Classifications

• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07C—ACYCLIC OR CARBOCYCLIC COMPOUNDS
  • C07C405/00—Compounds containing a five-membered ring having two side-chains in ortho position to each other, and having oxygen atoms directly attached to the ring in ortho position to one of the side-chains, one side-chain containing, not directly attached to the ring, a carbon atom having three bonds to hetero atoms with at the most one bond to halogen, and the other side-chain having oxygen atoms attached in gamma-position to the ring, e.g. prostaglandins ; Analogues or derivatives thereof
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P27/00—Drugs for disorders of the senses
  • A61P27/02—Ophthalmic agents
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P27/00—Drugs for disorders of the senses
  • A61P27/02—Ophthalmic agents
  • A61P27/06—Antiglaucoma agents or miotics
• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07C—ACYCLIC OR CARBOCYCLIC COMPOUNDS
  • C07C291/00—Compounds containing carbon and nitrogen and having functional groups not covered by groups C07C201/00 - C07C281/00
  • C07C291/02—Compounds containing carbon and nitrogen and having functional groups not covered by groups C07C201/00 - C07C281/00 containing nitrogen-oxide bonds
• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07C—ACYCLIC OR CARBOCYCLIC COMPOUNDS
  • C07C2601/00—Systems containing only non-condensed rings
  • C07C2601/02—Systems containing only non-condensed rings with a three-membered ring
• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07C—ACYCLIC OR CARBOCYCLIC COMPOUNDS
  • C07C2601/00—Systems containing only non-condensed rings
  • C07C2601/06—Systems containing only non-condensed rings with a five-membered ring
  • C07C2601/08—Systems containing only non-condensed rings with a five-membered ring the ring being saturated

Definitions

• the present invention relates to new prostaglandin derivatives. More particularly, the present invention relates to nitrooxyderivatives of prostaglandin amides (also known as prostamides), pharmaceutical compositions containing them and their use as drugs for treating glaucoma and ocular hypertension.
• prostaglandin amides also known as prostamides
• pharmaceutical compositions containing them and their use as drugs for treating glaucoma and ocular hypertension.
• Glaucoma is a disease of the eye characterized by a progressive loss of visual field due to irreversible damage to the optic nerve to the point where, if untreated, may result in total blindness. Glaucoma occurs when an imbalance in production and drainage of fluid in the eye (aqueous humor) increases eye pressure to unhealthy levels.
• the chief pathophysiological feature of glaucoma is raised intraocular pressure (lOP).
• lOP intraocular pressure
• POAG primary open angle glaucoma
• POAG primary open angle glaucoma
• elevated intraocular pressure without visual field loss is thought to be indicative of the early stages of this form of POAG.
• elevated IOP can be at least partially controlled by administering drugs which either reduce the production of aqueous humor within the eye or increase the fluid drainage, such as beta-blockers, ⁇ -agonists, cholinergic agents, carbonic anhydrase inhibitors, or prostaglandin analogs.
• drugs which either reduce the production of aqueous humor within the eye or increase the fluid drainage
• beta-blockers such as beta-blockers, ⁇ -agonists, cholinergic agents, carbonic anhydrase inhibitors, or prostaglandin analogs.
• Topical beta-blockers show serious pulmonary side effects, depression, fatigue, confusion, impotence, hair loss, heart failure and bradycardia.
• Topical ⁇ - agonists have a fairly high incidence of allergic or toxic reactions; topical cholinergic agents (miotics) can cause visual side effects.
• Topical prostaglandin analogs used in the treatment of glaucoma can produce ocular side effects, such as increased pigmentation of the iris, ocular irritation, conjunctival hyperaemia, ulceris, uveitis and macular oedema (Martindale, Thirty-third edition, p. 1445).
• U.S. Patent No. 3,922,293 describes monocarboxyacylates of prostaglandins F- type and their 15 ⁇ isomers, at the C-9 position, and processes for preparing them;
• U.S. Patent No. 6,417,228 discloses 13-aza prostaglandins having functional PGF2 ⁇ receptor agonist activity and their use in treating glaucoma and ocular hypertension.
• WO90/02553 discloses the use of prostaglandin derivatives of PGA, PGB, PGE and PGF, in which the omega chain contains a ring structure, for the treatment of glaucoma or ocular hypertension.
• WO00/51978 describes novel nitrosated and/or nitrosylated prostaglandins, in particular novel derivatives of PGEi, novel compositions and their use for treating sexual dysfunctions.
• U.S. Patent No. 5,625,083 discloses dinitroglycerol esters of prostaglandins which may be used as vasodilators, antihypertensive cardiovascular agents or bronchodilators.
• U.S. Patent No. 6,211 ,233 discloses compounds of the general formula A-X 1 -
• A contains a prostaglandin residue, in particular PGE 1 , and Xi is a bivalent connecting bridge, and their use for treating impotence.
• prostaglandins able not only to eliminate or at least reduce the side effects associated with these compounds, but also to possess an improved pharmacological activity. It has been surprisingly found that certain prostaglandin nitroderivatives have an improved lOP-reducing efficacy and an improved overall profile as compared to the known prostaglandin analogs both in terms of broad range of therapeutic applicability for the treatment of eye diseases and of enhanced activity and tolerability. In particular, it has been recognized that the prostaglandin nitroderivatives of the present invention can be employed for treating glaucoma and ocular hypertension.
• the compounds of the present invention are indicated for the reduction of intraocular pressure in patients with open- angle glaucoma or with chronic angle-closure glaucoma who underwent peripheral iridotomy or laser iridoplasty.
• An object of the present invention is, therefore, a compound of formula (I):
• R 1 , R 2 , R 3 and R 4 are each independently H, -C(O)R 5 -ONO 2 , -C(O)OR 5 - ONO 2 , -C(O)R 5 R 6 -ONO 2 , -[C(O)R 5 ] m -ONO 2 , -C(O)R 5 -[OC(O)R 6 ] n -ONO 2 , -C(O)R 5 - [(O)CR 6 J n -ONO 2 , -C(O)R 5 -[(O)R 6 ] n -ONO 2 , -[C(O)R 5 Jm-[C(O)ORe] n -ONO 2 , with the proviso that R 1 , R 2 , R 3 and R 4 cannot all be H; each R 5 and R 6 , which may be
• each of said Ci -9 alkyl, C 2-9 alkenyl, C 2- 9 alkynyl, Ci -9 alkoxy, C 2-9 alkoxyalkyl, C 3 -io cycloalkyl, C3-10 cycloalkoxy and C 4-I o membered heterocyclic moieties is optionally substituted with one or more of halo, cyano, nitro, azido, N, O, S, NO 2 or ONO 2 ; each m is independently selected from 1 to 6; and each n is independently selected from 1 to 6; or a pharmaceutically acceptable salt or stereoisomer thereof.
• R 1 , R 2 , R 3 and R 4 are each independently H, -C(O)R 5 -ONO 2 , -C(O)OR 5 - ONO 2 , -C(O)R 5 R 6 -ONO 2 , -[C(O)R 5 ] m -ONO 2 , -C(O)R 5 -[OC(O)R 6 ] n -ONO 2> -C(O)R 5 - [(O)CRVONO 2 , -C(O)R 5 -[(O)R 6 ] n -ONO 2l -[C(O)R 5 ]m-[C(O)OR 6 ] ⁇ -ONO 2> with the proviso that R 1 , R 2 , R 3 and R 4 cannot all be H; each R 5 and R 6 , which may be the same or different, is independently selected from C
• 10 membered heterocyclic moieties is optionally substituted with one or more of halo, cyano, nitro, azido, N, O, S, NO 2 or ONO 2 ; each m is independently selected from 1 to 6; and each n is independently selected from 1 to 6; or a pharmaceutically acceptable salt or stereoisomer thereof.
• R 1 , R 2 , R 3 and R 4 are each independently H, -C(O)R 5 -ONO 2 , -C(O)OR 5 -
• each R 5 and R 6 which may be the same or different, is independently selected from C 1-9 alkyl, C 2 .g alkenyl, C 2 - 9 alkynyl, C 1-9 alkoxy, C 2 - 9 alkoxyalkyl, C 3-10 cycloalkyl, C 3- i
• R 2 , R 3 and R 4 are each independently H 1 -C(O)R 5 -ONO 2 , -C(O)OR 5 - ONO 2 , -C(O)R 5 R 6 -ONO 2 , -[C(O)R 5 ] m -ONO 2 , -C(O)R 5 -[OC(O)R 6 ] n -ONO 2 , -C(O)R 5 - [(O)CR 6 J n -ONO 2 , -C(O)R 5 -[(O)R 6 ] n -ONO 2 , -[C(O)R 5 ]m-[C(O)OR 6 ] n -ONO 2l with the proviso that R 2 , R 3 and R 4 cannot all be H; each R ⁇ and R 6 , which may be the same or different, is independently selected from Ci -9 alkyl, C 2 - 9 alkenyl, C 2-9
• R 1 , R 3 and R 4 are each independently H, -C(O)R 5 -ONO 2 , -C(O)OR 5 - ONO 2 , -C(O)R 5 R 6 -ONO 2 , -[C(O)R 5 ] m -ONO 2 , -C(O)R 5 -[OC(O)R 6 ] ⁇ -ONO 2 , -C(O)R 5 - [(O)CR 6 J n -ONO 2 , -C(O)R 5 -[(O)R 6 ] n -ONO 2) -[C(O)R 5 ] m -[C(O)OR 6 ] n -ONO 2 , with the proviso that R 1 , R 3 and R 4 cannot all be H; each R 5 and R 6 , which may be the same or different, is independently selected from Ci -9 alkyl, C 2-9 alkenyl, C 2-9 alky
• R 1 , R 2 and R 4 are each independently H, -C(O)R 5 -ONO 2 , -C(O)OR 5 - ONO 2 , -C(O)R 5 R 6 -ONO 2 , -[C(O)R 5 ] m -ONO 2) -C(O)R 5 -[OC(O)R 6 ] n -ONO 2 , -C(O)R 5 - [(O)CRVONO 2 , -C(O)R 5 -[(O)R 6 ]n-ONO 2 , -[C(O)R 5 Im-[C(O)OR 6 J n -ONO 2 , with the proviso that R 1 , R 2 and R 4 cannot all be H; each R 5 and R 6 , which may be the same or different, is independently selected from Ci -9 alkyl, C 2-9 alkenyl, C 2 .
• Ci -9 alkoxy C 2 . 9 alkoxyalkyl, C3-io cycloalkyl, C3- 1 0 cycloalkoxy and C 4-10 membered heterocyclic; wherein each of said Ci -9 alkyl, C 2-9 alkenyl, C 2 .g alkynyl, Ci -g alkoxy, C 2-9 alkoxyalkyl, C 3- io cycloalkyl, C3.
• each m is independently selected from 1 to 6; and each n is independently selected from 1 to 6; or a pharmaceutically acceptable salt or stereoisomer thereof.
• R 3 and R 4 are each independently H, -C(0)R 5 -0NO 2 , -C(O)OR 5 ONO 2 , - C(O)R 5 R 6 -ONO 2l -[C(O)R 5 ] m -ONO 2l -C(O)R 5 -[OC(O)R 6 ] n -ONO 2 , -C(O)R 5 -[(O)CR 6 ] n - ONO 2 , -C(O)R 5 -[(O)R 5 ]n-ONO 2 , -[C(O)R 5 ]m-[C(O)OR 6 ]n-ONO 2) with the proviso that R 3 and R 4 cannot both be H; each R 5 and R 6 , which may be the same or different, is independently selected from C1-9 alkyl, C 2-9 alkenyl, C 2 .g alkynyl, Ci -9 alkoxy, C 2 -9 alk
• each of said C1- 9 alkyl, C 2-g alkenyl, C 2-9 alkynyl, Ci.g alkoxy, C 2 - 9 alkoxyalkyl, C 3- io cycloalkyl, C3.1 0 cycloalkoxy and C 4-I o membered heterocyclic moieties is optionally substituted with one or more of halo, cyano, nitro, azido, N, O, S, NO 2 or ONO 2 ; each m is independently selected from 1 to 6; and each n is independently selected from 1 to 6; or a pharmaceutically acceptable salt or stereoisomer thereof.
• R 1 and R 4 are each independently H, -C(O)R 5 -ONO 2 , -C(O)OR 5 -ONO 2 , - C(O)R 5 R ⁇ -ONO 2 , -[C(O)R 5 ] m -ONO 2l -C(O)R 5 -[OC(O)R 6 ] n -ONO 2 , -C(O)R 5 -[(O)CR 6 ] n - ONO 2 , -C(O)R 5 -[(O)R 6 ]n-ONO 2 , -[C(O)R 5 ] m -[C(O)OR 6 ]n-ONO 2 , with the proviso that R 1 and R 4 cannot both be H; each R 5 and R 6 , which may be the same or different, is independently selected from C 1-9 alkyl, C 2-9 alkenyl, C 2- g alkynyl, C 1 .
• each of said Ci -9 alkyl, C 2-9 alkenyl, C 2-9 alkynyl, C1-9 alkoxy, C 2-9 alkoxyalkyl, C 3 - 10 cycloalkyl, C3- 1 0 cycloalkoxy and C 4-I o membered heterocyclic moieties is optionally substituted with one or more of halo, cyano, nitro, azido, N, O, S, NO 2 or ONO 2 ; each m is independently selected from 1 to 6; and each n is independently selected from 1 to 6; or a pharmaceutically acceptable salt or stereoisomer thereof.
• R 1 and R 2 are each independently H, -C(O)R 5 -ONO 2 , -C(O)OR 5 -ONO 2) - C(O)R 5 R 6 -ONO 2 , -[C(O)R 5 ] m -ONO 2 , -C(O)R 5 -[OC(O)R 6 ] n >ONO 2 , -C(O)R 5 -[(O)CR 6 ] n - ONO 2 , -C(O)R 5 -[(O)R 6 ]n-ONO 2 , -[C(O)R 5 ]m-[C(O)OR 6 ] n -ONO 2 , with the proviso that R 1 and R 2 cannot both be H; each R 5 and R 6 , which may be the same or different, is independently selected from d.g alky!, C 2-9 alkenyl, C 2 -g alkynyl, C-i-g
• each of said Ci -9 alkyl, C 2 .g alkenyl, C 2- g alkynyl, Ci -9 alkoxy, C 2 .g alkoxyalkyl, C3 -10 cycloalkyl, C 3 - 10 cycloalkoxy and C 4 - 1 0 membered heterocyclic moieties is optionally substituted with one or more of halo, cyano, nitro, azido, N, O, S, NO 2 or ONO 2 ; each m is independently selected from 1 to 6; and each n is independently selected from 1 to 6; or a pharmaceutically acceptable salt or stereoisomer thereof.
• R 3 and R 4 are each independently H, -C(O)R 5 -ONO 2 , -C(O)OR 5 -ONO 2 , - C(O)R 5 R 6 -0N0 2) -[C(O)R 5 ] m -ONO 2 , -C(O)R 5 -[OC(O)R 6 ] n -ONO 2 , -C(O)R 5 -[(O)CR 6 ] n - ONO 2 , -C(O)R 5 -[(O)R 6 ] n -ONO 2 , -[C(O)R 5 ]m-[C(O)OR 6 ]n-ONO 2 , with the proviso that R 3 and R 4 cannot both be H; each R 5 and R 6 , which may be the same or different, is independently selected from Ci-g alkyl,
• a compound of any one of formula (I) to (X) for use as a medicament, or for the preparation of a medicament for treating glaucoma and ocular hypertension.
• a pharmaceutical composition comprising a pharmaceutically acceptable carrier and a pharmaceutically effective amount of a compound of any one of formula (I) to (X) and/or a salt or stereoisomer thereof, or such a pharmaceutical composition in a suitable form for topical administration.
• a pharmaceutical composition as herein described for the treatment of glaucoma and ocular hypertension or wherein the compound is administered as a solution, suspension or emulsion in an ophthalmically acceptable vehicle.
• a method for treating glaucoma or ocular hypertension comprising contacting an effective intraocular pressure reducing amount of a pharmaceutical composition as herein described with the eye in order to reduce eye pressure and to maintain said pressure on a reduced level.
• a pharmaceutical composition comprising a mixture of a compound of any one of formula (I) to (X) and/or a salt or stereoisomer thereof as herein described and (i) a beta-blocker or (ii) a carbonic anhydrase inhibitor or (iii) an adrenergic agonist; or a nitrooxy derivative thereof.
• substituted means that the specified group or moiety bears one or more substituents.
• unsubstituted means that the specified group bears no substituents.
• treat includes preventative (e.g., prophylactic) and palliative treatment.
• the term "pharmaceutically acceptable” means the carrier, diluent, excipients and/or salt must be compatible with the other ingredients of the formulation and not deleterious to the recipient thereof.
• alkyl means a straight or branched chain saturated hydrocarbon.
• exemplary alkyl groups include but are not limited to methyl, ethyl, propyl, isopropyl, n-butyl, sec-butyl, tert-butyl, pentyl, isopentyl, neopentyl, tert-pentyl, 1- methylbutyl, 2-methylbutyl, 3-methylbutyl, hexyl, isohexyl, heptyl, octyl and the like.
• alkenyl groups include but are not limited to vinyl, propenyl, butenyl, pentenyl, hexenyl, heptenyl, octenyl and the like.
• alkynyl means a straight or branched chain hydrocarbon having at least one triple bond, i.e., a C ⁇ C.
• alkynyl groups include but are not limited to acetylenyl, propargyl, butynyl, pentynyl, hexynyl, heptynyl, octynyl and the like.
• cycloalkyl means a cyclic saturated hydrocarbon.
• cycloalkyl groups include but are not limited to cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl, cyclooctyl and the like.
• exemplary cycloalkenyl groups include but are not limited to cyclopropenyl, cyclobutenyl, cyclopentenyl, cyclohexenyl, cycloheptenyl, cyclooctenyl and the like.
• cycloalkynyl means a cyclic hydrocarbon having at least one triple bond, i.e., a C ⁇ C.
• exemplary cycloalkynyl groups include but are not limited to cyclohexynyl, cycloheptynyl, cyclooctynyl and the like.
• alkoxy means a straight or branched chain saturated alkyl group bonded through oxygen.
• alkoxy groups include but are not limited to methoxy, ethoxy, propoxy, isopropoxy, butoxy, isobutoxy, tert-butoxy, pentoxy, isopentoxy, neopentoxy, tert-pentoxy, hexoxy, isohexoxy, heptoxy, octoxy and the like.
• alkylene means a straight chain or branched chain saturated hydrocarbon wherein a hydrogen atom is removed from each of the terminal carbons.
• alkylene groups include but are not limited to methylene, ethylene, propylene, butylene, pentylene, hexylene, heptylene and the like.
• halo or “halogen” means fluoro, chloro, bromo or iodo.
• heterocyclic and heterocyclyl mean an aromatic or non-aromatic cyclic group containing one to four heteroatoms each independently selected from O, S and N, wherein each group has from 3 to 10 atoms in its ring system.
• Non-aromatic heterocyclic groups include groups having only 3 atoms in their ring system, whereas aromatic heterocyclic groups have at least 5 atoms in their ring system.
• Heterocyclic groups include fused ring systems such as benzo-fused rings and the like.
• An exemplary 3 membered heterocyclic group is aziridine; 4 membered heterocyclic group is azetidinyl (derived from azetidine); 5 membered heterocyclic group is thiazolyl; 7 membered ring heterocyclic group is azepinyl; and a 10 membered heterocyclic group is quinolinyl.
• non-aromatic heterocyclic groups include but are not limited to pyrrolidinyl, tetrahydrofuranyl, dihydrofuranyl, tetrahydrothienyl, tetrahydropyranyl, dihydropyranyl, tetrahydrothiopyranyl, piperidino, morpholino, thiomorpholino, thioxanyl, piperazinyl, azetidinyl, oxetanyl, thietanyl, homopiperidinyl, oxepanyl, thiepanyl, oxazepinyl, diazepinyl, thiazepinyi, 1 ,2,3,6-tetrahydropyridinyl, 2-pyrrolinyl, 3-pyrrolinyl, indolinyl, 2H-pyranyl, 4H-pyranyl, dioxanyl, 1,3-dioxolanyl, pyra
• aromatic heterocyclic (heteroaryl) groups include but are not limited to pyridinyl, imidazolyl, pyrimidinyl, pyrazolyl, triazolyl, pyrazinyl, tetrazolyl, furyl, thienyl, isoxazolyl, thiazolyl, oxazolyl, isothiazolyl, pyrrolyl, quinolinyl, isoquinolinyl, indolyl, benzimidazolyl, benzofuranyl, cinnolinyl, indazolyl, indolizinyl, phthalazinyl, pyridazinyl, triazinyl, isoindolyl, pteridinyl, purinyl, oxadiazolyl, thiadiazolyl, furazanyl, benzofurazanyl, benzothiophenyl, benzothiazolyl, benzoxazolyl
• the foregoing groups may be C-attached or N-attached where such is possible.
• a group derived from pyrrole may be pyrrol-1-yl (N-attached) or pyrrol-3-yl (C-attached).
• a group derived from imidazole may be imidazol-1-yl (N-attached) or imidazol-3-yl (C-attached).
• Heterocyclic groups may be optionally substituted on any ring carbon, sulfur or nitrogen atom(s) by one to two oxygens (oxo), per ring.
• An example of a heterocyclic group wherein 2 ring carbon atoms are substituted with oxo moieties is 1 ,1-dioxo-thiomorphoiinyl.
• Exemplary five to six membered heterocyclic aromatic rings having one or two heteroatoms selected independently from oxygen, nitrogen and sulfur include but are not limited to isothiazolyl, pyridinyl, pyridiazinyl, pyrimidinyl, pyrazinyl and the like.
• Exemplary partially saturated, fully saturated or fully unsaturated five to eight membered heterocyclic rings having one to four heteroatoms selected independently from oxygen, sulfur and nitrogen include but are not limited to 3H-1 ,2-oxathiolyl, 1 ,2,3- oxadizaolyl, 1 ,2,4-oxadiazolyl, 1,2,5-oxadiazolyl and the like.
• FIG. 1 Further exemplary five membered rings are furyl, thienyl, 2H-pyrrolyl, 3H-pyrroyl, pyrrolyl, 2-pyrrolinyl, 3- pyrrolinyl, pyrrolidinyl, 1,3-dioxolanyl, oxazolyl, thiazolyl, thiazolyl, imidazolyl, 2H- imidazolyl, 2-imidazolinyl, imidazolidinyl, pyrazolyl, 2-pyrazolinyl, pyrazolinyl, isoxazolyl, isothiazolyl, 1 ,2-dithiolyl, 1 ,3-dithiolyl, 3H-1 ,2-oxathiolyl, 1,2,3-oxadizaolyl, 1,2,4- oxadiazolyl, 1,2,5-oxadiazolyl, 1 ,3,4-oxadiazolyl, 1,2,3-
• FIG. 1 For exemplary six member rings, 2H-pyranyl, 4H-pyranyl, pyridinyl, piperidinyl, 1 ,2-dioxinyl, 1 ,3-dioxinyl, 1 ,4-dioxanyl, morpholinyl, 1,4-dithianyi, thiomorpholinyl, pyridazinyl, pyrimidinyl, pyrazinyl, piperazinyl, 1 ,3,5-triazinyl, 1 ,2,4-triazinyl, 1 ,2,3- trizainyl, 1 ,3,5-trithianyl, 4H-1,2-oxazinyl, 2H-1 ,3-oxazinyl, 6H-1 ,3-oxazinyl, ⁇ H-1,2- oxazinyl, 1 ,4-oxazinyl, 2H-1,2-oxazinyl, 4H-1 ,
• Further exemplary seven membered rings are azepinyl, oxepinyl, thiepinyl and 1 ,2,4-diazepinyl. Further exemplary eight membered rings are cyclooctyl, cyclooctenyl and cyclooctadienyl.
• Exemplary 3-10 membered heterocyclyl groups include but are not limited to oxetane, azetidine, tetrahydrofuran, pyrrolidine, 2,5-dihydro-IH-pyrrole, 1,3-dioxalane, isoxazolidine, oxazolidine, pyrazolidine, imidazolidine, pyrrolidin-2-one, tetrahydrothiophene-1 ,1 -dioxide, pyrrolidine-2,5-dione, tetrahydro-2H-pyran, piperidine, 1 ,2,3,6-tetrahydropyridine, 1 ,4-dioxane, morpholine, piperazine, thiomorpholine, piperidin-2-one, piperidin-4-one, thiomorpholine-1 ,1 -dioxide, 1 ,3-oxazinan-2-one, morpholin-3-one, piperazine-2
• Pharmaceutically acceptable salts of the compounds of the invention include the acid addition and base salts (including disalts) thereof.
• Suitable acid addition salts are formed from acids which form non-toxic salts. Examples include the acetate, aspartate, benzoate, besylate, bicarbonate/carbonate, bisulphate/sulphate, borate, camsylate, citrate, edisylate, esylate, formate, fun ⁇ arate, gluceptate, gluconate, glucuronate, hexafluorophosphate, hibenzate, hydrochloride/chloride, hydrobromide/bromide, hydroiodide/iodide, isethionate, lactate, malate, maleate, malonate, mesylate, methylsulphate, naphthylate, 2-napsylate, nicotinate, nitrate, orotate, oxalate, palmitate, pamoate, phosphate/hydrogen phosphate/d
• Suitable base salts are formed from bases which form non-toxic salts. Examples include the aluminium, arginine, benzathine, calcium, choline, diethylamine, diolamine, glycine, lysine, magnesium, meglumine, olamine, potassium, sodium, tromethamine and zinc salts.
• bases which form non-toxic salts. Examples include the aluminium, arginine, benzathine, calcium, choline, diethylamine, diolamine, glycine, lysine, magnesium, meglumine, olamine, potassium, sodium, tromethamine and zinc salts.
• a pharmaceutically acceptable salt of a compound of the invention may be readily prepared by mixing together solutions of a compound of the invention and the desired acid or base, as appropriate.
• the salt may precipitate from solution and be collected by filtration or may be recovered by evaporation of the solvent.
• the degree of ionization in the salt may vary from completely ionized to almost non-ionized.
• the compounds of the invention which are complexes, such as clathrates and drug-host inclusion complexes, are within the scope of the invention.
• the drug and host are present in stoichiometric or non- stoichiometric amounts.
• complexes containing two or more organic and/or inorganic components which may be in stoichiometric or non-stoichiometric amounts.
• the resulting complexes may be ionized, partially ionized, or non-ionized.
• the compounds of the invention include all polymorphs and isomers thereof, including optical, geometric and tautomeric isomers as hereinafter defined and isotopically-labeled compounds.
• the compounds of the invention containing one or more asymmetric carbon atoms may exist as two or more stereoisomers. Where a compound contains an alkenyl or alkenylene group, geometric cis/trans (or 2/E) isomers are possible. Where the compound contains, for example, a keto or oxime group or an aromatic moiety, tautomeric isomerism ('tautomerism') can occur. It follows that a single compound may exhibit more than one type of isomerism.
• All stereoisomers, geometric isomers and tautomeric forms of the compounds of the invention are included within the scope of the invention, including compounds exhibiting more than one type of isomerism, and mixtures of one or more thereof. Also included are acid addition or base salts wherein the counterion is optically active, for example, D-lactate or L-lysine, or racemic, for example, DL-tartrate or DL-arginine.
• Cis/trans isomers may be separated by conventional techniques well known to those skilled in the art, for example, chromatography and fractional crystallization.
• racemate (or a racemic precursor) may be reacted with a suitable optically active compound, for example, an alcohol, or, in the case where the compound of the invention contains an acidic or basic moiety, an acid or base such as tartaric acid or 1-phenylethylamine.
• a suitable optically active compound for example, an alcohol, or, in the case where the compound of the invention contains an acidic or basic moiety, an acid or base such as tartaric acid or 1-phenylethylamine.
• the resulting diastereomeric mixture may be separated by chromatography and/or fractional crystallization and one or both of the diastereoisomers converted to the corresponding pure enantiomer(s) by means well known to a skilled person.
• Chiral compounds of the invention may be obtained in enantiomerically-enriched form using chromatography, typically HPLC, on an asymmetric resin with a mobile phase consisting of a hydrocarbon, typically heptane or hexane, containing from 0 to 50% isopropanol, typically from 2 to 20%, and from 0 to 5% of an alkylamine, typically 0.1% diethylamine. Concentration of the eluate affords the enriched mixture.
• the invention includes all pharmaceutically acceptable isotopically-labeled compounds of the invention, wherein one or more atoms are replaced by atoms having the same atomic number, but an atomic mass or mass number different from the atomic mass or mass number usually found in nature.
• isotopes suitable for inclusion in the compounds of the invention include isotopes of hydrogen, such as 2 H and 3 H, carbon, such as 11 C, 13 C and 14 C, chlorine, such as 36 CI, fluorine, such as 18 F, iodine, such as 123 I and 125 I, nitrogen, such as 13 N and 15 N, oxygen, such as 15 O 1 17 O and 18 O, phosphorus, such as 32 P, and sulphur, such as 35 S.
• Radioactive isotopes tritium, i.e., 3 H, and carbon-14, i.e., 14 C, are particularly useful for this purpose in view of their ease of incorporation and ready means of detection.
• substitution with heavier isotopes such as deuterium, i.e., 2 H, may afford certain therapeutic advantages resulting from greater metabolic stability, for example, increased in vivo half-life or reduced dosage requirements, and hence may be preferred in some circumstances.
• Substitution with positron emitting isotopes such as 11 C 1 18 F, 15 O and 13 N, can be useful in Positron Emission Topography (PET) studies for examining substrate receptor occupancy.
• PET Positron Emission Topography
• Isotopically-labeled compounds of the invention can generally be prepared by conventional techniques known to those skilled in the art or by processes analogous to those described in the accompanying Examples and Preparations using an appropriate isotopically-labeled reagents in place of the non-labeled reagent previously employed.
• the compounds of the invention may be prepared by processes known in the chemical arts, particularly in light of the description contained herein. Certain processes for the manufacture of the compounds of the invention are provided as further features of the invention and are illustrated in the reaction schemes provided below and in the experimental section. The use of various protecting groups in these reactions are also well known and are exemplified in Protective Groups In Organic Synthesis, Second Edition, T.W. Greene and P.G.M. Wuts, John Wiley and Sons, Inc. 1991, pages 227-229, which is hereby incorporated by reference in its entirety for all purposes.
• the utility of the compounds of the invention as medical agents for the reduction of intraocular pressure and accordingly to treat glaucoma is demonstrated by the activity of the compounds in conventional assays, including the in vivo assay and a receptor binding assay. Such assays also provide a means whereby the activities of the compounds can be compared to each other and with the activities of other known compounds. The results of these comparisons are useful for determining dosage levels in mammals, including humans, for the treatment of such diseases.
• the compounds of the invention intended for pharmaceutical use may be administered as crystalline or amorphous products. They may be obtained, for example, as solid plugs, powders, or films by methods such as precipitation, crystallization, freeze drying, spray drying, or evaporative drying.
• Microwave or radio frequency drying may be used for this purpose.
• the compounds of the invention intended for pharmaceutical use may be administered alone or in combination with one or more other compounds of the invention or in combination with one or more other drugs (or as any combination thereof). Generally, they will be administered as a formulation in association with one or more pharmaceutically acceptable excipients.
• excipient is used herein to describe any ingredient other than the compound(s) of the invention. The choice of excipient will to a large extent depend on factors such as the particular mode of administration, the effect of the excipient on solubility and stability, and the nature of the dosage form.
• compositions suitable for the delivery of compounds of the present invention and methods for their preparation will be readily apparent to those skilled in the art. Such compositions and methods for their preparation may be found, for example, in 'Remington's Pharmaceutical Sciences', 19th Edition (Mack Publishing Company, 1995).]
• a preservative such as benzalkonium chloride.
• the compounds of the invention can be incorporated into various types of ophthalmic formulations for delivery to the eye. These compounds may be combined with ophthalmologically acceptable preservatives, surfactants, viscosity enhancers, penetration enhancers, buffers, sodium chloride and water to form aqueous, sterile ophthalmic suspensions or solutions.
• ophthalmologically acceptable preservatives such as, mineral oil, liquid lanolin, or white petrolatum.
• Sterile ophthalmic gel formulations may be prepared by suspending the active ingredient in a hydrophilic base prepared from the combination of, for example, carbopol-940 or the like according to the published formulations for analogous ophthalmic preparations; preservatives and tonicity agents can be incorporated.
• Ophthalmic solution formulations may be prepared by dissolving the active ingredient in a physiologically acceptable isotonic aqueous buffer. Further, the ophthalmic solution may include an ophthalmologically acceptable surfactant to assist in dissolving the active ingredient.
• the ophthalmic solution may contain a thickener such as hydroxymethylcellulose, hydroxyethylcellulose, hydroxypropylmethylcellulose, methyl-cellulose, polyvinylpyrrolidone, or the like to improve the retention of the medicament in the conjunctival sac.
• a thickener such as hydroxymethylcellulose, hydroxyethylcellulose, hydroxypropylmethylcellulose, methyl-cellulose, polyvinylpyrrolidone, or the like to improve the retention of the medicament in the conjunctival sac.
• the compounds of the invention are preferably formulated as topical ophthalmic suspensions or solutions, with a pH of about 4.5 to 7.8.
• the compounds will normally be contained in these formulations in an amount of 0.1 % to 10% by weight, but preferably in an amount of 0.25% to 5.0% by weight.
• 1 to 3 drops of these formulations would be delivered to the surface of the eye 1 to 4 times a day according to the routine discretion of a skilled clinician.
• the compounds of the invention may be combined with soluble macromolecular entities, such as cyclodextrin and suitable derivatives thereof or polyethylene glycol- containing polymers, in order to improve their solubility, dissolution rate, taste-masking, bioavailability and/or stability for use in any of the aforementioned modes of administration.
• Drug-cyclodextrin complexes for example, are found to be generally useful for most dosage forms and administration routes. Both inclusion and non-inclusion complexes may be used.
• the cyclodextrin may be used as an auxiliary additive, i.e. as a carrier, diluent, or solubiliser. Most commonly used for these purposes are alpha-, beta- and gamma-cyclodextrins, examples of which may be found in International Patent Applications Nos. WO91/11172, WO94/02518 and WO98/55148.
• treatment may include one or more of curative, palliative and prophylactic treatment.
• objects of the present invention are also pharmaceutical compositions containing at least a compound of the present invention of formula (I) together with non-toxic adjuvants and/or carriers typically employed in the pharmaceutical field.
• the preferred route of administration is topical.
• the compounds of the present invention can be administered as solutions, suspensions or emulsions (dispersions) in an ophthalmically acceptable vehicle.
• ophthalmic acceptable vehicle refers to any substance or combination of substances which are non-reactive with the compounds and suitable for administration to patient.
• aqueous vehicles suitable for topical application to the patient's eyes.
• ingredients which may be desirable to use in the ophthalmic compositions of the present invention include antimicrobials, preservatives, co-solvents, surfactants and viscosity building agents.
• the invention also relates to a method for treating glaucoma or ocular hypertension, said method consisting in contacting an effective intraocular pressure reducing amount of a composition with the eye in order to reduce eye pressure and to maintain said pressure on a reduced level.
• the doses of prostaglandin nitroderivatives can be determined by standard clinical techniques and are in the same range or less than those described for the corresponding underivatized, commercially available prostaglandin compounds as reported in the: Physician's Desk Reference, Medical Economics Company, Inc., Oradell, N.J., 58 th Ed., 2004; The pharmacological basis of therapeutics, Goodman and Gilman, J. G. Hardman, L. e. Limbird, Tenth Ed.
• the compositions contain 0.1-0.30 ⁇ g, especially 1-10 ⁇ g, per application of the active compound.
• the treatment may be advantageously carried out whereby one drop of the composition, corresponding to about 30 ⁇ l, is administered about 1 to 2 times per day to the patient's eye.
• the compounds of the present invention can be used with other medicaments known to be useful in the treatment of glaucoma or ocular hypertension, either separately or in combination.
• the compounds of the present invention can be combined with (i) beta-blockers, such as timolol, betaxoloi, levobunolol and the like (see U.S. Patent No. 4,952,581); (ii) carbonic anhydrase inhibitors, such as brinzolamide; (iii) adrenergic agonists including clonidine derivatives, such as apraclonidine or brimonidine (see U.S. Patent No. 5,811 ,443).
• nitrooxy derivatives of the above reported compounds for example nitrooxy derivatives of beta-blockers such as those described in U.S. Patent No. 6,242,432.
• Diethyl ether is abbreviated as Et 2 O.
• Ethyl acetate is abbreviated as EtOAc or EA.
• Trifluoroacetic acid is abbreviated as TFA.
• Acetic acid is abbreviated as HOAc or AcOH.
• Trifluoromethanesulfonate, or triflate is abbreviated as "OTf.”
• terf-Butoxycarbonyl is abbreviated as BOC. 4-(N, N-
• DMAP Dimethylamino
• N-Methyl-morpholine is abbreviated as NMM.
• acetic anhydride as Ac 2 O.
• N-(3-dimethylaminopropyl)-N'-ethylcarbodiimide hydrochloride is abbreviated as EDAC or EDC.
• the reactions set forth below were done generally under a positive pressure of argon or nitrogen or with a drying tube, at ambient temperature (unless otherwise stated), in anhydrous solvents, and the reaction flasks were fitted with rubber septa for the introduction of substrates and reagents via syringe. Glassware was oven dried and/or heat dried.
• Microwave chemistry was carried out using an EmrysTM Optimizer EXP from Personal Chemistry, Inc. (now Biotage).
• Analytical thin layer chromatography was performed using glass-backed silica gel 60 F 254 pre-coated plates (Merck Art 5719) and eluted with appropriate solvent ratios (v/v). Reactions were assayed by TLC or LCMS and terminated as judged by the consumption of starting material. Visualization of the TLC plates was done with UV light (254 nm wavelength) or with an appropriate TLC visualizing solvent and activated with heat.
• Analytical HPLC performed with Waters or Agilent instruments. Flash column chromatography (Still et al., J. Org.
• Mass-directed prep HPLC with an Agilent A2Prep System with computer-controlled gradients of two mobile phases (100% water with 0.1% formic acid and 100% acetonitrile with 0.1 % formic acid) through a XBridge C18 column, 250 mm x 30 mm., 5 ⁇ micron particle size, and fraction collection guided by a detector tandem of UV diode array and (ESI) mass spectrometer.
• Supercritical Fluid Chromatography (SFC) purification was performed on Multigram Il SFC from Berger Instruments using the ProNTo software platform. Chiralpak AS-H 21.2 x 250 mm 5u column was typically used and eluted with 20% MeOH in CO2 at 140 bar. Flow rate was 60 mL/min. Peaks were collected with UV detection at 260 nm.
• Step 2 (1 S,2£)-3- ⁇ (6R,7R)-3-Butyl-7-[(2Z)-7-(ethylamino)-7-oxohept-2-en-1-yl]-2,4- dioxa-S-borabicycIotS ⁇ .iloct- ⁇ -yll-i-iz-phenylethyOprop ⁇ -en-i-yf ⁇ - Bromohexanoate (b-2)
• Step 3 (1 S,2£)-3- ⁇ (1 R,2R,3S,5R)-2-[(2Z)-7-(Ethylamino)-7-oxohept-2-en-1 -yl]-3,5- dihydroxycyclopentyl ⁇ -1 -(2-phenylethyl)prop-2-en-1 -yl 6-(Nitrooxy)hexanoate (B-1 )
• Trifluoromethanesulfonic anhydride (1.66 mL, 9.88 mmol) in methylene chloride (0.5 ml_) was slowly added, stirred at -50 0 C for 1h, and then allowed to warm to room temperature over 18h.
• Step 2 3-(2- ⁇ 2-[2-(Nitrooxy)ethoxy]ethoxy ⁇ etho ⁇ y)propanoic Acid (c-2)
• c-1 1.0 g , 3.1 mmol
• dichoromethane 7.5 mL
• trifluoroacetic acid 7.5 mL
• Toluene (2 mL) was added and then the mix concentrated under reduced pressure to give acid c-2 (0.87 g, 100%) as a colorless oil, which was used without further purification.
• Step 3 (1S,2E)-3- ⁇ (1R,2R,3S,5R)-2-[(2Z)-7-(Ethylamino)-7-oxohept-2-en-1-yl]-3,5- dihydroxycyclopentyl ⁇ -1 -(2-phenylethyl)prop-2-en-1 -yl 3-(2- ⁇ 2-[2- (Nitrooxy)ethoxy]ethoxy ⁇ ethoxy)propanoate (C-1 )
• Step 3 6- ⁇ [(5Z)-7- ⁇ (1 R,2R,3R,5S)-3,5-Dihydroxy-2-[(1 E,3S)-3-hydroxy-5- phenylpent-1-en-1-yl]cyclopentyl ⁇ hept-5-enoyl](ethyl)amino ⁇ -6-oxohexyl Nitrate (E-1)
• Step 4 (1S,2E)-3- ⁇ (1R,2R,3S,5R)-2-[(2Z)-7- ⁇ Ethyl[6-(nitrooxy)hexanoyl] amino ⁇ -7- oxohept-2-en-1 -yl]-3,5-dihydroxycyclopentyl ⁇ -1 -(2-phenylethyl)prop-2-en-1 -yl 6- (Nitrooxy)hexanoate (E-2)
• Step 2 (1/?,2R,3R,4S)-3-[(2Z)-7-(Ethylamino)-7-oxohept-2-en-1-yl]-4-hydroxy-2- [(1E,3S)-3-hydroxy-5-phenylpent-1-en-1-yl]cyclopentyl 6-(Nitrooxy)hexanoate (F-1) (1S,2R,3R,4R)-2-[(22)-7-(Ethylamino)-7-oxohept-2-en-1-yl]-4-hydroxy-3-[(1E,3S)-3- hydroxy-5-phenyipent-1-en-1-yl]cyclopentyl 6-(Nitrooxy)hexanoate (F-2)
• 6-(Nitrooxy)hexanoic acid (1.77 g, 10.0 mmol) was dissolved in anhydrous dichloromethane (80 ml_) under nitrogen at ambient temperature. The solution was cooled to 0 ° C, successively added 4 drops of anhydrous DMF and oxalyl chloride (870 uL, 10 mmol), and allowed to warm to ambient temperature. After 12h, the mixture was filtered through a silica plug, which was washed with anhydrous dichloromethane (50 mL). The solvent was evaporated to give 1.71g (88%) of crude presumed acid chloride (6-nitroxy-hexanoyl chloride) as a yellow oil, which was immediately used without further purification.
• Step 1 4-Chlorobutyl (2R,3R)-3-[(2Z)-7-(Ethylamino)-7-oxohept-2-en-1-yl]-4- hydroxy-2-[(1 E,3S)-3-hydroxy-5-phenylpent-1 -en-1 -yl]cyclopentyl Carbonate (g-1 )
• Step 2 (2fl,3K)-3-[(2Z)-7-(Ethylamino)-7-oxohept-2-en-1 -yl]-4-hydroxy-2-[(1 /r,3S)-3- hydroxy-5-phenylpent-1-en-1-yl]cyclopentyl 4-lodobutyl Carbonate (g-2)
• Step 3 (2f?,3/?)-3-[(2Z)-7-(Ethylamino)-7-oxohept-2-en-1 -yl]-4-hydroxy-2-[(1 E,3S)-3- hydroxy-5-phenylpent-1-en-1-yl]cyclopentyl 4-(Nitrooxy)butyl Carbonate (G-1)
• Example G-2 (1 S, 2E)-3- ⁇ (1R ; 2R,3S,5R)-2-[(2Z)-7-(Ethylamino)-7-oxohept-2-en-1-yl]- 3,5-dihydroxycyclopentyl ⁇ -1-(2-phenylethyl)prop-2-en-1-yl 4-(Nitrooxy)butyl carbonate (G-2)
• Example G-2 Prepared along a route similar to that of Example G-1 , except using boronate b-1 to acylate with 3-chloropropyl chloroformate (100% crude yield), exchange with NaI in acetone (22%), nitration with silver nitrate, and preparative HPLC to give 55 mg (49%) of carbonate G-2 as a colorless oil.
• Step 2 (1 R,2R,3R,4S)-3-[(2Z)-7-(Ethylamino)-7-oxohept-2-en-1 -yl]-4-hydroxy-2- [(1 E,3S)-3-hydroxy-5-phenylpent-1 -en-1 -yl]cyclopentyl 4-(Nitrooxy)butanoate
• Example M-1 (1 S,2£)-3- ⁇ (1R,2R,3S,5R)-2-[(2Z)-7-(Ethylamino)-7-oxohept-2-en-1- yl]-3,5-dihydroxycyclopentyl ⁇ -1 -(2-pheny lethy l)prop-2-en-1 -yl (5S)-5- (Nitrooxy)hexanoate
• Step 4 (1S,2E)-3- ⁇ (1R,2/?,3S,5R)-2-[(2Z)-7-(Ethylamino)-7-oxohept-2-en-1-yl]-3,5- dihydroxycycfopentyl ⁇ -1-(2-phenylethyl)prop-2-en-1-yl (5S)-5-(Nitrooxy)hexanoate
• Step 1 4-Chlorobutyl (1S,2E)-3- ⁇ (1R,2R,3S,5R)-2-[(2Z)-7-(Ethylamino)-7-oxoriept-2- en-1-yl]-3,5-dihydroxycyclopentyl ⁇ -1-(2-phenylethyl)prop-2-en-1-yl Carbonate (k-1)
• Step 2 Example K-I. (1S,2E)-3- ⁇ (1R,2R,3S,5R)-2-[(2E)-7-(Ethylamino)-7-oxohept-2- en-1-yl]-3,5-dihydroxycyclopentyl ⁇ -1-(2-phenylethyl)prop-2-en-1-yl 4- (Nitrooxy)butyl carbonate
• Example M-2 (1 S,2£)-3- ⁇ (1 R,2R,3S,5R)-2-[(2Z)-7-(Ethy lamino)-7-oxohept-2-en-1 -y l]-3,5- dihydroxycyclopentyl ⁇ -1-(2-phenylethyl)prop-2-en-1-yl (5S)-5-(Nitrooxy)hexa ⁇ oate
• trans-2-[(Nitrooxy)methyl]cyclopropanecarboxylic acid (n-5; 967 mg, 6.00 mmol) was dissolved in anhydrous CH 2 CI 2 (60 mL) under N 2 , then cooled to 0 ° C. Sequentially added anhydrous DMF (44 mg, 0.6 mmol) and oxalyl chloride (523 uL, 6.0 mmol). Allowed to warm to ambient temperature. After 12h, cooled to 0 0 C and again sequentially added anhydrous DMF (44 mg, 0.60 mmol) and oxalyl chloride (261 uL, 3.00 mmol).
• Example 0-1 (1S,2£)-3- ⁇ (1/?,2R,3S,5R)-2-[(2Z)-7-(Ethylami ⁇ o)-7-oxohept-2-en-1- yl]-3,5-dihydroxycyclopentyl ⁇ -1-(2-phenylethyl)pro ⁇ -2-en-1-yl 5- (Nitrooxy)pentanoate
• P-1 tri-Nitrate P-1 124 mg (5%) pale yellow oil.
• the critical aspect of confirming this structure was assignment of methine signals (H-8,H-9,H-11, H-12.H-15 — see non-conventional numbering and structure below) and hydroxyl signals through inspection of 1D proton, 2D HSQC 1 COSY and HMBC spectra.
• the hydroxyl group at C-9 was identified through inspection of HSQC spectrum, looking for signals in the proton spectrum with an absence of a cross peak in the HSQC.
• the hydroxyl group was located relative to methine H-8 and methylene H-5 through inspection of COSY spectrum. Clear and distinct coupling from H-15 to H-10a and H-12 to H-9a also observed in COSY spectrum.
• HMBC spectrum allowed for the assignment of methine protons H-9 and H-15 relative to distinct carbonyls C-7 and C-13a, as shown in the picture below.
• the critical aspect that confirmed this structure by NMR was assignment of the methine signals (H-8, H-9, H-11 , H-12, H-15— see non-conventional numbering and structure below) and hydroxyl signals through inspection of 1D proton, 2D HSQC, COSY, and HMBC spectra.
• the hydroxyl group at C-15 was identified through inspection of HSQC spectrum, looking for signals in the proton spectrum with an absence of a cross peak in the HSQC.
• This hydroxyl group was located relative to methines H-14 and H-16 through inspection of COSY spectrum showing clear and distinct coupling from H-15 to H-14.
• COSY spectrum also indicated relative position of H-8 to H-9 and H-12.
• HMBC spectrum allowed for the assignment of methine protons H-9 and H-11 relative to distinct carbonyls C-7 and C-22.
• HMBC correlations also indicated position of hydroxyl proton H-12a relative to C-14.
• Step 1 tert-Butyl Hex-5-enoa To a stirred solution of 5-hexenoic acid q-1 (6.0Og, 52.6 mmol), t-butyl alcohol (72.2mL, 735.84mmol) and DMAP (1.28g, 10.51 mmol) in DCM (15OmL) at -10 0 C was added DCC (16.26g, 78.84mmol). After stirring at room temperature overnight, solid was filtered off. The filtrate was evaporated under reduced pressure to give a crude oil, which was purified by chromatography (Biotage; 65i).
• Step 2 tert-Butyl (5R)-5,6-Dihydroxyhexanoate (q-3) To a stirring suspension of AD-mix- ⁇ (Sigma-Aldrich, 4Og, 1.4g/mol) in H 2 O/t- butyl alcohol 1:1 (30OmL) at 0 0 C, olefin q-2 (4.95g, 28 mmol) was added. The mixture stirred overnight at 4°C, then EtOAc (16OmL) was added keeping the temperature at O 0 C using an ice bath and Na 2 S 2 O 5 (11.8g) was added. After 30min the ice bath was removed and the temperature allowed to rise to 23°C. The aqueous phase was extracted with EtOAc (3x200ml_).
• Step 6 (1S,2E)-3- ⁇ (1R,2R,3S,5R)-2-[(2Z)-7-(Ethylamino)-7-oxohept-2-en-1-yl]-3,5- dihydroxycyclopentyl ⁇ -1 -(2-phenylethy l)prop-2-en-1 -y I (5R)-5,6- bis(Nitrooxy)hexanoate
• Example Q-2 (1S,2E)-3- ⁇ (1R,2R,3S,5R)-2-[(2Z)-7-(Ethylamino)-7-oxohept-2-en-1- yl]-3,5-dihydroxycyclopentyl ⁇ -1 -(2-phenylethyl)prop-2-en ⁇ 1 -yl (5S)-5,6- bis(Nitrooxy)hexanoate
• Step 2 (5S)-5-Hydroxyhexyl 4-nitrophenyl Carbonate (r-3) To a solution of diol r-2 (1.75g, 14.81mmol) in DCM (36mL), pyridine (1.31mL, 16.3 mmol) was added and the mixture was cooled at 0 0 C.
• Step 4 (1S,2E)-3- ⁇ (1R,2R,3S J 5R)-2-[(2Z)-7-(Ethy!amino)-7-oxohept-2-en-1-yl]-3,5- dihydroxycyclopentyl ⁇ -1-(2-phenylethyl)prop-2-en-1-yl (5S)-5-(Nitrooxy)hexyl carbonate (R-1)
• Step 1 (5Z)-7- ⁇ (1/?,2R,3/?,5S)-3,5-Dihydroxy-2-[(1E)-3-oxo-5-phenylpent-1-en-1- yl]cyc!opentyl ⁇ - ⁇ /-ethylhept-5-enamide (15-keto-Bimatoprost; s-1 )
• Step 4 (1 R,2E)-3- ⁇ (6R,7R)-3-Butyl-7-[(2Z)-7-(ethylamino)-7-oxohept-2-en-1 -yl]-2,4- dioxa-3-borabicyclo[3.2.1]oct-6-yl ⁇ >1-(2-phenylethyl)prop-2-en-1-yl 6-
• Example B-1 Crud halo-ester s-4 (theoretical 0.400 mmol) afforded 350 mg of a yellow oil, which was purified via MPLC with ISCO apparatus (silica, DCM/IPA, gradient 0-30%) then preparative HPLC (water:acetonitrile:HCOOH) to provide 80 mg (35% yield over three steps) of target nitrate B-1 with a purity of 100% by HPLC-MS.
• test compound and controls were formulated in a 1OmM citrate buffer vehicle at pH 5.5 with 0.5% Twee ⁇ 80 and 0.02% benzalkonium chloride, and were administered in the evening. All test compounds were formulated at a dose equimolar to 0.03% Bimatoprost. Intraocular pressure was measured at -12 (baseline), 12 and 18 hours post treatment. Tetracaine hydrochloride (0.5%) was used to anesthetize the cornea when the intraocular pressure measurements were taken.
• the hypertensive eye received 2x25 ⁇ l volume drops of the test compound. After a washout period of one week, the ocular hypertensive eye was then dosed with Bimatoprost (2x25 ⁇ l volume drops) as a control.
• the contralateral, normotensive eye was not treated in the study.
• the test compou ⁇ d was administered topically to one eye in a 50 ⁇ l volume drop.
• the contralateral eye received a 50 ⁇ l volume drop of blank vehicle or Bimatopr ⁇ st (in the case of the head-to-head study only) to serve as a control. Students paired t test was used to compare treatment with test compound vs vehicle or Bimatoprost control for significant differences.
• Tables 2 and 3 describe the intraocular pressure (lOP) changes that were seen following topical application of novel NO-prostamides in ocular hypertensive non-human primates and normotensive dogs.
• ⁇ Emax represents the maximal efficacy as compared to baseline (BL) values.
• ⁇ Emax reflects the difference in IOP from compound-treated eye over that seen for vehicle-treated eye at the timepoint wherein maximum IOP reduction for compound was seen.
• the percent change from vehicle control was the percentage change in IOP reduction conferred by compound over that for vehicle (set at 100%).
• Tmax represents the time point at which maximum IOP reduction of compound was observed.
• Figure 1 Topical dosing of Example B-1 and Bimatoprost in the ocular hypertensive primate
• Figure 1 IOP response in ocular hypertensive primates to B-1 (squares) and Bimatoprost (circles), expressed as percent change from baseline.
• FIG. 1 Topical dosing of Example B-1 and Bimatoprost in the normotensive
• Figure 2 IOP response in ocularnormotensive dogs to B-1 (squares) and Bimatoprost (circles), expressed as percent change from baseline.

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