WO1993014771A1 - Composes macrocycliques servant au traitement prophylactique du sida - Google Patents
Composes macrocycliques servant au traitement prophylactique du sida Download PDFInfo
- Publication number
- WO1993014771A1 WO1993014771A1 PCT/GB1993/000207 GB9300207W WO9314771A1 WO 1993014771 A1 WO1993014771 A1 WO 1993014771A1 GB 9300207 W GB9300207 W GB 9300207W WO 9314771 A1 WO9314771 A1 WO 9314771A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- octacos
- dioxa
- ene
- tetramethyl
- azatricyclo
- Prior art date
Links
- 0 CC(CCC1=*)CC1=* Chemical compound CC(CCC1=*)CC1=* 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/70—Carbohydrates; Sugars; Derivatives thereof
Definitions
- This invention relates to a new use of known macrocvclic compounds in the prophylactic treatment of acquired immunodeficiency syndrome (AIDS).
- AIDS acquired immunodeficiency syndrome
- AIDS is characterized by a degeneration of the patient's immune system, making the patient susceptible to opportunistic infections such as pneumonia which generally lead to death.
- HIN human immunodeficiency virus
- the drugs presently administered to patients infected with HIN and to patients suffering i5 from AIDS include 3'-azido-3'-deoxythymidine (AZT, Retrovir), which interferes with viral replication.
- AZT 3'-azido-3'-deoxythymidine
- patients infected with HIN who are treated with AZT generally go on to develop AIDS eventually.
- European Patent Application 184162 discloses a number of macrocvclic compounds which are indicated as immunosuppressants.
- the compounds may be described as derivatives and homologues of the basic structure 12-(2-cyclohexyl-l-methylvinyl)- 13,19,21,27-tetramethyl-ll,28-dioxa-4-azatricyclo[22.3.1.0 4 ' 9 ]octacos-18-ene, and include JO 17-allyl-l,14-dihydroxy-12-[2-(4-hydroxy-3-methoxycyclohexyl)-l-methylvinyl]-23,25- dimethoxy-13,19,21,27-tetramethyl-ll,28-dioxa-4-azatricyclo[22.3.1.0 4 ' 9 ]octacos-18-ene- 2,3,10,16-tetraone (FR-900506, FK 506) and 16-allyl-l,13-dihydroxy-ll-[2-
- a group of such derivatives or homologues which may be mentioned are those having immunosuppressive activity. It is especially unexpected that compounds having this activity find utility in the prophylaxis of AIDS.
- R 1 and R 2 represent two vicinal hydrogen atoms, or form a second bond between the vicinal carbon atoms to which they are attached;
- R 7 represents H, OH, protected hydroxy or alkoxy C ;
- R 10 represents alkyl C, ⁇ or alkenyl C ⁇
- X represents O, (H,H), (H,OH) or -CH 2 0-;
- Y represents O, N-NR n R 12 or N-OR 13 ;
- R u and R 12 independently represent H, alkyl C ⁇ , phenyl or tosyl; R 13 represents H or alkyl C w ;
- R 20 and R 21 independently represent O, or they may independently represent (R ⁇ a.H) and (R 21 a,H) respectively;
- R 20 a and R 21 a independently represent OH, protected hydroxy, alkoxy C w or OCH 2 OCH 2 CH 2 OCH 3 ; in addition R ⁇ a and R 21 a may together represent an oxygen atom in an epoxide ring;
- R 23 represents H;
- n is 1 or 2; in addition to their significances above, Y, R 10 and R 23 , together with the carbon atoms to which they are attached, may represent a 5- or 6-membered N-, S- or O-containing heterocyclic ring, which may be saturated or unsaturated, and which may be substituted by one or more groups selected from alkyl C ⁇ , hydroxy, alkyl C w substituted by one or more hydroxy groups, alkoxy C ⁇ , benzyl and -CH 2 Se(C 6 H 5 ); in addition, when the vicinal pair of substituents
- compositions of formula I include acid addition salts (for example hydrochloride), of any amine groups present.
- Preferred groups of compounds of formula I include those in which: R 10 represents methyl, ethyl, propyl or allyl; at least one of R ⁇ a and R 21 a represents OH or OCH 3 ; n is 2; any ring formed by Y, R 10 and R 23 is a pyrrole or tetrahydrofuran ring; and
- R 7 is H or OH.
- the derivatives and homologues for use in the invention may be administered by any convenient means.
- they may be introduced parenterally by injection eg intravenously, intramuscularly or subcutaneously; orally; by inhalation eg in the form of s a pressurised or non-pressurised powder formulation; topically; or by plasmapheresis.
- Suitable adjuvants, diluents or carriers are: for tablets, capsules and dragees - microcrystalline cellulose, calcium phosphate, diatomaceous earth, lactose, starch, talc or stearic acid; 0 for i ⁇ jectable solutions - water, alcohols, glycerin or vegetable oils; for inhalation compositions - lactose.
- compositions may also contain suitable preserving, stabilising and wetting agents, solubilisers (eg a water-soluble cellulose polymer such as hydroxypropyl methylcellulose, 5 or a water-soluble glycol such as propylene glycol), sweetening and colouring agents and flavourings.
- solubilisers eg a water-soluble cellulose polymer such as hydroxypropyl methylcellulose, 5 or a water-soluble glycol such as propylene glycol
- sweetening and colouring agents and flavourings eg. a water-soluble cellulose polymer such as hydroxypropyl methylcellulose, 5 or a water-soluble glycol such as propylene glycol
- sweetening and colouring agents and flavourings eg. a water-soluble cellulose polymer such as hydroxypropyl methylcellulose, 5 or a water-soluble glycol such as propylene glycol
- sweetening and colouring agents and flavourings eg. a water-soluble cellulose polymer such as
- the dosage administered will vary with the compound employed and the mode of administration. However, in general, satisfactory results are obtained when the o compounds are administered at a dosage which produces a concentration in the blood stream of from 0.1-150 ⁇ g/ml, preferably l-150 ⁇ g/ml.
- the indicated total daily dosage is in the range of from O.lmg to 3000mg and preferably from lmg to 2000mg, which may be administered, for example, in divided doses from 1 to 6 times a day or in sustained release form.
- a method of prophylaxis of AIDS which comprises administering a therapeutically effective amount of a derivative or homologue of 12-(2-cyclohexyl-l-methylvinyl)-13,19,21,27-tetramethyl- ll,28-dioxa-4-azatricyclo[22.3.1.0 4,9 ]octacos-18-ene to a patient infected with HIN.
- the biological activity of the derivatives and homologues for use in the invention may be demonstrated using the methods disclosed by Karpas et al, Proc ⁇ atl Acad Sci USA, 89, pp8351-8355.
- Karpas et al demonstrated therein that FR-900506 interferes with HIN production and selectively inhibits the growth of uninfected cells.
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Molecular Biology (AREA)
- Chemical & Material Sciences (AREA)
- Medicinal Chemistry (AREA)
- Pharmacology & Pharmacy (AREA)
- Epidemiology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
Abstract
L'invention décrit l'utilisation de dérivés et d'homologues de 12-2-cyclohexyle-1-méthylvinyle-13,19,21,27-tétraméthyle-11,22-dioxa-4-azatricyclo(22.3.1.04,9)octacos-18-ène dans le traitement prophylactique du SIDA.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
GB929202196A GB9202196D0 (en) | 1992-02-01 | 1992-02-01 | Method of treatment |
GB9202196.3 | 1992-02-01 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO1993014771A1 true WO1993014771A1 (fr) | 1993-08-05 |
Family
ID=10709693
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/GB1993/000207 WO1993014771A1 (fr) | 1992-02-01 | 1993-02-01 | Composes macrocycliques servant au traitement prophylactique du sida |
Country Status (4)
Country | Link |
---|---|
AU (1) | AU3456793A (fr) |
GB (1) | GB9202196D0 (fr) |
WO (1) | WO1993014771A1 (fr) |
ZA (1) | ZA93691B (fr) |
Cited By (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2001005385A2 (fr) * | 1999-07-21 | 2001-01-25 | Fujisawa Pharmaceutical Co Ltd | Nouvelle utilisation d'un compose de macrolide |
EP1353671A1 (fr) * | 2000-12-29 | 2003-10-22 | Fujisawa Pharmaceutical Co., Ltd. | Analogues de tacrolimus neurotrophiques |
WO2005067928A1 (fr) * | 2004-01-20 | 2005-07-28 | Astellas Pharma Inc. | Methode de traitement des troubles de l'erection |
EP2583678A2 (fr) | 2004-06-24 | 2013-04-24 | Novartis Vaccines and Diagnostics, Inc. | Immunopotentiateurs de petites molécules et dosages pour leur détection |
US10259827B2 (en) | 2016-11-10 | 2019-04-16 | Novartis Ag | BMP potentiators |
-
1992
- 1992-02-01 GB GB929202196A patent/GB9202196D0/en active Pending
-
1993
- 1993-02-01 AU AU34567/93A patent/AU3456793A/en not_active Abandoned
- 1993-02-01 ZA ZA93691A patent/ZA93691B/xx unknown
- 1993-02-01 WO PCT/GB1993/000207 patent/WO1993014771A1/fr active Application Filing
Non-Patent Citations (2)
Title |
---|
AIDS RES. HUM. RETROVIRUSES vol. 8, no. 5, 1992, page 910 P. H\LLSBERG ET AL. 'HTLV-I induced spontaneous T-cell clonal proliferation is rapamycin sensitive' * |
PROC. NATL. ACAD. SCI. USA vol. 89, September 1992, pages 8531 - 8355 A. KARPAS ET AL. 'Inhibition of human immunodeficiency virus and growth of infected T cells by the immunosuppressive drugs cyclosporin A and FK 506' cited in the application * |
Cited By (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2001005385A2 (fr) * | 1999-07-21 | 2001-01-25 | Fujisawa Pharmaceutical Co Ltd | Nouvelle utilisation d'un compose de macrolide |
WO2001005385A3 (fr) * | 1999-07-21 | 2001-08-02 | Fujisawa Pharmaceutical Co | Nouvelle utilisation d'un compose de macrolide |
EP1353671A1 (fr) * | 2000-12-29 | 2003-10-22 | Fujisawa Pharmaceutical Co., Ltd. | Analogues de tacrolimus neurotrophiques |
EP1353671A4 (fr) * | 2000-12-29 | 2004-07-14 | Fujisawa Pharmaceutical Co | Analogues de tacrolimus neurotrophiques |
WO2005067928A1 (fr) * | 2004-01-20 | 2005-07-28 | Astellas Pharma Inc. | Methode de traitement des troubles de l'erection |
EP2583678A2 (fr) | 2004-06-24 | 2013-04-24 | Novartis Vaccines and Diagnostics, Inc. | Immunopotentiateurs de petites molécules et dosages pour leur détection |
US10259827B2 (en) | 2016-11-10 | 2019-04-16 | Novartis Ag | BMP potentiators |
Also Published As
Publication number | Publication date |
---|---|
GB9202196D0 (en) | 1992-03-18 |
ZA93691B (en) | 1993-09-06 |
AU3456793A (en) | 1993-09-01 |
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