US20090036425A1 - Substituted bicyclolactam compounds - Google Patents
Substituted bicyclolactam compounds Download PDFInfo
- Publication number
- US20090036425A1 US20090036425A1 US12/174,820 US17482008A US2009036425A1 US 20090036425 A1 US20090036425 A1 US 20090036425A1 US 17482008 A US17482008 A US 17482008A US 2009036425 A1 US2009036425 A1 US 2009036425A1
- Authority
- US
- United States
- Prior art keywords
- compound
- tautomer
- alkyl
- pharmaceutically acceptable
- methyl
- 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.)
- Abandoned
Links
- 150000001875 compounds Chemical class 0.000 title claims abstract description 245
- 150000003839 salts Chemical class 0.000 claims abstract description 82
- 125000002496 methyl group Chemical group [H]C([H])([H])* 0.000 claims description 77
- -1 cyano, hydroxyl Chemical group 0.000 claims description 75
- 125000004178 (C1-C4) alkyl group Chemical group 0.000 claims description 58
- 238000000034 method Methods 0.000 claims description 47
- 241000124008 Mammalia Species 0.000 claims description 23
- 229910052739 hydrogen Inorganic materials 0.000 claims description 22
- 125000005010 perfluoroalkyl group Chemical group 0.000 claims description 22
- 229910052731 fluorine Inorganic materials 0.000 claims description 19
- 229910052799 carbon Inorganic materials 0.000 claims description 18
- 229910052801 chlorine Inorganic materials 0.000 claims description 18
- OKTJSMMVPCPJKN-UHFFFAOYSA-N Carbon Chemical group [C] OKTJSMMVPCPJKN-UHFFFAOYSA-N 0.000 claims description 17
- 229920001774 Perfluoroether Polymers 0.000 claims description 17
- 239000008194 pharmaceutical composition Substances 0.000 claims description 16
- 150000001732 carboxylic acid derivatives Chemical class 0.000 claims description 15
- 239000003981 vehicle Substances 0.000 claims description 14
- 239000003085 diluting agent Substances 0.000 claims description 13
- 208000008589 Obesity Diseases 0.000 claims description 12
- 230000003278 mimic effect Effects 0.000 claims description 12
- 235000020824 obesity Nutrition 0.000 claims description 12
- 239000003937 drug carrier Substances 0.000 claims description 11
- 238000011282 treatment Methods 0.000 claims description 11
- 125000003831 tetrazolyl group Chemical group 0.000 claims description 10
- 125000004093 cyano group Chemical group *C#N 0.000 claims description 9
- 125000002993 cycloalkylene group Chemical group 0.000 claims description 9
- 239000000546 pharmaceutical excipient Substances 0.000 claims description 9
- GYURLMXPLLUHTJ-WLYUNCDWSA-N 2-[4-[4-[(8r)-4-amino-8-methyl-5-oxo-7,8-dihydropyrimido[5,4-f][1,4]oxazepin-6-yl]phenyl]cyclohexyl]acetic acid Chemical compound C([C@H](OC1=NC=NC(N)=C1C1=O)C)N1C(C=C1)=CC=C1C1CCC(CC(O)=O)CC1 GYURLMXPLLUHTJ-WLYUNCDWSA-N 0.000 claims description 8
- 125000005724 cycloalkenylene group Chemical group 0.000 claims description 8
- 208000001072 type 2 diabetes mellitus Diseases 0.000 claims description 8
- SWUYRFGFZDOBPZ-UHFFFAOYSA-N 2-[4-[4-(4-amino-5-oxo-7,8-dihydropyrimido[5,4-f][1,4]oxazepin-6-yl)phenyl]cyclohexyl]acetonitrile Chemical compound O=C1C=2C(N)=NC=NC=2OCCN1C(C=C1)=CC=C1C1CCC(CC#N)CC1 SWUYRFGFZDOBPZ-UHFFFAOYSA-N 0.000 claims description 7
- FJZSXKKPJQVONT-BZUAXINKSA-N C([C@H](OC1=NC=NC(N)=C1C1=O)C)N1C(C=C1)=CC=C1[C@H]1CC[C@H](CC#N)CC1 Chemical compound C([C@H](OC1=NC=NC(N)=C1C1=O)C)N1C(C=C1)=CC=C1[C@H]1CC[C@H](CC#N)CC1 FJZSXKKPJQVONT-BZUAXINKSA-N 0.000 claims description 7
- GEVVQZHMFVFGLN-UHFFFAOYSA-N 2-[4-[4-(4-amino-5-oxo-7,8-dihydropyrimido[5,4-f][1,4]oxazepin-6-yl)phenyl]cyclohexyl]acetic acid Chemical compound O=C1C=2C(N)=NC=NC=2OCCN1C(C=C1)=CC=C1C1CCC(CC(O)=O)CC1 GEVVQZHMFVFGLN-UHFFFAOYSA-N 0.000 claims description 6
- 125000004955 1,4-cyclohexylene group Chemical group [H]C1([H])C([H])([H])C([H])([*:1])C([H])([H])C([H])([H])C1([H])[*:2] 0.000 claims description 5
- UZEYPEQPBKFVNZ-UHFFFAOYSA-N 2-[4-[4-(4-amino-5-oxo-7,8-dihydropyrimido[5,4-f][1,4]oxazepin-6-yl)-2-fluorophenyl]cyclohexyl]acetic acid Chemical compound O=C1C=2C(N)=NC=NC=2OCCN1C(C=C1F)=CC=C1C1CCC(CC(O)=O)CC1 UZEYPEQPBKFVNZ-UHFFFAOYSA-N 0.000 claims description 5
- FVTPTBSHQQNYST-IYXRBSQSSA-N 2-[4-[4-[(8r)-4-amino-8-methyl-5-oxo-7,8-dihydropyrimido[5,4-f][1,4]oxazepin-6-yl]-2-fluorophenyl]cyclohexyl]acetic acid Chemical compound C([C@H](OC1=NC=NC(N)=C1C1=O)C)N1C(C=C1F)=CC=C1C1CCC(CC(O)=O)CC1 FVTPTBSHQQNYST-IYXRBSQSSA-N 0.000 claims description 5
- 229910052794 bromium Inorganic materials 0.000 claims description 5
- 125000000843 phenylene group Chemical group C1(=C(C=CC=C1)*)* 0.000 claims description 5
- 239000000203 mixture Substances 0.000 abstract description 38
- XEKOWRVHYACXOJ-UHFFFAOYSA-N Ethyl acetate Chemical compound CCOC(C)=O XEKOWRVHYACXOJ-UHFFFAOYSA-N 0.000 description 116
- 238000005160 1H NMR spectroscopy Methods 0.000 description 58
- OKKJLVBELUTLKV-UHFFFAOYSA-N Methanol Chemical compound OC OKKJLVBELUTLKV-UHFFFAOYSA-N 0.000 description 57
- 235000019439 ethyl acetate Nutrition 0.000 description 57
- HEDRZPFGACZZDS-MICDWDOJSA-N Trichloro(2H)methane Chemical compound [2H]C(Cl)(Cl)Cl HEDRZPFGACZZDS-MICDWDOJSA-N 0.000 description 51
- ZMANZCXQSJIPKH-UHFFFAOYSA-N Triethylamine Chemical compound CCN(CC)CC ZMANZCXQSJIPKH-UHFFFAOYSA-N 0.000 description 46
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 46
- WYURNTSHIVDZCO-UHFFFAOYSA-N Tetrahydrofuran Chemical compound C1CCOC1 WYURNTSHIVDZCO-UHFFFAOYSA-N 0.000 description 42
- 239000000243 solution Substances 0.000 description 40
- 239000011541 reaction mixture Substances 0.000 description 39
- 239000007787 solid Substances 0.000 description 39
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 38
- IAZDPXIOMUYVGZ-WFGJKAKNSA-N Dimethyl sulfoxide Chemical compound [2H]C([2H])([2H])S(=O)C([2H])([2H])[2H] IAZDPXIOMUYVGZ-WFGJKAKNSA-N 0.000 description 37
- IMNFDUFMRHMDMM-UHFFFAOYSA-N N-Heptane Chemical compound CCCCCCC IMNFDUFMRHMDMM-UHFFFAOYSA-N 0.000 description 36
- YMWUJEATGCHHMB-UHFFFAOYSA-N Dichloromethane Chemical compound ClCCl YMWUJEATGCHHMB-UHFFFAOYSA-N 0.000 description 33
- ZMXDDKWLCZADIW-UHFFFAOYSA-N N,N-Dimethylformamide Chemical compound CN(C)C=O ZMXDDKWLCZADIW-UHFFFAOYSA-N 0.000 description 30
- 238000006243 chemical reaction Methods 0.000 description 29
- CSNNHWWHGAXBCP-UHFFFAOYSA-L Magnesium sulfate Chemical compound [Mg+2].[O-][S+2]([O-])([O-])[O-] CSNNHWWHGAXBCP-UHFFFAOYSA-L 0.000 description 28
- OKKJLVBELUTLKV-MZCSYVLQSA-N Deuterated methanol Chemical compound [2H]OC([2H])([2H])[2H] OKKJLVBELUTLKV-MZCSYVLQSA-N 0.000 description 26
- IAZDPXIOMUYVGZ-UHFFFAOYSA-N Dimethylsulphoxide Chemical compound CS(C)=O IAZDPXIOMUYVGZ-UHFFFAOYSA-N 0.000 description 25
- QTBSBXVTEAMEQO-UHFFFAOYSA-N Acetic acid Chemical compound CC(O)=O QTBSBXVTEAMEQO-UHFFFAOYSA-N 0.000 description 24
- 238000002360 preparation method Methods 0.000 description 24
- 108010001348 Diacylglycerol O-acyltransferase Proteins 0.000 description 23
- 102000015868 Diacylglycerol O-acyltransferase 1 Human genes 0.000 description 22
- RYHBNJHYFVUHQT-UHFFFAOYSA-N 1,4-Dioxane Chemical compound C1COCCO1 RYHBNJHYFVUHQT-UHFFFAOYSA-N 0.000 description 21
- YXFVVABEGXRONW-UHFFFAOYSA-N Toluene Chemical compound CC1=CC=CC=C1 YXFVVABEGXRONW-UHFFFAOYSA-N 0.000 description 21
- 239000000741 silica gel Substances 0.000 description 21
- 229910002027 silica gel Inorganic materials 0.000 description 21
- YLQBMQCUIZJEEH-UHFFFAOYSA-N tetrahydrofuran Natural products C=1C=COC=1 YLQBMQCUIZJEEH-UHFFFAOYSA-N 0.000 description 21
- VEXZGXHMUGYJMC-UHFFFAOYSA-N Hydrochloric acid Chemical compound Cl VEXZGXHMUGYJMC-UHFFFAOYSA-N 0.000 description 20
- 239000012267 brine Substances 0.000 description 19
- 125000000113 cyclohexyl group Chemical group [H]C1([H])C([H])([H])C([H])([H])C([H])(*)C([H])([H])C1([H])[H] 0.000 description 19
- HPALAKNZSZLMCH-UHFFFAOYSA-M sodium;chloride;hydrate Chemical compound O.[Na+].[Cl-] HPALAKNZSZLMCH-UHFFFAOYSA-M 0.000 description 19
- 0 *C1=C(*)C(N2C(=O)C3=C(N)N=C([1*])N=C3OC([2*])([3*])C2[4*])=C(*)C(*)=C1C*C[7*] Chemical compound *C1=C(*)C(N2C(=O)C3=C(N)N=C([1*])N=C3OC([2*])([3*])C2[4*])=C(*)C(*)=C1C*C[7*] 0.000 description 18
- WEVYAHXRMPXWCK-UHFFFAOYSA-N Acetonitrile Chemical compound CC#N WEVYAHXRMPXWCK-UHFFFAOYSA-N 0.000 description 18
- IJGRMHOSHXDMSA-UHFFFAOYSA-N Atomic nitrogen Chemical group N#N IJGRMHOSHXDMSA-UHFFFAOYSA-N 0.000 description 18
- QTBSBXVTEAMEQO-UHFFFAOYSA-M Acetate Chemical compound CC([O-])=O QTBSBXVTEAMEQO-UHFFFAOYSA-M 0.000 description 17
- QGZKDVFQNNGYKY-UHFFFAOYSA-N Ammonia Chemical compound N QGZKDVFQNNGYKY-UHFFFAOYSA-N 0.000 description 17
- 239000012044 organic layer Substances 0.000 description 17
- PMZURENOXWZQFD-UHFFFAOYSA-L Sodium Sulfate Chemical compound [Na+].[Na+].[O-]S([O-])(=O)=O PMZURENOXWZQFD-UHFFFAOYSA-L 0.000 description 15
- 229920006395 saturated elastomer Polymers 0.000 description 15
- 229910052938 sodium sulfate Inorganic materials 0.000 description 15
- 238000004587 chromatography analysis Methods 0.000 description 14
- 229910052943 magnesium sulfate Inorganic materials 0.000 description 14
- 238000001819 mass spectrum Methods 0.000 description 14
- 239000003921 oil Substances 0.000 description 14
- 235000019198 oils Nutrition 0.000 description 14
- WMFOQBRAJBCJND-UHFFFAOYSA-M Lithium hydroxide Chemical compound [Li+].[OH-] WMFOQBRAJBCJND-UHFFFAOYSA-M 0.000 description 13
- 239000000651 prodrug Substances 0.000 description 13
- 229940002612 prodrug Drugs 0.000 description 13
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 description 12
- 125000004432 carbon atom Chemical group C* 0.000 description 12
- 239000010410 layer Substances 0.000 description 12
- 125000001997 phenyl group Chemical group [H]C1=C([H])C([H])=C(*)C([H])=C1[H] 0.000 description 12
- 238000000746 purification Methods 0.000 description 12
- 239000002904 solvent Substances 0.000 description 12
- HEDRZPFGACZZDS-UHFFFAOYSA-N Chloroform Chemical compound ClC(Cl)Cl HEDRZPFGACZZDS-UHFFFAOYSA-N 0.000 description 11
- 239000003112 inhibitor Substances 0.000 description 11
- 230000005764 inhibitory process Effects 0.000 description 11
- 235000011152 sodium sulphate Nutrition 0.000 description 11
- NOESYZHRGYRDHS-UHFFFAOYSA-N insulin Chemical compound N1C(=O)C(NC(=O)C(CCC(N)=O)NC(=O)C(CCC(O)=O)NC(=O)C(C(C)C)NC(=O)C(NC(=O)CN)C(C)CC)CSSCC(C(NC(CO)C(=O)NC(CC(C)C)C(=O)NC(CC=2C=CC(O)=CC=2)C(=O)NC(CCC(N)=O)C(=O)NC(CC(C)C)C(=O)NC(CCC(O)=O)C(=O)NC(CC(N)=O)C(=O)NC(CC=2C=CC(O)=CC=2)C(=O)NC(CSSCC(NC(=O)C(C(C)C)NC(=O)C(CC(C)C)NC(=O)C(CC=2C=CC(O)=CC=2)NC(=O)C(CC(C)C)NC(=O)C(C)NC(=O)C(CCC(O)=O)NC(=O)C(C(C)C)NC(=O)C(CC(C)C)NC(=O)C(CC=2NC=NC=2)NC(=O)C(CO)NC(=O)CNC2=O)C(=O)NCC(=O)NC(CCC(O)=O)C(=O)NC(CCCNC(N)=N)C(=O)NCC(=O)NC(CC=3C=CC=CC=3)C(=O)NC(CC=3C=CC=CC=3)C(=O)NC(CC=3C=CC(O)=CC=3)C(=O)NC(C(C)O)C(=O)N3C(CCC3)C(=O)NC(CCCCN)C(=O)NC(C)C(O)=O)C(=O)NC(CC(N)=O)C(O)=O)=O)NC(=O)C(C(C)CC)NC(=O)C(CO)NC(=O)C(C(C)O)NC(=O)C1CSSCC2NC(=O)C(CC(C)C)NC(=O)C(NC(=O)C(CCC(N)=O)NC(=O)C(CC(N)=O)NC(=O)C(NC(=O)C(N)CC=1C=CC=CC=1)C(C)C)CC1=CN=CN1 NOESYZHRGYRDHS-UHFFFAOYSA-N 0.000 description 10
- BWHMMNNQKKPAPP-UHFFFAOYSA-L potassium carbonate Chemical compound [K+].[K+].[O-]C([O-])=O BWHMMNNQKKPAPP-UHFFFAOYSA-L 0.000 description 10
- 239000000047 product Substances 0.000 description 10
- 125000004435 hydrogen atom Chemical group [H]* 0.000 description 9
- 229910052757 nitrogen Inorganic materials 0.000 description 9
- 239000002002 slurry Substances 0.000 description 9
- 238000012360 testing method Methods 0.000 description 9
- 241000699670 Mus sp. Species 0.000 description 8
- JUJWROOIHBZHMG-UHFFFAOYSA-N Pyridine Chemical compound C1=CC=NC=C1 JUJWROOIHBZHMG-UHFFFAOYSA-N 0.000 description 8
- UIIMBOGNXHQVGW-UHFFFAOYSA-M Sodium bicarbonate Chemical compound [Na+].OC([O-])=O UIIMBOGNXHQVGW-UHFFFAOYSA-M 0.000 description 8
- 229910021529 ammonia Inorganic materials 0.000 description 8
- 229940125708 antidiabetic agent Drugs 0.000 description 8
- 239000003472 antidiabetic agent Substances 0.000 description 8
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 8
- 230000000694 effects Effects 0.000 description 8
- CTSLXHKWHWQRSH-UHFFFAOYSA-N oxalyl chloride Chemical compound ClC(=O)C(Cl)=O CTSLXHKWHWQRSH-UHFFFAOYSA-N 0.000 description 8
- QNVNVTNWFNFJRS-UHFFFAOYSA-N 4-amino-6-(4-iodophenyl)-7,8-dihydropyrimido[5,4-f][1,4]oxazepin-5-one Chemical compound O=C1C=2C(N)=NC=NC=2OCCN1C1=CC=C(I)C=C1 QNVNVTNWFNFJRS-UHFFFAOYSA-N 0.000 description 7
- 125000004429 atom Chemical group 0.000 description 7
- 230000015572 biosynthetic process Effects 0.000 description 7
- FJDQFPXHSGXQBY-UHFFFAOYSA-L caesium carbonate Chemical compound [Cs+].[Cs+].[O-]C([O-])=O FJDQFPXHSGXQBY-UHFFFAOYSA-L 0.000 description 7
- 229910000024 caesium carbonate Inorganic materials 0.000 description 7
- 210000004027 cell Anatomy 0.000 description 7
- 206010012601 diabetes mellitus Diseases 0.000 description 7
- 230000037406 food intake Effects 0.000 description 7
- 235000012631 food intake Nutrition 0.000 description 7
- DLYXGJDLUDBFPW-UHFFFAOYSA-N methyl 2-[4-(4,4,5,5-tetramethyl-1,3,2-dioxaborolan-2-yl)cyclohex-3-en-1-yl]acetate Chemical compound C1C(CC(=O)OC)CCC(B2OC(C)(C)C(C)(C)O2)=C1 DLYXGJDLUDBFPW-UHFFFAOYSA-N 0.000 description 7
- 125000002924 primary amino group Chemical group [H]N([H])* 0.000 description 7
- 239000000377 silicon dioxide Substances 0.000 description 7
- 125000004169 (C1-C6) alkyl group Chemical group 0.000 description 6
- CSCPPACGZOOCGX-UHFFFAOYSA-N Acetone Chemical compound CC(C)=O CSCPPACGZOOCGX-UHFFFAOYSA-N 0.000 description 6
- UHOVQNZJYSORNB-UHFFFAOYSA-N Benzene Chemical compound C1=CC=CC=C1 UHOVQNZJYSORNB-UHFFFAOYSA-N 0.000 description 6
- DNIAPMSPPWPWGF-UHFFFAOYSA-N Propylene glycol Chemical compound CC(O)CO DNIAPMSPPWPWGF-UHFFFAOYSA-N 0.000 description 6
- 241000700159 Rattus Species 0.000 description 6
- 239000002585 base Substances 0.000 description 6
- 125000002915 carbonyl group Chemical group [*:2]C([*:1])=O 0.000 description 6
- 239000012230 colorless oil Substances 0.000 description 6
- 239000013058 crude material Substances 0.000 description 6
- 238000002425 crystallisation Methods 0.000 description 6
- 230000008025 crystallization Effects 0.000 description 6
- 235000013305 food Nutrition 0.000 description 6
- 210000001589 microsome Anatomy 0.000 description 6
- JWUJQDFVADABEY-UHFFFAOYSA-N 2-methyltetrahydrofuran Chemical compound CC1CCCO1 JWUJQDFVADABEY-UHFFFAOYSA-N 0.000 description 5
- RXNNHSKCCHGJQM-UHFFFAOYSA-N 4,6-dichloropyrimidine-5-carbonyl chloride Chemical compound ClC(=O)C1=C(Cl)N=CN=C1Cl RXNNHSKCCHGJQM-UHFFFAOYSA-N 0.000 description 5
- RTZKZFJDLAIYFH-UHFFFAOYSA-N Diethyl ether Chemical compound CCOCC RTZKZFJDLAIYFH-UHFFFAOYSA-N 0.000 description 5
- 208000031773 Insulin resistance syndrome Diseases 0.000 description 5
- 125000000217 alkyl group Chemical group 0.000 description 5
- 239000005557 antagonist Substances 0.000 description 5
- 239000007864 aqueous solution Substances 0.000 description 5
- 238000003556 assay Methods 0.000 description 5
- 238000001816 cooling Methods 0.000 description 5
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- 230000002401 inhibitory effect Effects 0.000 description 5
- 239000000463 material Substances 0.000 description 5
- UWLUVRFUUSBNKP-UHFFFAOYSA-N methyl 2-[4-(3-fluoro-4-phenylmethoxyphenyl)cyclohex-3-en-1-yl]acetate Chemical compound C1C(CC(=O)OC)CCC(C=2C=C(F)C(OCC=3C=CC=CC=3)=CC=2)=C1 UWLUVRFUUSBNKP-UHFFFAOYSA-N 0.000 description 5
- MDVXNXGZCWJRDD-UHFFFAOYSA-N methyl 2-[4-[4-(4-chloro-5-oxo-7,8-dihydropyrimido[5,4-f][1,4]oxazepin-6-yl)-3-fluorophenyl]cyclohexyl]acetate Chemical compound C1CC(CC(=O)OC)CCC1C(C=C1F)=CC=C1N1C(=O)C2=C(Cl)N=CN=C2OCC1 MDVXNXGZCWJRDD-UHFFFAOYSA-N 0.000 description 5
- YJVFFLUZDVXJQI-UHFFFAOYSA-L palladium(ii) acetate Chemical compound [Pd+2].CC([O-])=O.CC([O-])=O YJVFFLUZDVXJQI-UHFFFAOYSA-L 0.000 description 5
- 125000004351 phenylcyclohexyl group Chemical group C1(=CC=CC=C1)C1(CCCCC1)* 0.000 description 5
- 229910000027 potassium carbonate Inorganic materials 0.000 description 5
- 239000000725 suspension Substances 0.000 description 5
- MFYSUUPKMDJYPF-UHFFFAOYSA-N 2-[(4-methyl-2-nitrophenyl)diazenyl]-3-oxo-n-phenylbutanamide Chemical compound C=1C=CC=CC=1NC(=O)C(C(=O)C)N=NC1=CC=C(C)C=C1[N+]([O-])=O MFYSUUPKMDJYPF-UHFFFAOYSA-N 0.000 description 4
- OQUKBEJMEPBOJF-UHFFFAOYSA-N 4-chloro-6-(4-iodophenyl)-7,8-dihydropyrimido[5,4-f][1,4]oxazepin-5-one Chemical compound O=C1C=2C(Cl)=NC=NC=2OCCN1C1=CC=C(I)C=C1 OQUKBEJMEPBOJF-UHFFFAOYSA-N 0.000 description 4
- LTBGRXMOHHNWET-NJDAHSKKSA-N C1C[C@@H](CC(=O)OC)CC[C@@H]1C1=CC=C(N(C[C@@H](C)O[Si](C)(C)C(C)(C)C)C(=O)C=2C(=NC=NC=2Cl)Cl)C=C1 Chemical compound C1C[C@@H](CC(=O)OC)CC[C@@H]1C1=CC=C(N(C[C@@H](C)O[Si](C)(C)C(C)(C)C)C(=O)C=2C(=NC=NC=2Cl)Cl)C=C1 LTBGRXMOHHNWET-NJDAHSKKSA-N 0.000 description 4
- JJTMYWBVULPKOQ-WGSAOQKQSA-N C1C[C@@H](CC(=O)OC)CC[C@@H]1C1=CC=C(NCCO[Si](C)(C)C(C)(C)C)C=C1 Chemical compound C1C[C@@H](CC(=O)OC)CC[C@@H]1C1=CC=C(NCCO[Si](C)(C)C(C)(C)C)C=C1 JJTMYWBVULPKOQ-WGSAOQKQSA-N 0.000 description 4
- 208000032928 Dyslipidaemia Diseases 0.000 description 4
- 241000282412 Homo Species 0.000 description 4
- 102000004877 Insulin Human genes 0.000 description 4
- 108090001061 Insulin Proteins 0.000 description 4
- GUBGYTABKSRVRQ-QKKXKWKRSA-N Lactose Natural products OC[C@H]1O[C@@H](O[C@H]2[C@H](O)[C@@H](O)C(O)O[C@@H]2CO)[C@H](O)[C@@H](O)[C@H]1O GUBGYTABKSRVRQ-QKKXKWKRSA-N 0.000 description 4
- 208000017170 Lipid metabolism disease Diseases 0.000 description 4
- 239000007832 Na2SO4 Substances 0.000 description 4
- DTQVDTLACAAQTR-UHFFFAOYSA-N Trifluoroacetic acid Chemical class OC(=O)C(F)(F)F DTQVDTLACAAQTR-UHFFFAOYSA-N 0.000 description 4
- 125000000266 alpha-aminoacyl group Chemical group 0.000 description 4
- 150000001408 amides Chemical class 0.000 description 4
- 239000003153 chemical reaction reagent Substances 0.000 description 4
- QQVDYSUDFZZPSU-UHFFFAOYSA-M chloromethylidene(dimethyl)azanium;chloride Chemical compound [Cl-].C[N+](C)=CCl QQVDYSUDFZZPSU-UHFFFAOYSA-M 0.000 description 4
- 125000000753 cycloalkyl group Chemical group 0.000 description 4
- 239000002552 dosage form Substances 0.000 description 4
- 229940079593 drug Drugs 0.000 description 4
- 125000001495 ethyl group Chemical group [H]C([H])([H])C([H])([H])* 0.000 description 4
- 239000000706 filtrate Substances 0.000 description 4
- 239000001257 hydrogen Substances 0.000 description 4
- 229940125396 insulin Drugs 0.000 description 4
- 239000012528 membrane Substances 0.000 description 4
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- NRYBAZVQPHGZNS-ZSOCWYAHSA-N leptin Chemical compound O=C([C@H](CO)NC(=O)[C@H](CC(C)C)NC(=O)[C@H](CC(O)=O)NC(=O)[C@H](CC(C)C)NC(=O)[C@H](CCC(N)=O)NC(=O)[C@H](CC=1C2=CC=CC=C2NC=1)NC(=O)[C@H](CC(C)C)NC(=O)[C@@H](NC(=O)[C@H](CC(O)=O)NC(=O)[C@H](CCC(N)=O)NC(=O)[C@H](CC(C)C)NC(=O)[C@H](CO)NC(=O)CNC(=O)[C@H](CCC(N)=O)NC(=O)[C@@H](N)CC(C)C)CCSC)N1CCC[C@H]1C(=O)NCC(=O)N[C@@H](CS)C(O)=O NRYBAZVQPHGZNS-ZSOCWYAHSA-N 0.000 description 1
- 229940039781 leptin Drugs 0.000 description 1
- GDBQQVLCIARPGH-ULQDDVLXSA-N leupeptin Chemical compound CC(C)C[C@H](NC(C)=O)C(=O)N[C@@H](CC(C)C)C(=O)N[C@H](C=O)CCCN=C(N)N GDBQQVLCIARPGH-ULQDDVLXSA-N 0.000 description 1
- 108010052968 leupeptin Proteins 0.000 description 1
- 239000003446 ligand Substances 0.000 description 1
- 229910052744 lithium Inorganic materials 0.000 description 1
- GLXDVVHUTZTUQK-UHFFFAOYSA-M lithium hydroxide monohydrate Substances [Li+].O.[OH-] GLXDVVHUTZTUQK-UHFFFAOYSA-M 0.000 description 1
- 229940040692 lithium hydroxide monohydrate Drugs 0.000 description 1
- 238000011068 loading method Methods 0.000 description 1
- 239000007937 lozenge Substances 0.000 description 1
- 239000000314 lubricant Substances 0.000 description 1
- 239000006166 lysate Substances 0.000 description 1
- 229910052749 magnesium Inorganic materials 0.000 description 1
- 239000011777 magnesium Substances 0.000 description 1
- 229910001629 magnesium chloride Inorganic materials 0.000 description 1
- 235000019359 magnesium stearate Nutrition 0.000 description 1
- 230000014759 maintenance of location Effects 0.000 description 1
- 229940049920 malate Drugs 0.000 description 1
- VZCYOOQTPOCHFL-UPHRSURJSA-N maleic acid Chemical compound OC(=O)\C=C/C(O)=O VZCYOOQTPOCHFL-UPHRSURJSA-N 0.000 description 1
- BJEPYKJPYRNKOW-UHFFFAOYSA-N malic acid Chemical compound OC(=O)C(O)CC(O)=O BJEPYKJPYRNKOW-UHFFFAOYSA-N 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
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- 230000001404 mediated effect Effects 0.000 description 1
- 238000002844 melting Methods 0.000 description 1
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- 208000030159 metabolic disease Diseases 0.000 description 1
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- 229910052751 metal Inorganic materials 0.000 description 1
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- XZWYZXLIPXDOLR-UHFFFAOYSA-N metformin Chemical compound CN(C)C(=N)NC(N)=N XZWYZXLIPXDOLR-UHFFFAOYSA-N 0.000 description 1
- 229960003105 metformin Drugs 0.000 description 1
- SIGOIUCRXKUEIG-UHFFFAOYSA-N methyl 2-dimethoxyphosphorylacetate Chemical compound COC(=O)CP(=O)(OC)OC SIGOIUCRXKUEIG-UHFFFAOYSA-N 0.000 description 1
- 229920000609 methyl cellulose Polymers 0.000 description 1
- 239000001923 methylcellulose Substances 0.000 description 1
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- 150000007522 mineralic acids Chemical class 0.000 description 1
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- 125000002950 monocyclic group Chemical group 0.000 description 1
- 125000005858 morpholino(C2-C3)alkyl group Chemical group 0.000 description 1
- ULWOJODHECIZAU-UHFFFAOYSA-N n,n-diethylpropan-2-amine Chemical compound CCN(CC)C(C)C ULWOJODHECIZAU-UHFFFAOYSA-N 0.000 description 1
- 229940078490 n,n-dimethylglycine Drugs 0.000 description 1
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- 125000004433 nitrogen atom Chemical group N* 0.000 description 1
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- 231100000252 nontoxic Toxicity 0.000 description 1
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- QIQXTHQIDYTFRH-UHFFFAOYSA-N octadecanoic acid Chemical compound CCCCCCCCCCCCCCCCCC(O)=O QIQXTHQIDYTFRH-UHFFFAOYSA-N 0.000 description 1
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- XSXHWVKGUXMUQE-UHFFFAOYSA-N osmium dioxide Chemical group O=[Os]=O XSXHWVKGUXMUQE-UHFFFAOYSA-N 0.000 description 1
- 229910052760 oxygen Inorganic materials 0.000 description 1
- 239000001301 oxygen Chemical group 0.000 description 1
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- YYROPELSRYBVMQ-UHFFFAOYSA-N p-toluenesulfonyl chloride Substances CC1=CC=C(S(Cl)(=O)=O)C=C1 YYROPELSRYBVMQ-UHFFFAOYSA-N 0.000 description 1
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- 229910052763 palladium Inorganic materials 0.000 description 1
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- 238000005192 partition Methods 0.000 description 1
- 239000000312 peanut oil Substances 0.000 description 1
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- 239000000816 peptidomimetic Substances 0.000 description 1
- 125000005004 perfluoroethyl group Chemical group FC(F)(F)C(F)(F)* 0.000 description 1
- 239000008024 pharmaceutical diluent Substances 0.000 description 1
- NBIIXXVUZAFLBC-UHFFFAOYSA-K phosphate Chemical compound [O-]P([O-])([O-])=O NBIIXXVUZAFLBC-UHFFFAOYSA-K 0.000 description 1
- 239000010452 phosphate Substances 0.000 description 1
- 125000001476 phosphono group Chemical group [H]OP(*)(=O)O[H] 0.000 description 1
- UHZYTMXLRWXGPK-UHFFFAOYSA-N phosphorus pentachloride Chemical compound ClP(Cl)(Cl)(Cl)Cl UHZYTMXLRWXGPK-UHFFFAOYSA-N 0.000 description 1
- 125000005856 piperidino(C2-C3)alkyl group Chemical group 0.000 description 1
- 229920001223 polyethylene glycol Polymers 0.000 description 1
- 230000003234 polygenic effect Effects 0.000 description 1
- 239000001267 polyvinylpyrrolidone Substances 0.000 description 1
- 229920000036 polyvinylpyrrolidone Polymers 0.000 description 1
- 235000013855 polyvinylpyrrolidone Nutrition 0.000 description 1
- 230000000291 postprandial effect Effects 0.000 description 1
- 229910052700 potassium Inorganic materials 0.000 description 1
- 239000011591 potassium Substances 0.000 description 1
- SCVFZCLFOSHCOH-UHFFFAOYSA-M potassium acetate Chemical compound [K+].CC([O-])=O SCVFZCLFOSHCOH-UHFFFAOYSA-M 0.000 description 1
- 238000000634 powder X-ray diffraction Methods 0.000 description 1
- 239000002244 precipitate Substances 0.000 description 1
- 239000003380 propellant Substances 0.000 description 1
- 238000011321 prophylaxis Methods 0.000 description 1
- 125000001436 propyl group Chemical group [H]C([*])([H])C([H])([H])C([H])([H])[H] 0.000 description 1
- 238000002731 protein assay Methods 0.000 description 1
- 235000018102 proteins Nutrition 0.000 description 1
- 108090000623 proteins and genes Proteins 0.000 description 1
- 102000004169 proteins and genes Human genes 0.000 description 1
- 239000003586 protic polar solvent Substances 0.000 description 1
- 238000000425 proton nuclear magnetic resonance spectrum Methods 0.000 description 1
- 125000005857 pyrrolidino(C2-C3)alkyl group Chemical group 0.000 description 1
- 125000001453 quaternary ammonium group Chemical group 0.000 description 1
- 230000002285 radioactive effect Effects 0.000 description 1
- 238000001953 recrystallisation Methods 0.000 description 1
- 230000002207 retinal effect Effects 0.000 description 1
- 238000004366 reverse phase liquid chromatography Methods 0.000 description 1
- 230000002441 reversible effect Effects 0.000 description 1
- 239000000523 sample Substances 0.000 description 1
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- 210000002966 serum Anatomy 0.000 description 1
- 239000008159 sesame oil Substances 0.000 description 1
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- 150000004760 silicates Chemical class 0.000 description 1
- 238000010583 slow cooling Methods 0.000 description 1
- 239000011734 sodium Substances 0.000 description 1
- 229910052708 sodium Inorganic materials 0.000 description 1
- 239000011780 sodium chloride Substances 0.000 description 1
- 239000001509 sodium citrate Substances 0.000 description 1
- NLJMYIDDQXHKNR-UHFFFAOYSA-K sodium citrate Chemical compound O.O.[Na+].[Na+].[Na+].[O-]C(=O)CC(O)(CC([O-])=O)C([O-])=O NLJMYIDDQXHKNR-UHFFFAOYSA-K 0.000 description 1
- 239000012312 sodium hydride Substances 0.000 description 1
- 235000019333 sodium laurylsulphate Nutrition 0.000 description 1
- 239000008247 solid mixture Substances 0.000 description 1
- 239000011877 solvent mixture Substances 0.000 description 1
- 238000000527 sonication Methods 0.000 description 1
- 238000013222 sprague-dawley male rat Methods 0.000 description 1
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- 125000001424 substituent group Chemical group 0.000 description 1
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- WPLOVIFNBMNBPD-ATHMIXSHSA-N subtilin Chemical compound CC1SCC(NC2=O)C(=O)NC(CC(N)=O)C(=O)NC(C(=O)NC(CCCCN)C(=O)NC(C(C)CC)C(=O)NC(=C)C(=O)NC(CCCCN)C(O)=O)CSC(C)C2NC(=O)C(CC(C)C)NC(=O)C1NC(=O)C(CCC(N)=O)NC(=O)C(CC(C)C)NC(=O)C(NC(=O)C1NC(=O)C(=C/C)/NC(=O)C(CCC(N)=O)NC(=O)C(CC(C)C)NC(=O)C(C)NC(=O)CNC(=O)C(NC(=O)C(NC(=O)C2NC(=O)CNC(=O)C3CCCN3C(=O)C(NC(=O)C3NC(=O)C(CC(C)C)NC(=O)C(=C)NC(=O)C(CCC(O)=O)NC(=O)C(NC(=O)C(CCCCN)NC(=O)C(N)CC=4C5=CC=CC=C5NC=4)CSC3)C(C)SC2)C(C)C)C(C)SC1)CC1=CC=CC=C1 WPLOVIFNBMNBPD-ATHMIXSHSA-N 0.000 description 1
- KDYFGRWQOYBRFD-UHFFFAOYSA-L succinate(2-) Chemical compound [O-]C(=O)CCC([O-])=O KDYFGRWQOYBRFD-UHFFFAOYSA-L 0.000 description 1
- 150000003871 sulfonates Chemical class 0.000 description 1
- 229910052717 sulfur Inorganic materials 0.000 description 1
- 239000011593 sulfur Chemical group 0.000 description 1
- 239000000829 suppository Substances 0.000 description 1
- 230000004083 survival effect Effects 0.000 description 1
- 239000000375 suspending agent Substances 0.000 description 1
- 239000003765 sweetening agent Substances 0.000 description 1
- 239000006188 syrup Substances 0.000 description 1
- 235000020357 syrup Nutrition 0.000 description 1
- 239000000454 talc Substances 0.000 description 1
- 229910052623 talc Inorganic materials 0.000 description 1
- 235000012222 talc Nutrition 0.000 description 1
- 229940095064 tartrate Drugs 0.000 description 1
- 238000003419 tautomerization reaction Methods 0.000 description 1
- 125000000999 tert-butyl group Chemical group [H]C([H])([H])C(*)(C([H])([H])[H])C([H])([H])[H] 0.000 description 1
- BCNZYOJHNLTNEZ-UHFFFAOYSA-N tert-butyldimethylsilyl chloride Chemical compound CC(C)(C)[Si](C)(C)Cl BCNZYOJHNLTNEZ-UHFFFAOYSA-N 0.000 description 1
- NHGXDBSUJJNIRV-UHFFFAOYSA-M tetrabutylammonium chloride Chemical compound [Cl-].CCCC[N+](CCCC)(CCCC)CCCC NHGXDBSUJJNIRV-UHFFFAOYSA-M 0.000 description 1
- DPKBAXPHAYBPRL-UHFFFAOYSA-M tetrabutylazanium;iodide Chemical compound [I-].CCCC[N+](CCCC)(CCCC)CCCC DPKBAXPHAYBPRL-UHFFFAOYSA-M 0.000 description 1
- CBXCPBUEXACCNR-UHFFFAOYSA-N tetraethylammonium Chemical compound CC[N+](CC)(CC)CC CBXCPBUEXACCNR-UHFFFAOYSA-N 0.000 description 1
- QEMXHQIAXOOASZ-UHFFFAOYSA-N tetramethylammonium Chemical compound C[N+](C)(C)C QEMXHQIAXOOASZ-UHFFFAOYSA-N 0.000 description 1
- CZDYPVPMEAXLPK-UHFFFAOYSA-N tetramethylsilane Chemical compound C[Si](C)(C)C CZDYPVPMEAXLPK-UHFFFAOYSA-N 0.000 description 1
- 150000003536 tetrazoles Chemical class 0.000 description 1
- 229940124597 therapeutic agent Drugs 0.000 description 1
- 238000003354 tissue distribution assay Methods 0.000 description 1
- JOXIMZWYDAKGHI-UHFFFAOYSA-M toluene-4-sulfonate Chemical compound CC1=CC=C(S([O-])(=O)=O)C=C1 JOXIMZWYDAKGHI-UHFFFAOYSA-M 0.000 description 1
- 238000006257 total synthesis reaction Methods 0.000 description 1
- 238000000844 transformation Methods 0.000 description 1
- 150000003626 triacylglycerols Chemical class 0.000 description 1
- QORWJWZARLRLPR-UHFFFAOYSA-H tricalcium bis(phosphate) Chemical compound [Ca+2].[Ca+2].[Ca+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O QORWJWZARLRLPR-UHFFFAOYSA-H 0.000 description 1
- CYRMSUTZVYGINF-UHFFFAOYSA-N trichlorofluoromethane Chemical compound FC(Cl)(Cl)Cl CYRMSUTZVYGINF-UHFFFAOYSA-N 0.000 description 1
- 229940029284 trichlorofluoromethane Drugs 0.000 description 1
- 125000000165 tricyclic carbocycle group Chemical group 0.000 description 1
- WJKHJLXJJJATHN-UHFFFAOYSA-N triflic anhydride Chemical compound FC(F)(F)S(=O)(=O)OS(=O)(=O)C(F)(F)F WJKHJLXJJJATHN-UHFFFAOYSA-N 0.000 description 1
- 125000002023 trifluoromethyl group Chemical group FC(F)(F)* 0.000 description 1
- JLTRXTDYQLMHGR-UHFFFAOYSA-N trimethylaluminium Chemical compound C[Al](C)C JLTRXTDYQLMHGR-UHFFFAOYSA-N 0.000 description 1
- SEDZOYHHAIAQIW-UHFFFAOYSA-N trimethylsilyl azide Chemical compound C[Si](C)(C)N=[N+]=[N-] SEDZOYHHAIAQIW-UHFFFAOYSA-N 0.000 description 1
- LENZDBCJOHFCAS-UHFFFAOYSA-N tris Chemical compound OCC(N)(CO)CO LENZDBCJOHFCAS-UHFFFAOYSA-N 0.000 description 1
- 238000001665 trituration Methods 0.000 description 1
- 241000701447 unidentified baculovirus Species 0.000 description 1
- DYWSVUBJGFTOQC-UHFFFAOYSA-N xi-2-Ethylheptanoic acid Chemical compound CCCCCC(CC)C(O)=O DYWSVUBJGFTOQC-UHFFFAOYSA-N 0.000 description 1
- 239000008096 xylene Substances 0.000 description 1
- 150000003738 xylenes Chemical class 0.000 description 1
- 125000005863 α-amino(C1-C4)alkanoyl group Chemical group 0.000 description 1
- 125000005853 β-dimethylaminoethyl group Chemical group 0.000 description 1
- 150000003952 β-lactams Chemical group 0.000 description 1
Classifications
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D498/00—Heterocyclic compounds containing in the condensed system at least one hetero ring having nitrogen and oxygen atoms as the only ring hetero atoms
- C07D498/02—Heterocyclic compounds containing in the condensed system at least one hetero ring having nitrogen and oxygen atoms as the only ring hetero atoms in which the condensed system contains two hetero rings
- C07D498/04—Ortho-condensed systems
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P1/00—Drugs for disorders of the alimentary tract or the digestive system
- A61P1/16—Drugs for disorders of the alimentary tract or the digestive system for liver or gallbladder disorders, e.g. hepatoprotective agents, cholagogues, litholytics
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- A61P13/12—Drugs for disorders of the urinary system of the kidneys
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- A—HUMAN NECESSITIES
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- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
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- A61P19/06—Antigout agents, e.g. antihyperuricemic or uricosuric agents
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- A—HUMAN NECESSITIES
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- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
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- A61P27/02—Ophthalmic agents
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- A—HUMAN NECESSITIES
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- A61P3/04—Anorexiants; Antiobesity agents
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- A—HUMAN NECESSITIES
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- A—HUMAN NECESSITIES
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- A61P3/10—Drugs for disorders of the metabolism for glucose homeostasis for hyperglycaemia, e.g. antidiabetics
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- A—HUMAN NECESSITIES
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- A61P35/00—Antineoplastic agents
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- A—HUMAN NECESSITIES
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- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P7/00—Drugs for disorders of the blood or the extracellular fluid
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- A—HUMAN NECESSITIES
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61P9/04—Inotropic agents, i.e. stimulants of cardiac contraction; Drugs for heart failure
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P9/00—Drugs for disorders of the cardiovascular system
- A61P9/10—Drugs for disorders of the cardiovascular system for treating ischaemic or atherosclerotic diseases, e.g. antianginal drugs, coronary vasodilators, drugs for myocardial infarction, retinopathy, cerebrovascula insufficiency, renal arteriosclerosis
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P9/00—Drugs for disorders of the cardiovascular system
- A61P9/12—Antihypertensives
Definitions
- the invention relates to substituted bicyclolactam derivatives, pharmaceutical formulations thereof, and uses thereof.
- Obesity which is an excess of body fat relative to lean body mass, is a chronic disease that is highly prevalent in modern society. It is associated with decreased life span and numerous medical problems, including adverse psychological development, coronary artery disease, hypertension, stroke, Type 2 diabetes, hyperlipidemia, and some cancers.
- a hallmark characteristic of obesity is an increase in white adipose tissue (WAT) mass that is largely due to accumulation of triacylglycerol. This increase in WAT mass is a key contributor to obesity-associated complications.
- WAT white adipose tissue
- DGAT-1 Diacylglycerol O-acyltransferase 1
- DGAT-1 is a membrane-bound enzyme that catalyzes the terminal step of triacylglycerol biosynthesis.
- DGAT-1 is expressed in the intestine and adipose tissue It has been found that DGAT-1 null mice do not become obese when challenged with a high fat diet in contrast to wild-type littermates (Smith, et al., Nature Genetics 25:87 90, 2000). DGAT-1 null mice display reduced postprandial plasma glucose levels and exhibit increased energy expenditure, but have normal levels of serum triglycerides.
- DGAT-1 null mouse The phenotype of the DGAT-1 null mouse, along with the results of our studies with DGAT-1 inhibitors in diet-induced obese (DIO) mice, indicate that such mice are resistant to diet induced obesity and have increased insulin and leptin sensitivity. These effects suggest that inhibition of DGAT in vivo may be a novel therapeutic target not only for obesity but also for diabetes. (Subauste A, Burant C F, Curr Drug Targets Immune Endocr Metabol Disord. December 2003; 3(4):263-70.)
- DGAT-1 inhibitors that have efficacy for the treatment of metabolic disorders such as, for example, obesity, Type 2 diabetes and insulin resistance syndrome. Further, a need exists in the art for DGAT-1 inhibitors having IC 50 values of less than about 1000 nM and preferably below 100 nM.
- the present invention relates to compounds having the structure of formula (1)
- the present invention also relates to a pharmaceutical composition
- a pharmaceutical composition comprising a compound of the present invention, or a pharmaceutically acceptable salt of the compound, and a pharmaceutically acceptable carrier, vehicle, diluent or excipient.
- the present invention further relates to a method of treating Type 2 diabetes, insulin resistance syndrome or obesity, comprising administering to a mammal in need of such treatment a therapeutically effective amount of a compound of the present invention, or a pharmaceutically acceptable salt of the compound.
- the present invention additionally relates to a method of inhibiting DGAT-1 in a mammal comprising administering to said mammal an inhibitory amount of a compound of the present invention, or a pharmaceutically acceptable salt of said compound.
- the compounds, salts, and pharmaceutical compositions of the present invention are useful for the treatment of obesity, Type 2 diabetes and insulin resistance syndrome.
- the compounds, salts and pharmaceutical compositions of the present invention are also useful for the treatment of impaired glucose tolerance, hyperglycemia, diabetic complications such as sugar cataracts, diabetic neuropathy, diabetic nephropathy, diabetic retinopathy and diabetic cardiomyopathy, anorexia nervosa, bulimia, cachexia, hyperuricemia, hyperinsulinemia, hypercholesterolemia, hyperlipidemia, dyslipidemia, mixed dyslipidemia, hypertriglyceridemia, nonalcoholic fatty liver disease, atherosclerosis, arteriosclerosis, acute heart failure, congestive heart failure, coronary artery disease, cardiomyopathy, myocardial infarction, angina pectoris, hypertension, hypotension, stroke, ischemia, ischemic reperfusion injury, aneurysm, restenosis, vascular stenosis, solid tumors, skin cancer, melanoma, lymphoma, breast cancer, lung cancer, colorectal cancer, stomach cancer, esophageal cancer, pancreatic cancer
- the compounds and intermediates of the present invention may be named according to either the IUPAC (International Union for Pure and Applied Chemistry) or CAS (Chemical Abstracts Service) nomenclature systems.
- the carbon atom content of the various hydrocarbon-containing moieties herein may be indicated by a prefix designating the minimum and maximum number of carbon atoms in the moiety, for example, the prefixes (C a -C b )alkyl, and C a-b alkyl, indicate an alkyl moiety of the integer “a” to “b” carbon atoms, inclusive.
- (C 1 -C 6 )alkyl and C 1-6 alkyl refer to an alkyl group of one to six carbon atoms inclusive.
- alkyl denotes a straight or branched chain monovalent radical of an aliphatic chain of carbon atoms.
- alkyl groups include methyl, ethyl, propyl, isopropyl, isobutyl, and the like.
- alkoxy refers to straight or branched, monovalent radical of a saturated aliphatic chain of carbon atoms bonded to an oxygen atom that is attached to a core structure.
- alkoxy groups include methoxy, ethoxy and iso-propoxy.
- cycloalkyl denotes a non-aromatic, monocyclic carbocyclic radical.
- cycloalkyl groups include cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl.
- Cycloalkyl groups may be optionally fused to aromatic hydrocarbons such as benzene to form fused cycloalkyl groups, such as indanyl and the like.
- cycloalkylene denotes a saturated, or partially saturated, monocyclic, bicyclic or tricyclic carbocyclic di-valent radical.
- cycloalkylene groups include cyclopropylene, cyclobutylene, cyclopentylene, cyclohexylene, cyclohexen-di-yl octahydropentalene-di-yl and tricycloctylene-di-yl.
- Cycloalkylene groups may be optionally fused to aromatic hydrocarbons such as benzene to form fused cycloalkylene groups, such as indanylene and the like.
- perfluoroalkyl is defined herein as a monovalent alkyl radical wherein each hydrogen is substituted with a fluoro.
- perfluoroalkyl groups include, but are not limited to, trifluoromethyl, perfluoroethyl, and the like.
- perfluoroalkoxy is defined herein as an alkoxy group wherein each hydrogen is substituted with a fluoro.
- perfluoroalkoxy groups include, but are not limited to, trifluoromethoxyl, perfluoroethoxy, and the like.
- radical denotes a group of atoms that behaves as a single reactant in a chemical reaction, e. g., an organic radical is a group of atoms that imparts characteristic properties to a compound containing it, or which remains unchanged during a series of reactions, or transformations.
- substituted means that a hydrogen atom on a molecule has been replaced with a different atom or molecule.
- the atom or molecule replacing the hydrogen atom is denoted as a “substituent.”
- tautomer refers to organic compounds that are interconvertible by a chemical reaction called tautomerization. Usually, the reaction involves the migration of a hydrogen atom or proton, accompanied by a switch of a single bond and adjacent double bond.
- treating includes preventing (e.g., prophylaxis), palliating, slowing progression and curing a disease, such as obesity, insulin resistance syndrome, Type 2 diabetes, or a disease-related condition such as a diabetic complication.
- a disease such as obesity, insulin resistance syndrome, Type 2 diabetes, or a disease-related condition such as a diabetic complication.
- terapéuticaally effective amount means an amount of a compound of the present invention that (i) treats or prevents the particular disease, condition, or disorder, (ii) attenuates, ameliorates, or eliminates one or more symptoms of the particular disease, condition, or disorder, or (iii) prevents or delays the onset of one or more symptoms of the particular disease, condition, or disorder described herein.
- pharmaceutically acceptable indicates that the designated carrier, vehicle, diluent, excipient(s), and/or salt is generally chemically and/or physically compatible with the other ingredients comprising the formulation, and physiologically compatible with the recipient thereof.
- mammal relates to an individual animal that is a member of the taxonomic class Mammalia.
- mammals include, but are not limited to, humans, dogs, cats, horses and cattle.
- the preferred mammals are humans, dogs and cats. More preferably, the mammal is a human.
- R 1 , R 2 , R 3 and R 4 are each independently H or —CH 3 ;
- R 5b and R 5c are each H;
- R 5d is H, F or Cl;
- R 5a is H, F, Cl or methyl;
- R 5a is H, F, Cl or methyl;
- R 7 is C(O)R 8 or cyano.
- Q is a bond
- A is a —(C 3 -C 10 )cycloalkylene group or a —(C 3 -C 10 )cycloalkenylene group.
- R 1 , R 2 , R 3 and R 4 are each independently H or —CH 3 ;
- R 5b and R 5c are each H;
- R 5d is H, F or Cl;
- R 5a is H, F, Cl or methyl;
- Z is —CH 2 — or a bond, and
- R 7 is C(O)R 8 or cyano.
- R 5d is H; Q is a bond; A is a —(C 3 -C 10 )cycloalkylene group or a —(C 3 -C 10 )cycloalkenylene group; R 1 , R 2 , R 3 and R 4 are each independently H or —CH 3 ; R 5b and R 5c are each H; R 5a is H, F, Cl or methyl; Z is —CH 2 — or a bond, and R 7 is C(O)R 8 or cyano.
- A is 1,4-cyclohexylene, cyclohex-3-en-1,4-di-yl, tricyclo[3.2.1.0 ⁇ 2,4 ⁇ ]octylene-1,3-di-yl or octahydropentalene-1,4-di-yl;
- R 5d is H;
- Q is a bond;
- R 1 , R 2 , R 3 and R 4 are each independently H or —CH 3 ;
- R 5b and R 5c are each H;
- R 5a is H, F, Cl or methyl;
- Z is —CH 2 — or a bond, and
- R 7 is C(O)R 8 or cyano.
- the compounds or formula (1), tautomers thereof, and salts of the compounds or tautomers include compounds having the structure of formula (2)
- R 1 is H or —CH 3 ;
- R 2 is H or —CH 3 ;
- R is H or —CH 3 ;
- R 4 is H or —CH 3 ;
- R 5a is H, F, Cl or methyl;
- Z is —C(R 6a )(R 6b )— or a bond wherein R 6a and R 6b are each independently —H or —(C 1 -C 4 )alkyl, or R 6a and R 6b , taken together with the carbon to which they are attached, is a —(C 3 -C 6 )cycloalkyl;
- R 7 is C(O)R 8 , cyano, hydroxyl, —(C 1 -C 4 )alkoxy, —(C 1 -C 4 )-perfluoroalkoxy or a carboxylic acid mimic;
- R 8 is —OR 9 or NHR 10 ;
- R 9 is H or NHR 10 ;
- Z is —CH 2 — and R 7 is —C(O)NHR 10 .
- Z is —CH 2 — and R 7 is —CN.
- a prefered compound of this embodiment is ⁇ trans-4-[4-(4-amino-5-oxo-7,8-dihydropyrimido[5,4-f][1,4]oxazepin-6(5H)-yl)phenyl]cyclohexyl ⁇ acetonitrile, or a tautomer thereof, or a salt of said compound or tautomer.
- Z is —CH 2 — and R 7 is —C(O)OH.
- One prefered compound of this embodiment is 2-(4-(4-(4-amino-5-oxo-7,8-dihydropyrimido[5,4-f][1,4]oxazepin-6(5H)-yl)-2-fluorophenyl)cyclohexyl)acetic acid, or a tautomer thereof, or a salt of said compound or tautomer.
- Another prefered compound of this embodiment is ⁇ trans-4-[4-(4-amino-5-oxo-7,8-dihydropyrimido[5,4-f][1,4]-oxazepin-6(5H)-yl)phenyl]cyclohexyl ⁇ acetic acid, or a tautomer thereof, or a salt of said compound or tautomer.
- Z is —CH 2 — and R 2 is (R)-methyl.
- R 7 is —C(O)NHR 10 , —CN, or —C(O)OH.
- a prefered compound of this embodiment is (trans-4- ⁇ 4-[(8R)-4-amino-8-methyl-5-oxo-7,8-dihydropyrimido[5,4-f][1,4]oxazepin-6(5H)-yl]phenyl ⁇ cyclohexyl)acetonitrile, or a tautomer thereof, or a salt of said compound or tautomer.
- Another prefered compound of this embodiment is (trans-4- ⁇ 4-[(8R)-4-amino-8-methyl-5-oxo-7,8-dihydropyrimido-[5,4-f][1,4]oxazepin-6(5H)-yl]phenyl ⁇ cyclohexyl)acetic acid, or a tautomer thereof, or a salt of said compound or tautomer.
- Yet another prefered compound of this embodiment is (R)-2-(4-(4-(4-amino-8-methyl-5-oxo-7,8-dihydro-pyrimido[5,4-f][1,4]oxazepin-6(5H)-yl)-2-fluorophenyl)cyclohexyl)acetic acid, or a tautomer thereof, or a salt of said compound or tautomer.
- Cis/trans isomers may be separated by conventional techniques well known to those skilled in the art, for example, chromatography and fractional crystallization.
- stereoisomeric salts which may be separated, for example, by crystallization
- stereoisomeric derivatives or complexes which may be separated, for example, by crystallization, gas-liquid or liquid chromatography
- selective reaction of one enantiomer with an enantiomer-specific reagent, for example enzymatic esterification or gas-liquid or liquid chromatography in a chiral environment, for example on a chiral support for example silica with a bound chiral ligand or in the presence of a chiral solvent.
- the desired stereoisomer is converted into another chemical entity by one of the separation procedures described above, a further step is required to liberate the desired enantiomeric form.
- the specific stereoisomers may be synthesized by using an optically active starting material, by asymmetric synthesis using optically active reagents, substrates, catalysts or solvents, or by converting one stereoisomer into the other by asymmetric transformation.
- Certain compounds of formula (1) may exist in different stable conformational forms which may be separable. Torsional asymmetry due to restricted rotation about an asymmetric single bond, for example because of steric hindrance or ring strain, may permit separation of different conformers.
- the compounds of the present invention further include each conformational isomer of compounds of formula (1) and mixtures thereof.
- a single compound may exhibit more than one type of isomerism.
- Included within the scope of the claimed compounds present invention are all stereoisomers, geometric isomers and tautomeric forms of the compounds of formula (I), including compounds exhibiting more than one type of isomerism, and mixtures of one or more thereof.
- acid addition or base salts wherein the counterion is optically active for example, D-lactate or L-lysine, or racemic, for example, DL-tartrate or DL-arginine.
- the compounds of the present invention, and the salts thereof, may exist in unsolvated as well as solvated forms with pharmaceutically acceptable solvents such as water, ethanol, and the like.
- solvents such as water, ethanol, and the like.
- solvate is used herein to describe a molecular complex comprising the compound of the invention and one or more pharmaceutically acceptable solvent molecules, for example, ethanol.
- hydrate is employed when said solvent is water.
- solvates include hydrates and other solvates wherein the solvent of crystallization may be isotopically substituted, e.g. D 2 O, d 6 -acetone, d 6 -DMSO.
- the compounds of the present invention may exist as clathrates or other complexes.
- Certain compounds of formula (1) and their salts and solvates may exist in more than one crystal form.
- Polymorphs of compounds represented by formula (1) form part of this invention and may be prepared by crystallization of a compound of formula (1) under different conditions. For example, using different solvents or different solvent mixtures for recrystallization; crystallization at different temperatures; various modes of cooling, ranging from very fast to very slow cooling during crystallization. Polymorphs may also be obtained by heating or melting a compound of formula (1) followed by gradual or fast cooling. The presence of polymorphs may be determined by solid probe NMR spectroscopy, IR spectroscopy, differential scanning calorimetry, powder X-ray diffraction or such other techniques.
- This invention also includes isotopically-labeled compounds, which are identical to those described by formula (2), but for the fact that one or more atoms are replaced by an atom having an atomic mass or mass number different from the atomic mass or mass number usually found in nature.
- isotopes that can be incorporated into compounds of the invention include isotopes of hydrogen, carbon, nitrogen, oxygen, sulfur and fluorine, such as 2 H, 3 H, 13 C, 14 C, 15 N, 18 O, 17 O, 35 S, 36 Cl, 125 I, 129 I, and 18 F respectively.
- Compounds of the present invention, and pharmaceutically acceptable salts of the compounds which contain the aforementioned isotopes and/or other isotopes of other atoms are within the scope of this invention.
- Certain isotopically-labeled compounds of the present invention for example those into which radioactive isotopes such as 3 H and 14 C are incorporated, are useful in drug and/or substrate tissue distribution assays. Tritiated (i.e., 3 H), and carbon-14 (i.e., 14 C), isotopes are particularly preferred for their ease of preparation and detectability.
- isotopically labeled compounds of formula (2) of this invention can generally be prepared by carrying out the procedures disclosed in the schemes and/or in the Examples below, by substituting a readily available isotopically labeled reagent for a non-isotopically labeled reagent.
- Pharmaceutically acceptable salts include pharmaceutically acceptable inorganic and organic salts of said compound. These salts can be prepared in situ during the final isolation and purification of a compound, or by separately reacting the compound or prodrug thereof, with a suitable organic or inorganic acid and isolating the salt thus formed.
- Representative salts include, but are not limited to, the acetate, aspartate, benzoate, besylate, bicarbonate, dimesylate, diphosphate, bisulfate, bitartrate, bromide, camsylate, carbonate, chloride, citrate, edisylate, esylate, fumarate, gluceptate, hemifumarate, hydrobromide, hydrochloride, isethionate, lactate, malate, maleate, mesylate, napsylate, nitrate, oxalate, palmitate, pamoate, phosphate, saccharate, stearate, succinate, sulfate, tartrate, tosylate, and trifluoroacetate salts.
- alkali and alkaline earth metals such as sodium, lithium, potassium, calcium, magnesium, and the like
- non-toxic ammonium, quaternary ammonium, and amine cations including, but not limited to, ammonium, tetramethylammonium, tetraethylammonium, methylamine, dimethylamine, trimethylamine, triethylamine, ethylamine, diethylamine and the like.
- amine cations including, but not limited to, ammonium, tetramethylammonium, tetraethylammonium, methylamine, dimethylamine, trimethylamine, triethylamine, ethylamine, diethylamine and the like.
- the compounds of the present invention may be isolated and used per se or in the form of their pharmaceutically acceptable salts.
- compounds with multiple basic nitrogen atoms can form salts with varying number of equivalents (“eq.”) of acid. It will be understood by practitioners that all such salts are within the scope of the present invention.
- the present invention further includes prodrugs of compounds of formula (1).
- a prodrug of a compound of formula (1) may be one formed in a conventional manner with a functional group of the compound, such as with an amino, hydroxy or carboxy group.
- the term “prodrug” means a compound that is transformed in vivo to yield a compound of formula (1) or a pharmaceutically acceptable salt of the compound. The transformation may occur by various mechanisms, such as through hydrolysis in blood.
- a discussion of the use of prodrugs is provided by T. Higuchi and W. Stella, “Pro-drugs as Novel Delivery Systems,” Vol. 14 of the A.C.S. Symposium Series, and in Bioreversible Carriers in Drug Design, ed. Edward B. Roche, American Pharmaceutical Association and Pergamon Press, 1987.
- a prodrug can be formed by the replacement of a hydrogen atom in the amine group with a group such as R-carbonyl, RO-carbonyl, NRR′-carbonyl where R and R′ are each independently (C 1 -C 10 )alkyl, (C 3 -C 7 )cycloalkyl, benzyl, or R-carbonyl is a natural ⁇ -aminoacyl or natural ⁇ -aminoacyl-natural ⁇ -aminoacyl, —C(OH)C(O)OY′ wherein Y′ is H, (C 1 -C 6 )alkyl or benzyl, —C(OY 0 )Y 1 wherein Y 0 is (C 1 -C 4 ) alkyl and Y 1 is (C 1 -C 6 )alkyl, carboxy(C 1 -C 6 )alkyl, amino(C 1 -
- a prodrug can be formed by the replacement of the hydrogen atom of the alcohol group with a group such as (C 1 -C 6 )alkanoyloxy-methyl, 1-((C 1 -C 6 )alkanoyloxy)ethyl, 1-methyl-1-((C 1 -C 6 )alkanoyloxy)ethyl, (C 1 -C 6 )alkoxycarbonyloxymethyl, N—(C 1 -C 6 )alkoxycarbonylaminomethyl, succinoyl, (C 1 -C 6 )alkanoyl, ⁇ -amino(C 1 -C 4 )alkanoyl, arylacyl and ⁇ -aminoacyl, or ⁇ -aminoacyl- ⁇ -aminoacyl, where each ⁇ -aminoacyl group is independently selected from the naturally occurring L-amino acids, P(O)(OH
- a prodrug can comprise an ester formed by the replacement of the hydrogen atom of the acid group with a group such as (C 1 -C 8 )alkyl, (C 2 -C 12 )alkanoyloxymethyl, 1-(alkanoyloxy)ethyl having from 4 to 9 carbon atoms, 1-methyl-1-(alkanoyloxy)-ethyl having from 5 to 10 carbon atoms, alkoxycarbonyloxymethyl having from 3 to 6 carbon atoms, 1-(alkoxycarbonyl-oxy)ethyl having from 4 to 7 carbon atoms, 1-methyl-1-(alkoxycarbonyloxy)-ethyl having from 5 to 8 carbon atoms, N-(alkoxycarbonyl)aminomethyl having from 3 to 9 carbon atoms, 1-(N-(alkoxycarbonyl)amino)ethyl having from 4 to 10 carbon atoms, 3-phthali
- the compounds of formula (1) of this invention may be prepared by methods that include processes known in the chemical arts, particularly in light of the description contained herein. Certain processes for the manufacture of the compounds of formula (1) of this invention are illustrated by the following reaction schemes. Other processes are described in the experimental section. Some of the starting compounds for the reactions described in the schemes and Examples are prepared as illustrated herein.
- aryl halide/sulfonates 1-1 can be prepared beginning with commercially available starting materials and using general synthetic techniques known to those skilled in the arts. Additional support for the preparation of intermediates such as 1-1, wherein X is a halide or OSO 2 R, are provided in U.S. Pat. No. 7,244,727, issued Jul. 17, 2007, the teachings of which are incorporated herein, by reference, in their entirety.
- Compound 1-2 was prepared by the method of C. Palomo et al., Synthesis of ⁇ -Lactam Scaffolds for Ditopic Peptidomimetics, Organic Letters (2007), 9(1), pages 101-104.
- Compounds 1-1 and 1-2 can be coupled using a metal catalyst, such as palladium or copper to form Compound 1-3. More specifically, 1-1 and 1-2 are heated to a temperature between 80° C. to 130° C. in a solvent, such as toluene, with cesium carbonate, palladium acetate and 2-dicyclohexyl phosphino-2′,4′,6′-triisopropylbiphenyl (X—PHOS) under nitrogen for about 15-20 hours to form Compound 1-3.
- a metal catalyst such as palladium or copper
- Compound 1-3 is acylated with 1-4 using conditions and reagents known to the skilled artisan (utilizing a mild base, such as triethylamine or pyridine) to afford compound 1-5.
- Compound 1-4 is prepared by the method of Tarasov, Evgeniy V.; Henckens, Anja; Ceulemans, Erik; Dehaen, Wim. A short total synthesis of cerpegin by intramolecular hetero Diels-Alder cycloaddition reaction of an acetylene tethered pyrimidine. Synlett (2000), (5), 625-626.
- the protecting group (Pg) present in compound 1-5 can be removed by one skilled in the art, utilizing conditions referenced in Greene's Protective Groups in Organic Synthesis, 4 th Ed., P. G. M Wuts and T. W. Greene, Wiley-Interscience to afford compound 1-6.
- Cyclization of compound 1-6 to afford compound 1-7 can be accomplished utilizing a wide range of basic conditions, including organic (e.g. triethylamine) and inorganic (e.g. potassium carbonate) as the bases, in an aprotic solvent at 20° C. to 120° C. to provide the cyclic lactam structure 1-7.
- Preferred conditions for this cyclization are triethylamine in acetonitrile at 40° C. to 120° C. for 4-16 hours.
- Amination of compound 1-7 can be accomplished with ammonia in a range of aprotic or protic solvents at 0° C. to 100° C. for 4-20 hours.
- Preferred conditions are ammonia in p-dioxane at ambient temperature for 4 to 24 hours.
- Compounds of formula (1) which contain a carboxylic ester functionality, can be hydrolyzed to the corresponding carboxylic acid utilizing base or acid catalyzed hydrolysis conditions as known in the art.
- a preferred method of hydrolysis is treating compound (1) with aqueous lithium hydroxide in an organic solvent at 20° C. to 100° C. for 1 to 10 hours.
- Compound 1B may be formed through a peptide coupling reaction between Compound 1A and ammonia.
- Compound 1B may be used to form Compound 1C by amide dehydration
- the dehydration may be performed by treating the amide with SOCl 2 , POCl 3 , PCl 5 , p-TosCl/pyridine, Tf 2 O/pyridine or with the Vilsmeier reagent in combination with an organic or inorganic base.
- the Vilsmeier reagent can be prepared by reacting dimethylformamide (DMF) with oxalylchloride in acetonitrile, dichloromethane, chloroform, dioxane, tetrahydrofuran (THF), or diethylether.
- DMF dimethylformamide
- THF tetrahydrofuran
- the Vilsmeier reagent is formed in the desired solvent for instance at a temperature between 0° C. and room temperature. The formation normally will be completed in 5-15 minutes.
- a solution of the amide in the desired solvent is added dropwise to the Vilsmeier reagent at a temperature between 0° C. and room temperature. The addition normally will be completed in 10-20 minutes.
- two equivalents of a base are added.
- an organic base for instance pyridine or triethylamine (TEA) is used.
- Inorganic bases may also be effective.
- the ketones (2-5) which are the equivalent of compound 1-1 of Scheme 1, wherein m and n are each independently 1, 2 or 3, can be prepared utilizing the procedure of Zang, Y.; Schuster, G., J. Org. Chem. 1994, 59, 1855-62.
- the monoprotected diones (2-2) can be prepared using the procedures of Alonso, F.; et al., Tetrahedron, 1995, 51(37), 10259-80, Crich, D.; Fortt, S. Tetrahedron, 1989, 45(20), 6581-98, or Lee, S.; Fuchs, P., J. Amer. Chem. Soc., 2002, 124, 13978-9.
- compounds of formula (1) may also be prepared from compound 4-7, which is prepared by the method of Scheme 3 above, through methods known in the art.
- a pharmaceutical composition of the present invention comprises a therapeutically effective amount of a compound of formula (1) or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable carrier, vehicle, diluent or excipient.
- a preferred pharmaceutical composition of the present invention comprises a therapeutically effective amount of a compound of formula (2), or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable carrier, vehicle, diluent or excipient.
- the pharmaceutical composition contains ⁇ trans-4-[4-(4-amino-5-oxo-7,8-dihydropyrimido[5,4-f][1,4]oxazepin-6(5H)-yl)phenyl]cyclohexyl ⁇ -acetonitrile or a pharmaceutically acceptable salt thereof, 2-(4-(4-(4-amino-5-oxo-7,8-dihydropyrimido[5,4-f][1,4]oxazepin-6(5H)-yl)-2-fluorophenyl)-cyclohexyl)acetic acid or a pharmaceutically acceptable salt thereof, ⁇ trans-4-[4-(4-amino-5-oxo-7,8-dihydropyrimido[5,4-f][1,4]-oxazepin-6(5H)-yl)phenyl]-cyclohexyl ⁇ acetic acid or a pharmaceutically acceptable salt thereof, (trans-4-[4
- compositions formed by combining the compounds of this invention and the pharmaceutically acceptable carriers, vehicles or diluents are then readily administered in a variety of dosage forms such as tablets, powders, lozenges, syrups, injectable solutions and the like.
- These pharmaceutical compositions can, if desired, contain additional ingredients such as flavorings, binders, excipients and the like.
- tablets containing various excipients such as sodium citrate, calcium carbonate and/or calcium phosphate
- various disintegrants such as starch, alginic acid and/or certain complex silicates, together with binding agents such as polyvinylpyrrolidone, sucrose, gelatin and/or acacia.
- binding agents such as polyvinylpyrrolidone, sucrose, gelatin and/or acacia.
- lubricating agents such as magnesium stearate, sodium lauryl sulfate and talc are often useful for tabletting purposes.
- Solid compositions of a similar type may also be employed as fillers in soft and hard filled gelatin capsules. Preferred materials for this include lactose or milk sugar and high molecular weight polyethylene glycols.
- the active pharmaceutical agent therein may be combined with various sweetening or flavoring agents, coloring matter or dyes and, if desired, emulsifying or suspending agents, together with diluents such as water, ethanol, propylene glycol, glycerin and/or combinations thereof.
- solutions of the compounds or compositions of this invention in sesame or peanut oil, aqueous propylene glycol, or in sterile aqueous solutions may be employed.
- aqueous solutions should be suitably buffered if necessary and the liquid diluent first rendered isotonic with sufficient saline or glucose.
- aqueous solutions are especially suitable for intravenous, intramuscular, subcutaneous and intraperitoneal administration.
- the sterile aqueous media employed are all readily available by standard techniques known to those skilled in the art.
- the compounds or compositions of the invention are conveniently delivered in the form of a solution or suspension from a pump spray container that is squeezed or pumped by the patient or as an aerosol spray presentation from a pressurized container or a nebulizer, with the use of a suitable propellant, e.g., dichlorodifluoromethane, trichlorofluoromethane, dichlorotetrafluoroethane, carbon dioxide or other suitable gas.
- a suitable propellant e.g., dichlorodifluoromethane, trichlorofluoromethane, dichlorotetrafluoroethane, carbon dioxide or other suitable gas.
- the dosage unit may be determined by providing a valve to deliver a metered amount.
- the pressurized container or nebulizer may contain a solution or suspension of a compound of this invention.
- Capsules and cartridges for use in an inhaler or insufflator may be formulated containing a powder mix of a compound or compounds of the invention and a suitable powder base such as lactose or starch.
- the invention is directed to a pharmaceutical composition, which comprises a therapeutically effective amount of a first compound of formula (1), or a pharmaceutically acceptable salt of the compound; a second compound that is an antidiabetic agent selected from insulin and insulin analogs; insulinotropin; biguanides; ⁇ 2 -antagonists and imidazolines; glitazones; aldose reductase inhibitors; glycogen phosphorylase inhibitors; sorbitol dehydrogenase inhibitors; fatty acid oxidation inhibitors; ⁇ -glucosidase inhibitors; ⁇ -agonists; phosphodiesterase inhibitors; lipid-lowering agents; antiobesity agents; vanadate and vanadium complexes and peroxovanadium complexes; amylin antagonists; glucagon antagonists; growth hormone secretagogues; gluconeogenesis inhibitors; somatostatin analogs; antilipolytic agents; a prodrug of the antidiabetic agents, or
- the invention is directed to a kit comprising: a first dosage form comprising a compound of formula (1), or a pharmaceutically acceptable salt of the compound; and a second dosage form comprising an antidiabetic agent selected from insulin and insulin analogs; insulinotropin; biguanides; ⁇ 2 -antagonists and imidazolines; glitazones; aldose reductase inhibitors; glycogen phosphorylase inhibitors; sorbitol dehydrogenase inhibitors; fatty acid oxidation inhibitors; ⁇ -glucosidase inhibitors; ⁇ -agonists; phosphodiesterase inhibitors; lipid-lowering agents; antiobesity agents; vanadate and vanadium complexes and peroxovanadium complexes; amylin antagonists; glucagon antagonists; growth hormone secretagogues; gluconeogenesis inhibitors; somatostatin analogs; antilipolytic agents; prodrugs of the antidiabetic agents, or a pharmaceutical
- the invention is directed to a method of inhibiting DGAT-I comprising administering to a mammal an inhibitory amount of a compound of formula (1), or a pharmaceutically acceptable salt of the compound, either alone or in combination with an antidiabetic agent as described above.
- the invention is directed to a method of treating a condition mediated by DGAT-1 inhibition comprising administering to a mammal in need of such treatment a therapeutically effective amount of a compound of formula (1), or a pharmaceutically acceptable salt of the compound, either alone or in combination with an antidiabetic agent as described above.
- the condition treated is Type 2 diabetes, insulin resistance syndrome or obesity.
- the condition is treated by administering a compound of formula (2), or a pharmaceutically acceptable salt thereof.
- the condition is treated by administering one of the following compounds, or pharmaceutically acceptable salts thereof: ⁇ trans-4-[4-(4-amino-5-oxo-7,8-dihydropyrimido[5,4-f][1,4]oxazepin-6(5H)-yl)phenyl]cyclohexyl ⁇ -acetonitrile, 2-(4-(4-(4-amino-5-oxo-7,8-dihydro-pyrimido[5,4-f][1,4]oxazepin-6(5H)-yl)-2-fluorophenyl)-cyclohexyl)acetic acid, ⁇ trans-4-[4-(4-amino-5-oxo-7,8-dihydropyrimido[5,
- the mammal treated is a human.
- the condition treated is impaired glucose tolerance, hyperglycemia, diabetic complications such as sugar cataracts, diabetic neuropathy, diabetic nephropathy, diabetic retinopathy and diabetic cardiomyopathy, anorexia nervosa, bulimia, cachexia, hyperuricemia, hyperinsulinemia, hypercholesterolemia, hyperlipidemia, dyslipidemia, mixed dyslipidemia, hypertriglyceridemia, nonalcoholic fatty liver disease, atherosclerosis, arteriosclerosis, acute heart failure, congestive heart failure, coronary artery disease, cardiomyopathy, myocardial infarction, angina pectoris, hypertension, hypotension, stroke, ischemia, ischemic reperfusion injury, aneurysm, restenosis, vascular stenosis, solid tumors, skin cancer, melanoma, lymphoma, breast cancer, lung cancer, colorectal cancer, stomach cancer, esophageal cancer, pancreatic cancer, prostate cancer, kidney cancer, liver cancer, bladder cancer
- the present invention also relates to therapeutic methods for treating the above described conditions in a mammal, including a human, wherein a compound of formula (1) of this invention is administered as part of an appropriate dosage regimen designed to obtain the benefits of the therapy.
- the appropriate dosage regimen, the amount of each dose administered and the intervals between doses of the compound will depend upon the compound of formula (1) of this invention being used, the type of pharmaceutical compositions being used, the characteristics of the subject being treated and the severity of the conditions.
- an effective dosage for the compounds of the present invention is in the range of 0.01 mg/kg/day to 30 mg/kg/day, preferably 0.01 mg/kg/day to 5 mg/kg/day of active compound in single or divided doses. Some variation in dosage will necessarily occur, however, depending on the condition of the subject being treated. The individual responsible for dosing will, in any event, determine the appropriate dose for the individual subject. Practitioners will appreciate that “kg” refers to the weight of the patient measured in kilograms.
- the compounds or compositions of this invention may be administered in single (e.g., once daily) or multiple doses or via constant infusion.
- the compounds of this invention may also be administered alone or in combination with pharmaceutically acceptable carriers, vehicles or diluents, in either single or multiple doses.
- suitable pharmaceutical carriers, vehicles and diluents include inert solid diluents or fillers, sterile aqueous solutions and various organic solvents.
- compositions of the present invention may be administered to a subject in need of treatment by a variety of conventional routes of administration, including orally and parenterally, (e.g., intravenously, subcutaneously or intramedullary). Further, the pharmaceutical compositions of this invention may be administered intranasally, as a suppository, or using a “flash” formulation, i.e., allowing the medication to dissolve in the mouth without the need to use water.
- Mass Spectra were recorded on a Waters® (Waters Corp.; Milford, Mass.) Micromass® Platform II spectrometer. Unless otherwise specified, mass spectra were recorded on a Waters® (Milford, Mass.) Micromass® Platform II spectrometer.
- Step 1 Methyl(trans-4- ⁇ 4-[(2- ⁇ [tert-butyl(dimethyl)silyl]oxy ⁇ ethyl)amino]-phenyl ⁇ cyclohexyl)acetate, shown above, was prepared as follows.
- Methyl[trans-4-[4-[[(trifluoromethyl)sulfonyl]oxy]phenyl]cyclohexyl]acetate shown above, which is identified as Compound 55 in U.S. Pat. No. 7,244,727, issued Jul. 17, 2007, was prepared according to the method described therein.
- Step 4 The title compound of Preparation 1 was prepared as follows. A slurry of methyl (trans-4- ⁇ 4-[[4,6-dichloropyrimidin-5-yl)carbonyl](2-hydroxy-ethyl)amino]phenyl ⁇ cyclohexyl)acetate (4.78 g, 10.2 mmol, unpurified material from Step 3) and TEA (4.15 g, 41 mmol) in acetonitrile was stirred at 80° C. for 6 hours. The reaction was cooled, concentrated in vacuo, diluted into EtOAc, washed with water (3 ⁇ ), saturated aqueous brine, dried over sodium sulfate and concentrated in vacuo to afford a yellow solid.
- Step 3 The title compound of Preparation 2 was prepared as follows. 4M HCl in dioxane (25 mL) was added to a solution of methyl [trans-4-(4- ⁇ [(2R)-2- ⁇ [tert-butyl(dimethyl)silyl]oxy ⁇ propyl][(4,6-dichloropyrimidin-5-yl)carbonyl]amino ⁇ phenyl)cyclohexyl]acetate (3.95 g, 6.72 mmol), from Step 2, in methanol (50 mL). The mixture was stirred at 23° C. for 30 minutes. The reaction mixture was concentrated to remove the solvent.
- Step 5 The title compound of Preparation 3 was prepared as follows. Methyl[trans-4-(4- ⁇ [(3S)-2- ⁇ oxy ⁇ propyl][(4,6-dichloropyrimidin-5-yl)carbonyl]-amino ⁇ phenyl)cyclohexyl]acetate (0.8 g, 1.66 mmol), potassium carbonate (0.46 g, 3.33 mmol) and 200 mg of molecular sieves were mixed into 41.6 ml of acetonitrile. The mixture was added to sealed tube and heated at 80° C. overnight. The reaction mixture was concentrated and then diluted with EtOAc and water. Separated layers and washed organic layer with brine, then dried and concentrated.
- Step 1 1-(Bromomethyl)benzene (4.92 g, 28.8 mmol) and K 2 CO 3 (3.98 g, 28.8 mmol) were added to a solution of 4-bromo-2-fluorophenol (5.0 g, 26 mmol) in acetone. The reaction mixture was stirred at room temperature for 18 hours. Water (100 mL) and EtOAc (100 mL) were added, the organic layer was separated and dried over MgSO 4 and concentrated to give 1-(benzyloxy)-4-bromo-2-fluorobenzene as a yellow solid 7.06 g. 1 H NMR (400 MHz, CDCl 3 ): ⁇ 7.24-7.41 (m, 5H), 7.20 (m, 1H), 7.16 (m, 1H), 6.82 (m, 1H), 5.10 (m, 2H).
- Step 4 Methyl 2-(4-(3-fluoro-4-(trifluoromethylsulfonyloxy)phenyl)cyclohexyl)acetate, shown below, was prepared as follows.
- Step 7 The title compound of Preparation 4 was prepared as follows. 4M HCl in dioxane (0.5 mL) was added to a solution of methyl 2-(4-(4-(N-(2-(tert-butyldimethylsilyloxy)ethyl)-4,6-dichloropyrimidine-5-carboxamido)-3-fluorophenyl)cyclohexyl)acetate (30 mg, 0.05 mmol) in methanol (1 mL). The mixture was stirred at 23° C. for 30 minutes. The reaction mixture was concentrated to remove solvent. The residue was dissolved in acetonitrile (1 mL) and NEt 3 (0.05 mL) was added to it.
- Methyl 2-(4-(4,4,5,5-tetramethyl-1,3,2-dioxaborolan-2-yl)cyclohex-3-enyl)acetate was prepared as follows.
- Methyl 2-(4-(trifluoromethyl-sulfonyloxy)cyclohex-3-enyl)acetate (21.9 g, 72.4 mmol, 1.0 eq), bis(pinacolato)diboron (16.7 g, 65.8 mmol, 0.9 eq), KOAc (21.5 g, 219 mmol, 3.0 eq) and PdCl 2 (dppf) (1.6 g, 2.19 mmol, 0.03 eq) were dissolved in DMSO (550 ml). The reaction mixture was bubbled through with N 2 -gas for 15 min and then heated to 50° C. and stirred for 2.5 h.
- reaction was concentrated to recover 0.26 g of methyl (trans-4- ⁇ 4-[(7S)-4-amino-7-methyl-5-oxo-7,8-dihydropyrimido[5,4-f][1,4]oxazepin-6(5H)-yl]phenyl cyclohexyl)acetate.
- Lithium hydroxide (11.3 mg, 0.472 mmol) was added to a solution of methyl (trans-4- ⁇ 4-[(7S)-4-amino-7-methyl-5-oxo-7,8-dihydropyrimido[5,4-f][1,4]oxazepin-6(5H)-yl]phenyl cyclohexyl)acetate (50 mg, 0.12 mmol), from Example 4, in 2.76 ml of THF/methanol/water (3:2:1) and the resulting solution was stirred at room temperature. After completion, reaction was acidified with 1N NaOH until acidic pH, and concentrated reaction mixture. EtOAc and water were added, and repulped product for two hours.
- the title compound was prepared as follows. A mixture of methyl 2-(4-(4-(4-chloro-5-oxo-7,8-dihydropyrimido[5,4-f][1,4]oxazepin-6(5H)-yl)-3-fluorophenyl)cyclohexyl)acetate (20 mg, 0.045 mmol), from Preparation 4, in 0.5M ammonia in dioxane was stirred at 50° C., in a tightly capped flask, for 3 hours. The reaction mixture was concentrated to give a white solid, which was carried on to the next step without further purification.
- the compounds of the following Examples 28-46 were prepared utilizing the method of Examples 26-27 wherein an amide is formed by reacting a carboxylic acid with an amine.
- the compounds of Examples 33-44 were separated using reverse phase column chromatography utilizing YMC ODS-AQ (2.0 ⁇ 50 mm 5 ⁇ m), which is a reversed-phase packing material with both a hydrophobic high carbon loading and a relatively hydrophilic surface (YMC Co., Ltd., Tokyo, Japan) and 0.05% TFA in water as an eluent.
- Step 4 A solution of 4-chloro-6-(4-iodophenyl)-7,8-dihydropyrimido[5,4-f][1,4]oxazepin-5(6H)-one (279 mg, 0.70 mmol) in 0.5 N ammonia in p-dioxane was stirred in a sealed tube for 18 hours. Concentration of the reaction mixture, followed by chromatography (10 g silica gel, 0-5% methanol:chloroform) afforded the title compound of Preparation 5 as a white solid, 122 mg.
- Example 52 To form the named compound, shown above, the compound of Example 52 was hydrolyzed utilizing the conditions described in Example 2 to afford the title compound as light brown solid, 11 mg.
- Step 3 The title compound was prepared as follows. A solution of ( ⁇ )- ⁇ (1R,3aS,4R,6aS)-4-[4-(4-amino-5-oxo-7,8-dihydropyrimido[5,4-f][1,4]oxazepin-6(5H)-yl)phenyl]octahydropentalen-1-yl ⁇ malonic acid (87 mg, 0.19 mmol) in xylenes (3 mL) and dimethylsulfoxide (0.5 mL) was stirred at 150° C. for 2 hours. After cooling the reaction mixture was diluted in EtOAc, washed with water and a precipitate formed in the organic layer.
- the utility of the compounds of formula (1), the pharmaceutically acceptable salts of the compounds, (such as are described herein) in animals, particularly mammals (e.g., humans) may be demonstrated by the activity thereof in conventional assays known to one of ordinary skill in the relevant art, including the in vitro and in vivo assays discussed below. Such assays also provide a means whereby the activities of the compounds of formula (1) can be compared with the activities of other known compounds.
- DGAT-1 Human full-length diacylglycerol:acylCoA acyltransferase 1 (DGAT-1) was expressed in Sf9 insect cells which are then lysed and a crude membrane fraction (105,000 ⁇ g pellet) was prepared.
- the DGAT-1 gene is a human DGAT-1 gene described in J. Biol. Chem. 273:26765, 1998 and U.S. Pat. No. 6,100,077.
- the cells were cultured as follows. Sf9 cells (20 L) were infected with 4 mL of DGAT1 Baculovirus Infected Insect Cells (BIIC) for 72 hours in a Wave Bioreactor System 20/50P (Wave Biotec/GE Healthcare).
- BIIC Baculovirus Infected Insect Cells
- Crude DGAT-1 microsomes were prepared as follows. Cell pellets were washed once with ice-cold Dulbecco's phosphate-buffered saline. Cells were collected in tabletop centrifuge (Beckman GS-6KR), 15 minutes, 2000 ⁇ g, 4° C. Twenty (20) mL of ice-cold Microsome Buffer (MB) was added per 5 g of cell pellet. The suspension was passed through a microfluidizer 3 times (18K psi). The lysate was transferred to centrifuge tubes and centrifuged for 20 minutes at 5000 ⁇ g (Beckman-Coulter, Inc.
- the Microsome Buffer used for microsome preparation, was prepared by conventional means and contained 125 mM sucrose, 3 mM imidazole, 0.2 ⁇ g/mL aprotinin, 0.2 ⁇ g/mL leupeptin and 5 mM dithiothreitol (Cleland's reagent), DGAT-1 activity was measured in 384-well format in a total assay volume of 25 ⁇ l that contained, Hepes buffer (50 mM, pH 7.5), MgCl 2 (10 mM), bovine serum albumin (0.6 mg/ml), [ 14 C]decanoylCoA (20 ⁇ M, 58 Ci/mol) and membranes (25 ⁇ g/ml) into which 1,2 dioleoyl-sn-glycerol (75 ⁇ M) in acetone has already been incorporated.
- Inhibitors in DMSO were pre-incubated with membranes before initiating the DGAT-1 reaction by the addition of decanoylCoA.
- Two control DGAT-1 reactions were also incubated in parallel: 1) DMSO without inhibitor to measure zero percent effect of inhibition and 2) and a maximally inhibited DGAT-1 reaction (“blank”) incubated with 1 ⁇ M ⁇ trans-4-[4-(4-amino-2,7,7-trimethyl-7 H-pyrimido[4,5-b][1,4]oxazin-6-yl)phenyl]cyclohexyl ⁇ acetic acid (WO2004/047755).
- the DMSO concentration was 2.5%.
- the inhibitors were present at a range of eight concentrations to generate an apparent IC 50 for each compound.
- the eight inhibitor concentration employed ranged from 10 ⁇ M to 3 nM (from high to low concentration). Specifically, the eight concentrations used were 10 ⁇ M, 3 ⁇ M, 1 ⁇ M, 300 nM, 100 nM, 30 nM, 10 nM and 3 nM.
- the compounds of the present invention described in Examples 1-3 and 5-57, were tested for in vitro DGAT-1 inhibition, and were found to generally exhibit DGAT-1 inhibition with IC 50 values of 1000 nM or less. Where this DGAT-1 inhibition assay was performed on a compound more than once, an inhibition range is also provided for that compound. Preferably, the compounds of the present invention exhibit DGAT-1 inhibition with IC 50 values of 100 nM or less.
- Oral glucose tolerance tests (“OGTT”) have been in use in humans since, at least, the 1930s, Pincus et al., Am. J. Med. Sci, 188: 782 (1934), and are routinely used in the diagnosis of human diabetes, though not to evaluate the efficacy of therapeutic agents in patients.
- KK mice have been used to evaluate glitazones (Fujita et al. Diabetes 32:804-810 (1983); Fujiwara et al., Diabetes 37: 1549-48 (1988); Izumi et al. Biopharm Durg. Dispos. 18:247-257 (1997)), metformin (Reddi et al. Diabet. Metabl. 19:44-51 (1993)), glucosidase inhibitors (Hamada et al. Jap. Pharmacol. Ther. 17:17-28 (1988); Matsuo et al. Am. J. Clin. Nutr.
- KK mice are derived from an inbred line first established by Kondo et al. (Kondo et al. Bull. Exp. Anim. 6:107-112 (1957)). The mice spontaneously develop a hereditary form of polygenic diabetes that progresses to cause renal, retinal and neurological complications analogous to those seen in human diabetic subjects, but they do not require insulin or other medication for survival. Another aspect of the invention is directed to the use of KK mice to evaluate the effects of insulin secretagogue agents in the context of an oral glucose tolerance test.
- the following screen may be used to evaluate the efficacy of test compounds for inhibiting food intake in Sprague-Dawley rats after an overnight fast.
- Male Sprague-Dawley rats are individually housed and fed powdered chow. They are maintained on a 12 hour light/dark cycle and received food and water ad libitum. The animals are acclimated to the vivarium for a period of one week before testing is conducted. Testing is completed during the light portion of the cycle.
- rats are transferred to individual test cages without food the afternoon prior to testing, and the rats are fasted overnight. After the overnight fast, rats are dosed the following morning with vehicle or test compounds.
- a known antagonist is dosed (3 mg/kg) as a positive control, and a control group receives vehicle alone (no compound).
- the test compounds are dosed at ranges between 0.1 and 100 mg/kg depending upon the compound.
- the standard vehicle is 0.5% (w/v) methylcellulose in water and the standard route of administration is oral. However, different vehicles and routes of administration may be used to accommodate various compounds when required.
- Food is provided to the rats 30 minutes after dosing and an Oxymax automated food intake system (Columbus Instruments, Columbus, Ohio) is started.
- rat food intake is recorded continuously at 10-minute intervals for a period of two hours. When required, food intake is recorded manually using an electronic scale; food is weighed every 30 minutes after food is provided up to four hours after food is provided. Compound efficacy is determined by comparing the food intake pattern of compound-treated rats to vehicle and the standard positive control.
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2008
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- 2008-07-22 AU AU2008281545A patent/AU2008281545B2/en not_active Expired - Fee Related
- 2008-07-22 ES ES08788942T patent/ES2361716T3/es active Active
- 2008-07-22 CN CN200880101674A patent/CN101772504A/zh active Pending
- 2008-07-22 AT AT08788942T patent/ATE502948T1/de active
- 2008-07-22 KR KR1020107002273A patent/KR20100032443A/ko not_active Application Discontinuation
- 2008-07-22 DK DK08788942.4T patent/DK2185567T3/da active
- 2008-07-22 BR BRPI0815067-2A2A patent/BRPI0815067A2/pt not_active IP Right Cessation
- 2008-07-22 EP EP08788942A patent/EP2185567B1/fr active Active
- 2008-07-22 EA EA201000050A patent/EA201000050A1/ru unknown
- 2008-07-22 UA UAA201001078A patent/UA94833C2/ru unknown
- 2008-07-22 AP AP2010005163A patent/AP2010005163A0/en unknown
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- 2008-07-22 WO PCT/IB2008/001963 patent/WO2009016462A2/fr active Application Filing
- 2008-07-22 SI SI200830242T patent/SI2185567T1/sl unknown
- 2008-07-22 JP JP2010518764A patent/JP4629808B2/ja not_active Expired - Fee Related
- 2008-07-22 DE DE602008005757T patent/DE602008005757D1/de active Active
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- 2008-07-30 PA PA20088791601A patent/PA8791601A1/es unknown
- 2008-08-01 PE PE2008001299A patent/PE20090897A1/es not_active Application Discontinuation
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EA031114B1 (ru) * | 2012-11-23 | 2018-11-30 | ГЛЭКСОСМИТКЛАЙН ЭлЭлСи | ПРОИЗВОДНЫЕ ДИГИДРОПИРИМИДО[5,4-f]ОКСАЗЕПИНА В КАЧЕСТВЕ ИНГИБИТОРОВ ДИАЦИЛГЛИЦЕРИН АЦИЛТРАНСФЕРАЗЫ |
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