US20030207859A1 - Novel substituted succinic acid metallo-beta-lactamase inhibitors and their use in treating bacterial infections - Google Patents
Novel substituted succinic acid metallo-beta-lactamase inhibitors and their use in treating bacterial infections Download PDFInfo
- Publication number
- US20030207859A1 US20030207859A1 US10/339,043 US33904303A US2003207859A1 US 20030207859 A1 US20030207859 A1 US 20030207859A1 US 33904303 A US33904303 A US 33904303A US 2003207859 A1 US2003207859 A1 US 2003207859A1
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- US
- United States
- Prior art keywords
- group
- compound
- groups
- optionally substituted
- alkyl
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Abandoned
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- 102000020235 metallo-beta-lactamase Human genes 0.000 title claims abstract description 27
- 108060004734 metallo-beta-lactamase Proteins 0.000 title claims abstract description 27
- 239000003781 beta lactamase inhibitor Substances 0.000 title claims abstract description 17
- 229940126813 beta-lactamase inhibitor Drugs 0.000 title claims abstract description 17
- 208000035143 Bacterial infection Diseases 0.000 title claims abstract description 12
- 208000022362 bacterial infectious disease Diseases 0.000 title claims abstract description 12
- KDYFGRWQOYBRFD-UHFFFAOYSA-N succinic acid Chemical class OC(=O)CCC(O)=O KDYFGRWQOYBRFD-UHFFFAOYSA-N 0.000 title abstract description 9
- 239000001384 succinic acid Substances 0.000 title abstract description 4
- 150000001875 compounds Chemical class 0.000 claims abstract description 162
- 238000000034 method Methods 0.000 claims abstract description 37
- 239000003782 beta lactam antibiotic agent Substances 0.000 claims abstract description 25
- 239000002132 β-lactam antibiotic Substances 0.000 claims abstract description 25
- 229940124586 β-lactam antibiotics Drugs 0.000 claims abstract description 25
- 150000003839 salts Chemical class 0.000 claims abstract description 17
- 229940002612 prodrug Drugs 0.000 claims abstract description 10
- 239000000651 prodrug Substances 0.000 claims abstract description 10
- 230000003115 biocidal effect Effects 0.000 claims abstract description 8
- 150000008064 anhydrides Chemical class 0.000 claims abstract description 6
- 239000012453 solvate Substances 0.000 claims abstract description 6
- 239000000460 chlorine Substances 0.000 claims description 185
- -1 dibenzofuranyl Chemical group 0.000 claims description 83
- 229910052717 sulfur Inorganic materials 0.000 claims description 37
- 229910052760 oxygen Inorganic materials 0.000 claims description 34
- IJGRMHOSHXDMSA-UHFFFAOYSA-N Atomic nitrogen Chemical compound N#N IJGRMHOSHXDMSA-UHFFFAOYSA-N 0.000 claims description 32
- 125000003118 aryl group Chemical group 0.000 claims description 31
- 229910052757 nitrogen Inorganic materials 0.000 claims description 30
- 125000001424 substituent group Chemical group 0.000 claims description 30
- 239000000203 mixture Substances 0.000 claims description 27
- 125000004433 nitrogen atom Chemical group N* 0.000 claims description 22
- 125000000217 alkyl group Chemical group 0.000 claims description 21
- 125000005842 heteroatom Chemical group 0.000 claims description 20
- 125000001997 phenyl group Chemical group [H]C1=C([H])C([H])=C(*)C([H])=C1[H] 0.000 claims description 17
- 125000004417 unsaturated alkyl group Chemical group 0.000 claims description 17
- 125000002091 cationic group Chemical group 0.000 claims description 16
- 229910052739 hydrogen Inorganic materials 0.000 claims description 16
- 239000001257 hydrogen Substances 0.000 claims description 16
- 238000011282 treatment Methods 0.000 claims description 15
- RAHZWNYVWXNFOC-UHFFFAOYSA-N sulfur dioxide Inorganic materials O=S=O RAHZWNYVWXNFOC-UHFFFAOYSA-N 0.000 claims description 13
- 125000004429 atom Chemical group 0.000 claims description 12
- 125000001072 heteroaryl group Chemical group 0.000 claims description 12
- NINIDFKCEFEMDL-UHFFFAOYSA-N Sulfur Chemical compound [S] NINIDFKCEFEMDL-UHFFFAOYSA-N 0.000 claims description 11
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 claims description 11
- 239000003112 inhibitor Substances 0.000 claims description 11
- 239000001301 oxygen Substances 0.000 claims description 11
- 239000011593 sulfur Substances 0.000 claims description 11
- 239000008194 pharmaceutical composition Substances 0.000 claims description 10
- 229940126085 β‑Lactamase Inhibitor Drugs 0.000 claims description 10
- UFHFLCQGNIYNRP-UHFFFAOYSA-N Hydrogen Chemical compound [H][H] UFHFLCQGNIYNRP-UHFFFAOYSA-N 0.000 claims description 9
- 125000000113 cyclohexyl group Chemical group [H]C1([H])C([H])([H])C([H])([H])C([H])(*)C([H])([H])C1([H])[H] 0.000 claims description 9
- 125000004051 hexyl group Chemical group [H]C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])* 0.000 claims description 9
- 125000001544 thienyl group Chemical group 0.000 claims description 8
- 125000002619 bicyclic group Chemical group 0.000 claims description 6
- 125000000623 heterocyclic group Chemical group 0.000 claims description 6
- 125000002723 alicyclic group Chemical group 0.000 claims description 5
- 125000000129 anionic group Chemical group 0.000 claims description 5
- 229910052794 bromium Inorganic materials 0.000 claims description 5
- 150000001768 cations Chemical class 0.000 claims description 5
- 229910052801 chlorine Inorganic materials 0.000 claims description 5
- 239000003937 drug carrier Substances 0.000 claims description 5
- 229910052731 fluorine Inorganic materials 0.000 claims description 5
- 229910052740 iodine Inorganic materials 0.000 claims description 5
- 125000001624 naphthyl group Chemical group 0.000 claims description 5
- 125000004076 pyridyl group Chemical group 0.000 claims description 5
- 125000004169 (C1-C6) alkyl group Chemical group 0.000 claims description 4
- MTCFGRXMJLQNBG-UHFFFAOYSA-N Serine Natural products OCC(N)C(O)=O MTCFGRXMJLQNBG-UHFFFAOYSA-N 0.000 claims description 4
- 125000004435 hydrogen atom Chemical group [H]* 0.000 claims description 4
- 125000001511 cyclopentyl group Chemical group [H]C1([H])C([H])([H])C([H])([H])C([H])(*)C1([H])[H] 0.000 claims description 3
- 239000003814 drug Substances 0.000 claims description 3
- 125000002541 furyl group Chemical group 0.000 claims description 3
- 150000002431 hydrogen Chemical class 0.000 claims description 3
- 229910006074 SO2NH2 Inorganic materials 0.000 claims description 2
- 125000003917 carbamoyl group Chemical group [H]N([H])C(*)=O 0.000 claims description 2
- DHSUYTOATWAVLW-WFVMDLQDSA-N cilastatin Chemical group CC1(C)C[C@@H]1C(=O)N\C(=C/CCCCSC[C@H](N)C(O)=O)C(O)=O DHSUYTOATWAVLW-WFVMDLQDSA-N 0.000 claims description 2
- 229960004912 cilastatin Drugs 0.000 claims description 2
- 238000004519 manufacturing process Methods 0.000 claims description 2
- 125000000956 methoxy group Chemical group [H]C([H])([H])O* 0.000 claims description 2
- YZBQHRLRFGPBSL-RXMQYKEDSA-N carbapenem Chemical compound C1C=CN2C(=O)C[C@H]21 YZBQHRLRFGPBSL-RXMQYKEDSA-N 0.000 claims 2
- 150000003952 β-lactams Chemical class 0.000 claims 2
- 125000000565 sulfonamide group Chemical group 0.000 claims 1
- 241001465754 Metazoa Species 0.000 abstract description 6
- WYURNTSHIVDZCO-UHFFFAOYSA-N Tetrahydrofuran Chemical compound C1CCOC1 WYURNTSHIVDZCO-UHFFFAOYSA-N 0.000 description 80
- 0 [1*]C(C(C)=O)C([2*])C(C)=O Chemical compound [1*]C(C(C)=O)C([2*])C(C)=O 0.000 description 71
- 239000000243 solution Substances 0.000 description 69
- XEKOWRVHYACXOJ-UHFFFAOYSA-N Ethyl acetate Chemical compound CCOC(C)=O XEKOWRVHYACXOJ-UHFFFAOYSA-N 0.000 description 65
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 40
- WEVYAHXRMPXWCK-UHFFFAOYSA-N Acetonitrile Chemical compound CC#N WEVYAHXRMPXWCK-UHFFFAOYSA-N 0.000 description 37
- 239000007787 solid Substances 0.000 description 37
- 238000006243 chemical reaction Methods 0.000 description 36
- 125000006239 protecting group Chemical group 0.000 description 35
- VLKZOEOYAKHREP-UHFFFAOYSA-N n-Hexane Chemical class CCCCCC VLKZOEOYAKHREP-UHFFFAOYSA-N 0.000 description 34
- OKKJLVBELUTLKV-UHFFFAOYSA-N Methanol Chemical compound OC OKKJLVBELUTLKV-UHFFFAOYSA-N 0.000 description 33
- HEDRZPFGACZZDS-MICDWDOJSA-N Trichloro(2H)methane Chemical compound [2H]C(Cl)(Cl)Cl HEDRZPFGACZZDS-MICDWDOJSA-N 0.000 description 32
- 238000005160 1H NMR spectroscopy Methods 0.000 description 27
- JJYSXHDONXZSAC-UHFFFAOYSA-P CC(C)[N+]12CC[N+](CC(=O)NCC[NH3+])(CC1)CC2 Chemical compound CC(C)[N+]12CC[N+](CC(=O)NCC[NH3+])(CC1)CC2 JJYSXHDONXZSAC-UHFFFAOYSA-P 0.000 description 26
- DTQVDTLACAAQTR-UHFFFAOYSA-N Trifluoroacetic acid Chemical compound OC(=O)C(F)(F)F DTQVDTLACAAQTR-UHFFFAOYSA-N 0.000 description 25
- 235000019439 ethyl acetate Nutrition 0.000 description 25
- 238000003786 synthesis reaction Methods 0.000 description 25
- NLXLAEXVIDQMFP-UHFFFAOYSA-N Ammonia chloride Chemical compound [NH4+].[Cl-] NLXLAEXVIDQMFP-UHFFFAOYSA-N 0.000 description 24
- YFPPVFNWHKCCNO-UHFFFAOYSA-O CC(C)[N+]12CC[N+](CC(N)=O)(CC1)CC2 Chemical compound CC(C)[N+]12CC[N+](CC(N)=O)(CC1)CC2 YFPPVFNWHKCCNO-UHFFFAOYSA-O 0.000 description 24
- YTTXSJDZMDFWHQ-UHFFFAOYSA-O CC(C)[N+]12CC[N+](CCC[NH3+])(CC1)CC2 Chemical compound CC(C)[N+]12CC[N+](CCC[NH3+])(CC1)CC2 YTTXSJDZMDFWHQ-UHFFFAOYSA-O 0.000 description 24
- 125000003178 carboxy group Chemical group [H]OC(*)=O 0.000 description 22
- 239000011541 reaction mixture Substances 0.000 description 22
- HKJBKDLVEWTSBV-UHFFFAOYSA-N CC(C)[N+]12CC[N+](CCC[N+]34CC[N+](C)(CC3)CC4)(CC1)CC2 Chemical compound CC(C)[N+]12CC[N+](CCC[N+]34CC[N+](C)(CC3)CC4)(CC1)CC2 HKJBKDLVEWTSBV-UHFFFAOYSA-N 0.000 description 19
- YMWUJEATGCHHMB-UHFFFAOYSA-N Dichloromethane Chemical compound ClCCl YMWUJEATGCHHMB-UHFFFAOYSA-N 0.000 description 18
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 18
- XUNYVIQYZGCIHV-UHFFFAOYSA-P [H][N+]([H])(CCC[NH3+])CCC[N+](C)(C)C(C)C Chemical compound [H][N+]([H])(CCC[NH3+])CCC[N+](C)(C)C(C)C XUNYVIQYZGCIHV-UHFFFAOYSA-P 0.000 description 18
- 230000015572 biosynthetic process Effects 0.000 description 18
- 239000002904 solvent Substances 0.000 description 18
- VYTPWSPDTSJQAU-UHFFFAOYSA-N CC(C)[N+]1=CCC=C1 Chemical compound CC(C)[N+]1=CCC=C1 VYTPWSPDTSJQAU-UHFFFAOYSA-N 0.000 description 17
- 239000000741 silica gel Substances 0.000 description 17
- 229910002027 silica gel Inorganic materials 0.000 description 17
- BSIMZHVOQZIAOY-SCSAIBSYSA-N 1-carbapenem-3-carboxylic acid Chemical compound OC(=O)C1=CC[C@@H]2CC(=O)N12 BSIMZHVOQZIAOY-SCSAIBSYSA-N 0.000 description 16
- OKKJLVBELUTLKV-MZCSYVLQSA-N Deuterated methanol Chemical compound [2H]OC([2H])([2H])[2H] OKKJLVBELUTLKV-MZCSYVLQSA-N 0.000 description 16
- 239000007832 Na2SO4 Substances 0.000 description 16
- PMZURENOXWZQFD-UHFFFAOYSA-L Sodium Sulfate Chemical compound [Na+].[Na+].[O-]S([O-])(=O)=O PMZURENOXWZQFD-UHFFFAOYSA-L 0.000 description 16
- 150000002148 esters Chemical class 0.000 description 16
- 239000002243 precursor Substances 0.000 description 16
- 229910052938 sodium sulfate Inorganic materials 0.000 description 16
- 239000012074 organic phase Substances 0.000 description 15
- QTBSBXVTEAMEQO-UHFFFAOYSA-N Acetic acid Natural products CC(O)=O QTBSBXVTEAMEQO-UHFFFAOYSA-N 0.000 description 14
- ZMANZCXQSJIPKH-UHFFFAOYSA-N Triethylamine Chemical compound CCN(CC)CC ZMANZCXQSJIPKH-UHFFFAOYSA-N 0.000 description 14
- 239000012267 brine Substances 0.000 description 14
- 239000003921 oil Substances 0.000 description 14
- 235000019198 oils Nutrition 0.000 description 14
- 239000012044 organic layer Substances 0.000 description 14
- HPALAKNZSZLMCH-UHFFFAOYSA-M sodium;chloride;hydrate Chemical compound O.[Na+].[Cl-] HPALAKNZSZLMCH-UHFFFAOYSA-M 0.000 description 14
- 238000003818 flash chromatography Methods 0.000 description 13
- 125000002887 hydroxy group Chemical group [H]O* 0.000 description 13
- 229930182555 Penicillin Natural products 0.000 description 12
- 239000002585 base Substances 0.000 description 12
- 238000002360 preparation method Methods 0.000 description 12
- 238000000746 purification Methods 0.000 description 12
- 239000003795 chemical substances by application Substances 0.000 description 10
- 230000035484 reaction time Effects 0.000 description 10
- YLQBMQCUIZJEEH-UHFFFAOYSA-N tetrahydrofuran Natural products C=1C=COC=1 YLQBMQCUIZJEEH-UHFFFAOYSA-N 0.000 description 10
- CSCPPACGZOOCGX-UHFFFAOYSA-N Acetone Chemical compound CC(C)=O CSCPPACGZOOCGX-UHFFFAOYSA-N 0.000 description 9
- UYVTYBDVUSLCJA-UHFFFAOYSA-N CC(C)[N+]1=CN(C)C=C1 Chemical compound CC(C)[N+]1=CN(C)C=C1 UYVTYBDVUSLCJA-UHFFFAOYSA-N 0.000 description 9
- 229930186147 Cephalosporin Natural products 0.000 description 9
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 description 9
- KDLHZDBZIXYQEI-UHFFFAOYSA-N Palladium Chemical compound [Pd] KDLHZDBZIXYQEI-UHFFFAOYSA-N 0.000 description 9
- 229940041011 carbapenems Drugs 0.000 description 9
- 229940124587 cephalosporin Drugs 0.000 description 9
- 150000001780 cephalosporins Chemical class 0.000 description 9
- 238000002330 electrospray ionisation mass spectrometry Methods 0.000 description 9
- 230000002829 reductive effect Effects 0.000 description 9
- 239000007858 starting material Substances 0.000 description 9
- JGSARLDLIJGVTE-MBNYWOFBSA-N Penicillin G Chemical compound N([C@H]1[C@H]2SC([C@@H](N2C1=O)C(O)=O)(C)C)C(=O)CC1=CC=CC=C1 JGSARLDLIJGVTE-MBNYWOFBSA-N 0.000 description 8
- 238000004108 freeze drying Methods 0.000 description 8
- 150000002960 penicillins Chemical class 0.000 description 8
- 230000002441 reversible effect Effects 0.000 description 8
- CPELXLSAUQHCOX-UHFFFAOYSA-M Bromide Chemical compound [Br-] CPELXLSAUQHCOX-UHFFFAOYSA-M 0.000 description 7
- LSQZJLSUYDQPKJ-NJBDSQKTSA-N amoxicillin Chemical compound C1([C@@H](N)C(=O)N[C@H]2[C@H]3SC([C@@H](N3C2=O)C(O)=O)(C)C)=CC=C(O)C=C1 LSQZJLSUYDQPKJ-NJBDSQKTSA-N 0.000 description 7
- 238000007796 conventional method Methods 0.000 description 7
- 208000015181 infectious disease Diseases 0.000 description 7
- 238000002955 isolation Methods 0.000 description 7
- QJGQUHMNIGDVPM-UHFFFAOYSA-N nitrogen group Chemical group [N] QJGQUHMNIGDVPM-UHFFFAOYSA-N 0.000 description 7
- 239000012071 phase Substances 0.000 description 7
- OISVCGZHLKNMSJ-UHFFFAOYSA-N 2,6-dimethylpyridine Chemical compound CC1=CC=CC(C)=N1 OISVCGZHLKNMSJ-UHFFFAOYSA-N 0.000 description 6
- QGZKDVFQNNGYKY-UHFFFAOYSA-N Ammonia Chemical compound N QGZKDVFQNNGYKY-UHFFFAOYSA-N 0.000 description 6
- ZMXDDKWLCZADIW-UHFFFAOYSA-N N,N-Dimethylformamide Chemical compound CN(C)C=O ZMXDDKWLCZADIW-UHFFFAOYSA-N 0.000 description 6
- UIIMBOGNXHQVGW-UHFFFAOYSA-M Sodium bicarbonate Chemical compound [Na+].OC([O-])=O UIIMBOGNXHQVGW-UHFFFAOYSA-M 0.000 description 6
- WKDDRNSBRWANNC-UHFFFAOYSA-N Thienamycin Natural products C1C(SCCN)=C(C(O)=O)N2C(=O)C(C(O)C)C21 WKDDRNSBRWANNC-UHFFFAOYSA-N 0.000 description 6
- 239000002253 acid Substances 0.000 description 6
- 150000001412 amines Chemical class 0.000 description 6
- 229910052799 carbon Inorganic materials 0.000 description 6
- 125000004432 carbon atom Chemical group C* 0.000 description 6
- 238000004587 chromatography analysis Methods 0.000 description 6
- ZSKVGTPCRGIANV-ZXFLCMHBSA-N imipenem Chemical compound C1C(SCC\N=C\N)=C(C(O)=O)N2C(=O)[C@H]([C@H](O)C)[C@H]21 ZSKVGTPCRGIANV-ZXFLCMHBSA-N 0.000 description 6
- 229960002182 imipenem Drugs 0.000 description 6
- ZCSHNCUQKCANBX-UHFFFAOYSA-N lithium diisopropylamide Chemical compound [Li+].CC(C)[N-]C(C)C ZCSHNCUQKCANBX-UHFFFAOYSA-N 0.000 description 6
- 230000000269 nucleophilic effect Effects 0.000 description 6
- 125000006413 ring segment Chemical group 0.000 description 6
- 238000002390 rotary evaporation Methods 0.000 description 6
- FVAUCKIRQBBSSJ-UHFFFAOYSA-M sodium iodide Chemical compound [Na+].[I-] FVAUCKIRQBBSSJ-UHFFFAOYSA-M 0.000 description 6
- 239000000725 suspension Substances 0.000 description 6
- WJKHJLXJJJATHN-UHFFFAOYSA-N triflic anhydride Chemical compound FC(F)(F)S(=O)(=O)OS(=O)(=O)C(F)(F)F WJKHJLXJJJATHN-UHFFFAOYSA-N 0.000 description 6
- VEXZGXHMUGYJMC-UHFFFAOYSA-N Hydrochloric acid Chemical compound Cl VEXZGXHMUGYJMC-UHFFFAOYSA-N 0.000 description 5
- 239000004480 active ingredient Substances 0.000 description 5
- 238000005804 alkylation reaction Methods 0.000 description 5
- 125000003277 amino group Chemical group 0.000 description 5
- 229960003022 amoxicillin Drugs 0.000 description 5
- AVKUERGKIZMTKX-NJBDSQKTSA-N ampicillin Chemical compound C1([C@@H](N)C(=O)N[C@H]2[C@H]3SC([C@@H](N3C2=O)C(O)=O)(C)C)=CC=CC=C1 AVKUERGKIZMTKX-NJBDSQKTSA-N 0.000 description 5
- 150000001450 anions Chemical class 0.000 description 5
- 239000003054 catalyst Substances 0.000 description 5
- 238000010511 deprotection reaction Methods 0.000 description 5
- 230000000694 effects Effects 0.000 description 5
- XMBWDFGMSWQBCA-UHFFFAOYSA-N hydrogen iodide Chemical compound I XMBWDFGMSWQBCA-UHFFFAOYSA-N 0.000 description 5
- 230000002401 inhibitory effect Effects 0.000 description 5
- LSQZJLSUYDQPKJ-UHFFFAOYSA-N p-Hydroxyampicillin Natural products O=C1N2C(C(O)=O)C(C)(C)SC2C1NC(=O)C(N)C1=CC=C(O)C=C1 LSQZJLSUYDQPKJ-UHFFFAOYSA-N 0.000 description 5
- 238000010561 standard procedure Methods 0.000 description 5
- 125000000999 tert-butyl group Chemical group [H]C([H])([H])C(*)(C([H])([H])[H])C([H])([H])[H] 0.000 description 5
- ILMRJRBKQSSXGY-UHFFFAOYSA-N tert-butyl(dimethyl)silicon Chemical group C[Si](C)C(C)(C)C ILMRJRBKQSSXGY-UHFFFAOYSA-N 0.000 description 5
- VZCYOOQTPOCHFL-UHFFFAOYSA-N trans-butenedioic acid Natural products OC(=O)C=CC(O)=O VZCYOOQTPOCHFL-UHFFFAOYSA-N 0.000 description 5
- ITMCEJHCFYSIIV-UHFFFAOYSA-M triflate Chemical compound [O-]S(=O)(=O)C(F)(F)F ITMCEJHCFYSIIV-UHFFFAOYSA-M 0.000 description 5
- MCTWTZJPVLRJOU-UHFFFAOYSA-O 1-methylimidazole Chemical compound CN1C=C[NH+]=C1 MCTWTZJPVLRJOU-UHFFFAOYSA-O 0.000 description 4
- UOXJNGFFPMOZDM-UHFFFAOYSA-N 2-[di(propan-2-yl)amino]ethylsulfanyl-methylphosphinic acid Chemical compound CC(C)N(C(C)C)CCSP(C)(O)=O UOXJNGFFPMOZDM-UHFFFAOYSA-N 0.000 description 4
- HAABBEAVEOPAFJ-UHFFFAOYSA-N CC(C)[N+]12CC[N+](C)(CC1)CC2 Chemical compound CC(C)[N+]12CC[N+](C)(CC1)CC2 HAABBEAVEOPAFJ-UHFFFAOYSA-N 0.000 description 4
- VEXZGXHMUGYJMC-UHFFFAOYSA-M Chloride anion Chemical compound [Cl-] VEXZGXHMUGYJMC-UHFFFAOYSA-M 0.000 description 4
- FEWJPZIEWOKRBE-JCYAYHJZSA-N Dextrotartaric acid Chemical compound OC(=O)[C@H](O)[C@@H](O)C(O)=O FEWJPZIEWOKRBE-JCYAYHJZSA-N 0.000 description 4
- XTHFKEDIFFGKHM-UHFFFAOYSA-N Dimethoxyethane Chemical compound COCCOC XTHFKEDIFFGKHM-UHFFFAOYSA-N 0.000 description 4
- 241000380126 Gymnosteris Species 0.000 description 4
- 229910004373 HOAc Inorganic materials 0.000 description 4
- 241000282412 Homo Species 0.000 description 4
- MHAJPDPJQMAIIY-UHFFFAOYSA-N Hydrogen peroxide Chemical compound OO MHAJPDPJQMAIIY-UHFFFAOYSA-N 0.000 description 4
- 238000003820 Medium-pressure liquid chromatography Methods 0.000 description 4
- MZRVEZGGRBJDDB-UHFFFAOYSA-N N-Butyllithium Chemical compound [Li]CCCC MZRVEZGGRBJDDB-UHFFFAOYSA-N 0.000 description 4
- SECXISVLQFMRJM-UHFFFAOYSA-N N-Methylpyrrolidone Chemical compound CN1CCCC1=O SECXISVLQFMRJM-UHFFFAOYSA-N 0.000 description 4
- OPFJDXRVMFKJJO-ZHHKINOHSA-N N-{[3-(2-benzamido-4-methyl-1,3-thiazol-5-yl)-pyrazol-5-yl]carbonyl}-G-dR-G-dD-dD-dD-NH2 Chemical compound S1C(C=2NN=C(C=2)C(=O)NCC(=O)N[C@H](CCCN=C(N)N)C(=O)NCC(=O)N[C@H](CC(O)=O)C(=O)N[C@H](CC(O)=O)C(=O)N[C@H](CC(O)=O)C(N)=O)=C(C)N=C1NC(=O)C1=CC=CC=C1 OPFJDXRVMFKJJO-ZHHKINOHSA-N 0.000 description 4
- CDBYLPFSWZWCQE-UHFFFAOYSA-L Sodium Carbonate Chemical compound [Na+].[Na+].[O-]C([O-])=O CDBYLPFSWZWCQE-UHFFFAOYSA-L 0.000 description 4
- 108010021119 Trichosanthin Proteins 0.000 description 4
- 239000002168 alkylating agent Substances 0.000 description 4
- 229940100198 alkylating agent Drugs 0.000 description 4
- 229960000723 ampicillin Drugs 0.000 description 4
- 125000005228 aryl sulfonate group Chemical group 0.000 description 4
- 230000001580 bacterial effect Effects 0.000 description 4
- 239000003153 chemical reaction reagent Substances 0.000 description 4
- CZKMPDNXOGQMFW-UHFFFAOYSA-N chloro(triethyl)germane Chemical compound CC[Ge](Cl)(CC)CC CZKMPDNXOGQMFW-UHFFFAOYSA-N 0.000 description 4
- 238000011260 co-administration Methods 0.000 description 4
- 229940126086 compound 21 Drugs 0.000 description 4
- 238000001816 cooling Methods 0.000 description 4
- 229930195733 hydrocarbon Natural products 0.000 description 4
- 239000010410 layer Substances 0.000 description 4
- YNESATAKKCNGOF-UHFFFAOYSA-N lithium bis(trimethylsilyl)amide Chemical compound [Li+].C[Si](C)(C)[N-][Si](C)(C)C YNESATAKKCNGOF-UHFFFAOYSA-N 0.000 description 4
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- 239000011780 sodium chloride Substances 0.000 description 1
- GEHJYWRUCIMESM-UHFFFAOYSA-L sodium sulfite Chemical compound [Na+].[Na+].[O-]S([O-])=O GEHJYWRUCIMESM-UHFFFAOYSA-L 0.000 description 1
- 235000011152 sodium sulphate Nutrition 0.000 description 1
- AKHNMLFCWUSKQB-UHFFFAOYSA-L sodium thiosulfate Chemical compound [Na+].[Na+].[O-]S([O-])(=O)=S AKHNMLFCWUSKQB-UHFFFAOYSA-L 0.000 description 1
- 210000004872 soft tissue Anatomy 0.000 description 1
- 238000001228 spectrum Methods 0.000 description 1
- 210000002784 stomach Anatomy 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 125000005017 substituted alkenyl group Chemical group 0.000 description 1
- 239000000758 substrate Substances 0.000 description 1
- 150000003444 succinic acids Chemical class 0.000 description 1
- FKENQMMABCRJMK-RITPCOANSA-N sulbactam Chemical compound O=S1(=O)C(C)(C)[C@H](C(O)=O)N2C(=O)C[C@H]21 FKENQMMABCRJMK-RITPCOANSA-N 0.000 description 1
- 229960005256 sulbactam Drugs 0.000 description 1
- 229960004932 sulbenicillin Drugs 0.000 description 1
- BDHFUVZGWQCTTF-UHFFFAOYSA-M sulfonate Chemical compound [O-]S(=O)=O BDHFUVZGWQCTTF-UHFFFAOYSA-M 0.000 description 1
- 238000013268 sustained release Methods 0.000 description 1
- 239000012730 sustained-release form Substances 0.000 description 1
- GFYHSKONPJXCDE-UHFFFAOYSA-N sym-collidine Natural products CC1=CN=C(C)C(C)=C1 GFYHSKONPJXCDE-UHFFFAOYSA-N 0.000 description 1
- LPQZKKCYTLCDGQ-WEDXCCLWSA-N tazobactam Chemical compound C([C@]1(C)S([C@H]2N(C(C2)=O)[C@H]1C(O)=O)(=O)=O)N1C=CN=N1 LPQZKKCYTLCDGQ-WEDXCCLWSA-N 0.000 description 1
- 229960003865 tazobactam Drugs 0.000 description 1
- VNCQIGIEUDVTGU-UHFFFAOYSA-N tert-butyl-[[4-[4-(iodomethyl)phenyl]phenyl]methoxy]-dimethylsilane Chemical group C1=CC(CO[Si](C)(C)C(C)(C)C)=CC=C1C1=CC=C(CI)C=C1 VNCQIGIEUDVTGU-UHFFFAOYSA-N 0.000 description 1
- 150000003512 tertiary amines Chemical class 0.000 description 1
- 125000001302 tertiary amino group Chemical group 0.000 description 1
- 238000012360 testing method Methods 0.000 description 1
- 125000005207 tetraalkylammonium group Chemical group 0.000 description 1
- DZLFLBLQUQXARW-UHFFFAOYSA-N tetrabutylammonium Chemical compound CCCC[N+](CCCC)(CCCC)CCCC DZLFLBLQUQXARW-UHFFFAOYSA-N 0.000 description 1
- QEMXHQIAXOOASZ-UHFFFAOYSA-N tetramethylammonium Chemical compound C[N+](C)(C)C QEMXHQIAXOOASZ-UHFFFAOYSA-N 0.000 description 1
- VLLMWSRANPNYQX-UHFFFAOYSA-N thiadiazole Chemical compound C1=CSN=N1.C1=CSN=N1 VLLMWSRANPNYQX-UHFFFAOYSA-N 0.000 description 1
- 150000007970 thio esters Chemical class 0.000 description 1
- 150000003573 thiols Chemical class 0.000 description 1
- XJDNKRIXUMDJCW-UHFFFAOYSA-J titanium tetrachloride Chemical compound Cl[Ti](Cl)(Cl)Cl XJDNKRIXUMDJCW-UHFFFAOYSA-J 0.000 description 1
- 230000000699 topical effect Effects 0.000 description 1
- 229910052723 transition metal Inorganic materials 0.000 description 1
- 150000003624 transition metals Chemical class 0.000 description 1
- 150000004684 trihydrates Chemical class 0.000 description 1
- ZDPHROOEEOARMN-UHFFFAOYSA-N undecanoic acid Chemical compound CCCCCCCCCCC(O)=O ZDPHROOEEOARMN-UHFFFAOYSA-N 0.000 description 1
- 210000001635 urinary tract Anatomy 0.000 description 1
- 239000003981 vehicle Substances 0.000 description 1
- 230000001018 virulence Effects 0.000 description 1
- 238000010626 work up procedure Methods 0.000 description 1
- 229910052725 zinc Inorganic materials 0.000 description 1
- 239000011701 zinc Substances 0.000 description 1
- NWONKYPBYAMBJT-UHFFFAOYSA-L zinc sulfate Chemical compound [Zn+2].[O-]S([O-])(=O)=O NWONKYPBYAMBJT-UHFFFAOYSA-L 0.000 description 1
- 229910000368 zinc sulfate Inorganic materials 0.000 description 1
- 239000011686 zinc sulphate Substances 0.000 description 1
Classifications
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D307/00—Heterocyclic compounds containing five-membered rings having one oxygen atom as the only ring hetero atom
- C07D307/77—Heterocyclic compounds containing five-membered rings having one oxygen atom as the only ring hetero atom ortho- or peri-condensed with carbocyclic rings or ring systems
- C07D307/91—Dibenzofurans; Hydrogenated dibenzofurans
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P31/00—Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
- A61P31/04—Antibacterial agents
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07C—ACYCLIC OR CARBOCYCLIC COMPOUNDS
- C07C57/00—Unsaturated compounds having carboxyl groups bound to acyclic carbon atoms
- C07C57/30—Unsaturated compounds having carboxyl groups bound to acyclic carbon atoms containing six-membered aromatic rings
- C07C57/38—Unsaturated compounds having carboxyl groups bound to acyclic carbon atoms containing six-membered aromatic rings polycyclic
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07C—ACYCLIC OR CARBOCYCLIC COMPOUNDS
- C07C57/00—Unsaturated compounds having carboxyl groups bound to acyclic carbon atoms
- C07C57/52—Unsaturated compounds having carboxyl groups bound to acyclic carbon atoms containing halogen
- C07C57/58—Unsaturated compounds having carboxyl groups bound to acyclic carbon atoms containing halogen containing six-membered aromatic rings
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07C—ACYCLIC OR CARBOCYCLIC COMPOUNDS
- C07C59/00—Compounds having carboxyl groups bound to acyclic carbon atoms and containing any of the groups OH, O—metal, —CHO, keto, ether, groups, groups, or groups
- C07C59/40—Unsaturated compounds
- C07C59/58—Unsaturated compounds containing ether groups, groups, groups, or groups
- C07C59/64—Unsaturated compounds containing ether groups, groups, groups, or groups containing six-membered aromatic rings
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07C—ACYCLIC OR CARBOCYCLIC COMPOUNDS
- C07C69/00—Esters of carboxylic acids; Esters of carbonic or haloformic acids
- C07C69/612—Esters of carboxylic acids having a carboxyl group bound to an acyclic carbon atom and having a six-membered aromatic ring in the acid moiety
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07C—ACYCLIC OR CARBOCYCLIC COMPOUNDS
- C07C69/00—Esters of carboxylic acids; Esters of carbonic or haloformic acids
- C07C69/66—Esters of carboxylic acids having esterified carboxylic groups bound to acyclic carbon atoms and having any of the groups OH, O—metal, —CHO, keto, ether, acyloxy, groups, groups, or in the acid moiety
- C07C69/73—Esters of carboxylic acids having esterified carboxylic groups bound to acyclic carbon atoms and having any of the groups OH, O—metal, —CHO, keto, ether, acyloxy, groups, groups, or in the acid moiety of unsaturated acids
- C07C69/734—Ethers
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D231/00—Heterocyclic compounds containing 1,2-diazole or hydrogenated 1,2-diazole rings
- C07D231/02—Heterocyclic compounds containing 1,2-diazole or hydrogenated 1,2-diazole rings not condensed with other rings
- C07D231/10—Heterocyclic compounds containing 1,2-diazole or hydrogenated 1,2-diazole rings not condensed with other rings having two or three double bonds between ring members or between ring members and non-ring members
- C07D231/12—Heterocyclic compounds containing 1,2-diazole or hydrogenated 1,2-diazole rings not condensed with other rings having two or three double bonds between ring members or between ring members and non-ring members with only hydrogen atoms, hydrocarbon or substituted hydrocarbon radicals, directly attached to ring carbon atoms
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D233/00—Heterocyclic compounds containing 1,3-diazole or hydrogenated 1,3-diazole rings, not condensed with other rings
- C07D233/54—Heterocyclic compounds containing 1,3-diazole or hydrogenated 1,3-diazole rings, not condensed with other rings having two double bonds between ring members or between ring members and non-ring members
- C07D233/56—Heterocyclic compounds containing 1,3-diazole or hydrogenated 1,3-diazole rings, not condensed with other rings having two double bonds between ring members or between ring members and non-ring members with only hydrogen atoms or radicals containing only hydrogen and carbon atoms, attached to ring carbon atoms
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D249/00—Heterocyclic compounds containing five-membered rings having three nitrogen atoms as the only ring hetero atoms
- C07D249/02—Heterocyclic compounds containing five-membered rings having three nitrogen atoms as the only ring hetero atoms not condensed with other rings
- C07D249/08—1,2,4-Triazoles; Hydrogenated 1,2,4-triazoles
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D333/00—Heterocyclic compounds containing five-membered rings having one sulfur atom as the only ring hetero atom
- C07D333/02—Heterocyclic compounds containing five-membered rings having one sulfur atom as the only ring hetero atom not condensed with other rings
- C07D333/04—Heterocyclic compounds containing five-membered rings having one sulfur atom as the only ring hetero atom not condensed with other rings not substituted on the ring sulphur atom
- C07D333/06—Heterocyclic compounds containing five-membered rings having one sulfur atom as the only ring hetero atom not condensed with other rings not substituted on the ring sulphur atom with only hydrogen atoms, hydrocarbon or substituted hydrocarbon radicals, directly attached to the ring carbon atoms
- C07D333/14—Radicals substituted by singly bound hetero atoms other than halogen
- C07D333/20—Radicals substituted by singly bound hetero atoms other than halogen by nitrogen atoms
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D405/00—Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom
- C07D405/02—Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom containing two hetero rings
- C07D405/06—Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom containing two hetero rings linked by a carbon chain containing only aliphatic carbon atoms
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D409/00—Heterocyclic compounds containing two or more hetero rings, at least one ring having sulfur atoms as the only ring hetero atoms
- C07D409/02—Heterocyclic compounds containing two or more hetero rings, at least one ring having sulfur atoms as the only ring hetero atoms containing two hetero rings
- C07D409/06—Heterocyclic compounds containing two or more hetero rings, at least one ring having sulfur atoms as the only ring hetero atoms containing two hetero rings linked by a carbon chain containing only aliphatic carbon atoms
Definitions
- the present invention relates to compounds which have metallo- ⁇ -lactamase inhibitory characteristics.
- the invention also relates to methods of preparing, pharmaceutical compositions and uses of the compounds.
- Metallo- ⁇ -lactamases are bacterial enzymes which confer resistance to virtually all clinically relevant ⁇ -lactam antibiotics, including carbapenems and jeopardize the future use of all such agents.
- carbapenems and other ⁇ -lactam antibiotics may lead to the proliferation of clinical bacterial strains which are able to produce metallo- ⁇ -lactamases and thus resist the effects of ⁇ -lactam antibiotics.
- metallo- ⁇ -lactamases have now been identified in a number of pathogenic bacterial species including Bacillus cereus, Bacteroides fragilis, Aeromonas hydrophila, Klebsiella pneumoniae, Pseudomonas aeruginosa, Serratia marcescens, Stenotrophomonas maltophilia, Shigella flexneri, Legionella gormanii, Chryseobacterium meningosepticum, Chryseobacterium indologenes, Acinetobacter baumannii, Citrobacter freundii , and Aeromonas veronii.
- WO 98/17639, 97/30027, 98/40056,98/39311 and 97/10225 teach certain beta-thiopropionyl-amino acid derivatives and their use as inhibitory agents against metallo- ⁇ -lactamases. Goto et. al., Biol. Pharm. Bull. 20, 1136 (1997), Payne et. al., FEMS Microbiology Letters 157, 171 (1997), Payne et al., Antimicrob. Agents Chemother. 41, 135 (1997), Page et. al., Chem. Commun. 1609 (1998) and Page et al., Biochem. J.
- This invention relates to novel substituted succinic acid metallo- ⁇ -lactamase inhibitors, which are useful potentiators of ⁇ -lactam antibiotics. Accordingly, the present invention provides a method of treating bacterial infections in animals or humans which comprises administering, together with a ⁇ -lactam antibiotic, a therapeutically effective amount of a compound of formula I:
- M 1 and M 2 are independently selected from:
- R 1 and R 2 are independently selected from the following:
- —A— represents a single bond, C 1 to C 8 straight, branched or unsaturated alkyl group optionally substituted with 1 to 2 R x groups and optionally interrupted by one of the following O, S, SO 2 , —C(O)—, —C(O)—NR a —, —CO 2 —;
- A′ is a single bond, O, S, or a C 1 to C 6 straight, branched or unsaturated alkyl group optionally substituted with 1-2 R x groups and optionally interrupted by one of the following groups O, S, SO 2 , —C(O)—, —C(O)—NR a —, —CO 2 —;
- Rq group is present in R 1 or R 2 and that when more than one Rq is present the total number of cationic nitrogen atoms does not exceed 8; the total number of cationic nitrogen atoms can be charged balanced by M 1 and/or M 2 or by M 1 and/or M 2 in combination with an appropriate number of Y ⁇ ;
- Rq is —E—Q + Y ⁇ ;
- Y ⁇ is a pharmaceutically acceptable anionic group
- E is —(CH 2 ) m —X—(CH 2 ) n —;
- m is 0 to 6;
- n is 0 to 6 (but when E is attached to an aromatic ring n is 1-6);
- a cationic group selected from the following:
- R u and R v are independently hydrogen or C 1-6 alkyl optionally substituted with 1 to 2 R y ;
- R w is hydrogen or C 1-6 alkyl optionally substituted with 1 to 2 R x ;
- R u and R v when bonded to the same nitrogen atom may together be a C 3-6 alkyl radical, which when taken together with the intervening atoms form a ring;
- Two R u groups on separate nitrogen atoms may together comprise a C 2-5 alkyl radical, which when taken together with the intervening atoms form a ring;
- R u , R v and R w when bonded to the same nitrogen atom may together form a C 6-10 tertiary alkyl radical, which with N + forms a bicyclic ring;
- E 1 is —(CH 2 ) p —Z—(CH 2 ) r —;
- p and r are independently 1 to 4;
- Z is a bond, O, S, SO 2 , —C(O)—, —C(O)O—**, —CH ⁇ CH—, —C ⁇ C—, or
- ** denotes the atom which is bonded to the —(CH 2 ) r — moiety of E 1 above;
- Q 1 is selected from the following:
- Q 2 is selected from the following:
- R u , R v and R w are independently selected and defined as above,
- two R v groups on the same two separate nitrogen atoms may also comprise a C 1-5 alkyl radical to form together with the intervening atoms a bicyclic ring; an example of such is:
- a tricationic group selected from the following:
- Each E 1 is as defined above, but selected independently;
- Each Q 1 is as defined above, but selected independently;
- Each Q 2 is as defined above, but selected independently;
- R u , R v and R w are defined as in the definition of Q + item (2) above and selected independently; or
- a tetracationic group selected from the following:
- Each E 1 is as defined above, but selected independently;
- Each Q 1 is as defined above, but selected independently;
- Each Q 2 is as defined above, but selected independently;
- R u , R v and R w are defined as in the definition of Q + item (2) above and selected independently;
- each R x is independently selected from the group consisting of:
- R x groups on an aromatic ring may consist of the following divalent moiety, —O—CH 2 —O—;
- R a is H, C 1 to C 6 alkyl optionally substituted with R y ;
- R b is H, C 1 to C 6 alkyl optionally substituted with R y , CH 2 -aryl, or aryl, said aryls optionally substituted with 1-2 R y groups;
- R c is H, C 1 to C 6 alkyl optionally substituted with R y , CF 3 , or aryl, said aryl optionally substituted with 1-2 R y groups;
- R d and R e are independently hydrogen, C 1 to C 4 alkyl optionally substituted with R y , or R d and R e taken together may represent a 3 to 5-membered alkyl radical to form a ring, or R d and R e taken together may represent a 2 to 4-membered alkyl radical interrupted by O, S, SO or SO 2 to form a ring;
- R f is C 1 to C 6 alkyl optionally substituted with R y , or aryl, said aryl optionally substituted with 1-2 R y groups;
- R y is —OH, —OCH 3 , OCONH 2 , OCOCH 3 , CHO, COCH 3 , CO 2 CH 3 , CONH 2 , CN, SOCH 3 , SO 2 CH 3 , SO 2 NH 2 , F, Cl, Br, I or CF 3 .
- the invention is intended to include all of the isomeric forms of the compounds of formula I, including racemic, enantiomeric and diastereomeric forms.
- alkyl refers to a monovalent alkane (hydrocarbon) derived radical containing from 1 to 16 carbon atoms unless otherwise defined. It may be straight or branched. Preferred alkyl groups include methyl, ethyl, propyl, isopropyl, butyl and hexyl. When substituted, alkyl groups may be substituted with up to 3 substituent groups selected from R x , as defined, and up to 2 substituent groups selected from Rq, as defined, at any available point of attachment. When the alkyl group is said to be substituted with an alkyl group, this is used interchangeably with “branched alkyl group”. When the alkyl chain is interrupted by a group, eg. O, this may occur between any two saturated carbons of the alkyl chain.
- unsaturated alkyl refers to “alkenyl” or “atkynyl”.
- alkenyl refers to an unsaturated alkyl such as a hydrocarbon radical, straight or branched containing from 2 to 16 carbon atoms and at least one carbon to carbon double bond.
- Preferred alkenyl groups include propenyl, hexenyl and butenyl.
- alkynyl refers to an unsaturated alkyl such as a hydrocarbon radical straight or branched, containing from 2 to 16 carbon atoms and at least one carbon to carbon triple bond.
- Preferred alkynyl groups include propynyl, hexynyl and butynyl.
- alicyclic refers to non-aromatic monocyclic or bicyclic C 3 -C 10 hydrocarbons, including unsaturated, which can be substituted with 0-3 groups of R x .
- groups include cycloalkyls such as cyclohexyl, cyclopentyl, bicyclo[2.2.1]heptyl, bicyclo[2.2.1]hepta-2,5-dienyl, bicyclo[2.2.2]octyl, bicyclo[2.2.2]octa-2,5-dienyl.
- alkylidene refers to an alkyl group which is attached through two bonds on the same carbon atom of the alkyl group to a single attachment atom
- alkylidene refers to an alkyl group which is attached through two bonds on the same carbon atom of the alkyl group to a single attachment atom
- examples of said groups include methylene, ethylidene, isopropylidene and the like.
- R d and R e are taken together along with the adjacent nitrogen atom to represent a 3 to 5 membered alkyl radical forming a ring or a 2 to 4 membered alkyl radical interrupted by O, S, SO, SO 2 , to form a ring are pyrrolidinyl, piperidinyl, morpholinyl and the like.
- heterocyclic refers to a monocyclic non-aromatic moiety containing 3-8 ring atoms or a bicyclic non-aromatic moiety containing 6-10 ring atoms, at least one of which ring atoms is a heteroatom selected from nitrogen, oxygen and sulfur and where one additional ring atom may be oxygen or sulfur.
- heterocyclic groups are furanyl, pyranyl, morpholinyl, dioxanyl and quinuclidinyl:
- Aryl refers to aromatic rings e.g., phenyl, substituted phenyl and the like, as well as rings which are fused, e.g., naphthyl, phenanthrenyl fluorenonyl and the like.
- An aryl group thus contains at least one ring having at least 6 atoms, with up to three such rings being present, containing up to 14 atoms therein, with alternating (resonating) double bonds between adjacent carbon atoms.
- the preferred aryl groups are phenyl, naphthyl, and fluorenone.
- Aryl groups may likewise be substituted as defined.
- Preferred substituted aryls include phenyl, fluorenonyl and naphthyl.
- Het refers to a monocyclic aromatic group having 5 or 6 ring atoms, a bicyclic aromatic group having 8 to 10 atoms, or tricyclic having 12-14 ring atoms, containing at least one heteroatom, O, S or N, in which a carbon or nitrogen atom is the point of attachment, and in which one or two additional carbon atoms is optionally replaced by a heteroatom selected from O or S, and in which from 1 to 3 additional carbon atoms are optionally replaced by nitrogen heteroatoms, said heteroaryl group being optionally substituted as described herein.
- Examples of this type are pyrrole, pyridine, oxazole, thiazole, dibenzofuran, dibenzothiophene, carbazole, phenanthrene, anthracene, dibenzothiophene sulfone, fluorenone, quinoline and oxazine. Additional nitrogen atoms may be present together with the first nitrogen and oxygen or sulfur, giving, e.g., thiadiazole. Examples include the following:
- Heteroarylium refers to heteroaryl groups bearing a quaternary nitrogen atom and thus a positive charge.
- Non-limiting examples include the following:
- heteroatom means O, S or N, selected on an independent basis.
- Halogen and “halo” refer to bromine, chlorine, fluorine and iodine.
- pro-drug refers to compounds with a removable group attached to one or both of the carboxyl groups of compounds of formula I (e.g. biolabile esters).
- Groups which are useful in forming pro-drugs should be apparent to the medicinal chemist from the teachings herein. Examples include pivaloyloxymethyl, acetoxymethyl, phthalidyl, indanyl and methoxymethyl, and others described in detail in U.S. Pat. No. 4,479,947. These are also referred to as “biolabile esters”.
- hydrate is used in the conventional sense to include the compounds of formula I in physical association with water.
- a bond terminated by a wavy line is used herein to signify the point of attachment of a substituent group. This usage is illustrated by the following example:
- quaternary nitrogen and cationic nitrogen refer to tetravalent, positively charged nitrogen atoms including, e.g., the positively charged nitrogen in a tetraalkylammonium group (e. g. —N + R u R v R w ), heteroarylium, (e.g., N-methyl-imidazolium), amidinium, guanidinium, basic nitrogens which are protonated at physiological pH, and the like.
- a “cationic group” is a moiety which contains at least one such quaternary nitrogen atom. Cationic groups thus encompass positively charged nitrogen-containing groups, as well as basic nitrogens which are protonated at physiologic pH.
- dicationic, tricationic and tetracationic refer to groups which contain 2, 3 or 4 positively charged nitrogen atoms, respectively.
- protecting groups for the compounds of the present invention will be recognized from the present application taking into account the level of skill in the art, and with reference to standard textbooks, such as Greene, T. W. et al. Protective Groups in Organic Synthesis Wiley, New York (1991). Examples of suitable protecting groups are contained throughout the specification.
- suitable protecting groups represents hydroxyl-protecting, amine-protecting or carboxyl-protecting groups.
- Such conventional protecting groups consist of groups, which are used to protectively block the hydroxyl, amine or carboxyl group during the synthesis procedures described herein.
- These conventional blocking groups are readily removable, i.e., they can be removed, if desired, by procedures which will not cause cleavage or other disruption of the remaining portions of the molecule.
- Such procedures include chemical and enzymatic hydrolysis, treatment with chemical reducing or oxidizing agents under mild conditions, treatment with a transition metal catalyst and a nucleophile and catalytic hydrogenation.
- carboxyl protecting groups include allyl, benzhydryl, 2-naphthylmethyl, benzyl, silyl such as t-butyldimethylsilyl (TBDMS), phenacyl, p-methoxybenzyl, o-nitrobenzyl, p-methoxyphenyl, p-nitrobenzyl, 4-pyridylmethyl and t-butyl.
- Suitable amine protecting groups include 9-fluorenylmethoxycarbonyl, p-nitrobenzyloxycarbonyl, benzyloxycarbonyl, allyloxycarbonyl, t-butyloxycarbonyl, 2,2,2-trichloroethyloxycarbonyl and the like.
- Suitable hydroxyl protecting groups include triethylsilyl, t-butyldimethylsilyl, o-nitrobenzyloxycarbonyl, p-nitrobenzyloxycarbonyl, benzyloxycarbonyl, allyloxycarbonyl, t-butyloxycarbonyl, 2,2,2-trichloroethyloxycarbonyl and the like.
- M 1 and/or M 2 this represents a carboxylic hydrogen, a carboxylate anion (M represents a negative charge), a pharmaceutically acceptable ester (M represents an ester forming group) or a pharmaceutically acceptable cation.
- M represents a negative charge
- M represents an ester forming group
- a pharmaceutically acceptable cation When M 1 and/or M 2 is a negative charge it can be used to provide the necessary charge balance in a compound with one or more positive charges.
- M 1 and/or M 2 is a negative charge it can be balanced by the appropriate number of counterions, e.g., an alkali metal cation such as sodium or potassium.
- Counterions may be calcium, magnesium, zinc, ammonium, or alkylammonium cations such as tetramethylammonium, tetrabutylammonium, choline, triethylhydroammonium, meglumine, triethanolhydroammonium, etc.
- all compounds have at least one Rq substituent containing at least one cationic nitrogen.
- the compounds are balanced with one or more, as necessary, of a charge balancing group Y ⁇ .
- the compounds can be balanced using M 1 and/or M 2 as the charge balancing group with or without the use of Y ⁇ .
- Examples of cases where a charge balancing group is required are quaternized substituents such as heteroarylium, —N + R u R v -E 1 -Q 1 , —N + R u R v R w , and the like.
- the compounds of the present invention are useful per se and in their pharmaceutically acceptable salt and ester forms are potentiators for the treatment of bacterial infections in animal and human subjects.
- pharmaceutically acceptable ester, salt or hydrate refers to those salts, esters and hydrated forms of the compounds of the present invention which would be apparent to the pharmaceutical chemist.
- Other factors, more practical in nature, which are also important in the selection are cost of the raw materials, ease of crystallization, yield, stability, solubility, hygroscopicity and flowability of the resulting bulk drug.
- pharmaceutical compositions may be prepared from the active ingredients in combination with pharmaceutically acceptable carriers.
- the present invention is also concerned with pharmaceutical compositions and methods of treating bacterial infections utilizing as an active ingredient the novel carbapenemase compounds.
- the pharmaceutically acceptable salts referred to above also include acid addition salts.
- the Formula I compounds can be used in the form of salts derived from inorganic or organic acids. Included among such salts are the following:
- Acid addition salts of the compounds of formula I include compounds that contain a protonated, basic moiety in R q .
- Compounds containing a basic moiety in R q are capable of protonation in aqueous media near pH 7, so that the basic moiety can exist as an equilibrium mixture of its neutral form and acid addition (protonated) form. The more basic the group, the greater the degree of protonation near pH 7. All such compounds are included in the present invention.
- the pharmaceutically acceptable esterifying groups are such as would be readily apparent to a medicinal chemist, and include, for example, those described in detail in U.S. Pat. No. 4,309,438. Included within such pharmaceutically acceptable esters are those which are hydrolyzed under physiological conditions, such as pivaloyloxymethyl, acetoxymethyl, phthalidyl, indanyl and methoxymethyl, and others described in detail in U.S. Pat. No. 4,479,947. These are also referred to as “biolabile esters”.
- Biolabile esters are biologically hydrolizable, and may be suitable for oral administration, due to good absorption through the stomach or intestinal mucosa, resistance to gastric acid degradation and other factors.
- examples of biolabile esters include compounds in which M 1 and/or M 2 represents an alkoxyalkyl, alkylcarbonyloxyalkyl, alkoxycarbonyloxyalkyl, cycloalkoxylalkyl, alkenyloxyalkyl, aryloxyalkyl, alkoxyaryl, alkylthioalkyl, cycloalkylthioalkyl, alkenylthioalkyl, arylthioalkyl or alkylthioaryl group.
- M 1 and/or M 2 species are examples of biolabile ester forming moieties: acetoxymethyl, 1-acetoxyethyl, 1-acetoxypropyl, pivaloyloxymethyl, 1-isopropyloxycarbonyloxyethyl, 1-cyclohexyloxycarbonyloxyethyl, phthalidyl and (2-oxo-5-methyl-1,3-dioxolen-4-yl)methyl.
- Y ⁇ can be present or absent as necessary to maintain the appropriate charge balance. When present, these represent pharmaceutically acceptable counterions. Most anions derived from inorganic or organic acids are suitable. Representative examples of such counterions are the following: acetate, adipate, aminosalicylate, anhydromethylenecitrate, ascorbate, aspartate, benzoate, benzenesulfonate, bromide, citrate, camphorate, camphorsulfonate, chloride, estolate, ethanesulfonate, fumarate, glucoheptanoate, gluconate, glutamate, lactobionate, malate, maleate, mandelate, methanesulfonate, pantothenate, pectinate, phosphate/diphosphate, polygalacturonate, propionate, salicylate, stearate, succinate, sulfate, tartrate and tosylate. Other suitable anionic species will be apparent to the following:
- the counterion indicator may represent a specie with more than one negative charge, such as malonate, tartrate or ethylenediaminetetraacetate (EDTA), or two or more monovalent anions, such as chloride, etc.
- EDTA ethylenediaminetetraacetate
- an appropriate number of molar equivalents of the anionic species can be found in association therewith to maintain the overall charge balance and neutrality.
- Some of the compounds of formula I may be crystallized or recrystallized from solvents such as organic solvents. In such cases solvates may be formed.
- This invention includes within its cope stoichiometric solvates including hydrates as well as compounds containing variable amounts of solvents such as water that may be produced by processes such as lyophilization.
- the compounds of formula I may be prepared in crystalline form by for example dissolution of the compound in water, preferably in the minimum quantity thereof, followed by admixing of this aqueous solution with a water miscible organic solvent such as a lower aliphatic ketone such as a di-(C 1-6 ) alkyl ketone, or a (C 1-6 ) alcohol, such as acetone or ethanol.
- a subset of compounds of formula I which is of interest relates to those compounds where M 1 and M 2 are independently hydrogen or negative charge, said negative charge(s) balanced by the appropriate number of counter balancing ions, and all other variables are as described above.
- R 1 and/or R 2 represents a C 1 to C 16 straight, branched or unsaturated alkyl group substituted with 0 to 2 R q , and substituted with 0 to 3 R x groups and optionally interrupted by one of the following O, S, SO 2 , —C(O)—, —C(O)—NR a — and —CO 2 -, provided that at least one of R 1 or R 2 contains an R q and all other variables are described as above.
- R 1 and/or R 2 represents C 4-12 straight, branched or unsaturated alkyl group optionally substituted with 1-2 R x and optionally substituted with 1-2 R q groups, provided that at least one of R 1 or R 2 contains an R q , wherein all other variables are as described above.
- R q is present on R 1 or R 2 and all other variables are defined as above.
- R q group is present on R 1 or R 2 and all other variables are defined as above.
- Still another subset of compounds of formula I which is of interest relates to those compounds where R 1 and/or R 2 represents a group of the formula:
- [0147] is phenyl, naphthyl, cyclohexyl or dibenzofuranyl, provided that at least one of R 1 or R 2 contains an R q and all other variables are as originally defined.
- Still another subset of compounds of formula I that is of interest relates to those compounds where R 1 or R 1 represents a group of the formula:
- A is (CH 2 ) 1-3
- A′ is a single bond, —O— or (CH 2 ) 1-2
- [0151] independently represent phenyl, thienyl, pyridyl, furanyl or cyclohexyl
- [0154] is phenyl, cyclopentyl or cyclohexyl and the other of R 1 or R 2 is
- A is (CH 2 ) 1-2
- A′ is a single bond
- [0158] is phenyl, thienyl or cyclohexyl and
- [0159] is phenyl, thienyl or pyridyl, or
- A is (CH 2 1-3 ,
- [0162] is phenyl or thienyl and R q is —(CH 2 ) 2-6 -Q + Y ⁇ and all other variables are as originally defined.
- Still another subset of compounds of formula I that is of interest relates to those compounds where:
- R 1 is C 5-7 alkyl substituted with 0 to 2 R x goups
- R 2 is C 7-10 alkyl substituted with 1R q group and 0 to 2 R x groups
- Still another subset of compounds of formula I that is of interest relates to those compounds where:
- R 1 is:
- R 2 is:
- R x is R y .
- R q groups are present in R 1 and R 2 containing a total of 2 to 6 cationic nitrogen atoms. It is more preferred that a single R q substituent is present containing a tricationic or tetracationic Q + group.
- a more preferred R q is —E-Q + Y ⁇ wherein E is (CH 2 ) 0-6 or —C(O)—N(R a )—(CH 2 ) 2-4 , and Q + is a tricationic or tetracationic group.
- Preferred tricationic Q + groups are:
- E 1 is (CH 2 ) 2-4 or —(CH 2 )—C(O)—N(R a )—(CH 2 ) 2-4 — and R a , Q 1 and Q 2 are as previously defined.
- More preferred tricationic Q + groups are:
- R a , R u , R v , and R w are independently selected as defined above.
- Preferred tetracationic Q + groups are:
- E 1 is (CH 2 ) 2-4 or —(CH 2 )—C(O)—N(R a )—(CH 2 ) 2-4 — and R a , Q 1 , Q 2 , and R w are as defined above.
- More preferred tetracationic Q + groups are:
- R a , R u , R v , and R w are as defined above.
- Y ⁇ groups are chloride, bromide, acetate, citrate, succinate, phosphate, maleate, tartrate and sulfate.
- the compounds of the invention which are succinic acids or derivatives thereof, can be formulated in pharmaceutical compositions by combining the compound with a pharmaceutically acceptable carrier.
- a pharmaceutically acceptable carrier examples include metallo- ⁇ -lactamase inhibitory properties, and are useful when combined with a ⁇ -lactam antibiotic for the treatment of infections in animals, especially mammals, including humans.
- the compounds may be used, for example, in the treatment of infections of, amongst others, the respiratory tract, urinary tract and soft tissues and blood.
- the compounds may be employed in powder or crystalline form, in liquid solution, or in suspension. They may be administered by a variety of means; those of principal interest include: topically, orally and parenterally by injection (intravenously or intramuscularly).
- compositions for injection may be prepared in unit dosage form in ampules, or in multidose containers.
- the injectable compositions may take such forms as suspensions, solutions, or emulsions in oily or aqueous vehicles, and may contain various formulating agents.
- the active ingredient may be in powder (lyophillized or non-lyophillized) form for reconstitution at the time of delivery with a suitable vehicle, such as sterile water.
- the carrier is typically comprised of sterile water, saline or another injectable liquid, e.g., peanut oil for intramuscular injections.
- various buffering agents, preservatives and the like can be included.
- Topical applications may be formulated in carriers such as hydrophobic or hydrophilic bases to form ointments, creams, lotions, in aqueous, oleaginous or alcoholic liquids to form paints or in dry diluents to form powders.
- carriers such as hydrophobic or hydrophilic bases to form ointments, creams, lotions, in aqueous, oleaginous or alcoholic liquids to form paints or in dry diluents to form powders.
- Oral compositions may take such forms as tablets, capsules, oral suspensions and oral solutions.
- the oral compositions may utilize carriers such as conventional formulating agents, and may include sustained release properties as well as rapid delivery forms.
- the compounds of the instant invention are metallo- ⁇ -lactamase inhibitors, which are intended for use in pharmaceutical compositions. Accordingly, it is preferable that the metallo- ⁇ -lactamase inhibitors are provided in substantially pure form, for example at least about 60% to about 75% pure, preferably about 85% to about 95% pure and most preferably about 98% or more pure (% are on a weight for weight basis). Impure preparations of the compounds may be used for preparing the more pure forms used in pharmaceutical compositions.
- the dosage to be administered depends to a large extent upon the condition and size of the subject being treated, the route and frequency of administration, the sensitivity of the pathogen to the particular compound selected, the virulence of the infection and other factors. Such matters, however, are left to the routine discretion of the physician according to principles of treatment well known in the antibacterial arts. Another factor influencing the precise dosage regimen, apart from the nature of the infection and peculiar identity of the individual being treated, is the molecular weight of the compound.
- compositions for human delivery per unit dosage may contain from about 0.01% to as high as about 99% of active material, the preferred range being from about 10-60%.
- the composition will generally contain from about 15 mg to about 2.5 g of the active ingredient; however, in general, it is preferable to employ dosage amounts in the range of from about 250 mg to 1000 mg.
- the unit dosage will typically include the pure compound in sterile water solution or in the form of a soluble powder intended for solution, which can be adjusted to neutral pH and isotonic.
- the invention described herein also includes a method of treating a bacterial infection in a mammal in need of such treatment comprising administering to said mammal a compound of formula I in conjunction with a ⁇ -lactam antibiotic such as a carbapenem, penicillin or cephalosporin in an effective combination.
- a ⁇ -lactam antibiotic such as a carbapenem, penicillin or cephalosporin
- the preferred methods of administration of the Formula I compounds include oral and parenteral, e.g., i.v., infusion, i.v. bolus and i.m. injection.
- the compounds of formula I may suitably be administered to the patient at a daily dosage of from 0.7 to 50 mg/kg of body weight.
- a daily dosage of from 0.7 to 50 mg/kg of body weight For an adult human (of approximately 70 kg body weight), from 50 to 3000 mg, preferably from 100 to 1000 mg, of a compound according to the invention may be administered daily, suitably in from 1 to 6, preferably from 2 to 4, separate doses. Higher or lower dosages may, however, be used in accordance with clinical practice.
- the compounds may be used in combination with antibiotic agents for the treatment of infections caused by metallo- ⁇ -lactamase producing strains, in addition to those infections which are subsumed within the antibacterial spectrum of the antibiotic agent.
- Metallo- ⁇ -lactamase producing strains include: Bacillus cereus, Bacteroides fragilis, Aeromonas hydrophila, Klebsiella pneumoniae, Pseudomonas aeruginosa, Serratia marcescens, Stenotrophomonas maltophilia, Shigella flexneri, Legionella gormanii, Chryseobacterium meningosepticum, Chryseobacterium indologenes, Acinetobacter baumannii, Citrobacter freundii , and Aeromonas veronii.
- a compound of formula I in admixture or conjuction with a carbapenem, penicillin, cephalosporin or other ⁇ -lactam antibiotic or prodrug. It also advantageous to use a compound of formula I in combination with one or more ⁇ -lactam antibiotics, because of the metallo- ⁇ -lactamase inhibitory properties of the compounds. In this case, the compound of formula I and the ⁇ -lactam antibiotic can be administered separately or in the form of a single composition containing both active ingredients.
- Carbapenems, penicillins, cephalosporins and other ⁇ -lactam antibiotics suitable for co-administration with the compounds of Formula I, whether by separate administration or by inclusion in the compositions according to the invention, include both those known to show instability to or to be otherwise susceptible to metallo- ⁇ -lactamases and also known to have a degree of resistance to metallo- ⁇ -lactamase.
- DHP carbapenems dehydropeptidase
- Many carbapenems are susceptible to attack by a renal enzyme known as DHP. This attack or degradation may reduce the efficacy of the carbapenem antibacterial agent.
- Inhibitors of DHP and their use with carbapenems are disclosed in, e.g., (European Patent 0007614, filed Jul. 24, 1979 and application number 82107174.3, filed Aug. 9, 1982.
- a preferred DHP inhibitor is 7-(L-2-amino-2-carboxyethylthio)-2-(2,2-dimethylcyclopropanecarboxamide)-2-heptenoic acid or a useful salt thereof.
- a carbapenem such as imipenem and a DHP inhibitor such as, cilastatin is contemplated within the scope of this invention.
- a serine ⁇ -lactamase inhibitor such as clavulanic acid, sulbactam or tazobactam may also be co-administered with the compound of the invention and ⁇ -lactam antibiotics, either by separate administration, or co-formulation with one, other or both of the compounds of the invention and the ⁇ -lactam antibiotic.
- Examples of carbapenems that may be co-administered with the compounds of formula I include imipenem, meropenem, biapenem, (4R, 5S, 6S)-3-[3S, 5S)-5-(3-carboxyphenyl-carbamoyl)pyrrolidin-3-ylthio]-6-(1R)-1-hydroxyethyl]-4-methyl-7-oxo-1-azabicyclo[3.2.0]hept-2-ene-2-carboxylic acid, (1S, 5R, 6S)-2-(4-(2-(((carbamoylmethyl)-1,4-diazoniabicyclo[2.2.2]oct-1-yl)-ethyl(1,8-naphthosultam)methyl)-6-[1(R)-hydroxyethyl]-1-methylcarbapen-2-em-3-carboxylate chloride, BMS181139 ([4R-[4al
- Examples of penicillins suitable for co-administration with the compounds according to the invention include benzylpenicillin, phenoxymethylpenicillin, carbenicillin, azidocillin, propicillin, ampicillin, amoxycillin, epicillin, ticarcillin, cyclacillin, pirbenicillin, azloccillin, mezlocillin, sulbenicillin, piperacillin, and other known penicillins.
- the penicillins may be used in the form of pro-drugs thereof; for example as in vivo hydrolysable esters, for example the acetoxymethyl, pivaloyloxymethyl, ⁇ -ethoxycarbonyloxy-ethyl and phthalidyl esters of ampicillin, benzylpenicillin and amoxycillin; as aldehyde or ketone adducts of penicillins containing a 6- ⁇ -aminoacetamido side chain (for example hetacillin, metampicillin and analogous derivatives of amoxycillin); and as a-esters of carbenicillin and ticarcillin, for example the phenyl and indanyl ⁇ -esters.
- in vivo hydrolysable esters for example the acetoxymethyl, pivaloyloxymethyl, ⁇ -ethoxycarbonyloxy-ethyl and phthalidyl esters of ampicillin, benzylpenicillin and amoxycill
- cephalosporins examples include, cefatrizine, cephaloridine, cephalothin, cefazolin, cephalexin, cephacetrile, cephapirin, cephamandole nafate, cephradine, 4-hydroxycephalexin, cephaloglycin, cefoperazone, cefsulodin, ceftazidime, cefuroxime, cefmetazole, cefotaxime, ceftriaxone, and other known cephalosporins, all of which may be used in the form of pro-drugs thereof.
- ⁇ -lactam antibiotics other than penicillins and cephalosporins that may be co-administered with the compounds according to the invention include aztreonam, latamoxef (Moxalactam-trade mark), and other known ⁇ -lactam antibiotics such as carbapenems like imipenem, meropenem or (4R, 5S, 6S)-3-[(3S,5S)-5-(3-carboxyphenylcarbamoyl)pyrrolidin-3-ylthio]-6-(1R)-1-hydroxyethyl]-4-methyl-7-oxo-1-azabicyclo[3.2.0]hept-2-ene-2-carboxylic acid, all of which may be used in the form of pro-drugs thereof
- Preferred carbapenems are imipenem, meropenem and (4R, 5S, 6S)-3-[(3S,5S)-5-(3-carboxyphenylcarbamoyl)pyrrolidin-3-ylthio]-6-(1R)-1-hydroxyethyl]-4-methyl-7-oxo-1-azabicyclo[3.2.0]hept-2-ene-2-carboxylic acid.
- penicillins for co-administration with the compounds according to the invention include ampicillin, amoxycillin, carbenicillin, piperacillin, azlocillin, mezlocillin, and ticarcillin.
- Such penicillins may be used in the form of their pharmaceutically acceptable salts, for example their sodium salts.
- ampicillin or amoxycillin may be used in the form of fine particles of the zwitterionic form (generally as ampicillin trihydrate or amoxycillin trihydrate) for use in an injectable or infusable suspension, for example, in the manner described herein in relation to the compounds of formula I.
- Amoxycillin for example in the form of its sodium salt or the trihydrate, is particularly preferred for use in compositions according to the invention.
- cephalosporins for co-administration with the compounds according to the invention include cefotaxime, ceftriaxone and ceftazidime, which may be used in the form of their pharmaceutically acceptable salts, for example their sodium salts.
- each unit dose may suitably comprise from about 25 to about 1000 mg, preferably about from 50 to about 500 mg, of a compound according to the invention.
- Each unit dose may, for example, be 62.5, 100, 125, 150, 200 or 250 mg of a compound according to the invention.
- the ratio of the amount of the compounds of formula I to the amount of the other ⁇ -lactam antibiotic may vary within a wide range.
- the said ratio may, for example, be from 100:1 to 1:100; more particularly, it may for example, be from 2:1 to 1:30.
- the amount of carbapenem, penicillin, cephalosporin or other ⁇ -lactam antibiotic according to the invention will normally be approximately similar to the amount in which it is conventionally used.
- the claimed invention also includes the use of a compound of formula I, a pharmaceutically acceptable salt, ester, prodrug, anhydride or solvate thereof, in the manufacture of a medicament for the treatment of bacterial infections.
- the claimed invention also includes the use of a compound of formula I as a metallo- ⁇ -lactamase inhibitor.
- the claimed invention further includes a method of treating bacterial infections in humans or animals which comprises administering, in combination with a ⁇ -lactam antibiotic, a therapeutically effective amount of a metallo- ⁇ -lactamase inhibitor of formula I.
- the claimed invention further includes a method of treating bacterial infections in humans or animals which comprises administering, in combination with a carbapenem antibiotic, a therapeutically effective amount of a metallo- ⁇ -lactamase inhibitor of formula I.
- the claimed invention also includes a composition comprising a metallo- ⁇ -lactamase inhibitor of formula I together with a ⁇ -lactam antibiotic and a pharmaceutically acceptable carrier.
- the claimed invention also includes a composition comprising a metallo- ⁇ -lactamase inhibitor of formula I together with a carbapenem antibiotic and a pharmaceutically acceptable carrier.
- compositions discussed above may optionally include a serine ⁇ -lactamase inhibitor as described above as well as a DHP inhibitor.
- the 2,3-disubstituted succinic acid compounds of the present invention can be prepared as described in Flow Sheets A-F.
- the cationic R q substituents of the compounds of the present invention are generally carried through the syntheses in protected or precursory form and are then deprotected or elaborated near or at the end of the synthesis. Introduction of the R q substituent from a precursor group is described in detail in Flow Sheet F.
- Flow Sheet A The synthesis of Flow Sheet A is based on a known literature procedure (M. J. Crimmin et. al., SynLett 1993, 137).
- the R 1 -substituted acetic acid starting materials A1 are readily available from commercial sources or are readily prepared by a variety of methods known in the art. Briefly, the starting material A1 is alkylated with an ester derivative of bromoacetic acid, employing a chiral auxiliary group to achieve stereoselectivity in the reaction. After removal of the chiral auxiliary to give A4, the R 2 * group is introduced stereoselectively by an alkylation reaction to give A5.
- the R 2 * group may be R 2 as defined above, or may contain R x and R q substituents in precursory or protected form which require elaboration. Such elaboration may be carried-out at this point. Removal of the carboxyl protecting group of A5 then provides the final compound A6.
- the first step of Flow Sheet A is introduction of the chiral auxiliary.
- a suggested method is as follows.
- a mixed anhydride is formed between the starting carboxylic acid A1 and pivalic acid by treating A1 with a tertiary amine base such as triethylamine and pivaloyl chloride in a suitable ethereal solvent such as tetrahydrofuran at reduced temperature such as between ⁇ 78° C. and 0° C.
- intermediate A2 is obtained.
- Intermediate A2 is deprotonated with a strong base such as sodium hexamethyldisilazide in a solvent such as tetrahydrofuran at reduced temperature such as between ⁇ 78° C. and ⁇ 70° C.
- the resulting enolate is alkylated by addition of BrCH 2 CO 2 P 1 , where P 1 is a removable carboxyl protecting group.
- P 1 is a removable carboxyl protecting group.
- compound A3 is obtained by conventional isolation and purification techniques.
- Suitable removable ester derivatives of bromoacetic acid for this alkylation reaction are t-butyl bromoacetate, allyl bromoacetate or benzyl bromoacetate.
- the oxazolidinone chiral auxiliary group of A3 is removed by a hydrolysis reaction.
- Aqueous lithium hydroxide and aqueous hydrogen peroxide are employed for this reaction along with an organic co-solvent such as tetrahydrofuran.
- the reaction is carried-out at a temperature of from 0° C. to 30° C. for a reaction time of from 30 min to 4 hours.
- organic co-solvent such as tetrahydrofuran
- An alternative method of removing the chiral auxilliary consists of reacting A3 with lithium benzyloxide (LiOCH 2 Ph) followed by cleavage of the resulting benzyl ester to give A4.
- the reaction of A3 with lithium benzyloxide is carried-out in tetrahydrofuran as solvent at a temperature of from ⁇ 78° C. to 30° C. for a reaction time of from 30 min to 4 hours.
- Cleavage of the resulting benzyl ester is accomplished in conventional fashion, eg by hydrogenolysis employing a suitable catalyst such as palladium on carbon in an appropriate solvent such as ethanol at 1-2 atmospheres pressure of hydrogen.
- compound A4 is obtained.
- Alkylation of A4 to give A5 is accomplished by deprotonating A4 with >2 equivalents of a strong hindered base to give a dianion which is then reacted with an alkylating agent R 2 *L to give A5, where R 2 * is as defined above and L is a displaceable leaving group such as iodide, bromide or trifluoromethanesulfonate.
- R 2 * is as defined above and L is a displaceable leaving group such as iodide, bromide or trifluoromethanesulfonate.
- the reaction proceeds with high stereoselectivity to give predominately the stereoisomer shown in Flow Sheet A.
- the deprotonation reaction is carried-out in a suitable solvent such as tetrahydrofuran at a temperature of from ⁇ 78° C. to ⁇ 70° C.
- Preferred bases for this reaction are lithium bis(trimethylsilyl)amide and lithium diisopropylamide.
- the reaction is allowed to proceed at a temperature of from ⁇ 78° C. to 25° C. for a reaction time of from 1 to 12 hours. Progress of the reaction can be monitored by conventional analytical methods, eg HPLC and TLC.
- Preferred alkylating agents for this reaction are alkyl iodides and alkyl bromides. Other suitable alkylating agents are well known in the art and include alkyl trifluoromethanesulfonates, alkyl methanesulfonates and alkyl tosylates.
- intermediate A5 is obtained.
- the minor stereoisomer produced in this reaction can often be separated from A5 at this stage by conventional chromatographic techniques. However, it is often preferable to carry-out this separation at the stage of A6, after removal of the carboxyl protecting group as described below.
- R x or R q groups which are present in protected form may be accomplished at this point.
- said protecting group may conveniently be removed at the stage of A5.
- carboxyl protecting group as described immediately below.
- Introduction of the cationic R q group may also be accomplished at this point from a precursor substituent. This procedure is described in detail in Flow Sheet F further below.
- Flow Sheet B illustrates a variation of Flow Sheet A which is preferred in certain cases, for example when Ar 1 is a heteroaryl group such as pyridyl.
- the second substituent on the succinic acid is introduced by an aldol reaction instead of an alkylation reaction.
- the synthesis begins with compound A4, which is prepared as described in Flow Sheet A.
- Compound A4 is deprotonated with >2 equivalents of a strong hindered base to give a dianion which is then reacted with an aldehyde Ar 1 CHO to give B1, where Ar 1 is an optionally substituted aryl or heteroaryl group, terms which are defined above.
- the deprotonation reaction is carried-out in a suitable solvent such as tetrahydrofuran at a temperature of from ⁇ 78° C. to ⁇ 70° C. for a reaction time of from 30 min to 3 hours.
- Preferred bases for this reaction are lithium bis(trimethylsilyl)amide and lithium diisopropylamide.
- the reaction is allowed to proceed at a temperature of from ⁇ 78° C. to 25° C. for a reaction time of from 1 to 12 hours.
- intermediate B1 is obtained.
- Compound B1 is next cyclized to the lactone B2. Suitable conditions for this cyclization reaction would be exposure of B1 to acetic anhydride and triethylamine in an inert solvent such as dichloromethane. Reductive opening of lactone B2, such as by hydrogenolysis over palladium on carbon in a-suitable solvent such as methanol, provides compound B3. Deprotection of any R x or R q groups which are present in protected form may be accomplished at this point. In addition, introduction of a cationic R q group from a precursor substituent may be carried-out at, the stage of B3. This procedure is described in detail in Flow Sheet F further below. Removal of the carboxyl protecting group of B3 by conventional methods then gives the final compound B4.
- Flow Sheet C illustrates an extension of the synthesis of Flow Sheet A which makes possible the introduction of a variety of preferred biaryl-type R 2 substituents.
- L is a displaceable leaving group such as iodide, bromide or trifluoromethanesulfonate
- n is 1,2,3 or 4
- Ar2 is an optionally substituted aryl or heteroaryl group as defined above
- K is iodide, bromide, chloride or a protected hydroxyl group which can be converted to a trifluoromethanesulfonate group by known methods.
- the p 2 carboxyl protecting group is introduced in conventional fashion.
- a preferred p 2 group is p-methoxybenzyl which can be introduced employing p-methoxybenzyl alcohol, a carbodiimide reagent such as 1,3-diisopropylcarbodiimide and N,N-dimethylaminopyridine catalyst in a suitable inert solvent such as dichloromethane.
- a suitable inert solvent such as dichloromethane.
- suitable ester protecting groups known in the art could also be employed (see e.g. Greene, T. W., et al. Protective Groups in Organic Synthesis , John Wiley & Sons. Inc., 1991).
- Compound C2 is combined with the boronic acid R 3 —B(OH) 2 in a coupling solvent such as 1,2-dimethoxyethane, N,N-dimethylformamide or toluene, optionally with water as a co-solvent, with a base such as sodium carbonate and a palladium catalyst such as tetrakis(triphenylphosphine)-palladium(0).
- a coupling solvent such as 1,2-dimethoxyethane, N,N-dimethylformamide or toluene, optionally with water as a co-solvent
- a base such as sodium carbonate
- a palladium catalyst such as tetrakis(triphenylphosphine)-palladium(0).
- the reaction is carried-out at a temperature of from 20° C. to 125° C. for a reaction time of from 1 to 48 hours.
- the coupled product C3 is then isolated by conventional techniques.
- Met is a trialkyl
- Flow Sheet D illustrates an alternative synthesis of compounds of the present invention.
- Flow Sheet F illustrates a suggested method for the introduction of the cationic substituents of the compounds of the present invention from a precursor substituent.
- the starting material F1 of Flow Sheet F is substituted with a precursor substituent which can be elaborated into the desired cationic substitutent, R q .
- a preferred precursor substituent is a protected hydroxymethyl group, P 3 OCH 2 —, where p 3 is a removable hydroxyl protecting group.
- R 4 is defined such that the moiety [—R 4 —CH 2 —Q + Y ⁇ ] represents an R 2 group as defined above. Examples of representative R 4 groups are shown in Table 1.
- the starting material F1 of Flow Sheet F is synthesized by one the methods described in Flow Sheets A, B, C, D, and E.
- F1 is synthesized according to Flow Sheet A, it is derived from intermediate A5, through protection of the free carboxyl group with an appropriate carboxyl protecting group p 2 .
- the precursor substituent is present in the R 1 or R 2 * substituent of A5.
- F1 is synthesized according to Flow Sheet B, it is derived from intermediate B3, through protection of the free carboxyl group with an appropriate carboxyl protecting group p 2 .
- the precursor substituent is present in the R 1 or Ar 1 substituent of B3.
- F1 When F1 is synthesized according to Flow Sheet C, it is derived from or corresponds to, intermediate C3. In this case, the precursor substituent is present in the R 1 , Ar 2 or R 3 substituent of C3. Starting material F1 may also be prepared by appropriate modification of the syntheses of Flow Sheets D and E as would be apparent to those skilled in the art.
- the first step is removal of the hydroxyl protecting group p 3 .
- Hydroxyl protecting group p 3 is generally selected such that it may be selectively removed in the presence of the carboxyl protecting groups P 1 and p 2
- a preferred p 3 is t-butyldimethylsilyl. Removal of the preferred t-butyldimethylsilyl p 3 is accomplished by treating F1 with tetra-n-butylammonium fluoride and acetic acid in tetrahydrofuran as solvent.
- Other hydroxyl protecting groups are well known in the art and may also be employed (see e.g. Greene, T. W., et al. Protective Groups in Organic Synthesis , John Wiley & Sons. Inc., 1991).
- suitable leaving groups G alkyl and substituted alkylsulfonates, aryl and substituted arylsulfonates and halides.
- the common sulfonate leaving groups are: methanesulfonyloxy, trifluoromethanesulfonyloxy, fluorosulfonyloxy, p-toluenesulfonyloxy, and 2,4,6-triisopropylbenzenesulfonyloxy.
- the preferred halogen leaving groups are bromide and iodide.
- Compound Q* represents a precursor group to the cationic group Q + as defined above. As such, it may require further modification after its reaction with F3.
- the nucleophilic nitrogen moiety of Q* is generally the nitrogen of a primary, secondary or tertiary amino group or a ring nitrogen of a heteroaryl group such as a 1-substituted-imidazole.
- Q* may include 1,2 or 3 of the following moieties: positively charged nitrogen atoms, protected amino groups, amine precursor groups such as azido. Suitable protecting groups for amino groups present in Q* would be t-butyloxycarbonyl-, allyloxycarbonyl- and p-nitrobenzyloxycarbonyl-.
- the Q* groups may be prepared by standard methods known in the scientific and patent literature. Suitable Q* groups are listed in Table 2.
- the hydroxyl group of F2 may be converted into a suitable alkyl- or arylsulfonate leaving group by treating with an appropriate agent such as an alkyl- or arylsulfonyl chloride or an alkyl- or arylsulfonic anhydride in the presence of a hindered organic base such as triethylamine or 2,6-lutidine.
- an appropriate agent such as an alkyl- or arylsulfonyl chloride or an alkyl- or arylsulfonic anhydride
- a hindered organic base such as triethylamine or 2,6-lutidine.
- a suitable solvent such as dichloromethane is employed and the reaction is carried out at reduced temperature, such as from about ⁇ 70° C. to 0° C.
- the preferred halogen leaving groups may be introduced by displacing an alkyl- or arylsulfonate leaving group with an appropriate metal halide.
- compound F3 where G is an alkyl- or arylsulfonate group is reacted with a suitable metal halide such as sodium iodide or potassium bromide in a suitable solvent such as acetone, acetonitrile, tetrahydrofuran, 1-methyl-2-pyrrolidinone and the like, at from about 0° C. to 50° C.
- a suitable metal halide such as sodium iodide or potassium bromide
- a suitable solvent such as acetone, acetonitrile, tetrahydrofuran, 1-methyl-2-pyrrolidinone and the like
- the hydroxyl group of F2 may be directly converted into an iodide group by reaction with an appropriate reagent, eg.
- F2 methyl triphenoxyphosphonium iodide in a suitable solvent, such as N,N-dimethylformamide, at reduced or ambient temperatures.
- a suitable solvent such as N,N-dimethylformamide
- Introduction of the cationic substituent is accomplished by reacting F3 with a nucleophilic nitrogen compound Q* in a suitable solvent, such as acetonitrile, tetrahydrofuran, 1-methyl-2-pyrrolidinone and the like, at about 0° C. to 50° C. to provide F4.
- a suitable solvent such as acetonitrile, tetrahydrofuran, 1-methyl-2-pyrrolidinone and the like
- a pharmaceutically acceptable counterion Y ⁇ which may differ from G ⁇ , may be introduced by standard techniques, e.g. by employing an anion exchange resin. Suitable negatively charged counterions are listed above under the description of pharmaceutically acceptable salts.
- Compound F5 is electronically balanced. If more than one positive charge is present in the cationic Q + group of F5, it is understood that an appropriate amount of negative counterion is Y ⁇ present to result in overall electronic balance in the final compound F5. Likewise, it is understood that when the counterion Y ⁇ is an anionic species possessing more than one negative charge, then an appropriate amount of Y ⁇ is present to result in overall electronic balance in the final compound of Formula I. For example, when Y ⁇ is a dianionic species, then one-half of a molar equivalent of Y ⁇ is present relative to the succinate moiety.
- R 4 and Q* are found below in Tables 1 and 2 respectively: TABLE 1 Representative P 3 OCH 2 —R 4 Groups
- IMP-1 metallo- ⁇ -lactamase lacking the N-terminal 18 hydrophobic amino acids which encode the putative periplasmic signal sequence was PCR amplified from plasmid DNA prepared from a carbapenem-resistant strain of Pseudomonas aeruginosa (CL5673). The PCR product was cloned into pET30a+ (Novegen) and expressed in E. coli BL21(DE3) after induction with 0.5 mM IPTG for 20 hours at room temperature in minimal media supplemented with casamino acids and 348 ⁇ M ZnSO 4 .
- Soluble IMP-1 was purified from cell extracts by SP-Sepharose (Pharmacia) ion exchange and Superdex 75 (Pharmacia) size-exclusion chromatography. Soluble CcrA metallo- ⁇ -lactamase was cloned from an imipenem resistant clinical isolate of Bacteroides fragilis and was expressed and purified as described by Toney et al. [Protein Expr. Purif. 9 355 (1997)].
- the IC 50 of succinate derivatives was determined following a 15 minute incubation at 37° C. with IMP-1 (0.75 nM in 50 mM MOPS, pH 7) or CcrA (4 nM in 50 mM Mops pH 7). Using initial velocity as a measure of activity, inhibition was monitored spectrophotometrically at 490 nm in a Molecular Devices SPECTRAmaxTM 250 96-well plate reader employing nitrocefin as the reporter substrate at approximately K m concentration (60 ⁇ M).
- a laboratory strain of E. coli engineered to express IMP-1 was used to evaluate the ability of succinate derivatives to reverse metallo- ⁇ -lactamase-mediated carbapenem resistance in bacteria.
- Native IMP-1 which included the N-terminal periplasmic signal sequence, was PCR amplified from CNA isolated from a carbapenem resistant P. aeruginosa clinical isolate, CL56673, and cloned into the pET30a vector. The basal (uninduced) level of IMP-1 expressed when pET30a-IMP-1 was introduced into E.
- coli BL21(DE3) resulted in 4-, 64- or 500-fold reduced sensitivity to impenem, meropenem or (1S,5R,6S)-1-methyl-2- ⁇ 7[-4-(aminocarbonylmethyl)-1,4-diazoniabicyclo(2.2.2)octan-1-yl]methyl-fluoren-9-on-3-yl ⁇ -6-(1R-hydroxyethyl)-carbapen-2-em-3-carboxylate chloride (a carbapenem synthesized at Merck Research Laboratories) respectively.
- the minimum inhibitory concentration (MIC) of (1S,5R,6S)-1-methyl-2- ⁇ 7-[4-(aminocarbonylmethyl)-1,4-diazoniabicyclo(2.2.2)octan-1-yl]methyl-fluoren-9-on-3-yl ⁇ -6-(1R-hydroxyethyl)-carbapen-2-em-3-carboxylate chloride was typically increased from 0.06-0.12 ⁇ g/ml to 16-32 ⁇ g/ml by the expression of IMP-1.
- an overnight culture of E. coli BL2(DE3)/pET30a-IMP-1 grown 35° C.
- IMP-1 inhibitor Various concentrations of IMP-1 inhibitor were added to the bacterial growth medium and their capacity to effect a four-fold or greater increase in sensitivity to the carbapenem was monitored. The readout for antibacterial activity showed no visible growth after 20 hours incubation at 35° C.
- Representative compounds of Formula I were tested as inhibitors against purified IMP-1 metallo- ⁇ -lactamase and found to be active in an IC 50 range of from about 0.1 nM to about 1000 nM.
- coli BL21(DE3)/pET30a-IMP-1 was tested.
- Compounds of Formula I in the concentration range of from about 0.003 ⁇ M to about 12.5 ⁇ M. were found to produce 4-fold increase in sensitivity to the carbapenem antibiotic (1S,5R,6S)-1-methyl-2- ⁇ 7-[4-(aminocarbonylmethyl)-1,4-diazoniabicyclo(2.2.2)octan-1-yl]-methyl-fluoren-9-on-3-yl ⁇ -6-(1R-hydroxyethyl)-carbapen-2-em-3-carboxylate chloride in an IMP-1 producing laboratory strain E. Coli. BL21(DE3)/pET30a-IMP-1.
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Abstract
This invention relates to novel substituted succinic acid metallo-β-lactamase inhibitors which are useful potentiators of β-lactam antibiotics. Accordingly, the present invention provides a method of treating bacterial infections in animals or humans which comprises administering, together with a b-lactam antibiotic, a therapeutically effective amount of a compound of formula I:
including pharmaceutically acceptable salts, prodrugs, anhydrides, and solvates thereof.
Description
- The present invention relates to compounds which have metallo-β-lactamase inhibitory characteristics. The invention also relates to methods of preparing, pharmaceutical compositions and uses of the compounds.
- Metallo-β-lactamases are bacterial enzymes which confer resistance to virtually all clinically relevant β-lactam antibiotics, including carbapenems and jeopardize the future use of all such agents. The increased treatment of infections with carbapenems and other β-lactam antibiotics may lead to the proliferation of clinical bacterial strains which are able to produce metallo-β-lactamases and thus resist the effects of β-lactam antibiotics. In fact, metallo-β-lactamases have now been identified in a number of pathogenic bacterial species includingBacillus cereus, Bacteroides fragilis, Aeromonas hydrophila, Klebsiella pneumoniae, Pseudomonas aeruginosa, Serratia marcescens, Stenotrophomonas maltophilia, Shigella flexneri, Legionella gormanii, Chryseobacterium meningosepticum, Chryseobacterium indologenes, Acinetobacter baumannii, Citrobacter freundii, and Aeromonas veronii.
- Accordingly, there is an increasing need for agents which when combined with a β-lactam antibiotic, e.g. imipenem, will restore the effectiveness of the β-lactam antibiotics and which are at the same time relatively free from undesirable side effects.
- WO 98/17639, 97/30027, 98/40056,98/39311 and 97/10225 teach certain beta-thiopropionyl-amino acid derivatives and their use as inhibitory agents against metallo-β-lactamases. Goto et. al.,Biol. Pharm. Bull. 20, 1136 (1997), Payne et. al., FEMS Microbiology Letters 157, 171 (1997), Payne et al., Antimicrob. Agents Chemother. 41, 135 (1997), Page et. al., Chem. Commun. 1609 (1998) and Page et al., Biochem. J. 331, 703 (1998) also disclose certain thiols and thioesters as metallo-β-lactamase inhibitors. Additionally, Toney et al., Chemistry and Biology 5, 185 (1998), Fastrez et al., Tetrahedron Lett. 36, 9313 (1995), Schofield et al., Tetrahedron 53, 7275 (1997), Schofield et. al., Bioorg. & Med. Chem. Lett. 6, 2455 (1996) and WO 97/19681 disclose other metallo-β-lactamase inhibitors. However, the above noted references do not teach the compounds of the instant invention.
- Other references which disclosed the general state of the art are Bush et al.,Antimicrob. Agents Chemother. 41, 223 (1997); Livermore, D. M. J. Antimicrob. Chemother. 1998, 41 (Suppl. D), 25; Bush, K. Clin. Infect. Dis. 1998, 27 (Suppl 1), S48; Livermore, D. M. J. Antimicrob. Chemother. 1997, 39, 673 and Payne, D. J. J. Med. Microbiol. 1993, 39, 93.
- This invention relates to novel substituted succinic acid metallo-β-lactamase inhibitors, which are useful potentiators of β-lactam antibiotics. Accordingly, the present invention provides a method of treating bacterial infections in animals or humans which comprises administering, together with a β-lactam antibiotic, a therapeutically effective amount of a compound of formula I:
- including pharmaceutically acceptable salts, prodrugs, anhydrides, and solvates thereof, wherein:
- M1 and M2 are independently selected from:
- (a) Hydrogen,
- (b) Pharmaceutically acceptable cation,
- (c) Pharmaceutically acceptable esterifying group; and
- (d) A negative charge;
- R1 and R2 are independently selected from the following:
- (a) Hydrogen, provided that R1 and R2 are not hydrogen at the same time;
- (b) a C1 to C16 straight, branched or unsaturated alkyl group substituted with 0 to 2 Rq groups and substituted with 0 to 3 Rx groups and optionally interrupted by one of the following O, S, SO2, —C(O)—,
- (c) —C(O)—NRa—, —CO2—;
-
- wherein
-
- represents:
- (1) a C6 to C14 aryl group;
- (2) a C3 to C10 alicyclic group;
- (3) a C3 to C14 heteroaryl group, which contains 1 to 3 heteroatoms, 0 to 3 of which heteroatoms are nitrogen and 0 to 1 of which are oxygen or sulfur;
- (4) a C3 to C10 heterocyclic group, which contains 1 to 2 heteroatoms, 0 to 1 of which heteroatoms are nitrogen, and 0 to 2 of which are oxygen or sulfur; or
-
- wherein:
- —A— is as defined above;
-
- are independently selected from:
- (1) a C6 to C10 aryl group;
- (2) a C3 to C8 alicyclic group;
- (3) a C2 to C9 heteroaryl group, which contains 1 to 3 heteroatoms, 0 to 3 of which heteroatoms are nitrogen and 0 to 1 of which are oxygen or sulfur,
- (4) a C3 to C8 heterocyclic group, which contains 1 to 2 heteroatoms, 0 to 1 of which heteroatoms are nitrogen, and 0 to 2 of which are oxygen or sulfur;
- provided that at least one Rq group is present in R1 or R2 and that when more than one Rq is present the total number of cationic nitrogen atoms does not exceed 8; the total number of cationic nitrogen atoms can be charged balanced by M1 and/or M2 or by M1 and/or M2 in combination with an appropriate number of Y−;
- wherein:
- Rq is —E—Q+Y−;
- Y− is a pharmaceutically acceptable anionic group;
- E is —(CH2)m—X—(CH2)n—;
- m is 0 to 6;
- n is 0 to 6 (but when E is attached to an aromatic ring n is 1-6);
- X is a bond, O, S, SO2, —C(O)—, —C(O)—N(Ra)—, —C(O)O—, —CH=CH— or—C—C—, provided that when X is O, S, —C(O)—N(Ra)— or —C(O)O—, then n is 2 to 6
- and Q+, attached to the (CH2)n terminus of E is:
-
- wherein:
- Ru and Rv are independently hydrogen or C1-6 alkyl optionally substituted with 1 to 2 Ry;
- Rw is hydrogen or C1-6 alkyl optionally substituted with 1 to 2 Rx;
- Ru and Rv when bonded to the same nitrogen atom may together be a C3-6 alkyl radical, which when taken together with the intervening atoms form a ring;
- Two Ru groups on separate nitrogen atoms may together comprise a C2-5 alkyl radical, which when taken together with the intervening atoms form a ring;
- Ru, Rv and Rw when bonded to the same nitrogen atom may together form a C6-10 tertiary alkyl radical, which with N+ forms a bicyclic ring;
-
- wherein:
- E1 is —(CH2)p—Z—(CH2)r—;
- p and r are independently 1 to 4;
-
-
- or —C(O)O—**, r is 2 to 4;
- wherein ** denotes the atom which is bonded to the —(CH2)r— moiety of E1 above;
-
-
- Ru, Rv and Rw are independently selected and defined as above,
-
-
- wherein:
- Each E1 is as defined above, but selected independently;
- Each Q1 is as defined above, but selected independently;
- Each Q2 is as defined above, but selected independently;
- Ru, Rv and Rw are defined as in the definition of Q+ item (2) above and selected independently; or
-
- wherein:
- Each E1 is as defined above, but selected independently;
- Each Q1 is as defined above, but selected independently;
- Each Q2 is as defined above, but selected independently;
- Ru, Rv and Rw are defined as in the definition of Q+ item (2) above and selected independently;
- where each Rx is independently selected from the group consisting of:
- (a) F, Cl, Br, I,
- (b) CF3,
- (c) ORb,
- (d) CN,
- (e) —C(O)—Rc,
- (f) —S(O2)—Rf,
- (g) —C(O)—ORa
- (h) —O—C(O)—Rc,
- (i) —S—Rb,
-
- (q) —N(Ra)—C(O)—ORf,
- (r) —S(O)—Rf,
- (s) —N(Ra)—S(O2)—Rf,
- (t) NO2, and
- (u) C1 to C8 straight, branched or unsaturated alkyl optionally substituted with one of the substituents (a) through (t) above;
- (v) —CH2-aryl wherein the aryl is optionally substituted with one of the substituents (a) through (t) above;
- or two adjacent Rx groups on an aromatic ring may consist of the following divalent moiety, —O—CH2—O—;
- wherein:
- Ra is H, C1 to C6 alkyl optionally substituted with Ry;
- Rb is H, C1 to C6 alkyl optionally substituted with Ry, CH2-aryl, or aryl, said aryls optionally substituted with 1-2 Ry groups;
- Rc is H, C1 to C6 alkyl optionally substituted with Ry, CF3, or aryl, said aryl optionally substituted with 1-2 Ry groups;
- Rd and Re are independently hydrogen, C1 to C4 alkyl optionally substituted with Ry, or Rd and Re taken together may represent a 3 to 5-membered alkyl radical to form a ring, or Rd and Re taken together may represent a 2 to 4-membered alkyl radical interrupted by O, S, SO or SO2 to form a ring;
- Rf is C1 to C6 alkyl optionally substituted with Ry, or aryl, said aryl optionally substituted with 1-2 Ry groups; and
- Ry is —OH, —OCH3, OCONH2, OCOCH3, CHO, COCH3, CO2CH3, CONH2, CN, SOCH3, SO2CH3, SO2NH2, F, Cl, Br, I or CF3.
- The invention is intended to include all of the isomeric forms of the compounds of formula I, including racemic, enantiomeric and diastereomeric forms.
- The invention is described herein in detail using the terms defined below unless otherwise specified.
- The term “alkyl” refers to a monovalent alkane (hydrocarbon) derived radical containing from 1 to 16 carbon atoms unless otherwise defined. It may be straight or branched. Preferred alkyl groups include methyl, ethyl, propyl, isopropyl, butyl and hexyl. When substituted, alkyl groups may be substituted with up to 3 substituent groups selected from Rx, as defined, and up to 2 substituent groups selected from Rq, as defined, at any available point of attachment. When the alkyl group is said to be substituted with an alkyl group, this is used interchangeably with “branched alkyl group”. When the alkyl chain is interrupted by a group, eg. O, this may occur between any two saturated carbons of the alkyl chain.
- The term unsaturated alkyl refers to “alkenyl” or “atkynyl”. The term “alkenyl” refers to an unsaturated alkyl such as a hydrocarbon radical, straight or branched containing from 2 to 16 carbon atoms and at least one carbon to carbon double bond. Preferred alkenyl groups include propenyl, hexenyl and butenyl. The term “alkynyl” refers to an unsaturated alkyl such as a hydrocarbon radical straight or branched, containing from 2 to 16 carbon atoms and at least one carbon to carbon triple bond. Preferred alkynyl groups include propynyl, hexynyl and butynyl.
- The term “alicyclic” refers to non-aromatic monocyclic or bicyclic C3-C10 hydrocarbons, including unsaturated, which can be substituted with 0-3 groups of Rx. Examples of said groups include cycloalkyls such as cyclohexyl, cyclopentyl, bicyclo[2.2.1]heptyl, bicyclo[2.2.1]hepta-2,5-dienyl, bicyclo[2.2.2]octyl, bicyclo[2.2.2]octa-2,5-dienyl.
- The term “alkylidene” refers to an alkyl group which is attached through two bonds on the same carbon atom of the alkyl group to a single attachment atom Examples of said groups include methylene, ethylidene, isopropylidene and the like.
- Examples of when Rd and Re are taken together along with the adjacent nitrogen atom to represent a 3 to 5 membered alkyl radical forming a ring or a 2 to 4 membered alkyl radical interrupted by O, S, SO, SO2, to form a ring are pyrrolidinyl, piperidinyl, morpholinyl and the like.
- The term “heterocyclic” refers to a monocyclic non-aromatic moiety containing 3-8 ring atoms or a bicyclic non-aromatic moiety containing 6-10 ring atoms, at least one of which ring atoms is a heteroatom selected from nitrogen, oxygen and sulfur and where one additional ring atom may be oxygen or sulfur. Examples of heterocyclic groups are furanyl, pyranyl, morpholinyl, dioxanyl and quinuclidinyl:
- Aryl refers to aromatic rings e.g., phenyl, substituted phenyl and the like, as well as rings which are fused, e.g., naphthyl, phenanthrenyl fluorenonyl and the like. An aryl group thus contains at least one ring having at least 6 atoms, with up to three such rings being present, containing up to 14 atoms therein, with alternating (resonating) double bonds between adjacent carbon atoms. The preferred aryl groups are phenyl, naphthyl, and fluorenone. Aryl groups may likewise be substituted as defined. Preferred substituted aryls include phenyl, fluorenonyl and naphthyl.
- The term “heteroaryl” (Het) refers to a monocyclic aromatic group having 5 or 6 ring atoms, a bicyclic aromatic group having 8 to 10 atoms, or tricyclic having 12-14 ring atoms, containing at least one heteroatom, O, S or N, in which a carbon or nitrogen atom is the point of attachment, and in which one or two additional carbon atoms is optionally replaced by a heteroatom selected from O or S, and in which from 1 to 3 additional carbon atoms are optionally replaced by nitrogen heteroatoms, said heteroaryl group being optionally substituted as described herein. Examples of this type are pyrrole, pyridine, oxazole, thiazole, dibenzofuran, dibenzothiophene, carbazole, phenanthrene, anthracene, dibenzothiophene sulfone, fluorenone, quinoline and oxazine. Additional nitrogen atoms may be present together with the first nitrogen and oxygen or sulfur, giving, e.g., thiadiazole. Examples include the following:
-
-
-
- The term “heteroatom” means O, S or N, selected on an independent basis.
- Halogen and “halo” refer to bromine, chlorine, fluorine and iodine.
- The term “pro-drug” refers to compounds with a removable group attached to one or both of the carboxyl groups of compounds of formula I (e.g. biolabile esters). Groups which are useful in forming pro-drugs should be apparent to the medicinal chemist from the teachings herein. Examples include pivaloyloxymethyl, acetoxymethyl, phthalidyl, indanyl and methoxymethyl, and others described in detail in U.S. Pat. No. 4,479,947. These are also referred to as “biolabile esters”.
- The term “hydrate” is used in the conventional sense to include the compounds of formula I in physical association with water.
- When a group is termed “substituted”, unless otherwise indicated, this means that the group contains from 1 to 3 substituents thereon.
-
- The terms “quaternary nitrogen” and “cationic nitrogen” refer to tetravalent, positively charged nitrogen atoms including, e.g., the positively charged nitrogen in a tetraalkylammonium group (e. g. —N+RuRvRw), heteroarylium, (e.g., N-methyl-imidazolium), amidinium, guanidinium, basic nitrogens which are protonated at physiological pH, and the like. A “cationic group” is a moiety which contains at least one such quaternary nitrogen atom. Cationic groups thus encompass positively charged nitrogen-containing groups, as well as basic nitrogens which are protonated at physiologic pH. The terms dicationic, tricationic and tetracationic refer to groups which contain 2, 3 or 4 positively charged nitrogen atoms, respectively.
- When a functional group is termed “protected”, this means that the group is in modified form to preclude undesired side reactions at the protected site. Suitable protecting groups for the compounds of the present invention will be recognized from the present application taking into account the level of skill in the art, and with reference to standard textbooks, such as Greene, T. W. et al.Protective Groups in Organic Synthesis Wiley, New York (1991). Examples of suitable protecting groups are contained throughout the specification.
- In some of the compounds of the present invention suitable protecting groups represents hydroxyl-protecting, amine-protecting or carboxyl-protecting groups. Such conventional protecting groups consist of groups, which are used to protectively block the hydroxyl, amine or carboxyl group during the synthesis procedures described herein. These conventional blocking groups are readily removable, i.e., they can be removed, if desired, by procedures which will not cause cleavage or other disruption of the remaining portions of the molecule. Such procedures include chemical and enzymatic hydrolysis, treatment with chemical reducing or oxidizing agents under mild conditions, treatment with a transition metal catalyst and a nucleophile and catalytic hydrogenation.
- Examples of carboxyl protecting groups include allyl, benzhydryl, 2-naphthylmethyl, benzyl, silyl such as t-butyldimethylsilyl (TBDMS), phenacyl, p-methoxybenzyl, o-nitrobenzyl, p-methoxyphenyl, p-nitrobenzyl, 4-pyridylmethyl and t-butyl.
- Examples of suitable amine protecting groups include 9-fluorenylmethoxycarbonyl, p-nitrobenzyloxycarbonyl, benzyloxycarbonyl, allyloxycarbonyl, t-butyloxycarbonyl, 2,2,2-trichloroethyloxycarbonyl and the like.
- Examples of suitable hydroxyl protecting groups include triethylsilyl, t-butyldimethylsilyl, o-nitrobenzyloxycarbonyl, p-nitrobenzyloxycarbonyl, benzyloxycarbonyl, allyloxycarbonyl, t-butyloxycarbonyl, 2,2,2-trichloroethyloxycarbonyl and the like.
- With respect to M1 and/or M2, this represents a carboxylic hydrogen, a carboxylate anion (M represents a negative charge), a pharmaceutically acceptable ester (M represents an ester forming group) or a pharmaceutically acceptable cation. When M1 and/or M2 is a negative charge it can be used to provide the necessary charge balance in a compound with one or more positive charges. Likewise, when M1 and/or M2 is a negative charge it can be balanced by the appropriate number of counterions, e.g., an alkali metal cation such as sodium or potassium. Other pharmaceutically acceptable counterions may be calcium, magnesium, zinc, ammonium, or alkylammonium cations such as tetramethylammonium, tetrabutylammonium, choline, triethylhydroammonium, meglumine, triethanolhydroammonium, etc.
- For the purposes of this invention, all compounds have at least one Rq substituent containing at least one cationic nitrogen. Preferably 2 to 8 cationic nitrogens, more preferably 2 to 4 cationic nitrogens and most preferably 3 to 4 cationic nitrogens are present. The compounds are balanced with one or more, as necessary, of a charge balancing group Y−. Alternatively, the compounds can be balanced using M1 and/or M2 as the charge balancing group with or without the use of Y−. Examples of cases where a charge balancing group is required are quaternized substituents such as heteroarylium, —N+RuRv-E1-Q1, —N+RuRvRw, and the like.
- Additionally, all compounds having one or more anions are counter balanced with one or more, as necessary, charge balancing cations.
- The compounds of the present invention are useful per se and in their pharmaceutically acceptable salt and ester forms are potentiators for the treatment of bacterial infections in animal and human subjects. The term “pharmaceutically acceptable ester, salt or hydrate”, refers to those salts, esters and hydrated forms of the compounds of the present invention which would be apparent to the pharmaceutical chemist. For example, those which are substantially non-toxic and which may favorably affect the pharmacokinetic properties of said compounds, such as palatability, absorption, distribution, metabolism and excretion. Other factors, more practical in nature, which are also important in the selection, are cost of the raw materials, ease of crystallization, yield, stability, solubility, hygroscopicity and flowability of the resulting bulk drug. Conveniently, pharmaceutical compositions may be prepared from the active ingredients in combination with pharmaceutically acceptable carriers. Thus, the present invention is also concerned with pharmaceutical compositions and methods of treating bacterial infections utilizing as an active ingredient the novel carbapenemase compounds.
- The pharmaceutically acceptable salts referred to above also include acid addition salts. Thus, the Formula I compounds can be used in the form of salts derived from inorganic or organic acids. Included among such salts 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.
- Acid addition salts of the compounds of formula I include compounds that contain a protonated, basic moiety in Rq. Compounds containing a basic moiety in Rq are capable of protonation in aqueous media near pH 7, so that the basic moiety can exist as an equilibrium mixture of its neutral form and acid addition (protonated) form. The more basic the group, the greater the degree of protonation near pH 7. All such compounds are included in the present invention.
- The pharmaceutically acceptable cations which can form a salt with one or both of the carboxyls (CO2M1 and CO2M2) of the compounds of formula I are known to those skilled in the art. Examples include those where M1 and M2 independently can be alkali metals such as sodium, potassium and the like, ammonium and the like.
- The pharmaceutically acceptable esterifying groups are such as would be readily apparent to a medicinal chemist, and include, for example, those described in detail in U.S. Pat. No. 4,309,438. Included within such pharmaceutically acceptable esters are those which are hydrolyzed under physiological conditions, such as pivaloyloxymethyl, acetoxymethyl, phthalidyl, indanyl and methoxymethyl, and others described in detail in U.S. Pat. No. 4,479,947. These are also referred to as “biolabile esters”.
- Biolabile esters are biologically hydrolizable, and may be suitable for oral administration, due to good absorption through the stomach or intestinal mucosa, resistance to gastric acid degradation and other factors. Examples of biolabile esters include compounds in which M1 and/or M2 represents an alkoxyalkyl, alkylcarbonyloxyalkyl, alkoxycarbonyloxyalkyl, cycloalkoxylalkyl, alkenyloxyalkyl, aryloxyalkyl, alkoxyaryl, alkylthioalkyl, cycloalkylthioalkyl, alkenylthioalkyl, arylthioalkyl or alkylthioaryl group. The following M1 and/or M2 species are examples of biolabile ester forming moieties: acetoxymethyl, 1-acetoxyethyl, 1-acetoxypropyl, pivaloyloxymethyl, 1-isopropyloxycarbonyloxyethyl, 1-cyclohexyloxycarbonyloxyethyl, phthalidyl and (2-oxo-5-methyl-1,3-dioxolen-4-yl)methyl.
- Y− can be present or absent as necessary to maintain the appropriate charge balance. When present, these represent pharmaceutically acceptable counterions. Most anions derived from inorganic or organic acids are suitable. Representative examples of such counterions are the following: acetate, adipate, aminosalicylate, anhydromethylenecitrate, ascorbate, aspartate, benzoate, benzenesulfonate, bromide, citrate, camphorate, camphorsulfonate, chloride, estolate, ethanesulfonate, fumarate, glucoheptanoate, gluconate, glutamate, lactobionate, malate, maleate, mandelate, methanesulfonate, pantothenate, pectinate, phosphate/diphosphate, polygalacturonate, propionate, salicylate, stearate, succinate, sulfate, tartrate and tosylate. Other suitable anionic species will be apparent to the ordinarily skilled chemist.
- Likewise, when more than one negative charge is necessary to maintain charge neutrality, the counterion indicator may represent a specie with more than one negative charge, such as malonate, tartrate or ethylenediaminetetraacetate (EDTA), or two or more monovalent anions, such as chloride, etc. When a multivalent negatively charged counterion is present with a compound of formula I which bears a net single positive charge, an appropriate number of molar equivalents of the anionic species can be found in association therewith to maintain the overall charge balance and neutrality.
- Some of the compounds of formula I may be crystallized or recrystallized from solvents such as organic solvents. In such cases solvates may be formed. This invention includes within its cope stoichiometric solvates including hydrates as well as compounds containing variable amounts of solvents such as water that may be produced by processes such as lyophilization. The compounds of formula I may be prepared in crystalline form by for example dissolution of the compound in water, preferably in the minimum quantity thereof, followed by admixing of this aqueous solution with a water miscible organic solvent such as a lower aliphatic ketone such as a di-(C1-6) alkyl ketone, or a (C1-6) alcohol, such as acetone or ethanol.
- A subset of compounds of formula I which is of interest relates to those compounds where M1 and M2 are independently hydrogen or negative charge, said negative charge(s) balanced by the appropriate number of counter balancing ions, and all other variables are as described above.
- Another subset of compounds of formula I which is of interest relates to those compounds where R1 and/or R2 represents a C1 to C16 straight, branched or unsaturated alkyl group substituted with 0 to 2 Rq, and substituted with 0 to 3 Rx groups and optionally interrupted by one of the following O, S, SO2, —C(O)—, —C(O)—NRa— and —CO2-, provided that at least one of R1 or R2 contains an Rq and all other variables are described as above.
- Another subset of compounds of formula I which is of interest relates to those compounds where R1 and/or R2 represents C4-12 straight, branched or unsaturated alkyl group optionally substituted with 1-2 Rx and optionally substituted with 1-2 Rq groups, provided that at least one of R1 or R2 contains an Rq, wherein all other variables are as described above.
-
- wherein at least one Rq is present on R1 or R2 and all other variables are defined as above.
-
- wherein at least one Rq group is present on R1 or R2 and all other variables are defined as above.
-
-
-
- is phenyl, naphthyl, cyclohexyl or dibenzofuranyl, provided that at least one of R1 or R2 contains an Rq and all other variables are as originally defined.
-
- wherein
-
- independently represent phenyl, thienyl, pyridyl, furanyl or cyclohexyl
-
-
- is phenyl, cyclopentyl or cyclohexyl and the other of R1 or R2 is
- i) a C7-12 alkyl group substituted with Rq,
-
-
-
- is phenyl, thienyl or pyridyl, or
-
-
- is phenyl or thienyl and Rq is —(CH2)2-6-Q+Y− and all other variables are as originally defined.
- Still another subset of compounds of formula I that is of interest relates to those compounds where:
-
-
- and all other variables are as described above.
- Still another subset of compounds of formula I that is of interest relates to those compounds where:
-
-
- and all other variables are as described above.
- A preferred subset of Rx is Ry.
- It is preferred that a total of one or two Rq groups are present in R1 and R2 containing a total of 2 to 6 cationic nitrogen atoms. It is more preferred that a single Rq substituent is present containing a tricationic or tetracationic Q+ group. A more preferred Rq is —E-Q+Y− wherein E is (CH2)0-6 or —C(O)—N(Ra)—(CH2)2-4, and Q+ is a tricationic or tetracationic group.
-
- wherein E1 is (CH2)2-4 or —(CH2)—C(O)—N(Ra)—(CH2)2-4— and Ra, Q1 and Q2 are as previously defined.
-
- wherein Ra, Ru, Rv, and Rw are independently selected as defined above.
-
- wherein E1 is (CH2)2-4 or —(CH2)—C(O)—N(Ra)—(CH2)2-4— and Ra, Q1, Q2, and Rw are as defined above.
-
- wherein Ra, Ru, Rv, and Rw are as defined above.
- Preferred. Y− groups are chloride, bromide, acetate, citrate, succinate, phosphate, maleate, tartrate and sulfate.
- The compounds of the invention, which are succinic acids or derivatives thereof, can be formulated in pharmaceutical compositions by combining the compound with a pharmaceutically acceptable carrier. Examples of such carriers are set forth below. The compounds of formula I have metallo-β-lactamase inhibitory properties, and are useful when combined with a β-lactam antibiotic for the treatment of infections in animals, especially mammals, including humans. The compounds may be used, for example, in the treatment of infections of, amongst others, the respiratory tract, urinary tract and soft tissues and blood.
- The compounds may be employed in powder or crystalline form, in liquid solution, or in suspension. They may be administered by a variety of means; those of principal interest include: topically, orally and parenterally by injection (intravenously or intramuscularly).
- Compositions for injection, a preferred route of delivery, may be prepared in unit dosage form in ampules, or in multidose containers. The injectable compositions may take such forms as suspensions, solutions, or emulsions in oily or aqueous vehicles, and may contain various formulating agents. Alternatively, the active ingredient may be in powder (lyophillized or non-lyophillized) form for reconstitution at the time of delivery with a suitable vehicle, such as sterile water. In injectable compositions, the carrier is typically comprised of sterile water, saline or another injectable liquid, e.g., peanut oil for intramuscular injections. Also, various buffering agents, preservatives and the like can be included.
- Topical applications may be formulated in carriers such as hydrophobic or hydrophilic bases to form ointments, creams, lotions, in aqueous, oleaginous or alcoholic liquids to form paints or in dry diluents to form powders.
- Oral compositions may take such forms as tablets, capsules, oral suspensions and oral solutions. The oral compositions may utilize carriers such as conventional formulating agents, and may include sustained release properties as well as rapid delivery forms.
- The compounds of the instant invention are metallo-β-lactamase inhibitors, which are intended for use in pharmaceutical compositions. Accordingly, it is preferable that the metallo-β-lactamase inhibitors are provided in substantially pure form, for example at least about 60% to about 75% pure, preferably about 85% to about 95% pure and most preferably about 98% or more pure (% are on a weight for weight basis). Impure preparations of the compounds may be used for preparing the more pure forms used in pharmaceutical compositions.
- The dosage to be administered depends to a large extent upon the condition and size of the subject being treated, the route and frequency of administration, the sensitivity of the pathogen to the particular compound selected, the virulence of the infection and other factors. Such matters, however, are left to the routine discretion of the physician according to principles of treatment well known in the antibacterial arts. Another factor influencing the precise dosage regimen, apart from the nature of the infection and peculiar identity of the individual being treated, is the molecular weight of the compound.
- The compositions for human delivery per unit dosage, whether liquid or solid, may contain from about 0.01% to as high as about 99% of active material, the preferred range being from about 10-60%. The composition will generally contain from about 15 mg to about 2.5 g of the active ingredient; however, in general, it is preferable to employ dosage amounts in the range of from about 250 mg to 1000 mg. In parenteral administration, the unit dosage will typically include the pure compound in sterile water solution or in the form of a soluble powder intended for solution, which can be adjusted to neutral pH and isotonic.
- The invention described herein also includes a method of treating a bacterial infection in a mammal in need of such treatment comprising administering to said mammal a compound of formula I in conjunction with a β-lactam antibiotic such as a carbapenem, penicillin or cephalosporin in an effective combination.
- The preferred methods of administration of the Formula I compounds include oral and parenteral, e.g., i.v., infusion, i.v. bolus and i.m. injection.
- The compounds of formula I may suitably be administered to the patient at a daily dosage of from 0.7 to 50 mg/kg of body weight. For an adult human (of approximately 70 kg body weight), from 50 to 3000 mg, preferably from 100 to 1000 mg, of a compound according to the invention may be administered daily, suitably in from 1 to 6, preferably from 2 to 4, separate doses. Higher or lower dosages may, however, be used in accordance with clinical practice.
- The compounds may be used in combination with antibiotic agents for the treatment of infections caused by metallo-β-lactamase producing strains, in addition to those infections which are subsumed within the antibacterial spectrum of the antibiotic agent. Metallo-β-lactamase producing strains include:Bacillus cereus, Bacteroides fragilis, Aeromonas hydrophila, Klebsiella pneumoniae, Pseudomonas aeruginosa, Serratia marcescens, Stenotrophomonas maltophilia, Shigella flexneri, Legionella gormanii, Chryseobacterium meningosepticum, Chryseobacterium indologenes, Acinetobacter baumannii, Citrobacter freundii, and Aeromonas veronii.
- In accordance with the instant invention, it is generally advantageous to use a compound of formula I in admixture or conjuction with a carbapenem, penicillin, cephalosporin or other β-lactam antibiotic or prodrug. It also advantageous to use a compound of formula I in combination with one or more β-lactam antibiotics, because of the metallo-β-lactamase inhibitory properties of the compounds. In this case, the compound of formula I and the β-lactam antibiotic can be administered separately or in the form of a single composition containing both active ingredients.
- Carbapenems, penicillins, cephalosporins and other β-lactam antibiotics suitable for co-administration with the compounds of Formula I, whether by separate administration or by inclusion in the compositions according to the invention, include both those known to show instability to or to be otherwise susceptible to metallo-β-lactamases and also known to have a degree of resistance to metallo-β-lactamase.
- When the compounds of Formula I are combined with antibiotics such as carbapenems dehydropeptidase (DHP) inhibitors may also be combined. Many carbapenems are susceptible to attack by a renal enzyme known as DHP. This attack or degradation may reduce the efficacy of the carbapenem antibacterial agent. Inhibitors of DHP and their use with carbapenems are disclosed in, e.g., (European Patent 0007614, filed Jul. 24, 1979 and application number 82107174.3, filed Aug. 9, 1982. A preferred DHP inhibitor is 7-(L-2-amino-2-carboxyethylthio)-2-(2,2-dimethylcyclopropanecarboxamide)-2-heptenoic acid or a useful salt thereof. Thus, compounds of the present invention in combination with a carbapenem such as imipenem and a DHP inhibitor such as, cilastatin is contemplated within the scope of this invention.
- A serine β-lactamase inhibitor such as clavulanic acid, sulbactam or tazobactam may also be co-administered with the compound of the invention and β-lactam antibiotics, either by separate administration, or co-formulation with one, other or both of the compounds of the invention and the β-lactam antibiotic.
- Examples of carbapenems that may be co-administered with the compounds of formula I include imipenem, meropenem, biapenem, (4R, 5S, 6S)-3-[3S, 5S)-5-(3-carboxyphenyl-carbamoyl)pyrrolidin-3-ylthio]-6-(1R)-1-hydroxyethyl]-4-methyl-7-oxo-1-azabicyclo[3.2.0]hept-2-ene-2-carboxylic acid, (1S, 5R, 6S)-2-(4-(2-(((carbamoylmethyl)-1,4-diazoniabicyclo[2.2.2]oct-1-yl)-ethyl(1,8-naphthosultam)methyl)-6-[1(R)-hydroxyethyl]-1-methylcarbapen-2-em-3-carboxylate chloride, BMS181139 ([4R-[4alpha,5beta,6beta(R*)]]-4-[2-[(aminoiminomethyl)amino]ethyl]-3-[(2-cyanoethyl)thio]-6-(1-hydroxyethyl)-7-oxo-1-azabicyclo[3.2.0]hept-2-ene-2-carboxylic acid), BO2727 ([4R-3[3S*,5S*(R*)], 4alpha,5beta,6beta(R*)]]-6-(1-hydroxyethyl)-3-[[5-[1-hydroxy-3-(methylamino)propyl]-3-pyrrolidinyl]thio]-4-methyl-7-oxo-1-azabicyclo[3.2.0]hept-2-ene-2-carboxylic acid monohydrochloride), E1010 ((1R, 5S, 6S)-6-[1(R)-hydroxymethyl]-2-[2(S)-[1(R)-hydroxy-1-[pyrrolidin-3(R)-yl]methyl]pyrrolidin-4(S)-ylsulfanyl]-1-methyl-1-carba-2-penem-3-carboxylic acid hydrochloride), S4661 ((1R,5S,6S)-2-[(3S,5S)-5-(sulfamoylaminomethyl) pyrrolidin-3-yl]thio-6-[(1R)-1-hydroxyethyl]-1-methylcarbapen-2-em-3-carboxylic acid) and (1S,5R,6S)-1-methyl-2-{7-[4-(aminocarbonylmethyl)-1,4-diazoniabicyclo(2.2.2)octan-1yl]-methyl-fluoren-9-on-3-yl}-6-(1R-hydroxyethyl)-carbapen-2-em-3-carboxylate chloride.
- Examples of penicillins suitable for co-administration with the compounds according to the invention include benzylpenicillin, phenoxymethylpenicillin, carbenicillin, azidocillin, propicillin, ampicillin, amoxycillin, epicillin, ticarcillin, cyclacillin, pirbenicillin, azloccillin, mezlocillin, sulbenicillin, piperacillin, and other known penicillins. The penicillins may be used in the form of pro-drugs thereof; for example as in vivo hydrolysable esters, for example the acetoxymethyl, pivaloyloxymethyl, α-ethoxycarbonyloxy-ethyl and phthalidyl esters of ampicillin, benzylpenicillin and amoxycillin; as aldehyde or ketone adducts of penicillins containing a 6-α-aminoacetamido side chain (for example hetacillin, metampicillin and analogous derivatives of amoxycillin); and as a-esters of carbenicillin and ticarcillin, for example the phenyl and indanyl α-esters.
- Examples of cephalosporins that may be co-administered with the compounds according to the invention include, cefatrizine, cephaloridine, cephalothin, cefazolin, cephalexin, cephacetrile, cephapirin, cephamandole nafate, cephradine, 4-hydroxycephalexin, cephaloglycin, cefoperazone, cefsulodin, ceftazidime, cefuroxime, cefmetazole, cefotaxime, ceftriaxone, and other known cephalosporins, all of which may be used in the form of pro-drugs thereof.
- Examples of β-lactam antibiotics other than penicillins and cephalosporins that may be co-administered with the compounds according to the invention include aztreonam, latamoxef (Moxalactam-trade mark), and other known β-lactam antibiotics such as carbapenems like imipenem, meropenem or (4R, 5S, 6S)-3-[(3S,5S)-5-(3-carboxyphenylcarbamoyl)pyrrolidin-3-ylthio]-6-(1R)-1-hydroxyethyl]-4-methyl-7-oxo-1-azabicyclo[3.2.0]hept-2-ene-2-carboxylic acid, all of which may be used in the form of pro-drugs thereof
- Preferred carbapenems are imipenem, meropenem and (4R, 5S, 6S)-3-[(3S,5S)-5-(3-carboxyphenylcarbamoyl)pyrrolidin-3-ylthio]-6-(1R)-1-hydroxyethyl]-4-methyl-7-oxo-1-azabicyclo[3.2.0]hept-2-ene-2-carboxylic acid.
- Particularly suitable penicillins for co-administration with the compounds according to the invention include ampicillin, amoxycillin, carbenicillin, piperacillin, azlocillin, mezlocillin, and ticarcillin. Such penicillins may be used in the form of their pharmaceutically acceptable salts, for example their sodium salts. Alternatively, ampicillin or amoxycillin may be used in the form of fine particles of the zwitterionic form (generally as ampicillin trihydrate or amoxycillin trihydrate) for use in an injectable or infusable suspension, for example, in the manner described herein in relation to the compounds of formula I. Amoxycillin, for example in the form of its sodium salt or the trihydrate, is particularly preferred for use in compositions according to the invention.
- Particularly suitable cephalosporins for co-administration with the compounds according to the invention include cefotaxime, ceftriaxone and ceftazidime, which may be used in the form of their pharmaceutically acceptable salts, for example their sodium salts.
- When the compositions according to this invention are presented in unit dosage form, each unit dose may suitably comprise from about 25 to about 1000 mg, preferably about from 50 to about 500 mg, of a compound according to the invention. Each unit dose may, for example, be 62.5, 100, 125, 150, 200 or 250 mg of a compound according to the invention.
- When the compounds of formula I are co-administered with a penicillin, cephalosporin, carbapenem or other β-lactam antibiotic, the ratio of the amount of the compounds of formula I to the amount of the other β-lactam antibiotic may vary within a wide range. The said ratio may, for example, be from 100:1 to 1:100; more particularly, it may for example, be from 2:1 to 1:30. The amount of carbapenem, penicillin, cephalosporin or other β-lactam antibiotic according to the invention will normally be approximately similar to the amount in which it is conventionally used.
- The claimed invention also includes the use of a compound of formula I, a pharmaceutically acceptable salt, ester, prodrug, anhydride or solvate thereof, in the manufacture of a medicament for the treatment of bacterial infections.
- The claimed invention also includes the use of a compound of formula I as a metallo-β-lactamase inhibitor.
- The claimed invention further includes a method of treating bacterial infections in humans or animals which comprises administering, in combination with a β-lactam antibiotic, a therapeutically effective amount of a metallo-β-lactamase inhibitor of formula I.
- The claimed invention further includes a method of treating bacterial infections in humans or animals which comprises administering, in combination with a carbapenem antibiotic, a therapeutically effective amount of a metallo-β-lactamase inhibitor of formula I.
- The claimed invention also includes a composition comprising a metallo-β-lactamase inhibitor of formula I together with a β-lactam antibiotic and a pharmaceutically acceptable carrier.
- The claimed invention also includes a composition comprising a metallo-β-lactamase inhibitor of formula I together with a carbapenem antibiotic and a pharmaceutically acceptable carrier.
- The compositions discussed above may optionally include a serine β-lactamase inhibitor as described above as well as a DHP inhibitor.
- Using standard susceptibility tests the compounds of the instant invention were found to be active against metallo-β-lactamase enzymes produced by a range of organisms.
-
- The 2,3-disubstituted succinic acid compounds of the present invention can be prepared as described in Flow Sheets A-F. The cationic Rq substituents of the compounds of the present invention are generally carried through the syntheses in protected or precursory form and are then deprotected or elaborated near or at the end of the synthesis. Introduction of the Rq substituent from a precursor group is described in detail in Flow Sheet F.
- The synthesis of Flow Sheet A is based on a known literature procedure (M. J. Crimmin et. al.,SynLett 1993, 137). Referring to Flow Sheet A, the R1-substituted acetic acid starting materials A1 are readily available from commercial sources or are readily prepared by a variety of methods known in the art. Briefly, the starting material A1 is alkylated with an ester derivative of bromoacetic acid, employing a chiral auxiliary group to achieve stereoselectivity in the reaction. After removal of the chiral auxiliary to give A4, the R2* group is introduced stereoselectively by an alkylation reaction to give A5. The R2* group may be R2 as defined above, or may contain Rx and Rq substituents in precursory or protected form which require elaboration. Such elaboration may be carried-out at this point. Removal of the carboxyl protecting group of A5 then provides the final compound A6.
- The first step of Flow Sheet A is introduction of the chiral auxiliary. A suggested method is as follows. A mixed anhydride is formed between the starting carboxylic acid A1 and pivalic acid by treating A1 with a tertiary amine base such as triethylamine and pivaloyl chloride in a suitable ethereal solvent such as tetrahydrofuran at reduced temperature such as between −78° C. and 0° C. After a suitable reaction time, such as from 30 min to 3 hours, the resulting activated intermediate is then reacted with a freshly prepared solution of lithio-(4R)-benzyl-2-oxazolidinone in tetrahydrofuran at reduced temperature such as between −78° C. and 0° C. After conventional isolation and purification, intermediate A2 is obtained. Intermediate A2 is deprotonated with a strong base such as sodium hexamethyldisilazide in a solvent such as tetrahydrofuran at reduced temperature such as between −78° C. and −70° C. The resulting enolate is alkylated by addition of BrCH2CO2P1, where P1 is a removable carboxyl protecting group. After an appropriate reaction period, such as from 1 to 3 hours, compound A3 is obtained by conventional isolation and purification techniques. Suitable removable ester derivatives of bromoacetic acid for this alkylation reaction are t-butyl bromoacetate, allyl bromoacetate or benzyl bromoacetate.
- The oxazolidinone chiral auxiliary group of A3 is removed by a hydrolysis reaction. Aqueous lithium hydroxide and aqueous hydrogen peroxide are employed for this reaction along with an organic co-solvent such as tetrahydrofuran. The reaction is carried-out at a temperature of from 0° C. to 30° C. for a reaction time of from 30 min to 4 hours. After acidification, conventional isolation and purification provides intermediate A4.
- An alternative method of removing the chiral auxilliary consists of reacting A3 with lithium benzyloxide (LiOCH2Ph) followed by cleavage of the resulting benzyl ester to give A4. The reaction of A3 with lithium benzyloxide is carried-out in tetrahydrofuran as solvent at a temperature of from −78° C. to 30° C. for a reaction time of from 30 min to 4 hours. Cleavage of the resulting benzyl ester is accomplished in conventional fashion, eg by hydrogenolysis employing a suitable catalyst such as palladium on carbon in an appropriate solvent such as ethanol at 1-2 atmospheres pressure of hydrogen. After conventional isolation and purification, compound A4 is obtained.
- Alkylation of A4 to give A5 is accomplished by deprotonating A4 with >2 equivalents of a strong hindered base to give a dianion which is then reacted with an alkylating agent R2*L to give A5, where R2* is as defined above and L is a displaceable leaving group such as iodide, bromide or trifluoromethanesulfonate. The reaction proceeds with high stereoselectivity to give predominately the stereoisomer shown in Flow Sheet A. The deprotonation reaction is carried-out in a suitable solvent such as tetrahydrofuran at a temperature of from −78° C. to −70° C. for a reaction time of from 30 min to 3 hours. Preferred bases for this reaction are lithium bis(trimethylsilyl)amide and lithium diisopropylamide. After addition of the alkylating agent, the reaction is allowed to proceed at a temperature of from −78° C. to 25° C. for a reaction time of from 1 to 12 hours. Progress of the reaction can be monitored by conventional analytical methods, eg HPLC and TLC. Preferred alkylating agents for this reaction are alkyl iodides and alkyl bromides. Other suitable alkylating agents are well known in the art and include alkyl trifluoromethanesulfonates, alkyl methanesulfonates and alkyl tosylates. After conventional isolation and purification, intermediate A5 is obtained. The minor stereoisomer produced in this reaction can often be separated from A5 at this stage by conventional chromatographic techniques. However, it is often preferable to carry-out this separation at the stage of A6, after removal of the carboxyl protecting group as described below.
- Deprotection of any Rx or Rq groups which are present in protected form may be accomplished at this point. For example, if compound A5 contains a protected hydroxyl or amino group, said protecting group may conveniently be removed at the stage of A5. Alternatively, depending on the nature of the protecting group it may be removed concurrent with or subsequent to the removal of the. carboxyl protecting group as described immediately below. Introduction of the cationic Rq group may also be accomplished at this point from a precursor substituent. This procedure is described in detail in Flow Sheet F further below.
- Removal of the carboxyl protecting group of A5 by standard methods gives the final compound A6. When P1 is t-butyl, this is accomplished by treating A5 with a strong acid such as trifluoroacetic acid in a suitable solvent such as dichloromethane. The reaction is carried-out at a temperature of from 0° C. to 30° C. for a reaction time of from 1 to 8 hours. The final compound A6 is then isolated by conventional techniques. Other methods of removing tert-butyl ester groups are known in the art and may also be employed (see e.g. Greene, T. W., et al. Protective Groups in Organic Synthesis, John Wiley & Sons. Inc., 1991).
- It will be apparent to one skilled in the art that employing a chiral auxiliary of the opposite absolute configuration [eg. lithio-(4S)-benzyl-2-oxazolidinone] in the first step of Flow Sheet A will make possible the synthesis of compound A3 with the alternative stereochemistry at the newly created stereocenter. This will in turn make possible the synthesis of the final compounds A6 of Flow Sheet A, with the opposite absolute configuration. Other chiral auxiliary groups are also known in the art and may also be employed.
- Flow Sheet B illustrates a variation of Flow Sheet A which is preferred in certain cases, for example when Ar1 is a heteroaryl group such as pyridyl. In this synthesis the second substituent on the succinic acid is introduced by an aldol reaction instead of an alkylation reaction. The synthesis begins with compound A4, which is prepared as described in Flow Sheet A. Compound A4 is deprotonated with >2 equivalents of a strong hindered base to give a dianion which is then reacted with an aldehyde Ar1CHO to give B1, where Ar1 is an optionally substituted aryl or heteroaryl group, terms which are defined above. The deprotonation reaction is carried-out in a suitable solvent such as tetrahydrofuran at a temperature of from −78° C. to −70° C. for a reaction time of from 30 min to 3 hours. Preferred bases for this reaction are lithium bis(trimethylsilyl)amide and lithium diisopropylamide. After addition of the aldehyde, the reaction is allowed to proceed at a temperature of from −78° C. to 25° C. for a reaction time of from 1 to 12 hours. After conventional isolation and purification, intermediate B1 is obtained.
- Compound B1 is next cyclized to the lactone B2. Suitable conditions for this cyclization reaction would be exposure of B1 to acetic anhydride and triethylamine in an inert solvent such as dichloromethane. Reductive opening of lactone B2, such as by hydrogenolysis over palladium on carbon in a-suitable solvent such as methanol, provides compound B3. Deprotection of any Rx or Rq groups which are present in protected form may be accomplished at this point. In addition, introduction of a cationic Rq group from a precursor substituent may be carried-out at, the stage of B3. This procedure is described in detail in Flow Sheet F further below. Removal of the carboxyl protecting group of B3 by conventional methods then gives the final compound B4.
- Flow Sheet C illustrates an extension of the synthesis of Flow Sheet A which makes possible the introduction of a variety of preferred biaryl-type R2 substituents. Briefly, starting with compound A4 from Flow Sheet A, alkylation with K—Ar2—(CH2)n—L by the method described in Flow Sheet A gives intermediate C1; where L is a displaceable leaving group such as iodide, bromide or trifluoromethanesulfonate, n is 1,2,3 or 4, Ar2 is an optionally substituted aryl or heteroaryl group as defined above, and K is iodide, bromide, chloride or a protected hydroxyl group which can be converted to a trifluoromethanesulfonate group by known methods. Protection of the free carboxyl group of C1 with a removable protecting group p2 gives C2. When K is a protected hydroxyl group it is deprotected and converted to a trifluoromethanesulfonate group at this point. A palladium catalyzed organometallic cross-coupling reaction between C2 and an organometallic reagent R3-Met gives compound C3; where Met is a boronic acid or trialkyltin moiety and R3 is an optionally substituted alkenyl, alkynyl, aryl or heteroaryl group as defined above. Deprotection or elaboration of any Rx or Rq groups which are present in protected or precursory form is accomplished at this point. Removal of the two carboxyl protecting groups of C3 then provides the final compound C4.
- The p2 carboxyl protecting group is introduced in conventional fashion. A preferred p2 group is p-methoxybenzyl which can be introduced employing p-methoxybenzyl alcohol, a carbodiimide reagent such as 1,3-diisopropylcarbodiimide and N,N-dimethylaminopyridine catalyst in a suitable inert solvent such as dichloromethane. Other suitable ester protecting groups known in the art could also be employed (see e.g. Greene, T. W., et al. Protective Groups in Organic Synthesis, John Wiley & Sons. Inc., 1991).
- The palladium catalyzed cross-coupling reaction between C2 and R3-Met is carried-out by procedures known in the scientific and patent literature. When Met is a boronic acid moiety [—B(OH)2] the reaction is commonly known as a Suzuki reaction (see Suzuki, Chem. Rev. 1995, 95, 2457). Compound C2 is combined with the boronic acid R3—B(OH)2 in a coupling solvent such as 1,2-dimethoxyethane, N,N-dimethylformamide or toluene, optionally with water as a co-solvent, with a base such as sodium carbonate and a palladium catalyst such as tetrakis(triphenylphosphine)-palladium(0). The reaction is carried-out at a temperature of from 20° C. to 125° C. for a reaction time of from 1 to 48 hours. The coupled product C3 is then isolated by conventional techniques. When Met is a trialkyltin moiety, the reaction is commonly known as a Stille reaction and the cross-coupling is carried-out by procedures well known in the literature (T. N. Mitchell, Synthesis 1992, 803).
- Deprotection of any Rx or Rq groups which are present in protected form may be accomplished at this point. In addition, introduction of a cationic Rq group from a precursor substituent may be carried-out at the stage of C3. This procedure is described in detail in Flow Sheet F further below.
- Removal of the carboxyl protecting groups of C3 by standard methods provides the final compound C4. It is often convenient for the protecting groups p1 and p2 to be selected such that they can both be removed under the same reaction conditions. For example, when p1 is tert-butyl and p2 is p-methoxybenzyl, both esters of C3 can be removed in a single step by treating C3 with a strong acid such as trifluoroacetic acid in a suitable solvent such as dichloromethane. It is sometimes advantageous to include a trapping agent such as triethylsilane or anisole in the reaction mixture. The reaction is carried-out at a temperature of from 0° C. to 30° C. for a reaction time of from 1 to 8 hours. The final compound C4 is then isolated by conventional techniques. Other methods of removing tert-butyl and p-methoxybenzyl ester groups are known in the art and may also be employed (see e.g. Greene, T. W., et al. Protective Groups in Organic Synthesis, John Wiley & Sons. Inc., 1991). Flow Sheet D illustrates an alternative synthesis of compounds of the present invention. The R1-substituted acetic acid starting materials D1 (M=H) and the esterified derivatives thereof (M=esterifying group) are readily available from commercial sources or are readily prepared by a variety of methods known in the art. The synthesis of Flow Sheet D is based on known literature procedures (see for example J. L. Belletire and D. F. Fry, J. Org. Chem. 1987, 52, 2549). Briefly, starting material D1 is deprotonated with a strong base and the resulting dianion (M=H) or anion (M=esterifying group) is oxidatively coupled with a suitable oxidizing reagent. In the case of M=H, acidic work-up and conventional isolation and purification gives the final compound D2. In the case of M=esterifying group, an additional deprotection step is also needed. A preferred strong base for the deprotonation reaction is lithium diisopropylamide. Suitable oxidizing agents for the synthesis of Flow Sheet D include iodine, copper(II) salts such as CuBr2, and titanium tetrachloride.
- In the synthesis of Flow Sheet D, protection or elaboration of any Rx or Rq groups which are present in protected or precursory form is best accomplished where M=esterifying group, prior to removal of said estenrfying group. In addition, introduction of a cationic Rq group from a precursor substituent may be carried-out as described in detail in Flow Sheet F further below.
- Since the synthesis of Flow Sheet D is based on a dimerization-type reaction, it is best suited for the synthesis of symmetrically 2,3-disubstituted succinic acids (R1=R2). For this reason, it is generally less preferred than the syntheses of Flow Sheets A, B and C. The synthesis of Flow Sheet D also generally produces a racemic mixture of stereoisomers., However, it is possible to employ a chiral auxiliary in the synthesis of Flow Sheet D in order to achieve high stereoselectivity and optical purity (see for example N. Kise et. al. J. Org. Chem. 1995, 60, 1100). Such use of a chiral auxiliary is illustrated in Flow Sheet E.
- Flow Sheet F illustrates a suggested method for the introduction of the cationic substituents of the compounds of the present invention from a precursor substituent. The starting material F1 of Flow Sheet F is substituted with a precursor substituent which can be elaborated into the desired cationic substitutent, Rq. A preferred precursor substituent is a protected hydroxymethyl group, P3OCH2—, where p3 is a removable hydroxyl protecting group. In Flow Sheet F, R4 is defined such that the moiety [—R4—CH2—Q+Y−] represents an R2 group as defined above. Examples of representative R4 groups are shown in Table 1.
- The starting material F1 of Flow Sheet F is synthesized by one the methods described in Flow Sheets A, B, C, D, and E. When F1 is synthesized according to Flow Sheet A, it is derived from intermediate A5, through protection of the free carboxyl group with an appropriate carboxyl protecting group p2. In this case, the precursor substituent is present in the R1 or R2* substituent of A5. When F1 is synthesized according to Flow Sheet B, it is derived from intermediate B3, through protection of the free carboxyl group with an appropriate carboxyl protecting group p2. In this case, the precursor substituent is present in the R1 or Ar1 substituent of B3. When F1 is synthesized according to Flow Sheet C, it is derived from or corresponds to, intermediate C3. In this case, the precursor substituent is present in the R1, Ar2 or R3 substituent of C3. Starting material F1 may also be prepared by appropriate modification of the syntheses of Flow Sheets D and E as would be apparent to those skilled in the art.
- Referring to Flow Sheet F, the first step is removal of the hydroxyl protecting group p3. This is accomplished by conventional methods. Hydroxyl protecting group p3 is generally selected such that it may be selectively removed in the presence of the carboxyl protecting groups P1 and p2 A preferred p3 is t-butyldimethylsilyl. Removal of the preferred t-butyldimethylsilyl p3 is accomplished by treating F1 with tetra-n-butylammonium fluoride and acetic acid in tetrahydrofuran as solvent. Other hydroxyl protecting groups are well known in the art and may also be employed (see e.g. Greene, T. W., et al. Protective Groups in Organic Synthesis, John Wiley & Sons. Inc., 1991).
- Introduction of the cationic substituent is accomplished by an activation-dispacement process. Briefly, the hydroxyl group of F2 is converted into a suitable leaving group, G, which is thereafter displaced with a nucleophilic nitrogen. compound Q*, to yield F4. With certain Q* groups, additional steps may also be needed such as removal of amino protecting groups or conversion of an amine precursor such azide into an amino group. The protecting groups are removed from F4 in conventional fashion and then in an optional step a pharmaceutically acceptable counterion Y− may be introduced to provide compound F5.
- The following are examples of suitable leaving groups G: alkyl and substituted alkylsulfonates, aryl and substituted arylsulfonates and halides. The common sulfonate leaving groups are: methanesulfonyloxy, trifluoromethanesulfonyloxy, fluorosulfonyloxy, p-toluenesulfonyloxy, and 2,4,6-triisopropylbenzenesulfonyloxy. The preferred halogen leaving groups are bromide and iodide.
- Compound Q* represents a precursor group to the cationic group Q+ as defined above. As such, it may require further modification after its reaction with F3. The nucleophilic nitrogen moiety of Q* is generally the nitrogen of a primary, secondary or tertiary amino group or a ring nitrogen of a heteroaryl group such as a 1-substituted-imidazole. In addition to its nucleophilic nitrogen atom, Q* may include 1,2 or 3 of the following moieties: positively charged nitrogen atoms, protected amino groups, amine precursor groups such as azido. Suitable protecting groups for amino groups present in Q* would be t-butyloxycarbonyl-, allyloxycarbonyl- and p-nitrobenzyloxycarbonyl-. The Q* groups may be prepared by standard methods known in the scientific and patent literature. Suitable Q* groups are listed in Table 2.
- Referring to Flow Sheet F, the hydroxyl group of F2 may be converted into a suitable alkyl- or arylsulfonate leaving group by treating with an appropriate agent such as an alkyl- or arylsulfonyl chloride or an alkyl- or arylsulfonic anhydride in the presence of a hindered organic base such as triethylamine or 2,6-lutidine. A suitable solvent such as dichloromethane is employed and the reaction is carried out at reduced temperature, such as from about −70° C. to 0° C.
- The preferred halogen leaving groups may be introduced by displacing an alkyl- or arylsulfonate leaving group with an appropriate metal halide. Thus, compound F3, where G is an alkyl- or arylsulfonate group, is reacted with a suitable metal halide such as sodium iodide or potassium bromide in a suitable solvent such as acetone, acetonitrile, tetrahydrofuran, 1-methyl-2-pyrrolidinone and the like, at from about 0° C. to 50° C. Alternatively, the hydroxyl group of F2 may be directly converted into an iodide group by reaction with an appropriate reagent, eg. by treatment of F2 with methyl triphenoxyphosphonium iodide in a suitable solvent, such as N,N-dimethylformamide, at reduced or ambient temperatures. Introduction of the cationic substituent is accomplished by reacting F3 with a nucleophilic nitrogen compound Q* in a suitable solvent, such as acetonitrile, tetrahydrofuran, 1-methyl-2-pyrrolidinone and the like, at about 0° C. to 50° C. to provide F4. When the leaving group, G, is iodide or bromide, this displacement reaction may also be facilitated by the addition of silver trifluoromethanesulfonate to the reaction mixture.
- When the hydroxyl group of F2 is located at a benzylic position, and the reactive trifluoromethanesulfonate group is employed as the leaving group G in F3, the activation and displacement steps must be carried-out in situ, since in this case F3 cannot be isolated by conventional techniques due to its instability. Thus, treatment of F2 with a slight excess of trifluoromethanesulfonic anhydride in the presence of a hindered, non-nucleophilic base such as 2,6-lutidine, 2,4,6-collidine, or 2,6-di-tert-butyl-4-methyl-pyridine in a suitable solvent, such as dichloromethane or acetonitrile, at from about −78° C. to −20° C. provides for the generation of the trifluoromethanesulfonate activating group. Introduction of the cationic group is then accomplished by reacting the above trifluoromethanesulfonate intermediate in situ with Q* at reduced temperature. It is also possible in certain instances to use the nucleophilic nitrogen compound Q* as the base for the formation of the trifluoromethanesulfonate activating group. In this case, treatment of F2 with trifluoromethanesulfonic anhydride in the presence of at least two equivalents of Q* at reduced temperature such as from −78° C. to 0° C. provides intermediate F4. Examples of Q* which are suitable for use in this manner are 1-methylimidazole and 1,4-diazabicyclo(2.2.2)octane.
- Removal of the carboxyl protecting groups of F4 by standard methods provides the final compound F5. If Q* includes one or more protected amino groups, these are removed either before, after or simultaneous with the carboxyl protecting groups depending on the exact nature of the protecting groups. If Q* includes one or more amine precursor groups, these may be converted to the desired amine or amines either before or after removal of the carboxyl protecting groups depending on the nature of the protecting groups. In the case of an azido amine precursor group, this may be accomplished by hydrogenation over a suitable catalyst such as rhodium on carbon. After the protecting groups are removed from F4, and the cationic group Q+ has been fully elaborated, the final compound F5 is isolated by conventional techniques. As an optional final step, a pharmaceutically acceptable counterion Y−, which may differ from G−, may be introduced by standard techniques, e.g. by employing an anion exchange resin. Suitable negatively charged counterions are listed above under the description of pharmaceutically acceptable salts.
- Compound F5 is electronically balanced. If more than one positive charge is present in the cationic Q+ group of F5, it is understood that an appropriate amount of negative counterion is Y− present to result in overall electronic balance in the final compound F5. Likewise, it is understood that when the counterion Y− is an anionic species possessing more than one negative charge, then an appropriate amount of Y− is present to result in overall electronic balance in the final compound of Formula I. For example, when Y− is a dianionic species, then one-half of a molar equivalent of Y− is present relative to the succinate moiety.
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- The invention is further described in connection with the following non-limiting examples.
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- A solution of (4R)-benzyl-2-oxazolidinone (2.44 g, 13.77 mmol) in 100 mL of THF was cooled to −70° C. and metalated by the dropwise addition of a 2.5M solution of n-butyllithium in hexanes (5.52 mL, 13.77 mmol). After 20 min, neat hydrocinnamoyl chloride (2.05 ml, 13.79 mmol) was added. After 15 min, the reaction mixture was warmed by placing in an ice bath and kept at 0° C. C for 1 hr. The reaction was hydrolyzed by the addition of sat. aqueous NH4Cl and most of the THF was removed by rotary evaporation. The residue was partitioned between ethyl acetate and sat. aqueous NH4Cl and the organic phase was washed with sat. aqueous NaHCO3, water and brine. The organic layer was dried over Na2SO4 and evaporated in vacuo to give a solid. Flash chromatography through 500 g of silica gel (50:40:10 hexane/CH2Cl2/EtOAc) yielded 3.89 g of the title compound as a white solid.
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- A stirred solution of compound 1 (3.283 g, 10.612 mmol) in 35 mL of THF was cooled to −78° C. and a 1.0M solution of NaN(TMS)2 in THF (11.67 mL, 11.67 mmol) was added dropwise during 15 min. After 30 min, a solution of t-butyl bromoacetate (2.04 mL, 13.82 mmol) in 2 mL of THF was added dropwise during 5 min. The solution was stirred at −78° C. for 1 h and then the ice bath was removed and stirring was continued for 1 h. The reaction was hydrolyzed by the addition of sat. aqueous NH4Cl and most of the THF was removed by rotary evaporation. The residue was partitioned between ethyl acetate and sat. aqueous NH4Cl and the organic phase was washed with water and brine. The organic layer was dried over Na2SO4 and evaporated in vacuo to give a solid. Flash chromatography through 410 g of silica gel (35:60:5 hexane/CH2Cl2/EtOAc) yielded 2.86 g of the title compound as a white foam.
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- A stirred solution of compound 2 (2.860 g, 6.753 mmol) in 70 mL of 4:1 THF/H2O was cooled to 0° C. and 30% aq. hydrogen peroxide (2.8 mL, 27.01 mmol) was added dropwise during 5 min. After 5 min, a 1.0M solution of LiOH.H2O in H2O (13.51 ml, 13.51 mmol) was added dropwise during 10 min. The reaction was kept at 0° C. for 1.75 hr. and then a 1.5M solution of Na2SO3 in H2O (18.0 ml, 27.01 mmol) was added. The ice bath was removed and the reaction mixture was allowed to warm towards room temperature over 30 min. A solution of 1.0N NaHCO3 in H2O was added until the reaction mixture had a pH=9 by pH paper (˜5 ml). Most of the THF was removed by rotary evaporation and the residue was partitioned between CH2Cl2 and H2O. The aqueous layer was washed 3×CH2Cl2 and then acidified with 2N HCl until pH=3 by pH paper. The aqueous layer was extracted 4×CH2Cl2 and the combined organic extracts were dried over Na2SO4 and evaporated in vacuo to give an oil. Flash chromatography through 100 g of silica gel (94:6 CH2Cl2/MeOH+0.5% HOAc) yielded 1.74 g of the title compound as a white solid.
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- To a stirred solution of 3-(4-biphenyl)-propionic acid (1.805 g, 7.977 mmol) in 40 mL of THF was added Et3N (1.28 mL, 9.17 mmol) and the solution was cooled to −70° C. Neat pivaloyl chloride (1.0 ml, 8.1 mmol) was added and a thick white suspension resulted. After 15 min, the reaction mixture was warmed by placing in an ice bath and kept at 0° C. for 40 min. The mixture was then re-cooled to −70° C. In a separate flask, a solution of (4R)-benzyl-2-oxazolidinone (1.44 g, 8.13 mmol) in 35 mL of THF was cooled to −70° C. and metalated by the dropwise addition of a 2.5M solution of n-butyllithium in hexanes (3.25 mL, 8.13 mmol). The resulting anion solution was added to the re-cooled suspension via a cannula, rinsing with an additional 3 mL of THF. After 15 min, the reaction mixture was warmed by placing in an ice bath and kept at 0° C. for 30 min. The reaction was hydrolyzed by the addition of sat. aqueous NH4Cl and most of the THF was removed by rotary evaporation. The residue was partitioned between ethyl acetate and sat. aqueous NH4Cl and the organic phase was washed with sat. aqueous NaHCO3, water and brine. The organic layer was dried over Na2SO4 and evaporated in vacuo to give a solid. Flash chromatography through 240 g of silica gel (CH2Cl2) yielded 2.45 g of the title compound as a white solid.
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- A stirred solution of compound 4 (1.000 g, 2.594 mmol) in 40 mL of THF was cooled to −78° C. and a 1.0M solution of NaN(TMS)2 in THF (2.85 mL, 2.85 mmol) was added dropwise during 5 min. After 30 min, a solution of t-butyl bromoacetate (0.500 mL, 3.37 mmol) in 4 mL of THF was added dropwise during 5 min. The solution was stirred at −78° C. for 1 h and then the reaction was hydrolyzed by the addition of sat. aqueous NH4Cl. The reaction mixture was partitioned between ethyl acetate and sat. aqueous NH4Cl and the organic phase was washed with water and brine. The organic layer was dried over Na2SO4 and evaporated in vacuo to give a solid. Flash chromatography through 150 g of silica gel (65:30:5 hexane/CH2Cl2/EtOAc) yielded 1.12 g of the title compound as a white solid.
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- A stirred solution of compound 5 (0.907 g, 1.815 mmol) in 10 mL of THF was cooled to −70° C. and a freshly prepared 0.27 M solution of LiOBn in THF (10 mL, 2.7 mmol) was added dropwise during 10 min. The reaction was allowed to warm gradually to −10° C. during 2 h and was then placed in an ice bath and kept at 0° C. for 50 min. The reaction mixture was partitioned between ethyl acetate and sat. aqueous NH4Cl and the organic phase was washed with water and brine. The organic layer was dried over Na2SO4 and evaporated in vacuo to give an oil. Flash chromatography through 125 g of silica gel (75:20:5 hexane/CH2Cl2/EtOAc) yielded 0.696 g of the title compound as a white solid.
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- A solution of compound 6 (0.696 g, 1.617 mmol) in 10 mL of EtOH and 5 mL of THF was hydrogenated at atmospheric pressure at room temperature over 70 mg of 10% Pd/C. After 20 h, the mixture was filtered and evaporated to give a solid. Flash chromatography through 50 g of silica gel (5:2:2:1 hexane/CH2Cl2/EtOAc/MeOH+0.05% HOAc) yielded 0.540 g of the title compound as a white solid.
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- STEP A:
- A stirred solution of compound 3 from Preparation 3 (1.011 g, 3.825 mmol) in 15.5 mL of THF was cooled to −70° C. and a 1.0M solution of LiN(TMS)2 in hexane (8.42 mL, 8.42 mmol) was added dropwise. After 1 h, a freshly prepared 1.14M solution of p-iodobenzyl iodide in THF (6.0 mL, 6.84 mmol) was added dropwise. The solution was stirred at −70° C. for 30 min and was then allowed to warm gradually to 10° C. during 90 min. The reaction was hydrolyzed by the addition of sat. aqueous NH4Cl and most of the THF was removed by rotary evaporation. The residue was partitioned between ethyl acetate and sat. aqueous NH4Cl and the organic phase was washed with water and brine. The organic layer was dried over Na2SO4 and evaporated in vacuo to give a solid. Flash chromatography through 450 g of silica gel (98:2 CH2Cl2/MeOH+0.1% HOAc) yielded 1.78 g of compound 8 as a ˜6:1 mixture of (S,S:R,S) diastereomers (major isomer depicted).
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- STEP B:
- To a solution of compound 8 (182.0 mg, 0.3789 mmol) in 0.6 mL of CH2Cl2 was added neat trifluoroacetic acid (0.2 mL). The solution was stirred at room temperature for 4 h, and was then evaporated in vacuo to give an oil. Separation by reverse phase medium pressure chromatography on RP-18 (40:60 MeCN/0.1% aqueous TFA) gave after lyophilization 103.7 mg of the title compound as a white solid.
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- STEP A:
- A stirred solution of compound 7 (26.2 mg, 0.0770 mmol) in 0.7 mL of THF was cooled to −70° C. and a freshly prepared 1.0M solution of LiN(i-Pr)2 in THF (0.17 mL, 0.17 mmol) was added dropwise. After 1 h, neat benzyl bromide (0.015 mL, 0.12 mmol) was added dropwise. The solution was stirred at −70° C. for 20 min and was then allowed to warm gradually to 10° C. during 90 min. The reaction was hydrolyzed by the addition of sat. aqueous NH4Cl. The reaction mixture was partitioned between ethyl acetate and sat. aqueous NH4Cl and the organic phase was washed with water and brine. The organic layer was dried over Na2SO4 and evaporated in vacuo to give an oil. Purification by preparative layer chromatography on silica gel (93:7 CH2Cl2/MeOH+0.1% HOAc) yielded 28 mg of compound 10 as an ˜8:1 mixture of (S,S:R,S) diastereomers (major isomer depicted).
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- STEP B:
- To a solution of compound 10 from Step A (10.3 mg, 0.0239 mmol) in 0.3 mL of CH2Cl2 was added neat trifluoroacetic acid (0.1 mL). The solution was stirred at room temperature for 4 h, and was then evaporated in vacuo to give an oil. Separation by reverse phase medium pressure liquid chromatography on RP-18 (45:55 MeCN/0.1% aqueous TFA) gave after lyophilization 5.0 mg of compound 11 and 0.7 mg of compound 12 as white solids.
- Compound 11:
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- Compound 12:
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- STEP A:
- A stirred solution of compound 8 (830.1 mg, 1.728 mmol) and p-methoxybenzyl alcohol (0.54 ml, 4.33 mmol) in 14 mL of CH2Cl2 was cooled to 0° C., and a 1.0M solution of N,N-dimethylaminopyridine in CH2Cl2 (0.259 ml, 0.259 mmol) was added, followed by neat 1,3-diisopropylcarbodiimide (0.541 ml, 3.46 mmol). After 1 hr, the cooling bath was removed. The reaction mixture was stirred an additional 180 min, and was then hydrolyzed by the addition of sat. aqueous NH4Cl. The reaction mixture was partitioned between ethyl acetate and sat. aqueoues NH4Cl and the organic phase was washed with water and brine. The organic layer was dried over Na2SO4 and evaporated in vacuo to give a semi-solid. This crude material was triturated with 10 ml CH2Cl2 and filtered through a sintered-glass funnel. Evaporation of the filtrate in vacuo gave an oil. Flash chromatography through 160 g of silica gel (73:20:7 hexane/CH2Cl2/EtOAc) yielded 921.6 mg of compound 13 as a white solid.
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- STEP B:
- To a stirred solution of compound 13 (76.6 mg, 0.1276 mmol) and tetrakis(triphenylphosphine)palladium(0) (7.4 mg, 0.0064 mmol) in 1.1 ml DME was added a solution of 4-methoxybenzeneboronic acid (29.1 mg, 0.192 mmol) in 0.2 ml DME. After 10 min, a 2.0M solution of Na2CO3 in H2O (0.130 ml, 0.260 mmol) was added and the reaction mixture was heated to 100° C. for 3.5 hr. The reaction mixture was allowed to cool to RT and then hydrolyzed by the addition of sat. aqueous NH4Cl. The reaction mixture was partitioned between ethyl acetate and sat. aqueous NH4Cl and the organic phase was washed with sat. aqueous NaS2O3, water, and brine. The organic layer was dried over Na2SO4 and evaporated in vacuo to give an oil. Flash chromatography through 18 g of silica gel (73:20:7 hexane/CH2Cl2/EtOAc) yielded 37.1 mg of compound 14 as a white solid.
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- STEP C:
- To a solution of compound 14 (37.1 mg, 0.064 mmol) in 0.6 mL of CH2Cl2 was added neat trifluoroacetic acid (0.2 mL). The solution was stirred at room temperature for 4 h, and was then evaporated in vacuo to give an oil. Separation by reverse phase medium pressure chromatography on RP-18 (45:55 MeCN/0.1% aqueous TFA) gave after lyophilization 9.3 mg of the title compound as a white solid.
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- Compound 20
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- A stirred solution of compound 3 (0.253 g, 0.957 mmol) in 7 mL of THF was cooled to −78° C. and a 1.0M solution of LiN(TMS)2 in hexanes (2.2 mL, 2.2 mmol) was added dropwise during 5 min. After 65 min, a solution of 4-(iodomethyl)-4′-(t-butyldimethylsilyloxymethyl)biphenyl (0.630 g, 1.44 mmol) in 1 mL of THF was added dropwise during 5 min. The solution was stirred at −78° C. for 35 min and was then allowed to warm gradually to −20° C. during 2 h, at which point the reaction was judged to be complete by HPLC analysis. The reaction was hydrolyzed by the addition of sat. aqueous NH4Cl. The reaction mixture was then partitioned between ethyl acetate and sat. aqueous NH4Cl and the organic phase was washed with water and brine. The organic layer was dried over Na2SO4 and evaporated in vacuo to give a solid. Flash chromatography on silica gel (95:3:2 CH2Cl2/EtOAc/MeOH) yielded 0.479 g of compound 16 as an ˜19:1 mixture of (S,S:R,S) diastereomers (major isomer depicted).
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- A stirred solution of compound 16 (0.479 g, 0.835 mmol) and p-methoxybenzyl alcohol (0.260 mL, 2.08 mmol) in 7.5 mL of CH2Cl2 was cooled to 0° C. and a 1.0 M solution of N,N-dimethylaminopyridine in CH2Cl2 (0.125 mL, 0.125 mmol) was added followed by neat 1,3-diisopropylcarbodiimide (0.260 mL, 1.66 mmol). After 40 min, the cooling bath was removed. The reaction mixture was stirred for an additional 140 min, and was then hydrolyzed by the addition of sat. aqueous NH4Cl. The reaction mixture was partitioned between ethyl acetate and sat. aqueous NH4Cl and the organic phase was washed with water and brine. The organic layer was dried over Na2SO4 and evaporated in vacuo to give a semi-solid. Flash chromatography on silica gel (75:21.5:3.5 to 75:20:5 hexane/CH2Cl2/EtOAc) yielded 0.486 g of compound 17 as an oil. The diastereomeric ratio was>100:1 (S,S): (R,S).
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- A stirred solution of compound 17 (0.482 g, 0.694 mmol) in 4.5 mL of THF was cooled to 0° C. and neat acetic acid (0.120 mL, 2.1 mmol) was added followed by a 1.0 M solution of tetrabutylammonium fluoride in THF (2.1 mL, 2.1 mmol). After 50 min, the cooling bath was removed. After stirring at room temperature for 22 h, the reaction was judged to be complete by TLC on silica gel. The reaction mixture was partitioned between ethyl acetate and sat. aqueous NH4Cl and the organic phase was washed with water and brine. The organic layer was dried over Na2SO4 and evaporated in vacuo to give an oil. Flash chromatography on silica gel (4:3:3 hexane/CH2Cl2/EtOAc) yielded 0.389 g of compound 18 as an oil.
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- A stirred solution of compound 18 (20.0 mg, 0.0344 mmol) in 0.35 mL of CH2Cl2 was cooled to −70° C. and neat 1-methylimidazole (0.0090 mL, 0.11 mmol) was added followed by trifluoromethanesulfonic anhydride (0.0090 mL, 0.053 mmol). The temperature was allowed to gradually rise and after 45 min was −15° C. TLC on silica gel showed some remaining starting material, so additional 1-methylimidazole (0.0050 mL, 0.063 mmol) was added. After 25 min more, the temperature was 5° C. and TLC showed no starting material. The reaction mixture was partitioned between ethyl acetate and water and the organic phase was washed once with water. The organic layer was dried over Na2SO4 and evaporated in vacuo to give an oil. Preparative layer chromatography on silica gel (1:1 MeCN/CH2Cl2) yielded 19.0 mg of compound 19 as an oil.
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- To a solution of compound 19 (18.5 mg, 0.0233 mmol) in 0.3 mL of CH2Cl2 was added neat trifluoroacetic acid (0.1 mL). The solution was stirred at room temperature for 110 min, and was then evaporated in vacuo to give a solid. Purification by reverse phase medium pressure liquid chromatography on RP-18 (40:60 MeCN/0.1% aqueous TFA) gave after lyophilization 10.4 mg of compound 20 as a white solid.
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- Compound 23
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- A stirred solution of compound 18 (0.262 g, 0.451 mmol) in 4.5 mL of CH2Cl2 was cooled to −60° C. and triethylamine (0.107 mL, 0.768 mmol) was added followed by neat methanesulfonyl chloride (0.0490 mL, 0.633 mmol). The temperature was allowed to gradually rise and after 45 min was −25° C. The reaction was hydrolyzed by the addition of sat. aqueous NH4Cl. The reaction mixture was partitioned between ethyl acetate and sat. aqueous NH4Cl and the organic phase was washed with water and brine. The organic layer was dried over Na2SO4 and evaporated in vacuo to give a solid.
- The crude mesylate was dissolved in acetone and cooled to 0° C. Solid sodium iodide was added (0.135 g, 0.901 mmol) and the mixture was stirred in the dark. After 30 min, the cooling bath was removed. After stirring for 2 h more, the reaction mixture was partitioned between ethyl acetate and water. The organic phase was washed with 51% aqueous Na2S2O3, water and brine. The organic lawyer was dried over Na2SO4 and evaporated in vacuo to give 313 mg of compound 21 as a solid.
-
-
- To a stirred solution of compound 21 (0.0212 g, 0.0307 mmol) and 1-(aminocarbonylmethyl-4-aza-1-azoniabicyclo(2.2.2)octane trifluoromethanesulfonate (0.011 g, 0.034 mmol) in 0.35 mL of acetonitrile and 0.1 mL of THF was added a solution of silver trifluoromethanesulfonate in acetonitrile (0.845 M, 0.036 mL, 0.030 mmol). A precipitate formed immediately. The mixture was stirred in the dark for 55 min and was then filtered and evaporated in vacuo to give 37 mg of compound 22 as a solid.
-
-
- A solution of compound 22 (37 mg) in 0.3 mL of CH2Cl2 and 0.1 mL of trifluoroacetic acid was stirred at room temperature for 150 min, and was then evaporated in vacuo to give a film. Purification by reverse phase medium pressure liquid chromatography on RP-18 (25:75 MeCN/0.1% aqueous TFA) gave after lyophilization 21.8 mg of compound 23 as a white solid.
-
- Compound 25
-
- To a stirred solution of compound 21 (0.194 g, 0.281 mmol) in 0.75 mL of THF was added a solution of 1-(1-azidoprop-3-yl)-4-aza-1-azoniabicyclo(2.2.2)octane trifluoromethanesulfonate (0.107 g, 0.310 mmol) in 2.25 mL of acetonitrile. To the resulting solution was added a solution of silver trifluoromethanesulfonate in acetonitrile (0.845 M, 0.332 mL, 0.281 mmol). A precipitate formed immediately. The mixture was stirred in the dark for 45 min and was then filtered and evaporated in vacuo to give 312 mg of compound 24 as a solid.1H-NMR (500 Mz, d6-acetone): δ 1.32 (s, 9H), 2.25-2.35 (m, 2H), 2.90-3.15 (m, 6H), 3.55-3.65 (m, 2H), 3.80 (s, 3H), 3.93-4.00 (m, 2H), 4.37 (s, 12H), 4.93 (d, J=12 Hz, 1H), 5.02 (d, J=12 Hz, 1H), 5.14 (s, 2H), 6.90 (d, J=8.4 Hz, 2H), 7.16 (d J=6.6 Hz, 2H), 7.2-7.3 (m, 7H), 7.63 (d, J=8.2 Hz, 2H), 7.80 (d, J 8.5 Hz, 2H), 7.85 (d, J=8.2 Hz, 2H). MS (ESI): m/z=872.1 (M+2+CF3CO2—).
-
- A solution of compound 24 (312 mg) in 2.1 mL of CH2Cl2 and 0.7 mL of trifluoroacetic acid was stirred at room temperature for 125 min, and was then evaporated in vacuo. The resulting dry film was dissolved in 3 mL of THF, 1 mL of MeOH and 1 mL of water and hydrogenated at atmospheric pressure over 55 mg of 5% rhodium on carbon. After 3 h, the mixture was filtered through a pad of Celite®. The tan filtrate was concentrated by rotary evaporation until it became hazy, and was then frozen and lyophilized to give a brown solid. Purification by reverse phase medium pressure liquid chromatography on RP-18 (20:80 MeCN/0.1% aqueous TFA) gave after lyophilization 164 mg of a white solid. A portion of this solid (151.4 mg) was dissolved in 2 mL of methanol and eluted with methanol through a 12 g column of Bio-Rad® AG-2-X8 chloride form resin (˜3 meq/g). Evaporation of the collected fractions gave a colorless oil which was lyophilized from water/MeCN to give 109 mg of compound 25 as a white solid.
-
- Compound 27
-
- To a stirred solution of compound 21 (41.2 mg, 0.0597 mmol) and [3-(dimethylamino)propyl] [3-[(1,1-dimethylethoxy)carbonyl amino]propyl]carbamic acid, 1,1-dimethylethyl ester (24.7 mg, 0.0687 mmol) in 1.2 mL of acetonitrile was added a solution of silver trifluoromethanesulfonate in acetonitrile (0.845 M, 0.066 mL, 0.0564 mmol). A precipitate formed immediately. The mixture was stirred in the dark for 85 min and was then filtered and evaporated in vacuo to give 66.7 mg of compound 26 as a solid.
- 1H-NMR (500 Mz, d6-acetone): δ 1.33 (s, 9H), 1.40 (s, 9H), 1.45 (s, 9H), 1.74 (bs, 2H), 2.37 (bs, 2H), 2.9-3.2 (m, 8H), 3.26-3.33 (m, 2H), 3.35 (s, 6H), 3.42 (bs, 2H), 3.61 (bs, 2H), 3.80 (s, 3H), 4.85 (s, 2H), 4.97 (dd, J=43.5, 11.9 Hz, 2H), 5.99 (bs, 1H), 6.91 (d, J=8.0 Hz, 2H), 7.16 (d, J=7.3 Hz, 2H), 7.19-7.30 (m, 7H), 7.63 (d, J=7.5 Hz, 2H), 7.8 (dd, J=37.1, 7.9 Hz, 4H). MS (ESI): m/z=922.5 (M+).
-
- To a solution of compound 26 (66.7 mg) in 0.6 mL of CH2Cl2 was added neat trifluoroacetic acid (0.2 mL). The solution was stirred at room temperature for 5.5 h, and was then evaporated in vacuo to give an oil. Purification by reverse phase medium pressure chromatography on RP-18 (30:70 MeCN/0.1% aqueous TFA) gave after lyophilization 36 mg of a white solid. A portion of this solid (31.5 mg) was dissolved in 2 mL of methanol and eluted with methanol through a 3 g column of Bio-Rad® AG-2-X8 chloride form resin (˜3 meq/g). Evaporation of the collected fractions gave a colorless oil which was lyophilized from water/MeCN to give 22.2 mg of compound 27 as a white solid.
- 1H-NMR (500 Mz, CD3OD): δ 2.07-2.16 (m, 2H), 2.30-2.40 (m, 2H), 2.90-2.97 (m, 2H), 3.03-3.22 (m, 16H), 3.43-3.50 (m, 2H), 4.60 (s, 2H), 7.12-7.28 (m, 7H), 7.56 (d, J=8.2 Hz, 2H), 7.63 (d, J=8.2 Hz, 2H), 7.78 (d, J=8.2 Hz, 2H). MS (ESI): m/z=546.4 (M+3−2H+).
- Employing the procedures described herein, additional compounds of the present invention were prepared. These are described in Tables 3-7, which additionally include characterizing data.
TABLE 3 Example No. Q⊕ Y⊖ m/z 5 3 Cl⊖ 542.5(M+3 − 2H+); ESI 6 3 Cl⊖ 660.4(M+3 − H+ + CF3CO2 −); ESI 7 3 Cl⊖ 532.3(M+3 − 2H+); ESI 8 4 Cl⊖ 613.4(M+4 − 3H+); ESI 9 4 Cl⊖ 10 3 Cl⊖ 649.5(M+2 − H+); ESI 11 3 Cl⊖ 712.3(M+3 − H+ + CF3CO2—); ESI 12 3 Cl⊖ 765.5(M+3 − H+ + CF3CO2 −); ESI 13 3 Cl⊖ 599.3(M+3 − 2H+); ESI 14 3 Cl⊖ 793.5(M+3 − H+ + CF3CO2 −); ESI -
-
-
-
- Additional compounds of the present invention can be prepared employing the procedures described herein. These are described in Tables 8-18.
TABLE 8 Example No. Q⊕ Y⊖ 30 3 Cl⊖ 31 3 CH3CO2 ⊖ 32 3 Cl⊖ 33 3 Cl⊖ 34 3 Cl⊖ 35 3 Cl⊖ 36 4 Cl⊖ 37 4 CH3CO2 ⊖ 38 4 Cl⊖ 39 4 Cl⊖ 40 4 Cl⊖ 41 4 Cl⊖ 42 Cl⊖ 43 Cl⊖ 44 3 Cl⊖ 45 3 Cl⊖ 46 4 Cl⊖ 47 3 Cl⊖ -
-
-
-
-
-
-
-
-
-
- IMP-1 metallo-β-lactamase lacking the N-terminal 18 hydrophobic amino acids which encode the putative periplasmic signal sequence (EMBL access code PACATAAC6) was PCR amplified from plasmid DNA prepared from a carbapenem-resistant strain ofPseudomonas aeruginosa (CL5673). The PCR product was cloned into pET30a+ (Novegen) and expressed in E. coli BL21(DE3) after induction with 0.5 mM IPTG for 20 hours at room temperature in minimal media supplemented with casamino acids and 348 μM ZnSO4. Soluble IMP-1 was purified from cell extracts by SP-Sepharose (Pharmacia) ion exchange and Superdex 75 (Pharmacia) size-exclusion chromatography. Soluble CcrA metallo-β-lactamase was cloned from an imipenem resistant clinical isolate of Bacteroides fragilis and was expressed and purified as described by Toney et al. [Protein Expr. Purif. 9 355 (1997)].
- The IC50 of succinate derivatives was determined following a 15 minute incubation at 37° C. with IMP-1 (0.75 nM in 50 mM MOPS, pH 7) or CcrA (4 nM in 50 mM Mops pH 7). Using initial velocity as a measure of activity, inhibition was monitored spectrophotometrically at 490 nm in a Molecular Devices SPECTRAmax™ 250 96-well plate reader employing nitrocefin as the reporter substrate at approximately Km concentration (60 μM).
- A laboratory strain ofE. coli engineered to express IMP-1 was used to evaluate the ability of succinate derivatives to reverse metallo-β-lactamase-mediated carbapenem resistance in bacteria. Native IMP-1, which included the N-terminal periplasmic signal sequence, was PCR amplified from CNA isolated from a carbapenem resistant P. aeruginosa clinical isolate, CL56673, and cloned into the pET30a vector. The basal (uninduced) level of IMP-1 expressed when pET30a-IMP-1 was introduced into E. coli BL21(DE3) resulted in 4-, 64- or 500-fold reduced sensitivity to impenem, meropenem or (1S,5R,6S)-1-methyl-2-{7[-4-(aminocarbonylmethyl)-1,4-diazoniabicyclo(2.2.2)octan-1-yl]methyl-fluoren-9-on-3-yl}-6-(1R-hydroxyethyl)-carbapen-2-em-3-carboxylate chloride (a carbapenem synthesized at Merck Research Laboratories) respectively. For example, the minimum inhibitory concentration (MIC) of (1S,5R,6S)-1-methyl-2-{7-[4-(aminocarbonylmethyl)-1,4-diazoniabicyclo(2.2.2)octan-1-yl]methyl-fluoren-9-on-3-yl}-6-(1R-hydroxyethyl)-carbapen-2-em-3-carboxylate chloride, was typically increased from 0.06-0.12 μg/ml to 16-32 μg/ml by the expression of IMP-1. To evaluate IMP-1 inhibitors, an overnight culture of E. coli BL2(DE3)/pET30a-IMP-1, grown 35° C. in LB broth (Difco) or Mueller Hinton broth (BBL) supplemented with kanamycin (50 μM/ml), was diluted to a final concentration of ˜105 cells/ml in Mueller Hinton broth (BBL) containing a subinhibitory concentration (0.25×MIC) of the carbapenem, (1S,5R,6S)-1-methyl-2-{7-[4-(aminocarbonylmethyl)-1,4-diazoniabicyclo(2.2.2)octan-1-yl]methyl-fluoren-9-on-3-yl}-6-(1R-hydroxyethyl)-carbapen-2-em-3-carboxylate chloride. Various concentrations of IMP-1 inhibitor were added to the bacterial growth medium and their capacity to effect a four-fold or greater increase in sensitivity to the carbapenem was monitored. The readout for antibacterial activity showed no visible growth after 20 hours incubation at 35° C.
- Representative compounds of Formula I were tested as inhibitors against purified IMP-1 metallo-β-lactamase and found to be active in an IC50 range of from about 0.1 nM to about 1000 nM. The ability of representative compounds of Formula I to potentiate the activity of the carbapenem antibiotic (1S,5R,6S)-1-methyl-2-{7-[4-(aminocarbonylmethyl)-1,4-diazoniabicyclo(2.2.2)octan-1yl]-methyl-fluoren-9-on-3-yl}-6-(1R-hydroxyethyl)-carbapen-2-em-3-carboxylate chloride against an IMP-1 producing laboratory strain E. coli BL21(DE3)/pET30a-IMP-1 was tested. Compounds of Formula I in the concentration range of from about 0.003 μM to about 12.5 μM. were found to produce 4-fold increase in sensitivity to the carbapenem antibiotic (1S,5R,6S)-1-methyl-2-{7-[4-(aminocarbonylmethyl)-1,4-diazoniabicyclo(2.2.2)octan-1-yl]-methyl-fluoren-9-on-3-yl}-6-(1R-hydroxyethyl)-carbapen-2-em-3-carboxylate chloride in an IMP-1 producing laboratory strain E. Coli. BL21(DE3)/pET30a-IMP-1.
Claims (33)
1. A compound represented by formula I:
including pharmaceutically acceptable salts, prodrugs, anhydrides, and solvates thereof, wherein:
M1 and M2 are independently selected from:
(a) Hydrogen,
(e) Pharmaceutically acceptable cation,
(e) Pharmaceutically acceptable esterifying group; and
(g) A negative charge;
R1 and R2 are independently selected from the following:
(d) Hydrogen, provided that R1 and R2 are not hydrogen at the same time;
(e) a C1 to C16 straight, branched or unsaturated alkyl group substituted with 0 to 2 Rq groups and substituted with 0 to 3 Rx groups and optionally interrupted by one of the following O, S, SO2, —C(O)—,
(f) —C(O)—NRa—, —CO2—;
(c) a group of the formula:
wherein
—A— represents a single bond, C1 to C8 straight, branched or unsaturated alkyl group optionally substituted with 1 to 2 Rx groups and optionally interrupted by one of the following O, S, SO2, —C(O)—, —C(O)—NRa—, —CO2—;
represents:
(1) a C6 to C14 aryl group;
(2) a C3 to C10 alicyclic group;
(3) a C3 to C14 heteroaryl group, which contains 1 to 3 heteroatoms, 0 to 3 of which heteroatoms are nitrogen and 0 to 1 of which are oxygen or sulfur;
(4) a C3 to C10 heterocyclic group, which contains 1 to 2 heteroatoms, 0 to 1 of which heteroatoms are nitrogen, and 0 to 2 of which are oxygen or sulfur; or
(d) a group of the formula:
wherein:
—A— is as defined above;
A′ is a single bond, O, S, or a C1 to C6 straight, branched or unsaturated alkyl group optionally substituted with 1-2 Rx groups and optionally interrupted by one of the following groups O, S, SO2, —C(O)—, —C(O)—NRa—, —CO2—;
are independently selected from:
(1) a C6 to C10 aryl group;
(2) a C3 to C8 alicyclic group;
(3) a C2 to C9 heteroaryl group, which contains 1 to 3 heteroatoms, 0 to 3 of which heteroatoms are nitrogen and 0 to 1 of which are oxygen or sulfur;
(4) a C3 to C8 heterocyclic group, which contains 1 to 2 heteroatoms, 0 to 1 of which heteroatoms are nitrogen, and 0 to 2 of which are oxygen or sulfur;
provided that at least one Rq group is present in R1 or R2 and that when more than one Rq is present the total number of cationic nitrogen atoms does not exceed 8; the total number of cationic nitrogen atoms can be charged balanced by M1 and/or M2 or by M1 and/or M2 in combination with an appropriate number of Y−;
wherein:
Rq is —E—Q+Y−;
Y− is a pharmaceutically acceptable anionic group;
E is —(CH2)m—X—(CH2)n—;
m is 0 to 6;
n is 0 to 6 (but when E is attached to an aromatic ring n is 1-6);
X is a bond, O, S, SO2, —C(O)—, —C(O)—N(Ra)—, —C(O)O—, —CH═CH— or —C≡C—, provided that when X is O, S, —C(O)—N(Ra)— or —C(O)O—, then n is 2 to 6
and Q+, attached to the (CH2)n terminus of E is:
(1) a cationic group selected from the following:
wherein:
Ru and Rv are independently hydrogen or C1-6 alkyl optionally substituted with 1 to 2 Ry;
Rw is hydrogen or C1-6 alkyl optionally substituted with 1 to 2 Rx;
Ru and Rv when bonded to the same nitrogen atom may together be a C3-6 alkyl radical, which when taken together with the intervening atoms form a ring;
Two Ru groups on separate nitrogen atoms may together comprise a C2-5 alkyl radical, which when taken together with the intervening atoms form a ring;
Ru, Rv and Rw when bonded to the same nitrogen atom may together form a C6-10 tertiary alkyl radical, which with N+ forms a bicyclic ring;
(2) A dicationic group:
wherein:
E1 is —(CH2)p—Z—(CH2)r—;
p and r are independently 1 to 4;
Z is a bond, O, S, SO2, —C(O)—, —C(O)O—**, —CH═CH—, —C≡C—, or
Provided that when Z is O or S, p is 2 to 4 and r is 2 to 4 and when Z is
or —C(O)O—**, r is 2 to 4;
wherein ** denotes the atom which is bonded to the —(CH2)r— moiety of E1 above;
Q1 is selected from the following:
Q2 is selected from the following:
Ru, Rv and Rw are independently selected and defined as above,
And in addition, in the case where two Ru groups on separate nitrogen atoms are joined to form a ring as defined above, two Rv groups on the same two separate nitrogen atoms may also comprise a C1-5 alkyl radical to form together with the intervening atoms a bicyclic ring; an example of such is:
(5) A tricationic group selected from the following:
wherein:
Each E1 is as defined above, but selected independently;
Each Q1 is as defined above, but selected independently;
Each Q2 is as defined above, but selected independently;
Ru, Rv and Rw are defined as in the definition of Q+ item (2) above and selected independently; or
(6) A tetracationic group selected from the following:
wherein:
Each E1 is as defined above, but selected independently;
Each Q1 is as defined above, but selected independently;
Each Q2 is as defined above, but selected independently;
Ru, Rv and Rw are defined as in the definition of Q+ item (2) above and selected independently;
where each Rx is independently selected from the group consisting of:
(f) F, Cl, Br, I,
(g) CF3,
(h) ORb,
(i) CN,
(j) —C(O)—Rc,
(f) —S(O2)—Rf,
(g) —C(O)—ORa
(h) —O—C(O)—Rc,
(i) —S—Rb,
(j) —N(Ra)—C(O)—Rc,
(q) —N(Ra)—C(O)—ORf,
(r) —S(O)—Rf,
(s) —N(Ra)—S(O2)—Rf,
(t) NO2, and
(u) C1 to C8 straight, branched or unsaturated alkyl optionally substituted with one of the substituents (a) through (t) above;
(v) —CH2-aryl wherein the aryl is optionally substituted with one of the substituents (a) through (t) above;
or two adjacent Rx groups on an aromatic ring may consist of the following divalent moiety, —O—CH2—O—;
wherein:
Ra is H, C1 to C6 alkyl optionally substituted with Ry;
Rb is H, C1 to C6 alkyl optionally substituted with Ry, CH2-aryl, or aryl, said aryls optionally substituted with 1-2 Ry groups;
Rc is H, C1 to C6 alkyl optionally substituted with Ry, CF3, or aryl, said aryl optionally substituted with 1-2 Ry groups;
Rd and Re are independently hydrogen, C1 to C4 alkyl optionally substituted with Ry, or Rd and Re taken together may represent a 3 to 5-membered alkyl radical to form a ring, or Rd and Re taken together may represent a 2 to 4-membered alkyl radical interrupted by O, S, SO or SO2 to form a ring;
Rf is C1 to C6 alkyl optionally substituted with Ry, or aryl, said aryl optionally substituted with 1-2 Ry groups; and
Ry is —OH, —OCH3, OCONH2, OCOCH3, CHO, COCH3, CO2CH3, CONH2, CN, SOCH3, SO2CH3, SO2NH2, F, Cl, Br, I or CF3.
2. A compound in accordance with claim 1 wherein M1 and M2 are independently hydrogen or a negative charge and all other variables are as defined above.
3. A compound in accordance with claim 1 wherein R1 and/or R2 represents a C1 to C16 straight, branched or unsaturated alkyl group substituted with 0 to 2 Rq, and substituted with 0 to 3 Rx groups, provided that at least one of R1 or R2 contains an Rq and all other variables are defined as above.
7. A compound in accordance with claim 6 wherein R1 and/or R2 represents C4-12 straight, branched or unsaturated alkyl group optionally substituted with 1 to 2 Rx and optionally substituted with 1 to 2 Rq groups provided that at least one of R1 or R2 contains an Rq and all other variables are as described above.
10. A compound in accordance with claim 6 where one of R1 or R2 is C4-8 straight, branched or unsaturated alkyl optionally substituted with 1 to 2 Rx or a group of the formula:
where A is (CH2)1-2 and
is phenyl, cyclopentyl or cyclohexyl and the other of R1 or R2 is:
i) a C7-12 alkyl group substituted with Rq,
ii) a group of the formula:
where A is (CH2)1-2, A′ is a single bond,
iii) a group of the formula:
where A is (CH2)1-3,
is phenyl or thienyl and Rq is —(CH2)2-6—Q+ YQ; and all other variables are as originally defined.
13. A compound according to claim 1 wherein 1 or 2 Rq groups are present containing a total number of 2 to 6 cationic nitrogen atoms.
14. A compound according to claim 1 wherein a single Rq substituent is present containing a tricationic or tetracationic Q+ group.
15. A compound according to claim 14 wherein Rq is —E—Q+Y− wherein E is (CH2)0-6 or —C(O)—N(Ra)—(CH2)2-4— and Q+ is a tricationic or tetracationic group and Y− and Ra are as originally defined.
21. A compound represented by Tables 3-7:
22. A compound represented by Tables 8-18:
23. A pharmaceutical composition comprised of a compound in accordance with claim 1 in combination with a pharmaceutically acceptable carrier.
24. A pharmaceutical composition in accordance with claim 23 used in the manufacture of a medicament for the treatment of bacterial infections.
25. A pharmaceutical composition in accordance with claim 23 further comprising a β-lactam antibiotic.
26. A pharmaceutical composition in accordance with claim 25 wherein the β-lactam is a carbapenem antibiotic.
27. A composition according to claim 25 which further contains a serine β-lactamase inhibitor.
28. A composition according to claim 26 which further contains a DHP inhibitor.
29. A method of treating a bacterial infection comprising administering to a mammalian patient in need of such treatment a metallo-β-lactamase inhibitor compound as defined in claim 1 in combination with a pharmaceutically acceptable β-lactam antibiotic in an amount which is effective for treating a bacterial infection.
30. A method according to claim 29 wherein the β-lactam is a carbapenem antibiotic.
31. A method according to claim 30 , which further contains a DHP inhibitor.
32. A method according to claim 31 wherein the DHP inhibitor is cilastatin.
33. A method according to claim 29 which further contains a serine β-lactamase inhibitor.
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US20080090825A1 (en) * | 2005-09-22 | 2008-04-17 | Ken Chikauchi | Metallo-beta-lactamase inhibitors |
US20110046101A1 (en) * | 2008-03-17 | 2011-02-24 | Dmitrienko Gary I | Bate-lactamase inhibitors |
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US20050267047A1 (en) | 2004-05-28 | 2005-12-01 | Unigen Pharmaceuticals, Inc. | Diarylalkanes as potent inhibitors of binuclear enzymes |
ES2349301T3 (en) * | 2004-12-02 | 2010-12-29 | Venus Remedies Limited | COMPOSITIONS TO COMBAT ANTIBIOTICS RESISTANCE MEDIATED BY BETA-LACTAMASA USING BETA-LACTAMASE INHIBITORS USEFUL FOR INJECTION. |
WO2008016007A1 (en) * | 2006-07-31 | 2008-02-07 | Meiji Seika Kaisha, Ltd. | METALLO-β-LACTAMASE INHIBITOR |
ES2909484T3 (en) | 2008-07-21 | 2022-05-06 | Unigen Inc | Series of compounds for whitening (lightening) the skin |
WO2010092446A1 (en) * | 2009-01-19 | 2010-08-19 | Orchid Chemicals & Pharmaceuticals Ltd | Pharmaceutical composition comprising cilastatin, a chelating agent and opt. a penem antibiotic |
WO2012129260A1 (en) | 2011-03-24 | 2012-09-27 | Unigen, Inc. | Compounds and methods for preparation of diarylpropanes |
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JP6810697B2 (en) * | 2015-02-23 | 2021-01-13 | シンセティック・バイオロジクス・インコーポレイテッド | Carbapenemase used with antibiotics to protect the intestinal microbiome |
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JPS63208596A (en) * | 1986-11-05 | 1988-08-30 | メルク エンド カムパニー インコーポレーテツド | Effect enhancer of novel antibacterial agent and carbapenem antibiotic |
US4770799A (en) | 1987-01-02 | 1988-09-13 | Mobil Oil Corporation | Copper salts of hindered phenol substituted succinic anhydride derivatives as antioxidant additives |
ZA897514B (en) * | 1988-10-07 | 1990-06-27 | Merrell Dow Pharma | Novel peptidase inhibitors |
US5414108A (en) * | 1992-08-11 | 1995-05-09 | Biogal Gyogyszergrar | Process for the preparation of carboxylic acids and derivatives of them |
US5559088A (en) * | 1995-07-07 | 1996-09-24 | The Proctor & Gamble Company | Dryer-activated fabric conditioning and antistatic compositions with improved perfume longevity |
WO1997010225A1 (en) | 1995-09-15 | 1997-03-20 | Smithkline Beecham Plc | Pyrrolidine and thiazole derivatives with antibacterial and metallo-beta-lactamase inhibitory properties |
GB9524267D0 (en) | 1995-11-28 | 1996-01-31 | Isis Innovation | Enzyme inhibitor and method |
AU1766997A (en) | 1996-02-13 | 1997-09-02 | Smithkline Beecham Plc | Beta-thiopropionyl-aminoacid derivatives and their use as beta-lactamase inhibitors |
US6156774A (en) | 1996-10-17 | 2000-12-05 | Smithkline Beecham P.L.C. | Beta-thiopropionyl-amino acid derivatives and their use as beta-lactamase inhibitors |
GB9704522D0 (en) | 1997-03-05 | 1997-04-23 | Smithkline Beecham Plc | Compounds |
US6211212B1 (en) | 1997-03-13 | 2001-04-03 | Smithkline Beecham P.L.C. | Pyrrolidine and thiazole derivatives with metallo-beta-lactamase inhibitory properties |
GB9705682D0 (en) * | 1997-03-19 | 1997-05-07 | Unilever Plc | Cleaning composition comprising fluoro-surfactants |
-
2000
- 2000-10-26 US US09/697,415 patent/US6630510B1/en not_active Expired - Fee Related
- 2000-10-27 AT AT00975454T patent/ATE358419T1/en not_active IP Right Cessation
- 2000-10-27 CA CA002388076A patent/CA2388076C/en not_active Expired - Fee Related
- 2000-10-27 JP JP2001532588A patent/JP2003527332A/en active Pending
- 2000-10-27 WO PCT/US2000/029707 patent/WO2001030148A1/en active IP Right Grant
- 2000-10-27 AU AU13504/01A patent/AU771274B2/en not_active Ceased
- 2000-10-27 EP EP00975454A patent/EP1227721B1/en not_active Expired - Lifetime
- 2000-10-27 ES ES00975454T patent/ES2283327T3/en not_active Expired - Lifetime
- 2000-10-27 DE DE60034244T patent/DE60034244T2/en not_active Expired - Lifetime
-
2002
- 2002-03-15 US US10/099,790 patent/US20030078418A1/en not_active Abandoned
-
2003
- 2003-01-09 US US10/339,043 patent/US20030207859A1/en not_active Abandoned
Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20080090825A1 (en) * | 2005-09-22 | 2008-04-17 | Ken Chikauchi | Metallo-beta-lactamase inhibitors |
US8093294B2 (en) | 2005-09-22 | 2012-01-10 | Meiji Seika Kaisha, Ltd. | Metallo-β-lactamase inhibitors |
US9260375B2 (en) | 2005-09-22 | 2016-02-16 | Meiji Seika Kaisha, Ltd. | Metallo-β-lactamase inhibitors |
US20110046101A1 (en) * | 2008-03-17 | 2011-02-24 | Dmitrienko Gary I | Bate-lactamase inhibitors |
Also Published As
Publication number | Publication date |
---|---|
AU771274B2 (en) | 2004-03-18 |
ES2283327T3 (en) | 2007-11-01 |
EP1227721A4 (en) | 2004-09-22 |
ATE358419T1 (en) | 2007-04-15 |
US6630510B1 (en) | 2003-10-07 |
JP2003527332A (en) | 2003-09-16 |
US20030078418A1 (en) | 2003-04-24 |
WO2001030148A1 (en) | 2001-05-03 |
DE60034244D1 (en) | 2007-05-16 |
CA2388076C (en) | 2008-07-22 |
EP1227721B1 (en) | 2007-04-04 |
CA2388076A1 (en) | 2001-05-03 |
EP1227721A1 (en) | 2002-08-07 |
DE60034244T2 (en) | 2007-12-20 |
AU1350401A (en) | 2001-05-08 |
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