JP2021521175A - ベンズアミド抗菌剤 - Google Patents
ベンズアミド抗菌剤 Download PDFInfo
- Publication number
- JP2021521175A JP2021521175A JP2020555479A JP2020555479A JP2021521175A JP 2021521175 A JP2021521175 A JP 2021521175A JP 2020555479 A JP2020555479 A JP 2020555479A JP 2020555479 A JP2020555479 A JP 2020555479A JP 2021521175 A JP2021521175 A JP 2021521175A
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- Prior art keywords
- streptococcus
- aryl
- alkynyl
- compounds
- alkyl
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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- 239000003242 anti bacterial agent Substances 0.000 title abstract description 23
- KXDAEFPNCMNJSK-UHFFFAOYSA-N Benzamide Chemical compound NC(=O)C1=CC=CC=C1 KXDAEFPNCMNJSK-UHFFFAOYSA-N 0.000 title description 32
- 150000001875 compounds Chemical class 0.000 claims abstract description 149
- 238000000034 method Methods 0.000 claims abstract description 44
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- 241000191967 Staphylococcus aureus Species 0.000 claims abstract description 26
- RJQXTJLFIWVMTO-TYNCELHUSA-N Methicillin Chemical compound COC1=CC=CC(OC)=C1C(=O)N[C@@H]1C(=O)N2[C@@H](C(O)=O)C(C)(C)S[C@@H]21 RJQXTJLFIWVMTO-TYNCELHUSA-N 0.000 claims abstract description 15
- 229960003085 meticillin Drugs 0.000 claims abstract description 15
- 239000008194 pharmaceutical composition Substances 0.000 claims abstract description 10
- 241000194032 Enterococcus faecalis Species 0.000 claims abstract description 9
- 229940032049 enterococcus faecalis Drugs 0.000 claims abstract description 9
- 241000194033 Enterococcus Species 0.000 claims abstract 3
- -1 cyano, nitro, hydroxy, amino, thio, carboxy Chemical group 0.000 claims description 72
- 125000000217 alkyl group Chemical group 0.000 claims description 40
- 125000000623 heterocyclic group Chemical group 0.000 claims description 34
- 241000194017 Streptococcus Species 0.000 claims description 33
- 125000003118 aryl group Chemical group 0.000 claims description 33
- 125000000472 sulfonyl group Chemical group *S(*)(=O)=O 0.000 claims description 29
- 125000002252 acyl group Chemical group 0.000 claims description 26
- 239000003814 drug Substances 0.000 claims description 24
- 150000003839 salts Chemical class 0.000 claims description 24
- 125000000753 cycloalkyl group Chemical group 0.000 claims description 23
- 125000003342 alkenyl group Chemical group 0.000 claims description 21
- 125000000304 alkynyl group Chemical group 0.000 claims description 21
- 229910052739 hydrogen Inorganic materials 0.000 claims description 21
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- 125000001072 heteroaryl group Chemical group 0.000 claims description 20
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- 229940079593 drug Drugs 0.000 claims description 18
- 125000000392 cycloalkenyl group Chemical group 0.000 claims description 17
- 150000002431 hydrogen Chemical group 0.000 claims description 17
- 125000005018 aryl alkenyl group Chemical group 0.000 claims description 16
- 239000000969 carrier Substances 0.000 claims description 16
- 125000004404 heteroalkyl group Chemical group 0.000 claims description 16
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- YZCKVEUIGOORGS-OUBTZVSYSA-N Deuterium Chemical group [2H] YZCKVEUIGOORGS-OUBTZVSYSA-N 0.000 claims description 11
- 229910052805 deuterium Inorganic materials 0.000 claims description 11
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- 239000000651 prodrug Substances 0.000 claims description 10
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- 229910052731 fluorine Inorganic materials 0.000 claims description 5
- 125000002496 methyl group Chemical group [H]C([H])([H])* 0.000 claims description 5
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- LFGREXWGYUGZLY-UHFFFAOYSA-N phosphoryl Chemical group [P]=O LFGREXWGYUGZLY-UHFFFAOYSA-N 0.000 claims description 4
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- 108010059993 Vancomycin Proteins 0.000 abstract description 16
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- MYSWGUAQZAJSOK-UHFFFAOYSA-N ciprofloxacin Chemical compound C12=CC(N3CCNCC3)=C(F)C=C2C(=O)C(C(=O)O)=CN1C1CC1 MYSWGUAQZAJSOK-UHFFFAOYSA-N 0.000 description 14
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- TYZROVQLWOKYKF-ZDUSSCGKSA-N linezolid Chemical compound O=C1O[C@@H](CNC(=O)C)CN1C(C=C1F)=CC=C1N1CCOCC1 TYZROVQLWOKYKF-ZDUSSCGKSA-N 0.000 description 12
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- PAQZWJGSJMLPMG-UHFFFAOYSA-N 2,4,6-tripropyl-1,3,5,2$l^{5},4$l^{5},6$l^{5}-trioxatriphosphinane 2,4,6-trioxide Chemical compound CCCP1(=O)OP(=O)(CCC)OP(=O)(CCC)O1 PAQZWJGSJMLPMG-UHFFFAOYSA-N 0.000 description 6
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Classifications
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D413/00—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and oxygen atoms as the only ring hetero atoms
- C07D413/02—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and oxygen atoms as the only ring hetero atoms containing two hetero rings
- C07D413/12—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and oxygen atoms as the only ring hetero atoms containing two hetero rings linked by a chain containing hetero atoms as chain links
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P31/00—Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
- A61P31/04—Antibacterial agents
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D271/00—Heterocyclic compounds containing five-membered rings having two nitrogen atoms and one oxygen atom as the only ring hetero atoms
- C07D271/02—Heterocyclic compounds containing five-membered rings having two nitrogen atoms and one oxygen atom as the only ring hetero atoms not condensed with other rings
- C07D271/10—1,3,4-Oxadiazoles; Hydrogenated 1,3,4-oxadiazoles
- C07D271/113—1,3,4-Oxadiazoles; Hydrogenated 1,3,4-oxadiazoles with oxygen, sulfur or nitrogen atoms, directly attached to ring carbon atoms, the nitrogen atoms not forming part of a nitro radical
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D409/00—Heterocyclic compounds containing two or more hetero rings, at least one ring having sulfur atoms as the only ring hetero atoms
- C07D409/14—Heterocyclic compounds containing two or more hetero rings, at least one ring having sulfur atoms as the only ring hetero atoms containing three or more hetero rings
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D413/00—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and oxygen atoms as the only ring hetero atoms
- C07D413/14—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and oxygen atoms as the only ring hetero atoms containing three or more hetero rings
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D417/00—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and sulfur atoms as the only ring hetero atoms, not provided for by group C07D415/00
- C07D417/14—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and sulfur atoms as the only ring hetero atoms, not provided for by group C07D415/00 containing three or more hetero rings
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- 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
Abstract
Description
本米国特許出願は、2018年4月12日に出願した、米国仮特許出願第62/656,638号に基づく優先権を享受するものであり、その内容は、参照によりその全体が本明細書に取り込まれる。
を有する化合物、またはその医薬的に許容される塩(式中、
Xは、O、S、またはNR(式中、Rは、水素、重水素、アルキル、またはアシルである)であり;
R1は、水素、アルキル、アルケニル、アルキニル、ヘテロアルキル、ヘテロアルケニル、ヘテロアルキニル、ヘテロシクリル、シクロアルキル、シクロアルケニル、シクロヘテロアルキル、シクロヘテロアルケニル、アシル、アリール、ヘテロアリール、アリールアルキル、アリールアルケニル、またはアリールアルキニル、それらのそれぞれが、場合により置換されている、であり;
R2は、水素、アルキル、アルケニル、アルキニル、ヘテロアルキル、ヘテロアルケニル、ヘテロアルキニル、ヘテロシクリル、シクロアルキル、シクロアルケニル、シクロヘテロアルキル、シクロヘテロアルケニル、アシル、アリール、ヘテロアリール、アリールアルキル、アリールアルケニル、またはアリールアルキニル、それらのそれぞれが、場合により置換されている、であり;
R3は、4個の置換基を表し、それぞれが、水素、重水素、ハロ、アジド、シアノ、ニトロ、ヒドロキシ、アミノ、チオ、カルボキシ、エステル、アミド、およびそれらの誘導体、ならびにアシル、スルホキシル、スルホニル、ホスフェート、ホスホリル、アルキル、アルケニル、アルキニル、ヘテロアルキル、ヘテロアルケニル、ヘテロアルキニル、ヘテロシクリル、シクロアルキル、シクロアルケニル、シクロヘテロアルキル、シクロヘテロアルケニル、アリール、ヘテロアリール、アリールアルキル、アリールアルケニル、およびアリールアルキニル、それらのそれぞれが、場合により置換されている、からなる群から独立して選択されるか;
または任意の2個の隣接する置換基は、結合した炭素と一緒になって、場合により置換されている環状またはヘテロ環状部分を形成し;
R4は、アシル、エステル、アルキル、アルケニル、アルキニル、ヘテロアルキル、ヘテロアルケニル、ヘテロアルキニル、ヘテロシクリル、シクロアルキル、シクロアルケニル、シクロヘテロアルキル、シクロヘテロアルケニル、アリール、ヘテロアリール、アリールアルキル、アリールアルケニル、およびアリールアルキニル、それらのそれぞれが、場合により置換されている、である)
を有する化合物に関する。
を有する化合物、またはその医薬的に許容される塩(式中、
Xは、O、S、またはNR(式中、Rは、水素、重水素、アルキル、またはアシルである)であり;
R1は、水素、アルキル、アルケニル、アルキニル、ヘテロアルキル、ヘテロアルケニル、ヘテロアルキニル、ヘテロシクリル、シクロアルキル、シクロアルケニル、シクロヘテロアルキル、シクロヘテロアルケニル、アシル、アリール、ヘテロアリール、アリールアルキル、アリールアルケニル、またはアリールアルキニル、それらのそれぞれが、場合により置換されている、であり;
R2は、水素、アルキル、アルケニル、アルキニル、ヘテロアルキル、ヘテロアルケニル、ヘテロアルキニル、ヘテロシクリル、シクロアルキル、シクロアルケニル、シクロヘテロアルキル、シクロヘテロアルケニル、アシル、アリール、ヘテロアリール、アリールアルキル、アリールアルケニル、またはアリールアルキニル、それらのそれぞれが、場合により置換されている、であり;
R3は、4個の置換基を表し、それぞれが、水素、重水素、ハロ、アジド、シアノ、ニトロ、ヒドロキシ、アミノ、チオ、カルボキシ、エステル、アミド、およびそれらの誘導体、ならびにアシル、スルホキシル、スルホニル、ホスフェート、ホスホリル、アルキル、アルケニル、アルキニル、ヘテロアルキル、ヘテロアルケニル、ヘテロアルキニル、ヘテロシクリル、シクロアルキル、シクロアルケニル、シクロヘテロアルキル、シクロヘテロアルケニル、アリール、ヘテロアリール、アリールアルキル、アリールアルケニル、およびアリールアルキニル、それらのそれぞれが、場合により置換されている、からなる群から独立して選択されるか;
または任意の2個の隣接する置換基は、結合した炭素と一緒になって、場合により置換されている環状またはヘテロ環状部分を形成し;
R4は、アシル、エステル、アルキル、アルケニル、アルキニル、ヘテロアルキル、ヘテロアルケニル、ヘテロアルキニル、ヘテロシクリル、シクロアルキル、シクロアルケニル、シクロヘテロアルキル、シクロヘテロアルケニル、アリール、ヘテロアリール、アリールアルキル、アリールアルケニル、およびアリールアルキニル、それらのそれぞれが、場合により置換されている、である)
を有する化合物に関する。
(式中、
Xは、O、S、またはNR(式中、Rは、水素、重水素、アルキル、またはアシルである)であり;
R1は、水素、アルキル、アルケニル、アルキニル、ヘテロアルキル、ヘテロアルケニル、ヘテロアルキニル、ヘテロシクリル、シクロアルキル、シクロアルケニル、シクロヘテロアルキル、シクロヘテロアルケニル、アシル、アリール、ヘテロアリール、アリールアルキル、アリールアルケニル、またはアリールアルキニル、それらのそれぞれが、場合により置換されている、であり;
R2は、水素、アルキル、アルケニル、アルキニル、ヘテロアルキル、ヘテロアルケニル、ヘテロアルキニル、ヘテロシクリル、シクロアルキル、シクロアルケニル、シクロヘテロアルキル、シクロヘテロアルケニル、アシル、アリール、ヘテロアリール、アリールアルキル、アリールアルケニル、またはアリールアルキニル、それらのそれぞれが、場合により置換されている、であり;
R3は、4個の置換基を表し、それぞれが、水素、重水素、ハロ、アジド、シアノ、ニトロ、ヒドロキシ、アミノ、チオ、カルボキシ、エステル、アミド、およびそれらの誘導体、ならびにアシル、スルホキシル、スルホニル、ホスフェート、ホスホリル、アルキル、アルケニル、アルキニル、ヘテロアルキル、ヘテロアルケニル、ヘテロアルキニル、ヘテロシクリル、シクロアルキル、シクロアルケニル、シクロヘテロアルキル、シクロヘテロアルケニル、アリール、ヘテロアリール、アリールアルキル、アリールアルケニル、およびアリールアルキニル、それらのそれぞれが、場合により置換されている、からなる群から独立して選択されるか;
または任意の2個の隣接する置換基は、結合した炭素と一緒になって、場合により置換されている環状またはヘテロ環状部分を形成し;
R4は、アシル、エステル、アルキル、アルケニル、アルキニル、ヘテロアルキル、ヘテロアルケニル、ヘテロアルキニル、ヘテロシクリル、シクロアルキル、シクロアルケニル、シクロヘテロアルキル、シクロヘテロアルケニル、アリール、ヘテロアリール、アリールアルキル、アリールアルケニル、およびアリールアルキニル、それらのそれぞれが、場合により置換されている、である)。
(式中、所定の化合物について、Xは、化合物を含む培養物のOD600であり、X0は、培地のみのものであり、XTは、DMSO対照のOD600である)
を使用することにより、パーセント正規化OD600を得た。
*使用した条件:(i)MeLi、THF、−78CÅ(登録商標)、室温、(ii)EDC.HC1、DMAP、CH2Cl2、室温、16時間、(iii)a)T3P、CH2Cl2、b)TEA、DMAP、室温、一晩。合成したアナログの構造
(HSGN−98):
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Claims (20)
- 式
を有する化合物、またはその医薬的に許容される塩(式中、
Xは、O、S、またはNR(式中、Rは、水素、重水素、アルキル、またはアシルである)であり;
R1は、水素、アルキル、アルケニル、アルキニル、ヘテロアルキル、ヘテロアルケニル、ヘテロアルキニル、ヘテロシクリル、シクロアルキル、シクロアルケニル、シクロヘテロアルキル、シクロヘテロアルケニル、アシル、アリール、ヘテロアリール、アリールアルキル、アリールアルケニル、またはアリールアルキニル、それらのそれぞれが、場合により置換されている、であり;
R2は、水素、アルキル、アルケニル、アルキニル、ヘテロアルキル、ヘテロアルケニル、ヘテロアルキニル、ヘテロシクリル、シクロアルキル、シクロアルケニル、シクロヘテロアルキル、シクロヘテロアルケニル、アシル、アリール、ヘテロアリール、アリールアルキル、アリールアルケニル、またはアリールアルキニル、それらのそれぞれが、場合により置換されている、であり;
R3は、4個の置換基を表し、それぞれが、水素、重水素、ハロ、アジド、シアノ、ニトロ、ヒドロキシ、アミノ、チオ、カルボキシ、エステル、アミド、およびそれらの誘導体、ならびにアシル、スルホキシル、スルホニル、ホスフェート、ホスホリル、アルキル、アルケニル、アルキニル、ヘテロアルキル、ヘテロアルケニル、ヘテロアルキニル、ヘテロシクリル、シクロアルキル、シクロアルケニル、シクロヘテロアルキル、シクロヘテロアルケニル、アリール、ヘテロアリール、アリールアルキル、アリールアルケニル、およびアリールアルキニル、それらのそれぞれが、場合により置換されている、からなる群から独立して選択されるか;
または任意の2個の隣接する置換基は、結合した炭素と一緒になって、場合により置換されている環状またはヘテロ環状部分を形成し;
R4は、アシル、エステル、アルキル、アルケニル、アルキニル、ヘテロアルキル、ヘテロアルケニル、ヘテロアルキニル、ヘテロシクリル、シクロアルキル、シクロアルケニル、シクロヘテロアルキル、シクロヘテロアルケニル、アリール、ヘテロアリール、アリールアルキル、アリールアルケニル、およびアリールアルキニル、それらのそれぞれが、場合により置換されている、である)。 - XがNHである、請求項1に記載の化合物。
- XがSである、請求項1に記載の化合物。
- XがOである、請求項1に記載の化合物。
- R4が、場合により置換されているアリールまたはヘテロシクリルである、請求項1に記載の化合物。
- R1およびR2が、メチルである、請求項1に記載の化合物。
- 感染を有する患者を処置する方法であって、治療有効量の1つまたは複数の請求項1〜7に記載の化合物、および1つまたは複数の担体、希釈剤、または賦形剤を、前記感染からの解放を必要とする患者に投与する工程を含む、方法。
- 感染を有する患者を処置する方法であって、治療有効量の請求項1〜7に記載の化合物を、同じまたは異なる作用機序の1つまたは複数の他の化合物、および1つまたは複数の担体、希釈剤、または賦形剤と組み合わせて、前記感染からの解放を必要とする患者に投与する工程を含む、方法。
- 請求項8および9に記載の感染を有する患者を処置する方法であって、前記感染が、MRSA、VISA、VRSA、VRE、メチシリン抵抗性スタフィロコッカス・アウレウス、エンテロコッカス・フェカリス、VRE、エンテロコッカス・フェシウム、ストレプトコッカス・ニューモニエ、ストレプトコッカス・シュードニューモニエ、ストレプトコッカス・ピオゲネス、ストレプトコッカス・サングイス、ストレプトコッカス・ソブリナス、ストレプトコッカス・インターメディウス、ストレプトコッカス・アンギノーサス、ストレプトコッカス・ミティス、ストレプトコッカス・ミュータンス、ストレプトコッカス・オラリス、ストレプトコッカス・チグリヌス、ストレプトコッカス・コンステラータス、ストレプトコッカス・ボビス、ストレプトコッカス・モノサイトゲネス、クロストリジウム・ディフィシル、クロストリジウム・パーフリンジェンス、クロストリジウム・テタニ、クロストリジウム・ボツリヌム、ナイセリア・ゴノレー、エリュシペロトリクス・リューシオパシエ、バチルス・アントラシス、コリネバクテリウム・ジフテリエ、ストレプトコッカス・スイス、ストレプトコッカス・イニエ、ストレプトコッカス・エクイ、ストレプトコッカス・ジスガラクチエにより引き起こされる感染である、方法。
- 1つまたは複数の請求項1〜7の化合物を含む薬物複合体であって、細胞型または組織型ターゲティングを与えるか、または請求項1〜7に記載の化合物の相乗効果を生み出す別の経路を標的化する、複合体。
- 1つまたは複数の請求項1〜7に記載の化合物を含む薬物複合体であって、改善された水溶解度または低クリアランスを与える、複合体。
- 1つまたは複数の請求項1〜7の化合物のナノ粒子を、1つまたは複数の希釈剤、賦形剤または担体と一緒に含む、医薬組成物。
- 1つまたは複数の請求項1〜7の化合物を含むプロドラッグであって、前記プロドラッグ部分が、胃腸のような特定の位置にて、または血液もしくは組織もしくは特定の癌において取り除かれる、プロドラッグ。
- 特定の代謝ホットスポットが、重水素またはフッ素のような基で修飾されている、請求項1〜7に記載の化合物のアナログ。
- 対象における癌を処置するための医薬の製造における請求項1〜7に記載の化合物またはその医薬的に許容される塩の使用。
- 請求項1〜7の化合物を、1つまたは複数の医薬的に許容される希釈剤、賦形剤または担体と一緒に含む、医薬組成物。
- 感染を有する患者を処置する方法であって、治療有効量の1つまたは複数の式(I)の化合物、またはその医薬的に許容される塩、および1つまたは複数の担体、希釈剤、または賦形剤を、前記感染からの解放を必要とする患者に投与する工程を含む、方法
(式中、
Xは、O、S、またはNR(式中、Rは、水素、重水素、アルキル、またはアシルである)であり;
R1は、水素、アルキル、アルケニル、アルキニル、ヘテロアルキル、ヘテロアルケニル、ヘテロアルキニル、ヘテロシクリル、シクロアルキル、シクロアルケニル、シクロヘテロアルキル、シクロヘテロアルケニル、アシル、アリール、ヘテロアリール、アリールアルキル、アリールアルケニル、またはアリールアルキニル、それらのそれぞれが、場合により置換されている、であり;
R2は、水素、アルキル、アルケニル、アルキニル、ヘテロアルキル、ヘテロアルケニル、ヘテロアルキニル、ヘテロシクリル、シクロアルキル、シクロアルケニル、シクロヘテロアルキル、シクロヘテロアルケニル、アシル、アリール、ヘテロアリール、アリールアルキル、アリールアルケニル、またはアリールアルキニル、それらのそれぞれが、場合により置換されている、であり;
R3は、4個の置換基を表し、それぞれが、水素、重水素、ハロ、アジド、シアノ、ニトロ、ヒドロキシ、アミノ、チオ、カルボキシ、エステル、アミド、およびそれらの誘導体、ならびにアシル、スルホキシル、スルホニル、ホスフェート、ホスホリル、アルキル、アルケニル、アルキニル、ヘテロアルキル、ヘテロアルケニル、ヘテロアルキニル、ヘテロシクリル、シクロアルキル、シクロアルケニル、シクロヘテロアルキル、シクロヘテロアルケニル、アリール、ヘテロアリール、アリールアルキル、アリールアルケニル、およびアリールアルキニル、それらのそれぞれが、場合により置換されている、からなる群から独立して選択されるか;
または任意の2個の隣接する置換基は、結合した炭素と一緒になって、場合により置換されている環状またはヘテロ環状部分を形成し;
R4は、アシル、エステル、アルキル、アルケニル、アルキニル、ヘテロアルキル、ヘテロアルケニル、ヘテロアルキニル、ヘテロシクリル、シクロアルキル、シクロアルケニル、シクロヘテロアルキル、シクロヘテロアルケニル、アリール、ヘテロアリール、アリールアルキル、アリールアルケニル、およびアリールアルキニル、それらのそれぞれが、場合により置換されている、である)。 - 前記感染が、MRSA、VISA、VRSA、VRE、メチシリン抵抗性スタフィロコッカス・アウレウス、エンテロコッカス・フェカリス、VRE、エンテロコッカス・フェシウム、ストレプトコッカス・ニューモニエ、ストレプトコッカス・シュードニューモニエ、ストレプトコッカス・ピオゲネス、ストレプトコッカス・サングイス、ストレプトコッカス・ソブリナス、ストレプトコッカス・インターメディウス、ストレプトコッカス・アンギノーサス、ストレプトコッカス・ミティス、ストレプトコッカス・ミュータンス、ストレプトコッカス・オラリス、ストレプトコッカス・チグリヌス、ストレプトコッカス・コンステラータス、ストレプトコッカス・ボビス、リステリア・モノサイトゲネス、クロストリジウム・ディフィシル、クロストリジウム・パーフリンジェンス、クロストリジウム・テタニ、クロストリジウム・ボツリヌム、ナイセリア・ゴノレー、エリュシペロトリクス・リューシオパシエ、バチルス・アントラシス、コリネバクテリウム・ジフテリエ、ストレプトコッカス・スイス、ストレプトコッカス・イニエ、ストレプトコッカス・エクイ、ストレプトコッカス・ジスガラクチエにより引き起こされる感染である、請求項18に記載の方法。
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