Chemical Fragment Screening and Assembly Utilizing Common Chemistry for NMR Probe Introduction and Fragment Linkage

Abstract
Disclosed herein are methods related to drug development. The methods typically include steps whereby two chemical fragments are identified as binding to a target protein and subsequently the two chemical fragments are joined to create a new chemical entity that binds to the target protein.
Description
BACKGROUND

The field of the present invention relates to drug development. In particular, the invention relates to methods for screening and assembling chemical fragments to create new chemical entities for use as drugs.


The drug discovery process is costly and often inefficient. Combinatorial chemistry, high throughput screening and even structure-based drug design (i.e., rational drug design) methods are examples of technologies that have been introduced in the last 20 years in order to improve the efficiency of the drug discovery process. Still, the cost of drug discovery continues to rise, yet the number of new drug molecules (New Chemical Entities, or NCEs) introduced onto the market is not increasing in parallel. In fact, the pipeline of new drugs coming from the pharmaceutical industry is shrinking.


Another drug discovery technology, introduced in the early 1990s as a way to improve the efficiency of the drug discovery process, is termed “fragment based” drug design, whereby two smaller chemical fragments (<400 g/mol and more preferably <350 g/mol) are identified that bind close to each other on the surface of a target protein for therapy. This approach, termed SAR by NMR, was pioneered at Abbott Laboratories. Once it is established that these two fragments, namely fragment A and fragment B, bind close to each other on the target protein, the fragments are then chemically joined or tethered. There are advantages to this approach whereby the newly created chemical entity (A-B) has a higher affinity for the target protein than either fragment A or fragment B and many successes have been reported. However, one significant limitation to this fragment-based approach is that even though it may be known that two fragments (A and B) should be linked to form a new chemical entity (A-B), it is often chemically difficult or impossible to link them. As such, better methods for identifying and chemically combining fragments are needed in order to provide new chemical entities.


SUMMARY

Disclosed herein are methods related to drug development. The methods typically include steps whereby two chemical fragments are identified as binding to a target protein and subsequently the two chemical fragments are joined to create a new chemical entity that binds to the target protein.


In some embodiments, the disclosed methods are utilized to create a chemical compound, namely A-B, from two chemical fragments, namely A and B, where the chemical compound binds to a target protein. The methods may include the following steps: (a) methylating one of the chemical fragments, namely A, at one or more positions to obtain a 13CH3-methylated analog of A, namely A-13CH3, by performing an alkylation reaction; (b) forming a mixture comprising: (1) A-13CH3; (2) the other chemical fragment, namely chemical fragment B, which comprises a methyl group (e.g., an allylic or a benzylic methyl group), and (3) the target protein; (c) determining whether both A-13CH3 and B bind to the target protein in the mixture such that the methyl group of A-13CH3 and the methyl group of B are located no more than 5 angstroms apart; and if so (d) performing the alkylation reaction of step (a) using A and B as reagents in order to covalently attach A and B via the methyl group carbon atom of B to obtain the chemical compound A-B. Typically, fragment A and fragment B are chosen for the method such that the chemical reaction that ultimately will be used to join fragment A and fragment B can be easily performed, typically via a nucleophilic displacement reaction, such as an SN2 reaction.


In order to determine whether both A-13CH3 and B bind to the target protein in the mixture such that the methyl group of A-13CH3 and the methyl group of B are located no more than 5 angstroms apart, nuclear magnetic resonance (NMR) may be performed on the mixture in order to determine whether a Nuclear Overhauser Effect (NOE) is occurring. In some embodiments, determining whether an NOE is occurring may include performing a 13C-filtered measurement either in a single dimension or in two dimensions.


The mixture utilized in the methods includes: (1) A-13CH3; (2) the chemical fragment B, which comprises a methyl group (e.g., an allylic or benzylic methyl group), and (3) the target protein. In some embodiments, the mixture comprises at least 10 times more of A-13CH3 and at least 10 times more of the chemical fragment B than the target protein on a molar basis. These conditions are permissible for what is referred to in the art as a transferred NOE study.


The mixture includes a target protein, for example, the mixture may include a biological sample that includes the target protein and optionally includes a non-target protein. Suitable biological samples may include extracts of human tissue (e.g., extracts of brain tissue, heart tissue, or liver tissue). Extracts may be enriched for one or more target proteins by purification methods that include affinity chromatography using a column that comprises a known ligand for the target protein. Suitable target proteins, for example, may include a KCNQ (Kv7) channel protein. A suitable method for purifying KCNQ (Kv7) may include passing a brain tissue extract over an affinity column comprising a covalently attached drug or ligand known to bind to KCNQ (Kv7) in a chromatographic purification method. Then, the column may be washed to remove non-binding proteins. The bound proteins then may be eluted, including KCNQ (Kv7) protein, using a solution containing the drug or ligand as an eluent. In some embodiments of the methods, the methods further include performing NMR on a mixture formed from: (1) A-13CH3; (2) the other chemical fragment, B, which comprises a methyl group, and (3) the biological sample after the target protein has been removed from the biological sample. The NMR results from the mixture that includes the target protein may be compared to the NMR results from the mixture that does not include the target protein as a control. In particular, NMR measurements may be compared from the eluate and the wash steps in the chromatographic purification method of KCNQ or another target protein as described above.


In some embodiments of the methods, the chemical fragment A is methylated at a carbon atom to create an alkyl bond, an oxygen atom to create an ether bond, or at a sulfur atom to create a thioether bond. In further embodiments, the chemical fragment B comprises an allylic methyl group or a benzylic methyl group. For example, in step (a) of the disclosed methods, the chemical fragment A may be methylated at a carbon, oxygen, or sulfur atom. Further, in step (d) the chemical fragment A may be covalently attached to chemical fragment B via forming a bond between the carbon, oxygen, or sulfur atom of chemical fragment A and the methyl group carbon atom of chemical fragment B thereby forming a C—C bond, an O—C bond, or a S—C bond, respectively.


Suitable compounds for use as the chemical fragment A may include, but are not limited to compounds capable of forming carbanions, e.g., where a carbon atom of the chemical fragment. A is deprotonated and the resulting carbanion subsequently is methylated. Suitable compounds for use as the chemical fragment A may include, but are not limited to compounds comprising alcohol groups, e.g., where the oxygen atom of the alcohol group is deprotonated and the resulting oxygen anion subsequently is methylated to form an ether. Suitable compounds for use as the chemical fragment A may include, but are not limited to compounds comprising thiol groups, e.g., where the sulfur atom of the thiol group is deprotonated and the resulting sulfur anion subsequently is methylated to form a thioether.


In some embodiments, the chemical fragment A has a formula selected from:







The chemical fragment A is methylated at one or more positions and may be di-methylated. In some embodiments, a di-methylated chemical fragment A has a formula selected from:







Suitable compounds for use as the chemical fragment B typically include a pendant methyl group. Suitable compounds for use as the chemical fragment B, may include, but are not limited to compounds selected from list of compound in Tables 2 and 3. In some embodiments, the chemical fragment B is a methyl substituted pyridine compound. In further embodiments, the chemical fragment B includes a fused ring moiety selected from a quinoline, an isoquinoline, and an acridine. In even further embodiments, the chemical fragment B has a formula selected from:







The disclosed methods typically utilize an alkylation reaction for methylating the chemical fragment. A. Suitable alkylation reactions may include a step whereby nucleophilic substitution on an alkyl halide occurs. In some embodiments, the alkylation reaction may comprise the following steps: (i) reacting the chemical fragment A with a base (e.g., a strong base such as NaH, or NaNH2 or a weaker base such as NaOH) under conditions whereby the chemical fragment A is deprotonated at a nucleophilic atom; and (ii) reacting the deprotonated chemical fragment A with a methyl halide thereby methylating the chemical fragment A at the nucleophilic atom. The methyl halide may include a 13C. The alkylation reaction may include (i) reacting the chemical fragment A with a base (e.g., a strong base such as NaH, or NaNH2 or a weaker base such as NaOH) under conditions whereby the chemical fragment A is deprotonated at a carbon atom (i.e., removing one or more hydrogen atoms to create a carbanion), an alcohol (i.e., to create an oxygen anion), or a thiol (i.e., to create a sulfur anion); and (ii) reacting the deprotonated chemical fragment A with a methyl halide thereby methylating the chemical fragment A at the nucleophilic atom. Suitable solvents for such a methylation reaction may include DMF, DMSO, and other polar aprotoic solvents. The methylated chemical fragment A subsequently may be utilized in the NMR methods contemplated herein.


The disclosed methods typically utilize a common alkylation reaction for covalently attaching the chemical fragment A and the chemical fragment B via the methyl group carbon atom of B in order to obtain a chemical compound A-B. In some embodiment the alkylation reaction for covalently attaching the chemical fragment A and the chemical fragment B includes the following steps: (i) reacting the chemical fragment A with a base (e.g., a strong base such as NaH, or NaNH2 or a weaker base such as NaOH) under conditions whereby the chemical fragment A is deprotonated at a nucleophilic atom (e.g., at a nucleophilic carbon such as an allylic or benzylic carbon; at a nucleophilic oxygen of an alcohol group; or at a nucleophilic sulfur atom of a thiol group); (ii) halogenating the methyl group of the chemical fragment B to obtain a derivative of chemical fragment B having a halogenated methyl group; and (iii) reacting the deprotonated chemical fragment A with the derivative of chemical fragment B having the halogenated methyl group, thereby forming a bond between the deprotonated nucleophilic atom of the chemical fragment A and the methyl group carbon of the chemical fragment B (e.g., a —C—C— bond, a —O—C— bond, or a —S—C— bond). In some embodiments, halogenation of the methyl group of the chemical fragment B may be performed by methods that include, but are not limited to, reacting the chemical fragment B with N-bromosuccinimide (NBS) or N-chlorosuccinimide (NCS).


In further embodiments, the disclosed methods may be practiced in order to create a chemical compound, namely A-B, from two chemical fragments, namely A and B, where the chemical compound binds to a KCNQ (Kv7) channel protein. The method may include the following steps: (a) methylating one of the chemical fragments, A, at one or two positions (which may be controlled using stoichiometry of reactants) to obtain a 13CH3-methylated analog of A, namely A-13CH3, by performing an alkylation reaction, where a di-methylated derivative of chemical fragment A has a formula selected from:







(b) forming a mixture comprising: (1) A-13CH3; (2) the other chemical fragment, B, which may be selected from compounds listed in Tables 2 or 3, and (3) the KCNQ (Kv7) channel protein; (c) determining whether both A-13CH3 and B bind to the target protein in the mixture such that the methyl group of A-13CH3 and the methyl group of B are located no more than 5 angstroms apart; and if so (d) performing the alkylation reaction of step (a) using A and B as reagents in order to covalently attach A and B via the nucleophilic atom of A (after deprotonation) and the methyl group carbon atom of B (after halogenation) to obtain the chemical compound A-B.





BRIEF DESCRIPTION OF THE DRAWINGS


FIG. 1. NMR-based fragment assembly of the prior art utilizing a protein kinase as a target protein. A. Structure of a protein kinase showing the drug lead SB203580 bound in the active site, and the adjacent binding pocket where peptide binds. The peptide occupies part of the so-called specificity pocket, which is variable between related kinase isoforms. B. Closeup view of the specificity pocket's location proximate to the SB203580 ligand, such that if another ligand fragment occupied that site, it could be chemically linked to SB203580, to provide more affinity and specificity to the protein kinase drug target protein shown. C. Chemical structure of a modified form of SB203580, showing how NMR experiments (NOE measurements) can detect fragments that bind within 5 angstroms of each other.



FIG. 2. Illustrative methods for synthesizing NMR probes for fragment screening in order to identify groups to covalently attach to the validated scaffold.



FIG. 3. NOE-based screening (13C-filtered 1H-1H NOEs) to identify interacting fragments that bind to the KCNQ channel protein from brain, a strategy that may be utilized to prepare derivatives of DMP543 where the screening utilizes a fragment of DMP543 and derivatives thereof.



FIG. 4. Illustration of fragment assembly successes, using SAR by NMR, from Abbott laboratories, which led to drugs that have entered human clinical trials. (See Hajduk and Greer, Nature Reviews—Drug Discovery, Vol. 6, March 2007, 211-219).



FIG. 5. The three drugs from which the A fragments in FIGS. 2 and 3 were derived.



FIG. 6. Two additional drugs from the top 200 selling drugs, which were synthesized in a manner involving an intermediate that possessed a nucleophilic O, S, or C atom.



FIG. 7. Methylation of glitazone at a nucleophilic oxygen atom.





DETAILED DESCRIPTION

Disclosed herein are methods related to drug development. The methods typically include steps whereby two chemical fragments are identified as binding to a target protein and subsequently, the two chemical fragments are joined to create a new chemical entity that binds to the target protein.


The methods may be described using several definitions as discussed below.


Unless otherwise specified or indicated by context, the terms “a”, “an”, and “the” mean “one or more.” In addition, singular nouns such as “chemical fragment” and “target protein” should be interpreted to mean “one or more chemical fragments” and “one or more target proteins,” unless otherwise specified or indicated by context.


As used herein, “about”, “approximately,” “substantially,” and “significantly” will be understood by persons of ordinary skill in the art and will vary to some extent on the context in which they are used. If there are uses of the term which are not clear to persons of ordinary skill in the art given the context in which it is used, “about” and “approximately” will mean plus or minus ≦10% of the particular term and “substantially” and “significantly” will mean plus or minus >10% of the particular term.


As used herein, the terms “include” and “including” have the same meaning as the terms “comprise” and “comprising.”


As disclosed herein, methods are utilized to create a chemical compound, namely A-B, from two chemical fragments, namely A and B, where the chemical compound binds to a target protein. The methods may include the following steps: (a) methylating one of the chemical fragments, namely A (which otherwise may be referred to herein as a “scaffold molecule” or a “core molecule”), at one or more positions to obtain a 13CH3-methylated analog of A, namely A-13CH3, by performing an alkylation reaction; (b) forming a mixture comprising: (1) A-13CH3; (2) the other chemical fragment, namely chemical fragment B, which comprises an allylic or benzylic methyl group (and otherwise may be referred to herein as a “pendant group molecule”), and (3) the target protein (e.g., where the mixture comprises a biological sample comprising the target protein and optionally a non-target protein); (c) determining whether both A-13CH3 and B bind to the target protein in the mixture such that the methyl group of A-13CH3 and the methyl group of B are located no more than 5 angstroms apart; and if so (d) performing the alkylation reaction of step (a) using A as a reagent (optionally after A has been deprotonated) and B as a reagent (after B has been halogenated) in order to covalently attached A and B via the methyl group carbon atom of B to obtain the chemical compound A-B.


A “biological sample” as used herein means any solid or liquid material that includes a target protein. A biological sample may include material obtained from an animal (e.g., human) or a non-animal source (e.g., bacteria, mycobacteria, and fungi). A biological sample may include a human biological sample, which may include but is not limited to, neurological tissue (e.g., brain), liver tissue, heart tissue, breast tissue, kidney tissue, lung tissue, and muscle tissue. A biological sample may include human body fluids (e.g., blood or blood products). A biological sample also may have been subjected to partial purification using chromatographic methods, such as affinity chromatography where a chromatographic resin that comprises a known ligand for the target protein is used.


A “target protein” as used herein is a protein to which an existing drug or chemical compound binds, thereby modulating biological activity of the protein and causing a therapeutic effect. A “non-target protein” or an “anti-target protein” is a protein to which an existing drug or chemical compound binds, thereby modulating biological activity of the protein and causing a side effect. For example, target proteins useful for the methods disclosed herein may include target proteins that are therapeutic targets for treating psychiatric disorders. Suitable target proteins include the proteins that form the KCNQ (Kv7) channel in neural tissue of human. The “KCNQ channels” alternatively referred to as the “Kv7 channels” are a small family of voltage-gated potassium channel subunits that are encoded by the KCNQ genes (KCNQ1-5). (See, e.g., Robbins, J. (2001). Pharmacol. Ther. 90, 1-19; and Jentsch T. J. (2000) Nat. Rev. Neurosci. 1, 21-30, the contents of which are incorporated by reference in their entireties). Modulation of KCNQ channel activity has been suggested to have therapeutic potential. (See, e.g., Wulff et al., Nature Reviews, Drug Discovery, Volume 8, Pages 982-1001, December 2009; Brown, J. Physiol. 586.7 (2008) pp 1781-1783; Gribkoff, Expert Opin. Ther. Targets (2008) 12 (5):565-581; Xiong et al., Trends in Pharmacological Sciences, 2007, 29 (2), pages 99-107; and Gribkoff, Expert Opin. Ther. Targets (2003) 7 (6):737-748; the content of which is incorporated herein by reference in their entireties).


The present methods utilize chemical fragments which subsequently are assembled to create new chemical compounds (i.e., new chemical entities (NCEs)). As used herein, a “chemical fragment” is a chemical compound intended to be covalently attached to a second chemical fragment. Exemplary chemical compounds for use as chemical fragments in the disclosed methods include those listed in Tables 1-3.


Chemical fragments for use in the disclosed methods may be obtained based on reviewing existing drugs and chemical compounds and identifying common moieties in the existing drugs and chemical compounds. The identified common moieties may be utilized as a chemical fragment in the present methods and combined with another chemical fragment to obtain a new chemical compound provided that the chemical fragments have or can be modified to have the properties of chemical fragment A and chemical fragment B as described herein. Existing drugs and chemical compounds that may be utilized in the methods disclosed herein include those drugs available from commercial libraries such as The Prestwick Chemical Library® collection (Prestwick Chemical, Inc.) (See Table 4.) Other existing drugs and chemical compounds that may be utilized in the methods disclosed herein include those drugs available from The Spectrum Collection (Microsource Discovery System, Inc.). (See Table 5. See also J. Virology 77:10288 (2003) and Ann. Rev. Med. 56:321 (2005), the contents of which are incorporated herein by reference in their entireties). Other existing drugs and chemical compound that may be utilized in the method disclosed herein include those drugs available from the Sequoia collection at its website or those drugs published by Advanstart Medical Economics: Top 200 Drugs, A 5-Year Compilation (2009), the contents of which are incorporated by reference herein in their entireties. (See Table 6). Other sources of chemical fragments include the fragment-like subset of the ZINC database (Irwin and Shoichet (2005), J. Chem. Inform. Model. 45, 177-182, the content of which is incorporated herein by reference in its entirety).


The disclosed methods typically utilize at least two fragments, namely, fragment A and fragment B. Typically, the fragments have a molecular weight that is less than about 400 g/mol and preferably less than about 350 g/mol. Further, fragments preferably have ≦3 hydrogen-bond donors, ≦3 hydrogen-bond acceptors, and do not contain chemical groups known to serve as poor drug leads, such as Michael acceptors and highly electrophilic groups.


Fragment A typically comprises a nucleophilic atom. Suitable nucleophiles include carbon atoms that form a carbon nucleophiles (i.e., carbanions), oxygen atoms (e.g., which are part of an alcohol group), and sulfur atoms (e.g., which are part of a thiol group). The nucleophile is capable of being methylated, for example by reacting with a compound having a halogenated alkyl group (preferably a primary carbon in order to facilitate an SN2 reaction) under basic reaction conditions whereby the carbanion nucleophile forms. Where the carbon nucleophile (i.e., carbanion) is formed under basic conditions (e.g., with sodium amide or NaH) and reacted with 13CH3X, where X is a halide, suitable solvents may include, but are not limited to DMF, DMSO, and other polar, aprotoic solvents.


Suitable nucleophiles may include carbon nucleophiles such as carbon atoms adjacent to (alpha to) one or two carbonyl (C═O) groups, which makes the C—H proton on that alpha carbon more acidic due to tautomerization reactions. A C—H group adjacent to a carbon-carbon double bond, such as in a benzene ring and an allylic compound, are also more acidic, such that a carbon nucleophile (carbanion) can form. Carbon nucleophiles well known in the art include malonate esters, which are used as synthetic precursors. Often, drugs are synthesized using an intermediate chemical structure that contains a carbon nucleophile, and in this case the intermediate that contains the carbon nucleophile can be methylated to make a fragment A-13CH3NMR probe for use in the present methods. The carbanion nucleophile of chemical fragment A may be covalently attached to chemical fragment B as follows. In step (d) of the presently disclosed methods, the chemical fragment A may be covalently attached to chemical fragment B via forming a bond between the carbon nucleophile of chemical fragment A and the methyl group carbon atom of chemical fragment B (thereby forming an C—C bond between chemical fragment A and chemical fragment B). For example, a chemical reaction may be readily achieved where chemical fragment B comprises an allylic or benzylic methyl group, which can be readily chlorinated, brominated, or iodinated (e.g., by reacting chemical fragment B with N-chloro-succinamide, N-bromo-succinamide, or N-iodo-succinamide, respectively) to form a halogenated chemical fragment B having a halogenated, allylic or benzylic methyl group (i.e., CH2—X where X=Br, Cl or I). The halogenated chemical fragment B may then be reacted with a chemical fragment A via a nucleophilic substitution at the carbon nucleophile of chemical fragment A.


Other suitable nucleophiles include nucleophilic oxygen atoms (e.g., as part of an alcohol group) or a nucleophilic sulfur atoms (e.g., as part of a sulfur group). Suitable thiol compounds for use in the present methods include thiol compounds listed in the database maintained by the Chemical Proteomics Facility of Marquette University (accessed on Jun. 1, 2010), a partial list of which is provided in Table 1.


In some embodiments of the disclosed methods, in step (a) of the disclosed methods, the chemical fragment A may be methylated on the alcohol or thiol group in order to form an ether or a thioether compound, respectively. Further, in step (d) the chemical fragment A may be covalently attached to chemical fragment B via forming a bond between the oxygen atom or sulfur atom of chemical fragment A and the methyl group carbon atom of chemical fragment B (thereby forming an O—C bond or a S—C respectively between chemical fragment A and chemical fragment B). For example, a chemical reaction may be readily achieved where chemical fragment B comprises an allylic or benzylic methyl group, which can be readily chlorinated, brominated, or iodinated (e.g., by reacting chemical fragment B with N-chloro-succinamide, N-bromo-succinamide, or N-iodo-succinamide, respectively) to form a halogenated chemical fragment B having a halogenated, allylic or benzylic methyl group (i.e., CH2—X where X=Br, Cl or I). The halogenated chemical fragment B may then be reacted with a chemical fragment A having an —OH or —SH group via a nucleophilic substitution reaction, which produces the desired fusion of the two fragments having a —C—O—C— linkage (ether linkage) or a —C—S—C— linkage (thioether linkage). Suitable compounds for fragment A may include any compound that has an alcohol or thiol group that can then be methylated to form an ether or a thioether.


In some embodiments, a suitable fragment A having a nucleophilic oxygen atom or nucleophilic sulfur atom may be prepared by first halogenating a compound having an allylic or benzylic methyl group at the methyl group. Subsequently, the halogenated compound is reacted with an oxy anion (e.g., NaOH) or a thiol anion (e.g., NaSH) which replaces the halogen in a nucleophilic substitution reaction. The compounds in Tables 2 and 3 having allylic or benzylic methyl groups may be reacted accordingly to obtain a chemical fragment A having a nucleophilic oxygen atom or nucleophilic sulfur atom.


Fragments that are suitable for the use in the present methods (or a library of fragments) may be selected by criteria that include the “Rule of 3.” (See, e.g., Lipinski, C. A. Drug Discovery Today: Technologies 2004, 1, 337-341; and Erlanson, D. A.; Braisted, A. C.; Raphael, D. R.; Randal, M.; Stroud, R. M.; Gordon, E. M.; Wells, J. A. Proc. Natl. Acad. Sci. U.S.A. 2000, 97, 9367-9372; the contents of which are incorporated by reference in their entireties). Fragment libraries, as contemplated herein, preferably are diverse. One method of assessing diversity of the library is to compare it to another library, using principal component-based measures of diversity. (See, e.g., Fink, T.; Reymond, J. L. J. Chem. Inf. Comput. Sci. 2007, 47, 342-353; the content of which is incorporated by reference herein in its entirety). Fragments for use in the present methods preferably are soluble. (See, e.g., Olah, M. M.; Bologa, C. G.; Oprea, T. I. Current Drug Discovery Technologies 2004, I, 211-220; Siegal, G.; AB, E.; Schultz, J. Drug Discov. Today 2007, 12, 1032-1039; and Lepre, C. A. Drug Discov. Today 2001, 6, 133-140; the contents of which are incorporated by reference in their entireties). Solubility can be measured or estimated in many ways. (See, e.g., 20. Lipinski, C. A.; Lombardo, F.; Dominy, B. W.; Feeney, P. J. Advanced Drug Delivery Revies 2001, 46, 3-26; the content of which is incorporated by reference in its entirety). In some embodiments, fragments for the presently disclosed methods may be selected to include no atoms other than C, O, H, N, S, P, F, Cl, Br, or I. In further embodiments, fragments for the presently disclosed methods may be selected to include no functional groups that are reactive with proteins. For example, fragments may be selected to include none of the following functional groups: Michael acceptors, anhydrides, epoxides, alkyl halides, acyl halides, imines, aldehydes, or aliphatic ketones. Some compounds meeting this criteria are listed in a database maintained by the Chemical Proteomics Facility of Marquette University at its website (accessed on Jun. 1, 2010), a partial list of which is provided in Table 1.


Suitable existing drugs or chemical compounds for the methods contemplated herein may modulate KCNQ (Kv7) channel activity. These include compounds that bind to the KCNQ (Kv7) channel and inhibit or alternatively activate or enhance KCNQ (Kv7) channel activity. Suitable compounds may inhibit KCNQ (Kv7) channel activity by blocking, closing, or otherwise inhibiting a KCNQ (Kv7) channel from facilitating passage of ions from one side of a membrane to the other side of the membrane in which the KCNQ (Kv7) channel is present. KCNQ (Kv7) channel activity and modulation thereof, including inhibition thereof, may be assessed by methods described in the art (e.g., patch clamp analysis, see, e.g., Bal et al., J. Biol. Chem. 2008 283 (45):30668-30676; Wu et al., J. Neurophysiol. 2008 100 (4):1897-1908; Kasten et al., J. Physiol. 2007 584 (Pt. 2):565-582; Jia et al, J. Gen. Physiol. 2006 131 (6):575-587; and Wladyka et al., J. Physiol. 2006 575 (Pt. 1):175-189; the contents of which are incorporated by reference in their entireties).


Compounds that modulate KCNQ (Kv7) channel activity are known in the art and may include KCNQ (Kv7) channel activity inhibitors or alternatively KCNQ (Kv7) channel activity activators. KCNQ (Kv7) channel activity inhibitors may include but are not limited to linopirdine (Dupont), XE991 (Dupont), DMP543 (Dupont), d-tubocurarine, verapamil, 4-aminopurine, CP-339818 (Pfizer), UK-78282 (Pfizer), correolide (Merck), PAP-1 (UC-Davis), clofazimine, Icagen (Eli Lilly), AVE-0118 (Sanofi-Aventis), Vernakalant (Cardiome), ISQ-1 (Merck), TAEA (Merck), DPO-1 (Merck), azimilide (Proctor and Gamble), MHR-1556 (Sanofi-Aventis), L-768673 (Merck), astemizole, imipramine, dofetilide, NS1643 (Neurosearch), NS3623 (Neurosearch), RPR26024 (Sanofi-Aventis), PD307243 (GlaxoSmithKline), and A935142 (Abbott Laboratories). KCNQ (Kv7) channel activity activators may include but are not limited to retigabine, flupirtine, ICA-27243 (Icagen), ICA-105665 (Icagen), diclofenac, NH6, niflumic acid, mefenamic acid, and L364373 (Merck). These compounds and other compounds that modulate KCNQ (Kv7) channel activity are disclosed in Wulff et al., Nature Reviews, Drug Discovery, Volume 8, Pages 982-1001, December 2009 (the content of which is incorporated herein by reference in its entirety).


A suitable drug or compound for the methods contemplated herein may include DMP543 or analogs or derivatives thereof (e.g., analogs or derivatives thereof that inhibit KCNQ (Kv7) channel activity). Referring to the PubChem Database provided by the National Center for Biotechnology Information (NCBI) of the National Institute of Health (NIH), DMP543 is referenced by compound identification (CID) number 9887884 (which entry is incorporated herein by reference in its entirety). (See also FIG. 5.) Analogs or derivative of DMP543 may include salts, esters, amides, or solvates thereof. Furthermore, analogs or derivatives of DMP543 may include “similar compounds” or “conformer compounds” as defined at the PubChem Database, which include but are not limited to compounds referenced by CID Nos.: 9801773, 10644338, 9930525, 19606104, 10926895, 10093074, 10093073, 45194349, 19606090, 19606069, 19606087, 19606071, 19606104, 19606084, 19606108, 19606110, 19606109, and 15296110, which entries are incorporated herein by reference in their entireties.


A suitable drug or compound for the methods contemplated herein may include XE991 or analogs or derivatives thereof (e.g., analogs or derivatives thereof that inhibit KCNQ (Kv7) channel activity). Referring to the PubChem Database provided by the National Center for Biotechnology Information (NCBI) of the National Institute of Health (NIH), XE991 is referenced by compound identification (CID) number 656732 (which entry is incorporated herein by reference in its entirety). (See also FIG. 5.) Analogs or derivative of XE991 may include salts, esters, amides, or solvates thereof. Furthermore, analogs or derivatives of XE991 may include “similar compounds” or “conformer compounds” as defined at the PubChem Database, which include but are not limited to compounds referenced by CID Nos.: 45073462, 17847140, 11122015, 19922429, 19922428, 15678637, 328741, 45234820, 45053849, 45053848, 42194630, 42194628, 21537929, 19922433, 14941569, 15678632, and 409154, which entries are incorporated herein by reference in their entireties.


The present methods may be practiced in order to identify derivatives or analogs of DMP543 or XE 991 where, in the methods, the chemical fragment A has a formula:







and a di-methylated derivative of A-13CH3 has a formula:







A suitable compound for the methods contemplated herein may include linopirdine or analogs or derivatives thereof (e.g., analogs or derivatives thereof that inhibit KCNQ (Kv7) channel activity). Referring to the PubChem Database provided by the National Center for Biotechnology Information (NCBI) of the National Institute of Health (NIH), linopirdine is referenced by compound identification (CID) number 3932 (which entry is incorporated herein by reference in its entirety). (See also FIG. 5.) Analogs or derivative of linopirdine may include salts, esters, amides, or solvates thereof. Furthermore, analogs or derivatives of linopirdine may include “similar compounds” or “conformer compounds” as defined at the PubChem Database, which include but are not limited to compounds referenced by CID Nos.: 11015296, 10993167, 454643, 454641, 45114239, 23581818, 14209557, 14209555, 14209553, 10549571, 9832106, 14209556, 10764944, 454654, 19438999, 14960217, 14209554, 11823673, 14209559, 15284399, 19438967, 19438958, 19438948, 19438961, 9865313, 19104987, 15296097, 19438997, 15346939, 11823673, 15284397, 15296101, 15284414, and 10476777, which entries are incorporated herein by reference in their entireties.


The present methods may be practiced in order to identify derivatives or analogs of linopirdine where, in the methods, the chemical fragment A has a formula:







and a di-methylated derivative of A-13CH3 has a formula:







Suitable compounds for use as the chemical fragment B typically include a pendant methyl group. Suitable compounds for use as the chemical fragment B, may include, but are not limited to compounds selected from list of compound in Tables 2 and 3. In some embodiments, the chemical fragment B includes an allylic carbon, a benzylic carbon, or a pyridinyl carbon. For example, a suitable chemical fragment B may be a methyl substituted pyridine compound. The chemical fragment B may includes a single carbocyclic ring or a single heterocyclic ring, which single ring is substituted at one or more carbon atoms with a methyl group. Alternatively, the chemical fragment B may include fused carbocylic rings, heterocyclic rings, or combinations thereof, which fused rings are substituted at one or more positions with a methyl group. Suitable multiple fused ring moieties that may be present in the chemical fragment B include, but are not limited to a quinoline, an isoquinoline, and an acridine. The chemical fragment B includes at least one pendant methyl group and further may be substituted at one or more positions with halogen (F, Cl, Br, or I). In even further embodiments, the chemical fragment B has a formula selected from:







In the present methods, in order to determine whether both A-13CH3 and B bind to the target protein in the mixture such that the methyl group of A-13CH3 and the methyl group of B are located no more than 5 angstroms apart, a nuclear magnetic resonance (NMR) experiment may be performed on the mixture in order to determine whether a Nuclear Overhauser Effect (NOE) is occurring. An NOE is an NMR signal that represents transfer of magnetization, often between two proton atoms, and can only occur if the two atoms are within 5 angstroms of each other. The NOE that is measured is typically of two types, referred to as either steady state or transient. NMR experiments showing NOEs can typically be gathered in 2-dimensional or in 1-dimensional spectral format, and sometimes in 3-dimensional format. In some embodiments, determining whether an NOE is occurring may include performing a 13C-filtered measurement either in a single dimension or in two dimensions, whereby the NOE that is observed is only between: (a) the proton that is directly bonded to the 13C atom, and (b) any other proton, as long is it is within 5 angstroms of the 13C-attached proton.


NMR-based fragment assembly has been utilized in the prior art to prepare new chemical compounds. (See Hajduk and Greer (2007), “A decade of fragment-based drug design: strategic advances and lessons learned.” Nature Reviews Drug Disc. 6, 211-219; the content of which is incorporated by reference herein in its entirety). NOEs observed between fragments of an existing drug lead (SB203580) and new fragments in the presence of p38α MAP kinase indicated that these fragments bound to p38α MAP kinase and suggested a new compound to make via covalently attaching this fragments. (See Sem D S (2006) Fragment-based Approaches in Drug Discovery (Jahnke and Erlanson, Ed.), pp 163-196; the content of which is incorporated herein by reference in its entirety). These new compounds were suggested as being useful for treating rheumatoid arthritis where the new compound bound to p38α MAP kinase with a Kd of less than 10 nM (Sem, 2006; and U.S. Pat. No. 7,653,490; the contents of which are incorporated herein by reference in their entireties). This present methods improve fragment-based drug design of the prior art by using the same chemistry (same type of chemical reaction) to join the two fragments (A and B) that was used to introduce the NMR probe (e.g. 13C labeled method group) into one of the fragments. Accordingly, chemical linkage of fragments A and B will no longer be a bottleneck in fragment-based drug discovery as in current methods.


Illustrative Embodiments

The following embodiments are illustrative and not intended to limit the claimed subject matter.


Embodiment 1

A method for creating a chemical compound, namely A-B, from two chemical fragments, namely A and B, wherein the chemical compound binds to a target protein, the method comprising: (a) methylating one of the chemical fragments, A, at one or more positions (e.g., at nucleophilic atoms) to obtain a 13CH3-methylated analog of A, namely A-13CH3, by performing an alkylation reaction; (b) forming a mixture comprising: (1) A-13CH3; (2) the other chemical fragment, B, which comprises an allylic or benzylic methyl group, and (3) the target protein; (c) determining whether both A-13CH3 and B bind to the target protein in the mixture such that the methyl group of A-13CH3 and the methyl group of B are located no more than 5 angstroms apart; and if so (d) performing the alkylation reaction of step (a) using A and B as reagents in order to covalently join A and B via the methyl group carbon atom of B to obtain the chemical compound A-B, optionally where the methyl of B has been halogenated with Cl, Br, or I and the nucleophilic atom of A attacks the carbon of the allylic or benzylic methyl group of B, displacing the halogen in a substitution reaction.


Embodiment 2

The method of embodiment 1, wherein step (c) comprises performing nuclear magnetic resonance on the mixture and determining whether a Nuclear Overhauser Effect (NOE) is occurring (e.g., between protons on fragment A and protons on fragment B).


Embodiment 3

The method of embodiment 2, wherein determining whether an NOE is occurring comprises performing a 13C-filtered measurement either in a single dimension or in two dimensions and optionally determining that the NOE involves the proton that is directly bonded to the 13C atom.


Embodiment 4

The method of any of embodiments 1-3, wherein the mixture further comprises a biological sample that comprises the target protein.


Embodiment 5

The method of embodiment 4, further comprising performing nuclear magnetic resonance on a mixture formed from: (1) A-13CH3; (2) the other chemical fragment, B, which comprises a methyl group, and (3) the biological sample after the target protein has been removed from the biological sample.


Embodiment 6

The method of embodiment 4, wherein the biological sample comprises an extract of brain tissue, heart tissue, kidney tissue, or liver tissue.


Embodiment 7

The method of any of embodiments 1-6, wherein the target protein is a KCNQ (Kv7) channel protein.


Embodiment 8

The method of any of embodiments 1-7, wherein the chemical fragment A comprises a nucleophilic atom selected from a nucleophilic carbon (e.g., an allylic carbon or a benzylic carbon), a nucleophilic oxygen (e.g., —OH), or a nucleophilic sulfur (e.g., —SH) and the chemical fragment A is methylated at the nucleophilic atom in step (a) and the chemical fragment A is covalently attached to chemical fragment B via forming a bond between the nucleophilic atom of chemical fragment A and the methyl group carbon atom of chemical fragment B in step (d) (e.g., after the methyl group of chemical fragment B has been halogenated).


Embodiment 9

The method of any of embodiments 1-8, wherein the chemical fragment A is a compound selected from the list of compounds in Table 1.


Embodiment 10

The method of any of embodiments 1-9, wherein the chemical fragment A has a formula selected from:







Embodiment 11

The method of any of embodiments 10, wherein chemical fragment A is methylated at one or more positions, and the di-methylated chemical fragment A has a formula selected from:







Embodiment 12

The method of any of embodiments 1-9, wherein the chemical fragment B is a compound selected from list of compound in Tables 2 and 3.


Embodiment 13

The method of any of embodiments 1-9, wherein the chemical fragment B is a methyl substituted pyridine compound.


Embodiment 14

The method of any of embodiments 1-9, wherein the chemical fragment B includes a fused ring moiety selected from a quinoline, an isoquinoline, and an acridine.


Embodiment 15

The method of any of embodiments 1-9, wherein the chemical fragment B has a formula selected from:







Embodiment 16

The method of any of embodiments 1-15, wherein the alkylation reaction comprises: (i) reacting the chemical fragment A with a strong base and deprotonating the chemical fragment A at a carbon, oxygen, or sulfur atom; and (ii) reacting the deprotonated chemical fragment A with a methyl halide thereby methylating the chemical fragment A at the deprotonated atom.


Embodiment 17

The method of any of embodiments 1-16, wherein the alkylation reaction of step (d) comprises: (i) reacting the chemical fragment A with a strong base and deprotonating the chemical fragment A at a carbon, oxygen, or sulfur atom; (ii) halogenating the methyl group of the chemical fragment B to obtain a derivative of chemical fragment B having a halogenated methyl group; and (iii) reacting the deprotonated chemical fragment A with the derivative of chemical fragment B having the halogenated methyl group, thereby forming a C—C, C—O, or C—S bond between the deprotonated carbon, oxygen, or sulfur atom, respectively, of the chemical fragment A and the methyl group carbon of the chemical fragment B.


Embodiment 18

The method of embodiment 17, wherein halogenating is performed by reacting the chemical fragment B with N-bromosuccinimide (NBS) or N-chlorosuccinimide (NCS).


Embodiment 19

A method for creating a chemical compound, namely A-B, from two chemical fragments, namely A and B, wherein the chemical compound binds to a KCNQ (Kv7) channel protein, the method comprising: (a) methylating one of the chemical fragments, A, at one or more positions to obtain a 13CH3-methylated analog of A, namely A-13CH3, by performing an alkylation reaction, wherein the di-methylated form of A-13CH3 has a formula selected from:







(b) forming a mixture comprising: (1) A-13CH3; (2) the other chemical fragment, B, which is selected from compounds listed in Table 2 or 3, and (3) the KCNQ (Kv7) channel protein; (c) determining whether both A-13CH3 and B bind to the target protein in the mixture such that the methyl group of A-13CH3 and the methyl group of B are located no more than 5 angstroms apart; and if so (d) performing the alkylation reaction of step (a) using A and B as reagents (e.g., after B has been halogenated on its allylic or benzylic methyl group) in order to covalently attached A and B via the methyl group carbon atom of B to obtain the chemical compound A-B.


Embodiment 20

A kit for use in any of embodiments 1-19, the kit comprising (a) a first chemical compound suitable for use as the chemical fragment A; (b) a second chemical compound suitable for use as the chemical fragment B; (optionally) (c) a methylating reagent comprising a 13CH3-methyl group for methylating fragment A; and optionally (d) a halogenating agent for halogenating chemical fragment A and/or chemical fragment B.


EXAMPLES

The following examples are illustrative and not intended to limit the claimed subject matter.


Example 1
NMR-Based Fragment Assembly Method

NMR-based fragment assembly has been described in the art. Reference is made to Sem D S. (1999) NMR-SOLVE Method for Rapid Ident. of Bi-Ligand Drug. U.S. Pat. No. 6,333,149 B1; Sem D S, Yu L, Coutts S M, and Jack. R. (2001) An Object-oriented Approach to Drug Design Enabled by NMR SOLVE, the First Real-Time Structural Tool for Characterizing Protein-Ligand Interactions. J. Cellular Biochemistry 37, S99-105; Sem D S, Pellecchia M, Dong Q, Kelly M, Lee M S (2003) NMR Assembly of Chemical Entities. US Publication No. 20030113751 A1; Sem D S, Bertolaet B, Baker B, Chang E, Costache A, Coutts S, Dong Q, Hansen M, Hong V, Huang X, Jack R M, Kho R, Lang H, Meininger D, Pellecchia M, Pierre F, Villar H, Yu L. (2004) Systems-based design of bi-ligand inhibitors of oxidoreductases: filling the chemical proteomic toolbox. Chem. Biol. 11, 185-194; and Sem D S (2006) Fragment-based Approaches in Drug Discovery (Jahnke and Erlanson, Ed.), pp 163-196; the contents of which are incorporated herein by reference in their entireties.


General fragment assembly methods may be illustrated here using example proteins referred to as p38α MAP kinase or KCNQ channel protein. A low concentration of the target protein (for example, 2-200 μM, although preferably 20-50 μM) is mixed with chemical fragments (e.g., heterocyclic ring structures of size ≦400 g/mol, and preferably ≦350 g/mol), and transfer of magnetization between the fragments (typically present at 0.2-20 mM) is measured. This “transfer”, termed an NOE (Nuclear Overhauser Effect), only occurs if both chemical fragments bind to the protein (p38α, MAPK or KCNQ as described below). Further, if an NOE is observed between two atoms, as indicated in FIG. 1 and in FIG. 3, it suggests that the two atoms are located in close proximity, because NOEs are only observed up to 5 Å (and intensity drops off as 1/(distance)6). Having observed an NOE, the two fragments may be chemically tethered at positions close to where the NOE was observed. This linkage produces a tremendous increase in affinity for the protein targets, because of the entropic advantage of binding only one (tethered) ligand, versus two (untethered) ligands as in FIG. 4. This effect is well-established (Shuker et al., 1996; Sem et al., 2004; Pellecchia et al., 2002; Sem, 2006), and one typically observes decreases in Kd (or IC50) values of 1000-fold or more (e.g., 10 μM to 10 nM) due to linkage as in FIG. 4. The fragment assembly approach also identifies which two fragments will yield a high affinity ligand when tethered, before actually needing to synthesize the compound. This decreases much of the very time-consuming and expensive process of medicinal chemistry optimization that is needed to get to a final drug lead. For example, one could use the NMR-based fragment assembly method to screen 4×250 (=1,000) combinations of chemical fragment pairs (core=A×scaffold=B), and use the NMR method (e.g. NOE measurements) to identify those combinations that bind proximal to each other (i.e. within 5 angstroms). Using an estimated “hit rate” on the order of about 2%, about 20 combinations out of these 1,000 combinations may be selected and combined. Subsequently, the compound thereby, formed may be further tested in a binding assay (e.g., chemical proteomic assay using an affinity column) or a biological assay.


As shown in FIG. 4, chemical linkage of two weak binding fragments led to a new tethered fragment with much higher affinity for the protein drug target. (See Hajduk and Greer, Nature Reviews—Drug Discovery, Vol. 6, March 2007, 211-219). However, unlike the methods presented as part of this invention, the strategy shown required more involved chemical synthetic strategies to ultimately link fragment A and B. The example on the right side of FIG. 4 shows that additional chemical modifications may be required in order to make the final drug molecule


The disclosed methods can be applied to design inhibitors (i.e., “protein ligands” or “drug lead molecules”) for a wide range of protein drug targets. As an example, the KCNQ potassium ion channel may be utilized. The KCNQ ion channel is a therapeutic target for a variety of psychiatric disorders or CNS diseases. The present methods may be utilized to optimize or derivatize drugs existing drugs, such as those listed in Tables 4-6. Suitable drugs for the present methods may include drugs that have been through clinical trials for a CNS disease, and as such, are already known to be safe, bioavailable and able to cross the blood-brain barrier. Re-engineering of a drug used to treat one disease, so that it is now effective for a different disease, is called “repurposing.” Repurposing and methods for performing repurposing have been described. (See, e.g., Chong and Sullivan, Nature, Vol. 448, 9 Aug. 2007, 645-646; and Keiser et al., Nature, Vol. 462, 12 Nov. 2009, 175-182, the contents of which are incorporated herein by reference in their entireties). The methods described herein may be used for repurposing drugs, but can also be used to improve existing drugs for their intended purpose based on binding to their intended protein drug target. For example, the present methods may be utilized to derivatize an existing drug in order to increase affinity or specificity for binding to the intended protein drug target. The NMR fragment assembly methods being presented herein will guide changes to proven scaffold or core molecules (i.e. an important piece or fragment of the drug lead, which is conserved in medicinal chemistry SAR (structure-activity-relationship” studies)) for KCNQ-based drug leads, but in a unique manner that considers downstream synthetic strategy by using NMR probe groups (e.g., CH3 reporter groups, that can be used to measure NOEs) that are attached to scaffold and pendant group fragment molecules using the same chemistry that will eventually be used to link scaffold and pendant groups. A drug or fragment thereof may be derivatized using the methods disclosed herein by identifying a drug or fragment having a nucleophilic carbon, oxygen, or sulfur atom and then using the drug or fragment as “chemical fragment A” in the methods disclosed herein.


The disclosed methods can be used to quickly optimize address potency, selectivity, or side-effect problems of an existing drug. As an example, a drug (e.g., DMP543) is chemically broken up into component fragments (A-B to A and B), for example where one fragment contains a nucleophilic carbon, oxygen, or sulfur atom and preferably where the one fragment is utilized in a synthesis method for the drug molecule. In some embodiments where fragment A has a nucleophilic carbon, fragment A has a formula:







and fragment B has a formula:







NMR-fragment assembly then is used to identify new suitable fragments to substitute for the original fragment B. New fragments are chosen based on their having similar pharmacophore features (e.g. hydrogen bond donor or acceptor atoms or hydrophobic groups) to the original fragment, with subtle addition of new features (e.g. additional donor or acceptor atoms, or increasing length of an aliphatic group)). In general, fragments should have molecular weight <400 g/mol (preferably <350 g/mol, and have ≦3 hydrogen bond donors or acceptors.


in order to facilitate later tethering to fragment A, fragment B preferably has an allylic or benzylic methyl group to permit chlorination with NCS, N-chlorosuccinimide or bromonation with NBS, N-bromosuccinimide. For example, in FIG. 1 a variant of a non-specific kinase inhibitor (drug lead molecule) from Smithkline Beecham (SB203580) was fragmented, and an NMR reporter group (called the “antenna”) was added, and new fragments were identified that bind close to the antenna atoms, and when these fragments were tethered to the scaffold, high affinity inhibitors were obtained that were selective for p38α MAP kinase. However, the fragments utilized in that method had no allylic or benzylic methyl groups to facilitate linkage and a complicated organic synthesis method was required to link the fragments. A ligand for KCNQ may be identified much more efficiently using the presently disclosed methods because fragment A and fragment B can be linked relatively easily after determining via NMR NOE analysis that fragment A and fragment B should be linked.


A significant disadvantage of NMR-fragment assembly methods of the prior art is that once it is established that two fragments are close, and should therefore be chemically joined, it is often not chemically possible to tether them, or it is chemically difficult and involves multiple synthetic steps. The methods disclosed herein address this problem, because the chemical reaction used to introduce the NMR probe (the 13C-methyl group attached to the nucleophilic atom of fragment A) for the NMR-NOE may subsequently be used to join the A and B fragments. The chemical fragment B is selected to contain an allylic or benzylic methyl group because such groups are easily and specifically halogenated so that the nucleophilic atom of chemical fragment A can attack the halogenated methyl group of chemical fragment B and displace the halogen to form a bond.


The above-described NMR fragment assembly methods may be utilized to identify ligands for the KCNQ potassium channel, which can be affinity-purified from rat brain extracts using an affinity column with ligands such as DMP543, XE991 or linopirdine, covalently attached to a resin. The KCNQ channel is a membrane-bound protein and is considered large for NMR studies. But, NOE and STD (saturation transfer difference) (Sem, 2006; Mayer and Meyer, 2001; Yao and Sem, 2001) based methods for measuring proximity of two fragments (or a fragment and a protein binding site) have been shown to work effectively even with very high molecular weight systems (Assadi-Porter et al., 2008) like membrane-bound KCNQ, especially (as in this case) when fragment binding will be in fast exchange (=low affinity) and, therefore, detectable by the NMR technique. Indeed, such methods have been recently applied to G-protein coupled receptors by using difference spectra in order to remove potential spectral artifacts from NMR experiments from chemical fragments that penetrate the lipid layer (Assadi-Porter et al, 2008). An important variation to that procedure (and inter-ligand NOE studies, as in FIG. 1), which is employed as part of the presently disclosed methods is to chemically place a 13C labeled methyl group as an NMR reported group (the “NMR probe”), analogous to the antenna in FIG. 1. Then, an NOE experiment could be performed, that is a 1D variant of the typical 13C half-filtered 2D NOESY, which selectively measures only NOEs between a 13C-attached proton and all other protons within 5 Å, whether or not they are 13C attached (hence the term half filtered). These experiments can be done on a 400 MHz, 500 MHz, 600 MHz or higher field NMR spectrometer, ideally equipped with a cryoprobe (and cryocooled 13C preamp). The fragment screening strategy presented herein could rely on established scaffolds (A fragments), from the DMP543 compound that was reported previously (Zaczek et al., 1998; Earl et al., 1998; Pest et al., 2000). It is noteworthy that the reported synthesis of these drug leads (Earl et al., 1998), based on these scaffolds (A), relied on base catalyzed linkage to para-methylpyridyl pendant (B) groups (after the methyl was halogenated with NCS, N-chlorosuccinimide), by attack of the scaffold carbanion on the —CH2I group on the pendant group. That is, the synthesis method used to make this drug utilized an intermediate with a nucleophilic carbon, oxygen, or sulfur atom, making it a suitable fragment for use as chemical fragment A in the present methods.


A feature of the present methods is the use of the same chemistry to introduce a 13C-labeled NMR reporter group (a methyl group) to a chemical fragment, A, for NMR-NOE analysis, as will be used to join the chemical fragment A, to a second chemical B. An example of one such chemical reaction is shown in FIG. 2. In this embodiment, the syntheses involve treatment with strong base to form the carbanion nucleophile, which then attacks the alkyl halide to give the methylated product. By controlling stoichiometry, it is possible to incorporate either one or two methyl group probes. These fragments were identified in the synthetic scheme for existing drugs DMP543, XE991 and linopirdine, based on steps where a carbanion intermediate occurred in the synthesis, but was used to attack a different electrophile (other than CH3—I). Analogous methylated fragment A's can be prepared from any drug, by examining the synthetic strategy used to prepare the drug and determining if in any step a carbanion (or RS or RO) nucleophilic intermediate was used. Examples of drugs of interest include those in Tables 4-6.


In FIG. 2, the labeled scaffold molecules (A-13CH3) are added to the KCNQ protein solution ([KCNQ]=2-20 μM), which could contain deuterated detergent/micelles (e.g. perdeutoro-dilaurolylphasphatidyl choline), as described previously for NMR studies of membrane-bound proteins (Yao et al., 2008)). In the methods, a library of para-methyl (or ortho- or meta-methyl)pyridyl compounds/fragments (for example, 1,000 fragments, available from Sigma/Aldrich) might be screened one at a time, or in pools (e.g., of 10), to identify those B fragments which have the p-methyl group (or other group, and possibly also meta or ortho substituted) proximal to the 13CH3— scaffold group on A, based on the observation of an NOE in a 1D 13C half filtered {1H-1H} NMR NOE experiment (see FIG. 3). The experiment shown in FIG. 3 may be performed with either the mono- or di-methylated fragment. In the example of FIG. 3, only the 2-fluoro-4-methylpyridine fragment B binds within 5 angstroms, and can show an NOE signal.


As a control in these experiments, the measured NOE or saturation transfer signal might be of the sample (perhaps a tissue extract) that has had the protein target removed (KCNQ in this case), which could be done using an affinity column. This control experiment could then be subtracted from the same experiment done in the presence of protein target, as described recently (Assadi-Porter (2008) 130, 7212). However, the present methods differ from those of Assadi-Porter in that the chemical fragment B contains an allylic or benzylic methyl group to facilitate chemical linkage in the process used to form the A-B compound.


Once a proximal-binding scaffold/pyridyl fragment pair (A and B) is identified, based on the NMR assay, the pair is chemically tethered (to make A-B) using the same chemical reaction (nucleophilic substitution on an alkyl halide, in this case) that was used to attach the NMR probe (the 13CH3-methyl reporter group), similar to adding pendant groups to the scaffolds (cores) as shown in FIG. 2 (Earl et al., 1998). In one embodiment, the methyl on the pyridyl pendant group may be iodinated (chlorinate using NCS, then replace chlorine with iodine using NaI in acetone). Then, analogous to the reactions in FIG. 2, the I—CH2-pyridyl pendant group would be added to the scaffold in a base catalyzed nucleophilic substitution.


The position for the NMR 13CH3— reporter group on the scaffold may be selected based on any of the following criteria:: (a) the site is known to be an effective linkage site, perhaps from previous medicinal chemistry (Zaczek et at, 1998; Earl et al., 1998; Pest et al., 2000); and (b) has a chemical attachment chemistry that is established and robust, so lends itself well to subsequent chemical tethering of the scaffold fragment and the newly identified pendant group fragment. One preferred reaction for linking the chemical fragments A and B is a substitution reaction, where a nucleophilic atom (e.g., C, O, or S) attacks an alkyl halide, such as a halogenated allylic methyl group or a halogenated benzylic methyl group. The NMR-based fragment screening and assembly presented here is designed so that subsequent chemical tethering can be done using a robust chemical reaction (e.g., a nucleophilic substitution on a primary carbon via an SN2 reaction), which should take only a matter of days for a given scaffold/pendant group pair to go from NMR NOE result to synthesis of the A-B ligand. Because this method relies on existing molecules that bind to protein drug targets, it is especially well-suited to: (a) optimizing a current drug to be more potent for an intended target, and (b) re-engineering a drug to treat a different disease than was originally intended (i.e., repurposing).


In the above experiments, one could use any of a number of assays to determine whether the chemical fragments (A and B) and the chemical compound synthesized therefrom (A-B) bind to a target protein, including a chemical-proteomic type assay. For example, a binding assay may be performed as follows: (a) passing a biological sample including a target protein and a non-target protein over a first column, the column containing an affinity resin for the target protein, the affinity resin made of a resin conjugated to a first chemical compound (A-B); (b) washing the column and removing proteins that are not bound to the affinity resin; (c) eluting proteins from the column that are bound to the affinity resin; (d) identifying proteins in the eluate including the target protein and optionally the non-target protein. Such a method may be utilized to identify (e.g., based on patterns of bands in an SDS-PAGE gel of column eluate) a set of proteins in a sample from a target organ (e.g. brain) and a sample from an anti-target organ (e.g. heart muscle) that bind to the optimized drug molecules. Protein bands of interest can be identified using standard mass spectrometry methods, such as LC-MS/MS. Preferably, the methods identify an optimized drug lead(s) with increased specificity for an intended target, which is the KCNQ target protein in the example above—and this will be assessed based on the protein elution profile from an affinity resin, when the improved lead molecules are used. For example, an improved DMP543 drug lead (A-B*) might elute only KCNQ2-5 proteins from the column, but significantly fewer or no other off-target proteins that bound the original DMP543 molecule (A-B). The best molecules, as judged by the binding affinity to KCNQ channel in the brain tissue (e.g. using a competitive STD assay), lack of binding to the heart muscle KCNQ1/mink channel (which would produce dangerous side effects), and in general the lowest number of off-target binding events, could then be chosen for evaluation in subsequent animal model studies. Complementary behavioral assays, using the newly designed compounds would allow correlation of protein binding profiles with drug efficacy, as well as with undesired effects.


Example 2
Methylation of Anthrone

The following is a procedure for the preparation of 10-(Phenylalkyl)-9 (10H) anthracenone, incorporating the 13C methyl groups to make a A-13CH3 fragment A (shown in FIGS. 2 and 3). 9(10H)-Anthracenone (1 g, 5.15 mmol) and dry K2CO3 (2 g) were suspended in absolute acetone (80 mL) under N2. Methyl chloride (5.2 mmol) and catalytic amounts of potassium iodide (100 mg) were added (benzyl chloride may be substituted instead), and the mixture was refluxed under nitrogen until the reaction was completed (monitored with TLC, comparing reaction versus starting materials; solvent system=9:1 hexane:acetone). The reaction mixture was then cooled and poured into water (400 mL), acidified with 6 N HCl, and extracted with CH2Cl2 (3×30 mL). The combined CH2Cl2 extracts were washed, dried over Na2SO4, and then evaporated. The residue was purified by silica gel chromatography.


The above reaction was repeated, with slight modification, using the following amounts: 0.5 g of anthrone (0.00257 mol) and 0.368 g (=0.0162 ml neat solution=0.00257 mol) of 13CH3I then this amount was doubled in the same reaction on the next day, as there was a big spot of the anthrone remaining on the TLC plate (indicating incomplete reaction). An additional 0.368 g of 13CH3I was added to the reaction. In the separation step, the reaction mixture was purified using flash column chromatography, using an eluent of 97:3 hexane:acetone.


Example 3
Method Applied to Synthetic Intermediate for a Drug

Two drugs, Avandia (GSK) and Actos (Lilly), both contain a common chemical core or scaffold called glitazone (FIG. 6). Other examples of such intermediates could be easily identified by surveying the synthetic procedures used to make existing drugs, such as those in Tables 4-6.


The chemical scaffold of glitazone includes a thiazolidinedione ring joined via a methylene to a phenol. The phenol oxygen of glitazone is chemically linked to two different pendant groups in the two different drugs. Glitazone is a synthetic intermediate on the pathway for synthesis of these two drugs, and it also possesses a nucleophilic atom (the phenolic oxygen), making it a suitable fragment A.


The phenolic oxygen of glitazone can be methylated be reacting with 13CH3I in the presence of base to give the methyl ether, shown in FIG. 7, and a suitable A-13CH3 fragment for the disclosed method. This fragment is then used to screen in the NMR assay for fragment B groups, as in FIG. 3, and when one is identified it is chemically linked to the halogenated fragment B, to give A-B.


Various B fragments can be chosen to make various A-B ligands, optimizing for a number of purposes. For example, there is a danger of heart attack associated with taking Avandia, so one optimization strategy could be to identify alternative fragment B's that bind preferentially to the target of the drug (which is the PPAR gamma protein) and less to non-target proteins from heart tissue. This would be an example of optimizing a drug to reduce side effects. Alternatively, one could identify all the proteins that bind to glitazone using a proteomic assay, and if one of the non-target proteins (e.g., an ion channel such as KCNQ) is the target for another disease, such as a psychiatric disorder, then alternative fragment B's could be identified to achieve higher binding affinity for the ion channel, relative to the target protein. This is an example of drug repurposing, where a drug originally designed to treat a first disease by virtue of preferred binding to a first protein target, is chemically modified to now treat a second disease by virtue of binding preferentially to a second protein target.


REFERENCES



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  • Bakshi V P, Geyer M A (1997) Phencyclidine-induced deficits in prepulse inhibition of startle are blocked by prazosin, an alpha-1 noradrenergic antagonist. J. Pharmacol. Exp. Ther. 283, 666-674.

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  • Wang Q, Curran M E, Splawski I, Burn T C, Millholland J M, VanRaay T J, Shen J, Timothy K W, Vincent G M, de Jager T, Schwartz P J, Toubin J A, Moss A J, Atkinson

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  • Wang H S, Brown B S, McKinnon D, Cohen I S (2000) Molecular basis for differential sensitivity of KCNQ and I(Ks) channels to the cognitive enhancer XE991. Mol. Pharmacol. 57, 218-1223.

  • Wang H S, Pan Z, Shi W, Brown B S, Wymore R S, Cohen I S, Dixon J E, McKinnon D (1998) KCNQ2 and KCNQ3 potassium channel subunits: molecular correlates of the M-channel. Science 282, 1890-1983.

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  • Yao H, Stuart R, Cai S, and Sem, D S (2008) Structural characterization of the transmembrane domain from Subunit e (Su e) of yeast F1F0-ATP synthase: a helical GXXXG motif located just under the micelle surface. Biochemistry 47, 1910-1917.

  • Zaczek R, Chorvat R J, Saye J A, Pierdomenico M E, Maciag C M, Logue A R, Fisher B N, Rominger D H, Earl R A (1998) Two new potent neurotransmitter release enhancers, 10,10-bis(4-pyridinylmethyl)-9(10H)-anthracenone and 10,10-bis(2-fluoro-4-pyridinylmethyl)-9(10H)-anthracenone: comparison to linopirdine. J. Pharmacol. Exp. Ther. 285, 724-730.



It will be readily apparent to one skilled in the art that varying substitutions and modifications may be made to the invention disclosed herein without departing from the scope and spirit of the invention. The invention illustratively described herein suitably may be practiced in the absence of any element or elements, limitation or limitations which is not specifically disclosed herein. The terms and expressions which have been employed are used as terms of description and not of limitation, and there is no intention in the use of such terms and expressions of excluding any equivalents of the features shown and described or portions thereof, but it is recognized that various modifications are possible within the scope of the invention. Thus, it should be understood that although the present invention has been illustrated by specific embodiments and optional features, modification and/or variation of the concepts herein disclosed may be resorted to by those skilled in the art, and that such modifications and variations are considered to be within the scope of this invention.


Citations to a number of patent and non-patent references are made herein. The cited references are incorporated by reference herein in their entireties. In the event that there is an inconsistency between a definition of a term in the specification as compared to a definition of the term in a cited reference, the term should be interpreted based on the definition in the specification.









TABLE 1





Exemplary list of thiol compounds available from Chemical Proteomics Facility of


Marquette University at its website (accessed Jun. 1, 2010).







































































































































































































































































































































































































































































































































































































































































































































































































































































































TABLE 2







5,6-Dimethylbenzimidazole
1-M-TOLYL-PIPERAZINE, DIHYDROCHLORIDE


5-Methylbenzimidazole
1-(o-Tolyl)piperazine hydrochloride


2-Amino-5,6-dimethylbenzimidazole
1-(2,3-Xylyl)piperazine monohydrochloride


1-PIPERIDINO-1-ISOBUTENE
5-AMINO-3-METHYL-1-(P-TOLYL)PYRAZOLE


7-Methylindole
3-Methyl-1-(2-methylphenyl)-1H-pyrazol-5-amine


6-Methylindole
6-Methyl-5-nitroquinoline


5-Methyltryptamine hydrochloride
2,6-Dimethylquinoline


5-Methoxy-4-methylindole
8-Methylquinoline


2,5-Dimethylindole
6-Methylquinoline


1-(p-Tolylsulfonyl)pyrrole
7-Methylquinoline


7-Methyltryptamine
5,7-Dimethyl-8-quinolinol


5-Methylindole
2,7-DIMETHYLQUINOLINE


Tricyclazol
5-Methyl-1,10-phenanthroline


2,5-DIMETHYLBENZOTHIAZOLE
5-Amino-6-methylquinoline


2-HYDROXY-3,6,7-TRIMETHYLQUINOXALINE
4-Hydroxy-2,6-dimethylquinoline


5-Methylquinoxaline
1-AMINO-2-METHYLNAPHTHALENE



HYDROCHLORIDE


(−)-Isopulegol
4-METHYL-1-NAPHTHALENEMETHANOL


(+)-Isopulegol
2-Methyl-1-naphthol


(+)-Dihydrocarveol
1-(3-Methylbenzyl)piperazine


(−)-Dihydrocarveol
1-(2-Methylbenzyl)piperazine


DIHYDROCARVEOL
1-(4-Methylbenzyl)piperazine


5-(P-TOLYL)ISOXAZOLE
1-(2,4,6-Trimethylbenzyl)piperazine


2-(5-Isoxazolyl)-4-methylphenol
5-Amino-3-(4-methylphenyl)pyrazole



















TABLE 3







Compound
Formula



















1












2












3












4












5












6












7












8












9












10












11












12












13












14












15












16












17












18












19












20












21












22












23












24












25












26












27












28












29












30












31












32












33












34












35












36












37












38












39












40












41












42












43












44












45
























TABLE 4







Azaguanine-8
Primaquine diphosphate
Torsemide


Allantoin
Progesterone
Halofantrine hydrochloride


Acetazolamide
Felodipine
Articaine hydrochloride


Metformin hydrochloride
Serotonin hydrochloride
Nomegestrol acetate


Atracurium besylate
Cefotiam hydrochloride
Pancuronium bromide


Isoflupredone acetate
Benperidol
Molindone hydrochloride


Amiloride hydrochloride dihydrate
Cefaclor
Alcuronium chloride


Amprolium hydrochloride
Colistin sulfate
Zalcitabine


Hydrochlorothiazide
Daunorubicin hydrochloride
Methyldopate hydrochloride


Sulfaguanidine
Dosulepin hydrochloride
Levocabastine hydrochloride


Meticrane
Ceftazidime pentahydrate
Pyrvinium pamoate


Benzonatate
Iobenguane sulfate
Etomidate


Hydroflumethiazide
Metixene hydrochloride
Tridihexethyl chloride


Sulfacetamide sodic hydrate
Nitrofural
Penbutolol sulfate


Heptaminol hydrochloride
Omeprazole
Prednicarbate


Sulfathiazole
Propylthiouracil
Sertaconazole nitrate


Levodopa
Terconazole
Repaglinide


Idoxuridine
Tiaprofenic acid
Piretanide


Captopril
Vancomycin hydrochloride
Piperacetazine


Minoxidil
Artemisinin
Oxyphenbutazone


Sulfaphenazole
Propafenone hydrochloride
Quinethazone


Panthenol (D)
Ethamivan
Moricizine hydrochloride


Sulfadiazine
Vigabatrin
Iopanoic acid


Norethynodrel
Biperiden hydrochloride
Pivmecillinam hydrochloride


Thiamphenicol
Cetirizine dihydrochloride
Levopropoxyphene napsylate


Cimetidine
Etifenin
Piperidolate hydrochloride


Doxylamine succinate
Metaproterenol sulfate,
Trifluridine



orciprenaline sulfate


Ethambutol dihydrochloride
Sisomicin sulfate
Oxprenolol hydrochloride


Antipyrine
Resveratrol
Ondansetron Hydrochloride


Antipyrine, 4-hydroxy
Bromperidol
Propoxycaine hydrochloride


Chloramphenicol
Cyclizine hydrochloride
Oxaprozin


Epirizole
Fluoxetine hydrochloride
Phensuximide


Diprophylline
Iohexol
Ioxaglic acid


Triamterene
Norcyclobenzaprine
Naftifine hydrochloride


Dapsone
Pyrazinamide
Meprylcaine hydrochloride


Troleandomycin
Trimethadione
Milrinone


Pyrimethamine
Lovastatin
Methantheline bromide


Hexamethonium dibromide dihydrate
Nystatine
Ticarcillin sodium


Diflunisal
Budesonide
Thiethylperazine malate


Niclosamide
Imipenem
Mesalamine


Procaine hydrochloride
Sulfasalazine
Imidurea


Moxisylyte hydrochoride
Thiostrepton
Lansoprazole


Betazole hydrochloride
Tiabendazole
Bethanechol chloride


Isoxicam
Rifampicin
Cyproterone acetate


Naproxen
Ethionamide
(R)-Propranolol hydrochloride


Naphazoline hydrochloride
Tenoxicam
Ciprofibrate


Ticlopidine hydrochloride
Triflusal
Benzylpenicillin sodium


Dicyclomine hydrochloride
Mesoridazine besylate
Chlorambucil


Amyleine hydrochloride
Trolox
Methiazole


Lidocaine hydrochloride
Pirenperone
(S)-propranolol hydrochloride


Trichlorfon
Isoquinoline, 6,7-dimethoxy-1-
(−)-Eseroline fumarate salt



methyl-1,2,3,4-tetrahydro,



hydrochloride


Carbamazepine
Phenacetin
Leucomisine


Triflupromazine hydrochloride
Atovaquone
D-cycloserine


Mefenamic acid
Methoxamine hydrochloride
2-Chloropyrazine


Acetohexamide
(R)-(+)-Atenolol
(+,−)-Synephrine


Sulpiride
Piracetam
(S)-(−)-Cycloserine


Benoxinate hydrochloride
Phenindione
Homosalate


Oxethazaine
Thiocolchicoside
Spaglumic acid


Pheniramine maleate
Clorsulon
Ranolazine


Tolazoline hydrochloride
Ciclopirox ethanolamine
Sulfadoxine


Morantel tartrate
Probenecid
Cyclopentolate hydrochloride


Homatropine hydrobromide (R,S)
Betahistine mesylate
Estriol


Nifedipine
Tobramycin
(−)-Isoproterenol hydrochloride


Chlorpromazine hydrochloride
Tetramisole hydrochloride
Nialamide


Diphenhydramine hydrochloride
Pregnenolone
Perindopril


Minaprine dihydrochloride
Molsidomine
Fexofenadine HCl


Miconazole
Chloroquine diphosphate
Clonixin Lysinate


Isoxsuprine hydrochloride
Trimetazidine dihydrochloride
Verteporfin


Acebutolol hydrochloride
Parthenolide
Meropenem


Tolnaftate
Hexetidine
Ramipril


Todralazine hydrochloride
Selegiline hydrochloride
Mephenytoin


Imipramine hydrochloride
Pentamidine isethionate
Rifabutin


Sulindac
Tolazamide
Parbendazole


Amitryptiline hydrochloride
Nifuroxazide
Mecamylamine hydrochloride


Adiphenine hydrochloride
Dirithromycin
Procarbazine hydrochloride


Dibucaine
Gliclazide
Viomycin sulfate


Prednisone
DO 897/99
Saquinavir mesylate


Thioridazine hydrochloride
Prenylamine lactate
Ronidazole


Diphemanil methylsulfate
Atropine sulfate monohydrate
Dorzolamide hydrochloride


Trimethobenzamide hydrochloride
Eserine sulfate, physostigmine
Azaperone



sulfate


Metronidazole
Tetracaine hydrochloride
Cefepime hydrochloride


Edrophonium chloride
Mometasone furoate
Clocortolone pivalate


Moroxidine hydrochloride
Dacarbazine
Nadifloxacin


Baclofen (R,S)
Acetopromazine maleate salt
Carbadox


Acyclovir
Lobelanidine hydrochloride
Oxiconazole Nitrate


Diazoxide
Papaverine hydrochloride
Acipimox


Amidopyrine
Yohimbine hydrochloride
Benazepril HCl


Pindolol
Lobeline alpha (−) hydrochoride
Azelastine HCl


Khellin
Cilostazol
Celiprolol HCl


Zimelidine dihydrochloride
Galanthamine hydrobromide
Cytarabine


monohydrate


Azacyclonol
Diclofenac sodium
Doxofylline


Azathioprine
Convolamine hydrochloride
Esmolol hydrochloride


Lynestrenol
Xylazine
Itraconazole


Guanabenz acetate
Eburnamonine (−)
Liranaftate


Disulfiram
Harmaline hydrochloride dihydrate
Mirtazapine


Acetylsalicylsalicylic acid
Harmalol hydrochloride dihydrate
Modafinil


Mianserine hydrochloride
Harmol hydrochloride monohydrate
Nefazodone HCl


Nocodazole
Harmine hydrochloride
Nilvadipine


R(−) Apomorphine hydrochloride
Chrysene-1,4-quinone
Oxcarbazepine


hemihydrate


Amoxapine
Demecarium bromide
Rifapentine


Cyproheptadine hydrochloride
Quipazine dimaleate salt
Ropinirole HCl


Famotidine
Diflorasone Diacetate
Sibutramine HCl


Danazol
Harmane hydrochloride
Stanozolol


Nicorandil
Methoxy-6-harmalan
Zonisamide


Nomifensine maleate
Pyridoxine hydrochloride
Acitretin


Dizocilpine maleate
Racecadotril
Rebamipide


Naloxone hydrochloride
Folic acid
Diacerein


Metolazone
Dimethisoquin hydrochloride
Miglitol


Ciprofloxacin hydrochloride
Dipivefrin hydrochloride
Venlafaxine


Ampicillin trihydrate
Thiorphan
Irsogladine Maleate


Haloperidol
Sulmazole
Acarbose


Naltrexone hydrochloride dihydrate
Flunisolide
Carbidopa


Chlorpheniramine maleate
N-Acetyl-DL-homocysteine
Aniracetam



Thiolactone


Nalbuphine hydrochloride
Flurandrenolide
Busulfan


Picotamide monohydrate
Etanidazole
Docetaxel


Triamcinolone
Butirosin disulfate salt
Tibolone


Bromocryptine mesylate
Glimepiride
Tizanidine HCl


Dehydrocholic acid
Picrotoxinin
Temozolomide


Perphenazine
Mepenzolate bromide
Tioconazole


Mefloquine hydrochloride
Benfotiamine
granisetron


Isoconazole
Halcinonide
ziprasidone Hydrochloride


Spironolactone
Lanatoside C
montelukast


Pirenzepine dihydrochloride
Benzamil hydrochloride
olmesartan


Dexamethasone acetate
Suxibuzone
Oxandrolone


Glipizide
6-Furfurylaminopurine
Thimerosal


Loxapine succinate
Avennectin B1a
toltrazuril


Hydroxyzine dihydrochloride
Nisoldipine
topotecan


Diltiazem hydrochloride
Foliosidine
Toremifene


Methotrexate
Dydrogesterone
tranilast


Astemizole
Beta-Escin
Tripelennamine hydrochloride


Clindamycin hydrochloride
Pempidine tartrate
Clindamycin Phosphate


Terfenadine
Nitrarine dihydrochloride
4-aminosalicylic acid


Cefotaxime sodium salt
Estropipate
5-fluorouracil


Tetracycline hydrochloride
Citalopram Hydrobromide
acetylcysteine


Verapamil hydrochloride
Promazine hydrochloride
acetylsalicylic acid


Dipyridamole
Sulfamerazine
alendronate sodium


Chlorhexidine
Ethotoin
alfacalcidol


Loperamide hydrochloride
3-alpha-Hydroxy-5-beta-androstan-
Allopurinol



17-one


Chlortetracycline hydrochloride
Tetrahydrozoline hydrochloride
amisulpride


Tamoxifen citrate
Hexestrol
Amlodipine


Nicergoline
Cefmetazole sodium salt
anastrozole


Canrenoic acid potassium salt
Trihexyphenidyl-D,L
anethole-trithione



Hydrochloride


Thioproperazine dimesylate
Succinylsulfathiazole
Anthralin


Dihydroergotamine tartrate
Famprofazone
argatroban


Erythromycin
Bromopride
aripiprazole


Didanosine
Methyl benzethonium chloride
atorvastatin


Josamycin
Chlorcyclizine hydrochloride
auranofin


Paclitaxel
Diphenylpyraline hydrochloride
Azithromycin


Ivermectin
Benzethonium chloride
Benztropine mesylate


Gallamine triethiodide
Trioxsalen
bicalutamide


Neomycin sulfate
Sulfabenzamide
bifonazole


Dihydrostreptomycin sulfate
Benzocaine
erlotinib


Gentamicin sulfate
Dipyrone
bosentan


Isoniazid
Isosorbide dinitrate
bromhexine


Pentylenetetrazole
Sulfachloropyridazine
famciclovir


Chlorzoxazone
Pramoxine hydrochloride
Butalbital


Ornidazole
Finasteride
butenafine


Ethosuximide
Fluorometholone
butylscopolammonium (n-)




bromide


Mafenide hydrochloride
Cephalothin sodium salt
fentiazac


Riluzole hydrochloride
Cefuroxime sodium salt
caffeine


Nitrofurantoin
Althiazide
calcipotriene


Hydralazine hydrochloride
Isopyrin hydrochloride
candesartan


Phenelzine sulfate
Phenethicillin potassium salt
canrenone


Tranexamic acid
Sulfamethoxypyridazine
carprofen


Etofylline
Deferoxamine mesylate
carvedilol


Tranylcypromine hydrochloride
Mephentermine hemisulfate
Cefdinir


Alverine citrate salt
Sulfadimethoxine
gatifloxacin


Aceclofenac
Sulfanilamide
gemcitabine


Iproniazide phosphate
Balsalazide Sodium
gestrinone


Sulfamethoxazole
Sulfaquinoxaline sodium salt
guaiacol


Mephenesin
Streptozotocin
gefitinib


Phenformin hydrochloride
Metoprolol-(+,−) (+)-tartrate salt
Escitalopram


Flutamide
Flumethasone
emedastine


Ampyrone
Flecainide acetate
Stavudine


Levamisole hydrochloride
Cefazolin sodium salt
mepivacaine hydrochloride


Pargyline hydrochloride
Atractyloside potassium salt
Methenamine


Methocarbamol
Folinic acid calcium salt
Buspirone hydrochloride


Aztreonam
Levonordefrin
ibandronate


Cloxacillin sodium salt
Ebselen
ibudilast


Catharanthine
Nadide
idebenone


Pentolinium bitartrate
Sulfamethizole
imatinib


Aminopurine, 6-benzyl
Medrysone
imiquimod


Tolbutamide
Flunixin meglumine
ipsapirone


Midodrine hydrochloride
Spiramycin
Isosorbide mononitrate


Thalidomide
Glycopyrrolate
itopride


Oxolinic acid
Cefamandole sodium salt
lacidipine


Nimesulide
Monensin sodium salt
lamivudine


Hydrastinine hydrochloride
Isoetharine mesylate salt
lapatinib ditosylate


Pentoxifylline
Mevalonic-D,L acid lactone
pefloxacine


Metaraminol bitartrate
Terazosin hydrochloride
olopatadine


Salbutamol
Phenazopyridine hydrochloride
phentermine hydrochloride


Prilocaine hydrochloride
Demeclocycline hydrochloride
Phenylbutazone


Camptothecine (S,+)
Fenoprofen calcium salt dihydrate
pioglitazone


Ranitidine hydrochloride
Piperacillin sodium salt
potassium clavulanate


Tiratricol, 3,3′,5-triiodothyroacetic
Diethylstilbestrol
pramipexole


acid


Flufenamic acid
Chlorotrianisene
pranlukast


Flumequine
Ribostarmycin sulfate salt
Pranoprofen


Tolfenamic acid
Methacholine chloride
Pravastatin


Meclofenamic acid sodium salt
Pipenzolate bromide
Prothionamide


monohydrate


Trimethoprim
Butamben
Pyridostigmine iodid


Metoclopramide monohydrochloride
Sulfapyridine
Quetiapine


Fenbendazole
Meclofenoxate hydrochloride
raclopride


Piroxicam
Furaltadone hydrochloride
reboxetine mesylate


Pyrantel tartrate
Ethoxyquin
Rimantadine


Fenspiride hydrochloride
Tinidazole
rivastigmine


Gemfibrozil
Guanadrel sulfate
rofecoxib


Mefexamide hydrochloride
Vidarabine
rosiglitazone


Tiapride hydrochloride
Sulfameter
rufloxacin


Mebendazole
Isopropamide iodide
sarafloxacin


Fenbufen
Alclometasone dipropionate
secnidazole


Ketoprofen
Leflunomide
sertindole


Indapamide
Norgestrel-(−)-D
sildenafil


Norfloxacin
Fluocinonide
sparfloxacin


Antimycin A
Sulfamethazine sodium salt
sulbactam


Xylometazoline hydrochloride
Guaifenesin
sumatriptan succinate


Oxymetazoline hydrochloride
Alexidine dihydrochloride
tazobactam


Nifenazone
Proadifen hydrochloride
telmisartan


Griseofulvin
Zomepirac sodium salt
tenatoprazole


Clemizole hydrochloride
Cinoxacin
tulobuterol


Tropicamide
Clobetasol propionate
tylosin


Nefopam hydrochloride
Podophyllotoxin
vardenafil


Phentolamine hydrochloride
Clofibric acid
vatalanib


Etodolac
Bendroflumethiazide
vecuronium bromide


Scopolamin-N-oxide hydrobromide
Dicumarol
Viloxazine hydrochloride


Hyoscyamine (L)
Methimazole
vorinostat


Chlorphensin carbamate
Merbromin
Warfarin


Metampicillin sodium salt
Hexylcaine hydrochloride
zafirlukast


Dilazep dihydrochloride
Drofenine hydrochloride
zileuton


Ofloxacin
Cycloheximide
zopiclone


Lomefloxacin hydrochloride
(R)-Naproxen sodium salt
zotepine


Orphenadrine hydrochloride
Propidium iodide
zaleplon


Proglumide
Cloperastine hydrochloride
celecoxib


Mexiletine hydrochloride
Eucatropine hydrochloride
chlormadinone acetate


Flavoxate hydrochloride
Isocarboxazid
cilnidipine


Bufexamac
Lithocholic acid
Clarithromycin


Glutethimide, para-amino
Methotrimeprazine maleat salt
clobutinol hydrochloride


Dropropizine (R,S)
Dienestrol
clodronate


Pinacidil
Pridinol methanesulfonate salt
clofibrate


Albendazole
Amrinone
closantel


Clonidine hydrochloride
Carbinoxamine maleate salt
desloratadine


Bupropion hydrochloride
Methazolamide
Dexfenfluramine hydrochloride


Alprenolol hydrochloride
Pyrithyldione
Dibenzepine hydrochloride


Chlorothiazide
Spectinomycin dihydrochloride
diclazuril


Diphenidol hydrochloride
Piromidic acid
dopamine hydrochloride


Norethindrone
Trimipramine maleate salt
doxycycline hydrochloride


Nortriptyline hydrochloride
Chloropyramine hydrochloride
Efavirenz


Niflumic acid
Furazolidone
Enoxacin


Isotretinoin
Dichlorphenamide
Entacapone


Retinoic acid
Sulconazole nitrate
Ethinylestradiol


Antazoline hydrochloride
Cromolyn disodium salt
Etofenamate


Ethacrynic acid
Bucladesine sodium salt
Etoricoxib


Praziquantel
Cefsulodin sodium salt
Etretinate


Ethisterone
Fosfosal
Exemestane


Triprolidine hydrochloride
Suprofen
fleroxacin


Doxepin hydrochloride
Catechin-(+,−) hydrate
floxuridine


Dyclonine hydrochloride
Nadolol
flubendazol


Dimenhydrinate
Moxalactam disodium salt
Fluconazole


Disopyramide
Aminophylline
fluocinolone acetonide


Clotrimazole
Azlocillin sodium salt
formestane


Vinpocetine
Clidinium bromide
formoterol fumarate


Clomipramine hydrochloride
Sulfamonomethoxine
Fosinopril


Fendiline hydrochloride
Benzthiazide
fulvestrant


Vincamine
Trichlormethiazide
levetiracetam


Indomethacin
Oxalamine citrate salt
linezolid


Cortisone
Propantheline bromide
lofexidine


Prednisolone
Dimethadione
loratadine


Fenofibrate
Ethaverine hydrochloride
losartan


Bumetanide
Butacaine
melengestrol acetate


Labetalol hydrochloride
Cefoxitin sodium salt
mevastatin


Cinnarizine
Ifosfamide
Misoprostol


Methylprednisolone, 6-alpha
Novobiocin sodium salt
Mitotane


Quinidine hydrochloride
Tetrahydroxy-1,4-quinone
moxifloxacin


monohydrate
monohydrate


Fludrocortisone acetate
Indoprofen
Nalidixic acid sodium salt


Fenoterol hydrobromide
Carbenoxolone disodium salt
nicotinamide


Homochlorcyclizine dihydrochloride
Iocetamic acid
Norgestimate


Diethylcarbamazine citrate
Ganciclovir
Nylidrin


Chenodiol
Ethopropazine hydrochloride
olanzapine


Perhexiline maleate
Trimeprazine tartrate
opipramol dihydrochloride


Oxybutynin chloride
Nafcillin sodium salt monohydrate
oxfendazol


Spiperone
Procyclidine hydrochloride
oxibendazol


Pyrilamine maleate
Amiprilose hydrochloride
tomoxetine hydrochloride


Sulfinpyrazone
Ethynylestradiol 3-methyl ether
Tosufloxacin hydrochloride


Dantrolene sodium salt
(−)-Levobunolol hydrochloride
Tramadol hydrochloride


Trazodone hydrochloride
Iodixanol
troglitazone


Glafenine hydrochloride
Rolitetracycline
Mercaptopurine


Pimethixene maleate
Equilin
Amfepramone hydrochloride


Pergolide mesylate
Paroxetine Hydrochloride
Hexachlorophene


Acemetacin
Liothyronine
Estradiol Valerate


Benzydamine hydrochloride
Roxithromycin
Chloroxine


Fipexide hydrochloride
Beclomethasone dipropionate
Oxacillin Na


Mifepristone
Tolmetin sodium salt dihydrate
Amcinonide


Diperodon hydrochloride
(+)-Levobunolol hydrochloride
Penicillamine


Lisinopril
Doxazosin mesylate
Rifaximin


Lincomycin hydrochloride
Fluvastatin sodium salt
Triclosan


Telenzepine dihydrochloride
Methylhydantoin-5-(L)
Racepinephrine HCl


Econazole nitrate
Gabapentin
cyclophosphamide


Bupivacaine hydrochloride
Raloxifene hydrochloride
Valproic acid


Clemastine fumarate
Etidronic acid. disodium salt
Fludarabine


Oxytetracycline dihydrate
Methylhydantoin-5-(D)
Cladribine


Pimozide
Simvastatin
Cortisol acetate


Amodiaquin dihydrochloride
Azacytidine-5
Mesna


dihydrate


Mebeverine hydrochloride
Paromomycin sulfate
Penciclovir


Ifenprodil tartrate
Acetaminophen
amifostine


Flunarizine dihydrochloride
Phthalylsulfathiazole
Nalmefene


Trifluoperazine dihydrochloride
Luteolin
Pentobarbital


Enalapril maleate
Iopamidol
Lamotrigine


Minocycline hydrochloride
Iopromide
Topiramate


Glibenclamide
Theophylline monohydrate
Irinotecan Hydrochloride


Guanethidine sulfate
Theobromine
Rabeprazole


Quinacrine dihydrochloride dihydrate
Reserpine
Tiludronate disodium


Clofilium tosylate
Scopolamine hydrochloride
Ambrisentan


Fluphenazine dihydrochloride
Ioversol
Torsemide


Streptomycin sulfate
Carbachol
Halofantrine hydrochloride


Alfuzosin hydrochloride
Niacin
Articaine hydrochloride


Chlorpropamide
Bemegride
Nomegestrol acetate


Phenylpropanolamine hydrochloride
Digoxigenin
Pancuronium bromide


Ascorbic acid
Meglumine
Molindone hydrochloride


Methyldopa (L,−)
Cantharidin
Alcuronium chloride


Cefoperazone dihydrate
Clioquinol
Zalcitabine


Zoxazolamine
Oxybenzone
Methyldopate hydrochloride


Tacrine hydrochloride hydrate
Promethazine hydrochloride
Levocabastine hydrochloride


Bisoprolol fumarate
FeIbinac
Pyrvinium pamoate


Tremorine dihydrochloride
Butylparaben
Etomidate


Practolol
Aminohippuric acid
Tridihexethyl chloride


Zidovudine, AZT
N-Acetyl-L-leucine
Penbutolol sulfate


Sulfisoxazole
Pipemidic acid
Prednicarbate


Zaprinast
Dioxybenzone
Sertaconazole nitrate


Chlormezanone
Adrenosterone
Repaglinide


Procainamide hydrochloride
Methylatropine nitrate
Piretanide


N6-methyladenosine
Hymecromone
Piperacetazine


Guanfacine hydrochloride
Caffeic acid
Oxyphenbutazone


Domperidone
Diloxanide furoate
Quinethazone


Furosemide
Metyrapone
Moricizine hydrochloride


Methapyrilene hydrochloride
Urapidil hydrochloride
Iopanoic acid


Desipramine hydrochloride
Fluspirilen
Pivmecillinam hydrochloride


Clorgyline hydrochloride
S-(+)-ibuprofen
Levopropoxyphene napsylate


Clenbuterol hydrochloride
Ethynodiol diacetate
Piperidolate hydrochloride


Maprotiline hydrochloride
Nabumetone
Trifluridine


Thioguanosine
Nisoxetine hydrochloride
Oxprenolol hydrochloride


Chlorprothixene hydrochloride
(+)-Isoproterenol (+)-bitartrate salt
Ondansetron Hydrochloride


Ritodrine hydrochloride
Monobenzone
Propoxycaine hydrochloride


Clozapine
2-Aminobenzenesulfonamide
Oxaprozin


Chlorthalidone
Estrone
Phensuximide


Dobutamine hydrochloride
Lorglumide sodium salt
Ioxaglic acid


Moclobemide
Nitrendipine
Naftifine hydrochloride


Clopamide
Flurbiprofen
Meprylcaine hydrochloride


Hycanthone
Nimodipine
Milrinone


Adenosine 5′-monophosphate
Bacitracin
Methantheline bromide


monohydrate


Amoxicillin
L(−)-vesamicol hydrochloride
Ticarcillin sodium


Cephalexin monohydrate
Nizatidine
Thiethylperazine malate


Dextromethorphan hydrobromide
Thioperamide maleate
Mesalamine


monohydrate


Droperidol
Xamoterol hemifumarate
Imidurea


Bambuterol hydrochloride
Rolipram
Lansoprazole


Betamethasone
Thonzonium bromide
Bethanechol chloride


Colchicine
Idazoxan hydrochloride
Cyproterone acetate


Metergoline
Quinapril HCl
(R)-Propranolol hydrochloride


Brinzolamide
Nilutamide
Ciprofibrate


Ambroxol hydrochloride
Ketorolac tromethamine
Benzylpenicillin sodium


Benfluorex hydrochloride
Protriptyline hydrochloride
Chlorambucil


Bepridil hydrochloride
Propofol
Methiazole


Meloxicam
S(−)Eticlopride hydrochloride
(S)-propranolol hydrochloride


Benzbromarone
Primidone
(−)-Eseroline fumarate salt


Ketotifen fumarate
Flucytosine
Leucomisine


Debrisoquin sulfate
(−)-MK 801 hydrogen maleate
D-cycloserine


Amethopterin (R,S)
Bephenium hydroxynaphthoate
2-Chloropyrazine


Methylergometrine maleate
Dehydroisoandosterone 3-acetate
(+,−)-Synephrine


Methiothepin maleate
Benserazide hydrochloride
(S)-(−)-Cycloserine


Clofazimine
Iodipamide
Homosalate


Nafronyl oxalate
Pentetic acid
Spaglumic acid


Bezafibrate
Bretylium tosylate
Ranolazine


Clebopride maleate
Pralidoxime chloride
Sulfadoxine


Lidoflazine
Phenoxybenzamine hydrochloride
Cyclopentolate hydrochloride


Betaxolol hydrochloride
Salmeterol
Estriol


Nicardipine hydrochloride
Altretamine
(−)-Isoproterenol hydrochloride


Probucol
Prazosin hydrochloride
Nialamide


Mitoxantrone dihydrochloride
Timolol maleate salt
Perindopril


GBR 12909 dihydrochloride
(+,−)-Octopamine hydrochloride
Fexofenadine HCl


Carbetapentane citrate
Crotamiton
Clonixin Lysinate


Dequalinium dichloride
(S)-(−)-Atenolol
Verteporfin


Ketoconazole
Tyloxapol
Meropenem


Fusidic acid sodium salt
Florfenicol
Ramipril


Terbutaline hemisulfate
Megestrol acetate
Mephenytoin


Ketanserin tartrate hydrate
Deoxycorticosterone
Rifabutin


Hemicholinium bromide
Urosiol
Parbendazole


Kanamycin A sulfate
Proparacaine hydrochloride
Mecamylamine hydrochloride


Amikacin hydrate
Aminocaproic acid
Procarbazine hydrochloride


Etoposide
Denatonium benzoate
Viomycin sulfate


Clomiphene citrate (Z,E)
Enilconazole
Saquinavir mesylate


Oxantel pamoate
Methacycline hydrochloride
Ronidazole


Prochlorperazine dimaleate
Sotalol hydrochloride
Dorzolamide hydrochloride


Hesperidin
Decamethonium bromide
Azaperone


Testosterone propionate
3-Acetamidocoumarin
Cefepime hydrochloride


Arecoline hydrobromide
Roxarsone
Clocortolone pivalate


Thyroxine (L)
Remoxipride Hydrochloride
Nadifloxacin


Pepstatin A
THIP Hydrochloride
Carbadox


SR-95639A
Pirlindole mesylate
Oxiconazole Nitrate


Adamantamine fumarate
Pronethalol hydrochloride
Acipimox


Butoconazole nitrate
Naftopidil dihydrochloride
Benazepril HCl


Amiodarone hydrochloride
Tracazolate hydrochloride
Azelastine HCl


Amphotericin B
Zardaverine
Celiprolol HCl


Androsterone
Memantine Hydrochloride
Cytarabine


Carbarsone
Ozagrel hydrochloride
Doxofylline


Bacampicillin hydrochloride
Piribedil hydrochloride
Esmolol hydrochloride


Biotin
Nitrocaramiphen hydrochloride
Itraconazole


Bisacodyl
Nandrolone
Liranaftate


Suloctidil
Dimaprit dihydrochloride
Mirtazapine


Carisoprodol
Proscillaridin A
Modafinil


Cephalosporanic acid, 7-amino
Gliquidone
Nefazodone HCl


Chicago sky blue 6B
Pizotifen malate
Nilvadipine


Buflomedil hydrochloride
Ribavirin
Oxcarbazepine


Roxatidine Acetate HCl
Cyclopenthiazide
Rifapentine


Cholecalciferol
Fluvoxamine maleate
Ropinirole HCl


Cisapride
Fluticasone propionate
Sibutramine HCl


Corticosterone
Zuclopenthixol hydrochloride
Stanozolol


Cyanocobalamin
Proguanil hydrochloride
Zonisamide


Cefadroxil
Lymecycline
Acitretin


Cyclosporin A
Alfadolone acetate
Rebamipide


Digitoxigenin
Alfaxalone
Diacerein


Digoxin
Azapropazone
Miglitol


Doxorubicin hydrochloride
Meptazinol hydrochloride
Venlafaxine


Carbimazole
Apramycin
Irsogladine Maleate


Epiandrosterone
Epitiostanol
Acarbose


Estradiol-17 beta
Fursultiamine Hydrochloride
Carbidopa


Gabazine
Gabexate mesilate
Aniracetam


Cyclobenzaprine hydrochloride
Pivampicillin
Busulfan


Carteolol hydrochloride
Talampicillin hydrochloride
Docetaxel


Hydrocortisone base
Flucloxacillin sodium
Tibolone


Hydroxytacrine maleate (R,S)
Trapidil
Tizanidine HCl


Pilocarpine nitrate
Deptropine citrate
Temozolomide


Dicloxacillin sodium salt
Sertraline
Tioconazole


Alizapride HCl
Ethamsylate
granisetron


Mebhydroline 1,5-
Moxonidine
ziprasidone Hydrochloride


naphtalenedisulfonate


Meclocycline sulfosalicylate
Etilefrine hydrochloride
montelukast


Meclozine dihydrochloride
Alprostadil
olmesartan


Melatonin
Tribenoside
Oxandrolone


Dinoprost trometamol
Rimexolone
Thimerosal


Tropisetron HCl
Isradipine
toltrazuril


Cefixime
Tiletamine hydrochloride
topotecan


Metrizamide
Isometheptene mucate
Toremifene


Neostigmine bromide
Nifurtimox
tranilast


Niridazole
Letrozole
Tripelennamine hydrochloride


Ceforanide
Arbutin
Clindamycin Phosphate


Cefotetan
Tocainide hydrochloride
4-aminosalicylic acid


Brompheniramine maleate
Benzathine benzylpenicillin
5-fluorouracil


Azaguanine-8
Risperidone
acetylcysteine


















TABLE 5







MAFENIDE HYDROCHLORIDE
CYPROTERONE ACETATE
BENDROFLUMETHIAZIDE


MAPROTILINE
CYTARABINE
BEPRIDIL HYDROCHLORIDE


HYDROCHLORIDE


MECAMYLAMINE
DACARBAZINE
BROMHEXINE


HYDROCHLORIDE

HYDROCHLORIDE


MECHLORETHAMINE
DANAZOL
CARMUSTINE


MECLIZINE HYDROCHLORIDE
DAPSONE
CEFTRIAXONE SODIUM




TRIHYDRATE


MECLOFENAMATE SODIUM
DAUNORUBICIN
TRIMIPRAMINE MALEATE


MEDRYSONE
SODIUM DEHYDROCHOLATE
TRIFLUPROMAZINE




HYDROCHLORIDE


MEGESTROL ACETATE
DEMECLOCYCLINE
TRAZODONE



HYDROCHLORIDE
HYDROCHLORIDE


MELPHALAN
DESIPRAMINE
MENTHOL(−)



HYDROCHLORIDE


MESTRANOL
DEXAMETHASONE
THONZYLAMINE




HYDROCHLORIDE


METAPROTERENOL
DEXAMETHASONE ACETATE
THIAMPHENICOL


METHACHOLINE CHLORIDE
DEFEROXAMINE MESYLATE
TENOXICAM


METHIMAZOLE
DEXAMETHASONE SODIUM
CHLOROXINE



PHOSPHATE


METHOCARBAMOL
DEXTROMETHORPHAN
CHLORPROTHIXENE



HYDROBROMIDE
HYDROCHLORIDE


METHOTREXATE(+/−)
DIBENZOTHIOPHENE
CINNARAZINE


METHOXAMINE
DIBUCAINE
DANTROLENE SODIUM


HYDROCHLORIDE
HYDROCHLORIDE


METHYLDOPA
DICLOFENAC SODIUM
BETAMETHASONE 17,21-




DIPROPIONATE


METHYLPREDNISOLONE
DICLOXACILLIN SODIUM
DOBUTAMINE




HYDROCHLORIDE


METOCLOPRAMIDE
DICUMAROL
EDOXUDINE


HYDROCHLORIDE


METOPROLOL TARTRATE
DICYCLOMINE
ENOXACIN



HYDROCHLORIDE


METRONIDAZOLE
DIENESTROL
ETHISTERONE


MINOCYCLINE
DIETHYLCARBAMAZINE
PARAROSANILINE PAMOATE


HYDROCHLORIDE
CITRATE


MINOXIDIL
DIETHYLSTILBESTROL
PERHEXILINE MALEATE


MOXALACTAM DISODIUM
DIFLUNISAL
PAROMOMYCIN SULFATE


NADIDE
DIGITOXIN
METHAPYRILENE




HYDROCHLORIDE


NAFCILLIN SODIUM
DIGOXIN
BETA-PROPIOLACTONE


NALOXONE HYDROCHLORIDE
DIHYDROERGOTAMINE
HALCINONIDE



MESYLATE


NAPHAZOLINE
DIHYDROSTREPTOMYCIN
HYCANTHONE


HYDROCHLORIDE
SULFATE


NAPROXEN(+)
DIMENHYDRINATE
PYRIDOSTIGMINE BROMIDE


NEOSTIGMINE BROMIDE
DIMETHADIONE
ISOXICAM


NIACIN
DIOXYBENZONE
LABETALOL




HYDROCHLORIDE


NIFEDIPINE
DIPHENHYDRAMINE
LEVAMISOLE



HYDROCHLORIDE
HYDROCHLORIDE


NITROFURANTOIN
DIPHENYLPYRALINE
MEPHENTERMINE SULFATE



HYDROCHLORIDE


OXYBUTYNIN CHLORIDE
DIPYRIDAMOLE
METARAMINOL BITARTRATE


NOREPINEPHRINE
PYRITHIONE ZINC
METHAZOLAMIDE


NORETHINDRONE
DISOPYRAMIDE PHOSPHATE
METHYLBENZETHONIUM




CHLORIDE


NORETHYNODREL
DISULFIRAM
METHYLPREDNISOLONE




SODIUM SUCCINATE


NORFLOXACIN
DOPAMINE
AMSACRINE



HYDROCHLORIDE


NORGESTREL
DOXEPIN HYDROCHLORIDE
MIDODRINE




HYDROCHLORIDE


NORTRIPTYLINE
DOXYCYCLINE
NADOLOL



HYDROCHLORIDE


NOSCAPINE HYDROCHLORIDE
DOXYLAMINE SUCCINATE
NALTREXONE




HYDROCHLORIDE


NOVOBIOCIN SODIUM
DYCLONINE
CYCLOTHIAZIDE



HYDROCHLORIDE


NYLIDRIN HYDROCHLORIDE
DYPHYLLINE
NICLOSAMIDE


NYSTATIN
TRISODIUM
NOMIFENSINE MALEATE



ETHYLENEDIAMINE



TETRACETATE


ORPHENADRINE CITRATE
EMETINE
PERGOLIDE MESYLATE


OXACILLIN SODIUM
ADRENALINE BITARTRATE
PRILOCAINE




HYDROCHLORIDE


OXYBENZONE
EQUILIN
HYDROCORTISONE




BUTYRATE


OXYMETAZOLINE
ERGOCALCIFEROL
ROXITHROMYCIN


HYDROCHLORIDE


OXYPHENBUTAZONE
ERGONOVINE MALEATE
MITOXANTHRONE




HYDROCHLORIDE


OXYTETRACYCLINE
ERYTHROMYCIN
OXETHAZAINE



ETHYLSUCCINATE


PAPAVERINE
ESTRADIOL
DIPYRONE


HYDROCHLORIDE


PARACHLOROPHENOL
ESTRADIOL CYPIONATE
SULFANILATE ZINC


PARGYLINE HYDROCHLORIDE
ESTRADIOL VALERATE
URETHANE


PENICILLAMINE
ESTRIOL
THIRAM


PHENACEMIDE
ESTRONE
THIOTEPA


PHENAZOPYRIDINE
ETHACRYNIC ACID
TETROQUINONE


HYDROCHLORIDE


PHENELZINE SULFATE
ETHAMBUTOL
SULFANITRAN



HYDROCHLORIDE


PHENINDIONE
ETHINYL ESTRADIOL
OXIBENDAZOLE


PHENIRAMINE MALEATE
ETHIONAMIDE
PIPOBROMAN


PHENYLBUTAZONE
ETHOPROPAZINE
ETANIDAZOLE



HYDROCHLORIDE


PHENYTOIN SODIUM
EUCATROPINE
NAFRONYL OXALATE



HYDROCHLORIDE


FENOFIBRATE
EUGENOL
QUIPAZINE MALEATE


FENOPROFEN
FLUDROCORTISONE
RITANSERIN



ACETATE


FLUFENAMIC ACID
FLUMETHAZONE PIVALATE
SEMUSTINE


FENBENDAZOLE
FLUOCINOLONE ACETONIDE
SPIRAMYCIN


FENSPIRIDE HYDROCHLORIDE
FLUOCINONIDE
CLOFIBRATE


MEFENAMIC ACID
FLUOROMETHOLONE
RESORCINOL MONOACETATE


METHACYCLINE
FLUOROURACIL
NIMODIPINE


HYDROCHLORIDE


MEFEXAMIDE
FLURBIPROFEN
ACYCLOVIR


PROBUCOL
FURAZOLIDONE
RETINYL PALMITATE


PUROMYCIN
FUROSEMIDE
THALIDOMIDE


HYDROCHLORIDE


MEBENDAZOLE
FUSIDIC ACID
NITRENDIPINE


NALBUPHINE
GALLAMINE TRIETHIODIDE
BENZALKONIUM CHLORIDE


HYDROCHLORIDE


PROGLUMIDE
GEMFIBROZIL
CIPROFLOXACIN


MINAPRINE HYDROCHLORIDE
GENTAMICIN SULFATE
CELECOXIB


MEMANTINE
GENTIAN VIOLET
AZITHROMYCIN


HYDROCHLORIDE


ATENOLOL
GLUCOSAMINE
ANETHOLE



HYDROCHLORIDE


CARBETAPENTANE CITRATE
GRAMICIDIN
TERFENADINE


PIMOZIDE
GUAIFENESIN
CLOPIDOGREL SULFATE


NICARDIPINE
GUANABENZ ACETATE
LORATADINE


HYDROCHLORIDE


NEFOPAM
GUANETHIDINE SULFATE
SELAMECTIN


PIRENZEPINE
HALAZONE
NAPROXOL


HYDROCHLORIDE


PRAMOXINE
HALOPERIDOL
COLFORSIN


HYDROCHLORIDE


MEPHENESIN
HETACILLIN POTASSIUM
ISOSORBIDE MONONITRATE


SULFACHLORPYRIDAZINE
HEXACHLOROPHENE
AMCINONIDE


SULFADIMETHOXINE
HEXYLRESORCINOL
BUPIVACAINE




HYDROCHLORIDE


SULFAGUANIDINE
HISTAMINE
ALBENDAZOLE



DIHYDROCHLORIDE


SULFAMONOMETHOXINE
HOMATROPINE BROMIDE
PACLITAXEL


SULCONAZOLE NITRATE
HOMATROPINE
BUTACAINE



METHYLBROMIDE


RITODRINE HYDROCHLORIDE
HYDRALAZINE
CLOBETASOL PROPIONATE



HYDROCHLORIDE


SULPIRIDE
HYDROCHLOROTHIAZIDE
IOPANIC ACID


RANITIDINE
HYDROCORTISONE ACETATE
KETOROLAC




TROMETHAMINE


SULOCTIDIL
HYDROCORTISONE
LANSOPRAZOLE



HEMISUCCINATE


RONIDAZOLE
HYDROCORTISONE
MEXILETINE



PHOSPHATE
HYDROCHLORIDE



TRIETHYLAMINE


SULFAMETER
HYDROFLUMETHIAZIDE
MORANTEL CITRATE


SULFAMETHOXYPYRIDAZINE
HYDROXYPROGESTERONE
PERPHENAZINE



CAPROATE


SUPROFEN
HYDROXYUREA
RIBAVIRIN


SACCHARIN
HYDROXYZINE PAMOATE
TACROLIMUS


ACETANILIDE
HYOSCYAMINE
BROMPHENIRAMINE




MALEATE


FLURANDRENOLIDE
IBUPROFEN
SIROLIMUS


ESTRADIOL ACETATE
IMIPRAMINE
PAROXETINE



HYDROCHLORIDE
HYDROCHLORIDE


ECONAZOLE NITRATE
INDAPAMIDE
ETHYLNOREPINEPHRINE




HYDROCHLORIDE


FLUNISOLIDE
INDOMETHACIN
ALAPROCLATE


FLUMETHASONE
INDOPROFEN
ACETRIAZOIC ACID


XYLAZINE
INOSITOL
VENLAFAXINE


TOLAZAMIDE
IODOQUINOL
CITALOPRAM


GALANTHAMINE
IPRATROPIUM BROMIDE
FLUOXETINE


HYDROBROMIDE


LANATOSIDE C
ISONIAZID
BUPROPION


ENALAPRIL MALEATE
ISOPROPAMIDE IODIDE
CEFUROXIME AXETIL


KETOPROFEN
ISOPROTERENOL
FEXOFENADINE



HYDROCHLORIDE
HYDROCHLORIDE


LISINOPRIL
ISOSORBIDE DINITRATE
TRIFLURIDINE


BUMETANIDE
ISOXSUPRINE
PIRENPERONE



HYDROCHLORIDE


CARBENOXOLONE SODIUM
KANAMYCIN A SULFATE
AVOBENZONE


FOLIC ACID
KETOCONAZOLE
ATOVAQUONE


PHTHALYLSULFATHIAZOLE
LACTULOSE
TRIMETOZINE


SUCCINYLSULFATHIAZOLE
LEUCOVORIN CALCIUM
ZOXAZOLAMINE


TRANEXAMIC ACID
LEVONORDEFRIN
CYSTEAMINE




HYDROCHLORIDE


CEPHALEXIN
LINCOMYCIN
ROFECOXIB



HYDROCHLORIDE


OXOLINIC ACID
MEDROXYPROGESTERONE
SIMVASTATIN



ACETATE


CEFOXITIN SODIUM
MEPENZOLATE BROMIDE
OXCARBAZEPINE


SURAMIN
MERCAPTOPURINE
MELOXICAM SODIUM


CEFUROXIME SODIUM
METHENAMINE
CARVEDILOL


VIGABATRIN
METHICILLIN SODIUM
IRBESARTAN


LOMEFLOXACIN
METHOXSALEN
LEVOFLOXACIN


HYDROCHLORIDE


CEFAMANDOLE SODIUM
METHYLERGONOVINE
LITHIUM CITRATE



MALEATE


CEFMETAZOLE SODIUM
METHYLTHIOURACIL
GATIFLOXACIN


CEFOPERAZONE SODIUM
MICONAZOLE NITRATE
MIGLITOL


OFLOXACIN
NEOMYCIN SULFATE
ORLISTAT


BEZAFIBRATE
NITROFURAZONE
MOXIFLOXACIN




HYDROCHLORIDE


CETIRIZINE HYDROCHLORIDE
NITROMIDE
PIOGLITAZONE




HYDROCHLORIDE


PHENYLETHYL ALCOHOL
NORETHINDRONE ACETATE
DONEPEZIL HYDROCHLORIDE


MECLOCYCLINE
OXIDOPAMINE
FLUVASTATIN


SULFOSALICYLATE
HYDROCHLORIDE


RIBOFLAVIN
OXYQUINOLINE
PIZOTYLINE MALATE



HEMISULFATE


ACEBUTOLOL
PENICILLIN G POTASSIUM
EXEMESTANE


HYDROCHLORIDE


ASPARTAME
PENICILLIN V POTASSIUM
TILMICOSIN


VARDENAFIL
PHENOLPHTHALEIN
FLUNIXIN MEGLUMINE


HYDROCHLORIDE


FLUORESCEIN
PHENYLEPHRINE
CLORSULON



HYDROCHLORIDE


NIACINAMIDE
PHENYLPROPANOLAMINE
ESTROPIPATE



HYDROCHLORIDE


PROPRANOLOL
PHYSOSTIGMINE
CLAVULANATE LITHIUM


HYDROCHLORIDE (+/−)
SALICYLATE


METHSCOPOLAMINE
PILOCARPINE NITRATE
ALCLOMETAZONE


BROMIDE

DIPROPIONATE


EDROPHONIUM CHLORIDE
PINDOLOL
ALENDRONATE SODIUM


THIOPENTAL SODIUM
PIPERACILLIN SODIUM
ACARBOSE


PENTOBARBITAL
PIPERAZINE
ROPINIROLE


PHENFORMIN
PIROXICAM
QUETIAPINE


HYDROCHLORIDE


PENFLURIDOL
POLYMYXIN B SULFATE
RIZATRIPTAN BENZOATE


PHTHALYSULFATHIAZOLE
PRAZIQUANTEL
FAMCICLOVIR


VINCRISTINE SULFATE
PRAZOSIN HYDROCHLORIDE
AMLODIPINE BESYLATE


OMEPRAZOLE
PREDNISOLONE
EZETIMIBE


ZOLMITRIPTAN
PREDNISOLONE ACETATE
OLMESARTAN MEDOXOMIL


DEBRISOQUIN SULFATE
PREDNISONE
CEFTIBUTEN


SULFADOXINE
PRIMAQUINE DIPHOSPHATE
CEFDINIR


FINASTERIDE
PRIMIDONE
SIBUTRAMINE




HYDROCHLORIDE


PENTETIC ACID
PROBENECID
PERINDOPRIL ERBUMINE


PROSCILLARIDIN
PROCAINAMIDE
ROSUVASTATIN CALCIUM



HYDROCHLORIDE


JOSAMYCIN
PROCAINE HYDROCHLORIDE
RAMIPRIL


REPAGLINIDE
PROCHLORPERAZINE
ESCITALOPRAM OXALATE



EDISYLATE


CROTAMITON
PROCYCLIDINE
DERACOXIB



HYDROCHLORIDE


CEFPROZIL
PROMAZINE
CILOSTAZOL



HYDROCHLORIDE


METHYLDOPATE
PROPANTHELINE BROMIDE
CITICOLINE


HYDROCHLORIDE


SULFAQUINOXALINE SODIUM
DEXPROPRANOLOL
APRAMYCIN



HYDROCHLORIDE


POTASSIUM p-
PROPYLTHIOURACIL
SERTRALINE


AMINOBENZOATE

HYDROCHLORIDE


BETAMETHASONE VALERATE
PSEUDOEPHEDRINE
ALFLUZOSIN



HYDROCHLORIDE


ERYTHROMYCIN
PYRANTEL PAMOATE
TELITHROMYCIN


PROMETHAZINE
PYRAZINAMIDE
OXAPROZIN


HYDROCHLORIDE


SCOPOLAMINE
PYRILAMINE MALEATE
OXFENDAZOLE


HYDROBROMIDE


THEOPHYLLINE
PYRIMETHAMINE
AMITRAZ


TOLNAFTATE
PYRVINIUM PAMOATE
PEFLOXACINE MESYLATE


TRIMETHOBENZAMIDE
QUINACRINE
CHLOROPHYLLIDE Cu


HYDROCHLORIDE
HYDROCHLORIDE
COMPLEX Na SALT


VINBLASTINE SULFATE
QUINIDINE GLUCONATE
BIFONAZOLE


CLEBOPRIDE MALEATE
QUININE SULFATE
TYLOSIN TARTRATE


PIRACETAM
RACEPHEDRINE
SARAFLOXACIN



HYDROCHLORIDE
HYDROCHLORIDE


GLUCONOLACTONE
RESERPINE
CLOPIDOL


AZLOCILLIN SODIUM
RESORCINOL
CHLORMADINONE ACETATE


CHOLINE CHLORIDE
RIFAMPIN
OXICONAZOLE NITRATE


ATORVASTATIN CALCIUM
ROXARSONE
AZAPERONE


OXYPHENCYCLIMINE
SALICYL ALCOHOL
TRANILAST


HYDROCHLORIDE


PROPAFENONE
SALICYLAMIDE
AZELASTINE


HYDROCHLORIDE

HYDROCHLORIDE


FLUCONAZOLE
SODIUM SALICYLATE
KETANSERIN TARTRATE


LOVASTATIN
SISOMICIN SULFATE
FIPRONIL


ATROPINE OXIDE
SPECTINOMYCIN
DECOQUINATE



HYDROCHLORIDE


SENNOSIDE A
SPIRONOLACTONE
CEFDITORIN PIVOXIL


TENIPOSIDE
STREPTOMYCIN SULFATE
VALACYCLOVIR




HYDROCHLORIDE


TANNIC ACID
STREPTOZOSIN
DULOXETINE




HYDROCHLORIDE


CARPROFEN
SULFABENZAMIDE
NISOLDIPINE


HYDROXYCHLOROQUINE
SULFACETAMIDE
MONTELUKAST SODIUM


SULFATE


DIRITHROMYCIN
SULFADIAZINE
BENURESTAT


MEPIVACAINE
SULFAMERAZINE
BENZOXIQUINE


HYDROCHLORIDE


NILUTAMIDE
SULFAMETHAZINE
BISMUTH SUBSALICYLATE


AMINOLEVULINIC ACID
SULFAMETHIZOLE
BENZOYLPAS


HYDROCHLORIDE


PARAMETHADIONE
SULFAMETHOXAZOLE
BROMINDIONE


METAXALONE
SULFAPYRIDINE
CAPOBENIC ACID


CHLOROGUANIDE
SULFASALAZINE
ACETOHEXAMIDE


HYDROCHLORIDE


CLARITHROMYCIN
SULFATHIAZOLE
ETHOXZOLAMIDE


HYDROQUINONE
SULFINPYRAZONE
FLUCYTOSINE


NATEGLINIDE
SULFISOXAZOLE
FOMEPIZOLE




HYDROCHLORIDE


CANDESARTAN CILEXTIL
SULINDAC
GLIPIZIDE


ROSIGLITAZONE
TAMOXIFEN CITRATE
GUANFACINE


LOSARTAN
TERBUTALINE HEMISULFATE
D-LACTITOL MONOHYDRATE


HOMOSALATE
TETRACAINE
LEVOCARNITINE



HYDROCHLORIDE


SALICYLANILIDE
TETRACYCLINE
LOBENDAZOLE



HYDROCHLORIDE


PROPOFOL
TETRAHYDROZOLINE
METHYLENE BLUE



HYDROCHLORIDE


GRISEOFULVIN
THIABENDAZOLE
METHYLATROPINE NITRATE


BENAZEPRIL
THIMEROSAL
NITHIAMIDE


HYDROCHLORIDE


VALSARTAN
THIOGUANINE
PRALIDOXIME CHLORIDE


SALSALATE
THIORIDAZINE
PREDNISOLONE



HYDROCHLORIDE
HEMISUCCINATE


HYDROCORTISONE
THIOTHIXENE
PYRIDOXINE


RIFAXIMIN
TIMOLOL MALEATE
RIMANTADINE




HYDROCHLORIDE


CANRENONE
TOBRAMYCIN
SULFISOXAZOLE ACETYL


MODAFINIL
TOLAZOLINE
TAURINE



HYDROCHLORIDE


CLIOQUINOL
TOLBUTAMIDE
THIAMINE


RANOLAZINE
TRANYLCYPROMINE
TRICLOSAN



SULFATE


DANTHRON
TRIACETIN
TRIMETHADIONE


ACEDAPSONE
TRIAMCINOLONE
ZINC UNDECYLENATE


ATOMOXETINE
TRIAMCINOLONE
UNDECYLENIC ACID


HYDROCHLORIDE
ACETONIDE


DESOXYCORTICOSTERONE
TRIAMCINOLONE
CLINDAMYCIN PALMITATE


ACETATE
DIACETATE
HYDROCHLORIDE


TRAMADOL HYDROCHLORIDE
TRIAMTERENE
CEFONICID SODIUM


TERBINAFINE
TRICHLORMETHIAZIDE
IFOSFAMIDE


HYDROCHLORIDE


TOPIRAMATE
TRIFLUOPERAZINE
NETILMICIN SULFATE



HYDROCHLORIDE


GEMIFLOXACIN MESYLATE
TRIHEXYPHENIDYL
DOXORUBICIN



HYDROCHLORIDE


PRAVASTATIN SODIUM
TRIMEPRAZINE TARTRATE
METHYSERGIDE MALEATE


LEVALBUTEROL
TRIMETHOPRIM
SOLIFENACIN


HYDROCHLORIDE


METFORMIN
TRIOXSALEN
ACEPROMAZINE MALEATE


HYDROCHLORIDE


PREGABALIN
TRIPELENNAMINE CITRATE
BIPERIDEN


PHENOXYBENZAMINE
TRIPROLIDINE
DEXCHLORPHENIRAMINE


HYDROCHLORIDE
HYDROCHLORIDE
MALEATE


TOPOTECAN
TROPICAMIDE
DILOXANIDE FUROATE


HYDROCHLORIDE


PINACIDIL
TRYPTOPHAN
ETIDRONATE DISODIUM


VERAPAMIL
TUAMINOHEPTANE SULFATE
NATAMYCIN


HYDROCHLORIDE


PANTOPRAZOLE
TYROTHRICIN
NORGESTIMATE


LOPERAMIDE
UREA
TERAZOSIN


HYDROCHLORIDE

HYDROCHLORIDE


PODOFILOX
URSODIOL
TIOCONAZOLE


LEVODOPA
VALPROATE SODIUM
ERGOTAMINE TARTRATE


RUTOSIDE (rutin)
VANCOMYCIN
ANAGRELIDE



HYDROCHLORIDE
HYDROCHLORIDE


ZOMEPIRAC SODIUM
VIDARABINE
ETOMIDATE


SPARTEINE SULFATE
WARFARIN
LAMOTRIGINE


TESTOSTERONE PROPIONATE
XYLOMETAZOLINE
RALOXIFENE



HYDROCHLORIDE
HYDROCHLORIDE


METHIMAZOLE
ACETARSOL
CEFPODOXIME PROXETIL


ENILCONAZOLE
MERBROMIN
TADALAFIL


FIROCOXIB
PHENACETIN
AMINOPENTAMIDE


LINDANE
PHENYLMERCURIC ACETATE
ARSANILIC ACID


ACRISORCIN
SULFANILAMIDE
PANTHENOL


PHENYL AMINOSALICYLATE
AZELAIC ACID
PHENTERMINE


TESTOSTERONE
PHENETHICILLIN POTASSIUM
TRIENTINE HYDROCHLORIDE


SANGUINARINE SULFATE
THEOBROMINE
TICLOPIDINE




HYDROCHLORIDE


alpha-TOCHOPHEROL
STRYCHNINE
TICARCILLIN DISODIUM


alpha-TOCHOPHERYL
ACONITINE
TETRAMIZOLE


ACETATE

HYDROCHLORIDE


DACTINOMYCIN
YOHIMBINE
TOLTRAZURIL



HYDROCHLORIDE


MITOMYCIN C
ADENOSINE PHOSPHATE
TOREMIPHENE CITRATE


DICHLORVOS
KETOTIFEN FUMARATE
ROLIPRAM


TEMEFOS
BETAHISTINE
ROLITETRACYCLINE



HYDROCHLORIDE


MITOTANE
MOLSIDOMINE
PIPAMPERONE


IVERMECTIN
MYCOPHENOLIC ACID
PANCURONIUM BROMIDE


SODIUM NITROPRUSSIDE
OLEANDOMYCIN
FUMAZENIL



PHOSPHATE


SODIUM OXYBATE
OUABAIN
ALTRENOGEST


ETHYL PARABEN
ALBUTEROL (+/−)
BISOPROLOL FUMARATE


COUMARIN
ARECOLINE HYDROBROMIDE
FLUDARABINE PHOSPHATE


ACETAMINOPHEN
CAPTOPRIL
MUPIROCIN


ACETAZOLAMIDE
CIMETIDINE
TEICOPLANIN [A(2-1) shown]


ACETOHYDROXAMIC ACID
CLOZAPINE
EPIRUBICIN




HYDROCHLORIDE


ACETYLCHOLINE
HYDRASTINE (1R, 9S)
VECURONIUM BROMIDE


ACETYLCYSTEINE
LIDOCAINE
ALISKIREN HEMIFUMARATE



HYDROCHLORIDE


ADENOSINE
PHENTOLAMINE
ACAMPROSATE CALCIUM



HYDROCHLORIDE


ALLOPURINOL
BUTAMBEN
PREDNISOLONE SODIUM




PHOSPHATE


ALVERINE CITRATE
CEFACLOR
PREGNENOLONE SUCCINATE


AMANTADINE
IODIPAMIDE
DARIFENACIN


HYDROCHLORIDE

HYDROBROMIDE


AMIKACIN SULFATE
LIOTHYRONINE
DESOXYMETASONE


AMILORIDE HYDROCHLORIDE
ALLANTOIN
BETAMETHASONE ACETATE


AMINOCAPROIC ACID
ALTHIAZIDE
ERYTHROSINE SODIUM


AMINOGLUTETHIMIDE
ADENINE
ISOFLUPREDNONE ACETATE


AMINOSALICYLATE SODIUM
AMINACRINE
BETAMETHAZONE SODIUM




PHOSPHATE


AMITRIPTYLINE
BEKANAMYCIN SULFATE
MELENGESTROL ACETATE


HYDROCHLORIDE


AMODIAQUINE
BUDESONIDE
PHTHALYLSULFACETAMIDE


DIHYDROCHLORIDE


AMOXICILLIN
BRUCINE
TRICHLORFON


AMPHOTERICIN B
CANRENOIC ACID,
BEPHENIUM



POTASSIUM SALT
HYDROXYNAPTHOATE


AMPICILLIN SODIUM
CHENODIOL
DIPERODON




HYDROCHLORIDE


AMPROLIUM
CHOLECALCIFEROL
DIATRIZOIC ACID


ANTAZOLINE PHOSPHATE
CINCHONIDINE
PANTOTHENIC ACID(d) Na salt


ANTHRALIN
CINCHONINE
DESONIDE


ANTIPYRINE
COENZYME B12
GLYCOPYRROLATE


APOMORPHINE
CHOLESTEROL
ITRACONAZOLE


HYDROCHLORIDE


ASPIRIN
PIPERINE
OCTISALATE


ATROPINE SULFATE
ETOPOSIDE
RIBOFLAVIN 5-PHOSPHATE




SODIUM


AUROTHIOGLUCOSE
DEHYDROCHOLIC ACID
SELEGILINE




HYDROCHLORIDE


AZATHIOPRINE
FLUMEQUINE
CEFTAZIDIME


BACITRACIN
FLUNARIZINE
GABAPENTIN



HYDROCHLORIDE


BACLOFEN
FLUPHENAZINE
ELETRIPTAN



HYDROCHLORIDE
HYDROBROMIDE


BECLOMETHASONE
FLUTAMIDE
ARIPIPRAZOLE


DIPROPIONATE


BENSERAZIDE
DROPERIDOL
ZILEUTON


HYDROCHLORIDE


BENZETHONIUM CHLORIDE
FAMOTIDINE
METHYLPHENIDATE




HYDROCHLORIDE


BENZOCAINE
ETODOLAC
RABEPRAZOLE SODIUM


BENZTHIAZIDE
FENOTEROL
RISEDRONATE SODIUM



HYDROBROMIDE
HYDRATE


beta-CAROTENE
FENBUFEN
SUCRALOSE


BETAMETHASONE
MEBEVERINE
COLISTIN SULFATE



HYDROCHLORIDE


BETHANECHOL CHLORIDE
ACECLIDINE
ARSENIC TRIOXIDE


BISACODYL
CAPSAICIN
CLONAZEPAM


BITHIONATE SODIUM
FAMPRIDINE
BENZBROMARONE


BROMOCRIPTINE MESYLATE
NICERGOLINE
BROMPERIDOL


BUSULFAN
SPIPERONE
CYPROHEPTADINE




HYDROCHLORIDE


CAFFEINE
ERYTHROMYCIN ESTOLATE
CLOFAZIMINE


CAMPHOR (1R)
ESTRADIOL PROPIONATE
BENZYDAMINE




HYDROCHLORIDE


CAPREOMYCIN SULFATE
ESTRADIOL BENZOATE
DOXAZOSIN MESYLATE


CARBACHOL
RETINOL
ISOETHARINE MESYLATE


CARBAMAZEPINE
ISOTRETINON
FLORFENICOL


CARBENICILLIN DISODIUM
MESNA
ETHYNODIOL DIACETATE


CARBINOXAMINE MALEATE
TRETINON
ORNIDAZOLE


CARISOPRODOL
BRETYLIUM TOSYLATE
OXANTEL PAMOATE


CEFADROXIL
FOSCARNET SODIUM
PROTRYPTYLINE




HYDROCHLORIDE


CEFOTAXIME SODIUM
CEFSULODIN SODIUM
PHYTONADIONE


CEPHALOTHIN SODIUM
FOSFOMYCIN CALCIUM
DENATONIUM BENZOATE


CEPHAPIRIN SODIUM
CEFAMANDOLE NAFATE
MESALAMINE


CEPHRADINE
LIOTHYRONINE (L-isomer)
ETHAMIVAN



SODIUM


CETYLPYRIDINIUM CHLORIDE
ALRESTATIN
AZTREONAM


CHLORAMBUCIL
PROADIFEN
TYLOXAPOL



HYDROCHLORIDE


CHLORAMPHENICOL
CARBOPLATIN
THIAMYLAL SODIUM


PALMITATE


CHLORAMPHENICOL
CISPLATIN
CHLORDIAZEPOXIDE


HEMISUCCINATE


CHLORAMPHENICOL
ZIDOVUDINE [AZT]
ASTEMIZOLE


CHLORCYCLIZINE
AZACITIDINE
ACECAINIDE


HYDROCHLORIDE

HYDROCHLORIDE


CHLORHEXIDINE
CYCLOHEXIMIDE
FLUROTHYL


CHLOROCRESOL
TINIDAZOLE
ALPRENOLOL


CHLOROQUINE DIPHOSPHATE
CARBIDOPA
AMIODARONE




HYDROCHLORIDE


CHLOROTHIAZIDE
ETHOSUXIMIDE
BUSPIRONE




HYDROCHLORIDE


CHLOROTRIANISENE
PIPERIDOLATE
LOXAPINE SUCCINATE



HYDROCHLORIDE


CHLOROXYLENOL
ANISINDIONE
DIAZOXIDE


CHLORPHENIRAMINE (S)
CYCLOSPORINE
DILTIAZEM HYDROCHLORIDE


MALEATE


CHLORPROMAZINE
ASCORBIC ACID
GLYBURIDE


CHLORPROPAMIDE
MENADIONE
MIANSERIN




HYDROCHLORIDE


CHLORTETRACYCLINE
SALICIN
VESAMICOL


HYDROCHLORIDE

HYDROCHLORIDE


CHLORTHALIDONE
MONENSIN SODIUM (monensin
NIZATIDINE



A is shown)


CHLORZOXAZONE
ABAMECTIN
PENTYLENETETRAZOL


CICLOPIROX OLAMINE
BENZOIC ACID
NICOTINE DITARTRATE


CINOXACIN
BENZYL BENZOATE
TACRINE HYDROCHLORIDE


CLEMASTINE
BENZOYL PEROXIDE
DIMERCAPROL


CLIDINIUM BROMIDE
BETAINE HYDROCHLORIDE
METOLAZONE


CLINDAMYCIN
BIOTIN
AMOXAPINE


HYDROCHLORIDE


CLOMIPHENE CITRATE
AKLOMIDE
BUTYL PARABEN


CLONIDINE HYDROCHLORIDE
NICOTINYL ALCOHOL
DECAMETHONIUM BROMIDE



TARTRATE


CLOTRIMAZOLE
FLOXURIDINE
CARBADOX


CLOXACILLIN SODIUM
ALTRETAMINE
ENROFLOXACIN


CLOXYQUIN
AMINOHIPPURIC ACID
DEXPANTHENOL


COLCHICINE
MEFLOQUINE
NONOXYNOL-9


COLISTIMETHATE SODIUM
ADIPHENINE
DOCOSANOL



HYDROCHLORIDE


CORTISONE ACETATE
QUINAPRIL
OCTODRINE



HYDROCHLORIDE


COTININE
AMIFOSTINE
ANIRACETAM


CRESOL
AMIPRILOSE
PENTOXIFYLLINE


CROMOLYN SODIUM
TIAPRIDE HYDROCHLORIDE
AZTREONAM


CYCLIZINE
BACAMPICILLIN
CEFAZOLIN SODIUM



HYDROCHLORIDE


CYCLOPENTOLATE
CYPROTERONE ACETATE
TUBOCURARINE CHLORIDE


HYDROCHLORIDE


CYCLOPHOSPHAMIDE
CYTARABINE
TOLMETIN SODIUM


HYDRATE


CYCLOSERINE
DACARBAZINE
BENDROFLUMETHIAZIDE
















TABLE 6





Top 200 Brand Name Drugs in 2008


















1
Lipitor



2
Nexium



3
Plavix



4
Advair Diskus



5
Prevacid



6
Seroquel



7
Singulair



8
Effexor XR



9
OxyContin



10
Actos



11
Lexapro



12
Abilify



13
Topamax



14
Cymbalta



15
Zyprexa



16
Valtrex



17
Crestor



18
Vytorin



19
Lamictal



20
Celebrex



21
Lantus



22
Levaquin



23
Adderall XR



24
Lyrica



25
Diovan



26
Tricor



27
Flomax



28
Risperdal



29
Diovan HCT



30
Zetia



31
Aricept



32
Spiriva



33
Concerta



34
Aciphex



35
Imitrex Oral



36
Lidoderm



37
Keppra



38
Viagra



39
Atripla



40
Lovenox



41
Januvia



42
Nasonex



43
Ambien CR



44
Provigil



45
Geodon Oral



46
Truvada



47
Lunesta



48
Enbrel



49
Actonel



50
CellCept



51
Humalog



52
Detrol LA



53
Depakote ER



54
Cozaar



55
Pulmicort Respules



56
Niaspan



57
Wellbutrin XL



58
Chantix



59
Budeprion XL



60
Byetta



61
Yaz



62
Prograf



63
Namenda



64
Arimidex



65
Combivent



66
Cialis



67
Flovent HFA



68
Protonix



69
Premarin Tabs



70
Suboxone Hyzaar



71
Hyzaar



72
ProAir HFA



73
Reyataz



74
Benicar HCT



75
Synthroid



76
Avandia



77
Boniva



78
Strattera



79
Polymagma Plain



80
Skelaxin



81
Evista



82
Asacol



83
Depakote



84
Xalatan



85
Humira



86
Benicar



87
Gleevec



88
AndroGel



89
Enbrel Sureclick



90
Avelox



91
Fantanyl Oral Citra



92
Lovaz



93
RenaGel



94
Avapro



95
Humira Pen



96
Vyvanse



97
Kaletra



98
Xopenex



99
Copaxone



100
Avodart



101
Femara



102
Avalide



103
Ortho TriCyclen




Lo



104
Sensipar



105
Aldara



106
NovoLog Mix



107
Restasis



108
Mirapex



109
Yasmin 28



110
Solodyn



111
Lantus SoloSTAR



112
Norvir



113
Focalin XR



114
Actoplus Met



115
Vesicare



116
Forteo



117
Allegra-D



118
Procrit.



119
Nasacort AQ



120
Tarceva



121
Combivir



122
Tamiflu



123
Avonex



124
NuvaRing



125
Coreg CR



126
Epzicom



127
Levemir



128
Duragesic



129
Risperdal




Consta



130
Zyvox



131
Tussionex



132
Invega



133
Fosamax



134
Kadian



135
Levitra



136
Differin



137
Astelin



138
Lumigan



139
Symbicort



140
Janumet



141
Xeloda



142
Clarinex



143
Proventil




HFA



144
Humalog Mix




75/25 Pn



145
BenzaClin



146
Vigamox



147
Foxamax Plus D



148
Maxalt



149
Cosopt



150
Requip



151
Relpax\



152
Patanol



153
Casodex



154
Welchol



155
Ciprodex Otic



156
Viread



157
Catapres-TTS



158
Loestrin 24 Fe



159
Thalomid



160
Alphagan P



161
Endocet



162
Revlimid



163
Avandamet



164
Maxalt MLT



165
Altace



166
Budeprion SR



167
Pegasys



168
Ultram ER



169
Fentora



170
Asmanex



171
Rhinocort Aqua



172
Temodar



173
Micardis HCT



174
Sotret



175
Trizivir



176
Enablex



177
Isentress



178
TobraDex



179
Trileptal



180
Sustiva



181
Amitiza



182
Micardis



183
Zovirax




Topical



184
Ocella



185
Propecia



186
Taclonex



187
Actiq



188
Valcyte



189
Klor-Con



190
Atacand



191
Doryx



192
Veramyst



193
Avinza



194
Allegra-D 24




Hour



195
Opana ER



196
Zomig



197
Humulin 70/30



198
Prempro



199
Humulin N



200
Xopenex HFA









Claims
  • 1. A method for creating a chemical compound, namely A-B, from two chemical fragments, namely A and B, wherein the chemical compound binds to a target protein, the method comprising: (a) methylating one of the chemical fragments, A, at one or more nucleophilic atoms to obtain a 13CH3-methylated analog of A, namely A-13CH3, by performing an alkylation reaction;(b) forming a mixture comprising: (1) A-13CH3; (2) the other chemical fragment, B, which comprises an allylic or benzylic methyl group, and (3) the target protein;(c) determining whether both A-13CH3 and B bind to the target protein in the mixture such that the methyl group of A-13CH3 and the methyl group of B are located no more than 5 angstroms apart; and if so(d) performing the alkylation reaction of step (a) using A and B as reagents in order to covalently attach A and B via the methyl group carbon atom of B to obtain the chemical compound A-B, optionally wherein the methyl group B first is halogenated and reacts with the nucleophilic atom of A.
  • 2. The method of claim 1, wherein step (c) comprises performing a nuclear magnetic resonance experiment on the mixture and determining whether a Nuclear Overhauser Effect (NOE) is occurring.
  • 3. The method of claim 2, wherein determining whether an NOE is occurring comprises performing a 13C-filtered measurement either in a single dimension or in two dimensions.
  • 4. The method of claim 2, wherein the mixture further comprises a biological sample that comprises the target protein.
  • 5. The method of claim 4, further comprising performing nuclear magnetic resonance on a mixture formed from: (1) A-13CH3; (2) the other chemical fragment, B, which comprises an allylic or benzylic methyl group, and (3) the biological sample after the target protein has been removed from the biological sample.
  • 6. The method of claim 4, wherein the biological sample comprises an extract of brain tissue, heart tissue, or liver tissue, which optionally first has been purified on an affinity column that comprises a ligand for the target protein.
  • 7. The method of claim 1, wherein the target protein is a KCNQ (Kv7) channel protein.
  • 8. The method of claim 1, wherein the chemical fragment A comprises a nucleophilic atom selected from a nucleophilic carbon, a nucleophilic oxygen, or a nucleophilic sulfur atom and the chemical fragment A is methylated at the nucleophilic atom in step (a) and the chemical fragment A is covalently attached to chemical fragment B via forming a bond between the nucleophilic atom of chemical fragment A and the methyl group carbon atom of chemical fragment B in step (d) after the methyl group carbon atom of chemical fragment B has been halogenated.
  • 9. The method of claim 1, wherein the chemical fragment A has a formula selected from:
  • 10. The method of claim 1, wherein the di-methylated chemical fragment A has a formula selected from:
  • 11. The method of claim 1, wherein the chemical fragment A is a compound selected from the list of compounds in Table 1.
  • 12. The method of claim 1, wherein the chemical fragment A is obtained by halogenating a compound in Table 2 or Table 3 at an allylic or benzylic methyl group and subsequently reacting the halogenated compound with a thiol anion or an oxy anion.
  • 13. The method of claim 1, wherein the chemical fragment B is a compound selected from the list of compounds in Table 2 or Table 3.
  • 14. The method of claim 1, wherein the chemical fragment B includes a fused ring moiety selected from a quinoline, an isoquinoline, and an acridine.
  • 15. The method of claim 1, wherein the chemical fragment B has a formula selected from:
  • 16. The method of claim 1, wherein the alkylation reaction comprises: (i) reacting the chemical fragment A with a strong base and deprotonating the chemical fragment A at a nucleophilic atom selected from carbon, oxygen, or sulfur; and(ii) reacting the deprotonated chemical fragment A with a methyl halide thereby methylating the chemical fragment A at the nucleophilic atom.
  • 17. The method of claim 1, wherein the alkylation reaction of step (d) comprises: (i) reacting the chemical fragment A with a strong base and deprotonating the chemical fragment A at a nucleophilic atom selected from carbon, oxygen, or sulfur;(ii) halogenating the methyl group of the chemical fragment B to obtain a derivative of chemical fragment B having a halogenated methyl group; and(iii) reacting the deprotonated chemical fragment A with the derivative of chemical fragment B having the halogenated methyl group, thereby forming a C—C, C—O, or C—S bond between the deprotonated atom of the chemical fragment A and the methyl group carbon of the chemical fragment B.
  • 18. The method of claim 17, wherein halogenating is performed by reacting the chemical fragment B with N-bromosuccinimide (NBS) or N-chlorosuccinimide (NCS).
  • 19. A method for creating a chemical compound, namely A-B, from two chemical fragments, namely A and B, wherein the chemical compound binds to a KCNQ (Kv7) channel protein, the method comprising: (a) methylating one of the chemical fragments, A, at one or more positions to obtain a 13CH3-methylated analog of A, namely A-13CH3, by performing an alkylation reaction, wherein a di-methylated form of A, namely has a formula selected from:
  • 20. The method of claim 19, wherein B is a methyl-substituted pyridine compound.
CROSS-REFERENCE TO RELATED APPLICATIONS

The present application claims the benefit under 35 U.S.C. §119(e) to U.S. Provisional Application No. 60/217,616, filed on Jun. 2, 2009, the contents of which are incorporated herein by reference.

STATEMENT REGARDING U.S. GOVERNMENT SPONSORED RESEARCH OR DEVELOPMENT

This invention was made with U.S. government support under Grant No: R15 GM085739 from the National Institutes of Health. The U.S. government has certain rights in this invention.

Provisional Applications (1)
Number Date Country
61217616 Jun 2009 US