AU699679B2 - Heterocyclic keto arginine peptides as thrombin inhibitors - Google Patents

Description

AUSTRALIA

Patents Act 1990 COMPLETE SPECIFICATION STANDARD PATENT Applicant(s): BIOCHEM PHAR14A INC.

Invention Title: HETEROCYCLIC KETO ARGININE PEPTIDES AS THROMBIN INHIBITORS 9 o *9

V,

too The following statement is a full description of this invention, including the best method of performing it known to me/us: MO 7777 3 07029 6 HETEROCYCLIC KETO ARGININE PEPTIDES AS THROMBIN INHIBITORS FIELD OF THE INVENTION This invention relates to compounds useful for the treatment of thrombotic disorders, and more particularly to novel heterocyclic inhibitors of the enzyme thrombin.

BACKGROUND

Inordinate thrombus formation on blood vessel walls precipitates acute cardiovascular disease states that are the leading cause of death in economically developed societies. Plasma proteins such as fibrinogen, proteases and cellular receptors participating in hemostasis have emerged as important factors that play a role in acute and chronic coronary disease as well as cerebral artery disease by contributing to the formation of thrombus or blood clots that effectively diminish normal blood flow and supply. Vascular aberrations stemming from primary pathologic states such as hypertension, rupture of atherosclerotic plaques or denuded endothelium, activate biochemical cascades that serve to respond and repair the injury site. Thrombin is a key regulatory enzyme in the coagulation cascade. It serves a pluralistic zole a& h 25 a positive and negative feedback regulator. Howevi in S: pathologic conditions the former is amplified through catalytic activation of cofactors required for thrombin generation as well as activation of factor XIII necessary for fibrin cross-linking and stabilization.

S In addition to its direct effect on hemostasis, thrombin exerts direct effects on diverse cell types that support and amplify pathogenesis of arterial thrombus disease.

The enzyme is the strongest activator of platelets causing 3' 5 them to aggregate and release substances ADP TXA 2

NE)

that further propagate the thrombotic cycle. Platelets in a fibrin mesh comprise the principal framework of a white thrombus. Thrombin also exerts direct effects on endothelial cells causing release of vasoconstrictor substances and translocation of adhesion molecules that become sites for attachment of immune cells. In addition, the enzyme causes mitogenesis of smooth muscle cells and proliferation of fibroblasts. From this analysis, it is apparent that inhibition of thrombin activity constitutes a viable therapeutic approach towards the attenuation of proliferative events associated with thrombosis.

The principal endogenous neutralizing factor for thrombin activity in mammals is antithrombin III (ATIII), a circulating plasma macroglobulin having low affinity for the enzyme. Heparin exerts clinical efficacy in venous t.n~rmbosis by enhancing ATIII/thrombin binding through catalysis. However, heparin also catalyzes inhibition of other proteases in the coagulation cascade and its efficacy in platelet-dependent thrombosis is largely reduced or abrogated due to inaccessibility of thrombusbound enzyme. Adverse side effects such as thrombocytopenia, osteoporosis and triglyceridemia have been observed following prolonged treatment with Heparin.

Hirudin, derived from the glandular secretions of the leech Hirudo medicinalis is one of the high molecular weight natural anticoagulant protein inhibitors of thrombin activity (Markwardt F. Cardiovascular Drug Reviews, S, 211, 1992). It is a biopharmaceutical that has demonstrated efficacy in experimental and clinical thrombosis. A potential drawback to the use of hirudin as a therapeutic agent is its weak antigenicity and lack of an effective method of neutralization, especially in view "of its extremely tight binding characteristics toward thrombin. The exceedingly high affinity for thrombin is unique and is attributed to a simultaneous interaction with the catalytic site as well as a distal "anion binding exosite" on the enzyme.

1; I- Thrombin activity can also be abrogated by hirudin-like molecules such as hirulog (Maraganore, J.M. et al., Biochemistry, 29, 7095, 1990) or hirutonin peptides (DiMaio, J. et al., J. Med. Chem., 35, 3331, 1992).

Thrombin activity can also be inhibited by low molecular weight compounds that compete with fibrinogen for thrombin's catalytic site, thereby inhibiting proteolysis of that protein or other protein substrates such as the thrombin receptor. A common strategy for designing enzyme inhibitory compounds relies on mimicking the specificity inherent in the primary and secondary structure of the enzyme's natural substrate. Thus, Blomback et al. first designed a thrombin inhibitor that was modeled upon the partial sequence of the fibrinogen AX chain comprising its proteolytically susceptible region (Blomback, et al., J.

Clin. Lab. Invest., 24, 59, 1969). This region of fibrinogen minimally includes the residues commencing with phenylalanine: Ala-Asp-Ser-Gly-Glu-Gly-Asp-Phe-Leu-Ala-Glu-Gly -Gly-Gly-Val-Arg-Gly-Pro-Arg S. T scissile bond Systematic replacement of amino acids within this region has led to optimization of the tripeptidyl inhibitory sequence exemplified by the peptide (D)-Phe-Pro-Arg which corresponds to interactions within the P,-P 2 local 30 binding sites on thrombin (Bajusz S. et al. in Peptides: Chemistry Structure and Biology: Proceedings of the Fourth American Peptide Symposium, Walter Meienhofer J. Eds. Ann Arbor Science Publishers Inc., Ann Arbor MI, 1975; pp 603).

Bajusz et al. have also reported related compounds such as

I

i, (D)Phe-Pro-Arg-(CO)H (GYKI-14166) and (D)MePhe-Pro-Arg- (CO)H (GYKI-14766) (Peptides-Synthesis, Structure and Function: Proceedings of the Seventh American Peptide Symposium, Rich, D.H. Gross, E. eds., Pierce Chemical Company 1981, pp. 417). These tripeptidyl aldehydes are effective thrombin inhibitors both in vitro and in vivo.

In the case of both GYKI-14166 and GYKI-14766, the aldehyde group is presumed to contribute strongly to inhibitory activity in view of its chemical reactivity toward thrombin's catalytic Ser 9 s residue, generating a hemiacetal intermediate.

Related work in the area of thrombin inhibitory activity has exploited the basic recognition binding motif engendered by the tripeptide (D)Phe-Pro-Arg while incorporating various functional or reactive groups in the locus corresponding to the putative scissile bond (i.e.

P

1

-P

1 In U.S. Patent 4,318,904, Shaw reports chloromethylketones (PPACK) that are reactive towards Ser 9s and His 7 These two residues comprise part of thrombin's catalytic triad (Bode, W. et al., EMBO Journal 8, 3467, 1989).

*4 0 S: 25 Other examples of thrombin inhibitors bearing the (D)Phe- Pro-Arg general motif are those incorporating COOHterminal boroarginine variants such as boronic acids or boronates (Kettner, C. et al., J. Biol. Chem., 268, 4734, 1993).

Still other congeners of this motif are those bearing phosphonates (Wang, C-L Tetrahedron Letters, 33, 7667, 1992) and a-Keto esters (Iwanowicz, E.J. et al.,Bioorganic and Medicinal Chemistry Letters, 12, 1607, 1992).

Neises, B. et al. have described a trichloromethyl ketone thrombin inhibitor (MDL-73756) and Attenburger, J.M. et al. have revealed a related difluoro alkyl amide ketone (Tetrahedron Letters, 32, 7255, 1991).

Maraganore et al. (European 0,333,356; WO 91/02750; U.S.

5,196,404) disclose a series of thrombin inhibitors that incorporate the D-Phe-Pro- moiety and hypothesize that this preferred structure fits well within the groove adjacent to the active site of thrombin. Variations on these inhibitors are essentially linear or cyclic peptides built upon the D-Phe-Pro moiety.

Another series of patents and patent applications have described attempts to develop effective inhibitors against thrombosis by using alpha-ketoamides and peptide aldehyde analogs (EP 0333356;WO 93/15756; WO 93/22344; WO 94/08941; WO 94/17817, EP 0479489, U.S. 5,380,713).

Still others have focused their attention on peptides, peptide derivatives, peptidic alcohols, or cyclic peptides as anti-thrombotic agents (WO 93/22344, EP 0276014; EP 0341607; EP 0291982). Others have examined amindine sulfonic acid moieties to achieve this same end (U.S.

25 4,781,866), while yet others have examined para or meta substituted phenlyalanine derivatives (WO 92/08709; WO 92/6549).

Many of the examples cited above are convergent by 30 maintaining at least a linear acyclic tripeptidyl motif consisting of an arginyl unit whose basic side chain interacts with a carboxylate group located at the base of the Pt specificity cleft in thrombin. Two adjacent hydrophobic groups provide additional binding through 35 favorable Van der Waals interactions within, a contiguous hydrophobic cleft on the enzyme surface designated the P,- P2 site.

'4 4 .t~ I ~t 4 4t 4 4 @4 4 *4't 4444 4 4 444' .4 44 4 4, 4 44 tat.

*4 4.

44 4 44 44 4

S

4.4 -rf An object of the present invention is to provide compounds that display inhibitory activity towards thrombin.

SUMMARY OF THE INVENTION An aspect of the present invention relates to peptide derivatives represente by formula and pharmaceutically acceptable salts thereof AS X

(I)

wherein X is one or more aromatic or non-aromatic heterocycle unsubstituted or substituted with one or more amino, oxygen, alkyl, aralkyl, or aryl; and AS is an active site inhibitor of thrombin having an argininyl residue or an analogue thereof connected to X.

In another aspect of the present invention, there is provided the use of a compound of formula in the manufacture of a medicament for the treatment cf vascular diseases in a mammal including human.

S 25 In a further aspect, there is provided a method for the t treatment of vascular diseases in a mammal including humans, comprising administering to said mammal an amount of a compound of formula effective to treat vascular diseases.

W 4t e DETAILED DESCRIPTION OF THE INVENTION Compounds of the present invention include those compounds 35 where X is one or more heterocycle which may be unsubstituted or substituted with amino, oxygen, alkyl,

L--

aralkyl, or aryl. X includes aromatic or non-aromatic heterocyclic rings. X also includes one or more heterocycle which is optionally fused to another carbocycle or heterocycle.

Preferably X is selected from the group consisting of: x 5 R xe o xlx 3 x io X12 X X X, wherein X X 10 and X, are each independently selected from the group consisting of N, or C-X 7 where X, is hydrogen, C, 4 alkyl, or Cs-8 aryl.

and X, 3 are each independently selected from the group consisting of C, O, N, S, N-X 7 or CH-X 7 where X, is as defined above.

R, is hydrogen, C, 16 alkyl optionally carboxyl substituted, carboxyl, 1 6 alkyl-C0 2 -C 16 alkyl, C6_ 20 aralkyl, C 3 4, cycloalkyl, aryl or an aromatic heterocycle.

S4

I

20 More preferably X is selected from the group consisting of: 4 -W iW"M P;W I asamn

N

N R 8 Rs RR IY? II N N N

P.

IN N 0

R

5 I A 5 Rj/ R N

NN

N-N N-N N wherein R, is as defined above.

Further preferably X is selected from the group consisting 5 of:

R,

N-

AR3 wherein R, is as defined above.

Even further preferably X is selected from the group 10 consistig of: 8* 9*9 .r e 4.

*9 -o 'e! 9it 4.9.

4 9999 .4r 9a.

99 9 9 *9i I wherein R, is as defined above.

Most preferably X is

N

or S R, wherein R, is as defined above. In another embodiment, X is a 1,2 thiazole optionally substituted with R, and\or is attached to J at the 2, 3, 4 or 5 position of the ring.

Preferably, R, is hydrogen, or CI.

4 alkyl.

Further preferably, R, is hydrogen or CH,.

Most preferably, R, is hydrogen.

Preferred compounds of formula include those wherein the AS portion has the formula (II): 20 G G 2

(II)

wherein G 1 is one or more amino acid, alkyl, aryl, aralkyl, S! .or cycloalkyl.

G

2 is arginyl radical or an analogue thereof; with the proviso that AS is an inhibitor of the active 6 site of thrombin. In particular embodiments G 2 is selected *from the following amino acid derivatives prepared according to the procedures described in Bioorg. Med.

Chem., 1995, 3:1145.

S9 0

H~N

NH.

H

2

N

0 O

NH

2

IN

0 0

NH

N

H

2

N

49 ,~49 49 49* 49 Ow#49 49 at 0 tP *49#0 *4*49 49 49.49* 0 49*9449 4# 49* 0 4949 *49*49 49*49* a a 0 4949 *0 *49 4949 4949 49 *0 4949 49 $94* 49 NrH HN H u u HN NIM HN N E.9 o0 0 ZHN H V HN NH k ZN tuN 0- K b0

-TT

NH H~A

H

2

N

0 0 0 llJKT ~J T a n n2 N n2 4

NH

2

NH

N NH 2

N

H

o q 0 T T kT

T

HN N NH 2

HN

00 0

NHT

'9y Y NH2 H2N NH

H

2

NHN

12 0 0 wherein n=1-6, nl=1-2, n2=0-7 and T is a bond or a divalent linking moiety with X.

Suitable AS portions include amino acids 45-47 of hirudin and analogues thereof, and inhibitors of thrombin based on the D-Phe-Pro-Arg sequence and its analogues such as D- Cha-Pro-Arg, D-Phe-Pip-Arg, and D-Cha-Pip-Arg. Other inhibitors of the active site of thrombin which include an argininyl or an analogue thereof at the C-terminus may also be incorporated into formula as AS.

More preferrably, compounds of the present invention include those compounds where AS is -Phe-Pro-Arg- or an analogue thereof.

Most preferably compounds of the present invention include 20 those compounds where AS is (D-Phe)-Pro-Arg- or an analogue thereof.

It will be appreciated that compounds of the invention S, encompass all isomers, enantiomers, and mixtures thereof.

In a preferred embodiment, compounds of the invention are represented by formula (III): rs 9 Ri RO N CONH

R

2

X

0 )0-7

Q

(III)

wherein R. is selected from the group consisting of one or more aryl or cycloalkyl which is unsubstituted or substituted with hydroxy, C alkyl, C4-, aralkyl, C3a. aryl, or cycloalkyl.

R

2 is selected from the group consisting of hydrogen, hydroxy, C1 6 alkyl, C4-, aralkyl, and unsubstituted or substituted amino group.

R, is selected from the group consisting of hydrogen, hydroxy, SH, alkyl, aryl and C 4 aralkyl.

n is an integer from 0 to 2.

Q is a bond or -NH-; Z is C,_ 4 alkoxy; cyano; -CH 2

-NH

2

-NH-

C(NH)-NH; -CH,-NH-C(NH)-NH,; a C 6 cycloalkyl or aryl substituted with cyano, -NH 2

-CH

2

-NH

2

-C(NH)-NH

2

-NH-

C(NH)-NH

2 or -CH 2 -NH-C(NH)-NH,; or a 5 or 6 member, 20 saturated or unsaturated heterocycle optionally substituted with cyano, -NH 2

-CH

2

-NH

2

-C(NH)-NH

2

-NH-

C(NH)-NH, or -CH,-NH-C(NH) -NH 2 and X is as defined above.

25 Preferred embodiments of the present invention include compounds of formula (III) wherein R, is selected from the group consisting of one or more 5 or 6 membered aromatic or non-aromatic ring which may be unsubstituted or substituted with hydroxy, C, 4 alkyl, or C 3 cycloalkyl.

More preferably R 1 is a 6 membered, aromatic or non-aromatic ring unsubstituted or substituted with Ct 4 alkyl.

Most preferably R 1 is phenyl unsubstituted or substituted with C,_ 4 alkyl.

Most preferably R, is phenyl.

Preferably R, is hydrogen, hydroxy, alkyl, or amino unsubstituted or substituted with hydroxy, or alkyl.

More preferably R, is hydroxy or NH,.

Most preferably R, is NH,.

Preferably R, is hydrogen, hydroxy, SH, or alkyl.

More preferably R, is hydrogen, or C, 4 alkyl.

Most preferably R, is hydrogen.

Preferably n is 1 or 2.

Most preferably n is 1.

Preferably Q is a bond.

Preferably Z is linked via a methylene chain or 2-5 carbon atoms and is selected from the group consisting of -NH,;

-C(NH)-NH

2

-NH-C(NH)-NH

2 a C, cycloalkyl or aryl substituted with -NH 2

-CH

2

-NH-C(NH)-NH

2 or

-CH

2 -NH-C(NH)-NH,; and a 5 or 6 member, saturated or unsaturated heterocycle optionally substituted with -NH 2 25 CH 2

-C(NH)-NH

2

-NH-C(NH)-NH

2 or -CH 2 -NH-C(NH) -NH,.

*bit More preferably Z is CNH-C(NH) -N -NH 2 and -C(NH) -NH 2 linked via a methylene chain of 3-5 carbon atoms. Most preferably, Z is -NH-C(NH)-NH 2 linked via a trimethylene 30 chain.

*Preferred compounds of the invention include:

S.

Preferred compounds of the invention include:

HN

0 ilHNS 0H N

NH

ON0

NH

NH

ONH

*H

2 N -y .0 /N i N

NH

2

N

H, 99 09H 9o90'

NH

.990 ro) .9 0 ~HH 2 IA *o q ,993

H

NH0 I. i I 17

H

2 N T HN

N

0O N NH O

H

2

N

NH

More preferred compounds of formula include: (D-Phe)-Pro-alpha-benzothiazolo keto arginipe and (D-Phe)-Pro-alpha-thiazolo keto arginine.

The following abbreviations are referred to herein. These abbreviations are common and well known to those skilled in the art of peptide chemistry.

BOC butoxy-carbonyl BuLi butyl lithium DCM dichloromethane DMF dimethylformamide iPr2NEt diisopropylethylamine THF tetrahydrofuran As used in this application, the term "alkyl" represents a saturated or unsaturated, substituted (for example, by a halogen, hydroxyl, amino, oxygen, sulfur, or C62 0 aryl) or unsubstituted, straight chain, branched chain hydrocarbon moiety having 1 to 10 carbon atoms and preferably from 1 to 6 carbon atoms. This chain may be interrupted by one or more heteroatom such as N, O, or S, S The term "amino protecting groups", "oxygen protecting groups", and "protecting groups" are well known in the field of peptide synthesis. Such protecting groups may be found in T. Greene, Protective Groups In Organic S 25 Synthesis, (John Wiley Sons, 1981). The appropriate protecting group for a particular synthetic scheme will depend on many factors, including the presence of other reactive functional groups and the reaction conditions desired for removal as well known by persons skilled in the art of peptide chemistry.

The term "aryl" represents a carbocyclic moiety which may be substituted by one or more heteroatom (for example N, O, or S) and containing one benzenoid-type ring preferably containing from 6 to 15 carbon atoms (for example phenyl and naphthyl). This carbocyclic moiety may be interrupted by one or more heteroatom such as N, O, or S.

The term "aralkyl" represents an alkyl grop being uninterrupted or interrupted unsubstituted or substituted by an aryl substituent (for example benzyl), preferably containing from 6 to 30 carbon atoms.

Unless specified otherwise, the term "amino acid" used herein includes naturally-occurring amino acids as well as non natural analogs commonly used by those skilled in the art of chemical synthesis and peptide chemistry. A list of non natural amino acids may be found in "The Peptides", vol. 5, 1983, Academic Press, Chapter 6 by D.C. Roberts and F. Vellaccio. It is to be noted that unless indicated otherwise, the amino acids used in the context of the .present invention are those in the L-configuration.

The term "cycloalkyl" represents cyclic hydrocarbon groups containing 3 to 12 carbon, preferably 3 to 8 carbon, which 'includes for example cyclopropyl, cyclobutyl, cyclohexyl, and cyclodecyl, any of which may be substituted with substituents such as halogen, amino, alkyl, and/or Shydroxy.

*6 at The term "heterocycle" and "heterocyclic rings" represents one or more aromatic or non-aromatic ring which includes 35 one or more heteroatom such as nitrogen, oxygen, and sulfur and which may be substituted with sub ituents such as halogen, amino, alkyl, and/or hydroxy. Preferably, the ring is 5, 6, or 7 membered.

While it may be possible that, for use in therapy, a compound of the invention may be administered as the raw chemical, it is preferable to present the active ingredient as a pharmaceutical formulation.

The invention thus further provides a pharmaceutical formulation comprising a compound of formula and pharmaceutically acceptable acid addition salt thereof together with one or more pharmaceutically acceptable carriers therefor and, optionally, other therapeutic and/or prophylactic ingredients. The carrier(s) must be "acceptable" in the sense of being compatible with the other ingredients of the formulation and not deleterious to the recipient thereof.

In another aspect of the present invention is provided the use of a compound of formula in the manufacture of a medicament for the treatment of vascular diseases in a mammal including humans.

In another aspect, there is provided a method for the 25 treatment of vascular diseases in a mammal including human, compr- 'ing the administration of an effective Samount of a compound of formula It will be appreciated by people skilled in the art that treatment extends to prophylaxis as well to the treatment of established vascular disease.

9 I The compounds of the present invention are useful in combinations, formulations and methods for the treatment 35 and prophylaxis of vascular diseases. These diseases include myocardial infarction, stroke, pulmonary embolism, deep vein thrombosis, peripheral arterial occlusion, restenosis following arterial injury or invasive cardiological procedures, acute or chronic atherosclerosis, edema and inflammation, cancer and metastasis.

The term "combination" as used herein, includes a single dosage form containing at least one compound of this invention and at least one thrombolytic agent, a multiple dosage form, wherein the thrombin inhibitor and the thrombolytic agent are administered separately, but concurrently, or a multiple dosage form wherein the two components are administered separately, but sequentially.

In sequential administration, the thrombin inhibitor may be given to the patient during the time period ranging from about 5 hours prior to about 5 hours after administration of the thrombolytic agent. Preferably, the thrombin inhibitor is administered to the patient during the period ranging from 2 hours prior to 2 hours following administration of the thrombolytic agent, Thrombolytic agents which may be employed in the combinations of the present invention are those known in the art. Such agents include, but are not limited to, tissue plasminogen activator purified from natural 25 sources, recombinant tissue plasminogen activator, "streptokinase, urokinase, purokinase, anisolated streptokinase plasminogen activator conQlex (ASPAC), o44. animal salivary gland plasminogen activators and known, biologically active derivatives of any of the above.

The dosage and dose rate of the compounds of this invention will depend on a variety of factors, such as the Sweight of the patient, the specific pharmaceutical composition used, the object of the treatment, i.e., r 35 therapy or prophylaxis, the nature of the thrombotic disease to be treated, and the judgment of the treating physician.

According to the present invention, a preferred pharmaceutically effective daily dose of the compounds of this invention is between about 1lpg/kg body weight of the patient to be treated ("body weight") and about 5 mg/kg body weight.

Most preferably, the therapeutic and prophylactic compositions of the present invention comprise a dosage of between about 10 rg/kg body weight and about 500 4Ig/kg body weight of the compounds of this invention. It should also be understood that a daily pharmaceutically effective dose of either the compounds of this invention or the thrombolytic agent present in combinations of the invention, may be less than or greater than the specific ranges cited above.

According to an alternate embodiment of this invention, compounds may be used in compositions and methods for coating the surfaces of invasive devices, resulting in a lower risk of clot formation or platelet activation in patients receiving such devices. Surfaces that may be coated with the compositions of this invention include, I for example, prostheses, artificial valves, vascular 25 grafts, stents and catheters. Methods and compositions *:lowfor coating these devices are known to those of skill in the art, These include chemical cross-linking or physical adsorption of the compounds of this invention-containing compositions to the surfaces of the devices, According to a further embodiment of the present a a. invention, compounds may be used for ex vivo thrombus a: imaging in a patient. In this embodiment, the compounds of this invention are labeled with a radioisotope. The choice of radioisotope is based upon a number of wellknown f ctors, for example, toxicity, biological half-life 2_ ;2V and detectability. Preferred radioisotopes include, but are not limited to 12sI, I2 and Techniques for labeling the compounds of this invention are well known in the art.

Most preferably, the radioisotope is 12 and the labeling is achieved using "'I-Boltorl-Hunter Reagent. The labeled thrombin inhibitor is administered to a patient and allowed to bind to the thrombin contained in a clot. The clot is then observed by utilizing well-known detecting means, such as a camera capable of detecting radioactivity coupled to a computer imaging system. This technique also yields images of platelet-bound thrombin and meizothrombin.

This invention also relates to compositions containing the compounds of this invention and methods for using such compositions in the treatment of tumor metastases. The efficacy of the compounds of this invention for the treatment of tumor metastases is manifested by the inhibition inhibitors to inhibit thrombin-induced endothelial cell activation. This inhibition includes the repression of platelet activation factor (PAF) synthesis by endothelial cells. These compositions and methods have important applications in the treatment of diseases characterized by thrombin-induced inflammation and edema, 25 which is thought to be mediated be PAF. Such diseases include, but are not limited to, adult respiratory distress syndrome, septic shock, septicemia and I reperfusion damage. Early stages of septic shock include discrete, acute inflammatory and coagulopathic responses.

"*99 This invention also relates to the use of the above- "p %described compounds, or compositions comprising them, as «anticoagulAnts for extracorporeal blood. As used herein, the term "extracorporeal blood" includes blood removed in 35 line from a patient, subjected to extracorporeal treatment, and then returned to the patient in such processes as dialysis procedures, blood filtration, or 22 It a blood bypass during surgery. The term also includes blood products which are stored extracorporeally for eventual administration to a patient and blood collected from a patient to be used for various assays. Such products include whole blood, plasma, or any blood fraction in which inhibition of coagulation is desired.

The amount or concentration of compounds of this invention in these types of compositions is based on the volume of blood to be treated or, more preferably, its thrombin content. Preferably, an effective amount of a compounds of this invention of this invention for preventing coagulation in extracorporeal blood is from about 1 ml of extracorporeal blood to about 5 mg/60 ml of extracorporeal blood.

The compounds of this invention may also be used to inhibit clot-bound thrombin, which is believed to contribute to clot accretion. This is particularly important because commonly Jsed enti-thrombin agents, such as heparin and low molecular weight heparin, are ineffective against clot-bound thrombin. Finally, the compounds of this invention may be employed in compositions and methods for treating neurodegenerative 25 diseases. Thrombin is known to cause neurite retraction, a process suggestive of the rounding in shape changes of brain cells and implicated in neurodegenerative diseases, such as Alzheimer's disease and Parkinson's disease.

30 Compothds of the present invention may be synthesized by t3: various methods well known in the art. Suitable methods of synthesis will vary depending upon the AS and X portions used in the compound. Suitable methods for synthesis of Phe-Pro-Arg type analogues are.described 35 below. However, other well known methods may be employed.

j "i: r I~LY i; SCHEME 1

H-X

0 NH HN

NH-P

Pg

HN.

Pg Pg NH NH

R

1 R

HN

o Co2H Q-z

Y

lI't s* B, B a I B 4 B B tllt 4*

I(

Ba al 'Ba *t: S* BB a. a a,

BB

B r* Step 1: The heterocyle 1 in solution was metalated with an appropriate metalating base szuch as n-BuLi to generate the 10 corresponding metalated heterocylic compound. The cyclic activated arginine group 2 was added to this mixture.

Compound 2 was prepared according to procedures known in the literature and described in, for example, R.T. Shuman, et al., "Highly Selective Tripeptide Thronmbin Inhibitors", J.Med.Chem, 1993, 36, 314. The compound yielded was heterocyclic ketoarginine 3.

Step 2- The heterocyclic ketoarginine 3 is deprotected and coupled to the dipeptide 4 in the presence of a ,uitable coupling agent, solvent, and base. The dipeptide 4 can be purchased or prepared by methods common in the art and the peptide literature. Suitable coupling agents include BOP and isopropylchloroformate. Suitable solvents include DCM and DMF. Suitable bases include iPr2NEt and n-methyl morpholine, The resulting compound is deprotected with appropriate deprotecting agents to yield the heterocyclic ketoargininyl 5. Suitable deprotecting agents include BBr,, HBr in acetic acid, and TMSI. Methods to remove the protecting groups are well known to people skilled in the art.

Scheme I is used where Z is N. Scheme II is used when Z is carbon, linear carbon chain, or forms a r:ing with Q.

Where Z forms a ring with Q, the activated amino group 2 would be amended accordingly to include this ring. The steps in the process remain the same as described for Scheme I.

S::

4* 4* 4r 44 4 *4I

I

I~ 1.

SCHEME II

H-X

1 0

HN

1 X 0Pg O HN

O

CH

3 pg SCH3 I PgY -Z 3 1 2

.Y

Pg

R

1

R

3 RR RR 3 R

R

R2 HN P

N

HN 2 O CO 2

H

SQ-Z 4 0

Y

The compounds of this invention and their intermediates may be purified during their synthesis and/or after their preparation by standard techniques well known to the skilled artisan. One preferred purification technique is 10 HPLC. However, other chromatographic methods such as column chromatography may be used for purification of the compounds. Crystallization may also be used to purify the go. products as may washing with appropriate organic solvents.

t S 15 It is well known in the art that the amino protecting groups are not necessary for the reaction to occur. The process may be carried out without protecting groups.

However, they are used to increase the yield of the desired compounds.

-i The process described above may use suitable protecting groups for compounds 2, 3, and 4. Suitable deprotection conditions and protocols are described in the synthesis literature and are well known to chemists skilled in the art.

Desired R 1 R and R, groups may be substituted onto the dipeptide 4 before it is coupled to heterocyclic ketoarginine 3 using techniques well known in the art of peptide chemistry. Also, preferred analogues of each of the peptides or the dipeptide may be purchased with the desired or R, groups substituents already present.

In order that the invention described herein may be more fully understood, the following examples are set forth. It should be understood that these examples are for illustrative purposes only and are not to be construed as limiting this invention in any manner.

*S*

S

S,

0 S 0 NH N 11. BuLI/THF/-78 C s/ 0. o NH 2,.2/-78 -200C NH O<H NCN bz~ ,r N A kNH-Cbz NH -NH 0 3 2 To a THF (75 ML) solution of benzothiazole (compound 1) mL, 36.7 mmol) at -78 'C was slowly added n-BuLi (1.6 M, 25 rnL), resultant orange suspension was stirred at -78 'C for 1.5 h. Then added solid compound 2 (3.55 g, 8.7 mnrol) Reaction stirred at -78 'C for 30 min followed by at for 30 min then quenched with saturated aqueous NH 4 Cl Extraction with ethyl acetate followed by column chromatography afforded yellow foam (1.28 g) in 28% yield as compound 3.

NMR(CDCl3) d 1.45 9H), 1.5-1.8 Cm, 2H), 3.1-3.23 (in, 1H), 3.45-3.60 (in, 1H), 5.1(d, 2H), 5.53-5.64(m, 2H), 7.02-7.15(m, 4H), 7.21-7.28(m, 2H), 7.56-7.65(m, 2H), 8.05(m, 1H), 8.18-8.23(m, lH).

MS: 526.8 O NH N 0 S

NH

Cbz 1. 4M Ha/Dioxcne 'NH NH EtSMe/3 3 10 H 2

N

2. BOP/DMF/iPr2NEt O

HN

3, BBr3/DCM/-78 C -S N[ 4, RP HPLC BOC I N 0N 'NH C 2 H2N---,IJH 4

NH

4 To a mixture of compound 3 (0.223 g, 0.43 mmol) and EtSMe (0.25 mL), at ambient temperature, was added 4M HC1 solution in dioxane (10 mL). The reaction was stirred for 1 h. All the solvents removed and the yellow gummy solid was dried. To this yellow solid was added compound 4 (0.17 g, 0.47 mmol) and BOP (0.21 g, 0.48 mmol) in DMF (5mL) at room temperature then to this mixture was added iPr2NEt until the pH of the mixture reaches 8-9. The reaction was i allowed to stir overnight. The reaction was extracted with ethyl acetate and washed with brine, subsequent column chromatography gave 0.129 g of the desired precursor to compound 5 which was dissolved in DCM (10 mL) and added 15 IM BBr3 solution in DCM (1.7 mL, 1.66 mmol) at -78 oC.

Reaction was stirred at -78 oC for 30 min followed by for 3 h at room temperature. Cooled back to -78 oC and added anhd. MeOH (2mL) followed by stirring at RT for 1h. All the solvents removed the mixture extracted with water and washed with ether. The water fraction lyophilized and was subjected to reverse phase HPLC purification to yield compound 5 The two compounds were isolated as individual diastereomers analogue 1 and analogue 2 with identical Mass spectra 536.5] EXAMPLE 2 Determination of K Values This assay was performed with a Perkin Elmer fluorometer model #LS 50B using a fluorogenix thrombin substrate (Tos- Gly-Pro-Arg-AMC.HCl) purchased from Calbiochem. Human thrombin was also obtained from Calbiochem. Measurements were determined at excitation and emission wavelengths of 383 and 455nm respectively.

The assay was carried out in running buffer consisting of 50mM Tris, 100mM NaCI, 0.1% and Peg pH 7.8 at 24°C. Buffer, substrate and inhibitor were mixed and the reaction was initiated by adding the enzyme solution. Initial velocities were recorded at several inhibitor and substrate concentrations. Kinetic parameters were determined by fitting the data to a general equation describing enzyme inhibition (Segel, Enzyme Kinetics, Wiley Interscience Publications, 1993).

Dixon and Lineweaver-Burk plots were used to estimate the 25 kinetic parameters V K) using the MicrosoftTM e. Excell m program.

o woo* *"Binding is the establishment of the equilibria between too: enzyme, inhibitor, and enzyme-inhibitor complexes. In slow 30 binding inhibition, this equilibrium is established slowly.

0.00 Equilibrium dissociation constant for compound 5 is shown in Table 1. The result is compared with known reported tripeptidyl based thrombin inhibitors.

S.

4.« IM Registered Trade Mark Compound 5 exhibited slow binding kinetics, however the inhibition constant was determined assuming rapid steady state kinetics. Therefore, the reported values are a reliable estimate of the equilibrium inhibitory constants.

dTT assay Procedure: Fibrinogen, and buffer solution were transferred to disposable tubes and placed in a water bath for about to 30 minutes before the assay to allow equilibration to 37 0

C.

The cuvette-strips were incubated for 3 minutes at 37 0 C. A ball was dispensed to each cuvette. To the prewarmed cuvettes was added 75pl buffer, 50 Li inhibitor solution, and 50 .1 fibrinogen solution. The timer was started corresponding to the incubation column for an incubation of 60 seconds. The cuvettes were transferred to the test column area. The multipette was primed once with the start reagent (thrombin solution). The multipette was activated and 25 .1 of thrombin solution was dispensed.

When the clotting times were determined, they were displayed and printed.

25 A time versus inhibitor concentrations curve was constructed and IC, 0 values were extrapolated from the inhibitor concentration curves. The IC 0 is defined as the dose required to double the coagulation time compared to control.

30 The result showing IC 0 value is shown in Table 1.

TABLE I

I

65.

S

Sc 0* 9

O

*556 **r *6 *6 V 6# 966 9

COMPOUND

PPACK

K, (nM) 0.05-0.180 0.017 ICs (dTT) (nM) 1.8-7.2 Boc-D-Phe-Pro-Arg-H D-1-Tiq-Pro-Arg-H 19 The results in Table I demonstrate that a heterocyclic function such as is embidied in a benzothiazolo-ketoarginyl unit spanning the S 1 -Si' sites of thrombin enhances enzyme affinity up to 1000 fold compared to other reported inhibitors. Compound 5 is equipotent to PPACK which is regarded as an irreversible inhibitor of thrombin that forms a covalent bond with the enzyme whereas compound is a reversible inhibitor of thrombin.

Having now fully described the invention, it will be apparent to one of ordinary skill in the art that numerous modifications can be made thereto without departing from the spirit or the invention as set forth herein.

a 4 00@A o *9 Olr

Claims (16)

1. A thrombin inhibiting compound according to formula and pharmaceutically acceptable salts thereof AS- X (i) wherein X is one or more aromatic or non-aromatic heterocycle unsubstituted or substituted with one or more amino, oxygen, alkyl, aralkyl, or aryl; and AS is an active site inhibitor of thrombin having an argininyl residue or an analogue thereof connected to X.

2. A compound according to claim 1, wherein X is selected from the group consisting of: 1 Ix,_ 3 xjo 12 r- I 3 R2 t .Y^o XT--._XlI XI- X,, wherein 20 X 10 X 1 and X 2 are each independently selected from the ,group consisting of N, or C-X 7 where X, is hydrogen, C,. 4 alkyl, or C5. aryl; and X, are each independently selected from the group consiscing of C, 0, N, S, N-X 7 or CH-X,; and 25 R, is hydrogen, alkyl optionally carboxyl substituted, *carboxyl, alkyl-CO 2 -C_ 1 alkyl, C.20 aralkyl, C3.7 cycloalkyl, aryl or an aromatic heterocycle.

3. A compound according to claim 2, wherein X is 30 selected from the groutp consisting of: a I S-- N S R Rs r 1 N R -7S N 0 7 R A 6 D S N-N N--N NS o .9 i 89 4C 9 9* V46 994 94 9 9 994 99",q R, is hydrogen, C,_ 1 6 alkyl optionally carboxyl substituted, carboxyl, -Co 0 .6 alkyl-CO,-C alkyl, C 6 20 aralkyl, C 3 7 cycloalkyl, aryl or an aromatic heterocycle.

4. A compound accoring to claim 2, wherein X is selected from the group consisting of: N R, N A, RS R wherein 10 R, is hydrogen, 6 alkyl optionally carboxyl substituted, carboxyl, -C 0 16 alkyl-CO,-C-,, alkyl, C6-20 aralkyl, C,. 7 cycloalkyl, aryl or an aromatic heterocycle.

9. A compound according to claim 2 wherein X is selected from the group consisting of: wherein R, is hydrogen, CI. alkyl optionally carboxyl substituted, carboxyl, -Co6 alkyl-CO 2 -C, 1 6 alkyl, C,, 2 0 aralkyl, C3- cycloalkyl, aryl or an aromatic heterocycle. 6. A compound according to claim 2 wherein X is selected from the group consisting of: wherein R, is hydrogen, alkyl optionally carboxyl substituted, carboxyl, -C 0 6 alkyl-C0 2 -C.-t 6 alkyl, C, 0 aralkyl, C3 cycloalkyl, aryl or an aromatic heterocycle. 7. A compound according to claim 1, wherein AS is a group of formula (II): G 1 G 2 20 (II) :wherein G is one or more arn'ino acid, alkyl, aryl, aralkyl, or cycloalkyl; and G' is arginyl radical or an analogue thereof. 4 25 8. A compound accoring to claim 7, wherein G' is an arginyl radical selected from: #4w 4 4* 0 0 T T T N H N H NH? YW)=n NH NH 2 NIJJMS H 2 N (1. 0 0 0 N T n 4NH n NH iiNH N 7 NH 2 NH 2 N -0 H 2 N 0 0 0 T T T NH n2 01<NH 4N NH2 NH 2 2 N -NH S0 T 9) *I S I 143 NH NH2H3 I I NH~ *9* L~N 4 EH HN NzH HN N. 09 0 NZH 7HN N I'll 11 p i l1 1 1 1 N 0 0%,l to 1 4 0 4 0 T n2 IaNH 2 0 0 SHN H 2 N NH NH wherein n=1-6, nl=X-2, n2=0-7 and T is a bond or a divalent linkijng moiety with X. 9. A compound according to claim 1, wherein AS is the peptide fragment of hirudin 45-47 and analogues thereof.

10. A compound according to claim 1, wherein AS is selected from D-Phe-Pro-Arg; D-Cha-Pro-Arg; D-Phe-Pip-Arg; and D-Cha-Pip-Arg.

11. A thrombin inhibiting compound according to formula (III): 1A 1 R R, O 0 too CQNH OI. 4~r 4 (III) *0 7)0-7 wherein 20 aR is selected from the group consisting of one or more 4 aryl or cycloalkyl Which is unsubstituted or substituted with hydrox', GC, alkyl, aralkyl, aryl, or cycloalkyl. -iol w qwo"!qlf On q W'.Vw~e R, is selected from the group consisting of hydrogen, hydroxy, alkyl, C4, aral..kyl, and unsubstituted or substituted amino group. R, is selected from the group consisting of hydrogen, hydroxy, SH, alkyl, C3-, aryl and C 4 aralkyl. n is an integer from 0 to 2. Q is a bond or -NH-; Z is C,_ 4 alkoxy; cyano; -C-N 2 -NH- C(NH)-NH.; -CH 2 -NH-C(NH)-NH,; a 2, cycloalkyl or aryl substituted with cyano, -CH, 2 -NH- C(NH)-NH, or -CH-NH-C(NH)-NH 2 or a 5 or 6 member, saturated or unsaturated heterocycle optionally substituted with cyano, -NH, -NH- C(NH)-NH or -CH 2 -NH-C(NH)-NH,; and x is one or more aromatic or non-aromatic heterocycle unsubstituted or substituted with one or more amino, oxygen, alkyl, aralkyl, or aryl. 12, A compound according to claim 11, wherein R, is selected from the group consisting of one or more 5 or 6 membered aromatic or non-aromatic ring optionally substituted with hydroxy, CL,-4 alkyl, or C 3 cycloalkyl.

13. A compound according to claim 12, wherein R, is phenyl; is hydroxy or NH 2 R, iz hydrogen, or C,. 4 alkyl; n is 1 or 2; 0 Q is a bond; and z is -NH-c and -C(NH) -NH, linked via a 2 methylene chain of 3-5 carbon atoms. .4

14. A compound according to claim 1 selected from (D- Phe) -Pro-alpha-benzothlazolo keto arginine and (D-Phe)- 8. 35 Pro-alpha-thiazolo keto arginine. 4-1 The use of a compound according to any one of claims 1 to 14 in the manufacture of a medicament for the treatment of vascular diseases in a mammal including humans.

16. The use according to claim 15, wherein said vascular disease is thrombosis.

17. A method for the treatment or prophylaxis of thrombotic disorders in a mammal, comprising administering to said mammal an effective amount of a compound according to any of one claims 1 to 14.

18. The method according to claim 17, wherein said disorder is venous thrombosis.

19. The method according to claim 17, wherein said disorder is pumonary embolism.

20. The method according to claim 17, wherein said disorder is arterial thrombosis.

21. The method according to claim 17, wherein said disorder is myocardial infarction.

22. The method according to claim 17, wherein said disorder is cerebral infarction. DATED THIS 06TH DAY OF FEBRUARY 1996 BIOCHEM PHARMA INC. By its Patent Attorneys: GRIFFITH HACK CO. Fellows Institute of Patent Attorneys of Australia woo ABSTRACT This invention relates to new and useful inhibitors of the enzyme thromibin, their preparation, and pharmaceutical As well, this invention relates to the use of such compounds and compositions in vitro as anticoaguilants and in vivo as agents for the treatment and prophylaxis of thrombotic disorders such as venous thrombosis, pulmonary embolism arna arterial thrombosis resulting in acute ischemic events such as myocardial infarction or cerebral infarction, Moreover, these compounds and compositions have therapeutic utility for the prevention anid treatment of coagulopathies associated with coronary bypass operations as well as restenotic following translumina. angioplasty. 0 a9 to*