EP1511492A2 - Protease inhibitors - Google Patents

Abstract

This invention relates to 7-substituted 3,6-dioxo-octahydroprrolo[1,2-α]azepine protease inhibitors of formula (1) as defined herein, particularly of cysteine and serine proteases.

Description

PROTEASE INHIBITORS Background of Invention

This invention relates in general to 7-substituted 3,6-dioxo-octahydroprrolo[l,2- α]azepine protease inhibitors, particularly of cysteine and serine proteases. More specifically these compounds inhibit cysteine proteases of the papain superfamily, including, in particular those of the cathepsin family, most particularly cathepsin K. Such compounds are useful for treating diseases in which cysteine proteases are implicated, especially diseases of excessive bone or cartilage loss, e.g., osteoporosis, periodontitis, and arthritis; and certain parasitic diseases, e.g., malaria.

Cathepsins are a family of enzymes which are part of the papain superfamily of cysteine proteases. Cathepsins B, H, L, N and S have been described in the literature. Recently, cathepsin K polypeptide and the cDNA encoding such polypeptide were disclosed in U.S. Patent No. 5,501,969 (called cathepsin O therein). Cathepsin K has been recently expressed, purified, and characterized. Bossard, M. J., et al., (1996) J. Biol. Chem. 271,

12517-12524; Drake, F.H., et al., (1996) J. Biol. Chem.271, 12511-12516; Bromme, D., et al., (1996) J. Biol. Chem. 271, 2126-2132.

Cathepsin K has also been variously denoted as cathepsin O or cathepsin 02 in the literature. The designation cathepsin K is considered to be the most appropriate one. Cathepsins function in the normal physiological process of protein degradation in animals, including humans, e.g., in the degradation of connective tissue. However, elevated levels of these enzymes in the body can result in pathological conditions leading to disease. Thus, cathepsins have been implicated as causative agents in various disease states, including but not limited to, infections by pneumocystis carinii, trypsanoma cruzi, trypsanoma brucei, and Crithidia fusiculata; as well as in schistosomiasis, malaria, tumor metastasis, metachromatic leukodystrophy, muscular dystrophy, amytrophy, and the like. See International Publication Number WO 94/04172, published on March 3, 1994, and references cited therein. See also European Patent Application EP 0 603 873 Al, and references cited therein. Two bacterial cysteine proteases from P. gingivallis, called gingipains, have been implicated in the pathogenesis of gingivitis. Potempa, J., et al. (1994) Perspectives in Drug Discovery and Design, 2, 445-458.

Cathepsin K is believed to play a causative role in diseases of excessive bone or cartilage loss. Bone is composed of a protein matrix in which spindle- or plate-shaped crystals of hydroxyapatite are incorporated. Type I collagen represents the major structural protein of bone comprising approximately 90% of the protein matrix. The remaining 10% of matrix is composed of a number of non-collagenous proteins, including osteocalcin, proteoglycans, osteopontin, osteonectin, thrombospondin, fibronectin, and bone sialoprotein. Skeletal bone undergoes remodelling at discrete foci throughout life. These foci, or remodelling units, undergo a cycle consisting of a bone resorption phase followed by a phase of bone replacement.

Bone resorption is carried out by osteoclasts, which are multinuclear cells of hematopoietic lineage. The osteoclasts adhere to the bone surface and form a tight sealing zone, followed by extensive membrane ruffling on their apical (i.e., resorbing) surface. This creates an enclosed extracellular compartment on the bone surface that is acidified by proton pumps in the ruffled membrane, and into which the osteoclast secretes proteolytic enzymes. The low pH of the compartment dissolves hydroxyapatite crystals at the bone surface, while the proteolytic enzymes digest the protein matrix. In this way, a resorption lacuna, or pit, is formed. At the end of this phase of the cycle, osteoblasts lay down a new protein matrix that is subsequently mineralized. In several disease states, such as osteoporosis and Paget"s disease, the normal balance between bone resorption and formation is disrupted, and there is a net loss of bone at each cycle. Ultimately, this leads to weakening of the bone and may result in increased fracture risk with minimal trauma.

Several published studies have demonstrated that inhibitors of cysteine proteases are effective at inhibiting osteoclast-mediated bone resorption, and indicate an essential role for cysteine proteases in bone resorption. For example, Delaisse, et al., Biochem. J., 1980, - 192, 365, disclose a series of protease inhibitors in a mouse bone organ culture system and suggest that inhibitors of cysteine proteases (e.g., leupeptin, Z-Phe-Ala-CHN2) prevent bone resorption, while serine protease inhibitors were ineffective. Delaisse, et al., Biochem. Biophys. Res. Commun., 1984, 125, 441, disclose that E-64 and leupeptin are also effective at preventing bone resorption in vivo, as measured by acute changes in serum calcium in rats on calcium deficient diets. Lerner, et al., J. Bone Min. Res., 1992, 7, 433, disclose that cystatin, an endogenous cysteine protease inhibitor, inhibits PTH stimulated bone resorption in mouse calvariae. Other studies, such as by Delaisse, et al., Bone, 1987, - 8, 305, Hill, et al., J. Cell. Biochem., 1994, 56, 118, and Everts, et al., J. Cell. Physiol., - 1992, 150, 221, also report a correlation between inhibition of cysteine protease activity and bone resorption. Tezuka, et al., J. Biol. Chem., 1994, 269, 1106, Inaoka, et al., Biochem. Biophys. Res. Commun., 1995, 206, 89 and Shi, et al., FEBS Lett., 1995, 357, 129 disclose that under normal conditions cathepsin K, a cysteine protease, is abundantly expressed in osteoclasts and may be the major cysteine protease present in these cells. The abundant selective expression of cathepsin K in osteoclasts strongly suggests that this enzyme is essential for bone resorption. Thus, selective inhibition of cathepsin K may provide an effective treatment for diseases of excessive bone loss, including, but not limited to, osteoporosis, gingival diseases such as gingivitis and periodontitis, Paget's disease, hypercalcemia of malignancy, and metabolic bone disease. Cathepsin K levels have also been demonstrated to be elevated in chondroclasts of osteoarthritic synovium. Thus, selective inhibition of cathepsin K may also be useful for treating diseases of excessive cartilage or matrix degradation, including, but not limited to, osteoarthritis and rheumatoid arthritis. Metastatic neoplastic cells also typically express high levels of proteolytic enzymes that degrade the surrounding matrix. Thus, selective inhibition of cathepsin K may also be useful for treating certain neoplastic diseases.

We have now discovered a class of novel 7-substituted 3,6-dioxo- octahydroprrolo[l,2-a]azepines which are protease inhibitors, most particularly of cathepsin K. Summary of Invention

The present invention provides 7-substituted 3,6-dioxo-octahydroprrolo[l,2- a]azepine-derived protease inhibitors. These compounds inhibitor cysteine and serine proteases. They are particualarly useful for inhibiting cysteine proteases of the papain superfamily, especially those of the cathepsin family. They are most useful for inhibiting cathepsin K. As sucy they are useful for treating diseases which may be therapeutically modified by altering the activity of such proteases.

Accordingly, in the first aspect, this invention provides a compound of Formula I.

wherein Ri is:

wherein in formula (B) n is an integer from 1 to 5;

R₃ is H, Ci-βalkyl, C₃.₆cycloalkyl-C₀.₆alkyl, C₂.₆alkenyl, C₂.₆alkynyl, HetCo-βalkyl, ArCo-βalkyl, Ar-ArC₀.₆alkyl, Ar-HetCo-βalkyl, Het-ArC₀.₆alkyl, or Het-HetC₀-₆alkyl;

R₃ and R' may be connected to form a pyrrolidine, piperidine or morpholine ring; R₄ is Cι.₆alkyl, C₃.₆cycloalkyl-Co.₆alkyl, Ar-C₀.₆alkyl, Het-C₀.₆alkyl, R₅C(O)-, R₅-

C(S)-, R₅SO₂-, R₅OC(0)-, R₅R₁₂NC(O)-, or R₅R₁₂NC(S)-;

R₅ is H, Ci-βalkyl, C₂.₆alkenyl, C₂_₆alkynyl, C₃-₆cycloalkyl-C₀-₆alkyl, C₂-6-alkanonyl, Ar-C₀.₆alkyl, Het-C₀.₆alkyl Ar-ArCo.₆alkyl, Ar-HetCo-₆alkyl, Het-ArC₀.₆alkyl, or Het-HetC₀. ₆alkyl; R₆ is H, or Cι.₆alkyl;

R₁₂ is H, Cι.₆alkyl, Ar-C₀.₆alkyl, or Het-C₀.₆alkyl;

R' is H, Cι.₆alkyl, Ar-Co.₆alkyl, or Het-C₀-₆alkyl;

R" is H, Cι.₆alkyl, Ar-C₀.₆alkyl, or Het-Co.₆alkyl;

W = W = which is O, S or CH₃; X is CH₂, O, S or NR₁₂R₁₂;

Y is H, CH₃ or CH₂Ph; or

a pharmaceutically acceptable salt, hydrate or solvate thereof.

In another aspect, this invention provides a pharmaceutical composition comprising a compound according to Formula I and a pharmaceutically acceptable carrier, diluent or excipient. i yet another aspect, this invention provides intermediates useful in the preparation of the compounds of Formula I.

In still another aspect, this invention provides a method of treating diseases in which the disease pathology may be therapeutically modified by inhibiting proteases, particularly cysteine and serine proteases, more particularly cysteine proteases, even more particularly cysteine proteases of the papain superfamily, yet more particularly cysteine proteases of the cathepsin family, most particularly cathepsin K.

In a particular aspect, the compounds of this invention are especially useful for treating diseases characterized by bone loss, such as osteoporosis and gingival diseases, such as gingivitis and periodontitis, or by excessive cartilage or matrix degradation, such as osteoarthritis and rheumatoid arthritis; and for treating certain parasitic diseases, such as malaria.

Detailed Description Definitions and Preferred Embodiments The present invention includes all hydrates, solvates, complexes and prodrugs of the compounds of this invention. Prodrugs are any covalently bonded compounds which release the active parent drug according to Formula I in vivo. If a chiral center or another form of an isomeric center is present in a compound of the present invention, all forms of such isomer or isomers, including enantiomers and diastereomers, are intended to be covered herein. Inventive compounds containing a chiral center may be used as a racemic mixture, an enantiomerically enriched mixture, or the racemic mixture may be separated using well-known techniques and an individual enantiomer may be used alone, h cases in which compounds have unsaturated carbon-carbon double bonds, both the cis (Z) and trans (E) isomers are within the scope of this invention. In cases wherein compounds may exist in tautomeric forms, such as keto-enol tautomers, each tautomeric form is contemplated as being included within this invention whether existing in equilibrium or predominantly in one form.

The meaning of any substituent at any one occurrence in Formula I or any subformula thereof is independent of its meaning, or any other substituent's meaning, at any other occurrence, unless specified otherwise.

Abbreviations and symbols commonly used in the peptide and chemical arts are used herein to describe the compounds of the present invention. In general, the amino acid abbreviations follow the IUPAC-IUB Joint Commission on Biochemical Nomenclature as described in Eur. J. Biochem., 158, 9 (1984).

"Proteases" are enzymes that catalyze the cleavage of amide bonds of peptides and proteins by nucleophilic substitution at the amide bond, ultimately resulting in hydrolysis. Such proteases include: cysteine proteases, serine proteases, aspartic proteases, and metalloproteases. The compounds of the present invention are capable of binding more strongly to the enzyme than the substrate and in general are not subject to cleavage after enzyme catalyzed attack by the nucleophile. They therefore competitively prevent proteases from recognizing and hydrolyzing natural substrates and thereby act as inhibitors.

"Hydrogen" or "H" includes all of its possible isotopes, including deuterium and tritium. " ^alkyl" as applied herein is meant to include substituted and unsubstituted methyl, ethyl, n-propyl, isopropyl, n-butyl, isobutyl and t-butyl, pentyl, n-pentyl, isopentyl, neopentyl and hexyl and the simple aliphatic isomers thereof. Ci-βalkyl may be optionally substituted by a moiety selected from the group consisting of: ORι₅, C(O)Ri₅, SRι₅, S(O)R- ₁₅, S(O)₂R₁₅, N(R₁₅)₂ R₁₄NC(O)OR₁₆, CO₂R₁₅, CO₂N(R₁₅)2'N(C=NH)NH₂, Het, C₃.₆- cycloalkyl, and Ar; where Rι₆ is selected from the group consisting of: H, Ci-βalkyl, C₂.₆- alkenyl, C₂.₆alkynyl, C₃.₆cycloalkyl-C₀.6alkyl, Ar-Co-βalkyl and Het-Co-ealkyl; and Rι₅ is selected from the group consisting of: H, Cι.₆alkyl, Ar-Co-βalkyl, and Het-Co-βalkyl.

"C₃.₆cycloalkyl" as applied herein is meant to include substituted and unsubstituted cyclopropane, cyclobutane, cyclopentane and cyclohexane. "C₂.₆ alkenyl" as applied herein means an alkyl group of 2 to 6 carbons wherein a carbon-carbon single bond is replaced by a carbon-carbon double bond. C₂-₆alkenyl includes ethylene, 1-propene, 2-propene, 1-butene, 2-butene, isobutene and the several isomeric pentenes and hexenes. Both cis and trans isomers are included.

"C₂.₆alkanonyl" as applied herein is meant to include unsubstituted and substituted acetyl, propanonyl, butanonyl, pentanonyl, and hexanonyl

"C₂.₆alkynyl" means an alkyl group of 2 to 6 carbons wherein one carbon-carbon single bond is replaced by a carbon-carbon triple bond. C₂_₆ alkynyl includes acetylene, 1- propyne, 2-propyne, 1-butyne, 2-butyne, 3-butyne and the simple isomers of pentyne and hexyne. "Halogen" means F, Cl, Br, and I.

As used herein "Het" or "heterocyclic" represents a stable 5- to 7-membered monocyclic, a stable 7- to 10-membered bicyclic, or a stable 11- to 18-membered tricyclic heterocyclic ring which is either saturated or unsaturated, and which consists of carbon atoms and from one to three heteroatoms selected from the group consisting of N, O and S, and wherein the nitrogen and sulfur heteroatoms may optionally be oxidized, and the nitrogen heteroatom may optionally be quaternized, and including any bicyclic group in which any of the above-defined heterocyclic rings is fused to a benzene ring. The heterocyclic ring may be attached at any heteroatom or carbon atom which results in the creation of a stable structure, and may optionally be substituted with one or two moieties selected from Co.₆alkylAr, Cι.₆alkyl, OR₁₇, N(R₁₇)₂, SR_π, S(O)R₁₅₎ S(O)₂Rι₅, CF₃, NO₂, CN, CO₂Ri₇, CON(Rπ), F, Cl, Br and I, where R₁₇ is phenyl, naphthyl, or C^aHcyl. Examples of such heterocycles include piperidinyl, piperazinyl, 2-oxopiperazinyl, 2-oxopiperidinyl, 2- oxopyrrolodinyl, 2-oxoazepinyl, azepinyl, pyrrolyl, 4-piperidonyl, pyrrolidinyl, pyrazolyl, pyrazolidinyl, imidazolyl, pyridinyl, 1-oxo-pyridinyl, pyrazinyl, oxazolidinyl, oxazolinyl, oxazolyl, isoxazolyl, morphohnyl, thiazolidinyl, thiazolinyl, thiazolyl, quinuclidinyl, indolyl, quinolinyl, quinoxalinyl, isoquinolinyl, benzimidazolyl, benzopyranyl, benzoxazolyl, furanyl, benzofuranyl, thiophenyl, benzo[b]thiophenyl, thieno[3,2- b]thiophenyl, benzo[l,3]dioxolyl, 1,8-naphthyridinyl, pyranyl, tetrahydrofuranyl, tetrahydropyranyl, thienyl, benzoxazolyl, thiamorpholinyl sulfoxide, thiamorpholinyl sulfone, and oxadiazolyl, as well as triazolyl, thiadiazolyl, oxadiazolyl, isothiazolyl, imidazolyl, pyridazinyl, pyrimidinyl, triazinyl and tetrazinyl which are available by routine chemical synthesis and are stable. The term heteroatom as applied herein refers to oxygen, nitrogen and sulfur.

"Ar" or "aryl" means phenyl or naphthyl, optionally substituted by one or more of Ph-Co-ealkyl; Het-C₀-₆alkyl; Cι.₆alkoxy; Ph-C₀.₆alkoxy; Het-C₀.₆alkoxy; OH, (CH₂)ι-₆NRι₅R- ₁₆; O(CH₂)₁.₆NR₁₅R₁₆; C^alkyl, OR„, N(R₁₇)₂, SR₁₇, S(O)R₁₅, S(O)₂R₁₅, CF₃, N0₂, CN, CO- ₂Ri₇, CON(R₁₇), F, Cl, Br or I; where Rι₅ and Rι₆ are H, Cι.₆alkyl, Ph-Co-ealkyl, naphthyl-C₀. βalkyl or Het-C₀.₆alkyl; and Rι₇ is phenyl, naphthyl, or Ci-βalkyl.

"Ar-Ar" means aryl covalently linked to a second aryl. Examples of "Ar-Ar" include biphenyl or naphythyl-pheny or phenyl-naphthyl.

"Ar-Het" means an aryl group covalently linked to a heterocycle. Examples of "Ar- Het" include phenyl-piperidine, phenyl-piperazine, phenyl-2-oxopiperazine, naphthyl- piperidine, naphthyl-piperazine, and naphhyl-2-oxopiperazine.

"Het-Ar" means a heterocycle covalently linked to a aryl group. Examples of such "Het-Ar" include piperidinyl-phenyl, piperazinyl-phenyl, 2-oxopiperazinyl-phenyl, piperidinyl-naphthyl, piperazinyl-naphthyl, and 2-oxoiperazinyl-naphthyl.

"Het-Het" means a heterocycle covalently linked to a second heterocycle. Examples of such "Het-Het" include bipyridine, pyridinyl-piperidine, pyridinyl-piperazine, pyridinyl- ^• 2-oxopiperazine, thiophenyl-piperidine, thiophenyl-piperazine, and thiophnyl-2- oxopiperazine.

Here and throughout this application the term Co denotes the absence of the substituent group immediately following. For instance, in the moiety ArC₀.₆alkyl, when C is 0, the substituent is Ar, e.g., phenyl. Conversely, when the moiety ArC₀-₆alkyl is identified as a specific aromatic group, e.g., phenyl, it is understood that the value of C is has the numerical value 0.

Certain radical groups are abbreviated herein: t-Bu refers to the tertiary butyl radical, Boc refers to the t-butyloxycarbonyl radical, Fmoc refers to the fluorenylmethoxycarbonyl radical, Ph refers to the phenyl radical, Cbz refers to the benzyloxycarbonyl radical. Certain reagents are abbreviated herein: m-CPBA refers to 3-chloroperoxybenzoic acid, EDC refers to N-ethyl-N'-(dimethylaminopropyl)-carbodiimide, DMF refers to dimethyl formamide, DMSO refers to dimethyl sulfoxide, TEA refers to triethylamine, TFA refers to trifluoroacetic acid, and THF refers to tetrahydrofuran.

Here and throughout this application the term C₀ denotes the absence of the substituent group immediately following; for instance, in the moiety ArCo.₆alkyl, when C is 0, the substituent is Ar, e.g., phenyl. Conversely, when the moiety ArC₀.₆alkyl is identified as a specific aromatic group, e.g., phenyl, it is understood that the value of C is 0.

Preferred Embodiments

hi compounds of Formula I, when Ri is , n is preferably 4, to provide 1-amino-l-acyl cyclohexane compounds. The cycloalkyl ring may be unsubstituted or substituted with one or more of Ci-βalkyl, C₃_₆cycloalkyl-C₀.₆alkyl, C₂.₆alkenyl, C₂. ₆alkynyl, HetCo-βalkyl, ArC₀-₆alkyl, or halogen.

The cycloalkyl ring is more preferably unsubstituted.

In compounds of Formula I, when Rj is R₃ is preferably H, C₃.₆cycloalkyl-C₀-₆alkyl, Ar-Co-βalkyl, or Ci-βalkyl. R₃ is more preferably: H, methyl, ethyl, n-propyl, prop-2-yl, n-butyl, isobutyl, but-2-yl, cyclopropylmethyl, cyclohexylmethyl, 2-methanesulfinyl-ethyl, 1-hydroxy ethyl, toluyl, naphthalen-2-ylmethyl, benzyloxymethyl, or hydroxymethyl. R₃ is even more preferably toluyl, isobutyl or cyclohexylmethyl. R₃ is most preferably isobutyl. R₄ is R_sOC(0)-, R₅C(O)- or R₅SO₂-. R is most preferably R₅C(O)-.

Preferably R₅ is Cι.₆alkyl, C₂.₆alkenyl, C₃.₆cycloalkyl-Co-ealkyl, C₂-₆alkanonyl, Ar-Co-βalkyl or Het-Co-βalkyl.

More preferably, and especially when R is R₅C(O)-, R₅ is : methyl, especially halogenated methyl, more especially trifluoromethyl, especially Cι_ ζalkoxy and aryloxy substitated methyl, more especially phenoxy-methyl, 4-fluoro- phenoxy-methyl, especially heterocycle substituted methyl, more especially 2-thiophenyl- methyl; butyl, especially aryl substituted butyl, more especially 4-(4-methoxy)phenyl-butyl; isopentyl; cyclohexyl; pentanonyl, especially 4-pentanonyl; butenyl, especially aryl substituted butenyl, more especially 4,4-bis(4- methoxyphenyl)but-3-enyl; phenyl, especially phenyl substituted with one or more halogens, more especially 3,4-dichlorophenyl and 4-fluorophenyl, especially phenyl substituted with one or more C___ alkoxy or aryloxy groups, more especially 3,4-dimethoxy-phenyl, 3-benzyloxy-4-methoxy- phenyl, especially phenyl substituted with one or more sulfonyl groups, more especially 4- methanesulfonyl-phenyl; benzyl; naphthalenyl, especially naphthylen-2-yl; benzo[l,3]dioxolyl, especially benzo[l,3]dioxol-5-yl, furanyl, especially furan-2-yl, especially substituted furanyl, such as 5-nitro-furan- 2-yl, 5-(4-nitrophenyl)-furan-2-yl, 5-(3-trifluoromethyl-phenyl)-furan-2-yl, more especially halogen substituted furanyl, even more especially 5-bromo-furan-2-yl, more especially aryl substituted furanyl, even more especially 5-(4-chloro-phenyl)-furan-2-yl; tetrahydrofuranyl, especially tetrahydrofuran-2-yl; benzofuranyl, especially benzofuran-2-yl, and especially -βalkoxy substituted benzofuranyl, more especially 5-(2-piperazin-4-carboxylic acid tert-butyl ester- ethoxy) benzofuran-2-yl, 5 -(2-morpholino-4-yl-ethoxy)benzofuran-2-yl, 5-(2-piperazin- 1 -yl- ethoxy)benzofuran-2-yl, 5-(2-cyclohexyl-ethoxy)benzofuran-2-yl; 7-methoxy-benzofuran-2- yl, 5-methoxy-benzofura-2-yl, 5,6-dimethoxy-benzofuran-2-yl, especially halogen substituted benzofuranyl, more especially benzofuran-2-yl, 5-fluoro-benzofuran-2-yl, 5,6- difluoro-benzofuran-2-yl, especially Ci-βalkyl substituted benzofuranyl, most especially benzofuran-2-yl; benzo[b]thiophenyl, especially benzo[b]thiophen-2-yl; especially Cι.₆alkoxy substituted benzo[b]thiophenyl, more especially 5,6-dimethoxy- benzo[b]thiophen-2-yl; quinolinyl, especially quinolin-2-yl, quinolin-3-yl, quinohn-4-yl, quinolin-6-yl, or quinolin-8-yl; quinoxalinyl, especially quinoxalin-2-yl; 1,8-naphthyridinyl, especially l,8-naphthyridin-2-yl; indolyl, especially indol-2-yl, especially indol-6-yl, indol-5-yl, especially Cι.₆alkyl substituted indolyl, more especially N-methyl-indol-2-yl; pyridinyl, especially pyridin-2-yl , ρyridin-5-yl, especially l-oxy-pyridin-2-yl, especially Ci-galkyl substimted pyridinyl, more especially 2-methyl-pyridin-5-yl; furo[3,2-b]pyridinyl, especially furo[3,2-b]pyridin-2-yl, and Ci-6alkyl substimted furo[3,2-b]pyridinyl, especially 3-methyl-furo[3,2-b]pyridin-2-yl; thiophenyl, especially thiophen-3-yl, especially Ci-6alkyl substituted thiophenyl, more especially 5-methyl-thiophen-2-yl, especially halogen substituted thiophenyl, more especially 4,5-dibromo-thiophen-2-yl; thieno[3,2-b]thiophene, especially thieno[3,2-b]thiophene-2-yl, more especially . βalkyl substimted thieno[3,2-b]thiophene-2-yl, more especially 5-tert-butyl-3-methyl- thieno [3,2-b]thiophene-2-yl ; isoxazolyl, especially isoxazol-4-yl, especially Cι.₆alkyl substituted isoxazolyl, more especially 3,5-dimethyl- isoxazol-4-yl; and oxazolyl, especially oxazol-4-yl, more especially 5-methyl-2-phenyl oxazol-4-yl, or 2-phenyl-5-trifluoromethyl-oxazol-4-yl;

When R is R₅SO₂, R₁₅ is preferably pyridin-2-yl or l-oxo-pyridin-2-yl.

Preferably R' is H or naphthalen-2-yl-methyl. Most preferably R' is H. Most preferably R" is H, Cι.₆alkyl, especially methyl, ethyl, propyl, butyl, pentyl or hexyl; more especially H.

R₆ is preferably H, methyl or ethyl, most preferably H.

Yet more preferred are compounds of Formula I wherein:

R₃ is H, methyl, ethyl, n-propyl, prop-2-yl, n-butyl, isobutyl, but-2-yl, cyclopropylmethyl, cyclohexylmethyl, 2-methanesulfinyl-ethyl, 1-hydroxyethyl, toluyl, naphthalen-2-ylmethyl, benzyloxymethyl, and hydroxymethyl; R₅ is pentanonyl, especially 4-pentanonyl; butenyl, especially aryl substimted butenyl, more especially 4,4-bis(4- methoxyphenyl)-but-3-enyl; phenyl, especially phenyl substimted with one or more halogens, more especially 3,4-dichlorophenyl and 4-fluorophenyl, especially phenyl substimted with one or more . ealkoxy or aryloxy groups, more especially 3,4-dimethoxy-phenyl, 3-benzyloxy-4-methoxy- phenyl, especially phenyl substimted with one or more sulfonyl groups, more especially 4- methanesulfonyl-phenyl; benzyl; naphthylen-2-yl; benzo[l,3]dioxolyl, especially benzo[l,3]dioxol-5-yl, furanyl, especially furan-2-yl, especially substimted furanyl, such as 5-nitro-furan- 2-yl, 5-(4-nitrophenyl)-furan-2-yl, 5-(3-trifluoromethyl-phenyl)-furan-2-yl, more especially halogen substimted furanyl, even more especially 5-bromo-furan-2-yl, more especially aryl substimted furanyl, even more especially 5-(4-chloro-phenyl)-furan-2-yl; tetrahydrofuran-2-yl; benzofuranyl, especially benzofuran-2-yl, and especially Cι.₆alkoxy substituted benzofuranyl, more especially 5-(2-piperazin-4~carboxylic acid tert-butyl ester- ethoxy) benzofuran-2-yl, 5-(2-morpholino-4-yl-ethoxy)-benzofuran-2-yl, 5-(2-piperazin-l-yl- ethoxy)benzofuran-2-yl, 5-(2-cyclohexyl-ethoxy)-benzofuran-2-yl, 7-methoxy-benzofuran- 2-yl, 5-methoxy-benzofuran-2-yl, 5,6-dimethoxy-benzofuran-2-yl, especially halogen substituted benzofuranyl, more especially 5-fluoro-benzofuran-2-yl, 5,6-difluoro- benzofuran-2-yl, especially substimted benzofuranyl, most especially 3-methyl- benzofuran-2-yl; benzo[b]thiophenyl, especially benzo[b]thiophen-2-yl; especially -βalkoxy substituted benzo[b]thiophenyl, more especially 5,6-dimethoxy- benzo[b]thiophen-2-yl; quinolinyl, especially quinolin-2-yl, quinolin-3-yl, quinolin-4-yl, quinolin-6-yl, and quinolin-8-yl; quinoxalinyl, especially quinoxalin-2-yl;

1,8-naphthyridinyl, especially l,8-naphthyridin-2-yl; indolyl, especially indol-2-yl, especially indol-6-yl, indol-5-yl, especially Ci-βalkyl substituted indolyl, more especially N-methyl-indol-2-yl; pyridinyl, especially pyridin-2-yl, pyridin-5-yl, especially l-oxy-pyridin-2-yl, especially Ci-βalkyl substimted pyridinyl, more especially 2-methyl-pyridin-5-yl; furo[3,2-b]pyridinyl, especially furo[3,2-b]pyridin-2-yl, and Cι.₆alkyl substimted furo[3,2-b]pyridinyl, especially 3-methyl-furo[3,2-b]pyridin-2-yl; thiophenyl, especially thiophen-3-yl, especially Cι.₆alkyl substituted thiophenyl, more especially 5-methyl-thiophen-2-yl, especially halogen substimted thiophenyl, more especially 4,5-dibromo-thiophen-2-yl; thieno[3,2-b]thiophene, especially thieno[3,2-b]thiophene-2-yl, more especially . ₆alkyl substimted thieno[3,2-b]thiophene-2-yl, more especiaUy 5-tert-butyl-3-methyl- thieno[3,2-b]thiophene-2-yl; isoxazolyl, especially isoxazol-4-yl, especially C^ancyl substituted isoxazolyl, more especially 3,5-dimethyl- isoxazol-4-yl; and oxazolyl, especially oxazol-4-yl, more especially 5-methyl-2-phenyl oxazol-4-yl, 2- ρhenyl-5-trifluoromethyl-oxazol-4-yl;

R'is H; Even yet more preferred are compounds of Formula I wherein:

R₃ is isobutyl;

R₄ is R₅C(O); R₅ is 5-methoxybenzofuran-2-yl, benzo[b]thiophen-2-yl, 3-methyl-benzofuran-2-yl, thieno[3,2-b]thiophen-2-yl, benzofuran-2-yl, furo[3,2-b]pyridin-2-yl, and 3-methyl-furo[3,2- b]pyridin-2-yl; preferably benzofuran-2-yl, furo[3,2-b]pyridin-2-yl, and 3-methyl-furo[3,2- b]pyridin-2-yl; most preferably benzofuran-2-yl; or

R' and R" are both H; and R"is H.

More preferred are compounds of Formula I wherein:

where: R₃ is isobutyl;

R₄ is R₅C(0)-;

R₅ is Ar-Co-βalkyl or Het-C₀.ealkyl, particularly benzofuran-2-yl;

R₆ is H or methyl;

Rι₂is H, or Ci-βalkyl; R' is H;

R"is H;

W = W'is O;

X is CH₂ and

Y is H or CH₃. The most preferred compounds of formula I are those which have the stereochemistry illustrated in formulas I(A)(s) and I(B)(s).

Intermediates are within the scope of this invention as well. Utility of the Invention

The compounds of Formula I are useful as protease inhibitors, particularly as inhibitors of cysteine and serine proteases, more particularly as inhibitors of cysteine proteases, even more particularly as inhibitors of cysteine proteases of the papain superfamily, yet more particularly as inhibitors of cysteine proteases of the cathepsin family, most particularly as inhibitors of cathepsin K. The present invention also provides useful compositions and formulations of said compounds, including pharmaceutical compositions and formulations of said compounds.

The present compounds are useful for treating diseases in which cysteine proteases are implicated, including infections by pneumocystis carinii, trypsanoma cruzi, trypsanoma brucei, and Crithidia fusiculata; as well as in schistosomiasis, malaria, tumor metastasis, metachromatic leukodystrophy, muscular dystrophy, amy trophy; and especially diseases in which cathepsin K is implicated, most particularly diseases of excessive bone or cartilage loss, including osteoporosis, gingival disease including gingivitis and periodontitis, arthritis, more specifically, osteoarthritis and rheumatoid arthritis, Paget"s disease; hypercalcemia of malignancy, and metabolic bone disease.

Parasites known to utilize cysteine proteases in their life cycle (and the diseases . caused by these parasites) include Trypanosoma cruzi, Trypanosoma Brucei [trypanosomiasis (African sleeping sickness, Chagas disease)], Leishmania mexicana, - Leishmania pifanoi, Leishmania major (leishmaniasis), Schistosoma mansoni

(schistosomiasis), Onchocerca volvulus [onchocerciasis (river blindness)] Brugia pahangi, Entamoeba histolytica, Giardia lambia, the helminths, Haemonchus contortus and Fasciola hepatica, as well as helminths of the genera Spirometra, Trichinella, - Necator and Ascaris, and protozoa of the genera Cryptosporidium, Eimeria, -

Toxoplasma and Naegleria. The compounds of the present invention are suitable for treating diseases caused by these parasites which may be therapeutically modified by altering the activity of cysteine proteases. In particular, the present compounds are useful for treating malaria by inhibiting falcipain. Metastatic neoplastic cells also typically express high levels of proteolytic enzymes that degrade the surrounding matrix, and certain tumors and metastatic neoplasias may be effectively treated with the compounds of this invention.

The present invention also provides methods of treatment of diseases caused by pathological levels of proteases, particularly cysteine and serine proteases, more particularly cysteine proteases, even more particularly cysteine proteases of the papain superfamily, yet more particularly cysteine proteases of the cathepsin family, which methods comprise administering to an animal, particularly a mammal, most particularly a human in need thereof a compound of the present invention. The present invention especially provides methods of treatment of diseases caused by pathological levels of cathepsin K, which methods comprise administering to an animal, particularly a mammal, most particularly a human in need thereof an inhibitor of cathepsin K, including a compound of the present invention. The present invention particularly provides methods for treating diseases in which cysteine proteases are implicated, including infections by pneumocystis carinii, trypsanoma cruzi, trypsanoma brucei, and Crithidia fusiculata; as well as in schistosomiasis, malaria, mmor metastasis, metachromatic leukodystrophy, muscular dystrophy, amytrophy, and especially diseases in which cathepsin K is implicated, most particularly diseases of excessive bone or cartilage loss, including osteoporosis, gingival disease including gingivitis and periodontitis, arthritis, more specifically, osteoarthritis and rheumatoid arthritis, Pagef's disease, hypercalcemia of malignancy, and metabolic bone disease. The present method provides treatment of diseases (in parentheses) caused by infection by Trypanosoma cruzi, Trypanosoma Brucei [trypanosomiasis (African sleeping sickness, Chagas disease)], Leishmania mexicana, Leishmania pifanoi, - Leishmania major (leishmaniasis), Schistosoma mansoni (schistosomiasis), Onchocerca volvulus [onchocerciasis (river blindness)] Brugia pahangi, Entamoeba histolytica, - Giardia lambia, the helminths, Haemonchus contortus and Fasciola hepatica, as well as helminths of the genera Spirometra, Trichinella, Necator and Ascaris, and protozoa of the genera Cryptosporidium, Eimeria, Toxoplasma and Naegleria by inhibiting cysteine proteases of the papain superfamily by administering to a patient in need thereof, particularly an animal, more particularly a mammal, most particularly a human being, one or more of the above-listed compounds.

Most particularly, the present invention provides a method of treating malaria, caused by infection with Plasmodium falciparum, by the inhibition of falcipain by administering to a patient in need thereof, particularly an animal, more particularly a mammal, most particularly a human being, one or more of the above-listed compounds. The present method may be practiced by administering the above-listed compounds alone or in combination, with each other, or with other therapeutically effective compounds.

This invention further provides a method for treating osteoporosis or inhibiting bone loss which comprises internal administration to a patient of an effective amount of a compound of Formula I, alone or in combination with other inhibitors of bone resorption, such as bisphosphonates (i.e., allendronate), hormone replacement therapy, anti-estrogens, or calcitonin. In addition, treatment with a compound of this invention and an anabolic agent, such as bone morphogenic protein, iproflavone, may be used to prevent bone loss or to increase bone mass. For acute therapy, parenteral administration of a compound of Formula I is preferred. An intravenous infusion of the compound in 5% dextrose in water or normal saline, or a similar formulation with suitable excipients, is most effective, although an intramuscular bolus injection is also useful. Typically, the parenteral dose will be about 0.01 to about 100 mg/kg; preferably between 0.1 and 20 mg/kg, in a manner to maintain the concentration of drug in the plasma at a concentration effective to inhibit cathepsin K. The compounds are administered one to four times daily at a level to achieve a total daily dose of about 0.4 to about 400 mg/kg/day. The precise amount of an inventive compound which is therapeutically effective, and the route by which such compound is best administered, is readily determined by one of ordinary skill in the art by comparing the blood level of the agent to the concentration required to have a therapeutic effect.

The compounds of this invention may also be administered orally to the patient, in a manner such that the concentration of drag is sufficient to inhibit bone resorption or to achieve any other therapeutic indication as disclosed herein. Typically, a pharmaceutical composition containing the compound is administered at an oral dose of between about 0.1 to about 50 mg/kg in a manner consistent with the condition of the patient. Preferably the oral dose would be about 0.5 to about 20 mg/kg.

No unacceptable toxicological effects are expected when compounds of the present invention are administered in accordance with the present invention. Bioassay

The compounds of this invention may be tested in one of several biological assays to determine the concentration of compound which is required to have a given pharmacological effect. Determination of cathepsin K proteolytic catalytic activity All assays for cathepsin K were carried out with human recombinant enzyme.

Standard assay conditions for the determination of kinetic constants used a fluorogenic peptide substrate, typically Cbz-Phe-Arg-AMC, and were determined in 100 mM Na acetate at pH 5.5 containing 20 mM cysteine and 5 mM EDTA. Stock substrate solutions were prepared at concentrations of 10 or 20 mM in DMSO with 20 uM final substrate concentration in the assays. All assays contained 10% DMSO. Independent experiments found that this level of DMSO had no effect on enzyme activity or kinetic constants. All assays were conducted at ambient temperature. Product fluorescence (excitation at 360 nM; emission at 460 nM) was monitored with a Perceptive Biosystems Cytofluor II fluorescent plate reader. Product progress curves were generated over 20 to 30 minutes following formation of AMC product. Inhibition studies

Potential inhibitors were evaluated using the progress curve method. Assays were carried out in the presence of variable concentrations of test compound. Reactions were initiated by addition of enzyme to buffered solutions of inhibitor and substrate. Data analysis was conducted according to one of two procedures depending on the appearance of the progress curves in the presence of inhibitors. For those compounds whose progress curves were linear, apparent inhibition constants (Kj,_app) were calculated according to equation 1 (Brandt et al., Biochemitsry, 1989, 28, 140):

v = V_mA / [K_a(l + I/K_{i; app}) +A] (1)

where v is the velocity of the reaction with maximal velocity V_m , A is the concentration of substrate with Michaelis constant of K_a, and I is the concentration of inhibitor. For those compounds whose progress curves showed downward curvature characteristic of time-dependent inhibition, the data from individual sets was analyzed to give k_obs according to equation 2:

[AMC] = v_ss t + (v₀ - v_ss) [1 - exp (-k_obst)] / k_obs (2)

where [AMC] is the concentration of product formed over time t, v₀ is the initial reaction velocity and v_ss is the final steady state rate. Values for k_obs were then analyzed as a linear function of inhibitor concentration to generate an apparent second order rate constant (k_0bs / inhibitor concentration or kobs / [I]) describing the time-dependent inhibition. A complete discussion of this kinetic treatment has been fully described (Morrison et al., Adv. Enzymol. Relat. Areas Mol. Biol., 1988, 61, 201). Human Osteoclast Resorption Assay

Aliquots of osteoclastoma-derived cell suspensions were removed from liquid nitrogen storage, warmed rapidly at 37 °C and washed xl in RPMI-1640 medium by centrifugation (1000 rpm, 5 min at 4°C). The medium was aspirated and replaced with murine anti-HLA-DR antibody, diluted 1:3 in RPMI-1640 medium, and incubated for 30 min on ice The cell suspension was mixed frequently. The cells were washed x2 with cold RPMI-1640 by centrifugation (1000 rpm, 5 min at 4°C) and then transferred to a sterile 15 mL centrifuge tube. The number of mononuclear cells were enumerated in an improved Neubauer counting chamber.

Sufficient magnetic beads (5 / mononuclear cell), coated with goat anti-mouse IgG, were removed from their stock bottle and placed into 5 mL of fresh medium (this washes away the toxic azide preservative). The medium was removed by immobilizing the beads on a magnet and is replaced with fresh medium.

The beads were mixed with the cells and the suspension was incubated for 30 min on ice. The suspension was mixed frequently. The bead-coated cells were immobilized on a magnet and the remaining cells (osteoclast-rich fraction) were decanted into a sterile 50 mL centrifuge tube. Fresh medium was added to the bead-coated cells to dislodge any trapped osteoclasts. This wash process was repeated xlO. The bead-coated cells were discarded.

The osteoclasts were enumerated in a counting chamber, using a large-bore disposable plastic pasteur pipette to charge the chamber with the sample. The cells were pelleted by centrifugation and the density of osteoclasts adjusted to 1.5xl0⁴/mL in EMEM medium, supplemented with 10% fetal calf semm and lJg/litre of sodium bicarbonate. 3 mL aliquots of the cell suspension ( per treatment) were decanted into 15 mL centrifuge tubes. These cells were pelleted by centrifugation. To each tube 3 mL of the appropriate treatment was added (diluted to 50 uM in the EMEM medium). Also included were appropriate vehicle controls, a positive control (87MEM1 diluted to 100 ug/mL) and an isotype control (IgG2a diluted to 100 ug/mL). The tubes were incubate at 37°C for 30 min.

Then 0.5 mL aliquots of the cells were seeded onto sterile dentine slices in a 48-well plate and incubated at 37°C for 2 h. Each treatment was screened in quadruplicate. The slices were washed in six changes of warm PBS (10 mL / well in a 6-well plate) and then placed into fresh treatment or control and incubated at 37°C for 48 h. The slices were then washed in phosphate buffered saline and fixed in 2% glutaraldehyde (in 0.2M sodium cacodylate) for 5 min., following which they were washed in water and incubated in buffer for 5 min at 37°C. The slices were then washed in cold water and incubated in cold acetate buffer / fast red garnet for 5 min at 4°C. Excess buffer was aspirated, and the slices were air dried following a wash in water.

The TRAP positive osteoclasts were enumerated by bright-field microscopy and were then removed from the surface of the dentine by sonication. Pit volumes were determined using the Nikon/Lasertec ILM21W confocal microscope. General

Formulations

This invention also provides a pharmaceutical composition which comprises a compound according to Formula I and a pharmaceutically acceptable carrier, diluent or excipient. Accordingly, the compounds of Formula I may be used in the manufacture of a medicament. Pharmaceutical compositions of the compounds of Formula I prepared as hereinbefore described may be formulated as solutions or lyophilized powders for parenteral administration. Powders may be reconstituted by addition of a suitable diluent or other pharmaceutically acceptable carrier prior to use. The liquid formulation may be a buffered, isotonic, aqueous solution. Examples of suitable diluents are normal isotonic saline solution, standard 5% dextrose in water or buffered sodium or ammonium acetate solution. Such formulation is especially suitable for parenteral administration, but may also be used for oral administration or contained in a metered dose inhaler or nebulizer for insufflation. It may be desirable to add excipients such as polyvinylpyrrolidone, gelatin, hydroxy cellulose, acacia, polyethylene glycol, mannitol, sodium chloride or sodium citrate. Alternately, these compounds may be encapsulated, tableted or prepared in an emulsion or syrup for oral administration. Pharmaceutically acceptable solid or liquid carriers may be added to enhance or stabilize the composition, or to facilitate preparation of the composition. Solid carriers include starch, lactose, calcium sulfate dihydrate, terra alba, magnesium stearate or stearic acid, talc, pectin, acacia, agar or gelatin. Liquid carriers include syrup, peanut oil, olive oil, saline and water. The carrier may also include a sustained release material such as glyceryl monostearate or glyceryl distearate, alone or with a wax. The amount of solid carrier varies but, preferably, will be between about 20 mg to about 1 g per dosage unit. The pharmaceutical preparations are made following the conventional techniques of pharmacy involving milling, mixing, granulating, and compressing, when necessary, for tablet forms; or milling, mixing and filling for hard gelatin capsule forms. When a liquid carrier is used, the preparation will be in the form of a syrup, elixir, emulsion or an aqueous or non-aqueous suspension. Such a liquid formulation may be administered directly p.o. or filled into a soft gelatin capsule. For rectal administration, the compounds of this invention may also be combined with excipients such as cocoa butter, glycerin, gelatin or polyethylene glycols and molded into a suppository. Synthetic Methods and Techniques

Coupling methods to form amide bonds herein are generally well known to the art. The methods of peptide synthesis generally set forth by Bodansky et al., THE PRACTICE OF PEPTIDE SYNTHESIS, Springer-Verlag, Berlin, 1984; E. Gross and J. Meienhofer, THE PEPTIDES, Vol. 1, 1-284 (1979); and J.M. Stewart and J.D. Young, SOLID PHASE PEPTIDE SYNTHESIS, 2d Ed., Pierce Chemical Co., Rockford, 111., 1984. are generally illustrative of the technique and are incorporated herein by reference. Synthetic methods to prepare the compounds of this invention frequently employ protective groups to mask a reactive functionality or minimize unwanted side reactions. Such protective groups are described generally in Green, T.W, PROTECTIVE GROUPS IN ORGANIC SYNTHESIS, John Wiley & Sons, New York (1981). The term "amino protecting groups" generally refers to the Boc, acetyl, benzoyl, Fmoc and Cbz groups and derivatives thereof as known to the art. Methods for protection and deprotection, and replacement of an amino protecting group with another moiety are well known.

Acid addition salts of the compounds of Formula I are prepared in a standard manner in a suitable solvent from the parent compound and an excess of an acid, such as hydrochloric, hydrobromic, hydrofluoric, sulfuric, phosphoric, acetic, trifluoroacetic, maleic, succinic or methanesulfonic. Certain of the compounds form inner salts or zwitterions which may be acceptable. Cationic salts are prepared by treating the parent compound with an excess of an alkaline reagent, such as a hydroxide, carbonate or alkoxide, containing the appropriate cation; or with an appropriate organic arnine. Cations such as Li- ⁺, Na⁺, K⁺, Ca*^"1", Mg⁺ and NH4⁺ are specific examples of cations present in pharmaceutically acceptable salts. Halides, sulfates, phosphates, alkanoates (such as acetate and trifluoroacetate), benzoates, and sulfonates (such as mesylate) are examples of anions present in pharmaceutically acceptable salts.

Nuclear magnetic resonance spectra were recorded at either 250 or 400 MHz using, respectively, a Bruker AM 250 or Bruker AC 400 spectrometer. CDC1₃ is deuteriochloroform, DMSO-d₆ is hexadeuteriodimethylsulfoxide, and CD₃OD is tetradeuteriomethanol. Chemical shifts are reported in parts per million (d) downfield from the internal standard tetramethylsilane. Abbreviations for NMR data are as follows: s = singlet, d = doublet, t = triplet, q = quartet, m = multiplet, dd = doublet of doublets, dt = doublet of triplets, app = apparent, br = broad. J indicates the NMR coupling constant measured in Hertz. Continuous wave infrared (E ) spectra were recorded on a Perkm-Elmer 683 infrared spectrometer, and Fourier transform infrared (FTIR) spectra were recorded on a Nicolet Impact 400 D infrared spectrometer. IR and FTIR spectra were recorded in transmission mode, and band positions are reported in inverse wavenumbers (cm^"1). Mass spectra were taken on either VG 70 FE, PE Syx API III, or VG ZAB HF instruments, using fast atom bombardment (FAB) or electrospray (ES) ionization techniques. Elemental analyses were obtained using a Perkin-Elmer 240C elemental analyzer. Melting points were taken on a Thomas-Hoover melting point apparatus and are uncorrected. All temperatures are reported in degrees Celsius.

Analtech Silica Gel GF and E. Merck Silica Gel 60 F-254 thin layer plates were used for thin layer chromatography. Both flash and gravity chromatography were carried out on E. Merck Kieselgel 60 (230-400 mesh) silica gel.

Where indicated, certain of the materials were purchased from the Aldrich Chemical Co., Milwaukee, Wisconsin, Chemical Dynamics Corp., South Plainfield, New Jersey, and Advanced Chemtech, Louisville, Kentucky. Specific Examples

Unless otherwise indicated, all of the starting materials were obtained from commercial sources. Without further elaboration, it is believed that one skilled in the art can, using the preceding description, utilize the present invention to its fullest extent. These Examples are given to illustrate the invention, not to limit its scope. Reference is made to the claims for what is reserved to the inventors hereunder. The following Scheme I illustrates one process for preparing the compounds of this invention.

Scheme 1

H

1) TFA

2) 2-Benzofurancarboxylic acid, HOBt, EDC, i-Pr₂NEt

(66% for two steps)

3) Dess-Martin Periodinane, 96%

The l,2,5,8,9,9a-hexahydropyrrolo[l,2- ]azepin-3-one is prepared from the known starting material 5-(hydroxymethyl)-2-pyrrolidinone (Aldrich). The hydroxy group is sulfonylated with toluene sulfonyl chloride which is reacted with allyl Grignard with a copper (IT) catalyst or a similar allyl organometallic reagent, allylation with allyl bromide or similar allyl halide, and olefin metathesis with Grabbs' catalyst to obtain the [l,2- ]azepin-

2-one. Epoxidation with trifluoroacetone and oxone affords a mixture of epoxides that are separated by column chromotography. Each epoxide is converted into an amino alcohol by opening with sodium azide followed by reduction with triphenylphosphine in the presence of water. Acylation of the free amine with Boc-leucine and a coupling reagent such as HBTU or EDC. Deprotection of the Boc groups with an acid (TFA) and acylation with a variety of aromatic carboxylic acids and coupling reagents such as HOBt or EDC gives the intermediate alcohols. Final oxidation with Dess-Martin periodinane and HPLC affords the desired ketones.

Alternatively, preparing the amides that are the penultimate and ultimate compounds in Scheme I can be effected by using the chemistries set out in co-pending PCT application PCT/USO 1/07094 published 27 September 2001 as WO/0170232. It is incorporated herein by reference in full.

Example 1 Preparation of Benzofuran-2-carboxylic acid [(S)-l-((7S,9aR)-3,6-dioxo-octahydro- pyrrolo[l,2-a]azepin-7-ylcarbamoyl)-3-methyl-butyl]-amide

la. Toluene-4-sulfonic acid (S)-5-oxo-pyrrolidin-2-ylmethyl ester

To a solution of (S)-(+)-5-(hydroxymethyl)-2-pyrrolidinone (6.0 g, 52.1 mmol) in CH₂C1₂ (260 ml) was added toluenesulfonyl chloride (9.94 g, 52.1 mmol), triethylamine (7.26 ml), and DMAP (6.37 g, 52.1 mmol) at 0 °C. After 10 min at 0 °C, the reaction solution was warmed up to room temperature (rt) and stirred for 12 hr at it. The reaction mixmre was quenched with cold IN. HC1 (200 ml) and extracted with CH₂C1₂ (another 150 ml). The combined organic layer was washed with sat'd NaHCO₃ (200 ml) and brine (200 ml) followed by drying over MgS0 and filtration. After evaporation under the reduced pressure, the resultant yellowish solid was recrystalized by CH₂C1₂/Hexane to give 12.0 g (86%) of product as white solid; ^!H NMR (CDC1₃): δ 1.69-1.82 (m, 1H), 2.16-2.37 (m, 3H), 2.49 (s, 3H), 3.80-3.99 (m, 2H), 4.09 (dd, J = 9.8, 3.6 Hz, 1H), 5.73 (brs, 1H), 7.40 (d, J = 8.2 Hz, 2H), 7.81 (d, J = 8.3 Hz, 2H); LCMS: 269.8 (MH⁺).

lb. (R)-5-But-3-enyl-pyrrolidin-2-one

To a suspension of toluene-4-sulfonic acid (S)-5-oxo-pyrrolidin-2-ylmethyl ester (1 g, 3.72 mmol) in THF (10 ml) was added Li₂CuCl₄(7.43 ml, 0.1M in THF, Aldrich) at 0 °C. The reaction mixture turned to clear orange solution. Allylmagnesium chloride (6.5 mL, 2M in THF, Aldrich) was dropwisely added to the above reaction mixmre during 3 min. During' the addition, the orange color was disappeared, and turned to green, and then black. After stirring for 30 min at 0 °C, the reaction mixmre was warmed up to rt and stirred for 3 hr. The reaction mixmre was quenched with sat'd NH₄C1 (200 ml) and extracted with EtOAc (150 ml x 5). The combined organic layer was washed with sat'd NH C1 (200 ml) and brine (200 ml) followed by drying over MgSO and filtration. After evaporation under the reduced pressure, the residue was purified by flash column chromatograph on silica gel (60% to 80% EtOAc/Hex) to give 291 mg (56%) of product; Η NMR (CDC1₃): δ 1.54-1.19 (m, 3H), 2.07-2.18 (m, 2H), 2.24-2.45 (m, 3H), 3.62-3.77 (m, 1H), 4.98-5.12 (m, 2H), 5.71-5.96 (m, 2H); LCMS: 140.0 (MH⁺).

lc. (R)-l-Allyl-5-but-3-enyl-pyrrolidin-2-one To a solution of (R)-5-but-3-enyl-pyrrolidin-2-one (2.39 g, 17.2 mmol) in DMF (40 ml) was added NaH (620 mg, 25.8 mmol). After 10 min, allyl bromide was added and stirred for 20 min at 0 °C. After removal of DMF in vacuo, cold IN HC1 (150 ml) was added to the residue and extracted with EtOAc (150 ml X 2). The combined organic layer was washed with sat'd NaHC0 (200 ml) and brine (200 ml) followed by drying over MgSO₄ and filtration. After evaporation under the reduced pressure, the residue was purified by flash column chromatograph on silica gel (20% EtOAc/Hex) to give 3.0g (98%) of product; 'H NMR (CDC1₃): δ 1.33-1.50 (m, 1H), 1.60-1.92 (m, 2H), 1.94-2.24 (m, 3H), 2.29-2.52 (m, 2H), 3.45-3.68 (m, 2H), 4.21-4.40 (m, 1H), 4.95-5.30 (m, 4H), 5.67-5.90 (m, 2H); LCMS: 180.2 (MH⁺).

1 d. (R)- 1,2,5, 8 ,9,9a-Hexahydropyrrolo [ 1 ,2-ά] azepin-3-one

(R)-l-Allyl-5-but-3-enyl-pyrrolidin-2-one (3.05 g, 17.04 mmol) was dissolved in CH₂C1₂ (170 ml) and a stream of argon gas was bubbled into the reaction mixmre for 5 minutes. Then bis(tricyclohexylphosphine)benzylidine rathenium(IV) dichloride (Strem Chemicals, Grabbs' catalyst, 98 mg, 0.12 mmol) was added and the reaction mixture was refluxed for 4 hr. Additional bis(tricyclohexylphosphine)benzylidine ruthenium (IN) dichloride (98mg, 0.12 mmol) was added and the reaction mixmre was refluxed for an additional 3 hr. The reaction mixture was cooled to rt under argon, then was concentrated in vacuo by rotary evaporation, then was chromatographed on silica gel (30%, 50%, and then 70% EtOAc/ hexanes) to give the desired product (2.10 g, 82%); *H ΝMR (CDC1₃): δ 1.64- 1.73 (m, 2H), 2.03-2.48 (m, 6H), 3.42 (d, J = 16.8 Hz, 1H), 3.84-3.92 (m, 1H), 4.54 (dd, J = 16.9, 6.8 Hz, 1H), 5.70-5.80 (m, 2H); LCMS: 152.2 (MH⁺). le. (3S,5R,8R)-4-Oxa-l-azatricyclo[6.3.0.0 ^3,5]undecan-ll-one

To a solution of (R)-l,2,5,8,9,9a-hexahydro-pyrrolo[l,2-α]azepin-3-one (2.1 g, 13.9 mmol) in acetonitrile (84ml) water (42 ml) were added CF₃COCH₃ (14 ml, 111.2 mmol) and NaHCO3 (4.67 g, 55.6 mmol) at 0 °C. Oxone (17.09 g, 27.8 mmol) was slowly added to the reaction mixmre during 10 min. After stirring for 1.5 hr at 0 °C, the volume of reaction mixture was reduced to about 1/3 under the reduced pressure. H₂O (100 ml) was added to the residue and extracted with CH₂C1₂ (100 ml X 4). The combined organic layer was washed with 20% aq. Na₂S₂O₃ (200 ml), sat'd NaHCO₃ (200 ml), and brine (200 ml) and dried over MgSO₄. After evaporation under the reduced pressure, the residue was purified by flash column chromatograph on silica gel (50% to 70% EtOAc/Hex) to give 596 mg (26%) of the desired epoxide along with 1.15 g (50%) of the undesired epoxide; ^!H NMR (CDC1₃): δ 1.61-1.79 (m, 3H), 1.90-2.01 (m, 1H), 2.08-2.56 (m, 4H), 3.04-3.17 (m, 3H), 3.26-3.38 (m, 1H), 4.75 (dd, J = 15.4, 4.2 Hz, 1H); LCMS: 168.0 (MH⁺).

If. (6S,7S,9aR)-7-Azido-6-hydroxy-octahydro-pyrrolo[l,2-α]azepin-3-one

To a solution of (3S,5R,8R)-4-oxa-l-aza-tricyclo[6.3.0.0^3,5]undecan-l 1-one (390 mg, 2.3 mmol) in MeOH(10 ml) H₂O (1 ml) were added NaN₃ (455 mg, 7.0 mmol) and NH₄C1 (375 mg, 7.0 mmol) at rt. The reaction mixture was heated to reflux for 18 hr. After cooling down to rt, the reaction mixture was evaporated under the reduced pressure and added silica gel (10 g). The resultant residue on silica gel was subjected to flash column chromatography on silica gel (2% MeOH/ CH₂Cl₂)to give 400 mg (83%) of product as white crystal; ^!H NMR (CDC1₃): δ 1.51-2.23 (m, 6H), 2.38-2.54 (m, 2H), 3.06 (d, J = 15.2 Hz, 1H), 3.71-3.96 (m, 3H), 4.08 (dd, 1H); LCMS: 211.0 (MH⁺).

1 g. [(S)- 1 -((6S ,7S ,9aR)-6-Hydroxy-3-oxo-octahydro-pyrrolo[ 1 ,2-a] azepin-7-ylcarbamoyl)- 3-methyl-butyl]-carbamic acid tert-butyl ester

Triphenylphosphine (369 mg, 1.407 mmol) was added to a solution of (6S,7S,9aR)- 7-azido-6-hydroxy-octahydro-pyrrolo[l,2- ]azepin-3-one (197 mg, 0.938 mmol) in THF (15 ml) and H₂O (0.06 ml), then was heated to 45 °C for overnight. The reaction mixture was evaporated and then diluted with toluene (100 ml x 2) and was azeotroped in vacuo by rotary evaporation twice. After drying under the vacuum, the residue was dissolved in DMF (4ml) followed by the addition of Boc-Leucine-hydrate (255 mg, 1.02 mmol), 1- hydroxybenzotriazole (151 mg, 1.12 mmol), l-(3-dimethylaminopropyl)-3- ethylcarbodiimide HC1 (214 mg, 1.12 mmol), and diisopropylethylamine (0.24 ml, 1.40 mmol). The reaction mixture was stirred for overnight at rt, and DMF was removed under the reduced pressure, then was diluted with EtOAc (100 ml), washed with cold IN HCl (100 ml), sat'd NaHC0₃ (100 ml), and brine (100 ml), dried over magnesium sulfate, filtered, concentrated in vacuo by rotary evaporation, and chromatographed on silica gel (2% to 5% MeOH/CH₂Cl₂) to yield the title compound (270 mg, 73% for two steps); H NMR (CDC1₃): δ 0.95 (d, J = 6.5 Hz, 3H), 0.96 (d, J = 6.8 Hz, 3H), 1.46 (s, 9H), 1.52-1.78 (m, 6H), 1.82- 1.96 (m, 2H), 2.12-2.20 (m, IH), 2.34-2.51 (m, 2H), 3.16 (d, IH), 3.63-4.09 (m, 5H), 4.85 (brs, IH), 6.58 (brs, IH); LCMS: 398.2 (MH⁺).

lh. Benzofuran-2-carboxylic acid [(S)-l-((6S,7S,9aR)-6-hydroxy-3-oxo-octahydro- pyrrolo[ 1 ,2-a]azepin-7-ylcarbamoyl)-3-methyl-butyl]-amide

Trifluoroacetic acid (2 ml) was added to a solution of [(S)-l-((6S,7S,9aR)-6- hydroxy-3-oxo-octahydro-pyrrolo[l,2- ]azepin-7-ylcarbamoyl)-3-methyl-butyl]-carbamic acid tert-butyl ester (158 mg, 0.4 mmol) in CH₂C1₂ (2 ml) at rt. The reaction mixture was stirred for 1 hr at rt, then was concentrated under the reduced pressure After drying under the vacuum, the residue was dissolved in DMF (3ml) followed by the addition of benzofuran-2-carboxylic acid (76 mg, 0.47 mmol), hydroxybenztriazole (69 mg, 0.51 mmol), l-(3-dimethylaminopropyl)-3-ethylcarbodiimide HCl (97 mg, 0.51 mmol), and diisopropylethylamine (0.18 ml, 1.03 mmol). The reaction mixmre was stirred for overnight at rt, and DMF was removed under the reduced pressure, then was diluted with EtOAc (70 ml), washed with cold IN HCl (50 ml), sat'd NaHCO₃ (50 ml), and brine (50 ml), dried over magnesium sulfate, filtered, concentrated in vacuo by rotary evaporation, and chromatographed on silica gel (2% to 5% MeOH/ CH₂C1₂) to yield the title compound (116 mg, 66% for two steps); ^JH NMR (CDC1₃): δ 0.99 (d, J = 6.3 Hz, 3H), 1.01 (d, J = 6.3 Hz, 3H), 1.50-1.96 (m, 8H), 2.10-2.20 (m, IH), 2.38-2.53 (m, 2H), 3.19 (d, J = 14.2 Hz, IH), 3.66-3.75 (m, IH), 3.81-3.93 (m, 2H), 4.10 (d, J = 15.2 Hz, IH), 4.58-4.65 (m, IH), 6.66 (brs, IH), 7.01 (d, J = 8.1 Hz, IH), 7.31-7.56 (m, 4H), 7.70 (d, J = 7.6 Hz, IH); LCMS: 442.2 (MIT).

li. Benzofuran-2-carboxylic acid [(S)-l-((7S,9aR)-3,6-dioxo-octahydro-pyrrolo[l,2-α- ]azepin-7-ylcarbamoyl)-3-methyl-butyl]-amide

Dess-Martin periodinane (143 mg, 0.337 mmol) was added to a solution of benzofuran-2-carboxylic acid [(S)-l-((6S,7S,9aR)-6-hydroxy-3-oxo-octahydro-pyrrolo[l,2~ α]azepin-7-ylcarbamoyl)-3-methyl-butyl]-amide (99 mg, 0.224 mmol) in CH₂C1₂ (2 ml) at rt. After stirring for 1 hr at rt, the reaction was quenched by 20% aq. Na₂S₂O₃ (10 ml) and added additional 10 ml of CH₂C1₂. The water layer was extracted with CH₂C1₂ (10 ml). The combined organic layer was washed with sat'd NaHCO3 (20 ml) and brine (20 ml), then dried over MgSO . After evaporation under the reduced pressure, the residue was purified by flash column chromatograph on silica gel (2% MeOH/CH₂Cl₂) to give 94 mg (96%) of the title compound; Η NMR (CDC1₃): δ 1.01 (d, J = 5.5 Hz, 6H), 1.60-2.80 (m, 1 IH), 3.53- 3.60 (m, 2H), 4.59-4.72 (m, 2H), 4.99 (d, J = 19.3 Hz, IH), 7.03 (d, IH), 7.09 (d, IH), 7.29- 7.60 (m, 4H), 7.70 (d, J = 7.6 Hz, IH); LCMS: 440.2 (MH⁺).

Example 2 Preparation of Benzofuran-2-carboxylic acid [(S)-l-((7S,9aS)-3,6-dioxo-octahydro- pyrrolo[l ,2- ]azepin-7-ylcarbamoyl)-3-methyl-butyl]-amide

Following the procedure of Example 1 (h), except substituting (R)-(-)-5- (hydroxymethyl)-2-pyrrolidinone for (S)-(+)-5-(hydroxymethyl)-2-pyrrolidinone gave the title compound; IH NMR (CDC1₃, 400 MHz) δ 1.01 (d, J = 6.3 Hz, 3H), 1.03 (d, J = 6.3 Hz, 3H), 1.60-2.05 (m, 8H), 2.14-2.30 (m, IH), 2.36-2.48 (m, IH), 2.60-2.74 (m, IH), 3.49 (d, J = 15.9 Hz, IH), 3.67-3.78 (m, IH), 4.49-4.54 (m, IH), 4.56-4.74 (m, IH), 4.84 (d, J = 15.8 Hz, IH), 6.96 (d, J = 8.0 Hz, IH), 7.09 (d, IH), 7.31-7.57 (m, 4H), 7.70 (d, J = 7.7 Hz, IH); LCMS: 440.0 (MH⁺).Example 3Preparation of thieno[3,2-b]thiophene-2-carboxylic acid [(S)-l-((7S,9aR)-3,6-dioxo-octahydro-pyrrolo[l,2-a

Example 3 Preparation of thieno[3,2-b]thiophene-2-carboxylic acid [(S)-l-((7S,9aR)-3,6-dioxo- octahydro-pyrrolo[l,2- ]azepin-7-ylcarbamoyl)-3-methyl-butyl]-amide

Following the procedure of Example 1 (a), except substituting "thieno[3,2-b] thiophene-2-carboxylic acid" for "benzofuran-2-carboxylic acid" gave the title compound; ¹-

H NMR (CDC1₃, 400 MHz) δ 1.00 (d, J = 4.8 Hz, 3H), 1.01 (d, J = 4.8 Hz, 3H), 1.45-1.69 (m, 6H), 1.86-1.97 (m, 2H), 2.26-2.42 (m, 3H), 2.64-2.68 (m, IH), 3.60 (d, J = 18.8 Hz, IH), 3.50-3.63 (m, IH), 4.60-4.73 (m, IH), 5.00 (d, J = 19.3 Hz, IH), 6.58 (d, IH), 6.97 (d, IH), 7.29 (d, 4.4 Hz, IH), 7.57 (d, J = 4.4 Hz, IH), 7.78 (s, IH); LCMS: 461.8 (MH⁺).

Claims

What is claimed is:

1. A compound of Formula I.

wherein Ri is:

wherein in formula (B) n is an integer from 1 to 5;

R₃ is H, Cι.₆alkyl, C₃.₆cycloalkyl-C₀.₆alkyl, C₂-₆alkenyl, C₂.₆alkynyl, HetCo-βalkyl, ArC₀.₆alkyl, Ar-ArC₀.₆alkyl, Ar-HetC₀.₆alkyl, Het-ArC₀.₆alkyl, or Het-HetC₀.₆alkyl;

R₃ and R' may be connected to form a pyrrolidine, piperidine or morpholine ring;

R is Cι.₆alkyl, C₃.₆cycloalkyl-C₀-₆alkyl, Ar-C₀.₆alkyl, Het-C₀.₆alkyl, R₅C(0)-, R₅- C(S)-, Rι₄SO₂-, R₅OC(O)-, R₅R₁₂NC(O)-, or R₅R₁₂NC(S)-;

R₅ is H, Cι.₆alkyl, C₂.₆alkenyl, C₂.₆alkynyl, C₃.₆cycloalkyl-C₀-₆alkyl, C₂.₆-alkanonyl, Ar-Co-ealkyl, Het-C₀.₆alkyl, Ar-ArC₀-₆alkyl, Ar-HetC₀.₆alkyl, Het-ArC₀-₆alkyl, or Het-HetC₀. ealkyl;

Re is H, or C_halky!;

R₁₂ is H, Cι.₆alkyl, Ar-Co-βalkyl, or Het-Co-βalkyl; R'is H, Cι.₆alkyl, Ar-C₀.₆alkyl, or Het-C₀-₆alkyl; R" is H, Cj-ealkyl, Ar-Co-ealkyl, or Het-C₀-₆alkyl; W = W' = which is O, S or CH₃;

Y is H, CH₃ or CH₂Ph; or a pharmaceutically acceptable salt, hydrate or solvate thereof. A compound according to claim 1 wherein Ri is 1(A)

3. A compound according to claim 1 wherein W is oxygen, X is CH₂ and Y is hydrogen.

4. A compound according to claim 2 wherein R₃ is Cι„₆alkyl, C₃.₆cycloalkyl-C₀.₆alkyl, or ArC_o.₆alkyl.

5. A compound according to claim 2 wherein R₃ is H, methyl, ethyl, n-propyl, prop-2- yl, n-butyl, isobutyl, but-2-yl, cyclopropylmethyl, cyclohexylmethyl, 2-methanesulfinyl- ethyl, 1-hydroxyethyl, toluyl, naphthalen-2-ylmethyl, benzyloxymethyl, and hydroxymethyl.

6. A compound according to claim 2 wherein R₃ is toluyl, isobutyl or cyclohexylmethyl.

7. A compound according to claim 2 wherein R₃ is isobutyl.

8. A compound according to claim 1 wherein _t is R₅C(O)-, R₅C(S)-, Rι₄S0₂-.

9. A compound according to claim 8 wherein R₅ is C₂-₆alkenyl, C₃.

₆cycloalkyl-Co.₆alkyl, C₂.₆-alkanonyl, Ar-Co-βalkyl, or Het-C₀.₆alkyl.

10. A compound according to claim 9 wherein R₅ is: methyl, halogenated methyl, Q-β alkoxy and aryloxy substituted methyl, heterocycle substituted methyl; butyl, aryl substimted butyl; isopentyl; cyclohexyl; butenyl, aryl substituted butenyl; pentanonyl; phenyl, phenyl substituted with one or more halogens, phenyl substituted with one or more Cι-₆alkoxy groups, phenyl substimted with one or more sulfonyl groups; benzyl; naphthylenyl; benzo[l,3]dioxolyl; furanyl, halogen substituted furanyl, aryl substituted furanyl; tetrahydrofuranyl; benzofuranyl, Ci-βalkoxy substituted benzofuranyl, halogen substimted benzofuranyl, Ci-βalkyl substimted benzofuranyl; benzo[b]thiophenyl, -β alkoxy substituted benzo[b]thiophenyl; quinolinyl; quinoxalinyl; 1,8-naphthyridinyl; indolyl, Ci-galkyl substituted indolyl; pyridinyl, Cι_₆alkyl substimted pyridinyl, 1-oxy-pyridinyl; furo[3,2-b]pyridinyl, Cι.₆alkyl substimted furo[3,2-b]pyridinyl; thiophenyl, Ci-βalkyl substituted thiophenyl, halogen substituted thiophenyl; thieno[3,2-6]thiophenyl; isoxazolyl, Ci-βalkyl substituted isoxazolyl; or oxazolyl.

11. A compound according to claim 10 wherein R₅ is: 4-pentanonyl; naphthylen-2-yl; benzo[l ,3]dioxol-5-yl, tetrahydrofuran-2-yl furan-2-yl; benzofuran-2-yl; benzo[b]thiophen-2-yl; quinolin-2-yl, quinohn-3-yl, quinolin-4-yl, quinolin-6-yl, and quinolin-8-yl; quinoxalin-2-yl;

1 ,8-naphthyridin-2-yl; indol-3-yl, indol-5-yl; pyridin-2-yl , pyridin-5-yl; furo[3,2-b]pyridin-2-yl; thiophen-3-yl; thieno[3,2-E]thiophene-2-yl; isoxazol-4-yl; or oxazol-4-yl.

12. A compound according to claim 1 wherein formula 1 is

wherein Re is hydrogen.

13. A compound according to claim 12 which is: benzofuran-2-carboxylic acid [(S)- 1 -((7S ,9aR)-3,6-dioxo-octahydro-pyrrolo[ 1 ,2-a- ]azepin-7-ylcarbamoyl)-3-methyl-butyl]-amide; benzofuran-2-carboxylic acid [(S)- 1 -((7S ,9aS)-3,6-dioxo-octahydro-pyrrolo [ 1 ,2-a- ]azepin-7-ylcarbamoyl)-3-methyl-butyl]-amide, thieno[3 ,2-b] thiophene-2-carboxylic acid [(S)- 1 -((7S ,9aR)-3 ,6-dioxo-octahydro- pyrrolo[l,2-a]azepin-7-ylcarbamoyl)-3-methyl-butyl]-amide or a pharmaceutically acceptable salt thereof.

14. A pharmaceutical preparation comprising a compound according to claim 1 and a pharmaceutically acceptable excipient.

15. A method for inhibiting a protease comprising administering to a patient in need thereof an effective amount of a compound according to claim 1.

16. A method according to Claim 15 wherein said protease is selected from the group consisting of a cysteine protease and a serine protease.

17. A method according to Claim 15 wherein said protease is a cysteine protease.

18. A method according to Claim 17 wherein said cysteine protease is cathepsin K.

19. A method according to claim 17 wherein the cysteine protease is falcipain.

20. A method of treating a disease characterized by bone loss comprising inhibiting said bone loss by administering to a patient in need thereof an effective amount of a compound according to claim 1.

21. A method according to Claim 20 wherein said disease is osteoporosis.

22. A method according to Claim 20 wherein said disease is periodontitis.

23. A method according to Claim 20 wherein said disease is gingivitis.

24. A method of treating a disease characterized by excessive cartilage or matrix degradation comprising inhibiting said excessive cartilage or matrix degradation by administering to a patient in need thereof an effective amount of a compound according to claim 1.

25. A method according to Claim 24 wherein said disease is osteoarthritis.

26. A method according to Claim 24 wherein said disease is rheumatoid arthritis.

27. A method of treating a disease characterized by infection by a parasite selected from the group consisting of: Plasmodiumfalciparum, Trypanosoma cruzi, Trypanosoma Brucei, Leishmania mexicana, Leishmania pifanoi, Leishmania major, Schistosoma mansoni, Onchocerca volvulus, Brugia pahangi, Entamoeba histolytica, Giardia lamblia, the helminths Haemonchus contortus and Fasciola hepatica, the helminths of the genera Spirometra, Trichmella, Necator and Ascaris, and protozoa of the genera Cryptosporidium, Eimeria, Toxoplasma and Naegleria, comprising inhibiting expression of a cysteine protease causing said disease by administering to a patient in need thereof an effective amount of a compound according to claim 1.

28. A method according to Claim 27 wherein said disease is selected from the group consisting of: malaria, trypanosomiasis (African sleeping sickness, Chagas disease), leishmaniasis, schistosomiasis, onchocerciasis (river blindness) and giardiasis.

29. A process for the synthesis of a compound according to claim 1 comprising the step of oxidizing a compound of formula II

where W = W is oxygen, X is CH₂ and Y is H, with an oxidizing agent to provide compounds of formula I as a mixture of diastereomers.

30. The process of claim 29 wherein the oxidizing agent is sulfur dioxide-pyridine complex of Dess-Martin periodinane.

31. The process of claim 29 further comprising the steps of separating the diasteromers by separating means.

32. The process of Claim 31 wherein said separating means is high presssure liquid chromatography (HPLC).