Classifications

• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07D—HETEROCYCLIC COMPOUNDS
  • C07D277/00—Heterocyclic compounds containing 1,3-thiazole or hydrogenated 1,3-thiazole rings
  • C07D277/60—Heterocyclic compounds containing 1,3-thiazole or hydrogenated 1,3-thiazole rings condensed with carbocyclic rings or ring systems
  • C07D277/62—Benzothiazoles
  • C07D277/68—Benzothiazoles 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 in position 2
  • C07D277/82—Nitrogen atoms
• • 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
  • A61K31/33—Heterocyclic compounds
  • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
  • A61K31/41—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with two or more ring hetero atoms, at least one of which being nitrogen, e.g. tetrazole
  • A61K31/425—Thiazoles
  • A61K31/428—Thiazoles condensed with carbocyclic rings
• • 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
• • 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
  • A61K31/33—Heterocyclic compounds
  • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
  • A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
  • A61K31/47—Quinolines; Isoquinolines
• • 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
  • A61K31/33—Heterocyclic compounds
  • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
  • A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
  • A61K31/505—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
  • A61K31/517—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with carbocyclic ring systems, e.g. quinazoline, perimidine
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K45/00—Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
  • A61K45/06—Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P11/00—Drugs for disorders of the respiratory system
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • 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
• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07D—HETEROCYCLIC COMPOUNDS
  • C07D417/00—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and sulfur atoms as the only ring hetero atoms, not provided for by group C07D415/00
  • C07D417/02—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and sulfur atoms as the only ring hetero atoms, not provided for by group C07D415/00 containing two hetero rings
  • C07D417/04—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and sulfur atoms as the only ring hetero atoms, not provided for by group C07D415/00 containing two hetero rings directly linked by a ring-member-to-ring-member bond

Definitions

• the cystic fibrosis transmembrane conductance regulator protein is a cAMP- activated chloride (Cl " ) channel expressed in epithelial cells in mammalian airways, intestine, pancreas and testis.
• CFTR is the chloride-channel responsible for cAMP-mediated Cl " secretion.
• Hormones such as a ⁇ -adrenergic agonist, or toxins, such as cholera toxin, lead to an increase in cAMP, activation of cAMP-dependent protein kinase, and phosphorylation of the CFTR Cl " channel, which causes the channel to open.
• CFTR cystic fibrosis
• secretory diarrhea An increase in the concentration of Ca 2+ in a cell can also activate different apical membrane channels. Phosphorylation by protein kinase C can either open or shut Cl " channels in the apical membrane.
• CFTR is predominantly located in epithelia where it provides a pathway for the movement of Cl " ions across the apical membrane and a key point at which to regulate the rate of transepithelial salt and water transport.
• CFTR chloride channel function is associated with a wide spectrum of disease, including cystic fibrosis (CF) and with some forms of male infertility, polycystic kidney disease and secretory diarrhea.
• the hereditary lethal disease CF is caused by mutations in the gene encoding the CFTR protein, a cAMP-activated Cl " channel expressed in airway, intestinal, pancreatic, and other secretory and absorptive epithelia.
• the principal clinical problem in CF is recurrent lung infections resulting in progressive deterioration in lung function.
• the most common CFTR mutation, deletion of phenylalanine-508 ( ⁇ F508-CFTR) is present in at least one allele in about 90 % of CF patients (Egan et al., (2004) Science 304:600-602).
• ⁇ F508-CFTR causes Cl " impermeability because it is not processed correctly, causing it to be retained at the endoplasmic reticulum (rather than the plasma membrane). ⁇ F508-CFTR also has reduced intrinsic Cl " conductance relative to wild type CFTR. [0005] Strategies have been investigated to correct the defects in ⁇ F508-CFTR cellular processing and intrinsic function in cells. Cell growth at low temperature ( ⁇ 30 0 C) (Denning et al., (1992) Nature 358, 761-764) or with high concentrations of chemical chaperones such as glycerol (Sato et al., (1996) J. Biol. Chem.
• ⁇ F508-CFTR has significantly impaired channel activity even when present at the cell plasma membrane (Dalemans et al., (1991) Nature 354, 526-528).
• Cell-attached patch-clamp measurements showed reduced ⁇ F508-CFTR open channel probability and prolonged closed times even with maximal cAMP stimulation (Haws et al., (1996) Am. J. Physiol. 270, C 1544- C1555; Hwang et al., (1997) Am. J. Physiol. 273, C988-C998).
• Patch-clamp measurements in excised membranes indicated 7-fold reduced ⁇ F508-CFTR activation after phosphorylation compared to wildtype CFTR.
• compositions, pharmaceutical preparations and methods for correcting cellular processing e.g., folding, trafficking, or post-translational modification
• a mutant-cystic fibrosis transmembrane conductance regulator protein e.g., ⁇ F508 CFTR
• the compositions and pharmaceutical preparations of the invention may comprise one or more aminobenzothiazole-containing compounds, aminoarylthiazole-containing compounds, quinazolinylaminopyrimidinone- containing compounds, bisaminomethylbithiazole-containing compounds, or phenylaminoquinoline-containing compounds of the invention, or an analog or derivative thereof.
• the invention provides for a pharmaceutical composition
• a pharmaceutical composition comprising a compound of formula (II):
• the composition further includes at least one of a pharmaceutically acceptable carrier, a pharmaceutically acceptable diluent, a pharmaceutically acceptable excipient and a pharmaceutically acceptable adjuvant.
• the composition does not contain detectable dimethyl sulfoxide.
• R 1 of the composition is a hydrogen and the compound having formula (II) is a compound having formula (Ia):
• R 3 is independently selected from a substituted or unsubstituted phenyl group and R 4 is a substituted or unsubstituted alkyl group.
• R 3 is chosen from a A- (methoxy)phenyl group, a 3-(nitro)phenyl group, a 4-(nitro)phenyl group, or a A- (chloro)phenyl group.
• R 4 is chosen from a hydrogen and a methyl group.
• the compound is of formula (Ib): wherein R 5 and R 6 are selected from a substituted or unsubstituted alkyl group, or are a fused substituted or unsubstituted cycloalkyl ring group.
• R 5 is an ethyl group.
• R 6 is an ethyl group.
• R 5 and R 6 are a fused tert(butyl)cyclohexane group.
• the compound is chosen from:
• the invention also provides a pharmaceutical composition comprising a compound of formula (II):
• the composition further comprises at least one of a pharmaceutically acceptable carrier, a pharmaceutically acceptable diluent, a pharmaceutically acceptable excipient and a pharmaceutically acceptable adjuvant.
• the composition does not contain detectable dimethyl sulfoxide.
• R 1 is chosen from an unsubstituted phenyl group, a unsubstituted biphenyl group, a 3-, 4-di(methyl)phenyl group, a 4-(methyl)phenyl group, a 3-, 4- di(methoxy)phenyl group, a 3-, 4-di(hydroxy)phenyl group, a 4-(bromo)phenyl group, a 4- (propene)phenyl group, a 3-(methyl)-4-(methoxy)phenyl group, or a 3-(nitro)-4(methyl)phenyl group.
• R 2 is chosen from a hydrogen or a methyl group.
• R 3 is chosen from a unsubstituted phenyl group, as a 3-(chloro)phenyl group, a 4- (fluoro)phenyl group, a 2-(methyl)phenyl group, a 2-(ethoxy)phenyl group, a 2-,5- di(methoxy)-4-(chloro)phenyl group, a 4-(acetamide)phenyl group, a unsubstituted pyrimidine group, a 3-(methyl)pyridine group, a di(methyl)butylideneamine group, an acyl-thiophene group, an acyl(4-t-butyl-phenyl)group, or an acyl-methylthio-imidazol-5-phenyl group.
• the compound is chosen from:
• the invention also provides a pharmaceutical composition
• a pharmaceutical composition comprising a compound of formula (III):
• R 1 is chosen from a hydrogen, an alkyl group, or an alkoxy group
• R 2 is chosen from a hydrogen, an alkyl group, or an alkoxy group
• R 3 is an alkyl group
• R 4 is chosen from a hydroxyl group or a carbonyl group
• R 5 and R 6 are chosen from a fused cycloalkyl group, a hydrogen, an alkyl group, or a substituted or unsubstituted phenyl group; or a pharmaceutically acceptable derivative thereof, as an individual stereoisomer or a mixture thereof; or a pharmaceutically acceptable salt thereof.
• the composition further includes at least one of a pharmaceutically acceptable carrier, a pharmaceutically acceptable diluent, a pharmaceutically acceptable excipient and a pharmaceutically acceptable adjuvant.
• the composition does not contain detectable dimethyl sulfoxide.
• R 1 chosen from a hydrogen, a methyl group, an ethyl group, a methoxy group, or an ethoxy group.
• R 2 is chosen from a hydrogen, a methyl group, an ethyl group, a methoxy group, or an ethoxy group.
• R 3 is chosen from a methyl group or an ethyl group.
• R 4 is chosen from a hydroxyl group or a carbonyl group.
• R 5 is chosen from a hydrogen, a methyl group, an ethyl group, a unsubstituted phenyl group, or a 2- methylthio-lH-benzoimidazole group.
• R 6 is chosen from a hydrogen, a methyl group, an ethyl group, a unsubstituted phenyl group, or a 2-methylthio-lH- benzoimidazole group.
• R 5 and R 6 are a fused cyclopenyl group.
• the compound is chosen from:
• the invention also provides a pharmaceutical composition
• a pharmaceutical composition comprising a compound of formula (IV): wherein R 1 is a alkyl group and R 2 is a substituted or unsubstituted phenyl group; or a substituted or unsubstituted phenyl group; or a pharmaceutically acceptable derivative thereof, as an individual stereoisomer or a mixture thereof; or a pharmaceutically acceptable salt thereof.
• the composition further includes at least one of a pharmaceutically acceptable carrier, a pharmaceutically acceptable diluent, a pharmaceutically acceptable excipient and a pharmaceutically acceptable adjuvant.
• the composition does not contain detectable dimethyl sulfoxide.
• R 1 is a methyl group.
• R 2 is chosen from a
• the compound is chosen from:
• the invention also provides a pharmaceutical composition comprising a compound of formula (V):
• the composition further includes at least one of a pharmaceutically acceptable carrier, a pharmaceutically acceptable diluent, a pharmaceutically acceptable excipient and a pharmaceutically acceptable adjuvant.
• the composition does not contain detectable dimethyl sulfoxide.
• R 1 is chosen from a hydrogen or a methyl group.
• R 2 is chosen from a hydrogen or a methyl group.
• R 3 is chosen from a hydrogen or a methyl group.
• R 4 is chosen from a hydrogen, a brominde group, a chloride group, or a methoxyl group.
• R 5 is chosen from a hydrogen, a brominde group, a chloride group, or a methoxyl group.
• the compound is chosen from:
• the invention also provides for a method of treating a subject having a condition associated with mutant-CFTR, said method comprising administering to the subject a therapeutically effective amount of a compound selected from the compounds of the present invention.
• the condition is cystic fibrosis.
• the subject after treatment, has a decrease in mucous or bacterial titer in their lungs, a decrease in coughing or wheezing, a decrease in pancreatic insufficiency, or a decrease in electrolyte levels in their sweat.
• the subject is a non-human animal. In embodiments of particular interest, the animal is a mammal, hi some embodiments, the mutant-CFTR is a ⁇ F508-CFTR.
• the invention also provides for a method of increasing ion permeability of a cell producing a mutant-CFTR protein, the method including contacting the cell with an effective amount of compound of the present invention, the contacting being effective to increase CFTR-mediated ion permeability of said cell.
• the cell contains a recombinant expression cassette that encodes said mutant-CFTR protein.
• the mutant-CFTR is a ⁇ F508-CFTR.
• the invention also provides for a method of treating a subject having a condition associated with mutant-CFTR, the method including administering to the subject a therapeutically effective amount of a compound selected from the compounds of the present invention.
• the condition is cystic fibrosis.
• the subject after treatment, has a decrease in mucous or bacterial titer in their lungs, a decrease in coughing or wheezing, a decrease in pancreatic insufficiency, or a decrease in electrolyte levels in their sweat.
• the subject is a non-human animal. In embodiments of particular interest the animal is a mammal.
• the mutant-CFTR is ⁇ F508- CFTR.
• the invention also provides for a method of increasing ion permeability of a cell producing a mutant-CFTR protein, the method including contacting the cell with a compound in an amount effective to increase ion permeability of said cell, wherein the compound is selected from the compounds of the present invention.
• the cell contains a recombinant expression cassette that encodes said mutant-CFTR protein.
• the cell contains a genome that encodes said mutant-CFTR protein.
• the ion permeability increases an ion transporting activity that increases a rate of transport of ions across the plasma membrane of said cell.
• the mutant-CFTR is ⁇ F508-CFTR.
• FIG. 1 shows a schematic of the subject screening procedure. FRT cells coexpressing
• ⁇ F508-CFTR and a halide-sensitive YFP were incubated with test compounds (10 ⁇ M) at 37 °C.
• ⁇ F508-CFTR function was assayed at 18-24 hours in a plate reader by YFP fluorescence quenching by iodide in the presence of forskolin (20 ⁇ M) + genistein (50 ⁇ M).
• FIG. 2 shows representative traces showing iodide influx under control conditions
• FIG. 5 shows apical membrane chloride current measurements in Ussing chambers after basolateral membrane permeabilization and in the presence of a chloride gradient. Concentrations: forskolin (20 ⁇ M), genistein (50 ⁇ M), CFTR inh -172 (10 ⁇ M). Lower left, measurements done on FRT null cells (other panels ⁇ F508-CFTR expressing FRT cells).
• FIG. 6 panel A shows a time-course of correction with the indicated corrector compound. Cells incubated for different times at 27 0 C or with indicated correctors or 4-PBA (4 mM) at 37°C. ⁇ F508-CFTR activity was assayed in the presence of foskolin/genistein. Panel B shows persistence of correction with the indicated corrector compound. Cells were incubated for 24 hours with the indicated corrector compounds (or 27 0 C). ⁇ F508-CFTR activity was assayed at different times after washout (or return from 27 0 C to 37 0 C).
• FIG. 7 shows the effect of forskolin (20 ⁇ M) or forskolin + genistein (50 ⁇ M) in cells kept at 37 0 C or 27°C with or without corrector compounds.
• FIG. 8 is a graph showing forskolin dose-response relationships. ⁇ F508-CFTR expressing FRT cells were stimulated with forskolin (in the absence of genistein) after incubation with the indicated corrector compound at 37 0 C or 27 0 C.
• FIG. 9 shows apical membrane chloride current measurements after incubation for 24 hours at 37 0 C with DMSO vehicle (left) or compound corr-2b (2 nd and 3 rd curves). Curve at the right shows results in cells grown at 27 0 C with compounds added as shown (20 ⁇ M forskolin, 20 ⁇ M corr-2b, 50 ⁇ M genistein).
• FIG. 10 panel A is a western blot showing the effect of the indicated corrector compound (10 ⁇ M) on the expression pattern of ⁇ F508-CFTR-QHA in BHK cells. Where indicated cells were cultured for 24 hours at 37°C in the absence or presence of corrector compounds, or at 27°C. CFTR was visualized by anti-HA primary and HRP-conjugated secondary antibodies by enhanced chemiluminescence. Filled arrowhead, complex- glycosylated forms (band C), empty arrowhead, core-glycosylated form (band B). Panel B is a graph showing the quantification of the data in panel A.
• panel A is a graph showing cell surface density of ⁇ F508-CFTR determined using the radioactive anti-HA antibody binding assay for condition as in Fig.10, panel A, plotted against ⁇ F508-CFTR apical membrane currents in parallel experiments done in FRT cells.
• Panel B is a western blot showing the folding efficiency measured by pulse-chase analysis. Translation rate computed from radioactive incorporation during a 15 min pulse (P). To measure the folding efficiency, cells were pulse for 150 min and than chased for 120 min (C). The amount of core- (empty arrowhead) and complex-glycosylated (filled arrowhead) form was determined by phosphorimage analysis.
• Panel C is a graph showing maturation efficiency expressed as the percent of mature, complex-glycosylated ⁇ F508-CFTR relative to the pulse-labeled pool as shown in panel B.
• FIG. 12 panel A, is a graph showing cell surface stability of the rescued ⁇ F508-CFTR as measured by the anti-HA antibody-binding assay before and after 3 hours of chase in the presence of the indicated corrector compound.
• Panel B shows results of apical membrane chloride current in FRT cells expressing the temperature-sensitive mutant P574H-CFTR.
• Panel C is graph showing the results of the apical membrane chloride current study of Panel B.
• FIG. 13 shows representative short-circuit current recordings on primary cultures of human airway epithelial cells from a ⁇ F508 homozygous subject (top 3 curves) and non-CF subject (bottom curve).
• ⁇ F508 cells maintained at 37°C for 24 hours in the presence of DMSO vehicle or compound corr-4b, or incubated at 27 0 C.
• the invention provides compositions, pharmaceutical preparations and methods which find at least one use in the context of treating a subject having a mutant cystic fibrosis transmembrane conductance regulator (CFTR) protein, particularly where the mutation in the CFTR is associated with cellular mis-processing (e.g., folding, trafficking, or post-translational modification) of the CFTR.
• CFTR cystic fibrosis transmembrane conductance regulator
• An example of such a mutant CFTR is the ⁇ F508 CFTR.
• the compounds and methods of the invention provide for "correction" of such cellular mis-processing of such a mutant CFTR protein that are useful for the treatment of cystic fibrosis (CF).
• compositions and pharmaceutical preparations of the invention comprise one or more nitrogen-containing heteroaromatic compounds, with aminobenzothiazole- containing compounds, aminoarylthiazole-containing compounds, quinazolinylaminopyrimidinone-containing compounds, bisaminomethylbitbiazole-containing compounds, and phenylaminoquinoline-containing compounds, including analogs or derivatives thereof, being of particular interest.
• aminobenzothiazole- containing compounds aminoarylthiazole-containing compounds
• quinazolinylaminopyrimidinone-containing compounds quinazolinylaminopyrimidinone-containing compounds
• bisaminomethylbitbiazole-containing compounds bisaminomethylbitbiazole-containing compounds
• phenylaminoquinoline-containing compounds including analogs or derivatives thereof, being of particular interest.
• CFTR is the protein that results from a mutation, e.g., deletion mutation, insertion mutation, or point (substitution) mutation of the CFTR gene product relative to wildtype.
• a mutant cystic fibrosis transmembrane conductance regulator protein or “mutant-CFTR” is dysfunctional as compared to a functional (e.g., wildtype) CFTR where the dysfunction can encompass one or more of the following: (i) aberrant CFTR production (e.g., at the level of transcription or translation); (ii) aberrant folding and/or trafficking; (iii) abnormal regulation of conductance; (iv) decreases in chloride conductance; (v) reduction in synthesis; and the like.
• mutant-CFTR gene is a gene, or coding sequence, which encodes a mutant-CFTR.
• gene and “gene” are used interchangeably, e.g. “genome that encodes mutant-CFTR” and “gene that encodes mutant-CFTR”.
• a "gating defective mutant cystic fibrosis transmembrane conductance regulator protein”, or “gating defective mutant-CFTR” is a mutant-CFTR that is present on the cell surface and is defective in gating of ions through the channel (e.g., regulation of ion transport).
• a “gating defective mutant-CFTR” encompasses dysfunctions associated with (i) abnormal regulation of conductance; and or (ii) decreases in chloride conductance.
• a "mutant-CFTR protein-mediated condition” means any condition, disorder or disease, or symptom of such condition, disorder, or disease, that results from or is correlated to the presence of a mutant-CFTR, e.g., ⁇ F508-CFTR, e.g., chloride ion impermeability caused by reduced activity of ⁇ F508-CFTR in ion transport relative to a wild-type CFTR.
• a mutant-CFTR e.g., ⁇ F508-CFTR, e.g., chloride ion impermeability caused by reduced activity of ⁇ F508-CFTR in ion transport relative to a wild-type CFTR.
• a "mutant- CFTR protein-mediated condition” encompasses conditions in an affected subject which are associated with the presence of a ⁇ F508-CFTR mutation on at least one allele, thus including subjects that carry a ⁇ F508-CFTR mutation on both alleles as well as compound heterozygous subjects having two different mutant forms of CFTR, e.g., a subject with one copy of ⁇ F508- CFTR and a copy of different mutant form of CFTR.
• mutant-CFTR activity e.g., activation of mutant-CFTR ion transport.
• ⁇ F508- CFTR is correlated to the presence of cystic fibrosis (CF), and a description of this disease, including its symptoms, is found in Accession No. 602421 (entitled cystic fibrosis transmembrane conductance regulator; CFTR), and Accession No. 219700 (entitled Cystic fibrosis; CF) of the Online Mendelian Inheritance of Man database, as found at the world wide website of the National Institute of Health at ncbi.nlm.nih.gov.
• mutant-CFTR protein-mediated conditions include meconium ileus, liver disease including biliary tract obstruction and stenosis, pancreatic insufficiency, pulmonary disease including chronic Pseudomonas aeruginosa infections and other infections of the lung, infertility associated with abnormal vas deferens development or abnormal cervical mucus, and carcinoma including adenocarcinoma.
• Many subjects that have a mutant-CFTR protein-mediated condition are homozygous for a gene encoding a ⁇ F508-CFTR protein.
• a " ⁇ F508-cystic fibrosis transmembrane conductance regulator protein" or " ⁇ F508-
• CFTR is the protein that results from the deletion of a phenylalanine residue at amino acid position 508 of the CFTR gene product.
• a " ⁇ F508-CFTR gene” is a gene, or coding sequence, which encodes ⁇ F508-CFTR.
• a ⁇ F508-CFTR gene usually results from deletion of three nucleotides corresponding to the phenylalanine residue at amino acid position 508 of the encoded CFTR gene product.
• the terms “genome” and “gene” are used interchangeably, e.g. "genome that encodes ⁇ F508-CFTR” and “gene that encodes ⁇ F508-CFTR”.
• a gene that encodes ⁇ F508-CFTR see, e.g. WO 91/02796.
• a "mutant-CFTR activator” as used herein is a compound that increases the level of ion transport by a mutant-CFTR relative to ion transport in the absence of the compound, and particularly with respect to transport of chloride ions.
• CFTR activators of the invention of particular interest are those that are specific mutant-CFTR activators, e.g., compounds that activate mutant-CFTR activity rather than affecting CFTR cellular misprocessing.
• Mutant- CFTR activators are usually high-affinity mutant-CFTR activators, e.g., have an affinity for mutant-CFTR of at least about one micromolar, about one to five micromolar, about 200 nanomolar to one micromolar, about 50 nanomolar to 200 nanomolar, or below 50 nanomolar.
• a "gating defective mutant-CFTR activator” as used herein is a compound that increases the level of ion transport by a gating defective mutant-CFTR relative to ion transport in the absence of the compound, and particularly with respect to transport of chloride ions.
• CFTR activators of the invention of particular interest are those that are specific gating defective mutant-CFTR activators, e.g., compounds that activate gating defective mutant- CFTR activity rather than affecting, for example, CFTR cellular misprocessing.
• Gating defective mutant-CFTR activators are usually high-affinity activators of gating defective mutant-CFTRs, e.g., have an affinity for a gating defective mutant-CFTR (e.g., ⁇ F508-CFTR, G551D-CFTR, G1349D-CFTR, or Dl 152H-CFTR) of at least about one micromolar, about one to five micromolar, about 200 nanomolar to one micromolar, about 50 nanomolar to 200 nanomolar, or below 50 nanomolar.
• a gating defective mutant-CFTR e.g., ⁇ F508-CFTR, G551D-CFTR, G1349D-CFTR, or Dl 152H-CFTR
• a " ⁇ F508-CFTR activator” as used herein is a compound that increases the level of ion transport by ⁇ F508-CFTR relative to ion transport in the absence of the compound, and particularly with respect to transport of chloride ions.
• CFTR activators of the invention of particular interest are those that are specific ⁇ F508-CFTR activators, e.g., compounds that activate ⁇ F508-CFTR activity rather than affecting CFTR cellular misprocessing.
• ⁇ F508- CFTR activators are usually high-affinity ⁇ F508-CFTR activators, e.g., have an affinity for ⁇ F508-CFTR of at least about one micromolar, about one to five micromolar, about 200 nanomolar to one micromolar, about 50 nanomolar to 200 nanomolar, or below 50 nanomolar.
• mutant CFTR potentiator refers to a compound that increases a basal level of ion transport by a mutant-CFTR (e.g,. ⁇ F508CFTR, G551D-CFTR, G1349D-CFTR, or Dl 152H-CFTR), where the mutant CFTR (in the absence of the compound) exhibits aberrantly low levels of ion transport relative to wildtype CFTR.
• a mutant-CFTR e.g,. ⁇ F508CFTR, G551D-CFTR, G1349D-CFTR, or Dl 152H-CFTR
• a mutant-CFTR potentiator refers to a potentiator compound that, provides for increased level of ion transport by a mutant-CFTR relative to ion transport capability of the mutant-CFTR in the absence of the compounds.
• a mutant-CFTR corrector is a compound that increases the level of ion transport by a mutant-CFTR relative to ion transport in the absence of the compound by correcting the underlying defect of the CFTR polypeptide, e.g., a defect that results from post-translational processing (e.g., folding, trafficking, or post- translation modification, such as post-translational glycosylation).
• CFTR correctors of the invention of particular interest are those that facilitate correction of specific mutant-CFTRs.
• Mutant-CFTR correctors are usually exhibit high-affinity for one or more mutant-CFTRs, e.g., have an affinity for mutant-CFTR of at least about one micromolar, about one to five micromolar, about 200 nanomolar to one micromolar, about 50 nanomolar to 200 nanomolar, or below 50 nanomolar.
• in combination can also refer to regimen involving administration of two or more compounds.
• “In combination with” as used herein also refers to administration of two or more compounds which may be administered in the same or different formulations, by the same of different routes, and in the same or different dosage form type.
• isolated compound means a compound which has been substantially separated from, or enriched relative to, other compounds with which it occurs in nature. Isolated compounds are usually at least about 80%, more usually at least 90% pure, even more preferably at least 98% pure, most preferably at least about 99% pure, by weight.
• the present invention is meant to comprehend diastereomers as well as their racemic and resolved, enantiomerically pure forms and pharmaceutically acceptable salts thereof.
• Treating" or “treatment” of a condition or disease includes: (1) preventing at least one symptom of the conditions, i.e., causing a clinical symptom to not significantly develop in a mammal that may be exposed to or predisposed to the disease but does not yet experience or display symptoms of the disease, (2) inhibiting the disease, i.e., arresting or reducing the development of the disease or its symptoms, or (3) relieving the disease, i.e., causing regression of the disease or its clinical symptoms.
• a “therapeutically effective amount” or “efficacious amount” means the amount of a compound that, when administered to a mammal or other subject for treating a disease, is sufficient to effect such treatment for the disease.
• the “therapeutically effective amount” will vary depending on the compound, the disease and its severity and the age, weight, etc., of the subject to be treated.
• subject and patient mean a member or members of any mammalian or non-mammalian species that may have a need for the pharmaceutical methods, compositions and treatments described herein.
• Subjects and patients thus include, without limitation, primate (including humans), canine, feline, ungulate (e.g., equine, bovine, swine (e.g., pig)), avian, and other subjects.
• primate including humans
• canine feline
• ungulate e.g., equine, bovine, swine (e.g., pig)
• avian avian
• Humans and non-human animals having commercial importance are of particular interest.
• mammalian means a member or members of any mammalian species, and includes, by way of example, canines; felines; equines; bovines; ovines; rodentia, etc. and primates, particularly humans.
• Non-human animal models, particularly mammals, e.g. primate, murine, lagomorpha, etc. may be used for experimental investigations.
• unit dosage form refers to physically discrete units suitable as unitary dosages for human and animal subjects, each unit containing a predetermined quantity of compounds of the present invention calculated in an amount sufficient to produce the desired effect in association with a pharmaceutically acceptable diluent, carrier or vehicle.
• the specifications for the novel unit dosage forms of the present invention depend on the particular compound employed and the effect to be achieved, and the pharmacodynamics associated with each compound in the host.
• physiological conditions is meant to encompass those conditions compatible with living cells, e.g., predominantly aqueous conditions of a temperature, pH, salinity, etc. that are compatible with living cells.
• pharmaceutically acceptable carrier and “pharmaceutically acceptable adjuvant” means an excipient, diluent, carrier, and adjuvant that are useful in preparing a pharmaceutical composition that are generally safe, non-toxic and neither biologically nor otherwise undesirable, and include an excipient, diluent, carrier, and adjuvant that are acceptable for veterinary use as well as human pharmaceutical use.
• a pharmaceutically acceptable excipient, diluent, carrier and adjuvant as used in the specification and claims includes both one and more than one such excipient, diluent, carrier, and adjuvant.
• a "pharmaceutical composition” is meant to encompass a composition suitable for administration to a subject, such as a mammal, especially a human.
• a “pharmaceutical composition” is sterile, and preferably free of contaminants that are capable of eliciting an undesirable response within the subject (e.g., the compound(s) in the pharmaceutical composition is pharmaceutical grade).
• Pharmaceutical compositions can be designed for administration to subjects or patients in need thereof via a number of different routes of administration including oral, buccal, rectal, parenteral, intraperitoneal, intradermal, intracheal and the like.
• the composition is suitable for administration by a transdermal route, using a penetration enhancer other than DMSO.
• the pharmaceutical compositions are suitable for administration by a route other than transdermal administration.
• pharmaceutically acceptable derivatives of a compound of the invention include salts, esters, enol ethers, enol esters, acetals, ketals, orthoesters, hemiacetals, hemiketals, acids, bases, solvates, hydrates or prodrugs thereof.
• Such derivatives may be readily prepared by those of skill in this art using known methods for such derivatization.
• the compounds produced may be administered to animals or humans without substantial toxic effects and either are pharmaceutically active or are prodrugs.
• a "pharmaceutically acceptable salt” of a compound means a salt that is pharmaceutically acceptable and that possesses the desired pharmacological activity of the parent compound.
• Such salts include: (1) acid addition salts, formed with inorganic acids such as hydrochloric acid, hydrobromic acid, sulfuric acid, nitric acid, phosphoric acid, and the like; or formed with organic acids such as acetic acid, propionic acid, hexanoic acid, cyclopentanepropionic acid, glycolic acid, pyruvic acid, lactic acid, malonic acid, succinic acid, malic acid, maleic acid, fumaric acid, tartaric acid, citric acid, benzoic acid, 3-(4- hydroxybenzoyl)benzoic acid, cinnamic acid, mandelic acid, methanesulfonic acid, ethanesulfonic acid, 1,2-ethanedisulfonic acid, 2-hydroxyethanesulfonic acid, benzenesulf
• a "pharmaceutically acceptable ester" of a compound of the invention means an ester that is pharmaceutically acceptable and that possesses the desired pharmacological activity of the parent compound, and includes, but is not limited to, alkyl, alkenyl, alkynyl, aryl, heteroaryl, aralkyl, heteroaralkyl, cycloalkyl and heterocyclyl esters of acidic groups, including, but not limited to, carboxylic acids, phosphoric acids, phosphinic acids, sulfonic acids, sulfinic acids and boronic acids.
• a "pharmaceutically acceptable solvate or hydrate" of a compound of the invention means a solvate or hydrate complex that is pharmaceutically acceptable and that possesses the desired pharmacological activity of the parent compound, and includes, but is not limited to, complexes of a compound of the invention with one or more solvent or water molecules, or 1 to about 100, or 1 to about 10, or one to about 2, 3 or 4, solvent or water molecules.
• Pro-drugs means any compound that releases an active parent drug according to formula (I) in vivo when such prodrug is administered to a mammalian subject.
• Prodrugs of a compound of formula (I) are prepared by modifying functional groups present in the compound of formula (I) in such a way that the modifications may be cleaved in vivo to release the parent compound.
• Prodrugs include compounds of formula (I) wherein a hydroxy, amino, or sulfhydryl group in compound (I) is bonded to any group that may be cleaved in vivo to regenerate the free hydroxyl, amino, or sulfhydryl group, respectively.
• prodrugs include, but are not limited to esters (e.g., acetate, formate, and benzoate derivatives), carbamates (e.g., N,N-dimethylaminocarbonyl) of hydroxy functional groups in compounds of formula (I), and the like.
• organic group and organic radical as used herein means any carbon- containing group, including hydrocarbon groups that are classified as an aliphatic group, cyclic group, aromatic group, functionalized derivatives thereof and/or various combination thereof.
• aliphatic group means a saturated or unsaturated linear or branched hydrocarbon group and encompasses alkyl, alkenyl, and alkynyl groups, for example.
• alkyl group means a substituted or unsubstituted, saturated linear or branched hydrocarbon group or chain (e.g., C 1 to C 8 ) including, for example, methyl, ethyl, isopropyl, tert-butyl, heptyl, iso- propyl, n-octyl, dodecyl, octadecyl, amyl, 2-ethylhexyl, and the like.
• Suitable substituents include carboxy, protected carboxy, amino, protected amino, halo, hydroxy, protected hydroxy, nitro, cyano, monosubstituted amino, protected monosubstituted amino, disubstituted amino, C 1 to C 7 alkoxy, C 1 to C 7 acyl, C 1 to C 7 acyloxy, and the like.
• substituted alkyl means the above defined alkyl group substituted from one to three times by a hydroxy, protected hydroxy, amino, protected amino, cyano, halo, trifloromethyl, mono-substituted amino, di-substituted amino, lower alkoxy, lower alkylthio, carboxy, protected carboxy, or a carboxy, amino, and/or hydroxy salt.
• substituted (cycloalkyl)alkyl and “substituted cycloalkyl” are as defined below substituted with the same groups as listed for a "substituted alkyl" group.
• alkenyl group means an unsaturated, linear or branched hydrocarbon group with one or more carbon-carbon double bonds, such as a vinyl group.
• alkynyl group means an unsaturated, linear or branched hydrocarbon group with one or more carbon-carbon triple bonds.
• cyclic group means a closed ring hydrocarbon group that is classified as an alicyclic group, aromatic group, or heterocyclic group.
• alicyclic group means a cyclic hydrocarbon group having properties resembling those of aliphatic groups.
• aromatic group or aryl group means a mono- or polycyclic aromatic hydrocarbon group, and may include one or more heteroatoms, and which are further defined below.
• heterocyclic group means a closed ring hydrocarbon in which one or more of the atoms in the ring are an element other than carbon (e.g., nitrogen, oxygen, sulfur, etc.), and are further defined below.
• Organic groups may be functionalized or otherwise comprise additional functionalities associated with the organic group, such as carboxyl, amino, hydroxyl, and the like, which may be protected or unprotected.
• alkyl group is intended to include not only pure open chain saturated hydrocarbon alkyl substituents, such as methyl, ethyl, propyl, t-butyl, and the like, but also alkyl substituents bearing further substituents known in the art, such as hydroxy, alkoxy, alkylsulfonyl, halogen atoms, cyano, nitro, amino, carboxyl, etc.
• alkyl group includes ethers, esters, haloalkyls, nitroalkyls, carboxyalkyls, hydroxyalkyls, sulfoalkyls, etc.
• halo and halogen refer to the fluoro, chloro, bromo or iodo groups. There can be one or more halogen, which are the same or different. Halogens of particular interest include chloro and bromo groups.
• haloalkyl refers to an alkyl group as defined above that is substituted by one or more halogen atoms.
• the halogen atoms may be the same or different.
• dihaloalkyl refers to an alkyl group as described above that is substituted by two halo groups, which may be the same or different.
• trihaloalkyl refers to an alkyl group as describe above that is substituted by three halo groups, which may be the same or different.
• perhaloalkyl refers to a haloalkyl group as defined above wherein each hydrogen atom in the alkyl group has been replaced by a halogen atom.
• perfluoroalkyl refers to a haloalkyl group as defined above wherein each hydrogen atom in the alkyl group has been replaced by a fluoro group.
• cycloalkyl means a mono-, bi-, or tricyclic saturated ring that is fully saturated or partially unsaturated. Examples of such a group included cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl, adamantyl, cyclooctyl, cis- or trans decalin, bicyclo[2.2.1]hept-2-ene, cyclohex-1-enyl, cyclopent-1-enyl, 1,4-cyclooctadienyl, and the like.
• (cycloalkyl)alkyl means the above-defined alkyl group substituted for one of the above cycloalkyl rings. Examples of such a group include (cyclohexyl)methyl, 3- (cyclopropyl)-n-propyl, 5-(cyclopentyl)hexyl, 6-(adamantyl)hexyl, and the like.
• substituted phenyl specifies a phenyl group substituted with one or more moieties, and in some instances one, two, or three moieties, chosen from the groups consisting of halogen, hydroxy, protected hydroxy, cyano, nitro, trifluoromethyl, C 1 to C 7 alkyl, C 1 to C 7 alkoxy, C 1 to C 7 acyl, C 1 to C 7 acyloxy, carboxy, oxycarboxy, protected carboxy, carboxymethyl, protected carboxymethyl, hydroxymethyl, protected hydroxymethyl, amino, protected amino, (monosubstituted)amino, protected (monosubstituted)amino, (disubstituted)amino, carboxamide, protected carboxamide, N-(C 1 to C 6 alkyl)carboxamide, protected N-( C 1 to C 6 alkyl)carboxamide, N,N-di(C !
• substituted phenyl includes a mono- or di(halo)phenyl group such as 2, 3 or 4-chlorophenyl, 2,6-dichlorophenyl, 2,5-dichlorophenyl, 3,4-dichlorophenyl, 2, 3 or 4-bromophenyl, 3,4-dibromophenyl, 3-chloro-4-fluorophenyl, 2, 3 or 4-fluorophenyl and the like; a mono or di(hydroxy)phenyl group such as 2, 3, or 4-hydroxyphenyl, 2,4- dihydroxyphenyl, the protected-hydroxy derivatives thereof and the like; a nitrophenyl group such as 2, 3, or 4-nitrophenyl; a cyanophenyl group, for example, 2, 3 or 4-cyanophenyl; a mono- or di(alkyl)phenyl group such as 2, 3, or 4-methylphenyl, 2,4-dimethylphenyl, 2, 3 or 4-
• substituted phenyl represents disubstituted phenyl groups wherein the substituents are different, for example, 3-methyl-4-hydroxyphenyl, 3-chloro-4-hydroxyphenyl, 2-methoxy-4-bromophenyl, 4-ethyl-2-hydroxyphenyl, 3-hydroxy- 4-nitrophenyl, 2-hydroxy-4-chlorophenyl and the like.
• (substituted phenyl)alkyl means one of the above substituted phenyl groups attached to one of the above-described alkyl groups. Examples of include such groups as 2- phenyl-1-chloroethyl, 2-(4'-methoxyphenyl)ethyl, 4-(2',6'-dihydroxy phenyl)n-hexyl, 2-(5'- cyano-3'-methoxyphenyl)n-pentyl, 3-(2',6'-dimethylphenyl)n-propyl, 4-chloro-3-aminobenzyl, 6-(4'-methoxyphenyl)-3-carboxy(n-hexyl), 5-(4'-aminomethylphenyl)-3-(aminomethyl)n- pentyl, 5-phenyl-3-oxo-n-pent-l-yl, (4-hydroxynapth-2-yl)methyl and the
• aromatic refers to six membered carbocyclic rings.
• heteroaryl denotes optionally substituted f ⁇ ve-membered or six-membered rings that have 1 to 4 heteroatoms, such as oxygen, sulfur and/or nitrogen atoms, in particular nitrogen, either alone or in conjunction with sulfur or oxygen ring atoms.
• the above optionally substituted f ⁇ ve-membered or six-membered rings can optionally be fused to an aromatic 5 -membered or 6-membered ring system.
• the rings can be optionally fused to an aromatic 5-membered or 6-membered ring system such as a pyridine or a triazole system, and preferably to a benzene ring.
• heteroaryl thienyl, furyl, pyrrolyl, pyrrolidinyl, imidazolyl, isoxazolyl, triazolyl, thiadiazolyl, oxadiazolyl, tetrazolyl, thiatriazolyl, oxatriazolyl, pyridyl, pyrimidyl, pyrazinyl, pyridazinyl, oxazinyl, triazinyl, thiadiazinyl tetrazolo, l,5-[b]pyridazinyl and purinyl, as well as benzo-flised derivatives, for example, benzoxazolyl, benzthiazolyl, benzimidazolyl and indolyl.
• Substituents for the above optionally substituted heteroaryl rings are from one to three halo, trihalomethyl, amino, protected amino, amino salts, mono-substituted amino, di- substituted amino, carboxy, protected carboxy, carboxylate salts, hydroxy, protected hydroxy, salts of a hydroxy group, lower alkoxy, lower alkylthio, alkyl, substituted alkyl, cycloalkyl, substituted cycloalkyl, (cycloalkyl)alkyl, substituted (cycloalkyl)alkyl, substituted (cycloalkyl)alkyl, phenyl, substituted phenyl, phenylalkyl, and (substituted phenyl)alkyl.
• Substituents for the heteroaryl group are as heretofore defined, or in the case of trihalomethyl, can be trifluoromethyl, trichloromethyl, tribromomethyl, or triiodomethyl.
• lower alkoxy means a C 1 to c4 alkoxy group
• lower alkylthio means a C 1 to C 4 alkylthio group.
• (monosubstituted)amino refers to an amino group with one substituent . chosen from the group consisting of phenyl, substituted phenyl, alkyl, substituted alkyl, C 1 to C 4 acyl, C 2 to C 7 alkenyl, C 2 to C 7 substituted alkenyl, C 2 to C 7 alkynyl, C 7 to C 16 alkylaryl, C 7 to C 16 substituted alkylaryl and heteroaryl group.
• the (monosubstituted) amino can additionally have an amino-protecting group as encompassed by the term "protected (monosubstituted)amino."
• the term "(disubstituted)amino” refers to amino groups with two substituents chosen from the group consisting of phenyl, substituted phenyl, alkyl, substituted alkyl, C 1 to C 7 acyl, C 2 to C 7 alkenyl, C 2 to C 7 alkynyl, C 7 to C 16 alkylaryl, C 7 to C 16 substituted alkylaryl and heteroaryl. The two substituents can be the same or different.
• heteroaryl(alkyl) denotes an alkyl group as defined above, substituted at any position by a heteroaryl group, as above defined.
• heterocyclo group optionally mono- or di- substituted with an alkyl group' 1 means that the alkyl may, but need not, be present, and the description includes situations where the heterocyclo group is mono- or disubstituted with an alkyl group and situations where the heterocyclo group is not substituted with the alkyl group.
• isomers Compounds that have the same molecular formula but differ in the nature or sequence of bonding of their atoms or the arrangement of their atoms in space are termed “isomers.” Isomers that differ in the arrangement of their atoms in space are termed “stereoisomers.” Stereoisomers that are not mirror images of one another are termed “diastereomers” and those that are non-superimposable mirror images of each other are termed “enantiomers.” When a compound has an asymmetric center, for example, it is bonded to four different groups, a pair of enantiomers is possible.
• An enantiomer can be characterized by the absolute configuration of its asymmetric center and is described by the R- and S-sequencing rules of Cahn and Prelog, or by the manner in which the molecule rotates the plane of polarized light and designated as dextrorotatory or levorotatory (i.e., as (+) or (-)-isomers respectively).
• a chiral compound can exist as either individual enantiomer or as a mixture thereof. A mixture containing equal proportions of the enantiomers is called a "racemic mixture.”
• the compounds of this invention may possess one or more asymmetric centers; such compounds can therefore be produced as individual (R)- or (S)- stereoisomers or as mixtures thereof. Unless indicated otherwise, the description or naming of a particular compound in the specification and claims is intended to include both individual enantiomers and mixtures, racemic or otherwise, thereof.
• the methods for the determination of stereochemistry and the separation of stereoisomers are well-known in the art (see, e.g., the discussion in Chapter 4 of "Advanced Organic Chemistry", 4th edition J. March, John Wiley and Sons, New York, 1992). OVERVIEW
• the invention is based on the discovery of compounds that increase ion transport in a mutant-cystic fibrosis transmembrane conductance regulator protein (mutant-CFTR), e.g., ⁇ F508-CFTR.
• mutant-CFTR mutant-cystic fibrosis transmembrane conductance regulator protein
• Such compounds find use in methods of treatment of mutant-CFTR-mediated diseases and conditions, e.g., cystic fibrosis (CF).
• CFTR ion transport particularly that of ⁇ F508-CFTR.
• the invention provides high-affinity small-molecule compounds that correct cellular processing (e.g., folding, trafficking, or post-translational modification) of a mutant-cystic fibrosis transmembrane conductance regulator protein (e.g., ⁇ F508 CFTR).
• the compounds contemplated by the invention include the following structural classes: (1) aminobenzothiazole containing compounds; (2) aminoarylthiazole containing compounds; (3) quinazolinylaminopyrimidinone containing compounds; (4) bisaminomethylbithiazole containing compounds; and (5) phenylaminoquinoline containing compounds.
• the discovery of the subject compounds was based on screening of numerous candidate compounds using an assay designed to identify compounds that correct cellular processing (e.g., folding or trafficking) of mutant-CFTR.
• a screening of 150,000 chemically diverse compounds identified several compounds and analogs as effective mutant-CFTR potentiators.
• the subject compounds are unrelated chemically and structurally to previously known compounds that increase activity of mutant-CFTR.
• the corrector compound of the present invention is a 2- aminobenzothiazole containing compounds described herein, which comprises a substituted aminobenzothiazole group.
• the subject compound are generally described by Formula (I) as follows:
• Exemplary substitutions for R 1 and R 2 are described in more detail below.
• the 2-aminobenzothiazole containing compounds are generally described by Formula (I), wherein R 1 is a hydrogen.
• Such compounds are generally described by Formula (Ia):
• R 3 is independently selected from a substituted or unsubstituted phenyl group and R 4 is an alkyl group such as a substituted or unsubstituted, saturated linear or branched hydrocarbon group or chain (e.g., C 1 to C 8 ) including, e.g., methyl, ethyl, isopropyl, tert-butyl, heptyl, n-octyl, dodecyl, octadecyl, amyl, 2-ethylhexyl, or a pharmaceutically acceptable derivative thereof, as an individual stereoisomer or a mixture thereof.
• R 3 and R 4 are described in more detail below.
• R 3 is independently chosen from an unsubstituted phenyl group, a unsubstituted biphenyl group, or a substituted phenyl group, such as a mono- or di- (alkyl)phenyl, a mono- or di-(alkoxy)phenyl, a mono-or di-(hydroxy)phenyl, a mono- or di-
• R 4 is independently selected from a hydrogen and a lower alkyl group, such as a methyl group and an ethyl group.
• R 3 is independently selected from a mono-or di-(alkenyl)phenyl, a mono- or di-(nitro)phenyl, a mono(alkyl)- mono(alkoxy)phenyl, a di(alkoxy)- mono(halo)phenyl, and a mono(nitro)- mono(alkyl)phenyl; and R 4 is independently selected from a hydrogen and a lower alkyl group, such as a methyl group and an ethyl group. [00100] In representative embodiments, R 3 is independently selected from a mono-
• the 2-aminobenzothiazole containing compounds are generally described by Formula (I), wherein R 1 and R 2 are a fused thione substituted triazolidine ring having an R 5 group and an R 6 group. Such compounds are generally described by Formula (I), wherein R 1 and R 2 are a fused thione substituted triazolidine ring having an R 5 group and an R 6 group. Such compounds are generally described by Formula (I), wherein R 1 and R 2 are a fused thione substituted triazolidine ring having an R 5 group and an R 6 group. Such compounds are generally described by Formula (I), wherein R 1 and R 2 are a fused thione substituted triazolidine ring having an R 5 group and an R 6 group. Such compounds are generally described by Formula (I), wherein R 1 and R 2 are a fused thione substituted triazolidine ring having an R 5 group and an R 6 group. Such compounds are generally described by Formula (I), wherein R 1 and R 2 are a fused
• R 5 and R 6 are independently selected from a substituted or unsubstituted alkyl group such as such as a substituted or unsubstituted, saturated linear or branched hydrocarbon group or chain (e.g., C 1 to C 8 ) including, e.g., methyl, ethyl, isopropyl, tert-butyl, heptyl, n-octyl, dodecyl, octadecyl, amyl, 2-ethylhexyl, or a substituted or unsubstituted cycloalkyl ring, or a pharmaceutically acceptable derivative thereof, as an individual stereoisomer or a mixture thereof.
• exemplary substitutions for R 5 and R 6 are described in more detail below.
• R 5 is a lower alkyl group (e.g., C 1 -C 4 ) such as a methyl group and an ethyl group and R 6 is a lower alkyl group (e.g., C 1 -C 4 ) such as a methyl group and an ethyl group.
• R 5 and R 6 are a substituted or unsubstituted cycloalkyl group, such as a (alkyl)cycloalkyl group, such as a tert(butyl)cyclohexane group.
• the 2-aminobenzothiazole containing compounds may comprise a formula of the following:
• the corrector compound of the present invention is a 2-Amino-
• the subject compound are generally described by Formula (II) as follows:
• R 1 is independently selected from a substituted or unsubstituted phenyl group
• R 2 is independently selected from a hydrogen and an alkyl group such as a substituted or unsubstituted, saturated linear or branched hydrocarbon group or chain (e.g., C 1 to C 8 ) including, e.g., methyl, ethyl, isopropyl, tert-butyl, heptyl, n-octyl, dodecyl, octadecyl, amyl, 2- ethylhexyl
• R 3 is independently selected from a substituted or unsubstituted phenyl group, a substituted or unsubstituted heteroaromatic group, a substituted amino group, a substituted keto group; or a pharmaceutically acceptable derivative thereof, as an individual stereoisomer or a mixture thereof.
• R 1 is independently chosen from an unsubstituted phenyl group, a unsubstituted biphenyl group, or a substituted phenyl group, such as a mono- or di- (alkyl)phenyl, a mono- or di-(alkoxy)phenyl, a mono-or di-(hydroxy)phenyl, a mono- or di- (halo)phenyl, a mono-or di-(alkenyl)phenyl, a mono- or di-(nitro)phenyl, a mono(alkyl)- mono(alkoxy)phenyl, a di(alkoxy)- mono(halo)phenyl, and a mono(nitro)- mono(alkyl)phenyl;
• R 2 is independently selected from a hydrogen and a lower alkyl group (e.g., C 1 -C 4 ), such
• R 1 is independently chosen from an unsubstituted phenyl group, a unsubstituted biphenyl group, a di-(methyl)phenyl group such as a 3-, 4- di(methyl)phenyl group, a mono-(methyl)phenyl group such as a 4-(methyl)phenyl group, a di- (methoxy)phenyl group such as a 3-, 4-di(methoxy)phenyl group, a di-(hydroxy)phenyl group such as a 3-, 4-di(hydroxy)phenyl group, a mono-(bromo)phenyl group such as a 4- (bromo)phenyl group, a mono-(propene)phenyl group such as a 4-(propene)phenyl group, a mono(methyl)- mono(methoxy)phenyl group such as a 3-(methyl)-4-(methoxy)phenyl group, and a mono(nitro)- mono
• R 3 is independently selected from a unsubstituted phenyl group, a mono-(chloro)phenyl group such as a 3-(chloro)phenyl group, a mono- (fluoro)phenyl group such as a 4-(fmoro)phenyl group, a mono-(methyl)phenyl group such as a 2-(methyl)phenyl group, a mono-(ethoxy)phenyl group such as a 2-(ethoxy)phenyl group, a di(methoxy)-mono(chloro)phenyl group such as a 2-,5-di(methoxy)-4-(chloro)phenyl group, a mono-(acetamide)phenyl group such as a 4-(acetamide)phenyl group, an unsubstituted pyrimidine group, a mono-(methyl)pyridine group such as a 3-(methyl) pyridine group, a di(methyl)buty
• the corrector compound of the present invention is a 2-Quinazolinyl-4-Aminopyrimidinone Containing Compounds [00109]
• the corrector compound of the present invention is a 2-
• Quinazolinyl-4-Aminopyrimidinone containing compounds described herein which comprises a substituted or unsubstituted quinazoline group and a substituted or unsubstituted pyrimidine group.
• the subject compound are generally described by Formula (III) as follows:
• R 1 and R 2 are independently selected from a hydrogen, an alkyl group such as a substituted or unsubstituted, saturated linear or branched hydrocarbon group or chain (e.g., C 1 to C 8 ) including, e.g., methyl, ethyl, isopropyl, tert-butyl, heptyl, n-octyl, dodecyl, octadecyl, amyl, 2-ethylhexyl, an alkoxy group, such as a methoxy group, ethoxy group, propoxy group;
• R 3 is an alkyl group such as a substituted or unsubstituted, saturated linear or branched hydrocarbon group or chain (e.g., C 1 to C 8 ) including, e.g., methyl, ethyl, isopropyl, tert-butyl, heptyl, n-octyl, dodec
• R 1 is independently chosen from a hydrogen, a lower alkyl group (e.g., C 1 -C 4 ), such as a methyl group or an ethyl group, or an alkoxy group, such as a methoxy group or an ethoxy group;
• R 2 is independently chosen from a hydrogen, a lower alkyl group (e.g., C 1 -C 4 ), such as a methyl group or an ethyl group, or an alkoxy group, such as a methoxy group or an ethoxy group;
• R 3 is independently chosen from a lower alkyl group (e.g., C 1 -C 4 ), such as a methyl group or an ethyl group;
• R 4 is independently selected from a hydroxyl group or a carbonyl group; and
• R 5 and R 6 are independently selected from a fused cycloalkyl group, such as a cyclopenyl group, a hydrogen, a lower alkyl
• the 2-quinazolinyl-4-ammopyrimidmone containing compounds may comprise a formula of the following:
• the corrector compound of the present invention is a bisaminomethylbithiazole containing compounds described herein, which comprises a substituted bithiazole group and an unsubstituted heteroaromatic group.
• the subject compound are generally described by Formula (IV) as follows:
• R 1 is a alkyl group such as a substituted or unsubstituted, saturated linear or branched hydrocarbon group or chain (e.g., C 1 to C 8 ) including, e.g., methyl, ethyl, isopropyl, tert-butyl, heptyl, n-octyl, dodecyl, octadecyl, amyl, 2-ethylhexyl; and R 2 is a substituted or unsubstituted phenyl group; or a pharmaceutically acceptable derivative thereof, as an individual stereoisomer or a mixture thereof. Exemplary substitutions for R 1 and R 2 are described in more detail below.
• R 1 is a lower alkyl group (e.g., C 1 -C 4 ), such as a methyl group; and R 2 is a mono- or di-substituted phenyl group having an alkoxy group, such as a methoxy group or an ethoxy group, a halogen, such as a chloride or a bromide, a nitro group, or a substituted or unsubstituted, saturated linear or branched hydrocarbon group or chain (e.g., C 1 to C 8 ) keto group, such as a ethanone group, a propanone group, a butanone group, or a pentanone group.
• a lower alkyl group e.g., C 1 -C 4
• R 2 is a mono- or di-substituted phenyl group having an alkoxy group, such as a methoxy group or an ethoxy group, a halogen, such as a chloride or
• R 1 is a methyl group
• R 2 is independently selected from a mono- or di-substituted phenyl group, such as a mono(nitro)phenyl group; a mono(alkoxy)phenyl, such as a 2-, 3-, A-, or 5-methoxyphenyl, or a 2-, 3-, 4-, or 5-ethoxyphenyl, a mono(keto)phenyl, such as a 1-phenylpropan-l-one, or a 1- phenylethyl-1-one; or a di-substituted phenyl group, such as a 2-,3-,4-, or 5-(halo)- 2-,3-,4-, or 5(alkoxy)phenyl, such as a 3-chloro-6-methoxyphenyl.
• the bisaminomethylbithiazole containing compounds may comprise a formula of the following:
• the corrector compound of the present invention is a 2-(N- phenylamino)quinoline containing compounds described herein, which comprises a substituted or unsubstituted phenyl group and a substituted quinoline group.
• the subject compound are generally described by Formula (V) as follows:
• R 1 is independently chosen from a hydrogen, or an alkyl group such as a substituted or unsubstituted, saturated linear or branched hydrocarbon group or chain (e.g., C 1 to C 8 ) including, e.g., methyl, ethyl, isopropyl, tert-butyl, heptyl, n-octyl, dodecyl, octadecyl, amyl, 2- ethylhexyl;
• R 2 is independently chosen from a hydrogen, or an alkyl group such as a substituted or unsubstituted, saturated linear or branched hydrocarbon group or chain (e.g., C 1 to C 8 ) including, e.g., methyl, ethyl, isopropyl, tert-butyl, heptyl, n-octyl, dodecyl, octadecyl, amyl, 2-
• R 1 is independently chosen from a hydrogen or an lower alkyl group (e.g., C 1 -C 4 ), such as a methyl group
• R 2 is independently a hydrogen or a lower alkyl group (e.g., C 1 -C 4 ), such as a methyl group
• R 3 is independently a hydrogen or a lower alkyl group (e.g., C 1 -C 4 ), such as a methyl group
• R 4 is independently chosen from a hydrogen, a halogen, such as bromine or chlorine, or an alkoxy group, such as a methoxyl group or an ethoxyl group
• R 5 is independently chosen from a hydrogen, a halogen, such as bromine or chlorine, or an alkoxy group, such as a methoxyl group or an ethoxyl group.
• the 2-(N-phenylamino)quinoline containing compounds may comprise a formula of the following:
• Analog and Derivative Compounds Also provided by the invention are analogs and derivatives of the subject compounds described above.
• the terms “analog” and “derivative” refers to a molecule which is structurally similar or has the same function or activity as the subject compounds of the invention.
• Such analogs and derivatives of the subject compounds can be screened for efficiency in correcting folding or cellular processing of a mutant CFTR, such as ⁇ F508-CFTR.
• in silico modeling can be used to screen 3-dimensional libraries - of analog or derivative compounds for activity in binding to and correcting folding or cellular processing of a mutant CFTR, such as ⁇ F508-CFTR.
• An exemplary in silico modeling program suitable for use with the subject method is the PREDICTTM 3D Modeling Technology (Predix Pharmaceuticals, Woburn MA), described in greater detail in Becker et al., PNAS 101(31):l 1304-11309 (2004).
• the subject compounds of the invention may be administered in the form of their pharmaceutically acceptable salts, or they may also be used alone or in appropriate association, as well as in combination, with other pharmaceutically active compounds.
• the following methods and excipients are merely exemplary and are in no way limiting.
• the agent can be administered to a host using any available conventional methods and routes suitable for delivery of conventional drags, including systemic or localized routes.
• routes of administration contemplated by the invention include, but are not necessarily limited to, enteral, parenteral, or inhalational routes, such as intrapulmonary or intranasal delivery.
• routes of administration include intranasal, intrapulmonary intramuscular, intratracheal, intratumoral, subcutaneous, intradermal, topical application, intravenous, rectal, nasal, oral and other parenteral routes of administration. Routes of administration may be combined, if desired, or adjusted depending upon the agent and/or the desired effect.
• the composition can be administered in a single dose or in multiple doses.
• the compounds of the invention are administered in aerosol formulation via intrapulmonary inhalation.
• the compounds of the present invention can be formulated into pressurized acceptable propellants such as dichlorodifluoromethane, propane, nitrogen and the like.
• Mechanical devices designed for intrapulmonary delivery of therapeutic products include but are not limited to nebulizers, metered dose inhalers, and powder inhalers, all of which are familiar to those of skill in the art.
• nebulizers include but are not limited to nebulizers, metered dose inhalers, and powder inhalers, all of which are familiar to those of skill in the art.
• Specific examples of commercially available devices suitable for the practice of this invention are the Ultravent nebulizer, manufactured by Mallinckrodt, Inc., St.
• Formulations for use with a metered dose inhaler device may generally comprise a finely divided powder.
• This powder may be produced by lyophilizing and then milling a liquid conjugate formulation and may also contain a stabilizer such as human serum albumin (HSA). Typically, more than 0.5% (w/w) HSA is added.
• HSA human serum albumin
• one or more sugars or sugar alcohols may be added to the preparation if necessary. Examples include lactose maltose, mannitol, sorbitol, sorbitose, trehalose, xylitol, and xylose.
• the amount added to the formulation can range from about 0.01 to 200% (w/w), preferably from approximately 1 to 50%, of the conjugate present. Such formulations may then lyophilized and milled to the desired particle size.
• the properly sized particles may then suspended in a propellant with the aid of a surfactant.
• the propellant may be any conventional material employed for this purpose, such as a chlorofluorocarbon, a hydrochlorofluorocarbon, a hydrofluorocarbon, or a hydrocarbon, including trichlorofluoromethane, dichlorodifluoromethane, dichlorotetrafluoroethanol, and 1,1,1,2-tetrafluoroethane, or combinations thereof.
• Suitable surfactants may include sorbitan trioleate and soya lecithin. Oleic acid may also be useful as a surfactant. This mixture may then loaded into the delivery device.
• An example of a commercially available metered dose inhaler suitable for use in the present invention is the Ventolin metered dose inhaler, manufactured by Glaxo Lie, Research Triangle Park, N.C.
• Formulations for powder inhalers may comprise a finely divided dry powder containing conjugate and may also include a bulking agent, such as lactose, sorbitol, sucrose, or mannitol in amounts which facilitate dispersal of the powder from the device, e.g., 50% to 90% by . .. weight of the formulation.
• the particles of the powder may have aerodynamic properties in the lung corresponding to particles with a density of about 1 g/cm.sup.2 having a median diameter less than 10 micrometers, preferably between 0.5 and 5 micrometers, most preferably of between 1.5 and 3.5 micrometers.
• a powder inhaler suitable for use in accordance with the teachings herein is the Spinhaler powder inhaler, manufactured by Fisons Corp., Bedford, Mass.
• the powders for these devices may be generated and/or delivered by methods disclosed in U.S. Pat. No. 5,997,848, U.S. 5,993,783, U.S. 5,985,248, U.S. 5,976574, U.S. 5,922,354, U.S. 5,785,049 and U.S. 5,654,007.
• the subject compounds can be used alone or in combination with appropriate additives to make tablets, powders, granules or capsules, for example, with conventional additives, such as lactose, mannitol, corn starch or potato starch; with binders, such as crystalline cellulose, cellulose derivatives, acacia, corn starch or gelatins; with disintegrators, such as corn starch, potato starch or sodium carboxymethylcellulose; with lubricants, such as talc or magnesium stearate; and if desired, with diluents, buffering agents, moistening agents, preservatives and flavoring agents.
• conventional additives such as lactose, mannitol, corn starch or potato starch
• binders such as crystalline cellulose, cellulose derivatives, acacia, corn starch or gelatins
• disintegrators such as corn starch, potato starch or sodium carboxymethylcellulose
• lubricants such as talc or magnesium stearate
• Parenteral routes of administration other than inhalation administration include, but are not necessarily limited to, topical, transdermal, subcutaneous, intramuscular, intraorbital, intracapsular, intraspinal, intrasternal, and intravenous routes, i.e., any route of administration other than through the alimentary canal.
• Parenteral administration can be carried to effect systemic or local delivery of the agent. Where systemic delivery is desired, administration typically involves invasive or systemically absorbed topical or mucosal administration of pharmaceutical preparations.
• Methods of administration of the agent through the skin or mucosa include, but are not necessarily limited to, topical application of a suitable pharmaceutical preparation, transdermal transmission, injection and epidermal administration.
• a suitable pharmaceutical preparation for transdermal transmission, absorption promoters or iontophoresis are suitable methods.
• Iontophoretic transmission may be accomplished using commercially available "patches" which deliver their product continuously via electric pulses through unbroken skin for periods of several days or more.
• the subject compounds of the invention can be formulated into preparations for injection by dissolving, suspending or emulsifying them in an aqueous or nonaqueous solvent, such as vegetable or other similar oils, synthetic aliphatic acid glycerides, esters of higher aliphatic acids or propylene glycol; and if desired, with conventional additives such as solubilizers, isotonic agents, suspending agents, emulsifying agents, stabilizers and preservatives.
• the agent can also be delivered to the subject by enteral administration.
• Enteral routes of administration include, but are not necessarily limited to, oral and rectal (e.g., using a suppository) delivery.
• the subject compounds can be made into suppositories by mixing with a variety of bases such as emulsifying bases or water-soluble bases.
• bases such as emulsifying bases or water-soluble bases.
• the compounds of the present invention can be administered rectally via a suppository.
• the suppository can include vehicles such as cocoa butter, carbowaxes and polyethylene glycols, which melt at body temperature, yet are solidified at room temperature. Dosages of the compounds of the invention
• the subject compounds may be administered in dosages of, for example, 0.1 ⁇ g to 10 mg/kg body weight per day.
• the range is broad, since in general the efficacy of a therapeutic effect for different mammals varies widely with doses typically being 20, 30 or even 40 times smaller (per unit body weight) in man than in the rat.
• the mode of administration can have a large effect on dosage.
• oral dosages may be about ten times the injection dose. Higher doses may be used for localized routes of delivery.
• a typical dosage may be a solution suitable for intravenous administration; a tablet taken from two to six times daily, or one time-release capsule or tablet taken once a day and containing a proportionally higher content of active ingredient, etc.
• the time-release effect may be obtained by capsule materials that dissolve at different pH values, by capsules that release slowly by osmotic pressure, or by any other known means of controlled release.
• dose levels can vary as a function of the specific compound, the severity of the symptoms and the susceptibility of the subject to side effects. Preferred dosages for a given compound are readily determinable by those of skill in the art by a variety of means.
• a suitable dosage range is one which provides up to about 1 ⁇ g to about 1,000 ⁇ g or about 10,000 ⁇ g of subject composition to reduce a symptom in a subject animal.
• Unit dosage forms for oral or rectal administration such as syrups, elixirs, and suspensions may be provided wherein each dosage unit, for example, teaspoonful, tablespoonful, tablet or suppository, contains a predetermined amount of the composition containing one or more compounds of the invention.
• unit dosage forms for injection or intravenous administration may comprise the compound (s) in a composition as a solution in sterile water, normal saline or another pharmaceutically acceptable carrier. Combination therapy using the compounds of the invention
• the subject compounds may be formulated with or otherwise administered in combination with other pharmaceutically active agents, including other mutant CFTR-activating agents or mutant-CFTR potentiating agents.
• the subject compounds may be used to provide an increase in the effectiveness of another chemical, such as a pharmaceutical (e.g., other CFTR-activating agents, or agents that potentiate a gating defective mutant-CFTR), or a decrease in the amount of another chemical, such as a pharmaceutical (e.g., other CFTR-activating agents), that is necessary to produce the desired biological effect.
• a pharmaceutical e.g., other CFTR-activating agents, or agents that potentiate a gating defective mutant-CFTR
• a pharmaceutical e.g., other CFTR-activating agents
• Examples of other CFTR activating agents include, but are not limited to, enhancers of intracellular cAMP levels, such as for example, but not limited to, forskolin, rolipram, 8- bromo-cAMP, theophylline, papaverine, cAMP and salts, analogs, or derivatives thereof.
• Other examples include beta agonists, tobramycin (TOBI ® , Chiron Inc., Emeryville, Calif.) and curcumin (Egan et al., (2004) Science 304:600-603).
• Examples of mutant-CFTR potentiating agents include, but are not limited to, phenylglycine containing compounds and sulfonamide containing compounds described in greater detail is U.S. Provisional Patent Application Serial No. 60/576,966, filed June 4, 2004 incorporated herein in its entirety.
• the compounds described above may also be combined with other therapies for CF, including oral corticosteroids, ibuprofen, ribovarin or antibiotics such as dicloxacillin, cephalosporin, cephalexin, erythromycin, amoxicillin-clavulanate, ampicillin, tetracycline, trimethoprim-sulfamethoxazole, chloramphenicol ciprofloxacin, tobramycin, gentamicin, cephalosporins, monobactams and the like.
• antibiotics such as dicloxacillin, cephalosporin, cephalexin, erythromycin, amoxicillin-clavulanate, ampicillin, tetracycline, trimethoprim-sulfamethoxazole, chloramphenicol ciprofloxacin, tobramycin, gentamicin, cephalosporins, monobactams and the like.
• the compounds described herein for use in combination therapy with the compounds of the present invention may be administered by the same route of administration (e.g. intrapulmonary, oral, enteral, etc.) that the compounds are administered.
• the compounds for use in combination therapy with the compounds of the present invention may be administered by a different route of administration that the compounds are administered.
• Kits with unit doses of the subject compounds are provided.
• kits in addition to the containers containing the unit doses will be an informational package insert describing the use and attendant benefits of the drugs in treating pathological condition of interest.
• Preferred compounds and unit doses are those described herein above.
• the invention provides methods for increasing ion permeability of a cell that produces mutant-CFTR protein, with cells having a folding or processing defective mutant-CFTR being of interest, such as cells having a ⁇ F508-CFTR being of particular interest.
• the method involves contacting the cell with a compound in an amount effective to correct the folding or processing defect of a mutant-CFTR protein and increase ion permeability of the cell.
• a compound of the invention is used in the method in combination with a second mutant-CFTR activator or potentiator.
• the cell mutant-CFTR protein is present on the plasma membrane of the cell.
• Methods of detecting mutant-CFTR protein presence on the plasma membrane are well known in the art and can include but are not limited to, for example, labeling a molecule that binds to CFTR protein with a fluorescent, chemical or biological tag.
• molecules that bind to CFTR protein include, without limitation, antibodies (monoclonal and polyclonal), FAB fragments, humanized antibodies and chimeric antibodies.
• an antibody that binds to CFTR protein see, e.g. U.S. Patent No. 6,201,107.
• the cell has increased permeability to chloride ions, and the contacting of the cell with a compound of the invention, particularly when provided in combination with a mutant-CFTR activator or potentiator, increases the rate of chloride ion transport across the plasma membrane of the cell. Contacting the cell with a compound of the invention usually increases the activity of mutant-CFTR protein to increase ion transport.
• the ion transport activity of mutant-CFTR, or the permeability of a cell to ions is increased by up to about 10%, by up to about 20%, by up to about 50%, by up to about 100%, by up to about 150%, by up to about 200%, by up to about 300%, by up to about 400%, by up to about 500%, by up to about 800%, or up to about 1000% or more.
• contacting of the cell with a compound of the invention causes detectable activity of mutant-CFTR or permeability of a cell to ions.
• mutant-CFTR and/or ion permeability may be measured using any convenient methods that may use molecular markers, e.g., a halide sensitive GFP or another molecular marker (e.g., Galietta et al., (2001) FEBS Lett. 499, 220-224), patch clamp assays, and short circuit assays.
• molecular markers e.g., a halide sensitive GFP or another molecular marker (e.g., Galietta et al., (2001) FEBS Lett. 499, 220-224), patch clamp assays, and short circuit assays.
• Suitable cells include those cells that have an endogenous or introduced mutant-CFTR gene.
• Suitable cells include mammalian cell systems (e.g., COS, CHO, BHK, 293, 3T3 cells etc.) harboring constructs that have an expression cassette for expression of mutant-CFTR.
• the cell used in the subject methods may be a cell present in vivo, ex vivo, or in vitro.
• expression cassette is meant to denote a genetic sequence, e.g. DNA or RNA, that codes for mutant-CFTR protein, e.g., ⁇ F508-CFTR.
• the invention also provides methods of treating a subject having a condition associated with mutant-CFTR, e.g., cystic fibrosis.
• the method involves administering to the subject a compound of the invention in an amount effective to activate a mutant-CFTR protein to increase ion transport and thereby treat the condition.
• a compound of the invention is administered in combination with a second mutant- CFTR activator or potentiator, e.g., a compound that enhances intracellular cAMP, e.g., forskolin, a phenylglycine containing compound, or a sulfonamide containing compound.
• mutant-CFTR-mediated condition e.g., any condition, disorder or disease, or symptom of such condition, disorder, or disease, that results from the presence and/or activity of mutant-CFTR as compared to wild-type CFTR, e.g., activity of mutant-CFTR in ion transport.
• mutant-CFTR-mediated condition e.g., any condition, disorder or disease, or symptom of such condition, disorder, or disease
• Such conditions, disorders, diseases, or symptoms thereof are amenable to treatment by correction of folding or cellular processing of mutant-CFTR, e.g., activation of mutant-CFTR chloride transport.
• Cystic fibrosis a hereditary condition associated with a mutant-CFTR, e.g., ⁇ F508-CFTR is an example of a condition that is treatable using the compounds of the invention.
• Use of the compounds of the invention in combination with a second mutant CFTR activator or potentiator is of particular interest.
• Cystic fibrosis is predominantly a disorder of infants, children and young adults, in which there is widespread dysfunction of the exocrine glands, characterized by signs of chronic pulmonary disease (due to excess mucus production in the respiratory tract), pancreatic deficiency, abnormally high levels of electrolytes in the sweat and occasionally by biliary cirrhosis. Also associated with the disorder is an ineffective immunologic defense against bacteria in the lungs.
• pancreas shows obstruction of the pancreatic ducts by amorphous eosinophilic concretions, with consequent deficiency of pancreatic enzymes, resulting in steatorrhoea and azotorrhoea and intestinal malabsorption.
• pancreatic enzymes resulting in steatorrhoea and azotorrhoea and intestinal malabsorption.
• the degree of involvement of organs and glandular systems may vary greatly, with consequent variations in the clinical picture.
• Involved glands are of three types: those that become obstructed by viscid or solid eosinophilic material in the lumen (pancreas, intestinal glands, intrahepatic bile ducts, gallbladder, submaxillary glands); those that are histologically abnormal and produce an excess of secretions (tracheobronchial and Brunner's glands); and those that are histologically normal but secrete excessive sodium and chloride (sweat, parotid, and small salivary glands).
• Duodenal secretions are viscid and contain an abnormal mucopolysaccharide.
• Infertility occurs in 98% of adult men secondary to maldevelopment of the vas deferens or to other forms of obstructive azoospermia.
• fertility is decreased secondary to viscid cervical secretions, but many women with CF have carried pregnancies to term. However, the incidence of maternal complications increases.
• Pancreatic insufficiency is clinically apparent in 85 to 90% of CF patients, usually presents early in life, and may be progressive. Manifestations include the frequent passage of bulky, foul-smelling, oily stools; abdominal protuberance; and poor growth pattern with decreased subcutaneous tissue and muscle mass despite a normal or voracious appetite. Rectal prolapse occurs in 20% of untreated infants and toddlers. Clinical manifestations may be related to deficiency of fat-soluble vitamins.
• Insulin-dependent diabetes develops in 10% of adult patients having CF, and multilobular biliary cirrhosis with varices and portal hypertension develops in 4 to 5% of adolescents and adults.
• Chronic and/or recurrent abdominal pain may be related to intussusception, peptic ulcer disease, periappendiceal abscess, pancreatitis, gastroesophageal reflux, esophagitis, gallbladder disease, or episodes of partial intestinal obstruction secondary to abnormally viscid fecal contents.
• Inflammatory complications may include vasculitis and arthritis.
• Any of above symptoms of CF may be treated using the compounds of the invention, with use of such compounds in combination with a second mutant-CFTR activator or potentiator being of particular interest.
• the above methods may be used to treat CF and its symptoms in humans or in animals.
• Animals suitable for treatment using the subject methods include any animal with a mutant-CFTR related condition, particularly a mammal, e.g., non-human primates (e.g., monkey, chimpanzee, gorilla, and the like), rodents (e.g., rats, mice, gerbils, hamsters, ferrets, and the like), lagomorphs, swine (e.g., pig, miniature pig), equine, canine, feline, and the like. Large animals are of particular interest.
• Transgenic mammals may also be used, e.g. mammals that have a chimeric gene sequence. Methods of making transgenic animals are well known in the art, see, for example, U.S. Patent No. 5,614,396. For an example of a transgenic mouse with a CFTR defect, see e.g. WO 94/04669.
• Such animals may be tested in order to assay the activity and efficacy of the subject compounds. Improvement in lung function can be assessed by, for example, monitoring prior to and during therapy the subject's forced vital capacity (FVC), carbon monoxide diffusing capacity (DLco), and/or room air p ⁇ 2 >55 mmHg at rest. Significant improvements in one or more of these parameters are indicative of efficacy. It is well within the skill of the ordinary healthcare worker (e.g., clinician) provide adjust dosage regimen and dose amounts to provide for optimal benefit to the patient according to a variety of factors (e.g., patient-dependent factors such as the severity of the disease and the like), the compound administered, and the like). Subjects suitable for treatment
• Subjects suitable for treatment with a method of the present invention include individuals having mutant-CFTR protein-mediated condition disorder or disease, or symptom of such condition, disorder, or disease that results from or is correlated to the presence of a mutant-CFTR, usually two alleles of the mutant CFTR.
• subjects suitable for treatment with a method of the present invention include individuals with Cystic Fibrosis (CF). Of particular interest in many embodiments is the treatment of humans with CF.
• Symptoms of mutant-CFTR protein-mediated conditions include meconium ileus, liver disease including biliary tract obstruction and stenosis, pancreatic insufficiency, pulmonary disease including chronic Pseudomonas aeruginosa infections and other infections of the lung, infertility associated with abnormal vas deferens development or abnormal cervical mucus, and carcinoma including adenocarcinoma.
• the compounds of the present invention affect the ion transport capability of the mutant-CFTR by increasing the reduced level of ion transport mediated by a mutant-CFTR, such as the ⁇ F508-CFTR.
• the compounds of the present invention have particular clinical utility in treating a subset of CF patients that have mutations in the CFTR gene that results a mutant-CFTR that is expressed in the plasma membrane and has reduced chloride conductance capability due to folding or cellular processing defects (i.e., the mutant-CFTR is folding or cellular processing defective).
• the compounds of the present invention have clinical utility in treating CF patients having a folding or cellular processing mutant-CFTR, such as ⁇ F508-CFTR.
• the compounds of the present invention also have clinical utility in treating CF patients when used in conjunction with compounds that activate or potentiate a gating defective mutant-CFTR, such as ⁇ F508-CFTR, G55 ID-CFTR, Gl 349D- CFTR, or Dl 152H-CFTR.
• a gating defective mutant-CFTR such as ⁇ F508-CFTR, G55 ID-CFTR, Gl 349D- CFTR, or Dl 152H-CFTR.
• CFTR mutations associated with CF are well known in the art. These mutations can be classified in five general categories with respect to the CFTR protein. These classes of CFTR dysfunction include limitations in CFTR production (e.g., transcription and/or translation) (Class I), aberrant folding and/or trafficking (Class II), abnormal regulation of conduction (Class III), decreases in chloride conduction (Class FV), and reductions in synthesis (Class V). Due to the lack of functional CFTR, Class I, II, and III mutations are typically associated with a more severe phenotype in CF (i.e. pancreatic insufficiency) than the Class FV or V mutations, which may have very low levels of functional CFTR expression.
• Class I, II, and III mutations are typically associated with a more severe phenotype in CF (i.e. pancreatic insufficiency) than the Class FV or V mutations, which may have very low levels of functional CFTR expression.
• a subject suitable for treatment with a method of the present invention may be homozygous for a specific mutant-CFTR, i.e. homozygous subjects with two copies of a specific mutant-CFTR, e.g., ⁇ F508-CFTR.
• subjects suitable for treatment with a method of the present invention may also be compound heterozygous for two different CFTR mutants, i.e., wherein the genome of the subjects includes two different mutant forms of CFTR, e.g., a subject with one copy of ⁇ F508-CFTR and a copy of different mutant form of CFTR.
• the mutant-CFTR polypeptide is ⁇ F508-CFTR.
• the invention should not be construed to be limited solely to the treatment of CF patients having this mutant form of CFTR. Rather, the invention should be construed to include the treatment of CF patients having other mutant forms of CFTR with similar characteristics, that result in expression of the mutant-CFTR in the plasma membrane and has reduced chloride conductance capability or has abnormal regulation of conductance.
• Fischer rat thyroid (FRT) epithelial cells stably co-expressing human ⁇ F508-CFTR and the high-sensitivity halide-sensing green fluorescent analog YFP-H148Q/I152L (Galietta et al., FEBS Lett 499:220-224 (2001)) were generated as described previously (Galietta et al., JBC 276:19723-19728 (2001); Ma et al., JBC 277:37235-37241 (2002)). FRT cells stably expressing P574H-CFTR were generated similarly.
• FRT cells were cultured on plastic in Coon's modified Fl 2 medium supplemented with 10% fetal bovine serum, 2 mM L-glutamine, 100 U/ml penicillin, and 100 ⁇ g/ml streptomycin.
• primary screening cells were plated using a LabSystems multidrop dispenser into black 96-well microplates (Corning-Costar) at 50,000 cells/well. Screening was done at 18-24 hours after plating.
• For short-circuit current measurements cells were cultured on Snapwell permeable supports (Corning-Costar) at 500,000 cells/insert.
• Screening was carried out using a Beckman integrated system containing a 3-meter robotic arm, CO 2 incubator containing microplate carousel, plate-washer, liquid handling workstation, bar code reader, delidding station, plate sealer, and two FluoStar fluorescence plate readers (Optima, BMG Lab Technologies), each equipped with dual syringe pumps and 500 ⁇ 10 nm excitation and 535 ⁇ 15 nm emission filters (Chroma). FRT cells were incubated at 37 0 C (90% humidity, 5% CO 2 ) for 18-24 hours, and then incubated for 18-24 hours 50 ⁇ L of medium containing test compounds (10 ⁇ M final concentrations).
• AU compound plates contained negative controls (DMSO vehicle) and positive controls (4-PB A, 4 mM), with separate low temperature rescue (27 0 C incubation for 18-24 hours) positive control plates.
• Assay analysis indicated a Z'-factor of >0.6.
• the basolateral solution contained (in rnM): 130 NaCl, 2.7 KCl, 1.5 KH 2 PO 4 , 1 CaCl 2 , 0.5 MgCl 2 , 10 glucose, 10 Na- Hepes (pH 7.3).
• the basolateral membrane was permeabilized with 250 ⁇ g/ml amphotericin B.
• apical and basolateral chambers contained 126 mM NaCl, 0.38 mM KH 2 PO 4 , 2.1 mM K 2 HPO 4 , 1 mM MgSO 4 , 1 mM CaCl 2 , 24 mM NaHCO 3 and 10 mM glucose (basolateral membrane not permeabilized).
• Hemichambers were connected to a DVC-1000 voltage clamp (World Precision Instruments) via Ag/ AgCl electrodes and 1 M KCl agar bridges for recording apical membrane or short-circuit current.
• Biochemical studies utilized BHK cells stably transfected with HA-tagged variants of wildtype and ⁇ F508-CFTR.
• CFTR was tagged at the C-terminal tail (CFTR-C 1 HA) or in its fourth extracellular loop with three HA epitopes (CFTR-3HA).
• Accumulation of complex- glycosylated CFTR was assayed by immunoblot analysis as described (Sharma et al., JBC 276:8942-8950 (2001)).
• Plasma membrane expression was assayed by HA antibody binding (in non-permeabilized cells) using an iodinated secondary anti-mouse antibody as described (Sharma et al., JCB 164:923-933 (2004)) or a horseradish peroxidase-coupled secondary antibody with Amplex-red as substrate. Non-specific antibody binding was measured in non- transfected cells (using same assay conditions) and in transfected cells with primary antibody omitted. Folding efficiency was assayed as described (Du et al., Nat. Struct. Mo. Biol. (2005)) with modifications.
• ⁇ F508-CFTR-C t HA expressing BHK cells were depleted of endogenous methionine and cysteine in the presence of correctors.
• cells were incubated in the presence of 0.2 mCi/ml 35 S-methionine and 35 S-cysteine for 150 minutes and chased in the presence of complete culture medium for an additional 150 minutes.
• Radioactivity incorporated into newly synthesized CFTR was measured by pulse-labeling equal numbers of cells for 15 minutes without chase.
• CFTR was isolated by immunoprecipitation, visualized by fluorography, and quantified by phosphorimage analysis as described (Lukacs et al, EMBO J., 13:6076-6086 (1994)).
• EXAMPLE 1 DISCOVERY AND CHARACTERIZATION OF ⁇ F508-CFTR CORRECTORS
• Fig. 1 FRT cells coexpressing ⁇ F508-CFTR and a fluorescent YFP lialide sensor were incubated with test compounds (10 ⁇ M) for 18-24 hours at 37 0 C in a 96- well format. ⁇ F508-CFTR mediated iodide influx was then assayed after compound washout and addition of the potentiators forskolin and genistein. Primary screening of 150,000 compounds produced 45 compounds that increased iodide influx ( ⁇ d[I " ]/dt) by >0.10 mM/s, and 15 compounds increasing iodide influx by >0.20 mM/s. Examples of original data from individual wells are shown in Fig. 2. The negative control was vehicle (DMSO) alone (labelled '37 0 C), and the positive controls were 4-phenylbutyrate (4-PBA) and reduced temperature (27 0 C) incubation rescue. Examples of two active compounds are shown.
• Fig. 5 shows Ussing chamber experiments in which apical membrane chloride current was measured in FRT cells after basolateral membrane permeabilization and in the presence of a chloride gradient (apical 65 mM, basolateral 130 mM). After measurement of apical membrane chloride current at baseline, high concentrations of the potentiators forskolin (20 ⁇ M) and then genistein (50 ⁇ M) were added; CFTR inh -172 (10 ⁇ M) was added at the end of each experiment. The electrophysiological studies confirmed the data obtained from the fluorescence assay. In the left panel in Fig. 5 is shown the much greater current in ⁇ F508- CFTR expressing cells grown at 27 0 C vs.
• Class 1 2-aniinobenzothiazoles V max (mM/s) K 1 , ( ⁇ M)
• corr-lf 0.17 ⁇ 0.01 8.0 ⁇ 1.0 corr-2k 0.15 ⁇ 0.01 10.2 ⁇ 0.2
• Fig. 6, panel A summarizes the time course of correction for four corrector compounds
• the cell line used for primary screening was chosen to be of epithelial origin (to resemble native CFTR-expressing cells), to permit rapid assessment of chloride currents in cell monolayers, and to give a robust low-temperature rescue response. Additional requirements for the cell line for high-throughput screening included rapid growth in test plates, stable and bright YFP-H 148Q/I152L expression, and low basal halide permeability.
• the YFP- H148Q/I152L fluorescent halide indicator was developed previously (Galietta et al., FEBS Lett. 499:220-224 (2001)) as having bright cellular expression and ultra-high iodide sensitivity.
• the transfected FRT cell line used was selected after screening many transfected and natively- expressed epithelial cell lines, and well as more than one hundred ⁇ F508-CFTR/YFP- H148Q/I152L transfected FRT cell clones.
• Plasma membrane ⁇ F508- CFTR expression was confirmed using an anti-HA antibody binding assay based on the recognition of an extracellular epitope (Ma et al., JBC 277:37235-37241 (2002)). Incubation with corrector compounds increased the abundance of plasma membrane ⁇ F508-CFTR significantly, with an approximately proportionate increase in forskolin/genistein-stimulated apical membrane chloride current (Fig. 11, panel A).
• the ⁇ F508 mutation impairs the ⁇ F508-CFTR conformational maturation and export competence of the channel at the endoplasmic reticulum, and destabilizes the complex- glycosylated ⁇ F508-CFTR in post-Golgi compartments (Sharma et al., 2001; Sharma et al., 2004). Corrector compounds may thus facilitate the posttranslational folding of newly synthesized ⁇ F508-CFTR as well as enhance the stability of mature, complex-glycosylated ⁇ F508-CFTR.
• Fig. 12 shows that corr-4a compound, which produced robust chloride currents in ⁇ F508-CFTR expressing cells, had no effect on the P574H-CFTR cells, despite a positive low temperature rescue control. Corr-3a compound produced a two-fold increase in chloride current.
• CFTR cellular processing involves translation, folding at the ER, Golgi transport, post- rranslational glycosylation, and apical plasma membrane targeting.
• Plasma membrane CFTR is internalized by endocytosis, and then recycled to the plasma membrane or targeted for lysosomal degradation (Sharma et al., 2004; Gentzsch et al., MBC 5:2684-2696 (2004)).
• ⁇ F508-CFTR folding is inefficient. In BHK cells with 99.5 % of newly synthesized ⁇ F508- CFTR in BHK cells targeted for degradation without reaching the Golgi. Near complete ER retention of ⁇ F508-CFTR was reported in other model systems as well.
• Corr-4b and corr-4c compounds increased ⁇ F508-CFTR folding efficiency nearly 3-fold without effect on translational rate, suggesting that the corrector compounds could partially overcome the post- translational folding barrier.
• small molecules can facilitate the folding of the NBD2 and/or transmembrane domains (Du et al., Nat. Struct. Biol., 2005, Chen et al., JBC 279:39620-39627 (2004)).
• the conformationally stabilized mutant is less susceptible to the ubiquitin-dependent peripheral quality control mechanism and lysosomal degradation than the rescued ⁇ F508-CFTR in the absence of corrector compounds (Sharma et al., 2004).
• the corrector compounds were also tested on differentiated primary cultures of human airway epithelial cells from ⁇ F508-CFTR homozygous subjects.
• Cells polarized on permeable supports were mounted in Ussing chambers for measurement of chloride secretion by short- circuit current analysis. After blocking Na + current with amiloride, cells treated with DMSO vehicle alone showed little response to forskolin, genistein, or CFTR mh -172 (Fig. 13). Incubation at 27°C for 24 hours resulted in the appearance of significant chloride current as seen by the increased current after forskolin and genistein, and the inhibition by CFTRi n I 1 - 172.
• Fig. 14, panel A summarizes the changes in short-circuit current produced by CFTR inh -172 inhibition for a series of measurements as in A, including data for a second bisaminomethylbithiazole.
• Fig. 14, panel B shows no significant correction of short-circuit current for the N1303K-CFTR bronchial cells when measured with the same compounds and conditions used for the ⁇ F508-CFTR cells in Fig. 13.

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• 2006
  • 2006-03-08 MX MX2007011512A patent/MX2007011512A/es not_active Application Discontinuation
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  • 2006-03-08 KR KR1020077024001A patent/KR20070114820A/ko not_active Application Discontinuation
  • 2006-03-08 WO PCT/US2006/008267 patent/WO2006101740A2/en active Application Filing
  • 2006-03-08 JP JP2008501913A patent/JP2008538107A/ja not_active Withdrawn
  • 2006-03-08 AU AU2006227833A patent/AU2006227833A1/en not_active Abandoned
  • 2006-03-08 CN CNA2006800150356A patent/CN101605543A/zh active Pending
  • 2006-03-08 CA CA002600869A patent/CA2600869A1/en not_active Abandoned
  • 2006-03-08 US US11/908,591 patent/US8143295B2/en active Active
  • 2006-03-08 EP EP06737438A patent/EP1863522A4/en not_active Withdrawn
• 2007
  • 2007-09-17 IL IL185999A patent/IL185999A0/en unknown

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