLC).
[0251] 231 (261 mg, 0.64 mmol, 1.0 equiv.) was dissolved in DMF
(1.5 mL), and sodium azide (84 mg, 1.28 mmol, 2.0 equiv.) was
added. The reaction mixture was heated to 80.degree. C. and stirred
for 3 h. After cooling to room temperature, the solution was
partitioned between water (5 mL) and ethyl acetate (10 mL). The
organic phase was washed with 1N HCl, 5% NaHCO.sub.n, and water,
dried over anhydrous sodium sulfate and then concentrated in vacuo.
The residue was chromatographed on silica gel to afford 232 as a
white solid (87 mg, 49%). Purity 99% (HPLC). 232 (87 mg, 0.31 mmol)
dissolved in ethyl acetate (3 mL) was hydrogenated at atmospheric
pressure for 1 h in the presence of 10% PdC (20 mg). The catalyst
was removed by filtration through Celite, and the filtrate was
concentrated in vacuo to give 233, which was used directly in the
next step.
[0252] To a solution of 233 in methanol (3 mL) were added sodium
acetate (49 mg, 0.60 mmol, 2.0 equiv.), acetic acid (34 .mu.L, 0.60
mmol, 2.0 equiv.) and isobutyraldehyde (55 .mu.L, 0.60 mmol, 2.0
equiv.). The mixture was stirred and treated with sodium
borohydride (45 mg, 1.2 mmol, 4.0 equiv.). After 30 min at room
temperature, 20% NaHCO.sub.n was added to quench the reaction. The
reaction mixture was extracted with ethyl acetate three times and
the combined organic phase was washed with brine twice, dried over
anhydrous sodium sulfate and concentrated in vacuo to give 234,
which was used directly in the next step.
[0253] To a solution of 234 in dichloromethane (3 mL) was added
benzofuran-5-sulfonyl chloride (97 mg, 0.45 mmol, 1.5 equiv.) and
triethylamine (84 .mu.L, 0.60 mmol, 2.0 equiv.). The mixture was
stirred at room temperature for 1 h and then the solution was
concentrated in vacuo. Preparative TLC (30% ethyl acetate in
hexane) afforded 15 as a white solid (14 mg, yield 10% overall). MS
995 (2MNa).sup.+, 509 (MNa).sup.+, 387 (M-Boc).sup.+,
545(AcOM).sup.-, and 485 (M-H).sup.-. Purity 97% (HPLC).
Example 2g
##STR00083##
[0255] Boc-L-Dab(Z)-OH DCHA (534 mg, 1.0 mmol, 1.0 equiv.) was
dissolved in THF (6 mL), cooled to 0.degree. C., and treated with
triethylamine (210 .mu.L, 1.5 mmol, 1.5 equiv.) and ethyl
chloroformate (114 .mu.L, 1.2 mmol, 1.2 equiv.). The resulting
mixture was stirred at 0.degree. C. for 30 min and filtered. The
filtrate was added dropwise to a slurry of sodium borohydride (190
mg, 5.0 mmol, 5.0 equiv.) in water (6 mL) at 0.degree. C. After 4
h, the mixture was diluted with brine and extracted with ethyl
acetate. The combined organic phase was dried over anhydrous sodium
sulfate and concentrated in vacuo. The residue was chromatographed
on silica gel using 0-75% ethyl acetate/dichloromethane as eluant
to afford 241 as a white solid (170 mg, 50%). Purity 99%
(HPLC).
[0256] To a solution of 241 (170 mg, 0.5 mmol) in ethanol (5 mL)
was added 10% PdC (30 mg). A hydrogen balloon was connected to the
reaction vessel. After the system was fully flushed with hydrogen,
the reaction mixture was stirred at room temperature for 4 h, and
then filtered through Celite and concentrated in vacuo to give 97
mg of 242, which was used directly in the next step.
[0257] To a solution of 242 (45 mg, 0.22 mmol, 1.0 equiv.) in
methanol (2 mL) were added sodium acetate (36 mg, 0.44 mmol, 2.0
equiv.), acetic acid (25 pt, 0.44 mmol, 2.0 equiv.) and
isobutyraldehyde (40 .mu.L, 0.44 mmol, 2.0 equiv.). The mixture was
stirred and treated with sodium borohydride (33 mg, 0.88 mmol, 4.0
equiv.). After the reaction solution was stirred for 30 min at room
temperature, 20% NaHCO.sub.n was added. The reaction mixture was
extracted with ethyl acetate three times and the combined organic
phase was washed with brine twice, dried over anhydrous sodium
sulfate and concentrated in vacuo to give 243, which was used
directly in the next step.
[0258] To a solution of 243 in dichloromethane (2 mL) was added
benzofuran-5-sulfonyl chloride (65 mg, 0.30 mmol, 1.5 equiv.) and
triethylamine (56 pt, 0.40 mmol, 2.0 equiv.). The mixture was
stirred at room temperature for 1 h and then the solution was
concentrated in vacuo. The residue was chromatographed on silica
gel to afford 244 as a white solid (39 mg, 38% for the three
steps). MS 903 (2MNa).sup.+, 463 (MNa).sup.+, 341 (M-Boc).sup.+ and
499 (AcOM).sup.-. Purity>99% (HPLC).
[0259] To a solution of 244 (36 mg, 0.082 mmol, 1.0 equiv.) in THF
(1 mL) was added benzyl bromide (39 .mu.L, 0.327 mmol, 4.0 equiv.)
and sodium hydride (13 mg, 0.327 mmol, 4.0 equiv.) at 0.degree. C.
The mixture was stirred for 2 h while the reaction temperature was
allowed to gradually return to ambient temperature. Then the
reaction was quenched with methanol. The solution was mixed with a
small amount of silica gel and concentrated in vacuo and the
residue was chromatographed on silica gel (0-50% ethyl acetate in
hexane) to afford a white solid, 12 (22 mg, 51%). MS 1083
(2MNa).sup.+, 553 (MNa).sup.+, 431 (M-Boc).sup.+ and 589
(MOAc).sup.-. Purity>99% (HPLC).
Example 2h
##STR00084##
[0261] To a solution of N-Boc-1,3-diaminopropane (6.97 g, 40 mmol,
1.0 equiv.) in anhydrous 1,2-dichloroethane (160 mL) was added
isobutyraldehyde (3.03 g, 42 mmol, 1.05 equiv.) and acetic acid
(2.3 mL, 40 mmol, 1.0 equiv.). The solution was stirred for 10 min,
and then was treated with sodium triacetoxyborohydride (12.72 g, 60
mmol, 1.5 equiv.). The resulting mixture was stirred for 1 h and
then the reaction was quenched with 20% aqueous NaHCO.sub.n (100
mL) and ethyl acetate (200 mL). The layers were separated and the
organic phase was washed twice with brine, dried over anhydrous
Na.sub.2SO.sub.4, and concentrated in vacuo to afford crude 251,
which was used directly in the next step.
[0262] To a solution of 251 (40 mmol, 1.0 equiv.) in
dichloromethane (200 mL) was added benzofuran-5-sulfonyl chloride
(10.4 g, 48 mmol, 1.2 equiv.) and triethylamine (8.4 mL, 60 mmol,
1.5 equiv.). The mixture was stirred at room temperature for 2 h
and then the reaction was quenched by the addition of 1M HCl
solution (100 mL) and ethyl acetate (200 mL). The two phases was
separated and the organic layer was washed with brine twice, dried
over anhydrous Na.sub.2SO.sub.4, and concentrated in vacuo. The
residue was purified on silica gel with ethyl acetatehexane (13) as
eluant to afford a colorless oil, 252 (5.62 g, 34% overall). MS 433
(MNa).sup.+, 311 (M-Boc).sup.+ and 469 (AcOM).sup.-. Purity>99%
(HPLC).
[0263] To a solution of 252 (5.6 g, 13.7 mmol, 1.0 equiv) in
anhydrous THF (70 mL) was added potassium tert-butoxide (3.07 g,
27.3 mmol, 2.0 equiv.) immediately followed by benzyl bromide (2.4
mL, 20.5 mmol, 1.5 equiv.). The resulting mixture was stirred at
room temperature for 1 h, after which time the reaction was
quenched by the addition of 1M HCl solution and ether. The two
phases were separated and the water layer was extracted twice with
ether. The combined organic phase was washed twice with brine,
dried over anhydrous Na.sub.2SO.sub.4 and concentrated in vacuo.
The residue was purified on silica gel with ethyl acetatehexane
(16) as eluant to afford 19 as a colorless oil (6.5 g, 95%).
.sup.1H NMR (6, CDCl.sub.3): 8.19 (s, 1H), 7.86 (s, 1H), 7.81 (d,
J=8.7 Hz, 1H), 7.69 (d, J=8.7 Hz, 1H), 7.22-7.45 (m, 5H), 6.98 (s,
1H), 4.50 (s, 2H), 3.05-3.30 (m, 4H), 2.96 (d, J=7.4 Hz, 2H),
1.75-1.94 (m, 3H), 1.55 (s, 9H), 0.99 (d, J=6.6 Hz, 6H). MS 523
(MNa).sup.+, and 401 (M-Boc). Purity>99% (HPLC).
Example 2i
##STR00085##
[0265] To a solution of benzofuran-5-carbaldehyde (146 mg, 1.0
mmol, 1.0 equiv.) in anhydrous 1,2-dichloroethane (5 mL) was added
N-Boc-1,3-diaminopropane (192 .mu.L, 1.1 mmol, 1.1 equiv.) and
acetic acid (57 .mu.L, 1.0 mmol, 1.0 equiv.). The solution was
stirred for 10 min, and then was treated with sodium
triacetoxyborohydride (297 mg, 1.4 mmol, 1.4 equiv.). The resulting
mixture was stirred for 3 h at room temperature and then the
reaction was quenched with the addition of saturated aqueous
NaHCO.sub.n solution. The aqueous layer was extracted with ethyl
acetate three times and the combined organic phase was washed twice
with brine, dried over anhydrous Na.sub.2SO.sub.4, and concentrated
in vacuo to afford crude 253 (287 mg), which was used directly in
the next step.
[0266] To a solution of 253 (96 mg, 0.32 mmol, 1.0 equiv.) in
dichloromethane (1 mL) was added isobutyryl chloride (34 .mu.L,
0.32 mmol, 1.0 equiv.) and triethylamine (49 .mu.L, 0.35 mmol, 1.1
equiv.). The mixture was stirred at room temperature for 1 h and
then the reaction solution was transferred via syringe onto a
preparative silica gel TLC plate. The plate was eluted with 1:3
ethyl acetatehexane to give 105 mg (88%) 132, MS 771 (2MNa).sup.+,
397 (MNa).sup.+, 375 (MH).sup.+, 275 (M-Boc).sup.+. HPLC
purity>99%.
[0267] 132 (38 mg, 0.1 mmol, 1.0 equiv) and sodium hydride (60%
dispersion in mineral oil, 8 mg, 0.2 mmol, 2.0 equiv.) were
dissolved in anhydrous DMSO (0.5 mL). The solution was stirred at
room temperature for 5 min. and then was treated with isobutyl
bromide (24 .mu.L, 0.22 mmol, 2.2 equiv.). The mixture was heated
to 60.degree. C. and stirred for 1.5 h and then returned to room
temperature. An additional portion of sodium hydride (8 mg, 0.2
mmol, 2.0 equiv.) was introduced and 5 minutes later an additional
portion of isobutyl bromide (24 .mu.L, 0.22 mmol, 2.2 equiv.). The
resulting mixture was heated to 60.degree. C. and stirred for an
additional 1.5 h and the reaction then quenched with methanol. The
final solution was transferred via syringe onto a preparative
silica gel TLC plate. The plate was eluted with 1:4 ethyl
acetatehexane to give 15 mg (35%) 133. MS 883 (2MNa).sup.+, 453
(MNa).sup.+, 431 (MH).sup.+ and 331 (M-Boc).sup.+. HPLC
purity>99%.
Example 2j
##STR00086##
[0269] To a solution of benzofuran-5-ylmethylamine (147 mg, 1.0
mmol, 1.0 equiv.) in dichloromethane (10 mL) were added
sequentially water (10 mL), Boc-P-Ala-OH (208 mg, 1.1 mmol, 1.1
equiv.) and HOBT (149 mg, 1.1 mmol, 1.1 equiv.). The mixture was
then cooled in an ice bath to 0-5.degree. C., and
N-(3-dimethylaminopropyl)-N'-ethylcarbodiimide hydrochloride (EDCI)
(211 mg, 1.1 mmol, 1.1 equiv.) was added. The resulting mixture was
then stirred overnight at room temperature. The reaction was
quenched with saturated aqueous NaHCO.sub.n solution. The aqueous
phase was extracted with ethyl acetate three times and the combined
organic phase was dried over anhydrous Na.sub.2SO.sub.4, and
concentrated in vacuo. The residue was purified using medium
pressure chromatography (ethyl acetatehexane gradient, 0-100%) to
afford 258 mg (81%) 134 as a white solid, MS 659 (2MNa).sup.+, 341
(MNa).sup.+, 319 (MH).sup.+, and 377. HPLC purity>99%.
[0270] 134 (48 mg, 0.15 mmol, 1.0 equiv) and sodium hydride (60%
dispersion in mineral oil, 12 mg, 0.3 mmol, 2.0 equiv.) were added
to anhydrous DMSO (0.7 mL). The solution was stirred at room
temperature for 10 min and then treated with isobutyl bromide (33
pt, 0.30 mmol, 2.0 equiv.). The mixture was then heated to
60.degree. C. and stirred for 1 h and then returned to room
temperature. An additional portion of sodium hydride (12 mg, 0.3
mmol, 2.0 equiv.) was introduced and 5 minutes later an additional
portion of isobutyl bromide (33 .mu.L, 0.30 mmol, 2.0 equiv.). The
resulting mixture was heated to 60.degree. C. and stirred for 1 h
and then returned to room temperature and quenched with methanol.
The final solution was transferred onto a preparative silica gel
TLC plate via syringe. The plate was eluted with 1:3 ethyl
acetatehexane to give 3.0 mg 135 (5%). MS 883 (2MNa).sup.+, 453
(MNa).sup.+, 431 (MH).sup.+ and 331 (M-Boc).sup.+. HPLC
purity>99%.
[0271] Variations, modifications, and other implementations of what
is described herein will occur to those of ordinary skill in the
art without departing from the spirit and the scope of the
technology. Accordingly, the technology is not to be limited only
to the preceding illustrative descriptions.
* * * * *