IE53150B1 - Amino and amido derivatives of chloro nitro amino and alkylamino pyrazines useful as adjuncts to radiation therapy - Google Patents

Amino and amido derivatives of chloro nitro amino and alkylamino pyrazines useful as adjuncts to radiation therapy

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IE53150B1
IE53150B1 IE136682A IE136682A IE53150B1 IE 53150 B1 IE53150 B1 IE 53150B1 IE 136682 A IE136682 A IE 136682A IE 136682 A IE136682 A IE 136682A IE 53150 B1 IE53150 B1 IE 53150B1
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amino
alkyl
compound
substituted
enhancing
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IE136682A
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Merck & Co Inc
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Description

This invention relates to substituted derivatives of 6-amino-3-chloro-5-nitropyrazinamino compounds and their acid-addition salts. Such compounds can be prepared by first converting 3-amino-5,6-dichloropyrazine carboxylic acid by nitration in sulfuric/nitric acid to ,6-dichloro-3-nitropyrazineamine and subsequently treating the latter in the presence of a base such as a tertiary amine to produce the desired 2-substituted compounds and, if desired, converting the 2-substituted pyrazines to their acid-addition salts. The present invention results from the discovery that certain such compounds can selectively sensitize tumor cells to therapeutic radiation and thus increase the effective therapeutic ratio of radiologic treatment.
Certain of our prior patent specifications disclose various 6-amino-3-ehloro-5-nitropyrazinamino compounds that can be represented by the formula: R° r1r2n ——ά-γ X-Lux'-K02 in which variables include those set out below in the various documents. Thus, in US-A-3 660 397, X is 1 2 halogen, e.g. chlorine, each of R and R is hydrogen or alkyl, e.g. methyl or ethyl, R° is hydrogen, alkyl or alkoxy)-substituted alkyl, e.g. methyl, 3-methoxyethyl or ethyl, and Y is hydrogen or lower alkanoyl; and in UK Patents GB-A-1 230 908 and 53130 GB-A-1 232 758, Y and R° are both hydrogen, X le chlorine, R2- ie X2-CHX1-, each of R1 and X1 ie hydrogen or C1_5 alkyl, e.g. ethyl, and X2 is hydrogen, Οχ_5 alkyl, (C1_5alkoxy)-substituted c1-g alkyl, di(Cj_5 alkyl)amino-substituted C1_5 alkyl or 0χ_5 alkyl having an N-attached heterocyclic substituent, e.g. methyl, ethyl, n-propyl, iso-propyl, methoxymethyl, dimethylarainomethyl, diethylaminomethyl or dimethylamino-npropyl. However, these prior patent specifications disclose that the compounds are useful as intermediate compounds in the production of therapeutically valuable imidazopyrazines, but not that the pyrazines themselves have any therapeutic utility. compounds that are suitable for use in enhancing the therapeutic effect of radiation treatment are those of formulae: r-n—γλυ-a—acl—-N°2 Cl-LUJ— N02 X IA c: h o C-R and their acid-addition salts. In formula I, each of R and R1 is hydrogen, C1_g alkyl, C2_g alkenyl, σχ_6 substituted alkyl or C2_g substituted alkenyl having one or more halo, amino, Cj_g alkylamino difC^g alkyl)amino, alkoxy, hydroxy, ethoxyoarbonyl, phenyl, pyridyl, pyrimidinyl or imidazoyl substituents and in Formula IB each of R and R1 is hydrogen, c^_6 alkyl, C2_g alJcenVl' or a substituted alkyl or c2_g substituted alkenyl radical having one or more amino, c^g alkylamino, di(C1_g alkyl,amino, Cx_g alkoxy or hydroxy substituents, or in the Formula I and IB, R and R1 together form a 3J1 OV morpholine, piperazine or N-substituted piperazine ring in which the N-substituent is hydrogen, C. , alkyl, ·*·—° Cy_g hydroxyalkyl or Cj_6 alkoxyalkyl; R is alkyl; and A is an amino substituent having at least one of the hydrogens of the amino groups replaced by a hydroxy-substituted or (C-^.g alkoxy)-substituted 0χ_6 alkyl residue.
At the present time, certain other unrelated compounds are in experimental clinical use as radiation sensitizers. However, these compounds, for example, metronidazole and misonidazole, suffer from the drawback that they also cause symptoms of neurotoxicity which limits their usefulness. The compounds for use in the present invention are effective radiation sensitizers, but are believed to have a more favourable therapeutic ratio. The compounds for use in the present invention are preferably included in a pharmaceutical composition that also includes a pharmaceutical carrier.
Compounds of formula IA can be prepared by reaction of the corresponding 2-halo-5,6-dichloro-3-nitropyrazine with a suitably substituted alkylamine of formula AH to replace the 2-halo and 6-chloro substituents by the residue A. Compounds of formula IB can be prepared by reaction of 5,6-dichloro-3-nitropyrazinamine with an acylating agent derived from a suitable aliphatic carboxylic acid to afford the corresponding acylated pyrazinamine and treating the latter with a compound of formula NHRR1 to replace one of the chloro substituents and produce a 2-acylamino-6-{NRR1)-5-chloro3-nitropyrazine. The acid addition salts may be formed by reaction of the free eunino compound with an equimolar amount of a strong mineral acid such as hydrochloric acid, hydrobromic acid, sulfuric acid or phosphoric acid.
The amines described above are prepared from the 5 known 3-amino-5,6-dichloropyrazine carboxylic acid (E. J.
Cragoe, Jr., 0. W. Woltersdorf, Jr., J. B. Bicking, S. F. Kwong, J. H. Jones, J. Med. Chem.. 10. 66 (1967)). The carboxylic acid is dissolved in sulfuric acid or fuming sulfuric acid. To the solution formed in this manner, a mixture of equal volumes of sulfuric and nitric acid or the corresponding fuming sulfuric and fuming nitric acids are added to the solution to effect replacement of the carboxylic acid substituent by a nitro-substituent. The nitric and sulfuric acids are used in approximately equimolar amounts to the carboxylic acid reagent. Preferably, however, these acids are used in from 10-100% molar excess. The reaction temperature is maintained between 0 and 50 °C for a period of 0.5 to 5.0 hours. The progress of the reaction is followed by observation of the evolution of carbon dioxide from the reaction mixture. This reaction is illustrated in the following reaction scheme: V II The product is conveniently recovered from the reaction mixture by pouring the entire mixture onto ice whereupon the product is precipitated as a crude yellow solid. Further purification is effected by dissolving the crude product in a solvent such as ethyl acetate and washing with an alkaline solution such as aqueous sodium carbonate to remove traces of acid. The solution of product is then filtered to remove insoluble impurities and the product recovered from the filtrate by evaporation of solvent leaving substantially pure product as a solid residue.
Compound II hereinabove is then treated with an amine compound to replace the chloro-substituent as illustrated hereinbelow: The reaction of the dichloro-nitropyrazine II with the amine reagent is preferably carried out in a solvent for the reactant. The solvent is a lower alkanol such as methanol, ethanol or isopropanol; an ether such as tetrahydrofuran; dimethylformamide; or acetonitrile. The amine reactant is preferably present in approximately a 5-10% molar excess over the nitropyrazine. The reagents are first mixed and then preferably heated to a temperature of 20-89°C for a period of from 0.5 to 24 hours. In addition to the reagents and the solvent it is generally preferred to carry out the reaction in the presence of at least an equimolar amount of an organic base. Tertiary amines such as triethylamine and pyridine are preferred. The progress of the reaction is followed by the use of thin layer chromatography.
As indicated hereinabove acid addition salts of compounds of Formula I may be prepared by mixing a selected compound of Formula I with an equimolar amount of a strong mineral acid in a solvent for the reactants at a temperature of 0 to 50°C. Solvents fc» fcr .fc fc* V preferred are lower alkanols such as methanol, ethanol and isopropanol. The salt is precipitated from the alcoholic solution, filtered, washed with a minimal amount of cold alcohol and air dried.
The starting compound 5,6-dichloro - 3 - nitropyrazinamine IV, which has been prepared by heating 3-amino-5f6-dichloropyrazincarboxylic acid with a mixture of fuming sulfuric and fuming nitric acids as described above is diazotized and exchanged with halogen ion to produce the important novel intermediate 5,6-dichloro-2-halo (Cl, Br, I)-3-nitropyrazine VA, which in turn is treated with one or two moles of a suitably substituted alkylamine AH to produce a 2-(alkylamino)15 3-chloro-6-halo-5-nitropyrazine VIA or 3-chloro-2,6di(alkylamino)-5-nitropyrazine IA as illustrated in the reaction scheme below.
VIA wherein A is as defined above and X is chloro, bromo or iodo. As shown in the above reaction scheme, intermediate VIA is isolated and reacted if desired, with a different species of alkylamine to produce a 2,6-disubstituted-3-chloro-5-nitropyrazine in which the 2 and 6 substituents may differ from each other.
In carrying out the first step of the process, starting material IVA is diazotized and exchanged with halogen ion, e.g. chlorine, bromine, or iodine to produce the desired 2-halo-5,6-dichloro3-nitropyrazine VA. In the preferred instance, compound IVA(5,6-dichloro-3-nitropyrazinamine) is 53190 dissolved in bromoform and to the solution is added at least one mole of an alkyl nitrite compound such as isoamyl nitrite, butyl nitrite or ethyl nitrite. The nitrite reagent is preferably added in approximately a 50-200% molar excess and.the reaction mixture is heated at a temperature of 50-120° for a period of 5-40 hours until the reaction is essentially complete as determined by thin layer chromatography. Following the completion of the reaction the desired product is isolated from the cooled reaction mixture by first evaporation of the excess bromoform solvent in vacuo leaving the crude product as a residual oil which is further purified by chromatography over silica gel.
The intermediate compound VA is condensed with one or two moles of an alkylamine optionally substituted with one or more hydroxy or alkoxy groups to produce the desired product IA in one or more reaction steps with intermediate production, if desired, of the non-substituted pyrazine VIA. This reaction, which results in the replacement of the 2 and 6 halogen substitutents by alkylamino substituents,is conducted by mixing together 2-halo-5,6-dichloro-325 nitropyrazine with at least a 100% molar excess of the selected amine compound and maintaining the reaction temperature at 0-50° for a period of from 0.5 to 16 hours. Preferably the reaction is conducted in the presence of a solvent for the reactants, e. g. a lower aliphatic alcohol such as methanol, ethanol or isopropanol; certain ethers such as tetrahydrofuran; dimethylformamide, or acetonitrile are useful as solvents for the reaction. Progress of the reaction is conveniently followed by monitoring the disappearance of starting material and appearance of product using thin layer chromatography. Following completion of the reaction the solvent is removed by evaporation in vacuo leaving product as a residual oil which is further purified by trituration with solvents such as ethanol/chloroform mixtures followed by chromatography on silica gel.
The product of formula XA produced may be varied by varying the amine reagent. Thus,for example, reaction of 2-bromo-5,6-dichloronitropyrazine with one or two moles of selected amine reagent produces the corresponding nitropyrazine in which the 6-chloro and/or the 2-bromo substituent are/is replaced by an amino substituent.
One preferred subgroup of active compounds is represented by the formula: IIB where each of R and R1 is hydrogen, C^_g alkyl, C^g 5 substituted alkyl having one or more amino, C^_g alkylamino, di(C1_g alkyl)amino, C g alkoxy or hydroxy substituents, C2_g alkenyl, or C2_g substituted alkenyl having one or more amino, 0χ_6 alkylamino, di(C1_g alkyl)amino, alkoxy or hydroxy substituents, or R and R1 together form a morpholine, piperazine or N-substituted piperazine ring in which the N-substituent is hydrogen, C , hydroxyalkyl or C alkoxyalkyl; and R is C, r l’O l—o 1-0 . alkyl.
The 5,6-dichloro-3-nitropyrazinamine is acylated by treatment with an acid halide or an acid anhydride of a lower aliphatic carboxylic acid. Preferably, the 5,6-dichloro-3-nitropyrazinamine is treated at room temperature with a large excess of an acid halide, for example, acetyl chloride, acetyl bromide, propionyl chloride or butyryl chloride in the presence of a base such as sodium bicarbonate. The reaction is preferably conducted by mixing the reactants without added solvent at room temperature and heating the reactants at reflux temperature of the mixture for a period of 5 hours to 4 days to insure maximum yield of product. Following the reaction period the entire mixture is evaporated in vacuo to remove excess of acylating agent or alternatively quenched in water and extracted with a solvent for the product. After removal of volatile material by evaporation in vacuo the product remains as a residue and is conveniently further purified by chromatography over silica gel.
The 2-acylamino-5,6-dichloro-3-nitropyrazine thus produced is then treated with an amine compound to replace the chloro-substituent as illustrated below; wherein R, R^ and Rg are as defined in Compound IB hereinabove.
The reaction of the dichloroacylamino 5 nitropyrazine IIIB with the amine compound is preferably carried out in a solvent for the reactants, e.g. a lower alkanol such as methanol, ethanol or isopropanol; an ether such as tetrahydrofuran;an Ν,Η-dialkylamide such as dimethyl formamide; or acetonitrile. The amine or thiol reagent is preferably present in approximately a 5-10% molar excess over the nitropyrazine. The reagents are first mixed and then preferably heated to a temperature of 20-80°C for a period of from 0.5 to 24 hours. In addition to the reagents and the solvent it is generally preferred to carry out the reaction in the presence of at least an equimolar amount of an organic base. Tertiary amines such as triethylamine and pyridine are preferred. The progress of the reaction is followed by the use of thin layer chromatography.
Following the reaction the product is recovered after first evaporating volatile solvents and reactants in vacuo leaving the product as a residue. This residue is then dissolved in a water immiscible solvent such as ethyl acetate and the resulting extract of product is washed with water and evaporated in vacuo to produce substantially pure product.
The method of treatment of human patients or domestic animals undergoing radiation treatment of malignant disease uses the compounds in pharmaceutical compositons that are administered orally or parenterally, preferably intravenously. The dose employed depends on the radiation protocol for each individual patient. In protocols where the radiation dose is divided into a large number of fractions, the drug can be administered at intervals in the schedule and not necessarily with each radiation treatment. Xn general, the drug is administered from 10 minutes to 5 hours prior to the radiation treatment in a dosage amount of between 0.25 to about 4.0 grams per square meter of body surface.
The preferred dosage form for intravenous administration is a sterile isotonic solution of the drug. Oral dosage forms such as tablets, capsules, or elixirs may also be used.
The following examples are intended to illustrate but not limit the invention. 310 0 EXAMPLE 1-1 2[(6-Amino-3-chloro-5-nitropyrazin-2-yl)amino]ethanol STEP A: Preparation of 5,6-dichloro-3-nitropyrazinamine (IX) To 450 ml concentrated sulfuric acid cooled to 10° is added 50.0 g (0.2m) 3-amino-5,6dichloropyrazine carboxylic acid. To this solution cooled to 0-5°, is added a cold solution of 15 ml fuming sulfuric acid in 15 ml fuming nitric acid dropwise over 15 minutes. The reaction mixture is stirred at 0-5° for 2 hours and then at ambient temperature for 2 hours. The reaction mixture is then poured onto ice and the yellow solid is collected. This solid is taken up in ethyl acetate, washed twice with saturated sodium carbonate solution and then the solution is filtered through a pad of silica gel. The resulting solution is evaporated in vacuo to afford 35 g of 5,6-dichloro-3-nitropyrazinamine, m.p. 169-170°C.
STEP B: Preparation of 2{(6-Amino-3-chloro-5-nitropyrazin-2yl)amino] ethanol To 1.0 g of 5,6-dichloro-3-nitropyrazinamine in 20 ml isopropanol is added 0.5 ml triethylamine and then 0,3 ml 2-aminoethanol. The reaction mixture is stirred for 3 hours and then concentrated in vacuo to solids. The solids are triturated with hot chloroform and recrystallized from acetonitrile to afford 0.6 g of 2[(6-Amino-3-chloro-5-nitropyrazin2-yl)amino]ethanol, m.p. 196-197°C.
By the procedure of Example 1-1, but using in Step B the appropriate amine, there are produced: 18 Example Reaqent Productm.p. 2 diethanolamine 2-[(6-amino-3chloro-5-nitropyrazin-2-yl)amino]di-ethanol 194-196°C 3 2-amino-2- methyl-1,3- propanediol 2- [ (6-amino-3chloro-5-nitropyrazin-2-yl, amino]2-methyl-l,3propanediol 214-215eC 4 3-amino-l,2propanediol 3- [ (6-amino-3chloro-5-nitropyrazin-2-yl)amino)1,2-propanediol 202-204°C 5 morpholine N-(6-amino-3chloro-5-nitropyrazin-2-yl)morpholine 211-212°C 6 N-methyl- ethanolamine 2-[(6-amino-3chloro-5-nitropyrazin-2-yl)amino]N-methyl ethanol 166-167OC 7 Ethyl 3-aminocrotonate Ethyl 3-[(6-amino3-chloro-5-nitropyrazin-2-yl)amino]crotonate 162-163°C 8 4-Methyl piperazine 5-Chloro-6-(4methyl-l-piperazinyl)3-nitropyrazine amine 186-188°C 9 2-(dimethylamino) ethyl amine 5-Chloro-6[2(dimethylamino)- ethyl amino]3nitropyrazine amine EXAMPLE 1-2 2,2'-[(3-chloro-5-nitropyrazin-2,6-yl) diantino]diethanol STEP A: 2-Bromo-5,6-dichloronitropyrazine To 4.8 g isoamylnitrite in 150 ml bromoform heated to 95-100° is added portionwise 5.0 g ,6-dichloro-3-nitro-pyrazinamine. The reaction mixture is heated at reflux for 18 hours. After cooling, the bromoform is removed in vacuo to give an oil which is chromatographed on silica gel. The initial component to elute is 5,6-dichloro-2-bromonitropyrazine, which is obtained (2.6 g) as a viscous oil.
STEP B: Preparation of 2,2'-[(3-chloro-5-nitropyrazin-2,6-yl)diamino]diethanol To a solution of 1.0 g 2-bromo-5,6-dichloronitropyrazine in 10 ml isopropanol at 0-10° is added 0.72 g triethylamine and then 0.44 g 2-aminoethanol.
The reaction mixture is stirred at 0-10° for 0.5 hour and then at room temperature for 0.5 hour. The solvent is then removed in vacuo and the residue triturated with ethanol/chloroform solution to afford a yellow solid which is collected by filtration.
This solid is chromatographed on silica gel and the initial compound to elute is 2,2'-[(3-chloro-5-nitropyrazin-2,6-yl)diamino] diethanol, 0.5 g, mp. 148-150°.
STEP Bj: 2-[(6-Bromo-3-chloro-5-nitropyrazin-2yl)-amino]ethanol To 1.8 g of 2-bromo-5,6-dichloronitropyrazine in 10 ml isopropanol at 0-10° is added 0.6 g triethylamine and then 0.31 g ethanolamine. The reaction mixture is stirred at 0-10° for 0.5 hour and then at room temperature for 15 minutes. The solvent is then removed in vacuo and the resulting oil chromatographed on silica gel with elution by 2% methanol/chloroform. The desired product is collected as a clear oil, identity confirmed by mass spectral analysis. This oil is treated with 0.31 g of ethanolamine and 0.6 g of triethylamine to form 2,2'-[(3-chloro-5-nitropyrazin-2,6-yl)diamino]- diethanol. By the procedure o£ Example 1-2B, but using in Step B the appropriate reagent, there is produced the product shown: EXAMPLE 2-2 REAGENT PRODUCT 3-amino-l,2-propanediol 3-chloro-2,6-di(2,3-dihydroxypropylamino)-520 nitropyrazine EXAMPLE 3-2 REAGENT Diethylamine PRODUCT 3-chloro-2,6-diethylamino -nitropyrazine EXAMPLE 1-3 N-[5-chloro-6(2,3-dihydroxypropyl)amino-3-nitropyrazinyl]acetamide STEP A: Preparation of N-(5,6-dichloro-3-nitropyrazin-2-yl)acetamide To 1.0 g of 5,6-dichloro-3-nitropyrazinamine in 15 ml acetyl chloride under nitrogen atmosphere at room temperature is added 0.84 g anhydrous sodium bicarbonate. The reaction mixture is then stirred and heated at reflux for 4 days. Excess acetyl chloride is then removed in vacuo and the residue is chromatographed on silica gel. The desired product is eluted from the column with chloroform.
STEP B: N-[5-chloro-6(2,3-dihydroxypropyl)amino-3nitropyrazinyl]acetamide To 0.20 g of acetamide in 35 ml isopropanol at room temperature is added 0.8 g triethylamine followed by 0.73 g 3-amino-l,2-propanediol. The reaction mixture is stirred at room temperature for 1 hour. Then, the solvent is removed in vacuo, and the residue taken up in ethyl acetate and washed twice with 10 ml water. The dried ethyl acetate extract is stripped in vacuo to give a yellow solid, which is recrystallized from acetonitrile to give the title compound, m.p. 130-131°.
By the procedure of Example 1-2, Step B but using an equivalent amount of the indicated appropriate reagent, there is produced: 5315« Reagents Product N-(5-Chloro-6-(2,3dihydroxypropyl)amino3-nitropyrazinyl]propionamide 3-3 h2nz^1 OH OH ♦CWr’wcoc3H7 ciho2 —> OH N-[5-Chloco-6(2,3-dihydroxypropyl)amino-3nitropyrazinyl]butyramide 4-3 Η2ΝΖΖ^°Η + C γΝγΝΗΟΟΟΗ, ηο^νπ nhcoch3 Cl NO, Cl HO* N-(5-Chloro-6(2-hydroxyethyl) amino-3nitropyrazinyl]acetamide Example -3 CH I 3 Cl Reagents Product VSy' ASA NHCOffl Cl »0.
CBj—N^t c/^ho2 N- [5-chloro-6-(4methyl-l-piperazinyl) -3-nitropyrazinyl]acetamide 6-3 h2nz ,h3)2 ♦ CJ^^NHC°CH Cl NO, (CHj, 2N z*s^N'v^yNHC0CH3 d^N'TIOj N- [5-Chloro-6(dimethylaminoethyl)-3nitropyrazinyl]acetamide 53ΐ5θ EXAMPLE 7-3 Sterile Isotonic Solutions for Injection Suitable formulations for injection are prepared by dissolving each of the compounds of the preceding Examples in isotonic solution in a concentration of about 1 mg/ml and sterilizing the resulting solution. They are suitable for intravenous injection.
EXAMPLE 8-3 Capsules Suitable formulations for oral administration are prepared by filling appropriately sized capsules individually with 100 and 500 mg portions of each of the compounds produced in accordance with the preceding Examples.

Claims (8)

1. CLAIMS;
1. A pharmaceutical composition useful in enhancing the therapeutic effect of radiation treatment comprising a radiation-enhancing compound of the formula: R where each of R and R 1 is hydrogen, C 1 _ g alkyl, C 2 _ g alkenyl, substituted alkyl or C 2 -6 subst i tuted alkenyl having one or more halo, amino, alkylamino di(C 1 _ 6 alkyl)amino, C 1-6 alkoxy, hydroxy, ethoxy10 carbonyl, phenyl, pyridyl, pyrimidinyl or imidazolyl η substituents, or R and R together form a morpholine, piperazine or N-substituted piperazine ring in which the N-substituent is hydrogen, C 1-6 alkyl, hydroxyalkyl or Cy.g alkoxyalkyl; or a compound that is a 15 pharmaceutically acceptable acid-addition salt thereof, and a pharmaceutical carrier.
2. For use in enhancing the therapeutic effect of radiation treatment, a compound as defined in Claim 1.
3. A composition useful in enhancing the therapeutic 20 effect of radiation treatment comprising a compound having the formula: where A is an amino substituent having at least one of the hydrogens of the amino groups replaced by a hydroxy25 substituted or (C-^g alkoxy)-substituted 0 χ _ 6 alkyl residue, or a compound that is a pharmaceutically acceptable acid-addition salt thereof, and a pharmaceutical carrier.
4. For use in enhancing the therapeutic effect of 5. Radiation treatment, a compound as defined in Claim 3.
5. A pharmaceutical composition useful in enhancing the therapeutic effect of radiation treatment comprising an effective amount of a radiation enhancing compound of the formula: where each of R and R 1 is hydrogen, c j_ 6 alkyl, Cj_ 6 substituted alkyl having one or more amino, Cj_ 6 alkylamino, di(Cj_ g alkyl)amino, Cj_ g alkoxy, or hydroxy substituents C 2 -6 alkenyl, or C 2 _ g substituted alkenyl 15 having one or more amino, Cj_ g alkylamino, di (Chalky 1) amino, Cj_ g alkoxy or hydroxy substituents, or R and R 1 together form a morpholine, piperazine or N-substituted piperazine ring in which the N-substituent is hydrogen, Cj_g alkyl, c j_g hydroxyalkyl or Cj_ g 20 alkoxyalkyl; and R 2 is Cj_ g alkyl; or a compound that is a pharmaceutically acceptable acid-addition salt thereof, and a pharmaceutical carrier.
6. For use in enhancing the therapeutic effect of radiation treatment, an effective sensitizing amount of a 25 compound as defined in Claim 5.
7. A pharmaceutical composition according to Claim l, substantially as hereinbefore described and exemplified.
8. A pharmaceutical composition according to Claim 5, substantially as hereinbefore described and exemplified.
IE136682A 1982-06-08 1982-06-08 Amino and amido derivatives of chloro nitro amino and alkylamino pyrazines useful as adjuncts to radiation therapy IE53150B1 (en)

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