WO2003068242A1

WO2003068242A1 - Phospholipids as caspase inhibitor prodrugs

Info

Publication number: WO2003068242A1
Application number: PCT/US2003/004457
Authority: WO
Inventors: Michael Mortimore; Julian M. C. Golec
Original assignee: Vertex Pharmaceuticals Incorporated
Priority date: 2002-02-11
Filing date: 2003-02-11
Publication date: 2003-08-21
Also published as: EP1485107A1; US20080199454A1; US7410956B2; US20040019017A1; AU2003211052A1

Abstract

The present invention relates to compounds of formula (I): which are prodrugs of caspase inhibitors and pharmaceutically acceptable salts thereof. This invention further relates to the release of caspase inhibitors from these compounds through selective bond cleavage. This invention further relates to pharmaceutical compositions comprising these compounds, which are particularly well-suited for treatment of caspase-mediated diseases, including inflammatory and degenerative diseases. This invention further relates to methods for preparing compounds of this invention.

Description

PHOSPHOLIPIDS AS CASPASE INHIBITOR PRODRUGS

CROSS REFERENCE TO RELATED APPLICATIONS

[0001] This application claims priority to United States Provisional Patent Application 60/355,889, filed February 11, 2002, the content of which is incorporated herein by reference.

TECHNICAL FIELD OF THE INVENTION

[0002] This invention relates to prodrugs of caspase inhibitors comprising a phospholipid moiety covalently linked, via a bridging group, to a caspase inhibitor, such that the active species is released at the required site of action.

[0003] This invention also relates to processes for preparing these prodrugs of caspase inhibitors. [0004] This invention further relates to pharmaceutical compositions comprising said prodrugs and to the use thereof for the treatment of diseases and disorders related to inflammatory or degenerative conditions. BACKGROUND OF THE INVENTION

[0005] Apoptosis, or programmed cell death, is a principal mechanism by which organisms eliminate unwanted cells. The deregulation of apoptosis, either excessive apoptosis or the failure to undergo it, has been implicated in a number of diseases such as cancer, acute inflammatory and autoimmune disorders, ischemic diseases and certain neurodegenerative disorders [see generally Science, 281, pp. 1283-1312 (1998); and Ellis et al., Ann. Rev. Cell. Biol., 7, p. 663 (1991)].

[0006] Caspases are a family of cysteine protease enzymes that are key mediators in the signaling pathways for apoptosis and cell disassembly [N.A. Thornberry, Chem. Biol., 5, pp. R97-R103 (1998)]. These signaling pathways vary depending on cell type and stimulus, but all apoptosis pathways appear to converge at a common effector pathway leading to proteolysis of key proteins. Caspases are involved in both the effector phase of the signaling pathway and further upstream at its initiation. The upstream caspases involved in initiation events become activated and in turn activate other caspases that are involved in the later phases of apoptosis. [0007] The utility of caspase inhibitors to treat a variety of mammalian disease states associated with an increase in cellular apoptosis has been demonstrated using peptidic caspase inhibitors. For example, in rodent models, caspase inhibitors have been shown to reduce infarct size and inhibit cardiomyocyte apoptosis after myocardial infarction, to reduce lesion volume and neurological deficit resulting from stroke, to reduce post-traumatic apoptosis and neurological deficit in traumatic brain injury, to be effective in treating fulminant liver destruction, and to improve survival after endotoxic shock [H. Yaoita et al., Circulation, 97, pp. 276-281 (1998); M. Endres et al., J. Cerebral Blood Flow and Metabolism, 18, pp. 238-247, (1998); Y. Cheng et al., J. Clin. Invest., 101, pp. 1992-1999 (1998); A.G. Yakovlev et al., J. Neurosci., 17, pp. 7415-7424 (1997); I. Rodriquez et al., J. Exp. Med. , 184, pp. 2067-2072 (1996); and Grobmyer et al., Mol. Med., 5, p. 585 (1999)]. However, due to their peptidic nature, such inhibitors are typically characterized by undesirable pharmacological properties, such as poor cellular penetration and cellular activity, poor oral absorption, poor stability and rapid metabolism [J.J. Plattner and D.W. Norbeck, in Drug Discovery Technologies, CR. Clark and W.H.

Moos, Eds. (Ellis Horwood, Chichester, England, 1990), pp. 92-126] . This has hampered their development into effective drugs. These and other studies with peptidic caspase inhibitors have demonstrated that an aspartic acid residue is involved in a key interaction with the caspase enzyme [K.P. Wilson et al., Nature, 370, pp. 270-275 (1994); and Lazebnik et al., Nature, 371, p. 346 (1994)]. [0008] Accordingly, peptidyl and non-peptidyl aspartic acid compounds are useful as caspase inhibitors. For examples, WO96/03982 reports azaaspartic acid analogs effective as interleukin-lβ ^* converting enzyme ("ICE") inhibitors. [0009] However, due to their acidic nature such peptidic and non-peptidyl aspartic acid derivatives are charged at physiological pH. This has inhibited their ability to cross the blood brain barrier and to penetrate cells at therapeutically useful levels. [0010] Accordingly, it would be advantageous to have drug derivatives that are targeted at the diseased organs, especially the brain and central nervous system. In addition, it would be advantageous to have drug derivatives that are targeted at the diseased cells rather than at healthy cells, thus reducing undesirable side-effects.

[0011] The use of prodrugs imparts desired characteristics such as increased bioavailability or increased site-specificity for known drugs. Various lipids and phospholipids can be used in the preparation of particular types of prodrugs.

[0012] W094/22483 reports cell permeable prodrugs, comprising a pharmacologically active carboxylic acid such as branched-chain aliphatic carboxylic acids (e.g., valproic acid), salicylic acids (e.g., acetylsalicylic acid) , steroidal carboxylic acids (e.g., lysergic and isolysergic acids, monoheterocyclic carboxylic acids (e.g., nicotinic acid) and polyheterocyclic carboxylic acids (e.g., penicillins and cephalosporins) , covalently linked to an intracellular transporting adjuvant. One such embodiment of the intracellular transporting adjuvant is a lysophospholipid. [0013] WO99/02485 reports compounds of the formula:

A

I

R1-C-R2

H wherein RI is a saturated or unsaturated chain of 1-5 carbons in length; R2 is a saturated or unsaturated chain of 3-10 carbons in length; and A is COOL or CONR'R", wherein L is a lipid moiety selected from the group consisting of glycerol, C₃_o fatty acid monoglycerides, C₃-₂o fatty acid diglycerides, hydroxy- C₂-₆-alkyl esters of C₃_₂₀ fatty acids, hydroxy-C₂-₆-alkyl esters of lysophosphatidic acids, lyso plasmalogens, lysophospholipids, lysophophatidic acid amides, glycerophosphoric acids, sphingolipids, lysophophatidylethanolamine, and N-mono and N,N-di- (Cι_₄) alkyl derivatives of the amines thereof; and R' and R" are each independently selected from the group consisiting of hydrogen and a lower alkyl group comprising 1-5 carbon atoms. [0014] WO00/31083 reports compounds of the formula:

wherein RI is a saturated or unsaturated, substituted or unsubstituted hydrocarbon chain having from 2 to 30 carbon atoms; R2 is H or a phospholipid head group; D is a residue of a non-steroidal anti-inflammatory drug having a functional group selected from the group consisting of carboxyl, hydroxyl, amine and thiol, wherein D is attached through said functional group to a bridging group, -C(0)-Z-X-, wherein Z is a saturated or unsaturated carbon chain having from 2 to 15 atoms, and X is selected from amino, hydroxy, thio and carbonyl groups, such that when the functional group of D is carboxyl, X is selected from amino, hydroxy and thio, and when the functional group of D is amino, hydroxy or thio, X is a carbonyl group.

[0015] WO01/19320 reports compounds of the formula:

wherein RI is a saturated or unsaturated, straight- chain or branched, substituted or unsubstituted hydrocarbon chain having from 2 to 30 carbon atoms; R2 is H or a phospholipid head group; Z is a saturated or unsaturated, straight-chain or branched, substituted or unsubstituted hydrocarbon chain having from 2 to 15 carbon atoms, which may include cyclic elements, and optionally is interrupted by one or more atoms selected from oxygen and sulfur atoms; X is a direct covalent bond or selected from the group consisting of 0, S, NH and C(0) groups; and D is a residue of an antiproliferative drug, wherein the bound antiproliferative drug residue is an inactive form of the drug which is selectively activated in cells and tissues with elevated phospholipase activity. [0016] WO02/11666 reports compounds of the formula:

or a pharmaceutically acceptable salt thereof, wherein RI and R2 are the same or different, saturated or unsaturated aliphatic chain comprising from 2 to 30 carbon atoms; R3 is A- [CH₂]_m-B- [CH₂]_n-C- [CH₂]_P-D, wherein m, n and p are each independently zero or an integer from 1 to 12, and A, B, C and D are each independently selected from a covalent bond, amino, amido, oxygen, thio, carbonyl, carboxyl, oxycarbonyl, thiocarbonyl, phosphate, amino phosphate, mono-, di- and tri-amino phosphate group with the proviso that no two oxygen atoms are directly connected to each other; Zi and Z₂ are the same or different, each may be absent or independently selected from a) hydrogen, sodium, lithium, potassium, ammonium, mono-, di-, tri- and tetraalkylammonium, or b) together with the phospho group form a phospho ester of glycerol, choline, ethanolamine, inositol, serine, mono- or oligosaccharide. [0017]. WO03/000173 reports compounds of formula (I)

COOH

-c-

H :D and pharmaceutically acceptable salts thereof, wherein R¹ is a saturated or unsaturated chain of 1-18 carbons in length; and R² is a saturated or unsaturated chain of 1-18 carbons in length, with the proviso that R¹ and R² are not both propyl; and compounds of formula (II):

A

R¹ C- R²

H (II) and pharmaceutically acceptable salts thereof, wherein R¹ is a saturated or unsaturated chain of 1-18 carbons in length; R² is a saturated or unsaturated chain of 1- 18 carbons in length; and A is selected from the group consisting of P0₄-X, COOL and COHR'-R", wherein X is a hydrogen or choline, L is a lipid moiety selected from the group consisting of glycerol, C₃-₂o fatty acid monoglycerides, C₃_₂₀ fatty acid diglycerides, hydroxy- C₂-6~alkyl esters of C₃_₂₀ fatty acids, hydroxy-C₂-₆-alkyl esters of lysophosphatidic acids, lyso plasmalogens, lysophospholipids, lysophophatidic acid amides, glycerophosphoric acids, sphingolipids, lysophosphatidylethanolamine, and N-mono- (C₁-₄) alkyl and N, N-di- (Cι-₄) alkyl and quaternary derivatives of the amines thereof; and R' and R" are each independently selected from the group consisting of hydrogen and a lower alkyl group comprising 1-5 carbon atoms.

SUMMARY OF THE INVENTION

[0018] The present invention relates to prodrugs of caspase inhibitors. These compounds have the general formula I:

⁽I⁾ or a pharmaceutically acceptable salt thereof, wherein:

₁ R is a saturated or unsaturated, straight-chain or branched, substituted or unsubstituted hydrocarbon chain;

2

R is H or a phospholipid head group;

₃ X is a direct covalent bond or a group C(0)LR wherein L is a saturated or unsaturated, straight-chain or branched, substituted or unsubstituted hydrocarbon chain having from 2 to 15 carbon atoms, which optionally includes cyclic elements, and is optionally interrupted by one or more atoms selected from the group consisting of oxygen, sulfur and N(R⁴); R is selected from the group consisting of 0, S and N(R⁴), wherein R⁴ is H or a saturated or unsaturated hydrocarbon chain having 1 to 6 carbon atoms; and Y is a residue of a caspase inhibitor. [0019] This invention further provides pharmaceutical compositions comprising these prodrugs. This invention also relates to the release of the caspase inhibitor from the prodrug by selective bond cleavage. This invention also relates to methods of using said pharmaceutical compositions for treatment of caspase-mediated diseases including inflammatory and degenerative diseases. This invention further relates to methods for preparing compounds of this invention.

Brief Description of the Figures [0020] FIG. 1 depicts compounds and pharmaceutical compositions of this invention. Said compounds and compositions are also described in PCT Publication WO 00/55114.

[0021] FIG. 2 depicts compounds and pharmaceutical compositions of this invention. Said compounds and compositions are also described in PCT Publication WO 00/55127.

[0022] FIG. 3 depicts compounds and pharmaceutical compositions of this invention. Said compounds and compositions are also described in PCT Publication WO 00/61542. [0023] FIG. 4 depicts compounds and pharmaceutical compositions of this invention. Said compounds and compositions are also described in PCT Publication WO 01/05772. [0024] FIG. 5 depicts compounds and pharmaceutical compositions of this invention. Said compounds and compositions are also described in PCT Publication WO 01/10383. [0025] FIG. 6 depicts compounds and pharmaceutical compositions of this invention. Said compounds and compositions are also described in PCT Publication WO 01/16093. [0026] FIG. 7 depicts compounds and pharmaceutical compositions of this invention. Said compounds and compositions are also described in PCT Publication WO 01/42216. [0027] FIG. 8 depicts compounds and pharmaceutical compositions of this invention. Said compounds and compositions are also described in PCT Publication WO

01/72707.

[0028] FIG. 9 depicts compounds and pharmaceutical compositions of this invention. Said compounds and compositions are also described in PCT Publication WO 01/90070.

[0029] FIG. 10 depicts compounds and pharmaceutical compositions of this invention. Said compounds and compositions are also described in PCT Publication WO 01/94351.

[0030] FIG. 11 depicts compounds and pharmaceutical compositions of this invention. Said compounds and compositions are also described in PCT Publication WO 02/094263. [0031] FIG. 12 depicts compounds and pharmaceutical compositions of this invention. Said compounds and compositions are also described in PCT Publication WO 02/42278. [0032] FIG. 13 depicts compounds and pharmaceutical compositions of this invention. Said compounds and compositions are also described in US Patent 6,184,210. [0033] FIG. 14 depicts compounds and pharmaceutical compositions of this invention. Said compounds and compositions are also described in US Patent 6,184,244. [0034] FIG. 15 depicts compounds and pharmaceutical compositions of this invention. Said compounds and compositions are also described in US Patent 6,187,771. [0035] FIG. 16 depicts compounds and pharmaceutical compositions of this invention. Said compounds and compositions are also described in US Patent 6,197,750. [0036] FIG. 17 depicts compounds and pharmaceutical compositions of this invention. Said compounds and compositions are also described in US Patent 6,242,422. [0037] FIG. 18 depicts compounds and pharmaceutical compositions of this invention. Said compounds and compositions were also described at the April 2001

American Chemical Society (ACS) meeting in San Diego, California, USA.

[0038] FIG. 19 depicts compounds and pharmaceutical compositions of this invention. Said compounds and compositions are also described in PCT Publication WO 02/22611.

[0039] FIG. 20 depicts compounds and pharmaceutical compositions of this invention. Said compounds and compositions are also described in PCT Publication WO 02/085899.

, DETAILED DESCRIPTION OF THE INVENTION

[0040] The present invention provides prodrug agents with improved ability, relative to the corresponding drug, to inhibit caspases in diseases where caspase activation is implicated. The present invention also provides prodrugs of caspase inhibitors that undergo activation within the disease-affected cells and tissues .

[0041] The prodrugs comprise a phospholipid moiety covalently linked, via an optional bridging group, to a caspase inhibitor such that the active species is preferentially released at the required site of action. Preferably, the active species is released by enzymatic cleavage .

[0042] Thus, the present invention provides a prodrug of general formula I:

(I) or a pharmaceutically acceptable salt thereof, wherein:

2

R is H or a phospholipid head group;

₃ X is a direct covalent bond or a group C(0)LR wherein L is a saturated or unsaturated, straight-chain or branched, substituted or unsubstituted hydrocarbon chain having from 2 to 15 carbon atoms, which optionally includes cyclic elements, and is optionally interrupted by one or more atoms selected from the group consisting of oxygen, sulfur and N(R⁴); R is selected from the group consisting of 0, S and N(R⁴), wherein R⁴ is a saturated or unsaturated hydrocarbon chain having 1 to 6 carbon atoms; and Y is a residue of a caspase inhibitor. [0043] In one embodiment, Y is a bound caspase inhibitor residue which is an inactive form of the drug that is selectively released in cells and tissues with elevated phospholipase activity. In another embodiment, Y corresponds to a reversible caspase inhibitor residue. . In yet another embodiment, Y corresponds to an irreversible caspase inhibitor residue. [0044] In one embodiment of the invention, the R hydrocarbon chain has from 2 to 30 carbon atoms.

[0045] In another embodiment, the R hydrocarbon chain has from 2 to 24 carbon atoms.

2 [0046] In another embodiment, R is a phospholipid head group. Preferably, the phospholipid head group is choline.

[0047] In another embodiment, X is a direct covalent bond.

[0048] In another embodiment of the present invention, the compound is a caspase inhibitor as described in any of the following documents, each of which is incorporated herein by reference: United

States Patent Number ("USP") 6,187,771 (Fig. 15);

American Chemical Society ("ACS") Meeting, San Diego, April 2001 (Fig. 18); USP 6,184,244 (Fig. 14); USP

6,242,422 (Fig. 17); USP 6,197,750 (Fig. 16);

WO 01/72707 (Fig. 8); WO 01/42216 (Fig. 7); WO 01/10383

(Fig. 5); WO 01/90070 (Fig. 9); WO 01/94351 (Fig. 10);

WO 02/22611 (Fig. 19); WO 02/42278 (Fig. 12); WO 02/085899 (Fig. 20); WO 02/094263 (Fig. 11);

WO 00/55127 (Fig. 2); WO 01/05772 (Fig. 4); USP 6,184,210 (Fig. 13); WO 00/61542 (Fig. 3) ;

WO 01/16093 (Fig. 6); and WO 00/55114 (Fig. 1).

[0049] The structures of representative caspase inhibitors in each of these documents are depicted in

Table 1.

Table 1. Structures of Selected Caspase Inhibitors

[0050] It will be apparent to one skilled in the art that certain compounds of this invention may exist in tautomeric forms or hydrated forms, all such forms of the compounds being within the scope of the invention. Unless otherwise stated, structures depicted herein are also meant to include all stereochemical forms of the structure; i.e., the R and S configurations for each asymmetric center. Therefore, single stereochemical isomers as well as enantiomeric and diastereomeric mixtures of the present compounds are within the scope of the invention. Unless otherwise stated, structures depicted herein are also meant to include compounds that differ only in the presence of one or more isotopically enriched atoms. For example, compounds having the present structures except for the replacement of a hydrogen by a deuterium or tritium, or the replacement of a carbon by a ¹³C- or ¹⁴C-enriched carbon are within the scope of this invention. [0051] As used herein, the term "prodrug" refers to a derivative of a biologically active compound, wherein the derivative has little or no activity of the biologically active compound. [0052] Examples of the substituents of the hydrocarbon chains include, but are not limited to, halogen and small alkyl (e.g., Cι-₆ alkyl) . Examples of phospholipid head groups include, but are not limited to, choline, ethanolamine, inositol, monosaccharide, oligosaccharide, glycerol, phosphatidic acid and serine. [0053] Accordingly, the compound represented by formula I has little or no caspase inhibitor activity. However, an active caspase inhibitor is obtained by cleavage of the bond that links the residue to the lipid portion of the compound of formula I. This cleavage is preferably carried out enzymatically by, for example, a phospholipase. When the cleavage is carried out by a phospholipase, the residue is selectively cleaved in cells and tissues with elevated phospholipase activity. Caspase inhibitor activity is therefore obtained selectively in cells and tissues with elevated phospholipase activity. This preferential release of the caspase inhibitor is one embodiment of this invention.

[0054] Other mechanisms of cleavage, such as hydrolytic mechanisms or cleavage by other enzymes are also within the scope of this invention. These other mechanisms of cleavage may result in non-preferential release of the caspase inhibitor. [0055] The compounds of this invention may be prepared in general by methods known to those skilled in the art for analogous compounds, as illustrated by the general schemes and examples below. [0056] Therefore, one embodiment of this invention provides a process for preparing a compound of formula I, comprising the step of coupling compound 1:

Compound 1 with a compound 2, YH, wherein compound 2 comprises a carboxylic acid group with H being the hydrogen of the carboxylic acid group (R¹, R², and Y are as defined in any of the embodiments of this invention) . The coupling may be carried out under standard carboxylic acid coupling. conditions . As would be appreciated by a skilled practitioner, appropriate functional groups in compound 1 and compound 2 may be protected [see, e.g., T.W. Greene & P.G.M. Wutz, Protective Groups in Organic Synthesis, John Wiley & Sons, New York, 1999] . [0057] The compounds of this invention may be assayed for their ability to inhibit apoptosis, the release of IL-lβ or caspase activity. Assays for each of the activities are known in the art (see generally, WO 01/42216, the content of which is incorporated herein by reference) . However, as would be recognized by a skilled practitioner, the prodrug compounds of this invention should be active only in assays where the phospholipid prodrug moiety would be cleaved, typically in in vivo assays. [0058] One embodiment of this invention relates, to a composition comprising a compound of formula I or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable carrier. [0059] Another embodiment of this invention provides a method for inhibiting caspase activity in a mammal comprising administering to said mammal a compound of formula I or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable carrier. [0060] This invention also provides methods of using the compounds and compositions of this invention. [0061] When pharmaceutically acceptable salts of the compounds of this invention are utilized in these compositions, those salts are preferably derived from inorganic or organic acids and bases. Included among such acid salts are the following: acetate, adipate, alginate, aspartate, benzoate, benzene sulfonate, bisulfate, butyrate, citrate, camphorate, camphor sulfonate, cyclopentanepropionate, digluconate, dodecylsulfate, ethanesulfonate, fumarate, glucoheptanoate, glycerophosphate, hemisulfate, heptanoate, hexanoate, hydrochloride, hydrobromide, hydroiodide, 2-hydroxyethanesulfonate, lactate, maleate, methanesulfonate, 2-naphthalenesulfonate, nicotinate, oxalate, pamoate, pectinate, persulfate, 3-phenyl-propionate, picrate, pivalate, propionate, succinate, tartrate, thiocyanate, tosylate and undecanoate. Base salts include ammonium salts, alkali metal salts, such as sodium and potassium salts, alkaline earth metal salts, such as calcium and magnesium salts, salts with organic bases, such as dicyclohexylamine salts, N-methyl-D-glucamine, and salts with amino acids such as arginine, lysine, and so forth.

[0062] Also, the basic nitrogen-containing groups may be quaternized with agents such as lower alkyl halides, e.g., methyl, ethyl, propyl, and butyl chloride, bromides and iodides; dialkyl sulfates, such as dimethyl, diethyl, dibutyl and diamyl sulfates, long chain halides such as decyl, lauryl, myristyl and stearyl chlorides, bromides and iodides, aralkyl halides, such as benzyl and phenethyl bromides and others. Water or oil-soluble or dispersible products are thereby obtained.

[0063] The compounds utilized in the compositions and methods of this invention may also be modified by appending appropriate functionalities to enhance selective biological properties. Such modifications are known in the art and include those which increase biological penetration into a given biological system (e.g., blood, lymphatic system, central nervous system) , increase oral availability, increase solubility to allow administration by injection, alter metabolism and/or alter rate of excretion. [0064] Pharmaceutically acceptable carriers that may be used in these compositions include, but are not limited to, ion exchangers, alumina, aluminum stearate, lecithin, serum proteins, such as human serum albumin, buffer substances such as phosphates, glycine, sorbic acid, potassium sorbate, partial glyceride mixtures of saturated vegetable fatty acids, water, salts or electrolytes, such as protamine sulfate, disodium hydrogen phosphate, potassium hydrogen phosphate, sodium chloride, zinc salts, colloidal silica, magnesium trisilicate, polyvinyl pyrrolidone, cellulose-based substances, polyethylene glycol, sodium carboxymethylcellulose, polyacrylates, waxes, polyethylene-polyoxypropylene-block polymers, polyethylene glycol and wool fat. [0065] According to a preferred embodiment, the compositions of this invention are formulated for pharmaceutical administration to a mammal, preferably a human being. [0066] Such pharmaceutical compositions of the present invention may be administered orally, parenterally, by inhalation spray, topically, rectally, nasally, buccally, vaginally or via an implanted reservoir. The term "parenteral" as used herein includes subcutaneous, intravenous, intramuscular, intra-articular, intra-synovial, intrasternal, intrathecal, intrahepatic, intralesional and intracranial injection or infusion techniques. Preferably, the compositions are administered orally or intravenously. [0067] Sterile injectable forms of the compositions of this invention may be aqueous or oleaginous suspension. These suspensions may be formulated according to techniques known in the art using suitable dispersing or wetting agents and suspending agents. The sterile injectable preparation may also be a sterile injectable solution or suspension in a nontoxic parenterally acceptable diluent or solvent, for example as a solution in 1, 3-butanediol . Among the acceptable vehicles and solvents that may be employed are water, Ringer's solution and isotonic sodium chloride solution. In addition, sterile, fixed oils are conventionally employed as a solvent or suspending medium. For this purpose, any bland fixed oil may be employed including synthetic mono- or di-glycerides. Fatty acids, such as oleic acid and its glyceride derivatives are useful in the preparation of injectables, as are natural pharmaceutically-acceptable oils, such as olive oil or castor oil, especially in their polyoxyethylated versions. These oil solutions or suspensions may also contain a long-chain alcohol diluent or dispersant, such as carboxymethyl cellulose or similar dispersing agents which are commonly used in the formulation of pharmaceutically acceptable dosage forms including emulsions and suspensions. Other commonly used surfactants, such as Tweens, Spans and other emulsifying agents or bioavailability enhancers which are commonly used in the manufacture of pharmaceutically acceptable solid, liquid, or other dosage forms may also be used for the purposes^' of formulation.

[0068] The pharmaceutical compositions of this invention may be orally administered in any orally acceptable dosage form including, but not limited to, capsules, tablets, aqueous suspensions or solutions. In the case of tablets for oral use, carriers that are commonly used include lactose and corn starch. Lubricating agents, such as magnesium stearate, are also typically added. For oral administration in a capsule form, useful diluents include lactose and dried cornstarch. When aqueous suspensions are required for oral use, the active ingredient is combined with emulsifying and suspending agents. If desired, certain sweetening, flavoring or coloring agents may also be added.

[0069] Alternatively, the pharmaceutical compositions of this invention may be administered in the form of suppositories for rectal administration. These may be prepared by mixing the agent with a suitable non-irritating excipient which is solid at room temperature but liquid at rectal temperature and therefore will melt in the rectum to release the drug. Such materials include cocoa butter, beeswax and polyethylene glycols.

[0070] The pharmaceutical compositions of this invention may also be administered topically, especially when the target of treatment includes areas or organs readily accessible by topical application, including diseases of the eye, the skin, or the lower intestinal tract. Suitable topical formulations are readily prepared for each of these areas or organs. [0071] Topical application for the lower intestinal tract may be effected in a rectal suppository formulation (see above) or in a suitable enema formulation. Topically-transdermal patches may also be used. [0072] For topical applications, the pharmaceutical compositions may be formulated in a suitable ointment containing the active component suspended or dissolved in one or more carriers. Carriers for topical administration of the compounds of this invention include, but are not limited to, mineral oil, liquid petrolatum, white petrolatum, propylene glycol, polyoxyethylene, polyoxypropylene, emulsifying wax and water. Alternatively, the pharmaceutical compositions may be formulated in a suitable lotion or cream containing the active components suspended or dissolved in one or more pharmaceutically acceptable carriers. Suitable carriers include, but are not limited to, mineral oil, sorbitan monostearate, polysorbate 60, cetyl esters wax, cetearyl alcohol, 2-octyldodecanol, benzyl alcohol and water.

[0073] For ophthalmic use, the pharmaceutical compositions may be formulated as micronized suspensions in isotonic, pH adjusted sterile saline, or, preferably, as solutions in isotonic, pH adjusted sterile saline, either with or without a preservative such as benzylalkonium chloride. Alternatively, for ophthalmic uses, the pharmaceutical compositions may be formulated in an ointment such as petrolatum.

[0074] The pharmaceutical compositions of this invention may also be administered by nasal aerosol or inhalation. Such compositions are prepared according to techniques well known in the art of pharmaceutical formulation and may be prepared as solutions in saline, employing benzyl alcohol or other suitable preservatives, absorption promoters to enhance bioavailability, fluorocarbons, and/or other conventional solubilizing or dispersing agents. [0075] The above-described compounds and compositions are particularly useful in therapeutic applications relating to an IL-1 mediated disease, an apoptosis mediated disease, an inflammatory disease, an autoimmune disease, a destructive bone disorder, a proliferative disorder, an infectious disease, a degenerative disease, a disease associated with cell death, an excess dietary alcohol intake disease, a viral mediated disease, retinal disorders, uveitis, inflammatory peritonitis, osteoarthritis, pancreatitis, asthma, adult respiratory distress syndrome, glomerulonephritis, rheumatoid arthritis, systemic lupus erythematosus, scleroderma, chronic thyroiditis, Grave's disease, autoimmune gastritis, diabetes, autoimmune hemolytic anemia, autoimmune neutropenia, thrombocytopenia, chronic active hepatitis, myasthenia gravis, inflammatory bowel disease, Crohn's disease, psoriasis, atopic dermatitis, scarring, graft vs host disease, organ transplant rejection, organ apoptosis after burn injury, osteoporosis, leukemias and related disorders, myelodysplastic syndrome, multiple myeloma- related bone disorder, acute myelogenous leukemia, chronic myelogenous leukemia, metastatic melanoma, Kaposi's sarcoma, multiple myeloma, he orrhagic shock, sepsis, septic shock, burns, Shigellosis, Alzheimer's disease, Parkinson's disease, Huntington's disease, Kennedy's disease, prion disease, cerebral ischemia, epilepsy, myocardial ischemia, acute and chronic heart disease, myocardial infarction, congestive heart failure, atherosclerosis, coronary artery bypass graft, spinal muscular atrophy, amyotrophic lateral sclerosis, multiple sclerosis, HIV-related encephalitis, aging, alopecia, neurological damage due to stroke, ulcerative colitis, traumatic brain injury, spinal cord injury, hepatitis-B, hepatitis-C, hepatitis-G, yellow fever, dengue fever, Japanese encephalitis, various forms of liver disease, renal disease, polycystic kidney disease, H. pylori-associated gastric and duodenal ulcer disease, HIV infection, tuberculosis, and meningitis. The compounds and compositions are also useful in treating complications associated with coronary artery bypass grafts. The compounds and compositions are also useful for decreasing IGIF or IFN-γ production. The compounds and compositions are also useful in immunotherapy for treatment of cancer. [0076] The present compounds and compositions may also be used in methods for preserving cells. These methods would be useful for preserving organs, particularly those intended for transplant, or blood products. Similar uses for caspase inhibitors have been reported [Schierle et al., Nature Medicine, 1999, 5, 97] . The method involves treating the cells or tissue to be preserved with a solution comprising a compound of this invention. The amount of a compound of this invention needed will depend on the effectiveness of the free caspase inhibitor for the given cell type and the length of time required to preserve the cells from apoptotic cell death.

[0077] According to another embodiment, the compositions of this invention may further comprise another therapeutic agent. Such agents include, but are not limited to, thrombolytic agents such as tissue plasminogen activator and streptokinase. When a second agent is used, the second agent may be administered either as a separate dosage form or as part of a single dosage form with the compounds or compositions of this invention.

[0078] The amount of compound present in the compositions of this invention should be sufficient to cause a detectable decrease in the release of IL-lβ, cellular apoptosis or caspase activity, or in the severity of caspase-mediated diseases, as measured by any of the assays known in the art.

[0079] Dosage levels of between about 0.01 and about 100 mg/kg body weight per day, preferably between about 0.5 and about 75 mg/kg body weight per day and more preferably between about 1 and about 50 mg/kg body

' weight per day of the active ingredient compound are useful in a monotherapy. [0080] Typically, a compound or composition of this invention will be administered from about 1 to about 5 times per day or alternatively, as a continuous infusion. Such administration can be used as a chronic or acute therapy. 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. A typical preparation will contain from about 5% to about 95% active compound (w/w) . Preferably, such preparations contain from about 20% to about 80% active compound.

[0081] When the compositions of this invention comprise a combination of a compound of this invention and one or more additional therapeutic or prophylactic agents, both the compound and the additional agent should be present at dosage levels of between about 10% to about 80% of the dosage normally administered in a monotherapy regime. [0082] Upon improvement of a patient's condition, a maintenance dose of a compound, composition or combination of this invention may be administered, if necessary. Subsequently, the dosage or frequency of administration, or both, may be reduced, as a function of the symptoms, to a level at which the improved condition is retained. When the symptoms have been alleviated to the desired level, treatment should cease. Patients may, however, require intermittent treatment on a long-term basis upon any recurrence of disease symptoms.

[0083] As the skilled practitioner will appreciate, lower or higher doses than those recited above may be required. It should be understood that a specific dosage and treatment regimens 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, diet, time of administration, rate of excretion, drug combination, the severity and course of the particular disease, the patient's disposition to the disease being treated, and the judgment of the treating physician. The amount of active ingredients will also depend upon the particular compound and other therapeutic agent, if present, in the composition.

[0084] In a preferred embodiment, the invention provides a method of treating a mammal, having one of the aforementioned diseases, comprising the step of administering to said mammal a pharmaceutically acceptable composition described above. In this embodiment, if the patient is also administered another therapeutic agent or caspase inhibitor, it may be delivered together with the compound of this invention in a single dosage form, or, as a separate dosage form. When administered as a separate dosage form, the other caspase inhibitor or agent may be administered prior to, at the same time as, or following administration of a pharmaceutically acceptable composition comprising a compound of this invention.

[0085] The compounds of this invention are ' particularly suitable for methods involving inhibition of caspase activity. Without being bound by theory, upon in vivo administration of a prodrug of this invention, the phospholipid group is cleaved to provide a corresponding acid-containing compound (e.g., a compound of. Table 1). As would be recognized by a skilled practitioner, a prodrug of this invention or the corresponding parent compound may be further metabolized in vivo. Any such metabolites are included within the scope of this invention.

[0086] In order that this invention be more fully understood, the following examples are set forth.

These examples are for the purpose of illustration only and are not to be construed as limiting the scope of the invention in any way.

Example 1

Scheme 1 Preparation of Compounds of Formula I

1 Formula I

[0087] Scheme 1 depicts a synthetic route for obtaining compounds of formula I, where compound 2 is a caspase inhibitor comprising a carboxylic acid moiety. Reaction of a lipid compound 1 with a compound 2, under standard carboxylic acid coupling conditions (for example, the conditions as described below in Example 2) provides compounds of formula I. Compounds of formula 1 may be isolated using standard procedures. [0088] In the lipid compound 1, the X-H moiety and/or the OH moiety may be protected with a suitable protecting group. A lipid compound 1 wherein both moieties are protected would have the structure depicted by compound 3 below, wherein P is a suitable protecting group (and wherein each P may be the same or different) . As would be recognized by a skilled practitioner, if the X-H moiety of compound 1 is protected, the protecting group must be removed prior to reacting compound 1 with compound 2. However, if the O-H moiety is protected, the protecting group does not need to be removed prior to reacting compound 1 with compound 2. Furthermore, the deprotection of the X-H moiety may be done in situ. Depending on the nature of the substituents on Y, suitable protecting groups may be used in association with Y.

Example 2 Scheme 2 Preparation of Compound 5

Compoun

[0089] Scheme 2 depicts a synthetic route for obtaining compounds of this invention where Y is the residue of a caspase inhibitor of WO 01/72707 (wherein

R 1, R2, and X are as defined herein) . Reaction of a lipid compound 1 with compound 4 in the presence of EDC [1- (3-dimethylaminopropyl) -3-ethylcarbodiimide hydrochloride] or CDI (1, 1 ' -carbonyldiimidazole) under standard carboxylic acid coupling conditions provides compound 5. Compound 5 may be isolated using standard procedures .

[0090] As described above in Example 1, the lipid compound 1, may be protected with a suitable protecting group.

[0091] While we have described a number of embodiments of this invention, it is apparent that our basic examples may be altered to provide other embodiments, which utilize the compounds, compositions, and methods of this invention.

Claims

We Claim:

A compound of the formula I :

I or a pharmaceutically acceptable salt thereof, wherein:

■ R is a saturated or unsaturated, straight-chain or branched, substituted or unsubstituted hydrocarbon chain;

R² is H or a phospholipid head group;

X is a direct covalent bond or a group C(0)LR³; wherein L is a saturated or unsaturated, straight-chain or branched, substituted or unsubstituted hydrocarbon chain having from 2 to 15 carbon atoms, which optionally includes cyclic elements, and is optionally interrupted by one or more atoms selected from the group consisting of oxygen, sulfur and N(R⁴), R³ is selected from the group consisting of 0, S and N(R⁴); wherein R⁴ is a saturated or unsaturated hydrocarbon chain having 1 to 6 carbon atoms; and

Y is a residue of a caspase inhibitor.

2. The compound of claim 1, wherein the R hydrocarbon chain has from 2 to 30 carbon atoms.

₁

3. The compound of claim 2, wherem the R hydrocarbon chain has from 2 to 24 carbon atoms.

2 .

4. The compound of claim 1, wherem R is a phospholipid head group.

5. The compound of claim 4, wherein the phospholipid head group is choline.

6. The compound of claim 1, wherein X is a direct covalent bond.

7. The compound of claim 1, wherein Y is a reversible caspase inhibitor.

8. The compound of claim 1, wherein Y is an irreversible caspase inhibitor.

9. The compound of claim 1, wherein the caspase inhibitor is any one of the caspase inhibitors depicted in FIGs. 1-20.

10. The compound of claim 1, wherein the caspase inhibitor is selected from a structure in Table 1 below:

Table 1. Structures of Selected Caspase Inhibitors

11. A pharmaceutical composition comprising: a) a compound according to any one of claims 1-10; and b) a pharmaceutically acceptable carrier.

12. A method for inhibiting caspase activity in a mammal in need thereof comprising administering to said mammal a compound according to any one of claims 1-10 or a composition according to claim 11.

13. A method for treating or preventing a disease selected from the group consisting of an IL-1 mediated disease, an apoptosis mediated disease, an inflammatory disease, an autoimmune disease, a destructive bone disorder, a proliferative disorder, an infectious disease, a degenerative disease, a disease associated with cell death, an excess dietary alcohol intake disease, a viral mediated disease, uveitis, inflammatory peritonitis, osteoarthritis, pancreatitis, asthma, adult respiratory distress syndrome, glomerulonephritis, rheumatoid arthritis, systemic lupus erythematosus, scleroderma, chronic thyroiditis, Grave's disease, autoimmune gastritis, diabetes, autoimmune hemolytic anemia, autoimmune neutropenia, thrombocytopenia, chronic active hepatitis, myasthenia gravis, inflammatory bowel disease, Crohn's disease, psoriasis, atopic dermatitis, scarring, graft vs. host disease, organ transplant rejection, osteoporosis, leukemias and related disorders, myelodysplastic syndrome, multiple myeloma-related bone disorder, acute myelogenous leukemia, chronic myelogenous leukemia, metastatic melanoma, Kaposi's sarcoma, multiple myeloma, hemorrhagic shock, sepsis, septic shock, burns, Shigellosis, Alzheimer's disease, Parkinson's disease, Huntington's disease, Kennedy's disease, prion disease, cerebral ischemia, epilepsy, myocardial ischemia, acute and chronic heart disease, myocardial infarction, congestive heart failure, arteriosclerosis, coronary artery bypass graft, spinal muscular atrophy, amyotrophic lateral sclerosis, multiple sclerosis, HIV- related encephalitis, aging, alopecia, neurological damage due to stroke, ulcerative colitis, traumatic brain injury, spinal cord injury, hepatitis-B, hepatitis-C, hepatitis-G, yellow fever, dengue fever, or Japanese encephalitis, various forms of liver disease, renal disease, polyaptic kidney disease, H. pylori-associated gastric and duodenal ulcer disease, HIV infection, tuberculosis, and meningitis in a mammal comprising administering to said mammal a compound according to any one of claims 1-10 or a composition according to claim 11.

14. A method for treating complications associated with coronary artery bypass grafts in a mammal comprising administering to said mammal a compound according to any one of claims 1-10 or a composition according to claim 11.

15. A method for treating cancer in a mammal comprising administering to said mammal a compound according to any one of claims 1-10 or a composition according to claim 11, wherein said compound or composition is used as a component of immunotherapy.

16. The method according to any one of claims 12-15, wherein said mammal is a human.

17. A method for preserving cells comprising treating the cells with a solution comprising an effective amount of a compound according to any one of claims 1-10 or a composition according to claim 11.

18. The method according to claim 17, wherein said compound or composition is used for an organ transplant or for preserving blood products.

19. The method according to any one of claims 12-15, wherein said compound or composition is administered with an additional therapeutic agent.

20. The method according to claim 19, wherein said additional therapeutic agent is a thrombolytic agent.

21. The method according to claim 20, wherein said thrombolytic agent is selected from the group consisting of- tissue plasminogen activator and streptokinase .

22. A method for decreasing IGIF or IFN-γ production in a mammal in need thereof comprising administering to said mammal a compound according to any one of claims 1-10 or a composition according to claim 11.