WO2009134741A1 - Dual-acting antihypertensive agents - Google Patents

Dual-acting antihypertensive agents Download PDF

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Publication number
WO2009134741A1
WO2009134741A1 PCT/US2009/041891 US2009041891W WO2009134741A1 WO 2009134741 A1 WO2009134741 A1 WO 2009134741A1 US 2009041891 W US2009041891 W US 2009041891W WO 2009134741 A1 WO2009134741 A1 WO 2009134741A1
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nhc
alkylene
alkyl
compound
cooh
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PCT/US2009/041891
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French (fr)
Inventor
Paul Allegretti
Seok-Ki Choi
Paul R. Fatheree
Roland Gendron
Robert Murray Mckinnell
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Theravance, Inc.
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Priority to JP2011507566A priority Critical patent/JP2011518884A/en
Priority to EP09739543A priority patent/EP2297113A1/en
Publication of WO2009134741A1 publication Critical patent/WO2009134741A1/en

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    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07D—HETEROCYCLIC COMPOUNDS
    • C07D233/00—Heterocyclic compounds containing 1,3-diazole or hydrogenated 1,3-diazole rings, not condensed with other rings
    • C07D233/54—Heterocyclic compounds containing 1,3-diazole or hydrogenated 1,3-diazole rings, not condensed with other rings having two double bonds between ring members or between ring members and non-ring members
    • C07D233/66—Heterocyclic compounds containing 1,3-diazole or hydrogenated 1,3-diazole rings, not condensed with other rings having two double bonds between ring members or between ring members and non-ring members with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
    • C07D233/68—Halogen atoms
    • 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
    • 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
    • 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
    • A61P9/04—Inotropic agents, i.e. stimulants of cardiac contraction; Drugs for heart failure
    • 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
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07D—HETEROCYCLIC COMPOUNDS
    • C07D233/00—Heterocyclic compounds containing 1,3-diazole or hydrogenated 1,3-diazole rings, not condensed with other rings
    • C07D233/54—Heterocyclic compounds containing 1,3-diazole or hydrogenated 1,3-diazole rings, not condensed with other rings having two double bonds between ring members or between ring members and non-ring members
    • C07D233/56—Heterocyclic compounds containing 1,3-diazole or hydrogenated 1,3-diazole rings, not condensed with other rings having two double bonds between ring members or between ring members and non-ring members with only hydrogen atoms or radicals containing only hydrogen and carbon atoms, attached to ring carbon atoms
    • C07D233/60—Heterocyclic compounds containing 1,3-diazole or hydrogenated 1,3-diazole rings, not condensed with other rings having two double bonds between ring members or between ring members and non-ring members with only hydrogen atoms or radicals containing only hydrogen and carbon atoms, attached to ring carbon atoms with hydrocarbon radicals, substituted by oxygen or sulfur atoms, attached to ring nitrogen atoms
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07D—HETEROCYCLIC COMPOUNDS
    • C07D233/00—Heterocyclic compounds containing 1,3-diazole or hydrogenated 1,3-diazole rings, not condensed with other rings
    • C07D233/54—Heterocyclic compounds containing 1,3-diazole or hydrogenated 1,3-diazole rings, not condensed with other rings having two double bonds between ring members or between ring members and non-ring members
    • C07D233/66—Heterocyclic compounds containing 1,3-diazole or hydrogenated 1,3-diazole rings, not condensed with other rings having two double bonds between ring members or between ring members and non-ring members with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
    • C07D233/70—One oxygen atom
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07D—HETEROCYCLIC COMPOUNDS
    • C07D233/00—Heterocyclic compounds containing 1,3-diazole or hydrogenated 1,3-diazole rings, not condensed with other rings
    • C07D233/54—Heterocyclic compounds containing 1,3-diazole or hydrogenated 1,3-diazole rings, not condensed with other rings having two double bonds between ring members or between ring members and non-ring members
    • C07D233/66—Heterocyclic compounds containing 1,3-diazole or hydrogenated 1,3-diazole rings, not condensed with other rings having two double bonds between ring members or between ring members and non-ring members with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
    • C07D233/84—Sulfur atoms
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07D—HETEROCYCLIC COMPOUNDS
    • C07D233/00—Heterocyclic compounds containing 1,3-diazole or hydrogenated 1,3-diazole rings, not condensed with other rings
    • C07D233/54—Heterocyclic compounds containing 1,3-diazole or hydrogenated 1,3-diazole rings, not condensed with other rings having two double bonds between ring members or between ring members and non-ring members
    • C07D233/66—Heterocyclic compounds containing 1,3-diazole or hydrogenated 1,3-diazole rings, not condensed with other rings having two double bonds between ring members or between ring members and non-ring members with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
    • C07D233/90—Carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals
    • 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
    • C07D409/12—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 linked by a chain containing hetero atoms as chain links

Definitions

  • the present invention relates to novel compounds having angiotensin II type 1 (ATi) receptor antagonist activity and neprilysin-inhibition activity.
  • the invention also relates to pharmaceutical compositions comprising such compounds, processes and intermediates for preparing such compounds and methods of using such compounds to treat diseases such as hypertension.
  • the aim of antihypertensive therapy is to lower blood pressure and prevent hypertension-related complications such as myocardial infarction, stroke, and renal disease.
  • hypertension-related complications such as myocardial infarction, stroke, and renal disease.
  • For patients with uncomplicated hypertension e.g., no risk factors, target organ damage, or cardiovascular disease
  • it is hoped that reducing blood pressure will prevent development of cardiovascular and renal comorbidities, conditions that exist at the same time as the primary condition in the same patient.
  • the therapeutic target is the slowing of comorbid disease progression and reduced mortality.
  • Physicians generally prescribe pharmacological therapies for patients whose blood pressure cannot be adequately controlled by dietary and/or lifestyle modifications.
  • Commonly used therapeutic classes act to promote diuresis, adrenergic inhibition, or vasodilation.
  • a combination of drugs is often prescribed, depending upon what comorbidities are present.
  • diuretics which include thiazide and thiazide-like diuretics such as hydrochlorothiazide, loop diuretics such as furosemide, and potassium-sparing diuretics such as triamterene; ⁇ i adrenergic receptor blockers such as metoprolol succinate and carvedilol; calcium channel blockers such as amlodipine; angiotensin-converting enzyme (ACE) inhibitors such as captopril, benazepril, enalapril, enalaprilat, lisinopril, quinapril, and ramipril; and ATi receptor antagonists, also known as angiotensin II type 1 receptor blockers (ARBs), such as candesartan cilexetil, eprosartan, irbesartan, losartan, olmesartan medoxomil, telmisartan, and
  • ARBs angiotensin II type 1
  • Combinations of these drugs are also administered, for example, a calcium channel blocker (amlodipine) and an ACE inhibitor (benazepril), or a diuretic (hydrochlorothiazide) and an ACE inhibitor (enalapril).
  • All of these drugs when used appropriately, are effective in the treatment of hypertension. Nevertheless, both efficacy and tolerability should be further improved in new drugs targeting hypertension.
  • NHANES National Health And Nutrition Examination Survey
  • NHANES National Health And Nutrition Examination Survey
  • each of the major classes of antihypertensive agents have some drawbacks.
  • Diuretics can adversely affect lipid and glucose metabolism, and are associated with other side effects, including orthostatic hypotension, hypokalemia, and hyperuricemia.
  • Beta blockers can cause fatigue, insomnia, and impotence; and some beta blockers can also cause reduced cardiac output and bradycardia, which may be undesirable in some patient groups.
  • Calcium channel blockers are widely used but it is debatable as to how effectively these drugs reduce fatal and nonfatal cardiac events relative to other drug classes.
  • ACE inhibitors can cause coughing, and rarer side effects include rash, angioedema, hyperkalemia, and functional renal failure.
  • ATi receptor antagonists are equally effective as ACE inhibitors but without the high prevalence of cough.
  • Neprilysin (neutral endopeptidase, EC 3.4.24.11) (NEP), is an endothelial membrane bound Zn 2+ metallopeptidase found in many tissues, including the brain, kidney, lungs, gastrointestinal tract, heart, and peripheral vasculature. NEP is responsible for the degradation and inactivation of a number of vasoactive peptides, such as circulating bradykinin and angiotensin peptides, as well as the natriuretic peptides, the latter of which have several effects including vasodilation and diuresis. Thus, NEP plays an important role in blood pressure homeostasis.
  • NEP inhibitors have been studied as potential therapeutics, and include thiorphan, candoxatril, and candoxatrilat.
  • compounds have also been designed that inhibit both NEP and ACE, and include omapatrilat, gempatrilat, and sampatrilat. Referred to as vasopeptidase inhibitors, this class of compounds are described in Robl et al. (1999) Exp. Opin. Ther. Patents 9(12): 1665-1677.
  • ATi receptor antagonist/NEP inhibitor combinations described in WO 9213564 to Darrow et al. (Schering Corporation); US20030144215 to Ksander et al.; Pu et al., Abstract presented at the Canadian Cardiovascular Congress (October 2004); Gardiner et al. (2006) JPET 319:340-348; and WO 2007/045663 (Novartis AG) to Glasspool et al.
  • WO 2007/056546 Novartis AG to Feng et al. has described complexes of an ATi receptor antagonist and a NEP inhibitor, where an ATi receptor antagonist compound is non-covalently bond to a NEP inhibitor compound, or where the antagonist compound is linked to the inhibitor compound by a cation.
  • an ATi receptor antagonist compound is non-covalently bond to a NEP inhibitor compound, or where the antagonist compound is linked to the inhibitor compound by a cation.
  • dual-acting compounds are also expected to have utility to treat a variety of other diseases that can be treated by antagonizing the ATi receptor and/or inhibiting the NEP enzyme.
  • compounds of the invention are expected to be useful and advantageous as therapeutic agents for treating conditions such as hypertension and heart failure.
  • One aspect of the invention relates to a compound of formula I: wherein:
  • Y is: Q is -C(R 3 )-, and Z is a bond and W is -N-, or Z is -C(O)- and W is -CH-; or
  • Y is:
  • R 1 is selected from -Ci_ 6 alkylene-OH, -COOR la , -CHO, -Ci_ 3 alkylene-
  • R la is H or -Ci_ 6 alkyl; and R lb is -Co_ 3 alkylenearyl or -Co_ 3 alkyleneheteroaryl; R 2 is selected from H, -CH 2 OH, halo, -NO 2 , -Ci_ 6 alkyl, -C 2 . 6 alkenyl,
  • R 2a is H, -Ci_ 6 alkyl, -C 3 . 6 cycloalkyl, -Co- 3 alkylene-phenyl, -0R 2b , or -NR 2c R 2d ;
  • R 2b is H, -Ci_ 6 alkyl,
  • R 2c and R 2d are independently H, -Ci_ 4 alkyl, or
  • R 3 is selected from -Ci_ioalkyl, -C 2 _ioalkenyl, -C 3 _ioalkynyl,
  • R 3a is H, -Ci_ 6 alkyl
  • R 3b is H, -Ci_ 6 alkyl, -C 3 - 7 cycloalkyl, -C 2 _ 4 alkenyl,
  • Ar-X-CR 5 R 6 R 7 is selected from:
  • X is selected from -SO 2 NHC(O)-, -SO 2 NHC(O)-C i_i 2 alkylene-NHC(O)-, -SO 2 NHC(O)-Ci_i 2 alkylene-C(O)NH-, -C(O)NH-SO 2 -Ci_i 2 alkylene-NHC(O)-, -C(O)NH- SO 2 -C i_i 2 alkylene-C(O)NH-, -SO 2 NHC(O)NH-C 2 _i 2 alkylene-NHC(O)-, -SO 2 NHC(O)NH- Ci_i 2 alkylene-C(O)NH-, -NH-SO 2 -NHC(O)-Ci_i 2 alkylene-NHC(O)-, and -NH-SO 2 - NHC(O)-Ci_i 2 alkylene-C(O)NH-;
  • R 5 is selected from -C 0 - 3 alkylene-SR 5a , -C 0 - 3 alkylene-C(O)NR 5b R 5c , -C 0 - 3 alkylene-NR 5b -C(O)R 5d , -NH-C 0 -ialkylene-P(O)(OR 5e ) 2 , -C 0 - 3 alkylene-P(O)OR 5e R 5f , -Co- 2 alkylene-CHR 5g -COOH, -C 0 - 3 alkylene-C(O)NR 5h -CHR 5l -COOH, and -C 0 - 3 alkylene-S- SR 5j ;
  • R 5a is H or -C(O)R 5aa ;
  • R 5aa is -Ci_ 6 alkyl, -C 0 . 6 alkylene-C 3 . 7 cycloalkyl,
  • aa is an amino acid side chain, -2 -pyrrolidine, -Co- 6 alkylene-OR 5ab , -O-C 0 - 6 alkylenearyl, -Ci_ 2 alkylene-OC(O)-Ci_ 6 alkyl, -Ci_ 2 alkylene- OC(O)-C 0 - 6 alkylenearyl, or -O-Ci_ 2 alkylene-OC(O)O-Ci_ 6 alkyl;
  • R 5ab is independently H or -Ci_ 6 alkyl;
  • R 5b is H, -OH, -OC(O)R 5ba , -CH 2 COOH, -O-benzyl, -
  • R 5ea is -O-Ci_ 6 alkyl, -O-C ⁇ cycloalkyl, -NR 5eb R 5ec , or -CH(NH 2 )CH 2 COOCH 3 ;
  • R 5eb and R 5ec are independently H, -Ci_ 4 alkyl, or -Ci_ 3 alkylenearyl, or are taken together as -(CH 2 ) 3 -6-;
  • R 5f is H, -Ci_ 4 alkyl, -C 0 - 3 alkylenearyl, -Ci_ 3 alkylene-NR 5fa R 5fb , or -Ci_ 3 alkylene(aryl)-C 0 -3alkylene-NR 5fa R 5fb ;
  • R 5fa and R 5fb are independently H or -Ci_ 4 alkyl;
  • R 5g is H, -Ci_ 6 alkyl, -Ci_ 3 alkylenearyl,
  • R 6 is selected from -Ci_ 6 alkyl, -CH 2 O(CH 2 ) 2 -OCH 3 , -Ci-ealkylene-O-d-ealkyl, -Co- 3 alkylenearyl, -Co ⁇ alkyleneheteroaryl, and -Co- 3 alkylene-C 3 - 7 cycloalkyl; and R 7 is H or is taken together with R 6 to form -C 3 _ 8 cycloalkyl; wherein: each -CH 2 - group in -(CH 2 ) r - is optionally substituted with 1 or 2 substituents independently selected from -Ci_ 4 alkyl and fluoro; one -CH 2 - in the -Ci_i 2 alkylene- portion of X is optionally replaced with -C 4 _ 8 cycloalkylene- or phenylene; one or more -CH 2 - moieties are optionally replaced with a -NR 4 -C(0)
  • compositions comprising a pharmaceutically acceptable carrier and a compound of the invention.
  • Such compositions may optionally contain other therapeutic active agents such as diuretics, ⁇ i adrenergic receptor blockers, calcium channel blockers, angiotensin-converting enzyme inhibitors, ATi receptor antagonists, neprilysin inhibitors, non-steroidal anti-inflammatory agents, prostaglandins, anti-lipid agents, anti-diabetic agents, anti-thrombotic agents, renin inhibitors, endothelin receptor antagonists, endothelin converting enzyme inhibitors, aldosterone antagonists, angiotensin-converting enzyme/neprilysin inhibitors, vasopressin receptor antagonists, and combinations thereof.
  • other therapeutic active agents such as diuretics, ⁇ i adrenergic receptor blockers, calcium channel blockers, angiotensin-converting enzyme inhibitors, ATi receptor antagonists, neprilysin inhibitors, non-steroidal anti-inflammatory agents, prostaglandins
  • a pharmaceutical composition comprises a compound of the invention, a second therapeutic agent, and a pharmaceutically acceptable carrier.
  • Another aspect of the invention relates to a combination of active agents, comprising a compound of the invention and a second therapeutic agent.
  • the compound of the invention can be formulated together or separately from the additional agent(s).
  • a pharmaceutically acceptable carrier may be included with the additional agent(s).
  • yet another aspect of the invention relates to a combination of pharmaceutical compositions, the combination comprising: a first pharmaceutical composition comprising a compound of the invention and a first pharmaceutically acceptable carrier; and a second pharmaceutical composition comprising a second therapeutic agent and a second pharmaceutically acceptable carrier.
  • the invention also relates to a kit containing such pharmaceutical compositions, for example where the first and second pharmaceutical compositions are separate pharmaceutical compositions.
  • One aspect of the invention relates to a method of treating patients suffering from a disease or disorder that is treated by antagonizing the ATi receptor and/or inhibiting the NEP enzyme, comprising administering to a patient a therapeutically effective amount of a compound of the invention.
  • Another aspect of the invention relates to a method of treating hypertension or heart failure, comprising administering to a patient a therapeutically effective amount of a compound of the invention.
  • Still another aspect of the invention relates to a method for antagonizing an ATi receptor in a mammal comprising administering to the mammal, an ATi receptor-antagonizing amount of a compound of the invention.
  • Yet another aspect of the invention relates to a method for inhibiting a NEP enzyme in a mammal comprising administering to the mammal, a NEP enzyme-inhibiting amount of a compound of the invention.
  • Compounds of the invention that are of particular interest include those that exhibit an inhibitory constant (pIQ) for binding to an ATi receptor greater than or equal to about 5.0; in particular those having a pIQ greater than or equal to about 6.0; in one embodiment those having a pIQ greater than or equal to about 7.0; more particularly those having a pIQ greater than or equal to about 8.0; and in yet another embodiment, those having a pIQ within the range of about 8.0-10.0.
  • pIQ inhibitory constant
  • Compounds of particular interest also include those having a NEP enzyme inhibitory concentration (pICso) greater than or equal to about 5.0; in one embodiment those having a pICso greater than or equal to about 6.0; in particular those having a pICso greater than or equal to about 7.0; and most particularly those having a PIC 50 within the range of about 7.0-10.0.
  • Compounds of further interest include those having a pK; for binding to an ATi receptor greater than or equal to about 7.5 and having a NEP enzyme pICso greater than or equal to about 7.0. Since compounds of the invention possess ATi receptor antagonist activity and
  • one aspect of the invention relates to a method of using a compound of the invention as a research tool, the method comprising conducting a biological assay using a compound of the invention.
  • Compounds of the invention can also be used to evaluate new chemical compounds.
  • Another aspect of the invention relates to a method of evaluating a test compound in a biological assay, comprising: (a) conducting a biological assay with a test compound to provide a first assay value; (b) conducting the biological assay with a compound of the invention to provide a second assay value; wherein step (a) is conducted either before, after or concurrently with step (b); and (c) comparing the first assay value from step (a) with the second assay value from step (b).
  • Exemplary biological assays include an ATi receptor binding assay and a NEP enzyme inhibition assay.
  • Still another aspect of the invention relates to a method of studying a biological system or sample comprising an ATi receptor, a NEP enzyme, or both, the method comprising: (a) contacting the biological system or sample with a compound of the invention; and (b) determining the effects caused by the compound on the biological system or sample.
  • the invention is also directed to processes and intermediates useful for preparing compounds of the invention. Accordingly, another aspect of the invention relates to a process of preparing compounds of the invention comprising the step of coupling a compound of formula 1 with a compound of formula 2:
  • A is -NH 2 and B is -COOH or A is -COOH and B is -NH 2 ; the sum of a and b is in the range of 1 to 12; and R 5* represents R 5 or a protected form of R 5 ; and optionally deprotecting the product when R 5* is a protected form of R 5 .
  • Another aspect of the invention relates to a process of preparing a pharmaceutically acceptable salt of a compound of formula I, comprising contacting a compound of formula I in free acid or base form with a pharmaceutically acceptable base or acid.
  • the invention relates to products prepared by any of the processes described herein, as well as novel intermediates used in such process. In one aspect of the invention, these novel intermediates have formula II.
  • Yet another aspect of the invention relates to the use of a compound of the invention for the manufacture of a medicament, especially for the manufacture of a medicament useful for treating hypertension or acute decompensated heart failure.
  • Another aspect of the invention relates to use of a compound of the invention for antagonizing an ATi receptor or for inhibiting a NEP enzyme in a mammal.
  • Still another aspect of the invention relates to the use of a compound of the invention as a research tool.
  • Other aspects and embodiments of the invention are disclosed herein. DETAILED DESCRIPTION OF THE INVENTION
  • the invention relates to compounds of formula I:
  • the term "compound of the invention” includes all compounds of encompassed by formula I such as the species embodied in formulas Ia, Ib, Ic, and Id, described below.
  • the compounds of the invention may also contain several basic or acidic groups (e.g. , amino or carboxyl groups) and therefore, such compounds can exist as a free base, free acid, or in various salt forms. All such salt forms are included within the scope of the invention.
  • the compounds of the invention may also exist as prodrugs.
  • references to a compound herein for example, reference to a “compound of the invention” or a “compound of formula I” includes reference to a compound of formula I as well as to pharmaceutically acceptable salts and prodrugs of that compound unless otherwise indicated.
  • the term "or a pharmaceutically acceptable salt and/or prodrug thereof is intended to include all permutations of salts and prodrugs, such as a pharmaceutically acceptable salt of a prodrug.
  • solvates of compounds of formula I or salts thereof are included within the scope of the invention.
  • the compounds of formula I may contain one or more chiral centers and therefore, these compounds may be prepared and used in various stereoisomeric forms. Accordingly, the invention relates to racemic mixtures, pure stereoisomers (enantiomers or diastereomers), stereoisomer-enriched mixtures, and the like unless otherwise indicated.
  • the term "compound of formula I" is intended to include all possible stereoisomers of the compound.
  • R 6 is a group such as -Ci- ⁇ alkyl, for example -CH 2 CH(CH 3 )2, and R 7 is H.
  • This chiral center is present at the carbon atom indicated by the symbol * in the following formula:
  • the carbon atom identified by the symbol * has the (R) configuration.
  • compounds of formula I have the (R) configuration at the carbon atom identified by the symbol * or are enriched in a stereoisomeric form having the (R) configuration at this carbon atom (or atoms).
  • the carbon atom identified by the symbol * has the (S) configuration.
  • compounds of formula I have the (S) configuration at the carbon atom identified by the symbol * or are enriched in a stereoisomeric form having the (S) configuration at this carbon atom.
  • the carbon atom identified by the symbol * in order to optimize the therapeutic activity of the compounds of the invention, for example, as hypertensive agents, it may be desirable that the carbon atom identified by the symbol * have a particular (R) or (S) configuration. It is understood that a compound may have two chiral centers, i.e., at the * carbon atom and at a second carbon atom. In such cases, four possible diastereomers can exist. In some cases, in order to optimize the therapeutic activity of the compounds of the invention, e.g., as hypertensive agents, it may be desirable that the carbon atom identified by the symbol * have a particular (R) or (S) configuration.
  • the compounds of the invention may also include isotopically-labeled compounds, i.e., where one or more atoms have been enriched with atoms having an atomic mass different from the atomic mass predominately found in nature.
  • isotopes that may be incorporated into the compounds of formula I, for example, include, but are not limited to, 2 H, 3 H, 13 C, 14 C, 15 N, 18 O, 17 0, 35 S, 36 Cl, and 18 F.
  • the compounds of formula I have been found to possess ATi receptor antagonizing activity and NEP enzyme inhibition activity. Among other properties, such compounds are expected to be useful as therapeutic agents for treating diseases such as hypertension. By combining dual activity into a single compound, double therapy can be achieved; both ATi receptor antagonist activity and NEP enzyme inhibition activity can be obtained using a single active component. Since pharmaceutical compositions containing one active component are typically easier to formulate than compositions containing two active components, such single-component compositions provide a significant advantage over compositions containing two active components. In addition, certain compounds of the invention have also been found to be selective for inhibition of the ATi receptor over the angiotensin II type 2 (AT 2 ) receptor, a property that may have therapeutic advantages.
  • AT 2 angiotensin II type 2
  • Y is: Q is -C(R 3 )-, and Z is a bond and W is -N-, or Z is -C(O)- and W is -CH-.
  • formula I can be represented as:
  • Z is a bond and W is -N-.
  • Y is:
  • formula I can be represented as:
  • R 1 is selected from -Ci_ 6 alkylene-OH, -COOR la , -CHO, -Ci_ 3 alkylene-
  • the R la group is H or -C ⁇ alkyl
  • the R lb group is -Co_ 3 alkylenearyl or -Co- 3 alkyleneheteroaryl.
  • R 1 is -Ci_ 6 alkylene-0H, for example, R 1 is -CH 2 OH.
  • R 1 is -COOR la , and R la is H.
  • R 1 is -CHO.
  • R 1 is -Ci_ 3 alkylene-NHCH(COOH)(Ci_ 6 alkyl), for example, -CH 2 NHCH(COOH)(C 2 - 5 alkyl) such as -CH2NHCH(COOH)[CH2CH(CH3) 2 ].
  • R 1 is -C(O)NHCH(COOH)(C i_ 6 alkyl), for example, -C(O)NHCH(COOH)(C 2 . 5 alkyl) such as -C(O)NHCH(COOH)[CH(CH 3 ) 2 ].
  • R 1 is -C(0)NHCH 2 R lb , and R lb is -Co-3alkylenearyl for example, -Co ⁇ alkylenephenyl.
  • R 1 is -C(O)NHCH 2 -phenyl, -C(O)NH(CH 2 ) 2 -phenyl, -C(O)NH(CH 2 ) 3 -phenyl, or -C(O)NH(CH 2 ) 4 -phenyl.
  • R 1 is -C(O)NHCH 2 R lb , and R lb is
  • -Co ⁇ alkyleneheteroaryl for example a -Co-ialkyleneheteroaryl group such as -2-thienyl and -CH 2 -2-thienyl.
  • R 1 is -C(O)NHCH 2 -2-thienyl or -C(O)NH(CH 2 ) 2 -2-thienyl.
  • Each alkyl and each aryl in R 1 is optionally substituted with 1 to 7 fluoro atoms.
  • the term "alkyl" is intended to include divalent alkylene groups such as those present in -Ci_ 6 alkylene-OH, for example.
  • each aryl and heteroaryl in R 1 is optionally substituted with 1 to 3 substituents independently selected from -OH, -Ci_ 6 alkyl, -C 2 _ 4 alkenyl, -C 2 _ 4 alkynyl, -CN, halo, -O- Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -S(O)-C i_ 6 alkyl, -S(O) 2 -C i_ 4 alkyl, phenyl, -NO 2 , -NH 2 , -NH- Ci_ 6 alkyl, and -N(Ci_ 6 alkyl) 2 .
  • each of the aforementioned alkyl, alkenyl and alkynyl groups is optionally substituted with 1 to 5 fluoro atoms. It is understood that when referring to "each alkyl,” “each aryl” and “each heteroaryl” group in R 1 , the terms also include any such groups that might be present in the R la and R lb moieties.
  • R 2 is selected from H, -CH 2 OH, halo, -NO 2 , -Ci_ 6 alkyl, -C 2 _ 6 alkenyl,
  • R 2a moiety is H, -Ci_ 6 alkyl, -Cs-ecycloalkyl, -C 0 . 3 alkylene-phenyl, -0R 2b or -NR 2c R 2d ; where R 2b is H, -Ci_ 6 alkyl, -Cs- ⁇ cycloalkyl, phenyl, or benzyl; and R 2c and R 2d are independently H, -Ci_ 4 alkyl, or -Co-ialkylene-phenyl.
  • R 2 is H or halo, particularly chloro.
  • Each alkyl and each aryl in R 2 is optionally substituted with 1 to 7 fluoro atoms.
  • the aryl in R 2 for example in -Co_ 3 alkylenearyl or -Co_ 3 alkylene-phenyl, may be substituted with 1 to 3 -OH, -Ci_ 6 alkyl, -C 2 _ 4 alkenyl, -C 2 _ 4 alkynyl, -CN, halo, -O(Ci_ 6 alkyl), -S(Ci_ 6 alkyl), -S(O)(Ci_ 6 alkyl), -S(O) 2 (Ci_ 4 alkyl), phenyl, -NO 2 , -NH 2 , -NH(Ci_ 6 alkyl), or -N(Ci_ 6 alkyl) 2 groups.
  • each of the aforementioned alkyl, alkenyl and alkynyl groups may be substituted with 1 to 5 fluoro atoms. It is understood that when referring to the "alkyl” and “aryl” groups in R 2 , the term includes any such groups that might be present in the R 2a , R 2b , R 2c and R 2d moieties.
  • R 3 is selected from -Ci_ioalkyl, -C 2 _ioalkenyl, -C 3 -ioalkynyl, -Co- 3 alkylene- C 3 _ 7 cycloalkyl, -C 2 _ 3 alkenylene-C 3 _ 7 cycloalkyl, -C 2 _ 3 alkynylene-C 3 _ 7 cycloalkyl, -Co-salkylene-NR ⁇ -Co-salkylene-R 313 , -Co-salkylene-O-Co-salkylene-R 3 * 3 , -C 0 - 5 alkylene-
  • R 3a is H, -Ci_ 6 alkyl, -C 3 _ 7 cycloalkyl, or -Co- 3 alkylenearyl (e.g., -Co-ialkylenearyl such as phenyl and benzyl).
  • R 3b is H, -Ci_ 6 alkyl, -C 3 _ 7 cycloalkyl, -C 2 _ 4 alkenyl, -C 2 _ 4 alkynyl, or aryl (such as phenyl).
  • each alkyl and each aryl in R 3 is optionally substituted with 1 to 7 fluoro atoms, where the term "alkyl” is intended to include divalent alkylene groups such as those present in -Co- 3 alkylene-C 3 _ 7 Cycloalkyl and -Co- 3 alkylenearyl, for example.
  • Each aryl in R 3 may be substituted with 1 to 3 -OH, -Ci_ 6 alkyl, -C 2 - 4 alkenyl, -C 2 - 4 alkynyl, -CN, halo, -O-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -S(O)-
  • each of the aforementioned alkyl, alkenyl and alkynyl groups may be substituted with 1 to 5 fluoro atoms. It is understood that when referring to the "alkyl” and “aryl” groups in R 3 , the terms also include any such groups that might be present in the R 3a and R 3b moieties.
  • R 3 is -Ci_ioalkyl such as -CH 3 or optionally substituted with 1 to 7 fluoro atoms such as -CF 3 .
  • R 3 is -C 2 _ 7 alkyl such as -CH 2 CH 3 ; and in yet another embodiment, R 3 is -C 2 _ 5 alkyl, for example, -(CH 2 ) 2 CH 3 , -(CH 2 ) 3 CH 3 , -CH 2 -CH(CH 3 ) 2 , -CH 2 -CH(CH 3 )CH 2 CH 3 , -(CH 2 ) 2 -CH(CH 3 ) 2 , -CH(CH 2 CH 3 ) 2 , or -(CH 2 ) 4 CH 3 .
  • R 3 is -(CH 2 ) 3 CH 3 .
  • R 3 is -Co- 3 alkylene-C 3 _ 7 Cycloalkyl such as -cyclopropyl , -CH 2 -cyclopropyl, cyclopentyl, -CH 2 -cyclopentyl, -(CH 2 ) 2 -cyclopentyl, and -CH 2 - cyclohexyl.
  • R 3 is -Co-ialkylene-C 3 _ 5 Cycloalkyl.
  • R 3 is -Co-5alkylene-NR 3a -Co-5alkylene-R 3b .
  • R 3a is H and R 3b is -Ci_ 6 alkyl.
  • R 3 groups include -NHCH 2 CH 3 , -NHCH(CH 3 ) 2 , -NH(CH 2 ) 2 CH 3 , -NH(CH 2 ) 3 CH 3 , -NHCH(CH 3 )CH 2 CH 3 , -NH(CH 2 ) 4 CH 3 , and -NH(CH 2 ) 5 CH 3 .
  • R 3 is -Co-5alkylene-0-Co-5alkylene-R 3b .
  • R 3b is H, -Ci_ 6 alkyl, or aryl.
  • R 3 groups include -OCH 3 , -OCH 2 CH 3 , -OCH(CH 3 ) 2 , -O(CH 2 ) 2 CH 3 , -O(CH 2 ) 3 CH 3 , -OCH 2 CH(CH 3 ) 2 , -O-phenyl, and -O-benzyl.
  • R 3 is -Co-5alkylene-S-Ci_5alkylene-R 3b , and in one particular embodiment R 3b is H, such as when R 3 is -CH 2 -S-CH 2 CH 3 .
  • R 3 is -Co- 3 alkylenearyl, such as phenyl, benzyl, and -(CH 2 ) 2 -phenyl.
  • r is 0, 1 or 2.
  • r is 1.
  • Each -CH 2 - group in the -(CH 2 ) r - group may be substituted with 1 or 2 substituents independently selected from -Ci_ 4 alkyl (e.g., -CH 3 ), and fluoro.
  • the -(CH 2 ) r - group is unsubstituted; in another embodiment, one or two -CH 2 - groups in -(CH 2 ) r - are substituted with a -Ci_ 4 alkyl group.
  • Ar-X-CR 5 R 6 R 7 represents an aryl group selected from:
  • Each ring in the Ar portion may be substituted with 1 to 3 substituents independently selected from -OH, -d_ 6 alkyl, -C 2 - 4 alkenyl, -C 2-4 alkynyl, -CN, halo, -O-Ci_ 6 alkyl,
  • each of the aforementioned alkyl, alkenyl and alkynyl groups are optionally substituted with 1 to 5 fluoro atoms.
  • each ring in the Ar portion may be substituted with 1 to 2 substituents independently selected from -OH, -d_ 4 alkyl (e.g., -CH 3 ), halo (e.g., bromo, fluoro, chloro, and di-fluoro), -O-Ci_4alkyl (e.g., -OCH3), and phenyl.
  • substituents independently selected from -OH, -d_ 4 alkyl (e.g., -CH 3 ), halo (e.g., bromo, fluoro, chloro, and di-fluoro), -O-Ci_4alkyl (e.g., -OCH3), and phenyl.
  • exemplary substituted Ar-X-CR 5 R 6 R 7 moieties include:
  • Ar-X-CR 5 R 6 R 7 is an aryl group selected from:
  • X is -SO 2 NHC(O)-, -SO 2 NHC(O)-C i_i 2 alkylene-NHC(O)-, -SO 2 NHC(O)-
  • X is -SO 2 NHC(O)-. In another embodiment, X contains a
  • X can contain a -Cialkylene-, -C 2 alkylene-, -C 3 alkylene-, -C4alkylene-, -Csalkylene-, -C ⁇ alkylene-, -Cyalkylene-, -Csalkylene, -Cgalkylene-,
  • X is -SO 2 NHC(O)- or -SO 2 NHC(O)-C i_ 9 alkylene-NHC(O)-; and in another embodiment, X is -SO 2 NHC(O)- or -SO 2 NHC(O)-Ci_ 5 alkylene-NHC(O)-.
  • X is -SO 2 NHC(O)-Ci_i 2 alkylene-C(O)NH-, such as -SO 2 NHC(O)-Ci_ 5 alkylene-C(O)NH-.
  • X is -C(O)NH- SO 2 -C i_i 2 alkylene-NHC(O)-, such as -C(O)NH-SO 2 -Ci_ 6 alkylene-NHC(O)-.
  • X is -C(O)NH-SO 2 -Ci_i 2 alkylene-C(O)NH-, such as -C(O)NH- SO 2 -Ci_ 6 alkylene-C(O)NH-.
  • X is -SO 2 NHC(O)NH- C 2 -i 2 alkylene-NHC(O)-, such as -SO 2 NHC(O)NH-C 2 - 5 alkylene-NHC(O)-.
  • X is -SO 2 NHC(O)NH-C i_i 2 alkylene-C(O)NH-, such as -SO 2 NHC(O)NH- Ci_ 5 alkylene-C(O)NH-.
  • X is -NH-SO 2 -NHC(O)-
  • Ci_i 2 alkylene-NHC(O)- such as -NH-SO 2 -NHC(O)-Ci_ 6 alkylene-NHC(O)-.
  • X is -NH-SO 2 -NHC(O)-Ci_i 2 alkylene-C(O)NH-, such as -NH-SO 2 -NHC(O)- Ci_ 6 alkylene-C(O)NH-.
  • One or more -CH 2 - moieties in the -Ci_i 2 alkylene- portion of X are optionally replaced with a -NR 4 -C(0)- or -C(O)-NR 4 - moiety.
  • none of the -CH 2 - moieties are replaced with a -NR 4 -C(0)- or -C(O)-NR 4 - group.
  • at least one of the -CH 2 - moieties is replaced with a -NR 4 -C(0)- or -C(O)-NR 4 - group, and in another embodiment 1, 2 or 3 of the -CH 2 - moieties are replaced.
  • when more than one -CH 2 - moiety is replaced with a -NR 4 -C(0)- or -C(O)-NR 4 - moiety, then the replaced moieties are non-contiguous.
  • R 4 is selected from H, -OH, and -Ci_ 4 alkyl.
  • R 4 is H.
  • R 4 is -Ci_ 4 alkyl, examples of which include -CH(CHs) 2 , i.e., X can be a group such as -SO 2 NHC(O)CH(CH(CH 3 ) 2 )-C 2 _i 2 alkylene-.
  • Each alkyl in R 4 is optionally substituted with 1 to 7 fluoro atoms.
  • One -CH 2 - in the -Ci_i 2 alkylene- portion of X may be replaced with a
  • cycloalkyl-containing X groups include -SO 2 NHC(O)-cyclopentylene-NHC(O)-, -SO 2 NHC(O)-cyclohexylene-NHC(O)-, and -SO 2 -NHC(O)CH 2 -CH 2 -NHC(O)- cyclohexylene-NHC(O)-.
  • phenylene-containing X groups include
  • the phenylene group is attached at the meta or para position.
  • one or more of the -CH 2 - groups in the -Ci_i 2 alkylene- portion of X may be substituted with a -COOH moiety or an amino acid side chain (e.g., the side chain -CH(CHs) 2 ). In one embodiment, there are no such substitutions. In another embodiment, one of the -CH 2 - groups is substituted with -COOH.
  • Exemplary X groups include the following: -SO 2 NHC(O)-
  • R 5 is selected from -C 0 - 3 alkylene-SR 5a , -C 0 - 3 alkylene-C(O)NR 5b R 5c , -C 0 - 3 alkylene-NR 5b -C(O)R 5d , -NH-C 0 -ialkylene-P(O)(OR 5e ) 2 , -C 0 -3alkylene-P(O)OR 5e R 5f , -Co- 2 alkylene-CHR 5g -COOH, -C 0 - 3 alkylene-C(O)NR 5h -CHR 5l -COOH, and -C 0 . 3 alkylene-S- SR 5j .
  • Each alkyl and each aryl in R 5 is optionally substituted with 1 to 7 fluoro atoms, where the term "alkyl” is intended to include divalent alkylene groups such as those present in -C 0 -3alkylene-SR 5a and -C 0 -3alkylene-P(O)OR 5e R 5f , for example.
  • Each aryl and heteroaryl in R 5 may be substituted with 1 to 3 -OH, -C ⁇ alkyl, -C 2 - 4 alkenyl, -C 2 _ 4 alkynyl, -CN, halo, -O-C 1-6 alkyl, -S-C 1-6 alkyl, -S(O)-C 1-6 alkyl, -S(O) 2 -C i_ 4 alkyl, phenyl, -NO 2 , -NH 2 , -NH-Ci_6alkyl, or -N(Ci_6alkyl) 2 groups.
  • each of the aforementioned alkyl, alkenyl and alkynyl groups may be substituted with 1 to 5 fluoro atoms. It is understood that when referring to "each alkyl,” “each aryl” and “each heteroaryl” group in R 5 , the terms also include any alkyl and aryl groups that might be present in the R 5a 5j , R 5aa , R 5ab , R 5ba , R 5bb , R 5bc , R 5ca , R 5da , R 5db , R 5ea , R 5eb , R 5ec , R 5fa , and R 5fb moieties.
  • R 5 is -C 0 - 3 alkylene-SR 5a .
  • R 5a is H or -C(0)R 5aa .
  • the R 5aa group is -Ci_ 6 alkyl, -C 0 - 6 alkylene-C 3 _ 7 cycloalkyl, -Co- ⁇ alkylenearyl, -Co- ⁇ alkyleneheteroaryl, -Co-ealkylenemorpholine, -CH[N(R 5ab ) 2 ]-aa where aa is an amino acid side chain, -2-pyrrolidine, -Co-6alkylene-OR 5ab , -O-Co- ⁇ alkylenearyl, -Ci_ 2 alkylene-OC(O)-Ci_ 6 alkyl, -Ci_ 2 alkylene-OC(O)-C 0 - 6 alkylenearyl, or -O-Ci_ 2 alkylene- 0C(0)0-Ci_ 6 al
  • the R 5ab group is independently H or -Ci_ 6 alkyl.
  • R 5a is H, for example, R 5 can be -SH or -CH 2 SH.
  • R 5a is -C(0)-R 5aa , where R 5aa is -C 1-6 alkyl.
  • Exemplary -Ci_ 6 alkyl groups include -CH 3 , -CH 2 CH 3 , -CH(CH 3 ) 2 , -C(CHs) 3 , and -CH 2 CH(CH 3 ) 2 .
  • examples of R 5 include -SC(O)CH 3 , -CH 2 SC(O)CH 3 , -CH 2 SC(O)CH 2 CH 3 , -CH 2 SC(O)CH(CH 3 ) 2 and
  • R 5a is H or -C(O)-C i-ealkyl.
  • R 5 is -C 0 - 3 alkylene-SR 5a , where R 5a is -C(0)-R 5aa , and R 5aa is -Co- 6 alkylene-C 3 _ 7 Cycloalkyl.
  • Exemplary C 3 _ 7 Cycloalkyl groups include cyclopentyl and cyclohexyl.
  • examples of R 5 include -CH 2 SC(O)-cyclopentyl, -CH 2 SC(O)- cyclohexyl, and -CH 2 SC(O)-CH 2 -cyclopentyl.
  • R 5 is -C 0 - 3 alkylene-SR 5a , where R 5a is -C(0)-R 5aa , and R 5aa is -Co-ealkylenearyl.
  • the aryl is optionally substituted with 1 to 3 substituents such as -O-Ci_ 6 alkyl.
  • Exemplary aryl groups include phenyl and -phenyl-OCH 3 .
  • examples of R 5 include -CH 2 SC(O)-phenyl and -CH 2 SC(O)-phenyl-OCH 3 .
  • R 5 is -C 0 - 3 alkylene-SR 5a , where R 5a is -C(O)-R 5aa , and R 5aa is -Co-ealkyleneheteroaryl.
  • exemplary heteroaryl groups include furanyl, thienyl and pyridinyl.
  • examples of R 5 include: -CH 2 SC(O)-2-pyridine, -CH 2 SC(O)-3-pyridine, and -CH 2 SC(O)-4-pyridine.
  • R 5 is -C 0 - 3 alkylene-SR 5a , where R 5a is -C(O)-R 5aa , and R 5aa is -Co- ⁇ alkylenemorpholine: more particularly, -Ci_3alkylenemorpholine.
  • examples of R 5 include -CH 2 S-C(O)CH 2 -morpholine and -CH 2 S-C(O)(CH 2 ) 2 -morpholine.
  • R 5 is -C 0 - 3 alkylene-SR 5a , where R 5a is -C(O)-R 5aa , and R 5aa is -Co-ealkylenepiperazine-CHs.
  • examples of R 5 include -CH 2 S-C(O)(CH 2 ) 2 -piperazine-CH 3 .
  • R 5 is -C 0 - 3 alkylene-SR 5a , where R 5a is -C(O)-R 5aa , and R 5aa is -CH[N(R 5ab ) 2 ]-aa where aa is an amino acid side chain.
  • the amino acid side chain could be -CH(CH 3 ) 2 (valine side chain), -CH 2 CH(CH3) 2 (leucine side chain), -CH(CH 3 )CH 2 CH 3 (isoleucine side chain), -CH 2 COOH (aspartic acid side chain), -(CH 2 ) 2 COOH (glutamic acid side chain), -CH(OH)(CH 3 ) (threonine side chain), -benzyl (phenylalanine side chain), -4-hydroxybenzyl (tyrosine side chain), and -(CH 2 ) 2 SCH 3 (methionine side chain).
  • examples of R 5 include -CH 2 S-C(O)CH(NH 2 )-CH(CH 3 ) 2 , -CH 2 SC(O)CH(NH 2 )-CH 2 CH(CH 3 ) 2 , -CH 2 SC(O)CH(NH 2 )-CH(CH 3 )CH 2 CH 3 , -CH 2 SC(O)CH(NH 2 )-CH 2 COOH, -CH 2 SC(O)CH(NH 2 )-(CH 2 ) 2 COOH, -CH 2 SC(O)CH(NH 2 )-CH(OH)(CH 3 ), -CH 2 SC(O)-CH(NH 2 )-benzyl, -CH 2 SC(O)CH(NH 2 )- 4-hydroxybenzyl, and -CH 2 SC(O)CH(NH 2 )-(CH 2 ) 2 SCH 3 .
  • R 5 is -C 0 - 3 alkylene-SR 5a , where R 5a is -C(O)-R 5aa , and R 5aa is -2-pyrrolidine:
  • R 5 is -CH 2 S-C(O)-2-pyrrolidine.
  • R 5 is -C 0 - 3 alkylene-SR 5a , where R 5a is -C(O)-R 5aa , and R 5aa is -C 0 - 6 alkylene-OR 5ab .
  • R 5ab is H, such that R 5a is -C(O)-C 0 - 6 alkylene-OH.
  • R 5ab is -Ci_ 6 alkyl, such that R 5a is -C(O)-C 0 - 6 alkylene-O-Ci_ 6 alkyl, for example, R 5 can be -CH 2 SC(O)-O-CH 2 CH 3 .
  • R 5 is -C 0 - 3 alkylene-SR 5a , where R 5a is -C(O)-R 5aa , and R 5aa is -O-Co- ⁇ alkylenearyl.
  • R 5 is -Co- 3 alkylene-SR 5a , where R 5a is -C(O)-R 5aa , and R 5aa is -Ci_ 2 alkylene-OC(O)-Ci_ 6 alkyl; and in another embodiment, R 5 is -C 0 - 3 alkylene-SR 5a , where R 5a is -C(O)-R 5aa , and R 5aa is -Ci_ 2 alkylene-OC(O)- Co- 6 alkylenearyl; and in still another embodiment, R 5 is -Co- 3 alkylene-SR 5a , where R 5a is -C(O)-R 5aa , and R 5aa is -O-
  • R 5ba is H, -Ci_ 6 alkyl, aryl, -OCH 2 -aryl (e.g., -OCH 2 -phenyl), -CH 2 O-aryl (e.g., -CH 2 O-phenyl), or -NR 5bb R 5bc .
  • the R 5bb and R 5bc moieties are independently H or -Ci_ 4 alkyl.
  • R 5b is -OH or -OC(O)R 5ba , where -R 5ba is -Ci_ 6 alkyl.
  • R 5c is H, -Ci_ 6 alkyl, or -C(O)-R 5ca , where R 5ca is H, -Ci_ 6 alkyl, -C 3 _ 7 Cycloalkyl, aryl, or heteroaryl.
  • R 5 is -C 0 - 3 alkylene-C(O)NR 5b R 5c and R 5c is H.
  • R 5 is -C 0 - 3 alkylene-C(O)NR 5b R 5c , where R 5b is -OH and R 5c is H, for example, R 5 can be -C(O)NH(OH) or -CH 2 C(O)NH(OH).
  • R 5 is -C 0 - 3 alkylene-C(O)NR 5b R 5c , where R 5b is -0C(0)R 5ba , R 5ba is -Ci_ 6 alkyl, and R 5c is H.
  • examples of R 5 include -C(O)N[OC(O)CH 3 ]H and -C(O)N[OC(O)C(CH 3 ) 3 ]H.
  • R 5 is -C 0 - 3 alkylene-C(O)NR 5b R 5c and both R 5b and R 5c are H, for example, R 5 can be -C(O)NH 2 .
  • R 5 is -C 0 . 3 alkylene-C(O)NR 5b R 5c , where R 5b is -CH 2 COOH and R 5c is H, for example, R 5 can be -C(O)N(CH 2 COOH)H.
  • R 5 is -C 0 - 3 alkylene-C(O)NR 5b R 5c , where R 5b is -0C(0)R 5ba , R 5ba is -O-CH 2 -aryl or -CH 2 -O-aryl, and R 5c is H.
  • R 5b is -CH 2 -
  • R 5 is -C 0 - 3 alkylene-C(O)NR 5b R 5c , where R 5b is -OC(S)NR 5bb R 5bc , R 5bb and R 5bc are both -Ci_ 4 alkyl, and R 5c is H.
  • R 5 can be -CH 2 - C(O)N[OC(S)N(CH 3 ) 2 ]H.
  • R 5 is selected from -Co- 3 alkylene-SR 5a and
  • R 5a is H or -C(O)-Ci_ 6 alkyl
  • R 5b is H, -OH, or -OC(O)- Ci_ 6 alkyl
  • R 5c is H or -Ci_ 6 alkyl.
  • R 5 is -C 0 - 3 alkylene-NR 5b -C(O)R 5d .
  • the R 5d moiety is H, -Ci_ 4 alkyl, -C 0 . 3 alkylenearyl, -NR 5da R 5db , -CH 2 SH, or -O-Ci_ 6 alkyl.
  • the R 5da and R 5db moieties are independently H or -Ci_ 4 alkyl.
  • R 5 is
  • R 5b is -OH and R 5d is H, for example, R 5 can be -CH 2 - N(OH)C(O)H; and in another embodiment, R 5b is -OH and R 5d is -Ci_ 4 alkyl, for example, R 5 can be -CH 2 -N(OH)C(O)CH 3 .
  • R 5 is -Co-salkylene-
  • R 5b is H and R 5d is -CH 2 SH
  • R 5 can be -NHC(O)- CH 2 SH or -CH 2 NHC(O)-CH 2 SH.
  • R 5 is -NH-C 0 -ialkylene-P(O)(OR 5e ) 2 .
  • the R 5e moiety is H, -Ci_ 6 alkyl, -Ci_ 3 alkylenearyl, -Ci_ 3 alkyleneheteroaryl, -C 3 . 7 cycloalkyl, -CH(CH 3 )-O- C(O)R 5ea ,
  • the R 5ea group is -O-Ci_ 6 alkyl, -O-C 3 . 7 cycloalkyl, -NR 5eb R 5ec , or -CH(NH 2 )CH 2 COOCH 3 .
  • R 5eb and R 5ec are independently H, -Ci_ 4 alkyl, or -Ci_ 3 alkylenearyl (e.g., benzyl).
  • R 5eb and R 5ec may also be taken together to form -(CH 2 ) 3 _6-.
  • R 5 is -NH-C 0 -ialkylene-P(O)(OR 5e ) 2 , where R 5e is H, for example, R 5 can be -NH-CH 2 - P(O)(OH) 2 .
  • R 5 is -C 0 - 3 alkylene-P(O)OR 5e R 5f .
  • the R 5f moiety is H, -Ci_ 4 alkyl, -C 0 - 3 alkylenearyl, -Ci_ 3 alkylene-NR 5fa R 5fb , or -Ci_ 3 alkylene(aryl)-C 0 - 3 alkylene- NR 5fa R 5fb .
  • the R 5fa and R 5fb groups are independently H or -Ci_ 4 alkyl.
  • R 5e is H, for example, R 5 can be -C 0 - 3 alkylene-P(O)(OH)R 5f .
  • R 5 is -C 0 . 2 alkylene-CHR 5g -COOH.
  • the R 5g moiety is H, -Ci_ 6 alkyl, -Ci_ 3 alkylenearyl, or -CH 2 -O-(CH 2 ) 2 -OCH 3 .
  • R 5g is -CH 2 -O-(CH 2 ) 2 -OCH 3 , for example, R 5 can be -CH 2 -C[CH 2 -O-(CH 2 ) 2 -OCH 3 ]H-COOH.
  • R 5g is H, for example, R 5 can be -CH 2 COOH.
  • R 5 is -C 0 .
  • R 5h moiety is H or -Ci_ 4 alkyl.
  • the R 51 moiety is H, -Ci_ 4 alkyl, or -Co- 3 alkylenearyl.
  • R 5h is H and R 51 is -Co- 3 alkylenearyl, and the aryl is optionally substituted with 1 to 3 substituents such as -OH, for example, R 5 can be -C(O)NH-CH(CH 2 -phenyl- OH)(COOH).
  • R 5 is -Co- 3 alkylene-S-SR 5j , and the R 5j moiety is -Ci_ 6 alkyl, aryl, or -CH 2 CH(NH 2 )COOH.
  • R 5 groups include -C 0 - 3 alkylene-S-S- CH 3 , -Co- 3 alkylene-S-S-phenyl, and -C 0 - 3 alkylene-S-S-CH 2 CH(NH 2 )-COOH.
  • R 6 is selected from -Ci_ 6 alkyl, -CH 2 O(CH 2 ) 2 OCH 3 , -Ci_ 6 alkylene-O-Ci_ 6 alkyl, -Co- 3 alkylenearyl, -Co- 3 alkyleneheteroaryl, and -Co- 3 alkylene-C 3 _ 7 cycloalkyl.
  • R 6 is selected from -Ci_ 6 alkyl, -Co- 3 alkylenearyl, and -Co- 3 alkylene-C 3 _7Cycloalkyl.
  • alkyl and each aryl in R 6 is optionally substituted with 1 to 7 fluoro atoms, where the term "alkyl” is intended to include divalent alkylene groups such as those present in -Ci_ 6 alkylene-O-Ci_ 6 alkyl and -Co- 3 alkylene-C 3 - 7 cycloalkyl, for example.
  • each aryl and heteroaryl in R 6 may be substituted with 1 to 3 -OH, -Ci_ 6 alkyl, -C 2 - 4 alkenyl, -C 2 - 4 alkynyl, -CN, halo, -O-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -S(O)-
  • One exemplary substituted R 6 group is -Co- 3 alkylenearyl, where the aryl is optionally substituted with phenyl, for example, R 6 is -CH 2 -biphenyl.
  • each of the aforementioned alkyl, alkenyl and alkynyl groups may be substituted with 1 to 5 fluoro atoms.
  • R 6 is -Ci_ 6 alkyl, for example, -CH 3 , -CH 2 CH 3 , -CH(CH 3 ) 2 , -(CH 2 ) 2 CH 3 , -(CH 2 ) 3 CH 3 , -CH(CH 3 )CH 2 CH 3 , -CH 2 CH(CH 3 ) 2 , -CH 2 C(CH 3 ) 3 , -(CH 2 ) 2 CH(CH 3 ) 2 , or -(CH 2 ) 4 CH 3 .
  • each alkyl in R 6 is optionally substituted with 1 to 7 fluoro atoms. Examples of such fluoro-substituted R 6 groups include -(CH 2 ) 2 CF 3 and -(CH 2 ) 3 CF 3 .
  • R 6 is -CH 2 O(CH 2 ) 2 OCH 3 .
  • R 6 is -Ci_ 6 alkylene-O-Ci_ 6 alkyl, for example, -OCH 3 and -CH 2 OCH 3 .
  • R 6 is -Co- 3 alkylenearyl, for example, phenyl, benzyl, -CH 2 -biphenyl, -(CH 2 ) 2 -phenyl and -CH 2 -naphthalen-l-yl.
  • the aryl may be substituted with 1 to 3 substituents.
  • R 6 examples include mono-substituted groups such as, methylbenzyl, chlorobenzyl, fluorobenzyl, fluorophenyl, bromobenzyl, iodobenzyl, -benzyl-CF 3 , 2-trifluoromethyl-benzyl, -benzyl-CN, and -benzyl-NO 2 ; and di-substituted groups such as di-chlorobenzyl and di-fluorobenzyl. Each aryl may also be substituted with 1 to 7 fluoro atoms.
  • R 6 include penta-fluorobenzyl.
  • R 6 is -Co_ 3 alkyleneheteroaryl, for example, -CH 2 -pyridyl,
  • R 6 is -Co- 3 alkylene-C 3 _ 7 Cycloalkyl, for example, -CH 2 -cyclopropyl, cyclopentyl, -CH 2 - cyclopentyl, -cyclohexyl, and -CH 2 -cyclohexyl.
  • R 7 is H or is taken together with R 6 to form -C 3 _gcycloalkyl. In one embodiment, R 7 is H. In another embodiment, R 7 is taken together with R 6 to form -C 3 _ 8 Cycloalkyl, for example cyclopentyl.
  • prodrug A is a dimer form of the compound:
  • the compound of formula I is the species embodied in formula Ia:
  • Y is:
  • Q is -C(R )-, Z is a bond and W is -N-;
  • Y is:
  • Ar-X-CR 5 R 6 R 7 is selected from:
  • R 1"3 , X, and R 5"7 are as defined for formula I; and pharmaceutically acceptable salts thereof.
  • the compound of formula I is the species embodied in formula Ib:
  • R 1"3 , X, and R 5"7 are as defined for formula I; and pharmaceutically acceptable salts thereof.
  • R 1 is -Ci_ 6 alkylene-OH or -CHO;
  • R 2 is H or halo;
  • R 3 is -C MO alkyl;
  • X is -SO 2 NHC(O)-Ci_ 9 alkylene-NHC(O)-;
  • R 5 is -Co-salkylene-SH, -C 0 - 3 alkylene-C(O)N(R 5b )H, -NH-C 0 -ialkylene-P(O)(OH) 2 , or
  • R 5b is -OH or -OC(O)-C 1-6 alkyl
  • R 6 is -Ci_ 6 alkyl or -Co- 3 alkylenearyl
  • R 7 is H or is taken together with R 6 to form -C 3 _gcycloalkyl
  • one -CH 2 - in the -Ci.galkylene- portion of X is optionally replaced with a -C4_8Cycloalkylene- group
  • one -CH 2 - moiety is optionally replaced with a -NHC(O)- moiety
  • one -CH 2 - moiety is optionally substituted with -COOH or an amino acid side chain
  • the aryl in R 6 is optionally substituted with phenyl.
  • the compound of formula I is the species embodied in formula Ic:
  • R 1 is -Ci_ 6 alkylene-OH, -COOH, -CHO, -Ci_ 3 alkylene-NHCH(COOH)(Ci_ 6 alkyl), or -C(0)NHCH 2 R lb , where R lb is -C 0 - 3 alkylenearyl or -Co ⁇ alkyleneheteroaryl; R 2 is halo; R 3 is -C 1-10 alkyl; X is -SO 2 NHC(O)-Ci_ 9 alkylene-NHC(O)-; R 5 is -C 0 - 3 alkylene-SH or -C 0 - 3 alkylene- C(O)N(OH)H; R 6 is -Ci_ 6 alkyl or -C 0 - 3 alkylenearyl; and R 7 is H; where
  • the compound of formula I is the species embodied in formula Id: where R 3 , X, and R 5"7 are as defined for formula I; and pharmaceutically acceptable salts thereof.
  • R 3 is -Ci_ioalkyl
  • X is -SO 2 NHC(O)- or -SO 2 NHC(O)-Ci_ 5 alkylene-NHC(O)-
  • R 5 is -C 0 - 3 alkylene-SH or -Co- 3 alkylene-C(0)N(OH)H
  • R 6 is -C i_ 6 alkyl or -C 0 - 3 alkylenearyl
  • R 7 is H; where one -CH 2 - moiety in the -Ci_salkylene- portion of X is optionally replaced with a -NHC(O)- moiety; and one -CH 2 - moiety is optionally substituted with an amino acid side chain.
  • R 1 is -Ci_ 6 alkylene-0H, -COOR la , -CHO, -Ci. 3 alkylene-NHCH(COOH)(Ci. 6 alkyl), or -C(0)NHCH 2 R lb ; where R la is H; and R lb is -Co_ 3 alkylenearyl or -Co_ 3 alkyleneheteroaryl; R 2 is H or halo; R 3 is -Ci_ioalkyl; X is -SO 2 NHC(O)- or -SO 2 NHC(O)-C i_ 9 alkylene-NHC(O)-; R 5 is -C 0 - 3 alkylene-SH, -Co- 3 alkylene-C(0)N(R 5b )H, -NH-C 0 -ialkylene-P(O)(OH) 2 , or -C 0 - 2 alkylene-CH[-CH 2 -O
  • this embodiment has formula Ia, Ib, Ic, or Id.
  • R 1 is selected from -CH 2 OH, -COOH,
  • R 2 is selected from H and chloro;
  • R 3 is -(CH 2 ) 3 CH 3 ;
  • X is selected from: -SO 2 NHC(O)-;
  • R 5 is selected from -SH, -CH 2 -SH, -C(O)NH(OH), -C(O)NH[OC(O)CH 3 ], -C(O)NH[OC(O)C(CHs) 3 ], -NH-CH 2 -P(O)(OH) 2 , and -CH 2 -CH[CH 2 -O-(CH 2 ⁇ -OCH 3 ]- COOH;
  • R 6 is selected from -CH 3 , -CH(CH 3 ) 2 , -CH(CH 3 )CH 2 CH 3 , -CH 2 CH(CH 3 ) 2 , -CH 2 - phenyl, and -CH 2 -biphenyl; and R 7 is H or is taken together with R 6 to form cyclopentyl; and pharmaceutically acceptable salts thereof.
  • this embodiment has formula Ia, Ib, Ic, or Id.
  • R 5 is selected from -Co- 3 alkylene-SR 5a , -Co- 3 alkylene- C(O)NR 5b R 5c , -Co- 3 alkylene-NR 5b -C(0)R 5d , -NH-C 0 -ialkylene-P(O)(OR 5e ) 2 ,
  • R 5f is selected from
  • R 5 is selected from -Co_ 3 alkylene-SR 5a , and -Co_ 3 alkylene-
  • R 5 is selected from -Co- 3 alkylene-SR 5a , -Co- 3 alkylene- C(O)NR 5b R 5c , -Co- 3 alkylene-NR 5b -C(0)R 5d , -NH-C 0 -ialkylene-P(O)(OR 5e ) 2 , -C 0 .
  • R 5a is -C(O)-R 5aa
  • R 5b is H, -OC(O)R 5ba , -CH 2 COOH, -O-benzyl, -pyridyl, or -OC(S)NR 5bb R 5bc
  • R 5e is -Ci_ 6 alkyl, -Ci_ 3 alkylenearyl, -Ci_ 3 alkyleneheteroaryl, -C 3 .
  • R 5aa , R 5ba , R 5bb , R 5bc , R 5c , R 5d , R 5ea , R 5f , and R 5j are as defined for formula I.
  • these compounds may find particular utility as prodrugs or as intermediates in the synthetic procedures described herein.
  • these embodiments have formula Ia, Ib, Ic, or Id.
  • R 5 is selected from -Co-3alkylene-SR 5a and -Co- 3 alkylene-C(0)NR 5b R 5c ; where R 5a is H or -C(O)-C 1-6 alkyl; R 5b is H, -OH, or -OC(O)- Ci_ 6 alkyl; and R 5c is H or -C ⁇ alkyl.
  • this embodiment has formula Ia, Ib, Ic, or Id.
  • a particular group of compounds of formula I are those disclosed in U.S.
  • Y' is:
  • Q' is -C(R 3 ')-; Z' is a bond and W is -N-, or Z' is -C(O)- and W is -CH-; or Y' is: Q' is -C(R 3 ')-, Z' is -C(O)-, and W is -N-;
  • R 1 ' is selected from -Ci_ 6 alkylene-OH, -COOR la , -CHO, -Ci_ 3 alkylene-NHCH(COOH)(Ci_ 6 alkyl), -C(O)NHCH(COOH)(C i_ 6 alkyl), and -C(O)NHCH 2 R lb ; where R la is selected from H and -d_ 6 alkyl; R lb is selected from -Co- 3 alkylenearyl and -Co- 3 alkyleneheteroaryl; R 2 ' is selected from H, -CH 2 OH, halo, -NO 2
  • R 2a is selected from H, -C 1-6 alkyl, -Cs-ecycloalkyl, -Co ⁇ alkylene-phenyl, -OR 2b and -NR 2c R 2d ;
  • R 2b is selected from H, -Ci_6alkyl, -C 3 _ 6 cycloalkyl, phenyl and benzyl; and
  • R 2c and R 2d are independently selected from H, -Ci_ 4 alkyl, and -Co-ialkylene-phenyl;
  • R 3 ' is selected from -Ci_ioalkyl, -C 2 _ioalkenyl, -C 3 _ioalkynyl, -Co- 3 alkylene-C 3 _ 7 cycloalkyl,
  • R 3a is H, -Ci_ 6 alkyl, -Cs-ycycloalkyl, or -C 0 - 3 alkylenearyl; and R 3b is H, -Ci_ 6 alkyl, -Cs.ycycloalkyl, -C 2 . 4 alkenyl, -C 2 . 4 alkynyl, or aryl; r is 0, 1 or 2; Ar'-X'-CR ⁇ 'R 7 ' is selected from:
  • X' is -SO 2 NHC(O)- or -SO 2 NHC(O)-Ci_i 2 alkylene-;
  • R 5 ' is selected from -C 0 - 3 alkylene- SR 5a , -C 0 -3alkylene-C(O)NR 5b R 5c , -C 0 -3alkylene-NR 5b -C(O)R 5d , -NH-C 0 -ialkylene- P(O)(OR 5e ) 2 , -C 0 - 3 alkylene-P(O)OR 5e R 5f , -C 0 - 2 alkylene-CHR 5g -COOH, -C 0 - 3 alkylene- C(O)NR 5h -CHR 5l -COOH, and -C 0 - 3 alkylene-S-SR 5j ;
  • R 5a is H or -C(O)R 5aa ;
  • R 5c is H, -Ci_ 6 alkyl, or -C(O)-R 5ca ;
  • R 5ca is H, -Ci_ 6 alkyl, -C 3 _ 7 cycloalkyl, aryl, or heteroaryl;
  • R 5d is H, -Ci_ 4 alkyl, -C 0 .
  • R 5da and R 5db are independently selected from H and -Ci_ 4 alkyl;
  • R 5e is H, -Ci_ 6 alkyl, -Ci_ 3 alkylenearyl, -Ci_ 3 alkyleneheteroaryl, -C 3 . 7 cycloalkyl, -CH(CH 3 )-O-C(O)R 5ea ,
  • R 5ea is -O-Ci_ 6 alkyl, -O-C 3 . 7 cycloalkyl, -NR 5eb R 5ec , or -CH(NH 2 )CH 2 COOCH 3 ;
  • R 5eb and R 5ec are independently selected from H, -Ci_ 4 alkyl, and -Ci_ 3 alkylenearyl, or are taken together as -(CH 2 ) 3 _ 6 -;
  • R 5f is H, -C 1-4 alkyl, -C 0 - 3 alkylenearyl, -Ci_ 3 alkylene-NR 5fa R 5fb , or -Ci_ 3 alkylene(aryl)-C 0 - 3 alkylene-NR 5fa R 5fb ;
  • R 5fa and R 5fb are independently selected from H and -C M alkyl;
  • R 5g is H, -Ci_ 6 alkyl, -Ci
  • alkyl means a monovalent saturated hydrocarbon group which may be linear or branched. Unless otherwise defined, such alkyl groups typically contain from 1 to 10 carbon atoms and include, for example, -Ci_ 4 alkyl, -Ci_ 6 alkyl, and -Ci_ioalkyl.
  • alkyl groups include, by way of example, methyl, ethyl, n-propyl, isopropyl, n-butyl, s-butyl, isobutyl, t-butyl, n-pentyl, n-hexyl, n-heptyl, n-octyl, n-nonyl, /7-decyl and the like.
  • alkyl means an alkyl group having from 1 to 6 carbon atoms
  • -C 3 _ 7 Cycloalkyl means a cycloalkyl group having from 3 to 7 carbon atoms, respectively, where the carbon atoms are in any acceptable configuration.
  • alkylene means a divalent saturated hydrocarbon group that may be linear or branched.
  • alkylene groups typically contain from 0 to 12 carbon atoms and include, for example, -C 0-1 alkylene-, -Co-2alkylene-, -C 0 - 3 alkylene-, -C 0-5 alkylene-, -Co- ⁇ alkylene-, -Ci_ 2 alkylene- and -Ci_i 2 alkylene-.
  • Representative alkylene groups include, by way of example, methylene, ethane- 1,2-diyl ("ethylene”), propane- 1,2-diyl, propane- 1, 3 -diyl, butane- 1,4-diyl, pentane-l,5-diyl and the like.
  • alkylene term include zero carbons such as -Co-ialkylene- or -Co-salkylene-, such terms are intended to include the absence of carbon atoms, that is, the alkylene group is not present except for a covalent bond attaching the groups separated by the alkylene term.
  • alkylthio means a monovalent group of the formula -S-alkyl, where alkyl is as defined herein. Unless otherwise defined, such alkylthio groups typically contain from 1 to 10 carbon atoms and include, for example, -S-Ci_ 4 alkyl and -S-Ci_ 6 alkyl. Representative alkylthio groups include, by way of example, ethylthio, propylthio, isopropylthio, butylthio, s-butylthio and t-butylthio.
  • alkenyl means a monovalent unsaturated hydrocarbon group which may be linear or branched and which has at least one, and typically 1, 2 or 3, carbon-carbon double bonds. Unless otherwise defined, such alkenyl groups typically contain from 2 to 10 carbon atoms and include, for example, -C 2 -4alkenyl and -C 2 -ioalkenyl. Representative alkenyl groups include, by way of example, ethenyl, n-propenyl, isopropenyl, n-but-2-enyl, n-hex-3-enyl and the like.
  • alkenylene means a divalent alkenyl group, and includes groups such as -C 2 -3alkenylene-.
  • alkoxy means a monovalent group of the formula -O-alkyl, where alkyl is as defined herein. Unless otherwise defined, such alkoxy groups typically contain from 1 to 10 carbon atoms and include, for example, -O-Ci_ 4 alkyl and -O-Ci_ 6 alkyl.
  • alkoxy groups include, by way of example, methoxy, ethoxy, n-propoxy, isopropoxy, n-butoxy, sec-butoxy, isobutoxy, t-butoxy and the like.
  • alkynyl means a monovalent unsaturated hydrocarbon group which may be linear or branched and which has at least one, and typically 1, 2 or 3, carbon-carbon triple bonds. Unless otherwise defined, such alkynyl groups typically contain from 2 to 10 carbon atoms and include, for example, -C 2 -4alkynyl and -C3_ioalkynyl. Representative alkynyl groups include, by way of example, ethynyl, n-propynyl, n-but-2-ynyl, n-hex-3- ynyl and the like.
  • alkynylene means a divalent alkynyl group and includes groups such as -C2-3alkynylene-.
  • Amino acid residues are often designated as -C(O)-CHR-NH-, where the R moiety is referred to as the "amino acid side chain.”
  • the side chain is -CH(CH 3 ) 2 .
  • amino acid side chain is intended to include side chains of the twenty common naturally occurring amino acids: alanine, arginine, asparagine, aspartic acid, cysteine, glutamic acid, glutamine, glycine, histidine, isoleucine, leucine, lysine, methionine, phenylalanine, proline, serine, threonine, tryptophan, tyrosine, and valine.
  • side chains of non-polar amino acids such as isoleucine, leucine, and valine.
  • aryl means a monovalent aromatic hydrocarbon having a single ring
  • aryl typically contain from 6 to 10 carbon ring atoms and include, for example, -C6-ioaryl.
  • Representative aryl groups include, by way of example, phenyl and naphthalene- 1-yl, naphthalene-2-yl, and the like.
  • arylene means a divalent aryl group such as phenylene.
  • cycloalkyl means a monovalent saturated carbocyclic hydrocarbon group. Unless otherwise defined, such cycloalkyl groups typically contain from 3 to 10 carbon atoms and include, for example, -C 3 _ 5 Cycloalkyl, -C 3 _ 6 Cycloalkyl and -Cs-ycycloalkyl. Representative cycloalkyl groups include, by way of example, cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl and the like.
  • cycloalkylene means a divalent aryl group such as -C4_8Cycloalkylene.
  • halo means fluoro, chloro, bromo and iodo.
  • heteroaryl means a monovalent aromatic group having a single ring or two fused rings and containing in the ring(s) at least one heteroatom (typically 1 to 3 heteroatoms) selected from nitrogen, oxygen or sulfur. Unless otherwise defined, such heteroaryl groups typically contain from 5 to 10 total ring atoms and include, for example, -C 2 -9heteroaryl.
  • heteroaryl groups include, by way of example, monovalent species of pyrrole, imidazole, thiazole, oxazole, furan, thiophene, triazole, pyrazole, isoxazole, isothiazole, pyridine, pyrazine, pyridazine, pyrimidine, triazine, indole, benzofuran, benzothiophene, benzoimidazole, benzthiazole, quinoline, isoquinoline, quinazoline, quinoxaline and the like, where the point of attachment is at any available carbon or nitrogen ring atom.
  • optionally substituted means that group in question may be unsubstituted or it may be substituted one or several times, such as 1 to 3 times or 1 to 5 times.
  • an alkyl group that is “optionally substituted” with 1 to 5 fluoro atoms may be unsubstituted, or it may contain 1, 2, 3, 4, or 5 fluoro atoms.
  • pharmaceutically acceptable refers to a material that is not biologically or otherwise unacceptable when used in the invention.
  • pharmaceutically acceptable carrier refers to a material that can be incorporated into a composition and administered to a patient without causing unacceptable biological effects or interacting in an unacceptable manner with other components of the composition.
  • Such pharmaceutically acceptable materials typically have met the required standards of toxicological and manufacturing testing, and include those materials identified as suitable inactive ingredients by the U.S. Food and Drug administration.
  • pharmaceutically acceptable salt means a salt prepared from a base or an acid which is acceptable for administration to a patient, such as a mammal (e.g., salts having acceptable mammalian safety for a given dosage regime).
  • a patient such as a mammal
  • salts covered by the invention are not required to be pharmaceutically acceptable salts, such as salts of intermediate compounds that are not intended for administration to a patient.
  • Pharmaceutically acceptable salts can be derived from pharmaceutically acceptable inorganic or organic bases and from pharmaceutically acceptable inorganic or organic acids.
  • salts derived from pharmaceutically acceptable inorganic bases include ammonium, calcium, copper, ferric, ferrous, lithium, magnesium, manganic, manganous, potassium, sodium, and zinc salts, and the like.
  • Salts derived from pharmaceutically acceptable organic bases include salts of primary, secondary and tertiary amines, including substituted amines, cyclic amines, naturally-occurring amines and the like, such as arginine, betaine, caffeine, choline, JV. ⁇ /'-dibenzylethylenediamme, diethylamine, 2-diethylaminoethanol, 2-dimethylaminoethanol, ethanolamine, ethylenediamine, N-ethylmorpholine, N-ethylpiperidine, glucamine, glucosamine, histidine, hydrabamine, isopropylamine, lysine, methylglucamine, morpholine, piperazine, piperadine, polyamine resins, procaine, purines, theobromine, triethylamine, trimethylamine, tripropylamine, tromethamine and the like.
  • Salts derived from pharmaceutically acceptable inorganic acids include salts of boric, carbonic, hydrohalic (hydrobromic, hydrochloric, hydrofluoric or hydroiodic), nitric, phosphoric, sulfamic and sulfuric acids.
  • Salts derived from pharmaceutically acceptable organic acids include salts of aliphatic hydroxyl acids (e.g., citric, gluconic, glycolic, lactic, lactobionic, malic, and tartaric acids), aliphatic monocarboxylic acids (e.g., acetic, butyric, formic, propionic and trifluoroacetic acids), amino acids (e.g.
  • aromatic carboxylic acids e.g., benzoic, p-chlorobenzoic, diphenylacetic, gentisic, hippuric, and triphenylacetic acids
  • aromatic hydroxyl acids e.g., o-hydroxybenzoic, p-hydroxybenzoic, 1- hydroxynaphthalene-2-carboxylic and 3-hydroxynaphthalene-2-carboxylic acids
  • dicarboxylic acids e.g., fumaric, maleic, oxalic and succinic acids
  • glucuronic mandelic, mucic, nicotinic, orotic, pamoic, pantothenic, sulfonic acids (e.g.
  • prodrug is intended to mean an inactive (or significantly less active) precursor of a drug that is converted into its active form in the body under physiological conditions, e.g., by normal metabolic processes.
  • the term is also intended to include certain protected derivatives of compounds of formula I that may be made prior to a final deprotection stage. Such compounds may not possess pharmacological activity at ATi and/or NEP, but may be administered orally or parenterally and thereafter metabolized in the body to form compounds of the invention which are pharmacologically active at ATi and/or NEP.
  • all protected derivatives and prodrugs of compounds formula I are included within the scope of the invention.
  • Prodrugs of compounds of formula I having a free carboxyl, sulfhydryl or hydroxy group can be readily synthesized by techniques that are well known in the art. These prodrug derivatives are then converted by solvolysis or under physiological conditions to be the free carboxyl, sulfhydryl and/or hydroxy compounds.
  • Exemplary prodrugs include: esters including Ci_6alkylesters and aryl-Ci_6alkylesters, carbonate esters, hemi-esters, phosphate esters, nitro esters, sulfate esters, sulfoxides, amides, carbamates, azo-compounds, phosphamides, glycosides, ethers, acetals, ketals, and disulfides.
  • the compounds of formula I have a free sulfhydryl or a free carboxyl and the prodrug is an ester derivative.
  • protected derivatives thereof means a derivative of the specified compound in which one or more functional groups of the compound are protected or blocked from undergoing undesired reactions with a protecting or blocking group.
  • Functional groups that may be protected include, by way of example, carboxy groups, amino groups, hydroxyl groups, thiol groups, carbonyl groups and the like.
  • protecting groups for carboxy groups include esters (such as a /?-methoxybenzyl ester), amides and hydrazides; for amino groups, carbamates (such as t-butoxycarbonyl) and amides; for hydroxyl groups, ethers and esters; for thiol groups, thioethers and thioesters; for carbonyl groups, acetals and ketals; and the like.
  • Such protecting groups are well known to those skilled in the art and are described, for example, in T. W. Greene and G. M. Wuts, Protective Groups in Organic Synthesis, Third Edition, Wiley, New York, 1999, and references cited therein.
  • solvate means a complex or aggregate formed by one or more molecules of a solute, e.g., a compound of formula I or a pharmaceutically acceptable salt thereof, and one or more molecules of a solvent. Such solvates are typically crystalline solids having a substantially fixed molar ratio of solute and solvent. Representative solvents include, by way of example, water, methanol, ethanol, isopropanol, acetic acid and the like. When the solvent is water, the solvate formed is a hydrate.
  • therapeutically effective amount means an amount sufficient to effect treatment when administered to a patient in need thereof, i.e., the amount of drug needed to obtain the desired therapeutic effect.
  • a therapeutically effective amount for treating hypertension is an amount of compound needed to, for example, reduce, suppress, eliminate or prevent the symptoms of hypertension, or to treat the underlying cause of hypertension.
  • a therapeutically effective amount is that amount needed to reduce blood pressure or the amount needed to maintain normal blood pressure.
  • the term "effective amount" means an amount sufficient to obtain a desired result, which may not necessarily be a therapeutic result. For example, when studying a system comprising an ATi receptor, an "effective amount" may be the amount needed to antagonize the receptor.
  • treating means the treating or treatment of a disease or medical condition (such as hypertension) in a patient, such as a mammal (particularly a human) that includes one or more of the following: (a) preventing the disease or medical condition from occurring, such as by prophylactic treatment of a patient; (b) ameliorating the disease or medical condition such as by eliminating or causing regression of the disease or medical condition in a patient; (c) suppressing the disease or medical condition such as by slowing or arresting the development of the disease or medical condition in a patient; or (d) alleviating the symptoms of the disease or medical condition in a patient.
  • a disease or medical condition such as hypertension
  • a patient such as a mammal (particularly a human) that includes one or more of the following: (a) preventing the disease or medical condition from occurring, such as by prophylactic treatment of a patient; (b) ameliorating the disease or medical condition such as by eliminating or causing regression of the disease or medical condition in a patient; (c) suppressing the disease or medical condition such
  • treating hypertension would include preventing hypertension from occurring, ameliorating hypertension, suppressing hypertension, and alleviating the symptoms of hypertension (e.g., lowering blood pressure).
  • patient is intended to include those mammals, such as humans, that are in need of treatment or disease prevention or that are presently being treated for disease prevention or treatment of a specific disease or medical condition, as well as test subjects in which compounds of the invention are being evaluated or being used in a assay, for example an animal model.
  • P 1 represents an "amino-protecting group," a term used herein to mean a protecting group suitable for preventing undesired reactions at an amino group.
  • Representative amino-protecting groups include, but are not limited to, t-butoxycarbonyl (BOC), trityl (Tr), benzyloxycarbonyl (Cbz), 9-fluorenylmethoxycarbonyl (Fmoc), formyl, trimethylsilyl (TMS), t-butyldimethylsilyl (TBDMS), and the like. Standard deprotection techniques are used to remove the P 1 group.
  • an N-BOC group can be removed using an acidic reagent such as TFA in DCM or HCl in 1 ,4-dioxane, while a Cbz group can be removed by employing catalytic hydrogenation conditions such as H 2 (1 atm) and 10% Pd/C in an alcoholic solvent ("H 2 /Pd/C").
  • P 2 represents a "carboxy-protecting group," a term used herein to mean a protecting group suitable for preventing undesired reactions at a carboxy group.
  • carboxy-protecting groups include, but are not limited to, methyl, ethyl, t-butyl, benzyl (Bn), /?-methoxybenzyl (PMB), 9-fluorenylmethyl (Fm), trimethylsilyl (TMS), t- butyldimethylsilyl (TBDMS), diphenylmethyl (benzhydryl, DPM) and the like.
  • Standard deprotection techniques and reagents are used to remove the P 2 group, and may vary depending upon which group is used. For example, NaOH is commonly used when P 2 is methyl, an acid such as TFA or HCl is commonly used when P 2 is t-butyl, and H 2 /Pd/C may be used when P 2 is benzyl.
  • P represents a "thiol-protecting group," a term used herein to mean a protecting group suitable for preventing undesired reactions at a thiol group.
  • Representative thiol- protecting groups include, but are not limited to, ethers, esters such as -C(O)CH 3 , and the like. Standard deprotection techniques and reagents such as NaOH, primary alkylamines, and hydrazine, may be used to remove the P 3 group.
  • P 5 represents a "hydroxyl-protecting group," a term used herein to mean a protecting group suitable for preventing undesired reactions at a hydroxyl group.
  • hydroxyl-protecting groups include, but are not limited to alkyl groups such as t-butyl, silyl groups including triCi_6alkylsilyl groups, such as trimethylsilyl (TMS), triethylsilyl (TES), and te/t-butyldimethylsilyl (TBDMS); esters (acyl groups) including Ci_6alkanoyl groups, such as formyl, acetyl, and pivaloyl, and aromatic acyl groups such as benzoyl; arylmethyl groups such as benzyl (Bn), /?-methoxybenzyl (PMB), 9- fluorenylmethyl (Fm), and diphenylmethyl (benzhydryl, DPM); and the like.
  • alkyl groups such as t-butyl
  • Standard deprotection techniques and reagents are used to remove the P 5 group, and may vary depending upon which group is used. For example, H 2 /Pd/C is commonly used when P 5 is benzyl, while NaOH is commonly used when P 5 is an acyl group.
  • P 6 represents a "sulfonamide-protecting group," a term used herein to mean a protecting group suitable for preventing undesired reactions at a sulfonamide group.
  • Representative sulfonamide-protecting groups include, but are not limited to t-butyl and acyl groups.
  • Exemplary acyl groups include aliphatic lower acyl groups such as the formyl, acetyl, phenylacetyl, butyryl, isobutyryl, valeryl, isovaleryl and pivaloyl groups, and aromatic acyl groups such as the benzoyl and 4-acetoxybenzoyl.
  • Standard deprotection techniques and reagents are used to remove the P 6 group, and may vary depending upon which group is used. For example, HCl is commonly used when P 6 is t-butyl, while NaOH is commonly used when P 6 is an acyl group.
  • P 7 represents a "phosphate-protecting group or phosphinate-protecting group," a term used herein to mean a protecting group suitable for preventing undesired reactions at a phosphate or phosphinate group.
  • Representative phosphate and phosphinate protecting groups include, but are not limited to Ci_4alkyl, aryl (e.g., phenyl) and substituted aryls (e.g., chlorophenyl and methylphenyl).
  • the protected group can be represented by -P(O)(OR) 2 , where R is a group such as a d_ 6 alkyl or phenyl. Standard deprotection techniques and reagents such as TMS-I/2,6-lutidine and H 2 /Pd/C are used to remove the P 7 group such as ethyl, and benzyl, respectively.
  • L and L' are used to designate a "leaving group," a term used herein to mean a functional group or atom which can be displaced by another functional group or atom in a substitution reaction, such as a nucleophilic substitution reaction.
  • representative leaving groups include chloro, bromo and iodo groups; sulfonic ester groups, such as mesylate, triflate, tosylate, brosylate, nosylate and the like; acyloxy groups, such as acetoxy, trifluoroacetoxy; formyl groups; and so forth.
  • Suitable bases for use in these schemes include, by way of illustration and not limitation, potassium carbonate, calcium carbonate, sodium carbonate, triethylamine, pyridine, l,8-diazabicyclo-[5.4.0]undec-7-ene (DBU), JV,jV-diisopropylethylamine (DIPEA), sodium hydroxide, potassium hydroxide, potassium t-butoxide, and metal hydrides.
  • Suitable inert diluents or solvents for use in these schemes include, by way of illustration and not limitation, tetrahydrofuran (THF), acetonitrile (MeCN), N,N- dimethylformamide (DMF), dimethyl sulfoxide (DMSO), toluene, dichloromethane (DCM), chloroform (CHCI3), carbon tetrachloride (CCl 4 ), 1,4-dioxane, methanol, ethanol, water, and the like.
  • THF tetrahydrofuran
  • MeCN acetonitrile
  • DMF dimethyl sulfoxide
  • DCM dichloromethane
  • CHCI3 chloroform
  • CCl 4 carbon tetrachloride
  • Suitable carboxylic acid/amine coupling reagents include benzotriazol-1- yloxytris(dimethylamino)phosphonium hexafluorophosphate (BOP), benzotriazol-1- yloxytripyrrolidinophosphonium hexafluorophosphate (PyBOP), O-(7-azabenzotriazol-l- yl- ⁇ /, ⁇ /, ⁇ f', ⁇ f'-tetramethyluronium hexafluorophosphate (HATU), iV,jV'-dicyclohexyl- carbodiimide (DCC), ⁇ /-(3-dimethylaminopropyl)- ⁇ f -ethylcarbodiimide hydrochloride (EDC), JV,iV-carbonyldiimidazole (CDI), and the like. Coupling reactions are conducted in an inert diluent in the presence of a base, and are performed under
  • reactions may be monitored by use of thin layer chromatography (TLC), high performance liquid chromatography (HPLC), and/or LCMS until completion. Reactions may be complete in minutes, or may take hours, typically from 1-2 hours and up to 48 hours. Upon completion, the resulting mixture or reaction product may be further treated in order to obtain the desired product.
  • TLC thin layer chromatography
  • HPLC high performance liquid chromatography
  • LCMS LCMS
  • the resulting mixture or reaction product may be subjected to one or more of the following procedures: concentrating or partitioning (e.g., between EtOAc and water or between 5% THF in EtOAc and IM phosphoric acid); extraction (e.g., with EtOAc, CHCI3, DCM, chloroform); washing (e.g., with saturated aqueous NaCl, saturated NaHCO 3 , Na 2 CO 3 (5%), CHCl 3 or IM NaOH); drying (e.g.
  • compounds of formula I as well as their salts, solvates, and prodrugs can be prepared by one or more of the following exemplary processes.
  • Scheme I can be used to prepare compound of the invention where X is -SO 2 NHC(O)-Ci_i 2 alkylene-NHC(O)-, -SO 2 NHC(O)-Ci_i 2 alkylene-C(O)NH-, -C(O)NH- SO 2 -Ci.i 2 alkylene-NHC(O)-, -C(O)NH-SO 2 -Ci_i 2 alkylene-C(O)NH-, -SO 2 NHC(O)NH- Ci_i 2 alkylene-NHC(O)-, -SO 2 NHC(O)NH-Ci_i 2 alkylene-C(O)NH-, -NH-SO 2 -NHC(O)- Ci_i 2 alkylene-NHC(O)-, or -NH-SO 2 -NHC(O)-Ci_i 2 alkylene-C(O)NH-.
  • the compounds of the invention may be formed by a coupling reaction under conventional amide bond-forming conditions, followed by a deprotection step if needed.
  • Scheme I illustrated for -SO 2 NHC(O)-Ci_i 2 alkylene- NHC(O)- or -SO 2 NHC(O)-C i_i 2 alkylene-C(O)NH-
  • the A and B moieties couple to form -NR 4 -C(0)-, -NHC(O)-, -C(O)-NR 4 -, or -C(O)NH- and the sum of a and b is in the range of 1 to 12.
  • one moiety comprises an amine group and one moiety comprises a carboxylic acid group, i.e., A is -NH 2 and B is -COOH or A is -COOH and B is -NH 2 .
  • R 5 * may represent R 5 as defined herein, or a protected form of R 5 (e.g., -C(O)- NH(O-P 5 ) such as -C(O)-NH(O-C(O)-C 1-6 alkyl). Therefore, when R 5 * represents R 5 , the reaction is complete after the coupling step.
  • R 5 * represents a protected form of R 5
  • a subsequent deprotection step would yield the non-protected compound.
  • Reagents and conditions for the deprotection vary with the nature of protecting groups in the compound.
  • Typical deprotection conditions when R 5 * represents -Co-3alkylene-S-P 3 include treating the compound with NaOH in an alcoholic solvent at O 0 C or room temperature to yield the non-protected compound.
  • Typical deprotection conditions when R 5 * represents -Co-3alkylene-C(0)NH(0- P 5 ), where P 5 refers to an acyl group such as -C(O)CH 3 include treating the compound with NaOH at room temperature to yield the non-protected compound.
  • one method of preparing compounds of the invention involves coupling compounds (1) and (2), with an optional deprotection step when R 5* is a protected form of R 5 , thus forming a compound of formula I or a pharmaceutically acceptable salt thereof.
  • Examples of compound (1) include: 4'-(2-butyl-4-chloro-5- hydroxymethylimidazol-l-ylmethyl)biphenyl-2-sulfonic acid (2-aminoacetyl)amide and N- (2-Aminoacetyl)-4-(2-butyl-4-chloro-5 -formyl-imidazol- 1 -ylmethyl)benzenesulfonamide .
  • Examples of compound (2) include: N-acetoxy-2-benzyl-malonamic acid.
  • Compound (1) can be prepared by the following reaction, depicted, for purposes of illustration, for those compounds where Y is: Z is a bond; Q is -C(R 3 )-, W is -N-, R 1 is -CH 2 OH, and X is -SO 2 NHC(O)- or -SO 2 NHC(O)-Ci_i 2 alkylene-NHC(O)-:
  • Compound (Ia) can be readily prepared by techniques that are well known in the art and/or is commercially available. Examples of compound (Ia) include 2-butyl-5-chloro- 3H-imidazole-4-carbaldehyde.
  • Compound (Ib) can be readily prepared by techniques that are well known in the art and/or is commercially available. For example, illustrated for those embodiments where X is -SO 2 NHC(O)- or -SO 2 NHC(O)-Ci_i 2 alkylene-NHC(O)-, a solution of compound (Ig) (where L and L' are leaving groups) in a solvent such as DCM can be reacted with NH 2 -P 6 in DIPEA and DCM to form compound (Ib).
  • Examples of compound (Ig) include 4-bromomethylbenzenesulfonyl chloride (where L is Br, L' is Cl, and Ar is phenyl) and examples of compound NH 2 -P 6 include t-butyl amine (where P 6 is t-butyl).
  • Examples of compound (Ib) include 4'-bromomethyl-biphenyl-2-sulfonic acid t- butylamide and 4-bromomethyl-N-t-butylbenzenesulfonamide.
  • Embodiments where X is -SO 2 NHC(O)-Ci_i 2 alkylene-C(O)NH-, -C(O)NH-SO 2 -Ci_i 2 alkylene-NHC(O)-, -C(O)NH- SO 2 -C i_i 2 alkylene-C(O)NH-, -SO 2 NHC(O)NH-C i_i 2 alkylene-NHC(O)-, -SO 2 NHC(O)NH-Ci_i 2 alkylene-C(O)NH-, -NH-SO 2 -NHC(O)-Ci_i 2 alkylene-NHC(O)-, or -NH-SO 2 -NHC(O)-C i_i 2 alkylene-C(O)NH-, can also be prepared by techniques that are well known in the art and/or are commercially available.
  • Compound (2) is readily synthesized by following the techniques described in the literature, for example, Neustadt et al. (1994) J. Med. Chem. 37:2461-2476 and Moree et al. (1995) J. Org. Chem. 60: 5157-69, as well as by using the exemplary procedures described below.
  • Examples of Compound (2), depicted without chirality, include:
  • compound (2) Since compound (2) has a chiral center, it may be desirable to synthesize a particular stereoisomer, and examples are provided as follows.
  • Diisopropyl azodicarboxylate is added to a solution of triphenylphosphine in a solvent such as THF, cooled in an ice bath.
  • the solution is stirred and compound (2b) and thioacetic acid are added.
  • the mixture is stirred at O 0 C for 1 hour, then stirred at room temperature until completion ( ⁇ 12 hours).
  • the mixture is stripped, diluted with ethyl acetate, and washed with a cold saturated NaHCOs solution.
  • the organic layer is dried over MgSO 4 , and the filtrate evaporated to dryness.
  • the resulting material is flash chromatographed to provide compound (2c).
  • Compound (2c) is dissolved in solvent, followed by the addition of a base such as IM LiOH.
  • 3M HBr aqueous
  • reaction is then extracted with ethyl acetate, washed with saturated aqueous NaCl, dried over MgSO 4 , filtered, and concentrated to provide compound (2 111 ).
  • product is purified by silica gel chromatography.
  • Examples of compound (2e) include (7?j-2-bromo-4-methylpentanoic acid.
  • Examples of compound (2 111 ) include f2 ⁇ -2-acetylsulfanyl-4-methylpentanoic acid.
  • Compound (2f) is mixed with diethylamine and cooled in an ice bath. An aqueous formaldehyde solution (37%) is then added, and the mixture stirred at O 0 C for approximately 2 hours, warmed to room temperature and stirred overnight. The mixture is then extracted with ether, washed, dried, and evaporated to dryness, to provide compound (2g). Compound (2g) is then dissolved in 1,4-dioxane, and a IM NaOH solution is added. The mixture is stirred at room temperature until the reaction is complete (approximately 2 days). The organic solvent is removed in vacuo, and the aqueous residue is rinsed with ethyl acetate and acidified to approximately pH 1 with concentrated HCl.
  • Compound (2i), fSj-4-benzyl-2-oxazolidinone, is commercially available.
  • Compound (2j) is also typically commercially available or can be readily synthesized.
  • R 6 -CH2-COOH ⁇ e.g., isocaproic acid or 3-phenylpropionic acid
  • thionyl chloride is added.
  • the mixture is stirred at room temperature until the reaction is complete ⁇ e.g., overnight), and then concentrated to provide (2j).
  • Examples of compound (2j) include 4-methylpentanoyl chloride and 3 -pheny lpropiony 1 chloride .
  • compound (2 V ) examples include fSj-2-acetylsulfanylmethyl-4-methylpentanoic acid.
  • Scheme II can be used to prepare compound of the invention where X is -S ⁇ 2 NHC(O)-. Such compounds may be formed by a coupling reaction under conventional amide bond- forming conditions, followed by a deprotection step if needed.
  • pharmaceutically acceptable salts of the compounds of formula I can be prepared by contacting the free acid or base form of a compound of formula I with a pharmaceutically acceptable base or acid.
  • R 6 and R 7 are as defined for formula I; and R 5* is selected from -C 0 - 3 alkylene-S-P 3 , -C 0 . 3 alkylene-C(O)NH(O-P 5 ), -C 0 .
  • UTILITY Compounds of the invention possess angiotensin II type 1 (ATi) receptor antagonist activity. In one embodiment, compounds of the invention are selective for inhibition of the ATi receptor over the AT 2 receptor. Compounds of the invention also possess neprilysin (NEP) inhibition activity, that is, the compounds are able to inhibit enzyme-substrate activity. In another embodiment, the compounds do not exhibit significant inhibitory activity of the angiotensin-converting enzyme. Compounds of formula I may be active drugs as well as prodrugs. Thus, when discussing the activity of compounds of the invention, it is understood that any such prodrugs have the expected ATi and NEP activity once metabolized.
  • ATi angiotensin II type 1
  • K 1 the inhibitory constant for binding to the ATi receptor.
  • the pK value is the negative logarithm to base 10 of the K 1 .
  • One measure of the ability of a compound to inhibit NEP activity is the inhibitory concentration (IC50), which is the concentration of compound that results in half- maximal inhibition of substrate conversion by the NEP enzyme.
  • IC50 inhibitory concentration
  • the pICso value is the negative logarithm to base 10 of the IC50.
  • Compounds of the invention that have both ATi receptor-antagonizing activity and NEP enzyme-inhibiting activity are of particular interest, including those that exhibit a pK at the ATi receptor greater than or equal to about 5.0, and having a pICso for NEP greater than or equal to about 5.0.
  • compounds of interest have a pIQ at the ATi receptor > about 6.0, a pK; at the ATi receptor > about 7.0, or a pIQ at the ATi receptor > about 8.0.
  • Compounds of interest also include those having a pIC 50 for NEP > about 6.0 or a pIC 50 for NEP > about 7.0.
  • compounds of interest have a pK; at the ATi receptor within the range of about 8.0-10.0 and a pICso for NEP within the range of about 7.0-10.0.
  • compounds of particular interest have a pIQ for binding to an ATi receptor greater than or equal to about 7.5 and a NEP enzyme pICso greater than or equal to about 7.0.
  • compounds of interest have a pIQ greater than or equal to about 8.0 and a pICso greater than or equal to about 8.0.
  • compounds of the invention while still having dual activity, may possess either weak ATi receptor antagonist activity or weak NEP inhibition activity. In such cases, those of skill in the art will recognize that these compounds still have utility as primarily either a NEP inhibitor or a ATi receptor antagonist, respectively, or have utility as research tools.
  • Exemplary assays to determine properties of compounds of the invention are described in the Examples and include by way of illustration and not limitation, assays that measure ATi and AT 2 binding (described in Assay 1), and NEP inhibition (described in Assay 2).
  • Useful secondary assays include assays to measure ACE inhibition (also described in Assay 2) and aminopeptidase P (APP) inhibition (described in Sulpizio et al. (2005) JP£T315:1306- 1313).
  • a pharmacodynamic assay to assess the in vivo inhibitory potencies for ACE, ATi, and NEP in anesthetized rats is described in Assay 3 (see also Seymour et al.
  • Useful in vivo assays include the conscious spontaneously hypertensive rat (SHR) model, which is a renin dependent hypertension model that is useful for measuring ATi receptor blocking (described in Assay 4; see also Intengan et al. (1999) Circulation 100(22) :2267-2275 and Badyal et al. (2003) Indian Journal of Pharmacology 35:349-362), and the conscious desoxycorticosterone acetate-salt (DOCA-salt) rat model, which is a volume dependent hypertension model that is useful for measuring NEP activity (described in Assay 5; see also Trapani et al. (1989) J. Cardiovasc. Pharmacol.
  • SHR conscious spontaneously hypertensive rat
  • Both the SHR and DOCA-salt models are useful for evaluating the ability of a test compound to reduce blood pressure.
  • the DOCA-salt model is also useful to measure a test compound's ability to prevent or delay a rise in blood pressure.
  • Compounds of the invention are expected to antagonize the ATi receptor and/or inhibit the NEP enzyme in any of the assays listed above, or assays of a similar nature.
  • the aforementioned assays are useful in determining the therapeutic utility of compounds of the invention, for example, their utility as antihypertensive agents.
  • Other properties and utilities of compounds of the invention can be demonstrated using other in vitro and in vivo assays well known to those skilled in the art.
  • Compounds of the invention are expected to be useful for the treatment and/or prevention of medical conditions responsive to ATi receptor antagonism and/or NEP inhibition.
  • patients suffering from a disease or disorder that is treated by antagonizing the ATi receptor and/or by inhibiting the NEP enzyme can be treated by administering a therapeutically effective amount of a compound of the invention.
  • these compounds are expected to find utility in preventing the increase in blood pressure produced by angiotensin II, a potent vasopressor.
  • these compounds are also expected to potentiate the biological effects of endogenous peptides that are metabolized by NEP, such as the natriuretic peptides, bombesin, bradykinins, calcitonin, endothelins, enkephalins, neurotensin, substance P and vasoactive intestinal peptide.
  • endogenous peptides such as the natriuretic peptides, bombesin, bradykinins, calcitonin, endothelins, enkephalins, neurotensin, substance P and vasoactive intestinal peptide.
  • compounds of the invention are expected to be useful to treat glaucoma. These compounds are also expected to have other physiological actions, for example, on the renal, central nervous, reproductive and gastrointestinal systems.
  • Cardiovascular diseases of particular interest include heart failure such as congestive heart failure, acute heart failure, chronic heart failure, and acute and chronic decompensated heart failure. Renal diseases of particular interest include diabetic nephropathy and chronic kidney disease.
  • One embodiment of the invention relates to a method for treating hypertension, comprising administering to a patient a therapeutically effective amount of a compound of the invention. Typically, the therapeutically effective amount is the amount that is sufficient to lower the patient's blood pressure. In one embodiment, the compound is administered as an oral dosage form.
  • Another embodiment of the invention relates to a method for treating heart failure, comprising administering to a patient a therapeutically effective amount of a compound of the invention.
  • the therapeutically effective amount is the amount that is sufficient to lower blood pressure and/or improve renal functions.
  • the compound is administered as an intravenous dosage form.
  • the compound may be administered in combination with other therapeutic agents such as diuretics, natriuretic peptides, and adenosine receptors antagonist.
  • Compounds of the invention are also expected to be useful in preventative therapy, for example in preventing the progression of cardiac insufficiency after myocardial infarction, preventing arterial restenosis after angioplasty, preventing thickening of blood vessel walls after vascular operations, preventing atherosclerosis, and preventing diabetic angiopathy.
  • compounds of the invention are expected to inhibit enkephalinase, which will inhibit the degradation of endogenous enkephalins. Thus, such compounds may also find utility as analgesics. Due to their NEP inhibition properties, compounds of the invention are also expected to be useful as antitussive agents and antidiarrheal agents (e.g., for the treatment of watery diarrhea), as well as find utility in the treatment of menstrual disorders, preterm labor, pre-eclampsia, endometriosis, reproductive disorders (e.g. , male and female infertility, polycystic ovarian syndrome, implantation failure), and male and female sexual dysfunction, including male erectile dysfunction and female sexual arousal disorder.
  • antitussive agents and antidiarrheal agents e.g., for the treatment of watery diarrhea
  • reproductive disorders e.g. , male and female infertility, polycystic ovarian syndrome, implantation failure
  • male and female sexual dysfunction including male e
  • the compounds of the invention are expected to be useful in treating female sexual dysfunction, which is often defined as a female patient's difficulty or inability to find satisfaction in sexual expression.
  • female sexual dysfunction which is often defined as a female patient's difficulty or inability to find satisfaction in sexual expression.
  • compounds of the invention may be combined with one or more of the following secondary agents: PDE5 inhibitors, dopamine agonists, estrogen receptor agonists and/or antagonists, androgens, and estrogens.
  • the amount of the compound of the invention administered per dose or the total amount administered per day may be predetermined or it may be determined on an individual patient basis by taking into consideration numerous factors, including the nature and severity of the patient's condition, the condition being treated, the age, weight, and general health of the patient, the tolerance of the patient to the compound, the route of administration, pharmacological considerations such as the activity, efficacy, pharmacokinetics and toxicology profiles of the compound and any secondary agents being administered, and the like.
  • Treatment of a patient suffering from a disease or medical condition can begin with a predetermined dosage or a dosage determined by the treating physician, and then continue for the period of time necessary to prevent, ameliorate, suppress, or alleviate the symptoms of the disease or medical condition.
  • Patients undergoing such treatment will typically be monitored on a routine basis to determine the effectiveness of therapy. For example, in treating hypertension, blood pressure measurements may be used to determine the effectiveness of treatment. Similar indicators for the other diseases and conditions described herein, are well known and are readily available to the treating physician. Continuous monitoring by the physician will insure that the optimal amount of the compound of the invention will be administered at any given time, as well as facilitating the determination of the duration of treatment. This is of particular value when secondary agents are also being administered, as their selection, dosage, and duration of therapy may also require adjustment. In this way, the treatment regimen and dosing schedule can be adjusted over the course of therapy so that the lowest amount of compound that exhibits the desired effectiveness is administered and, further, that administration is continued only so long as is necessary to successfully treat the disease or medical condition. Since compounds of the invention possess ATi receptor antagonist activity and/or
  • NEP enzyme inhibition activity these compounds are also useful as research tools for investigating or studying biological systems or samples having ATi receptors or a NEP enzyme, for example to study diseases where the ATi receptor or NEP enzyme plays a role.
  • Any suitable biological system or sample having ATi receptors and/or a NEP enzyme may be employed in such studies which may be conducted either in vitro or in vivo.
  • Representative biological systems or samples suitable for such studies include, but are not limited to, cells, cellular extracts, plasma membranes, tissue samples, isolated organs, mammals (such as mice, rats, guinea pigs, rabbits, dogs, pigs, humans, and so forth), and the like, with mammals being of particular interest.
  • an ATi receptor in a mammal is antagonized by administering an AT 1 - antagonizing amount of a compound of the invention.
  • NEP enzyme activity in a mammal is inhibited by administering a NEP-inhibiting amount of a compound of the invention.
  • Compounds of the invention can also be used as research tools by conducting biological assays using these compounds.
  • a biological system or sample comprising an ATi receptor and/or a NEP enzyme is typically contacted with an ATi receptor-antagonizing or NEP enzyme -inhibiting amount of a compound of the invention.
  • the effects of antagonizing the ATi receptor and/or inhibiting the NEP enzyme are determined using conventional procedures and equipment, such as by measuring receptor binding in a binding assay or measuring ligand- mediated changes in a functional assay. Exposure encompasses contacting cells or tissue with the compound, administering the compound to a mammal, for example by i.p., i.v. or s. c. administration, and so forth.
  • the determining step can involve measuring a response (a quantitative analysis) or can involve making an observation (a qualitative analysis). Measuring a response involves, for example, determining the effects of the compound on the biological system or sample using conventional procedures and equipment, such as radioligand binding assays or measuring ligand-mediated changes in functional assays.
  • the assay results can be used to determine the activity level as well as the amount of compound necessary to achieve the desired result, such as an ATi receptor-antagonizing and/or a NEP enzyme-inhibiting amount.
  • the determining step will involve determining the ATi receptor ligand-mediated effects and/or determining the effects of inhibiting the NEP enzyme.
  • compounds of the invention can be used as research tools for evaluating other chemical compounds, and thus are also useful in screening assays to discover, for example, new compounds having ATi receptor-antagonizing activity and/or NEP-inhibiting activity.
  • a compound of the invention is used as a standard in an assay to allow comparison of the results obtained with a test compound and with compounds of the invention to identify those test compounds that have about equal or superior activity, if any.
  • K 1 data (as determined, for example, by a binding assay) for a test compound or a group of test compounds is compared to the K 1 data for a compound of the invention to identify those test compounds that have the desired properties, for example, test compounds having a K 1 value about equal or superior to a compound of the invention, if any.
  • This aspect of the invention includes, as separate embodiments, both the generation of comparison data (using the appropriate assays) and the analysis of test data to identify test compounds of interest.
  • a test compound can be evaluated in a biological assay, by a method comprising the steps of: (a) conducting a biological assay with a test compound to provide a first assay value; (b) conducting the biological assay with a compound of the invention to provide a second assay value; wherein step (a) is conducted either before, after or concurrently with step (b); and (c) comparing the first assay value from step (a) with the second assay value from step (b).
  • Exemplary biological assays include ATi receptor binding assays and NEP enzyme inhibition assays.
  • Compounds of the invention are typically administered to a patient in the form of a pharmaceutical composition or formulation.
  • Such pharmaceutical compositions may be administered to the patient by any acceptable route of administration including, but not limited to, oral, rectal, vaginal, nasal, inhaled, topical (including transdermal), ocular, and parenteral modes of administration.
  • the compounds of the invention may be administered, for example orally, in multiple doses per day (e.g., two, three, or four times daily), in a single daily dose or a single weekly dose.
  • any form of the compounds of the invention, e.g., free base, free acid, pharmaceutically acceptable salt, solvate, etc.
  • any form of the compounds of the invention e.g., free base, free acid, pharmaceutically acceptable salt, solvate, etc.
  • any form of the compounds of the invention that is suitable for the particular mode of administration can be used in the pharmaceutical compositions discussed herein.
  • the invention relates to a pharmaceutical composition
  • a pharmaceutical composition comprising a pharmaceutically acceptable carrier and a compound of the invention.
  • the compositions may contain other therapeutic and/or formulating agents if desired.
  • the “compound of the invention” may also be referred to herein as the “active agent,” to distinguish it from other components of the formulation, such as the carrier.
  • active agent includes compounds of formula I as well as pharmaceutically acceptable salts, solvates and prodrugs of that compound.
  • compositions of the invention typically contain a therapeutically effective amount of a compound of the invention.
  • a pharmaceutical composition may contain more than a therapeutically effective amount such as in bulk compositions, or less than a therapeutically effective amount such as in individual unit doses designed for multiple administration to achieve a therapeutically effective amount.
  • the composition will contain from about 0.01-95 wt% of active agent, including, from about 0.01-30 wt%, such as from about 0.01-10 wt%, with the actual amount depending upon the formulation itself, the route of administration, the frequency of dosing, and so forth.
  • a composition suitable for an oral dosage form may contain about 5-70 wt%, or from about 10-60 wt% of active agent.
  • any conventional carrier or excipient may be used in the pharmaceutical compositions of the invention.
  • the choice of a particular carrier or excipient, or combinations of carriers or excipients, will depend on the mode of administration being used to treat a particular patient or type of medical condition or disease state. In this regard, the preparation of a suitable composition for a particular mode of administration is well within the scope of those skilled in the pharmaceutical arts. Additionally, carriers or excipients used in such compositions are commercially available. By way of further illustration, conventional formulation techniques are described in Remington: The Science and Practice of Pharmacy, 20 th Edition, Lippincott Williams & White, Baltimore, Maryland (2000); and H. C.
  • compositions which can serve as pharmaceutically acceptable carriers include, but are not limited to, the following: sugars, such as lactose, glucose and sucrose; starches, such as corn starch and potato starch; cellulose, such as microcrystalline cellulose, and its derivatives, such as sodium carboxymethyl cellulose, ethyl cellulose and cellulose acetate; powdered tragacanth; malt; gelatin; talc; excipients, such as cocoa butter and suppository waxes; oils, such as peanut oil, cottonseed oil, safflower oil, sesame oil, olive oil, corn oil and soybean oil; glycols, such as propylene glycol; polyols, such as glycerin, sorbitol, mannitol and polyethylene glycol; esters, such as ethyl oleate
  • compositions are typically prepared by thoroughly and intimately mixing or blending the active agent with a pharmaceutically acceptable carrier and one or more optional ingredients. The resulting uniformly blended mixture may then be shaped or loaded into tablets, capsules, pills, canisters, cartridges, dispensers and the like using conventional procedures and equipment.
  • additional consideration may be given to minimize or eliminate oxidation of the thiol to form a disulfide. In solid formulations, this may be accomplished by reducing the drying time, decreasing the moisture content of the formulation, and including materials such as ascorbic acid, sodium ascorbate, sodium sulfite and sodium bisulfite, as well as materials such as a mixture of lactose and microcrystalline cellulose.
  • stability of the thiol may be improved by the addition of amino acids, antioxidants, or a combination of disodium edetate and ascorbic acid.
  • compositions are suitable for oral administration.
  • suitable compositions for oral administration may be in the form of capsules, tablets, pills, lozenges, cachets, dragees, powders, granules; solutions or suspensions in an aqueous or non-aqueous liquid; oil-in-water or water-in-oil liquid emulsions; elixirs or syrups; and the like; each containing a predetermined amount of the active agent.
  • the composition When intended for oral administration in a solid dosage form (capsules, tablets, pills and the like), the composition will typically comprise the active agent and one or more pharmaceutically acceptable carriers, such as sodium citrate or dicalcium phosphate.
  • Solid dosage forms may also comprise: fillers or extenders, such as starches, microcrystalline cellulose, lactose, sucrose, glucose, mannitol, and/or silicic acid; binders, such as carboxymethylcellulose, alginates, gelatin, polyvinyl pyrrolidone, sucrose and/or acacia; humectants, such as glycerol; disintegrating agents, such as agar-agar, calcium carbonate, potato or tapioca starch, alginic acid, certain silicates, and/or sodium carbonate; solution retarding agents, such as paraffin; absorption accelerators, such as quaternary ammonium compounds; wetting agents, such as cetyl alcohol and/or glycerol monostearate; absorbents
  • Release agents, wetting agents, coating agents, sweetening, flavoring and perfuming agents, preservatives and antioxidants may also be present in the pharmaceutical compositions.
  • Exemplary coating agents for tablets, capsules, pills and like include those used for enteric coatings, such as cellulose acetate phthalate, polyvinyl acetate phthalate, hydroxypropyl methylcellulose phthalate, methacrylic acid-methacrylic acid ester copolymers, cellulose acetate trimellitate, carboxymethyl ethyl cellulose, hydroxypropyl methyl cellulose acetate succinate, and the like.
  • antioxidants examples include: water-soluble antioxidants, such as ascorbic acid, cysteine hydrochloride, sodium bisulfate, sodium metabisulfate sodium sulfite and the like; oil- soluble antioxidants, such as ascorbyl palmitate, butylated hydroxyanisole, butylated hydroxytoluene, lecithin, propyl gallate, alpha-tocopherol, and the like; and metal- chelating agents, such as citric acid, ethylenediamine tetraacetic acid, sorbitol, tartaric acid, phosphoric acid, and the like.
  • water-soluble antioxidants such as ascorbic acid, cysteine hydrochloride, sodium bisulfate, sodium metabisulfate sodium sulfite and the like
  • oil- soluble antioxidants such as ascorbyl palmitate, butylated hydroxyanisole, butylated hydroxytoluene, lecithin, propyl gallate, alpha-tocopherol
  • compositions may also be formulated to provide slow or controlled release of the active agent using, by way of example, hydroxypropyl methyl cellulose in varying proportions or other polymer matrices, liposomes and/or microspheres.
  • the pharmaceutical compositions of the invention may contain opacifying agents and may be formulated so that they release the active agent only, or preferentially, in a certain portion of the gastrointestinal tract, optionally, in a delayed manner.
  • embedding compositions which can be used include polymeric substances and waxes.
  • the active agent can also be in micro-encapsulated form, optionally with one or more of the above - described excipients.
  • Suitable liquid dosage forms for oral administration include, by way of illustration, pharmaceutically acceptable emulsions, microemulsions, solutions, suspensions, syrups and elixirs.
  • Liquid dosage forms typically comprise the active agent and an inert diluent, such as, for example, water or other solvents, solubilizing agents and emulsif ⁇ ers, such as ethyl alcohol, isopropyl alcohol, ethyl carbonate, ethyl acetate, benzyl alcohol, benzyl benzoate, propylene glycol, 1,3-butylene glycol, oils (e.g., cottonseed, groundnut, corn, germ, olive, castor and sesame oils), glycerol, tetrahydrofuryl alcohol, polyethylene glycols and fatty acid esters of sorbitan, and mixtures thereof.
  • inert diluent such as, for example, water or other solvents, solubilizing agents and emuls
  • Suspensions may contain suspending agents such as, for example, ethoxylated isostearyl alcohols, polyoxyethylene sorbitol and sorbitan esters, microcrystalline cellulose, aluminium metahydroxide, bentonite, agar-agar and tragacanth, and mixtures thereof.
  • suspending agents such as, for example, ethoxylated isostearyl alcohols, polyoxyethylene sorbitol and sorbitan esters, microcrystalline cellulose, aluminium metahydroxide, bentonite, agar-agar and tragacanth, and mixtures thereof.
  • the pharmaceutical compositions of the invention may be packaged in a unit dosage form.
  • unit dosage form refers to a physically discrete unit suitable for dosing a patient such that each unit contains a predetermined quantity of the active agent calculated to produce the desired therapeutic effect either alone or in combination with one or more additional units.
  • unit dosage forms may be capsules, tablets, pills, and the like.
  • the compositions of the invention are suitable for inhaled administration, and will typically be in the form of an aerosol or a powder.
  • Such compositions are generally administered using well known delivery devices, such as a nebulizer, dry powder, or metered-dose inhaler.
  • Nebulizer devices produce a stream of high velocity air that causes the composition to spray as a mist that is carried into a patient's respiratory tract.
  • An exemplary nebulizer formulation comprises the active agent dissolved in a carrier to form a solution, or micronized and combined with a carrier to form a suspension of micronized particles of respirable size.
  • Dry powder inhalers administer the active agent as a free-flowing powder that is dispersed in a patient's air-stream during inspiration.
  • An exemplary dry powder formulation comprises the active agent dry-blended with an excipient such as lactose, starch, mannitol, dextrose, polylactic acid, polylactide- co-glycolide, and combinations thereof.
  • Metered-dose inhalers discharge a measured amount of the active agent using compressed propellant gas.
  • An exemplary metered-dose formulation comprises a solution or suspension of the active agent in a liquefied propellant, such as a chlorofluorocarbon or hydrofluoroalkane.
  • a liquefied propellant such as a chlorofluorocarbon or hydrofluoroalkane.
  • Optional components of such formulations include co-solvents, such as ethanol or pentane, and surfactants, such as sorbitan trioleate, oleic acid, lecithin, glycerin, and sodium lauryl sulfate.
  • Such compositions are typically prepared by adding chilled or pressurized hydrofluoroalkane to a suitable container containing the active agent, ethanol (if present) and the surfactant (if present).
  • a suspension formulation can be prepared by spray drying a coating of surfactant on micronized particles of the active agent. The formulation is then loaded into an aerosol canister, which forms a portion of the inhaler.
  • Compounds of the invention can also be administered parenterally (e.g., by subcutaneous, intravenous, intramuscular, or intraperitoneal injection).
  • the active agent is provided in a sterile solution, suspension, or emulsion.
  • Exemplary solvents for preparing such formulations include water, saline, low molecular weight alcohols such as propylene glycol, polyethylene glycol, oils, gelatin, fatty acid esters such as ethyl oleate, and the like.
  • Parenteral formulations may also contain one or more anti-oxidants, solubilizers, stabilizers, preservatives, wetting agents, emulsifiers, and dispersing agents.
  • surfactants additional stabilizing agents or pH-adjusting agents (acids, bases or buffers) and anti-oxidants are particularly useful to provide stability to the formulation, for example, to minimize or avoid hydrolysis of ester and amide linkages, or dimerization of thiols that may be present in the compound.
  • These formulations may be rendered sterile by use of a sterile injectable medium, a sterilizing agent, filtration, irradiation, or heat.
  • the parenteral formulation comprises an aqueous cyclodextrin solution as the pharmaceutically acceptable carrier.
  • Suitable cyclodextrins include cyclic molecules containing six or more ⁇ -D-glucopyranose units linked at the 1,4 positions by a linkages as in amylase, ⁇ -cyclodextrin or cycloheptaamylose.
  • Exemplary cyclodextrins include cyclodextrin derivatives such as hydroxypropyl and sulfobutyl ether cyclodextrins such as hydroxypropyl- ⁇ -cyclodextrin and sulfobutyl ether ⁇ -cyclodextrin.
  • Exemplary buffers for such formulations include carboxylic acid-based buffers such as citrate, lactate and maleate buffer solutions.
  • Compounds of the invention can also be administered transdermally using known transdermal delivery systems and excipients.
  • the compound can be admixed with permeation enhancers, such as propylene glycol, polyethylene glycol monolaurate, azacycloalkan-2-ones and the like, and incorporated into a patch or similar delivery system.
  • permeation enhancers such as propylene glycol, polyethylene glycol monolaurate, azacycloalkan-2-ones and the like
  • Additional excipients including gelling agents, emulsifiers and buffers, may be used in such transdermal compositions if desired.
  • compositions of the invention contain other drugs that are co-administered with the compound of the invention.
  • the composition may further comprise one or more drugs, also referred to as "secondary agents(s)", selected from the group of diuretics, ⁇ i adrenergic receptor blockers, calcium channel blockers, angiotensin-converting enzyme inhibitors, ATi receptor antagonists, neprilysin inhibitors, non-steroidal anti-inflammatory agents, prostaglandins, anti-lipid agents, anti-diabetic agents, anti-thrombotic agents, renin inhibitors, endothelin receptor antagonists, endothelin converting enzyme inhibitors, aldosterone antagonists, angiotensin-converting enzyme/neprilysin inhibitors, and combinations thereof.
  • secondary agents(s) selected from the group of diuretics, ⁇ i adrenergic receptor blockers, calcium channel blockers, angiotensin-converting enzyme inhibitors, ATi receptor antagonists, neprilysin
  • a pharmaceutical composition comprises a compound of the invention, a second active agent, and a pharmaceutically acceptable carrier.
  • Third, fourth, etc. active agents may also be included in the composition.
  • the amount of the compound of the invention that is administered, as well as the amount of secondary agents may be less than the amount typically administered in monotherapy.
  • Compounds of the invention may be either physically mixed with the second active agent to form a composition containing both agents; or each agent may be present in separate and distinct compositions which are administered to the patient simultaneously or at separate times.
  • compounds of the invention can be combined with a second active agent using conventional procedures and equipment to form a combination of active agents comprising a compound of the invention and a second active agent.
  • the active agents may be combined with a pharmaceutically acceptable carrier to form a pharmaceutical composition comprising a compound of the invention, a second active agent and a pharmaceutically acceptable carrier.
  • the components of the composition are typically mixed or blended to create a physical mixture. The physical mixture is then administered in a therapeutically effective amount using any of the routes described herein.
  • the active agents may remain separate and distinct before administration to the patient.
  • the agents are not physically mixed together before administration but are administered simultaneously or at separate times as separate compositions.
  • Such compositions can be packaged separately or may be packaged together in a kit.
  • the secondary agent When administered at separate times, the secondary agent will typically be administered less than 24 hours after administration of a compound of the invention, ranging anywhere from concurrent with administration of a compound of the invention to about 24 hours post-dose. This is also referred to as sequential administration.
  • compounds of the invention can be orally administered simultaneously or sequentially with another active agent using two tablets, with one tablet for each active agent, where sequential may mean being administered immediately after administration of the compound of the invention or at some predetermined time later (e.g., one hour later or three hours later).
  • the combination may be administered by different routes of administration, for example, one orally and the other by inhalation.
  • the kit comprises a first dosage form comprising a compound of the invention and at least one additional dosage form comprising one or more of the secondary agents set forth herein, in quantities sufficient to carry out the methods of the invention.
  • the first dosage form and the second (or third, etc.) dosage form together comprise a therapeutically effective amount of active agents for the treatment or prevention of a disease or medical condition in a patient.
  • Secondary agent(s), when included, are present in a therapeutically effective amount such that they produce a therapeutically beneficial effect when co-administered with a compound of the invention.
  • the secondary agent can be in the form of a pharmaceutically acceptable salt, solvate, optically pure stereoisomer, and so forth.
  • the secondary agent may also be in the form of a prodrug, for example, a compound having a carboxylic acid group that has been esterified.
  • secondary agents listed herein are intended to include all such forms, and are commercially available or can be prepared using conventional procedures and reagents.
  • a compound of the invention is administered in combination with a diuretic.
  • diuretics include, but are not limited to: carbonic anhydrase inhibitors such as acetazolamide and dichlorphenamide; loop diuretics, which include sulfonamide derivatives such as acetazolamide, ambuside, azosernide, bumetanide, butazolamide, chloraminophenamide, clofenamide, clopamide, clorexolone, disulfamide, ethoxolamide, furosemide, mefruside, methazolamide, piretanide, torsemide, tripamide, and xipamide, as well as non-sulfonamide diuretics such as ethacrynic acid and other phenoxyacetic acid compounds such as tienilic acid, indacrinone and quincarbate; osmotic diuretics such as mannitol; potassium-sparing di
  • the diuretic is selected from amiloride, bumetanide, chlorothiazide, chlorthalidone, dichlorphenamide, ethacrynic acid, furosemide, hydrochlorothiazide, hydroflumethiazide, indapamide, methylclothiazide, metolazone, torsemide, triamterene, and combinations thereof.
  • the diuretic will be administered in an amount sufficient to provide from about 5-50 mg per day, more typically 6-25 mg per day, with common dosages being 6.25 mg, 12.5 mg or 25 mg per day.
  • ⁇ i adrenergic receptor blockers include, but are not limited to, acebutolol, alprenolol, amosulalol, arotinolol, atenolol, befunolol, betaxolol, bevantolol, bisoprolol, bopindolol, bucindolol, bucumolol, bufetolol, bufuralol, bunitrolol, bupranolol, bubridine, butof ⁇ lolol, carazolol, carteolol, carvedilol, celiprolol, cetamolol, cloranolol, dilevalol, epanolol, esmolol, indenolol, labetolo
  • the ⁇ i adrenergic receptor blocker is selected from atenolol, bisoprolol, metoprolol, propranolol, sotalol, and combinations thereof.
  • a compound of the invention is administered in combination with a calcium channel blocker.
  • Representative calcium channel blockers include, but are not limited to, amlodipine, anipamil, aranipine, barnidipine, bencyclane, benidipine, bepridil, clentiazem, cilnidipine, cinnarizine, diltiazem, efonidipine, elgodipine, etafenone, felodipine, fendiline, flunarizine, gallopamil, isradipine, lacidipine, lercanidipine, lidoflazine, lomerizine, manidipine, mibefradil, nicardipine, nifedipine, niguldipine, niludipine, nilvadipine, nimodipine, nisoldipine, nitrendipine, nivaldipine, perhexiline, prenylamine, ryosidine, semoti
  • the calcium channel blocker is selected from amlodipine, bepridil, diltiazem, felodipine, isradipine, lacidipine, nicardipine, nifedipine, niguldipine, niludipine, nimodipine, nisoldipine, ryosidine, verapamil, and combinations thereof.
  • ACE inhibitors include, but are not limited to, accupril, alacepril, benazepril, benazeprilat, captopril, ceranapril, cilazapril, delapril, enalapril, enalaprilat, fosinopril, fosinoprilat, imidapril, lisinopril, moexipril, monopril, moveltopril, pentopril, perindopril, quinapril, quinaprilat, ramipril, ramiprilat, saralasin acetate, spirapril, temocapril, trandolapril, zofenopril, and combinations thereof.
  • the ACE inhibitor is selected from benazepril, enalapril,
  • a compound of the invention is administered in combination with an ATi receptor antagonist, also known as an angiotensin II type 1 receptor blocker (ARB).
  • ATi receptor antagonist also known as an angiotensin II type 1 receptor blocker (ARB).
  • ARBs include, but are not limited to, abitesartan, benzyllosartan, candesartan, candesartan cilexetil, elisartan, embusartan, enoltasosartan, eprosartan, fonsartan, forasartan, glycyllosartan, irbesartan, isoteoline, losartan, medoximil, milfasartan, olmesartan, opomisartan, pratosartan, ripisartan, saprisartan, saralasin, sarmesin, tasosartan, telmisartan, vals
  • the ARB is selected from candesartan, eprosartan, irbesartan, losartan, olmesartan, saprisartan, tasosartan, telmisartan, valsartan, and combinations thereof.
  • Exemplary salts include eprosartan mesylate, losartan potassium salt, and olmesartan medoxomil.
  • the ARB will be administered in an amount sufficient to provide from about 4-600 mg per dose, with exemplary daily dosages ranging from 20- 320 mg per day.
  • a compound of the invention is administered in combination with a neprilysin (NEP) inhibitor.
  • NEP neprilysin
  • NEP inhibitors include, but are not limited to: candoxatril; candoxatrilat; dexecadotril ((+)-N-[2(7? y )-(acetylthiomethyl)- 3 -phenylpropionyl] glycine benzyl ester); CGS-24128 (3-[3-(biphenyl-4-yl)-2- (phosphonomethylamino)propionamido]propionic acid); CGS-24592 (fSj-3-[3-(biphenyl- 4-yl)-2-(phosphonomethylamino)propionamido]propionic acid); CGS-25155 (N-[9(R)- (acetylthiomethyl)-10-oxo-l-azacyclodecan-2fS y )-ylcarbonyl]-4(7?
  • the NEP inhibitor is selected from candoxatril, candoxatrilat, CGS-24128, phosphoramidon, SCH-32615, SCH-34826, SQ-28603, thiorphan, and combinations thereof.
  • the NEP inhibitor will be administered in an amount sufficient to provide from about 20-800 mg per day, with typical daily dosages ranging from 50-700 mg per day, more commonly 100-600 or 100-300 mg per day.
  • a compound of the invention is administered in combination with a non-steroidal anti-inflammatory agent (NSAID).
  • NSAID non-steroidal anti-inflammatory agent
  • NSAIDs include, but are not limited to, acemetacin, acetyl salicylic acid, alclofenac, alminoprofen, amfenac, amiprilose, amoxiprin, anirolac, apazone, azapropazone, benorilate, benoxaprofen, bezpiperylon, broperamole, bucloxic acid, carprofen, clidanac, diclofenac, diflunisal, diftalone, enolicam, etodolac, etoricoxib, fenbufen, fenclofenac, fenclozic acid, fenoprofen, fentiazac, feprazone, flufenamic acid, flufenisal, fluprofen, flurbiprofen, furofenac, ibufenac, ibuprofen, indomethacin, indoprofen, isoxepac,
  • the NSAID is selected from etodolac, flurbiprofen, ibuprofen, indomethacin, ketoprofen, ketorolac, meloxicam, naproxen, oxaprozin, piroxicam, and combinations thereof.
  • a compound of the invention is administered in combination with an anti-lipid agent.
  • Representative anti-lipid agents include, but are not limited to: statins such as atorvastatin, fluvastatin, lovastatin, pravastatin, rosuvastatin and simvastatin; cholesteryl ester transfer proteins (CETPs); and combinations thereof.
  • a compound of the invention is administered in combination with an anti-diabetic agent.
  • anti-diabetic agents include, injectable drugs as well as orally effective drugs, and combinations thereof.
  • injectable drugs include, but are not limited to, insulin and insulin derivatives.
  • orally effective drugs include, but are not limited to: biguanides such as metformin; glucagon antagonists; ⁇ -glucosidase inhibitors such as acarbose and miglitol; meglitinides such as repaglinide; oxadiazolidinediones; sulfonylureas such as chlorpropamide, glimepiride, glipizide, glyburide and tolazamide; thiazolidinediones such as pioglitazone and rosiglitazone; and combinations thereof.
  • biguanides such as metformin
  • glucagon antagonists such as acarbose and miglitol
  • meglitinides such as repaglinide
  • oxadiazolidinediones such as chlorpropamide, glimepiride, glipizide, glyburide and tolazamide
  • thiazolidinediones such as pioglitazone
  • a compound of the invention is administered in combination with an anti-thrombotic agent, representative examples of which include, but are not limited to, aspirin, anti-platelet agents, heparin, and combinations thereof.
  • Compounds of the invention may also be administered in combination with a renin inhibitor, examples of which include, but are not limited to, aliskiren, enalkiren, remikiren, and combinations thereof.
  • a compound of the invention is administered in combination with an endothelin receptor antagonist, representative examples of which include, but are not limited to, bosentan, darusentan, tezosentan, and combinations thereof.
  • Compounds of the invention may also be administered in combination with an endothelin converting enzyme inhibitor, examples of which include, but are not limited to, phosphoramidon, CGS 26303, and combinations thereof.
  • an endothelin converting enzyme inhibitor examples of which include, but are not limited to, phosphoramidon, CGS 26303, and combinations thereof.
  • a compound of the invention is administered in combination with an aldosterone antagonist, representative examples of which include, but are not limited to, eplerenone, spironolactone, and combinations thereof.
  • Combined therapeutic agents may also be helpful in further combination therapy with compounds of the invention.
  • ACE inhibitor enalapril in the maleate salt form
  • diuretic hydrochlorothiazide which is sold under the mark Vaseretic ®
  • a combination of the calcium channel blocker amlodipine (in the besylate salt form) and the ARB olmesartan (in the medoxomil prodrug form), or a combination of a calcium channel blocker and a statin all may also be used with the compounds of the invention.
  • Dual-acting agents may also be helpful in combination therapy with compounds of the invention.
  • angiotensin-converting enzyme/neprilysin (ACE/NEP) inhibitors such as: AVE-0848 ((4S, 7S, 726R>7-[3-methyl- 2fSj-sulfanylbutyramido]-6-oxo- 1,2,3,4, 6,7,8, 12b-octahydropyrido[2,l-a][2]benzazepine- 4-carboxylic acid); AVE-7688 (ilepatril) and its parent compound; BMS-182657 (2-[2- oxo-3 f5 ⁇ -[3-phenyl-2fSj-sulfanylpropionamido]-2,3,4,5-tetrahydro- IH- 1 -benzazepin- 1 - yl]acetic acid); CGS-26303 ([N-[2-(biphenyl-4-yl)-lfS>(lH-tetrazol-5- yl)ethyl]
  • the ACE/NEP inhibitor is selected from: AVE-7688, enalaprilat, fasidotril, fasidotrilate, omapatrilat, sampatrilat, and combinations thereof.
  • Other therapeutic agents such as (X2-adrenergic receptor agonists and vasopressin receptor antagonists may also be helpful in combination therapy.
  • Exemplary ci 2 -adrenergic receptor agonists include clonidine, dexmedetomidine, and guanfacine.
  • Exemplary vasopressin receptor antagonists include tolvaptan.
  • a compound of the invention 50 g
  • spray-dried lactose 440 g
  • magnesium stearate 10 g
  • the resulting composition is then loaded into hard gelatin capsules (500 mg of composition per capsule).
  • a compound of the invention (20 mg) is thoroughly blended with starch (89 mg), microcrystalline cellulose (89 mg), and magnesium stearate (2 mg).
  • the mixture is then passed through a No. 45 mesh U.S. sieve and loaded into a hard gelatin capsule having 200 mg of composition per capsule.
  • a compound of the invention (100 mg) is thoroughly blended with polyoxy ethylene sorbitan monooleate (50 mg) and starch powder (250 mg). The mixture is then loaded into a gelatin capsule (300 mg of composition per capsule). Alternately, a compound of the invention (40 mg) is thoroughly blended with microcrystalline cellulose (Avicel PH 103; 260 mg) and magnesium stearate (0.8 mg). The mixture is then loaded into a gelatin capsule (Size #1, White, Opaque; 300 mg of composition per capsule).
  • Exemplary Tablet Formulation For Oral Administration A compound of the invention (10 mg), starch (45 mg), and microcrystalline cellulose (35 mg) are passed through a No. 20 mesh U.S. sieve and mixed thoroughly. The granules so produced are dried at 50-60 0 C and passed through a No. 16 mesh U.S. sieve. A solution of polyvinylpyrrolidone (4 mg as a 10 % solution in sterile water) is mixed with sodium carboxymethyl starch (4.5 mg), magnesium stearate (0.5 mg), and talc (1 mg), and this mixture is then passed through a No. 16 mesh U.S. sieve. The sodium carboxymethyl starch, magnesium stearate and talc are then added to the granules. After mixing, the mixture is compressed on a tablet machine to afford a 100 mg tablet.
  • a compound of the invention 250 mg is thoroughly blended with microcrystalline cellulose (400 mg), silicon dioxide (fumed, 10 mg), and stearic acid (5 mg). The mixture is then compressed to form tablets (665 mg of composition per tablet).
  • a compound of the invention 400 mg is thoroughly blended with cornstarch (50 mg), croscarmellose sodium (25 mg), lactose (120 mg), and magnesium stearate (5 mg). The mixture is then compressed to form a single-scored tablet having 600 mg of composition per tablet.
  • a compound of the invention (100 mg) is thoroughly blended with cornstarch (100 mg) and an aqueous solution of gelatin (20 mg). The mixture is dried and ground to a fine powder.
  • Veegum ® K magnesium aluminum silicate
  • a suitable liquid formulation is one with a carboxylic acid-based buffer such as citrate, lactate and maleate buffer solutions.
  • a compound of the invention (which may be pre -mixed with DMSO) is blended with a 100 mM ammonium citrate buffer and the pH adjusted to pH 5, or with is blended with a 100 mM citric acid solution and the pH adjusted to pH 2.
  • Such solutions may also include a solubilizing excipient such as a cyclodextrin, for example the solution may include 10 wt% hydroxypropyl- ⁇ - cyclodextrin.
  • Exemplary Injectable Formulation For Administration By Injection A compound of the invention (0.2 g) is blended with 0.4 M sodium acetate buffer solution (2.0 mL). The pH of the resulting solution is adjusted to pH 4 using 0.5 N aqueous hydrochloric acid or 0.5 N aqueous sodium hydroxide, as necessary, and then sufficient water for injection is added to provide a total volume of 20 mL. The mixture is then filtered through a sterile filter (0.22 micron) to provide a sterile solution suitable for administration by injection.
  • a compound of the invention (0.2 mg) is micronized and then blended with lactose (25 mg). This blended mixture is then loaded into a gelatin inhalation cartridge. The contents of the cartridge are administered using a dry powder inhaler, for example.
  • a micronized compound of the invention (10 g) is dispersed in a solution prepared by dissolving lecithin (0.2 g) in demineralized water (200 mL). The resulting suspension is spray dried and then micronized to form a micronized composition comprising particles having a mean diameter less than about 1.5 ⁇ m. The micronized composition is then loaded into metered-dose inhaler cartridges containing pressurized 1,1,1,2-tetrafluoroethane in an amount sufficient to provide about 10 ⁇ g to about 500 ⁇ g of the compound of the invention per dose when administered by the inhaler.
  • a compound of the invention is dissolved in 125 mL citrate buffered (pH 5) isotonic saline. The mixture is stirred and sonicated until the compound is dissolved. The pH of the solution is checked and adjusted, if necessary, to pH 5 by slowly adding aqueous IN NaOH. The solution is administered using a nebulizer device that provides about 10 ⁇ g to about 500 ⁇ g of the compound of the invention per dose.
  • ATi angiotensin II type 1 (receptor)
  • AT 2 angiotensin II type 2 (receptor)
  • NEP neprilysin (EC 3.4.24.11) PBS phosphate buffered saline
  • Reactions were run under nitrogen atmosphere, unless noted otherwise. The progress of reactions were monitored by thin layer chromatography (TLC), analytical high performance liquid chromatography (anal. HPLC), and mass spectrometry, the details of which are given in specific examples. Solvents used in analytical HPLC were as follows: solvent A was 98% water/2% MeCN /1.0 mL/L TFA; solvent B was 90% MeCN/10% water/1.0 ml/L TFA. Reactions were worked up as described specifically in each preparation or example; commonly reaction mixtures were purified by extraction and other purification methods such as temperature-, and solvent-dependent crystallization, and precipitation.
  • reaction mixtures were routinely purified by preparative HPLC, typically using Microsorb Cl 8 and Microsorb BDS column packings and conventional eluents. Characterization of reaction products was routinely carried out by mass and 1 H-NMR spectrometry. For NMR measurement, samples were dissolved in deuterated solvent (CD3OD, CDCI3, or DMSO- d ⁇ ), and 1 H-NMR spectra were acquired with a Varian Gemini 2000 instrument (400 MHz) under standard observation conditions.
  • deuterated solvent CD3OD, CDCI3, or DMSO- d ⁇
  • Mass spectrometric identification of compounds was typically conducted using an electrospray ionization method (ESMS) with an Applied Biosystems (Foster City, CA) model API 150 EX instrument or an Agilent (Palo Alto, CA) model 1200 LC/MSD instrument.
  • ESMS electrospray ionization method
  • HATU 51 mg, 130 ⁇ mol was added to a DMF (500 ⁇ L) solution of N-acetoxy-2- benzyl-malonamic acid (30 mg, 120 ⁇ mol), and the solution was stirred for 15 minutes at room temperature.
  • 4'-(2-Butyl-4-chloro-5 -hydroxymethylimidazol- 1 -ylmethyl)biphenyl-2- sulfonic acid (2-aminoacetyl)amide » (C 2 HF 3 O 2 ) 2 (96 mg, 1.3mmol) was added as a DMF solution (500 ⁇ L) and the mixture was stirred for 2.5 hours.
  • ASSAY 1 These in vitro assays were used to assess the ability of test compounds to bind to the ATi and the AT 2 receptors.
  • AT 2 receptor expressing cells were grown in the additional presence of 100 nM PD123,319 (AT 2 antagonist). When cultures reached 80-95% confluence, the cells were washed thoroughly in PBS and lifted with 5 mM EDTA. Cells were pelleted by centrifugation and snap frozen in MeOH-dry ice and stored at -80 0 C until further use.
  • lysis buffer 25 mM Tris/HCl pH 7.5 at 4 0 C, 1 mM EDTA, and one tablet of Complete Protease Inhibitor Cocktail Tablets with 2 mM EDTA per 50 mL buffer (Roche cat.# 1697498, Roche Molecular Biochemicals, Indianapolis, IN)) and homogenized using a tight-fitting Dounce glass homogenizer (10 strokes) on ice.
  • the homogenate was centrifuged at 1000 x g, the supernatant was collected and centrifuged at 20,000 x g.
  • the final pellet was resuspended in membrane buffer (75 mM Tris/HCl pH 7.5, 12.5 mM MgCl 2 , 0.3 mM EDTA, 1 mM EGTA, 250 mM sucrose at 4 0 C) and homogenized by extrusion through a 2OG gauge needle. Protein concentration of the membrane suspension was determined by the method described in Bradford (1976) Anal Biochem. 72:248-54. Membranes were snap frozen in MeOH-dry ice and stored at -80 0 C until further use.
  • Binding assays were performed in 96-well Acrowell filter plates (Pall Inc., cat.# 5020) in a total assay volume of 100 ⁇ L with 0.2 ⁇ g membrane protein for membranes containing the human ATi receptor, or 2 ⁇ g membrane protein for membranes containing the human AT 2 receptor in assay buffer (50 mM Tris/HCl pH 7.5 at 20 0 C, 5 mM MgCl 2 , 25 ⁇ M EDTA, 0.025% BSA).
  • Drugs were dissolved to a concentration of 1 mM in DMSO and from there serially diluted into assay buffer. Nonspecific binding was determined in the presence of 10 ⁇ M unlabeled angiotensin-II. Assays were incubated for 120 minutes in the dark, at room temperature or 37 0 C, and binding reactions were terminated by rapid filtration through the Acrowell filter plates followed by three washes with 200 ⁇ L ice cold wash buffer (50 mM Tris/HCl pH 7.5 at 4 0 C, 5 mM MgCl 2 ) using a Waters filtration manifold.
  • a higher pK value indicates that the test compound has a higher binding affinity for the receptor tested.
  • Exemplary compounds of the invention that were tested in this assay typically were found to have a pK; at the ATi receptor greater than or equal to about 5.0.
  • the compound of Example 1 was found to have a pK value greater than about 7.0.
  • inhibitory activities of compounds at human and rat NEP and human ACE were determined using in vitro assays as described below.
  • Rat NEP was prepared from the kidneys of adult Sprague Dawley rats. Whole kidneys were washed in cold PBS and brought up in ice-cold lysis buffer (1% Triton X- 114, 15O mM NaCl, 5O mM Tris pH 7.5; Bordier (1981) J. Biol. Chem. 256: 1604-1607) in a ratio of 5 mL of buffer for every gram of kidney. Samples were homogenized using a polytron hand held tissue grinder on ice. Homogenates were centrifuged at 1000 x g in a swinging bucket rotor for 5 minutes at 3 0 C.
  • the pellet was resuspended in 20 mL of ice cold lysis buffer and incubated on ice for 30 minutes. Samples (15-20 mL) were then layered onto 25 mL of ice-cold cushion buffer (6% w/v sucrose, 50 mM pH 7.5 Tris, 150 mM NaCl, 0.06%, Triton X-114), heated to 37 0 C for 3-5 minutes and centrifuged at 1000 x g in a swinging bucket rotor at room temperature for 3 minutes. The two upper layers were aspirated off, leaving a viscous oily precipitate containing the enriched membrane fraction. Glycerol was added to a concentration of 50% and samples were stored at -20 0 C. Protein concentrations were quantitated using a BCA detection system with BSA as a standard.
  • Recombinant human NEP and recombinant human ACE were obtained commercially (R&D Systems, Minneapolis, MN, catalog numbers 1182-ZN and 929-ZN, respectively).
  • the fluorogenic peptide substrate Mca-BK2 (Mca-Arg-Pro-Pro-Gly-Phe- Ser-Ala-Phe-Lys(Dnp)-OH; Johnson et al. (2000) Anal. Biochem. 286: 112-118) was used for the human NEP and ACE assays, and Mca-RRL (Mca-DArg-Arg-Leu-(Dnp)-OH; Medeiros et al. (1997) Braz. J. Med. Biol. Res. 30: 1157-1162) was used for the rat NEP assay (both from Anaspec, San Jose, CA).
  • the assays were performed in 384-well white opaque plates at room temperature using the respective fluorogenic peptides at a concentration of 10 ⁇ M in Assay Buffer (50 mM Tris/HCl at 25 0 C, 100 mM NaCl, 0.01% Tween-20, 1 ⁇ M Zn, 0.025% BSA).
  • Human NEP and human ACE were used at concentrations that resulted in quantitative proteolysis of 5 ⁇ M of Mca-BK2 within 20 minutes at room temperature.
  • the rat NEP enzyme preparation was used at a concentration that yielded quantitative proteolysis of 3 ⁇ M of Mca-RRL within 20 minutes at room temperature.
  • Test compounds were diluted to 12 concentrations from 10 ⁇ M to 20 pM in Assay Buffer. Assays were started by adding 25 ⁇ L of enzyme to 12.5 ⁇ L of test compound at each of the 12 concentrations. Test compounds were allowed to equilibrate with the enzyme for 10 minutes before 12.5 ⁇ L of the fluorogenic substrates were added to initiate the reaction. Reactions were terminated by the addition of 10 ⁇ L of 3.6% glacial acetic acid after 20 minutes of incubation.
  • test compounds may be diluted in Assay Buffer containing a 400 ⁇ M concentration of tris(2-carboxyethyl)phosphine hydrochloride (Thermo Scientific, Rockford, IL) (TCEP).
  • TCEP tris(2-carboxyethyl)phosphine hydrochloride
  • the test compounds are then allowed to reduce for 40 minutes at room temperature before adding the enzyme.
  • Test compounds are then allowed to equilibrate with the enzyme for 20 minutes before adding the fluorogenic substrates. Reactions are terminated as above. Plates were read on a fluorometer with excitation and emission wavelengths set to
  • Exemplary compounds of the invention that were tested in this assay typically were found to have a pICso for the NEP enzyme greater than or equal to about 5.0.
  • the compound of Example 1 has a pICso value greater than or equal to about 7.0.
  • mice Male, Sprague Dawley, normotensive rats are anesthetized with 120 mg/kg (i.p.) of inactin. Once anesthetized, the jugular vein, carotid artery (PE 50 tubing) and bladder (URI-I urinary silicone catheter) are cannulated and a tracheotomy is performed (Teflon Needle, size 14 gauge) to faciliate spontaneous respiration. The animals are then allowed a 60 minute stablization period and kept continuously infused with 5mL/kg/h of saline (0.9%) throughout, to keep them hydrated and ensure urine production. Body temperature is maintained throughout the experiment by use of a heating pad.
  • the animals are dosed intravenously (i.v.) with two doses of angiotensin (Angl, 1.0 ⁇ g/kg, for ACE inhibitor activity; Angll, 0.1 ⁇ g/kg, for ATi receptor antagonist activity) at 15 minutes apart.
  • angiotensin Angl or Angll
  • the animals are treated with vehicle or test compound.
  • the animals are additionally treated with a bolus i.v. injection of atrial natriuretic peptide (ANP; 30 ⁇ g/kg).
  • Urine collection is started immediately after the ANP treatment and continued for 60 minutes.
  • Urine samples are frozen at -20 0 C until used for the cGMP assay.
  • Urine cGMP concentrations are determined by Enzyme Immuno Assay using a commercial kit (Assay Designs, Ann Arbor, Michigan, Cat. No. 901-013). Urine volume is determined gravimetrically. Urinary cGMP output is calculated as the product of urine output and urine cGMP concentration.
  • ACE inhibition or ATi antagonism is assessed by quantifying the % inhibition of pressor response to Angl or Angll, respectively.
  • NEP inhibition is assessed by quantifying the potentiation of ANP-induced elevation in urinary cGMP output.
  • Spontaneously hypertensive rats (SHR, 14-20 weeks of age) are allowed a minimum of 48 hours acclimation upon arrival at the testing site.
  • the animals Seven days prior to testing, the animals are either placed on a restricted low-salt diet with food containing 0.1% of sodium for sodium depleted SHRs (SD-SHR) or are placed on a normal diet for sodium repleted SHRs (SR-SHR).
  • SD-SHR sodium depleted SHRs
  • SR-SHR sodium repleted SHRs
  • the animals are surgically implemented with catheters into a carotid artery and the jugular vein (PE50 polyethylene tubing) connected via a PElO polyethylene tubing to a selected silicone tubing (size 0.020 ID x 0.037 OD x 0.008 wall) for blood pressure measurement and test compound delivery, respectively.
  • the animals are allowed to recover with appropriate post operative care.
  • the animals On the day of the experiment, the animals are placed in their cages and the catheters are connected via a swivel to a calibrated pressure transducer. After 1 hour of acclimation, a baseline measurement is taken over a period of at least five minutes.
  • the animals are then dosed i.v. with vehicle or test compound in ascending cumulative doses every 60 minutes followed by a 0.3 mL saline to clear the catheter after each dose. Data is recorded continuously for the duration of the study using Notocord software (Kalamazoo, MI) and stored as electronic digital signals.
  • Notocord software Keramazoo, MI
  • the effects of a single intravenous or oral (gavage) dose are monitored for at least 6 hours after dosing. Parameters measured are blood pressure (systolic, diastolic and mean arterial pressure) and heart rate.
  • CD rats male, adult, 200-300 grams, Charles River Laboratory, USA
  • CD rats Male, adult, 200-300 grams, Charles River Laboratory, USA
  • DOCA-salt pellet 100 mg, 21 days release time, Innovative Research of America, Sarasota, FL
  • nephrectomy is performed.
  • animals are implanted surgically with catheters into a carotid artery and the jugular vein with a PE50 polyethylene tubing, which in turn was connected via a PElO polyethylene tubing to a selected silicone tubing (size 0.020 ID x 0.037 OD x 0.008 wall) for blood pressure measurement and test compound delivery, respectively.
  • the animals are allowed to recover with appropriate post operative care.
  • each animal On the day of the experiment, each animal is kept in its cage and connected via a swivel to a calibrated pressure transducer. After 1 hour of acclimation, a baseline measurement is taken over a period of at least five minutes. The animals are then dosed i.v. with a vehicle or test compound in escalating cumulative doses every 60 minutes followed by 0.3 mL of saline to flush the catheter after each dose. In some studies, the effects of a single intravenous or oral (gavage) dose is tested and monitored for at least 6 hours after dosing. Data is recorded continuously for the duration of the study using Notocord software (Kalamazoo, MI) and stored as electronic digital signals.
  • Notocord software Kalamazoo, MI
  • MAP mean arterial pressure
  • HR heart rate

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Abstract

The invention relates to compounds having the formula: (I) wherein: Q, W, Y, Z, r, and Ar are as defined in the specification, and pharmaceutically acceptable salts thereof. These compounds have AT1 receptor antagonist activity and neprilysin inhibition activity. The invention is also directed to pharmaceutical compositions comprising such compounds; methods of using such compounds; and process and intermediates for preparing such compounds.

Description

DUAL- ACTING ANTIHYPERTENSIVE AGENTS BACKGROUND OF THE INVENTION
FIELD OF THE INVENTION
The present invention relates to novel compounds having angiotensin II type 1 (ATi) receptor antagonist activity and neprilysin-inhibition activity. The invention also relates to pharmaceutical compositions comprising such compounds, processes and intermediates for preparing such compounds and methods of using such compounds to treat diseases such as hypertension.
STATE OF THE ART
The aim of antihypertensive therapy is to lower blood pressure and prevent hypertension-related complications such as myocardial infarction, stroke, and renal disease. For patients with uncomplicated hypertension (e.g., no risk factors, target organ damage, or cardiovascular disease), it is hoped that reducing blood pressure will prevent development of cardiovascular and renal comorbidities, conditions that exist at the same time as the primary condition in the same patient. For those patients with existing risk factors or comorbidities, the therapeutic target is the slowing of comorbid disease progression and reduced mortality.
Physicians generally prescribe pharmacological therapies for patients whose blood pressure cannot be adequately controlled by dietary and/or lifestyle modifications. Commonly used therapeutic classes act to promote diuresis, adrenergic inhibition, or vasodilation. A combination of drugs is often prescribed, depending upon what comorbidities are present.
There are five common drug classes used to treat hypertension: diuretics, which include thiazide and thiazide-like diuretics such as hydrochlorothiazide, loop diuretics such as furosemide, and potassium-sparing diuretics such as triamterene; βi adrenergic receptor blockers such as metoprolol succinate and carvedilol; calcium channel blockers such as amlodipine; angiotensin-converting enzyme (ACE) inhibitors such as captopril, benazepril, enalapril, enalaprilat, lisinopril, quinapril, and ramipril; and ATi receptor antagonists, also known as angiotensin II type 1 receptor blockers (ARBs), such as candesartan cilexetil, eprosartan, irbesartan, losartan, olmesartan medoxomil, telmisartan, and valsartan. Combinations of these drugs are also administered, for example, a calcium channel blocker (amlodipine) and an ACE inhibitor (benazepril), or a diuretic (hydrochlorothiazide) and an ACE inhibitor (enalapril). All of these drugs, when used appropriately, are effective in the treatment of hypertension. Nevertheless, both efficacy and tolerability should be further improved in new drugs targeting hypertension. Despite the availability of many treatment options, the recent National Health And Nutrition Examination Survey (NHANES) demonstrated that only about 50% of all treated patients with hypertension achieve adequate blood pressure control. Furthermore, poor patient compliance due to tolerability issues with available treatments further reduces treatment success.
In addition, each of the major classes of antihypertensive agents have some drawbacks. Diuretics can adversely affect lipid and glucose metabolism, and are associated with other side effects, including orthostatic hypotension, hypokalemia, and hyperuricemia. Beta blockers can cause fatigue, insomnia, and impotence; and some beta blockers can also cause reduced cardiac output and bradycardia, which may be undesirable in some patient groups. Calcium channel blockers are widely used but it is debatable as to how effectively these drugs reduce fatal and nonfatal cardiac events relative to other drug classes. ACE inhibitors can cause coughing, and rarer side effects include rash, angioedema, hyperkalemia, and functional renal failure. ATi receptor antagonists are equally effective as ACE inhibitors but without the high prevalence of cough.
Neprilysin (neutral endopeptidase, EC 3.4.24.11) (NEP), is an endothelial membrane bound Zn2+metallopeptidase found in many tissues, including the brain, kidney, lungs, gastrointestinal tract, heart, and peripheral vasculature. NEP is responsible for the degradation and inactivation of a number of vasoactive peptides, such as circulating bradykinin and angiotensin peptides, as well as the natriuretic peptides, the latter of which have several effects including vasodilation and diuresis. Thus, NEP plays an important role in blood pressure homeostasis. NEP inhibitors have been studied as potential therapeutics, and include thiorphan, candoxatril, and candoxatrilat. In addition, compounds have also been designed that inhibit both NEP and ACE, and include omapatrilat, gempatrilat, and sampatrilat. Referred to as vasopeptidase inhibitors, this class of compounds are described in Robl et al. (1999) Exp. Opin. Ther. Patents 9(12): 1665-1677.
There may be an opportunity to increase anti-hypertensive efficacy when
-?- combining ATi receptor antagonism and NEP inhibition, as evidenced by ATi receptor antagonist/NEP inhibitor combinations described in WO 9213564 to Darrow et al. (Schering Corporation); US20030144215 to Ksander et al.; Pu et al., Abstract presented at the Canadian Cardiovascular Congress (October 2004); Gardiner et al. (2006) JPET 319:340-348; and WO 2007/045663 (Novartis AG) to Glasspool et al.
Recently, WO 2007/056546 (Novartis AG) to Feng et al. has described complexes of an ATi receptor antagonist and a NEP inhibitor, where an ATi receptor antagonist compound is non-covalently bond to a NEP inhibitor compound, or where the antagonist compound is linked to the inhibitor compound by a cation. In spite of the advances in the art, there remains a need for a highly efficacious monotherapy with multiple mechanisms of action leading to levels of blood pressure control that can currently only be achieved with combination therapy. Compounds having either ATi receptor antagonist or NEP inhibitory activity are known, but no single compound having both ATi receptor antagonist and NEP inhibitory activity has been reported. Thus, although various hypertensive agents are known, and administered in various combinations, it would be highly desirable to provide single compounds having both ATi receptor antagonist activity and NEP inhibition activity in the same molecule. Compounds possessing both of these activities are expected to be particularly useful as therapeutic agents since they would exhibit antihypertensive activity through two independent modes of action while having single molecule pharmacokinetics.
In addition, such dual-acting compounds are also expected to have utility to treat a variety of other diseases that can be treated by antagonizing the ATi receptor and/or inhibiting the NEP enzyme.
SUMMARY OF THE INVENTION The present invention provides novel compounds that have been found to possess
ATi receptor antagonist activity and neprilysin (NEP) enzyme inhibition activity. Accordingly, compounds of the invention are expected to be useful and advantageous as therapeutic agents for treating conditions such as hypertension and heart failure. One aspect of the invention relates to a compound of formula I:
Figure imgf000005_0001
wherein:
Y is:
Figure imgf000005_0002
Q is -C(R3)-, and Z is a bond and W is -N-, or Z is -C(O)- and W is -CH-; or
Y is:
Figure imgf000005_0003
Q is -C(R3)-, Z is -C(O)-, and W is -N-; R1 is selected from -Ci_6alkylene-OH, -COORla, -CHO, -Ci_3alkylene-
NHCH(COOH)(C i_6alkyl), -C(O)NHCH(COOH)(C i_6alkyl), and -C(0)NHCH2Rlb; where
Rla is H or -Ci_6alkyl; and Rlb is -Co_3alkylenearyl or -Co_3alkyleneheteroaryl; R2 is selected from H, -CH2OH, halo, -NO2, -Ci_6alkyl, -C2.6alkenyl,
-C3-6cycloalkyl, -CN, -C(0)R2a, and -Co-3alkylenearyl; where R2a is H, -Ci_6alkyl, -C3.6cycloalkyl, -Co-3alkylene-phenyl, -0R2b, or -NR2cR2d; R2b is H, -Ci_6alkyl,
-C3_6cycloalkyl, phenyl, or benzyl; and R2c and R2d are independently H, -Ci_4alkyl, or
-Co-ialkylene-phenyl;
R3 is selected from -Ci_ioalkyl, -C2_ioalkenyl, -C3_ioalkynyl,
-Co-3alkylene-C3_7Cycloalkyl, -C2_3alkenylene-C3_7Cycloalkyl, -C2_3alkynylene- C3_7cycloalkyl, -Co.5alkylene-NR3a-Co-5alkylene-R3b, -Co-salkylene-O-Co-salkylene-R3*3,
-Co-salkylene-S-Ci.salkylene-R313, and -Co-3alkylenearyl; R3a is H, -Ci_6alkyl,
-C3-7cycloalkyl, or -Co-3alkylenearyl; and R3b is H, -Ci_6alkyl, -C3-7cycloalkyl, -C2_4alkenyl,
-C2_4alkynyl, or aryl; r is O, 1 or 2; Ar-X-CR5R6R7 is selected from:
Figure imgf000006_0001
X is selected from -SO2NHC(O)-, -SO2NHC(O)-C i_i2alkylene-NHC(O)-, -SO2NHC(O)-Ci_i2alkylene-C(O)NH-, -C(O)NH-SO2-Ci_i2alkylene-NHC(O)-, -C(O)NH- SO2-C i_i2alkylene-C(O)NH-, -SO2NHC(O)NH-C2_i2alkylene-NHC(O)-, -SO2NHC(O)NH- Ci_i2alkylene-C(O)NH-, -NH-SO2-NHC(O)-Ci_i2alkylene-NHC(O)-, and -NH-SO2- NHC(O)-Ci_i2alkylene-C(O)NH-;
R5 is selected from -C0-3alkylene-SR5a, -C0-3alkylene-C(O)NR5bR5c, -C0-3alkylene-NR5b-C(O)R5d, -NH-C0-ialkylene-P(O)(OR5e)2, -C0-3alkylene-P(O)OR5eR5f, -Co-2alkylene-CHR5g-COOH, -C0-3alkylene-C(O)NR5h-CHR5l-COOH, and -C0-3alkylene-S- SR5j; R5a is H or -C(O)R5aa; R5aa is -Ci_6alkyl, -C0.6alkylene-C3.7cycloalkyl,
-Co-βalkylenearyl, -Co-βalkyleneheteroaryl, -Co-βalkylenemorpholine, -Co-βalkylene- piperazine-CH3, -CH[N(R5ab)2]-aa where aa is an amino acid side chain, -2 -pyrrolidine, -Co-6alkylene-OR5ab, -O-C0-6alkylenearyl, -Ci_2alkylene-OC(O)-Ci_6alkyl, -Ci_2alkylene- OC(O)-C0-6alkylenearyl, or -O-Ci_2alkylene-OC(O)O-Ci_6alkyl; R5ab is independently H or -Ci_6alkyl; R5b is H, -OH, -OC(O)R5ba, -CH2COOH, -O-benzyl, -pyridyl, or -OC(S)NR5bbR5bc; R5ba is H, -Ci_6alkyl, aryl, -OCH2-aryl, -CH2O-aryl, or -NR5bbR5bc; R5bb and R5bc are independently H or -Ci_4alkyl; R5c is H, -Ci_6alkyl, or -C(O)-R5ca; R5ca is H, -Ci_6alkyl, -C3_7Cycloalkyl, aryl, or heteroaryl; R5d is H, -Ci_4alkyl, -Co-3alkylenearyl, -NR5daR5db, -CH2SH, or -O-Ci_6alkyl; R5da and R5db are independently H or -Ci_4alkyl; R5e is H, -Ci_6alkyl, -Ci_3alkylenearyl, -Ci_3alkyleneheteroaryl, -Cs-ycycloalkyl, -CH(CH3)-0- C(O)R5ea,
Figure imgf000007_0001
R5ea is -O-Ci_6alkyl, -O-C^cycloalkyl, -NR5ebR5ec, or -CH(NH2)CH2COOCH3; R5eb and R5ec are independently H, -Ci_4alkyl, or -Ci_3alkylenearyl, or are taken together as -(CH2)3-6-; R5f is H, -Ci_4alkyl, -C0-3alkylenearyl, -Ci_3alkylene-NR5faR5fb, or -Ci_3alkylene(aryl)-C0-3alkylene-NR5faR5fb; R5fa and R5fb are independently H or -Ci_4alkyl; R5g is H, -Ci_6alkyl, -Ci_3alkylenearyl, or -CH2-O-(CH2)2-OCH3; R5h is H or -Ci_4alkyl; R51 is H, -Ci_4alkyl, or -Co-3alkylenearyl; and R5j is -Ci_6alkyl, aryl, or -CH2CH(NH2)COOH;
R6 is selected from -Ci_6alkyl, -CH2O(CH2)2-OCH3, -Ci-ealkylene-O-d-ealkyl, -Co-3alkylenearyl, -Co^alkyleneheteroaryl, and -Co-3alkylene-C3-7cycloalkyl; and R7 is H or is taken together with R6 to form -C3_8cycloalkyl; wherein: each -CH2- group in -(CH2)r- is optionally substituted with 1 or 2 substituents independently selected from -Ci_4alkyl and fluoro; one -CH2- in the -Ci_i2alkylene- portion of X is optionally replaced with -C4_8cycloalkylene- or phenylene; one or more -CH2- moieties are optionally replaced with a -NR4-C(0)- or -C(O)-NR4- moiety, where R4 is H, -OH, or -Ci_4alkyl; and one or more -CH2- moieties are optionally substituted with -COOH or an amino acid side chain; each alkyl and each aryl in R1"6 is optionally substituted with 1 to 7 fluoro atoms; each ring in Ar-X-CR5R6R7 and each aryl and heteroaryl in R1, R2, R3, and R5"6 is optionally substituted with 1 to 3 substituents independently selected from -OH, -Ci_6alkyl, -C2-4alkenyl, -C2-4alkynyl, -CN, halo, -O-Ci_6alkyl, -S-Ci_6alkyl, -S(O)-Ci_6alkyl, -S(O)2- Ci_4alkyl, phenyl, -NO2, -NH2, -NH-Ci_6alkyl, and -N(Ci_6alkyl)2, wherein each alkyl, alkenyl and alkynyl is optionally substituted with 1 to 5 fluoro atoms; or a pharmaceutically acceptable salt thereof.
Another aspect of the invention relates to pharmaceutical compositions comprising a pharmaceutically acceptable carrier and a compound of the invention. Such compositions may optionally contain other therapeutic active agents such as diuretics, βi adrenergic receptor blockers, calcium channel blockers, angiotensin-converting enzyme inhibitors, ATi receptor antagonists, neprilysin inhibitors, non-steroidal anti-inflammatory agents, prostaglandins, anti-lipid agents, anti-diabetic agents, anti-thrombotic agents, renin inhibitors, endothelin receptor antagonists, endothelin converting enzyme inhibitors, aldosterone antagonists, angiotensin-converting enzyme/neprilysin inhibitors, vasopressin receptor antagonists, and combinations thereof. Accordingly, in yet another aspect of the invention, a pharmaceutical composition comprises a compound of the invention, a second therapeutic agent, and a pharmaceutically acceptable carrier. Another aspect of the invention relates to a combination of active agents, comprising a compound of the invention and a second therapeutic agent. The compound of the invention can be formulated together or separately from the additional agent(s). When formulated separately, a pharmaceutically acceptable carrier may be included with the additional agent(s). Thus, yet another aspect of the invention relates to a combination of pharmaceutical compositions, the combination comprising: a first pharmaceutical composition comprising a compound of the invention and a first pharmaceutically acceptable carrier; and a second pharmaceutical composition comprising a second therapeutic agent and a second pharmaceutically acceptable carrier. The invention also relates to a kit containing such pharmaceutical compositions, for example where the first and second pharmaceutical compositions are separate pharmaceutical compositions.
Compounds of the invention possess both ATi receptor antagonist activity and NEP enzyme inhibition activity, and are therefore expected to be useful as therapeutic agents for treating patients suffering from a disease or disorder that is treated by antagonizing the ATi receptor and/or inhibiting the NEP enzyme. Thus, one aspect of the invention relates to a method of treating patients suffering from a disease or disorder that is treated by antagonizing the ATi receptor and/or inhibiting the NEP enzyme, comprising administering to a patient a therapeutically effective amount of a compound of the invention. Another aspect of the invention relates to a method of treating hypertension or heart failure, comprising administering to a patient a therapeutically effective amount of a compound of the invention. Still another aspect of the invention relates to a method for antagonizing an ATi receptor in a mammal comprising administering to the mammal, an ATi receptor-antagonizing amount of a compound of the invention. Yet another aspect of the invention relates to a method for inhibiting a NEP enzyme in a mammal comprising administering to the mammal, a NEP enzyme-inhibiting amount of a compound of the invention.
Compounds of the invention that are of particular interest include those that exhibit an inhibitory constant (pIQ) for binding to an ATi receptor greater than or equal to about 5.0; in particular those having a pIQ greater than or equal to about 6.0; in one embodiment those having a pIQ greater than or equal to about 7.0; more particularly those having a pIQ greater than or equal to about 8.0; and in yet another embodiment, those having a pIQ within the range of about 8.0-10.0. Compounds of particular interest also include those having a NEP enzyme inhibitory concentration (pICso) greater than or equal to about 5.0; in one embodiment those having a pICso greater than or equal to about 6.0; in particular those having a pICso greater than or equal to about 7.0; and most particularly those having a PIC50 within the range of about 7.0-10.0. Compounds of further interest include those having a pK; for binding to an ATi receptor greater than or equal to about 7.5 and having a NEP enzyme pICso greater than or equal to about 7.0. Since compounds of the invention possess ATi receptor antagonist activity and
NEP inhibition activity, such compounds are also useful as research tools. Accordingly, one aspect of the invention relates to a method of using a compound of the invention as a research tool, the method comprising conducting a biological assay using a compound of the invention. Compounds of the invention can also be used to evaluate new chemical compounds. Thus another aspect of the invention relates to a method of evaluating a test compound in a biological assay, comprising: (a) conducting a biological assay with a test compound to provide a first assay value; (b) conducting the biological assay with a compound of the invention to provide a second assay value; wherein step (a) is conducted either before, after or concurrently with step (b); and (c) comparing the first assay value from step (a) with the second assay value from step (b). Exemplary biological assays include an ATi receptor binding assay and a NEP enzyme inhibition assay. Still another aspect of the invention relates to a method of studying a biological system or sample comprising an ATi receptor, a NEP enzyme, or both, the method comprising: (a) contacting the biological system or sample with a compound of the invention; and (b) determining the effects caused by the compound on the biological system or sample.
The invention is also directed to processes and intermediates useful for preparing compounds of the invention. Accordingly, another aspect of the invention relates to a process of preparing compounds of the invention comprising the step of coupling a compound of formula 1 with a compound of formula 2:
Figure imgf000010_0001
or coupling a compound of formula 1' with a compound of formula 2':
Figure imgf000010_0002
where: A is -NH2 and B is -COOH or A is -COOH and B is -NH2; the sum of a and b is in the range of 1 to 12; and R5* represents R5 or a protected form of R5; and optionally deprotecting the product when R5* is a protected form of R5. Another aspect of the invention relates to a process of preparing a pharmaceutically acceptable salt of a compound of formula I, comprising contacting a compound of formula I in free acid or base form with a pharmaceutically acceptable base or acid. In other aspects, the invention relates to products prepared by any of the processes described herein, as well as novel intermediates used in such process. In one aspect of the invention, these novel intermediates have formula II.
Yet another aspect of the invention relates to the use of a compound of the invention for the manufacture of a medicament, especially for the manufacture of a medicament useful for treating hypertension or acute decompensated heart failure. Another aspect of the invention relates to use of a compound of the invention for antagonizing an ATi receptor or for inhibiting a NEP enzyme in a mammal. Still another aspect of the invention relates to the use of a compound of the invention as a research tool. Other aspects and embodiments of the invention are disclosed herein. DETAILED DESCRIPTION OF THE INVENTION
The invention relates to compounds of formula I:
Figure imgf000011_0001
and pharmaceutically acceptable salts thereof. As used herein, the term "compound of the invention" includes all compounds of encompassed by formula I such as the species embodied in formulas Ia, Ib, Ic, and Id, described below. In addition, the compounds of the invention may also contain several basic or acidic groups (e.g. , amino or carboxyl groups) and therefore, such compounds can exist as a free base, free acid, or in various salt forms. All such salt forms are included within the scope of the invention. Finally, the compounds of the invention may also exist as prodrugs. Accordingly, those skilled in the art will recognize that reference to a compound herein, for example, reference to a "compound of the invention" or a "compound of formula I" includes reference to a compound of formula I as well as to pharmaceutically acceptable salts and prodrugs of that compound unless otherwise indicated. Further, the term "or a pharmaceutically acceptable salt and/or prodrug thereof is intended to include all permutations of salts and prodrugs, such as a pharmaceutically acceptable salt of a prodrug. Furthermore, solvates of compounds of formula I or salts thereof are included within the scope of the invention.
The compounds of formula I may contain one or more chiral centers and therefore, these compounds may be prepared and used in various stereoisomeric forms. Accordingly, the invention relates to racemic mixtures, pure stereoisomers (enantiomers or diastereomers), stereoisomer-enriched mixtures, and the like unless otherwise indicated. When a chemical structure is depicted herein without any stereochemistry, it is understood that all possible stereoisomers are encompassed by such structure. Thus, for example, the term "compound of formula I" is intended to include all possible stereoisomers of the compound. Similarly, when a particular stereoisomer is shown or named herein, it will be understood by those skilled in the art that minor amounts of other stereoisomers may be present in the compositions of the invention unless otherwise indicated, provided that the utility of the composition as a whole is not eliminated by the presence of such other isomers. Individual enantiomers may be obtained by numerous methods that are well known in the art, including chiral chromatography using a suitable chiral stationary phase or support, or by chemically converting them into diastereomers, separating the diastereomers by conventional means such as chromatography or recrystallization, then regenerating the original enantiomers. Additionally, where applicable, all cis-trans or E/Z isomers (geometric isomers), tautomeric forms and topoisomeric forms of the compounds of the invention are included within the scope of the invention unless otherwise specified.
One possible chiral center could be present in the -CR5R6R7 portion of the compound, when R6 is a group such as -Ci-βalkyl, for example -CH2CH(CH3)2, and R7 is H. This chiral center is present at the carbon atom indicated by the symbol * in the following formula:
Figure imgf000012_0001
In one embodiment of the invention, the carbon atom identified by the symbol * has the (R) configuration. In this embodiment, compounds of formula I have the (R) configuration at the carbon atom identified by the symbol * or are enriched in a stereoisomeric form having the (R) configuration at this carbon atom (or atoms). In another embodiment, the carbon atom identified by the symbol * has the (S) configuration. In this embodiment, compounds of formula I have the (S) configuration at the carbon atom identified by the symbol * or are enriched in a stereoisomeric form having the (S) configuration at this carbon atom. In some cases, in order to optimize the therapeutic activity of the compounds of the invention, for example, as hypertensive agents, it may be desirable that the carbon atom identified by the symbol * have a particular (R) or (S) configuration. It is understood that a compound may have two chiral centers, i.e., at the * carbon atom and at a second carbon atom. In such cases, four possible diastereomers can exist. In some cases, in order to optimize the therapeutic activity of the compounds of the invention, e.g., as hypertensive agents, it may be desirable that the carbon atom identified by the symbol * have a particular (R) or (S) configuration.
The compounds of the invention, as well as those compounds used in their synthesis, may also include isotopically-labeled compounds, i.e., where one or more atoms have been enriched with atoms having an atomic mass different from the atomic mass predominately found in nature. Examples of isotopes that may be incorporated into the compounds of formula I, for example, include, but are not limited to, 2H, 3H, 13C, 14C, 15N, 18O, 170, 35S, 36Cl, and 18F.
The compounds of formula I have been found to possess ATi receptor antagonizing activity and NEP enzyme inhibition activity. Among other properties, such compounds are expected to be useful as therapeutic agents for treating diseases such as hypertension. By combining dual activity into a single compound, double therapy can be achieved; both ATi receptor antagonist activity and NEP enzyme inhibition activity can be obtained using a single active component. Since pharmaceutical compositions containing one active component are typically easier to formulate than compositions containing two active components, such single-component compositions provide a significant advantage over compositions containing two active components. In addition, certain compounds of the invention have also been found to be selective for inhibition of the ATi receptor over the angiotensin II type 2 (AT2) receptor, a property that may have therapeutic advantages.
The nomenclature used herein to name the compounds of the invention is illustrated in the Examples herein. This nomenclature has been derived using the commercially- available AutoNom software (MDL, San Leandro, California).
REPRESENTATIVE EMBODIMENTS
The following substituents and values are intended to provide representative examples of various aspects and embodiments of the invention. These representative values are intended to further define and illustrate such aspects and embodiments and are not intended to exclude other embodiments or to limit the scope of the invention. In this regard, the representation that a particular value or substituent is preferred is not intended in any way to exclude other values or substituents from the invention unless specifically indicated. In one aspect, the invention relates to compounds of formula (I):
Figure imgf000013_0001
In one embodiment of the invention, Y is:
Figure imgf000013_0002
Q is -C(R3)-, and Z is a bond and W is -N-, or Z is -C(O)- and W is -CH-. In this embodiment, formula I can be represented as:
Figure imgf000014_0001
In one particular embodiment, Z is a bond and W is -N-. In another embodiment of the invention, Y is:
Figure imgf000014_0002
Q is -C(R )-, Z is -C(O)-, and W is -N-. In this embodiment, formula I can be represented as:
Figure imgf000014_0003
R1 is selected from -Ci_6alkylene-OH, -COORla, -CHO, -Ci_3alkylene-
NHCH(COOH)(C i_6alkyl), -C(O)NHCH(COOH)(C i_6alkyl), and -C(0)NHCH2Rlb. The Rla group is H or -C^alkyl, and the Rlb group is -Co_3alkylenearyl or -Co-3alkyleneheteroaryl.
In one embodiment, R1 is -Ci_6alkylene-0H, for example, R1 is -CH2OH. In another embodiment, R1 is -COORla, and Rla is H. In one particular embodiment, R1 is -CHO.
In one embodiment, R1 is -Ci_3alkylene-NHCH(COOH)(Ci_6alkyl), for example, -CH2NHCH(COOH)(C2-5alkyl) such as -CH2NHCH(COOH)[CH2CH(CH3)2].
In another embodiment, R1 is -C(O)NHCH(COOH)(C i_6alkyl), for example, -C(O)NHCH(COOH)(C2.5alkyl) such as -C(O)NHCH(COOH)[CH(CH3)2].
In one particular embodiment, R1 is -C(0)NHCH2Rlb, and Rlb is -Co-3alkylenearyl for example, -Co^alkylenephenyl. In one such embodiment, R1 is -C(O)NHCH2-phenyl, -C(O)NH(CH2)2-phenyl, -C(O)NH(CH2)3-phenyl, or -C(O)NH(CH2)4-phenyl. In yet another embodiment, R1 is -C(O)NHCH2Rlb, and Rlb is
-Co^alkyleneheteroaryl, for example a -Co-ialkyleneheteroaryl group such as -2-thienyl and -CH2-2-thienyl. In one such embodiment, R1 is -C(O)NHCH2-2-thienyl or -C(O)NH(CH2)2-2-thienyl. Each alkyl and each aryl in R1 is optionally substituted with 1 to 7 fluoro atoms. In addition, the term "alkyl" is intended to include divalent alkylene groups such as those present in -Ci_6alkylene-OH, for example. Further, each aryl and heteroaryl in R1, for example in -Co_3alkylenearyl, is optionally substituted with 1 to 3 substituents independently selected from -OH, -Ci_6alkyl, -C2_4alkenyl, -C2_4alkynyl, -CN, halo, -O- Ci_6alkyl, -S-Ci_6alkyl, -S(O)-C i_6alkyl, -S(O)2-C i_4alkyl, phenyl, -NO2, -NH2, -NH- Ci_6alkyl, and -N(Ci_6alkyl)2. Further, each of the aforementioned alkyl, alkenyl and alkynyl groups is optionally substituted with 1 to 5 fluoro atoms. It is understood that when referring to "each alkyl," "each aryl" and "each heteroaryl" group in R1, the terms also include any such groups that might be present in the Rla and Rlb moieties. R2 is selected from H, -CH2OH, halo, -NO2, -Ci_6alkyl, -C2_6alkenyl,
-C3-6cycloalkyl, -CN, -C(0)R2a, and -C0-3alkylenearyl. The R2a moiety is H, -Ci_6alkyl, -Cs-ecycloalkyl, -C0.3alkylene-phenyl, -0R2b or -NR2cR2d; where R2b is H, -Ci_6alkyl, -Cs-βcycloalkyl, phenyl, or benzyl; and R2c and R2d are independently H, -Ci_4alkyl, or -Co-ialkylene-phenyl. In one particular embodiment, R2 is H or halo, particularly chloro. Each alkyl and each aryl in R2 is optionally substituted with 1 to 7 fluoro atoms. In addition, the aryl in R2, for example in -Co_3alkylenearyl or -Co_3alkylene-phenyl, may be substituted with 1 to 3 -OH, -Ci_6alkyl, -C2_4alkenyl, -C2_4alkynyl, -CN, halo, -O(Ci_6alkyl), -S(Ci_6alkyl), -S(O)(Ci_6alkyl), -S(O)2(Ci_4alkyl), phenyl, -NO2, -NH2, -NH(Ci_6alkyl), or -N(Ci_6alkyl)2 groups. Further, each of the aforementioned alkyl, alkenyl and alkynyl groups may be substituted with 1 to 5 fluoro atoms. It is understood that when referring to the "alkyl" and "aryl" groups in R2, the term includes any such groups that might be present in the R2a, R2b, R2c and R2d moieties.
R3 is selected from -Ci_ioalkyl, -C2_ioalkenyl, -C3-ioalkynyl, -Co-3alkylene- C3_7cycloalkyl, -C2_3alkenylene-C3_7cycloalkyl, -C2_3alkynylene-C3_7cycloalkyl, -Co-salkylene-NR^-Co-salkylene-R313, -Co-salkylene-O-Co-salkylene-R3*3, -C0-5alkylene-
S-Ci_5alkylene-R3b, and -Co-3alkylenearyl. The R3a moiety is H, -Ci_6alkyl, -C3_7cycloalkyl, or -Co-3alkylenearyl (e.g., -Co-ialkylenearyl such as phenyl and benzyl). R3b is H, -Ci_6alkyl, -C3_7cycloalkyl, -C2_4alkenyl, -C2_4alkynyl, or aryl (such as phenyl). In addition, each alkyl and each aryl in R3 is optionally substituted with 1 to 7 fluoro atoms, where the term "alkyl" is intended to include divalent alkylene groups such as those present in -Co-3alkylene-C3_7Cycloalkyl and -Co-3alkylenearyl, for example. Each aryl in R3, for example in -Co_3alkylenearyl or aryl, may be substituted with 1 to 3 -OH, -Ci_6alkyl, -C2-4alkenyl, -C2-4alkynyl, -CN, halo, -O-Ci_6alkyl, -S-Ci_6alkyl, -S(O)-
Ci_6alkyl, -S(O)2-Ci_4alkyl, phenyl, -NO2, -NH2, -NH-Ci_6alkyl, or -N(Ci_6alkyl)2 groups. Further, each of the aforementioned alkyl, alkenyl and alkynyl groups may be substituted with 1 to 5 fluoro atoms. It is understood that when referring to the "alkyl" and "aryl" groups in R3, the terms also include any such groups that might be present in the R3a and R3b moieties.
In one embodiment, R3 is -Ci_ioalkyl such as -CH3 or optionally substituted with 1 to 7 fluoro atoms such as -CF3. In another embodiment, R3 is -C2_7 alkyl such as -CH2CH3; and in yet another embodiment, R3 is -C2_5alkyl, for example, -(CH2)2CH3, -(CH2)3CH3, -CH2-CH(CH3)2, -CH2-CH(CH3)CH2CH3, -(CH2)2-CH(CH3)2, -CH(CH2CH3)2, or -(CH2)4CH3. In one particular embodiment, R3 is -(CH2)3CH3.
In another embodiment, R3 is -C2_ioalkenyl such as -CH2CH=CHCH3. In yet another embodiment, R3 is -C3_ioalkynyl such as -CH2C=CCH3.
In another embodiment, R3 is -Co-3alkylene-C3_7Cycloalkyl such as -cyclopropyl , -CH2-cyclopropyl, cyclopentyl, -CH2-cyclopentyl, -(CH2)2-cyclopentyl, and -CH2- cyclohexyl. In a particular embodiment, R3 is -Co-ialkylene-C3_5Cycloalkyl. In one embodiment, R3 is -C2_3alkenylene-C3_7cycloalkyl such as -CH2CH=CH-cyclopentyl; and in another embodiment, R is -C2_3alkynylene-C3_7Cycloalkyl such as -CH2C=C- cyclopentyl.
In yet another embodiment, R3 is -Co-5alkylene-NR3a-Co-5alkylene-R3b. In one particular embodiment, R3a is H and R3b is -Ci_6alkyl. Examples of such R3 groups include -NHCH2CH3, -NHCH(CH3)2, -NH(CH2)2CH3, -NH(CH2)3CH3, -NHCH(CH3)CH2CH3, -NH(CH2)4CH3, and -NH(CH2)5CH3.
In one embodiment, R3 is -Co-5alkylene-0-Co-5alkylene-R3b. In one particular embodiment, R3b is H, -Ci_6alkyl, or aryl. Examples of such R3 groups include -OCH3, -OCH2CH3, -OCH(CH3)2, -O(CH2)2CH3, -O(CH2)3CH3, -OCH2CH(CH3)2, -O-phenyl, and -O-benzyl.
In another embodiment, R3 is -Co-5alkylene-S-Ci_5alkylene-R3b, and in one particular embodiment R3b is H, such as when R3 is -CH2-S-CH2CH3. In another embodiment, R3 is -Co-3alkylenearyl, such as phenyl, benzyl, and -(CH2)2-phenyl.
The values for r are 0, 1 or 2. In one embodiment, r is 1. Each -CH2- group in the -(CH2)r- group may be substituted with 1 or 2 substituents independently selected from -Ci_4alkyl (e.g., -CH3), and fluoro. In one particular embodiment, the -(CH2)r- group is unsubstituted; in another embodiment, one or two -CH2- groups in -(CH2)r- are substituted with a -Ci_4alkyl group.
Ar-X-CR5R6R7 represents an aryl group selected from:
Figure imgf000017_0001
Each ring in the Ar portion may be substituted with 1 to 3 substituents independently selected from -OH, -d_6alkyl, -C2-4alkenyl, -C2-4alkynyl, -CN, halo, -O-Ci_6alkyl,
-S-Ci_6alkyl, -S(O)-C i_6alkyl, -S(O)2-C i_4alkyl, phenyl, -NO2, -NH2, -NH-C1-6alkyl and -N(Ci_6alkyl)2. Furthermore, each of the aforementioned alkyl, alkenyl and alkynyl groups are optionally substituted with 1 to 5 fluoro atoms.
In one particular embodiment, each ring in the Ar portion may be substituted with 1 to 2 substituents independently selected from -OH, -d_4alkyl (e.g., -CH3), halo (e.g., bromo, fluoro, chloro, and di-fluoro), -O-Ci_4alkyl (e.g., -OCH3), and phenyl. Exemplary substituted Ar-X-CR5R6R7 moieties include:
Figure imgf000018_0001
Of particular interest is where Ar is substituted with 1 or 2 halo atoms. It is understood that:
Figure imgf000018_0003
represents:
Figure imgf000018_0002
In one particular embodiment, Ar-X-CR5R6R7 is an aryl group selected from:
Figure imgf000018_0004
X is -SO2NHC(O)-, -SO2NHC(O)-C i_i2alkylene-NHC(O)-, -SO2NHC(O)-
Ci_i2alkylene-C(O)NH-, -C(O)NH-SO2-Ci_i2alkylene-NHC(O)-, -C(O)NH- SO2-C i_i2alkylene-C(O)NH-, -SO2NHC(O)NH-C2-i2alkylene-NHC(O)-,
-SO2NHC(O)NH-Ci_i2alkylene-C(O)NH-, -NH-SO2-NHC(O)-Ci_i2alkylene-NHC(O)-, or
-NH-SO2-NHC(O)-Ci_i2alkylene-C(O)NH-.
In one embodiment, X is -SO2NHC(O)-. In another embodiment, X contains a
-Ci_i2alkylene- group; thus X can contain a -Cialkylene-, -C2alkylene-, -C3alkylene-, -C4alkylene-, -Csalkylene-, -Cβalkylene-, -Cyalkylene-, -Csalkylene, -Cgalkylene-,
-Cioalkylene-, -Cnalkylene- or -Cialkylene- group. In another embodiment, X is -SO2NHC(O)- or -SO2NHC(O)-C i_9alkylene-NHC(O)-; and in another embodiment, X is -SO2NHC(O)- or -SO2NHC(O)-Ci_5alkylene-NHC(O)-.
In another embodiment, X is -SO2NHC(O)-Ci_i2alkylene-C(O)NH-, such as -SO2NHC(O)-Ci_5alkylene-C(O)NH-. In yet another embodiment, X is -C(O)NH- SO2-C i_i2alkylene-NHC(O)-, such as -C(O)NH-SO2-Ci_6alkylene-NHC(O)-. In one embodiment, X is -C(O)NH-SO2-Ci_i2alkylene-C(O)NH-, such as -C(O)NH- SO2-Ci_6alkylene-C(O)NH-. In yet another embodiment, X is -SO2NHC(O)NH- C2-i2alkylene-NHC(O)-, such as -SO2NHC(O)NH-C2-5alkylene-NHC(O)-. In one embodiment, X is -SO2NHC(O)NH-C i_i2alkylene-C(O)NH-, such as -SO2NHC(O)NH- Ci_5alkylene-C(O)NH-. In yet another embodiment, X is -NH-SO2-NHC(O)-
Ci_i2alkylene-NHC(O)-, such as -NH-SO2-NHC(O)-Ci_6alkylene-NHC(O)-. In another embodiment, X is -NH-SO2-NHC(O)-Ci_i2alkylene-C(O)NH-, such as -NH-SO2-NHC(O)- Ci_6alkylene-C(O)NH-.
One or more -CH2- moieties in the -Ci_i2alkylene- portion of X are optionally replaced with a -NR4-C(0)- or -C(O)-NR4- moiety. In one embodiment, none of the -CH2- moieties are replaced with a -NR4-C(0)- or -C(O)-NR4- group. In another embodiment, at least one of the -CH2- moieties is replaced with a -NR4-C(0)- or -C(O)-NR4- group, and in another embodiment 1, 2 or 3 of the -CH2- moieties are replaced. In another embodiment, when more than one -CH2- moiety is replaced with a -NR4-C(0)- or -C(O)-NR4- moiety, then the replaced moieties are non-contiguous.
R4 is selected from H, -OH, and -Ci_4alkyl. In one particular embodiment, R4 is H. In another embodiment, R4 is -Ci_4alkyl, examples of which include -CH(CHs)2, i.e., X can be a group such as -SO2NHC(O)CH(CH(CH3)2)-C2_i2alkylene-. Each alkyl in R4 is optionally substituted with 1 to 7 fluoro atoms. One -CH2- in the -Ci_i2alkylene- portion of X may be replaced with a
-C4_8Cycloalkylene- or phenylene group. The point of attachment for the -C4_8Cycloalkylene- or phenylene group is at any available carbon. Examples of cycloalkyl-containing X groups include -SO2NHC(O)-cyclopentylene-NHC(O)-, -SO2NHC(O)-cyclohexylene-NHC(O)-, and -SO2-NHC(O)CH2-CH2-NHC(O)- cyclohexylene-NHC(O)-. Examples of phenylene-containing X groups include
-SO2NHC(O)-phenyl-NHC(O)-. In certain embodiments, the phenylene group is attached at the meta or para position.
In addition, one or more of the -CH2- groups in the -Ci_i2alkylene- portion of X may be substituted with a -COOH moiety or an amino acid side chain (e.g., the side chain -CH(CHs)2). In one embodiment, there are no such substitutions. In another embodiment, one of the -CH2- groups is substituted with -COOH. Exemplary X groups include the following: -SO2NHC(O)-
-SO2NHC(O)-Cialkylene- with no -CH2- moieties replaced: -SO2NHC(O)CH[CH(CH3)2]-NHC(O)- -SO2NHC(O)CH2-NHC(O)-
-SO2NHC(O)-Cialkylene with one -CH2- moiety replaced: -SO2NHC(O)-cyclopentylene-NHC(O)-
-SO2NHC(O)-cyclohexylene-NHC(O)- -SO2NHC(O)-C2alkylene with no -CH2- moieties replaced:
-SO2NHC(O)(CH2)2-NHC(O)-
-SO2NHC(O)-C3alkylene with one -CH2- moieties replaced: -SO2NHC(O)CH2-NHC(O)-CH2-NHC(O)-
-SO2NHC(O)-C4alkylene with no -CH2- moieties replaced:
-SO2NHC(O)(CH2)4-NHC(O)- -SO2NHC(O)-C4alkylene with one -CH2- moiety replaced:
-SO2NHC(O)(CH2)2-NHC(O)-CH2-NHC(O)- -SO2NHC(O)-C4alkylene with two -CH2- moieties replaced:
-SO2-NHC(O)(CH2)2-NHC(O)-cyclohexylene-NHC(O)- -SO2NHC(O)-C5alkylene with one -CH2- moiety replaced:
-SO2NHC(O)(CH2)2-NHC(O)-CH2-CH(COOH)-NHC(O)- -SO2NHC(O)-C6alkylene with no -CH2- moieties replaced: -SO2-NHC(O)(CH2VNHC(O)-
-SO2NHC(O)-C6alkylene with one -CH2- moiety replaced:
-SO2NHC(O)(CH2)2-NHC(O)-(CH2)2-CH(COOH)-NHC(O)- -SO2-NHC(O)(CH2)4-NHC(O)-CH2-NHC(O)- -SO2NHC(O)-C8alkylene with one -CH2- moiety replaced: -SO2NHC(O)(CH2)6-NHC(O)-CH2-NHC(O)-
R5 is selected from -C0-3alkylene-SR5a, -C0-3alkylene-C(O)NR5bR5c, -C0-3alkylene-NR5b-C(O)R5d, -NH-C0-ialkylene-P(O)(OR5e)2, -C0-3alkylene-P(O)OR5eR5f, -Co-2alkylene-CHR5g-COOH, -C0-3alkylene-C(O)NR5h-CHR5l-COOH, and -C0.3alkylene-S- SR5j. Each alkyl and each aryl in R5 is optionally substituted with 1 to 7 fluoro atoms, where the term "alkyl" is intended to include divalent alkylene groups such as those present in -C0-3alkylene-SR5a and -C0-3alkylene-P(O)OR5eR5f, for example. Each aryl and heteroaryl in R5 may be substituted with 1 to 3 -OH, -C^alkyl, -C2-4alkenyl, -C2_4alkynyl, -CN, halo, -O-C1-6alkyl, -S-C1-6alkyl, -S(O)-C1-6alkyl, -S(O)2-C i_4alkyl, phenyl, -NO2, -NH2, -NH-Ci_6alkyl, or -N(Ci_6alkyl)2 groups. Further, each of the aforementioned alkyl, alkenyl and alkynyl groups may be substituted with 1 to 5 fluoro atoms. It is understood that when referring to "each alkyl," "each aryl" and "each heteroaryl" group in R5, the terms also include any alkyl and aryl groups that might be present in the R5a 5j, R5aa, R5ab, R5ba, R5bb, R5bc, R5ca, R5da, R5db, R5ea, R5eb, R5ec, R5fa, and R5fb moieties.
In one embodiment, R5 is -C0-3alkylene-SR5a. R5a is H or -C(0)R5aa. The R5aa group is -Ci_6alkyl, -C0-6alkylene-C3_7cycloalkyl, -Co-βalkylenearyl, -Co-βalkyleneheteroaryl, -Co-ealkylenemorpholine,
Figure imgf000021_0001
-CH[N(R5ab)2]-aa where aa is an amino acid side chain, -2-pyrrolidine, -Co-6alkylene-OR5ab, -O-Co-βalkylenearyl, -Ci_2alkylene-OC(O)-Ci_6alkyl, -Ci_2alkylene-OC(O)-C0-6alkylenearyl, or -O-Ci_2alkylene- 0C(0)0-Ci_6alkyl. The R5ab group is independently H or -Ci_6alkyl. In one specific embodiment, R5a is H, for example, R5 can be -SH or -CH2SH. In another embodiment, R5a is -C(0)-R5aa, where R5aa is -C1-6alkyl. Exemplary -Ci_6alkyl groups include -CH3, -CH2CH3, -CH(CH3)2, -C(CHs)3, and -CH2CH(CH3)2. Thus, examples of R5 include -SC(O)CH3, -CH2SC(O)CH3, -CH2SC(O)CH2CH3, -CH2SC(O)CH(CH3)2 and
-CH2SC(O)C(CH3)3, and -CH2SC(O)CH2CH(CH3)2. In one embodiment, R5a is H or -C(O)-C i-ealkyl.
In one embodiment, R5 is -C0-3alkylene-SR5a, where R5a is -C(0)-R5aa, and R5aa is -Co-6alkylene-C3_7Cycloalkyl. Exemplary C3_7Cycloalkyl groups include cyclopentyl and cyclohexyl. Thus, examples of R5 include -CH2SC(O)-cyclopentyl, -CH2SC(O)- cyclohexyl, and -CH2SC(O)-CH2-cyclopentyl. In another embodiment, R5 is -C0-3alkylene-SR5a, where R5a is -C(0)-R5aa, and R5aa is -Co-ealkylenearyl. In one specific embodiment, the aryl is optionally substituted with 1 to 3 substituents such as -O-Ci_6alkyl. Exemplary aryl groups include phenyl and -phenyl-OCH3. Thus, examples of R5 include -CH2SC(O)-phenyl and -CH2SC(O)-phenyl-OCH3. In yet another embodiment, R5 is -C0-3alkylene-SR5a, where R5a is -C(O)-R5aa, and R5aa is -Co-ealkyleneheteroaryl. Exemplary heteroaryl groups include furanyl, thienyl and pyridinyl. Thus, examples of R5 include: -CH2SC(O)-2-pyridine, -CH2SC(O)-3-pyridine, and -CH2SC(O)-4-pyridine. In another embodiment, R5 is -C0-3alkylene-SR5a, where R5a is -C(O)-R5aa, and R5aa is -Co-βalkylenemorpholine:
Figure imgf000022_0001
more particularly, -Ci_3alkylenemorpholine. Thus, examples of R5 include -CH2S-C(O)CH2-morpholine and -CH2S-C(O)(CH2)2-morpholine. In another embodiment, R5 is -C0-3alkylene-SR5a, where R5a is -C(O)-R5aa, and R5aa is -Co-ealkylenepiperazine-CHs. Thus, examples of R5 include -CH2S-C(O)(CH2)2-piperazine-CH3.
In one embodiment, R5 is -C0-3alkylene-SR5a, where R5a is -C(O)-R5aa, and R5aa is -CH[N(R5ab)2]-aa where aa is an amino acid side chain. For example, the amino acid side chain could be -CH(CH3)2 (valine side chain), -CH2CH(CH3)2 (leucine side chain), -CH(CH3)CH2CH3 (isoleucine side chain), -CH2COOH (aspartic acid side chain), -(CH2)2COOH (glutamic acid side chain), -CH(OH)(CH3) (threonine side chain), -benzyl (phenylalanine side chain), -4-hydroxybenzyl (tyrosine side chain), and -(CH2)2SCH3 (methionine side chain). Thus, examples of R5 include -CH2S-C(O)CH(NH2)-CH(CH3)2, -CH2SC(O)CH(NH2)-CH2CH(CH3)2, -CH2SC(O)CH(NH2)-CH(CH3)CH2CH3, -CH2SC(O)CH(NH2)-CH2COOH, -CH2SC(O)CH(NH2)-(CH2)2COOH, -CH2SC(O)CH(NH2)-CH(OH)(CH3), -CH2SC(O)-CH(NH2)-benzyl, -CH2SC(O)CH(NH2)- 4-hydroxybenzyl, and -CH2SC(O)CH(NH2)-(CH2)2SCH3.
In yet another embodiment, R5 is -C0-3alkylene-SR5a, where R5a is -C(O)-R5aa, and R5aa is -2-pyrrolidine:
Figure imgf000022_0002
Thus, an example of R5 is -CH2S-C(O)-2-pyrrolidine.
In yet another embodiment, R5 is -C0-3alkylene-SR5a, where R5a is -C(O)-R5aa, and R5aa is -C0-6alkylene-OR5ab. In one embodiment, R5ab is H, such that R5a is -C(O)-C0-6alkylene-OH. In another embodiment, R5ab is -Ci_6alkyl, such that R5a is -C(O)-C0-6alkylene-O-Ci_6alkyl, for example, R5 can be -CH2SC(O)-O-CH2CH3.
In yet another embodiment, R5 is -C0-3alkylene-SR5a, where R5a is -C(O)-R5aa, and R5aa is -O-Co-βalkylenearyl. In yet another embodiment, R5 is -Co-3alkylene-SR5a, where R5a is -C(O)-R5aa, and R5aa is -Ci_2alkylene-OC(O)-Ci_6alkyl; and in another embodiment, R5 is -C0-3alkylene-SR5a, where R5a is -C(O)-R5aa, and R5aa is -Ci_2alkylene-OC(O)- Co-6alkylenearyl; and in still another embodiment, R5 is -Co-3alkylene-SR5a, where R5a is -C(O)-R5aa, and R5aa is -O-Ci_2alkylene-OC(O)O-Ci_6alkyl, for example, R5 can be -CH2SC(O)-OCH(CH3)OC(O)OCH(CHS)2. In one embodiment, R5 is -C0-3alkylene-C(O)NR5bR5c. The R5b moiety is H, -OH,
-OC(O)R5ba, -CH2COOH, -O-benzyl, -pyridyl, or -OC(S)NR5bbR5bc. R5ba is H, -Ci_6alkyl, aryl, -OCH2-aryl (e.g., -OCH2-phenyl), -CH2O-aryl (e.g., -CH2O-phenyl), or -NR5bbR5bc. The R5bb and R5bc moieties are independently H or -Ci_4alkyl. In one embodiment, R5b is -OH or -OC(O)R5ba, where -R5ba is -Ci_6alkyl. R5c is H, -Ci_6alkyl, or -C(O)-R5ca, where R5ca is H, -Ci_6alkyl, -C3_7Cycloalkyl, aryl, or heteroaryl. In one particular embodiment, R5 is -C0-3alkylene-C(O)NR5bR5c and R5c is H. In another embodiment, R5 is -C0-3alkylene-C(O)NR5bR5c, where R5b is -OH and R5c is H, for example, R5 can be -C(O)NH(OH) or -CH2C(O)NH(OH). In another embodiment, R5 is -C0-3alkylene-C(O)NR5bR5c, where R5b is -0C(0)R5ba, R5ba is -Ci_6alkyl, and R5c is H. Thus, examples of R5 include -C(O)N[OC(O)CH3]H and -C(O)N[OC(O)C(CH3)3]H. In still another embodiment, R5 is -C0-3alkylene-C(O)NR5bR5c and both R5b and R5c are H, for example, R5 can be -C(O)NH2. In another embodiment, R5 is -C0.3alkylene-C(O)NR5bR5c, where R5b is -CH2COOH and R5c is H, for example, R5 can be -C(O)N(CH2COOH)H. In yet another embodiment, R5 is -C0-3alkylene-C(O)NR5bR5c, where R5b is -0C(0)R5ba, R5ba is -O-CH2-aryl or -CH2-O-aryl, and R5c is H. Thus, examples of R5 include -CH2-
C(O)NH[OC(O)OCH2-phenyl] and -CH2-C(O)NH[OC(O)-CH2O-phenyl]. In another embodiment, R5 is -C0-3alkylene-C(O)NR5bR5c, where R5b is -OC(S)NR5bbR5bc, R5bb and R5bc are both -Ci_4alkyl, and R5c is H. For example, R5 can be -CH2- C(O)N[OC(S)N(CH3)2]H. In one particular embodiment, R5 is selected from -Co-3alkylene-SR5a and
-Co-3alkylene-C(0)NR5bR5c; where R5a is H or -C(O)-Ci_6alkyl; R5b is H, -OH, or -OC(O)- Ci_6alkyl; and R5c is H or -Ci_6alkyl.
In one embodiment, R5 is -C0-3alkylene-NR5b-C(O)R5d. The R5d moiety is H, -Ci_4alkyl, -C0.3alkylenearyl, -NR5daR5db, -CH2SH, or -O-Ci_6alkyl. The R5da and R5db moieties are independently H or -Ci_4alkyl. In one particular embodiment, R5 is
-Co-3alkylene-NR5b-C(0)R5d, where R5b is -OH and R5d is H, for example, R5 can be -CH2- N(OH)C(O)H; and in another embodiment, R5b is -OH and R5d is -Ci_4alkyl, for example, R5 can be -CH2-N(OH)C(O)CH3. In another embodiment, R5 is -Co-salkylene-
-99- NR5b-C(O)R5d, where R5b is H and R5d is -CH2SH, for example, R5 can be -NHC(O)- CH2SH or -CH2NHC(O)-CH2SH.
In yet another embodiment, R5 is -NH-C0-ialkylene-P(O)(OR5e)2. The R5e moiety is H, -Ci_6alkyl, -Ci_3alkylenearyl, -Ci_3alkyleneheteroaryl, -C3.7cycloalkyl, -CH(CH3)-O- C(O)R5ea,
Figure imgf000024_0001
The R5ea group is -O-Ci_6alkyl, -O-C3.7cycloalkyl, -NR5ebR5ec, or -CH(NH2)CH2COOCH3. R5eb and R5ec are independently H, -Ci_4alkyl, or -Ci_3alkylenearyl (e.g., benzyl). R5eb and R5ec may also be taken together to form -(CH2)3_6-. In one embodiment, R5 is -NH-C0-ialkylene-P(O)(OR5e)2, where R5e is H, for example, R5 can be -NH-CH2- P(O)(OH)2.
In one embodiment, R5 is -C0-3alkylene-P(O)OR5eR5f. The R5f moiety is H, -Ci_4alkyl, -C0-3alkylenearyl, -Ci_3alkylene-NR5faR5fb, or -Ci_3alkylene(aryl)-C0-3alkylene- NR5faR5fb. The R5faand R5fb groups are independently H or -Ci_4alkyl. In one embodiment, R5e is H, for example, R5 can be -C0-3alkylene-P(O)(OH)R5f.
In one embodiment, R5 is -C0.2alkylene-CHR5g-COOH. The R5g moiety is H, -Ci_6alkyl, -Ci_3alkylenearyl, or -CH2-O-(CH2)2-OCH3. In one particular embodiment, R5g is -CH2-O-(CH2)2-OCH3, for example, R5 can be -CH2-C[CH2-O-(CH2)2-OCH3]H-COOH. In another embodiment, R5g is H, for example, R5 can be -CH2COOH. In one embodiment, R5 is -C0.3alkylene-C(O)NR5h-CHR5l-COOH. The R5h moiety is H or -Ci_4alkyl. The R51 moiety is H, -Ci_4alkyl, or -Co-3alkylenearyl. In one embodiment, R5h is H and R51 is -Co-3alkylenearyl, and the aryl is optionally substituted with 1 to 3 substituents such as -OH, for example, R5 can be -C(O)NH-CH(CH2-phenyl- OH)(COOH). In another embodiment, R5 is -Co-3alkylene-S-SR5j, and the R5j moiety is -Ci_6alkyl, aryl, or -CH2CH(NH2)COOH. Examples of such R5 groups include -C0-3alkylene-S-S- CH3, -Co-3alkylene-S-S-phenyl, and -C0-3alkylene-S-S-CH2CH(NH2)-COOH.
R6 is selected from -Ci_6alkyl, -CH2O(CH2)2OCH3, -Ci_6alkylene-O-Ci_6alkyl, -Co-3alkylenearyl, -Co-3alkyleneheteroaryl, and -Co-3alkylene-C3_7cycloalkyl. In one particular embodiment, R6 is selected from -Ci_6alkyl, -Co-3alkylenearyl, and -Co-3alkylene-C3_7Cycloalkyl. Each alkyl and each aryl in R6 is optionally substituted with 1 to 7 fluoro atoms, where the term "alkyl" is intended to include divalent alkylene groups such as those present in -Ci_6alkylene-O-Ci_6alkyl and -Co-3alkylene-C3-7cycloalkyl, for example. In addition, each aryl and heteroaryl in R6 may be substituted with 1 to 3 -OH, -Ci_6alkyl, -C2-4alkenyl, -C2-4alkynyl, -CN, halo, -O-Ci_6alkyl, -S-Ci_6alkyl, -S(O)-
Ci_6alkyl, -S(O)2-Ci_4alkyl, phenyl, -NO2, -NH2, -NH-Ci_6alkyl, or -N(Ci_6alkyl)2 groups. One exemplary substituted R6 group is -Co-3alkylenearyl, where the aryl is optionally substituted with phenyl, for example, R6 is -CH2-biphenyl. Further, each of the aforementioned alkyl, alkenyl and alkynyl groups may be substituted with 1 to 5 fluoro atoms.
In one embodiment, R6 is -Ci_6alkyl, for example, -CH3, -CH2CH3, -CH(CH3)2, -(CH2)2CH3, -(CH2)3CH3, -CH(CH3)CH2CH3, -CH2CH(CH3)2, -CH2C(CH3)3, -(CH2)2CH(CH3)2, or -(CH2)4CH3. As noted above, each alkyl in R6 is optionally substituted with 1 to 7 fluoro atoms. Examples of such fluoro-substituted R6 groups include -(CH2)2CF3 and -(CH2)3CF3.
In another embodiment, R6 is -CH2O(CH2)2OCH3. In still another one embodiment, R6 is -Ci_6alkylene-O-Ci_6alkyl, for example, -OCH3 and -CH2OCH3.
In one embodiment, R6 is -Co-3alkylenearyl, for example, phenyl, benzyl, -CH2-biphenyl, -(CH2)2-phenyl and -CH2-naphthalen-l-yl. The aryl may be substituted with 1 to 3 substituents. Thus, other examples of R6 include mono-substituted groups such as, methylbenzyl, chlorobenzyl, fluorobenzyl, fluorophenyl, bromobenzyl, iodobenzyl, -benzyl-CF3, 2-trifluoromethyl-benzyl, -benzyl-CN, and -benzyl-NO2; and di-substituted groups such as di-chlorobenzyl and di-fluorobenzyl. Each aryl may also be substituted with 1 to 7 fluoro atoms. Thus, other examples of R6 include penta-fluorobenzyl. In one embodiment, R6 is -Co_3alkyleneheteroaryl, for example, -CH2-pyridyl,
-CH2-furanyl, -CH2-thienyl, and -CH2-thiophenyl. In another embodiment, R6 is -Co-3alkylene-C3_7Cycloalkyl, for example, -CH2-cyclopropyl, cyclopentyl, -CH2- cyclopentyl, -cyclohexyl, and -CH2-cyclohexyl.
R7 is H or is taken together with R6 to form -C3_gcycloalkyl. In one embodiment, R7 is H. In another embodiment, R7 is taken together with R6 to form -C3_8Cycloalkyl, for example cyclopentyl.
One particular embodiment of the invention provides for an active compound of formula I where R5 is -Co-3alkylene-SH. One corresponding prodrug (prodrug A) is a dimer form of the compound:
Figure imgf000026_0001
In one particular embodiment, the compound of formula I is the species embodied in formula Ia:
Figure imgf000026_0002
where:
Y is:
Figure imgf000026_0003
Q is -C(R )-, Z is a bond and W is -N-; or
Y is:
Figure imgf000026_0004
Q is -C(R3)-, Z is -C(O)-, and W is -N-; Ar-X-CR5R6R7 is selected from:
Figure imgf000026_0005
R1"3, X, and R5"7 are as defined for formula I; and pharmaceutically acceptable salts thereof.
In another particular embodiment, the compound of formula I is the species embodied in formula Ib:
Figure imgf000027_0001
where R1"3, X, and R5"7 are as defined for formula I; and pharmaceutically acceptable salts thereof. In one particular embodiment of formula Ib: R1 is -Ci_6alkylene-OH or -CHO; R2 is H or halo; R3 is -CMOalkyl; X is -SO2NHC(O)-Ci_9alkylene-NHC(O)-; R5 is -Co-salkylene-SH, -C0-3alkylene-C(O)N(R5b)H, -NH-C0-ialkylene-P(O)(OH)2, or
-C0-2alkylene-CH[-CH2-O-(CH2)2-OCH3]-COOH, where R5b is -OH or -OC(O)-C1-6alkyl; R6 is -Ci_6alkyl or -Co-3alkylenearyl; and R7 is H or is taken together with R6 to form -C3_gcycloalkyl; where one -CH2- in the -Ci.galkylene- portion of X is optionally replaced with a -C4_8Cycloalkylene- group; one -CH2- moiety is optionally replaced with a -NHC(O)- moiety; one -CH2- moiety is optionally substituted with -COOH or an amino acid side chain; and the aryl in R6 is optionally substituted with phenyl.
In another particular embodiment, the compound of formula I is the species embodied in formula Ic:
Figure imgf000027_0002
where R1"3, X, and R5"7 are as defined for formula I; and pharmaceutically acceptable salts thereof. In one particular embodiment of formula Ic: R1 is -Ci_6alkylene-OH, -COOH, -CHO, -Ci_3alkylene-NHCH(COOH)(Ci_6alkyl), or -C(0)NHCH2Rlb, where Rlb is -C0-3alkylenearyl or -Co^alkyleneheteroaryl; R2 is halo; R3 is -C1-10alkyl; X is -SO2NHC(O)-Ci_9alkylene-NHC(O)-; R5 is -C0-3alkylene-SH or -C0-3alkylene- C(O)N(OH)H; R6 is -Ci_6alkyl or -C0-3alkylenearyl; and R7 is H; where one -CH2- moiety in the -Ci_9alkylene- portion of X is optionally replaced with a -NHC(O)- moiety.
In yet another embodiment, the compound of formula I is the species embodied in formula Id:
Figure imgf000028_0001
where R3, X, and R5"7 are as defined for formula I; and pharmaceutically acceptable salts thereof. In one particular embodiment of formula Id: R3 is -Ci_ioalkyl; X is -SO2NHC(O)- or -SO2NHC(O)-Ci_5alkylene-NHC(O)-; R5 is -C0-3alkylene-SH or -Co-3alkylene-C(0)N(OH)H; R6 is -C i_6alkyl or -C0-3alkylenearyl; and R7 is H; where one -CH2- moiety in the -Ci_salkylene- portion of X is optionally replaced with a -NHC(O)- moiety; and one -CH2- moiety is optionally substituted with an amino acid side chain. In one embodiment of the invention, R1 is -Ci_6alkylene-0H, -COORla, -CHO, -Ci.3alkylene-NHCH(COOH)(Ci.6alkyl), or -C(0)NHCH2Rlb; where Rla is H; and Rlb is -Co_3alkylenearyl or -Co_3alkyleneheteroaryl; R2 is H or halo; R3 is -Ci_ioalkyl; X is -SO2NHC(O)- or -SO2NHC(O)-C i_9alkylene-NHC(O)-; R5 is -C0-3alkylene-SH, -Co-3alkylene-C(0)N(R5b)H, -NH-C0-ialkylene-P(O)(OH)2, or -C0-2alkylene-CH[-CH2-O- (CH2)2-OCH3]-COOH; where R5b is -OH or -OC(O)-Ci_6alkyl; R6 is -Ci_6alkyl or -Co_3alkylenearyl; and R7 is H or is taken together with R6 to form -C3_gcycloalkyl; where one -CH2- in the -Ci_9alkylene- portion of X is optionally replaced with a
-C4_8Cycloalkylene- group; one -CH2- moiety is optionally replaced with a -NHC(O)- moiety; and one -CH2- moiety is optionally substituted with -COOH or an amino acid side chain; and the aryl in R6 is optionally substituted with phenyl; and pharmaceutically acceptable salts thereof. In another aspect, this embodiment has formula Ia, Ib, Ic, or Id. In another embodiment of the invention, R1 is selected from -CH2OH, -COOH,
-CHO, -CH2NHCH(COOH)[CH2CH(CH3)2], -C(O)NHCH2-phenyl, -C(O)NH(CH2)2- phenyl, -C(O)NH(CH2)3-phenyl, -C(O)NH(CH2)4-phenyl, -C(O)NHCH2-2-thienyl, and -C(O)NH(CH2)2-2-thienyl; R2 is selected from H and chloro; R3 is -(CH2)3CH3; X is selected from: -SO2NHC(O)-;
-SO2NHC(O)CH[CH(CH3)2]-NHC(O)-; -SO2NHC(O)CH2-NHC(O)-; -SO2NHC(O)-cyclopentylene-NHC(O)-:
-SO2NHC(O)-cyclohexylene-NHC(O)-;
-SO2NHC(O)(CH2)2-NHC(O)-;
-SO2NHC(O)CH2-NHC(O)-CH2-NHC(O)-; -SO2NHC(O)(CH2)4-NHC(O)-;
-SO2NHC(O)(CH2)2-NHC(O)-CH2-NHC(O)-;
-SO2-NHC(O)(CH2)2-NHC(O)-cyclohexylene-NHC(O)-;
-SO2NHC(O)(CH2)2-NHC(O)-CH2-CH(COOH)-NHC(O)-;
-SO2-NHC(O)(CH2)6-NHC(O)-; -SO2NHC(O)(CH2)2-NHC(O)-(CH2)2-CH(COOH)-NHC(O)-;
-SO2-NHC(O)(CH2)4-NHC(O)-CH2-NHC(O)-; and
-SO2NHC(O)(CH2)6-NHC(O)-CH2-NHC(O)-;
R5 is selected from -SH, -CH2-SH, -C(O)NH(OH), -C(O)NH[OC(O)CH3], -C(O)NH[OC(O)C(CHs)3], -NH-CH2-P(O)(OH)2, and -CH2-CH[CH2-O-(CH2^-OCH3]- COOH; R6 is selected from -CH3, -CH(CH3)2, -CH(CH3)CH2CH3, -CH2CH(CH3)2, -CH2- phenyl, and -CH2-biphenyl; and R7 is H or is taken together with R6 to form cyclopentyl; and pharmaceutically acceptable salts thereof. In another aspect, this embodiment has formula Ia, Ib, Ic, or Id.
In one embodiment, R5 is selected from -Co-3alkylene-SR5a, -Co-3alkylene- C(O)NR5bR5c, -Co-3alkylene-NR5b-C(0)R5d, -NH-C0-ialkylene-P(O)(OR5e)2,
-Co-3alkylene-P(0)OR5eR5f, -C0-2alkylene-CHR5g-COOH, and -C0.3alkylene-C(O)NR5h- CHR5l-C00H; where R5a is H, R5b is -OH, R5c is H, R5d is H, R5e is H; and R5f, R5g, R5h, R51 are as defined for formula I. More particularly, in one embodiment, R5 is selected from
-Co-ialkylene-SH, -C0-ialkylene-C(O)-N(OH)H, and -C0-3alkylene-N(OH)-C(O)H. In another embodiment, R5 is selected from -Co_3alkylene-SR5a, and -Co_3alkylene-
C(O)NR 53b0τR-> 5c , _ w ihere r R> 5Daa i •s τ Hτ;. r R> 5DbB i •s - AOTHT. T I*n. one pa ~rut.:icu ilar em 1bod A:imen At, r R> 5DcC is H. In another aspect, these embodiments have formula Ia, Ib, Ic, or Id.
In yet another embodiment, R5 is selected from -Co-3alkylene-SR5a, -Co-3alkylene- C(O)NR5bR5c, -Co-3alkylene-NR5b-C(0)R5d, -NH-C0-ialkylene-P(O)(OR5e)2, -C0.3alkylene- P(O)OR5eR5f, and -C0-3alkylene-S-SR5j; where R5a is -C(O)-R5aa; R5b is H, -OC(O)R5ba, -CH2COOH, -O-benzyl, -pyridyl, or -OC(S)NR5bbR5bc; R5e is -Ci_6alkyl, -Ci_3alkylenearyl, -Ci_3alkyleneheteroaryl, -C3.7cycloalkyl, -CH(CH3)-O-C(O)R5ea,
Figure imgf000030_0001
and where R5aa, R5ba, R5bb, R5bc, R5c, R5d, R5ea, R5f, and R5j are as defined for formula I. In one aspect of the invention, these compounds may find particular utility as prodrugs or as intermediates in the synthetic procedures described herein. In another aspect, these embodiments have formula Ia, Ib, Ic, or Id.
In one particular embodiment, R5 is selected from -Co-3alkylene-SR5a and -Co-3alkylene-C(0)NR5bR5c; where R5a is H or -C(O)-C1-6alkyl; R5b is H, -OH, or -OC(O)- Ci_6alkyl; and R5c is H or -C^alkyl. In another aspect, this embodiment has formula Ia, Ib, Ic, or Id. A particular group of compounds of formula I are those disclosed in U.S.
Provisional Application No. 61/048,806, filed on April 29, 2008. This group includes compounds of formula (I1):
Figure imgf000030_0002
wherein: Y' is:
Figure imgf000030_0003
Q' is -C(R3')-; Z' is a bond and W is -N-, or Z' is -C(O)- and W is -CH-; or Y' is:
Figure imgf000030_0004
Q' is -C(R3')-, Z' is -C(O)-, and W is -N-; R1' is selected from -Ci_6alkylene-OH, -COORla, -CHO, -Ci_3alkylene-NHCH(COOH)(Ci_6alkyl), -C(O)NHCH(COOH)(C i_6alkyl), and -C(O)NHCH2Rlb; where Rla is selected from H and -d_6alkyl; Rlb is selected from -Co-3alkylenearyl and -Co-3alkyleneheteroaryl; R2' is selected from H, -CH2OH, halo, -NO2, -Ci_6alkyl, -C2.6alkenyl, -C3.6cycloalkyl, -CN, -C(O)R2a, and -C0-3alkylenearyl; where R2a is selected from H, -C1-6alkyl, -Cs-ecycloalkyl, -Co^alkylene-phenyl, -OR2b and -NR2cR2d; R2b is selected from H, -Ci_6alkyl, -C3_6cycloalkyl, phenyl and benzyl; and R2c and R2d are independently selected from H, -Ci_4alkyl, and -Co-ialkylene-phenyl; R3' is selected from -Ci_ioalkyl, -C2_ioalkenyl, -C3_ioalkynyl, -Co-3alkylene-C3_7cycloalkyl, -C2_3alkenylene-C3_ 7Cycloalkyl, -C2-3alkynylene-C3_7cycloalkyl, -Co-5alkylene-NR3a-Co-5alkylene-R3b,
-Co-salkylene-O-Co-salkylene-R , 3b , -Co-salkylene-S-Ci-salkylene-R 3b , and -Co-3alkylenearyl;
, 3a
R3a is H, -Ci_6alkyl, -Cs-ycycloalkyl, or -C0-3alkylenearyl; and R3b is H, -Ci_6alkyl, -Cs.ycycloalkyl, -C2.4alkenyl, -C2.4alkynyl, or aryl; r is 0, 1 or 2; Ar'-X'-CR^'R7' is selected from:
Figure imgf000031_0001
X' is -SO2NHC(O)- or -SO2NHC(O)-Ci_i2alkylene-; R5' is selected from -C0-3alkylene- SR5a, -C0-3alkylene-C(O)NR5bR5c, -C0-3alkylene-NR5b-C(O)R5d, -NH-C0-ialkylene- P(O)(OR5e)2, -C0-3alkylene-P(O)OR5eR5f, -C0-2alkylene-CHR5g-COOH, -C0-3alkylene- C(O)NR5h-CHR5l-COOH, and -C0-3alkylene-S-SR5j; R5a is H or -C(O)R5aa; R5aa is -Ci_6alkyl, -Co_6alkylene-C3_7cycloalkyl, -Co-βalkylenearyl, -Co-βalkyleneheteroaryl, -Co-ealkylenemorpholine,
Figure imgf000032_0001
-CH[N(R5ab)2]-aa where aa is an amino acid side chain, -2-pyrrolidine, -Co-6alkylene-OR5ab, -O-Co-βalkylenearyl, -Ci_2alkylene-OC(O)-Ci_6alkyl, -Ci_2alkylene-OC(O)-C0-6alkylenearyl, or -O-Ci_2alkylene- OC(O)O-Ci_6alkyl; R5ab is independently H or -Ci_6alkyl; R5b is H, -OH, -OC(O)R5ba, -CH2COOH, -O-benzyl, -pyridyl, or -OC(S)NR5bbR5bc; R5ba is H, -Ci_6alkyl, aryl, -OCH2- aryl, -CH2O-aryl, or -NR5bbR5bc; R5bb and R5bc are independently selected from H and
-Ci_4alkyl; R5c is H, -Ci_6alkyl, or -C(O)-R5ca; R5ca is H, -Ci_6alkyl, -C3_7cycloalkyl, aryl, or heteroaryl; R5d is H, -Ci_4alkyl, -C0.3alkylenearyl, -NR5daR5db, -CH2SH, or -O-Ci_6alkyl; R5da and R5db are independently selected from H and -Ci_4alkyl; R5e is H, -Ci_6alkyl, -Ci_3alkylenearyl, -Ci_3alkyleneheteroaryl, -C3.7cycloalkyl, -CH(CH3)-O-C(O)R5ea,
Figure imgf000032_0002
R5ea is -O-Ci_6alkyl, -O-C3.7cycloalkyl, -NR5ebR5ec, or -CH(NH2)CH2COOCH3; R5eb and R5ec are independently selected from H, -Ci_4alkyl, and -Ci_3alkylenearyl, or are taken together as -(CH2)3_6-; R5f is H, -C1-4alkyl, -C0-3alkylenearyl, -Ci_3alkylene-NR5faR5fb, or -Ci_3alkylene(aryl)-C0-3alkylene-NR5faR5fb; R5fa and R5fb are independently selected from H and -CMalkyl; R5g is H, -Ci_6alkyl, -Ci_3alkylenearyl, or -CH2-O-(CH2)2-OCH3; R5h is H or -Ci_4alkyl; R51 is H, -Ci_4alkyl, or -Co-3alkylenearyl; and R5j is -Ci_6alkyl, aryl, or -CH2CH(NH2)COOH; R6> is selected from -C1-6alkyl, -CH2O(CH2)2-OCH3, -Ci_6alkylene- O-Ci_6alkyl, -Co-3alkylenearyl, -Co^alkyleneheteroaryl, and -Co-3alkylene-C3_7cycloalkyl; and R7' is H or is taken together with R6 to form -C3_gcycloalkyl; wherein: each -CH2- group in -(CH2)r- is optionally substituted with 1 or 2 substituents independently selected from -Ci_4alkyl and fluoro; one -CH2- in the -Ci_i2alkylene- portion of X' is optionally replaced with -C^cycloalkylene-; one or more -CH2- moieties are optionally replaced with a -NR4'-C(0)- or -C(O)-NR4'- moiety, where R4' is selected from H, -OH, and -CMalkyl; and one or more -CH2- moieties are optionally substituted with -COOH or an amino acid side chain; each alkyl and each aryl in R1' 6' is optionally substituted with 1 to 7 fluoro atoms; each ring in Ar'-X'-CR^'R7' and each aryl and heteroaryl in R1', R2>, R3>, and R5'"6' is optionally substituted with 1 to 3 substituents independently selected from -OH, -Ci_6alkyl, -C2.4alkenyl, -C2.4alkynyl, -CN, halo, -O-Ci_6alkyl, -S-Ci_6alkyl, -S(O)- Ci_6alkyl, -S(O)2-Ci_4alkyl, -phenyl, -NO2, -NH2, -NH-Ci_6alkyl and -N(Ci_6alkyl)2, wherein each alkyl, alkenyl and alkynyl is optionally substituted with 1 to 5 fluoro atoms; and pharmaceutically acceptable salts thereof.
In addition, compounds of formula I that are of particular interest include those set forth in the Examples below, as well as the pharmaceutically acceptable salts thereof.
DEFINITIONS When describing the compounds, compositions, methods and processes of the invention, the following terms have the meanings set forth below, unless indicated otherwise. Additionally, as used herein, the singular forms "a," "an," and "the" include the corresponding plural forms unless the context of use clearly dictates otherwise. The terms "comprising", "including," and "having" are intended to be inclusive and mean that there may be additional elements other than the listed elements. All numbers expressing quantities of ingredients, properties such as molecular weight, reaction conditions, and so forth used herein are to be understood as being modified in all instances by the term "about," unless otherwise indicated. Accordingly, the numbers set forth herein are approximations that may vary depending upon the desired properties sought to be obtained by the present invention. At least, and not as an attempt to limit the application of the doctrine of equivalents to the scope of the claims, each number should at least be construed in light of the reported significant digits and by applying ordinary rounding techniques.
The term "alkyl" means a monovalent saturated hydrocarbon group which may be linear or branched. Unless otherwise defined, such alkyl groups typically contain from 1 to 10 carbon atoms and include, for example, -Ci_4alkyl, -Ci_6alkyl, and -Ci_ioalkyl. Representative alkyl groups include, by way of example, methyl, ethyl, n-propyl, isopropyl, n-butyl, s-butyl, isobutyl, t-butyl, n-pentyl, n-hexyl, n-heptyl, n-octyl, n-nonyl, /7-decyl and the like.
When a specific number of carbon atoms is intended for a particular term used herein, the number of carbon atoms is shown preceding the term as subscript. For example, the term "-Ci_6alkyl" means an alkyl group having from 1 to 6 carbon atoms, and the term "-C3_7Cycloalkyl" means a cycloalkyl group having from 3 to 7 carbon atoms, respectively, where the carbon atoms are in any acceptable configuration. The term "alkylene" means a divalent saturated hydrocarbon group that may be linear or branched. Unless otherwise defined, such alkylene groups typically contain from 0 to 12 carbon atoms and include, for example, -C0-1alkylene-, -Co-2alkylene-, -C0-3alkylene-, -C0-5 alkylene-, -Co-βalkylene-, -Ci_2alkylene- and -Ci_i2alkylene-. Representative alkylene groups include, by way of example, methylene, ethane- 1,2-diyl ("ethylene"), propane- 1,2-diyl, propane- 1, 3 -diyl, butane- 1,4-diyl, pentane-l,5-diyl and the like. It is understood that when the alkylene term include zero carbons such as -Co-ialkylene- or -Co-salkylene-, such terms are intended to include the absence of carbon atoms, that is, the alkylene group is not present except for a covalent bond attaching the groups separated by the alkylene term.
The term "alkylthio" means a monovalent group of the formula -S-alkyl, where alkyl is as defined herein. Unless otherwise defined, such alkylthio groups typically contain from 1 to 10 carbon atoms and include, for example, -S-Ci_4alkyl and -S-Ci_6alkyl. Representative alkylthio groups include, by way of example, ethylthio, propylthio, isopropylthio, butylthio, s-butylthio and t-butylthio.
The term "alkenyl" means a monovalent unsaturated hydrocarbon group which may be linear or branched and which has at least one, and typically 1, 2 or 3, carbon-carbon double bonds. Unless otherwise defined, such alkenyl groups typically contain from 2 to 10 carbon atoms and include, for example, -C2-4alkenyl and -C2-ioalkenyl. Representative alkenyl groups include, by way of example, ethenyl, n-propenyl, isopropenyl, n-but-2-enyl, n-hex-3-enyl and the like. The term "alkenylene" means a divalent alkenyl group, and includes groups such as -C2-3alkenylene-.
The term "alkoxy" means a monovalent group of the formula -O-alkyl, where alkyl is as defined herein. Unless otherwise defined, such alkoxy groups typically contain from 1 to 10 carbon atoms and include, for example, -O-Ci_4alkyl and -O-Ci_6alkyl.
Representative alkoxy groups include, by way of example, methoxy, ethoxy, n-propoxy, isopropoxy, n-butoxy, sec-butoxy, isobutoxy, t-butoxy and the like.
The term "alkynyl" means a monovalent unsaturated hydrocarbon group which may be linear or branched and which has at least one, and typically 1, 2 or 3, carbon-carbon triple bonds. Unless otherwise defined, such alkynyl groups typically contain from 2 to 10 carbon atoms and include, for example, -C2-4alkynyl and -C3_ioalkynyl. Representative alkynyl groups include, by way of example, ethynyl, n-propynyl, n-but-2-ynyl, n-hex-3- ynyl and the like. The term "alkynylene" means a divalent alkynyl group and includes groups such as -C2-3alkynylene-.
Amino acid residues are often designated as -C(O)-CHR-NH-, where the R moiety is referred to as the "amino acid side chain." Thus, for the amino acid valine, HO-C(O)- CH[-CH(CH3)2]-NH2, the side chain is -CH(CH3)2. Ther term "amino acid side chain" is intended to include side chains of the twenty common naturally occurring amino acids: alanine, arginine, asparagine, aspartic acid, cysteine, glutamic acid, glutamine, glycine, histidine, isoleucine, leucine, lysine, methionine, phenylalanine, proline, serine, threonine, tryptophan, tyrosine, and valine. Of particular interest are the side chains of non-polar amino acids such as isoleucine, leucine, and valine. The term "aryl" means a monovalent aromatic hydrocarbon having a single ring
(e.g., phenyl) or fused rings. Fused ring systems include those that are fully unsaturated (e.g., naphthalene) as well as those that are partially unsaturated (e.g., 1,2,3,4- tetrahydronaphthalene). Unless otherwise defined, such aryl groups typically contain from 6 to 10 carbon ring atoms and include, for example, -C6-ioaryl. Representative aryl groups include, by way of example, phenyl and naphthalene- 1-yl, naphthalene-2-yl, and the like. The term "arylene" means a divalent aryl group such as phenylene.
The term "cycloalkyl" means a monovalent saturated carbocyclic hydrocarbon group. Unless otherwise defined, such cycloalkyl groups typically contain from 3 to 10 carbon atoms and include, for example, -C3_5Cycloalkyl, -C3_6Cycloalkyl and -Cs-ycycloalkyl. Representative cycloalkyl groups include, by way of example, cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl and the like. The term "cycloalkylene" means a divalent aryl group such as -C4_8Cycloalkylene.
The term "halo" means fluoro, chloro, bromo and iodo.
As used herein, the phrase "having the formula" or "having the structure" is not intended to be limiting and is used in the same way that the term "comprising" is commonly used.
The term "heteroaryl" means a monovalent aromatic group having a single ring or two fused rings and containing in the ring(s) at least one heteroatom (typically 1 to 3 heteroatoms) selected from nitrogen, oxygen or sulfur. Unless otherwise defined, such heteroaryl groups typically contain from 5 to 10 total ring atoms and include, for example, -C2-9heteroaryl. Representative heteroaryl groups include, by way of example, monovalent species of pyrrole, imidazole, thiazole, oxazole, furan, thiophene, triazole, pyrazole, isoxazole, isothiazole, pyridine, pyrazine, pyridazine, pyrimidine, triazine, indole, benzofuran, benzothiophene, benzoimidazole, benzthiazole, quinoline, isoquinoline, quinazoline, quinoxaline and the like, where the point of attachment is at any available carbon or nitrogen ring atom.
The term "optionally substituted" means that group in question may be unsubstituted or it may be substituted one or several times, such as 1 to 3 times or 1 to 5 times. For example, an alkyl group that is "optionally substituted" with 1 to 5 fluoro atoms, may be unsubstituted, or it may contain 1, 2, 3, 4, or 5 fluoro atoms.
The term "pharmaceutically acceptable" refers to a material that is not biologically or otherwise unacceptable when used in the invention. For example, the term "pharmaceutically acceptable carrier" refers to a material that can be incorporated into a composition and administered to a patient without causing unacceptable biological effects or interacting in an unacceptable manner with other components of the composition. Such pharmaceutically acceptable materials typically have met the required standards of toxicological and manufacturing testing, and include those materials identified as suitable inactive ingredients by the U.S. Food and Drug administration.
The term "pharmaceutically acceptable salt" means a salt prepared from a base or an acid which is acceptable for administration to a patient, such as a mammal (e.g., salts having acceptable mammalian safety for a given dosage regime). However, it is understood that the salts covered by the invention are not required to be pharmaceutically acceptable salts, such as salts of intermediate compounds that are not intended for administration to a patient. Pharmaceutically acceptable salts can be derived from pharmaceutically acceptable inorganic or organic bases and from pharmaceutically acceptable inorganic or organic acids. In addition, when a compound of formula I contains both a basic moiety, such as an amine, pyridine or imidazole, and an acidic moiety such as a carboxylic acid or tetrazole, zwitterions may be formed and are included within the term "salt" as used herein. Salts derived from pharmaceutically acceptable inorganic bases include ammonium, calcium, copper, ferric, ferrous, lithium, magnesium, manganic, manganous, potassium, sodium, and zinc salts, and the like. Salts derived from pharmaceutically acceptable organic bases include salts of primary, secondary and tertiary amines, including substituted amines, cyclic amines, naturally-occurring amines and the like, such as arginine, betaine, caffeine, choline, JV.Λ/'-dibenzylethylenediamme, diethylamine, 2-diethylaminoethanol, 2-dimethylaminoethanol, ethanolamine, ethylenediamine, N-ethylmorpholine, N-ethylpiperidine, glucamine, glucosamine, histidine, hydrabamine, isopropylamine, lysine, methylglucamine, morpholine, piperazine, piperadine, polyamine resins, procaine, purines, theobromine, triethylamine, trimethylamine, tripropylamine, tromethamine and the like. Salts derived from pharmaceutically acceptable inorganic acids include salts of boric, carbonic, hydrohalic (hydrobromic, hydrochloric, hydrofluoric or hydroiodic), nitric, phosphoric, sulfamic and sulfuric acids. Salts derived from pharmaceutically acceptable organic acids include salts of aliphatic hydroxyl acids (e.g., citric, gluconic, glycolic, lactic, lactobionic, malic, and tartaric acids), aliphatic monocarboxylic acids (e.g., acetic, butyric, formic, propionic and trifluoroacetic acids), amino acids (e.g. , aspartic and glutamic acids), aromatic carboxylic acids (e.g., benzoic, p-chlorobenzoic, diphenylacetic, gentisic, hippuric, and triphenylacetic acids), aromatic hydroxyl acids (e.g., o-hydroxybenzoic, p-hydroxybenzoic, 1- hydroxynaphthalene-2-carboxylic and 3-hydroxynaphthalene-2-carboxylic acids), ascorbic, dicarboxylic acids (e.g., fumaric, maleic, oxalic and succinic acids), glucuronic, mandelic, mucic, nicotinic, orotic, pamoic, pantothenic, sulfonic acids (e.g. , benzenesulfonic, camphosulfonic, edisylic, ethanesulfonic, isethionic, methanesulfonic, naphthalenesulfonic, naphthalene-l,5-disulfonic, naphthalene-2,6-disulfonic and p-toluenesulfonic acids), xinafoic acid, and the like.
As used herein, the term "prodrug" is intended to mean an inactive (or significantly less active) precursor of a drug that is converted into its active form in the body under physiological conditions, e.g., by normal metabolic processes. The term is also intended to include certain protected derivatives of compounds of formula I that may be made prior to a final deprotection stage. Such compounds may not possess pharmacological activity at ATi and/or NEP, but may be administered orally or parenterally and thereafter metabolized in the body to form compounds of the invention which are pharmacologically active at ATi and/or NEP. Thus, all protected derivatives and prodrugs of compounds formula I are included within the scope of the invention. Prodrugs of compounds of formula I having a free carboxyl, sulfhydryl or hydroxy group can be readily synthesized by techniques that are well known in the art. These prodrug derivatives are then converted by solvolysis or under physiological conditions to be the free carboxyl, sulfhydryl and/or hydroxy compounds. Exemplary prodrugs include: esters including Ci_6alkylesters and aryl-Ci_6alkylesters, carbonate esters, hemi-esters, phosphate esters, nitro esters, sulfate esters, sulfoxides, amides, carbamates, azo-compounds, phosphamides, glycosides, ethers, acetals, ketals, and disulfides. In one embodiment, the compounds of formula I have a free sulfhydryl or a free carboxyl and the prodrug is an ester derivative.
The term "protected derivatives thereof means a derivative of the specified compound in which one or more functional groups of the compound are protected or blocked from undergoing undesired reactions with a protecting or blocking group. Functional groups that may be protected include, by way of example, carboxy groups, amino groups, hydroxyl groups, thiol groups, carbonyl groups and the like. Representative protecting groups for carboxy groups include esters (such as a /?-methoxybenzyl ester), amides and hydrazides; for amino groups, carbamates (such as t-butoxycarbonyl) and amides; for hydroxyl groups, ethers and esters; for thiol groups, thioethers and thioesters; for carbonyl groups, acetals and ketals; and the like. Such protecting groups are well known to those skilled in the art and are described, for example, in T. W. Greene and G. M. Wuts, Protective Groups in Organic Synthesis, Third Edition, Wiley, New York, 1999, and references cited therein.
The term "solvate" means a complex or aggregate formed by one or more molecules of a solute, e.g., a compound of formula I or a pharmaceutically acceptable salt thereof, and one or more molecules of a solvent. Such solvates are typically crystalline solids having a substantially fixed molar ratio of solute and solvent. Representative solvents include, by way of example, water, methanol, ethanol, isopropanol, acetic acid and the like. When the solvent is water, the solvate formed is a hydrate. The term "therapeutically effective amount" means an amount sufficient to effect treatment when administered to a patient in need thereof, i.e., the amount of drug needed to obtain the desired therapeutic effect. For example, a therapeutically effective amount for treating hypertension is an amount of compound needed to, for example, reduce, suppress, eliminate or prevent the symptoms of hypertension, or to treat the underlying cause of hypertension. In one embodiment, a therapeutically effective amount is that amount needed to reduce blood pressure or the amount needed to maintain normal blood pressure. On the other hand, the term "effective amount" means an amount sufficient to obtain a desired result, which may not necessarily be a therapeutic result. For example, when studying a system comprising an ATi receptor, an "effective amount" may be the amount needed to antagonize the receptor.
The term "treating" or "treatment" as used herein means the treating or treatment of a disease or medical condition (such as hypertension) in a patient, such as a mammal (particularly a human) that includes one or more of the following: (a) preventing the disease or medical condition from occurring, such as by prophylactic treatment of a patient; (b) ameliorating the disease or medical condition such as by eliminating or causing regression of the disease or medical condition in a patient; (c) suppressing the disease or medical condition such as by slowing or arresting the development of the disease or medical condition in a patient; or (d) alleviating the symptoms of the disease or medical condition in a patient. For example, the term "treating hypertension" would include preventing hypertension from occurring, ameliorating hypertension, suppressing hypertension, and alleviating the symptoms of hypertension (e.g., lowering blood pressure). The term "patient" is intended to include those mammals, such as humans, that are in need of treatment or disease prevention or that are presently being treated for disease prevention or treatment of a specific disease or medical condition, as well as test subjects in which compounds of the invention are being evaluated or being used in a assay, for example an animal model.
All other terms used herein are intended to have their ordinary meaning as understood by those of ordinary skill in the art to which they pertain.
GENERAL SYNTHETIC PROCEDURES
Compounds of the invention can be prepared from readily available starting materials using the following general methods, the procedures set forth in the Examples, or by using other methods, reagents, and starting materials that are known to those of ordinary skill in the art. Although the following procedures may illustrate a particular embodiment of the invention, it is understood that other embodiments of the invention can be similarly prepared using the same or similar methods or by using other methods, reagents and starting materials known to those of ordinary skill in the art. It will also be appreciated that where typical or preferred process conditions (e.g., reaction temperatures, times, mole ratios of reactants, solvents, pressures, etc.) are given, other process conditions can also be used unless otherwise stated. While optimum reaction conditions will typically vary depending on various reaction parameters such as the particular reactants, solvents and quantities used, those of ordinary skill in the art can readily determine suitable reaction conditions using routine optimization procedures. Additionally, as will be apparent to those skilled in the art, conventional protecting groups may be necessary or desired to prevent certain functional groups from undergoing undesired reactions. The choice of a suitable protecting group for a particular functional group as well as suitable conditions and reagents for protection and deprotection of such functional groups are well known in the art. Protecting groups other than those illustrated in the procedures described herein may be used, if desired. For example, numerous protecting groups, and their introduction and removal, are described in T. W. Greene and G. M. Wuts, Protective Groups in Organic Synthesis, supra. More specifically, the following abbreviations and reagents are used in the schemes presented below:
P1 represents an "amino-protecting group," a term used herein to mean a protecting group suitable for preventing undesired reactions at an amino group. Representative amino-protecting groups include, but are not limited to, t-butoxycarbonyl (BOC), trityl (Tr), benzyloxycarbonyl (Cbz), 9-fluorenylmethoxycarbonyl (Fmoc), formyl, trimethylsilyl (TMS), t-butyldimethylsilyl (TBDMS), and the like. Standard deprotection techniques are used to remove the P1 group. For example, an N-BOC group can be removed using an acidic reagent such as TFA in DCM or HCl in 1 ,4-dioxane, while a Cbz group can be removed by employing catalytic hydrogenation conditions such as H2 (1 atm) and 10% Pd/C in an alcoholic solvent ("H2/Pd/C"). P2 represents a "carboxy-protecting group," a term used herein to mean a protecting group suitable for preventing undesired reactions at a carboxy group. Representative carboxy-protecting groups include, but are not limited to, methyl, ethyl, t-butyl, benzyl (Bn), /?-methoxybenzyl (PMB), 9-fluorenylmethyl (Fm), trimethylsilyl (TMS), t- butyldimethylsilyl (TBDMS), diphenylmethyl (benzhydryl, DPM) and the like. Standard deprotection techniques and reagents are used to remove the P2 group, and may vary depending upon which group is used. For example, NaOH is commonly used when P2 is methyl, an acid such as TFA or HCl is commonly used when P2 is t-butyl, and H2/Pd/C may be used when P2 is benzyl.
P represents a "thiol-protecting group," a term used herein to mean a protecting group suitable for preventing undesired reactions at a thiol group. Representative thiol- protecting groups include, but are not limited to, ethers, esters such as -C(O)CH3, and the like. Standard deprotection techniques and reagents such as NaOH, primary alkylamines, and hydrazine, may be used to remove the P3 group.
P5 represents a "hydroxyl-protecting group," a term used herein to mean a protecting group suitable for preventing undesired reactions at a hydroxyl group.
Representative hydroxyl-protecting groups include, but are not limited to alkyl groups such as t-butyl, silyl groups including triCi_6alkylsilyl groups, such as trimethylsilyl (TMS), triethylsilyl (TES), and te/t-butyldimethylsilyl (TBDMS); esters (acyl groups) including Ci_6alkanoyl groups, such as formyl, acetyl, and pivaloyl, and aromatic acyl groups such as benzoyl; arylmethyl groups such as benzyl (Bn), /?-methoxybenzyl (PMB), 9- fluorenylmethyl (Fm), and diphenylmethyl (benzhydryl, DPM); and the like. Standard deprotection techniques and reagents are used to remove the P5 group, and may vary depending upon which group is used. For example, H2/Pd/C is commonly used when P5 is benzyl, while NaOH is commonly used when P5 is an acyl group.
P6 represents a "sulfonamide-protecting group," a term used herein to mean a protecting group suitable for preventing undesired reactions at a sulfonamide group. Representative sulfonamide-protecting groups include, but are not limited to t-butyl and acyl groups. Exemplary acyl groups include aliphatic lower acyl groups such as the formyl, acetyl, phenylacetyl, butyryl, isobutyryl, valeryl, isovaleryl and pivaloyl groups, and aromatic acyl groups such as the benzoyl and 4-acetoxybenzoyl. Standard deprotection techniques and reagents are used to remove the P6 group, and may vary depending upon which group is used. For example, HCl is commonly used when P6 is t-butyl, while NaOH is commonly used when P6 is an acyl group.
P7 represents a "phosphate-protecting group or phosphinate-protecting group," a term used herein to mean a protecting group suitable for preventing undesired reactions at a phosphate or phosphinate group. Representative phosphate and phosphinate protecting groups include, but are not limited to Ci_4alkyl, aryl (e.g., phenyl) and substituted aryls (e.g., chlorophenyl and methylphenyl). The protected group can be represented by -P(O)(OR)2, where R is a group such as a d_6alkyl or phenyl. Standard deprotection techniques and reagents such as TMS-I/2,6-lutidine and H2/Pd/C are used to remove the P7 group such as ethyl, and benzyl, respectively.
In addition, L and L' are used to designate a "leaving group," a term used herein to mean a functional group or atom which can be displaced by another functional group or atom in a substitution reaction, such as a nucleophilic substitution reaction. By way of example, representative leaving groups include chloro, bromo and iodo groups; sulfonic ester groups, such as mesylate, triflate, tosylate, brosylate, nosylate and the like; acyloxy groups, such as acetoxy, trifluoroacetoxy; formyl groups; and so forth. Suitable bases for use in these schemes include, by way of illustration and not limitation, potassium carbonate, calcium carbonate, sodium carbonate, triethylamine, pyridine, l,8-diazabicyclo-[5.4.0]undec-7-ene (DBU), JV,jV-diisopropylethylamine (DIPEA), sodium hydroxide, potassium hydroxide, potassium t-butoxide, and metal hydrides.
Suitable inert diluents or solvents for use in these schemes include, by way of illustration and not limitation, tetrahydrofuran (THF), acetonitrile (MeCN), N,N- dimethylformamide (DMF), dimethyl sulfoxide (DMSO), toluene, dichloromethane (DCM), chloroform (CHCI3), carbon tetrachloride (CCl4), 1,4-dioxane, methanol, ethanol, water, and the like.
Suitable carboxylic acid/amine coupling reagents include benzotriazol-1- yloxytris(dimethylamino)phosphonium hexafluorophosphate (BOP), benzotriazol-1- yloxytripyrrolidinophosphonium hexafluorophosphate (PyBOP), O-(7-azabenzotriazol-l- yl-Λ/,Λ/,Λf',Λf'-tetramethyluronium hexafluorophosphate (HATU), iV,jV'-dicyclohexyl- carbodiimide (DCC), Λ/-(3-dimethylaminopropyl)-Λf -ethylcarbodiimide hydrochloride (EDC), JV,iV-carbonyldiimidazole (CDI), and the like. Coupling reactions are conducted in an inert diluent in the presence of a base, and are performed under conventional amide bond- forming conditions. All reactions are typically conducted at a temperature within the range of about
-78 0C to 100 0C, for example at room temperature. Reactions may be monitored by use of thin layer chromatography (TLC), high performance liquid chromatography (HPLC), and/or LCMS until completion. Reactions may be complete in minutes, or may take hours, typically from 1-2 hours and up to 48 hours. Upon completion, the resulting mixture or reaction product may be further treated in order to obtain the desired product. For example, the resulting mixture or reaction product may be subjected to one or more of the following procedures: concentrating or partitioning (e.g., between EtOAc and water or between 5% THF in EtOAc and IM phosphoric acid); extraction (e.g., with EtOAc, CHCI3, DCM, chloroform); washing (e.g., with saturated aqueous NaCl, saturated NaHCO3, Na2CO3 (5%), CHCl3 or IM NaOH); drying (e.g. , over MgSO4, over Na2SO4, or in vacuo); filtering; crystallizing (e.g., from EtOAc and hexane); being concentrated (e.g., in vacuo); and/or purification (e.g., silica gel chromatography, flash chromatography, preparative HPLC, reverse phase-HPLC, or crystallization).
By way of illustration, compounds of formula I, as well as their salts, solvates, and prodrugs can be prepared by one or more of the following exemplary processes.
Peptide Coupling Reaction and Optional Deprotection-amide containing "X" group
Scheme I can be used to prepare compound of the invention where X is -SO2NHC(O)-Ci_i2alkylene-NHC(O)-, -SO2NHC(O)-Ci_i2alkylene-C(O)NH-, -C(O)NH- SO2-Ci.i2alkylene-NHC(O)-, -C(O)NH-SO2-Ci_i2alkylene-C(O)NH-, -SO2NHC(O)NH- Ci_i2alkylene-NHC(O)-, -SO2NHC(O)NH-Ci_i2alkylene-C(O)NH-, -NH-SO2-NHC(O)- Ci_i2alkylene-NHC(O)-, or -NH-SO2-NHC(O)-Ci_i2alkylene-C(O)NH-. Thus, since X contains one or more amide groups, the compounds of the invention may be formed by a coupling reaction under conventional amide bond-forming conditions, followed by a deprotection step if needed. In Scheme I (illustrated for -SO2NHC(O)-Ci_i2alkylene- NHC(O)- or -SO2NHC(O)-C i_i2alkylene-C(O)NH-), the A and B moieties couple to form -NR4-C(0)-, -NHC(O)-, -C(O)-NR4-, or -C(O)NH- and the sum of a and b is in the range of 1 to 12. Thus, one moiety comprises an amine group and one moiety comprises a carboxylic acid group, i.e., A is -NH2 and B is -COOH or A is -COOH and B is -NH2.
Figure imgf000043_0001
a protected form of (I)
Scheme I
For example, to synthesize a compound of formula I where X contains a -C(O)-NR4 group or ends with a -CONH- group, A would be -COOH and B would be -NH2. Similarly, to synthesize a compound of formula I where X contains a -NR4-C(0)- group or ends with a -NHC(O)- group, A would be -NH2 and B would be -COOH, which couple to form. A and B can be readily modified if a longer X is desired or if additional amide groups are desired. For example, A as -CH2NH2 and B as -COOH would couple to form -CH2NHCO-. It is understood that the carbon atoms in the -(CH2)a and -(CH2)b groups make up the X linker. Therefore, one -CH2- group in -(CH2)a or -(CH2)b may be replaced with a -C4_8Cycloalkylene- group.
R5* may represent R5 as defined herein, or a protected form of R5 (e.g., -C(O)- NH(O-P5) such as -C(O)-NH(O-C(O)-C1-6alkyl). Therefore, when R5* represents R5, the reaction is complete after the coupling step.
On the other hand, when R5* represents a protected form of R5, a subsequent deprotection step would yield the non-protected compound. Reagents and conditions for the deprotection vary with the nature of protecting groups in the compound. Typical deprotection conditions when R5* represents -Co-3alkylene-S-P3, include treating the compound with NaOH in an alcoholic solvent at O 0C or room temperature to yield the non-protected compound. Typical deprotection conditions when R5* represents -Co-3alkylene-C(0)NH(0- P5), where P5 refers to an acyl group such as -C(O)CH3, include treating the compound with NaOH at room temperature to yield the non-protected compound. Thus, one method of preparing compounds of the invention involves coupling compounds (1) and (2), with an optional deprotection step when R5* is a protected form of R5, thus forming a compound of formula I or a pharmaceutically acceptable salt thereof.
Examples of compound (1) include: 4'-(2-butyl-4-chloro-5- hydroxymethylimidazol-l-ylmethyl)biphenyl-2-sulfonic acid (2-aminoacetyl)amide and N- (2-Aminoacetyl)-4-(2-butyl-4-chloro-5 -formyl-imidazol- 1 -ylmethyl)benzenesulfonamide . Examples of compound (2) include: N-acetoxy-2-benzyl-malonamic acid.
Compound (1)
Compound (1) can be prepared by the following reaction, depicted, for purposes of illustration, for those compounds where Y is:
Figure imgf000044_0001
Z is a bond; Q is -C(R3)-, W is -N-, R1 is -CH2OH, and X is -SO2NHC(O)- or -SO2NHC(O)-Ci_i2alkylene-NHC(O)-:
Figure imgf000044_0002
Compounds (Ia) and (Ib) are combined with K2CO3 in a solvent such as DMF to form intermediate (Ic), and the amine is then deprotected with TFA to form (Id). Intermediate (Id) is coupled with a compound of formula P1-NH-(CH2)a-C00H, such as N-a-(t- butoxycarbonyl)glycine, in the presence of a coupling agent such as N, N- carbonyldiimidazole, to form (Ie). Intermediate (Ie) is reduced with a reducing agent such as sodium borohydride to form (If), and the amine is then deprotected with TFA to form Compound (1) where A is -NH(R4). Compound (Ia)
Compound (Ia) can be readily prepared by techniques that are well known in the art and/or is commercially available. Examples of compound (Ia) include 2-butyl-5-chloro- 3H-imidazole-4-carbaldehyde.
Compound (Ib)
(CH2)r^L (CH2)r^L
P6 (ig) (i b)
Compound (Ib) can be readily prepared by techniques that are well known in the art and/or is commercially available. For example, illustrated for those embodiments where X is -SO2NHC(O)- or -SO2NHC(O)-Ci_i2alkylene-NHC(O)-, a solution of compound (Ig) (where L and L' are leaving groups) in a solvent such as DCM can be reacted with NH2-P6 in DIPEA and DCM to form compound (Ib). Examples of compound (Ig) include 4-bromomethylbenzenesulfonyl chloride (where L is Br, L' is Cl, and Ar is phenyl) and examples of compound NH2-P6 include t-butyl amine (where P6 is t-butyl). Examples of compound (Ib) include 4'-bromomethyl-biphenyl-2-sulfonic acid t- butylamide and 4-bromomethyl-N-t-butylbenzenesulfonamide. Embodiments where X is -SO2NHC(O)-Ci_i2alkylene-C(O)NH-, -C(O)NH-SO2-Ci_i2alkylene-NHC(O)-, -C(O)NH- SO2-C i_i2alkylene-C(O)NH-, -SO2NHC(O)NH-C i_i2alkylene-NHC(O)-, -SO2NHC(O)NH-Ci_i2alkylene-C(O)NH-, -NH-SO2-NHC(O)-Ci_i2alkylene-NHC(O)-, or -NH-SO2-NHC(O)-C i_i2alkylene-C(O)NH-, can also be prepared by techniques that are well known in the art and/or are commercially available. Compound (2)
Compound (2) is readily synthesized by following the techniques described in the literature, for example, Neustadt et al. (1994) J. Med. Chem. 37:2461-2476 and Moree et al. (1995) J. Org. Chem. 60: 5157-69, as well as by using the exemplary procedures described below. Examples of Compound (2), depicted without chirality, include:
Figure imgf000046_0001
Since compound (2) has a chiral center, it may be desirable to synthesize a particular stereoisomer, and examples are provided as follows.
Preparation of chiral amino hydroxamate compound (21)
Figure imgf000046_0002
(2a)
(21) A base such as DIPEA and a coupling agent such as EDC are added to a solution of compound (2a) in DMF containing HOBt and hydroxylamine hydrochloride. The mixture is stirred at room temperature until completion (~12 hours), then concentrated in vacuo. The resulting material is distributed between 5% THF in ethyl acetate and IM phosphoric acid. The organic layer is collected and washed with a base such as IM NaOH. The alkaline aqueous layer is then acidified, for example with IM phosphoric acid, and extracted with ethyl acetate. The organic layer is evaporated and the residue purified by silica gel chromatography to afford compound (21). Examples of compound (2a) include (R) -3 -t-butoxycarbonylamino-4-phenylbutyric acid.
Preparation ofchiral amino sulftiydryl dimer compound (2U)
Figure imgf000047_0001
Diisopropyl azodicarboxylate is added to a solution of triphenylphosphine in a solvent such as THF, cooled in an ice bath. The solution is stirred and compound (2b) and thioacetic acid are added. The mixture is stirred at O 0C for 1 hour, then stirred at room temperature until completion (~12 hours). The mixture is stripped, diluted with ethyl acetate, and washed with a cold saturated NaHCOs solution. The organic layer is dried over MgSO4, and the filtrate evaporated to dryness. The resulting material is flash chromatographed to provide compound (2c). Compound (2c) is dissolved in solvent, followed by the addition of a base such as IM LiOH. Air is bubbled through the solution for 1 hour followed by the addition of solvent. The reaction is stirred at room temperature until completion (~24 hours). The solution is then acidified to pH~5, for example with acetic acid. The precipitate is filtered and rinsed with deionized water, producing the compound (2d) dimer. The solid is suspended in MeCN, then concentrated under reduced pressure. The recovered material is dissolved in 4M HCl in 1,4-dioxane and stirred at room temperature until the reaction is complete (~2 hours). The reaction is then concentrated under reduced pressure, and triturated with ethyl acetate. The product is filtered, washed with ethyl acetate, and dried in vacuo to provide compound (211). Examples of compound (2b) include ((7?y)-l-benzyl-2-hydroxyethyl)carbamic acid t-butyl ester. Preparation ofchiral sulfanyl acid compound (2m)
Figure imgf000048_0001
Compound (2e) is formed by dissolving a compound such as D-leucine (for R6 = isobutyl, for example) in 3M HBr (aqueous) and cooled to O 0C. A solution OfNaNO2 in water is added, and the reaction stirred at O 0C until completion (~ 2.5 hours). The reaction is then extracted with ethyl acetate, washed with saturated aqueous NaCl, dried over MgSO4, filtered, and concentrated to afford compound (2e). Compound (2e) is combined with potassium thioacetate or sodium thioacetate and DMF, and the reaction stirred at room temperature until completion (~ 1 hour). Water is added. The reaction is then extracted with ethyl acetate, washed with saturated aqueous NaCl, dried over MgSO4, filtered, and concentrated to provide compound (2111). The product is purified by silica gel chromatography. Examples of compound (2e) include (7?j-2-bromo-4-methylpentanoic acid. Examples of compound (2111) include f2^-2-acetylsulfanyl-4-methylpentanoic acid.
Preparation of sulfanyl acid compound (21V)
Figure imgf000048_0002
Compound (2f) is mixed with diethylamine and cooled in an ice bath. An aqueous formaldehyde solution (37%) is then added, and the mixture stirred at O 0C for approximately 2 hours, warmed to room temperature and stirred overnight. The mixture is then extracted with ether, washed, dried, and evaporated to dryness, to provide compound (2g). Compound (2g) is then dissolved in 1,4-dioxane, and a IM NaOH solution is added. The mixture is stirred at room temperature until the reaction is complete (approximately 2 days). The organic solvent is removed in vacuo, and the aqueous residue is rinsed with ethyl acetate and acidified to approximately pH 1 with concentrated HCl. The product is extracted with ethyl acetate, dried, and evaporated to dryness to yield compound (2h). Compound (2h) is combined with thiolacetic acid (10 mL), and the mixture is stirred at 80 0C until the reaction is complete (approximately 2 hours), then concentrated to dryness to yield compound (21V), which is dissolved in toluene and concentrated to remove any trace of thiolacetic acid. Examples of compound (2f) include 2-benzylmalonic acid monoethyl ester (R6 = benzyl) and 2-isobutylmalonic acid monoethyl ester (R6 = isobutyl). Preparation ofchiral sulfanyl acid compound (2V)
Figure imgf000049_0001
Compound (2i), fSj-4-benzyl-2-oxazolidinone, is commercially available. Compound (2j) is also typically commercially available or can be readily synthesized. For example, R6-CH2-COOH {e.g., isocaproic acid or 3-phenylpropionic acid) is dissolved in methylene chloride and thionyl chloride is added. The mixture is stirred at room temperature until the reaction is complete {e.g., overnight), and then concentrated to provide (2j). Examples of compound (2j) include 4-methylpentanoyl chloride and 3 -pheny lpropiony 1 chloride .
Compound (2i) is dissolved in a suitable solvent and cooled (-78 0C) under nitrogen. n-Butyllithium in hexanes is added dropwise and stirred, followed by the addition of (2j) dropwise. The mixture is stirred at -78 0C, then warmed to 0 0C. Saturated NaHCOs is added and the mixture warmed to room temperature. The mixture is extracted, washed, dried, filtered, and concentrated to afford (2k). Compound (2k) is dissolved in DCM and stirred at 0 0C under nitrogen. IM Titanium tetrachloride is added, followed by 1,3,5-trioxane, all in appropriate solvents. A second equivalent of IM titanium tetrachloride is added and the mixture stirred at 0 0C until the reaction is complete. The mixture is then quenched with saturated ammonium chloride. Appropriate solvents are added, the aqueous phase is extracted, and the organic layers are combined, dried, filtered, and concentrated to provide (21), which can then be purified by silica gel chromatography or used in the next step without further purification. Compound (21) is dissolved in a solvent, to which is added 9 M hydrogen peroxide in water, followed by the dropwise addition of 1.5 M lithium hydroxide monohydrate in water. The mixture is warmed to room temperature and stirred. Optionally, potassium hydroxide may be added and the mixture heated at 60 0C then cooled at room temperature. To this is added an aqueous solution of sodium sulfite followed by water and chloroform. The aqueous layer is extracted, acidified and extracted again. The organic layer is washed, dried, filtered, and rotovaped to provide (2m). Triphenylphosphine is dissolved in an appropriate solvent and cooled at 0 0C (ice bath). Diisopropyl azodicarboxylate is added dropwise and the mixture stirred. Compound (2m) and thioacetic acid, dissolved in an appropriate solvent, are added dropwise to the mixture. After the addition, the mixture is removed from the ice bath and stirred at room temperature until the reaction is complete (approximately 3.5 hours), concentrated, and then partitioned. The organic layer is extracted and the combined aqueous extracts washed, acidified and extracted. The organic layer is washed again, dried, filtered, and rotovaped to provide compound (2V). Examples of compound (2V) include fSj-2-acetylsulfanylmethyl-4-methylpentanoic acid. Peptide Coupling Reaction and Optional Deprotection-non-amide containing "X" group
Scheme II can be used to prepare compound of the invention where X is -Sθ2NHC(O)-. Such compounds may be formed by a coupling reaction under conventional amide bond- forming conditions, followed by a deprotection step if needed.
1) Coupling
2) Deprotection (optional)
Figure imgf000050_0002
Figure imgf000050_0001
a protected form of (I)
Scheme Il Compounds (V) and (2') can be prepared as described above for compounds (1) and (2).
If desired, pharmaceutically acceptable salts of the compounds of formula I can be prepared by contacting the free acid or base form of a compound of formula I with a pharmaceutically acceptable base or acid.
Certain intermediates described herein are believed to be novel and accordingly, such compounds are provided as further aspects of the invention including, for example, the compounds of formula II, and salts thereof:
Figure imgf000051_0001
Where Q, W, Y, Z, r, and Ar-X, R6 and R7 are as defined for formula I; and R5* is selected from -C0-3alkylene-S-P3, -C0.3alkylene-C(O)NH(O-P5), -C0.3alkylene-N(O-P5)-C(O)R5d, -C0-ialkylene-NHC(O)CH2S-P3, -NH-C0-ialkylene-P(O)(O-P7)2, -Co-3alkylene-P(0)(0-P7)-R5e, -C0-2alkylene-CHR5f-C(O)O-P2 and
-Co-3alkylene-C(0)NR5g-CHR5h-C(0)0-P2; and R5d h are as defined for formula I; where P2 is a carboxy-protecting group, P3 is a thiol-protecting group, P5 is a hydroxyl-protecting group, and P7 is a phosphate-protecting group. Thus, another method of preparing compounds of the invention involves deprotecting a compound of formula II. Further details regarding specific reaction conditions and other procedures for preparing representative compounds of the invention or intermediates thereof are described in the Examples set forth below.
UTILITY Compounds of the invention possess angiotensin II type 1 (ATi) receptor antagonist activity. In one embodiment, compounds of the invention are selective for inhibition of the ATi receptor over the AT2 receptor. Compounds of the invention also possess neprilysin (NEP) inhibition activity, that is, the compounds are able to inhibit enzyme-substrate activity. In another embodiment, the compounds do not exhibit significant inhibitory activity of the angiotensin-converting enzyme. Compounds of formula I may be active drugs as well as prodrugs. Thus, when discussing the activity of compounds of the invention, it is understood that any such prodrugs have the expected ATi and NEP activity once metabolized.
One measure of a compound's affinity for the ATi receptor is the inhibitory constant (K1) for binding to the ATi receptor. The pK value is the negative logarithm to base 10 of the K1. One measure of the ability of a compound to inhibit NEP activity is the inhibitory concentration (IC50), which is the concentration of compound that results in half- maximal inhibition of substrate conversion by the NEP enzyme. The pICso value is the negative logarithm to base 10 of the IC50. Compounds of the invention that have both ATi receptor-antagonizing activity and NEP enzyme-inhibiting activity are of particular interest, including those that exhibit a pK at the ATi receptor greater than or equal to about 5.0, and having a pICso for NEP greater than or equal to about 5.0.
In one embodiment, compounds of interest have a pIQ at the ATi receptor > about 6.0, a pK; at the ATi receptor > about 7.0, or a pIQ at the ATi receptor > about 8.0. Compounds of interest also include those having a pIC50 for NEP > about 6.0 or a pIC50 for NEP > about 7.0. In another embodiment, compounds of interest have a pK; at the ATi receptor within the range of about 8.0-10.0 and a pICso for NEP within the range of about 7.0-10.0.
In another embodiment, compounds of particular interest have a pIQ for binding to an ATi receptor greater than or equal to about 7.5 and a NEP enzyme pICso greater than or equal to about 7.0. In another embodiment, compounds of interest have a pIQ greater than or equal to about 8.0 and a pICso greater than or equal to about 8.0.
It is noted that in some cases, compounds of the invention, while still having dual activity, may possess either weak ATi receptor antagonist activity or weak NEP inhibition activity. In such cases, those of skill in the art will recognize that these compounds still have utility as primarily either a NEP inhibitor or a ATi receptor antagonist, respectively, or have utility as research tools.
Exemplary assays to determine properties of compounds of the invention, such as the ATi receptor binding and/or NEP inhibiting activity, are described in the Examples and include by way of illustration and not limitation, assays that measure ATi and AT2 binding (described in Assay 1), and NEP inhibition (described in Assay 2). Useful secondary assays include assays to measure ACE inhibition (also described in Assay 2) and aminopeptidase P (APP) inhibition (described in Sulpizio et al. (2005) JP£T315:1306- 1313). A pharmacodynamic assay to assess the in vivo inhibitory potencies for ACE, ATi, and NEP in anesthetized rats is described in Assay 3 (see also Seymour et al. (1985) Hypertension 7(Suppl I):I-35-I-42 and Wigle et al. (1992) Can. J. Physiol. Pharmacol. 70:1525-1528), where ATi inhibition is measured as the percent inhibition of the angiotensin II pressor response, ACE inhibition is measured as the percent inhibition of the angiotensin I pressor response, and NEP inhibition is measured as increased urinary cyclic guanosine 3', 5 '-monophosphate (cGMP) output. Useful in vivo assays include the conscious spontaneously hypertensive rat (SHR) model, which is a renin dependent hypertension model that is useful for measuring ATi receptor blocking (described in Assay 4; see also Intengan et al. (1999) Circulation 100(22) :2267-2275 and Badyal et al. (2003) Indian Journal of Pharmacology 35:349-362), and the conscious desoxycorticosterone acetate-salt (DOCA-salt) rat model, which is a volume dependent hypertension model that is useful for measuring NEP activity (described in Assay 5; see also Trapani et al. (1989) J. Cardiovasc. Pharmacol. 14:419-424, Intengan et al. (1999) Hypertension 34(4):907-913, and Badyal et al. (2003) supra). Both the SHR and DOCA-salt models are useful for evaluating the ability of a test compound to reduce blood pressure. The DOCA-salt model is also useful to measure a test compound's ability to prevent or delay a rise in blood pressure. Compounds of the invention are expected to antagonize the ATi receptor and/or inhibit the NEP enzyme in any of the assays listed above, or assays of a similar nature. Thus, the aforementioned assays are useful in determining the therapeutic utility of compounds of the invention, for example, their utility as antihypertensive agents. Other properties and utilities of compounds of the invention can be demonstrated using other in vitro and in vivo assays well known to those skilled in the art.
Compounds of the invention are expected to be useful for the treatment and/or prevention of medical conditions responsive to ATi receptor antagonism and/or NEP inhibition. Thus it is expected that patients suffering from a disease or disorder that is treated by antagonizing the ATi receptor and/or by inhibiting the NEP enzyme can be treated by administering a therapeutically effective amount of a compound of the invention. For example, by antagonizing the ATi receptor and thus interfering with the action of angiotensin II on its receptors, these compounds are expected to find utility in preventing the increase in blood pressure produced by angiotensin II, a potent vasopressor. In addition, by inhibiting NEP, these compounds are also expected to potentiate the biological effects of endogenous peptides that are metabolized by NEP, such as the natriuretic peptides, bombesin, bradykinins, calcitonin, endothelins, enkephalins, neurotensin, substance P and vasoactive intestinal peptide. For example, by potentiating the effects of the natriuretic peptides, compounds of the invention are expected to be useful to treat glaucoma. These compounds are also expected to have other physiological actions, for example, on the renal, central nervous, reproductive and gastrointestinal systems.
Compounds of the invention are expected to find utility in treating and/or preventing medical conditions such as cardiovascular and renal diseases. Cardiovascular diseases of particular interest include heart failure such as congestive heart failure, acute heart failure, chronic heart failure, and acute and chronic decompensated heart failure. Renal diseases of particular interest include diabetic nephropathy and chronic kidney disease. One embodiment of the invention relates to a method for treating hypertension, comprising administering to a patient a therapeutically effective amount of a compound of the invention. Typically, the therapeutically effective amount is the amount that is sufficient to lower the patient's blood pressure. In one embodiment, the compound is administered as an oral dosage form. Another embodiment of the invention relates to a method for treating heart failure, comprising administering to a patient a therapeutically effective amount of a compound of the invention. Typically, the therapeutically effective amount is the amount that is sufficient to lower blood pressure and/or improve renal functions. In one embodiment, the compound is administered as an intravenous dosage form. When used to treat heart failure, the compound may be administered in combination with other therapeutic agents such as diuretics, natriuretic peptides, and adenosine receptors antagonist.
Compounds of the invention are also expected to be useful in preventative therapy, for example in preventing the progression of cardiac insufficiency after myocardial infarction, preventing arterial restenosis after angioplasty, preventing thickening of blood vessel walls after vascular operations, preventing atherosclerosis, and preventing diabetic angiopathy.
In addition, as NEP inhibitors, compounds of the invention are expected to inhibit enkephalinase, which will inhibit the degradation of endogenous enkephalins. Thus, such compounds may also find utility as analgesics. Due to their NEP inhibition properties, compounds of the invention are also expected to be useful as antitussive agents and antidiarrheal agents (e.g., for the treatment of watery diarrhea), as well as find utility in the treatment of menstrual disorders, preterm labor, pre-eclampsia, endometriosis, reproductive disorders (e.g. , male and female infertility, polycystic ovarian syndrome, implantation failure), and male and female sexual dysfunction, including male erectile dysfunction and female sexual arousal disorder. More specifically, the compounds of the invention are expected to be useful in treating female sexual dysfunction, which is often defined as a female patient's difficulty or inability to find satisfaction in sexual expression. This covers a variety of diverse female sexual disorders including, by way of illustration and not limitation, hypoactive sexual desire disorder, sexual arousal disorder, orgasmic disorder and sexual pain disorder. When used to treat such disorders, especially female sexual dysfunction, compounds of the invention may be combined with one or more of the following secondary agents: PDE5 inhibitors, dopamine agonists, estrogen receptor agonists and/or antagonists, androgens, and estrogens. The amount of the compound of the invention administered per dose or the total amount administered per day may be predetermined or it may be determined on an individual patient basis by taking into consideration numerous factors, including the nature and severity of the patient's condition, the condition being treated, the age, weight, and general health of the patient, the tolerance of the patient to the compound, the route of administration, pharmacological considerations such as the activity, efficacy, pharmacokinetics and toxicology profiles of the compound and any secondary agents being administered, and the like. Treatment of a patient suffering from a disease or medical condition (such as hypertension) can begin with a predetermined dosage or a dosage determined by the treating physician, and then continue for the period of time necessary to prevent, ameliorate, suppress, or alleviate the symptoms of the disease or medical condition. Patients undergoing such treatment will typically be monitored on a routine basis to determine the effectiveness of therapy. For example, in treating hypertension, blood pressure measurements may be used to determine the effectiveness of treatment. Similar indicators for the other diseases and conditions described herein, are well known and are readily available to the treating physician. Continuous monitoring by the physician will insure that the optimal amount of the compound of the invention will be administered at any given time, as well as facilitating the determination of the duration of treatment. This is of particular value when secondary agents are also being administered, as their selection, dosage, and duration of therapy may also require adjustment. In this way, the treatment regimen and dosing schedule can be adjusted over the course of therapy so that the lowest amount of compound that exhibits the desired effectiveness is administered and, further, that administration is continued only so long as is necessary to successfully treat the disease or medical condition. Since compounds of the invention possess ATi receptor antagonist activity and/or
NEP enzyme inhibition activity, these compounds are also useful as research tools for investigating or studying biological systems or samples having ATi receptors or a NEP enzyme, for example to study diseases where the ATi receptor or NEP enzyme plays a role. Any suitable biological system or sample having ATi receptors and/or a NEP enzyme may be employed in such studies which may be conducted either in vitro or in vivo.
Representative biological systems or samples suitable for such studies include, but are not limited to, cells, cellular extracts, plasma membranes, tissue samples, isolated organs, mammals (such as mice, rats, guinea pigs, rabbits, dogs, pigs, humans, and so forth), and the like, with mammals being of particular interest. In one particular embodiment of the invention an ATi receptor in a mammal is antagonized by administering an AT1- antagonizing amount of a compound of the invention. In another particular embodiment, NEP enzyme activity in a mammal is inhibited by administering a NEP-inhibiting amount of a compound of the invention. Compounds of the invention can also be used as research tools by conducting biological assays using these compounds.
When used as a research tool, a biological system or sample comprising an ATi receptor and/or a NEP enzyme is typically contacted with an ATi receptor-antagonizing or NEP enzyme -inhibiting amount of a compound of the invention. After the biological system or sample is exposed to the compound, the effects of antagonizing the ATi receptor and/or inhibiting the NEP enzyme are determined using conventional procedures and equipment, such as by measuring receptor binding in a binding assay or measuring ligand- mediated changes in a functional assay. Exposure encompasses contacting cells or tissue with the compound, administering the compound to a mammal, for example by i.p., i.v. or s. c. administration, and so forth. The determining step can involve measuring a response (a quantitative analysis) or can involve making an observation (a qualitative analysis). Measuring a response involves, for example, determining the effects of the compound on the biological system or sample using conventional procedures and equipment, such as radioligand binding assays or measuring ligand-mediated changes in functional assays. The assay results can be used to determine the activity level as well as the amount of compound necessary to achieve the desired result, such as an ATi receptor-antagonizing and/or a NEP enzyme-inhibiting amount. Typically, the determining step will involve determining the ATi receptor ligand-mediated effects and/or determining the effects of inhibiting the NEP enzyme. Additionally, compounds of the invention can be used as research tools for evaluating other chemical compounds, and thus are also useful in screening assays to discover, for example, new compounds having ATi receptor-antagonizing activity and/or NEP-inhibiting activity. In this manner, a compound of the invention is used as a standard in an assay to allow comparison of the results obtained with a test compound and with compounds of the invention to identify those test compounds that have about equal or superior activity, if any. For example, K1 data (as determined, for example, by a binding assay) for a test compound or a group of test compounds is compared to the K1 data for a compound of the invention to identify those test compounds that have the desired properties, for example, test compounds having a K1 value about equal or superior to a compound of the invention, if any. This aspect of the invention includes, as separate embodiments, both the generation of comparison data (using the appropriate assays) and the analysis of test data to identify test compounds of interest. Thus, a test compound can be evaluated in a biological assay, by a method comprising the steps of: (a) conducting a biological assay with a test compound to provide a first assay value; (b) conducting the biological assay with a compound of the invention to provide a second assay value; wherein step (a) is conducted either before, after or concurrently with step (b); and (c) comparing the first assay value from step (a) with the second assay value from step (b). Exemplary biological assays include ATi receptor binding assays and NEP enzyme inhibition assays.
PHARMACEUTICAL COMPOSITIONS AND FORMULATIONS
Compounds of the invention are typically administered to a patient in the form of a pharmaceutical composition or formulation. Such pharmaceutical compositions may be administered to the patient by any acceptable route of administration including, but not limited to, oral, rectal, vaginal, nasal, inhaled, topical (including transdermal), ocular, and parenteral modes of administration. Further, the compounds of the invention may be administered, for example orally, in multiple doses per day (e.g., two, three, or four times daily), in a single daily dose or a single weekly dose. It will be understood that any form of the compounds of the invention, (e.g., free base, free acid, pharmaceutically acceptable salt, solvate, etc.) that is suitable for the particular mode of administration can be used in the pharmaceutical compositions discussed herein.
Accordingly, in one embodiment, the invention relates to a pharmaceutical composition comprising a pharmaceutically acceptable carrier and a compound of the invention. The compositions may contain other therapeutic and/or formulating agents if desired. When discussing compositions, the "compound of the invention" may also be referred to herein as the "active agent," to distinguish it from other components of the formulation, such as the carrier. Thus, it is understood that the term "active agent" includes compounds of formula I as well as pharmaceutically acceptable salts, solvates and prodrugs of that compound.
The pharmaceutical compositions of the invention typically contain a therapeutically effective amount of a compound of the invention. Those skilled in the art will recognize, however, that a pharmaceutical composition may contain more than a therapeutically effective amount such as in bulk compositions, or less than a therapeutically effective amount such as in individual unit doses designed for multiple administration to achieve a therapeutically effective amount. Typically, the composition will contain from about 0.01-95 wt% of active agent, including, from about 0.01-30 wt%, such as from about 0.01-10 wt%, with the actual amount depending upon the formulation itself, the route of administration, the frequency of dosing, and so forth. In one embodiment, a composition suitable for an oral dosage form, for example, may contain about 5-70 wt%, or from about 10-60 wt% of active agent.
Any conventional carrier or excipient may be used in the pharmaceutical compositions of the invention. The choice of a particular carrier or excipient, or combinations of carriers or excipients, will depend on the mode of administration being used to treat a particular patient or type of medical condition or disease state. In this regard, the preparation of a suitable composition for a particular mode of administration is well within the scope of those skilled in the pharmaceutical arts. Additionally, carriers or excipients used in such compositions are commercially available. By way of further illustration, conventional formulation techniques are described in Remington: The Science and Practice of Pharmacy, 20th Edition, Lippincott Williams & White, Baltimore, Maryland (2000); and H. C. Ansel et ah, Pharmaceutical Dosage Forms and Drug Delivery Systems, 7th Edition, Lippincott Williams & White, Baltimore, Maryland (1999). Representative examples of materials which can serve as pharmaceutically acceptable carriers include, but are not limited to, the following: sugars, such as lactose, glucose and sucrose; starches, such as corn starch and potato starch; cellulose, such as microcrystalline cellulose, and its derivatives, such as sodium carboxymethyl cellulose, ethyl cellulose and cellulose acetate; powdered tragacanth; malt; gelatin; talc; excipients, such as cocoa butter and suppository waxes; oils, such as peanut oil, cottonseed oil, safflower oil, sesame oil, olive oil, corn oil and soybean oil; glycols, such as propylene glycol; polyols, such as glycerin, sorbitol, mannitol and polyethylene glycol; esters, such as ethyl oleate and ethyl laurate; agar; buffering agents, such as magnesium hydroxide and aluminum hydroxide; alginic acid; pyrogen-free water; isotonic saline; Ringer's solution; ethyl alcohol; phosphate buffer solutions; compressed propellant gases, such as chlorofluorocarbons and hydrofluorocarbons; and other non-toxic compatible substances employed in pharmaceutical compositions.
Pharmaceutical compositions are typically prepared by thoroughly and intimately mixing or blending the active agent with a pharmaceutically acceptable carrier and one or more optional ingredients. The resulting uniformly blended mixture may then be shaped or loaded into tablets, capsules, pills, canisters, cartridges, dispensers and the like using conventional procedures and equipment. In formulations where the compound of the invention contains a thiol group, additional consideration may be given to minimize or eliminate oxidation of the thiol to form a disulfide. In solid formulations, this may be accomplished by reducing the drying time, decreasing the moisture content of the formulation, and including materials such as ascorbic acid, sodium ascorbate, sodium sulfite and sodium bisulfite, as well as materials such as a mixture of lactose and microcrystalline cellulose. In liquid formulations, stability of the thiol may be improved by the addition of amino acids, antioxidants, or a combination of disodium edetate and ascorbic acid.
In one embodiment, the pharmaceutical compositions are suitable for oral administration. Suitable compositions for oral administration may be in the form of capsules, tablets, pills, lozenges, cachets, dragees, powders, granules; solutions or suspensions in an aqueous or non-aqueous liquid; oil-in-water or water-in-oil liquid emulsions; elixirs or syrups; and the like; each containing a predetermined amount of the active agent.
When intended for oral administration in a solid dosage form (capsules, tablets, pills and the like), the composition will typically comprise the active agent and one or more pharmaceutically acceptable carriers, such as sodium citrate or dicalcium phosphate. Solid dosage forms may also comprise: fillers or extenders, such as starches, microcrystalline cellulose, lactose, sucrose, glucose, mannitol, and/or silicic acid; binders, such as carboxymethylcellulose, alginates, gelatin, polyvinyl pyrrolidone, sucrose and/or acacia; humectants, such as glycerol; disintegrating agents, such as agar-agar, calcium carbonate, potato or tapioca starch, alginic acid, certain silicates, and/or sodium carbonate; solution retarding agents, such as paraffin; absorption accelerators, such as quaternary ammonium compounds; wetting agents, such as cetyl alcohol and/or glycerol monostearate; absorbents, such as kaolin and/or bentonite clay; lubricants, such as talc, calcium stearate, magnesium stearate, solid polyethylene glycols, sodium lauryl sulfate, and/or mixtures thereof; coloring agents; and buffering agents.
Release agents, wetting agents, coating agents, sweetening, flavoring and perfuming agents, preservatives and antioxidants may also be present in the pharmaceutical compositions. Exemplary coating agents for tablets, capsules, pills and like, include those used for enteric coatings, such as cellulose acetate phthalate, polyvinyl acetate phthalate, hydroxypropyl methylcellulose phthalate, methacrylic acid-methacrylic acid ester copolymers, cellulose acetate trimellitate, carboxymethyl ethyl cellulose, hydroxypropyl methyl cellulose acetate succinate, and the like. Examples of pharmaceutically acceptable antioxidants include: water-soluble antioxidants, such as ascorbic acid, cysteine hydrochloride, sodium bisulfate, sodium metabisulfate sodium sulfite and the like; oil- soluble antioxidants, such as ascorbyl palmitate, butylated hydroxyanisole, butylated hydroxytoluene, lecithin, propyl gallate, alpha-tocopherol, and the like; and metal- chelating agents, such as citric acid, ethylenediamine tetraacetic acid, sorbitol, tartaric acid, phosphoric acid, and the like.
Compositions may also be formulated to provide slow or controlled release of the active agent using, by way of example, hydroxypropyl methyl cellulose in varying proportions or other polymer matrices, liposomes and/or microspheres. In addition, the pharmaceutical compositions of the invention may contain opacifying agents and may be formulated so that they release the active agent only, or preferentially, in a certain portion of the gastrointestinal tract, optionally, in a delayed manner. Examples of embedding compositions which can be used include polymeric substances and waxes. The active agent can also be in micro-encapsulated form, optionally with one or more of the above - described excipients.
Suitable liquid dosage forms for oral administration include, by way of illustration, pharmaceutically acceptable emulsions, microemulsions, solutions, suspensions, syrups and elixirs. Liquid dosage forms typically comprise the active agent and an inert diluent, such as, for example, water or other solvents, solubilizing agents and emulsifϊers, such as ethyl alcohol, isopropyl alcohol, ethyl carbonate, ethyl acetate, benzyl alcohol, benzyl benzoate, propylene glycol, 1,3-butylene glycol, oils (e.g., cottonseed, groundnut, corn, germ, olive, castor and sesame oils), glycerol, tetrahydrofuryl alcohol, polyethylene glycols and fatty acid esters of sorbitan, and mixtures thereof. Suspensions may contain suspending agents such as, for example, ethoxylated isostearyl alcohols, polyoxyethylene sorbitol and sorbitan esters, microcrystalline cellulose, aluminium metahydroxide, bentonite, agar-agar and tragacanth, and mixtures thereof.
When intended for oral administration, the pharmaceutical compositions of the invention may be packaged in a unit dosage form. The term "unit dosage form" refers to a physically discrete unit suitable for dosing a patient such that each unit contains a predetermined quantity of the active agent calculated to produce the desired therapeutic effect either alone or in combination with one or more additional units. For example, such unit dosage forms may be capsules, tablets, pills, and the like. In another embodiment, the compositions of the invention are suitable for inhaled administration, and will typically be in the form of an aerosol or a powder. Such compositions are generally administered using well known delivery devices, such as a nebulizer, dry powder, or metered-dose inhaler. Nebulizer devices produce a stream of high velocity air that causes the composition to spray as a mist that is carried into a patient's respiratory tract. An exemplary nebulizer formulation comprises the active agent dissolved in a carrier to form a solution, or micronized and combined with a carrier to form a suspension of micronized particles of respirable size. Dry powder inhalers administer the active agent as a free-flowing powder that is dispersed in a patient's air-stream during inspiration. An exemplary dry powder formulation comprises the active agent dry-blended with an excipient such as lactose, starch, mannitol, dextrose, polylactic acid, polylactide- co-glycolide, and combinations thereof. Metered-dose inhalers discharge a measured amount of the active agent using compressed propellant gas. An exemplary metered-dose formulation comprises a solution or suspension of the active agent in a liquefied propellant, such as a chlorofluorocarbon or hydrofluoroalkane. Optional components of such formulations include co-solvents, such as ethanol or pentane, and surfactants, such as sorbitan trioleate, oleic acid, lecithin, glycerin, and sodium lauryl sulfate. Such compositions are typically prepared by adding chilled or pressurized hydrofluoroalkane to a suitable container containing the active agent, ethanol (if present) and the surfactant (if present). To prepare a suspension, the active agent is micronized and then combined with the propellant. Alternatively, a suspension formulation can be prepared by spray drying a coating of surfactant on micronized particles of the active agent. The formulation is then loaded into an aerosol canister, which forms a portion of the inhaler.
Compounds of the invention can also be administered parenterally (e.g., by subcutaneous, intravenous, intramuscular, or intraperitoneal injection). For such administration, the active agent is provided in a sterile solution, suspension, or emulsion. Exemplary solvents for preparing such formulations include water, saline, low molecular weight alcohols such as propylene glycol, polyethylene glycol, oils, gelatin, fatty acid esters such as ethyl oleate, and the like. Parenteral formulations may also contain one or more anti-oxidants, solubilizers, stabilizers, preservatives, wetting agents, emulsifiers, and dispersing agents. Surfactants, additional stabilizing agents or pH-adjusting agents (acids, bases or buffers) and anti-oxidants are particularly useful to provide stability to the formulation, for example, to minimize or avoid hydrolysis of ester and amide linkages, or dimerization of thiols that may be present in the compound. These formulations may be rendered sterile by use of a sterile injectable medium, a sterilizing agent, filtration, irradiation, or heat. In one particular embodiment, the parenteral formulation comprises an aqueous cyclodextrin solution as the pharmaceutically acceptable carrier. Suitable cyclodextrins include cyclic molecules containing six or more α-D-glucopyranose units linked at the 1,4 positions by a linkages as in amylase, β-cyclodextrin or cycloheptaamylose. Exemplary cyclodextrins include cyclodextrin derivatives such as hydroxypropyl and sulfobutyl ether cyclodextrins such as hydroxypropyl-β-cyclodextrin and sulfobutyl ether β-cyclodextrin. Exemplary buffers for such formulations include carboxylic acid-based buffers such as citrate, lactate and maleate buffer solutions. Compounds of the invention can also be administered transdermally using known transdermal delivery systems and excipients. For example, the compound can be admixed with permeation enhancers, such as propylene glycol, polyethylene glycol monolaurate, azacycloalkan-2-ones and the like, and incorporated into a patch or similar delivery system. Additional excipients including gelling agents, emulsifiers and buffers, may be used in such transdermal compositions if desired.
If desired, the compounds of the invention may be administered in combination with one or more other therapeutic agents. Thus, in one embodiment, pharmaceutical compositions of the invention contain other drugs that are co-administered with the compound of the invention. For example, the composition may further comprise one or more drugs, also referred to as "secondary agents(s)", selected from the group of diuretics, βi adrenergic receptor blockers, calcium channel blockers, angiotensin-converting enzyme inhibitors, ATi receptor antagonists, neprilysin inhibitors, non-steroidal anti-inflammatory agents, prostaglandins, anti-lipid agents, anti-diabetic agents, anti-thrombotic agents, renin inhibitors, endothelin receptor antagonists, endothelin converting enzyme inhibitors, aldosterone antagonists, angiotensin-converting enzyme/neprilysin inhibitors, and combinations thereof. Such therapeutic agents are well known in the art, and specific examples are described herein. By combining a compound of the invention with a secondary agent, triple therapy can be achieved; ATi receptor antagonist activity, NEP inhibition activity and activity associated with the secondary agent (e.g., βi adrenergic receptor blocker) can be achieved using only two active components. Since compositions containing two active components are typically easier to formulate than compositions containing three active components, such two-component compositions provide a significant advantage over compositions containing three active components. Accordingly, in yet another aspect of the invention, a pharmaceutical composition comprises a compound of the invention, a second active agent, and a pharmaceutically acceptable carrier. Third, fourth, etc. active agents may also be included in the composition. In combination therapy, the amount of the compound of the invention that is administered, as well as the amount of secondary agents, may be less than the amount typically administered in monotherapy.
Compounds of the invention may be either physically mixed with the second active agent to form a composition containing both agents; or each agent may be present in separate and distinct compositions which are administered to the patient simultaneously or at separate times. For example, compounds of the invention can be combined with a second active agent using conventional procedures and equipment to form a combination of active agents comprising a compound of the invention and a second active agent. Additionally, the active agents may be combined with a pharmaceutically acceptable carrier to form a pharmaceutical composition comprising a compound of the invention, a second active agent and a pharmaceutically acceptable carrier. In this embodiment, the components of the composition are typically mixed or blended to create a physical mixture. The physical mixture is then administered in a therapeutically effective amount using any of the routes described herein.
Alternatively, the active agents may remain separate and distinct before administration to the patient. In this embodiment, the agents are not physically mixed together before administration but are administered simultaneously or at separate times as separate compositions. Such compositions can be packaged separately or may be packaged together in a kit. When administered at separate times, the secondary agent will typically be administered less than 24 hours after administration of a compound of the invention, ranging anywhere from concurrent with administration of a compound of the invention to about 24 hours post-dose. This is also referred to as sequential administration. Thus, compounds of the invention can be orally administered simultaneously or sequentially with another active agent using two tablets, with one tablet for each active agent, where sequential may mean being administered immediately after administration of the compound of the invention or at some predetermined time later (e.g., one hour later or three hours later). Alternatively, the combination may be administered by different routes of administration, for example, one orally and the other by inhalation. In one embodiment, the kit comprises a first dosage form comprising a compound of the invention and at least one additional dosage form comprising one or more of the secondary agents set forth herein, in quantities sufficient to carry out the methods of the invention. The first dosage form and the second (or third, etc.) dosage form together comprise a therapeutically effective amount of active agents for the treatment or prevention of a disease or medical condition in a patient.
Secondary agent(s), when included, are present in a therapeutically effective amount such that they produce a therapeutically beneficial effect when co-administered with a compound of the invention. The secondary agent can be in the form of a pharmaceutically acceptable salt, solvate, optically pure stereoisomer, and so forth. The secondary agent may also be in the form of a prodrug, for example, a compound having a carboxylic acid group that has been esterified. Thus, secondary agents listed herein are intended to include all such forms, and are commercially available or can be prepared using conventional procedures and reagents.
In one embodiment, a compound of the invention is administered in combination with a diuretic. Representative diuretics include, but are not limited to: carbonic anhydrase inhibitors such as acetazolamide and dichlorphenamide; loop diuretics, which include sulfonamide derivatives such as acetazolamide, ambuside, azosernide, bumetanide, butazolamide, chloraminophenamide, clofenamide, clopamide, clorexolone, disulfamide, ethoxolamide, furosemide, mefruside, methazolamide, piretanide, torsemide, tripamide, and xipamide, as well as non-sulfonamide diuretics such as ethacrynic acid and other phenoxyacetic acid compounds such as tienilic acid, indacrinone and quincarbate; osmotic diuretics such as mannitol; potassium-sparing diuretics, which include aldosterone antagonists such as spironolactone, and Na+ channel inhibitors such as amiloride and triamterene; thiazide and thiazide-like diuretics such as althiazide, bendroflumethiazide, benzylhydrochlorothiazide, benzthiazide, buthiazide, chlorthalidone, chlorothiazide, cyclopenthiazide, cyclothiazide, epithiazide, ethiazide, fenquizone, flumethiazide, hydrochlorothiazide, hydroflumethiazide, indapamide, methylclothiazide, meticrane, metolazone, paraflutizide, polythiazide, quinethazone, teclothiazide, and trichloromethiazide; and combinations thereof. In a particular embodiment, the diuretic is selected from amiloride, bumetanide, chlorothiazide, chlorthalidone, dichlorphenamide, ethacrynic acid, furosemide, hydrochlorothiazide, hydroflumethiazide, indapamide, methylclothiazide, metolazone, torsemide, triamterene, and combinations thereof. The diuretic will be administered in an amount sufficient to provide from about 5-50 mg per day, more typically 6-25 mg per day, with common dosages being 6.25 mg, 12.5 mg or 25 mg per day.
Compounds of the invention may also be administered in combination with a βi adrenergic receptor blocker. Representative βi adrenergic receptor blockers include, but are not limited to, acebutolol, alprenolol, amosulalol, arotinolol, atenolol, befunolol, betaxolol, bevantolol, bisoprolol, bopindolol, bucindolol, bucumolol, bufetolol, bufuralol, bunitrolol, bupranolol, bubridine, butofϊlolol, carazolol, carteolol, carvedilol, celiprolol, cetamolol, cloranolol, dilevalol, epanolol, esmolol, indenolol, labetolol, levobunolol, mepindolol, metipranolol, metoprolol such as metoprolol succinate or metoprolol tartrate, moprolol, nadolol, nadoxolol, nebivalol, nipradilol, oxprenolol, penbutolol, perbutolol, pindolol, practolol, pronethalol, propranolol, sotalol, sufinalol, talindol, tertatolol, tilisolol, timolol, toliprolol, xibenolol, and combinations thereof. In one particular embodiment, the βi adrenergic receptor blocker is selected from atenolol, bisoprolol, metoprolol, propranolol, sotalol, and combinations thereof. In one embodiment, a compound of the invention is administered in combination with a calcium channel blocker. Representative calcium channel blockers include, but are not limited to, amlodipine, anipamil, aranipine, barnidipine, bencyclane, benidipine, bepridil, clentiazem, cilnidipine, cinnarizine, diltiazem, efonidipine, elgodipine, etafenone, felodipine, fendiline, flunarizine, gallopamil, isradipine, lacidipine, lercanidipine, lidoflazine, lomerizine, manidipine, mibefradil, nicardipine, nifedipine, niguldipine, niludipine, nilvadipine, nimodipine, nisoldipine, nitrendipine, nivaldipine, perhexiline, prenylamine, ryosidine, semotiadil, terodiline, tiapamil, verapamil, and combinations thereof. In one particular embodiment, the calcium channel blocker is selected from amlodipine, bepridil, diltiazem, felodipine, isradipine, lacidipine, nicardipine, nifedipine, niguldipine, niludipine, nimodipine, nisoldipine, ryosidine, verapamil, and combinations thereof.
Compounds of the invention can also be administered in combination with an angiotensin-converting enzyme (ACE) inhibitor. Representative ACE inhibitors include, but are not limited to, accupril, alacepril, benazepril, benazeprilat, captopril, ceranapril, cilazapril, delapril, enalapril, enalaprilat, fosinopril, fosinoprilat, imidapril, lisinopril, moexipril, monopril, moveltopril, pentopril, perindopril, quinapril, quinaprilat, ramipril, ramiprilat, saralasin acetate, spirapril, temocapril, trandolapril, zofenopril, and combinations thereof. In a particular embodiment, the ACE inhibitor is selected from benazepril, enalapril, lisinopril, ramipril, and combinations thereof.
In one embodiment, a compound of the invention is administered in combination with an ATi receptor antagonist, also known as an angiotensin II type 1 receptor blocker (ARB). Representative ARBs include, but are not limited to, abitesartan, benzyllosartan, candesartan, candesartan cilexetil, elisartan, embusartan, enoltasosartan, eprosartan, fonsartan, forasartan, glycyllosartan, irbesartan, isoteoline, losartan, medoximil, milfasartan, olmesartan, opomisartan, pratosartan, ripisartan, saprisartan, saralasin, sarmesin, tasosartan, telmisartan, valsartan, zolasartan, and combinations thereof. In a particular embodiment, the ARB is selected from candesartan, eprosartan, irbesartan, losartan, olmesartan, saprisartan, tasosartan, telmisartan, valsartan, and combinations thereof. Exemplary salts include eprosartan mesylate, losartan potassium salt, and olmesartan medoxomil. Typically, the ARB will be administered in an amount sufficient to provide from about 4-600 mg per dose, with exemplary daily dosages ranging from 20- 320 mg per day. In another embodiment, a compound of the invention is administered in combination with a neprilysin (NEP) inhibitor. Representative NEP inhibitors include, but are not limited to: candoxatril; candoxatrilat; dexecadotril ((+)-N-[2(7?y)-(acetylthiomethyl)- 3 -phenylpropionyl] glycine benzyl ester); CGS-24128 (3-[3-(biphenyl-4-yl)-2- (phosphonomethylamino)propionamido]propionic acid); CGS-24592 (fSj-3-[3-(biphenyl- 4-yl)-2-(phosphonomethylamino)propionamido]propionic acid); CGS-25155 (N-[9(R)- (acetylthiomethyl)-10-oxo-l-azacyclodecan-2fSy)-ylcarbonyl]-4(7?y)-hydroxy-L-proline benzyl ester); 3-(l-carbamoylcyclohexyl)propionic acid derivatives described in WO 2006/027680 to Hepworth et al. (Pfizer Inc.); JMV-390-1 (2^)-benzyl-3-(N- hydroxycarbamoyl)propionyl-L-isoleucyl-L-leucine); ecadotril; phosphoramidon; retrothiorphan; RU-42827 (2-(mercaptomethyl)-N-(4-pyridinyl)benzenepropionamide); RU-44004 (N-(4-morpholinyl)-3-phenyl-2-(sulfanylmethyl)propionamide); SCH-32615 ((S)-N-[N-(I -carboxy-2-phenylethyl)-L-phenylalanyl]-β-alanine) and its prodrug SCH- 34826 (fS>N-[N-[ 1 -[[(2,2-dimethyl- 1 ,3-dioxolan-4-yl)methoxy]carbonyl]-2-phenylethyl]- L-phenylalanyl]-β-alanine); sialorphin; SCH-42495 (N-[2fS>(acetylsulfanylmethyl)-3-(2- methylphenyl)propionyl]-L-methionine ethyl ester); spinorphin; SQ-28132 (N-[2- (mercaptomethyl)- 1 -oxo-3-phenylpropyl]leucine); SQ-28603 (N-[2-(mercaptomethyl)- 1 - oxo-3-phenylpropyl]-β-alanine); SQ-29072 (7-[[2-(mercaptomethyl)-l-oxo-3- phenylpropyl]amino]heptanoic acid); thiorphan and its prodrug racecadotril; UK-69578 (cis-4-[[[l-[2-carboxy-3-(2-methoxyethoxy)propyl]cyclopentyl]carbonyl]amino] cyclohexanecarboxylic acid); UK-447,841 (2-{l-[3-(4-chlorophenyl)propylcarbamoyl]- cyclopentylmethyl}-4-methoxybutyric acid); UK-505,749 ((7?>2-methyl-3-{l-[3-(2- methylbenzothiazol-6-yl)propylcarbamoyl] eye lopentyl} propionic acid); 5-biphenyl-4-yl-4- (3-carboxypropionylamino)-2-methylpentanoic acid and 5-biphenyl-4-yl-4-(3- carboxypropionylamino)-2-methylpentanoic acid ethyl ester (WO 2007/056546); daglutril [ (3 S, 2 'R) -3- {I- [2'-(ethoxycarbonyl)-4'-phenylbutyl]-cyclopentan- 1 -carbonylamino } - 2,3,4,5-tetrahydro-2-oxo-lH-l-benzazepine-l-acetic acid] described in WO 2007/106708 to Khder et al. (Novartis AG); and combinations thereof. In a particular embodiment, the NEP inhibitor is selected from candoxatril, candoxatrilat, CGS-24128, phosphoramidon, SCH-32615, SCH-34826, SQ-28603, thiorphan, and combinations thereof. The NEP inhibitor will be administered in an amount sufficient to provide from about 20-800 mg per day, with typical daily dosages ranging from 50-700 mg per day, more commonly 100-600 or 100-300 mg per day. In yet another embodiment, a compound of the invention is administered in combination with a non-steroidal anti-inflammatory agent (NSAID). Representative NSAIDs include, but are not limited to, acemetacin, acetyl salicylic acid, alclofenac, alminoprofen, amfenac, amiprilose, amoxiprin, anirolac, apazone, azapropazone, benorilate, benoxaprofen, bezpiperylon, broperamole, bucloxic acid, carprofen, clidanac, diclofenac, diflunisal, diftalone, enolicam, etodolac, etoricoxib, fenbufen, fenclofenac, fenclozic acid, fenoprofen, fentiazac, feprazone, flufenamic acid, flufenisal, fluprofen, flurbiprofen, furofenac, ibufenac, ibuprofen, indomethacin, indoprofen, isoxepac, isoxicam, ketoprofen, ketorolac, lofemizole, lornoxicam, meclofenamate, meclofenamic acid, mefenamic acid, meloxicam, mesalamine, miroprofen, mofebutazone, nabumetone, naproxen, niflumic acid, oxaprozin, oxpinac, oxyphenbutazone, phenylbutazone, piroxicam, pirprofen, pranoprofen, salsalate, sudoxicam, sulfasalazine, sulindac, suprofen, tenoxicam, tiopinac, tiaprofenic acid, tioxaprofen, tolfenamic acid, tolmetin, triflumidate, zidometacin, zomepirac, and combinations thereof. In a particular embodiment, the NSAID is selected from etodolac, flurbiprofen, ibuprofen, indomethacin, ketoprofen, ketorolac, meloxicam, naproxen, oxaprozin, piroxicam, and combinations thereof. In yet another embodiment, a compound of the invention is administered in combination with an anti-lipid agent. Representative anti-lipid agents include, but are not limited to: statins such as atorvastatin, fluvastatin, lovastatin, pravastatin, rosuvastatin and simvastatin; cholesteryl ester transfer proteins (CETPs); and combinations thereof. In yet another embodiment, a compound of the invention is administered in combination with an anti-diabetic agent. Representative anti-diabetic agents include, injectable drugs as well as orally effective drugs, and combinations thereof. Examples of injectable drugs include, but are not limited to, insulin and insulin derivatives. Examples of orally effective drugs include, but are not limited to: biguanides such as metformin; glucagon antagonists; α-glucosidase inhibitors such as acarbose and miglitol; meglitinides such as repaglinide; oxadiazolidinediones; sulfonylureas such as chlorpropamide, glimepiride, glipizide, glyburide and tolazamide; thiazolidinediones such as pioglitazone and rosiglitazone; and combinations thereof.
In one embodiment, a compound of the invention is administered in combination with an anti-thrombotic agent, representative examples of which include, but are not limited to, aspirin, anti-platelet agents, heparin, and combinations thereof. Compounds of the invention may also be administered in combination with a renin inhibitor, examples of which include, but are not limited to, aliskiren, enalkiren, remikiren, and combinations thereof. In another embodiment, a compound of the invention is administered in combination with an endothelin receptor antagonist, representative examples of which include, but are not limited to, bosentan, darusentan, tezosentan, and combinations thereof. Compounds of the invention may also be administered in combination with an endothelin converting enzyme inhibitor, examples of which include, but are not limited to, phosphoramidon, CGS 26303, and combinations thereof. In yet another embodiment, a compound of the invention is administered in combination with an aldosterone antagonist, representative examples of which include, but are not limited to, eplerenone, spironolactone, and combinations thereof. Combined therapeutic agents may also be helpful in further combination therapy with compounds of the invention. For example, a combination of the ACE inhibitor enalapril (in the maleate salt form) and the diuretic hydrochlorothiazide, which is sold under the mark Vaseretic®, or a combination of the calcium channel blocker amlodipine (in the besylate salt form) and the ARB olmesartan (in the medoxomil prodrug form), or a combination of a calcium channel blocker and a statin, all may also be used with the compounds of the invention. Dual-acting agents may also be helpful in combination therapy with compounds of the invention. For example, angiotensin-converting enzyme/neprilysin (ACE/NEP) inhibitors such as: AVE-0848 ((4S, 7S, 726R>7-[3-methyl- 2fSj-sulfanylbutyramido]-6-oxo- 1,2,3,4, 6,7,8, 12b-octahydropyrido[2,l-a][2]benzazepine- 4-carboxylic acid); AVE-7688 (ilepatril) and its parent compound; BMS-182657 (2-[2- oxo-3 f5^-[3-phenyl-2fSj-sulfanylpropionamido]-2,3,4,5-tetrahydro- IH- 1 -benzazepin- 1 - yl]acetic acid); CGS-26303 ([N-[2-(biphenyl-4-yl)-lfS>(lH-tetrazol-5- yl)ethyl]amino]methylphosphonic acid); CGS-35601 (N-[ 1 -[4-methyl-2fS> sulfanylpentanamido] cyclopentylcarbonyl] -L-tryptophan); fasidotril; fasidotrilate; enalaprilat; ER-32935 ((3R, 6S,9aR)-6-[3 (S>methyl-2(S>sulfanylpentanamido]-5- oxoperhydrothiazolo[3,2-a]azepine-3-carboxylic acid); gempatrilat; MDL-101264 ((4S,7S,12bR)-7-[2fSj-(2-morpholinoacetylthio)-3-phenylpropionamido]-6-oxo- 1,2,3,4,6,7,8, 12b-octahydropyrido[2,l-a][2]benzazepine-4-carboxylic acid); MDL-101287 ([4S-[4α,7α(R*),12bβ]]-7-[2-(carboxymethyl)-3-phenylpropionamido]-6-oxo- l,2,3,4,6,7,8,12b-octahydropyrido[2,l-a][2]benzazepine-4-carboxylic acid); omapatrilat; RB-105 (N-[2fS>(mercaptomethyl)-3(7?>phenylbutyl]-L-alanine); sampatrilat; SA-898 (f2i?,4i?y)-N-[2-(2-hydroxyphenyl)-3-(3-mercaptopropionyl)thiazolidin-4-ylcarbonyl]-L- phenylalanine); Sch-50690 (N-[ 1 (S>carboxy-2-|W2-(methanesulfonyl)-L- lysylamino]ethyl]-L-valyl-L-tyrosine); and combinations thereof, may also be included. In one particular embodiment, the ACE/NEP inhibitor is selected from: AVE-7688, enalaprilat, fasidotril, fasidotrilate, omapatrilat, sampatrilat, and combinations thereof. Other therapeutic agents such as (X2-adrenergic receptor agonists and vasopressin receptor antagonists may also be helpful in combination therapy. Exemplary ci2-adrenergic receptor agonists include clonidine, dexmedetomidine, and guanfacine. Exemplary vasopressin receptor antagonists include tolvaptan.
The following formulations illustrate representative pharmaceutical compositions of the invention. Exemplary Hard Gelatin Capsules For Oral Administration
A compound of the invention (50 g), spray-dried lactose (440 g), and magnesium stearate (10 g) are thoroughly blended. The resulting composition is then loaded into hard gelatin capsules (500 mg of composition per capsule). Alternately, a compound of the invention (20 mg) is thoroughly blended with starch (89 mg), microcrystalline cellulose (89 mg), and magnesium stearate (2 mg). The mixture is then passed through a No. 45 mesh U.S. sieve and loaded into a hard gelatin capsule having 200 mg of composition per capsule. Exemplary Gelatin Capsule Formulation For Oral Administration
A compound of the invention (100 mg) is thoroughly blended with polyoxy ethylene sorbitan monooleate (50 mg) and starch powder (250 mg). The mixture is then loaded into a gelatin capsule (300 mg of composition per capsule). Alternately, a compound of the invention (40 mg) is thoroughly blended with microcrystalline cellulose (Avicel PH 103; 260 mg) and magnesium stearate (0.8 mg). The mixture is then loaded into a gelatin capsule (Size #1, White, Opaque; 300 mg of composition per capsule).
Exemplary Tablet Formulation For Oral Administration A compound of the invention (10 mg), starch (45 mg), and microcrystalline cellulose (35 mg) are passed through a No. 20 mesh U.S. sieve and mixed thoroughly. The granules so produced are dried at 50-60 0C and passed through a No. 16 mesh U.S. sieve. A solution of polyvinylpyrrolidone (4 mg as a 10 % solution in sterile water) is mixed with sodium carboxymethyl starch (4.5 mg), magnesium stearate (0.5 mg), and talc (1 mg), and this mixture is then passed through a No. 16 mesh U.S. sieve. The sodium carboxymethyl starch, magnesium stearate and talc are then added to the granules. After mixing, the mixture is compressed on a tablet machine to afford a 100 mg tablet.
Alternately, a compound of the invention (250 mg) is thoroughly blended with microcrystalline cellulose (400 mg), silicon dioxide (fumed, 10 mg), and stearic acid (5 mg). The mixture is then compressed to form tablets (665 mg of composition per tablet).
Alternately, a compound of the invention (400 mg) is thoroughly blended with cornstarch (50 mg), croscarmellose sodium (25 mg), lactose (120 mg), and magnesium stearate (5 mg). The mixture is then compressed to form a single-scored tablet having 600 mg of composition per tablet.
Alternately, a compound of the invention (100 mg) is thoroughly blended with cornstarch (100 mg) and an aqueous solution of gelatin (20 mg). The mixture is dried and ground to a fine powder. Microcrystalline cellulose (50 mg) and magnesium stearate
(5 mg) are the admixed with the gelatin formulation, granulated and the resulting mixture compressed to form tablets (100 mg of the compound of the invention per tablet). Exemplary Suspension Formulation For Oral Administration The following ingredients are mixed to form a suspension containing 100 mg of the compound of the invention per 10 mL of suspension:
Ingredients Amount
Compound of the invention 1.0 g
Fumaric acid 0.5 g
Sodium chloride 2.0 g
Methyl paraben 0.15 g
Propyl paraben 0.05 g
Granulated sugar 25.5 g
Sorbitol (70% solution) 12.85 g
Veegum® K (magnesium aluminum silicate) 1.0 g
Flavoring 0.035 mL
Colorings 0.5 mg
Distilled water q.s. to 100 mL Exemplary Liquid Formulation For Oral Administration
A suitable liquid formulation is one with a carboxylic acid-based buffer such as citrate, lactate and maleate buffer solutions. For example, a compound of the invention (which may be pre -mixed with DMSO) is blended with a 100 mM ammonium citrate buffer and the pH adjusted to pH 5, or with is blended with a 100 mM citric acid solution and the pH adjusted to pH 2. Such solutions may also include a solubilizing excipient such as a cyclodextrin, for example the solution may include 10 wt% hydroxypropyl-β- cyclodextrin.
Exemplary Injectable Formulation For Administration By Injection A compound of the invention (0.2 g) is blended with 0.4 M sodium acetate buffer solution (2.0 mL). The pH of the resulting solution is adjusted to pH 4 using 0.5 N aqueous hydrochloric acid or 0.5 N aqueous sodium hydroxide, as necessary, and then sufficient water for injection is added to provide a total volume of 20 mL. The mixture is then filtered through a sterile filter (0.22 micron) to provide a sterile solution suitable for administration by injection. Exemplary Compositions For Administration By Inhalation
A compound of the invention (0.2 mg) is micronized and then blended with lactose (25 mg). This blended mixture is then loaded into a gelatin inhalation cartridge. The contents of the cartridge are administered using a dry powder inhaler, for example.
Alternately, a micronized compound of the invention (10 g) is dispersed in a solution prepared by dissolving lecithin (0.2 g) in demineralized water (200 mL). The resulting suspension is spray dried and then micronized to form a micronized composition comprising particles having a mean diameter less than about 1.5 μm. The micronized composition is then loaded into metered-dose inhaler cartridges containing pressurized 1,1,1,2-tetrafluoroethane in an amount sufficient to provide about 10 μg to about 500 μg of the compound of the invention per dose when administered by the inhaler.
Alternately, 25 mg of a compound of the invention is dissolved in 125 mL citrate buffered (pH 5) isotonic saline. The mixture is stirred and sonicated until the compound is dissolved. The pH of the solution is checked and adjusted, if necessary, to pH 5 by slowly adding aqueous IN NaOH. The solution is administered using a nebulizer device that provides about 10 μg to about 500 μg of the compound of the invention per dose.
EXAMPLES
The following Preparations and Examples are provided to illustrate specific embodiments of the invention. These specific embodiments, however, are not intended to limit the scope of the invention in any way unless specifically indicated. The following abbreviations have the following meanings unless otherwise indicated and any other abbreviations used herein and not defined have their standard, generally accepted meaning:
ACE angiotensin converting enzyme
ATi angiotensin II type 1 (receptor) AT2 angiotensin II type 2 (receptor)
BCA bicinchoninic acid
BSA bovine serum albumin
CDI JV,iV-carbonyldiimidazole
DBU l,8-diazabicyclo-[5.4.0]undec-7-ene DCC JV,JV'-dicyclohexylcarbodiimide
DCM dichloromethane (i.e., methylene chloride)
DIPEA N,N-diisopropylethylamine
DMF N,N-dimethylformamide
DMSO dimethyl sulfoxide Dnp 2,4-dinitrophenyl
DOCA deoxycorticosterone acetate
EDTA ethylenediaminetetraacetic acid
EGTA ethylene glycol δώ(β-aminoethyl ether^N^NTNT-tetraacetic acid
EtOAc ethyl acetate
HATU Λ/,Λ/,Λf',Λf '-tetramethyl-O-(7-azabenzotriazol- 1 -yl)uronium hexafluorophosphate HOBt 1-hydroxybenzotriazole hydrate
Mca (7-methoxycoumarin-4-yl)acyl
MeCN acetonitrile
MeOH methanol
NEP neprilysin (EC 3.4.24.11) PBS phosphate buffered saline
SHR spontaneously hypertensive rat
TFA trifluoroacetic acid
THF tetrahydrofuran
Tris tris(hydroxymethyl)aminomethane Tween-20 polyethylene glycol sorbitan monolaurate
Unless noted otherwise, all materials, such as reagents, starting materials and solvents, were purchased from commercial suppliers (such as Sigma-Aldrich, Fluka Riedel-de Haen, and the like) and were used without further purification.
Reactions were run under nitrogen atmosphere, unless noted otherwise. The progress of reactions were monitored by thin layer chromatography (TLC), analytical high performance liquid chromatography (anal. HPLC), and mass spectrometry, the details of which are given in specific examples. Solvents used in analytical HPLC were as follows: solvent A was 98% water/2% MeCN /1.0 mL/L TFA; solvent B was 90% MeCN/10% water/1.0 ml/L TFA. Reactions were worked up as described specifically in each preparation or example; commonly reaction mixtures were purified by extraction and other purification methods such as temperature-, and solvent-dependent crystallization, and precipitation. In addition, reaction mixtures were routinely purified by preparative HPLC, typically using Microsorb Cl 8 and Microsorb BDS column packings and conventional eluents. Characterization of reaction products was routinely carried out by mass and 1H-NMR spectrometry. For NMR measurement, samples were dissolved in deuterated solvent (CD3OD, CDCI3, or DMSO- dβ), and 1H-NMR spectra were acquired with a Varian Gemini 2000 instrument (400 MHz) under standard observation conditions. Mass spectrometric identification of compounds was typically conducted using an electrospray ionization method (ESMS) with an Applied Biosystems (Foster City, CA) model API 150 EX instrument or an Agilent (Palo Alto, CA) model 1200 LC/MSD instrument.
PREPARATION 1
4'-(2-Butyl-4-chloro-5-hydroxymethylimidazol- 1 -ylmethyl) biphenyl-2-sulfonic Acid (2-aminoacetyr)amide*(C?HF3_O?)?
Figure imgf000074_0001
4'-(2-Butyl-4-chloro-5-formylimidazol-l-ylmethyl)biphenyl-2-sulfonic acid t- butylamide (Ia): To a DMF (75mL) solution of 4'-bromomethylbiphenyl-2-sulfonic acid t- butylamide (4.7 g, 12.2 mmol), was added 2-butyl-5-chloro-3H-imidazole-4-carbaldehyde (2.3 g, 12.2 mmol) and potassium carbonate (1.7 g, 12.2 mmol). The mixture was stirred at room temperature overnight. EtOAc (400 mL) was added and the organic was washed 3 times with a sodium bicarbonate solution (200 mL) followed by saturated aqueous NaCl (200 mL). The solvent was removed and purification was achieved by silica gel chromatography (50/50 hexanes/EtOAc) using an isocratic gradient yielding intermediate (Ia) as an off-white solid (5.0 g). Anal. HPLC: retention time = 5.2 minutes. Gradient conditions: 10% solvent B/90% solvent A to 90% solvent B/10% solvent B over 6 minutes. MS m/z: [M+H]+ calcd for C25H30ClN3O3S, 488.18; found 488.6.
Figure imgf000074_0002
4'-(2-Butyl-4-chloro-5-formylimidazol-l-ylmethyl)biphenyl-2-sulfonic acid amide»C2HF3O2 (Ib): TFA (10 mL, 129.8 mmol) was added to intermediate (Ia) (5.0 g, 10.2 mmol). The mixture was stirred at 80 0C for 2 hours. TFA was removed under vacuum and the crude intermediate (Ib), as a TFA salt, was used in the next step (5.6 g). Anal. HPLC: retention time = 3.4 minutes. Gradient conditions: 25% solvent B/75% solvent A to 95% solvent B/5% solvent B over 6 minutes. MS m/z: [M+H]+ calcd for C2IH22ClN3O3S, 432.11; found 432.2.
{2-[4'-(2-Butyl-4-chloro-5-formylimidazol-l-ylmethyl)biphenyl-2-sulfonylamino]- 2-oxoethyl}carbamic acid t-butyl ester (Ic): A THF solution (9 mL) of CDI (520 mg, 3.2 mmol) was added to Λ/-α-(t-butoxycarbonyl)glycine (562 mg, 3.2 mmol). The mixture was stirred at 80 0C for 1 hour, then cooled to room temperature. Intermediate (Ib) (923 mg, 2.1 mmol) was added as a solid to the activated acid solution, followed by 1,8- diazabicyclo[5.4.0]undec-7-ene (479 μL, 3.2 mmol). The mixture was heated to 80 0C with stirring for ~ 2 hours. The mixture was cooled to room temperature and EtOAc (200 mL) was added. The organic was washed 3 times with a sodium bicarbonate solution (100 mL) followed by saturated aqueous NaCl (100 mL). The solvent was removed and purification was achieved by silica gel chromatography (1 :2 hexanes: EtOAc) using an isocratic gradient to yield intermediate (Ic) as a colorless semi-solid (738 mg). Anal. HPLC: retention time = 4.6minutes. Gradient conditions: 25% solvent B/75% solvent A to 95% solvent B/5% solvent B over 6 minutes. MS m/z: [M+H]+ calcd for C28H33ClN4O6S, 589.19; found 589.3.
Figure imgf000075_0001
{2-[4'-(2-Butyl-4-chloro-5-hydroxymethylimidazol-l-ylmethyl)biphenyl-2- sulfonylamino]-2-oxoethyl}carbamic acid t-butyl ester (Id): To an ethanol (10 mL) solution of intermediate (Ic) (738 mg, 1.25 mmol) was added solid sodium borohydride (62 mg, 1.6 mmol). The mixture was stirred at room temperature for 1 hour. After cooling to 0 0C, the reaction was quenched by dropwise addition of a 50/50 solution of acetic acid/water until no effervescence was observed. EtOAc (100 mL) was added and the organic was washed 3 times with saturated aqueous NaCl (100 mL) and dried over anhydrous Na2SO4. The solvent was removed to provide intermediate (Id) as a white solid (600 mg). Anal. HPLC: retention time = 3.3 minutes. Gradient conditions: 25% solvent B/75% solvent A to 95% solvent B/5% solvent B over 6 minutes. MS m/z: [M+H]+ calcd for C28H35ClN4O6S, 591.20; found 591.2.
4'-(2-Butyl-4-chloro-5 -hydroxymethyl-imidazol- 1 -ylmethyl)biphenyl-2-sulfonic acid (2-aminoacetyl)amide (1): To a DCM (500 μL) solution of intermediate (Id) (600 mg, 1.0 mmol) was added TFA (500 μL, 6.4 mmol). The mixture was stirred at room temperature for 30 minutes. Volatiles were removed under vacuum and the TFA salt of the product was lyophilized in 50/50 water/acetonitrile to give the title compound as a white solid (418 mg). Anal. HPLC: retention time = 1.2 minutes. Gradient conditions: 25% solvent B/75% solvent A to 95% solvent B/5% solvent B over 6 minutes. MS m/z: [M+H]+ calcd for C23H27ClN4O4S, 491.15; found 473.1 [M+H]+ -18.
EXAMPLE 1
2-Benzyl-N- {2-[4'-(2-butyl-4-chloro-5-hydroxymethylimidazol- 1 -ylmethyl)biphenyl-2- sulfonylamino]-2-oxoethyU-N'-hydroxymalonamide*(C?HF3θ2)
Figure imgf000076_0001
HATU (51 mg, 130 μmol) was added to a DMF (500 μL) solution of N-acetoxy-2- benzyl-malonamic acid (30 mg, 120 μmol), and the solution was stirred for 15 minutes at room temperature. 4'-(2-Butyl-4-chloro-5 -hydroxymethylimidazol- 1 -ylmethyl)biphenyl-2- sulfonic acid (2-aminoacetyl)amide»(C2HF3O2)2 (96 mg, 1.3mmol) was added as a DMF solution (500 μL) and the mixture was stirred for 2.5 hours. MeOH (500 μL) and ION NaOH (500 μL) were added to the crude mixture, which was then stirred at room temperature for 2 hours. Volatiles were removed under vacuum and the crude oil was further purified by preparative HPLC (reverse phase) on a gradient of 10-90% (5-10% over 10 min; 10-90% over 50 min); flow rate 15mL/min; detection at 280 nm. Pure fractions were combined and lyophilized in 50/50 water/acetonitrile to give the title compound as a white solid (4.4 mg). Anal. HPLC: retention time = 3.7 minutes. Gradient conditions 90% solvent B/ 10% solvent A to 10% solvent B/90% solvent B over 6 minutes. MS m/z: [M+H]+ calcd for C33H36ClN5O7S, 682.21; found 682.4. EXAMPLE 2
Following the procedures described in the examples above, and substituting the appropriate starting materials and reagents, compounds 2-1 to 2-32, having the following formula, were also prepared:
Figure imgf000077_0001
Figure imgf000077_0002
Figure imgf000078_0001
(2-1) 2-benzyl-N-({3-[4'-(2-butyl-4-chloro-5-hydroxymethylimidazol-l-ylmethyl)- biphenyl-2-sulfonylamino]-3-oxopropylcarbamoyl)methyl)-3-mercaptopropionamide. MS m/z: [M+H]+ calcd for C36H42ClN5O6S2, 740.23; found 740.2. (2-2) 2-benzyl-N-( {7-[4'-(2-butyl-4-chloro-5-hydroxymethylimidazol- 1 -ylmethyl)- biphenyl-2-sulfonylamino]-7-oxoheptylcarbamoyl)methyl)-3-mercaptopropionamide. MS m/z: [M+H]+ calcd for C40H50ClN5O6S2, 796.29; found 796.2.
(2-3) N-{3-[4'-(2-butyl-4-chloro-5-hydroxymethylimidazol-l-ylmethyl)biphenyl-2- sulfonylamino]-3-oxopropyl}-2-mercaptomethyl-3-phenylpropionamide. MS m/z: [M+H]+ calcd for C34H39ClN4O5S2, 683.21; found 683.2.
(2-4) (S)-N- {3-[4'-(2-butyl-4-chloro-5-hydroxymethylimidazol- 1 -ylmethyl)biphenyl-
2-sulfonylamino]-3-oxopropyl}-2-mercapto-3-phenylpropionamide. MS m/z: [M+H]+ +l calcd for C33H37ClN4O5S2, 669.19; found 670.2. (2-5) 2-benzyl-N-( {3-[4'-(2-butyl-4-chloro-5-hydroxymethylimidazol- 1 -ylmethyl)- biphenyl-2-sulfonylamino]-3-oxopropylcarbamoyl)methyl)-N'-hydroxymalonamide. MS m/z: [M+H]+ calcd for C36H4iClN6O8S, 753.24; found 753.2.
(2-6) N-{5-[4'-(2-butyl-4-chloro-5-hydroxymethylimidazol-l-ylmethyl)biphenyl-2- sulfonylamino]-5-oxopentyl}-2-mercaptomethyl-3-phenylpropionamide. MS m/z: [M+H]+ calcd for C36H43ClN4O5S2, 711.24; found 711.2.
(2-7) 2-benzyl-N-( {5-[4'-(2-butyl-4-chloro-5-hydroxymethylimidazol- 1 -ylmethyl)- biphenyl-2-sulfonylamino]-5-oxopentylcarbamoyl)methyl)-N'-hydroxymalonamide. MS m/z: [M+H]+ calcd for C38H45ClN6O8S, 781.27; found 781.2.
(2-8) N-{7-[4'-(2-butyl-4-chloro-5-hydroxymethylimidazol-l-ylmethyl)biphenyl-2- sulfonylamino]-7-oxoheptyl}-2-mercaptomethyl-3-phenylpropionamide. MS m/z: [M+H]+ calcd for C38H47ClN4O5S2, 739.27; found 739.4.
(2-9) 2-benzyl-N-( {7-[4'-(2-butyl-4-chloro-5-hydroxymethylimidazol- 1 -ylmethyl)- biphenyl-2-sulfonylamino]-7-oxoheptylcarbamoyl)methyl)-N'-hydroxymalonamide. MS m/z: [M+H]+ calcd for C40H49ClN6O8S, 809.30; found 809.2. (2-10) (S)-N-{5-[4'-(2-butyl-4-chloro-5-hydroxymethylimidazol-l-ylmethyl)biphenyl-
2-sulfonylamino]-5-oxopentyl}-2-mercapto-3-phenylpropionamide. MS m/z: [M+H]+ calcd for C35H4IClN4O5S2, 697.22; found 697.2.
(2-11) 3-(l-{4-[4'-(2-butyl-4-chloro-5-hydroxymethylimidazol-l-ylmethyl)biphenyl-2- sulfonylaminocarbonyl]cyclohexylcarbamoyl}cyclopentyl)-2-(2-methoxyethoxymethyl)- propionic acid. MS m/z: [M+H]+ calcd for C4iH55ClN4O9S, 815.34; found 815.7.
(2-12) 3-[l-(4-{3-[4'-(2-butyl-4-chloro-5-hydroxymethylimidazol-l- ylmethyl)biphenyl-2-sulfonylamino]-3-oxopropylcarbamoyl}-cyclohexylcarbamoyl)- cyclopentyl]-2-(2-methoxyethoxymethyl)propionic acid. MS m/z: [M+H]+ calcd for C44H6OCIN5OI0S, 886.38; found 886.8.
(2-13) 2-benzyl-N-({3-[4'-(2-butyl-5-hydroxymethylimidazol-l-ylmethyl)biphenyl-2- sulfonylamino]-3-oxopropylcarbamoyl)methyl)-N'-hydroxymalonamide. MS m/z: [M+H]+ calcd for C36H42N6O8S, 719.28; found 719.5. (2-14) (7?>N-{3-[4'-(2-butyl-4-chloro-5-hydroxymethylimidazol-l-ylmethyl)- biphenyl-2-sulfonylamino]-3-oxopropyl}-2-(2-hydroxycarbamoyl-3-phenylpropionyl- amino)succinamic acid. MS m/z: [M+H]+ calcd for C38H43ClN6Oi0S, 811.25; found 811.5. (2-15) (R)-N- {3 -[4'-(2-butyl-5-hydroxymethylimidazol- 1 -ylmethyl)biphenyl-2- sulfonylamino]-3-oxopropyl}-2-(2-hydroxycarbamoyl-3-phenylpropionylamino) succinamic acid. MS m/z: [M+H]+ calcd for C38H44N6Oi0S, 777.28; found 777.5.
(2-16) (7?y)-4-{3-[4'-(2-butyl-4-chloro-5-hydroxymethylimidazol-l-ylmethyl)biphenyl- 2-sulfonylamino]-3-oxopropylcarbamoyl}-2-(2-hydroxycarbamoyl-3-phenylpropionyl- amino)butyric acid. MS m/z: [M+H]+ calcd for C39H45ClN6Oi0S, 825.26; found 825.5. (2-17) N-{2-[4'-(2-butyl-4-chloro-5-hydroxymethylimidazol-l-ylmethyl)biphenyl-2- sulfonylamino]-2-oxoethyl}-2-mercaptomethyl-3-phenylpropionamide. MS m/z: [M+H]+ calcd for C33H37ClN4O5S2, 669.19; found 669.3.
(2-18) (S) -N- {2- [4'-(2-butyl-4-chloro-5 -hydroxymethylimidazol- 1 -ylmethyl)biphenyl- 2-sulfonylamino]-2-oxoethyl}-2-mercapto-3-phenylpropionamide. MS m/z: [M+H]+ calcd for C32H35ClN4O5S2, 655.17; found 655.2. (2-19) 2-butyl-5-chloro-3-{2'-[2-(2-hydroxycarbamoyl-3-phenylpropionylamino)- acetylsulfamoyl]biphenyl-4-ylmethyl}-3H-imidazole-4-carboxylic acid. MS m/z: [M+H]+ calcd for C33H34ClN5O8S, 696.18; found 696.3.
(2-20) [((S>2-biphenyl-4-yl- 1 - {2- [4'-(2-butyl-4-chloro-5 -hydroxymethylimidazol- 1 - ylmethyl)biphenyl-2-sulfonylamino]-2-oxoethylcarbamoyl}ethylamino)methyl] phosphonic acid. MS m/z: [M+H]+ calcd for C39H43ClN5O8PS, 808.23; found 808.4.
(2-21) N-{2-[4'-(2-butyl-4-chloro-5-hydroxymethylimidazol-l-ylmethyl)biphenyl-2- sulfonylamino]-2-oxoethyl}-2-mercaptomethyl-3-methylbutyramide. MS m/z: [M+H]+ calcd for C29H37ClN4O5S2, 621.19; found 621.5. (2-22) 2-benzyl-N-( {2- [4'-(2-butyl-4-chloro-5 -hydroxymethylimidazol- 1 -ylmethyl)- biphenyl-2-sulfonylamino] -2-oxoethy lcarbamoyl)methyl)-3 -mercaptopropionamide . MS m/z: [M+H]+ -18 calcd for C35H40ClN5O6S2, 726.21; found 708.4. (2-23) (7?>N-{2-[4'-(2-butyl-4-chloro-5-hydroxymethylimidazol-l-ylmethyl)- biphenyl-2-sulfonylamino]-2-oxoethyl} -3-mercapto-2-methylpropionamide. MS m/z: [M+H]+ -18 calcd for C27H33ClN4O5S2, 593.16; found 575.2.
(2-24) N-{2-[4'-(2-butyl-4-chloro-5-hydroxymethylimidazol-l-ylmethyl)biphenyl-2- sulfonylamino]-2-oxoethyl}-N'-hydroxy-2-isobutylmalonamide. MS m/z: [M+H]+ calcd for C30H38ClN5O7S, 648.22; found 648.4. (2-25) N-{2-[4'-(2-butyl-4-chloro-5-hydroxymethylimidazol-l-ylmethyl)biphenyl-2- sulfonylamino]-2-oxoethyl}-3-mercapto-2-methylpropionamide. MS m/z: [M+H]+ calcd for C27H33ClN4O5S2, 593.16; found 593.5.
(2-26) N-{2-[4'-(2-butyl-4-chloro-5-hydroxymethylimidazol-l-ylmethyl)biphenyl-2- sulfonylamino]-2-oxoethyl}-N'-(2,2-dimethylpropionyloxy)-2-isobutylmalonamide. MS m/z: [M+H]+ calcd for C35H46ClN5O8S, 732.28; found 732.2.
(2-27) 2-benzyl-N-{(7?>l-[4'-(2-butyl-4-chloro-5-formylimidazol-l-ylmethyl)- biphenyl-2-sulfonylaminocarbonyl]-2-methylpropyl} -3-mercaptopropionamide. MS m/z:
[M+H]+ calcd for C36H4iClN4O5S2, 709.22; found 709.4.
(2-28) N- { (R)- 1 -[4'-(2-butyl-4-chloro-5-formylimidazol- 1 -ylmethyl)biphenyl-2- sulfonylaminocarbonyl]-2-methylpropyl}-N'-hydroxy-2-isobutylmalonamide. MS m/z:
[M+H]+ calcd for C33H42ClN5O7S, 688.25; found 688.2.
(2-29) 2-benzyl-N-{(7?>l-[4'-(2-butyl-4-chloro-5-formylimidazol-l-ylmethyl)- biphenyl-2-sulfonylaminocarbonyl]-2-methylpropyl} -N'-hydroxymalonamide. MS m/z:
[M+H]+ calcd for C36H40ClN5O7S, 722.23; found 722.3. (2-30) N-acetoxy-2-benzyl-N'- {2-[4'-(2-butyl-4-chloro-5-hydroxymethylimidazol- 1 - ylmethyl)biphenyl-2-sulfonylamino]-2-oxoethyl}-malonamide. MS m/z: [M+H]+ calcd for
C35H38ClN5O8S, 724.21; found 724.4.
(2-31) 2-benzyl-N-{^^J^-3-[4>-(2-butyl-4-chloro-5-formylimidazol-l-ylmethyl)- biphenyl-2-sulfonylaminocarbonyl]cyclopentyl} -N'-hydroxymalonamide. MS m/z: [M+H]+ +1 calcd for C37H40ClN5O7S, 734.23; found 735.4
(2-32) N-{^^J^-3-[4'-(2-butyl-4-chloro-5-formylimidazol-l-ylmethyl)-biphenyl-2- sulfonylaminocarbonyl]cyclopentyl}-N'-hydroxy-2-isobutylmalonamide. MS m/z: [M+H]+
+1 calcd for C34H42ClN5O7S, 700.25; found 701.4. PREPARATION 2 N-(2-Aminoacetyl)-4-(2-butyl-4-chloro-5-formyl-imidazol- 1 - ylmethvDbenzenesulfonamide
Figure imgf000082_0001
4-Bromomethyl-N-t-butyl-benzenesulfonamide (2a): t-Butyl amine (5.9 niL,
56mmol, 1.0 eq) and DIPEA (9.7 niL, 56 mmol, 1.0 eq) were added to 350 ml DCM. The solution was cooled to 0 0C and a solution of 4-bromomethylbenzenesulfonyl chloride
(15.1 g, 56 mmol, 1.0 eq) in 100 mL DCM was added drop-wise via an addition funnel.
The mixture was then slowly warmed to room temperature and stirred for 3 hours. The mixture was concentrated under reduced pressure and the residue was dissolved into 350 mL EtOAc. The organic was washed with IN aq. HCl, saturated bicarbonate, water, saturated aqueous NaCl, dried over MgSO4, and filtered. The filtrate was concentrated to yield intermediate (2a) (13.6 g).
N-£-butyl-4-(2-butyl-4-chloro-5 -formylimidazol- 1 -ylmethyl)benzenesulfonamide (2b): Intermediate (2a) (13.6 g, 45 mmol, 1.0 eq), 2-butyl-5-chloro-3H-imidazole-4- carbaldehyde (8.4 g, 45mmol, 1.0 eq) and potassium carbonate (12.4 g, 90 mmol, 2.0 eq) were added to 90 mL of DMF. The mixture was stirred at room temperature for 16 hours.
The mixture was then diluted with 300 mL EtOAc and extracted with 100 mL 10% aq.
LiCl, 2x 200 mL water, 100 mL saturated aqueous NaCl, dried over MgSO4, and filtered. The filtrate was evaporated and purified by flash chromatography (40% EtOAc :hexanes) to yield intermediate (2b) (13.0 g). MS m/z: [M + H+] calcd for Ci9H26ClN3O3S, 412.1; found
412.4.
4-(2-Butyl-4-chloro-5-formyl-imidazol- 1 -ylmethyl)benzenesulfonamide (2c):
Intermediate (2b) was dissolved into 60 mL of 1 : 1 DCM:TFA and heated to 40 0C for 16 hours. The mixture was concentrated under reduced pressure to yield intermediate (2c) as a yellow oil in a quantitative yield. MS m/z: [M + H+] calcd for Ci5Hi8ClN3O3S 356.1; found 356.3.
Figure imgf000083_0001
{2-[4-(2-Butyl-4-chloro-5-formylimidazol-l-ylmethyl)benzenesulfonylamino]-2- oxoethyl}carbamic acid t-butyl ester (2d): N-Boc-glycine (2.8 g, 16 mmol, 1.0 eq) was dissolved into 50 rnL THF. CDI (2.6 g, 16 mmol, 1.0 eq) was added, and the mixture heated to 80 0C for 2 hours. The solution was cooled to room temperature and added to a solution of intermediate (2c) (5.7 g, 16 mmol, 1.0 eq) in 100 mL THF followed by DBU (2.4 mL, 16 mmol, 1.0 eq). The mixture was stirred at room temperature overnight. The mixture was then concentrated, redissolved into 100 mL EtOAc, washed with saturated bicarbonate, saturated aqueous NaCl, dried over MgSO4, and evaporated. The residue was chromatographed (10% MeOH:EtOAc with 0.7% NH3) to yield intermediate (2d) (5.6 g).
N-(2-Aminoacetyl)-4-(2-butyl-4-chloro-5-formyl-imidazol-l-ylmethyl) benzenesulfonamide (2): Intermediate (2d) (5.6 g) was dissolved into 20 mL 30%TFA:DCM and stirred at room temperature for 2 hours. The mixture was concentrated under reduced pressure to yield the title compound as an oil in a quantitative yield. MS m/z: [M + H+] calcd for Ci7H2IClN4O4S 413.1; found 413.3.
PREPARATION 3 2-(2,2-Dimethylpropionyloxycarbamoyl)-4-methylpentanoic Acid
Figure imgf000083_0002
2-Isobutylmalonic acid monoethyl ester (3 a): 2-Isobutylmalonic acid ethyl ester methyl ester (50.0 g, 231 mmol, 1.0 eq) was dissolved into 280 ml ethanol. To this solution was added solid KOH (12.7 g, 226 mmol, 0.98 eq) and the mixture was stirred at room temperature for 16 hours. The mixture was then concentrated under reduced pressure and redissolved in 500 mL water. The solution was washed 2x 250 ml diethyl ether, acidified to pH 2 with 6N HCl, and extracted with 2x 250 mL diethyl ether. The organic was dried over MgSO4, and concentrated to yield intermediate (3a) (40.3 g). 1H NMR (DMSO) δ (ppm): 1.0 (dd, 6H), 1.2 (t, IH), 1.3 (t, 3H), 1.5-1.7 (m, IH), 1.8 (t, 2H), 3.5 (m, 2H), 4.2 (quart, 2H).
2-Benzyloxycarbamoyl-4-methylpentanoic acid ethyl ester (3b): Intermediate (3 a) (40.3g, 214 mmol, 1.0 eq) was dissolved into 800 mL DCM and 900 mL THF and the solution was cooled to O0C. To this was added benzyl hydroxyl amine (34.2 g, 214 mmol, 1.0 eq) followed by HOBt (28.9 g, 214 mmol, 1.0 eq). The mixture was stirred for 5 minutes, then DCC (44.1g, 214 mmol, 1.0 eq) was added, followed by triethylamine (33.4 mL, 240 mmol, 1.1 eq). The mixture was warmed to room temperature and stirred overnight. The solid was filtered and the filtrate was concentrated. The material was redissolved in 1000 mL EtOAc and washed with 500 mL IN HCl, 600 mL saturated aq. bicarbonate, dried over MgSO4, filtered, and evaporated to yield intermediate (3b) (59.3 g) as a semisolid. MS m/z: [M + H+] calcd for Ci6H23NO4 294.2; found 294.2.
Figure imgf000084_0001
3 2-Benzyloxycarbamoyl-4-methyl-pentanoic acid (3c): Intermediate (3b) (7.5 g, 25.5 mmol, 1.0 eq) was dissolved into 80 mL of IN NaOH solution and stirred at room temperature overnight. The solution was then washed with 80 mL EtOAc, acidified to pH 1 with 6N HCl and extracted 2x 100 mL EtOAc. The organic was dried over MgSO4 and concentrated to yield intermediate (3c) (6.6 g). 1H NMR (DMSO) δ (ppm): 1.0 (m, 6H), 1.4-1.8 (m, 3H), 1.3 (t, 3H), 1.5-1.7 (m, IH), 3.2 (t, IH), 4.9 (s, 2H), 7.4-7.6 (m, 5H) 11.4 (s, IH).
2-Hydroxycarbamoyl-4-methylpentanoic acid (3d): Intermediate (3c) (6.6 g, 24.7 mmol) was dissolved into 75 mL ethanol and the solution was degassed with nitrogen. To the solution was added 1.3 g (20% by weight) Pd/C (10% by weight, wet) and the reaction was degassed under hydrogen. After 16 hours, the mixture was filtered through celite and the ethanol was removed in vacuo to yield intermediate (3d) (4.3 g) as a pink oil. 1H NMR (DMSO) δ (ppm): 0.7 (m, 6H), 1.2-1.4 (m, IH), 1.4-1.6 (m, 2H), 2.9 (t, IH), 3.3 (quart, IH), 8.9 (br s, IH), 10.5 (br s, IH).
2-(2,2-Dimethylpropionyloxycarbamoyl)-4-methylpentanoic acid (3): Intermediate (3d) (12.7 g, 73.2 mmol, 1.0 eq) was dissolved into 180 niL DCM and cooled to 0 °C. DIPEA (13.4 niL, 76.9 mmol, 1.05 eq) was added, followed by pivaloyl chloride (9.5 mL, 76.9 mmol, 1.05 eq). The mixture was warmed to room temperature and stirred for 12 hours. The mixture was concentrated under reduced pressure, dissolved into 300 mL EtOAc, washed 2x 200 mL IM H3PO4, 100 mL saturated aqueous NaCl, dried over
MgSO4, and evaporated. The material was triturated with hexanes, filtered and dried the to yield the title compound (10.5 g, 55%). 1H NMR (DMSO) δ (ppm): 0.7 (m, 6H), 1.2-1.4 (m, IH), 1.4-1.6 (m, 2H), 2.9 (t, IH), 3.3 (quart, IH), 8.9 (br s, IH), 10.5 (br s, IH).
EXAMPLE 3 N-(2- (4-r2-Butyl-4-chloro-5-(2-thiophen-2-ylethylcarbamovπimidazol- 1 - ylmethyllbenzenesulfonylamino|-2-oxoethyl)-N'-hvdroxy-2-isobutylmalonamide
Figure imgf000085_0001
N- {2-[4-(2-Butyl-4-chloro-5-formylimidazol- 1 -ylmethyl)benzenesulfonylamino]-2- oxoethyl} -N'-(2,2-dimethylpropionyloxy)-2-isobutylmalonamide (3a): N-(2-Aminoacetyl)- 4-(2-butyl-4-chloro-5-formyl-imidazol-l-ylmethyl) benzenesulfonamide (770 mg, 1.2 mmol, 1.0 eq) and 2-(2,2-Dimethylpropionyloxycarbamoyl)-4-methylpentanoic acid (360 mg, 1.2 mmol, 1.0 eq) were dissolved in 13 mL DMF. HATU (460 mg, 1.2 mmol, 1.0 eq) was then added followed by DIPEA (630 μL, 3.6 mmol, 3.0 eq) and the mixture was stirred at room temperature. After 3 hours, the mixture was diluted with 30 mL EtOAc, washed with 20 mL 10% aq. LiCl solution, water, saturated aqueous NaCl, dried over MgSO4, filtered, and concentrated under reduced pressure to yield crude intermediate 3a. MS m/z: [M + H+] calcd for C29H40ClN5O8S, 654.2; found 654.4.
2-Butyl-5-chloro-3-(4-{2-[2-(2,2-dimethylpropionyloxycarbamoyl)-4- methylpentanoylamino]acetylsulfamoyl}benzyl)-3H-imidazole-4-carboxylic acid (3b): The crude intermediate (A) was dissolved in 18 mL n-butanol. To this was added 2-methyl-2- butene (2.0M in THF, 1.2 mL, 2.3 mmol, 11.2 eq). A solution OfNaClO2 (1.1 g, 11.6 mmol, 10.6 eq) and NaH2PO4 (1.1 g, 8.8 mmol, 8.6 eq) in 24 mL water was then added and the mixture was stirred at room temperature. After 5 hours, the mixture reaction was diluted with 30 mL EtOAc and washed 2x 20 mL Na2SO3. The organic layer was dried over MgSO4, filtered, and concentrated to yield intermediate 3b (660 mg). MS m/z: [M + H+] calcd for C29H40ClN5O9S, 670.2; found 670.4. Intermediate 3b (67 mg, 0.1 mmol, 1.0 eq) was dissolved into 1 mL DMF. To this was added HATU (38 mg, 0.1 mmol, 1.0 eq), 2-thiophene ethylamine (12 μL, 0.1 mmol, 1.0 eq), and DIPEA (17 μL, 0.1 mmol, 1.0 eq.). The mixture was stirred for 3 hours and was then concentrated in vacuo. The material was redissolved in 1.0 mL methanol and to this was added 1.0 mL aq. 3N NaOH. The mixture was stirred for 4 hours, then acidified with 0.5mL acetic acid and concentrated under reduced pressure. The resulting material was purified by preparative HPLC and lyophilized to yield the title compound as a white powder. MS m/z: [M + H+] calcd for C30H39ClN6O7S2, 696.2; found 696.2.
EXAMPLE 4 Following the procedures described in the examples above, and substituting the appropriate starting materials and reagents, compounds 4-1 to 4-19, having the following formula, were also prepared:
Figure imgf000086_0001
Figure imgf000086_0002
Figure imgf000087_0001
(4-1) l-mercapto-S-methylpentanoic acid {2-[4-(2-butyl-4-chloro-5-formylimidazol- l-ylmethyl)-benzenesulfonylamino]-2-oxoethyl} amide. MS m/z: [M+H]+ +l calcd for
C23H3IClN4O5S2, 543.14; found 542.2. (4-2) N- {2-[4-(2-butyl-4-chloro-5-formylimidazol- 1 -ylmethyl)benzenesulfonyl- amino]-2-oxoethyl}-N'-hydroxy-2-isobutylmalonamide. MS m/z: [M+H]+ calcd for
C24H32ClN5O7S, 570.17; found 570.2.
(4-3) (S)-N- {2-[4-(2-butyl-4-chloro-5-hydroxymethylimidazol- 1 -ylmethyl)- benzenesulfonylamino]-2-oxoethyl}-2-mercapto-3-phenylpropionamide. MS m/z: [M+H]+ calcd for C26H 31ClN4O5S2, 579.14; found 579.
(4-4) N- {2-[4-(2-butyl-4-chloro-5-hydroxymethylimidazol-l -ylmethyl)- benzenesulfonylamino]-2-oxoethyl}-N'-hydroxy-2-isobutylmalonamide. MS m/z: [M+H]+ calcd for C24H34ClN5O7S, 572.19; found 572.2.
(4-5) 2-benzyl-N- {2-[4-(2-butyl-4-chloro-5-hydroxymethylimidazol- 1 - ylmethyl)benzenesulfonylamino]-2-oxoethyl}-N'-hydroxymalonamide. MS m/z: [M+H]+ calcd for C27H32ClN5O7S, 606.17; found 606.
(4-6) 2-mercapto-3-methylpentanoic acid {3-[4-(2-butyl-4-chloro-5-formylimidazol- l-ylmethyl)-benzenesulfonylamino]-3-oxopropyl} amide. MS m/z: [M+H]+ calcd for
C24H33ClN4O5S2, 557.16; found 557.2. (4-7) 2-benzyl-N-{3-[4-(2-butyl-4-chloro-5-formylimidazol-l-ylmethyl)- benzenesulfonylamino]-3-oxopropyl}-N'-hydroxymalonamide. MS m/z: [M+H]+ calcd for
C28H32ClN5O7S, 618.17; found 618.
(4-8) N- {3-[4-(2-butyl-4-chloro-5-formylimidazol- 1 -ylmethyl)benzenesulfonyl- amino]-3-oxopropyl}-N'-hydroxy-2-isobutylmalonamide. MS m/z: [M+H]+ +l calcd for
C25H34ClN5O7S, 584.19; found 585.2.
(4-9) (S)-N- {3-[4-(2-butyl-4-chloro-5-hydroxymethylimidazol- 1 -ylmethyl)benzene- sulfonylamino]-3-oxopropyl}-2-mercapto-3-phenylpropionamide. MS m/z: [M+H]+ calcd for C27H33ClN4O5S2, 593.16; found 593.2. (4-10) 2-mercapto-3-methylpentanoic acid {3-[4-(2-butyl-4-chloro-5-hydroxymethyl- imidazol-l-ylmethyl)benzenesulfonylamino]-3-oxopropyl}amide. MS m/z: [M+H]+ calcd for C24H35ClN4O5S2, 559.17; found 559.
(4-11) 2-benzyl-N- {3 -[4-(2-butyl-4-chloro-5-hydroxymethylimidazol- 1 -ylmethyl)- benzenesulfonylamino]-3-oxopropyl}-N'-hydroxymalonamide. MS m/z: [M+H]+ calcd for C28H34ClN5O7S, 620.19; found 620.
(4-12) N-{3-[4-(2-butyl-4-chloro-5-hydroxymethylimidazol-l-ylmethyl)benzene- sulfonylamino]-3-oxopropyl}-N'-hydroxy-2-isobutylmalonamide. MS m/z: [M+H]+ calcd for C25H36ClN5O7S, 586.20; found 586.
(4-13) 2-butyl-5-chloro-3-{4-[2-(2-hydroxycarbamoyl-4-methylpentanoylamino)- acetylsulfamoyl]benzyl}-3H-imidazole-4-carboxylic acid. MS m/z: [M+H]+ calcd for
C24H32ClN5O8S, 586.17; found 586.
(4-14) N-{2-[4-(5-benzylcarbamoyl-2-butyl-4-chloroimidazol-l-ylmethyl)benzene- sulfonylamino]-2-oxoethyl}-N'-hydroxy-2-isobutylmalonamide. MS m/z: [M+H]+ calcd for C3IH39ClN6O7S, 675.23; found 675.0. (4-15) fS>2-[(2-butyl-5-chloro-3-{4-[2-(2-hydroxycarbamoyl-4-methylpentanoyl- amino)acetylsulfamoyl]-benzyl}-3H-imidazol-4-ylmethyl)-amino]-4-methylpentanoic acid.
MS m/z: [M+H]+ calcd for C30H45ClN6O8S, 685.27; found 685.4.
(4-16) N-[2-(4-{2-butyl-4-chloro-5-[(thiophen-2-ylmethyl)carbamoyl]-imidazol-l- ylmethyl}benzenesulfonylamino)-2-oxoethyl]-N'-hydroxy-2-isobutyl-malonamide. MS m/z: [M+H]+ calcd for C29H37ClN6O7S2, 681.19; found 681.3.
(4-17) N-(2-{4-[2-butyl-4-chloro-5-(3-phenyl-propylcarbamoyl)imidazol-l-ylmethyl]- benzenesulfonylamino}-2-oxoethyl)-N'-hydroxy-2-isobutylmalonamide. MS m/z: [M+H]+
+1 calcd for C33H43ClN6O7S, 703.26; found 704.4. (4-18) N-(2-{4-[2-butyl-4-chloro-5-(4-phenyl-butylcarbamoyl)imidazol-l-ylmethyl]- benzenesulfonylamino}-2-oxoethyl)-N'-hydroxy-2-isobutylmalonamide. MS m/z: [M+H]+ +1 calcd for C34H45ClN6O7S, 717.28; found 718.
(4-19) N-{2-[4-(2-butyl-4-chloro-5-phenethylcarbamoylimidazol-l-ylmethyl)benzene- sulfonylamino]-2-oxoethyl}-N'-hydroxy-2-isobutylmalonamide. MS m/z: [M+H]+ calcd for C32H4IClN6O7S, 689.24; found 689.0.
EXAMPLE 5
Following the procedures described in the examples above, and substituting 2- butyl- 1 ,3-diaza-spiro[4.4]non- 1 -en-4-one for 2-butyl-5-chloro-3H-imidazole-4- carbaldehyde in Preparation 1, as well as substituting the appropriate starting materials and reagents, compounds 5-1 to 5-3, having the following formula, were also prepared:
Figure imgf000089_0001
Figure imgf000089_0003
(5-1) 2-benzyl-N-{2-[4'-(2-butyl-4-oxol,3-diazaspiro[4.4]non-l-en-3-ylmethyl)- biphenyl-2-sulfonylamino]-2-oxoethyl}-N'-hydroxymalonamide. MS m/z: [M+H]+ calcd for C36H4IN5O7S, 688.27; found 688.3.
(5-2) N-{2-[4'-(2-butyl-4-oxol,3-diazaspiro[4.4]non-l-en-3-ylmethyl)biphenyl-2- sulfonylamino]-2-oxoethyl}-N'-hydroxy-2-isobutylmalonamide. MS m/z: [M+H]+ calcd for
C33H43N5O7S, 654.29; found 654.5. (5-3) 4'-(2-Butyl-4-oxo- 1 ,3-diazaspiro[4.4]non- 1 -en-3-ylmethyl)biphenyl-2-sulfonic acid (f2^-2-mercapto-4-methylpentanoyl)amide. MS m/z: [M+H]+ calcd for C3oH39N304S2,
570.24; found 570.6.
ASSAY 1
Figure imgf000089_0002
These in vitro assays were used to assess the ability of test compounds to bind to the ATi and the AT2 receptors.
Membrane Preparation From Cells Expressing Human ATi or AT 2 Receptors Chinese hamster ovary (CHO-Kl) derived cell lines stably expressing the cloned human ATi or AT2 receptors, respectively, were grown in HAM's-F12 medium supplemented with 10% fetal bovine serum, 10 μg/ml penicillin/streptomycin, and
500 μg/ml geneticin in a 5% CO2 humidified incubator at 37 0C. AT2 receptor expressing cells were grown in the additional presence of 100 nM PD123,319 (AT2 antagonist). When cultures reached 80-95% confluence, the cells were washed thoroughly in PBS and lifted with 5 mM EDTA. Cells were pelleted by centrifugation and snap frozen in MeOH-dry ice and stored at -80 0C until further use.
For membrane preparation, cell pellets were resuspended in lysis buffer (25 mM Tris/HCl pH 7.5 at 4 0C, 1 mM EDTA, and one tablet of Complete Protease Inhibitor Cocktail Tablets with 2 mM EDTA per 50 mL buffer (Roche cat.# 1697498, Roche Molecular Biochemicals, Indianapolis, IN)) and homogenized using a tight-fitting Dounce glass homogenizer (10 strokes) on ice. The homogenate was centrifuged at 1000 x g, the supernatant was collected and centrifuged at 20,000 x g. The final pellet was resuspended in membrane buffer (75 mM Tris/HCl pH 7.5, 12.5 mM MgCl2, 0.3 mM EDTA, 1 mM EGTA, 250 mM sucrose at 4 0C) and homogenized by extrusion through a 2OG gauge needle. Protein concentration of the membrane suspension was determined by the method described in Bradford (1976) Anal Biochem. 72:248-54. Membranes were snap frozen in MeOH-dry ice and stored at -80 0C until further use.
Ligand Binding Assay to Determine Compound Affinities for the Human AT] and AT 2 Angiotensin Receptors
Binding assays were performed in 96-well Acrowell filter plates (Pall Inc., cat.# 5020) in a total assay volume of 100 μL with 0.2 μg membrane protein for membranes containing the human ATi receptor, or 2 μg membrane protein for membranes containing the human AT2 receptor in assay buffer (50 mM Tris/HCl pH 7.5 at 20 0C, 5 mM MgCl2, 25 μM EDTA, 0.025% BSA). Saturation binding studies for determination of IQ values of the ligand were done using N-terminally Europium-labeled angiotensin-II ([Eu]AngII, H- (Eu-N^-Ahx-Asp-Arg-Val-Tyr-Ile-His-Pro-Phe-OH; PerkinElmer, Boston, MA) at 8 different concentrations ranging from 0.1 nM to 30 nM. Displacement assays for determination of pIQ values of test compounds were done with [Eu]AngII at 2 nM and 11 different concentrations of drug ranging from 1 pM to 10 μM. Drugs were dissolved to a concentration of 1 mM in DMSO and from there serially diluted into assay buffer. Nonspecific binding was determined in the presence of 10 μM unlabeled angiotensin-II. Assays were incubated for 120 minutes in the dark, at room temperature or 37 0C, and binding reactions were terminated by rapid filtration through the Acrowell filter plates followed by three washes with 200 μL ice cold wash buffer (50 mM Tris/HCl pH 7.5 at 4 0C, 5 mM MgCl2) using a Waters filtration manifold. Plates were tapped dry and incubated with 50 μl DELFIA Enhancement Solution (PerkinElmer cat.# 4001-0010) at room temperature for 5 minutes on a shaker. Filter-bound [Eu]AngII was quantitated immediately on a Fusion plate reader (PerkinElmer) using Time Resolved Fluorescence (TRF). Binding data were analyzed by nonlinear regression analysis with the GraphPad Prism Software package (GraphPad Software, Inc., San Diego, CA) using the 3-parameter model for one-site competition. The BOTTOM (curve minimum) was fixed to the value for nonspecific binding, as determined in the presence of 10 μM angiotensin II. K1 values for drugs were calculated from observed IC50 values and the Kd value of [Eu]AngII according to the Cheng-Prusoff equation described in Cheng et al. (1973) Biochem
Pharmacol. 22(23):3099-108. Selectivities of test compounds for the ATi receptor over the AT2 receptor were calculated as the ratio OfAT2K1ZATiK1. Binding affinities of test compounds were expressed as negative decadic logarithms of the K1 values (PK1).
In this assay, a higher pK value indicates that the test compound has a higher binding affinity for the receptor tested. Exemplary compounds of the invention that were tested in this assay, typically were found to have a pK; at the ATi receptor greater than or equal to about 5.0. For example, the compound of Example 1 was found to have a pK value greater than about 7.0.
ASSAY 2 In vitro assays for the quantitation of inhibitor potencies (ICso) at human and rat NEP, and human ACE
The inhibitory activities of compounds at human and rat NEP and human ACE were determined using in vitro assays as described below.
Extraction of NEP Activity from Rat Kidneys Rat NEP was prepared from the kidneys of adult Sprague Dawley rats. Whole kidneys were washed in cold PBS and brought up in ice-cold lysis buffer (1% Triton X- 114, 15O mM NaCl, 5O mM Tris pH 7.5; Bordier (1981) J. Biol. Chem. 256: 1604-1607) in a ratio of 5 mL of buffer for every gram of kidney. Samples were homogenized using a polytron hand held tissue grinder on ice. Homogenates were centrifuged at 1000 x g in a swinging bucket rotor for 5 minutes at 3 0C. The pellet was resuspended in 20 mL of ice cold lysis buffer and incubated on ice for 30 minutes. Samples (15-20 mL) were then layered onto 25 mL of ice-cold cushion buffer (6% w/v sucrose, 50 mM pH 7.5 Tris, 150 mM NaCl, 0.06%, Triton X-114), heated to 37 0C for 3-5 minutes and centrifuged at 1000 x g in a swinging bucket rotor at room temperature for 3 minutes. The two upper layers were aspirated off, leaving a viscous oily precipitate containing the enriched membrane fraction. Glycerol was added to a concentration of 50% and samples were stored at -20 0C. Protein concentrations were quantitated using a BCA detection system with BSA as a standard.
Enzyme Inhibition Assays
Recombinant human NEP and recombinant human ACE were obtained commercially (R&D Systems, Minneapolis, MN, catalog numbers 1182-ZN and 929-ZN, respectively). The fluorogenic peptide substrate Mca-BK2 (Mca-Arg-Pro-Pro-Gly-Phe- Ser-Ala-Phe-Lys(Dnp)-OH; Johnson et al. (2000) Anal. Biochem. 286: 112-118) was used for the human NEP and ACE assays, and Mca-RRL (Mca-DArg-Arg-Leu-(Dnp)-OH; Medeiros et al. (1997) Braz. J. Med. Biol. Res. 30: 1157-1162) was used for the rat NEP assay (both from Anaspec, San Jose, CA).
The assays were performed in 384-well white opaque plates at room temperature using the respective fluorogenic peptides at a concentration of 10 μM in Assay Buffer (50 mM Tris/HCl at 25 0C, 100 mM NaCl, 0.01% Tween-20, 1 μM Zn, 0.025% BSA). Human NEP and human ACE were used at concentrations that resulted in quantitative proteolysis of 5 μM of Mca-BK2 within 20 minutes at room temperature. The rat NEP enzyme preparation was used at a concentration that yielded quantitative proteolysis of 3 μM of Mca-RRL within 20 minutes at room temperature.
Test compounds were diluted to 12 concentrations from 10 μM to 20 pM in Assay Buffer. Assays were started by adding 25 μL of enzyme to 12.5 μL of test compound at each of the 12 concentrations. Test compounds were allowed to equilibrate with the enzyme for 10 minutes before 12.5 μL of the fluorogenic substrates were added to initiate the reaction. Reactions were terminated by the addition of 10 μL of 3.6% glacial acetic acid after 20 minutes of incubation.
For sulfhydryl-containing test compounds, the test compounds may be diluted in Assay Buffer containing a 400 μM concentration of tris(2-carboxyethyl)phosphine hydrochloride (Thermo Scientific, Rockford, IL) (TCEP). The test compounds are then allowed to reduce for 40 minutes at room temperature before adding the enzyme. Test compounds are then allowed to equilibrate with the enzyme for 20 minutes before adding the fluorogenic substrates. Reactions are terminated as above. Plates were read on a fluorometer with excitation and emission wavelengths set to
320 nm and 405 nm, respectively. Raw data (relative fluorescence units) were normalized to % activity from the average high readings (no inhibition, 100% enzyme activity) and average low readings (full inhibition, highest inhibitor concentration, 0% enzyme activity) using three standard NEP and ACE inhibitors, respectively. Nonlinear regression of the normalized data was performed using a one site competition model (GraphPad Software, Inc., San Diego, CA). Data were reported as pICso values.
Exemplary compounds of the invention that were tested in this assay, typically were found to have a pICso for the NEP enzyme greater than or equal to about 5.0. For example, the compound of Example 1 has a pICso value greater than or equal to about 7.0. ASSAY 3
Pharmacodynamic (PD) assay for ACE, ATu and NEP Activity in Anesthetized Rats
Male, Sprague Dawley, normotensive rats are anesthetized with 120 mg/kg (i.p.) of inactin. Once anesthetized, the jugular vein, carotid artery (PE 50 tubing) and bladder (URI-I urinary silicone catheter) are cannulated and a tracheotomy is performed (Teflon Needle, size 14 gauge) to faciliate spontaneous respiration. The animals are then allowed a 60 minute stablization period and kept continuously infused with 5mL/kg/h of saline (0.9%) throughout, to keep them hydrated and ensure urine production. Body temperature is maintained throughout the experiment by use of a heating pad. At the end of the 60 minute stabilization period, the animals are dosed intravenously (i.v.) with two doses of angiotensin (Angl, 1.0 μg/kg, for ACE inhibitor activity; Angll, 0.1 μg/kg, for ATi receptor antagonist activity) at 15 minutes apart. At 15 minutes post-second dose of angiotensin (Angl or Angll), the animals are treated with vehicle or test compound. Five minutes later, the animals are additionally treated with a bolus i.v. injection of atrial natriuretic peptide (ANP; 30 μg/kg). Urine collection (into pre-weighted eppendorf tubes) is started immediately after the ANP treatment and continued for 60 minutes. At 30 and 60 minutes into urine collection, the animals are re-challenged with angiotensin (Angl or Angll). Blood pressure measurements are done using the Notocord system (Kalamazoo, MI). Urine samples are frozen at -20 0C until used for the cGMP assay. Urine cGMP concentrations are determined by Enzyme Immuno Assay using a commercial kit (Assay Designs, Ann Arbor, Michigan, Cat. No. 901-013). Urine volume is determined gravimetrically. Urinary cGMP output is calculated as the product of urine output and urine cGMP concentration. ACE inhibition or ATi antagonism is assessed by quantifying the % inhibition of pressor response to Angl or Angll, respectively. NEP inhibition is assessed by quantifying the potentiation of ANP-induced elevation in urinary cGMP output.
ASSAY 4
In Vivo Evaluation of Antihypertensive Effects in the Conscious SHR Model of Hypertension
Spontaneously hypertensive rats (SHR, 14-20 weeks of age) are allowed a minimum of 48 hours acclimation upon arrival at the testing site. Seven days prior to testing, the animals are either placed on a restricted low-salt diet with food containing 0.1% of sodium for sodium depleted SHRs (SD-SHR) or are placed on a normal diet for sodium repleted SHRs (SR-SHR). Two days prior to testing, the animals are surgically implemented with catheters into a carotid artery and the jugular vein (PE50 polyethylene tubing) connected via a PElO polyethylene tubing to a selected silicone tubing (size 0.020 ID x 0.037 OD x 0.008 wall) for blood pressure measurement and test compound delivery, respectively. The animals are allowed to recover with appropriate post operative care. On the day of the experiment, the animals are placed in their cages and the catheters are connected via a swivel to a calibrated pressure transducer. After 1 hour of acclimation, a baseline measurement is taken over a period of at least five minutes. The animals are then dosed i.v. with vehicle or test compound in ascending cumulative doses every 60 minutes followed by a 0.3 mL saline to clear the catheter after each dose. Data is recorded continuously for the duration of the study using Notocord software (Kalamazoo, MI) and stored as electronic digital signals. In some studies, the effects of a single intravenous or oral (gavage) dose are monitored for at least 6 hours after dosing. Parameters measured are blood pressure (systolic, diastolic and mean arterial pressure) and heart rate. ASSAY 5
In Vivo Evaluation of Antihypertensive Effects in the Conscious DOCA-SaIt Rat Model of Hypertension
CD rats (male, adult, 200-300 grams, Charles River Laboratory, USA) are allowed a minimum of 48 hours acclimation upon arrival at the testing site before they are placed on a high salt diet.
One week after the start of the high salt diet, a DOCA-salt pellet (100 mg, 21 days release time, Innovative Research of America, Sarasota, FL) is implanted subcutaneously and unilateral nephrectomy is performed. On 16 or 17 days post DOCA-salt pellet implantation, animals are implanted surgically with catheters into a carotid artery and the jugular vein with a PE50 polyethylene tubing, which in turn was connected via a PElO polyethylene tubing to a selected silicone tubing (size 0.020 ID x 0.037 OD x 0.008 wall) for blood pressure measurement and test compound delivery, respectively. The animals are allowed to recover with appropriate post operative care.
On the day of the experiment, each animal is kept in its cage and connected via a swivel to a calibrated pressure transducer. After 1 hour of acclimation, a baseline measurement is taken over a period of at least five minutes. The animals are then dosed i.v. with a vehicle or test compound in escalating cumulative doses every 60 minutes followed by 0.3 mL of saline to flush the catheter after each dose. In some studies, the effects of a single intravenous or oral (gavage) dose is tested and monitored for at least 6 hours after dosing. Data is recorded continuously for the duration of the study using Notocord software (Kalamazoo, MI) and stored as electronic digital signals. Parameters measured are blood pressure (systolic, diastolic and mean arterial pressure) and heart rate. For cumulative and single dosing, the percentage change in mean arterial pressure (MAP, mmHg) or heart rate (HR, bpm) is determined as described for Assay 4.
While the present invention has been described with reference to specific aspects or embodiments thereof, it will be understood by those of ordinary skilled in the art that various changes can be made or equivalents can be substituted without departing from the true spirit and scope of the invention. Additionally, to the extent permitted by applicable patent statues and regulations, all publications, patents and patent applications cited herein are hereby incorporated by reference in their entirety to the same extent as if each document had been individually incorporated by reference herein.

Claims

CLAIMSWHAT IS CLAIMED IS:
1. A compound of formula I :
Figure imgf000096_0001
wherein:
Y is:
Figure imgf000096_0002
Q is -C(R )-; and Z is a bond and W is -N-, or Z is -C(O)- and W is -CH-; or Y is:
Figure imgf000096_0003
Q is -C(R3)-; Z is -C(O)-; and W is -N-;
R1 is selected from -Ci_6alkylene-OH, -COORla, -CHO, -Ci_3alkylene- NHCH(COOH)(C i_6alkyl), -C(O)NHCH(COOH)(C i_6alkyl), and -C(0)NHCH2Rlb; where Rla is H or -Ci_6alkyl; and Rlb is -Co-3alkylenearyl or -Co-3alkyleneheteroaryl;
R2 is selected from H, -CH2OH, halo, -NO2, -Ci_6alkyl, -C2_6alkenyl, -C3_6cycloalkyl, -CN, -C(O)R2a, and -C0.3alkylenearyl; where R2a is H, -Ci_6alkyl, -C3.6cycloalkyl, -Co-3alkylene-phenyl, -0R2b, or -NR2cR2d; R2b is H, -Ci_6alkyl, -Cs-βcycloalkyl, phenyl, or benzyl; and R2c and R2d are independently H, -Ci_4alkyl, or -Co-ialkylene-phenyl;
R3 is selected from -Ci_iOalkyl, -C2_i0alkenyl, -C3_i0alkynyl, -Co-3alkylene-C3_7Cycloalkyl, -C2_3alkenylene-C3_7Cycloalkyl, -C2_3alkynylene- C3-vcycloalkyl, -Co-5alkylene-NR3a-Co-5alkylene-R3b, -Co-salkylene-O-Co-salkylene-R313, -Co-salkylene-S-Ci-salkylene-R3*3, and -Co-3alkylenearyl; R3a is H, -Ci_6alkyl, -C3_7cycloalkyl, or -Co_3alkylenearyl; and R3b is H, -Ci_6alkyl, -C3_7cycloalkyl, -C2_4alkenyl, -C2_4alkynyl, or aryl; r is O, 1 or 2; Ar-X-CR5R6R7 is selected from:
Figure imgf000097_0001
X is selected from -SO2NHC(O)-, -SO2NHC(O)-C i_i2alkylene-NHC(O)-, -SO2NHC(O)-Ci_i2alkylene-C(O)NH-, -C(O)NH-SO2-Ci_i2alkylene-NHC(O)-, -C(O)NH- SO2-C i_i2alkylene-C(O)NH-, -SO2NHC(O)NH-C2_i2alkylene-NHC(O)-, -SO2NHC(O)NH- Ci_i2alkylene-C(O)NH-, -NH-SO2-NHC(O)-Ci_i2alkylene-NHC(O)-, and -NH-SO2- NHC(O)-Ci_i2alkylene-C(O)NH-;
R5 is selected from -C0-3alkylene-SR5a, -C0-3alkylene-C(O)NR5bR5c, -C0-3alkylene-NR5b-C(O)R5d, -NH-C0-ialkylene-P(O)(OR5e)2, -C0-3alkylene-P(O)OR5eR5f, -Co.2alkylene-CHR5g-COOH, -C0-3alkylene-C(O)NR5h-CHR5l-COOH, and -C0.3alkylene-S-
SR5j; R5a is H or -C(O)R5aa; R5aa is -Ci_6alkyl, -C0-6alkylene-C3.7cycloalkyl, -Co-βalkylenearyl, -Co-βalkyleneheteroaryl, -Co-βalkylenemorpholine, -Co-βalkylenepiperazine-CHs, -CH[N(R5ab)2]-aa where aa is an amino acid side chain, -2- pyrrolidine, -C0-6alkylene-OR5ab, -O-C0-6alkylenearyl, -Ci.2alkylene-OC(O)-Ci.6alkyl, -Ci.2alkylene-OC(0)-Co.6alkylenearyl, or -O-Ci_2alkylene-OC(O)O-Ci_6alkyl; R5ab is H or -Ci_6alkyl; R5b is H, -OH, -OC(O)R5ba, -CH2COOH, -O-benzyl, -pyridyl, or
-OC(S)NR5bbR5bc; R5ba is H, -Ci_6alkyl, aryl, -OCH2-aryl, -CH2O-aryl, or -NR5bbR5bc; R5bb and R5bc are independently H or -Ci_4alkyl; R5c is H, -Ci_6alkyl, or -C(O)-R5ca; R5ca is H, -Ci_6alkyl, -C3_7cycloalkyl, aryl, or heteroaryl; R5d is H, -Ci_4alkyl, -Co_3alkylenearyl, -NR5daR5db, -CH2SH, or -O-Ci_6alkyl; R5da and R5db are independently H or -Ci_4alkyl; R5e is H, -Ci_6alkyl, -Ci_3alkylenearyl, -Ci_3alkyleneheteroaryl, -Cs-ycycloalkyl, -CH(CH3)-O- C(O)R5ea,
Figure imgf000098_0001
R5ea is -O-Ci_6alkyl, -O-Cs-ycycloalkyl, -NR5ebR5ec, or -CH(NH2)CH2COOCH3; R5eb and R5ec are independently H, -Ci_4alkyl, or -Ci_3alkylenearyl, or are taken together as -(CH2)3-6-; R5f is H, -Ci_4alkyl, -C0-3alkylenearyl, -Ci_3alkylene-NR5faR5fb, or
-Ci_3alkylene(aryl)-Co-3alkylene-NR5faR5fb; R5fa and R5fb are independently H or -Ci_4alkyl; R5g is H, -Ci_6alkyl, -Ci_3alkylenearyl, or -CH2-O-(CH2)2-OCH3; R5h is H or -Ci_4alkyl; R51 is H, -Ci_4alkyl, or -Co-3alkylenearyl; and R5j is -Ci_6alkyl, aryl, or -CH2CH(NH2)COOH;
R6 is selected from -Ci_6alkyl, -CH2O(CH2)2-OCH3, -Ci-ealkylene-O-d-ealkyl, -C0-3alkylenearyl, -Co^alkyleneheteroaryl, and -C0-3alkylene-C3_7cycloalkyl; and R7 is H or is taken together with R6 to form -C3_8Cycloalkyl; wherein: each -CH2- group in -(CH2)r- is optionally substituted with 1 or 2 substituents independently selected from -Ci_4alkyl and fluoro; one -CH2- in the -Ci_i2alkylene- portion of X is optionally replaced with -C4_8Cycloalkylene- or phenylene; one or more -CH2- moieties are optionally replaced with a -NR4-C(0)- or -C(O)-NR4- moiety, where R4 is H, -OH, or -Ci_4alkyl; and one or more -CH2- moieties are optionally substituted with -COOH or an amino acid side chain; each alkyl and each aryl in R1"6 is optionally substituted with 1 to 7 fluoro atoms; each ring in Ar-X-CR5R6R7 and each aryl and heteroaryl in R1, R2, R3, and R5"6 is optionally substituted with 1 to 3 substituents independently selected from -OH, -Ci_6alkyl, -C2.4alkenyl, -C2.4alkynyl, -CN, halo, -O-Ci_6alkyl, -S-C1-6alkyl, -S(O)-Ci_6alkyl, -S(O)2- Ci_4alkyl, phenyl, -NO2, -NH2, -NH-Ci_6alkyl and -N(Ci_6alkyl)2, wherein each alkyl, alkenyl and alkynyl is optionally substituted with 1 to 5 fluoro atoms; or a pharmaceutically acceptable salt thereof.
2. The compound of Claim 1 , wherein Y is:
Figure imgf000099_0001
Q is -C(R )-, Z is a bond, and W is -N-.
3. The compound of Claim 1 , wherein Y is :
Figure imgf000099_0002
Q is -C(R3)-, Z is -C(O)-, and W is -N-.
4. The compound of Claim 1 , wherein R1 is -CH2OH, -COOH, -CHO, -CH2NHCH(COOH)(C2.5alkyl), -C(O)NHCH(COOH)(C2.5alkyl), or -C(0)NHCH2Rlb; where Rlb is -Co-3alkylenephenyl or -Co-ialkyleneheteroaryl.
5. The compound of Claim 1, wherein R2 is H or halo.
6. The compound of Claim 1, wherein R3 is -C2_7alkyl.
7. The compound of Claim 1 , wherein r is 1.
8. The compound of Claim 1 , wherein Ar-X-CR5R6R7 is :
Figure imgf000099_0003
9. The compound of Claim 1 wherein one of the -CH2- moieties in X is replaced with a -NR4-C(0)- or -C(O)-NR4- group.
10. The compound of Claim 1, wherein X is -SO2NHC(O)- or -SO2NHC(O)- Ci_9alkylene-NHC(O)-.
11. The compound of Claim 10, wherein X is selected from: -SO2NHC(O)-; -SO2NHC(O)CH[CH(CH3)2]-NHC(O)-; -SO2NHC(O)CH2-NHC(O)-; -SO2NHC(O)-cyclohexylene-NHC(O)-; -SO2NHC(O)(CH2)2-NHC(O)-; -SO2NHC(O)CH2-NHC(O)-CH2-NHC(O)-; -SO2NHC(O)(CH2)4-NHC(O)-;
-SO2NHC(O)(CH2)2-NHC(O)-CH2-NHC(O)-; -SO2-NHC(O)(CH2)2-NHC(O)-cyclohexylene-NHC(O)-; -SO2NHC(O)(CH2)2-NHC(O)-CH2-CH(COOH)-NHC(O)-; -SO2-NHC(O)(CH2)6-NHC(O)-; -SO2NHC(O)(CH2)2-NHC(O)-(CH2)2-CH(COOH)-NHC(O)-;
-SO2-NHC(O)(CH2)4-NHC(O)-CH2-NHC(O)-; and -SO2NHC(O)(CH2)6-NHC(O)-CH2-NHC(O)-.
12. The compound of Claim 1, wherein R5 is -Co_3alkylene-SR5a, -Co_3alkylene- C(O)NR5bR5c, -C0-3alkylene-NR5b-C(O)R5d, -NH-C0-ialkylene-P(O)(OR5e)2, -Co-3alkylene-P(0)OR5eR5f, -C0-2alkylene-CHR5g-COOH, or -C0-3alkylene-C(O)NR5h- CHR5l-C00H; where R5a is H, R5b is -OH, R5c is H, R5d is H, and R5e is H.
13. The compound of Claim 12, wherein R5 is -Co_3alkylene-SH, -C0-3alkylene-C(O)N(R5b)H, -NH-C0-ialkylene-P(O)(OH)2, or -C0-2alkylene-CH[-CH2-O-(CH2)2-OCH3]-COOH.
14. The compound of Claim 1, wherein R5 is -Co-3alkylene-SR5a, -Co-3alkylene-
C(O)NR5bR5c, -C0.3alkylene-NR5b-C(O)R5d, -NH-C0-ialkylene-P(O)(OR5e)2, -C0.3alkylene- P(O)OR5eR5f, or -C0-3alkylene-S-SR5j; where R5a is -C(O)-R5aa; R5b is H, -OC(O)R5ba, -CH2COOH, -O-benzyl, -pyridyl, or -OC(S)NR5bbR5bc; and R5e is -Ci_6alkyl, -Ci_3alkylenearyl, -Ci_3alkyleneheteroaryl, -Cs-ycycloalkyl, -CH(CH3)-O-C(O)R5ea,
Figure imgf000100_0001
15. The compound of Claim 1, wherein R0 is -Ci_6alkyl.
16. The compound of Claim 1 , wherein R7 is H or is taken together with R6 to form cyclopentyl.
17. The compound of Claim 1, having formula Ia:
Figure imgf000101_0001
where:
Y is:
Figure imgf000101_0002
Q is -C(R )-, Z is a bond, and W is -N-; or
Y is:
Figure imgf000101_0003
Q is -C(R3)-, Z is -C(O)-, and W is -N-; Ar-X-CR5R6R7 is selected from:
Figure imgf000101_0004
18. The compound of Claim 17, having formula Ib:
Figure imgf000101_0005
19. The compound of Claim 18, wherein R1 is -Ci_6alkylene-0H or -CHO; R2 is H or halo; R3 is -Ci.ioalkyl; X is -SO2NHC(O)-Ci_9alkylene-NHC(O)-; R5 is -Co-3alkylene-SH, -Co-3alkylene-C(0)N(R5b)H, -NH-C0.ialkylene-P(O)(OH)2, or -Co-2alkylene-CH[-CH2-0-(CH2)2-OCH3]-COOH, where R5b is -OH or -OC(O)-C1-6alkyl; R6 is -Ci_6alkyl or -Co-3alkylenearyl; and R7 is H or is taken together with R6 to form -C3_8Cycloalkyl; where one -CH2- in the -Ci_9alkylene- portion of X is optionally replaced with -C4-8cycloalkylene-; one -CH2- moiety is optionally replaced with a -NHC(O)- moiety; one -CH2- moiety is optionally substituted with -COOH or an amino acid side chain; and the aryl in R6 is optionally substituted with phenyl.
20. The compound of Claim 17, having formula Ic:
Figure imgf000102_0001
21. The compound of Claim 20, wherein R1 is -Ci_6alkylene-OH, -COOH, -CHO, -Ci.3alkylene-NHCH(COOH)(Ci_6alkyl), or -C(0)NHCH2Rlb, where Rlb is -Co_3alkylenearyl or -Co_3alkyleneheteroaryl; R2 is halo; R3 is -Ci_ioalkyl; X is -SO2NHC(O)-Ci_9alkylene-NHC(O)-; R5 is -C0-3alkylene-SH or
-C0-3alkylene-C(O)N(OH)H; R6 is -Ci_6alkyl or -C0-3alkylenearyl; and R7 is H; where one -CH2- moiety in the -Ci.galkylene- portion of X is optionally replaced with a -NHC(O)- moiety.
22. The compound of Claim 17, having formula Id:
Figure imgf000102_0002
23. The compound of Claim 22, wherein R3 is -Ci_iOalkyl; X is -SO2NHC(O)- or -SO2NHC(O)-Ci_5alkylene-NHC(O)-; R5 is -C0-3alkylene-SH or -C0-3alkylene-C(O)N(OH)H; R6 is -Ci_6alkyl or -C0-3alkylenearyl; and R7 is H; where one -CH2- moiety in the -Ci_salkylene- portion of X is optionally replaced with a -NHC(O)- moiety; and one -CH2- moiety is optionally substituted with an amino acid side chain.
24. The compound of Claim 17, where R1 is -Ci_6alkylene-OH, -COOH, -CHO, -Ci_3alkylene-NHCH(COOH)(Ci_6alkyl), or -C(0)NHCH2Rlb; where Rlb is -Co-3alkylenearyl or -Co^alkyleneheteroaryl; R2 is H or halo; R3 is -Ci_ioalkyl; X is -SO2NHC(O)- or -SO2NHC(O)-C i_9alkylene-NHC(O)-; R5 is -C0-3alkylene-SH, -C0-3alkylene-C(O)N(R5b)H, -NH-C0-ialkylene-P(O)(OH)2, or
-Co-2alkylene-CH[-CH2-0-(CH2)2-OCH3]-COOH; where R5b is -OH or -OC(O)-C 1-6alkyl; R6 is -Ci_6alkyl or -Co-3alkylenearyl; and R7 is H or is taken together with R6 to form
-C3_8Cycloalkyl; wherein one -CH2- in the -Ci_9alkylene- portion of X is optionally replaced with -C4_8Cycloalkylene-; one -CH2- moiety is optionally replaced with a -NHC(O)- moiety; one -CH2- moiety is optionally substituted with -COOH; and the aryl in R6 is optionally substituted with phenyl.
25. The compound of Claim 24, wherein R1 is -CH2OH, -COOH, -CHO,
-CH2NHCH(COOH)[CH2CH(CH3)2], -C(O)NHCH2-pheiiyl, -C(O)NH(CH2)2-pheiiyl, -C(O)NH(CH2)3-phenyl, -C(O)NH(CH2)4-phenyl, -C(O)NHCH2-2-thienyl, or -C(O)NH(CH2)2-2-thienyl; R2 is H or chloro; R3 is -(CH2)3CH3; X is selected from:
-SO2NHC(O)-; -SO2NHC(O)CH[CH(CH3)2]-NHC(O)-;
-SO2NHC(O)CH2-NHC(O)-; -SO2NHC(O)-cyclopentylene-NHC(O)-; -SO2NHC(O)-cyclohexylene-NHC(O)-; -SO2NHC(O)(CH2)2-NHC(O)-; -SO2NHC(O)CH2-NHC(O)-CH2-NHC(O)-;
-SO2NHC(O)(CH2)4-NHC(O)-; -SO2NHC(O)(CH2)2-NHC(O)-CH2-NHC(O)-; -SO2-NHC(O)(CH2)2-NHC(O)-cyclohexylene-NHC(O)-; -SO2NHC(O)(CH2)2-NHC(O)-CH2-CH(COOH)-NHC(O)-; -SO2-NHC(O)(CH2VNHC(O)-;
-SO2NHC(O)(CH2)2-NHC(O)-(CH2)2-CH(COOH)-NHC(O)-; -SO2-NHC(O)(CH2)4-NHC(O)-CH2-NHC(O)-; and -SO2NHC(O)(CH2)6-NHC(O)-CH2-NHC(O)-;
R5 is -SH, -CH2-SH, -C(O)NH(OH), -C(O)NH[OC(O)CH3], -C(O)NH[OC(O)C(CH3)3], -NH-CH2-P(O)(OH)2, or -CH2-CH[CH2-O-(CH2)2-OCH3]-COOH; R6 is -CH3, -CH(CH3)2, -CH(CH3)CH2CH3, -CH2CH(CH3)2, -CH2-phenyl, or -CH2-biphenyl; and R7 is H or is taken together with R6 to form cyclopentyl.
26. A pharmaceutical composition comprising a compound of any one of Claims 1 to 25 and a pharmaceutically acceptable carrier.
27. The pharmaceutical composition of Claim 26, further comprising a second therapeutic agent.
28. The composition of Claim 27, wherein the second therapeutic agent is selected from diuretics, βi adrenergic receptor blockers, calcium channel blockers, angiotensin- converting enzyme inhibitors, ATi receptor antagonists, neprilysin inhibitors, non-steroidal anti-inflammatory agents, prostaglandins, anti-lipid agents, anti-diabetic agents, antithrombotic agents, renin inhibitors, endothelin receptor antagonists, endothelin converting enzyme inhibitors, aldosterone antagonists, angiotensin-converting enzyme/neprilysin inhibitors, vasopressin receptor antagonists, and combinations thereof.
29. A process for preparing a compound of any one of Claims 1 to 25, where X is -SO2NHC(O)- or -SO2NHC(O)-Ci_i2alkylene-NHC(O)-, comprising:
(a) coupling a compound of formula 1 with a compound of formula 2:
Figure imgf000104_0001
or coupling a compound of formula 1 ' with a compound of formula 2' :
Figure imgf000104_0002
to produce a compound having the formula:
Figure imgf000104_0003
where: A is -NH2 and B is -COOH or A is -COOH and B is -NH2; the sum of a and b is in the range of 1 to 12; and R5* represents R5 or a protected form of R5; and
(b) when R5* is a protected form of R5, deprotecting the product of step (a) to produce a compound of formula I.
30. An intermediate useful in the synthesis of a compound of any one of Claims 1 to 25, having formula II, and salts thereof:
Figure imgf000105_0001
where Q, W, Y, Z, r, and Ar-X, R6 and R7 are as defined for formula I; and R5* is selected from -C0-3alkylene-S-P3, -C0-3alkylene-C(O)NH(O-P5), -C0-3alkylene-N(O-P5)-C(O)R5d, -C0-ialkylene-NHC(O)CH2S-P3, -NH-C0-ialkylene-P(O)(O-P7)2, -Co-3alkylene-P(0)(0-P7)-R5e, -C0-2alkylene-CHR5f-C(O)O-P2 and
-Co-3alkylene-C(0)NR5g-CHR5h-C(0)0-P2; and R5d h are as defined for formula I; where P2 is a carboxy-protecting group, P3 is a thiol-protecting group, P5 is a hydroxyl-protecting group, and P7 is a phosphate-protecting group.
31. Use of a compound of any one of Claims 1 to 25 for the manufacture of a medicament.
32. The use of Claim 31 , wherein the medicament is useful for treating hypertension or heart failure.
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