Fatty acid synthase inhibitors

FIELD OF THE INVENTION

This invention relates to the use of compounds as inhibitors of the fatty acid synthase FabH.

BACKGROUND OF THE INVENTION

The pathway for the biosynthesis of saturated fatty acids is very similar in prokaryotes and eukaryotes. However, although the chemical reactions may not vary, the organization of the biosynthetic apparatus is very different. Vertebrates and yeasts possess type I fatty acid synthases (FASs) in which all of the enzymatic activities are encoded on one or two polypeptide chains, respectively. The acyl carrier protein (ACP) is an integral part of the complex. In contrast, in most bacterial and plant FASs (type II) each of the reactions are catalyzed by distinct monofunctional enzymes and the ACP is a discrete protein. Mycobacteria are unique in that they possess both type I and II FASs; the former is involved in basic fatty acid biosynthesis whereas the latter is involved in synthesis of complex cell envelope lipids such as mycolic acids. There therefore appears to be considerable potential for selective inhibition of the bacterial systems by broad-spectrum antibacterial agents (Jackowski, S. 1992. In Emerging Targets in Antibacterial and Antifungal Chemotherapy. Ed. J. Sutcliffe & N. Georgopapadakou. Chapman & Hall, New York; Jackowski, S. et al. (1989). J. Biol. Chem. 264, 7624-7629.)

The first step in the biosynthetic cycle is the condensation of malonyl-ACP with acetyl-CoA by FabH. In subsequent rounds malonyl-ACP is condensed with the growing-chain acyl-ACP (FabB and FabF, synthases I and II respectively). The second step in the elongation cycle is ketoester reduction by NADPH-dependent β-ketoacyl-ACP reductase (FabG). Subsequent dehydration by β-hydroxyacyl-ACP dehydrase (either FabA or FabZ) leads to trans-2-enoyl-ACP which is in turn converted to acyl-ACP by NADH-dependent enoyl-ACP reductase (FabI). Further rounds of this cycle, adding two carbon atoms per cycle, eventually lead to palmitoyl-ACP whereupon the cycle is stopped largely due to feedback inhibition of FabH and I by palmitoyl-ACP (Heath, et al, (1996), J.Biol.Chem. 271, 1833-1836). Fab H is therefore a major biosynthetic enzyme which is also a key regulatory point in the overall synthetic pathway (Heath, R. J. and Rock, C. O. 1996. J.Biol.Chem. 271, 1833-1836; Heath, R. J. and Rock, C. O. 1996. J.Biol.Chem. 271, 10996-11000).

The antibiotic thiolactomycin has broad-spectrum antibacterial activity both in vivo and in vitro and has been shown to specifically inhibit all three condensing enzymes. It is non-toxic and does not inhibit mammalian FASs (Hayashi, T. et al.,1984. J. Antibiotics 37, 1456-1461; Miyakawa, S. et al., 1982. J. Antibiotics 35, 411-419; Nawata, Y et al., 1989. Acta Cryst. C45, 978-979; Noto, T. et al., 1982. J. Antibiotics 35, 401-410; Oishi, H. et al., 1982. J. Antibiotics 35, 391-396. Similarly, cerulenin is a potent inhibitor of FabB & F and is bactericidal but is toxic to eukaryotes because it competes for the fatty-acyl binding site common to both FAS types (D'Agnolo, G. et al., 1973. Biochim. Biophys. Acta. 326, 155-166). Extensive work with these inhibitors has proved that these enzymes are essential for viability. Little work has been carried out in Gram-positive bacteria.

There is an unmet need for developing new classes of antibiotic compounds that are not subject to existing resistance mechanisms. No marketed antibiotics are targeted against fatty acid biosynthesis, therefore it is unlikely that novel antibiotics of this type would be rendered inactive by known antibiotic resistance mechanisms. Moreover, this is a potentially broad-spectrum target. Therefore, FabH inhibitors would serve to meet this unmet need.

SUMMARY OF THE INVENTION

This invention comprises cinnamate derivatives and pharmaceutical compositions containing these compounds and their use as FabH inhibitors that are useful as antibiotics for the treatment of Gram positive and Gram negative bacterial infections.

This invention further constitutes a method for treatment of a Gram negative or Gram positive bacterial infection in an animal, including humans, which comprises administering to an animal in need thereof, an effective amount of a compound of this invention.

DETAILED DESCRIPTION OF THE INVENTION

The compounds of this invention are represented by Formula (I):

wherein:

R

1

is aryl or heteroaryl;

R

2

is selected from the group consisting of O(CH

2

)

m

aryl, O(CH

2

)

m

heteroaryl, N(R

5

)(CH

2

)

m

aryl, N(R

5

)(CH

2

)

m

heteroaryl, N(R

6

)COaryl, N(R

6

)COheteroaryl, N(R

6

)SO

2

aryl and N(R

6

)SO

2

heteroaryl;

R

3

is selected from the group consisting of H, C

1-8

alkyl, C

1-3

alkyl-aryl, CO(C

1-8

)alkyl, and COaryl;

R

4

is selected from the group consisting of H, C

1-8

alkyl, and C

1-3

alkyl-aryl; and

X and Y are independently selected from the group consisting of H, Cl, CH

3

, and OCH

3

; and

m is an integer from 0 to 3.

Also included in the invention are pharmaceutically acceptable salt complexes.

As used herein, “C

1-10

alkyl” or “alkyl” means both straight and branched chains of 1 to 10 carbon atoms, unless the chain length is otherwise limited, including, but not limited to, methyl, ethyl, n-propyl, iso-propyl, n-butyl, sec-butyl, iso-butyl, tert-butyl, n-pentyl and the like. The alkyl may carry substituents such as hydroxy, carboxy, alkoxy, and the like.

The term “cycloalkyl” is used herein to mean cyclic rings, preferably of 3 to 8 carbons, including but not limited to cyclopropyl, cyclopentyl, cyclohexyl, and the like.

The term “arylalkyl” or “heteroarylalkyl” or “heterocyclicalkyl” is used herein to mean C

1-10

alkyl, as defined above, attached to an aryl, heteroaryl or heterocyclic moiety, as also defined herein, unless otherwise indicated.

As used herein, “aryl” means phenyl and naphthyl and substituted aryl such as hydroxy, carboxy, halo, alkoxy, methylenedioxy, and the like.

As used herein, “heteroaryl” means a 5-10 membered aromatic ring system in which one or more rings contain one or more heteroatoms selected from the group consisting of N, O or S, such as, but not limited, to pyrrole, pyrazole, furan, thiophene, quinoline, isoquinoline, quinazolinyl, pyridine, pyrimidine, oxazole, thiazole, thiadiazole, triazole, imidazole, and benzimidazole.

As used herein, preferred aryl substituents include halo, including chloro, fluoro, bromo and iodo, in any combination; C

1-10

alkyl, C

1-10

alkoxy, aryloxy, or heteroaryloxy.

The compounds of this invention may contain one or more asymmetric carbon atoms and may exist in racemic and optically active forms. All of these compounds and diastereomers are contemplated to be within the scope of the present invention.

Some of the compounds of this invention may be crystallised or recrystallised from solvents such as organic solvents. In such cases solvates may be formed. This invention includes within its scope stoichiometric solvates including hydrates as well as compounds containing variable amounts of water that may be produced by processes such as lyophilisation.

Since the antibiotic compounds of the invention are intended for use in pharmaceutical compositions it will readily be understood that they are each provided in substantially pure form, for example at least 60% pure, more suitably at least 75% pure and preferably at least 85%, especially at least 95% pure, particularly at least 98% pure (% are on a weight for weight basis). Impure preparations of the compounds may be used for preparing the more pure forms used in the pharmaceutical compositions; these less pure preparations of the compounds should contain at least 1%, more suitably at least 5% and preferably from 10 to 49% of a compound of the formula (I) or salt thereof.

Preferred compounds of the present invention include:

E-2′-[4-(2,6-Dichlorobenzyloxy)benzyl]-3,4-methylenedioxycinnamic acid; and

E-2′-[3,5-Dichloro-4-(2,6-dichlorobenzyloxy)benzyl]-3,4-methylenedioxycinnamic acid.

Compounds of Formula (I) wherein X and Y are H are prepared by the methods described in Scheme 1.

Hydroxy benzaldehyde 1-Scheme-1, and a benzyl halide (such as 2,6-dichlorobenzyl bromide) are treated with a base (such as sodium hydride) in a solvent (such as DMF) and stirred (6 hours to 30 hours, preferably 16 hours) to yield 3-Scheme-1. A Knoevenagel condensation of a benzyloxybenzaldehyde 3-Scheme4 [such as 4-(2,6-dichlorobenzyloxy)benzaldehyde] with 4-Scheme-1 in a solvent (such as benzene) with catalysts (such as piperidine and acetic acid) at reflux temperature with azeotropic water removal provides 5-Scheme-1. Reduction of 5-Scheme-1 with a hydride reducing reagent (such as sodium borohydride) in a solvent (such as ethanol) provides 6-Scheme-1. A Knoevenagel condensation of a benzaldehyde (such as 6-chloropiperonal) with 6-Scheme-1 in a solvent (such as benzene) with catalysts (such as piperidine and acetic acid) at reflux temperature with azeotropic water removal provides 7-Scheme-1. Saponification of 7-Scheme-1 with a base (such as potassium hydroxide) in a solvent (such as ethanol) provides 8-Scheme 4.

Compounds of Formula (I) wherein X and Y are Cl are prepared by the methods described in Scheme 2

a) EDC, DMAP, CH

2

Cl

2

, Wang resin; b) Piperonal, HOAc, piperidine, benzene; c) NaBH

3

CN, HOAc, THF; d) 3,5-dichloro-4-(2,6-dichlorobenzyloxy)benzaldehyde, KOt-Bu, t-BuOH, THF; (e TFA, CH

2

Cl

2

, Et

3

SiH

Diethylphosphonoacetic acid is coupled to a suitable polymer support (such as Wang resin) using standard coupling reagents (such as 1-ethyl-3-(3-dimethylaminopropyl)carbodiimide with DMAP) in a suitable solvent (such as methylene chloride) to provide 2 Scheme 2. Knoevenagel condensation of 2-Scheme-2 with piperonal in a solvent (such as benzene) with catalysts (such as piperidine and acetic acid) at reflux temperature with azeotropic water removal provides 3 Scheme 2. Reduction of 3 Scheme 2 with a suitable reducing reagent (such as sodium cyanoborohydride) in a solvent (such as THF with HOAc) provides 4 Scheme 2. Wittig reaction of 4 Scheme 2 with 3,5-dichloro-4-(2,6-dichlorobenzyloxy)benzaldehyde using a base (such as potassium t-butoxide) in a solvent (such as THF) provides 5 Scheme 2. Resin cleavage under acidic conditions (such as TFA in methylene chloride with triethylsilane)provides a mixtureof double bond isomers which are separated by preparative HPLC to provide 7 Scheme 2.

SYNTHETIC EXAMPLES

The invention will now be described by reference to the following examples which are merely illustrative and are not to be construed as a limitation of the scope of the present invention. All temperatures are given in degrees centigrade, and all solvents are highest available purity unless otherwise indicated.

Example 1

Preparation of E-2′-[4-(2,6-dichlorobenzyloxy)benzyl]-3,4-methylenedioxycinnamic acid

a) 4-(2,6-Dichlorobenzyloxy)benzaldehyde

To a solution of 4-hydroxybenzaldehyde (3.59 g, 24.39 mmol) and 2,6-dichlorobenzyl bromide (7.05 g, 29.39 mmol) in dimethylformamide (20 mL) at 0° C. was added 60% sodium hydride (1.176 g, 29.39 mmol). After stirring at ambient temperature for 16 h, the reaction was partitioned between ethyl acetate and water. The organic layer was washed with aqueous sodium chloride and dried (MgSO

4

). Purification by flash column chromatography (silica gel, hexane/ethyl acetate) yielded the title compound as an off-white solid (7.38 g, 89%).

b) Diethyl[4-(2,6-dichlorobenzyloxy)benzylidene]malonate

To a solution of 4-(2,6-dichlorobenzyloxy)benzaldehyde (5.62 g, 20 mmol) and diethyl malonate (3.52 g, 22 mmol) in benzene (75 mL), were added piperidine (90 μL) and glacial acetic acid (0.25 mL). After refluxing for 24 h with azeotropic water removal, the cooled reaction was concentrated in vacuo then partitioned between ether and water. The organic extract was washed successively with 1N hydrochloric acid, saturated sodium bicarbonate solution, water, brine and dried (MgSO4). Removal of volitiles in vacuo afforded the crude title compound (8.35 g, 97%) which was used in the next step without farther purification.

c) Diethyl[4-(2,6-dichlorobenzyloxy)benzyl]malonate

T a stirred solution of ethyl[4-(2,6-dichlorobenzyloxy)benzylidene]malonate (8.35 g, 19,2 mmol) in ethanol at 0° C. under argon was added sodium borohydride in small portions. Upon completion of the addition, the reaction mixture was adjusted to pH 6 with acetic acid. The mixture was filtered, concentrated in vacuo then partitioned between ether and water. The organic extract was washed successively with 1N hydrochloric acid, saturated sodium bicarbonate solution, water, brine and dried (MgSO4). Removal of volatiles in vacuo afforded the title compound (7.47 g, 88%).

d) 4-(2,6-Dichlorobenzyloxy)benzylmalonic acid monoethyl ester

A solution of diethyl[4-(2,6-dichlorobenzyloxy)benzyl]malonate (3.02 g, 7.1 mmol) in ethanol (70 mL) with potassium hydroxide (0.48 g, 7.4 mmol) was stirred at room temperature for 18 h. The reaction mixture was diluted with water (100 mL) then concentrated to half the original volume in vacuo. The resulting aqueous solution was washed with ether then acidified with 3N HCl and the product extracted into ethyl acetate. The organic extract was washed with water then brine and dried (Na

2

SO

4

). Removal of solvent in vacuo afforded the title compound (2.86 g, 100%)

e) Ethyl E-2′-[4-(2,6-dichlorobenzyloxy)benzyl]-3,4-methylenedioxycinnamate

To a solution of 6-chloropiperonal (0.252 g, 1.36 mmol) and 4-(2,6-dichlorobenzyloxy)benzylmalonic acid monoethyl ester (0.93 g, 2.34 mmol) in benzene (30 mL), were added piperidine (68 μL) and catalytic benzoic acid. After refluxing for 18 h with azeotropic water removal, the cooled reaction was diluted with ethyl acetate. The solution was washed successively with 3N hydrochloric acid, aqueous sodium bicarbonate, brine and dried (MgSO

4

). Purification by preparative HPLC yielded the title compound as a clear glassy solid (0.454 g, 64%).

f) E-2′-[4-(2,6-Dichlorobenzyloxy)benzyl]-3,4-methylenedioxycinnamic acid

A solution of ethyl E-2′-[4-(2,6-dichlorobenzyloxy)benzyl]-3,4-methylenedioxycinnamate (340 mg, 0.66 mmol) and potassium hydroxide (0.126 g, 1.97 mmol) in ethanol (25 mL) was stirred at reflux temperature for 36 h. The solution was diluted with water and the aqueous solution washed with ether. the aqueous solution was acidified with 3 N HCl and the product extracted into ethyl acetate. The organic extract was washed with water, brine and dried (Na

2

SO

4

). Removal of all volatiles in vacuo crystallization from ethanol afforded the title compound (134 mg, 42%) Anal. (C

24

H

17

C

13

O

5

) calcd: C, 58.62; H, 3.48; Cl, 21.63 found: C, 58.23; H, 3.63; Cl, 21.68.

Example 2

Preparation of E-2′-[3,5-dichloro-4-(2,6-dichlorobenzyloxy)benzyl]-3,4-methylenedioxycinnamic acid

a) Wang Resin Supported diethylphosphonoacetate

To a suspension of Wang resin (10 g, 17 mmol) in methylene chloride (100 mL) with agitation by argon bubbling was added 4-dimethylaminopyridine (0.25 g, 2.14 mmol) and diethylphosphonoacetic acid (16.67 g, 85 mmol). The mixture was cooled to 0° C. then 1-ethyl-3-(3-dimethylaminopropyl)carbodiimide (16.29 g, 85 mmol) was added and the suspension was warmed to room temperature and mixed by argon bubbling for 18 h. The reagent solution was drained and the resulting resin was washed sequentially with methylene chloride (2×), DMF (1×), 1:1 DMF:water (2×), water (1×), 1:1 DMF:water (1×), DMF (2×), and methanol (3×) to provide the title compound.

b) Wang Resin Supported 2′-diethylphosphono-3,4-methylenedioxycinnamate

To a suspension of Wang resin supported diethylphosphonoacetate (3.0 g, 3.9 mmol) and piperonal (8.78 g, 58.5 mmol) in benzene (50 mL), were added piperidine (0.36 mL) and glacial acetic acid (0.89 mL). After refluxing for 18 h with azeotropic water removal, the cooled reagent solution was drained from the resin and the resulting resin was washed sequentially with DMF (3×), methanol (3×) and THF (3×) to provide the title compound.

c) Wang Resin Supported 2-Diethylphosphono-3-methylenedioxyphenylpropionate

A mixture consisting of Wang resin supported 2′-diethylphosphono-3,4-methylenedioxycinnamate (3.9 mmol, product from above reaction) and sodium cyanoborohydride (2.58 g, 39 mmol) in THF (50 mL) with acetic acid (0.5 mL) was shaken for 18 h. The reagent solution was drained from the resin and the resulting resin was washed sequentially with DMF (3×), methanol (3×) and THF (3×) to provide the title compound.

d) Wang Resin Supported E-3,5-dichloro4-(2,6-dichlorobenzyloxy)-2′-piperonylcinnamate

To a suspension of Wang resin supported 2-Diethylphosphono-3-methylenedioxyphenylpropionate (200 mg, 0.21 mmol) in THF (2 mL) was added potassium tert butoxide (0.42 mL of a 1 M solution in t-butanol, 0.42 mmol). This was shaken for 1 h then a solution of 3,5-dichloro-4-(2,6-dichlorobenzyloxy)benzaldehyde (220 mg, 0.63 mmol) in THF (0.75 mL) was added. After an additional 18 h of shaking, the reagent solution was drained from the resin and the resulting resin was washed sequentially with DMF (3×), methanol (3×) and THF (3×) to provide the title compound.

e) E-2′-[3,5-Dichloro-4-(2,6-dichlorobenzyloxy)benzyl]-3,4-methylenedioxycinnamic acid

Wang resin supported E-3,5-dichloro4-(2,6-dichlorobenzyloxy)-2′-piperonylcinnamate (0.21 mmol, product from above)was stirred in a mixture of 20:75:5 TFA:methylene chloride:triethylsilane for 1 h. The resin was removed by filtration and the filtrate concentrated in vacuo to afford the title compound as a mixture with E-3,5-dichloro-4-(2,6-dichlorobenzyloxy)-2′-piperonylcinnamic acid (45 mg). The mixture was separated by preparative chromatography to provide the title compound as a white solid (10 mg). MS m/e 525.0 [M+H]

+

.

Biological Assay

FabH was assayed in a coupled format using his-tagged

S.aureus

FabD, and acyl carrier protein (ACP) purchased from Sigma. Lyophilized ACP was reduced using β-mercaptoethanol in phosphate buffer. Malonyl-CoA, and FabD were added to the reduced ACP, thus generating malonyl-ACP. After the FabD reaction reached equilibrium, [

14

C] acetyl-CoA and inhibitors were added, and the reaction started by the addition of FabH. TCA precipitation and filtration was used to separate [

14

C] acetyl-CoA substrate from [

14

C] acetoacetyl-ACP product.

Secondary and tertiary screens of suitable reproducibility, sensitivity, throughput and analytical power to progress primary screen hits are characterized, validated and in current use. Compounds are evaluated against purified mammalian fatty acid biosynthetic enzymes,

E.coli

FabH, FabB and a human lung cell cytotoxicity assay.

In addition, whole-cell antibacterial activity is determined against a range of clinically relevant wild type and efflux impaired bacteria using standard and novel fluorescence based technologies. The FabH assay has been thoroughly characterized kinetically and a reaction mechanism proposed. Detailed studies have generated novel data about mechanism of inhibition by tool compounds, including thiolactomycin. Screens in use are of direct relevance to the therapeutic goal—eradication of bacteria from sites of infection (‘cure’). Several state-of-the-art animal models of bacterial infection are available, meaningful and in current use in this and numerous other studies at SB. Extensive prior experience with known antibacterials confirm that bacterial kill in vitro and in animal models is an excellent indicator of bacterial kill in vivo and cure of infection.

The present invention also provides a pharmaceutical composition, which comprises a compound of formula (I) or a pharmaceutically acceptable salt or in vivo hydrolysable ester thereof, and a pharmaceutically acceptable carrier. The compositions of the invention include those in a form adapted for oral, topical or parenteral use and may be used for the treatment of bacterial infection in mammals including humans.

The antibiotic compounds according to the invention may be formulated for administration in any convenient way for use in human or veterinary medicine, by analogy with other antibiotics.

The composition may be formulated for administration by any route, such as oral, topical or parenteral, especially oral. The compositions may be in the form of tablets, capsules, powders, granules, lozenges, creams or liquid preparations, such as oral or sterile parenteral solutions or suspensions.

The topical formulations of the present invention may be presented as, for instance, ointments, creams or lotions, eye ointments and eye or ear drops, impregnated dressings and aerosols, and may contain appropriate conventional additives such as preservatives, solvents to assist drug penetration and emollients in ointments and creams.

The formulations may also contain compatible conventional carriers, such as cream or ointment bases and ethanol or oleyl alcohol for lotions. Such carriers may be present as from about 1% up to about 98% of the formulation. More usually they will form up to about 80% of the formulation.

Tablets and capsules for oral administration may be in unit dose presentation form, and may contain conventional excipients such as binding agents, for example syrup, acacia, gelatin, sorbitol, tragacanth, or polyvinylpyrollidone; fillers, for example lactose, sugar, maize-starch, calcium phosphate, sorbitol or glycine; tabletting lubricants, for example magnesium stearate, talc, polyethylene glycol or silica; disintegrants, for example potato starch; or acceptable wetting agents such as sodium lauryl sulphate. The tablets may be coated according to methods well known in normal pharmaceutical practice. Oral liquid preparations may be in the form of, for example, aqueous or oily suspensions, solutions, emulsions, syrups or elixirs, or may be presented as a dry product for reconstitution with water or other suitable vehicle before use. Such liquid preparations may contain conventional additives, such as suspending agents, for example sorbitol, methyl cellulose, glucose syrup, gelatin, hydroxyethyl cellulose, carboxymethyl cellulose, aluminium stearate gel or hydrogenated edible fats, emulsifying agents, for example lecithin, sorbitan monooleate, or acacia; non-aqueous vehicles (which may include edible oils), for example almond oil, oily esters such as glycerine, propylene glycol, or ethyl alcohol; preservatives, for example methyl or propyl p-hydroxybenzoate or sorbic acid, and, if desired, conventional flavouring or colouring agents.

Suppositories will contain conventional suppository bases, e.g. cocoa-butter or other glyceride.

For parenteral administration, fluid unit dosage forms are prepared utilizing the compound and a sterile vehicle, water being preferred. The compound, depending on the vehicle and concentration used, can be either suspended or dissolved in the vehicle. In preparing solutions the compound can be dissolved in water for injection and filter sterilized before filling into a suitable vial or ampoule and sealing. The solution preferably contains a buffer (such as phosphate) to keep th pH in the range of about 3.5 to 7. DMSO or alcoholic solvents may also be present (at concentrations such as 0.01 to 10 mL/liter) to aid solubility and penetration of the compound of Formula (I) Advantageously, agents such as a local anaesthetic, preservative and buffering agents can be dissolved in the vehicle. To enhance the stability, the composition can be frozen after filling into the vial and the water removed under vacuum. The dry lyophilized powder is then sealed in the vial and an accompanying vial of water for injection may be supplied to reconstitute the liquid prior to use. Parenteral suspensions are prepared in substantially the same manner except that the compound is suspended in the vehicle instead of being dissolved and sterilization cannot be accomplished by filtration. The compound can be sterilized by exposure to ethylene oxide before suspending in the sterile vehicle. Advantageously, a surfactant or wetting agent is included in the composition to facilitate uniform distribution of the compound.

The compositions may contain from 0.1% by weight, preferably from 10-60% by weight, of the active material, depending on the method of administration. Where the compositions comprise dosage units, each unit will preferably contain from 50-500 mg of the active ingredient. The dosage as employed for adult human treatment will preferably range from 1 to 140 mg/kg of body weight, depending on the route and frequency of administration. Inhibitors of β-ketoacyl-ACP Synthase (FabH) can be administered by injection in solutions either intravenously, intramuscularly, intraperitoneally, or orally. The solution preferably contains a buffer (such as phosphate) to keep the pH in the range of about 3.5 to 7. DMSO or alcoholic solvents may also be present (at concentrations such as 0.01 to 10 mL/liter) to aid solubility and penetration of the β-ketoacyl-ACP Synthase (FabH) inhibitor.

No unacceptable toxicological effects are expected when a compound of formula (Ia) or a pharmaceutically acceptable salt or in vivo hydrolysable ester thereof is administered in the above-mentioned dosage range.

The compound of formula (I) may be the sole therapeutic agent in the compositions of the invention or a combination with other antibiotics or compounds which enhance the antibacterial activity of a compound of formula (I) may be employed.

The antibiotic compounds of the present invention are active against a wide range of organisms including both Gram-negative organisms such as

Escherichia coli

and

Klebsiella pneumoniae

and Gram-positive organisms such as

Staphylococcus aureus, Streptococcus pneumoniae, Enterococcus faecalis

and

Enterococcus faecium

, including isolates resistant to existing antibiotics.

All publications, including but not limited to patents and patent applications, cited in this specification are herein incorporated by reference as if each individual publication were specifically and individually indicated to be incorporated by reference herein as though fully set forth.

The above description fully discloses the invention including preferred embodiments thereof. Modifications and improvements of the embodiments specifically disclosed herein are within the scope of the following claims. Without further elaboration, it is believed that one skilled in the area can, using the preceding description, utilize the present invention to its fullest extent. Therefore the Examples herein are to be construed as merely illustrative and not a limitation of the scope of the present invention in any way. The embodiments of the invention in which an exclusive property or privilege is claimed are defined as follows.

Number	Name	Date	Kind
5547983	Charpentier	Aug 1996	A
5814657	Burk et al.	Sep 1998	A

Fatty acid synthase inhibitors

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