WO2008130600A2 - Quinolones and azaquinolones that inhibit prolyl hydroxylase - Google Patents
Quinolones and azaquinolones that inhibit prolyl hydroxylase Download PDFInfo
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- WO2008130600A2 WO2008130600A2 PCT/US2008/004965 US2008004965W WO2008130600A2 WO 2008130600 A2 WO2008130600 A2 WO 2008130600A2 US 2008004965 W US2008004965 W US 2008004965W WO 2008130600 A2 WO2008130600 A2 WO 2008130600A2
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- KRPCKUSSKVEHEH-UHFFFAOYSA-N CCOC(C(C(N(C)c1c2cnc(C(F)(F)F)n1)=O)=C2O)=O Chemical compound CCOC(C(C(N(C)c1c2cnc(C(F)(F)F)n1)=O)=C2O)=O KRPCKUSSKVEHEH-UHFFFAOYSA-N 0.000 description 1
- FAWSLMNFZXXCSE-UHFFFAOYSA-N CN(c(c(F)c(cc1)F)c1C(O)=C1C(CCC(O)=O)=O)C1=O Chemical compound CN(c(c(F)c(cc1)F)c1C(O)=C1C(CCC(O)=O)=O)C1=O FAWSLMNFZXXCSE-UHFFFAOYSA-N 0.000 description 1
- XWKZJTBXSQLOTP-UHFFFAOYSA-N CN(c(cc(cc1)Br)c1C(O)=C1C(OC)=O)C1=O Chemical compound CN(c(cc(cc1)Br)c1C(O)=C1C(OC)=O)C1=O XWKZJTBXSQLOTP-UHFFFAOYSA-N 0.000 description 1
- YOPREHPEFDOGBH-UHFFFAOYSA-N CN(c(ncc(-c1ccccc1)c1)c1C(O)=C1C(CCC(O)=O)=O)C1=O Chemical compound CN(c(ncc(-c1ccccc1)c1)c1C(O)=C1C(CCC(O)=O)=O)C1=O YOPREHPEFDOGBH-UHFFFAOYSA-N 0.000 description 1
- QWYFUWYQYDPKST-UHFFFAOYSA-N CN(c(ncc(I)c1)c1C(O)=C1C(OC)=O)C1=O Chemical compound CN(c(ncc(I)c1)c1C(O)=C1C(OC)=O)C1=O QWYFUWYQYDPKST-UHFFFAOYSA-N 0.000 description 1
- RKNXTSDQGDJWPJ-UHFFFAOYSA-N CN(c1cc(Br)cnc1C(O)=C1C(OC)=O)C1=O Chemical compound CN(c1cc(Br)cnc1C(O)=C1C(OC)=O)C1=O RKNXTSDQGDJWPJ-UHFFFAOYSA-N 0.000 description 1
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D471/00—Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, at least one ring being a six-membered ring with one nitrogen atom, not provided for by groups C07D451/00 - C07D463/00
- C07D471/02—Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, at least one ring being a six-membered ring with one nitrogen atom, not provided for by groups C07D451/00 - C07D463/00 in which the condensed system contains two hetero rings
- C07D471/04—Ortho-condensed systems
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
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- A61P17/02—Drugs for dermatological disorders for treating wounds, ulcers, burns, scars, keloids, or the like
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61P29/00—Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P3/00—Drugs for disorders of the metabolism
- A61P3/08—Drugs for disorders of the metabolism for glucose homeostasis
- A61P3/10—Drugs for disorders of the metabolism for glucose homeostasis for hyperglycaemia, e.g. antidiabetics
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P35/00—Antineoplastic agents
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P37/00—Drugs for immunological or allergic disorders
- A61P37/02—Immunomodulators
- A61P37/06—Immunosuppressants, e.g. drugs for graft rejection
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- 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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P7/00—Drugs for disorders of the blood or the extracellular fluid
- A61P7/06—Antianaemics
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P9/00—Drugs for disorders of the cardiovascular system
- A61P9/02—Non-specific cardiovascular stimulants, e.g. drugs for syncope, antihypotensives
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P9/00—Drugs for disorders of the cardiovascular system
- A61P9/10—Drugs for disorders of the cardiovascular system for treating ischaemic or atherosclerotic diseases, e.g. antianginal drugs, coronary vasodilators, drugs for myocardial infarction, retinopathy, cerebrovascula insufficiency, renal arteriosclerosis
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P9/00—Drugs for disorders of the cardiovascular system
- A61P9/12—Antihypertensives
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D215/00—Heterocyclic compounds containing quinoline or hydrogenated quinoline ring systems
- C07D215/02—Heterocyclic compounds containing quinoline or hydrogenated quinoline ring systems having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen atoms or carbon atoms directly attached to the ring nitrogen atom
- C07D215/16—Heterocyclic compounds containing quinoline or hydrogenated quinoline ring systems having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen atoms or carbon atoms directly attached to the ring nitrogen atom with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
- C07D215/20—Oxygen atoms
- C07D215/22—Oxygen atoms attached in position 2 or 4
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D405/00—Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom
- C07D405/02—Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom containing two hetero rings
- C07D405/04—Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom containing two hetero rings directly linked by a ring-member-to-ring-member bond
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D409/00—Heterocyclic compounds containing two or more hetero rings, at least one ring having sulfur atoms as the only ring hetero atoms
- C07D409/02—Heterocyclic compounds containing two or more hetero rings, at least one ring having sulfur atoms as the only ring hetero atoms containing two hetero rings
- C07D409/04—Heterocyclic compounds containing two or more hetero rings, at least one ring having sulfur atoms as the only ring hetero atoms containing two hetero rings directly linked by a ring-member-to-ring-member bond
Definitions
- the present invention relates to compounds capable of inhibiting prolyl hydroxylases such as HIF prolyl hydroxylases, compounds that modulate HIF levels, compounds that stabilize HIF, compositions comprising the compounds, and methods for their use for controlling HIF levels.
- the compounds and compositions may be used to treat diseases or conditions modulated by HIF such as ischemia, anemia, wound healing, auto- transplantation, allotransplantation, xeno-transplantation, systemic high blood pressure, thalassemia, diabetes, cancer, and inflammatory disorders.
- the cellular transcription factor HIF (Hypoxia Inducible Factor) occupies a central position in oxygen homeostasis in a wide range of organisms and is a key regulator of responses to hypoxia.
- the genes regulated by HIF transcriptional activity can play critical roles in angiogenesis, erythropoiesis, hemoglobin F production, energy metabolism, inflammation, vasomotor function, apoptosis and cellular proliferation.
- HIF can also play a role in cancer, in which it is commonly upregulated, and in the pathophysiological responses to ischemia and hypoxia.
- the HIF transcriptional complex comprises an ⁇ heterodimer:
- HIF- ⁇ is a constitutive nuclear protein that dimerizes with oxygen-regulated HIF- ⁇ subunits. Oxygen regulation occurs through hydroxylation of the HIF- ⁇ subunits, which are then rapidly destroyed by the proteasome. In oxygenated cells, the von Hippel-Lindau tumor suppressor protein (pVHL) binds to hydroxylated HIF- ⁇ subunits, thereby promoting their ubiquitin dependent proteolysis. This process is suppressed under hypoxic conditions, stabilizing HIF- ⁇ and promoting transcriptional activation by the HIF ⁇ complex. See, e.g., U.S. Patent 6,787,326.
- pVHL von Hippel-Lindau tumor suppressor protein
- HIF- ⁇ subunits can occur on proline and asparagine residues and can be mediated by a family of 2-oxoglutarate dependent enzymes.
- This family includes the HIF prolyl hydroxylase isozymes (PHDs), which hydroxylate Pro 402 and Pro 564 of human HIF l ⁇ , as well as Factor Inhibiting HIF (FIH), which hydroxylates Asn 803 of human HIF l ⁇ . Inhibition of FIH or the PFIDs leads to HIF stabilization and transcriptional activation. See, e.g., Schofield and Ratcliffe, Nature Rev. MoI. Cell Biol., VoI 5, pages 343-354 (2004).
- the invention provides at least one compound of Formula
- J, K, L, and M are independently selected from CR 8 or N, wherein 0, 1, or 2 of J, K, L, and M are N; n is 1 to 6;
- Ri and R 2 are independently selected from H, lower alkyl, substituted lower alkyl, lower haloalkyl, or substituted lower haloalkyl, or Ri and R 2 can join together to form a 3 to 6 membered ring or a substituted 3 to 6 membered ring;
- R 3 and R4 are independently selected in each instance from H, lower alkyl, substituted lower alkyl, lower haloalkyl, or substituted lower haloalkyl, or R 3 and R 4 can join together to form a 3 to 6 membered ring or a substituted 3 to 6 membered ring;
- R5 is selected from OH, SH, NH 2 , lower alkyl, substituted lower alkyl, lower alkoxy, substituted lower alkoxy, or sulfanyl;
- R 6 is selected from H, OH, lower alkoxy, SH, NH 2 , NHSO 2 R 9 , or sulfonyl;
- R 7 is selected from H, lower alkyl, or substituted lower alkyl; each R 8 is independently selected from H, F, Cl, Br, I, alkyl, substituted alkyl, haloalkyl, perhaloalkyl, alkenyl, substituted alkenyl, alkynyl, substituted alkynyl, NR b R c , C(O)OR 9 , OR 9 , SR 9 , SO 2 R 9 , CN, NO 2 , aryl, substituted aryl, arylalkyl, substituted arylalkyl, heteroaryl, substituted heteroaryl, heteroarylalkyl, substituted heteroarylalkyl, heterocyclyl, substituted heterocyclyl, heterocyclylalkyl, substituted heterocyclylalkyl, alkoxycarbonyl, substituted alkoxycarbonyl, or -Y-R 10 , wherein:
- Y is selected from -N(Rn)-Z- or -Z-N(R 11 )-;
- Z is selected from C(O), SO 2 , alkylene, substituted alkylene, alkenylene, substituted alkenylene, alkynylene, or substituted alkynylene;
- R 9 is selected from H, alkyl, substituted alkyl, alkenyl, substituted alkenyl, alkynyl, or substituted alkynyl;
- Rio is selected from H, heterocyclyl, substituted heterocyclyl, aryl, substituted aryl, heteroaryl or substituted heteroaryl;
- Rn is selected from H, lower alkyl, or substituted lower alkyl; and R b and R 0 are independently selected from H, lower alkyl, substituted lower alkyl, lower haloalkyl, or substituted lower haloalkyl, or R d and R e can join together to form a 3 to 6 membered ring or a substituted 3 to 6 membered ring.
- R b and R 0 are independently selected from H, lower alkyl, substituted lower alkyl, lower haloalkyl, or substituted lower haloalkyl, or R d and R e can join together to form a 3 to 6 membered ring or a substituted 3 to 6 membered ring.
- K, L, and M is CR 8 .
- one of J, K, L, and M is N, and the other three of J, K, L, and M are CR 8 .
- J is N, and K, L, and M are CR 8 .
- K is N, and J, L, and M are CR 8 .
- L is N, and J, K, and M are CR 8 .
- M is N, and J, K, and L are CR 8 .
- R 6 is selected from OH, SH, NH 2 , NHSO 2 R 9 , or sulfonyl. In some such embodiments, R 6 is OH.
- At least one instance of R 8 is a substituted or unsubstituted aryl, a substituted or unsubstituted heteroaryl, a substituted or unsubstituted cycloalkyl, or a substituted or unsubstituted heterocyclyl group.
- at least one instance of R 8 is a heterocyclyl group.
- at least one instance of R 8 is a heteroaryl group.
- at least one instance of R 8 is a phenyl or substituted phenyl group.
- At least one instance of R 8 is independently selected from halo or a moiety substituted with at least one halo.
- at least one instance of R 8 is haloalkyl.
- at least one instance of R 8 is a perhaloalkyl.
- the perhaloalkyl is a perfluoroalkyl group such as CF 3 .
- n 1
- Ri and R 2 are independently chosen from H and lower alkyl. In some such embodiments, Ri and R 2 are both H. In some such embodiments, n is 1. In still other such embodiments, R3 and R 4 are selected from H and lower alkyl, and in some such embodiments, R 3 and R 4 are both H. Therefore, in some embodiments Ri, R 2 , R 3 , and R 4 are all H and n is 1.
- R 3 and R 4 are independently chosen from H and lower alkyl. In some such embodiments, R 3 and R 4 are independently selected from H and methyl. In some such embodiments, R 3 and R 4 are both H.
- R 7 is H.
- R 7 is a lower alkyl group. In some such embodiments, R 7 is a methyl.
- R 7 is a substituted lower alkyl selected from an arylalkyl, a heteroarylalkyl, a heterocyclylalkyl, a cycloalkylalkyl, a hydroxyalkyl, an alkoxyalkyl, or a haloalkyl.
- the compound of Formula I has the
- the compound of Formula I has the
- the compound of Formula I has the
- Formula IC and the variables R 5 , R 7 , and each R 8 have the definitions provided in any of the aspects and embodiments described above.
- the compound of Formula I has the
- Formula ID and the variables R 5 , R 7 , and each R 8 have the definitions provided in any of the aspects and embodiments described above.
- the compound of Formula I has the
- Formula IE and the variables R 5 , R 7 , and each R 8 have the definitions provided in any of the aspects and embodiments described above.
- the compound is selected from any one or all of those listed below or is a salt thereof, a tautomer thereof, or a salt of the tautomer:
- the compound is selected from any one or all of those listed below or is a salt thereof, a tautomer thereof, or a salt of the tautomer:
- the at least one compound is a salt. Such salts may be anhydrous or associated with water as a hydrate.
- the compound is a prodrug.
- the compound is a (Cf C 6 )alkyl ester such as a methyl, ethyl, propyl, butyl, pentyl, or hexyl ester.
- the compound is a compound in which the
- CPHl IC 50 value divided by the PHD2 ICs 0 value is greater than 5, greater than 8, greater than 10, greater than 15, greater than 20, or is even higher. In some such embodiments, the CPHl IC 50 value divided by the PHD2 IC 50 value is greater than 10.
- compositions that include at least one pharmaceutically acceptable carrier, and a therapeutically effective amount of at least one compound of any of the embodiments described herein.
- the at least one compound is present in an amount effective for the treatment of at least one disease selected from ischemia, anemia, wound healing, auto-transplantation, allotransplantation, xenotransplantation, systemic high blood pressure, thalassemia, diabetes, cancer, or an inflammatory disorder.
- the invention provides a pharmaceutical composition that includes a compound of any of the embodiments in an amount effective for increasing the amount of erythropoietin in the blood of a subject.
- pharmaceutical compositions that include at least one pharmaceutically acceptable carrier, and a therapeutically effective amount of at least one compound of any of the embodiments described herein in combination with at least one additional compound such as an erythropoiesis stimulating agent or a chemotherapeutic agent.
- HIF levels or activity in a subject by administering to the subject at least one compound of any of the embodiments described herein.
- a method of treating a condition where it is desired to modulate HIF activity comprising administering to a subject at least one compound of any of the embodiments described herein.
- the condition is selected from at least one of ischemia, anemia, wound healing, auto- transplantation, allo- transplantation, xeno-transplantation, systemic high blood pressure, thalassemia, diabetes, cancer, or an inflammatory disorder.
- Also provided is a method of treating a hypoxic or ischemic related disorder in a subject comprising administering to a subject at least one compound of any of the embodiments described herein.
- Also provided is a method of treating anemia in a subject comprising administering to a subject at least one compound of any of the embodiments described herein.
- Such methods include administering a therapeutically effective amount of the compound of any one of the embodiments to the subject. Therefore, in some embodiments, a compound of any one of the embodiments is used in a method for increasing the level of erythropoietin in the blood of a subject.
- the at least one disease is selected from ischemia, anemia, wound healing, auto- transplantation, allo- transplantation, xeno-transplantation, systemic high blood pressure, thalassemia, diabetes, cancer, or an inflammatory disorder.
- Also provided is a method of inhibiting HIF hydroxylation in a subject comprising administering to the subject at least one compound of any of the embodiments described herein.
- the HIF PHD inhibitory activity IC 5 0 value of the compound is 40 ⁇ M or less. In other embodiments, the HIF PHD inhibitory activity IC50 value of the compound is 10 ⁇ M or less.
- the at least one compound of any of the embodiments is used in the preparation of a medicament.
- the at least one compound of any of the embodiments is used in the preparation of a medicament for increasing or stabilizing HIF levels or activity in a subject.
- the at least one compound of any of the embodiments is used in the preparation of a medicament for treating a condition where it is desired to modulate HIF activity.
- the condition is selected from at least one of ischemia, anemia, wound healing, auto- transplantation, allo- transplantation, xeno-transplantation, systemic high blood pressure, thalassemia, diabetes, cancer, or an inflammatory disorder.
- the at least one compound of any of the embodiments is used in the preparation of a medicament for treating a hypoxic or ischemic related disorder in a subject. [045] In some embodiments, the at least one compound of any of the embodiments is used in the preparation of a medicament for modulating the amount if HIF in a cell. In some embodiments, the at least one compound according to any of the embodiments is used to modulate the amount of HIF in a cell.
- the at least one compound of any of the embodiments is used in the preparation of a medicament for modulating angiogenesis in a subject.
- the at least one compound of any of the embodiments is used in the preparation of a medicament for inhibiting HIF hydroxylation in a subject.
- the at least one compound of any of the embodiments is used in the preparation of a medicament for treating anemia.
- Figure 1 is a graph illustrating the ratio of fluorescence signal to background generated by the interaction of Eu-VCB with streptavidin-APC- hydroxyprolyl HIF l ⁇ peptide.
- Figures 2A and 2B are graphs illustrating the ratio of TR-FRET signal generated by the interaction of Eu-VCB with streptavidin-APC- hydroxyprolyl HIF l ⁇ peptide over background signal generated by the interaction of Eu-VCB with streptavidin-APC-HIFl ⁇ peptide (nonhydroxylated).
- Figure 2A illustrates a 0-125 nM peptide range
- Figure 2B illustrates a 0-10 nM peptide range.
- Figures 3A and 3B are graphs illustrating VCB binding and TR-
- FIG. 3A illustrates a time course for the hydroxylation of the HIFl ⁇ peptide with increasing amounts of HIF PHD2 enzyme.
- Figure 3B illustrates initial rates with increasing enzyme concentrations.
- Figure 4 is a graph illustrating levels of erythropoietin (Epo) in the plasma as a function of time after administration of vehicle (bottom line), and 50 mg/kg PO of each of Example 4, Example 7, and Example 8.
- Epo erythropoietin
- any variable occurs more than one time in a chemical formula, its definition on each occurrence is independent of its definition at every other occurrence. If the chemical structure and chemical name conflict, the chemical structure is determinative of the identity of the compound.
- the compounds of the present disclosure may contain one or more chiral centers and/or double bonds and therefore, may exist as stereoisomers, such as double-bond isomers (i.e., geometric isomers), enantiomers or diastereomers.
- any chemical structures within the scope of the specification depicted, in whole or in part, with a relative configuration encompass all possible enantiomers and stereoisomers of the illustrated compounds including the stereoisomerically pure form (e.g., geometrically pure, enantiomerically pure or diastereomericaily pure) and enantiomeric and stereoisomeric mixtures.
- Enantiomeric and stereoisomeric mixtures can be resolved into the component enantiomers or stereoisomers using separation techniques or chiral synthesis techniques well known to the skilled artisan.
- Compounds of Formula I include, but are not limited to, optical isomers of compounds of Formula I, racemates, and other mixtures thereof.
- the single enantiomers or diastereomers i.e., optically active forms
- Resolution of the racemates can be accomplished, for example, by conventional methods such as crystallization in the presence of a resolving agent, or chromatography, using, for example a chiral high-pressure liquid chromatography (HPLC) column.
- compounds of Formula I include Z- and E- forms (or cis- and trans- forms) of compounds with double bonds.
- Compounds of the invention are depicted structurally and named as compounds in the "Tautomer A” form. However, it is specifically contemplated that the compounds may also exist in “Tautomer B” or “Tautomer C” form and compounds in "Tautomer B” form or “Tautomer C” form or another tautomeric form are expressly considered to be part of the invention.
- Compounds of the present disclosure include, but are not limited to, compounds of Formula I and all pharmaceutically acceptable forms thereof.
- Pharmaceutically acceptable forms of the compounds recited herein include pharmaceutically acceptable salts, solvates, crystal forms (including polymorphs and clathrates), chelates, non-covalent complexes, prodrugs, and mixtures thereof.
- the compounds described herein are in the form of pharmaceutically acceptable salts.
- the term "compound” encompasses not only the compound itself, but also a pharmaceutically acceptable salt thereof, a solvate thereof, a chelate thereof, a non-covalent complex thereof, a prodrug thereof, and mixtures of any of the foregoing.
- prodrugs also fall within the scope of chemical entities, for example, ester or amide derivatives of the compounds of Formula I.
- the term "prodrugs” includes any compounds that become compounds of Formula I when administered to a patient, e.g., upon metabolic processing of the prodrug.
- Examples of prodrugs include, but are not limited to, acetate, formate, benzoate, carbomethoxy, carboethoxy and like derivatives of functional groups (such as alcohol, carboxylic acid, ether, ester, or amine groups) in the compounds of Formula I.
- the prodrugs of the compounds of Formula I are esters such as methyl, ethyl, propyl, butyl, pentyl, and hexyl esters.
- solvate refers to the compound formed by the interaction of a solvent and a compound. Suitable solvates are pharmaceutically acceptable solvates, such as hydrates, including monohydrates and hemi- hydrates.
- Alkyl refers to a saturated, branched, straight-chain, or cyclic monovalent hydrocarbon group derived by the removal of one hydrogen atom from a single carbon atom of a parent alkane.
- Typical alkyl groups include, but are not limited to, methyl, ethyl, propyls such as propan-1-yl, propan-2-yl, and cyclopropan-1-yl, butyls such as butan-1-yl, butan-2-yl, 2-methyl-propan-1-yl, 2-methyl-propan-2-yl, cyclobutan-1-yl, tert-butyl, and the like.
- an alkyl group comprises from 1 to 20 carbon atoms.
- lower alkyl refers to an alkyl group comprising from 1 to 6 carbon atoms.
- Alkenyl refers to an unsaturated branched, straight-chain, or cyclic hydrocarbon group having at least one carbon-carbon double bond derived by the removal of one hydrogen atom from a single carbon atom of a parent alkene. The group may be in either the Z- or E- form (cis or trans) about the double bond(s).
- Typical alkenyl groups include, but are not limited to, ethenyl; propenyls such as prop-1-en-1-yl, prop-l -en-2-yl, prop-2-en-1-yl (allyl), prop-2-en-2-yl, cycloprop-1-en-1-yl; cycloprop-2-en-1-yl; butenyls such as but-1-en-1-yl, but-1-en-2-yl, 2-methyl-prop-l -en-1-yl, but-2-en-1-yl, but-2-en-1-yl, but-2-en-2-yl, buta-l ,3-dien-1-yl, buta-1,3-dien-2-yl, cyclobut-1-en-1-yl, cyclobut-1-en-3-yl, cyclobuta-1,3-dien-1-yl; and the like.
- propenyls such as prop-1-en-1-yl, prop-l
- an alkenyl group has from 2 to 20 carbon atoms and in other embodiments, from 2 to 6 carbon atoms, i.e. "lower alkenyl.”
- Alkynyl refers to an unsaturated branched or straight-chain hydrocarbon having at least one carbon-carbon triple bond derived by the removal of one hydrogen atom from a single carbon atom of a parent alkyne.
- Typical alkynyl groups include, but are not limited to, ethynyl; propynyl; butynyl, 2-pentynyl, 3-pentynyl, 2-hexynyl, 3-hexynyl and the like.
- an alkynyl group has from 2 to 20 carbon atoms and in other embodiments, from 2 to 6 carbon atoms, i.e. "lower alkynyl.”
- Alkoxy refers to a radical -OR where R represents an alkyl group as defined herein. Representative examples include, but are not limited to, methoxy, ethoxy, propoxy, butoxy, cyclohexyloxy, and the like. Typical alkoxy groups include from 1 to 10 carbon atoms, from 1 to 6 carbon atoms or from 1 to 4 carbon atoms in the R group.
- Lower alkoxy groups include (Ci ⁇ ) alkyl groups and, in some embodiments, may include (C 1-4 ) alkyl groups.
- Alkoxycarbonyl refers to a radical -C(O)-OR where R is as defined above with respect to "Alkoxy”.
- Alkylene refers to a divalent saturated hydrocarbon group derived from a parent alkane by removal of two hydrogen atoms.
- alkylene group include, but are not limited to, -CH 2 -, -CH 2 CH 2 -, -CH(CHs)-, -CH 2 CH 2 CH 2 -, -CH 2 C(CH 3 )(H)-, and the like.
- Alkynylene refers to a divalent unsaturated hydrocarbon group having at least one carbon-carbon triple bond derived by the removal of two hydrogen atoms from a parent alkyne.
- Aryl refers to a monovalent aromatic hydrocarbon group derived by the removal of one hydrogen atom from a single carbon atom of a parent aromatic ring system.
- Aryl encompasses 5- and 6-membered carbocyclic aromatic rings, for example, benzene; bicyclic ring systems wherein at least one ring is carbocyclic and aromatic, for example, naphthalene, indane, and tetralin; and tricyclic ring systems wherein at least one ring is carbocyclic and aromatic, for example, fluorene.
- aryl includes 5- and 6-membered carbocyclic aromatic rings fused to a 5- to 7-membered heterocyclic ring containing 1 or more heteroatoms chosen from N, O, and S.
- an aryl group can comprise from 6 to 10 carbon atoms.
- Aryl does not encompass or overlap in any way with heteroaryl, separately defined below. Hence, if one or more carbocyclic aromatic rings is fused with a heterocyclic aromatic ring, the resulting ring system is heteroaryl, not aryl, as defined herein.
- Arylalkyl or “aralkyl” refers to an acyclic alkyl group in which one of the hydrogen atoms bonded to a carbon atom, typically, but not necessarily, a terminal carbon atom, is replaced with an aryl group.
- Typical arylalkyl groups include, but are not limited to, benzyl, 2-phenylethan-1-yl, naphthylmethyl, 2-naphthylethan-1-yl, naphthobenzyl, 2-naphthophenylethan-1-yl and the like.
- an arylalkyl group can be (C 6 - 30 ) arylalkyl, e.g., the alkyl group of the arylalkyl group can be
- Arylalkenyl refers to an alkenyl group in which a bond to one of the hydrogen atoms of the alkenyl group is replaced with a bond to an aryl group.
- Arylalkynyl refers to an alkynyl group in which a bond to one of the hydrogen atoms of the alkynyl group is replaced with a bond to an aryl group.
- Carbonyl refers to the radical -C(O) group.
- Carboxy refers to the radical -C(O)OH.
- Cycloalkyl refers to a saturated or unsaturated cyclic alkyl group. Where a specific level of saturation is intended, the nomenclature
- cycloalkanyl or “cycloalkenyl” is used.
- Typical cycloalkyl groups include, but are not limited to, groups derived from cyclopropane, cyclobutane, cyclopentane, cyclohexane, and the like.
- the cycloalkyl group can be C 3-I0 cycloalkyl, such as, for example, C 3-6 cycloalkyl.
- Heterocyclic refers to a saturated or unsaturated, but non-aromatic, cyclic hydrocarbon group in which one or more carbon atoms (and any associated hydrogen atoms) are independently replaced with the same or different heteroatom and its associated hydrogen atoms, where appropriate.
- Typical heteroatoms to replace the carbon atom(s) include, but are not limited to, N, O, and S.
- Typical heterocyclyl groups include, but are not limited to, groups derived from epoxides, imidazolidine, morpholine, piperazine, piperidine, pyrazolidine, pyrrolidine, quinuclidine, tetrahydrofuran, tetrahydropyran and the like.
- Heterocyclylalkyl refers to an alkyl group in which one of the hydrogen atoms of the alkyl is replaced with a bond to a heterocyclyl group.
- heterocyclylalkyl groups include, but are not limited to, morpholinylmethyl, morpholinylethyl, tetrahydrofuranylmethyl, piperidinylmethyl, and the like.
- Disease refers to any disease, disorder, condition, symptom, or indication.
- Halo or "halogen” refers to a fluoro, chloro, bromo, or iodo group.
- Haloalkyl refers to an alkyl group in which at least one hydrogen is replaced with a halogen.
- haloalkyl includes monohaloalkyl (alkyl substituted with one halogen atom) and polyhaloalkyl (alkyl substituted with two or more halogen atoms).
- perhaloalkyl means, unless otherwise stated, an alkyl group in which each of the hydrogen atoms is replaced with a halogen atom.
- perhaloalkyl includes, but is not limited to, trifluoromethyl, pentachloroethyl, 1,1,1-trifluoro- 2-bromo-2-chloroethyl, and the like.
- Heteroaryl refers to a monovalent heteroaromatic group derived by the removal of one hydrogen atom from a single atom of a parent heteroaromatic ring system. Heteroaryl encompasses 5- to 7-membered aromatic, monocyclic rings containing one or more, for example, from 1 to 4, or in certain embodiments, from 1 to 3, heteroatoms chosen from N, O, and S, with the remaining ring atoms being carbon; and polycyclic ring systems containing one or more, for example, from 1 to 4, or in certain embodiments, from 1 to 3, heteroatoms chosen from N, O, and S, with the remaining ring atoms being carbon and wherein at least one heteroatom is present in an aromatic ring.
- heteroaryl includes a 5- to 7-membered heteroaromatic ring fused to a 5- to 7-membered cycloalkyl ring or a carbocyclic aromatic ring and a 5- to 7- membered heteroaromatic ring fused to a 5- to 7-membered heterocyclic ring.
- bicyclic heteroaryl ring systems wherein only one of the rings contains one or more heteroatoms, the point of attachment may be at the heteroaromatic ring or the carbocyclic ring.
- the total number of S and O atoms in the heteroaryl group exceeds 1, those heteroatoms are not adjacent to one another.
- the total number of S and O atoms in the heteroaryl group is not more than 2. In certain embodiments, the total number of S and O atoms in the aromatic heterocycle is not more than 1. Heteroaryl does not encompass or overlap with aryl as defined above.
- Typical heteroaryl groups include, but are not limited to, groups derived from acridine, arsindole, carbazole, ⁇ -carboline, chromane, chromene, cinnoline, furan, imidazole, indazole, indole, indoline, indolizine, isobenzofuran, isochromene, isoindole, isoindoline, isoquinoline, isothiazole, isoxazole, naphthyridine, oxadiazole, oxazole, perimidine, phenanthridine, phenanthroline, phenazine, phthalazine, pteridine, purine, pyran, pyrazine, pyrazole, pyridazine, pyridine, pyrimidine, pyrrole, pyrrolizine, quinazoline, quinoline, quinolizine, quinoxaline, te
- the heteroaryl group can be between 5 to 20 membered heteroaryl, such as, for example, a 5 to 10 membered heteroaryl.
- heteroaryl groups can be those derived from thiophene, pyrrole, benzothiophene, benzofuran, indole, pyridine, quinoline, imidazole, oxazole, and pyrazine.
- Heteroarylalkyl or “heteroaralkyl” refers to an acyclic alkyl group in which one of the hydrogen atoms bonded to a carbon atom, typically a terminal or sp 3 carbon atom, is replaced with a heteroaryl group. Where specific alkyl moieties are intended, the nomenclature heteroarylalkanyl, heteroarylalkenyl, and/or heteroarylalkynyl is used.
- the heteroarylalkyl group can be a 6 to 30 membered heteroarylalkyl, e.g., the alkyl moiety of the heteroarylalkyl can include 1 to 10 members and the heteroaryl moiety of the heteroarylalkyl can include from 5 to 20-members.
- “Sulfonyl” refers to a radical -S(O) 2 R where R is an alkyl, substituted alkyl, substituted cycloalkyl, substituted heterocyclyl, substituted aryl, or substituted heteroaryl group as defined herein.
- Representative examples include, but are not limited to, methylsulfonyl, ethylsulfonyl, propylsulfonyl, butylsulfonyl, and the like.
- “Sulfanyl” refers to a radical -SR where R is an alkyl, substituted alkyl, substituted cycloalkyl, substituted heterocyclyl, substituted aryl, or substituted heteroaryl group as defined herein that may be optionally substituted as defined herein.
- Representative examples include, but are not limited to, methylthio, ethylthio, propylthio, butylthio, and the like.
- “Pharmaceutically acceptable” refers to generally recognized for use in animals, and more particularly in humans.
- “Pharmaceutically acceptable salt” refers to a salt of a compound 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, and the like; or (2) salts formed when an acidic proton present in the parent compound either is replaced by a metal ion, e.g., an al
- “Pharmaceutically acceptable excipient,” “pharmaceutically acceptable carrier,” or “pharmaceutically acceptable adjuvant” refer, respectively, to an excipient, carrier or adjuvant with which at least one compound of the present disclosure is administered.
- “Pharmaceutically acceptable vehicle” refers to any of a diluent, adjuvant, excipient or carrier with which at least one compound of the present disclosure is administered.
- “Stereoisomer” refers to an isomer that differs in the arrangement of the constituent atoms in space. Stereoisomers that are mirror images of each other and optically active are termed “enantiomers,” and stereoisomers that are not mirror images of one another and are optically active are termed
- Subject includes mammals and humans.
- human and subject are used interchangeably herein.
- Substituted refers to a group in which one or more hydrogen atoms are each independently replaced with the same or different substituent(s).
- R 14 are independently hydrogen, alkyl, substituted alkyl, aryl, substituted aryl, arylalkyl, substituted arylalkyl, cycloalkyl, substituted cycloalkyl, heterocyclyl, substituted heterocyclyl, heteroaryl, substituted heteroaryl, heteroarylalkyl or substituted heteroarylalkyl, or optionally R 13 and R 14 together with the nitrogen atom to which R 13 and R 14 are attached form one or more heterocyclyl, substituted heterocyclyl, heteroaryl, or substituted heteroaryl rings.
- a tertiary amine or aromatic nitrogen may be substituted with on or more oxygen atoms to form the corresponding nitrogen oxide.
- “Therapeutically effective amount” refers to the amount of a compound that, when administered to a subject for treating a disease, or at least one of the clinical symptoms of a disease or disorder, is sufficient to affect such treatment for the disease, disorder, or symptom.
- the "therapeutically effective amount” can vary depending on the compound, the disease, disorder, and/or symptoms of the disease or disorder, severity of the disease, disorder, and/or symptoms of the disease or disorder, the age of the subject to be treated, and/or the weight of the subject to be treated. An appropriate amount in any given instance can be readily apparent to those skilled in the art or capable of determination by routine experimentation.
- Treating" or “treatment” of any disease or disorder refers to arresting or ameliorating a disease, disorder, or at least one of the clinical symptoms of a disease or disorder, reducing the risk of acquiring a disease, disorder, or at least one of the clinical symptoms of a disease or disorder, reducing the development of a disease, disorder or at least one of the clinical symptoms of the disease or disorder, or reducing the risk of developing a disease or disorder or at least one of the clinical symptoms of a disease or disorder.
- Treating” or “treatment” also refers to inhibiting the disease or disorder, either physically, (e.g., stabilization of a discernible symptom), physiologically, (e.g., stabilization of a physical parameter), or both, or inhibiting at least one physical parameter which may not be discernible to the subject. Further, “treating” or “treatment” refers to delaying the onset of the disease or disorder or at least symptoms thereof in a subject which may be exposed to or predisposed to a disease or disorder even though that subject does not yet experience or display symptoms of the disease or disorder.
- the invention provides at least one compound of
- J, K, L, and M are independently selected from CR 8 or N, wherein 0, 1, or 2 of J, K, L, and M are N; n is 1 to 6;
- Ri and R 2 are independently selected from H, lower alkyl, substituted lower alkyl, lower haloalkyl, or substituted lower haloalkyl, or Ri and R 2 can join together to form a 3 to 6 membered ring or a substituted 3 to 6 membered ring;
- R 3 and R 4 are independently selected in each instance from H, lower alkyl, substituted lower alkyl, lower haloalkyl, or substituted lower haloalkyl, or R 3 and R 4 can join together to form a 3 to 6 membered ring or a substituted 3 to 6 membered ring;
- R 5 is selected from OH, SH, NH 2, lower alkyl, substituted lower alkyl, lower alkoxy, substituted lower alkoxy, or sulfanyl;
- R 6 is selected from H, OH, lower alkoxy, SH, NH 2 , NHSO 2 R 9 , or sulfonyl;
- R 7 is selected from H, lower alkyl, or substituted lower alkyl; each R 8 is independently selected from H, F, Cl, Br, I, alkyl, substituted alkyl, haloalkyl, perhaloalkyl, alkenyl, substituted alkenyl, alkynyl, substituted alkynyl, NR b R c , C(O)OR 9 , OR 9 , SR 9 , SO 2 R 9 , CN, NO 2 , aryl, substituted aryl, arylalkyl, substituted arylalkyl, heteroaryl, substituted heteroaryl, heteroarylalkyl, substituted heteroarylalkyl, heterocyclyl, substituted heterocyclyl, heterocyclylalkyl, substituted heterocyclylalkyl, alkoxycarbonyl, substituted alkoxycarbonyl, or -Y-Rio, wherein:
- Y is selected from -N(Rn)-Z- or -Z-N(Rn)-;
- Z is selected from C(O), SO 2 , alkylene, substituted alkylene, alkenylene, substituted alkenylene, alkynylene, or substituted alkynylene;
- R 9 is selected from H, alkyl, substituted alkyl, alkenyl, substituted alkenyl, alkynyl, or substituted alkynyl;
- Rio is selected from H, heterocyclyl, substituted heterocyclyl, aryl, substituted aryl, heteroaryl or substituted heteroaryl;
- Rn is selected from H, lower alkyl, or substituted lower alkyl; and R b and R c are independently selected from H, lower alkyl, substituted lower alkyl, lower haloalkyl, or substituted lower haloalkyl, or Rd and R e can join together to form a 3 to 6 membered ring or a substituted 3 to 6 membered ring.
- K, L, and M is CR 8 .
- one of J, K, L, and M is N, and the other three of J, K, L, and M are CR 8 .
- J is N, and K, L, and M are CR 8 .
- K is N, and J, L, and M are CR 8 .
- L is N, and J, K, and M are CR 8 .
- M is N, and J, K, and L are CR 8 .
- R 6 is selected from OH, SH, NH 2 , NHSO 2 R 9 , or sulfonyl. In some such embodiments, R 6 is OH.
- At least one instance of R 8 is a substituted or unsubstituted aryl, a substituted or unsubstituted heteroaryl, a substituted or unsubstituted cycloalkyl, or a substituted or unsubstituted heterocyclyl group.
- at least one instance of R 8 is a heterocyclyl group.
- at least one instance of R 8 is a heteroaryl group.
- at least one instance of R 8 is a phenyl or substituted phenyl group.
- At least one instance of R 8 is independently selected from halo or a moiety substituted with at least one halo.
- R 8 is haloalkyl. In some embodiments, at least one instance of R 8 is a perhaloalkyl. In some such embodiments, the perhaloalkyl is a perfluoroalkyl group such as CF 3 .
- At least one instance of R 8 is any of the groups corresponding to R 8 in any of the Example compounds.
- n 1
- Ri and R 2 are independently chosen from H and lower alkyl. In some such embodiments,
- Ri and R 2 are both H.
- R 3 and R 4 are independently chosen from H and lower alkyl. In some such embodiments,
- R 3 and R 4 are independently selected from H and methyl. In some such embodiments, R 3 and R 4 are both H.
- R 2 is H; R 3 is H; R 4 is H; R 5 is OH; R 6 is OH, or a salt or prodrug thereof.
- R 7 is H. In other embodiments, R 7 is a lower alkyl group. In some such embodiments, R 7 is a methyl. In still other embodiments, R 7 is a substituted lower alkyl selected from an arylalkyl, a heteroarylalkyl, a heterocyclylalkyl, a cycloalkylalkyl, a hydroxyalkyl, an alkoxyalkyl, or a haloalkyl.
- the compound of Formula I is any one of the
- the compound of Formula I has the
- the compound of Formula I has the
- the compound of Formula I has the
- Formula IC and the variables R 5 , R 7 , and each R 8 have the definitions provided in any of the aspects and embodiments described above.
- the compound of Formula I has the
- Formula ID and the variables R 5 , R 7 , and each R 8 have the definitions provided in any of the aspects and embodiments described above.
- the compound of Formula I has the
- Formula IE and the variables R 5 , R 7 , and each R 8 have the definitions provided in any of the aspects and embodiments described above.
- Compounds of the present disclosure can contain one or more chiral centers. Such compounds can be prepared or isolated as pure stereoisomers, i.e., as individual enantiomers or diastereomers, or as stereoisomer-enriched mixtures. All such stereoisomers, and enriched mixtures thereof, are included within the scope of the present disclosure. Pure stereoisomers, and enriched mixtures thereof, can be prepared using, for example, optically active starting materials or stereoselective reagents well- known in the art. Alternatively, racemic mixtures of such compounds can be separated using, for example, chiral column chromatography, chiral resolving agents and the like.
- the at least one compound is a salt. Such salts may be anhydrous or associated with one or more molecules of water as a hydrate.
- the compound is a prodrug.
- the compound is a (CfC 6 )alkyl ester such as a methyl, ethyl, propyl, butyl, pentyl, or hexyl ester.
- the compound is selected from any one or all of those listed below or is a salt thereof, a tautomer thereof, or a salt of the tautomer:
- the compound is selected from any one or all of those listed below or is a salt thereof, a tautomer thereof, or a salt of the tautomer: 4-(6-cyclohexyl-4-hydroxy-1-methyl-2-oxo-1,2-dihydro-1,8-naphthyridin-3-yl)-
- the compound is a compound in which the
- CPHl IC 50 value divided by the PHD2 IC 50 value is greater than 5, greater than
- the CPHl IC50 value divided by the PHD2 IC50 value is greater than 10.
- compositions that include at least one pharmaceutically acceptable carrier, excipient, or diluent, and a therapeutically effective amount of at least one compound of any of the embodiments described herein.
- the at least one compound is present in an amount effective for the treatment of at least one disease selected from ischemia, anemia, wound healing, auto-transplantation, allotransplantation, xeno-transplantation, systemic high blood pressure, thalassemia, diabetes, cancer, or an inflammatory disorder.
- compositions that include at least one pharmaceutically acceptable carrier, and a therapeutically effective amount of at least one compound of any of the embodiments described herein in combination with at least one additional compound such as an erythropoiesis stimulating agent or a chemotherapeutic agent.
- HIF levels or activity in a subject by administering to the subject at least one compound of any of the embodiments described herein.
- a method of treating a condition where it is desired to modulate HIF activity comprising administering to a subject at least one compound of any of the embodiments described herein.
- the condition is selected from at least one of ischemia, anemia, wound healing, auto- transplantation, allo- transplantation, xeno-transplantation, systemic high blood pressure, thalassemia, diabetes, cancer, or an inflammatory disorder.
- Also provided is a method of treating a hypoxic or ischemic related disorder in a subject comprising administering to a subject at least one compound of any of the embodiments described herein.
- Also provided is a method of treating anemia in a subject comprising administering to a subject at least one compound of any of the embodiments described herein.
- the compounds of the invention may also be used to prepare medicaments or in methods for stimulating erythropoiesis in a subject.
- Such methods and medicaments utilize a compound of any of the embodiments of the invention.
- a compound of any of the embodiments is typically administered to a subject such as a human subject in a therapeutically effective amount. Therefore, in some embodiments, a compound of any of the embodiments described herein is used in a method for increasing the level of erythropoietin in the blood of a subject.
- a compound of any of the embodiments is administered to the subject in an amount effective to increase the amount of erythropoietin in the blood of the subject.
- Also provided is a method of modulating angiogenesis in a subject comprising administering to the subject at least one compound of any of the embodiments described herein.
- the at least one disease is selected from ischemia, anemia, wound healing, auto- transplantation, allo- transplantation, xeno-transplantation, systemic high blood pressure, thalassemia, diabetes, cancer, or an inflammatory disorder.
- Also provided is a method of inhibiting HIF hydroxylation in a subject comprising administering to the subject at least one compound of any of the embodiments described herein.
- the HIF PHD inhibitory activity IC 50 value of the compound is 40 ⁇ M or less. In other embodiments, the HIF PHD inhibitory activity IC 50 value of the compound is 10 ⁇ M or less. In still other embodiments, the HIF PHD inhibitory activity IC50 value of the compound is
- the at least one compound of any of the embodiments is used in the preparation of a medicament.
- the at least one compound of any of the embodiments is used in the preparation of a medicament for increasing or stabilizing HIF levels or activity in a subject.
- the at least one compound of any of the embodiments is used in the preparation of a medicament for treating a condition where it is desired to modulate HIF activity.
- the condition is selected from at least one of ischemia, anemia, wound healing, auto- transplantation, allo- transplantation, xeno-transplantation, systemic high blood pressure, thalassemia, diabetes, cancer, or an inflammatory disorder.
- the at least one compound of any of the embodiments is used in the preparation of a medicament for treating a hypoxic or ischemic related disorder in a subject.
- the at least one compound of any of the embodiments is used in the preparation of a medicament for modulating the amount if HIF in a cell. In some embodiments, the at least one compound according to any of the embodiments is used to modulate the amount of HIF in a cell.
- the at least one compound of any of the embodiments is used in the preparation of a medicament for modulating angiogenesis in a subject.
- the at least one compound of any of the embodiments is used in the preparation of a medicament for inhibiting HIF hydroxylation in a subject.
- the at least one compound of any of the embodiments is used in the preparation of a medicament for treating anemia.
- composition as used herein is intended to encompass a product comprising the specified ingredients (and in the specified amounts, if indicated), as well as any product which results, directly or indirectly, from combination of the specified ingredients in the specified amounts.
- pharmaceutically acceptable it is meant that the carrier, excipient, or diluent is compatible with the other ingredients of the formulation and is not deleterious to the recipient thereof.
- composition formulation may improve one or more pharmacokinetic properties (e.g., oral bioavailability, membrane permeability) of a compound of the invention (herein referred to as the active ingredient).
- active ingredient a compound of the invention
- the pharmaceutical compositions for the administration of the compounds of this invention may conveniently be presented in unit dosage form and may be prepared by any of the methods well known in the art. All methods include the step of bringing the active ingredient into association with the carrier which constitutes one or more accessory ingredients. In general, the pharmaceutical compositions are prepared by uniformly and intimately bringing the active ingredient into association with a liquid carrier or a finely divided solid carrier or both, and then, if necessary, shaping the product into the desired formulation.
- the active object compound is included in an amount sufficient to produce the desired effect upon the process or condition of diseases.
- the pharmaceutical compositions containing the active ingredient may be in a form suitable for oral use, for example, as tablets, troches, lozenges, aqueous or oily suspensions, dispersible powders or granules, emulsions, hard or soft capsules, or syrups or elixirs.
- Compositions intended for oral use may be prepared according to any method known to the art for the manufacture of pharmaceutical compositions. Such compositions may contain one or more agents selected from sweetening agents, flavoring agents, coloring agents and preserving agents in order to provide pharmaceutically elegant and palatable preparations.
- Tablets contain the active ingredient in admixture with other nontoxic pharmaceutically acceptable excipients which are suitable for the manufacture of tablets.
- excipients may be, for example, inert diluents, such as calcium carbonate, sodium carbonate, lactose, calcium phosphate or sodium phosphate; granulating and disintegrating agents, for example, corn starch, or alginic acid; binding agents, for example starch, gelatin or acacia, and lubricating agents, for example magnesium stearate, stearic acid, or talc.
- the tablets may be uncoated or they may be coated by known techniques to delay disintegration and absorption in the gastrointestinal tract and thereby provide a sustained action over a longer period.
- a time delay material such as glyceryl monostearate or glyceryl distearate may be employed. They may also be coated by the techniques described in U.S. Patent Nos. 4,256,108, 4,160,452, and 4,265,874 to form osmotic therapeutic tablets for control release.
- Formulations for oral use may also be presented as hard gelatin capsules wherein the active ingredient is mixed with an inert solid diluent, for example, calcium carbonate, calcium phosphate, or kaolin, or as soft gelatin capsules wherein the active ingredient is mixed with water or an oil medium, for example peanut oil, liquid paraffin, or olive oil.
- Aqueous suspensions contain the active materials in admixture with excipients suitable for the manufacture of aqueous suspensions.
- excipients are suspending agents, for example sodium carboxymethylcellulose, methylcellulose, hydroxy-propylmethylcellulose, sodium alginate, polyvinylpyrrolidone, gum tragacanth and gum acacia; dispersing or wetting agents may be a naturally-occurring phosphatide, for example lecithin, or condensation products of an alkylene oxide with fatty acids, for example polyoxy-ethylene stearate, or condensation products of ethylene oxide with long chain aliphatic alcohols, for example heptadecaethyleneoxycetanol, or condensation products of ethylene oxide with partial esters derived from fatty acids and a hexitol such as polyoxyethylene sorbitol monooleate, or condensation products of ethylene oxide with partial esters derived from fatty acids and hexitol anhydrides, for example polyethylene sorbitan
- the aqueous suspensions may also contain one or more preservatives, for example ethyl, or n-propyl, p- hydroxybenzoate, one or more coloring agents, one or more flavoring agents, and one or more sweetening agents, such as sucrose or saccharin.
- Oily suspensions may be formulated by suspending the active ingredient in a vegetable oil, for example arachis oil, olive oil, sesame oil, or coconut oil, or in a mineral oil such as liquid paraffin.
- the oily suspensions may contain a thickening agent, for example beeswax, hard paraffin, or cetyl alcohol. Sweetening agents such as those set forth above, and flavoring agents may be added to provide a palatable oral preparation.
- compositions may be preserved by the addition of an anti-oxidant such as ascorbic acid.
- an anti-oxidant such as ascorbic acid.
- Dispersible powders and granules suitable for preparation of an aqueous suspension by the addition of water provide the active ingredient in admixture with a dispersing or wetting agent, suspending agent and one or more preservatives. Suitable dispersing or wetting agents and suspending agents are exemplified by those already mentioned above. Additional excipients, for example sweetening, flavoring and coloring agents, may also be present.
- the pharmaceutical compositions of the invention may also be in the form of oil-in-water emulsions.
- the oily phase may be a vegetable oil, for example olive oil or arachis oil, or a mineral oil, for example liquid paraffin or mixtures of these.
- Suitable emulsifying agents may be naturally-occurring gums, for example gum acacia or gum tragacanth, naturally-occurring phosphatides, for example soy bean, lecithin, and esters or partial esters derived from fatty acids and hexitol anhydrides, for example sorbitan monooleate, and condensation products of the said partial esters with ethylene oxide, for example polyoxyethylene sorbitan monooleate.
- the emulsions may also contain sweetening and flavoring agents.
- Syrups and elixirs may be formulated with sweetening agents, for example glycerol, propylene glycol, sorbitol or sucrose. Such formulations may also contain a demulcent, a preservative, and flavoring and coloring agents.
- the pharmaceutical compositions may be in the form of a sterile injectable aqueous or oleagenous suspension. This suspension may be formulated according to the known art using those suitable dispersing or wetting agents and suspending agents which have been mentioned above.
- the sterile injectable preparation may also be a sterile injectable solution or suspension in a non-toxic parenterally acceptable diluent or solvent, for example as a solution in 1,3-butane diol.
- Suitable vehicles and solvents that may be employed are water, Ringer's solution, and isotonic sodium chloride solution.
- sterile, fixed oils are conventionally employed as a solvent or suspending medium.
- any bland fixed oil may be employed including synthetic mono- or diglycerides.
- fatty acids such as oleic acid find use in the preparation of injectables.
- compositions may also be administered in the form of suppositories for rectal administration of the drug.
- These compositions can be prepared by mixing the drug with a suitable non-irritating excipient which is solid at ordinary temperatures but liquid at the rectal temperature and will therefore melt in the rectum to release the drug.
- suitable non-irritating excipient include, for example, cocoa butter and polyethylene glycols.
- suitable non-irritating excipient include, for example, cocoa butter and polyethylene glycols.
- suitable non-irritating excipient include, for example, cocoa butter and polyethylene glycols.
- creams, ointments, jellies, solutions, or suspensions, etc. containing the compounds of the invention are employed.
- topical application is also meant to include the use of mouthwashes and gargles.
- the vial was sealed and heated at 80°C for 2 hours.
- the reaction mixture was then cooled, diluted with 200 mL of EtOAc, added to a separatory funnel, partitioned with sodium bicarbonate (saturated, aqueous), washed 2 times with 75 mL of sodium bicarbonate (saturated, aqueous), separated, dried over sodium sulfate, and concentrated via rotary evaporation to give the product.
- the resulting product was purified via flash chromatography (silica gel) to provide the title compound as an off-white solid.
- the iodine monochloride solution was added rapidly to the stirred solution of the 2-(methylamino)benzoic acid. The mixture was allowed to stir for 2 hours and then filtered on a medium frit funnel. The solids were washed with water and dried under vacuum to give a quantitative yield of the product as a light-green powder.
- the title compound was prepared analogously to method 6(c) from 6-chloro-l -methyl- 1H-pyrido[3 ,4- ⁇ /][1,3]oxazine-2,4-dione and methyl malonate.
- the title compound is prepared by Palladium mediated Stille cross coupling reaction of tributyl(phenyl)stannane and methyl 4-(4-hydroxy-6-iodo-l -methyl-2-oxo- 1,2- dihydro-1,8-naphthyridin-3-yl)-4-oxobutanoate according to the procedure set forth in Stille, J. K. Angew. Chem. Int. Ed. Engl, 25, 508-24 (1986). [0215] (b) 4-(4-Hydroxy-1-methyl-2-oxo-6-phenyl-1,2-dihydro-1,8- naphthyridin-3-yl)-4-oxobutanoic acid.
- the title compound is prepared by saponification of methyl 4-(4-hydroxy- 1 -methyl-2-oxo-6-phenyl- 1 ,2- dihydroquinolin-3-yl)-4-oxobutanoate using sodium hydroxide in THF. [0216] Method 12. Preparation of 4-(6-Cyclohexyl-4-hydroxy- 1- methyl-2-oxo-1,2-dihydro-1,8-naphthyridin-3-yl)-4-oxobutanoic acid.
- the title compounds is prepared by rearrangement of ethyl 8-methyl-7-oxo-3-phenyl-7,8- dihydropyrido[2,3-c]pyridazin-5-yl succinate using sodium acetate according to literature procedures.
- the title compound is prepared by rearrangement of ethyl 8-methyl-7-oxo-3-phenyl-7,8-dihydropyrido[2,3- c]pyridazin-5-yl succinate using aluminum chloride according to that described in Method 4(step c).
- the VCB complex is defined as the Von Hippel-Lindau protein
- VCB specifically binds to hydroxyproline residues of HIFl ⁇ , initiating polyubiquitinylation of HIF l ⁇ and its subsequent proteolytic destruction. In the absence of prolyl hydroxylase activity, VCB does not bind unmodified HIF l ⁇ .
- the VCB complex was expressed in E.coli and purified from the soluble fraction. The amino acid sequences of the three protein components are as follows:
- VHL Amino Acids 54-213
- VHL contains a six histidine affinity tag for purification purposes.
- a VCB-based assay allows a highly sensitive and direct measurement of enzymatic product formation (HIF l ⁇ protein or fragments thereof containing a hydroxylated proline residue) and is suitable for high throughput screening.
- VHL 54-213 was cloned into pAMG21
- the expression plasmid pAMG21 is a 6118 base pair plasmid that was derived from the expression vector pCFM1656 (ATCC #69576), which in turn can be derived from the expression vector system described in US Patent No. 4,710,473.
- ElonginB was cloned into pTA2 (pACYC 184.1 based vector) under the control of a Lac promoter. Competent E.coli cells were transformed with the pAMG21-VHL-ElonginC construct.
- E.coli cells were rendered competent again prior to transformation with the pTA2-elonginB construct to produce the final E.coli strain containing both plasmid constructs. Induction of protein expression was initiated by the addition of IPTG and N-(3-oxo-hexanoyl)- homoserine lactone (HSL) at 30°C.
- HSL homoserine lactone
- Bacterial cells were lysed by a microfluidizer in aqueous buffer of pH 8.0 and the soluble fraction was separated by centrifugation.
- the soluble E.coli fraction was subjected to Nickel-NTA chelating chromatography to utilize the six histidine affinity tag located on the pVHL construct.
- the pooled fractions from the nickel column were applied to a Superdex 200 size exclusion chromatography (SEC) column.
- SEC size exclusion chromatography
- the protein eluted as a monomer on SEC, indicating that the three protein components formed a complex in solution.
- the fractions from the SEC column were pooled and applied to a Q Sepharose anion exchange column for final purification.
- the purified complex was visualized by SDS-PAGE and the identities of the three protein components were confirmed by N-terminal amino acid sequencing.
- VCB Purified VCB was exchanged into 50 mM sodium carbonate buffer pH 9.2 and labeled with a europium chelate overnight.
- LANCETM europium chelate PerkinElmer, Inc; Eu-W 1024 ITC chelate; catalog number is ADOO 13
- the chelate contains an isothiocyanate reactive group that specifically labels proteins on lysine residues (there are fifteen lysine residues in the VCB protein complex).
- the resulting europylated VCB was purified by desalting columns and quantitated by standard means. The labeling yield was determined to be 6.6 europium groups per one VCB complex.
- peptides were produced by SynPep, Inc.: a hydroxyproline modified peptide and an unmodified control peptide.
- VCB was expected to specifically bind to the hydroxyproline modified peptide (a mimic of enzymatic hydroxylation by prolyl hydroxylase).
- VCB was not expected to bind to the unmodified peptide.
- Both peptides were produced with a biotin group at the N- terminus to allow for binding by the streptavidin-labeled fluorescent acceptor allophycocyanin (streptavidin APC; Prozyme, Inc.).
- the sequence of the custom synthesized HIFl ⁇ peptides (amino acids 556-575, with methionine residues replaced with alanine residues to prevent oxidation) were as follows:
- the peptides were purchased from SynPep as lyophilized solids and were suspended in DMSO for experimental use. The peptides were quantitated according to their absorbance at 280 nm.
- Biotinylated peptides and europylated VCB were suspended in the following buffer: 100 mM HEPES 7.5, 0.1 M NaCl, 0.1% BSA and 0.05% Tween 20. The reagents were allowed to reach equilibrium by shaking for 1 hour before the plates were read on the Discovery Instrument (Packard). The data output is the ratio of the 665 nm and 620 nm emission signal resulting from the 320 nm excitation. [0253] As shown in Figure 1, the specific interaction of europylated VCB with the hydroxyproline modified HIF l ⁇ peptide coupled to streptavidin APC generated a fluorescence signal detectable over the background signal.
- Binding of the P564-HIFl ⁇ peptide to VCB was validated utilizing the homogeneous time-resolved FRET (TR-FRET) technology.
- TR-FRET time-resolved FRET
- a 17 amino acid (17aa) peptide with an N-terminally labeled biotin molecule corresponding to amino acid sequences 558 to 574 of the HIFl ⁇ protein was synthesized in-house (DLEMLAPYIPMDDDFQL (SEQ ID NO: 6)).
- a second 17aa peptide containing a hydroxylated proline at position 564 was chemically generated to mimic the PHD enzyme converted product form of the protein that is recognized by VCB.
- the assay was performed in a final volume of 100 ⁇ L in buffer containing 50 mM Tris-HCl (pH 8), 100 mM NaCl, 0.05% heat inactivated FBS, 0.05% Tween-20, and 0.5% NaN 3 .
- the optimal signal over background and the linear range of detection was determined by titrating the hydroxylated or unhydroxylated peptide at varied concentrations between 0 and 1 ⁇ M with a titration of VCB-Eu at varying concentrations between 0 and 50 nM with 50 nM of streptavidin APC.
- the binding reagents were allowed to reach equilibrium by shaking for 1 hour before it was read on the Discovery Instrument (Packard).
- the data output is the ratio of the 665 nm and 620 nm emission signal resulting from the 320 nm excitation.
- HIF PHD2 was assayed at various concentrations between 0 and 40OnM with 3 ⁇ M HIFl ⁇ peptide in buffer containing 50 mM Tris-HCl (pH 7.5), 100 mM NaCl, 0.05% Tween 20, 2 mM 2- oxoglutarate (2-OG), 2 mM ascorbic acid and 100 ⁇ M FeCl 2 in a final volume of 100 ⁇ L.
- the time-course was determined by periodically transferring 2.5 ⁇ L of the reaction into 250 ⁇ L of 10x TR-FRET buffer containing 500 mM HEPES (pH 7.5), 1 M NaCl, 1% BSA, and 0.5% Tween-20 to terminate the enzyme reaction. 15nM HIF-l ⁇ peptide from the terminated reaction was added to 35 nM streptavidin-APC and 1OnM VCB-Eu to a final volume of 100 ⁇ L in 1OX TR- FRET buffer. The TR-FRET reagents were placed on a shaker for 1 hour before detection on the Discovery platform.
- TR-FRET detection utilizing Eu-labeled VCB is a practical system for determining HIF PHD2 catalytic activity.
- HIF PHD2 hydroxylation of the HIF l ⁇ peptide results in the increase affinity of VCB to the peptide and hence and increased FRET signal.
- activity was verified with a fairly linear and an increasing TR-FRET signal over time.
- Inhibition of HIF PHD2 activity was quantified utilizing the TR-
- HIF PHD2 catalyzes a hydroxyl modification on the proline residue of the P564-HIFl ⁇ peptide substrate (Biotin-DLEMLAPYIPMDDDFQL (SEQ ID NO: 7)) resulting in recognition and binding of the europylated Von Hippel-Lindau protein (pVHL), elongin B and elongin C heterotrimeric (VCB-Eu) complex.
- the PHD2 inhibition assay was executed by addition of freshly dissolved FeCl 2 to 178.57 ⁇ M (100 ⁇ M final concentration) in PHD2 Reaction Buffer containing 30 mM MES, pH 6, 10 mM NaCl, 0.25% Brij-35, 0.01% BSA, and 1% DMSO. 28 ⁇ L of the iron solution and 2 ⁇ L of inhibitor compounds serially diluted in 100% DMSO (5% DMSO final) were added to black polypropylene 96-well microtiter plates.
- PHD2 Reaction Buffer To initiate the PHD2 enzymatic reaction, 10 ⁇ L of a solution containing 500 nM P564-HIFl ⁇ peptide (100 nM final), 10 mM ascorbic acid (2 mM final), and 1.25 ⁇ M 2-oxoglutarate ( ⁇ -ketoglutarate; 0.25 ⁇ M final) in PHD2 Reaction Buffer was added to all wells of the plate and allowed to incubate on the shaker at room temperature for one hour.
- the TR- FRET detection reagents were placed on a shaker for 1 hour to reach binding equilibrium before reading on the Discovery platform (PerkinElmer). Europium is excited at 315 nm and phosphoresces at 615nm with a large Stoke' s shift. APC, in turn, emits at 655 nm upon excitation at 615 nm.
- the TR-FRET signal is measured as the ratio of the APC 655 nm signal divided by the internal europium reference 615 nm emission signal.
- compounds of the present invention exhibit a HIF PHD inhibitory activity IC 50 value of 40 ⁇ M or less. In additional embodiments, compounds of the present invention exhibit a HIF PHD inhibitory activity IC50 value of 10 ⁇ M or less and in further embodiments, compounds of the present invention exhibit a HIP PHD inhibitory activity IC 50 value of 5 ⁇ M or less.
- IC50 values were obtained for the Example compounds with respect to Collagen Prolyl Hydroxylase I (CPHl) and Collagen Prolyl Hydroxylase II (CPH2) using the assay methods described below. Surprisingly, replacement of an amide N in the side chain of the molecule with a C atom greatly enhanced the selectivity of the Example compounds for PHD2 with respect to CPHl and CPH2.
- Assay Buffer consisted of Tris-HCl, pH 7.5, 0.2 mM DTT, and 0.5 mg/ml catalase. PPGio peptide was dissolved in 0.25% acetic acid and denatured by boiling for 5 minutes then placed on ice for 5 minutes. The denatured PPGio was then pre-mixed with 1 M ascorbate, prepared in water, and the mixture diluted with Assay Buffer to yield a working solution of 5X peptide and ascorbate.
- FeSO 4 was freshly dissolved in water and diluted to a 2.8X concentration in Assay Buffer. Enzyme stocks were diluted to a 5X concentration in Assay Buffer. Example compounds plus FeSO 4 solution were mixed, followed by addition of 5X enzyme solutions.
- the Agilent 1100 Multiple Wavelength Detector indicated UV absorption of the substrate and product peaks at 210 nm and a Beta-RAM Model 2 radiation detector with In-Flow 2:1 scintillation cocktail (IN/US Systems Inc.) enabled quantitation of the 2 radioactive peaks.
- Laura Lite software (IN/US, Tampa, FL) was used to collect and analyze radiometric data.
- AUC measurements were converted to percent turnover of 2- OG.
- 2-OG conversion was normalized to percent of control (POC) values using reactions that lacked enzyme or inhibitor as low and high controls, respectively.
- POC data was fitted to the 4-parameter logistic model (A+((B-A)/(l+((x/C) A D))))) using ActivityBase (IDBS, Alameda CA) where A is the minimum POC value, B is the maximum POC value, D is the slope factor, and C is compound concentration at the inflection point (IC 50 , micromolar).
- IDBS ActivityBase
- Invitrogen was used to express collagen prolyl 4-hydroxylase (CPH) in Trichoplusia ni insect cells.
- Active collagen prolyl 4-hydroxylase is an oligomeric protein that exists as an cc 2 p 2 tetramer.
- the alpha subunits incorporated into the tetramer can be either collagen prolyl 4-hydroxylase ⁇ l (GenBank reference sequence NM 000917) or collagen prolyl 4-hydroxylase ⁇ 2 (GenBank reference sequence NM 004199).
- the beta subunit, collagen prolyl 4-hydroxylase ⁇ is common to both forms of the tetramer.
- the genes encoding the three subunits, ⁇ l, ⁇ 2 and ⁇ , were cloned individually into separate pFastBacl shuttle vectors (Invitrogen) in their precursor forms, which include the native human secretion signal sequences.
- the ⁇ subunit genes included a caspase-3 cleavable six-histidine metal affinity sequence at the 5' end of the gene.
- the metal affinity tag MAHHHHHHDEVD
- SEQ ID NO: 8 was positioned at the ⁇ subunit N- terminus upstream of the secretion signal sequence.
- the ⁇ subunit gene was designed to encode a six- histidine metal affinity tag positioned downstream of the secretion signal peptide so that the metal affinity tag would remain after cleavage and secretion into the endoplasmic reticulum.
- These recombinant pFastBacl shuttle vectors were each used to generate baculovirus capable of expressing their respective subunit polypeptides.
- the active, tetrameric form of the enzyme was generated by co-expressing either CPH- ⁇ l and CPH- ⁇ or CPH- ⁇ 2 and CPH- ⁇ baculovirus at 27°C. Cells were harvested 48 hours post-infection by centrifugation.
- HERGQEFLRPCGSTEVD (SEQ ID NO: 10)
- T.ni cells were resuspended in 25 mM Tris (pH 7.8), 0.15M NaCl,
- Peak fractions were pooled and applied to a Superdex 200 XK 26/60 column (GE Biosciences) equilibrated with; 20 mM Tris (pH 7.8), 0.15M NaCl, 10% glycerol and 0.1% CHAPS. Protein identity was confirmed by Edman sequencing and ⁇ 2 ⁇ 2 heterodimer formation was detected by light scattering. Protein concentration was determined according to the calculated molar extinction coefficient at 280 nm, and enzyme was typically snap frozen in liquid nitrogen and stored at -80°C.
- the following table includes PHD2, CPHl, and CPH2 IC 50 values obtained using the procedures set forth herein for Comparative and Example compounds described herein.
- replacement of the N atom with a C atom in the side chain results in a significant and surprising increase in selectivity of a compound for PHD2 with respect to both CPHl and CPH2 in the compounds of the invention. Therefore, in some embodiments, the invention provides a compound of any of the embodiments in which the selectivity of the compound for PHD2 with respect to CPHl is greater than 5, greater than 8, greater than 10, greater than 15, greater than 20, or is even higher.
- the selectivity for these purposes can be determined by dividing the CPHl IC 50 value of the compound by the PHD2 IC50 value of the compound where the IC 50 values are determined using the methods presented herein.
- test compound(s) or vehicle 2% hydroxypropylmethylcellulose , 1% Tween 80, 0.075N NaOH, pH 9 with HCl
- 18 gauge 2" disposable feeding needle Popper and Sons, New Hyde Park, NY
- Approximately 150 ⁇ L of blood was collected from the tail vein using a 23 gauge 3 A" butterfly needle at various time points between 0.5 and 48 hours post-administration. Blood was transferred into collection tubes containing EDTA (Greiner Bio-One, Kremsmunster, Austria), and centrifuged at 10,000 rpm at 4 degrees centigrade for 8 minutes for plasma collection.
- Example compounds 4, 7, and 8 produced a dramatic increase in erythropoietin following administration as is clear when compared with the data corresponding to administration of vehicle.
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ES08743008.8T ES2442847T3 (en) | 2007-04-18 | 2008-04-16 | Quinolones and azaquinolones that inhibit prolyl hydroxylase |
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Also Published As
Publication number | Publication date |
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EP2142509B1 (en) | 2013-12-04 |
US8349868B2 (en) | 2013-01-08 |
AU2008241483B2 (en) | 2011-03-24 |
CA2683956C (en) | 2012-12-18 |
EP2142509A2 (en) | 2010-01-13 |
US8048894B2 (en) | 2011-11-01 |
CA2683956A1 (en) | 2008-10-30 |
US20110224248A1 (en) | 2011-09-15 |
WO2008130600A3 (en) | 2009-02-19 |
US20090156605A1 (en) | 2009-06-18 |
ES2442847T3 (en) | 2014-02-13 |
JP2010524942A (en) | 2010-07-22 |
AU2008241483A1 (en) | 2008-10-30 |
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