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Definitions

• the present invention relates to mevinolin derivatives, a process for their production, their use as a pharmaceutical and pharmaceutical preparations containing them.
• each of a-b and ⁇ - ⁇ independently, is either a single bond or a double bond
• R 1 is
• R a is H; C 1-6 alkyl optionally substituted by OH or C 1-4 alkoxy; C 2-6 alkenyl; or aryl-C 1-4 alkyl;
• R 2 is OH; —O—CO—R 5 wherein R 5 is C 1-8 alkyl, C 3-7 cycloalkyl, C 3-7 cycloalkyl-C 1-4 alkyl, aryl or aryl-C 1-4 alkyl; or —O—R 6 wherein R 6 is the residue of an ⁇ -amino-acid attached to O through its carbonyl residue or —CHR 7 —COR 8 wherein R 7 is H, C 1-4 alkyl, heteroC 1-4 alkyl, C 3-7 cycloalkyl, C 3-7 cycloalkyl-C 1-4 alkyl, aryl or aryl-C 1-4 alkyl and R 8 is OH, C 1-4 alkoxy or NR 9 R 10 wherein each of R 9 and R 10 independently is H, C 1-4 alkyl or R 9 and R 10 form together with the nitrogen to which they are bound, a heteroaryl group;
• R 3 is a substituted lactam, piperidyl, linear amino alcohol or cyclic carbamate, or a residue of formula (i)
• R 13 is OH; C 1-6 alkoxy; —O—CO—C 1-6 alkyl; or —O 13 CO—NHC 1-6 alkyl;
• R 14 is OH; C 1-4 alkoxy; C 1-4 alkyl; C 1-4 alkoxy-carbonyl-C 1-4 alkoxy; hydroxy-C 1-5 alkoxy;
• R 15 is H or C 1-4 alkyl
• R 16 is CONR 17 R 18 wherein one of R 17 and R 18 is H and the other is C 1-6 alkyl, hydroxy-C 1-6 alkyl, C 3-7 cycloalkyl-C 1-4 alkyl or aryl-C 1-4 alkyl; or C 1-6 alkoxy-carbonyl;
• each of a-b and ⁇ - ⁇ being a single bond when each of R 13 or R 14 is OH;
• R 4 is H or OR 19 wherein R 19 is C 1-6 alkyl, hydroxy-C 1-6 alkyl, C 1-4 alkoxy-C 1-6 alkyl, aryl-C 1-4 alkyl or C 1-4 alkoxycarbonyl-C 1-4 alkyl,
• aryl appears as is or in the significances of “aryl-C 1-4 alkyl” in the above definition, it is “phenyl” or “naphthyl” optionally substituted by halogen, OH, NR 11 R 12 , COOH, CF 3 , C 1-4 alkoxy, C 1-4 alkyl, hydroxy-C 1-4 alkyl, hydroxy-C 1-4 alkoxy, C 1-4 alkoxy-carbonyl, cyano or CONR 11 R 12 , each of R 11 and R 12 independently being H, C 1-4 alkyl, phenyl, naphthyl, phenyl-C 1-4 alkyl or naphthyl-C 1-4 alkyl or R 11 and-R 12 together with the nitrogen to which they are bound forming heteroaryl; and wherever “heteroaryl” appears, it is a 5- or 6-membered heterocyclic residue optionally fused to a benzene ring;
• Alkyl groups or alkyl moieties may be branched or straight chain. Cycloalkyl groups or moieties are preferably cyclopentyl or cyclohexyl. Heteroalkyl includes e.g. halogenated alkyl such as CF 3 . Polyhydroxy-C 1-4 alkyl may comprise up to 6 hydroxy groups.
• the phenyl or naphthyl moiety in aryl or aryl-C 1-4 alkyl when substituted, bears up to 3 substituents as disclosed above, more preferably selected from C 1-4 alkoxy, e.g. methoxy or ethoxy, hydroxy-C 1-4 alkoxy, hydroxy-C 1-4 alkyl and OH.
• substituents as disclosed above, more preferably selected from C 1-4 alkoxy, e.g. methoxy or ethoxy, hydroxy-C 1-4 alkoxy, hydroxy-C 1-4 alkyl and OH.
• the 2 substitutents are preferably in positions meta and para.
• Aryl-C 1-4 alkyl is preferably benzyl, phenethyl or naphthyl-CH 2 —, the phenyl or naphthyl moiety being optionally substituted as indicated above.
• heteroaryl examples include pyrrolyl, imidazolyl, furyl, thienyl, pyrrolidinyl, piperidyl, piperazinyl, morpholino, pyridyl, indolyl or quinolyl.
• Heteroaryl as formed by R 9 and R 10 together with the nitrogen to which they are attached, may comprise a further heteroatom, e.g. O or N, and is preferably pyrrolidinyl, piperidyl, piperazinyl or morpholino.
• the alkyl moiety preferably is C 1 or C 2 alkyl.
• R 6 is the residue of an ⁇ -amino acid, it may be the residue of a natural or unnatural ⁇ -amino acid residue, e.g. Ala, Leu, lIe, Val, Pro, wherein the terminal amino group may be substituted or unsubstituted, e.g. by an amino protecting group.
• a natural or unnatural ⁇ -amino acid residue e.g. Ala, Leu, lIe, Val, Pro, wherein the terminal amino group may be substituted or unsubstituted, e.g. by an amino protecting group.
• R 3 is a substituted lactam residue
• it is preferably a 6-membered ring wherein the nitrogen of the lactam may be substituted and/or comprising a further substituent on the ring, e.g. on the carbon atom opposite to the nitrogen.
• the lactam residue is disubstituted.
• a suitable example of a substituted lactam as R 3 includes e.g. a radical of formula (a)
• R 30 is C 1-8 alkyl; C 3-7 cycloalkyl; aryl; C 3-7 clcoalkyl-C 1-4 alkyl; aryl-C 1-4 alkyl; heteroaryl; or heteroaryl-C 1-4 alkyl;
• R 31 is OH; C 1-4 alkoxy; C 1-4 alkyl; C 1-4 alkoxy-carbonyl-C 1-4 alkoxy; hydroxy-C 1-5 alkoxy; C 1-4 alkoxy-C 1-5 alkoxy; C 1-4 alkoxy-carbonyl-C 1-4 alkyl; amino-C 1-4 alkoxy; HOOC-C 1-4 alkoxy; HOOC 1-4 alkyl; or NR 9a R 10a -C 1-5 alkoxy wherein each of R 9a and R 10a independently has one of the significances given for R 9 and R 10 .
• R 3 is a substituted piperidyl residue
• the nitrogen of the piperidyl may be substituted and/or a further substituent may be present on the ring, e.g. on the carbon atom opposfte to the nitrogen.
• the piperidyl residue is disubsfituted.
• a suitable example of a subsbtuted piperidyl residue includes e.g. a radical of formula (b)
• R 40 has one of the significances given for R 30 ;
• R 41 has one of the significances given for R 31 or is —O—CO—C 1-8 alkyl.
• R 3 is a substituted amino alcohol residue
• the amino group thereof may be monosubstituted, e.g. by a substituent such as aryl-C 1-4 alkyl or aryl-C 1-4 alkyl-carbonyl, and/or a further substituent may be present on the chain, e.g. on the carbon atom adjacent to the alcohol or amino group.
• Cyclisation of the substituted amino alcohol residue leads to a corresponding substituted cyclic carbamate.
• a suitable example of a substituted amino alcohol and of the corresponding substituted cyclic carbamate includes e.g. a radical of formula (c 1 ) or (c 2 )
• each of R 50 independently is H; C 1-8 alkyl; C 3-7 cycloalkyl; aryl; C 3-7 cycloalkyl-C 1-4 alkyl; aryl-C 1-4 alkyl; heteroaryl; heteroaryl-C 1-4 alkyl; C 1-4 alkyl-carbonyl; aryl-carbonyl; heteroaryl-carbonyl; aryl-C 1-4 alkyl-carbonyl or heteroaryl-C 1-4 alkyl-carbonyl, and
• each of R 51 independently is H; C 1-4 alkyl; hydroxy-C 1-4 alkyl; amino-C 1-4 alkyl; C 1-4 alkoxy-C 1-4 alkyl; C 1-4 alkoxy-carbonyl-C 1-4 alkyl wherein C 1-4 alkoxy is optionally substituted by amino, C 1-4 alkyl-amino or di-(C 1-4 alkyl)-amino; HOOC-C 1-4 alkyl; or R 23 R 24 N—CO—C 1-4 alkyl wherein R 23 is H, C 1-4 alkyl, hydroxy-C 1-4 alkyl, polyhydroxy-C 1-8 alkyl, heteroaryl, heteroaryl-C 1-4 alkyl, amino-C 1-4 alkyl, C 1-4 alkylamino-C 1-4 alkyl, di-(C 1-4 alkyl)amino-C 1-4 alkyl or aryl-C 1-4 alkyl and R 24 is H, C 1-4 alkyl; hydroxy-
• Preferred compounds of formula I are those wherein R 3 is substituted lactam, substituted linear amino alcohol, substituted cyclic carbamate, preferably substituted lactam or substituted cyclic carbamate, e.g. as disclosed above, more preferably a radical of formula (a) or (c 1 ) or (C 2 ) wherein X and Y are —CO—.
• R 1 is H or CH 3 , preferably CH 3 ;
• R 2 is —O—CO—R 5 , preferably wherein R 5 is C 4-8 alkyl, particularly —CH(CH 3 )—CH 2 —CH 3 , —CH(CH 2 —CH 2 —CH 3 ) 2 , —CH(CH 2 —CH 3 ) 2 , —C(CH 3 ) 2 —CH 2 —CH 3 or —CH(CH 2 —CH 3 )—CH 2 —CH 2 —CH 3 .
• R 4 is H
• R 3 is a radical of formula (i);
• R 16 is CO—NR 17 R 18 ; preferably one of R 17 and R 18 is H;
• Each of R 13 and R 14 is OH and each of a-b and ⁇ - ⁇ is a single bond;
• Each of R 13 and R 14 is other than OH;
• R 3 is a radical of formula (a);
• R 30 in (a) is aryl-C 1-4 alkyl or heteroaryl-C 1-4 alkyl, preferably benzyl or naphthyl-methyl wherein the phenyl or naphthyl ring is optionally substituted by OH, C 1-4 alkoxy, hydroxy-C 1-4 alkoxy or hydroxy-C 1-4 alkyl, or morpholino, pyridyl, indolyl or quinolyl;
• R 31 in (a) is OH, C 1-4 alkoxy, hydroxy-C 1-4 alkoxy, C 1-4 alkoxy-carbonyl-C 1-4 alkoxy or HOOC—C 1-4 alkoxy;
• R 3 is a radical of formula (c 1 ) or (c 2 ) wherein X and Y form together —CO—;
• Compounds of formula I may exist in free form or in salt form, e.g. as acid addition salts with e.g. organic or inorganic acids, for example, hydrochlorides, or salts when a COOH is present, as salts with bases e.g. alkali salts such as sodium or potassium, or substituted or unsubstituted ammonium salts.
• radicals of formulae (i), (a), (b), (c 1 ) and (c 2 ) may comprise at least one asymetric carbon atom, e.g. the carbon atom which bears R 15 and R 16 , R 31 , R 41 or R 51 , respectively, for example
• the present invention also includes a process for the production of a compound of formula I, comprising
• R 1 , R 2 , R 4 , a-b and ⁇ - ⁇ and R 1 are as defined above, and R′′ 3 is a radical of formula (C 1A )
• R 51 is as defined above;
• OH groups are present in the starting products which are not to participate in the reaction, they may be protected, in accordance with known methods. OH protecting groups are known in the art, e.g. tert.-butyl-dimethyl-silanyl.
• Process steps (a) to (f) may be effected analogously to methods known in the art or as disclosed in the Examples below.
• the cyclisation in step (d) may conveniently be carried out in the presence of a cyclisation agent, e.g. carbonyl duimidazole.
• Compounds of formula IV may be prepared by opening of the OH protected lactone ring according to known procedures, e.g. by reaction with an amine and then oxidation of the resulting hydroxy group into a ketone.
• the compounds are known or may be prepared analogously to methods known in the art or as disclosed in WO 99/11258, e.g. starting from mevinolin or compactin or tetrahydro-mevinolin or -compactin.
• —O—CO—CH(CH 3 )—C 2 H 5 of mevinolin, compactin or tetrahydro-mevinolin or -compactin may also be reduced to OH and then esterifled to another —O—CO—R 5 group.
• TBDMS tert-butyldimethylsilyl
• CDI caibonyldiimidazole
• R 50 and R 51 are as defined in Table 1 below, may be prepared.
• TABLE 1 Ex R 50 R 51 M.S. (ESI) 3* 3-OMe-4-OH-benzyl —CH 2 —CO—NH—CH 2 -(4′-OH-3′-OMe- 717 [M ⁇ H] phenyl) 4 3-OMe-4-(2-hydroxy-ethoxy)- —CH 2 —CO—NH—CH 2 -[3′-OMe-4′-( ⁇ - 851 [M + HCOO ⁇ ] benzyl hydroxy-ethoxy)-phenyl] 5 3,4-di-OMe-benzyl —CH 2 —CO—NHCH 3 611 [MH+] 6 3,4-di-OMe-benzyl —CH 2 —COOH 596 [M ⁇ H] 7 3-OMe-4-OH-benzyl —CH 2 —CO—OCH 3 596 [M ⁇ H] 8 3-OMe-4-OH-benzyl —
• R 50 , R 51 are as defined in Table 2 below. TABLE 2 Ex R 50 R 51 M.S. (ESI) 25* 3,4-di-OMe- —CH 2 —CO—NHCH 3 611 (M + H) benzyl 26 3,4-di-OMe- —CH 2 —CO—O—(CH 2 ) 2 —N(CH 3 ) 2 668 (M + H) benzyl
• the compound of Example 29 is obtained by silylating mevinolin, following step b) of the procedure of Example 28, reacting with ethyl isocyanate and desilylating according to conventional methods.
• the compound of example 30 is obtained by reacting mevinolin with ethyl diazoacetate and rhodium acetate and then following step b) of the procedure of Example 28.
• Example 31 is prepared by following step a) and b) of the procedure of Example 1 and desilylating the compound resulting from step b).
• the compounds of Examples 32 and 33 are obtained by submitting the appropriate starting materials to step a) and a modified version of step b) (in the absence of methanol):
• reaction mixture is diluted wvith 250 ml methyl-tbutyl other and washed successively with 10% aqueous citric acid, saturated aqueous sodium bicarbonate and brine.
• the organic phase is dried over sodium sulfate and the solvent evaporated.
• the phases are separated and the aqueous phase is extracted twice with methyl-t-butyl ether.
• the organic phases are combined, washed successively with saturated aqueous sodium bicarbonate and brine, dried over sodium sulfate and the solvent is evaporated.
• R 30 and R 31 have the significances given in Table 3, are prepared analogously to procedure as disclosed in Example 34.
• TABLE 3 Ex R 30 R 31 M.S 35 OH 545 [MH+] 36* OH 545 [MH+] 37 4-(2′-OH-ethoxy)-3-OCH 3 -benzyl OH 628 [M + HCOO-] 38 3,5-di-(OCH 3 )-benzyl OH 554 [MH+] 39 3,4-di-(OCH 2 CH 3 )-phenyl OH 568 [MH+] 40 ⁇ -naphthyl-CH 2 — OH 544 [MH+] 41 4-di-ethyl-carbamoyl-benzyl OH 593 [MH+] 42 3-OCH 3 -4-OH-benzyl OH 538 [M ⁇ H] 43 4-morpholinocarbonyl-benzyl OH 607 [MH+] 44 OH 619 [M + HCOO-
• the systhesis of compounds of Examples 61 to 64* additionally comprise a treatment with ethyl diazoacetate and rhodium acetate, followed for the compounds of Examples 62* and 63*, by a reduction.
• Compounds of Ex. 66 and 67 may be obtained from mevinolin as follows: ester cleavage of mevinolin and oxidation of the newly generated hydroxy position to the oxo compound. The neighbouring hydroxy substituent is then introduced via the formation of the silylenolate and treatment with meta-chloroperbenzoic acid. Selective alkylation of the newly formed hydroxy position is achieved by treatment with Meerwein salt. The ester group is introduced via its anhydride. Then the procedure as described for Ex. 34 is followed.
• Mevinolin is treated with acetic anhydride to give the ⁇ , ⁇ -unsaturated lactone. This is treated with cuprous bromide dimethylsulfide complex and methyl lithium to affect conjugate addition. The methylated lactone compound is treated with methanol and diazabicycloundecane to give the ring opened methylated hydroxy ester. The hydroxy group of which is then oxidized with sulfur trioxide pyridine complex to the corresponding ketone.
• R 1 and Y-Z are as defined in Table 4 below, may be prepared: TABLE 4 Example Y-Z R 1 MS (EI) 68 C—C —CH 2 -phenyl see above 69 C C —CH 2 —CH(CH 3 ) 2 457 (M) 70 C C —CH 2 —CH(CH 3 ) 2 457 (M)
• R 1 -R 3 and Y-Z are as defined in Table 5 below, may be prepared TABLE 5 Ex R 1 R 2 R 3 Y-Z MS(ESI) 71 OH 3,4-dimethoxy-benzyl (CH 3 —CH 2 ) 2 CH—CO— C C see above 72 OH 3,4-dimethoxy-benzyl (CH 3 —CH 2 ) 2 CH—CO— C C 554 (M + H) 73 (CH 3 —CH 2 ) 2 CH—CO—O— 3,4-dimethoxy-benzyl (CH 3 —CH 2 ) 2 CH—CO— C C 674 (M + Na) 74 (CH 3 —CH 2 ) 2 CH—CO—O— 3,4-dimethoxy-benzyl (CH 3 —CH 2 ) 2 CH—CO— C C 652 (M + H) 75 (CH 3 —CH 2 ) 2 CH—CO—O— 3,4-dimethoxy-benzyl H C C 554 (
• Compound of Ex. 73 is obtained from compound of Ex. 71 starting from compound of Ex. 47.
• Compound of Ex. 74 is obtained from compound of Ex. 72 starting from the diastereoisomer of Ex. 50**.
• R 1 and R 2 are as defined in Table 6 below, may be prepared. TABLE 6 Ex R 1 R 2 MS (ESI) 76 CH 3 -(3,4-dimethoxy)-benzyl see above 77 CH 3 benzyl 525 (M + H) 78 CH 3 diphenyl-methyl 601 (M + H) 79 CH 3 CH(CH 3 )-phenyl 539 (M + H)
• the compounds of formula I in free form or in pharmaceutically acceptable salt form exhibit valuable pharmacological properties, e.g. inhibiting activity of LFA-1/ICAM-1 or ICAM3 interactions or inhibiting inflammation, e.g. as indicated in in vitro and in vivo tests and are therefore indicated for therapy.
• the assay measures the binding of soluble human ICAM-1 to immobilized human LFA-1.
• LFA-1 is purified from JY cells, a human lymphoblastoid B cell-line, by immunoaffinity chromatography as described by Dustin et al. (J. Immunol. 148, 2654-2663, 1992).
• ICAM1 mouse Cx fusion protein (ICAM-1) is produced using the baculovirus system as described by Weitz-Schmidt et al. (Anal. Biochem.238,1 84-190, 1996).
• Purified LFA-1 is diluted 1:20 in phosphate buffered saline (PBS) containing 2 mM MgCl 2 , pH 7.4 and coated onto microtitre plates (Nunc) at 37° C. for 3h. Plates are blocked with 1% heat-treated BSA in PBS for 2 hours at 37° C. followed by a washing step using PBS, 2 mM MgCl 2 , 1% fetal calf serum, pH 7.4 (assay buffer). Compounds dissolved at 10 mM in DMSO are diluted in assay buffer and added to the plates. Biotinylated recombinant ICAM-1 in assay buffer (6 ⁇ g/ml) is added and allowed to bind at 37° C.
• PBS phosphate buffered saline
• compounds of formula I inhibit adhesion of LFA-1 to ICAM-1 with an IC 50 ⁇ 30 ⁇ M, preferably 0.05 to 30 ⁇ M.
• PBMC Peripheral blood mononuclear cells
• Thioglycollate is injected i.p. to mice and immediately thereafter the compound to be tested is given s.c.. The mice are killed after 4 hours, the peritoneal cavity lavaged and total number of neutrophils in the lavage fluid is determined.
• the compounds of formula I inhibit thioglycollate induced neutrophil migration when administered s.c. at a dose of from 0.001-50 ⁇ g/kg.
• mice Groups of oxazolone-sensitized mice are challenged with 10 ⁇ l of 0.2 or 2.0% oxazolone on the inner surface of the right to eliciate ACD.
• the low concentration of oxazolone is used for testing compounds on systemic activity whereas the high concentration is applied for topical testing.
• the unchallenged left ears serve as normal controls and dermatitis is evaluated from the individual differences in pinnal weight, which is taken as a measure of increase in inflammatory swelling 24 h after the challenge. Dermatitis is evaluated in test- and for comparison in control groups.
• test groups are treated with the test compounds either orally (twice, 2 h and immediately before challenge), subcutaneously (immediately before challenge) or topically (30 min after challenge at the site of elicitation of the ACD); the controls are treated similarly with the vehicles alone.
• oral and subcutaneous administration the compounds are administered in an oil in water emulsion
• topical administration the compounds are prepared in a mixture of ethanol, acetone and dimethylacetamide.
• the data of the test- and the vehicle-treated control groups are statistically analysed by ANOVA followed by Dunnet T-test (normal distribution or data) or by H and U-test, respectively.
• compounds of formula I inhibit the elicitation phase of allergic contact dermatitis.
• BALB/c C3H (H-2d H-2k) comprises MHC and non-MHC mismatch.
• Female animals are anaesthetised using inhalational isofluorane. Following heparinisation of the donor BALB/c mouse through the abdominal inferior vena cava with simultaneous exsanguination via the aorta, the chest is opened and the heart rapidly cooled. The aorta is ligated and divided distal to the first branch and the brachiocephalic trunk is divided at the first bifurcation. The left pulmonary artery is ligated and divided and the right side divided but left open. All other vessels are dissected free, ligated and divided and the donor heart is removed into iced saline.
• the recipientC3H is prepared by dissection and cross-clamping of the infra-renal abdominal aorta and vena cava.
• the graft is implanted with end-to-side anastomoses, using 11/0 monofilament suture, between the donor brachiocephalic trunk and the recipient aorta and the donor right pulmonary artery to the recipient vena cava.
• the clamps are removed, the graft tethered retroabdominaly, the abdominal contents washed with warm saline and the animal is closed and allowed to recover under a heating lamp.
• Graft survival is monitored by daily palpation of the beating donor heart through the abdominal wall. Rejection is considered to be complete when heart beat stops.
• Improvements of graft function are obtained in animals treated with a compound of formula I administered orally at a daily dose of 30 mg/kg. Significant improvement is obtained when the compound of formula I is administered wit an immunosuppressive agent, e.g. cyclosporin A, at a daily dose of 10 mg/kg.
• an immunosuppressive agent e.g. cyclosporin A
• the compounds of formula I are, therefore, useful in the treatment and/or prevention of diseases or disorders mediated by LFA-1/lCAM-1 or ICAM-3 interactions e.g. ischemia/reperfusion injury e.g. myocardial infarction, stroke, gut ischemia, renal failure or hemorrhage shock, acute or chronic rejection of organ or tissue allo- or xenografts, e.g. heart, lung, combined heart-lung, kidney, liver, bowel, bone marrow or pancreatic islets, infection diseases such as septic shock, adult respiratory distress syndrome, or traumatic shock.
• the compounds of formula I are also useful in the treatment and/or prevention of acute or chronic inflammatory diseases or disorders or autoimmune diseases e.g.
• rheumatoid arthritis systemiclupus erythematosus, hashimoto's-thyroidis,-multiple sclerosis, myasthenia gravis, diabetes type I and uveitis, cutaneous manifestations of immunologically-mediated illnesses, inflammatory and hyperproliferative skin diseases (such as psoriasis, atopic dermatitis, alopecia aerata, allergic contact dermatitis, irritant contact dermatitis and further eczematous dermatitises, seborrhoeic dermatitis, lichen planus, pemphigus, bullous pemphigoid, epidermolysis bullosa, urticaria, angioedemas, vasculitides, erythema multiforme, cutaneous eosinophilias, lupus erythematosus, acne, granuloma annulare, pyoderma gangrenosum, sun bums
• the required dosage will of course vary depending on the mode of administration, the particular condition to be treated and the effect desired. In general, satisfactory results are indicated to be obtained systemically at daily dosages of from about 0.1 to about 10 mg/kg body weight
• An indicated daily dosage in the larger mammal is in the range from about 0.5 mg to about 80 mg, conveniently administered, for example, in divided doses up to four times a day or in retard form.
• the compounds of formula I may be administered systemically or topically, by any conventional route, in particular enterally, e.g. orally, e.g. in the form of tablets or capsules, topically, e.g. in the form of lotions, gels, ointments or creams, or in a nasal or a suppository form.
• Percutaneous administration via patches or other delivery systems may also be a possible route for prevention or treatment of above diseases.
• compositions comprising a compound of formula I in association with at least one pharmaceutical acceptable carrier or diluent may be manufactured in conventional manner by mixing with a pharmaceutically acceptable carrier or diluent.
• Unit dosage forms contain, for example, from about 0.1 mg to about 40 mg of active substance.
• Topical administration is e.g. to the skin.
• a further form of topical administration is to the eye.
• the compounds of formula I may be administered in free form or in pharmaceutically acceptable salt form e.g. as indicated above.
• Such salts may be prepared in conventional manner and exhibit the same order of actMty as the free compounds.
• the present invention further provides:
• a method for preventing or treating disorders or diseases mediated by LFA-1IACAM1 interactions, e.g. such as indicated above, in a subject in need of such treatment comprises administering to said subject an effective amount of a compound of formula I or a pharmaceutically acceptable salt thereof;
• a compound of formula I in free form or in a pharmaceutically acceptable salt form for use as a pharmaceutical, e.g. in any of the methods as indicated under 1.1 and 1.2 above.
• a pharmaceutical composition for use in any of the methods as in 1.1 and 1.2 above comprising a compound of formula I in free form or pharmaceutically acceptable salt form in association with a pharmaceutically acceptable diluent or carder therefor.
• the compounds of formula I may be administered as the sole active ingredient or in conjunction with, e.g. as an adjuvant to, other drugs in immunomodulating regimens or other anti-inflammatory agents for the treatment or prevention of allo- or xenograft acute or chronic rejection or inflammatory or autoimmune disorders.
• the compounds of formula I may be used in combination with cyclosporins, rapamycins or ascomycins, or their immunosuppressive analogs, e.g.
• cyclosporin A cyclosporin G, FK-506, ABT-281, ASM981, rapamycin, 40-O-(2-hydroxy)ethyl-rapamycin etc.
• corticosteroids cyclophosphamide; azathioprene; methotrexate; FTY720; leflunomide; mizoribine; mycophenolic acid; mycophenolate mofetil; 15-deoxyspergualine
• immunosuppressive monoclonal antibodies e.g., monoclonal antibodies to leukocyte receptors, e.g., MHC, CD2, CD3, CD4, CD7, CD25, CD28, B7, CD40, CD45 or CD58 or their ligands; or other immunomodulatory compounds, e.g.
• CTLA41g or other adhesion molecule inhibitors, e.g. mAbs or low molecular weight inhibitors including Selectin antagonists and VLA4 antagonists.
• a preferred composition is with Cyclosporin A, FK506, rapamycin or 40-O-(2-hydroxy)ethy-rapamycin.
• the compounds of formula I are administered in conjunction with other immunosuppressive/immunomodulatory or anti-inflammatory therapy, e.g. for preventing or treating chronic rejection as hereinabove specified
• dosages of the co-administered immunosuppressant, immunomodulatory or anti-inflammatory compound will of course vary depending on the type of co-drug employed, e.g. whether it is a steroid or a cyclosporin, on the specific drug employed, on the condition being treated and so forth.
• the present invention provides in a yet further aspect:
• a method as defined above comprising co-administration, e.g. concomitantly or in sequence, of a therapeutically effective amount of a compound of formula I in free form or in pharmaceutically acceptable salt form, and a second drug substance, said second drug substance being an immunosuppressant, imnmunomodulatory or anti-inflammatory drug, e.g. as indicated above.
• a therapeutic combination e.g. a kit, for use in any method as defined under 1.1 or 1.2 above, comprising a compound of formula I, in free form or in pharmaceutically acceptable salt form, with at least one pharmaceutical composition comprising an immunosuppressant, immunomodulatory or anti-inflammatory drug.
• the kit may comprise instructions for its administration.
• Preferred compounds of formula I are those inhibiting HMG CoA Reductase activity with an IC 50 ⁇ 1 ⁇ M, e.g. ⁇ 50 ⁇ M, in the in vitro Microsomal assay as disclosed in WO 99/11258.

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