Note: Descriptions are shown in the official language in which they were submitted.
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"PHARMACEUTICAL COMPOUNDS"
The present invention relates to novel drugs for systemic
use and non systemic use, and the compositions thereof, to be
used in oxidative stress and/or endothelial dysfuntions cases .
By oxidative stress it is meant the generation of free
radicals or radicalic compounds, which causes injury both of
the cell and that of the surrounding tissue (Pathophysiology:
the biological basis for disease in adults and children,
McCance & Huether 1998 pages 48-54).
By endothelial dysfunctions it is meant those relating to
the vasal endothelium. The damage of the vasal endothelium is
known as one of those important events that can cause a series
of pathological processes affecting various organs and body
apparatuses, as described hereinafter (Pathophysiology: The
biological basis for disease in adults and children, McCance &
Huether 1998 page 1025).
As known, the oxidative stress and/or the endothelial
dysfunctions are associated to various pathologies as reported
hereinafter. The oxidative stress can also be caused by
toxicity of a great variety of drugs. which significantly af-
fects their performances.
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Said pathological events are of a chronic, debilitating
character and are very ofthen typical of the elderly. As
already said, in said pathological conditions the drugs used
show a remarkably worsened performance.
Examples of pathological situations caused by the oxida-
tive stress and/or by the endothelial dysfunctions, or present
in elderly, are the following:
- For the cardiovascular system: myocardial and vascular
ischaemia in general, hypertension, stroke, arterioscle-
rosis, etc.
- For the connective tissue: rheumatoid arthritis and con-
nected inflammatory diseases, etc.
- For the pulmonary system: asthma and connected.
inflammatory diseases, etc.
- For the gastrointestinal system: ulcerative and non ul-
cerative dyspepsias, intestinal inflammatory diseases,
etc.
- For the central nervous system: Alzheimer disease, etc.
- For the urogenital system: impotence, incontinence.
- For the cutaneous system: eczema, neurodermatitis, acne.
- The infective diseases in general (ref.. Schwarz-KB, Brady
"Oxidative stress during viral infection: A review" Free
radical Biol. Med. 21/5, 641-649 1996).
Further the ageing process can be considered as a true
pathologic condition (ref. Pathophysiology: the biological
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basis for disease in adults and children, pages 71-77).
The known drugs when administered to patients having
pathologies associated to oxidative stress and/or endothelial
dysfunctions, show a lower activity and/or higher toxicity.
This happens for example for drugs such as the
antiinflammatory, cardiovascular drugs, respiratory apparatus
drugs, central nervous system drugs, bone system drugs,
antibiotics, urogenital, endocrine drugs, etc.
Drug research is directed to f ind new molecules having an
improved therapeutic index ( ef f icacy/toxicity ratio ) or a lower
risk/benefit ratio, also for pathological conditions as those
above mentioned, wherein the therapeutic index of a great
number of drugs results lowered. In fact in the above mentioned
conditions of oxidative stress and/or endothelial dysfunctions,
many drugs show a lower activity and/or higher toxicity.
For instance antiinf lammatory drugs , such as NSAIDs and
anticolitic drugs, such as 5-aminosalicylic acid and its
derivatives, show the following drawbacks herein mentioned.
NSAIDs result toxic particularly when the organism is
debilitated or affected by morbid conditions associated to
oxidative stress. Said conditions are for example the
following: age, pre-existing ulcer, pre-existing gastric
bleeding, debilitating chronic diseases such as in particular
those affecting cardiovascular, renal apparatuses, the haematic
crasis, etc. ("Misoprostol reduces serious gastrointestinal
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complications in patients with rheumatoid arthritis receiving
non-steroidal anti-inflammatory drugs. A randomized, double
blind, placebo-controlled trial." F.E. Silverstein et A1., Ann.
Intern. Med. 123/4 ,241-9, 1995; Martindale 31a ed. 1996, pag.
73, Current Medical Diagnosis and Treatment 1998, pages 431 and
794).
The administration of anti - inf lammatory drugs to patients
in the above mentioned pathological conditions can be made only
at doses lower than those used in therapy in order to avoid
remarkable toxicity phenomena . Thus anti - inf lammatory activity
results poor.
Heta-blockers, used for the angina, hypertension and
cardiac arrhythmia treatment, show side effects towards the
respiratory apparatus (dyspnoea, bronchoconstriction), and
therefore they can cause problems in patients affected by
pathologies to said organs (asthma, bronchitis). Therefore be-
ta-blockers can even worsen respiratory diseases such as
asthma. Therefore in asthmatic patients reduced doses of said
drugs must be used in order not to jeopardize even more the
respiratory functionality. Thus the efficacy of the beta-
blockers results very reduced.
Antithrombotics, such as for example dipyridamole,
aspirin, etc., used for the prophylaxis of thrombotic
phenomena, have the same drawbacks. In patients affected by
pathologies connected to oxidative stress and/or endothelial
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dysfunctions, the therapeutic action or the tolerability of
these drugs, as in the case of aspirin, is greatly reduced.
Bronchodilators for example salbutamol, etc., are used in
the asthma and bronchitis treatment and drugs active on the
cholinergic system are used in pathologies such as urinary
incontinence. Their administration can produce similar side
effects affecting the cardiovascular apparatus, causing
problems both to cardiopathic and to hypertensive patients.
Cardiopathies and hypertension are pathologies associated, as
above said, to the oxidative stress and/or endothelial
dysfunctions . Also these drugs show the same drawbacks as those
above mentioned.
Expectorant and mucolytic drugs, which are used in the
therapy of inflammatory states of the respiratory organs, show
drawbacks in patients affected by the above described condi-
tions. Their administration can give rise to heartburn and
gastric irritability, particularly in the elderly.
Bone resorption inhibitors, such as diphosphonates (for
example alendronate, etc.) are drugs showing high gastro-
intestinal toxicity. Therefore also these drugs can show the
same drawbacks as those above mentioned.
Phosphodiesterase inhibitors, such as fcr example
sildenaf il, zaprinast, used in the cardiovascular and
respiratory system diseases, are charaterized by similar
problems as to tolerability and/or efficacy in the mentioned
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pathological conditions of oxidative stress and/or endothelial
dysfunctions .
Antiallergic drugs, for example cetirizine, montelukast,
etc. show similar problems in the mentioned pathological
conditions, particularly for that it concerns their efficacy.
Anti-angiotensin drugs, f.i. ACE-inhibitors, for example
enalapril, captopril, etc., and receptor inhibitors, for
example losartan, etc., are used in the cardiovascular disease
treatment. Their drawback is to give side effects to the
respiratory apparatus ( i . a . cough, etc . ) in the above mentioned
pathological conditions.
Antidiabetic drugs, both of the insulin-sensitizing and of
hypoglycaemizing type, such as for example sulphonylureas,
tolbutamide, glypiride, glyclazide, glyburide, nicotinamide
etc., are ineffective in the prophylaxis of diabetic
complications. Their administration can give rise to side
effects, such as for example gastric lesions. These phenomena
become more intense in the pathological conditions above
mentioned.
Antibiotics, for example~ampicillin, clarihtromycin, etc.,
a.nd antiviral drugs, acyclovir, etc., show problems as regards
their tolerability, for example they cause gastro-intestinal
irritability.
Antitumoral drugs, for example doxorubicin, daunorubicin,
cisplatinum, etc., have high toxicity, towards different
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organs, among which are stomach and intestine. Said toxicity is
further worsened in the above mentioned pathologies of
oxidative stress and/or endothelial dysfunctions.
Antidementia drugs for example nicotine and colino-
mimetics, are characterized by a poor tolerability especially
in the above mentioned pathologies.
Drugs having a steroidal structure which are used in the
therapy of acute (asthma, etc.) or chronic diseases
(intestinal, hepatic, respiratory diseases, female reproductive
apparatus diseases, cutaneous diseases, etc.) are characterized
by marked toxic effects affecting various organs, particularly
in the above mentioned oxidative stress conditions.
The class of steroidal drugs, among which hydrocortisone,
cortisone, prednisone, prednisolone, fludrocortisone, desoxi-
corticosterone, methylprednisolone, triamcinolone, para-
methasone, betamethasone, dexamethasone, triamcinolone
acetonide, fluocinolone acetonide, beclomethasone, acetoxy-
pregnelone, etc. , has remarkable farznaco-toxicological effects
on various organs, and for this reason both their clinical use
and its interruption cause a series of side effects, some of
which very serious. See for example Goodman & Gilman, "The
pharmaceutical Basis of Therapeutics" 9°ed., pag. 1459-1465,
1996.
Among said toxic effects can be mentioned those affecting
the bone tissue leading to an altered cellular metabolism and
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an high osteoporosis incidence; those affecting the
cardiovascular system, generating an hypertensive response;
those affecting the gastrointestinal apparatus giving gastric
damages.
See for example Martindale "The extrapharmacopoeia", 30th
ed., pag. 712-723, 1993.
To the class of steroidal drugs belong also biliary acids,
that have been used in the therapy of hepatic dysfunctions and
in biliary colics. Ursodesoxycholic acid is also used in some
hepatic dysfunctions (hepatic cirrhosis of biliary origin,
etc.). Their tolerability is strongly worsened in the presence
of gastrointestinal complications (chronic hepatic damage,
peptic ulcer, intestinal inflammation, etc.). Also in the case
of biliary acids the oxidative stress remarkably affects drug
performance: both the efficacy and the tolerability of
chenodeoxycholic and ursodesoxycholic acids are significantly
reduced. In particular the unwanted effects on liver are found
exalted. Among the steroidal compounds can be mentioned also
estrogens for the treatment of dislipidaemias, hormonal
dysfunctions, female apparatus tumours treatment can be
_mentioned. Also said steroids show side effects as abovA
mentioned, in particular at the hepatic level.
According to the above mentioned prior art it seems almost
impossible to separate therapeutic activity from side effects,
see Goodman et al, above mentioned, at p. 1474.
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The need was felt to have available drugs showing an
improved therapeutic performance, i.e. endowed both of a lower
toxicity and/or higher efficacy, so that they could be
administered to patients in morbid conditions of oxidative
stress and/or endothelial dysfunctions, without showing the
drawbacks of the drugs of the prior art.
It has now surprisingly and unexpectedly found that the
aforementioned problems evidenced the administration of drugs,
to patients affected by oxidative stress and/or endothelial
dysfunctions , or to the elderly in general , are solved by a new
class of drugs as described hereinafter.
An object of the ir_vention are compounds or their salts
having the following general formula (I):
A-B ( I )
wherein:
A = R--T1- , wherein
R is the drug radical and
T1 = (CO)t or (X)t,, wherein X = O, S, NR1~. R1C is H
or a linear or branched alkyl, having from 1 to 5
carbon atoms, or a free valence, t and t' are
integers and equal to zero or 1, with the proviso
that t = 1 when t' - 0; t = 0 when t' - 1;
B = -TB-X2 wherein
TB= (CO) when t = 0, TB = X when t' - 0, X being as
above def fined ;
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X2, monovalent radical, is such that the
corresponding precursor of B meets test 5 and/or test
4; said precursor of formula -TB X2, wherein the TB
free valence is saturated with -OZ or Z wherein Z =
H or Rla, Ria C1-C10 being = linear or when possible
branched alkyl, preferably C1-C5,
or with -ZI-N-ZII, ZI and ZII being equal or
I
dif f erent and have the Z values , depending on whether
TB = CO or X, in connection with the t, t' values;
with the proviso that:
the drug A = R--T1-, wherein the free valence is saturated as
hereinafter mentioned:
- when t' - O with:
- O-Z wherein Z - H or Rla as above defined, or with
- ZI -N- ZII
I
ZI and ZII being as above defined,
- when t - 0 with X-Z, wherein X and Z as above
def fined ,
is such as to meet at least one of following tests 1-3;
- - wherein test 1 (NEM) is a test in vivo carried out on four
groups of rats (each formed by 10 rats), the controls (two
groups) and the treated (two groups) of which one group of the
controls and one group of the treated respectively are
administered with one dose of 25 mg/kg s . c . of N-ethylmaleimide
SUBSTITUTE SHEET (RULE 26)
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(NEM), the controls being treated with the carrier and the
treated groups with the carrier + the drug of formula A = R-
T1- wherein the free valence is saturated as above indicated,
administering the drug at a dose equivalent to the maximum one
tolerated by the rats that did not receive NEM, i.e. the
highest dose administrable to the animal at which there is no
manifest toxicity, i.e. such as to be symptomatologically
observable; the drug complies with test 1, i.e. the drug can be
used to prepare the compounds of general formula (I) and (II),
when the group of rats treated with NEM + carrier + drug shows
gastrointestinal damages, or in the group treated with NEM +
carrier + drug are observed gastrointestinal damages greater
than those of the group treated with the carrier, or of the
group treated with the carrier + drug, or of the group treated
with the carrier + NEM;
wherein test 2 (CIP) is a test in vitro wherein human
endothelial cells from the umbilical vein are harvested under
standard conditions, then divided into two groups (each group
replicated f ive times ) , of which one is treated with a mixture
of the drug 10-4 M concentration in the culture medium, the
_other group with the carrier; then cumene hydroperoxide (CIP~
having a 5 mM concentration in the culture medium is added to
each of the two groups; the drug meets test 2, i.e. the drug
can be used to prepare the compounds of general formula ( I ) and
(II), if a statistically significant inhibition of the
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apoptosis (cellular damage) induced by CIP is not obtained
with p < 0.01 with respect to the group treated with the
carrier and CIP;
wherein test 3 (L-NAME) is a test in vivo carried out on
f our groups of rat s ( each group formed by 10 rat s ) f or 4 weeks
and receiving drinking water, the controls (two groups) and the
treated ( two groups ) , of which one group of the controls and of
the treated respectively receives in the above 4 weeks drinking
water added of N-~-nitro-L-arginine methyl ester (L-NAME) at a
concentration of 400 mg/litre, the controls in the 4 weeks
being administered with the carrier and the treated in the 4
weeks with the carrier + the drug, administering the carrier or
the drug + carrier once a day, the drug being administered at
the maximum dose tolerated by the group of rats not pretreated
with L-NAME, i . e. , the highest dose administrable to animals at
which no manifest toxicity appears, i.e. such as to be
symptomatologically observable; after the said 4 weeks, the
water supply is stopped for 24 hours and then sacrif ied,
determining the blood pressure 1 hour before sacrifice, and
after sacrifice of the rats determining the plasma glutamic
_pyruvic transaminase (GPT) after sacrifice, and examining the
gastric tissue; the drug meets test 3 , i . a . the drug can be
used to prepare the compounds of general formula (I) and (II),
when in the group of rats treated with L-NAME + carrier + drug,
greater hepatic damages (determined as higher values of GPT)
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and/or gastric and/or cardiovascular damages (determined as
higher values of blood-pressure) are found in comparison in
comparison respectively with the group treated with the carrier
alone, or with the group treated with the carrier + drug, or
with the group treated with the carrier + L-NAME;
wherein test 4 is an analytical determination carried out
by adding portions of methanol solutions of the precursor of B
at a 10-4 M concentration, to a methanol solution of DPPH (2,2-
diphenyl-1-picryl hydrazyl - free radical); after having
maintained the solution at room temperature away from light for
30 minutes , it is read the absorbance at the wave length of 517
nm of the test solution and of a solution containing only DPPH
in the same amount as in the test solution; and then the
inhibition induced by the precursor towards the radical
production by DPPH is calculated as a percentage by means of
the following formula:
(1 - AS/A~)X100
wherein AS and A~ are respectively the absorbance values of the
solution containing the test compound + DPPH and that of the
solution containing only DPPH; the acceptance criterium of the
compounds according to this test is the following: test 4 is
met by B precursor compounds if the inhibition percentage as
above defined is higher than or equal to 50~;
wherein test 5 is the following: it is an analytical
determination carried out by adding aliquots of 10-4 M
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methanol solutions of the precursor of B having the free
valence saturated as above indicated, to a solution formed by
admixing a 2 mM solution of desoxyribose in water with 100 mM
of phosphate buffer and 1 mM of the salt Feli(NH4)2(S04)2% after
having thermostatted the solution at 37°C for one hour, are
added, in the order, aliquots of aqueous solutions of
trichloroacetic acid 2.8~ and of thiobarbituric acid 0.5 M,
heating is effected at 100°C for 15 minutes and the absorbance
of the tested solutions is then read at 532 nm; the inhibition
induced by the precursor of B or B1 or C - -T~-Y-H in the
confront of radical production by FeII is calculated as a
percentage by means of the following formula:
(1 - AS/A~)X100
wherein AS and A~ are respectively the absorbance values of the
solution containing the tested compound and the iron salt and
that of the solution containing only the iron salt, the
compound meets test 5 when the inhibition percentage as above
defined of the precursor of B is higher than or equal to 50~.
Preferably the compound precursor of B which meets test 5
is selected from the following compounds:
- Aminoacids: aspartic acid (PI), histidine (PII), -
5-hydroxytryptophan (PIII), 4-thiazolidincarboxylic acid
(PIV), 2-oxo-4-thiazolidincarboxylic acid (PV)
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SUBSTITUTE SHEET (RULE 26)
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O
O ~I O
OH
N
OH NH
z
CPI)
(PII)
O
OH
HzNw"
HO
N
I ~I N H COOH
H
(PIII) (PIV)
o~~
N
H COOH
(PV)
mono and polyalcohols or thiols:
2-thiouracil (QI), 2-mercaptoethanol (QII), esperidir_=
(QIII), secalciferol (QIV), 1-a-OH vitamin D2 (QV),
f localcitriol (QVI), 22-oxacalcitriol (QVII), the vitamin
D3 derivative esterified with the vitamin A radical
(QVIII), the compound of formula (QIX), 24,28-methylene-
SUBSTITUTE SHEET (RULE 26)
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1a-hydroxyvitamin D2 ( QX ) the compound derived f rom la, 25 -
dihydroxyvitamin D2 (QXI), 2-mercaptoimidazol (QXII)
OH
HO~SH
"SH
(QI) (QII)
_ ONIe
O 00
CH3 O O ~ 0 ' ~ OH
OH OHO OH I i I
OH
OH O
(QIII)
H3C
CH3
H3
HO ~~~
16
SUBSTITUTE SHEET (RULE Z6)
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HF 20d1 PCT/061
i~3 C
G. ,
,_
~i O
r.v vi-,
H3C C,
CH2
v~
O
ii / / /
HO~~~~C
( QVIII 1
HzC
3
CH~
HO~~~ ~, ,
(QIX)
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SUBSTITUTE SHEET (RULE 26)
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H.~ C
., :. C H3
,,,~H ' I
~CH3
CH2
v
HO ~~~ OOH
(Qx)
v
\N~SH
H
H O ~~' vn
(QXI)
(QxII)
succinic acid (RI)
O
II OH
11
0
(RI)
. .
;c- )~ - ~r
1 2 ....3 ( RI T_ )
(~)no3 (~ 2~n"' (~'2~:3 (~)n°3
18
SUBSTITUTE SHEET (RULE 26)
H3C
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wherein n° 3 , equal to or dif f erent from each other, are an
integer equal to zero or one; n3, equal to or different
from each other., are integers from zero to three; W, equal
to or different from each other, are selected among the
following: HX with X as above defined, COOH, R', OR'
wherein R' is a linear or branched when possible alkyl
having from 1 to 20 carbon atoms, preferably from 1 to 6
carbon atoms; Rf, ORf wherein Rf is as R' but containing
at least one halogen atom instead of H, preferably F; at
least one of the W radicals is XH, when the drug reactive
function is a carboxyl; or COON when the drug reactive
function is XH; when n°3 = 0 if n3 is different from zero
then the free valence of the n3 group is saturated with
one of the following substituents : R' , OR' , Rf , ORf , H;
when n° 3 - 0 and n3 - 0 , the free valence is saturated
with H.
Preferably the precursor compound of B which meets test 4
is selected from the following classes of compounds:
- Aminoacids, selected from the following: L-carnosine (for-
mula CI), anserine (CII), selenocysteine (CIII), se-
lenomethionine (CIV), penicillamine (CV), N-acetyl-
penicillamine (CVI), cysteine (CVII), N-acetylcysteine
( CVIII ) , glutathione ( CIX ) or its esters , pref erably ethyl
or isopropyl ester:
19
SUBSTITUTE SHEET (RULE 26)
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0.:
O
I! ~ ,. ~., '2
G
CH
%~'1 = ,;:
a.
N
i~ ,
O C',-:3
(CI) (CII)
i ' '3 O
L COO; : ~, f ~ , ~/I.i~
~;SL~ ~~~ :J 1 off
i ~s=~co~~: ~ C
t'~:' , 3 .:F-!2
(CIII) (CIV) (C'J)
~H3C C'~'~~
HS~~~O'"~ ~':S I O:: ',-:S I OH
NHCOCH3
,'v';-iC OC'.-y N~' z
( ~ ) ( CVI I ) ( CV'III )
SUBSTITUTE SHEET (RULE 26)
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O
il ~~~ ~o::
.o
H 11
y; ;~ o
(cz~)
For the compounds (CV), (CVI), (CVII) and (CVIII) wherein
a SH group is present, the corresponding compound SN(O)s,
wherein s is 1 or 2, can also be used instead of SH;
- hydroxyacids, selected from the following: gallic acid
( formula DI ) , ferulic acid ( DII ) , gentisic acid (DIII ) ,
citric acid ( DIV ) , caf f eic acid ( DV ) , hydrocaf f eic acid
(DVI), p-coumaric acid (DVII), vanillic acid (DVIII),
chlorogenic acid (DIX), kynurenic acid (DX), syringic acid
(DXI):
O~Ot~:
OH O
HO ~O \ ~~ Qi;
HO~OH
OH '~3 ~ OEi
(DI) (DII) (DIII)
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SUBSTITUTE SHEET (RULE 26)
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\ COOS
HOOC
i-:GOC~COOE-i HO
OH OH
(DIV) (DV)
CO'r.
\ CCG_
\ \ COO:
ii0 / HO~ yeO
O O~i
(DVI) (DVII) (DVIII)
H O CCOr
Os
HO ~ ~ \ \
OI Y -' O'~ ~ / /
~COOH
/ Ofi N
HO
(DIX) (DX)
OOH
ZfeO OMe
OH
(DXI)
- Aromatic and heterocyclic mono- and polyalcohols, selected
from the following: nordihydroguaiaretic acid (EI),
quercetin (EII), catechin (EIII), kaempferol (EIV),
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SUBSTITUTE SHEET (RULE 26)
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sulphurethyne (EV), ascorbic acid (EVI), isoascorbic acid
(EVII), hydroquinone (EVIII), gossypol (EIX), reductic
acid (EX), methoxyhydroquinone (EXI), hydroxyhydroquinone
(EXII), propyl.gallate (EXIII), saccharose (EXIV), vita-
min E (EXV), vitamin A (EXVI), 8-quinolol (EXVII), 3-
tert-butyl-4-hydroxyanisole (EXVIII), 3-hydroxyflavone
(EXIX), 3,5-tert-butyl-p-hydroxytoluene (EXX), p-tert-
butyl phenol (EXXI), timolol (EXXII), xibornol (EXXIII),
3,5-di-ter-butyl-4-hydroxybenzyl-thioglycolate (EXXIV),
4'-hydroxybutyranilide (EXXV), guaiacol (EXXVI), tocol
(EXXVII), isoeugenol (EXXVIII), eugenol (EXXIX), pipe-
ronyl alcohol (EXXX), allopurinol (EXXXI), conyferyl
alcohol (EXXXII), 4-hydroxyphenetyl alcohol (EXXXIII), p-
coumaric alcohol (EXXXIV), curcumin (EXXXV):
. CH3 , ON
HO
Oi-;
C~i3
HO
(EI)
E:
i-:O i :0
(EII)
(EIII)
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SUBSTITUTE SHEET (RULE 26)
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hO ' ~~Ou LO~O~./
v 'CH
O Oi-;
O;;
OH O
(EV)
(EIV)
CHZOH CH OH
HC ~H HO O O ~ OH
O
HO
OH OH OH OH
(EVI) (EVIL) (EVIII)
OH
H~ I
CH3
HC' OH ",
I 'J
I C. .3
HO_
HO
E~~~ _CH
(EIX)
OMe OH
O OH
OH
OH
/ /
OH OH OH
(~) (~I) (EXII)
24
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CE-isOH CH OH
HO O~CH~ O ~OH~
OH
H O IO ~ ~-O-~ ~-' ~
OH OH CHzOH
(EXIII) (EXIV)
HO
H3C
:,H3
H3C
CHI CHz CH3
\ \ \ \ ~~ I \ \
C OH / NJ
CH3~
OH
(~I) (ExvII)
OH i ; '3
\~ C,~3'3 0 \ i h3
/ I ~ I \ ~ CH_
,p ~ ~~ off ( o'~ 3
H~c p Ho
(ExvIII) (Exlx) (Exxl)
SUBSTITUTE SHEET (RULE 26)
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WO 00/61549 PCT/EP00/03237
HF 2041 PCT/061
CHI
CH.~ O H i H~ ~ ~ C H3
H.. C ~ \ CHI
CH ~ OH ~ C ~ CHI
3 I
C CH.3 N3C
CHI
(EXX) (EXXII) (EXXIII)
O
C \ O~SH Ov4le
H
~ ul~C',-~, ~ OH
HO
CH= I ~
/C ~ O
H.~C C~i.~ HO
(EXXIV) (EXXV) (EXXVI)
HO
O C1-i_, / ~ N
CH, I I I
C CH~ ~ ~ N ~ J
r(O - ~ ~N N
H
(ExxvII) (Exxxl)
O
w_ cH3 ~ ~ c~ o
w
i
HO ~ HO
ONte OMe C~OH
(EXXVIII) (EXXIX) (EXXX)
26
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~~ \OH ~ \ \ OH
OH
Ho / ~ I
HO
OMe HO
( EXXXI I ) ( EXXXI II ) (ETV)
O O
Me0 ~ ~ / ~ OMe
HO OH
(EXXXV)
- aromatic and heterocyclic amines, selected from the
following: N, N'-diphenyl-p-phenylenediamine (MI),
ethoxyquin (MII), thionine (MIII), hydroxyurea (MIV):
H N CHI
\ N \ / \ ~L'CH~
/ I / ~ ~ /~ ~ / /
HOC O
H CHI
(MI) (MII)
\ ~ \ O
()
HZ,y ~ s '~,;, ~ ci- ~-~~~NH
- off
(MIII)
27
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- Compounds containing at least a free acid function,
selected from the following: 3,3'-thiodipropionic acid
(NI), fumaric acid (NII), dihydroxymaleic acid (NIII),
thioctic acid (NIV), edetic acid (NV), bilirubin (NVI),
3,4-methylendioxycinnamic acid (NVII), piperonylic acid
(NVIII):
COOc:
Hoo ~ ~;ccc~
~ooc~~'~coo: ;
H COC- YO OH
(NI) (NII) (NIII)
ro~c1
Hooc~~:~ ,~
r, cco
COOH
S-S ::oecJ
(NIV) (NV)
off Ho_ c;
%v
I _ I a c~
H3C \ \ " C J3
COOH COC: ;;
(NVI)
28
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0-'~
~ \ o--~
0
\v
COON COOH
(NVII) (NVIII)
The drug and B precursor compounds are prepared according
to the known methods in the prior art and described, for
example, in "The Merck Index, 12a Ed. (1996), herein
incorporated by reference.
The vitamin D3 derivative with retinoic acid (QVIII) is
prepared as described in JP 93039261 ( ref . C.A. 119 117617 ) ;
the formula (QIX) compound according to EP 562497 24,28-
methylene- lcr-hydroxyvitamin D2 ( QX ) according to EP 578494 ; the
derivative compound of dehydroxyvitamin D2 (QXI) according to
EP 549318.
The preferred B compounds are those meeting test 4.
The tests carried out to identify the drug precursor of R
radical of the formula (I) are in detail the following:
Test 1 (NEM): evaluation of the gastrointestinal damage
from oxidative stress induced by free radicals formed following
administration of N-ethylmaleimide (NEM) (H.G. Utley, F.
Bernheim, P. Hochstein "Effects of sulphydril reagents on pe-
roxidation in microsomes" Archiv. Biochem. Biophys. 118, 29-32
29
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1967).
The animals ( rats ) are distributed in the following groups
(no. 10 animals for group):
A) Control groups:
1° group: treatment: only carrier (aqueous suspension 1~ w/v
of carboxymethylcellulose, dose: 5 ml/Kg when the
drug is administered by os, or a physiologic solution
when parenterally administered, i.e. by subcutaneous,
intraperitoneal, intravenous or intermuscular route),
2° group: treatment: carrier as above defined + NEM,
B) Groups treated with the drug:
group I: treatment: carrier + drug,
gruppo II: treatment: carrier + drug + Nf~i.
The administration routes are those known for the drug,
and can be the oral or subcutaneous, intraperitoneal,
intravenous or intramuscular route.
The NEM dose is of 25 mg/kg in physiologic solution (sub
cutaneous route) and the drug is administered one hour later,
in suspension in the carrier, as a single dose which
corresponds to the maximum one, or the highest still tolerated
by the animals of the group of rats not pretreated with NEM,
i.e. the highest administrable dose to said group at which
there is no manifest toxicity in the animals, defined as a
toxicity that is clearly recognizable for its symptoms. The
animals are sacrificed after 24 hours and then one proceeds to
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the evaluation of the damage to the gastrointestinal mucosa.
The drug meets test 1, i.e. it can be used to prepare the
compounds of general formula ( I ) and ( II ) , when the group of
rats treated with NEM + carrier + drug shows gastrointestinal
damages, or in said group the gastrointestinal damages noticed
are greater than those shown by the group treated with the
carrier alone, or the group treated with carrier + drug, or the
group treated with carrier + NEM, even though the drug
pharmacotherapeutic ef f icacy, assayed by using specif is tests ,
is not significantly reduced.
Test 2 (CIP): Protection parameter of endothelial cell
against the oxidative stress induced by cumene hydroperoxide
(CIP).
Human endothelial cells of the umbilical vein are prepared
according to an usual standard procedure. Fresh umbilical veins
are filled with a 0.1~ by weight collagenase solution a.nd
incubated at 37°C for 5 minutes.
Afterwards the veins are perfused with medium M 199
(GIBCO, Grand Island, NY) pH 7.4 further added of other sub-
stances, as described in the examples. The cells are collected
from the perfusate by centrifugation and harvested in culture
flasks T-75, pretreated with human fibronectin. The cells are
then harvested in the same medium, further added with 10 ng/ml
of bovine hypothalamic growth factor. LPhen the cells of the
primary cell culture ( i . a . that directly obtained from ex-vivo )
31
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form a single layer of confluent cells (about 8,000,000
cells/flask), the culture is stopped and the layers washed and
trypsinized. The cellular suspensions are transferred into the
wells of a cell culture plate having 24 wells, half of which is
then additioned with the same culture medium containing the
drug at a 10-4M concentration, and harvested in a thermostat at
37°C at a constant moisture. Only the cells coming from said
first sub-cultures are used for the experiments with cumene
hydroperoxide (CIP). The cells are identified as endothelial
cells by morphological examination and by their specific
immunological reaction towards factor VIII; said cultures did
not show any contaminations from myocytes or fibroblasts.
Before starting the test, the cellular culture medium is
removed and the cellular layers are carefully washed with a
physiologic solution at a temperature of 37°C. The wells of the
culture plate are then incubated for one hour with CIP at a 5
mM concentration in the culture medium. The evaluation of
cellular damage (apoptosis) is carried out by determining the
per cent variation of the DNA fragmentation with respect to the
control group (treated with CIP alone), evaluating the
fluorescence variation at the wave length of 405-450 nm..5
replicates for each sample are carried out.
The drug meets the test , i . a . it can be used for preparing
the compounds of general formula ( I ) and ( II ) , when a statisti-
cally significant inhibition of apoptosis (cellular damage)
32
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induced by CIP with respect to the group treated with CIP alone
is not obtained at p < 0.01.
Test 3 (L-NAME) : evaluation of the endothelial dysfunction
induced by administration of L-NAME (N'"-vitro-L-arginine-methyl
ester) J. Clin. Investigation 90, 278-281,1992.
The endothelial dysfunction is evaluated by determining
the damage to the gastrointestinal mucosa, the hepatic damage
and blood hypertension induced by administration of L-NAME.
The animals (rats) are divided in groups as herein below
shown. The group receiving L-NAME is treated for 4 weeks with
said compound dissolved at a concentration of 400 mg/litre in
drinking water. The following groups are constituted (No. 10
animals for group):
A) Control groups:
1° group: only carrier (aqueous suspension 1~ w/v of carboxy-
methylcellulose, dose: 5 ml/Kg when the drug is
administered by os, phisiologic solution when
administered parenterally),
2° group: carrier + L-NAME,
B) Groups administered with the drug:
3° group: carrier + drug,
4° group: carrier + drug + L-NAME.
The administration routes are those known for the drug,
and can be the oral or subcutaneous, intraperiteneal,
intravenous or intramuscular route . The drug is administered at
33
SUBSTITUTE SHEET (RULE 26)
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that dose which results the highest still tolerated by the
animals of the group of rats not pretreated with L-NAME, i.e.
the highest administrable dose at which there is no evident
toxicity in the animals, i.e a toxicity recognizable for its
symptoms. The drug is administered once a day for 4 weeks.
At the end of the four weeks treatment access to water is
prevented and after 24 hours the animals are sacrificed.
One hour before the sacrifice blood-pressure is
determined, and a blood pressure increase is taken as an
evaluation of the damage to vascular endothelium. The damage to
the gastric mucosa is evaluated as illustrated in test 1 (see
example F1). The hepatic damage is determined by evaluation of
the glutamic-pyruvic transaminase (GPT increase) after
sacrif ice .
The drug meets test 3, i.e. it can be used for preparing
the compounds of general formula (I) and (II), when in the
group of rats treated with L-NAME + drug + carrier it is found
an higher hepatic damage (GPT) and/or an higher gastric damage
and/or an higher cardiovascular (blood-pressure) damage in
comparison to that of the group treated with the carrier alone,
or of the group treated with carrier + drug, or of the group
treated with carrier + L-NAME; even if the drug pharmaco-
therapeutic efficacy, assayed by specific tests, is not
significantly reduced.
Under the conditions indicated in the above described in
34
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vivo tests 1 and 3 the therapeutic index of the drug is reduced
since the usual doses at which the drug can be effective are no
longer tolerated.
Test 4 is a colorimetric test which affords to establish
whether the precursor of B inhibits the production of radicals
from DPPH (2,2-diphenyl-1-picryl-hydrazyl) (M.S. Nenseter et
A1., Atheroscler. Thromb. 15, 1338-1344, 1995). 100 uM
solutions in methanol of the tested substances are prepared,
and an aliquot of each of said solutions is added to a DPPH
solution in methanol 0.1 M. After having stored the solutions
at room temperature away from light for 30 minutes, their
absorbances are read at the wave length of 517 nm, together
with that of the corresponding DPPH solution at the same
concentration. The absorbance decrease with respect to that of
the solution of DPPH at the same concentration of the test
solutions is determined. The effectiveness of the tested
compound in inhibiting formation of radicals by DPPH is
expressed by the following formula:
(1 - Ag/A~)X100
wherein AS and A~ are respectively the absorbance values of the
solution containing the test compound together with DPPH and of
the solution containing only DPPH.
The compound precursor of B meets test 4 when the
inhibition percentage of radical production from DPPH,
expressed as a percentage according to the above equation, is
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higher than or equal to 50~.
Test 5 is a colorimetric test wherein 0.1 ml aliquots of
10-4 M methanolic solutions of the tested products are added to
test tubes containing a solution formed by 0.2 ml of 2 mM
deoxyribose, 0.4 ml of phosphate buffer pH 7.4 100 mM and 0.1
ml of 1 mM FeII(NH4)2(S04)2 in 2mM HC1. The test tubes are then
maintained at 37°C for one hour. Then in each test tube are
added, in the order, 0.5 ml of a 2.8~ solution in tri-
chloroacetic acid water and 0.5 ml of an aqueous 0.1 M solution
of thiobarbituric acid. A reference blank is formed by adding
to a test tube containing only the above described aqueous
solution of reactants 0.1 ml of methanol. The test tubes are
closed and heated in an oil bath at 100°C for 15 minutes. A
pink coloration is developed the intensity of which is
proportional to the quantity of deoxyribose undergone to
radical oxidative degradation. The solutions are cooled at room
temperature and their absorbances are read at 532 nm against
the blank. The inhibition induced by the precursor of B in the
confront of radical productionby FeII is determined by means of
the following formula:
(1 - As/A~)X100
wherein Ag and A~ are respectively the absorbance values of the
solution containing the tested compound + the iron salt and
that of the solution containing only the iron salt, the
compound satisfies test 5 when the inhibition percentage of
36
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radical production as above deffined from the precursor of B is
higher than or equal to 50~.
Unexpectedly the products of the invention of formula ( I ) ,
under oxidative stress conditions, have an improved therapeutic
index, compared with the precursor drugs.
For illustrative purposes the above mentioned tests are
referred to the following compounds. See the Tables.
Test 1: precursor drug: indomethacin
- Maximum administrable dose to rats: 7.5 mg/Kg p.o. By
administering a higher dose a toxicity is manifested,
characterized by enteropathy, tremor, sedation until death
(within 24 hours).
- The group of rats treated with NEM + indomethacin at the
above mentioned dose shows gastrointestinal damages.
Since indomethacin in the groups treated with NEM causes
gastrointestinal damages, it meets test 1. Indomethacin can
therefore be used as a drug for preparing the compounds ( I ) and
(II) of the present invention.
Test 2: precursor drugs: indomethacin, paracetamol and mesala-
mine
Indomethacin and paracetamol meet test 2 since the
cellular damage (apoptosis) inhibition induced by CIP is not
significantly different with respect to that of the controls.
Therefore the above drugs can be used as drugs for
preparing the compounds (I) and (II) of the present invention.
37
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On the contrary mesalamine does not meet test 2, since it
inhibits the apoptosis induced by CIP. Therefore mesalamine
according to test 2 could not be used as a precursor to prepare
the compounds (I) and (II) of the present invention. It has
been however found that mesalamine submitted to test 1 causes
gastrointestinal damages.
Thus also mesalamine can be used as a precursor for
preparing the compounds (I) and (II) of the present invention.
Test 3 (L-NAME) precurosr drugs: paracetamol, simvastatin,
omeprazole
Paracetamol and simvastatin meet test 3 since they cause
gastric and hepatic damages greater than those induced both by
L-NAME + carrier and by the drug + carrier.
Therefore they can be used as precursors to prepare the
compounds (I) and (II) of the present invention.
On the contrary it has been found that omeprazole neither
causes gastric nor hepatic damages, nor influences blood-
pressure. According to test 3 omeprazole could not be used as
a precursor f or preparing the compounds ( I ) and ( II ) of the
present invention.
Test 4 (test for the compound precursor of B)
N-acetylcysteine in said test inhibits of 100 the pro-
duction of radicals induced by DPPH. Since said percentage is
higher than the limit of 50~, said drug cannot.be used in the
present invention as precursor of H.
38
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4-Thiazolidin-carboxylic acid does not inhibit at any
extent the production of radicals induced by DPPH (Table V) .
Thus the drug does not meet test 4 as requested by the instant
invention and it could be used as a precursor of B if it meets
test 5.
Test 5 (test for the compound precursor of B)
Table III relating to this test shows that the 4-
thiazolidincarboxylic acid meets test 5 since the ~ inhibition
is of 100. Therefore the compound can be used as precursor of
B.
Preferably in the invention compounds of formula (I), B
contains free reactive functions, preferably selected from one
or more of the following groups: XZ and ZI-N-ZII wherein
I
X, Z, ZI and ZII are as above defined, or COOH, =NH.
When B contains free reactive functions it can suitably be
reacted with the compounds having formula (III) wherein the
free valence is saturated with a reactive group such as to be
able to react with the free reactive function of B:
RTIX
I
-~C~n~x Y3 (III)
I
Rrlx
wherein:
nIX is an integer between 0 and 3, preferably 1;
Rrlx ~ Rrlx ~ ~ equal to or dif f erent from each other are H or
a linear or branched C1-C4 alkyl; preferably R.rlx, R~rlx~,
39
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are H.
Y3 is a saturated, unsaturated or aromatic heterocyclic
ring containing at least one nitrogen atom, preferably one
or two nitrogen atoms, said ring having 5 or 6 atoms. The
Y3 ring can optionally have substituents, for example
CH20H .
Y3 in formula (III) is preferably selected from the
following:
H
~N. v . s . . . . .
N
H H H H H H H H
'~N ~ ~N~ ~ ~
~N~ : ~N%N ; ~~N ; NJ ; H
The most preferred of Y3 is Y12 (pyridyl).
The formula (I) compound salts are obtainable by reaction
in organic solvent such as acetonitrile, tetrahydrofuran with
an equimolecular amount of the corresponding organic or
inorganic acid.
Examples of organic acids are: oxalic, tartaric, malefic,
succinic, citric acids.
Examaples of inorganic acids are: nitric, hydrochloric,
sulphoric, phosphoric acids.
The derivatives according to the invention can be used in
the therapeutic-indications of the precursor drug, allowing to
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obtain the advantages exemplified hereinafter for some groups
of these drugs
- Anti-inflammatory drugs NSAIDs: the invention compounds
result very well tolerated and effective, even when the
organism is debilitated and finds under conditions of
oxidative stress. Said drugs can be used also in those
pathologies wherein inflammation plays a significant
pathogenetic role, such as for instance, but not limited
to, in cancer, asthma, miocardic infarction.
- Adrenergic blockers, of a- or (3-blocker type: the action
spectrum of the formula (I) compounds results wider than
that of the startir_g drugs: to a direct action on the
smooth musculature the inhibition of the nervous beta-
adrenergic signals governing the contraction of the
hematic ducts is associated. The side effects (dyspnoea,
bronchoconstriction) affecting the respiratory apparatus
are lower.
- Antithrombotic drugs: the antiplatelet activity is
potentiated and in the case of the aspirin derivatives the
gastric tolerability is improved.
- Bronchodilators and drugs active on the cholinergic
system: the side effects affecting the cardio-vascular
apparatus (tachycardia, hypertension) result lowered.
- Expectorants and mucolytic drugs: the gastrointestinal
tolerability results improved.
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- Diphosphonates: the toxicity relating to the gastrointe-
stinal tract is drastically lowered.
- Phosphodiesterase (PDE) inhibitors (bronchodilators): the
therapeutic efficacy is improved, the dosage being equal;
it is therefore possible, using the compounds of the
invention to administer a lower dose of the drug and
reduce the side effects.
- Anti leukotrienic drugs: better efficacy.
- ACE inhibitors : better therapeutic ef f icacy and lower side
effects (dyspnoea, cough) affecting the respiratory
apparatus.
- Antidiabetic drugs (insulin-sensitizing and
hypoglycaemizing), antibiotic, antiviral, antitumoral,
anticolitic drugs, drugs for the dementia therapy: better
efficacy and/or tolerability.
The drugs which can be used as precursors in the general
formula of the compounds of the invention are all those meeting
at least one of the above mentioned tests 1, 2, 3. Examples of
precursor drugs which can be used are the following:
For anti-inflamanatory/analgesic drugs, the following can
for example be mentioned:
anti-inflammatory drugs: aceclofenac, acemetacin, acetylsali-
cylic acid, 5-amino-acetylsalicylic acid, alclof enac, almi-
noprofen, amfenac, bendazac, bermoprofen, a-bisabolol, bromfe-
nac, bromosaligenin, bucloxic acid, butibufen, carprofen,
42
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cinmetacin, clidanac, clopirac, diclofenac sodium, diflunisal,
ditazol, enfenamic acid, etodolac, etofenamate, felbinac,
fenbufen, fenclozic acid, fendosal, fenoprofen, fentiazac,
fepradinol, flufenamic acid, flunixin, flunoxaprofen, flur-
biprofen, glucametacin, glycol salicylate, ibuprofen, ibupro-
xam, indomethacin, indoprofen, isofezolac, isoxepac, isoxicam,
ketoprofen, ketorolac, lornoxicam, loxoprofen, meclofenamic
acid, mefenamic acid, meloxicam, mesalamine, metiazinic acid,
mofezolac, naproxen, niflumic acid, oxaceprol, oxaprozin,
oxyphenbutazone, parsalmide, perisoxal, phenyl ace-
tylsalicylate, olsalazine, pyrazolac, piroxicam, pirprofen,
pranoprofen, protizinic acid, salacetamide, salicilamide O-
acetic acid, salicylsulphuric acid, salsalate, sulindac, supro-
fen, suxibuzone, tenoxicam, tiaprofenic acid, tiaramide,
tinoridine, tolfenamic acid, tolmetin, tropesin, xenbucin,
ximoprofen, zaltoprof en, zomepirac, tomoxiprol;
analgesic drugs: acetaminophen, acetaminosalol, aminoc-
hlorthenoxazin, acetylsalicylic 2-amino-4-picoline acid, ace-
tylsalicylsalicylic acid, anileridine, benoxaprofen benzylmor-
phine, 5-bromosalicylic acetate acid, bucetin, buprenorphine,
butorphanol, capsaicine, cinchophen, ciramadol, clometacin,
clonixin, codeine, desomorphine, dezocine, dihydrocodeine,
dihydromorphine, dimepheptanol, dipyrocetyl, eptazocine,
ethoxazene, ethylmorphine, eugenol, floctafenine, fosfosal,
glafenine, hydrocodone, hydromorphone, hydroxypethidine, ibu-
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fenac, p-lactophenetide, levorphanol, meptazinol, metazocine,
metopon, morphine, nalbuphine, nicomorphine, norlevorphanol,
normorphine, oxycodone, oxymorphone, pentazocine, phenazocine,
phenocoll, phenoperidine, phenylbutazone, phenylsalicylate,
phenylramidol, salicin, salicylamide, tiorphan, tramadol, dia-
cerein, actarit;
for respiratory and urogenital apparatus drugs
(bronchodilators and drugs active on the cholinergic system,
expectorants/mucolytics, antiasthmatic/antiallergic antihi-
staminic drugs), the following can be mentioned:
bronchodilators and drugs active on the cholinergic system:
acefylline, albuterol, bambuterol, bamifylline, bevonium methyl
sulphate, bitolterol, carbuterol, clenbuterol, chlorprenaline,
dioxethedrine, diphylline, ephedrine, epinephrine, eprozinol,
etafredine, ethylnorepinephrine, etofylline, fenoterol,
flutoprium bromide, hexoprenaline, ipratropium bromide,
isoetharine, isoprotenerol, mabuterol, metaproterenol,
oxybutynin, oxitropium bromide, pirbuterol, procaterol,
protokylol, proxyphylline, reproterol, rimiterol, salmeterol,
soterenol, terbutaline, 1-teobromineacetic acid, tiotropium
bromide, tretoquinol, tulobuterol, zaprinast, cyclodrine, NS-
21, 2-hydroxy-2,2-diphenyl-N-(1,2,3,6-tetra hydro-pyridin-4-
ylmethyl)acetamide;
expectorant/mucolytic drugs: ambroxol, bromexine, domio-
dol, erdosteine, guaiacol, guaifenesin, iodinated glycerol,
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letosteine, mesna, sobrerol, stepronin, terpin, tiopronin;
antiasthmatic/antiallergic antihistaminic drugs:
acrivastine, alloclamide, amlexanox, cetirizine, clobenzepam,
chromoglycate, chromolyn, epinastine, fexofenadine,
formoterol, histamine, hydroxyzine, levocabastine, lodoxamide,
mabuterol, metron s, montelukast, nedocromil, repirinast,
seratrodast, suplatast tosylate, terf enadine, tiaramide,
urushiol, bromhexine;
for cardiovascular drugs (ACE-inhibitors, beta-blockers,
antithrombotic and vasodilator drugs, antidiabetic and hypo-
glycemic drugs), the following can be mentioned:
ACE-inhibitors: alacepril, benazepril, captopril, cero-
napril, cilazapril, delapril, enalapril, enalaprilat, fo-
sinopril, imidapril, lisinopril, losartan, moveltipril, na-
phthopidil, perindopril, quinapril, ramipril, spirapril, temo-
capril, trandolapril, urapidil;
beta-blockers: acebutolol, alprenolol, amosulalol, aroti-
nolol, atenolol, betaxolol, bevantolol, bucumolol, bufetolol,
bufuralol, bunitrolol, bupranolol, butofilol, carazolol, car-
teolol, carvedilol, celiprolol, cetamolol, dilevalol, epanolol,
esmolol, indenolol, labetalol, mepindolol, metipranolol,
metoprolol, moprolol, nadolol, nadoxolol, nebivolol, nifenalol,
nipridalol, oxprenolol, penbutolol, pindolol, practolol,
pronethalol, propranolol, sotalol, sulfinalol, talinolol, ter-
tatolol, tilisolol, timolol, toliprolol, xibenolol;
SUBSTITUTE SHEET (RULE 26)
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antithrombotic and vasoactive drugs: acetorphan, acetylsa-
licylic acid, argatroban, bamethan, benfurodil hemisuccinate,
benziodarone, betahistine, brovincamine, bufeniode, citicoline,
clobenfurol, clopidogrel, cyclandelate, dalteparin, dipyrida-
mole, droprenilamine, enoxaparin; fendiline, ifenprodil,
iloprost, indobufen, isbogrel, isoxsuprine, heparin, lamif iban,
midrodine, nadroparin, nicotinyl alcohol, nylidrin, ozagrel,
perhexiline, phenylpropanolamine, prenylamine, papaveroline,
reviparin sodium salt, ridogrel, suloctidil, tinofedrine,
tinzaparin, triflusal, xanthinol niacinate;
antidiabetic drugs: acarbose, carbutamide, glibornuride
glybuthiazol(e), miglitol, repaglinide, troglitazone, 1-butyl-
3-metanyl-urea, tolrestat, nicotinamide;
for antitumoral drugs, the following can be mentioned:
ancitabine, anthramycin, azacitidine, azaserine, 6-azauridine,
bicalutamide, carubicin, carzinophilin, chlorambucil,
chlorozotocin, cytarabine, daunorubicin, defosfamide, deme-
colcine, denopterin, 6-diazo-5-oxo-L-norleucine, docetaxel,
doxifluridine, doxorubicin, droloxifene, edatrexate, eflorni-
thine, enocitabine, epirubicin, epitiostanol, etanidazole,
etoposide, fenretinide, fludarabine, fluorouracil, gemcitabi-
ne, hexestrol, idarubicin, lonidamine, mannomustine, melphalan,
menogaril, 6-mercaptopurine, methotrexate, mitobronitol,
mitolactol, mitomycins, mitoxantrone, mopidamol, mycophenolic
acid, ninopterin, nogalamycin, paclitaxel, pentostatin, pira-
46
SUBSTITUTE SHEET (RULE 26)
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rubicin, piritrexim, plicamycin, podophyllic acid, porf imer
sodium, porfiromycin, propagermanium, puromycin, ra.nimustine,
retinoic acid, roquinimex, streptonigrin, streptozocin, te-
niposide, tenuazonic acid, thiamiprine, thioguanine, tomudex,
topotecan, trimetrexate, tubercidin, ubenimex, vinblastine,
vincristine, vindesine, vinorelbine, zorubicin;
for antiulcer drugs the following can be mentioned: e-
acetamidocaproic acid, arbaprostil, cetraxate, cimetidine, eca-
bet, enprostil, esaprazole, irsogladine, misoprostol, ome-
prazole, ornoprostil, pantoprazole, plaunotol, rioprostil,
rosaprostol, rotraxate, sofalcone, trimoprostil;
among anti-hyperlip=demic drugs (statines) the following
can be mentioned: atorvastatin, cilastatin, dermostatin,
fluvastatin, lovastatin, mevastatin, nystatin, pentostatin,
pepstatin, privastatin sodium, simvastatin;
among antibiotic/antiviral drugs the following can be me-
ntioned:
antibiotics: amdinocillin, amoxicillin, ampicillin, apal-
cillin, apicycline, aspoxicillin, azidamfenicol, azidocillin,
azlocillin, aztreonam, benzoylpas, benzyl penicillinic acid,
biapenem, bicozamycin, capreomycin, carbenicillin,
carindacillin, carumonam, cefaclor, cefadroxil, cefamandole,
cefatrizine, cefazedone, cefazolin, cefbuperazone, cefclidin,
cefdinir, cefditoren, cefepime, cefetamet, cefixime, cefmeno-
xime, cefmetazole, cefminox, cefodizime, cefonicid, cefopera-
47
SUBSTITUTE SHEET (RULE 26)
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zone, ceforanide, cefotaxime., cefotetan, cefotiam, cefoxitin,
cefozopran, cefpimizole, cefpiramide, cefpirome, cefprozil,
cefroxadine, cefsulodin, ceftazidime, cefteram, ceftezole,
ceftibuten, ceftiofur, ceftizoxime, ceftriaxone, cefuroxime,
cefuzonam, cephacetrile sodium, cephalexin, cephaloglycin,
cephaloridine, cephalosporin C, cephalothin, cephapirin sodium,
cephradine, chloramphenicol, chlortetracycline, cinoxacin,
clavulanic acid, clometocillin, cloxacillin, cyclacillin,
cycloserine, demeclocycline, dicloxacillin, epicillin, f enbe-
cillin, flomoxef, floxacillin, hetacillie, imipenem, lenampi-
cillin, loracarbef , lymecycline, mafenide, meclocycline, mero-
penem, metampicillin, methacycline, methicillin sodium, mezlo-
cillin, minocycline, moxalactam, mupirocin, myxin, negamycin,
novobiocin, oxacillin, panipenem, penicillin G potassium salt,
penicillin N, penicillin O, penicillin V, phenethicillin
potassium salt, pipacycline, piperacillin, pirlimycin, porfi-
romycine, propycillin, quinacillin, ritipenem, rolitetracycli-
ne, sancycline, sedecamycin, spectinomycin, sulbactam, sulbe-
nicillin, temocillin, tetracycline, ticarcillin, tigemonam,
tubercidin, azithromycin, clarithromycin, dirithromycin,
enviomycin, erythromycin, josamycin, midecamycin, miokamycin,
oleandomycin, rifabutin, rifamide, rifamycin, rifaximin,
rokitamycin, spiramycin, troleandromycin, viomycin,
virginiamycin;
amikacin, apramycin, arbekacin, dibekacin, dihydrostreptomycin,
48
SUBSTITUTE SHEET (RULE 26)
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fortimicins, gentamicin, micronomicin, neomycin, netilmicin,
paromomycin, ribostamycin, sisomicin, spectinomycin,
streptomicin, tobramycin, trospectomycin;
bacampicillin, cefcapene pivoxil, cefpodoxime proxetil,
panipenem, pivampicillin, pivcefalexin, sultamicillin,
talampicillin;
carbomycin, clindamycin, lincomycin, mikamycin, rosaramicin,
ciprofloxacin, clinafloxacin, difloxacin, enoxacin,
enrofloxacin, fleroxacin, flumequine, grepafloxacin,
lomefloxacin, nadifloxacin, nalidixic acid, norfloxacin,
ofloxacin, pazufloxacin, pefloxacin, pipemidic acid, piromidic
acid, rufloxacin, sparfloxacin, tosuf loxacin, trovafloxacin,
clomocycline, guamecycline, oxytetracycline, nifurpirinol,
nifurprazine; p-aminosalicylic acid, p-aminosalicylic acid
hydrazide, clofazimine, deoxydihydrostreptomycin, ethambutol,
glyconiazide, isoniazid, opiniazide, phenyl aminosalicylate,
rifampin, rifapentine, salinazid, 4-4'-sulfynyldianiline,
Acediasulfone, dapsone, succisulfone, p-sulfanilylbenzylamine,
thiazolsulfone, acetyl sulfamethoxypyrazine, mafenide, 4'-
(methylsulfamoyl)sulfanilanilide, salazosulfadimidine,
sulfabenzamide, sulfacetamide, sulfachlorpyridazine,
sulfachrysoidine, sul.facytine, sulfadiazine, sulfadicramide,
sulfadimethoxine, sulfadoxine, sulfaethidole, sulfaguanidine,
sulfaguanole, sulfalene, sulfamerazine, sulfameter,
sulfamethazine, sulfamethizole, sulfamethomidine,
49
SUBSTITUTE SHEET (RULE 26)
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sulfamethoxazole, sulfamethoxypyridazine, sulfamethylthiazole,
sulfametrole,sulfamidochrysoidine,sulfamoxole,sulfanilamide,
2-p-sulfanilylanilinoethanol, N4-sulfanilylsulfanilamide,
sulfanilylurea, N-sulfanilyl-3,4-xylamide, sulfaperine,
sulfaphenazole, sulfaproxyline, sulfapyrazine,
sulfapyridine, sulfasomizole, sulfasymazine, sulfathiazole,
sulfathiourea, sulfisomidine, sulfisoxazole, 4-sulfanilamido
salicylic acid; negamycin, carumonan, cloxyquin, nitroxoline,
arginine, metronidazole;
antiviral drugs: acyclovir, amantadine, cidofovir,
cytarabine, didanosine, dideoxyadenosine, edoxudine,
famciclovir, floxuridine, ganciclovir, idoxuridine, indanavir,
kethoxal, lamivudine, MADU, penciclovir, podophyllotoxin,
ribavirin, rimantadine, saquinavir, sorivudine, stavudine,
trifluridine, valacyclovir, vidarabine, xenazoic acid,
zalcitabine, zidovudine;
among bone resorption inhibitors (diphosphomates} the
following can be mentioned: alendronic acid, butedronic acid,
etidronic acid, oxidronic acid, pamidronic acid, risedronic
acid;
among antidementia drugs the following can be mentioned:
amiridine, lazabemide, mofegiline, salbeluzol, oxiracetam,
ipidacrine, nebracetam, tacrine, velnacrine.
The preferred substances are the following:
among anti-inflammatories: acetylsalicylic acid, 5-
SUBSTITUTE SHEET (RULE 26)
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aminoacetylsalicylic acid, carprofen, diclofenac sodium, diflu-
nisal, etodolac, f lufenamic acid, flunixin, flurbiprofen,
ibuprofen, indomethacin, indoprofen, ketoprofen, ketorolac,
lornoxicam, loxoprofen, meclofenamic acid, mefenamic acid,
meloxicam, mesalamine, naproxen, niflumic acid, olsalazine,
piroxicam, salsalate, sulindac, suprofen, tenoxicam,
tiaprofenic acid, tolfenamic acid, tolmetin, zomepirac, tomoxi-
prol;
among analgesic drugs: acetaminophen, acetylsalicylsalicylic
acid, benoxaprofen, buprenorphine, butorphanol, capsaicin,
diacereine, dihydrocodeine, ethylmorphine, eugenol, phenylbuta-
zone, meptazinol, morphine, nalbuphine, pentazocine, thiorphan,
tramadol, actarit;
among respiratory and urogenital apparatus drugs: (bronchodila-
tors, drugs active on the cholinergic system,
expectorants/mucolytics, antiasthmatics/antiallergic antihista-
minic drugs):
bronchodilators and drugs active on the cholinergic system
. albuterol, carbuterol., clenbuterol, difylline, etofylline,
fenoterol, ipratropium bromide, metaproterenol, oxybutynin,
pirbuterol, salmeterol, terbutaline, tiotropium bromide,
zaprinast, cyclodrine, NS-21, 2-hydroxy-2,2-diphenyl-N-
(1,2,3,6-tetrahydro-pyridin-4-ylmethyl)acetamide;
expectorant/mucolytic drugs: ambroxol, bromexine, guaia-
col, sobrerol;
51
SUBSTITUTE SHEET (RULE 26)
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antiasthmatic/antiallergic antihistaminic drugs:
cetirizine, chromoglycate, histamine, levocabastine,
lodoxamide, montelukast, terfenadine, bromexine.
Among cardiovascular drugs:
ACE-inhibitors: captopril, enalapril, lisinopril, losar-
tan, ramipril;
beta blockers: alprenolol, atenolol, bupranolol, labe-
talol, metipranolol, metoprolol, pindolol, propranolol, timo-
lol;
antithrombotic and vasoactive drugs: acetylsalicylic
acid, acetorphan, argatroban, clopidogrel, dalteparin, dipyri-
damole, enoxaparin, heparin, iloprost, midodrine, ozagrel,
phenylpropanolamine trifusal;
antidiabetic drugs: tolrestat, nicotinamide;
among antitumoral drugs: anthramycin, daunorubicin, doxo-
rubicin, epirubicin, fluorouracil, methotrexate, vinblastine;
among antiulcer drugs: cimetidine, omeprazole, pantoprazo-
le;
among antihyperlipidemic drugs: lovastatin, pravastatin
sodium, simvastatin;
among antibiotic/antiviral drugs:
antibiotic drugs: amoxicillin, ampicillin, aztreonam,
biapenem, carbenecillin, cefaclor, cefadroxil, cefamandole,
cefatrizine, cefoxitin, clavulanic acid, dicloxacillin, imi-
penem, meclocycline; methacycline, moxalactam, panipenem, sul-
52
SUBSTITUTE SHEET (RULE 26)
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bactam, azithromycin, erythromycin, josamycin, miokamycin, ri-
fabutine, rifamide, rifamycin, gentamicin, paromomycin,
sisomicin, bacampicillin, carbomycin, clindamycin,
ciprofloxacin, cliriafloxacin, difloxacin, enrofloxacin,
lomefloxacin, nadifloxacin, norf loxacin, of loxacin, pipemidic
acid,
apicycline, clomocycline, oxytetracycline, nifurpirinol,
nifurprazine, isoniazid, rifampin, rifapentine, dapsone,
thiazolsulfone, sulfamethoxazole, sulfamoxole, metronidazole,
arginine;
antiviral drugs: acyclovir, famciclovir, ganciclovir,
penciclovir, ribavirin, vidarabine, zidovudine;
among bone resorption inhibitors: alendronic acid, etidro-
nic acid, pamidronic acid;
among antidementia drugs: oxiracetam, tacrine, velnacrine.
The above mentioned substances, R precursors, are prepared
according to the methods known in the prior art. See for
example in "The Merck Index, 12a Ed. (1996), herein in
corporated by reference. When available, the corresponding
isomers, comprising optical isomers, can be used.
Tomoxiprol is obtained according to the method describeid
in EP 12,866.
The steroidal compounds wherein A = R-, have the following
structure:
53
SUBSTITUTE SHEET (RULE 26)
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!1 G. ~Gr 00
~: ~ R'
t' ~ :7
2 t t t 31 t~ !"~
t4 is r r
t ~I ~ ~ n 7
H 2 ? ~t0 8
H ~ s ; H
I .c . ~ 6
H, H H=
wherein in substitution of the hydrogens of the CH groups or of
the two hydrogens of the CH2 groups mentioned in the general
forzttula, the following substituents can be present:
in position 1-2: there may be a double bond;
in position 2 - 3 : there may be the following substituent
2
3
N
N
/ \
1
i
in position 2: there may be C1, Br;
in position 3: there may be CO, -O-CH2-CH2-C1, OH;
in position 3-4: there may be a double bond;
in position 4-5: there may be a double bond;
in position 5-6: there may be a double bond;
in position 5-10: there may be a double bond;
in position 6: there may be C1, F, CH3, -CHO;
in position 7: there may be C1, OH;
in position 9: thre may be C1, F;
in position 11: there may be OH, CO, C1, CH3;
in position 16: there may be CH3, OH, =CH2:
54
SUBSTITUTE SHEET (RULE 26)
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in position 17: there may be OH, CH3, OCO(O)ua(CH2)vaCH3~
C=CH or
GCa
wherein ua is an integer equal to 0 or 1, va is an integer
from 0 to 4;
in position 16-17: there may be the following groups:
C:1
Cry ~;
a ~ ~ /'~CH3
I 17
i~ ~ =;, ~ ~ d
R and R', equal to or different from each other, can be
hydrogen or linear or branched alkyls from 1 to 4 carbon atoms,
preferably R = R' - CH3;
R" is -(CO-L)t-(L)t2-(XaI)ti-
wherein t, tl and t2 are integers equal to or different
from each other equal to 0 or 1, with the proviso that when t
- 0 t2 = 1 and when t = 1 t2 = 0, and that t and tl, or t2 and
tl, cannot contemporaneously be equal to 0 when A does not
contain -OH groups;
the bivalent bridging group L is selected from:
(CR4R5)na(O)~(CR4R5)n,a(CO)n,b(0)n"b(CO)n,"b(CR4R5)n.,a
wherein na . n' a , and n' ' a , equal to or dif f erent from each
other, are integers from 0 to 6, preferably 1-3; nb, n'b, n " b
and n " 'b, equal to or different from each other, are integers
equal to 0 or 1; R4, R5, equal to or different from each other,
SUBSTITUTE SHEET (RULE 26)
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are selected from H, linear or branched alkyl from 1 to 5
carbon atoms, preferably from 1 to 3;
XoI is X as above defined, or equal to X2I wherein X2I is
equal to OH, CH3, C1, N(-CH2-CH3)2, SCH2F, SH, or
- ri
~L
Preferably R" - -CO-CH20H, -CH(CH3)-CH2-CH2-COOH.
In the precursor steroids those having the hydroxyl
function in position 3 and/or in position 11, and/or having in
R" an hydroxyl or carboxylic function in terminal position, are
pref erred .
The precursor steroids of A which can be mentioned and
which are preferred, are those listed hereinunder, obtainable
according to the processes known in the art.
As precursors and respective processes, those for example
described in The Merck Index, ed. 12 of 1996, herein
incorporated by reference, can be mentioned. The precursors
(according to the Merck nomenclature) are the following,
wherein H2, H, R, R', R " have the meaning mentioned in the
compounds listed herein: Budesonide, Hydrocortisone, Alclome-
thasone, Algestone, Beclomethasone, Betamethasone, Chloro-
prednisone, Clobetasol, Clobetasone, Clocortolone, Cloprednol,
Cortisone, Corticosterone, Deflazacort, Desonide, Desoxi-
56
SUBSTITUTE SHEET (RULE 26)
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methasone, Dexamethasone, Diflorasone Diflucortolone, Diflu-
prednate, Fluazacort, Flucloronide, Flumethasone, Flunisolide,
Fluocinolone Acetonide, Fluocinonide, Fluocortyn Butyl,
Fluocortolone, Fluorometholone, Fluperolone Acetate, Flu-
prednidene Acetate, Fluprednisolone, Flurandrenolide, Forrno-
cortal, Halcinonide, Halobetasol Propionate, Halomethasone,
Halopredone Acetate, Hydrocortamate, Loteprednol Etabonate,
Medrysone, Meprednisone, Methylprednisolone, Momethasone Furoa-
te, Paramethasone, Prednicarbate, Prednisolone, Prednisolone
25-Diethylaminoacetate, Prednisolone Sodium Phosphate, Predni-
sone, Prednival, Prednylidene, Rimexolone, Triamcinolone, Tri-
amcinolone Acetonide, 21-Acetoxypregnenolone, Cortivazol, Am-
cinonide, Fluticasone Propionate, Mazipredone, Tixocortol,
Triamcinolone Hexacetonide, Ursodesoxycholic acid,
Chenodeoxycholic acid, Mitatrienediol, Moxestrol, Ethynylestra-
diol, Estradiol, Mestranol.
The formula (I) compounds are prepared as mentioned
hereinafter .
If the reactive function of the drug ( for example -COON, -
OH) is involved in a covalent bond, for example of ester,
amide, ether type, said function can be restored with the
methods well known in the prior art.
The reactions used f or obtaining the formula ( I ) compounds
are reactions leading to the formation of bonds for example of
ester, amide, thioester type well known to the skilled in the
57
SUBSTITUTE SHEET (RULE 26)
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f field .
If in the two compounds of the reaction other functional
groups COOH and/or HX wherein X is as above defined are
present, they must be protected before the reaction according
to the methods known in the prior art; for example as described
in the paper by Th. W. Greene: "Protective groups in organic
synthesis", Harward University Press, 1980.
When in the radical B there is a second reactive function,
of XZ and ZI-N-ZII type wherein X, Z, ZI and ZII are as above
I
defined, or a COOH, =NH function, it is possible to bind to B
a radical corresponding to the formula (III), wherein the free
valence is saturated with a reactive function such as to be
combined with the second reactive function of B. Also in this
case the reactions are those commonly used in the prior art.
The obtained compound is reacted with the drug precursor.
The compounds object of the present invention are
formulated in the corresponding pharmaceutical compositions for
parenteral, oral and topic use according to the well known
methods of the prior art, along with the usual excipients; see
for example the paper "Remington's Pharmaceutical Sciences 15a
Ed.".
The amount on a molar basis of the active principle in
these formulations is the same, or lower, compared with that
used of the corresponding precursor drug.
The daily administrable doses are those of the precursor
58
SUBSTITUTE SHEET (RULE 26)
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drugs, or in case lower. The daily doses can be found in the
publications of the field, such as for example in "Physician's
Desk reference" .
The following examples have the purpose to illustrate the
invention and are not to be considered as limitative of the
same.
EXAMPLE 1
Synthesis of (S,S)-N-acetyl-S-(6-methoxy-a-methyl-2-naphthalen
acetyl)cysteine having the formula
CH 3 ~1HCOCi-i3
/ / I S~OH
H3C~ \ ~ \ ~ O~ O
O
The precursor is naproxene (Formula VI), the precursor of
B is N-acetylcysteine of formula (CVIII)
CHI ~CO~~!
HS 1
OH NHCOC~'~
usC~ \ ~\ ~ O~
O
(VI) (CVIII)
a)Synthesis of (S,S)-N-acetyl-S-(6-methoxy-a-methyl-2-naphtha-
len acetyl)cysteine
To a solution of 6-methoxy-a-methyl-2-naphthalenacetic
acid (10 g, 43.4 mmoles) in chloroform (100 ml) and N,N-dime-
thylformamide (6 ml), 1,1'-carbonyldiimidazole (7.04 g, 43.4
59
SUBSTITUTE SHEET (RULE 26)
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mmoles) is added. After 15 minutes the obtained solution is
treated with (S)-N-acetylcysteine (7.08 g, 43.4 mmoles) and
left at room temperature for 12 hours. The reaction mixture is
washed with HC1 5~, then with water and lastly with brine. The
organic phase is anhydrif ied with sodium sulphate and then
evaporated at reduced pressure. The obtained residue is
purified by chromatography on silica gel eluting with ethyl
acetate. 11.66 g of the expected product are obtained in the
form of a white solid having m.p. 122°-126°C.
1H-NMR (CDC13): 7.71-7.65 (3H, m), 7.34 (1H, dd), 7.16-7.09
(2H, m), 6.36 (1H, d), 4.67 (1H, m), 4.00 (1H, q), 3.90
(3H, s) 3.32 (2H, t), 1.84 (3H, s), 1.59 (3H, d).
EXAMPLE 2
Synthesis of (S)-N-acetyl-S-{a-methyl[4-(2-methylpropyl) ben-
zene] acetyl}cysteine having formula
H~ ! HCOCH,
S~OH
~ H3
H,C
The precursor is ibuprofen of formula VII, the precursor
of H is N-acetylcysteine of formula (CVIII)
~/ C02H
i Hs HS- NHCOCH
~ H3 / ~ OH
\ O
H3C
(VII) (CVIII)
SUBSTITUTE SHEET (RULE 26)
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a) Synthesis of (S)-N-acetyl-S-(a-methyl[4-(2-methylpropyl)
benzene]acetyl}cysteine
To a solution of cx-methyl[4-(2-methylpropyl)benzene] ace-
tic acid (10 g, 48.48 mmoles) in chloroform (100 ml) and N,N-
dimethylformamide (6 ml) 1,1'-carbonyldiimidazol (7.86 g, 48.48
mmoles ) is added. After 1 hour the obtained solution is treated
with (S)-N-acetylcysteine (7.91 g, 48.47 mmoles) and left at
room temperature for 24 hours. The reaction mixture is washed
with HC1 5~, then with water and lastly with brine. The organic
phase is anhydrified with sodium sulphate and then evaporated
at reduced pressure. The obtained residue is purified by
chromatography on silica gel eluting with ethyl acetate. 13.3
g of the expected product are obtained in an oil form.
1H-NMR (CDC13): 10.17 (1H, s) 7.13 (2H, d) 6.54 (1H, d), 4.76
(1H, m), 3.93 (1H, q), 3.42-3.30 (2H, m), 2.49 (2H, d),
1.85-1.83 (4H, m), 1.55 (3H, d), 0.93 (6H, d).
EXAMPLE 3
Synthesis of (S)-N-acetyl-S-[1-(4-chlorobenzoyl)-5-methoxy-2-
methyl-1H-indol-3-acetyl]cysteine having~formula
C1
O
N~CH3
O
H3c,o / l l
s
~oN
H3cocHN
61
SUBSTITUTE SHEET (RULE 26)
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The precursor is indomethacin of formula (VIII ) , the pre-
cursor of B is N-acetylcysteine of formula (CVIII)
CI CpzH
0 ~ ' ; ,S NHCOCN3
I
N~/CH3
H C~ I /
OH
(VIII) (CVI~I)
a) Synthesis of (S)-N-acetyl-S-[1-(4-chlorobenzoyl)-5-methoxy-
2-methyl-1H-indol-3-acety 1]cysteine
To a solution of 1-(4-chlorobenzoyl)-5-methoxy-2-methyl-
1H-indol-3-acetic acid (10 g, 28.00 mmoles) in chloroform (100
ml) and N,N-dimethylforznamide (2 ml) 1,1'-carbonyldiimidazol
(4.53 g, 28.00 mmoles) is added. After 1 hour the obtained
solution is treated with (S)-N-acetylcysteine (4.56 g, 28.00
mmoles ) and left at room temperature for 24 hours . The reaction
mixture is washed with HC1 5~, then with water and lastly with
brine. The organic phase is anhydrif ied with sodium sulphate
and then evaporated at reduced pressure. The obtained residue
is purged by chromatography on silica gel eluting with ethyl
acetate. 7.79 g of the expected product are obtained in the
form of a yellow solid having m.p. 129°C.
1H-NMR (DMSO-d6): 12.90 (1H, s), 8.21 (1H, d), 7.69-7.64
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(4H, m), 7.06 (1H, d), 6.96 (1H, d), 6.73 (1H, dd), 4.33
(1H, m), 4.02 (2H, s), 3.77 (3H, s), 3.33-2.96 (2H, m), 2.22
(3H, s), 1.78 (3H, s).
EXAMPLE 4
Synthesis of (S)-N-acetyl-[2-fluoro-a-methyl-(1,1'-biphenyl)-4-
acetyl]cysteine having formula
i H3 i HCOC~3
,/ S~COO;
\ (\ ~ O.
The precursor is f lurbiprof en of f orrnula ( IX ) , the precur-
sor of B is N-acetylcysteine of formula (CVIII)
C;-i
OH ~C02H
,/
s i; ,t t~~ i
0 NHCOCH=
(IX) (CVIII)
The compound is synthetized according to the process
described in Example 1. The compound looks as an oil. Yield:
70~
1H-NMR (CDC13): 8.38 (1H, d), 7.67-7.50 (6H, m), 7.49-
7.53 (2H, m), 4.52 -4.41 (1H, m), 4.22 (1H, q), 3:50-3.10 (2H,
m), 1.92 (3H, s), 1.58 (3H, d).
EXAMPLE 5
Preparation of trans-3-[4-[a-methyl-[4-(-2-methylpropyl)benze-
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ne] acetyloxy]-3-methoxyphenyl]-2-propenoic acid having
formula:
CH, Onle
~' ~ O
v., r :3 / ,
r
! ~ I! o
HOC ~ / COCH
The precursor is ibuprofen of formula (VII ) , the precursor
of B is ferulic acid of formula (DII):
,
i H~ ONIe
CH / OH HO~
! ~ !~ ~ ~i /i /
H3C COOH
(VII) (DII)
a) Synthesis of the traps-3-[4-[a-methyl-[4-(-2-methylpropyl)
benzene]acetyloxy]-3-methoxyphenyl] -2-propenoic acid
To a solution of a-methyl-[4-(2-methylpropyl)benzene]ace-
tic acid (5.03 g, 24.4 mmoles) in tetrahydrofuran (100 ml) and
N,N-dimethylformamide (5 ml) 1,1-carbonyldiimidazole (4.25 g,
24.8 mmoles) is added. After 1 hour the obtained solution is
treated with ferulic acid (4.90 g, 25 mmoles), sodium ethylate
(89 mg) is added and then it is left at room temperature under
stirring for 12 hours. The reaction mixture is washed with HC1
5$, then with water and lastly with brine. The organic phase is
anhydrif ied with sodium sulphate and evaporated at reduced
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pressure.
The obtained residue is purified by chromatography on
silica gel, eluting with ethyl acetate/n-hexane 7/3. 5.1 g of
traps-3-[4-[a-methyl.-[4-(-2-methylpropyl)benzene] acetyl]-3-
methoxyphenyl]-2-propenoic acid are obtained as a white solid,
having m.p. 131°-137°C.
1H-N1~ (CDC13): 7.72 (1H, d), 7.32 (2H, dd), 7.26 (1H, m),
7.16-7.07 (4H, m), 6.98 (1H, d), 6.37 (1H, d), 3.99 (1H, q),
3.73 (3H, s), 2.47 (2H, d), 1.88 (1H, m), 1.63 (3H, d), 0.92
(6H, d).
EXAMPLE 6
Synthesis of traps-3-[4-[2-fluoro-a-methyl-(1,1'-biphenyl)-4-
acetyloxyJ-3-methoxyphenyl]-2-propenoic acid having formula:
CH, 01/Ie
O
/ COOH
The precursor is f lurbiprof en of formula ( IX ) , the precur -
sor of B is ferulic acid of formula (DII)
OH 01~1e
HO
/ /
COOH
(IX) (DII)
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The compound is synthetized according to the process
described in Example 5 . The total process yield is 60~ . The
compound looks as an. amorphous solid.
1H- NMR (CDC13): 7.75 (1H, d), 7.52 (2H, m), 7.46-7.26
(4H, m) 7.26 (3H, m), 7.05 (2H, m), 7.00 (1H, d), 6.37 (1H,
d), 4.03 (1H, q), 3.77 (3H, s), 1.65 (3H, d).
EXAMPLE 7
Preparation of N-acetyl-S-[(S)-a-(2-chlorophenyl)-6,7-dihydro-
thieno[3,2-c]pyridin-5(4H)acetyl] (S)-cysteine
NHCOCN;
ors ~ off
0
/ ii N i \
s~ ~i
wherein the precursor is clopidogrel having formula (XI) and
the precursor of B is N-aceticysteine having formula (CVIII):
CO H
OOH HS~
NHCOCH3
~ I _N I \
S CI /
(XI) (CVIII)
The compound is synthetized following the procedure re-
ported in Example 1. The yield is 51~.
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Elementary analysis:
Calculated C: 53.03 H: 4.67 N: 6.18 S: 14.16 C1: 17.82
Found C: 53.00 H: 4.63 N: 6.15 S: 14.10 C1: 17.87
EXAMPLE 8
Preparation of [3-methoxy-4-hydroxyphenyl]-2-traps-propenoyl-
4-[(2- amino-3,5-dibromophenyl)methylamino] cyclohexanol
ester
OH
0
Br
\ N ..,
H
NH2
Br
wherein the precursor is ambroxol having formula (XII) and
the precursor of B is represented by ferulic acid having for-
mula (DII):
OH OMe
HO
Br ~ N..~~ I \
H
I / ~ ~ COOH
-NHZ
Br
(XII) (DII)
a) Synthesis of 4-[(2-tert-butoxycarbonylamino-3,5-dibromophe-
nyl)methylamino] traps cyclohexanol
To a mixture of 4-[(2-amino-3,5-dibromophenyl)methyl-
amino]cyclohexanol (5 g, 13.22 mmoles) in dioxane (35 ml) and
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water (50 ml), triethylamine (3.31 ml, 23.7 mmoles) and di-
tent-butyldicarbonate (3.46 g, 15.86 mmoles) are added under
stirring. After 24 hours the solution is concentrated under
vacuum, a HC1 1~ solution until neutral pH (pH=7) is added and
the organic phase is extracted with ethyl acetate. The organic
phase is anhydrified with sodium sulphate and evaporated under
vacuum. 4-[(2-tert-butoxycarbonylamino-3,5-dibromophenyl)
methyl amino]cyclohexanol is obtained which is used without
further purification.
b) Synthesis of (3-methoxy-4-hydroxyphenyl)-2-trans-propenoyl-
4-[(2-tert-butoxycarbonylamino-3,5-dibromophenyl)methylamino]
cyclohexanol ester
To a solution of ferulic acid (4 g, 20.5 mmoles) in te-
trahydrofuran (40 ml) cooled at 0°C, 1,1'-carbonyldiimidazole
(3.34 g, 20.5 mmoles) is added. After 10 minutes the solution
is treated with 4-[(2-ter-butoxycarbonylamino-3,5-
dibromophenyl) methyl amino]cyclohexanol (9.8 g, 20.5 mmoles)
and let react at room temperature for 4 hours. The reaction
mixture is concentrated under vacuum, treated with methylene
chloride, washed with a HCl 1~ solution and then with water.
The organic phase is anhydrified with sodium sulphate and then
evaporated under vacuum. The obtained residue is purified by
chromatography on silica gel, eluting with n-hexane/ethyl
acetate 1/1. (3-methoxy-4-hydroxyphenyl)-2-trans propenoyl 4-
[(2-tert-butoxycarbonylamino-3,5-dibromo phenyl) methylamino]
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cyclohexanol ester, is obtained.
c) Synthesis of [3-methoxy-4-hydroxy)phenyl]-2-traps propenoyl-
4-[(2-amino-3,5-dibromo-phenyl)methylamino]cyclohexanol ester
To a solution of (3-methoxy-4-hydroxyphenyl)-2-traps pro-
penoyl-4-[(2-ter-butoxycarbonylamino-3,5-dibromo-phenyl)-
methylamino] cyclohexanol ester (2 g, 3.06 mmoles) in ethyl
acetate (50 ml), cooled at 0°C and kept under stirring, a 5N
HC1 solution in ethyl acetate (3.17 ml) is added. Lastly the
precipitate is filtered. The obtained crude product is treated
with ethyl acetate, to which a 5~ sodium bicarbonate solution
is added. The mixture is shaken and the bicarbonate solution is
replaced with an equal part of water. The mixture is shaken
again, the organic phase is recovered, anhydrif ied with sodium
sulphate and evaporated at reduced pressure. [3-methoxy-4-
hydroxyphenyl]-2-transpropenoyl 4-[(2-amino-3,5-dibromo phenyl)
methylamino] cyclohexanol ester is obtained. Yield: 41~.
Elementary analysis:
Calculated C: 50.90 H: 4.62& N: 4.94 Br: 28.22
Found C: 50.81 H: 4.63 N: 4.89 Br: 28.18
EXAMPLE 9
Preparation of S-[[2-[4-(4-chlorophenyl)phenylmethyl)-1-pipera-
zinyl]ethoxy]acetyl] penicillamine having formula
CI ~ CH3
COOH
~N O(CHZ)2OCH2COS
H3C NHZ
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wherein the precursor is cetirizine of formula (XIV) and the
precursor of B is penicillamine (formula CV):
~N~0(CH2)20CHZCOGH C~H3
NJ COOH
Hs ~ "
HOC N Hz
I
w\ ~
(xIV)
a)Synthesis of S-[[2-[4-[(4-chlorophenyl)phenylmethyl]-1-pipe-
razinyl]ethoxy]acetyl] N-tert-butoxycarbonylpenicillamine
The compound is prepared according to the method reported
in Example 1, using N-tert-butoxycarbonyl-penicillamine instead
of N-acetyl cysteine.
b)Synthesis of S-[[2-[4-[(4-chlorophenyl)phenylmethyl]-1-pipe-
razinyl]ethoxy]acetyl]-penicillamine
The compound is obtained from the previous one by follow-
ing the method described in step c) of Example 8 in order to
remove the protective group N-tert-butoxycarbonyl and recover
the aminic function. Yield: 29$.
Elementary analysis:
Calculated C: 58.96 H: 6.59 N: 7.63 S: 5.83 C1: 16.44
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Found C: 58.89 H: 6.50 N: 7.58 S: 5.79$ C1: 16.40$
EXAMPLE 10
Preparation of N-acetyl-S-[(S)-1-[N-[1-(ethoxycarbonyl)-3-
phenylpropyl]-L-alanyl]-L-prolin]cysteine
COOCH2CH~
( i
H ' COCH
N
~~COS~
fri-iCOCH~
H,C O
wherein the precursor is enalapril of formula (XV) and the pre-
cursor of B is N-acetylcysteine (formula CVIII):
COOCH2CH~ ~S C02H
~H ~ NHCOCH3
N N
.~COOH
H3C O
(CVIII)
The compound is synthetized following the method reported
in Example 1. Yield: 35$
Elementary analysis:
Calculated C: 58.30 H: 6.96 N: 7.84 S: 5.98
Found C: 58.25 H: 6.94 N: 7.88 S: 5.87
EXAMPLE 11
Preparation of N-nicotinoyl-(3-alanyl (L)-histidine
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\ NH CH )~NH
22
N ~COOH
~NH
N=l
wherein the precursor is nicotinamide of formula (XXIII) and
the precursor of B is carnosine (formula CI):
~ . :.
,~. .CO;Cr.~~N. ~2
G \/~
y:~.~
w
N
(xxIII) (cI)
a) Synthesis of N-nicotinoyl-~i-alanyl (L)-histidine
To a solution of nicotinic acid (2.5 g, 20.5 mmoles) in
tetrahydrofuran (40 ml) cooled at 0°C, 1,1'-carbonyldiimidazol
( 3 . 34 g, 20 . 5 mmoles ) is added under stirring. After 10 minutes
to the solution ( L ) -carnosine ( 4 . 6 g, 20 . 5 mmoles ) is added and
it is left under stirring at room temperature for 4 hours. The
reaction mixture is concentrated under vacuum, treated with
methylene chloride, washed with HCl 1~ and then with water. The
organic phase is anhydrified with sodium sulphate and
evaporated under vacuum. The obtained residue is
chromatographed on silica gel column, eluting with ethyl ace-
tate. N-nicotinoyl-~i-alanyl (L)-histidine is recovered. Yield
45~.
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Elementary analysis:
Calculated C: 54.49 H: 4.88 N: 21.27
Found C: 54.30 H: 5.00 N: 21.30
EXAMPLE 12
Preparation of 7-[2-hydroxy-3-[3-methoxy-5-hydroxybenzoyl]
trans-2-propenoyl]theophylline
O OH O~C:-3
f~p /
t-:.yN~~V
v ~~
o ~~,: ~~V
i
C''3
wherein the precursor is the diphylline of formula (XXVI) and
the precursor of B is the ferulic acid (formula DII):
OH
~OH OVIs
1
H~~y~~~ HO~
1' ~ ': i
coop
CH3
(xxvl) (DII)
The drug is synthetized according to the process described
in Example 8. Yield: 28~
Elementary analysis:
Calculated C: 57.66 H: 5.32$ N: 10.13
Found C: 57.70 H: 5.37 N: 10.11
EXAMPLE 13
Preparation of N-acetyl-S-(2-acetylbenzoyl)cysteine of formula
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0
II COOH
NHCOCH3
~OCOCH3
wherein the precursor is acetylsalicylic acid of formula
(XXVII) and the precursor of B is N-acetylcysteine (formula
CVIII):
O ~COZH
OH HS
NHCOCH3
OCOCH3
(XXVII) (CVIII)
The compound is synthetized according to the process de-
scribed in Example 1. Yield 63~.
Elementary analaysis
Calculated C: 51.69 H: 4.65 N: 4.31$ S: 9.86
Found C: 51.64 H: 4.68 N: 4.33$ S: 9.89
EXAMPLE 14
Preparation of 4-[3-[3-methoxy-5-hydroxyphenyl]-2-
propenoyloxy]-2-methyl-N-2-pyridinyl-2H-1,2-benzothiazin-3-
carboxamide-1,1-dioxide
~O~~S N j H 3
HO / I / / N N'
~ I O IO I /
Me0
0
wherein the precursor is piroxicam of formula (XXVIII) and the
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precursor of B is ferulic acid (formula DII):
O~/~p
v
HO~
a
/I ~ H ~ /~ /
NON COOH
O~i
(XXVIII) (DII)
The compound is synthetized according to the process
reported in Example 8. Yield 25~.
Elementary analysis
Calculated C: 59.14 H: 4.17 N: 8.31$ S: 6.31
Found C: 59.01 H: 4.09 N: 8.20 S: 6.21
EXAMPLE 15
Preparation of S-[2-[(2,6-dichlorophenyl)amino)benzeneacety-
loxy]penicillamine of formula
COOH
H3C ~NHZ
/ ~ ~COS CH3
NH
CI ~ CI
/
wherein the precursor is diclofenac of formula (XXIX) and the
precursor-of B is penicillamine (formula CV):
/ '~ COOH H~Ci~CO H
2
W N,H HS I
NHZ
CI ~ CI
/
(XXIX)
SUBSTITUTE SHEET (RULE 26)
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The compound is synthetized according to the process
described in Example 9. Yield 53~.
Elementary analysis
Calculated C: 49.88 H: 3.66 N: 7.30 S: 8.32 C1: 18.40
Found C: 49.90 H: 3.64 N: 7.29 S: 8.25 C1: 18.35
EXAMPLE 16
Synthesis of the 3-[2-f luoro-a-methyl-(1,1'-biphenyl)-4-ace-
tyl]thiazolidin-4-carboxylic acid
CHI
F.. ~ i
''s i' II
0 off
I wl o
i~
starting from flurbiprofen of formula (IX), the precursor of B
is (L)-4-thiazolidin carboxylic acid of formula (PIV)
~S
H~N
OH
O
(Ix) (PIV)
a) Synthesis of the 3-[2-fluoro-a-methyl-(1,1'-biphenyl)-4-ace-
tyl]thiazolidin-4-carboxylic acid
To a solution of 2-fluoro-a-methyl-(1,1'-biphenyl)-4-ace-
tic acid (10 g, 4L mmoles) in toluene (100 ml) and N,N-
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dimethylformamide (10 ml) cooled at 0°C, oxalylchloride (3.52
ml, 82 mmoles ) is added. After 2 hours at room temperature, the
solution is evaporated at reduced pressure. The obtained
residue is dissolved in acetone ( 50 ml ) and the solution is
added to a solution of 4-thiazolidincarboxylic acid (5.44 g, 41
mmoles) and triethylamine (14.9 ml, 106 mmoles) in acetone (50
ml) cooled at 0°C. After 2 hours yhe mixture is acidified with
HC1 4 N, concentrated under vacuum, the residue is treated with
ethyl acetate and the organic phase is washed first with HC1 2
N, then with water. The organic phase is anhydrified with
sodium sulphate and evaporated at reduced pressure. By
crystallization with ethyl acetate/n-hexane, 9.4 ml of the
expected product are obtained in the form of a white solid
having m.p. 142°-147°C.
1H-NMR (CDC13): 7.74-7.62 (4H, m), 7.35 (2H, t), 7.18-7.13
(2H, m), 5.06 (1H, m), 4.63 (.1H, d), 4.42 (1H, d), 4.14
(1H, q), 3.13 (2H, m), 1.53 (3H, d).
EXAMPLE 17
Synthesis of 3-(6-methoxy-a-metil-2-naphthalenacetyl) thia-
zolidin-4-carboxylic acid
CH3 ~S
N
H3C~0 ~ ~ I O~ OOH
O
starting from naproxene of formula (VI). The precursor of B is
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(L)-4-thiazolidin carboxylic acid (formula PIV)
HO O
,H
OH ~N
H3c,
0
(VI) (PIV)
a) Synthesis of 3-(6-methoxy-a-methyl-2-naphthalenacetyl)
thiazolidin-4-carboxylic acid
To a solution of 6-methoxy-a-methyl-2-naphthalenacetic
acid ( 4 . 02 g, 17. 5 mmoles ) in toluene ( 30 ml ) and N,N-dimethyl-
formamide (0.3 ml) cooled at 0°C, oxalylchloride (2.92 ml,
34.06 mmoles) is added. After 2 hours at room temperature, the
solution is evaporated at reduced pressure. The obtained
residue is dissolved in acetone (50 ml) and the solution is
added to a solution of 4-thiazolidincarboxylic acid (2.33 g,
17.5 mmoles) and triethylamine (6.34 ml, 45.5 mmoles) in
acetone ( 50 ml ) cooled at 0°C. After 2 hours the mixture is
acidified with HC1 4 N, concentrated under vacuum, the residue
is treated with ethyl acetate and the organic phase is washed
first with HC1 2 N, then with water. The organic phase is
anhydrif ied :vith sodium sulphate and evaporated under reduced
pressure. 4.43 g of the expected product are obtained in the
form of a white solid having m.p. 165°-168°C.
1H-Nl~9.t~ (CDC13 ) : 7.75-7. 66 ( 3H, m) , 7. 34 ( 1H, d) , 7.14-7.11
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(2H, m), 5.14 (1H, m), 4.80-4.61 (2H, m), 4.07 (1H, q), 3.91
(3H, s), 3.30-3.23 (2H, m), 1.53 (3H, d).
EXAMPLE 18
Synthesis of the3-(6-methoxy-a-methyl-2-naphthalenacetyl)-(R)-
2-oxothiazolidin-4-carboxylic acid
CH ~~YS
I N
i~ ~ II
:!~C~O '\ \ O ~ OH
starting from naproxene of formula (VI). The precursor of B is
(L)-2-oxo-4-thiazolidin carboxylic acid (formula PV)
O~S
H,N
r II OH OH
H3C~0 \ ~ O O
(VI) (PV)
a) synthesis of the 3-(6-methoxy-a-methyl-2-naphthalenacetyl)-
(R)-2-oxothiazolidin-4-carboxylic acid
To a solution of 6-methoxy-a-methyl-2-naphthalenacetic
acid ( 7 . 0 g, 30 . 4 nmnoles ) in toluene ( 100 ml ) and N, N-dimethyl-
formamide (10 ml) cooled at 0°C, oxalylchloride (5.23 ml, 61
mmoles) is added. After 2 hours at room temperature the
solution is evaporated under reduced pressure. To the solution
of the obtained residue dissolved in tetrahydrofuran (50 ml) a
mixture formed of 2-oxothiazolidin-4-carboxylic acid (4.07 g.
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27.6 mmoles), 4-dimethylaminopyridine (0.84 g, 6.9 mmoles),
triethylamine ( 7 . 69 ml , 55 . 2 mmoles ) in tetrahydrofuran ( 50 ml )
cooled at -10°C is added. It is left at room temperature for 24
hours. The reaction mixture is washed with HC1 5~, then with
water. The organic phase is anhydrified with sodium sulphate
and then evaporated at reduced pressure. The obtained residue
is purified by chromatography on silica gel eluting with
methylene chloride/methanol 95/5. 6.79 g of the expected
product are obtained in the form of an amorphous solid.
Elementary analysis
Calculated C: 60.16 H: 4.76 N: 3.89 S: 8.92
Found C: 60.22 H: 4.80 N: 3.83 S: 8.91
EXAMPLE 19
Synthesis of [2-[(2,6-dichlorophenyl)amino]benzeneacetyloxy]
-(L)-histidine
wherein the precursor drug of the invention compound is
diclof enac of formula (XXIX) and the precursor compound of B is
(L)-histidine of formula (PII):
cooH
i;
~;~ w CoCt~
~I
Ct '~ . C1 y HEN
(xxzx) (PII)
SUBSTITUTE SHEET (RULE 26)
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a)synthesis of[2-[(2,6-dichlorophenyl)amino]benzeneacetiloxy]
(L)-histidine
To a solution of diclofenac (3 g, 10.13 mmoles) in te-
trahydrofuran (50 ml) cooled at 0°C, 1,1'-carbonyldiimidazole
(1.69 g, 10.13 mmoles) is added under stirring. After 10
minutes the solution is treated with (L) histidine (1.57 g,
10.13 mmoles) and it is left under stirring at room temperature
for 4 hours . The reaction mixture is concentrated under vacuum,
treated with methylene chloride and then washed in sequence
with HC1 1~ and with water . The organic phase is anhydrif ied
with sodium sulphate and evaporated under vacuum. The obtained
residue is purified by chromatography on silica gel column,
eluting with ethyl acetate. [2-[(2,6-dichlorophenyl)amino]
benzeneacetyloxy] (L)-histidine is obtained. Yield: 61~
Elementary analaysis
Calculated C: 55.45 H: 4.18 N: 12.92 C1: 16.36
Found C: 55.48 H: 4.23 N: 12.88 C1: 16.25
PHARMACOLOGICAL TESTS
EXAMPLE
Acute Toxicity
Acute toxicity has been evaluated by administering to a
group of 10 rats weighing 20 g a single dose of each of the
tested compounds, by cannula, by os in an aqueous suspension of
carboxymethylcellulose 2~ w/v.
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The animals are kept under observation for 14 days. In no
animal of the group toxic symptoms have appeared, even after
administration of a 100 mg/Kg dose.
EXAMPLE F1
Test 1 - experimental model in vivo with N-ethylmaleimide
(NEM) : study of the gastric tolerability of some drugs screened
as precursors of the compounds of the invention.
The animals (rats, weight about 200 g) are distributed in
the following groups (No. 10 animals for group):
A) Control groups:
1° group: treatment: only carrier (aqueous suspension 1~ w/v
of carboxymethylcellulose , dose : 5 ml/Kg when the
drug is administered by os , physiologic solution when
by parenteral route),
2° group: treatment: carrier + NEM,
B) Groups administered with each drug:
group I: treatment: carrier + drug,
group II: treatment: carrier + drug + NEM.
The drugs assayed in this experiment are the following
(Table I): indomethacin, ambroxol, mesalamine, sodic alendro-
nate, tacrine, omeprazol, misoprostol.
Indomethacin, ambroxol and alendronate are administered by
os, mesalamine by intracolonic ( rectal ) route and tacrine, ome-
prazol, misoprostol by subcutaneous route.
The maximum tolerated dose, determined by administering
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each substance by the above said routes to the animals not
treated with NEM, is reported in Table I. With higher doses
than those reported in the Table, enteropathy, diarrhoea,
depression, tremor and sedation have appeared in the animals.
In this experimental model the animals are at first
treated with NEM by subcutaneous injection at a dose of 25
mg/kg in physiologic solution. The drug is administered one
hour later, in suspension in the carrier. Animals are sacrifi-
ced after 24 hours and evaluation of the damage to the
gastrointestinal mucosa is made by counting the number of rats,
inside each group, with lesions to the stomach at a visual
inspection. The total number of said rats is then divided by
the total number of rats of the group and multiplied by 100.
The thus obtained percentages are reported in Table I. The
Table shows that in the groups of rats treated with said drugs
without NEM, no gastric lesions were detectable.
All the rats of group II ( treated with NEM) showed gastric
lesions after administration with the following drugs: indo=
methacin, ambroxol, mesalamine, sodic alendronate, tacrine.
Said drugs therefore can be used in the synthesis of the
products of the invention.
Omeprazol and misoprostol cannot instead be used, on the
basis of the results provided in test 1, for preparing the
products of the invention.
EXAMPLE F2
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Test 2 (in vitro): inhibition of apoptosis (DNA fragmentation)
induced in the endothelial cells by CIP in the presence of some
drugs screened as precursors of the compounds of the invention.
The following precursor drugs (Table II): indomethacin,
paracetamol, clopidogrel, salbutamol, ambroxol, sodic alen-
dronate, diphylline, cetirizine, enalapril, nicotinamide, am-
picilline, aciclovir, mesalamine, tacrine, simvastine, ome-
prazol have been tested.
Human endothelial cells of the umbilical vein are prepared
according to a standard method. Fresh umbilical veins are
filled with a collagenase solution 0.1~ by weight and
incubated at 37°C for 5 minutes.
Subsequently the veins are perfused with the medium M 199
(GIBCO, Grand Island, NY) pH 7.4 with 0.1~ (weight/volume) of
collagenase, added with 10~ of bovine fetus serum (10
mcg/ml), sodium heparin (50 mcg/ml), thimidine (2.4
mcg/ml), glutamine (230 mcg/ml), penicillin (100 UI/ml),
streptomycin (100 mcg/ml) and streptomycin B (0.125 mcg/ml).
The cells are collected from the perfusate by centrifugation at
800 rpm and harvested in culture flasks T-75, pretreated with
human f ibronectin. Cells are then harvested in the same medium,
added with bovine hypothalamic growth factor (100 ng/ml). When
the cells of the primary cell culture (the cells directly
removed from ex-vivo umbilical vein) form a single layer of
confluent cells (about 8,000,000 cells/flask), harvesting is
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stopped and the layers are washed and trypsinized. The cellular
suspensions are transferred into wells of a culture plate
having 24 wells, half of said wells being added with the same
culture medium containing the drug at a 10~4M concentration,
and harvested in a thermostat at 37°C at a constant moisture
(90~), C02 = 5~. tRhen the drug is not soluble in the culture
medium, it is formerly dissolved in a small amount of di-
methylsulphoxide. The maximum amount of dimethylsulphoxide
which can be added to the culture medium is 0.5~. Only the
cells coming from these first subcultures are used for the
tests with cumene hydroperoxide ( CIP ) . The cells are identified
as endothelial cells by morphological examination and by the
specific immunological reaction towards factor VIII; these
cultures did never show contaminations from myocytes or
fibroblasts.
Before starting the test, the cellular culture medium is
removed and the cellular layers are carefully washed with a
standard physiologic solution buffered with phosphate 0.1 M pH
7.0, at the temperature of 37°C. The content of each well is
then incubated for one hour with a CIP suspension in the
culture medium at a 5 mM concentration. Evaluation of the
cellular damage (apoptosis) is carried out by determining the
per cent variation of the DNA fragmentation in the cultures
containing the drug + CIP with respect to the controls treated
with CIP only. Said ~ variation of DNA fragmentation is
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determined by evaluating the fluorescence variation by a BX60
Olympus microscope (Olympus Co., Roma) set at the wave length
of 405-450 nm, of the test samples with respect to the optical
density of the controls. The fluorescence of each sample was
determined on 5 replicates. Statistic evaluation has been
made with t Student test (p < 0.01).
Results are given in Table II and show that indomethacin,
paracetamol, clopidogrel, salbutamol, sodic alendronate,
diphylline,.cetirizine, enalapril, nicotinamide, ampicilline,
aciclovir, tacrine, omeprazol do not significantly inhibit
apoptosis; these drugs can therefore be used for preparing the
products of the inventior~.
On the contrary ambroxol, mesalamine and simvastatine
inhibit apoptosis. Therefore on the basis of the results of
test 2 these compounds could not be used for preparing the pro-
ducts of the invention.
EXAMPLE F3
Test 3 - experimental in vivo model with NW-nitro-L-arginine-
methyl ester (L-NAME): gastric tolerability (gastrointestinal
damage incidence), hepatic (GPT dosage, glutamic-pyruvic
transaminase) and cardiovascular (blood pressure) tolerability
of some drugs screened as precursors of the compounds of the
invention.
The experimental model adopted is according to J. Clin.
Investigation 90, 2T8-281,1992.
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The endothelial dysfunction is evaluated by determining
the damage induced by L-NAME administration to the
gastrointestinal mucosa, the hepatic damage (GPT increase), and
the vascular endothelium or cardiovascular damage as blood
hypertension.
The animals (rats, average weight 200 g) are divided in
groups as herein below described. The group receiving L-NAME is
treated for 4 weeks with said compound dissolved at the
concentration of 400 mg/litre in drinking water. The following
groups (No. 10 animals for group) are constituted:
A) Control groups:
1° group: treatment: only carrier (aqueous suspension 1~ w/v
of carboxymethylcellulose, dose: 5 ml/Kg when the
drug is administered by os, physiologic solution when
by parenteral route),
2° group: treatment: carrier + L-NAME,
B) Groups treated with the drug:
3° group: treatment: carrier + drug,
4° group: treatment: carrier + drug + L-NAME.
The drugs used in the test are paracetamol, doxorubicin,
simvastatine, omeprazol and misoprostol. Each drug is
administered once a day for 4 weeks.
The maximum tolerated dose of the drug being administered
to the animals is determined by evaluating, in a separate dose
scaling up experiment on untreated animals, the appearance in
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the animals of symptoms such as enteropathy, diarrhoea,
depression, tremor, sedation.
At the end of the four weeks access to water is prevented
and after 24 hours the animals are sacrificed.
One hour before the sacrifice blood pressure is determined
and a blood pressure increase is taken as an indication of a
damage being occurred to vascular endothelium.
The damage to the gastric mucosa is evaluated as pre-
viously mentioned in test 1 (ex. F1). The hepatic damage is
determined by evaluation after the sacrifice of the glutamic-
pyruvic transaminase (GPT increase).
The drug meets test 3 and it can therefore be used for
preparing the compounds of the invention, when in the group of
rats treated with L-NAME + drug + carrier, an higher hepatic
damage (higher GPT values) and/or higher gastric damage and/or
higher cardiovascular damage (higher blood pessure) are found
in comparison with the group treated with the carrier only, or
the group treated with carrier + drug, or the group treated
with carrier + L-NAME.
The test results are reported in Table IV. The ~ gastric
lesions have been determined as in Test 1. The ~ GPT and ~
blood pressure values are referred to the corresponding value
found in the animals of the 1st group of the control groups .
The average value of the blood pressure in this group was of
105 ~ 8 mmHg.
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The results obtained show that paracetamol, doxorubicin
and simvastatine cause hepatic damage and gastroenteropathy
(GPT values and the gastric lesions are ~ higher compared both
with the corresponding groups treated with the drug, in the
absence of L-NAME, and with the controls treated with L-NAME).
These drugs can therefore be used for preparing the
products of the invention.
Omeprazol and misoprostol should not instead be used, on
the basis of this test, for preparing the products of the
invention.
EXAMPLE F4
Test 4: inhibition of the radical production from DPPH of some
substances used as precursors of B.
The method is based on a colorimetric test in which DPPH
(2,2-Biphenyl-1-picryl-hydrazyl) is used as the compound-
forming radicals (M. S. Nenseter et A1., Atheroscler. Thromb.
15, 1338-1344, 1995).
Solutions in methanol of the tested substances at a final
concentration 100 uM are initially prepared. 0.1 ml of each of
these solutions are added to aliquots of 1 ml of a methanol
solution 0.1 M of DPPH and then the final volume is brought to
1.5 ml. After having stored the solutions at room temperature
away from light for 30 minutes, the absorbance at the wave
length of 517 nm is read. It is determined the absorbance
decrease with respect to the absorbance of a solution
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containing the same concentration of DPPH.
The efficacy of the test compound to inhibit the production of
radicals, or antiradical activity, is expressed by the
following formula:
(1 - AS/A~)X100
wherein AS and A~ are, respectively, the absorbance values of
the solution containing the test compound together + DPPH and
of the solution containing only DPPH.
The compound to be used according to the present invention
meets test 4 if radical production inhibition, as above
defined, is equal to or higher than 50~.
In Table V the results obtained with the following sub-
stances are reported: N-acetylcysteine, cysteine, ferulic acid,
(L)-carnosine, gentisic acid, 4-thiazolidin carboxylic acid and
2-oxo-4-thiazolidincarboxylic acid.
Table V shows that:
- N-acetylcysteine, cysteine, ferulic acid, (L)-carnosine,
gentisic acid meet test 4 since they inhibit the
production of radicals induced by DPPH to an extent
higher than 50~.
- The 4-thiazolidin carboxylic acid and the 2-oxo-4-
thiazolidincarboxylic acid are ineffective, since they do
not inhibit radical production from DPPH. Therefore they
can be used as precursors of the compound B in the
synthesis of the compounds according to the present
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invention, if they meet test 5.
EXAMPLE F5
Test 5: inhibition of the radical production from FeII from
compounds used as precursors of B
0.1 ml aliquots of 10-4 M methanolic solutions of 4-
thiazolidin carboxylic acid and 2-oxo-4-thiazolidin carboxylic
acid are added to test tubes containing an aqueous solution
formed by mixing 0.2 ml of 2 mM deoxyribose, 0.4 ml of buffer
phosphate pH 7.4 100 mM and 0.1 ml of 1 mM FeII(NH4)2(S04)2 in
2mM HC1. The test tubes are then kept at a temperature of 37°C
for one hour. Then in each test tube are added in the order 0.5
ml of a 2.8~ solution in trichloroacetic acid in water and 0.5
ml of an aqueous solution 0.1 M thio barbituric acid. A
reference blank is constituted by substituting the above 0.1 ml
aliquots of the test compound methanolic solutions with 0.1 ml
of methanol. The test tubes are closed and heated in an oil
bath at 100°C for 15 minutes. A pink coloration develops the
intensity of which is proportional to the quantity of
deoxyribose undergone to radical oxidative degradation. The
solutions are cooled at room temperature and their absorbances
at 532 nm are read against the blank.
The inhibition induced by the precursor of B or B1 or C =
-T~-Y-H (wherein the free valence is saturated as above
defined) in the confront of radical production from Fell is
determined as a percentage by means of the following formula:
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(1 - AS/A~)X100
wherein AS and A~ are respectively the absorbance values of the
solution containing the tested compound + the iron salt and
that of the solution containing only the iron salt.
The results are reported in the attached Table, which
shows that both acids are active in inhibiting the radical
production from the iron ion. Therefore these compounds can be
used as precursors of B for obtaining the present invention
compounds.
EXAMPLE F6
Gastric tolerability test of the compounds according to the
invention with respect to the corresponding precursor drugs in
conditions of endothelial trouble induced by L-NAME (NW-nitro-
L-arginine-methyl ester).
Example F3 was repeated and it was evaluated gastric
tolerability both of the following precursor drugs and of the
corresponding derivatives according to the present invention:
- Diclofenac and corresponding derivative according to Ex.
15,
Piroxicam and corresponding derivative according to Ex.
14.
- Aspirin and corresponding derivative according to Ex. 13.
The results are reported in Table VI and show that, by
administering at the same dose the compounds of the invention
and the corresponding precursor drug, gastropathy incidence
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results remarkably reduced or disappeared in the groups
treated with the compounds of the invention.
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EXAMPLE 20
Synthesis of 3(3-methoxy-4-hydroxy-phenyl)-2-traps propenoic
acid 1-[(1-methylethyl)amino]-3-(1-naphtalenoxy)-2-propyl ester
of formula (CCI)
CH3
~H~CH
3
I O~O
y
/ /
w (cCI)
H3C~0 .
OH
starting from propranolol of formula (XXIV). The precursor of
B is ferulic acid (formula DII)
CH3
~ O~CHr
jv(~CH~
O~~H . ~ C 1
OH
/ COON
/ /
(XXIV) (DII)
Compound (CCI) has been obtained according to the process of
Example 8. Yield: 30~
Elemental analysis
Calculated . C . 71.71 H . 6.71 N : 3.22
Found: C . 71.79 H . 6.75 N . 3.17
EXAMPLE 21
Synthesis of N-acetyl-S-[1-[5-(2,5-dihydro-5-oxo-3-furanyl)-3-
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methyl-2-benzofuranyl]ethyloxy-4-oxo-butanoyl]-cysteine of
formula (CCII)
CH3 ~ ! HCOCH3
O - S~OH
' '~'( ( CCII )
starting from benfurodil hemisuccinate of formula (XXXI). The
precursor of B is N-acetylcysteine of (formula CVIII)
O
OH C02H
HS
OCH.,
(XXXI) (CVIII)
Compound (CCII) has been obtained according to the process of
Example 1. Yield: 13~
Elemental analysis
Calculated . C . 57.25 H . 5.00 N . 2.78 S . 6.37
Found: C . 57.30 H . 5.02 N . 2,72 S . 6.35
EXAMPLE 22
Synthesis of 5-methoxy-2-[[[(3-methoxy-4-hydroxy-phenyl)-2-
traps propenoyl oxy]-3,5-dimethyl-2-pyridinyl]methyl]sulphinyl-
]-1H-benzimidazole of formula (CCIII)
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OH
O~CH
(CCIII)
~N ~0 ~C O \
i~ /~ /~S O
O N \
CH3
starting from 4-hydroxyomeprazole of formula (XXII) and ferulic
acid (formula DII)
O.CH
O H'C OH I
/ /~S HsC
O N \ ~CH3 ~I /~ /
C~,..r~ N!/ COOH
(XXII) DII
Compound (CCIII) has been obtained according to the process of
Example 8. Yield: 43$
Elemental analysis
Calculated . C . 61.65 H . 4.78 N . 8.30 S . 6.33
Found: C . 61.71 H . 4.85 N . 8,25 S . 6.35
EXAMPLE 23
Synthesis of [1S-[la,3a,7/3,8/3,(2S*,4S*)]]-2,2-dimethylbutanoic
acid 1,2,3,7,8,8-hexahydro-3,7-dimethyl-8-[2-[tetrahydro-4-[(3-
methoxy-4-hydroxy-phenyl)-2-traps propenoyloxy]-6-oxo-2H-piran-
2-yl]ethyl]-1-naphthalenyl ester of formula (CCIV)
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HO
O
O\/~ ~ O ( cclv )
~O
H3C O
HsC CH3H
CH3
H3C ~~''' ~ i
starting from simvastatine of formula (XXI ) and ferulic acid of
formula (DII)
HO, /\~ p
~~ O~CH3
0 HO
H3 H3C CH3 = H CH3 ( \
_I ~ ~ COOH
H3C
(XXI) (DII)
Compound (CCIV) has been obtained according to the process of
Example 8. Yield: 21~
Elemental analysis
Calculated . C . 70.68 H . 7.80
Found: C . 70.70 H . 7.82
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EXAMPLE 24
Synthesis of S-[4-D-a-aminobenzylpenicillaminoylJpenicillamine
of formula (CCV) NHZ
\ H
N \-.rS
i O ~ CHs
N C~ CCV
O
O
S CHs
HZN C~
COOH
starting from ampicillin of formula (XVI) and penicillamine of
f onnula ( CV )
NHZ
\ N S CH3
i p C~..~ HS COOH
N
O C~ H3C NH2
O
HO
(~I) (~)
Compound (CCV) is synthetized according to the process of
Example 9. Yield: 13~
Elemental analysis
Calculated . C . 52.48 H . 5.87 N . 11.66 S . 13.34
Found: C . 52.51 H . 5.90 N : 11.61 S . 13.30
EXAMPLE 25
Synthesis of 9-[[2-[(S)-a-amino-1H-imidazole-4-propanoyl-oxy]
ethoxy]-methyl]guanine of formula (CCVI)
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HN~ I ~ N
NHZ
H N N f ~> ( ccvl )
CH2O(CH2)z
N
0
starting from acyclovir of formula (XVII) and histidine of
formula (PII)
O
HN ~ N HN ~ COOH
=N
HZN N HzN
CH20(CH2)20H
(XVII) (PII)
Compound (CCVI) has been obtained following the procedure of
Example 19. Yield . 17~
Elemental analysis
Calculated . C . 50.14 H . 4.77 N . 27.29
Found: C . 50.17 H . 4.75 N . 27.22
EXAMPLE 26
Synthesis of [4-amino-[(3-methoxy-4-hydroxy-phenyl)-2-traps
propenoyl]-1-hyroxybutyliden] biphosphonic acid of formula
(CCVII)
,CH~
OH
P 03H2
HOJ H
N (CCVII)
H203P
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starting from alendronic acid of formula (XXXVI) and ferulic
acid of formula (DII)
O~CH3
P03H2 HO
HO
NHZ
H20~P ~ ~ COOH
(~I) (DII)
Compound (CCVII) has been obtained following the procedure of
Example 8. Yield . 10~
Elemental analysis
Calculated . C . 39.54 H . 4.98 N . 3.29 P . 14.57
Found: C . 39.57 H . 5.01 N . 3.24 P . 14.56
EXAMPLE 27
Synthesis of 5-[[(S)-a-amino-1H-imidazole-4-propanoyl]amino]-
1,2,3,4-tetrahydroacridine of formula (CCVIII)
(CCVIII)
starting from tacrine of formula (XXXV) and histidine of
formula (PII)
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NHZ
HN \ COOH
,1 _
N. ~N HEN
(XXXV) (PII)
Compound (CCVIII) has been obtained according to the procedure
of Example 19. Yield 15$
Elemental analysis
Calculated . C . 68.04 H . 6.31 N . 20.88
Found: C . 68.08 H . 6.37 N . 20.84
EXAMPLE 28
Synthesis of (8S-cis)-10[(3-amino,2,3,6-tri-deoxy-a-L-lyxo-exo
pyranosyl)oxy]-7,8,9,10-tetrahydro,6,8,11-trihydroxy-8-[[[(3-
methoxy-4-hydroxy-phenyl)-2-traps propenoyl-oxy-]methyl-oxoJ-1-
methoxy-5,12-naphtacenedione of formula (CCIX) pH
o \
O
(cclx)
H3C
HsC O
OH NHZ
starting from doxorubicin of formula (XXXII) and ferulic acid
of formula (DII)
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OH
.,, 0 H
\ ~ COOH
f~l C''0 0 OH 0
H3C 0 HO 0.
OH \NH2 CH3
(XXXII) (DII)
Compound ( CCIX ) has been obtained according to the procedure of
Example 8. Yield 10~
Elemental analysis
Calculated . C . 61.75 H . 5.18 N . 1.95
Found: C . 61.81 H . 5.22 N . 1.90
EXAMPLE F7
Example F1 was repeated with three groups of rats (each group
of of ten animals), all of them receiving NEM, and orally
administered as it follows .
a. control group . the vehicle formed of an aqueous
suspension 1~ w/v of carboxymethylcellulose,
b. one group (group b - comparative ) administered at the
same time with 100 mg/Kg (0.48 mmoles/Kg) of ibuprofen +
79 mg/Kg (0.48 mmoles/Kg) of N-acetylcysteine in the same
above vehicle,
c. one group (group c) administered with 170.4 mg/Kg (0.48
mmoles/Kg) of the ester between indomethacin and N-acetyl
cisteine (ref. ex. 2), in the above same vehicle.
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The results are reported in Table VII and show that the mixture
administered to group b ( comparative ) is less ef f ective than
the compound of the invention administered to group c in
reducing gastric lesions.
Table I
Test 1 . Gastric
tolerability
of drugs representative
of
the drug classes
illustrated
in the present
invention in
animals not
treated or
treated with
NEM (oxidative
stress
conditions).
The ~ incidence
is calculated
from the ratio
between the
number of animals
found with
gastric lesions
and that total
of the group.
Compound dose (mg/Kg) Gastro-enteropathy
/admin. route (~ incidence)
without NEM with NEM
carrier 0 0
Indomethacin 7.5/p.o. 0 100
Ambroxol 25/p.o. 0 80
Mesalamine 750/i.c. 0 60
Alendronate 15/p.o. 0 90
Tacrine 1/s.c. 0 100
Omeprazol 30/s.c. 0 0
Misoprostol 0.5/s.c. 0 0
p.o. - per os; i.c. - by intracolonic route;
s.c. - by subcutaneous route.
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Table II
Test 2 . Inhibition of apoptosis
(DNA
fragmentation)
induced by CIP in the endothelial
cells
in the
presence
of
compounds representative
of the drug classes
illustrated in
the present
invention.
Compound Apoptosis
with respect to the controls
treated onl with CIP
Indomethacin 95
Paracetamol 120
Clopidogrel 110
Salbutamol 90
Ambroxol
Alendronate 160
Diphylline 95
Cetirizine 115
Enalapril 80
Nicotinamide 98
Ampicilline 94
Aciclovir 95
Mesalamine 74
Tacrine 90
Simvastatine ~2
Omeprazol 90
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Table III
Test 5 . Screening of the effectiveness of the listed
substances to inhibit radical production
induced by FeII
Compound ~ Radical
Inhibition
from
FeII
Blank 0
2-oxo-4-thiazolidin carboxylic acid 100
4-thiazolidin carboxylic acid 100
histidine 90
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as W
w
~ >'' ~
' o ~
. o o 0 0
M
O
~ ~ o
~ b
.
a
a
O ~
W
E-~ a U O
o N M O O o
U N U7
G C7 w
~-l
U N 3
~
~ O c~
cd u~ o >
a o
~ o w
~ N ~ n o 0 0 0 0
~ ~ ~ ~
y
_ In O ~D N l0 lD
rl Lf7M N rl r--1
U s~ .~ a~ a
a
as
a~ ~ ~
w
~W
3 ~ N o 0
a
a~ ,~ o ~ ~
n s~
~ 3a
E
~
f-1 r
i U' f-I
~
Id r w
-1 b b U
'q ~
-rl U J.~ ((1 ,i; N LIlLf100 O N
,fir '
~'
~~b
a
~
~
ux
.
.
b
o s~~w a~~ m
''~
~ ~
~ a .~ ~w
~ a ~
~z
~
ro ~ o 0 0 0
~
0 ~ ~ ~ o
z
,
?,
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106
SUBSTITUTE SHEET (RULE 26)
CA 02370406 2001-10-12
WO 00/61549 PCT/EP00/03237
Table V
Test 4: Screening of the effectiveness
of the listed
compounds in inhibiting radical production from
DPPH
Compound $ inhibition radical
production from
DPPH
Solvent 0
N-acetylcysteine 100
Cysteine 100
Ferulic acid 100
(L)-carnosine 80
Gentisic acid 80
4-thiazolidincarboxylic 0
acid
2-oxo-4-thiazolidin 0
carboxylic acid
histidine 0
107
SUBSTITUTE SHEET (RULE 26)
CA 02370406 2001-10-12
WO 00/61549 PCT/EP00/03237
Table VI
Gastric tolerability of
derivatives according
to the present invention
in comparison with
that of the corresponding
precursor drugs
Treatment dose Gastropathy
mg/Kg ~ incidence
Carrier - 30
diclofenac 10 100
diclofenac der. 10 10
(Ex. 15)
piroxicam 10 100
piroxicam der. 10 0
(Ex. 14)
aspirin 50 100
aspirin der. 50 0
(Ex. 13)
108
SUBSTITUTE SHEET (RULE 26)
CA 02370406 2001-10-12
WO 00/61549 PCT/EP00/03237
Table vII
Test on gastric tolerability oral
following
administration of NEM (Ex. F7)
groups dose mg/Kg Gastropathy
p.o.
incidence
controls - -
group b - comparative 100(A)+79(B) 60
mixture
ibuprof en ( A ) +
N-acetylcysteine (B)
group c 170.4 10
ester of ibuprofen with
N-acetylcysteine
109
SUBSTITUTE SHEET (RULE 26)