WO1991005771A1 - Promedicaments d'acylpyrazinamide lipophiles - Google Patents
Promedicaments d'acylpyrazinamide lipophiles Download PDFInfo
- Publication number
- WO1991005771A1 WO1991005771A1 PCT/US1990/005855 US9005855W WO9105771A1 WO 1991005771 A1 WO1991005771 A1 WO 1991005771A1 US 9005855 W US9005855 W US 9005855W WO 9105771 A1 WO9105771 A1 WO 9105771A1
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- WIPO (PCT)
- Prior art keywords
- composition
- liposome
- compound
- targeted
- group
- Prior art date
Links
- 229940002612 prodrug Drugs 0.000 title abstract description 30
- 239000000651 prodrug Substances 0.000 title abstract description 30
- 239000002502 liposome Substances 0.000 claims abstract description 31
- 230000003834 intracellular effect Effects 0.000 claims abstract description 14
- 244000052769 pathogen Species 0.000 claims abstract description 10
- HEDRZPFGACZZDS-UHFFFAOYSA-N Chloroform Chemical compound ClC(Cl)Cl HEDRZPFGACZZDS-UHFFFAOYSA-N 0.000 claims description 24
- 239000000203 mixture Substances 0.000 claims description 19
- 150000001875 compounds Chemical class 0.000 claims description 17
- 229960005206 pyrazinamide Drugs 0.000 claims description 14
- IPEHBUMCGVEMRF-UHFFFAOYSA-N pyrazinecarboxamide Chemical compound NC(=O)C1=CN=CC=N1 IPEHBUMCGVEMRF-UHFFFAOYSA-N 0.000 claims description 14
- 238000000034 method Methods 0.000 claims description 10
- 125000004432 carbon atom Chemical group C* 0.000 claims description 9
- 208000015181 infectious disease Diseases 0.000 claims description 8
- 210000003743 erythrocyte Anatomy 0.000 claims description 7
- 241000894006 Bacteria Species 0.000 claims description 6
- 230000000845 anti-microbial effect Effects 0.000 claims description 6
- 229920006395 saturated elastomer Polymers 0.000 claims description 6
- 125000000217 alkyl group Chemical group 0.000 claims description 5
- 230000001717 pathogenic effect Effects 0.000 claims description 5
- JUJWROOIHBZHMG-UHFFFAOYSA-N Pyridine Chemical compound C1=CC=NC=C1 JUJWROOIHBZHMG-UHFFFAOYSA-N 0.000 claims description 4
- 241000233866 Fungi Species 0.000 claims description 3
- 241000700605 Viruses Species 0.000 claims description 3
- 239000000084 colloidal system Substances 0.000 claims description 3
- NGNBDVOYPDDBFK-UHFFFAOYSA-N 2-[2,4-di(pentan-2-yl)phenoxy]acetyl chloride Chemical compound CCCC(C)C1=CC=C(OCC(Cl)=O)C(C(C)CCC)=C1 NGNBDVOYPDDBFK-UHFFFAOYSA-N 0.000 claims description 2
- HVCOBJNICQPDBP-UHFFFAOYSA-N 3-[3-[3,5-dihydroxy-6-methyl-4-(3,4,5-trihydroxy-6-methyloxan-2-yl)oxyoxan-2-yl]oxydecanoyloxy]decanoic acid;hydrate Chemical compound O.OC1C(OC(CC(=O)OC(CCCCCCC)CC(O)=O)CCCCCCC)OC(C)C(O)C1OC1C(O)C(O)C(O)C(C)O1 HVCOBJNICQPDBP-UHFFFAOYSA-N 0.000 claims description 2
- 229930186217 Glycolipid Natural products 0.000 claims description 2
- 241000545499 Mycobacterium avium-intracellulare Species 0.000 claims description 2
- 239000004599 antimicrobial Substances 0.000 claims description 2
- 230000008878 coupling Effects 0.000 claims description 2
- 238000010168 coupling process Methods 0.000 claims description 2
- 238000005859 coupling reaction Methods 0.000 claims description 2
- 125000000400 lauroyl group Chemical group O=C([*])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])[H] 0.000 claims description 2
- 230000008569 process Effects 0.000 claims description 2
- 102000004169 proteins and genes Human genes 0.000 claims description 2
- 108090000623 proteins and genes Proteins 0.000 claims description 2
- UMJSCPRVCHMLSP-UHFFFAOYSA-N pyridine Natural products COC1=CC=CN=C1 UMJSCPRVCHMLSP-UHFFFAOYSA-N 0.000 claims description 2
- 125000003696 stearoyl group Chemical group O=C([*])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])[H] 0.000 claims description 2
- 230000000813 microbial effect Effects 0.000 claims 2
- 125000001312 palmitoyl group Chemical group O=C([*])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])[H] 0.000 claims 2
- 125000001419 myristoyl group Chemical group O=C([*])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])[H] 0.000 claims 1
- 241000186359 Mycobacterium Species 0.000 abstract description 2
- 239000003814 drug Substances 0.000 description 23
- 229940079593 drug Drugs 0.000 description 23
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 description 10
- 102000005962 receptors Human genes 0.000 description 8
- 108020003175 receptors Proteins 0.000 description 8
- 150000002632 lipids Chemical class 0.000 description 7
- WFDIJRYMOXRFFG-UHFFFAOYSA-N Acetic anhydride Chemical compound CC(=O)OC(C)=O WFDIJRYMOXRFFG-UHFFFAOYSA-N 0.000 description 6
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 6
- 239000002246 antineoplastic agent Substances 0.000 description 6
- 210000004027 cell Anatomy 0.000 description 6
- 238000012377 drug delivery Methods 0.000 description 6
- 150000003904 phospholipids Chemical class 0.000 description 6
- 239000000243 solution Substances 0.000 description 6
- 239000000126 substance Substances 0.000 description 6
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 6
- 229940127089 cytotoxic agent Drugs 0.000 description 5
- 201000010099 disease Diseases 0.000 description 5
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 5
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- 229910002027 silica gel Inorganic materials 0.000 description 5
- 230000008685 targeting Effects 0.000 description 5
- 208000030507 AIDS Diseases 0.000 description 4
- 230000002685 pulmonary effect Effects 0.000 description 4
- OKKJLVBELUTLKV-UHFFFAOYSA-N Methanol Chemical compound OC OKKJLVBELUTLKV-UHFFFAOYSA-N 0.000 description 3
- HEMHJVSKTPXQMS-UHFFFAOYSA-M Sodium hydroxide Chemical compound [OH-].[Na+] HEMHJVSKTPXQMS-UHFFFAOYSA-M 0.000 description 3
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- 239000000693 micelle Substances 0.000 description 3
- 210000000056 organ Anatomy 0.000 description 3
- CNDHHGUSRIZDSL-UHFFFAOYSA-N 1-chlorooctane Chemical compound CCCCCCCCCl CNDHHGUSRIZDSL-UHFFFAOYSA-N 0.000 description 2
- DFPAKSUCGFBDDF-UHFFFAOYSA-N Nicotinamide Chemical compound NC(=O)C1=CC=CN=C1 DFPAKSUCGFBDDF-UHFFFAOYSA-N 0.000 description 2
- 239000012736 aqueous medium Substances 0.000 description 2
- 239000007864 aqueous solution Substances 0.000 description 2
- 230000015572 biosynthetic process Effects 0.000 description 2
- HVYWMOMLDIMFJA-DPAQBDIFSA-N cholesterol Chemical compound C1C=C2C[C@@H](O)CC[C@]2(C)[C@@H]2[C@@H]1[C@@H]1CC[C@H]([C@H](C)CCCC(C)C)[C@@]1(C)CC2 HVYWMOMLDIMFJA-DPAQBDIFSA-N 0.000 description 2
- 238000000921 elemental analysis Methods 0.000 description 2
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- -1 for example Chemical group 0.000 description 2
- 238000009472 formulation Methods 0.000 description 2
- 125000000524 functional group Chemical group 0.000 description 2
- 239000011521 glass Substances 0.000 description 2
- ARBOVOVUTSQWSS-UHFFFAOYSA-N hexadecanoyl chloride Chemical compound CCCCCCCCCCCCCCCC(Cl)=O ARBOVOVUTSQWSS-UHFFFAOYSA-N 0.000 description 2
- YWGHUJQYGPDNKT-UHFFFAOYSA-N hexanoyl chloride Chemical compound CCCCCC(Cl)=O YWGHUJQYGPDNKT-UHFFFAOYSA-N 0.000 description 2
- 238000002347 injection Methods 0.000 description 2
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- 238000010253 intravenous injection Methods 0.000 description 2
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- 239000002245 particle Substances 0.000 description 2
- WTJKGGKOPKCXLL-RRHRGVEJSA-N phosphatidylcholine Chemical compound CCCCCCCCCCCCCCCC(=O)OC[C@H](COP([O-])(=O)OCC[N+](C)(C)C)OC(=O)CCCCCCCC=CCCCCCCCC WTJKGGKOPKCXLL-RRHRGVEJSA-N 0.000 description 2
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- 201000008827 tuberculosis Diseases 0.000 description 2
- NRJAVPSFFCBXDT-HUESYALOSA-N 1,2-distearoyl-sn-glycero-3-phosphocholine Chemical compound CCCCCCCCCCCCCCCCCC(=O)OC[C@H](COP([O-])(=O)OCC[N+](C)(C)C)OC(=O)CCCCCCCCCCCCCCCCC NRJAVPSFFCBXDT-HUESYALOSA-N 0.000 description 1
- TZCPCKNHXULUIY-RGULYWFUSA-N 1,2-distearoyl-sn-glycero-3-phosphoserine Chemical compound CCCCCCCCCCCCCCCCCC(=O)OC[C@H](COP(O)(=O)OC[C@H](N)C(O)=O)OC(=O)CCCCCCCCCCCCCCCCC TZCPCKNHXULUIY-RGULYWFUSA-N 0.000 description 1
- IIZPXYDJLKNOIY-JXPKJXOSSA-N 1-palmitoyl-2-arachidonoyl-sn-glycero-3-phosphocholine Chemical compound CCCCCCCCCCCCCCCC(=O)OC[C@H](COP([O-])(=O)OCC[N+](C)(C)C)OC(=O)CCC\C=C/C\C=C/C\C=C/C\C=C/CCCCC IIZPXYDJLKNOIY-JXPKJXOSSA-N 0.000 description 1
- 102000009027 Albumins Human genes 0.000 description 1
- 108010088751 Albumins Proteins 0.000 description 1
- 0 CC(CC*1)NCC1*(N*(*)=O)[Os] Chemical compound CC(CC*1)NCC1*(N*(*)=O)[Os] 0.000 description 1
- ZAMOUSCENKQFHK-UHFFFAOYSA-N Chlorine atom Chemical compound [Cl] ZAMOUSCENKQFHK-UHFFFAOYSA-N 0.000 description 1
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- 239000001856 Ethyl cellulose Substances 0.000 description 1
- ZZSNKZQZMQGXPY-UHFFFAOYSA-N Ethyl cellulose Chemical compound CCOCC1OC(OC)C(OCC)C(OCC)C1OC1C(O)C(O)C(OC)C(CO)O1 ZZSNKZQZMQGXPY-UHFFFAOYSA-N 0.000 description 1
- 108010010803 Gelatin Proteins 0.000 description 1
- ZWZWYGMENQVNFU-UHFFFAOYSA-N Glycerophosphorylserin Natural products OC(=O)C(N)COP(O)(=O)OCC(O)CO ZWZWYGMENQVNFU-UHFFFAOYSA-N 0.000 description 1
- 101000880960 Homo sapiens Desmocollin-3 Proteins 0.000 description 1
- 239000000232 Lipid Bilayer Substances 0.000 description 1
- 108010052285 Membrane Proteins Proteins 0.000 description 1
- 239000001971 Middlebrook 7H10 Agar Substances 0.000 description 1
- 206010058806 Mycobacterium avium complex infection Diseases 0.000 description 1
- 208000034966 Mycobacterium avium-intracellulare Infection Diseases 0.000 description 1
- 241000186364 Mycobacterium intracellulare Species 0.000 description 1
- 238000005481 NMR spectroscopy Methods 0.000 description 1
- 206010028980 Neoplasm Diseases 0.000 description 1
- 208000037581 Persistent Infection Diseases 0.000 description 1
- PMZURENOXWZQFD-UHFFFAOYSA-L Sodium Sulfate Chemical compound [Na+].[Na+].[O-]S([O-])(=O)=O PMZURENOXWZQFD-UHFFFAOYSA-L 0.000 description 1
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 1
- ATBOMIWRCZXYSZ-XZBBILGWSA-N [1-[2,3-dihydroxypropoxy(hydroxy)phosphoryl]oxy-3-hexadecanoyloxypropan-2-yl] (9e,12e)-octadeca-9,12-dienoate Chemical compound CCCCCCCCCCCCCCCC(=O)OCC(COP(O)(=O)OCC(O)CO)OC(=O)CCCCCCC\C=C\C\C=C\CCCCC ATBOMIWRCZXYSZ-XZBBILGWSA-N 0.000 description 1
- 238000002835 absorbance Methods 0.000 description 1
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- 239000002253 acid Substances 0.000 description 1
- 239000000443 aerosol Substances 0.000 description 1
- 238000013019 agitation Methods 0.000 description 1
- AWUCVROLDVIAJX-UHFFFAOYSA-N alpha-glycerophosphate Natural products OCC(O)COP(O)(O)=O AWUCVROLDVIAJX-UHFFFAOYSA-N 0.000 description 1
- 230000004075 alteration Effects 0.000 description 1
- 210000001132 alveolar macrophage Anatomy 0.000 description 1
- 238000004458 analytical method Methods 0.000 description 1
- 150000008064 anhydrides Chemical class 0.000 description 1
- 230000001093 anti-cancer Effects 0.000 description 1
- 239000000427 antigen Substances 0.000 description 1
- 102000036639 antigens Human genes 0.000 description 1
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- 201000011510 cancer Diseases 0.000 description 1
- 239000005018 casein Substances 0.000 description 1
- BECPQYXYKAMYBN-UHFFFAOYSA-N casein, tech. Chemical compound NCCCCC(C(O)=O)N=C(O)C(CC(O)=O)N=C(O)C(CCC(O)=N)N=C(O)C(CC(C)C)N=C(O)C(CCC(O)=O)N=C(O)C(CC(O)=O)N=C(O)C(CCC(O)=O)N=C(O)C(C(C)O)N=C(O)C(CCC(O)=N)N=C(O)C(CCC(O)=N)N=C(O)C(CCC(O)=N)N=C(O)C(CCC(O)=O)N=C(O)C(CCC(O)=O)N=C(O)C(COP(O)(O)=O)N=C(O)C(CCC(O)=N)N=C(O)C(N)CC1=CC=CC=C1 BECPQYXYKAMYBN-UHFFFAOYSA-N 0.000 description 1
- 235000021240 caseins Nutrition 0.000 description 1
- 230000015556 catabolic process Effects 0.000 description 1
- 229930183167 cerebroside Natural products 0.000 description 1
- 150000001784 cerebrosides Chemical class 0.000 description 1
- 238000000451 chemical ionisation Methods 0.000 description 1
- 239000003153 chemical reaction reagent Substances 0.000 description 1
- 230000000973 chemotherapeutic effect Effects 0.000 description 1
- 229910052801 chlorine Inorganic materials 0.000 description 1
- 239000000460 chlorine Substances 0.000 description 1
- 150000001805 chlorine compounds Chemical class 0.000 description 1
- 235000012000 cholesterol Nutrition 0.000 description 1
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- 238000001212 derivatisation Methods 0.000 description 1
- 238000000113 differential scanning calorimetry Methods 0.000 description 1
- LOKCTEFSRHRXRJ-UHFFFAOYSA-I dipotassium trisodium dihydrogen phosphate hydrogen phosphate dichloride Chemical compound P(=O)(O)(O)[O-].[K+].P(=O)(O)([O-])[O-].[Na+].[Na+].[Cl-].[K+].[Cl-].[Na+] LOKCTEFSRHRXRJ-UHFFFAOYSA-I 0.000 description 1
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- 229920001249 ethyl cellulose Polymers 0.000 description 1
- 238000001914 filtration Methods 0.000 description 1
- 239000003269 fluorescent indicator Substances 0.000 description 1
- 239000012634 fragment Substances 0.000 description 1
- 150000002270 gangliosides Chemical class 0.000 description 1
- 239000008273 gelatin Substances 0.000 description 1
- 229920000159 gelatin Polymers 0.000 description 1
- 235000019322 gelatine Nutrition 0.000 description 1
- 235000011852 gelatine desserts Nutrition 0.000 description 1
- 229910052736 halogen Inorganic materials 0.000 description 1
- 150000002367 halogens Chemical class 0.000 description 1
- 238000004128 high performance liquid chromatography Methods 0.000 description 1
- 125000001165 hydrophobic group Chemical group 0.000 description 1
- 238000000338 in vitro Methods 0.000 description 1
- 230000002779 inactivation Effects 0.000 description 1
- 238000010348 incorporation Methods 0.000 description 1
- 230000002458 infectious effect Effects 0.000 description 1
- 230000002401 inhibitory effect Effects 0.000 description 1
- 244000000056 intracellular parasite Species 0.000 description 1
- 238000005304 joining Methods 0.000 description 1
- 235000010445 lecithin Nutrition 0.000 description 1
- 239000000787 lecithin Substances 0.000 description 1
- 229940067606 lecithin Drugs 0.000 description 1
- 231100001231 less toxic Toxicity 0.000 description 1
- 125000003473 lipid group Chemical group 0.000 description 1
- 210000004185 liver Anatomy 0.000 description 1
- 230000004807 localization Effects 0.000 description 1
- 210000002540 macrophage Anatomy 0.000 description 1
- 239000012528 membrane Substances 0.000 description 1
- 229910052751 metal Inorganic materials 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 230000003641 microbiacidal effect Effects 0.000 description 1
- 239000004005 microsphere Substances 0.000 description 1
- IANHBWVGXBMRAW-UHFFFAOYSA-N n-acetylpyrazine-2-carboxamide Chemical compound CC(=O)NC(=O)C1=CN=CC=N1 IANHBWVGXBMRAW-UHFFFAOYSA-N 0.000 description 1
- NUAYFGHLJBYDNB-UHFFFAOYSA-N n-pyrazin-2-ylhexadecanamide Chemical compound CCCCCCCCCCCCCCCC(=O)NC1=CN=CC=N1 NUAYFGHLJBYDNB-UHFFFAOYSA-N 0.000 description 1
- 239000002088 nanocapsule Substances 0.000 description 1
- 229920005615 natural polymer Polymers 0.000 description 1
- 230000007935 neutral effect Effects 0.000 description 1
- 229960003966 nicotinamide Drugs 0.000 description 1
- 235000005152 nicotinamide Nutrition 0.000 description 1
- 239000011570 nicotinamide Substances 0.000 description 1
- 231100000252 nontoxic Toxicity 0.000 description 1
- 230000003000 nontoxic effect Effects 0.000 description 1
- 238000000655 nuclear magnetic resonance spectrum Methods 0.000 description 1
- 239000006186 oral dosage form Substances 0.000 description 1
- 230000035699 permeability Effects 0.000 description 1
- 230000000144 pharmacologic effect Effects 0.000 description 1
- 125000001997 phenyl group Chemical group [H]C1=C([H])C([H])=C(*)C([H])=C1[H] 0.000 description 1
- 239000008363 phosphate buffer Substances 0.000 description 1
- 239000002953 phosphate buffered saline Substances 0.000 description 1
- 125000001095 phosphatidyl group Chemical group 0.000 description 1
- 235000018102 proteins Nutrition 0.000 description 1
- 238000000425 proton nuclear magnetic resonance spectrum Methods 0.000 description 1
- 238000000746 purification Methods 0.000 description 1
- 238000010992 reflux Methods 0.000 description 1
- 230000007017 scission Effects 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 239000011780 sodium chloride Substances 0.000 description 1
- 229910052938 sodium sulfate Inorganic materials 0.000 description 1
- 235000011152 sodium sulphate Nutrition 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 235000012424 soybean oil Nutrition 0.000 description 1
- 239000003549 soybean oil Substances 0.000 description 1
- 150000003408 sphingolipids Chemical class 0.000 description 1
- 230000001954 sterilising effect Effects 0.000 description 1
- 238000004659 sterilization and disinfection Methods 0.000 description 1
- 150000003431 steroids Chemical class 0.000 description 1
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- 229920001059 synthetic polymer Polymers 0.000 description 1
- 230000009885 systemic effect Effects 0.000 description 1
- CZDYPVPMEAXLPK-UHFFFAOYSA-N tetramethylsilane Chemical compound C[Si](C)(C)C CZDYPVPMEAXLPK-UHFFFAOYSA-N 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 231100000331 toxic Toxicity 0.000 description 1
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- 230000001988 toxicity Effects 0.000 description 1
- 238000000825 ultraviolet detection Methods 0.000 description 1
- 239000002691 unilamellar liposome Substances 0.000 description 1
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Classifications
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D241/00—Heterocyclic compounds containing 1,4-diazine or hydrogenated 1,4-diazine rings
- C07D241/02—Heterocyclic compounds containing 1,4-diazine or hydrogenated 1,4-diazine rings not condensed with other rings
- C07D241/10—Heterocyclic compounds containing 1,4-diazine or hydrogenated 1,4-diazine rings not condensed with other rings having three double bonds between ring members or between ring members and non-ring members
- C07D241/14—Heterocyclic compounds containing 1,4-diazine or hydrogenated 1,4-diazine rings not condensed with other rings having three double bonds between ring members or between ring members and non-ring members with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
- C07D241/24—Carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/10—Dispersions; Emulsions
- A61K9/127—Synthetic bilayered vehicles, e.g. liposomes or liposomes with cholesterol as the only non-phosphatidyl surfactant
Definitions
- She present invention relates to pharmaceutical compounds and, more particularly, to lipophllio pyrazinamide prodrugs, which possess antimicrobial activity as well as compositions containing these prodrugs and methods of use.
- Microorganisms have adopted a wide variety of strategies which enable them to colonise a host. Among those organisms which are pathogenic those which are capable of causing or residing in the intracellular milieu are among those which are most difficult to treat. Such organisms are of a wide variety and include bacteria, protosoa, fungi, and viruses.
- a typical representative of this group is Mycobacterium avium-intracellulare complex (MAIC).
- MAIC Mycobacterium avium-intracellulare complex
- lipophilic drugs should be more likely to be absorbed into the intracellular domain of the host cell, their lipophilic nature tends to make them insoluble such that they cannot be utilized intravenously and, as a consequence, must typically be administered in oral dosage form.
- oral delivery of drugs is the least efficient with respect to the amount of drug reaching the target site ("bioavailability") which may be due to poor absorption through the gut, high metabolism (inactivation) in the liver, high systemic distribution into all body tissues, or a combination of some or all of the above.
- bioavailability the amount of drug reaching the target site
- Pyrazinamide is a drug of moderate efficacy when administered to patients suffering from pulmonary infections. However, because it is quite toxic, pyrazinamide therapy should only be utilized if other therapy fails. In the case of pulmonary M. avium-intracellulare infections, the organisms reside in pulmonary alveolar macrophages such that the organism is protected from the drug which, in turn, allows the macrophages to act as a reservoir for chronic infection. Pyrazinamide is potentially more efficacious and less toxic when given in encapsulated form, for example, in a liposoae, either directly to the lung via inhalation or systemically via intravenous injection.
- the present invention relates to novel lipophilic prodrugs of pyrazinamide which are useful in the treatment of diseases caused by intracellular pathogens. Because of their lipophilic nature, these prodrugs are particularly amenable to incorporation in a targeted drug delivery system, such as a liposome.
- the prodrugs comprise a core comprising pyrazinamide which is materially modified to have from about 13 to about 17 carbon atoms.
- Prodrugs consist of a parent drug and a second chemical moiety covalently linked to the parent drug which provides certain desired modifications of the physicochemical properties of the parent drug. Prodrugs can also be designed to protect drugs from rapid degradation, to direct drugs to specific areas in the body, or to make drugs more hydrophilic.
- a prodrug can be active in itself, or be inactive and become active following chemical or enzymatic cleavage and release of the original drug.
- the term "effective amount” denotes both microbicidal (killing) or mlcrobistatic (inhibiting) activity of a compound or composition of the invention.
- the prodrugs of the invention are effective en intracellular pathogens such as bacteria, viruses, fungi, and protozoans. These prodrugs are especially effective against bacteria of the genus Mycobacterium.
- the lipophilic prodrugs of the invention have the formula
- R 1 is selected from saturated or unsaturated straight or branched chain alkyl moieties having from about 13 to about 17 carbon atoms. Preferred compounds wherein R 1 is lauroyl, syristoyl, palaitoyl, and stearoyl.
- the lipophilic prodrugs of the invention can be preferably synthesized by the reaction of pyrazinamide with an acid chloride in the presence of chloroform. Preferred are acid chlorides of the formula
- R 2 is from about 12 to about 16 carbon atoms.
- R 1 and R 2 are selected from saturated or unsaturated, straight or branch chain alkyl moieties.
- Other R 1 and R 2 groups that function aquivalently to yield a lipophilic acylpyrazinamide are known to those of skill in the art and are within the scope of the invention.
- the prodrugs of the invention are especially suited for use in targetable drug delivery systems such as synthetic or natural polymers in the form of macromolecular complexes, nanocapsules, microspheres, or beads, and lipid-based systems including oil-in-water emulsions, micelles, mixed micelles, liposomes, and resealed erythrocytes.
- targetable drug delivery systems such as synthetic or natural polymers in the form of macromolecular complexes, nanocapsules, microspheres, or beads, and lipid-based systems including oil-in-water emulsions, micelles, mixed micelles, liposomes, and resealed erythrocytes.
- colloidal drug delivery systems are known collectively as colloidal drug delivery systems.
- colloidal particles containing the dispersed drugs are about 50 nm - 2 ⁇ m in diameter. The size of the colloidal particles allows them to be administered intravenously such as by injection, or as an aerosol.
- colloidal systems are typically sterilizable via filter sterilization, nontoxic, and biodegradable, for example albumin, ethylcellulose, casein, gelatin, lecithin, phospholipids, and soybean oil.
- Polymeric colloidal systems are prepared by a process similar to the coacervation of microencapsulation.
- Most preferred as a targeted delivery system for the prodrugs of the invention are liposomes.
- phospholipids When phospholipids are gently dispersed in aqueous media, they swell, hydrate, and spontaneously form multilamellar concentric bilayer vesicles with layers of aqueous media separating the lipid bilayer.
- Such systems are usually referred to as multilamellar liposomes or multilamellar vesicles (MLVs) and have diameters ranging from about 100nm to about 4um.
- MLV' s are sonicated, small unilamellar vesicles (SOVs) with diameters in the range of from about 20 to about 50 nm are formed, which contain an aqueous solution in the core of the SUV.
- SOVs small unilamellar vesicles
- composition of the liposome is usually a combination of phospholipids, particularly high-phase-traneition- temperature phospholipids, usually in combination with steroids, especially cholesterol.
- phospholipids particularly high-phase-traneition- temperature phospholipids
- steroids especially cholesterol.
- Other phospholipids or other lipids may also be used.
- lipids useful in liposome production include phosphatidyl compounds, such as phosphatidylglycerol. phosphatidylcholine, phosphatidylserine, phosphatidyle- thanolaaine, sphingolipids, cerebrosides, and gangliosides. Particularly useful are diaoylphosphatidylglycerols, where the lipid moiety contains from 14-18 carbon atoms, particularly from 16-18 carbon atoms, and are saturated.
- Illustrative phospholipids include egg phosphatidylcholine, dipalnitoylphosphatidyloholine, and distearoylphosphatidylcholine.
- Anatomical classification is based on the level of selectivity, for example, organ-specific, cell-specific, and organellespecific. Mechanistic targeting can be further distinguished based upon whether it is passive or active. Passive targeting utilizes the natural tendency of liposomes to distribute to cells of the retioulo-endo- thelial system (RES) in organs which contain sinusoidal capillaries. Active targeting, on the other hand, involves the alteration of the liposome by coupling the liposome to a specific ligand such as a monoclonal antibody, sugar, glycolipid, or protein, or by changing the composition or size of the liposomes themselves in order to achieve targeting to organs and cell types other than the naturally occurring sites of localisation. Alternatively, liposomes may physically localize in capillary beds such as the lung or may be given by site-specific injection.
- a specific ligand such as a monoclonal antibody, sugar, glycolipid, or protein
- Another targeted delivery system which can be used with the prodrugs of the invention is resealed erythrocytes.
- erythrocytes When erythrocytes are suspended in a hypotonic medium, swelling occurs and the cell membrane ruptures. As a consequence, pores are formed with diameters of approximately 200-500 A which allow equilibration of the intracellular and extracellular environment. If the ionic strengths of this surrounding media is then adjusted to isotonic conditions and the cells incubated at 37oC, the pores will close such that the erythrocyte reseals.
- This technique can be utilized with the prodrugs of the invention to entrap the prodrug inside the resealed erythrocyte.
- the resealed erythrocyte containing the prodrug can then be used for targeted delivery.
- Non-lipid material nay be conjugated via a linking group to one or more hydrophobic groups, for example, alkyl chains from about 12- 20 carbon atoms.
- lipid groups can be incorporated in to the lipid bylayer of the liposome in order to maintain the compound in stabile association with the liposomal bilayer.
- Various linking groups can then be used for joining the lipid chains to the compound.
- the number of molecules bound to a liposome will vary with the size of a liposome, as well as the size of the molecule, the binding of affinity the molecule to the target cell receptor or ligand, as the case may be, and the like. In most instances, the bound molecules will be present on the liposome in from about 0.05 to about 2 mol%, preferably from about 0.1 to about 1 mol%, based on the percent of bound molecules to the total number of molecules in the outer membrane bilayer of the liposome.
- the compounds to be bound to the surface of the targeted delivery system will be ligand ⁇ and receptors which will allow the targeted delivery system to actively "home in” on the desired tissue
- a ligand may be any compound of interest which will specifically bind to another compound, referred to as a receptor, such that the ligand and receptor form and a homologous pair.
- the compounds bound to the service of the targeted delivery system may vary from small haptens of from about 125-200 molecular weight to much larger antigens with molecular weights of at least about 6000, but generally of less than 1 million molecular weight.
- Proteinaceous ligand ⁇ and receptors are of particular interest.
- receptors In general, the surface membrane proteins which bind to specific effector molecules are referred to as receptors. As presently used, however, most receptors will be antibodies. These antibodies may be monoclonal or polyclonal and may be fragments thereof such as Fab, and F(ab') 2 , which are capable of binding to an epitopic determinant.
- the targeted delivery system containing the prodrug of the invention may be administered in a variety of ways to a host, particularly a mammalian host, such as intravenously, intramuscularly, subcutaneously, intraperitoneally, intravascularly, topically, intra ⁇ avity, transdermally, intranasally, and by inhalation.
- concentration of the prodrug will vary upon the particular application, the nature of the disease, the frequency of administration, or the like.
- the targeted delivery system-encapsulated prodrug may be provided in a formulation comprising other drugs as appropriate and an aqueous physiologically acceptable medium, for example, saline, phosphate buffered saline, or the like.
- N-Acylpyrazinamides (lll)-(V) where prepared ae noted in Scheme 2.
- a mixture of 200 ml chloroform and a few drops (approximately 0.25 ml) of aoetylchloride were refluxed for about 30 minutes in a 250 ml three-necked round-bottom flask in order to remove moisture from the chloroform and glass surfaces.
- 4.3 g (0.035 mol) of (I) and amounts of either caproyl chloride, capryl chloride and palmitoyl chloride corresponding to 0.03 mol each were added and the mixture refluxed for 24 hours.
- the HPLC set-up consisted of a Rabbit-HP pump (Rainin) equipped with a M190 injector, a Waters model 440 absor-nadoe detector, set to 254 nm, and a Fisher Recordall series 5000 recorder. Phosphate buffer (pH 3.4)/- acetonitril 95:5 (v/v) was used as mobile phase. An ODS (Zorbax CDS) column (4.6mmx 15cm) was employed. The flowrate was set to 1.m./min. Nicotinamide served as internal standard.
- Rf-values resulting from thin layer chromatography are shown in Table 3. Thin layer chromatography was performed on silica gel plates with fluorescent indicator (Eastman Kodak, Rochester, N.Y.) in chloroform (containing 1.1% ethanol) as mobile phase, and UV detection at 254 nm.
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Abstract
Promédicaments d'acylpyrazinamide lipophiles efficaces contre des germes pathogènes intracellulaires. Ces promédicaments sont particulièrement utiles contre des éléments du gène Mycobacterium, et peuvent être utilisés dans des systèmes d'administration ciblés, notamment des liposomes.
Applications Claiming Priority (2)
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US42151689A | 1989-10-13 | 1989-10-13 | |
US421,516 | 1989-10-13 |
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WO1991005771A1 true WO1991005771A1 (fr) | 1991-05-02 |
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PCT/US1990/005855 WO1991005771A1 (fr) | 1989-10-13 | 1990-10-11 | Promedicaments d'acylpyrazinamide lipophiles |
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Cited By (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO1993002709A1 (fr) * | 1991-07-31 | 1993-02-18 | Microcarb Inc. | Conjugues comprenant un recepteur, destines a cibler des medicaments et autres agents |
US5599535A (en) * | 1995-06-07 | 1997-02-04 | Regents Of The University Of California | Methods for the cyto-protection of the trabecular meshwork |
US5674888A (en) * | 1995-06-07 | 1997-10-07 | University Of California | Method for the treatment of a trabecular meshwork whose cells are subject to inhibition of cell division |
US6171788B1 (en) | 1997-01-28 | 2001-01-09 | The Regents Of The University Of California | Methods for the diagnosis, prognosis and treatment of glaucoma and related disorders |
US6475724B1 (en) | 1997-01-28 | 2002-11-05 | The Regents Of The University Of California | Nucleic acids, kits, and methods for the diagnosis, prognosis and treatment of glaucoma and related disorders |
US7138511B1 (en) | 1997-01-28 | 2006-11-21 | The Regents Of The University Of California | Nucleic acids, kits and methods for the diagnosis, prognosis and treatment of glaucoma and related disorders |
Citations (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2632009A (en) * | 1952-01-18 | 1953-03-17 | American Cyanamid Co | N-acetylpyrazinecarboxamide and methods of preparing the same |
-
1990
- 1990-10-11 WO PCT/US1990/005855 patent/WO1991005771A1/fr unknown
- 1990-10-11 AU AU65217/90A patent/AU6521790A/en not_active Abandoned
Patent Citations (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2632009A (en) * | 1952-01-18 | 1953-03-17 | American Cyanamid Co | N-acetylpyrazinecarboxamide and methods of preparing the same |
Non-Patent Citations (1)
Title |
---|
S. KUSHNER et al., J. AMER. CHEM. SOC. 74, 3617 (1952), See Experimental on page 3620. * |
Cited By (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO1993002709A1 (fr) * | 1991-07-31 | 1993-02-18 | Microcarb Inc. | Conjugues comprenant un recepteur, destines a cibler des medicaments et autres agents |
US5599535A (en) * | 1995-06-07 | 1997-02-04 | Regents Of The University Of California | Methods for the cyto-protection of the trabecular meshwork |
US5674888A (en) * | 1995-06-07 | 1997-10-07 | University Of California | Method for the treatment of a trabecular meshwork whose cells are subject to inhibition of cell division |
US6171788B1 (en) | 1997-01-28 | 2001-01-09 | The Regents Of The University Of California | Methods for the diagnosis, prognosis and treatment of glaucoma and related disorders |
US6475724B1 (en) | 1997-01-28 | 2002-11-05 | The Regents Of The University Of California | Nucleic acids, kits, and methods for the diagnosis, prognosis and treatment of glaucoma and related disorders |
US7138511B1 (en) | 1997-01-28 | 2006-11-21 | The Regents Of The University Of California | Nucleic acids, kits and methods for the diagnosis, prognosis and treatment of glaucoma and related disorders |
Also Published As
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AU6521790A (en) | 1991-05-16 |
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