GB2309696A - Cyclic tetrapeptides having antiprotozoal activity - Google Patents
Cyclic tetrapeptides having antiprotozoal activity Download PDFInfo
- Publication number
- GB2309696A GB2309696A GB9701197A GB9701197A GB2309696A GB 2309696 A GB2309696 A GB 2309696A GB 9701197 A GB9701197 A GB 9701197A GB 9701197 A GB9701197 A GB 9701197A GB 2309696 A GB2309696 A GB 2309696A
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- 230000003071 parasitic effect Effects 0.000 description 1
- 238000007911 parenteral administration Methods 0.000 description 1
- 244000052769 pathogen Species 0.000 description 1
- 230000008506 pathogenesis Effects 0.000 description 1
- 230000001717 pathogenic effect Effects 0.000 description 1
- 231100000255 pathogenic effect Toxicity 0.000 description 1
- 230000007170 pathology Effects 0.000 description 1
- 238000010647 peptide synthesis reaction Methods 0.000 description 1
- 230000000704 physical effect Effects 0.000 description 1
- 229920000768 polyamine Polymers 0.000 description 1
- 229920005862 polyol Polymers 0.000 description 1
- 150000003077 polyols Chemical class 0.000 description 1
- 235000014483 powder concentrate Nutrition 0.000 description 1
- 230000002335 preservative effect Effects 0.000 description 1
- 150000003141 primary amines Chemical class 0.000 description 1
- MFDFERRIHVXMIY-UHFFFAOYSA-N procaine Chemical compound CCN(CC)CCOC(=O)C1=CC=C(N)C=C1 MFDFERRIHVXMIY-UHFFFAOYSA-N 0.000 description 1
- 229960004919 procaine Drugs 0.000 description 1
- 102000004196 processed proteins & peptides Human genes 0.000 description 1
- 239000000047 product Substances 0.000 description 1
- 229940043274 prophylactic drug Drugs 0.000 description 1
- 230000000069 prophylactic effect Effects 0.000 description 1
- 150000003212 purines Chemical class 0.000 description 1
- 238000007420 radioactive assay Methods 0.000 description 1
- 238000009877 rendering Methods 0.000 description 1
- 230000002441 reversible effect Effects 0.000 description 1
- 238000007363 ring formation reaction Methods 0.000 description 1
- 150000003335 secondary amines Chemical class 0.000 description 1
- 201000002612 sleeping sickness Diseases 0.000 description 1
- 238000002791 soaking Methods 0.000 description 1
- 239000011734 sodium Substances 0.000 description 1
- 229910052708 sodium Inorganic materials 0.000 description 1
- 159000000000 sodium salts Chemical class 0.000 description 1
- 235000019698 starch Nutrition 0.000 description 1
- 238000007920 subcutaneous administration Methods 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 125000001424 substituent group Chemical group 0.000 description 1
- 239000000758 substrate Substances 0.000 description 1
- 239000005720 sucrose Substances 0.000 description 1
- 235000000346 sugar Nutrition 0.000 description 1
- 150000008163 sugars Chemical class 0.000 description 1
- 235000002906 tartaric acid Nutrition 0.000 description 1
- 150000003512 tertiary amines Chemical class 0.000 description 1
- 229960004559 theobromine Drugs 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 239000002562 thickening agent Substances 0.000 description 1
- 238000004448 titration Methods 0.000 description 1
- 230000000699 topical effect Effects 0.000 description 1
- 239000012049 topical pharmaceutical composition Substances 0.000 description 1
- YFTHZRPMJXBUME-UHFFFAOYSA-N tripropylamine Chemical compound CCCN(CCC)CCC YFTHZRPMJXBUME-UHFFFAOYSA-N 0.000 description 1
- LENZDBCJOHFCAS-UHFFFAOYSA-N tris Chemical compound OCC(N)(CO)CO LENZDBCJOHFCAS-UHFFFAOYSA-N 0.000 description 1
- 229960000281 trometamol Drugs 0.000 description 1
- 235000015112 vegetable and seed oil Nutrition 0.000 description 1
- 239000008158 vegetable oil Substances 0.000 description 1
- 229930003231 vitamin Natural products 0.000 description 1
- 235000013343 vitamin Nutrition 0.000 description 1
- 229940088594 vitamin Drugs 0.000 description 1
- 239000011782 vitamin Substances 0.000 description 1
- 239000011701 zinc Substances 0.000 description 1
- 229910052725 zinc Inorganic materials 0.000 description 1
Classifications
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K5/00—Peptides containing up to four amino acids in a fully defined sequence; Derivatives thereof
- C07K5/04—Peptides containing up to four amino acids in a fully defined sequence; Derivatives thereof containing only normal peptide links
- C07K5/12—Cyclic peptides with only normal peptide bonds in the ring
- C07K5/126—Tetrapeptides
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K38/00—Medicinal preparations containing peptides
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y02—TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
- Y02A—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
- Y02A50/00—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
- Y02A50/30—Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change
Landscapes
- Chemical & Material Sciences (AREA)
- Organic Chemistry (AREA)
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biochemistry (AREA)
- Biophysics (AREA)
- General Health & Medical Sciences (AREA)
- Genetics & Genomics (AREA)
- Medicinal Chemistry (AREA)
- Molecular Biology (AREA)
- Proteomics, Peptides & Aminoacids (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
Abstract
A cyclic tetrapeptide, having antiprotozoal activity, is of the formula: -D.C.B.A- wherein: ```A is -NH.CH C(=O)-.(CH2)5.C(=O).CHR9.CH3 wherein: ```R9 is H, OH, OPO3=, OC(O)Ra or OCON(Ra)2 wherein: ```Ra is selected from: (i) C1-C10 alkyl, C3-C10 alkenyl, C3-C10 alkynyl, aryl, C3-C8 cycloalkenyl or C3-C8 cycloalkyl, each of which may be substituted by from 1 to 5 groups independently selected from hydroxy, C1-C6 alkoxy, C3-C7 cycloalkyl, aryl C1-C3 alkoxy and halogen; (ii) C1-C5 perfluoroalkyl; (iii) 5- or 6-membered ring having 1 to 4 heteroatoms selected from O, S and N, optionally substituted by 1 to 4 groups independently selected from C1-C5 alkyl, C2-C5 alkenyl, C1-C5 perfluoroalkyl, amino and halogen, which rings may be saturated or partially unsaturated; ```B and C are Ala, Arg, Asn, Asp, Cys, Gln, Glu, Gly, His, Ile, Leu, Lys, Met, Orn, Phe, Pro, Ser, Thr, Trp, Tyr, Tyr(OCH3). Val, alpha -aminobutyric acid, HyPro, Nle, Nva, ( beta -cyclohexyl)Ala, pipecolic acid and beta -(2-thienyl)Ala; ```D is Pro, pipecolic acid. Gly, Ala, HyPro, alpha -aminobutyric acid, (N-methyl)Ala or (N-methyl)Gly.
Description
TITLE F; OF THE INVENTION ANTIPROTOZOAL CYCLIC TETRAPEPIIDES
CROSS REFERENCE TO RELATED APPLICATIONS
This application is based on, and claims priority from, provisional application no. 60/010,931 filed January 31, 1996.
BACKGROUND OF THE INVENTION
Parasitic protozoa are responsible for a wide variety of infections in man and animals. Many of the diseases are life threatening to the host and cause considerable economic loss in animal husbandry.
For example, malaria remains a significant health threat to humans despite massive international attempts to eradicate the disease; trypanosomiasis such as Chagas disease caused by Trypanosoma cruzi and African sleeping sickness caused by T. brucei are not uncommon in
Africa and South America; and opportunistic infections in immunocompromised hosts caused by Pneumocystis carinEi, Toxoplasma gondii, Cryptosporidium sp. are becoming increasingly significant in the developed countries.
A protozoal infection of great economic importance is coccidiosis, a widespread disease of domesticated animals produced by infections by protozoa of the genus Eimeria. Some of the most significant of Eimeria species are those in poultry namely E. tenella, E.
acervulina, E. necatrix, E. brunetti and E. maxima. The disease is responsible for high levels of morbidity and mortality in poultry and can result in extreme economic losses.
In some protozoal diseases, such as Chagas disease, there is no satisfactory treatment; in others, drug-resistant strains of the protozoa may develop. Accordingly, there exists a continued need to identify new and effective anti-protozoal drugs. However, antiparasitic drug discovery has been, for the most part, a random and laborious process through biological screening of natural products and synthetic compounds against a panel of parasites. This process can be greatly facilitated and made more specific if a target of antiprotozoal drugs can be identified, and incorporated into the screening process.
Histone deacetylase and histone acetyltransferase together control the net level of acetylation of histones. Inhibition of the action of histone deacetylase results in the accumulation of hyperacetylated histones, which in turn is implicated in a variety of cellular responses, including altered gene expression, cell differentiation and cell-cycle arrest. Recently, trichostatin A and trapoxin A have been reported as reversible and irreversible inhibitors, respectively, of mammalian histone deacetylase (see e.g., Yoshida et al., BioEssays, 1995, 17(5):423430). Trichostatin A has also been reported to inhibit partially purified yeast histone deacetylase (Sanchez del Pino et al., Biochem. J., 1994, 303:723-729).Trichostatin A is an antifungal antibiotic and has been shown to have anti-trichomonal activity as well as cell differentiating activity in murine erythroleukemia cells, and the ability to induce phenotypic reversion in sis-transformed fibroblast cells (see e.g. US
Patent 4,218,478; Yoshida et al., BioEssays, 1995, 17(5):423-430 and references cited therein). Trapoxin A, a cyclic tetrapeptide, induces morphological reversion of v-sis-transformed NIH3T3 cells (Yoshida and Sugita, Jap. J. Cancer Res., 1992, 83(4):324-328). The present inventors have found that a number of cyclic tetrapeptides structurally related to trapoxin A are inhibitors of histone deacetylase and also possess antiprotozoal activity.
SUMMARY OF THE INVENTION
The present invention relates to novel cyclic tetrapeptides and pharmaceutical compositions containing said tetrapeptides. The invention also concerns a method for treating protozoal infections by administering to a host suffering from protozoal infection a therapeutically effective amount of a compound that inhibits histone deacetylase.
DETAILED DESCRIPIION OF THE INVENTION
In one aspect, the present invention relates to novel cyclic tetrapeptides having the formula I:
wherein Ais
Rg is H, OH, OPO3=, OC(O)Ra, OC02Ra or OC(O)NRaRa; wherein
Ra is (1) optionally substituted C1-C10 alkyl,
(2) optionally substituted C3-C10 alkenyl,
(3) optionally substituted C3-C10 alkynyl,
(4) optionally substituted aryl,
(5) optionally substituted C3-C8 cycloalkyl
(6) optionally substituted C5-C8 cycloalkenyl
where the substitutents on the alkyl, alkenyl, alkynyl, aryl,
cycloalkyl and cycloalkenyl are from 1 to 5 groups
independently selected from hydroxy, C1-C6 alkoxy, C3
C7 cycloalkyl, aryl Cl-C3 alkoxy and halogen,
(7) C1-C5 perfluoroalkyl, (8) a 5- or 6-membered ring containing 1 to 4 heteroatoms
selected from oxygen, sulfur and nitrogen optionally
substituted by 1 to 4 groups independently selected from C1-C5 alkyl, C1-C5 alkenyl, C1-C5 peffluoroalkyl, amino
or halogen, and which may be saturated or partly
unsaturated;
B is selected from the group consisting of Alanine, Arginine,
Asparagine, Aspartic Acid, Cysteine, Glutamine, Glutamic
Acid, Glycine, Histidine, Isoleucine, Leucine, Lysine,
Methionine, Ornithine, Phenylalanine, Proline, Serine,
Threonine, Tryptophan, Tyrosine, Tyrosine(OMe), Valine,
a-Aminobutyric Acid, ss-Cyclohexyl-Alanine, Hydroxyproline, Pipecolic Acid, Norleucine, Norvaline and ss-(2-Thienyl)-Alanine;; C is selected from the group consisting of Alanine, Arginine,
Asparagine, Aspartic Acid, Cysteine, Glutamine, Glutamic
Acid, Glycine, Histidine, Isoleucine, Leucine, Lysine,
Methionine, Ornithine, Phenylalanine, Proline, Serine,
Threonine, Tryptophan, Tyrosine, Tyrosine(OMe), Valine,
a-Aminobutyric Acid, B-Cyclohexyl-Alanine, Hydroxyproline, Pipecolic Acid, Norleucine, Norvaline and B p-(2-Thienyl)-Alanine; D is selected from the group consisting of Proline, Pipecolic
Acid, Glycine, Alanine, Hydroxyproline, a-Aminobutyric
Acid, N-Methyl-Alanine and N-Methyl-Glycine;
or a pharmaceutically acceptable salt thereof.
In a second aspect, the present invention provides a method for the treatment or prevention of protozoal infections comprising administering to a host suffering from a protozoal infection a therapeutically effective amount of a compound of formula (I). A therapeutically effective amount may be one that is sufficient to inhibit histone deacetylase of the causative protozoa.
In a third aspect, the present invention provides a composition useful for the treatment or prevention of protozoal diseases which comprises an inert carrier and an effective amount of a compound of formula I.
Compounds of the present invention contain several asymmetric centers and may thus give rise to diastereomers and optical isomers. The present invention is meant to comprehend such possible diastereomers as well as their racemic and resolved, enantiomerically pure forms and pharmaceutically acceptable salts thereof.
The term "pharmaceutically acceptable salts" refers to salts prepared from phannaceutically acceptable non-toxic bases or acids.
When the compound of the present invention is acidic, salts may be prepared from pharmaceutically acceptable non-toxic bases including inorganic bases and organic bases. Salts derived from inorganic bases include aluminum, ammonium, calcium, copper, ferric, ferrous, lithium, magnesium, manganic salts, manganous, potassium, sodium, zinc and the like. Particularly preferred are the ammonium, calcium, magnesium, potassium and sodium salts.Salts derived from pharmaceutically acceptable organic non-toxic bases include salts of primary, secondary, and tertiary amines, substituted amines including naturally occurring substituted amines, cyclic amines and basic ion exchange resins, such as arginine, betaine, caffeine, choline, N,N- dibenzylethylenediamine, diethylamine, 2-diethylaminoethanol, 2dimethylaminoethanol, ethanolamine, ethylenediamine, Nethylmorpholine, N-ethylpiperidine, glucamine, glucosamine, histidine, hydrabamine, isopropylamine, lysine, methylglucamine, morpholine, piperazine, piperidine, polyamine resins, procaine, purines, theobromine, triethylamine, trimethylamine, tripropylamine, tromethamine and the like.
When the compound of the present invention is basic, salts may be prepared from pharmaceutically acceptable non-toxic acids, including inorganic and organic acids. Such acids include acetic, benzenesulfonic, benzoic, camphorsulfonic, citric, ethanesulfonic, fumaric, gluconic, glutamic, hydrobromic, hydrochloric, isethionic, lactic, maleic, malic, mandelic, methanesulfonic, mucic, nitric, pamoic, pantothenic, phosphoric, succinic, sulfuric, tartaric, p-toluenesulfonic acid and the like. Particularly preferred are citric, hydrobromic, hydrochloric, maleic, phosphoric, sulfuric, and tartaric acids.
Preferred compounds of the present invention are those of formula I wherein the substituents are as follows: [cyclo- (Pip-lle-Trp-Aoh)] [cyclo-(Pip-Ile-Trp-Aod)] [cyclo-(Pro-Ile-Trp-Aoh)]
[cyclo-(Pro-Ile-Trp-Aod)] [cyclo-(Pro-Ala-Ala-Aoh)] [cyclo-(Pro-Ala-Ala-Aod)] [cyclo-(Pip-Ala-Ala-Aoh)]
[cyclo-(Pip-Ala-Ala-Aod)] [cyclo-(Pro-Phe-Aib-Aoh)]
[cyclo- (ProPhe-Aib-Aod)]
[cyclo-(Pip-Phe-Aib-Aoh)] [cyclo- (Pip-Phe-Aib-Aod)] [cyclo-(Pip-Leu-Phe-Aoh)]
[cyclo-(Pip-Leu-Phe-Aod)] [cyclo-(Pro-Leu-Phe-Aoh)] [cyclo-(Pro-Leu-Phe-Aod)]
(cyclo-(Pro-Phe-Phe-Aoh)] [cyclo-(Pro-Phe-Phe-Aod)]
[cyclo-(Pip-Leu-Phe-Aoh)] [cyclo-(Pip-Leu-Phe-Aod)] [cyclo-(Pip-Ile-Tyr(OMe)-Aoh)]
[cyclo-(Pip-Ile-Tyr(OMe)-Aod)]
[cyclo-(Pro-Ile-Tyr(OMe)-Aoh)]
[cyclo-(Pro-Ile-Tyr(OMe)-Aod)] [cyclo-(Pip-ne-Tyr-Aoh)] [cyclo-(Pip-Ile-Tyr-Aod)] [cyclo-(Pro-lle-Tyr-Aoh)]
[cyclo-(Pro-Ile-Tyr-Aod)] where Aoh is 2-Amino-8-Qxo-9-Hydroxy-decanoic acid and Aod is 2
Amino-8-Oxo-Decanoic acid.
The concept of the inhibition of histone deacetylase as a target for antiprotozoal compounds is described in provisional application serial number 60/004,065 filed September 20, 1995.
Examples of known compounds which may be histone deacetylase inhibitors and therefore useful in the treatment of protozoal diseases include, but are not limited to, trichostatin A, trapoxin A, HCtoxin, chlamydocin, Cly-2, WF-3161, Tan-1746, apicidin and analogs thereof. Trichostatin A, trapoxin A, HC-toxin, chlamydocin, Cy-2, and
WF-3161,-as well as derivatives thereof are well known in the art. HC
Toxin is described in Liesch et al. (1982) Tetrahedron 38, 45-48;
Trapoxin A is described in Itazaki et al. (1990) J. Antibiot. 43, 1524
1532; WF-3161 is described in Umehana et al. (1983) J. Antibiot. 36, 478-483; Cly-2 is described in Hirota et al (1973) Agri. Biol. Chem 37,
955-56; Chlamydocin is described in Closse et al. (1974) Helv. Chim.
Acta 57, 533-545 and Tan 1746 is described in Japanese Patent No.
7196686 to Takeda Yakuhin Kogyo KK.
Apicidin and analogs thereof referred to herein have the
following structural formulae:
Compound n R3
Apicidin Ia 1 H
Ib 0 H
Ic 1 OH
Apicidin IIa R=OCH3
Apicidin IIb R=H
Apicidins Ia, Ib and Ic are described in pending applications
USSN 08/281,325 filed July 27, 1994 and 08/447,664 filed May 23, 1995. They are produced from a strain of Fusarium as disclosed in the abovementioned applications. Apicidins IIa and IIb are described in pending applications USSN 08/716,978 filed September 20, 1996.
Some of the known cyclic tetrapeptides which include histone deacetylase inhibitors, are shown below:
W H 4 N NH arrow ? NHM c 0 0 TAN-1 746 II I-0 0 U1 o o~n o -H (Chiamydocin) (WF-3161) o o oLo 4 NH 4 OMe 0 .::O 0 KI o:M (Trapoxin A) 0 (CIy-2) 0 The novel compounds of formula I may be readily synthesized in solution phase or on solid phase using techniques known to those skilled in the art.Linear tetrapeptides may be synthesized either in solution phase or on solid phase resins using conditions known to those skilled in the art such as those set forth in The Practice of Peptide
Synthesis, Bodanszky and Bodanzsky, Springer-Verlag, New York, NY, 1984 or The Peptides: Analysis. Svnthesis. Biology. Volume 9,
Undenfriend, S. and Meienhofer J., Eds., Academic Press, Inc., San
Diego, CA, 1987 or Ho, G.J. et. al., J. Org. Chem., 1995, 60, 3569 or
Ehrlich, A. et al., Tetrahedron Letters, 1993, 30, 4781 and references cited therein).
Cyclization of the resultant linear tetrapeptides may be achieved either in solution phase or on solid phase resins using conditions known to those skilled in the art, such as those set forth in
Jackson, S. et al., J. Am. Chem. Soc., 1994, 116, 3220 or Zhang, L.-H.
and Ma, P., Tetrahedron Letters, 1994, 35, 5765 or Taylor, J. W. et al., Tetrahedron Letters, 1990, 31, 6121 or Rihter, L. S. et al.,
Tetrahedron Letters, 1994, 31, 5547 or McMurray, J. S. et al., Peptide
Res., 1994, 7, 195 and references cited therein.
The compounds of the invention have been found to be histone deacetylase inhibitors. As such, they may be useful in the treatment and prevention of protozoal diseases in human and animals, including poultry. Examples of protozoal diseases against which histone deacetylase inhibitors may be used, and their respective causative pathogens, include: 1) amoebiasis (Dientamoeba sp., Entamoeba histolytica); 2) giardiasis (Giardia lamblia); 3) malaria (Plasmodium species including P. vivax, P. falciparum, P. malariae and P. ovale); 4) leishmaniasis (Leishmonia species including L. donovani, L. tropica, L mexicana, and L braziliensis); 5) trypanosomiasis and Chagas disease (Trypanosoma species including T. brucei, T. theileri, T. rhodesiense,
T. gambiense, T. evansi, T. equiperdum, T. equinum, T. congolense, T.
vivax and T. cruzi); 6) toxoplasmosis (Toxoplasma gondii); 7) neosporosis (Neospora caninum); 8) babesiosis (Babesia sp.); 9) cryptosporidiosis (Cryptosporidium sp.); 10) dysentary (Balantidium coli); 11) vaginitis (Trichomonas species including T.vaginitis, and T.
foetus); 12) coccidiosis (Eimeria species including E. tenella, E.
necatrix, E. acervulina, E. maxima and E. brunetti, E. mitis, E. bovis,
E. melagramatis, and Isospora sp.); 13) enterohepatitis (Histomonas gallinarum), and 14) infections caused by Anaplasma sp., Besnoitia sp.,
Leucocytozoan sp., Microsporidia sp., Sarcocystis sp., Theileria sp., and
Pneumocystis carinji.
Compounds of formula (I) are preferably used in the treatment or prevention of protozoal infections caused by a member of the sub-phyllum Apicomplexans. More preferably compounds of formula (I) are used in the treatment or prevention of malaria, toxoplasmosis, cryptosporidiosis and trypanosomiasis in humans and animals; and in the management of coccidiosis, particularly in poultry, either to treat coccidial infection or to prevent the occurrence of such infection.
Two specific examples of preventing the establishment of parasitic infections in humans and animals are 1) the prevention of
Plasm odium (malaria) infection in humans in endemic areas and 2) the prevention of coccidiosis in poultry by administering the compound continuously in the feed or drinking water. Malaria is the number one cause of death in the world. The disease is transmitted by mosquitoes in endemic areas and can very rapidly progress to a life threatening infection. Therefore, individuals living in or visiting areas where malaria carrying mosquitoes are present routinely take prophylactic drugs to prevent infection. Compounds of formula (I) would be administered orally or parenterally one or more time(s) a day. The dose would range from 0.01 mgXkg to 100 mg/kg. The compound could be administered for the entire period during which the patient or animal is at risk of acquiring a parasitic infection.
Coccidiosis is a disease which can occur in humans and animals and is caused by several genera of coccidia. The most economically important occurrence of coccidiosis is the disease in poultry. Coccidiosis in poultry is caused by protozoan parasites of the genus Eimeria. The disease can spread quite rapidly throughout flocks of birds via contaminated feces. The parasites destroy gut tissue and therefore damage the gut lining impairing nutrient absorption. An outbreak of coccidiosis in a poultry house can cause such dramatic economic losses for poultry producers that it has become standard practice to use anticoccidial agents prophylactically in the feed. A compound of formula (I) would be administered in the feed or drinking water for a portion of, or for the entire life of the birds. The dose would range between 0.1 ppm to 500 ppm in the feed or water.
For treatment of established parasitic infections in humans or animals, compounds of formula (I) could be administered orally or parenterally once the infection is suspected or diagnosed. The treatment period would vary according to the specific parasitic disease and the severity of the infection. In general the treatment would be continued until the parasites were eradicated andlor the symptoms of the disease were resolved. Two specific examples are the treatment of a
Cryptosporidium parvum infection in an animal or human and treatment of acute Plasm odium falciparum malaria in humans. Cryptosporidium parvum is a protozoan parasite that infects and destroys cells lining the intestinal tract of humans and animals. The infection establishes quite rapidly and has acute effects on the patient. In the case of humans, patients get severe dysentery for a period of 5-7 days.In immune compromised patients C. parvum infections can persist and can be life threatening. In animals C. parvum infection is the number one cause of death in young dairy calves. A C. parvum infection can be easily diagnosed by symptoms and examination of a stool sample. Once the disease is suspected and/or diagnosed treatment with a compound of formula (I) can be initiated. The dose would vary between 0.01 mg/kg to 500 mg/kg. Treatments would be one or more time(s) a day, orally or parenterally until the infection is eliminated. Routinely this dosing period would be 1-3 weeks.
P. falciparum causes acute life threatening malarial infections in humans. The infection if left untreated can quite often result in death of the patient. A malaria infection can be easily diagnosed by symptoms and examination of a blood sample from the patient.
Treatment would be initiated following diagnosis. A compound of formula (I) would be administered one or more time(s) a day, orally or parenterally, until the infection was eliminated. The dose would range between 0.01 mgJkg to 200 mg/kg.
Compounds of formula (I) may be administered to a host in need of treatment in a manner similar to that used for other antiprotozoal agents; for example, they may be administered parenterally, orally, topically, or rectally. The dosage to be administered will vary according to the particular compound used, the infectious organism involved, the particular host, the severity of the disease, physical condition of the host, and the selected route of administration; the appropriate dosage can be readily determined by a person skilled in the art. For the treatment of protozoal diseases in human and animals, the dosage may range from 0.01 mg/kg to 500 mg/kg. For prophylactic use in human and animals, the dosage may range from 0.01 mg/kg to 100 mglkg.For use as an anticoccidial agent, particularly in poultry, the compound is preferably administered in the animals' feed or drinking water. The dosage ranges from 0.1 ppm to 500 ppm.
The compositions of the present invention comprises a compound of formula (I) and an inert carrier. The compositons may be in the form of pharmaceutical compositions for human and veterninary usage, or in the form of feed composition for the control of coccidiosis in poultry.
The pharmaceutical compositions of the present invention comprise a compound of formula (I) as an active ingredient, and may also contain a pharmaceutically acceptable carrier and optionally other therapeutic ingredients. The compositions include compositions suitable for oral, rectal, topical, and parenteral (including subcutaneous, intramuscular, and intravenous) administrations, although the most suitable route in any given case will depend on the particular host, and nature and severity of the conditions for which the active ingredient is being administered. The pharmaceutical compositions may be conveniently presented in unit dosage form and prepared by any of the methods well-known in the art of pharmacy.
In practical use, a compound of formula (I) can be combined as the active ingredient in intimate admixture with a pharmaceutical carrier according to conventional pharmaceutical compounding techniques. The carrier may take a wide variety of forms depending on the form of preparation desired for administration, e.g., oral or parenteral (including intravenous).
In preparing the compositions for oral dosage form, any of the usual pharmaceutical media may be employed. For example, in the case of oral liquid preparations such as suspensions, elixirs and solutions, water, glycols, oils, alcohols, flavoring agents, preservatives, coloring agents and the like may be used; or in the case of oral solid preparations such as powders, capsules and tablets, carriers such as starches, sugars, microcrystalline cellulose, diluents, granulating agents, lubricants, binders, disintegrating agents, and the like may be included.
Because of their ease of administration, tablets and capsules represent the most advantageous oral dosage unit form in which case solid pharmaceutical carriers are obviously employed. If desired, tablets may be coated by standard aqueous or nonaqueous techniques. In addition to the common dosage forms set out above, compounds of formula (I) may also be administered by controlled release means and/or delivery devices.
Pharmaceutical compositions of the present invention suitable for oral administration may be presented as discrete units such as capsules, cachets or tablets each containing a predetermined amount of the active ingredient, as a powder or granules or as a solution or a suspension in an aqueous liquid, a non-aqueous liquid, an oil-in-water emulsion or a water-in-oil liquid emulsion. Such compositions may be prepared by any of the methods of pharmacy but all methods include the step of bringing into association the active ingredient with the carrier which constitutes one or more necessary ingredients. In general, the compositions are prepared by uniformly and intimately admixing the active ingredient with liquid carriers or finely divided solid carriers or both, and then, if necessary, shaping the product into the desired presentation. For example, a tablet may be prepared by compression or molding, optionally with one or more accessory ingredients.
Compressed tablets may be prepared by compressing, in a suitable machine, the active ingredient in a free-flowing form such as powder or granules, optionally mixed with a binder, lubricant, inert diluent, surface active or dispersing agent. Molded tablets may be made by molding in a suitable machine, a mixture of the powdered compound moistened with an inert liquid diluent. Desirably, each tablet contains from about 1 mg to about 500 mg of the active ingredient and each cachet or capsule contains from about 1 to about 500 mg of the active ingredient.
Pharmaceutical compositions of the present invention suitable for parenteral administration may be prepared as solutions or suspensions of these active compounds in water suitably mixed with a surfactant such as hydroxypropylcellulose. Dispersions can also be prepared in glycerol, liquid polyethylene glycols, and mixtures thereof in oils. Under ordinary conditions of storage and use, these preparations contain a preservative to prevent the growth of microorganisms.
The pharmaceutical fonns suitable for injectable use include sterile aqueous solutions or dispersions and sterile powders for the extemporaneous preparation of sterile injectable solutions or dispersions. In all cases, the form must be sterile and must be fluid to the extent that easy syringability exists. It must be stable under the conditions of manufacture and storage and must be preserved against the contaminating action of microorganisms such as bacteria and fungi. The carrier can be a solvent or dispersion medium containing, for example, water, ethanol, polyol (e.g. glycerol, propylene glycol and liquid polyethylene glycol), suitable mixtures thereof, and vegetable oils.
Suitable topical formulations include transdermal devices, aerosols, creams, ointments, lotions, dusting powders, and the like.
These formulations may be prepared via conventional methods containing the active ingredient. To illustrate, a cream or ointment is prepared by mixing sufficient quantities of hydrophilic material and water, containing from about 5-10% by weight of the compound, in sufficient quantities to produce a cream or ointment having the desired consistency.
Pharmaceutical compositions suitable for rectal administration wherein the carrier is a solid are most preferably presented as unit dose suppositories. Suitable carriers include cocoa butter and other materials commonly used in the art, and the suppositories may be conveniently formed by admixture of the combination with the softened or melted carrier(s) followed by chilling and shaping moulds.
It should be understood that in addition to the aforementioned carrier ingredients the pharmaceutical formulations described above may include, as appropriate, one or more additional carrier ingredients such as diluents, buffers, flavoring agents, binders, surface-active agents, thickeners, lubricants, preservatives (including anti-oxidants) and the like, and substances included for the purpose of rendering the formulation isotonic with the blood of the intended recipient.
For use in the management of coccidiosis in poultry, a compound of formula (I) may be conveniently administered as a component of a feed composition. Suitable poultry feed composition will typically contain from about 1 ppm to about 1000 ppm, preferably from about 0.01% to about 0.1% percent, by weight of a compound of formula (I). The optimum levels will naturally vary with the species of
Eimeria involved, and can be readily determined by one skilled in the art. Levels of a compound of formula (I) in poultry feed of from about 0.01% to about 0.1% percent by weight of the diet are especially useful in controlling the pathology associated with E. tenella, while the preferred concentration for similar control of intestinal-dwelling species is from about 0.01% to about 0.1% percent by weight of the diet.
Amounts of about 0.01% to about 0.1% percent by weight are advantageous in reducing the pathogenic effects of both fecal and intestinal coccidiosis.
In the preparation of poultry feed, a compound of formula (I) may be readily dispersed by mechanically mixing the same in finely ground form with the poultry feedstuff, or with an intermediate formulation (premix) that is subsequently blended with other components to prepare the final poultry feedstuff that is fed to the poultry. Typical components of poultry feedstuffs include molasses, fermentation residues, corn meal, ground and rolled oats, wheat shorts and middlings, alfalfa, clover and meat scraps, together with mineral supplements such as bone meal, calcium carbonate and vitamins.
Compositions containing a compound of formula I may also be prepared in powder or liquid concentrate form . In accordance with standard veterinary formulation practice, conventional water soluble excipients, such as lactose or sucrose, may be incorporated in the powders to improve their physical properties. Thus particularly suitable powders of this invention comprise 50 to 100% w/w, and preferably 60 to 80% w/w of the combination and 0 to 50% w/w and preferably 20 to 40% w/w of conventional veterinary excipients. These powders may either be added to animal feedstuffs, for example by way of an intermediate premix, or diluted in animal drinking water.
Liquid concentrates of this invention suitably contain a water-soluble compound combination and may optionally include a veterinarily acceptable water miscible solvent, for example polyethylene glycol, propylene glycol, glycerol, glycerol formal or such a solvent mixed with up to 30% v/v of ethanol. The liquid concentrates may be administered to the drinking water of animals, particularly poultry.
The following examples are provided to more fully illustrated the present invention, and are not be construed as limiting the scope of the claims in any manner.
EXAMPLE 1
Antiprotozoal Activity
Compound of formula (I) may be evaluated against Eimeria tenella, Toxoplasma gondii, and Plasmodiumfalciparum according to methods reported in the literature.
(A) Activity against E. tenella
The visual assav using Madin Darbv bovine kidnev (MDBK) cell line as described in Schmatz, Crane and Murray, "Eimeria ten ella: Parasite-Specific Incorporation of 3H-Uracil as a Quantitative
Measure of Intracellular Development" I. Protozoology. 1986,
33(1):109-114 is generally followed to evaluate the compound's anti
Eimeria activity.
(B) Activity against T. gondii
The visual assay described in Roos et al, In: "Methods in
Microbial Pathogenesis", Methods in Cell Biology.1994 D.G. Russell,
Ed., (Academic Press) is generally followed to evaluate the compound's
anti-Toxoplasma activity.
(C) Activity against P. falciparum
The antimalarial activity is determined in a radioactive assay following the general protocol described in Desjardins et al, "Quantitative Assessment of Antimalarial Activity In Vitro by a
Semiautomated Microdilution Technique" Antimicrobial Agents and
Chemotherapy. 1979, 16:710-718.
EXAMPLE 2
Competitive Binding Assay (histone deacetylase inhibition) (a) Preparation of the lvsates
Chick Liver. Livers from 3-5 three week old chickens are collected, rinsed in ice cold phosphate buffered saline (pH 7.4), diced into small pieces and rinsed again 3-4 times with ice cold 50 mM N-2hydroxyethylpiperazine-N'-2-ethanesulfonic acid (HEPES) (pH 7.4) containing 0.1 mM phenylmethanesulfonyl fluoride (PMSF). The tissue is then resuspended in HEPES buffer, homogenized in a polytron homogenizer and centrifuged at 3000 x g for 10 min. The supernatant is then subjected to an additional 100,000 g centifugation for 1 hour. The pellet and the floating layer of lipid are discarded and the supernatant, referred to as the chick liver S100 fraction, is retained for binding assays.After estimating the protein concentration, the supernatant (S100) is aliquoted and frozen at - 80"C.
E. tenella oocysts. Approximately 2 x 109 E. tenella oocysts are suspended in 5 ml of PBS/0.1 mM PMSF, 4 mls of an equal mixture (vol/vol) of 4.0 and 1.0 mm glass beads is added. The glass bead-oocyst mixture is then shaken for 20 minutes to cause disruption of the oocysts. The efficiency of breakage is checked microscopically. The resulting homogenate is separated from the glass beads and centrifuged at 3000 x g for 10 min. The supernatant is then subjected to an additional centrifugation at 100,000 g for 1 hr. The is discarded and the supernatant, referred to as the E. tenella S100 fraction, is retained for binding assays. After estimating the protein concentration, the supernatant (S100) is aliquoted and frozen at -800C.
P. berghei. 22.5 mls of blood collected from mice infected with P. berghei malaria (with over 50% of the erythrocytes parasitized) is collected and treated with saponin (1:100 volume of 10% saponin in phosphate buffered saline (PBS)), held on ice for 15 min. to release the parasites and centrifuged at 2000x g for 10 min. The pellet is washed twice in PBS, and then frozen and thawed 3 times in a total vol of 2 ml
PBS containing 0.1mM PMSF (PBS/PMSF). PBS/PMSF is then added to bring the volume up to 10 ml and the suspension is centrifuged at 100,000 x g for 1.5 hrs. The pellet is discarded and the supernatant, refered to as the P. berghei S100 fraction, is retained for binding assays.
After estimating the protein concentration, the supernatant (S100) is aliquoted and frozen at - 800C.
(b) Assay
Each assay tube contains a final volume of 1 ml with 1.3 ng/mi of 3H-N-desmethoxyapicidin, 150-200 Rg of the appropriate S100 supernatant and concentrations of potential HDA inhibitors from 0.001-10 Fg/ml.
(i) labeled substrate. 2-3H-N-desmethoxyapicidin (18.69 mCi/mg) is diluted 1:100 in ethanol, and 2 Ill added per 1 ml of 50 mM
HEPES pH 7.4 with 0.05% Triton-X100 (HEPES/Triton) is added. This provides 1.3 ng 2-3H-N-desmethoxyapicidin /ml of assay (54,000
DPM/ml.)
(ii) potential HDA inhibitors. The stocks of the test compounds are made up to 2 mg/ml dimethylsulfoxide (DMSO). The stock solution is diluted to 1000, 100, 10, 1 and 0.1 Rg/ml in ethanol where a full titration is required. Ethanol is used as a negative control, a 100 Fg/ml solution of unlabeled N-desmethoxyapicidin is used as a positive control. Six Cll of the test compound solution, the positive and negative controls are used for the assay.
(iii) supernatant from (a). The S100 sample is diluted to a concentration of 3.0 mg protein/ml (chick liver) or 4 mg protein/ml (parasite) in the HEPES/Triton buffer. Fifty Cll is used for the assay.
Stock solutions of potential HDA inhibitors (ii) are diluted into 50mum HEPES/Triton buffer to achieve a final concentration of test compound in the range of 0.001-10 pM. 3H-N-desmethoxyapicidin is added to a final concentration of 1.3 ng/ml. 50 cull of parasite or chick liver S100 solution (150-200 Rg) is added to each tube. 3H-Ndesmethoxyapicidin is added to a final concentration of 1.3 ng/ml. The assay mixture is incubated for 1 hr at 250C and then aspirated through
Whatman GF/B filters impregnated with polyethylenimine (filters prepared in advance by soaking in 2 ml of polyethylenimine per 330 mls water at room temp for 1 hour). Assay tubes were rinsed 3 times with 1-2 mls of HEPES/Triton and aspirated through the same filter. The filter is then dried and counted in scintillant.
Claims (7)
1. A compound having the formula:
wherein Ais
Rg is H, OH, OPO3=, OC(O)Ra, OCO2Ra or OC(O)NRaRa; wherein
Ra is (1) optionally substituted C1-C10 alkyl,
(2) optionally substituted C3-C10 alkenyl,
(3) optionally substituted C3-C10 alkynyl, (4) optionally substituted aryl,
(5) optionally substituted C3-Cg cycloalkyl (6) optionally substituted C5-C8 cycloalkenyl
where the substitutents on the alkyl, alkenyl, alkynyl, aryl, cycloalkyl and cycloalkenyl are from 1 to 5 groups
independently selected from hydroxy, C1-C6 alkoxy, C3
C7 cycloalkyl, aryl C1-C3 alkoxy and halogen,
(7) C1-C5 perfluoroalkyl,
(8) a 5- or Smembered ring containing 1 to 4 heteroatoms
selected from oxygen, sulfur and nitrogen optionally
substituted by 1 to 4 groups independently selected from C1-C5 alkyl, C1-C5 alkenyl, C1-C5 perfluoroalkyl, amino
or halogen, and which may be saturated or partly
unsaturated;;
B is selected from the group consisting of Alanine, Arginine,
Asparagine, Aspartic Acid, Cysteine, Glutamine, Glutamic
Acid, Glycine, Histidine, Isoleucine, Leucine, Lysine,
Methionine, Ornithine, Phenylalanine, Proline, Serine,
Threonine, Tryptophan, Tyrosine, Tyrosine(OMe), Valine, a-Aminobutyric Acid, ss-Cyclohexyl-Alanine, Hydroxyproline, Pipecolic Acid, Norleucine, Norvaline
and p-(2-Thienyl)-Alanine; C is selected from the group consisting of Alanine, Arginine,
Asparagine, Aspartic Acid, Cysteine, Glutamine, Glutamic
Acid, Glycine, Histidine, Isoleucine, Leucine, Lysine,
Methionine, Ornithine, Phenylalanine, Proline, Serine,
Threonine, Tryptophan, Tyrosine, Tyrosine(OMe), Valine, α;-Aminobutyric Acid, ss-Cyclohexyl-Alanine,
Hydroxyproline, Pipecolic Acid, Norleucine, N orvaline and ss-(2-Thienyl)-Alanine; D is selected from the group consisting of Proline, Pipecolic
Acid, Glycine, Alanine, Hydroxyproline, a-Aminobutyric
Acid, N-Methyl-Alanine and N-Methyl-Glycine;
or a pharmaceutically acceptable salt thereof.
2. A method for the treatment or prevention of protozoal diseases which comprises administering an antiprotozoal effective amount of a compound as defined in Claim 1 or a pharmaceutically acceptable salt thereof, to an animal in need of such
treatment or prevention.
3. The method of Claim 2 wherein said protozoal disease is caused by a protozoan belonging to the sub-phyllum
Apicomplexans.
4. The method of Claim 2 wherein said protozoal disease is coccisiosis, malaria, cryptosporidiosis or toxoplasmosis.
5. A composition useful for the prevention or treatment of protozoal diseases which comprising an inert carrier and an effective amount of a compound of claim 1.
6. A composition according to claim 7 wherein said protozoal disease is coccidiosis.
7. The compound as defmed in Claim 1 which is selected from [cyclo-(Pip-Ile-Trp-Aoh)]
[cyclo-(Pip-Ile-Trp-Aod)] [cyclo-(Pro-Ile-Trp-Aoh)] [cyclo- (Pro-Ile-Trp-Aod)]
[cyclo- (Pro-Ala-Ala-Aoh)] [cyclo-(Pro-Ala-Ala-Aod)]
[cyclo-(Pip-Ala-Ala-Aoh)]
[cyclo-(Pip-Ala-Ala-Aod)] [cyclo-(Pro-Phe-Aib-Aoh)] [cyclo-(Pro-Phe-Aib-Aod)] [cyclo-(Pip-Phe-Aib-Aoh)]
[cyclo-(Pip-Phe-Aib-Aod)] [cyclo-(Pip-Leu-Phe-Aoh)] [cyclo- (Pip-Leu-Phe-Aod)] [cyclo- (Pro-Leu-Phe-Aoh)]
[cyclo-(Pro-Leu-Phe-Aod)] [cyclo-(Pro-Phe-Phe-Aoh)]
[cyclo-(Pro-Phe-Phe-Aod)j [cyclo-(Pip-Leu-Phe-Aoh)] [cyclo-(Pip-Leu-Phe-Aod)] [cyclo-(Pip-Ile-Tyr(OMe) -Aoh)] [cyclo-(Pip-Ile-Tyr(OMe)-Aod)]
[cyclo-(Pro-Ile-Tyr(OMe)-Aoh)]
[cyclo-(Pro-Ile-Tyr(OMe)-Aod)] [cyclo-(Pip-lle-Tyr-Aoh)] [cyclo-(Pip-Ile-Tyr-Aod)] [cyclo-(Pro-Ile-Tyr-Aoh)]
[cyclo-(Pro-Ile-Tyr-Aod)] where Aoh is 2-Amino-8-Oxo-9-Hydroxy-decanoic acid and Aod is 2
Amino-8-Oxo-Decanoic acid.
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GB9701197A GB2309696B (en) | 1996-01-31 | 1997-01-21 | Antiprotozoal cyclic tetrapeptides |
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Cited By (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2000008048A2 (en) * | 1998-08-04 | 2000-02-17 | Fujisawa Pharmaceutical Co., Ltd. | Inhibitor of histone deacetylase |
WO2000021979A2 (en) * | 1998-10-13 | 2000-04-20 | Fujisawa Pharmaceutical Co., Ltd. | Cyclic tetrapeptide and their use as histone deacetylase inhibitor |
EP1010705A1 (en) * | 1997-09-02 | 2000-06-21 | Japan Energy Corporation | Novel cyclic tetrapeptide derivatives and medicinal use thereof |
WO2003057722A2 (en) * | 2001-12-28 | 2003-07-17 | Fujisawa Pharmaceutical Co., Ltd. | Cyclic tetrapeptide compound and use thereof |
US7271198B2 (en) | 2000-11-21 | 2007-09-18 | Wake Forest University | Method of treating autoimmune diseases |
US7879865B2 (en) | 2001-10-16 | 2011-02-01 | Sloan-Kettering Institute For Cancer Research | Treatment of cancer of the brain using histone deacetylase inhibitors |
Citations (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO1996003482A1 (en) * | 1994-07-28 | 1996-02-08 | The Procter & Gamble Company | Process for making granular detergents and detergent compositions comprising nonionic surfactant |
-
1997
- 1997-01-21 GB GB9701197A patent/GB2309696B/en not_active Expired - Fee Related
Patent Citations (1)
Publication number | Priority date | Publication date | Assignee | Title |
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WO1996003482A1 (en) * | 1994-07-28 | 1996-02-08 | The Procter & Gamble Company | Process for making granular detergents and detergent compositions comprising nonionic surfactant |
Non-Patent Citations (1)
Title |
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Cited By (12)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP1010705A1 (en) * | 1997-09-02 | 2000-06-21 | Japan Energy Corporation | Novel cyclic tetrapeptide derivatives and medicinal use thereof |
EP1010705A4 (en) * | 1997-09-02 | 2004-09-15 | Sumitomo Pharma | Novel cyclic tetrapeptide derivatives and medicinal use thereof |
WO2000008048A2 (en) * | 1998-08-04 | 2000-02-17 | Fujisawa Pharmaceutical Co., Ltd. | Inhibitor of histone deacetylase |
WO2000008048A3 (en) * | 1998-08-04 | 2002-08-15 | Fujisawa Pharmaceutical Co | Inhibitor of histone deacetylase |
WO2000021979A2 (en) * | 1998-10-13 | 2000-04-20 | Fujisawa Pharmaceutical Co., Ltd. | Cyclic tetrapeptide and their use as histone deacetylase inhibitor |
WO2000021979A3 (en) * | 1998-10-13 | 2000-07-20 | Fujisawa Pharmaceutical Co | Cyclic tetrapeptide and their use as histone deacetylase inhibitor |
US6656905B1 (en) | 1998-10-13 | 2003-12-02 | Fujisawa Pharmaceutical Co., Ltd. | Cyclic tetrapeptide compound and use thereof |
US7271198B2 (en) | 2000-11-21 | 2007-09-18 | Wake Forest University | Method of treating autoimmune diseases |
US7557141B2 (en) | 2000-11-21 | 2009-07-07 | Wake Forest University Health Sciences | Method of treating autoimmune diseases |
US7879865B2 (en) | 2001-10-16 | 2011-02-01 | Sloan-Kettering Institute For Cancer Research | Treatment of cancer of the brain using histone deacetylase inhibitors |
WO2003057722A2 (en) * | 2001-12-28 | 2003-07-17 | Fujisawa Pharmaceutical Co., Ltd. | Cyclic tetrapeptide compound and use thereof |
WO2003057722A3 (en) * | 2001-12-28 | 2004-04-22 | Fujisawa Pharmaceutical Co | Cyclic tetrapeptide compound and use thereof |
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GB2309696B (en) | 2000-02-23 |
GB9701197D0 (en) | 1997-03-12 |
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