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  • C07D263/00—Heterocyclic compounds containing 1,3-oxazole or hydrogenated 1,3-oxazole rings
  • C07D263/02—Heterocyclic compounds containing 1,3-oxazole or hydrogenated 1,3-oxazole rings not condensed with other rings
  • C07D263/08—Heterocyclic compounds containing 1,3-oxazole or hydrogenated 1,3-oxazole rings not condensed with other rings having one double bond between ring members or between a ring member and a non-ring member
  • C07D263/16—Heterocyclic compounds containing 1,3-oxazole or hydrogenated 1,3-oxazole rings not condensed with other rings having one double bond between ring members or between a ring member and a non-ring member with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
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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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  • A61P7/00—Drugs for disorders of the blood or the extracellular fluid
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  • C07D231/00—Heterocyclic compounds containing 1,2-diazole or hydrogenated 1,2-diazole rings
  • C07D231/02—Heterocyclic compounds containing 1,2-diazole or hydrogenated 1,2-diazole rings not condensed with other rings
  • C07D231/10—Heterocyclic compounds containing 1,2-diazole or hydrogenated 1,2-diazole rings not condensed with other rings having two or three double bonds between ring members or between ring members and non-ring members
  • C07D231/14—Heterocyclic compounds containing 1,2-diazole or hydrogenated 1,2-diazole rings not condensed with other rings having two or three double bonds between ring members or between ring members and non-ring members with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07D—HETEROCYCLIC COMPOUNDS
  • C07D233/00—Heterocyclic compounds containing 1,3-diazole or hydrogenated 1,3-diazole rings, not condensed with other rings
  • C07D233/04—Heterocyclic compounds containing 1,3-diazole or hydrogenated 1,3-diazole rings, not condensed with other rings having one double bond between ring members or between a ring member and a non-ring member
  • C07D233/28—Heterocyclic compounds containing 1,3-diazole or hydrogenated 1,3-diazole rings, not condensed with other rings having one double bond between ring members or between a ring member and a non-ring member with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07D—HETEROCYCLIC COMPOUNDS
  • C07D277/00—Heterocyclic compounds containing 1,3-thiazole or hydrogenated 1,3-thiazole rings
  • C07D277/02—Heterocyclic compounds containing 1,3-thiazole or hydrogenated 1,3-thiazole rings not condensed with other rings
  • C07D277/08—Heterocyclic compounds containing 1,3-thiazole or hydrogenated 1,3-thiazole rings not condensed with other rings having one double bond between ring members or between a ring member and a non-ring member
  • C07D277/12—Heterocyclic compounds containing 1,3-thiazole or hydrogenated 1,3-thiazole rings not condensed with other rings having one double bond between ring members or between a ring member and a non-ring member with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07D—HETEROCYCLIC COMPOUNDS
  • C07D277/00—Heterocyclic compounds containing 1,3-thiazole or hydrogenated 1,3-thiazole rings
  • C07D277/02—Heterocyclic compounds containing 1,3-thiazole or hydrogenated 1,3-thiazole rings not condensed with other rings
  • C07D277/20—Heterocyclic compounds containing 1,3-thiazole or hydrogenated 1,3-thiazole rings not condensed with other rings having two or three double bonds between ring members or between ring members and non-ring members
  • C07D277/32—Heterocyclic compounds containing 1,3-thiazole or hydrogenated 1,3-thiazole rings not condensed with other rings having two or three double bonds between ring members or between ring members and non-ring members with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
  • C07D277/56—Carbon atoms having three bonds to hetero atoms with at the most one bond to halogen

Definitions

• DFT desazadesferrothiocin
• DFT-PE desazadesferrothiocin polyether
• Metal ions are critical to the proper functioning of living systems. Ions such as Fe 3+ , Zn 2+ , Cu 2+ , Ca 2+ , and Co 3+ , to name but a few, can be found in the active sites of over a third of known enzymes and other functional proteins such as RNA polymerase, DNA transcription factors, cytochromes P 450 s, hemoglobin, myoglobin, and coenzymes such as vitamin B 12 . There, these metals serve to facilitate oxidation and reduction reactions, stabilize or shield charge distributions, and orient substrates for reactions.
• Ions such as Fe 3+ , Zn 2+ , Cu 2+ , Ca 2+ , and Co 3+ , to name but a few, can be found in the active sites of over a third of known enzymes and other functional proteins such as RNA polymerase, DNA transcription factors, cytochromes P 450 s, hemoglobin, myoglobin, and coenzymes such as vitamin B 12 . There, these metals
• the body has a limited ability to absorb and excrete metals, and an excess can lead to toxicity.
• an excess of iron whether derived from red blood cells chronically transfused, necessary in such conditions such as ⁇ -thalassemia major, or from increased absorption of dietary iron such as hereditary hemochromatosis caused by mutation in genes such as HFE can be toxic through the generation by iron of reactive oxygen species such as H 2 O 2 .
• H 2 O 2 In the presence of Fe 2+ , H 2 O 2 is reduced to the hydroxyl radical (HO), a very reactive species, a process known as the Fenton reaction.
• HO hydroxyl radical
• the hydroxyl radical reacts very quickly with a variety of cellular constituents and can initiate free radicals and radical-mediated chain processes that damage DNA and membranes, as well as produce carcinogens.
• the clinical result is that without effective treatment, total body iron progressively increases with deposition in the liver, heart, pancreas, and elsewhere. Iron accumulation may also produce (i) liver disease that may progress to cirrhosis, (ii) diabetes related both to iron-induced decreases in pancreatic ⁇ -cell secretion and increases in hepatic insulin resistance and (iii) heart disease, still the leading cause of death in ⁇ -thalassemia major and other anemias associated with transfusional iron overload.
• DFO deferoxamine
• Deferiprone 3-hydroxy-1,2-dimethylpyridin-4(1H)-one
• the drug is not approved for use in the United States and Canada, and reported side effects including agranulocytosis have in many cases relegated it to second-line therapy.
• Deferasirox (Exjade, [4-[(3Z,5E)-3,5-bis(6-oxo-1-cyclohexa-2,4-dienylidene)-1,2,4-triazolidin-1-yl]benzoic acid, Novartis) is currently the only oral agent approved in the United States for chelation therapy. Even still, nephrotoxicity leading to renal failure and cytopenia have been reported by the Food and Drug Administration as side effects to Deferasirox oral suspension tablets. Moreover, neither of these agents is as efficacious a chelator as DFO. Clearly, a need still exists in the art for long-lasting, orally active metal chelators with reduced toxicity for the treatment of iron overload secondary to transfusion or excessive intestinal absorption and other metal overload disorders.
• Polyether analogues had uniformly higher iron-clearing efficiencies (ICEs) than their corresponding parent ligands in rodents and in serum albumin binding studies, with the 3′-DADFT-PE analogue (S)-4,5-dihydro-2-[2-hydroxy-3-(3,6,9-trioxadecyloxy)phenyl]-4-methyl-4-thiazolecarboxylic acid showing the most promising ICE in rodents and non-human primates.
• ICEs iron-clearing efficiencies
• DADFT polyethers as a class of compounds appear promising in the search for improved metal chelation agents, much work remains to be done in the characterization, development, and selection of a compound suitable for use in humans. Room for improvement is still apparent in the design of analogues which have the optimal balance of bioavailability and other pharmacokinetic parameters, solubility, ICE or other metal-clearing efficacy, favorable metabolism and toxicology, and other attributes for the purpose of providing safe and effective compounds which will be easy to use by patients and clinicians alike. Additionally, many factors still influence the suitability of a compound as a pharmaceutical agent in general. For example, to be ideally suited for delivery to patients, compounds should be readily uptaken by the patient's body via the chosen route of administration, should be soluble and bioavailable to the target compartment or organ, and should be cleared from the body in an appropriate period of time.
• novel DADFT and DADFT-PE analogues and derivatives thereof are also disclosed, as well as methods for the treatment of diseases and conditions related to toxicity which is a result of an acute or chronic excess of metal in a human or animal body.
• compounds have the structural formula I:
• Certain compounds and prodrugs disclosed herein may possess useful metal chelating activity, and may be used in the treatment or prophylaxis of a disease or condition in which metal overload or toxicity plays an active role.
• certain embodiments also provide pharmaceutical compositions comprising one or more compound or prodrug disclosed herein together with a pharmaceutically acceptable carrier, as well as methods of making and using the compounds and prodrugs and their compositions.
• Certain embodiments provide methods for chelating metals in living systems.
• Other embodiments provide methods for treating disorders and symptoms relating to metal toxicity in a patient in need of such treatment, comprising administering to said patient a therapeutically effective amount of a compound or composition according to the present invention, or a prodrug thereof.
• certain compounds and prodrugs disclosed herein for use in the manufacture of a medicament for the treatment of a disease or condition ameliorated by the chelation or decorporation of metals.
• compounds have structural formula II:
• A has the structural formula
• each dashed line represents a second bond which may be present or absent
• X 1 -X 5 are each chosen from CR 12 , NR 13 , O, and S, and no more than three of X 1 -X 5 are heteroatoms;
• each R 12 is independently chosen from null, hydrogen, and lower alkyl
• each R 13 is independently chosen from null, hydrogen, and lower alkyl.
• compounds have the structural formula II wherein A is a five membered heterocycle that does not contain a sulfur atom.
• Z is NR 2 R 3 ;
• R 2 is chosen from [(CH 2 ) m —O] x —[(CH 2 ) n —O] y —R 4 , and [(CH 2 ) m —O] x —[(CH 2 ) n —NR 4 ] y —R 5 ; and
• R 3 is chosen from hydrogen and alkyl.
• compounds have the structural formula II wherein Z is OR 1 .
• compounds have the structural formula II wherein R 1 is [(CH 2 ) n —O] x —[(CH 2 ) n —O] y —R 4 .
• compounds have the structural formula II wherein each n is, independently, an integer from 1 to 4; x is an integer from 0 to 4; and y is an integer from 1 to 4.
• compounds have the structural formula II wherein R 4 is alkyl.
• compounds have the structural formula II wherein R 8 is hydrogen.
• compounds have structural formula chosen from IIa, IIb, and IIc:
• compounds have structural formula III:
• compounds have the structural formula III wherein Z is chosen from morpholine and optionally substituted piperazine.
• compounds have the structural formula III wherein Z is OR 1 .
• compounds have the structural formula III wherein R 1 is [(CH 2 ) m —O] x —[(CH 2 ) n —O] y —R 4 .
• compounds have the structural formula III wherein R 4 is alkyl.
• compounds have the structural formula III wherein R 4 is methyl.
• compounds have the structural formula III wherein R 7 is OR 8 .
• compounds have the structural formula III wherein R 8 is hydrogen.
• compounds have structural formula chosen from IIIa, IIIb, IIIc and IIId:
• compounds have structural formula chosen from IIIa1, IIIa2, IIIa3, IIIb1, IIIb2, IIIb3, IIIc1, IIIc2, IIIc3, IIId1, IIId2, and IIId3:
• the compound is the (S) enantiomer at OR 7 .
• the compound is the (R) enantiomer at OR 7 .
• compound has a structural formula chosen from
• compounds have the structural formula III wherein Z is OR 1 .
• compounds have the structural formula III wherein R 1 is [(CH 2 ) m —O] x —[(CH 2 ) n —O] y —R 4 .
• compounds have the structural formula III wherein R 4 is alkyl.
• compounds have the structural formula III wherein R 4 is methyl.
• compounds have the structural formula III wherein R 7 is OR 8 .
• compounds have the structural formula III wherein R 8 is hydrogen.
• compounds have structural formula IV:
• compounds have the structural formula IV wherein A is a five membered heterocycle.
• A has the structural formula
• compounds have the structural formula V wherein R 11 is methyl.
• compounds have the structural formula IV wherein Z is chosen from morpholine and optionally substituted piperazine.
• compounds have the structural formula IV wherein Z is OR 1 .
• compounds have the structural formula IV wherein R 1 is [(CH 2 ) m —O] x —[(CH 2 ) n —O] y —R 4 .
• compounds have the structural formula IV wherein R 4 is alkyl.
• compounds have the structural formula IV wherein R 7 is OR 8 .
• compounds have the structural formula IV wherein R 8 is hydrogen.
• compounds have structural formula V:
• compounds have the structural formula V wherein A is a five membered heterocycle.
• A has the structural formula
• compounds have the structural formula V wherein R 11 is methyl.
• compounds have the structural formula V wherein Z is chosen from morpholine and optionally substituted piperazine.
• compounds have the structural formula V wherein Z is OR 1 .
• compounds have the structural formula V wherein R 1 is [(CH 2 ) n —O] x —[(CH 2 ) n —O] y —R 4 .
• compounds have the structural formula V wherein each n is, independently, an integer from 1 to 4; x is an integer from 0 to 4; and y is an integer from 1 to 4.
• compounds have the structural formula V wherein R 4 is alkyl.
• compounds have the structural formula V wherein R 7 is OR 8 .
• compounds have the structural formula V wherein R 8 is hydrogen.
• compounds have the structural formula VI wherein Z is chosen from morpholine and optionally substituted piperazine.
• compounds have the structural formula VI wherein Z is OR 1 .
• compounds have the structural formula VI wherein R 7 is OR 8 .
• compounds have the structural formula VI, wherein R 8 is hydrogen.
• compounds have structural formula VI 2 :
• compounds have structural formula VIa, VIb, or VIc:
• the compound is the (S) enantiomer at OR 7 .
• the compound is the (R) enantiomer at OR 7 .
• compounds have structural formula chosen from
• compositions comprising the compounds as disclosed herein together with at least one pharmaceutically acceptable excipient.
• a method of treating a metal-mediated condition in a subject comprising administering to the subject a therapeutically effective amount of a prodrug as disclosed herein.
• said metal is trivalent.
• said metal is iron
• said condition is iron overload.
• said condition is the result of mal-distribution or redistribution of iron in the body.
• said condition is chosen from atransferrinemia, aceruloplasminemia, and Fredreich's ataxia.
• said condition is the result of transfusional iron overload.
• said condition is a hereditary condition resulting in the excess absorption of dietary iron.
• said condition is chosen from hereditary hemochromatosis and porphyria cutanea tarda.
• said condition is diabetes.
• said condition is an acquired disease that results in excess dietary iron absorption.
• said condition is a liver disease.
• said disease is hepatitis.
• said condition is lanthanide or actinide overload.
• the therapeutically effective amount of a compound as disclosed herein that induces the bodily excretion of iron or other trivalent metal is greater than 0.2 mg/kg/d in the subject.
• the therapeutically effective amount of a compound as disclosed herein can be given at a dose of at least 10 mg/kg/d without clinically apparent toxic effects on the kidney, bone marrow, thymus, liver, spleen, heart or adrenal glands.
• acyl refers to a carbonyl attached to an alkenyl, alkyl, aryl, cycloalkyl, heteroaryl, heterocycle, or any other moiety were the atom attached to the carbonyl is carbon.
• An “acetyl” group refers to a —C(O)CH 3 group.
• An “alkylcarbonyl” or “alkanoyl” group refers to an alkyl group attached to the parent molecular moiety through a carbonyl group. Examples of such groups include methylcarbonyl and ethylcarbonyl. Examples of acyl groups include formyl, alkanoyl and aroyl.
• alkenyl refers to a straight-chain or branched-chain hydrocarbon group having one or more double bonds and containing from 2 to 20 carbon atoms. In certain embodiments, said alkenyl will comprise from 2 to 6 carbon atoms.
• alkenylene refers to a carbon-carbon double bond system attached at two or more positions such as ethenylene [(—CH ⁇ CH—), (—C::C—)]. Examples of suitable alkenyl groups include ethenyl, propenyl, 2-methylpropenyl, 1,4-butadienyl and the like. Unless otherwise specified, the term “alkenyl” may include “alkenylene” groups.
• alkoxy refers to an alkyl ether group, wherein the term alkyl is as defined below.
• suitable alkyl ether groups include methoxy, ethoxy, n-propoxy, isopropoxy, n-butoxy, iso-butoxy, sec-butoxy, tert-butoxy, and the like.
• alkyl refers to a straight-chain or branched-chain alkyl group containing from 1 to 20 carbon atoms. In certain embodiments, said alkyl will comprise from 1 to 10 carbon atoms. In further embodiments, said alkyl will comprise from 1 to 6 carbon atoms. Alkyl groups may be optionally substituted as defined herein. Examples of alkyl groups include methyl, ethyl, n-propyl, isopropyl, n-butyl, isobutyl, sec-butyl, tert-butyl, pentyl, iso-amyl, hexyl, octyl, noyl and the like.
• alkylene refers to a saturated aliphatic group derived from a straight or branched chain saturated hydrocarbon attached at two or more positions, such as methylene (—CH 2 —). Unless otherwise specified, the term “alkyl” may include “alkylene” groups.
• alkylamino refers to an alkyl group attached to the parent molecular moiety through an amino group. Suitable alkylamino groups may be mono- or dialkylated, forming groups such as, for example, N-methylamino, N-ethylamino, N,N-dimethylamino, N,N-ethylmethylamino and the like.
• alkynyl refers to a straight-chain or branched chain hydrocarbon group having one or more triple bonds and containing from 2 to 20 carbon atoms. In certain embodiments, said alkynyl comprises from 2 to 6 carbon atoms. In further embodiments, said alkynyl comprises from 2 to 4 carbon atoms.
• alkynylene refers to a carbon-carbon triple bond attached at two positions such as ethynylene (—C:::C—, —C ⁇ C—).
• alkynyl groups include ethynyl, propynyl, hydroxypropanyl, butyn-1-yl, butyn-2-yl, pentyn-1-yl, 3-methylbutyn-1-yl, hexyn-2-yl, and the like.
• alkynyl may include “alkynylene” groups.
• acylamino as used herein, alone or in combination, embraces an acyl group attached to the parent moiety through an amino group.
• An example of an “acylamino” group is acetylamino (CH 3 C(O)NH—).
• amino refers to —NRR′, wherein R and R′ are independently chosen from hydrogen, alkyl, acyl, heteroalkyl, aryl, cycloalkyl, heteroaryl, and heterocycloalkyl, any of which may themselves be optionally substituted. Additionally, R and R′ may combine to form heterocycloalkyl, either of which may be optionally substituted.
• aryl as used herein, alone or in combination, means a carbocyclic aromatic system containing one, two or three rings wherein such polycyclic ring systems are fused together.
• aryl embraces aromatic groups such as phenyl, naphthyl, anthracenyl, and phenanthryl.
• carbonyl when alone includes formyl [—C(O)H] and in combination is a —C(O)— group.
• carboxyl or “carboxy,” as used herein, refers to C(O)OH or the corresponding “carboxylate” anion, such as is in a carboxylic acid salt.
• An “O-carboxy” group refers to a RC(O)O— group, where R is as defined herein.
• a “C-carboxy” group refers to a —C(O)OR groups where R is as defined herein.
• cyano as used herein, alone or in combination, refers to CN.
• cycloalkyl or, alternatively, “carbocycle,” as used herein, alone or in combination, refers to a saturated or partially saturated monocyclic, bicyclic or tricyclic alkyl group wherein each cyclic moiety contains from 3 to 12 carbon atom ring members and which may optionally be a benzo fused ring system which is optionally substituted as defined herein.
• said cycloalkyl will comprise from 5 to 7 carbon atoms.
• cycloalkyl groups examples include cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl, tetrahydronaphthyl, indanyl, octahydronaphthyl, 2,3-dihydro-1H-indenyl, adamantyl and the like.
• “Bicyclic” and “tricyclic” as used herein are intended to include both fused ring systems, such as decahydronaphthalene, octahydronaphthalene as well as the multicyclic (multicentered) saturated or partially unsaturated type. The latter type of isomer is exemplified in general by, bicyclo[1,1,1]pentane, camphor, adamantane, and bicyclo[3,2,1]octane.
• esters refers to a carboxy group bridging two moieties linked at carbon atoms.
• ether refers to an oxy group bridging two moieties linked at carbon atoms.
• halo or halogen, as used herein, alone or in combination, refers to fluorine, chlorine, bromine, or iodine.
• haloalkoxy refers to a haloalkyl group attached to the parent molecular moiety through an oxygen atom.
• haloalkyl refers to an alkyl group having the meaning as defined above wherein one or more hydrogens are replaced with a halogen. Specifically embraced are monohaloalkyl, dihaloalkyl and polyhaloalkyl groups.
• a monohaloalkyl group for one example, may have an iodo, bromo, chloro or fluoro atom within the group.
• Dihalo and polyhaloalkyl groups may have two or more of the same halo atoms or a combination of different halo groups.
• haloalkyl groups include fluoromethyl, difluoromethyl, trifluoromethyl, chloromethyl, dichloromethyl, trichloromethyl, pentafluoroethyl, heptafluoropropyl, difluorochloromethyl, dichlorofluoromethyl, difluoroethyl, difluoropropyl, dichloroethyl and dichloropropyl.
• Haloalkylene refers to a haloalkyl group attached at two or more positions. Examples include fluoromethylene (—CFH—), difluoromethylene (—CF 2 —), chloromethylene (—CHCl—) and the like.
• heteroalkyl refers to a stable straight or branched chain, or cyclic hydrocarbon group, or combinations thereof, fully saturated or containing from 1 to 3 degrees of unsaturation, consisting of the stated number of carbon atoms and from one to three heteroatoms chosen from O, N, and S, and wherein the nitrogen and sulfur atoms may optionally be oxidized and the nitrogen heteroatom may optionally be quaternized.
• the heteroatom(s) O, N and S may be placed at any interior position of the heteroalkyl group. Up to two heteroatoms may be consecutive, such as, for example, —CH 2 —NH—OCH 3 .
• heteroaryl refers to a 3 to 7 membered unsaturated heteromonocyclic ring, or a fused monocyclic, bicyclic, or tricyclic ring system in which at least one of the fused rings is aromatic, which contains at least one atom chosen from O, S, and N. In certain embodiments, said heteroaryl will comprise from 5 to 7 carbon atoms.
• the term also embraces fused polycyclic groups wherein heterocyclic rings are fused with aryl rings, wherein heteroaryl rings are fused with other heteroaryl rings, wherein heteroaryl rings are fused with heterocycloalkyl rings, or wherein heteroaryl rings are fused with cycloalkyl rings.
• heteroaryl groups include pyrrolyl, pyrrolinyl, imidazolyl, pyrazolyl, pyridyl, pyrimidinyl, pyrazinyl, pyridazinyl, triazolyl, pyranyl, furyl, thienyl, oxazolyl, isoxazolyl, oxadiazolyl, thiazolyl, thiadiazolyl, isothiazolyl, indolyl, isoindolyl, indolizinyl, benzimidazolyl, quinolyl, isoquinolyl, quinoxalinyl, quinazolinyl, indazolyl, benzotriazolyl, benzodioxolyl, benzopyranyl, benzoxazolyl, benzoxadiazolyl, benzothiazolyl, benzothiadiazolyl, benzofuryl, benzothienyl, chromonyl,
• Exemplary tricyclic heterocyclic groups include carbazolyl, benzidolyl, phenanthrolinyl, dibenzofuranyl, acridinyl, phenanthridinyl, xanthenyl and the like.
• heterocycloalkyl and, interchangeably, “heterocycle,” as used herein, alone or in combination, each refer to a saturated, partially unsaturated, or fully unsaturated monocyclic, bicyclic, or tricyclic heterocyclic group containing at least one heteroatom as a ring member, wherein each said heteroatom may be independently chosen from nitrogen, oxygen, and sulfur.
• said heterocycloalkyl will comprise from 1 to 4 heteroatoms as ring members.
• said heterocycloalkyl will comprise from 1 to 2 heteroatoms as ring members.
• said heterocycloalkyl will comprise from 3 to 8 ring members in each ring.
• heterocycloalkyl will comprise from 3 to 7 ring members in each ring. In yet further embodiments, said heterocycloalkyl will comprise from 5 to 6 ring members in each ring.
• “Heterocycloalkyl” and “heterocycle” are intended to include sulfones, sulfoxides, N-oxides of tertiary nitrogen ring members, and carbocyclic fused and benzo fused ring systems; additionally, both terms also include systems where a heterocycle ring is fused to an aryl group, as defined herein, or an additional heterocycle group.
• heterocycle groups include aziridinyl, azetidinyl, 1,3-benzodioxolyl, dihydroisoindolyl, dihydroisoquinolinyl, dihydrocinnolinyl, dihydrobenzodioxinyl, dihydro[1,3]oxazolo[4,5-b]pyridinyl, benzothiazolyl, dihydroindolyl, dihy-dropyridinyl, 1,3-dioxanyl, 1,4-dioxanyl, 1,3-dioxolanyl, isoindolinyl, morpholinyl, piperazinyl, pyrrolidinyl, tetrahydropyridinyl, piperidinyl, thiomorpholinyl, and the like.
• the heterocycle groups may be optionally substituted unless specifically prohibited.
• hydroxyalkyl refers to a hydroxy group attached to the parent molecular moiety through an alkyl group.
• the phrase “in the main chain” refers to the longest contiguous or adjacent chain of carbon atoms starting at the point of attachment of a group to the compounds of any one of the formulas disclosed herein.
• lower means containing from 1 to and including 6 carbon atoms.
• oxy or “oxa,” as used herein, alone or in combination, refer to —O—.
• perhaloalkoxy refers to an alkoxy group where all of the hydrogen atoms are replaced by halogen atoms.
• perhaloalkyl refers to an alkyl group where all of the hydrogen atoms are replaced by halogen atoms.
• thia and thio refer to a —S— group or an ether wherein the oxygen is replaced with sulfur.
• the oxidized derivatives of the thio group namely sulfinyl and sulfonyl, are included in the definition of thia and thio.
• any definition herein may be used in combination with any other definition to describe a composite structural group.
• the trailing element of any such definition is that which attaches to the parent moiety.
• the composite group alkylamido would represent an alkyl group attached to the parent molecule through an amido group
• the term alkoxyalkyl would represent an alkoxy group attached to the parent molecule through an alkyl group.
• the term “optionally substituted” means the anteceding group may be substituted or unsubstituted.
• the substituents of an “optionally substituted” group may include, without limitation, one or more substituents independently selected from the following groups or a particular designated set of groups, alone or in combination: lower alkyl, lower alkenyl, lower alkynyl, lower alkanoyl, lower heteroalkyl, lower heterocycloalkyl, lower haloalkyl, lower haloalkenyl, lower haloalkynyl, lower perhaloalkyl, lower perhaloalkoxy, lower cycloalkyl, phenyl, aryl, aryloxy, lower alkoxy, lower haloalkoxy, oxo, lower acyloxy, carbonyl, carboxyl, lower alkylcarbonyl, lower carboxyester, lower carboxamido, cyano, hydrogen, halogen, hydroxy, ester, acyl, amino
• Two substituents may be joined together to form a fused five-, six-, or seven-membered carbocyclic or heterocyclic ring consisting of zero to three heteroatoms, for example forming methylenedioxy or ethylenedioxy.
• An optionally substituted group may be unsubstituted (e.g., —CH 2 CH 3 ), fully substituted (e.g., —CF 2 CF 3 ), monosubstituted (e.g., —CH 2 CH 2 F) or substituted at a level anywhere in-between fully substituted and monosubstituted (e.g., —CH 2 CF 3 ).
• R or the term R′ refers to a moiety chosen from hydrogen, alkyl, cycloalkyl, heteroalkyl, aryl, heteroaryl and heterocycloalkyl, any of which may be optionally substituted.
• aryl, heterocycle, R, etc. occur more than one time in a formula or generic structure, its definition at each occurrence is independent of the definition at every other occurrence.
• certain groups may be attached to a parent molecule or may occupy a position in a chain of elements from either end as written.
• an unsymmetrical group such as —C(O)N(R)— may be attached to the parent moiety at either the carbon or the nitrogen.
• bonds refers to a covalent linkage between two atoms, or two moieties when the atoms joined by the bond are considered to be part of larger substructure.
• a bond may be single, double, or triple unless otherwise specified.
• a dashed line between two atoms in a drawing of a molecule indicates that an additional bond may be present or absent at that position.
• disease as used herein is intended to be generally synonymous, and is used interchangeably with, the terms “disorder” and “condition” (as in medical condition), in that all reflect an abnormal condition of the human or animal body or of one of its parts that impairs normal functioning, is typically manifested by distinguishing signs and symptoms, and causes the human or animal to have a reduced duration or quality of life.
• Metal-mediated conditions are one in which metal ions (either in imbalance, excess relative or absolute, mal-distribution, etc.) play a role in pathogenesis of the disease or its symptoms.
• Metal-mediated conditions include conditions responsive to chelation, sequestration, or elimination of metals, such as iron overload, lanthanide overload, and actinide overload.
• Other disease involving metals that could be treated include those in which the metal is vital for the survival of an organism requiring the metal.
• chelation of iron can be used as a treatment for malaria, an intracellular parasite that requires iron to replicate and cause infection.
• combination therapy means the administration of two or more therapeutic agents to treat a therapeutic condition or disorder described in the present disclosure. Such administration encompasses co-administration of these therapeutic agents in a substantially simultaneous manner, such as in a single capsule having a fixed ratio of active ingredients or in multiple, separate capsules for each active ingredient. In addition, such administration also encompasses use of each type of therapeutic agent in a sequential manner. In either case, the treatment regimen will provide beneficial effects of the drug combination in treating the conditions or disorders described herein.
• terapéuticaally effective is intended to qualify the amount of active ingredients used in the treatment of a disease or disorder. This amount will achieve the goal of reducing or eliminating the said disease or disorder.
• chelation means to coordinate (as in a metal ion) with and inactivate. Chelation also includes decorporation, a term which itself encompasses chelation and excretion.
• iron-clearing efficiency refers to the efficaciousness of a given concentration of chelator in clearing iron from the body or one of its organs or parts. Efficaciousness in turn concerns quantity of iron removed from a target system (which may be a whole body, an organ, or other) in a unit of time. Chelators are needed for three clinical situations: for acute iron toxicity from ingestion or infusion of iron; to reduce total body iron secondary to transfusion or excess iron absorption; for maintenance of iron balance after total body iron has been satisfactorily reduces and only daily dietary iron needs to be excreted. In practical terms, therefore, for chronic iron overload secondary to transfusion, the recommendation is that between 0.3 and 0.5 mg Fe/kg body weight of the patient per day need be excreted. For the maintenance treatment, 0.25-1 mg/kg/d is sufficient.
• terapéuticaally acceptable refers to those compounds (or salts, polymorphs, prodrugs, tautomers, zwitterionic forms, etc.) which are suitable for use in contact with the tissues of patients without undue toxicity, irritation, and allergic response, are commensurate with a reasonable benefit/risk ratio, and are effective for their intended use.
• patient means all mammals including humans. Examples of patients include humans, cows, dogs, cats, goats, sheep, pigs, and rabbits. Preferably, the patient is a human.
• prodrug refers to a compound that is made more active in vivo.
• Certain compounds disclosed herein may also exist as prodrugs, as described in Hydrolysis in Drug and Prodrug Metabolism: Chemistry, Biochemistry, and Enzymology (Testa, Bernard and Mayer, Joachim M. Wiley-VHCA, Zurich, Switzerland 2003).
• Prodrugs of the compounds described herein are structurally modified forms of the compound that readily undergo chemical changes under physiological conditions to provide the compound.
• prodrugs can be converted to the compound by chemical or biochemical methods in an ex vivo environment. For example, prodrugs can be slowly converted to a compound when placed in a transdermal patch reservoir with a suitable enzyme or chemical reagent.
• Prodrugs are often useful because, in some situations, they may be easier to administer than the compound, or parent drug. They may, for instance, be bioavailable by oral administration whereas the parent drug is not. The prodrug may also have improved solubility in pharmaceutical compositions over the parent drug.
• a wide variety of prodrug derivatives are known in the art, such as those that rely on hydrolytic cleavage or oxidative activation of the prodrug.
• An example, without limitation, of a prodrug would be a compound which is administered as an ester (the “prodrug”), but then is metabolically hydrolyzed to the carboxylic acid, the active entity. Additional examples include peptidyl derivatives of a compound.
• the compounds disclosed herein can exist as therapeutically acceptable salts.
• the present invention includes compounds listed above in the form of salts, including acid addition salts. Suitable salts include those formed with both organic and inorganic acids. Such acid addition salts will normally be pharmaceutically acceptable. However, salts of non-pharmaceutically acceptable salts may be of utility in the preparation and purification of the compound in question. Basic addition salts may also be formed and be pharmaceutically acceptable. For a more complete discussion of the preparation and selection of salts, refer to Pharmaceutical Salts Properties, Selection, and Use (Stahl, P. Heinrich. Wiley-VCHA, Zurich, Switzerland, 2002).
• terapéuticaally acceptable salt represents salts or zwitterionic forms of the compounds disclosed herein which are water or oil-soluble or dispersible and therapeutically acceptable as defined herein.
• the salts can be prepared during the final isolation and purification of the compounds or separately by reacting the appropriate compound in the form of the free base with a suitable acid.
• Representative acid addition salts include acetate, adipate, alginate, L-ascorbate, aspartate, benzoate, benzenesulfonate (besylate), bisulfate, butyrate, camphorate, camphorsulfonate, citrate, digluconate, formate, fumarate, gentisate, glutarate, glycerophosphate, glycolate, hemisulfate, heptanoate, hexanoate, hippurate, hydrochloride, hydrobromide, hydroiodide, 2-hydroxyethanesulfonate (isethionate), lactate, maleate, malonate, DL-mandelate, mesitylenesulfonate, methanesulfonate, naphthalenesulfonate, nicotinate, 2-naphthalenesulfonate, oxalate, pamoate, pectinate, persulfate, 3-phen
• basic groups in the compounds disclosed herein can be quaternized with methyl, ethyl, propyl, and butyl chlorides, bromides, and iodides; dimethyl, diethyl, dibutyl, and diamyl sulfates; decyl, lauryl, myristyl, and steryl chlorides, bromides, and iodides; and benzyl and phenethyl bromides.
• acids which can be employed to form therapeutically acceptable addition salts include inorganic acids such as hydrochloric, hydrobromic, sulfuric, and phosphoric, and organic acids such as oxalic, maleic, succinic, and citric. Salts can also be formed by coordination of the compounds with an alkali metal or alkaline earth ion.
• the present invention contemplates sodium, potassium, magnesium, and calcium salts of the compounds disclosed herein, and the like.
• Basic addition salts can be prepared during the final isolation and purification of the compounds, often by reacting a carboxy group with a suitable base such as the hydroxide, carbonate, or bicarbonate of a metal cation or with ammonia or an organic primary, secondary, or tertiary amine.
• a suitable base such as the hydroxide, carbonate, or bicarbonate of a metal cation or with ammonia or an organic primary, secondary, or tertiary amine.
• the cations of therapeutically acceptable salts include lithium, sodium (e.g., NaOH), potassium (e.g., KOH), calcium (including Ca(OH) 2 ), magnesium (including Mg(OH) 2 and magnesium acetate), zinc, (including Zn(OH) 2 and zinc acetate) and aluminum, as well as nontoxic quaternary amine cations such as ammonium, tetramethylammonium, tetraethylammonium, methylamine, dimethylamine, trimethylamine, triethylamine, diethylamine, ethylamine, tributylamine, pyridine, N,N-dimethylaniline, N-methylpiperidine, N-methylmorpholine, dicyclohexylamine, procaine, dibenzylamine, N,N-dibenzylphenethylamine, 1-ephenamine, and N,N-dibenzylethylenediamine.
• nontoxic quaternary amine cations such
• organic amines useful for the formation of base addition salts include ethylenediamine, ethanolamine, diethanolamine, piperidine, piperazine, choline hydroxide, hydroxyethyl morpholine, hydroxyethyl pyrrolidone, imidazole, n-methyl-d-glucamine, N,N′-dibenzylethylenediamine, N,N′-diethylethanolamine, N,N′-dimethylethanolamine, triethanolamine, and tromethamine.
• Basic amino acids such as 1-glycine and 1-arginine, and amino acids which may be zwitterionic at neutral pH, such as betaine (N,N,N-trimethylglycine) are also contemplated.
• the salts may include calcium, magnesium, potassium, sodium, zinc, and piperazine salts of compounds disclosed herein.
• Salts disclosed herein may combine in 1:1 molar ratios, and in fact this is often how they are initially synthesized. However, it will be recognized by one of skill in the art that the stoichiometry of one ion in a salt to the other may be otherwise. Salts shown herein may be, for the sake of convenience in notation, shown in a 1:1 ratio; all possible stoichiometric arrangements are encompassed byt the scope of the present invention.
• polymorphs and “polymorphic forms” and related terms herein refer to crystal forms of the same molecule, and different polymorphs may have different physical properties such as, for example, melting temperatures, heats of fusion, solubilities, dissolution rates and/or vibrational spectra as a result of the arrangement or conformation of the molecules in the crystal lattice.
• the differences in physical properties exhibited by polymorphs affect pharmaceutical parameters such as storage stability, compressibility and density (important in formulation and product manufacturing), and dissolution rates (an important factor in bioavailability). Differences in stability can result from changes in chemical reactivity (e.g.
• differential oxidation such that a dosage form discolors more rapidly when comprised of one polymorph than when comprised of another polymorph) or mechanical changes (e.g. tablets crumble on storage as a kinetically favored polymorph converts to thermodynamically more stable polymorph) or both (e.g., tablets of one polymorph are more susceptible to breakdown at high humidity).
• solubility/dissolution differences in the extreme case, some polymorphic transitions may result in lack of potency or, at the other extreme, toxicity.
• the physical properties of the crystal may be important in processing, for example, one polymorph might be more likely to form solvates or might be difficult to filter and wash free of impurities (i.e., particle shape and size distribution might be different between polymorphs).
• Polymorphs of a molecule can be obtained by a number of methods, as known in the art. Such methods include, but are not limited to, melt recrystallization, melt cooling, solvent recrystallization, desolvation, rapid evaporation, rapid cooling, slow cooling, vapor diffusion and sublimation.
• Techniques for characterizing polymorphs include, but are not limited to, differential scanning calorimetry (DSC), X-ray powder diffractometry (XRPD), single crystal X-ray diffractometry, vibrational spectroscopy, e.g. IR and Raman spectroscopy, solid state NMR, hot stage optical microscopy, scanning electron microscopy (SEM), electron crystallography and quantitative analysis, particle size analysis (PSA), surface area analysis, solubility studies and dissolution studies.
• DSC differential scanning calorimetry
• XRPD X-ray powder diffractometry
• single crystal X-ray diffractometry single crystal X-ray diffractometry
• vibrational spectroscopy e.g. IR and Raman spectroscopy
• solid state NMR e.g. IR and Raman spectroscopy
• SEM scanning electron microscopy
• PSA particle size analysis
• surface area analysis solubility studies and dissolution studies.
• solvate refers to a crystal form of a substance which contains solvent.
• hydrate refers to a solvate wherein the solvent is water.
• solvated solvate refers to a crystal form of a substance which can only be made by removing the solvent from a solvate.
• amorphous form refers to a noncrystalline form of a substance.
• solubility is generally intended to be synonymous with the term “aqueous solubility,” and refers to the ability, and the degree of the ability, of a compound to dissolve in water or an aqueous solvent or buffer, as might be found under physiological conditions.
• Aqueous solubility is, in and of itself, a useful quantitative measure, but it has additional utility as a correlate and predictor, with some limitations which will be clear to those of skill in the art, of oral bioavailability.
• a soluble compound is generally desirable, and the more soluble, the better.
• Solubility is typically reported in mg/mL, but other measures, such as g/g, may be used. Solubilities typically deemed acceptable may range from 1 mg/mL into the hundreds or thousands of mg/mL.
• compositions which comprise one or more of certain compounds and prodrugs disclosed herein, or one or more pharmaceutically acceptable salts, esters, amides, or solvates thereof, together with one or more pharmaceutically acceptable carriers thereof and optionally one or more other therapeutic ingredients.
• the carrier(s) must be “acceptable” in the sense of being compatible with the other ingredients of the formulation and not deleterious to the recipient thereof. Proper formulation is dependent upon the route of administration chosen. Any of the well-known techniques, carriers, and excipients may be used as suitable and as understood in the art; e.g., in Remington's Pharmaceutical Sciences.
• compositions disclosed herein may be manufactured in any manner known in the art, e.g., by means of conventional mixing, dissolving, granulating, dragee-making, levigating, emulsifying, encapsulating, entrapping or compression processes.
• the formulations include those suitable for oral, parenteral (including subcutaneous, intradermal, intramuscular, intravenous, intraarticular, and intramedullary), intraperitoneal, transmucosal, transdermal, intranasal, rectal and topical (including dermal, buccal, sublingual and intraocular) administration although the most suitable route may depend upon for example the condition and disorder of the recipient.
• the formulations may conveniently be presented in unit dosage form and may be prepared by any of the methods well known in the art of pharmacy. Typically, these methods include the step of bringing into association a compound of the subject invention or a pharmaceutically acceptable salt, ester, amide, prodrug or solvate thereof (“active ingredient”) with the carrier which constitutes one or more accessory ingredients.
• active ingredient a pharmaceutically acceptable salt, ester, amide, prodrug or solvate thereof
• the formulations are prepared by uniformly and intimately bringing into association the active ingredient with liquid carriers or finely divided solid carriers or both and then, if necessary, shaping the
• Formulations of the compounds and prodrugs disclosed herein suitable for oral administration may be presented as discrete units such as capsules, cachets or tablets each containing a predetermined amount of the active ingredient; as a powder or granules; as a solution or a suspension in an aqueous liquid or a non-aqueous liquid; or as an oil-in-water liquid emulsion or a water-in-oil liquid emulsion.
• the active ingredient may also be presented as a bolus, electuary or paste.
• compositions which can be used orally include tablets, push-fit capsules made of gelatin, as well as soft, sealed capsules made of gelatin and a plasticizer, such as glycerol or sorbitol. Tablets may be made by compression or molding, optionally with one or more accessory ingredients. Compressed tablets may be prepared by compressing in a suitable machine the active ingredient in a free-flowing form such as a powder or granules, optionally mixed with binders, inert diluents, or lubricating, surface active or dispersing agents. Molded tablets may be made by molding in a suitable machine a mixture of the powdered compound moistened with an inert liquid diluent.
• the tablets may optionally be coated or scored and may be formulated so as to provide slow or controlled release of the active ingredient therein. All formulations for oral administration should be in dosages suitable for such administration.
• the push-fit capsules can contain the active ingredients in admixture with filler such as lactose, binders such as starches, and/or lubricants such as talc or magnesium stearate and, optionally, stabilizers.
• the active compounds and prodrugs may be dissolved or suspended in suitable liquids, such as fatty oils, liquid paraffin, or liquid polyethylene glycols.
• stabilizers may be added.
• Dragee cores are provided with suitable coatings.
• concentrated sugar solutions may be used, which may optionally contain gum arabic, talc, polyvinyl pyrrolidone, carbopol gel, polyethylene glycol, and/or titanium dioxide, lacquer solutions, and suitable organic solvents or solvent mixtures.
• Dyestuffs or pigments may be added to the tablets or dragee coatings for identification or to characterize different combinations of active compound doses.
• the compounds and prodrugs may be formulated for parenteral administration by injection, e.g., by bolus injection or continuous infusion.
• Formulations for injection may be presented in unit dosage form, e.g., in ampoules or in multi-dose containers, with an added preservative.
• the compositions may take such forms as suspensions, solutions or emulsions in oily or aqueous vehicles, and may contain formulatory agents such as suspending, stabilizing and/or dispersing agents.
• the formulations may be presented in unit-dose or multi-dose containers, for example sealed ampoules and vials, and may be stored in powder form or in a freeze-dried (lyophilized) condition requiring only the addition of the sterile liquid carrier, for example, saline or sterile pyrogen-free water, immediately prior to use.
• sterile liquid carrier for example, saline or sterile pyrogen-free water
• Extemporaneous injection solutions and suspensions may be prepared from sterile powders, granules and tablets of the kind previously described.
• Formulations for parenteral administration include aqueous and non-aqueous (oily) sterile injection solutions of the active compounds and prodrugs which may contain antioxidants, buffers, bacteriostats and solutes which render the formulation isotonic with the blood of the intended recipient; and aqueous and non-aqueous sterile suspensions which may include suspending agents and thickening agents.
• Suitable lipophilic solvents or vehicles include fatty oils such as sesame oil, or synthetic fatty acid esters, such as ethyl oleate or triglycerides, or liposomes.
• Aqueous injection suspensions may contain substances which increase the viscosity of the suspension, such as sodium carboxymethyl cellulose, sorbitol, or dextran.
• the suspension may also contain suitable stabilizers or agents which increase the solubility of the compounds and prodrugs to allow for the preparation of highly concentrated solutions.
• a compound or prodrug as disclosed herein may also be formulated as a depot preparation.
• Such long acting formulations may be administered by implantation (for example subcutaneously or intramuscularly) or by intramuscular injection.
• the compounds and prodrugs may be formulated with suitable polymeric or hydrophobic materials (for example as an emulsion in an acceptable oil) or ion exchange resins, or as sparingly soluble derivatives, for example, as a sparingly soluble salt.
• compositions may take the form of tablets, lozenges, pastilles, or gels formulated in conventional manner.
• Such compositions may comprise the active ingredient in a flavored basis such as sucrose and acacia or tragacanth.
• the compounds and prodrugs may also be formulated in rectal compositions such as suppositories or retention enemas, e.g., containing conventional suppository bases such as cocoa butter, polyethylene glycol, or other glycerides.
• Certain compounds and prodrugs disclosed herein may be administered topically, that is by non-systemic administration. This includes the application of a compound disclosed herein externally to the epidermis or the buccal cavity and the instillation of such a compound into the ear, eye and nose, such that the compound does not significantly enter the blood stream.
• systemic administration refers to oral, intravenous, intraperitoneal and intramuscular administration.
• Formulations suitable for topical administration include liquid or semi-liquid preparations suitable for penetration through the skin to the site of inflammation such as gels, liniments, lotions, creams, ointments or pastes, and drops suitable for administration to the eye, ear or nose.
• the active ingredient for topical administration may comprise, for example, from 0.001% to 10% w/w (by weight) of the formulation. In certain embodiments, the active ingredient may comprise as much as 10% w/w. In other embodiments, it may comprise less than 5% w/w. In certain embodiments, the active ingredient may comprise from 2% w/w to 5% w/w. In other embodiments, it may comprise from 0.1% to 1% w/w of the formulation.
• compounds and prodrugs may be conveniently delivered from an insufflator, nebulizer pressurized packs or other convenient means of delivering an aerosol spray.
• Pressurized packs may comprise a suitable propellant such as 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 compounds and prodrugs disclosed herein may take the form of a dry powder composition, for example a powder mix of the compound and a suitable powder base such as lactose or starch.
• the powder composition may be presented in unit dosage form, in for example, capsules, cartridges, gelatin or blister packs from which the powder may be administered with the aid of an inhalator or insufflator.
• Intranasal delivery in particular, may be useful for delivering compounds to the CNS. It had been shown that intranasal drug administration is a noninvasive method of bypassing the blood-brain barrier (BBB) to deliver neurotrophins and other therapeutic agents to the brain and spinal cord. Delivery from the nose to the CNS occurs within minutes along both the olfactory and trigeminal neural pathways. Intranasal delivery occurs by an extracellular route and does not require that drugs bind to any receptor or undergo axonal transport. Intranasal delivery also targets the nasal associated lymphatic tissues (NALT) and deep cervical lymph nodes. In addition, intranasally administered therapeutics are observed at high levels in the blood vessel walls and perivascular spaces of the cerebrovasculature.
• BBB blood-brain barrier
• intranasal insulin has been shown to improve memory in normal adults and patients with Alzheimer's disease. Hanson L R and Frey W H, 2 nd , J Neuroimmune Pharmacol. 2007 March; 2(1):81-6. Epub 2006 Sep. 15.
• Preferred unit dosage formulations are those containing an effective dose, as herein below recited, or an appropriate fraction thereof, of the active ingredient.
• formulations described above may include other agents conventional in the art having regard to the type of formulation in question, for example those suitable for oral administration may include flavoring agents.
• Compounds and prodrugs may be administered orally or via injection at a dose of from 0.1 to 500 mg/kg per day.
• the dose range for adult humans is generally from 5 mg to 2 g/day.
• Tablets or other forms of presentation provided in discrete units may conveniently contain an amount of one or more compound or prodrug which is effective at such dosage or as a multiple of the same, for instance, units containing 5 mg to 500 mg, usually around 10 mg to 200 mg.
• the amount of active ingredient that may be combined with the carrier materials to produce a single dosage form will vary depending upon the host treated and the particular mode of administration.
• the compounds and prodrugs can be administered in various modes, e.g. orally, topically, or by injection.
• the precise amount of compound administered to a patient will be the responsibility of the attendant physician.
• the specific dose level for any particular patient will depend upon a variety of factors including the activity of the specific compound employed, the age, body weight, general health, sex, diets, time of administration, route of administration, rate of excretion, drug combination, the precise disorder being treated, and the severity of the indication or condition being treated.
• the route of administration may vary depending on the condition and its severity.
• the therapeutic effectiveness of one of the compounds described herein may be enhanced by administration of an adjuvant (i.e., by itself the adjuvant may only have minimal therapeutic benefit, but in combination with another therapeutic agent, the overall therapeutic benefit to the patient is enhanced).
• the benefit of experienced by a patient may be increased by administering one of the compounds described herein with another therapeutic agent (which also includes a therapeutic regimen) that also has therapeutic benefit.
• increased therapeutic benefit may result by also providing the patient with another therapeutic agent for thalassemia, for example deferoxamine.
• the overall benefit experienced by the patient may simply be additive of the two therapeutic agents or the patient may experience a synergistic benefit.
• Non-limiting examples of possible combination therapies include use of certain compounds of the invention with: deferasirox, deferiprone, deferoxamine, DTPA (diethylene triamine pentaacetic acid), EGTA (ethylene glycol tetraacetic acid), EDTA (ethylenediamine tetraacetic acid), DMSA (dimercaptosuccinic acid), DMPS (dimercapto-propane sulfonate), BAL (dimercaprol), BAPTA (aminophenoxyethane-tetraacetic acid), D-penicillamine, and alpha lipoic acid.
• DTPA diethylene triamine pentaacetic acid
• EGTA ethylene glycol tetraacetic acid
• EDTA ethylenediamine tetraacetic acid
• DMSA dimercaptosuccinic acid
• DMPS dimercapto-propane sulfonate
• BAL dimercaprol
• the multiple therapeutic agents may be administered in any order or even simultaneously. If simultaneously, the multiple therapeutic agents may be provided in a single, unified form, or in multiple forms (by way of example only, either as a single pill or as two separate pills). One of the therapeutic agents may be given in multiple doses, or both may be given as multiple doses. If not simultaneous, the timing between the multiple doses may be any duration of time ranging from a few minutes to four weeks.
• certain embodiments provide methods for treating disorders and symptoms relating to metal toxicity in a human or animal subject in need of such treatment comprising administering to said subject an amount of a compound disclosed herein effective to reduce or prevent said disorder in the subject, in combination with at least one additional agent for the treatment of said disorder that is known in the art.
• certain embodiments provide therapeutic compositions comprising at least one compound disclosed herein in combination with one or more additional agents for the treatment of disorders and symptoms relating to metal toxicity.
• Specific diseases to be treated by the compounds, compositions, and methods disclosed herein include iron overload or mal-distribution or redistribution of iron in the body such as atransferrinemia, aceruloplasminemia, or Fredreich's ataxia; transfusional iron overload such as with beta-thalassemia major and intermedia, sickle cell anemia, Diamond-Blackfan anemia, sideroblastic anemia, chronic hemolytic anemias, off-therapy leukemias, bone marrow transplant or myelodysplastic syndrome; a hereditary condition resulting in the excess absorption of dietary iron such as hereditary hemochromatosis, or porphyria cutanea tarda; an acquired disease that results in excess dietary iron absorption such as hepatitis; other liver diseases; heart disease, cardiovascular disease, and related conditions, including cardiomyopathy, coronary heart disease, inflammatory heart disease, ischemic heart disease, valvular heart disease, hypertensive heart disease, and atherosclerosis; iron, lanthan
• certain compounds and formulations disclosed herein may also be useful for veterinary treatment of companion animals, exotic animals and farm animals, including mammals, rodents, and the like. More preferred animals include horses, dogs, and cats.
• Certain compounds of the invention can be synthesized as described in Bergeron, R J et al., “Design, Synthesis, and Testing of Non-Nephrotoxic Des azadesferrithiocin Polyether Analogues,” J Med. Chem. 2008, 51(13), 3913-23.
• n denotes the length of the polyether chain in ethoxy units and can generally be an integer from 1 to 8. In certain embodiments, n is 2 to 3.
• RX generally represents a polyether or polyamine chain which substitutes the core through a heteroatom.
• the R polyether or polyamine comprises repeating units of alkoxy or alkylamino units (for example, ethoxy or propylamino units), and the heteroatom X is chosen from O, S, and N.
• R′ and R′′ are generally each independently optionally substituted alkyl or hydrogen.
• R is a polyether chain of 1 to 8 ethoxy units the core-distal end of which terminates in CH 3 —, X is O, and R′ is lower alkyl or hydrogen.
• the R polyether chain is of 2 to 3 ethoxy units and R′ and R′′ are each independently methyl or hydrogen.
• Example A has been previously made and tested; see, e.g., US2008/0214630A1 Tables 1 and 2.
• Example B was prepared as described in Example A using trifluoromethanesulfonic 4-(2-(2-(2-methoxyethoxy)ethoxy)ethoxy)-2-(trifluoromethylsulfonyloxy)benzimidic anhydride as a starting material.
• LC-MS (ES, m/z): 400 [M+H] + .
• Example B has been previously made and tested; see, e.g., Bergeron, R. J. et al, Biometals 2011 April; 24(2):239-58 and WO2011/028255A2.
• Example C has been previously made and tested; see, e.g., Bergeron, R. J. et al, Biometals 2011 April; 24(2):239-58 and WO2011/028255A2.
• Example D has been previously made and tested; see, e.g., Bergeron, R. J. et al, Biometals 2011 April; 24(2):239-58.
• Example E has been previously made and tested; see, e.g., Bergeron, R. J. et al, Biometals 2011 April; 24(2):239-58 and US2008/093812A1.
• Example F has been previously made and tested; see, e.g., Bergeron, R. J. et al, Biometals 2011 April; 24(2):239-58.
• Example 2 was prepared as described in Example 1 using 7-(2-(2-(2-methoxyethoxy)ethoxy)-2,2-dimethyl-4H-benzo[d][1,3]dioxin-4-one as a starting material.
• n-butyllithium (1.58 M in hexane, 50 mL, 78.5 mmol) at ⁇ 78° C. After 5 min at ⁇ 78° C., the solution was allowed to warm to 0° C. for 30 min and then cooled to ⁇ 78° C. again.
• Example 4 was prepared as described in Example 3 using 2-(2-(2-methoxyethoxy)ethoxy)ethyl 4-methylbenzenesulfonate as a reagent in Step 6.
• LC-MS (ES, m/z): 383 [M+H] + .
• Example 6 was prepared as described in Example 5 using 2-(2-(2-methoxyethoxy)ethoxy)ethyl 4-methylbenzenesulfonate as a reagent in Step 1.
• LC-MS (ES, m/z): 383 [M+H] + .
• Example 8 was prepared as described in Example 7 using 2-(2-(2-methoxyethoxy)ethoxy)ethanol as a reagent in Step 3.
• SMILES Simplified Molecular Input Line Entry System
• SMILES is a modem chemical notation system, developed by David Weininger and Daylight Chemical Information Systems, Inc., that is built into all major commercial chemical structure drawing software packages. Software is not needed to interpret SMILES text strings, and an explanation of how to translate SMILES into structures can be found in Weininger, D., J. Chem. Inf. Comput. Sci. 1988, 28, 31-36. All SMILES strings used herein, as well as many IUPAC names, were generated using CambridgeSoft's ChemDraw 11.0.
• DADFT and DADFT-PE analogues as chelating agents may be illustrated in the following assays. Examples 1-8, as well as the compounds listed above which have not yet been made and/or tested, are predicted to have activity in these assays as well.
• a compound's physical properties may be used not only to characterize it but also to predict its suitability as a drug. Solublities and distribution coefficients of Examples A, B, and 1-8 were determined and are reported below. It is predicted that certain compounds disclosed herein, including Examples 1-8, with be efficacious treatments for metal-mediated conditions.
• the LC system comprised a Waters ultra performance liquid chromatograph (UPLC) separation system equipped with sample organizer, column manager and heater/cooler, binary solvent manager, PDA detector and sample manager. Mass spectrometric analysis was performed using an API 4000 Qtrap instrument from AB Inc. with an ESI interface. The data acquisition and control system were created using Analyst 1.4.2 software from ABI.
• UPLC Waters ultra performance liquid chromatograph
• Ion source turbo spray; Ionization model: ESI; scan type: MRM; sollision gas: 6 L/min; curtain gas: 30 L/min (solubility) or 35 L/min (logD); nebulize gas: 50 L/min; auxiliary gas: 50 L/min; temperature: 500° C.; ionspray voltage: +5500 v (positive MRM) or ⁇ 4500 v (negative MRM).
• the distribution coefficient of compounds disclosed herein in was determined in octanol/PBS pH 7.4 by LC/MS/MS and reported as log D.
• Stock solutions of compounds were prepared in DMSO at the concentration of 30 mM. To each 5 ni, aliquot of stock solution of each sample was added 500 ni, of PBS pH 7.4 and 500 ni, of octanol and a stir bar. Each vial was sealed and the Log D plate transferred to a plate shaker and shaken at 25° C. at 1,100 rpm for 1 hour.
• Solubility of compounds disclosed herein in PBS pH 4.0 (near gastric pH) and PBS pH 7.4 (near plasma pH) were evaluated by LC/MS/MS.
• Stock solutions of test compounds were prepared in DMSO at the concentration of 30 mM. To each 10 ni, aliquot of stock solution of each sample was added 990 ni, of PBS pH 4.0 or PBS pH 7.4 and a stir bar. Vials were sealed and transferred to a plate shaker and shaken at 25° C. at 1100 rpm for 2 hours. Stir bars were removed and samples transferred to a filter plate and vacuum filtered. Aliquots of 10 ⁇ L were taken from filtrate and diluted with 990 ⁇ L of methanol. A reference standard of 3 ⁇ M diclofenac in DMSO was also prepared and tested.
• Solubility was calculated as in Microsoft Excel as follows:
• results are given below in Table 3.
• the assay upper limit was set at 300 ⁇ M; any value close to or above 300 ⁇ M indicates that the compound may have a solubility at or above 300 ⁇ M.
• the cannulation has been described previously in Bergeron, R J et al., Blood 1993, 81, 2166-2173 and Bergeron, R J et al., Ann. N.Y. Acad. Sci. 1990, 612, 378-393.
• the bile duct is cannulated and fractions of bile are collected at intervals over a 24-48 hour period from male Sprague-Dawley rats (400-450 g) administered a single dose of drug by gavage.
• Urine is collected in a metabolic cage at similar time intervals. These biologic fluids are assayed for iron by atomic absorption or ICP. The kinetics of iron clearing and the total cumulative excreted iron is plotted for the purposes of comparing each compound. Sample collection and handling are as previously described.
• rats are given a single 50, 75, 150, or 300 ⁇ mol/kg dose of the test article drug po by gavage or sc.
• the compounds are administered as a solution in water or, depending on solubility, other suitable solvents such as DMSO at doses up to 300 ⁇ mol/kg dose only or (2) as the monosodium salt of the compound of interest (prepared by addition of the free acid to 1 equivalent of NaOH and titrated to neutrality with HCl as needed).
• the test article chelators are given to the primates or monkeys ( Cebus apella , Cynomolgus, etc.) po by gavage or sc at a dose of up to 150 ⁇ mol/kg.
• the test article chelators are prepared as for the rats and given po by gavage or sc as a solution in water or other appropriate solvent system.
• ICE is calculated by dividing the total amount of iron excreted in bile and urine following a single dose of a given compound by the theoretical maximum amount of iron that could be bound based on the dose in moles.
• the theoretical iron outputs of the chelators are calculated with the understanding that the stoichiometry of this class of chelators is 2:1 ligand:iron complex.
• the iron clearing efficiencies of test article chelators in rats and monkeys are calculated as set forth in Bergeron, R J et al., J. Med. Chem. 1999, 42, 2432-2440.
• Iron clearing efficiency is first determined using the non-iron overloaded rat model.
• This model is suitable for determining the ferrokinetics, i.e., the time course of iron clearing over the dosing cycle as well as the duration of effect, i.e., the amount of time during which iron is eliminated in excess of background or baseline iron loss.
• the dose-response properties of the drug and the corresponding ferrokinetics of each compound when given po by gavage permit a direct comparison of compounds when determined in the non-iron-overloaded, bile duct-cannulated rodent model.
• monkeys held in a metabolic cage may be dosed by gavage at doses of between 25 ⁇ mol/kg and 300 ⁇ mol/kg.
• the iron clearing efficiency of each compound may be determined by averaging the iron output in stool and urine for 4 days before the administration of the test compound, subtracting these numbers from the two-day iron output in stool and urine following a single dose of the drug, and then dividing by the theoretical output; the result is expressed as a percent.
• An ICE of greater than approximately 10% in rats or greater than approximately 10% in monkeys is considered very good, and an ICE of greater than approximately 20% in rats or greater than approximately 20% in monkeys is considered excellent assuming than in each case toxicity is not increasing with increasing ICE.
• An adequate ICE is the initial in vivo test that is used to identify iron chelators that might have clinical utility for the treatment of iron overload.
• Comparable ICEs of a given compounds across multiple species is additionally predictive of clinical activity in human iron overloaded patients as compared to an adequate ICE in just one species. This relationship may be expressed as the ratio of the ICE in one species (e.g., monkey) to the ICE in another (e.g., rat). Deviations from a ratio of one in either direction suggest that the compound may have species-specific activity rather than generalizable activity in iron clearing. It is expected that certain compounds disclosed herein, including compounds chosen from Examples 1-8, will have favorable ICE ratios across species.
• Uranium clearance studies may be carried out, for example, in a bile duct-cannulated rat model. See, e.g., US2010/0137346A1.
• the animals are given U(VI) (uranyl acetate dehydrate), Th(IV) (thorium tetrachloride), or Eu(III) (europium trichloride) SC such that the actual dose of uranium is 2.8 mg/kg, of thorium 2.7 mg/kg, and of europium 1.8 mg/kg.
• Test compounds may be given IP, SC or PO at times relative to lanthanide/actinide exposure (e.g., 0.5 hours prior to metal dosing, immediately upon such dosing, or 0.5, 1, 2, or 4 hours post-dosing).
• Bile and urine samples are collected at intervals over the 24 hours following dosing. Typical doses range from 100 to 600 ⁇ mol/kg initially with follow-on studies at 75 and 150 nmol/kg to identify the most potent chelators.
• Lanthanide/actinide content of the bile, urine, kidney, liver, lung and bone (femur) may all be collected. At least three animals are typically utilized in each experimental group.
• Metal concentrations may be measured using ICP/MS and data are typically reported as the total quantity of metal excreted [urine+bile]; the mode of excretion [urine/bile] may also be given.
• the percentage of the administered dose of metal cleared and chelator-induced metal excretion versus the controls may also be given.
• the chelators must clear at least twice the amount of toxic metal compared to the metal excreted in untreated rats.
• the chelator DTPA serves as a positive control.
• the chelators that have the longest duration of action, i.e. continue to induce the excretion of toxic metal following a single dose, may be deemed the most promising chelators of lanthanides and actinides for clinical use.
• Chelator analogues based on the desferrithiocin core have been tested in the above assay and have been found to be effective to different degrees depending on route of administration and timing of the dose, as disclosed in US'346 (see, e.g., Table 1 in that reference). For instance, Example B was evaluated in the assay above; five rats were tested against controls at 300 ⁇ mol/kg intraperitoneally dosed immediately after uranyl acetate. Results are given below in Table 2.
• Positive controls may also be evaluated for comparison.
• Four such controls were evaluated as disclosed in US'346: DTPA given as its trisodium calcium salt, DFO, N,N′-bis(2-hydroxybenzyl)ethylenediamine-N,N′-diacetic acid monosodium salt (NaHBED) and the hydroxypyridone CP94.
• DTPA given as its trisodium calcium salt
• DFO dioxyl
• NaHBED N,N′-bis(2-hydroxybenzyl)ethylenediamine-N,N′-diacetic acid monosodium salt
• CP94 hydroxypyridone CP94
• mice In another protocol, experiments are carried out in rats that have not had their bile duct cannulated.
• the animals are housed in metabolic cages. Urine and feces are collected at 24-h intervals.
• the lanthanide/actinide is given SC.
• Compounds are given to the rats by gavage, PO, or SC once daily for four days.
• the initial dose of the chelator is either given immediately after having been given the dose of metal or at some time after dosing, e.g., at 4 or 12 h after dosing. Additional doses of the chelator are given once daily for three more days.
• One day post last dose the animals are sacrificed and the metal content of the urine, feces, kidney, liver, lung and bone are determined.
• progression to a longer time interval e.g., 4 or 12 h, depends on the decorporation of a minimum of twice the metal excreted by the metal only treated rats.
• the chelator DTPA serves as a positive control.
• Target organs of metal toxicity kidney and liver—are histopathologically examined to determine if lanthanide/actinide-induced renal or hepatotoxicity has been mitigated.
• Lanthanide/actinide clearance studies may also be conducted in primates following the procedure described in US'346 (citing Bergeron, et al., Comp Med. 2004; 54:664-672) with some modifications.
• five primates are given Eu(III) SC at a dose of 0.5 mg/kg.
• Three animals are given a chelator and two additional monkeys serve as Eu(III) controls.
• the decorporation agent may be administered PO at a dose of 300 ⁇ mol/kg 1 h post Eu(III).
• Urine and stool are collected for three days and assessed for their metal content. The animals are rested for 14 d and the experiment repeated with the chelator given 2 h post metal exposure, and the cycle is repeated next at 4 h post Eu(III) exposure.
• inhalation is one of the anticipated principal routes of potential lanthanide or actinide contamination (for example via a “dirty bomb” or other radioactive weapon, or via nuclear contamination following a reactor meltdown), it may be particularly useful to assay compound and metal accumulation in the lung tissue.
• a more lipophilic compound would be expected to accumulate in the lung tissue to a greater degree than a more hydrophilic one. See, e.g., Bergeron, et al., Medicinal Inorganic Chemistry 2005; 366383.
• metal chelating agents has historically been limited by toxicity; typical targets of toxicity have been bone marrow, liver, kidney and neurologic tissues.
• Increasing lipophilicity of chelators is positively correlated with increased iron-clearing efficiency, that is, the greater the log p app value of the compound, the greater the iron clearing efficiency (ICE) presumably because the intracellular concentration of chelator is higher and gaining access to the major source of stored iron; however, lipophilicity of chelators is also correlated with toxicity because iron is an essential element and prolonged intracellular depletion of iron will impair cell physiology and ultimately lead to apoptosis and cell death. Other properties such as bioavailability are adversely affected with increasing lipophilicity.
• a clinical candidate is one in which the absorption, metabolism, distribution and excretion permit adequate iron chelation without compromising normal iron metabolism.
• compounds disclosed herein may additionally be tested in standard animal toxicology studies to determine maximum tolerable doses, efficacious doses, and to predict suitable doses in humans. Short-term and long toxicology term studies are well-known by those of skill in the art.
• compounds disclosed herein may be tested in standard pharmacokinetic assays in order to determine which compounds have appropriate characteristics, such as half life, oral bioavailability, tissue distribution, and the like, for particular applications. Such studies are typically conducted in vivo in rodents and other species, but may also be in vitro, using, for example, liver microsomes to determine metabolic stability and to identify any potentially active metabolites.
• a preliminary dose-range finding study may be used in which male Sprague-Dawley rats are given test article once daily by gavage for 7-14 days at doses of 75, 150, 300 or 450 nmol/kg/dose/day. Histopathological analysis is then performed to assess vacuolization in the renal proximal tubules at all doses.
• a total of 12 rats may be used to test two compounds, for example: four controls, four treated with one compound, and four treated with another.
• the compounds are given po by gavage to the rodents once daily for 7-14 days at equimolar doses.
• the kidneys are perfusion-fixed and one kidney from each rat is dissected. Tissue samples of 1 mm 3 are cut from the kidney cortexes and the proximal and distal tubules are examined under light microscopy.
• the kidneys from the control animals should show normal proximal tubular architecture.
• the proximal tubules of kidneys from the rodents treated with a relatively non-toxic test article will be indistinguishable from those of the control animals.
• Animals treated with a more renotoxic test article may show regional, moderate-to-severe vacuolization in the proximal tubules often the S3 segment, a loss of the brush border, and/or tubular extrusions toward the lumen; the distal tubules may show moderate-to-severe vacuolization.
• the kidneys from the control animals will show normal proximal and distal tubular architecture.
• Kidneys from animals treated with a relatively non-toxic test article may present with occasional vacuolization and apoptotic nuclei and have some abnormal giant lysosomes at the basolateral side of the proximal tubule but are otherwise normal. The same is true of the distal tubules.
• animals treated with a more renotoxic test article may show regional, moderate-to-severe vacuolization of the proximal tubules loss of the brush border, Golgi dilations, tubular extrusions toward the lumen, and apoptotic nuclei.
• the distal tubules may demonstrate moderate-to-severe vacuolization. While the distal tubules of both the toxic and non-toxic treated animals may demonstrate some vacuolization, the changes to the kidneys of the animals treated with a toxic test article are much more pronounced.
• Test article compounds may be tested for metabolic stability in human whole blood. Such testing is commonly undertaken prior to or along with advanced preclinical testing in order to identify compounds with desirable pharmacokinetic properties.
• into each of 6 centrifuge tubes is added 2 ⁇ L of test compound and 198 ⁇ L of human whole blood, taken from normal, healthy volunteers, to achieve a final concentration of 5 ⁇ M. Tubes are then incubated at 37° C. at approximately 100 rpm on an orbital shaker. One of the tubes is taken at designated time points including 0, 0.5, 1, 4, 6 and 24 hours. The reaction is stopped by the addition of 4 volumes of cold methanol. Samples are centrifuged at 20,000 rpm for 20 minutes to precipitate protein.
• the LC system may comprise, for example, a Shimadzu liquid chromatograph separation system equipped with degasser DGU-20A3, solvent delivery unit LC-20AD, system controller CBM-20A, column oven CTO-10ASVP and CTC Analytics HTC PAL System.
• Mass spectrometric analysis may be performed using an API 4000 instrument from AB Inc. (Canada) with an ESI interface.
• a data acquisition and control system may be employed using Analyst 1.5 software from ABI Inc. Calculations may be carried out using Microsoft Excel. Percent compound remaining at each time point may be estimated by determining the peak areas from extracted ion chromatograms. The half-life of compound in human whole blood can be measured in this way. It is expected that certain compounds disclosed herein, including compounds chosen from Examples 1-8, will have a sufficiently long half-life to be useful as treatments ailments including for metal overload and related disorders.

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