Methods and compositions for treating infection

Information

  • Patent Grant
  • 10004701
  • Patent Number
    10,004,701
  • Date Filed
    Monday, November 21, 2016
    8 years ago
  • Date Issued
    Tuesday, June 26, 2018
    6 years ago
Abstract
Provided herein are compositions and methods for treating or preventing infection.
Description
BACKGROUND

Infectious diseases affect the health of people and animals around the world, causing serious illness and death. Thus, an urgent need exists for treatments for infections.


SUMMARY

Provided herein is a method of treating or preventing an infection in a subject with or at risk of developing an infection, the method comprising administering to the subject


a compound of Formula I




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wherein R represents hydrogen or hydroxyl and R1 represents hydrogen, or R and R1 taken together form a second bond between the carbon atoms bearing R and R1; R2 represents hydrogen or phenyl; n is zero or a positive whole integer of from 1 to 4; X represents CH2, CHOH, NH, C═O, CHNR3R4, where R3 and R4 independently are hydrogen or lower alkyl; and Z represents thienyl, pyridinyl, substituted pyridinyl, phenyl or substituted phenyl wherein the substituents on the substituted pyridinyl or substituted phenyl are selected from phenyl, pyridinyl, nitro, a halogen atom, such as chlorine, fluorine, bromine, or iodine, a straight or branched lower alkyl chain of from 1 to 4 carbon atoms, a lower alkoxy group of from 1 to 4 carbon atoms, amino, a mono or di(lower)alkylamino group, a saturated monocyclic heterocyclic group such as pyrrolidino, piperidino, morpholino, or N-(lower)alkylpiperazino, or a group having the structure —COOR5, —CR6R7COOR5, —CF3, CHF2, CH2F, or




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where R5 is hydrogen or lower alkyl, and R6 and R7 independently are hydrogen or methyl or a pharmaceutically acceptable salt thereof.


Further provided is a method of treating or preventing an infection in a subject with or at risk of developing an infection, the method comprising administering to the subject


a compound of Formula III




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or a pharmaceutically acceptable salt thereof, wherein R1 and R2 are independently selected from ethyl or methyl, n 1 or 2, R3 and R4 are both phenyl or substituted phenyl, wherein the substituent can be halo (for example, fluoro-, chloro-, iodo- or bromo-), hydroxyl, a lower alkyl or a substituted lower alkyl wherein the substituent can be halo, hydroxy, or lower alkoxy, and R5 is hydrogen, a halogen, a lower alkyl from about 1 to 4 carbon atoms or a substituted alkyl wherein the substituent can be halo, hydroxy, or lower alkoxy.


Also provided is a method of treating or preventing infection in a subject with or at risk of developing an infection, the method comprising administering to the subject a compound selected from the group consisting of:

    • a compound of Formula V




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wherein R1 is a lower alkyl group having from 1 to 4 carbon atoms being substituted with one or several halogen atoms, Z is hydrogen or a lower alkyl group having from 1 to 4 carbon atoms, m is 2 or 3 and X2 is the ethylene imino group or the group having the formula:




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wherein R is hydrogen or a lower alkyl group having from 1 to 4 carbon atoms which can be substituted with a chlorine atom or a hydroxy group, and Z and m have the above-given meaning,

    • a compound of Formula X




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wherein R represents a lower alkyl or a lower alkenyl group, a phenyl group which can be substituted by halogen, methyl or lower alkoxy groups, or a benzyl group which can be nuclear substituted by halogen, methyl or lower alkoxy groups,


X represents —O—, —S—, —SO—, or —SO2—,


n represents an integer from 1-4, and


Aryl represents a phenyl group which can be substituted by lower alkoxy or lower alkylmercapto groups;

    • a compound of Formula XII




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wherein R and R6 are the same or different and are hydroxy, lower alkoxy, lower alkenoxy, dilower alkylamino lower alkoxy (dimethylaminoethoxy), acylamino lower alkoxy (acetylaminoethoxy), acyloxy lower alkoxy (pivaloyloxymethoxy), aryloxy, such as phenoxy, arloweralkoxy, such as benzyloxy, substituted aryloxy or substituted arloweralkoxy wherein the substitutent is methyl, halo or methoxy, amino, loweralkylamino, diloweralkylamino, hydroxyamino, arloweralkylamino such as benzylamino;


R1 is hydrogen, alkyl of from 1 to 20 carbon atoms which include branched and cyclic and unsaturated (such as allyl) alkyl groups, substituted loweralkyl wherein the substituent can be halo, hydroxy, lower alkoxy, aryloxy such as phenoxy, amino, diloweralkylamino, acylamino, such as acetamido and benzamido, arylamino, guanidino, imidazolyl, indolyl, mercapto, loweralkylthio, arylthio such as phenylthio, carboxy or carboxamido, carboloweralkoxy, aryl such as phenyl or naphthyl, substituted aryl such as phenyl wherein the substituent is lower alkyl, lower alkoxy or halo, arloweralkyl, arloweralkenyl, heteroarlower alkyl or heteroarlower alkenyl such as benzyl, styryl or indolyl ethyl, substituted arloweralkyl, substituted arloweralkenyl, substituted heteroarlower alkyl, or substituted heteroarlower alkenyl, wherein the substituent(s) is halo, dihalo, lower alkyl, hydroxy, lower alkoxy, amino, aminomethyl, acylamino (acetyl amino or benzoylamino) diloweralkylamino, loweralkylamino, carboxyl, haloloweralkyl, cyano or sulfonamido; arloweralkyl or heteroarloweralkyl substituted on the alkyl portion by amino or acylamino (acetylamino or benzoylamino);


R2 and R7 are the same or different and are hydrogen or lower alkyl;


R3 is hydrogen, lower alkyl, phenyl lower alkyl, aminomethyl phenyl lower alkyl, hydroxy phenyl lower alkyl, hydroxy lower alkyl, acylamino lower alkyl (such as benzoylamino lower alkyl, acetylamino lower alkyl), amino lower alkyl, dimethylamino lower alkyl, halo lower alkyl, guanidino lower alkyl, imidazolyl lower alkyl, indolyllower alkyl, mercapto lower alkyl, lower alkyl thio lower alkyl;


R4 is hydrogen or lower alkyl;


R5 is hydrogen, lower alkyl, phenyl, phenyl lower alkyl, hydroxy phenyl lower alkyl, hydroxy lower alkyl, amino lower alkyl, guanidino lower alkyl, imidazolyl lower alkyl, indolyl lower alkyl, mercapto lower alkyl or lower alkyl thio lower alkyl;


R4 and R5 can be connected together to form an alkylene bridge of from 2 to 4 carbon atoms, an alkylene bridge of from 2 to 3 carbon atoms and one sulfur atom, an alkylene bridge of from 3 to 4 carbon atoms containing a double bond or an alkylene bridge as above substituted with hydroxy, loweralkoxy, loweralkylor diloweralky;

    • a compound of Formula XIII




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wherein R1 is H, alkyl, acyl or silyl(alkyl)3; R2 is H and R3 is OH, O-acyl, O-alkyl or O-silyl (alkyl)3 or R3 is H and R2 is OH. O-acyl, O-alkyl or O-silyl (alkyl)3; or R2 and R3 together represent O; or R2 and R3 together represent acetal or cyclic acetal. R1 might also represent a substituted alkyl such as e.g. methoxy ethoxy methyl;

    • a compound of Formula XIV




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wherein PY is 4- or 3- or 2-pyridinyl or 4- or 3- or 2-pyridinyl having one or two lower-alkyl substituents, R is hydrogen, lower-alkyl or lower-hydroxyalkyl, and Q is nitro, carbamyl, halo, amino, lower-alkylamino, di(lower-alkyl)amino, or NHAc where Ac is lower-alkanoyl or lower-carbalkoxy;

    • a compound of Formula XV




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    • a compound of Formula XVI







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    • a compound of Formula XVIII







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    • a compound of Formula XIX







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    • a compound of Formula (XX)







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or a pharmaceutically acceptable salt thereof.


Further provided is a method of treating or preventing an infection in a subject with or at risk of developing an infection, the method comprising administering to the subject a compound selected from the group consisting of: Didanosine, Norcyclobenzaprine, Niridazole, Ifosfamide, Cefalonium, Tamoxifen citrate, Butoconazole, Suloctidil, Clomiphene, Sulconazole, Miconazole, Mefloquine, Sulfinpyrazone, Terfenadine, Lisinopril, Econzaole, Clofazimine, Equilin, Felodipine, Dacarbazine, Furazolidone, Perhexiline maleate, Oxethazaine, Pimozide, Trifluoperazine, Ellipticine, Fluspirilen, Hexestrol, Dienestrol, Zidovudine, Metoprolol, Napelline, Methimazole, Amrinone, Iopanoic acid, R-Propanolol, Rimexolone and Pyrvinium pamoate, wherein the infection is a bacterial infection.


Also provided is a method of removing or preventing biofilm formation on a surface, the method comprising administering to a biofilm containing surface or a surface susceptible to biofilm formation an effective amount of a compound selected from the group consisting of:


a compound of Formula I




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wherein R represents hydrogen or hydroxyl and R1 represents hydrogen, or R and R1 taken together form a second bond between the carbon atoms bearing R and R1; R2 represents hydrogen or phenyl; n is zero or a positive whole integer of from 1 to 4; X represents CH2, CHOH, NH, C═O, CHNR3R4, where R3 and R4 independently are hydrogen or lower alkyl; and Z represents thienyl, pyridinyl, substituted pyridinyl, phenyl or substituted phenyl wherein the substituents on the substituted pyridinyl or substituted phenyl are selected from phenyl, pyridinyl, nitro, a halogen atom, such as chlorine, fluorine, bromine, or iodine, a straight or branched lower alkyl chain of from 1 to 4 carbon atoms, a lower alkoxy group of from 1 to 4 carbon atoms, amino, a mono or di(lower)alkylamino group, a saturated monocyclic heterocyclic group such as pyrrolidino, piperidino, morpholino, or N-(lower)alkylpiperazino, or a group having the structure —COOR5, —CR6R7COOR5, —CF3, CHF2, CH2F, or




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where R5 is hydrogen or lower alkyl, and R6 and R7 independently are hydrogen or methyl or a pharmaceutically acceptable salt thereof.





DESCRIPTION OF DRAWINGS


FIG. 1 depicts the adenylate kinase (AK) assay described in the Examples. Bactericidal agents compromise bacterial cell integrity, releasing cellular adenylate kinase. Extracellular AK is measured by the addition of a commercial ToxiLight AK cocktail containing ADP and luciferase, resulting in luminescence.



FIG. 2 shows AK assay development. (A) AK assay measures of E. coli lysed cell supernatants. E. coli DH5α cells (1×109) were heat inactivated by boiling and diluted, and the AK assay was used to measure adenylate kinase release. Background signal is also shown (mock-treated cells (right-hand column in FIG. 2A). “*” indicates a significant difference between results for boiled and mock treatment (Student's t test; P≤0.05). (B) AK assay results for colistin-treated A. baumannii strain 98-37-09. Cells were treated with the indicated concentration of colistin, and AK was measured; MIC (4 μg ml−1 is indicated. “*” indicates a significant increase in signal compared to that for mock treatment (0 μg ml−1; Student's t test, P≤0.05).



FIG. 3 shows AK assay measures of S. aureus strain RN4220 treatment with bacteriostatic and bactericidal antibiotics. Standard MIC testing determined the MIC of each antibiotic class (in parentheses). Graphed are the fold changes in AK signal of cells treated with 0.5× or 1.0× the MIC value (left hand column and right hand column, respectively) for each antibiotic, in comparison to untreated control cells; “*” indicates a significant change in signal as determined by Student's t test; P≤0.05 (compared to results for untreated cells).



FIG. 4 shows AK assay measures of antibiotic-treated biofilms and small-colony variants. (A) Graphed are AK signals generated by static biofilm-associated cells following mock or antibiotic treatment: colistin (P. aeruginosa) or ciprofloxacin (S. aureus and A. baumannii). (B) Fold change of AK measures of S. aureus SCV UAMS-1112 cells following treatment with 1× and 10× ciprofloxacin, meropenem, and vancomycin, compared to results for mock treated cells. “*” indicates a significant change in signal in comparison to results for mock-treated cells (Student's t test, P≤0.05).



FIG. 5 shows AK-based HTS development and screening. (A) Z′ factor assay results for Klebsiella pneumoniae. Three-hundred-eighty-four-well microtiter plates were seeded with K. pneumoniae, and alternating rows were mock treated (DMSO) or treated with 50 μM colistin. Following 3 h of incubation, AK release was measured and plotted. DMSO-treated well measures are shown at the bottom of FIG. 5A; colistin-treated wells are shown at the top of FIG. 5A. (B) Prestwick library Klebsiella pneumoniae screening results. In total, 26 compounds were determined to result in a 3-fold increase in AK signal, in comparison to results for DMSO-treated cells. Included among this list were polymyxin, cephalosporins, aminoglycosides, fluoroquinolones, and detergents; the complete Prestwick screening results for K. pneumoniae and all other organisms screened are provided in Table 4.



FIG. 6 shows antimicrobial properties of terfenadine and tamoxifen. (A) Fold changes in AK signal of terfenadine-treated (10×MIC) S. aureus strain UAMS-1 static biofilms and the SCV strain UAMS-1112, compared to those for mock (DMSO)-treated populations, are plotted. “*” indicates a significant increase in signal over that with mock-treated cells (Student's t test,P≤0.05). (B) Plotted are the percent survival of G. mellonella larvae at 48 h post-E. faecium inoculation. Groups of larvae (n=45) were treated at 2 h and 24 h with either PBS (mock), DMSO, 80 mg kg−1 tamoxifen, 160 mg kg−1 tamoxifen, or 20 mg kg−1 vancomycin.





DETAILED DESCRIPTION

Provided herein is a method of treating or preventing an infection in a subject with or at risk of developing an infection, the method comprising administering to the subject a compound selected from the group consisting of:


a compound of Formula I




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wherein R represents hydrogen or hydroxyl and R1 represents hydrogen, or R and R1 taken together form a second bond between the carbon atoms bearing R and R1; R2 represents hydrogen or phenyl; n is zero or a positive whole integer of from 1 to 4; X represents CH2, CHOH, NH, C═O, CHNR3R4, where R3 and R4 independently are hydrogen or lower alkyl; and Z represents thienyl, pyridinyl, substituted pyridinyl, phenyl or substituted phenyl wherein the substituents on the substituted pyridinyl or substituted phenyl are selected from phenyl, pyridinyl, nitro, a halogen atom, such as chlorine, fluorine, bromine, or iodine, a straight or branched lower alkyl chain of from 1 to 4 carbon atoms, a lower alkoxy group of from 1 to 4 carbon atoms, amino, a mono or di(lower)alkylamino group, a saturated monocyclic heterocyclic group such as pyrrolidino, piperidino, morpholino, or N-(lower)alkylpiperazino, or a group having the structure —COOR5, —CR6R7COOR5, —CF3, CHF2, CH2F, or




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where R5 is hydrogen or lower alkyl, and R6 and R7 independently are hydrogen or methyl. The substituents on the substituted phenyl may be attached at the ortho, meta or para positions of the phenyl ring.


Compounds of Formula I include compounds of Formula II,




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wherein R represents hydrogen or hydroxyl and R1 represents hydrogen, or R and R1 taken together form a second bond between the carbon atoms bearing R and R1; n is zero or a positive whole integer of from 1 to 4; Z represents thienyl, pyridinyl, substituted pyridinyl, phenyl or substituted phenyl wherein the substituents on the substituted pyridinyl or substituted phenyl are selected from phenyl, pyridinyl, nitro, a halogen atom, such as chlorine, fluorine, bromine, or iodine, a straight or branched lower alkyl chain of from 1 to 4 carbon atoms, a lower alkoxy group of from 1 to 4 carbon atoms, amino, a mono or di(lower)alkylamino group, a saturated monocyclic heterocyclic group such as pyrrolidino, piperidino, morpholino, or N-(lower)alkylpiperazino, or a group having the structure —COOR5, —CR6R7COOR5, —CF3, CHF2, CH2F, or




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    • where R5 is hydrogen or lower alkyl, and R6 and R7 independently are hydrogen or methyl or a pharmaceutically acceptable salt thereof.





Compounds of Formula I also include terfenadine and derivatives thereof, including, but not limited to the following compounds. The compounds are identified by structure, name and registry number. The registry number for each compound is also set forth in Table 6 as an additional identifier for each compound.




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Also provided is a method of treating or preventing an infection in a subject with or at risk of developing an infection, the method comprising administering to the subject a compound selected from the group consisting of:


a compound of Formula III




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or a pharmaceutically acceptable salt thereof, wherein R1 and R2 are independently selected from ethyl or methyl, n 1 or 2, R3 and R4 are both phenyl or substituted phenyl, wherein the substituent can be halo (for example, fluoro-, chloro-, iodo- or bromo-), hydroxyl, a lower alkyl or a substituted lower alkyl wherein the substituent can be halo, hydroxy, or lower alkoxy, and R5 is hydrogen, a halogen, a lower alkyl from about 1 to 4 carbon atoms or a substituted alkyl wherein the substituent can be halo, hydroxy, or lower alkoxy. Examples of the compounds of Formula III include, tamoxifen and derivatives




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thereof, including but not limited to tamoxifen (Formula IV), 4-hydroxy tamoxifen and clomiphene. In the methods provided herein, wherein a one or more compounds of Formula III are used to treat or prevent infection, the infection can be an infection, wherein the infection is not a fungal infection or a parasitic infection.


Further provided herein is a method of treating or preventing an infection in a subject with or at risk of developing an infection, the method comprising administering to the subject a compound selected from the group consisting of:


a compound of Formula V




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wherein R1 is a lower alkyl group having from 1 to 4 carbon atoms being substituted with one or several halogen atoms, Z is hydrogen or a lower alkyl group having from 1 to 4 carbon atoms, m is 2 or 3 and X2 is the ethylene imino group or the group having the formula:




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wherein R is hydrogen or a lower alkyl group having from 1 to 4 carbon atoms which may be substituted with a chlorine atom or a hydroxy group, and Z and m have the above-given meaning, or a pharmaceutically acceptable salt thereof.


As used throughout, the term “lower alkyl group containing from 1 to 4 carbon atoms” means methyl, ethyl, n-propyl, isopropyl, n-butyl, isobutyl, tertiary butyl, and I-methylpropyl. The term “halogen” means chlorine, bromine, fluorine, and iodine. Included herein are compounds of formula IV that correspond to formula VI:




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wherein R1, X2 and m have the same meaning as in Formula IV. Additional compounds of formula IV, include the compounds of formula VII:




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wherein R2 is a β-chloroethyl or a γ-chloropropyl group, and R3 is hydrogen, a methyl group or an ethyl group, optionally substituted in the β-position with a chlorine atom or a hydroxy group. Among the compounds of formula VII, are the compounds of formula VIII and IX. The compound of formula VIII is 3-(2-chloroethyl)-2-[(2-chloroethyl)amino]tetrahydro-2H-1,3,2-oxazaphosphorine 2-oxide or ifosfamide. Ifosfamide is also known as IFEX.




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Further provided herein is a method of treating or preventing an infection in a subject with or at risk of developing an infection, the method comprising administering to the subject a compound selected from the group consisting of:


a compound of Formula X




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wherein R represents a lower alkyl or a lower alkenyl group, a phenyl group which can be substituted by halogen, methyl or lower alkoxy groups, or a benzyl group which can be nuclear substituted by halogen, methyl or lower alkoxy groups,


X represents —O—, —S—, —SO—, or —SO2—,


n represents an integer from 1-4, and


Aryl represents a phenyl group which can be substituted by lower alkoxy or lower alkylmercapto groups;


or a pharmaceutically acceptable salt thereof.


With respect to Formula X, R represents a lower alkyl or a lower alkenyl group, a phenyl group which can be substituted by halogen, methyl or lower alkoxy groups, or a benzyl group which can be nuclear substituted by halogen, methyl or lower alkoxy groups, X represents —O—, —S—, —SO—, or —SO2—, n represents an integer from 1-4, and aryl represents a phenyl group which can be substituted by lower alkoxy or lower alkylmercapto groups.


For example, —R—X—CnH2n— can represent the following groups: methoxy-, ethoxy-, propoxy-, isopropoxy-, butoxy-, isobutoxy-, allyloxy-, crotyloxy-, phenoxy-, o, -m- and p-methylphenoxy-, o,p-dimethylphenoxy-, m, p-dimethylphenoxy-, p-chlorophenoxy-, p-bromophenoxy-, -o, m and p-methoxyphenoxy-, p-ethoxyphenoxy-, benzyloxy-, o-, m-, and p-methylbenzyloxy-, p-chlorobenzyloxy-, p-bromobenzyloxy, o, m and p-methoxybenzyloxyand-, p-ethoxybenzyloxy-; methyl, -ethyl, -propyl, -isopropyl, and butyl radicals and analogous radicals with SO or SO2 instead of O as divalent group X.


Besides the phenyl group, aryl can be, for example, the o- or p-methylmercaptophenyl group, the o- or p-ethyl mercaptophenyl group, the o-; m-, or p-methoxyphenyl group or the o-, m- or p-ethoxyphenyl group.


An example of the compound of formula X is set forth herein as formula XI. The compound of formula X is sulfinapyrazone. Sulfinapyrazone is also known as Anturane.




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Also provided herein is a method of treating or preventing an infection in a subject with or at risk of developing an infection, the method comprising administering to the subject a compound selected from the group consisting of:


a compound of Formula XII




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wherein R and R6 are the same or different and are hydroxy, lower alkoxy, lower alkenoxy, dilower alkylamino lower alkoxy (dimethylaminoethoxy), acylamino lower alkoxy (acetylaminoethoxy), acyloxy lower alkoxy (pivaloyloxymethoxy), aryloxy, such as phenoxy, arloweralkoxy, such as benzyloxy, substituted ayloxy or substituted arloweralkoxy wherein the substitutent is methyl, halo or methoxy, amino, loweralkylamino, diloweralkylamino, hydroxyamino, arloweralkylamino such as benzylamino;


R1 is hydrogen, alkyl of from 1 to 20 carbon atoms which include branched and cyclic and unsaturated (such as allyl) alkyl groups, substituted loweralkyl wherein the substituent can be halo, hydroxy, lower alkoxy, aryloxy such as phenoxy, amino, diloweralkylamino, acylamino, such as acetamido and benzamido, arylamino, guanidino, imidazolyl, indolyl, mercapto, loweralkylthio, arylthio such as phenylthio, carboxy or carboxamido, carboloweralkoxy, aryl such as phenyl or naphthyl, substituted aryl such as phenyl wherein the substituent is lower alkyl, lower alkoxy or halo, arloweralkyl, arloweralkenyl, heteroarlower alkyl or heteroarlower alkenyl such as benzyl, styryl or indolyl ethyl, substituted arloweralkyl, substituted arloweralkenyl, substituted heteroarlower alkyl, or substituted heteroarlower alkenyl, wherein the substituent(s) is halo, dihalo, lower alkyl, hydroxy, lower alkoxy, amino, aminomethyl, acylamino (acetyl amino or benzoylamino) diloweralkylamino, loweralkylamino, carboxyl, haloloweralkyl, cyano or sulfonamido; arloweralkyl or heteroarloweralkyl substituted on the alkyl portion by amino or acylamino (acetylamino or benzoylamino);


R2 and R7 are the same or different and are hydrogen or lower alkyl;


R3 is hydrogen, lower alkyl, phenyl lower alkyl, aminomethyl phenyl lower alkyl, hydroxy phenyl lower alkyl, hydroxy lower alkyl, acylamino lower alkyl (such as benzoylamino lower alkyl, acetylamino lower alkyl), amino lower alkyl, dimethylamino lower alkyl, halo lower alkyl, guanidino lower alkyl, imidazolyl lower alkyl, indolyllower alkyl, mercapto lower alkyl, lower alkyl thio lower alkyl;


R4 is hydrogen or lower alkyl;


R5 is hydrogen, lower alkyl, phenyl, phenyl lower alkyl, hydroxy phenyl lower alkyl, hydroxy lower alkyl, amino lower alkyl, guanidino lower alkyl, imidazolyl lower alkyl, indolyl lower alkyl, mercapto lower alkyl or lower alkyl thio lower alkyl;


R4 and R5 may be connected together to form an alkylene bridge of from 2 to 4 carbon atoms, an alkylene bridge of from 2 to 3 carbon atoms and one sulfur atom, an alkylene bridge of from 3 to 4 carbon atoms containing a double bond or an alkylene bridge as above substituted with hydroxy, loweralkoxy, loweralkylor diloweralky;


or a pharmaceutically acceptable salt thereof.


With respect to Formula XII, R and R6 are the same or different and are hydroxy, lower alkoxy, lower alkenoxy, dilower alkylamino lower alkoxy (dimethylaminoethoxy), acylamino lower alkoxy (acetylaminoethoxy), acyloxy lower alkoxy (pivaloyloxymethoxy), aryloxy, such as phenoxy, arloweralkoxy, such as benzyloxy, substituted aryloxy or substituted arloweralkoxy wherein the substitutent is methyl, halo or methoxy, amino, loweralkylamino, diloweralkylamino, hydroxyamino, arloweralkylamino such as benzylamino;


R1 is hydrogen, alkyl of from 1 to 20 carbon atoms which include branched and cyclic and unsaturated (such as allyl) alkyl groups, substituted loweralkyl wherein the substituent can be halo, hydroxy, lower alkoxy, aryloxy such as phenoxy, amino, diloweralkylamino, acylamino, such as acetamido and benzamido, arylamino, guanidino, imidazolyl, indolyl, mercapto, loweralkylthio, arylthio such as phenylthio, carboxy or carboxamido, carboloweralkoxy, aryl such as phenyl or naphthyl, substituted aryl such as phenyl wherein the substituent is lower alkyl, lower alkoxy or halo, arloweralkyl, arloweralkenyl, heteroarlower alkyl or heteroarlower alkenyl such as benzyl, styryl or indolyl ethyl, substituted arloweralkyl, substituted arloweralkenyl, substituted heteroarlower alkyl, or substituted heteroarlower alkenyl, wherein the substituent(s) is halo, dihalo, lower alkyl, hydroxy, lower alkoxy, amino, aminomethyl, acylamino (acetyl amino or benzoylamino) diloweralkylamino, loweralkylamino, carboxyl, haloloweralkyl, cyano or sulfonamido; arloweralkyl or heteroarloweralkyl substituted on the alkyl portion by amino or acylamino (acetylamino or benzoylamino);


R2 and R7 are the same or different and are hydrogen or lower alkyl;


R3 is hydrogen, lower alkyl, phenyl lower alkyl, aminomethyl phenyl lower alkyl, hydroxy phenyl lower alkyl, hydroxy lower alkyl, acylamino lower alkyl (such as benzoylamino lower alkyl, acetylamino lower alkyl), amino lower alkyl, dimethylamino lower alkyl, halo lower alkyl, guanidino lower alkyl, imidazolyl lower alkyl, indolyllower alkyl, mercapto lower alkyl, lower alkyl thio lower alkyl;


R4 is hydrogen or lower alkyl;


R5 is hydrogen, lower alkyl, phenyl, phenyl lower alkyl, hydroxy phenyl lower alkyl, hydroxy lower alkyl, amino lower alkyl, guanidino lower alkyl, imidazolyl lower alkyl, indolyl lower alkyl, mercapto lower alkyl or lower alkyl thio lower alkyl;


R4 and R5 may be connected together to form an alkylene bridge of from 2 to 4 carbon atoms, an alkylene bridge of from 2 to 3 carbon atoms and one sulfur atom, an alkylene bridge of from 3 to 4 carbon atoms containing a double bond or an alkylene bridge as above substituted with hydroxy, loweralkoxy, loweralkylor diloweralky.


The loweralkyl or lower alkenyl groups except where noted otherwise represented by any of the variables include straight and branched chain hydrocarbon radicals from one to six carbon atoms, for example, methyl, ethyl, propyl, isopropyl, butyl, isobutyl, t-butyl, pentyl, isopentyl, hexyl or vinyl, allyl, butenyl and the like. The aralkyl groups represented by any of the above variables have from one to four carbon atoms in the alkyl portion thereof and include for example, benzyl, p-methoxy benzyl and the like. Halo means chloro, bromo, iodo or fluoro. Aryl where it appears in any of the radicals except where noted represents phenyl or naphthyl. Heteroaryl groups where they appear include for example pyridyl, thienyl, furyl, indolyl, benzthienyl, imidazoyl and thiazolyl. The R1, R3 and R5 substituted lower alkyl moieties are exemplified by groups such as




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R4 and R5 when joined through the carbon and nitrogen atoms to which they are attached form a 4 to 6 membered ring which may contain one sulfur atom or a double bond. Preferred rings have the formulae:




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where Y is CH2, S, or CHOCH3.


Compounds of Formula XI include compounds wherein:


R and R6 can each independently be hydroxy, lower alkoxy, lower alkenoxy, arloweralkyloxy, amino, dilower alkylamino lower alkoxy, acylamino lower alkoxy, acyloxy lower alkoxy wherein the substituent is methyl, halo or methoxy;


R2 and R7 are hydrogen; R3 is lower alkyl, amino lower alkyl, imidazoyllower alkyl, halo lower alkyl;


R4 and R5 are joined to form the preferred rings as defined above where Y is CH2, S, or CH—OCH3;


R1 is as defined previously.


Other compounds include compounds of Formula XI wherein further R1 is alkyl having from 1 to 8 carbon atoms, substituted lower alkyl wherein the alkyl group has 1-5 carbon atoms and the substituent is amino, arylthio, aryloxy or arylamino, aralkyl or heteroaralkyl wherein the alkyl portion has 1 to 3 carbon atoms such as phenethyl or indolylethyl or substituted arloweralkyl 65 (phenyl lower alkyl or naphthyl lower alkyl) and substituted heteroarloweralkyl wherein the alkyl groups have 1-3 carbons and wherein the substituent(s) is halo, dihalo, amino, aminoalkyl, hydroxy, lower alkoxy or lower alkyl.


Other compounds of Formula XI include compounds wherein R and R6 are hydroxy, lower alkoxy, aralkyloxy;


R2 and R7 are hydrogen;


R3 is methyl or amino lower alkyl;


R4 and R5 are joined through the carbon and nitrogen atom to form proline, 4-thiaproline or 4-methoxy proline;


R1 is alkyl having from 1 to 8 carbon atoms, substituted lower alkyl wherein the alkyl group has 1-5 carbon atoms and the substituent is amino, arylthio or aryloxy, aralkyl or heteroaralkyl wherein the alkyl portion has 1 to 3 carbon atoms such as phenethyl or indolylethyl or substituted aralkyl (phenyl lower alkyl or naphthyl lower alkyl) and substituted heteroaralkyl wherein the alkyl groups have 1-3 carbons and wherein the substituent(s) is halo, dihalo, amino, aminoalkyl, hydroxy, lower alkoxy or lower alkyl.


Further examples of compounds of Formula XII include, but are not limited to:

  • N-(1 (S)-carboxy-3-phenylpropyl)-L-alanyl-L-proline;
  • N-(1(S)-ethoxycarbonyl-3-phenylpropyl)-L-alanyl-L-proline and its maleate salt;
  • N-(1 (S)-ethoxycarbonyl-4-methylpentyl)-L-alanyl-L-proline;
  • N-(1-carboxy-5-aminopentyl)-L-alanyl-L-proline;
  • N-.alpha.-(1 (S)-carboxy-3-phenylpropyl)-L-lysyl-L-proline (lisinopril);
  • N-.alpha.(1(S)-ethoxycarbonyl-3-phenylpropyl)-L-lysyl-L-proline;
  • N-.alpha.[1 (S)-carboxy-3-(3-indolyl)propyl]-L-lysyl-L-proline;
  • N-.alpha.-[1 (S)-carboxy-3-(4-chlorophenyl)-propyl]-L-lysyl-L-proline;
  • N-.alpha.-[1(S)-carboxy-2-phenylthioethyl]-L-lysyl-L-proline;
  • N-.alpha.-[1(S)-carboxy-3-(4-chlorophenyl)-propyl]-L-lysyl-L-4.alpha.-methoxyproline;
  • N-.alpha.-[1 (S)-carboxy-5-aminopentyl]-L-lysyl-L-proline;
  • Ethyl N-(1 (S)-ethoxycarbonyl-3-phenylpropyl)-L-alanyl-L-prolinate hydrochloride;


    and the like.


Also provided herein is a method of treating or preventing an infection in a subject with or at risk of developing an infection, the method comprising administering to the subject a compound selected from the group consisting of:


a compound of Formula XIII




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wherein R1 is H, alkyl, acyl or silyl(alkyl)3; R2 is H and R3 is OH, O-acyl, O-alkyl or O-silyl (alkyl)3 or R3 is H and R2 is OH. O-acyl, O-alkyl or O-silyl (alkyl)3; or R2 and R3 together represent O; or R2 and R3 together represent acetal or cyclic acetal. R1 might also represent a substituted alkyl such as e.g. methoxy ethoxy methyl; or a pharmaceutically acceptable salt thereof.


Also provided herein is a method of treating or preventing an infection in a subject with or at risk of developing an infection, the method comprising administering to the subject a compound selected from the group consisting of:


a compound of Formula XIV




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wherein PY is 4- or 3- or 2-pyridinyl or 4- or 3- or 2-pyridinyl having one or two lower-alkyl substituents, R is hydrogen, lower-alkyl or lower-hydroxyalkyl, and Q is nitro, carbamyl, halo, amino, lower-alkylamino, di(lower-alkyl)amino, or NHAc where Ac is lower-alkanoyl or lower-carbalkoxy;


or a pharmaceutically acceptable salt thereof.


With respect to Formula XIII, PY is 4- or 3- or 2-pyridinyl or 4- or 3- or 2-pyridinyl having one or two lower-alkyl substituents, R is hydrogen, lower-alkyl or lower-hydroxyalkyl, and Q is nitro, carbamyl, halo, amino, lower-alkylamino, di(lower-alkyl)amino, or NHAc where Ac is lower-alkanoyl or lower-carbalkoxy, or pharmaceutically-acceptable acid-addition salt thereof. Compounds of formula XIII where Q is amino, lower-alkylamino, di-(lower-alkyl) amino, or NHAc are provided herein. The compounds of formula XIII where Q is nitro or carbamyl are useful as intermediates for preparing the said compounds where Q is amino and those where Q is halo are useful as intermediates in the preparation of the compounds where Q is lower-alkylamino and di-(lower-alkyl)amino. Other compounds of Formula XIII include compounds where Q is amino, R is hydrogen and PY is 4-pyridinyl or 3-pyridinyl, for example, 3-amino-5-(4-pyridinyl)-2(1H)-pyridinone (amrinone).


Further provided herein is a method of treating or preventing an infection in a subject with or at risk of developing an infection, the method comprising administering to the subject a compound selected from the group consisting of:


a compound of Formula XV




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a compound of Formula XVI




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a compound of Formula XVII




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a compound of Formula XVIII




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a compound of Formula XIX




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a compound of Formula (XX)




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or pharmaceutically acceptable salt thereof.


Formula XV is fluspirilen, Formula XVI is hexestrol, Formula XVII is dienestrol, Formula XVIII is napelline, Formula XIX is iopanoic acid and Formula XX is suloctodil.


Further provided is a method of treating or preventing an infection in a subject with or at risk of developing an infection, the method comprising administering to the subject a compound selected from the group consisting of: Didanosine, Norcyclobenzaprine, Niridazole, Ifosfamide, Cefalonium, Tamoxifen citrate, Butoconazole, Suloctidil, Clomiphene, Sulconazole, Miconazole, Mefloquine, Sulfinpyrazone, Terfenadine, Lisinopril, Econzaole, Clofazimine, Equilin, Felodipine, Dacarbazine, Furazolidone, Perhexiline maleate, Oxethazaine, Pimozide, Trifluoperazine, Ellipticine, Fluspirilen, Hexestrol, Dienestrol, Zidovudine, Metoprolol, Napelline, Methimazole, Amrinone, Iopanoic acid, R-Propanolol, Rimexolone and Pyrvinium pamoate, or a pharmaceutically acceptable salt thereof.


Further provided is a method of treating or preventing an infection in a subject with or at risk of developing an infection, the method comprising administering to the subject a compound selected from the group consisting of: Didanosine, Norcyclobenzaprine, Niridazole, Ifosfamide, Cefalonium, Tamoxifen citrate, Butoconazole, Suloctidil, Clomiphene, Sulconazole, Miconazole, Mefloquine, Sulfinpyrazone, Terfenadine, Lisinopril, Econzaole, Clofazimine, Equilin, Felodipine, Dacarbazine, Furazolidone, Perhexiline maleate, Oxethazaine, Pimozide, Trifluoperazine, Ellipticine, Fluspirilen, Hexestrol, Dienestrol, Zidovudine, Metoprolol, Napelline, Methimazole, Amrinone, Iopanoic acid, R-Propanolol, Rimexolone and Pyrvinium pamoate, or a pharmaceutically acceptable salt thereof, wherein the infection is a bacterial infection selected from the group consisting of Enterobacterium faecium, Staphylococcus aureus, Klebsiella pneumonia, Acinebacter baumannii, Pseudomonas aeruginosa and Enterobacter sp.


Further provided is a method of treating or preventing a bacterial infection in a subject with or at risk of developing a bacterial infection in a subject comprising administering to the subject a compound that inhibits bacterial DNA gyrase or topoisomerase IV. The compound can be, for example, a compound of Formula I. As set forth above, a compound of Formula I can be terfenadine or a derivative thereof. In the methods set forth herein an inhibitor of bacterial DNA gyrase or topoisomerase IV can be used to treat or prevent Staphylococcus aureus infection.


It is contemplated that one or more, for example, two, three, four, five, etc., of the compounds or derivatives of the compounds set forth herein can be administered to treat or prevent infection. Thus, combinations of the compounds set forth herein are also provided. Pharmaceutically acceptable salts of all of the compounds set forth herein are also provided. The term pharmaceutically acceptable salt as used herein refers to those salts of any of the compounds described herein or derivatives thereof that are, within the scope of sound medical judgment, suitable for use in contact with the tissues of subjects without undue toxicity, irritation, allergic response, and the like, commensurate with a reasonable benefit/risk ratio, and effective for their intended use, as well as the zwitterionic forms, where possible, of the compounds described herein. The term salts refers to the relatively non-toxic, inorganic and organic acid addition salts of the compounds described herein. These salts can be prepared in situ during the isolation and purification of the compounds or by separately reacting the purified compound in its free base form with a suitable organic or inorganic acid and isolating the salt thus formed. Representative salts include the hydrobromide, hydrochloride, sulfate, bisulfate, nitrate, acetate, oxalate, valerate, oleate, palmitate, stearate, laurate, borate, benzoate, lactate, phosphate, tosylate, citrate, maleate, fumarate, succinate, tartrate, naphthylate mesylate, glucoheptonate, lactobionate, methane sulphonate, and laurylsulphonate salts, and the like. These may include cations based on the alkali and alkaline earth metals, such as sodium, lithium, potassium, calcium, magnesium, and the like, as well as non-toxic ammonium, quaternary ammonium, and amine cations including, but not limited to ammonium, tetramethylammonium, tetraethylammonium, methylamine, dimethylamine, trimethylamine, triethylamine, ethylamine, and the like.


The infection can be a viral infection, bacterial infection, fungal infection or a parasitic infection, to name a few. All strains and types of pathogenic infection are contemplated herein. The infection can also be a respiratory infection, a gastrointestinal infection or a skin infection, to name a few.


In any of the methods of treating or preventing infection set forth herein, the infection can be any infection, wherein the infection is not a bacterial infection. In any of the methods of treating or preventing infection set forth herein, the infection can be any infection, wherein the infection is not a viral infection. In any of the methods of treating or preventing infection set forth herein, the infection can be any infection, wherein the infection is not a parasitic infection. In any of the methods of treating or preventing infection set forth herein, the infection can be any infection, wherein the infection is not a fungal infection. In any of the methods of treating or preventing infection set forth herein, the infection can be any infection, wherein the infection is not a protozoal infection.


Examples of bacterial infections include, but are not limited to infections caused by the Gram negative or Gram positive bacteria. For example, the infection can be caused by Listeria (sp.), Franscicella tularensis, Enterobacter sp. Enterococcus faecium, other Enterococcus species, Klebsiella pneumonia, Acinetobacter baumannii, Mycobacterium tuberculosis, Rickettsia (all types), Ehrlichia or Chylamida. Further examples of bacteria include M. tuberculosis, Legionella pneumophila, other Legionella species, Salmonella typhi, other Salmonella species, Shigella species, Yersinia pestis, Pasteurella haemolytica, Pasteurella multocida, other Pasteurella species, Actinobacillus pleuropneumoniae, Listeria monocytogenes, Listeria ivanovii, Brucella abortus, other Brucella species, Chlamydia pneumoniae, Chlamydia trachomatis, Chlamydia psittaci, Coxiella burnetti, other Rickettsial species, Ehrlichia species, Staphylococcus aureus, Staphylococcus epidermidis, Streptococcus pyogenes, Streptococcus agalactiae, Bacillus anthracis, Escherichia coli, Vibrio cholerae, Kingella kingae, Campylobacter species, Neiserria meningitidis, Neiserria gonorrhea, Pseudomonas aeruginosa, other Pseudomonas species, Haemophilus influenzae, Haemophilus ducreyi, other Hemophilus species, Clostridium tetani, other Clostridium species, Yersinia enterolitica, and other Yersinia species. In the methods provided herein, one or more compounds set forth herein can treat or prevent one or more bacterial infections selected from the group consisting of Enterobacterium faecium, Staphylococcus aureus, Klebsiella pneumonia, Acinebacter baumannii, Pseudomonas aeruginosa and Enterobacter sp. In the methods set forth herein, the bacteria can be a small colony variant strain, for example a small colony strain of Staphylococcus aureus. In any of the methods set forth herein, the infection can be a bacterial infection, wherein the bacterial infection is not tuberculosis, for example, Mycobacterium tuberculosis. For example, and not to be limiting any of the compounds set forth herein, including compounds of Formula I and II can be used to treat or prevent infection in a subject with or at risk of developing an infection, wherein the infection is not tuberculosis.


Examples of parasitic infections include, but are not limited to infections caused by the following parasites: Cryptosporidium, Plasmodium (all species), American trypanosomes (T. cruzi), African trypanosomes, Acanthamoeba, Entaoeba histolytica, Angiostrongylus, Anisakis, Ascaris, Babesia, Balantidium, Baylisascaris, lice, ticks, mites, fleas, Capillaria, Clonorchis, Chilomastix mesnili, Cyclspora, Diphyllobothrium, Dipylidium caninum, Fasciola, Giardia, Gnathostoma, Hetetophyes, Hymenolepsis, Isospora, Loa loa, Microsporidia, Naegleria, Toxocara, Onchocerca, Opisthorchis, Paragonimus, Baylisascaris, Strongyloides, Taenia, Trichomonas and Trichuris. In any of the methods set forth herein, the infection can be a parasitic infection, wherein the parasitic infection is not malaria, for example, malaria caused by any species of Plasmodium including Plasmodium falciparum. For example, and not to be limiting any of the compounds set forth herein, including compounds of Formula I and II can be used to treat or prevent infection in a subject with or at risk of developing an infection, wherein the infection is not malaria.


Furthermore, examples of protozoan and fungal species contemplated within the present methods include, but are not limited to, Plasmodium falciparum, other Plasmodium species, Toxoplasma gondii, Pneumocystis carinii, Trypanosoma cruzi, other trypanosomal species, Leishmania donovani, other Leishmania species, Theileria annulata, other Theileria species, Eimeria tenella, other Eimeria species, Histoplasma capsulatum, Cryptococcus neoformans, Blastomyces dermatitidis, Coccidioides immitis, Paracoccidioides brasiliensis, Penicillium marneffei, and Candida species. In any of the methods set forth herein, the infection can be a protozoan infection, wherein the protozoan infection is not leishmaniasis, for example, leishmaniasis caused by a Leishmania species, for example, Leishmania major. For example, and not to be limiting any of the compounds set forth herein, including compounds of Formula I and III can be used to treat or prevent infection in a subject with or at risk of developing an infection, wherein the infection is not leishmaniasis.


Examples of viral infections include but are not limited to, infections caused by RNA viruses (including negative stranded RNA viruses, positive stranded RNA viruses, double stranded RNA viruses and retroviruses) and DNA viruses. All strains, types, subtypes of DNA and RNA viruses are contemplated herein.


Examples of RNA viruses include, but are not limited to picornaviruses, which include aphthoviruses (for example, foot and mouth disease virus O, A, C, Asia 1, SAT1, SAT2 and SAT3), cardioviruses (for example, encephalomycarditis virus and Theiller's murine encephalomyelitis virus), enteroviruses (for example polioviruses 1, 2 and 3, human enteroviruses A-D, bovine enteroviruses 1 and 2, human coxsackieviruses A1-A22 and A24, human coxsackieviruses B1-B5, human echoviruses 1-7, 9, 11-12, 24, 27, 29-33, human enteroviruses 68-71, porcine enteroviruses 8-10 and simian enteroviruses 1-18), erboviruses (for example, equine rhinitis virus), hepatovirus (for example human hepatitis A virus and simian hepatitis A virus), kobuviruses (for example, bovine kobuvirus and Aichi virus), parechoviruses (for example, human parechovirus 1 and human parechovirus 2), rhinovirus (for example, human rhinovirus 1-100 and bovine rhinoviruses 1-3) and teschoviruses (for example, porcine teschovirus).


Additional examples of RNA viruses include caliciviruses, which include noroviruses (for example, Norwalk virus), sapoviruses (for example, Sapporo virus), lagoviruses (for example, rabbit hemorrhagic disease virus and European brown hare syndrome) and vesiviruses (for example vesicular exanthema of swine virus and feline calicivirus).


Other RNA viruses include astroviruses, which include mamastorviruses and avastroviruses. Togaviruses are also RNA viruses. Togaviruses include alphaviruses (for example, Chikungunya virus, Sindbis virus, Semliki Forest virus, Western equine encephalitis, Getah virus, Everglades virus, Venezuelan equine encephalitis virus and Aura virus) and rubella viruses. Additional examples of RNA viruses include the the flaviviruses (for example, tick-borne encephalitis virus, Tyuleniy virus, Aroa virus, Dengue virus (types 1 to 4), Kedougou virus, Japanese encephalitis virus (JEV), West Nile virus (WNV), Kokobera virus, Ntaya virus, Spondweni virus, Yellow fever virus, Entebbe bat virus, Modoc virus, Rio Bravo virus, Cell fusing agent virus, pestivirus, GB virus A, GBV-A like viruses, GB virus C, Hepatitis G virus, hepacivirus (hepatitis C virus (HCV)) all six genotypes), bovine viral diarrhea virus (BVDV) types 1 and 2, and GB virus B).


Other examples of RNA viruses are the coronaviruses, which include, human respiratory coronaviruses such as SARS—CoV, HCoV-229E, HCoV-NL63 and HCoV-OC43. Coronaviruses also include bat SARS-like CoV, turkey coronavirus, chicken coronavirus, feline coronavirus and canine coronavirus. Additional RNA viruses include arteriviruses (for example, equine arterivirus, porcine reproductive and respiratory syndrome virus, lactate dehyrogenase elevating virus of mice and simian hemorraghic fever virus). Other RNA viruses include the rhabdoviruses, which include lyssaviruses (for example, rabies, Lagos bat virus, Mokola virus, Duvenhage virus and European bat lyssavirus), vesiculoviruses (for example, VSV-Indiana, VSV-New Jersey, VSV-Alagoas, Piry virus, Cocal virus, Maraba virus, Isfahan virus and Chandipura virus), and ephemeroviruses (for example, bovine ephemeral fever virus, Adelaide River virus and Berrimah virus). Additional examples of RNA viruses include the filoviruses. These include the Marburg and Ebola viruses (for example, EBOV-Z, EBOV-S, EBOV-IC and EBOV-R.


The paramyxoviruses are also RNA viruses. Examples of these viruses are the rubulaviruses (for example, mumps, parainfluenza virus 5, human parainfluenza virus type 2, Mapuera virus and porcine rubulavirus), avulaviruses (for example, Newcastle disease virus), respoviruses (for example, Sendai virus, human parainfluenza virus type 1 and type 3, bovine parainfluenza virus type 3), henipaviruses (for example, Hendra virus and Nipah virus), morbilloviruses (for example, measles, Cetacean morvilliirus, Canine distemper virus, Peste-des-petits-ruminants virus, Phocine distemper virus and Rinderpest virus), pneumoviruses (for example, human respiratory syncytial virus A2, B1 and S2, bovine respiratory syncytial virus and pneumonia virus of mice), metapneumoviruses (for example, human metapneumovirus and avian metapneumovirus). Additional paramyxoviruses include Fer-de-Lance virus, Tupaia paramyxovirus, Menangle virus, Tioman virus, Beilong virus, J virus, Mossman virus, Salem virus and Nariva virus. Additional RNA viruses include the orthomyxoviruses.


These viruses include influenza viruses and strains (e.g., influenza A (H1N1 (including but not limited to A/WS/33 and A/California/04/2009 strains) H2N2, H3N2, H5N1, H7N7, H1N2, H9N2, H7N2, H7N3 and H10N7), B and C viruses, as well as avian influenza (for example, strains H5N1, H5N2, H7N1, H7N7 and H9N2) thogotoviruses and isaviruses. Orthobunyaviruses (for example, Akabane virus, California encephalitis, Cache Valley virus, Snowshoe hare virus,) nairoviruses (for example, Nairobi sheep virus, Crimean-Congo hemorrhagic fever virus Group and Hughes virus), phleboviruses (for example, Candiru, Punta Toro, Rift Valley Fever, Sandfly Fever, Naples, Toscana, Sicilian and Chagres), and hantaviruses (for example, Hantaan, Dobrava, Seoul, Puumala, Sin Nombre, Bayou, Black Creek Canal, Andes and Thottapalayam) are also RNA viruses. Arenaviruses such as lymphocytic choriomeningitis virus, Lujo virus, Lassa fever virus, Argentine hemorrhagic fever virus, Bolivian hemorrhagic fever virus, Venezuelan hemorrhagic fever virus, SABV and WWAV are also RNA viruses. Borna disease virus is also an RNA virus. Hepatitis D (Delta) virus and hepatitis E are also RNA viruses. Any of the compounds set forth herein, including, but not limited to the compounds of Formula I and II can be used to treat or prevent a viral infection, wherein the viral infection is not a Lassa fever virus infection.


Additional RNA viruses include reoviruses, rotaviruses, birnaviruses, chrysoviruses, cystoviruses, hypoviruses partitiviruses and totoviruses. Orbiviruses such as African horse sickness virus, Blue tongue virus, Changuinola virus, Chenuda virus, Chobar Gorge Corriparta virus, epizootic hemorraghic disease virus, equine encephalosis virus, Eubenangee virus, Ieri virus, Great Island virus, Lebombo virus, Orungo virus, Palyam virus, Peruvian Horse Sickness virus, St. Croix River virus, Umatilla virus, Wad Medani virus, Wallal virus, Warrego virus and Wongorr virus are also RNA viruses.


Retroviruses include alpharetroviruses (for example, Rous sarcoma virus and avian leukemia virus), betaretroviruses (for example, mouse mammary tumor virus, Mason-Pfizer monkey virus and Jaagsiekte sheep retrovirus), gammaretroviruses (for example, murine leukemia virus and feline leukemia virus, deltraretroviruses (for example, human T cell leukemia viruses (HTLV-1, HTLV-2), bovine leukemia virus, STLV-1 and STLV-2), epsilonretriviruses (for example, Walleye dermal sarcoma virus and Walleye epidermal hyperplasia virus 1), reticuloendotheliosis virus (for example, chicken syncytial virus, lentiviruses (for example, human immunodeficiency virus (HIV) type 1, human immunodeficiency virus (HIV) type 2, human immunodeficiency virus (HIV) type 3, simian immunodeficiency virus, equine infectious anemia virus, feline immunodeficiency virus, caprine arthritis encephalitis virus and Visna maedi virus) and spumaviruses (for example, human foamy virus and feline syncytia-forming virus).


Examples of DNA viruses include polyomaviruses (for example, simian virus 40, simian agent 12, BK virus, JC virus, Merkel Cell polyoma virus, bovine polyoma virus and lymphotrophic papovavirus), papillomaviruses (for example, human papillomavirus, bovine papillomavirus, adenoviruses (for example, adenoviruses A-F, canine adenovirus type I, canined adeovirus type 2), circoviruses (for example, porcine circovirus and beak and feather disease virus (BFDV)), parvoviruses (for example, canine parvovirus), erythroviruses (for example, adeno-associated virus types 1-8), betaparvoviruses, amdoviruses, densoviruses, iteraviruses, brevidensoviruses, pefudensoviruses, herpes viruses 1, 2, 3, 4, 5, 6, 7 and 8 (for example, herpes simplex virus 1, herpes simplex virus 2, varicella-zoster virus, Epstein-Barr virus, cytomegalovirus, Kaposi's sarcoma associated herpes virus, human herpes virus-6 variant A, human herpes virus-6 variant B and cercophithecine herpes virus 1 (B virus)), poxviruses (for example, smallpox (variola), cowpox, monkeypox, vaccinia, Uasin Gishu, camelpox, psuedocowpox, pigeonpox, horsepox, fowlpox, turkeypox and swinepox), and hepadnaviruses (for example, hepatitis B and hepatitis B-like viruses).


One or more of the compounds described herein can be contacted with a cell or populations of cells in vitro, ex vivo or in vivo. For example, the cell or population of cells can be in a subject, or in an in vitro culture. In another example, one or more compounds set forth herein can be used to inhibit bacterial growth, fungal growth, parasitic growth, protozoal growth or viral replication, in vitro, ex vivo or in vivo. Any of the compounds set forth herein can be used alone or in combination with other therapeutic agents such as antiviral compounds, antibacterial agents (for example, antibiotics), antifungal agents, antiparasitic agents, anti-inflammatory agents, anti-cancer agents, etc.


In the methods described herein, the level of infection, for example, in a cell, or a population of cells, or a cell culture, can be assessed by measuring an antigen or other product associated with a particular infection. The level of infection can also be measured in a tissue sample or a culture of cells from a subject, either before or after administration of one or more compounds disclosed herein. For example, the level of viral infection can be measured by real-time quantitative reverse transcription-polymerase chain reaction (RT-PCR) assay (See for example, Payungporn et al. “Single step multiplex real-time RT-PCR for H5N1 influenza A virus detection.” J Virol Methods. Sep. 22, 2005; Landolt et la. “Use of real-time reverse transcriptase polymerase chain reaction assay and cell culture methods for detection of swine influenza A viruses” Am J Vet Res. 2005 January; 66(1): 119-24).


Methods of measuring bacterial growth and inhibition of bacterial growth are provided in the Examples. Further, one of skill in the art would know how to determine the concentration of a compound that inhibits bacterial infection (see, for example, Andrews, et al. “Determination of minimum inhibitory concentrations”. Journal of Antimicrobial Chemotherapy 48 (suppl 1): 5-16 (2001)). Other methods for determining antifungal and antibacterial activity are known in the art. See, for example, Hayhoe et al. “Screening for Antibacterial, Antifungal and Anti quorum Sensing Activity,” Methods Mol. Biol. 1055: 219-225 (2013)); Doddanna et al. “Antimicrobial activity of plant extracts on Candida albicans: An in vitro study Indian J. Dent. Res. 24(4): 401-405 (2013), both of which are incorporated by this reference in their entireties.


As used throughout, by subject is meant an individual. Preferably, the subject is a mammal such as a primate, and, more preferably, a human. Non-human primates are subjects as well. The term subject includes domesticated animals, such as cats, dogs, etc., livestock (for example, cattle, horses, pigs, sheep, goats, etc.) and laboratory animals (for example, ferret, chinchilla, mouse, rabbit, rat, gerbil, guinea pig, etc.). Thus, veterinary uses and medical formulations are contemplated herein.


As used herein, a biological sample is a sample derived from a subject such as a mammal or human and includes, but is not limited to, any biological fluid, including a bodily fluid. Examples of bodily fluids include, but are not limited to, whole blood, plasma, serum, urine, saliva, ocular fluid, ascites, a stool sample, spinal fluid, tissue infiltrate, pleural effusions, lung lavage fluid, and the like. The biological fluid includes a cell culture medium or supernatant of cultured cells from the subject.


The methods and compounds as described herein are useful for therapeutic treatment. Use of one or more of the compounds set forth herein for the treatment or prevention of infection is also contemplated herein. One or more of the compounds set forth herein for use in a method of treating or preventing infection is also provided herein. Therapeutic treatment involves administering to a subject a therapeutically effective amount of one or more of the agents described herein, optionally, after diagnosis of an infection or risk of infection in the subject. Therefore, all of the methods disclosed herein, can optionally comprise the step of diagnosing a subject with an infection or diagnosing a subject in need of prophylaxis or prevention of infection.


As used herein, the terms treatment, treat, or treating refers to a method of reducing the effects of a disease or condition or symptom of the disease or condition. Thus, in the disclosed methods, treatment can refer to a 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, or 100% reduction in the severity of an established disease or condition or symptom of the disease or condition. For example, a method for treating a disease is considered to be a treatment if there is a 10% reduction in one or more symptoms of the disease in a subject as compared to a control. A control subject can be a subject that has not received a compound set forth herein. Thus, the reduction can be a 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, 100%, or any percent reduction in between 10% and 100% as compared to native or control levels. It is understood that treatment does not necessarily refer to a cure or complete ablation of the disease, condition, or symptoms of the disease or condition.


As utilized herein, by preventing infection is meant a method of precluding, delaying, averting, obviating, forestalling, stopping, or hindering the onset, incidence, severity, or recurrence of infection. For example, the disclosed method is considered to be a prevention if there is about a 10% reduction in onset, incidence, severity, or recurrence of infection, or symptoms of infection (e.g., inflammation, fever, lesions, weight loss, etc.) in a subject exposed to an infection when compared to control subjects exposed to an infection that did not receive a composition for decreasing infection. Thus, the reduction in onset, incidence, severity, or recurrence of infection can be about a 10, 20, 30, 40, 50, 60, 70, 80, 90, 100%, or any amount of reduction in between as compared to a control subject. For example, and not to be limiting, if about 10% of the subjects in a population do not become infected as compared to subjects that did not receive preventive treatment, this is considered prevention.


The compounds set forth herein can also be used to decrease infection in a cell. A decrease or inhibition of infection can occur in a cell, in vitro, ex vivo or in vivo. As utilized throughout, the term “infection” encompasses all phases of pathogenic life cycles including, but not limited to, attachment to cellular receptors, entry, internalization, disassembly, replication, genomic integration of pathogenic sequences, transcription of pathogen RNA, translation of pathogen RNA, transcription of host cell mRNA, translation of host cell mRNA, proteolytic cleavage of pathogenic proteins or cellular proteins, assembly of particles, endocytosis, cell lysis, budding, and egress of the pathogen from the cells.


The compounds described herein can be provided in a pharmaceutical composition. Depending on the intended mode of administration, the pharmaceutical composition can be in the form of solid, semi-solid or liquid dosage forms, such as, for example, tablets, suppositories, pills, capsules, powders, liquids, or suspensions, preferably in unit dosage form suitable for single administration of a precise dosage. The compositions will include a therapeutically effective amount of the compound described herein or derivatives thereof in combination with a pharmaceutically acceptable carrier and, in addition, may include other medicinal agents, pharmaceutical agents, carriers, or diluents. By pharmaceutically acceptable is meant a material that is not biologically or otherwise undesirable, which can be administered to an individual along with the selected agent without causing unacceptable biological effects or interacting in a deleterious manner with the other components of the pharmaceutical composition in which it is contained.


As used herein, the term carrier encompasses any excipient, diluent, filler, salt, buffer, stabilizer, solubilizer, lipid, stabilizer, or other material well known in the art for use in pharmaceutical formulations. The choice of a carrier for use in a composition will depend upon the intended route of administration for the composition. The preparation of pharmaceutically acceptable carriers and formulations containing these materials is described in, e.g., Remington's Pharmaceutical Sciences, 21st Edition, ed. University of the Sciences in Philadelphia, Lippincott, Williams & Wilkins, Philadelphia Pa., 2005. Examples of physiologically acceptable carriers include buffers such as phosphate buffers, citrate buffer, and buffers with other organic acids; antioxidants including ascorbic acid; low molecular weight (less than about 10 residues) polypeptides; proteins, such as serum albumin, gelatin, or immunoglobulins; hydrophilic polymers such as polyvinylpyrrolidone; amino acids such as glycine, glutamine, asparagine, arginine or lysine; monosaccharides, disaccharides, and other carbohydrates including glucose, mannose, or dextrins; chelating agents such as EDTA; sugar alcohols such as mannitol or sorbitol; salt-forming counterions such as sodium; and/or nonionic surfactants such as TWEEN® (ICI, Inc.; Bridgewater, N.J.), polyethylene glycol (PEG), and PLURONICS™ (BASF; Florham Park, N.J.).


Compositions containing the compound(s) described herein suitable for parenteral injection may comprise physiologically acceptable sterile aqueous or nonaqueous solutions, dispersions, suspensions or emulsions, and sterile powders for reconstitution into sterile injectable solutions or dispersions. Examples of suitable aqueous and nonaqueous carriers, diluents, solvents or vehicles include water, ethanol, polyols (propyleneglycol, polyethyleneglycol, glycerol, and the like), suitable mixtures thereof, vegetable oils (such as olive oil) and injectable organic esters such as ethyl oleate. Proper fluidity can be maintained, for example, by the use of a coating such as lecithin, by the maintenance of the required particle size in the case of dispersions and by the use of surfactants.


These compositions may also contain adjuvants such as preserving, wetting, emulsifying, and dispensing agents. Prevention of the action of microorganisms can be promoted by various antibacterial and antifungal agents, for example, parabens, chlorobutanol, phenol, sorbic acid, and the like. Isotonic agents, for example, sugars, sodium chloride, and the like may also be included. Prolonged absorption of the injectable pharmaceutical form can be brought about by the use of agents delaying absorption, for example, aluminum monostearate and gelatin.


Solid dosage forms for oral administration of the compounds described herein or derivatives thereof include capsules, tablets, pills, powders, and granules. In such solid dosage forms, the compounds described herein or derivatives thereof is admixed with at least one inert customary excipient (or carrier) such as sodium citrate or dicalcium phosphate or (a) fillers or extenders, as for example, starches, lactose, sucrose, glucose, mannitol, and silicic acid, (b) binders, as for example, carboxymethylcellulose, alignates, gelatin, polyvinylpyrrolidone, sucrose, and acacia, (c) humectants, as for example, glycerol, (d) disintegrating agents, as for example, agar-agar, calcium carbonate, potato or tapioca starch, alginic acid, certain complex silicates, and sodium carbonate, (e) solution retarders, as for example, paraffin, (f) absorption accelerators, as for example, quaternary ammonium compounds, (g) wetting agents, as for example, cetyl alcohol, and glycerol monostearate, (h) adsorbents, as for example, kaolin and bentonite, and (i) lubricants, as for example, talc, calcium stearate, magnesium stearate, solid polyethylene glycols, sodium lauryl sulfate, or mixtures thereof. In the case of capsules, tablets, and pills, the dosage forms may also comprise buffering agents.


Solid compositions of a similar type may also be employed as fillers in soft and hard-filled gelatin capsules using such excipients as lactose or milk sugar as well as high molecular weight polyethyleneglycol s, and the like.


Solid dosage forms such as tablets, dragees, capsules, pills, and granules can be prepared with coatings and shells, such as enteric coatings and others known in the art. They may contain opacifying agents and can also be of such composition that they release the active compound or compounds in a certain part of the intestinal tract in a delayed manner. Examples of embedding compositions that can be used are polymeric substances and waxes. The active compounds can also be in micro-encapsulated form, if appropriate, with one or more of the above-mentioned excipients.


Liquid dosage forms for oral administration of the compounds described herein or derivatives thereof include pharmaceutically acceptable emulsions, solutions, suspensions, syrups, and elixirs. In addition to the active compounds, the liquid dosage forms may contain inert diluents commonly used in the art, such as water or other solvents, solubilizing agents, and emulsifiers, as for example, ethyl alcohol, isopropyl alcohol, ethyl carbonate, ethyl acetate, benzyl alcohol, benzyl benzoate, propyleneglycol, 1,3-butyleneglycol, dimethylformamide, oils, in particular, cottonseed oil, groundnut oil, corn germ oil, olive oil, castor oil, sesame oil, glycerol, tetrahydrofurfuryl alcohol, polyethyleneglycols, and fatty acid esters of sorbitan, or mixtures of these substances, and the like.


Besides such inert diluents, the composition can also include additional agents, such as wetting, emulsifying, suspending, sweetening, flavoring, or perfuming agents.


Administration can be carried out using therapeutically effective amounts of the agents described herein for periods of time effective to treat or prevent infection in a subject. The effective amount may be determined by one of ordinary skill in the art and includes exemplary dosage amounts for a mammal of from about 0.5 to about 200 mg/kg of body weight of active compound per day, which may be administered in a single dose or in the form of individual divided doses, such as from 1 to 4 times per day. Alternatively, the dosage amount can be from about 0.5 to about 150 mg/kg of body weight of active compound per day, about 0.5 to 100 mg/kg of body weight of active compound per day, about 0.5 to about 75 mg/kg of body weight of active compound per day, about 0.5 to about 50 mg/kg of body weight of active compound per day, about 0.5 to about 25 mg/kg of body weight of active compound per day, about 1 to about 20 mg/kg of body weight of active compound per day, about 1 to about 10 mg/kg of body weight of active compound per day, about 20 mg/kg of body weight of active compound per day, about 10 mg/kg of body weight of active compound per day, or about 5 mg/kg of body weight of active compound per day.


According to the methods taught herein, the subject is administered an effective amount of the compound. The terms effective amount and effective dosage are used interchangeably. The term effective amount is defined as any amount necessary to produce a desired physiologic response. Effective amounts and schedules for administering the agent may be determined empirically, and making such determinations is within the skill in the art. The dosage ranges for administration are those large enough to produce the desired effect in which one or more symptoms of the disease or disorder are affected (e.g., reduced or delayed). The dosage should not be so large as to cause substantial adverse side effects, such as unwanted cross-reactions, anaphylactic reactions, and the like. Generally, the dosage will vary with the activity of the specific compound employed, the metabolic stability and length of action of that compound, the species, age, body weight, general health, sex and diet of the subject, the mode and time of administration, rate of excretion, drug combination, and severity of the particular condition and can be determined by one of skill in the art. The dosage can be adjusted by the individual physician in the event of any contraindications. Dosages can vary, and can be administered in one or more dose administrations daily, for one or several days. Guidance can be found in the literature for appropriate dosages for given classes of pharmaceutical products.


Any appropriate route of administration can be employed, depending on whether local or systemic treatment is desired, and on the area to be treated. The compositions are administered via any of several routes of administration, including topically, orally, parenterally, intravenously, intra-articularly, intraperitoneally, intramuscularly, subcutaneously, intracavity, transdermally, intrahepatically, intracranially, nebulization/inhalation, or by installation via bronchoscopy. Optionally, the composition is administered by oral inhalation, nasal inhalation, or intranasal mucosal administration. Administration of the compositions by inhalant can be through the nose or mouth via delivery by spraying or droplet mechanism, for example, in the form of an aerosol. Pharmaceutical compositions can be delivered locally to the area in need of treatment, for example by topical application or local injection. Multiple administrations and/or dosages can also be used. Effective doses can be extrapolated from dose-response curves derived from in vitro or animal model test systems.


The disclosure also provides a pharmaceutical pack or kit comprising one or more containers filled with one or more of the ingredients of the pharmaceutical compositions. Optionally associated with such container(s) can be a notice in the form prescribed by a governmental agency regulating the manufacture, use or sale of pharmaceuticals or biological products, which notice reflects approval by the agency of manufacture, use or sale for human administration. Instructions for use of the composition can also be included.


Also provided is a method of removing biofilm from a surface, comprising administering an effective amount of one or more of the compounds provided herein to a biofilm-containing surface, wherein the amount is effective to remove biofilm from the surface. Removal of the biofilm from this surface does not have to be complete as this can range from a reduction to complete removal of the biofilm. Thus, in the disclosed methods, removal can refer to a 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, or 100% reduction in the amount of biofilm on a surface. For example, a method for removing biofilm from a surface is considered to be removal if there is a 10% reduction in the amount of biofilm on the surface as compared to a control. A control surface can be a biofilm containing surface that has not received a compound set forth herein. Thus, the reduction can be a 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, 100%, or any percent reduction in between 10% and 100% as compared to control.


Further provided is a method of preventing biofilm formation on a surface comprising administering an effective amount of one or more of the compounds provided herein to the surface, wherein the amount is effective to prevent biofilm formation. The surface can be susceptible to biofilm formation. The biofilm can be produced by an organism selected from the group consisting of bacteria, algae, fungi and protozoa.


The compound can be, but is not limited to, a compound of Formula I




embedded image



wherein R represents hydrogen or hydroxyl and R1 represents hydrogen, or R and R1 taken together form a second bond between the carbon atoms bearing R and R′; R2 represents hydrogen or phenyl; n is zero or a positive whole integer of from 1 to 4; X represents CH2, CHOH, NH, C═O, CHNR3R4, where R3 and R4 independently are hydrogen or lower alkyl; and Z represents thienyl, pyridinyl, substituted pyridinyl, phenyl or substituted phenyl wherein the substituents on the substituted pyridinyl or substituted phenyl are selected from phenyl, pyridinyl, nitro, a halogen atom, such as chlorine, fluorine, bromine, or iodine, a straight or branched lower alkyl chain of from 1 to 4 carbon atoms, a lower alkoxy group of from 1 to 4 carbon atoms, amino, a mono or di(lower)alkylamino group, a saturated monocyclic heterocyclic group such as pyrrolidino, piperidino, morpholino, or N-(lower)alkylpiperazino, or a group having the structure —COOR5, —CR6R7COOR5, —CF3, CHF2, CH2F, or




embedded image



where R5 is hydrogen or lower alkyl, and R6 and R7 independently are hydrogen or methyl


or a pharmaceutically acceptable salt thereof.


One or more of the compounds set forth herein can be combined with one or more biodegradable polymers to form a biodegradable antimicrobial composition. These compositions can be applied to a surface or used as a coating. The biodegradable polymers include but are not limited to polylactic acid, polyglycolic acid and copolymers and mixtures thereof such as poly(L-lactide) (PLLA), poly(D,L-lactide) (PLA), polyglycolic acid [polyglycolide (PGA)], poly(L-lactide-co-D,L-lactide) (PLLA/PLA), poly(L-lactide-co-glycolide) (PLLA/PGA), poly(D,L-lactide-co-glycolide) (PLA/PGA), poly(glycolide-co-trimethylene carbonate) (PGA/PTMC), poly(D,L-lactide-co-caprolactone) (PLA/PCL) and poly(glycolide-co-caprolactone) (PGA/PCL); polyethylene oxide (PEO), polydioxanone (PDS), polypropylene fumarate, poly(ethyl glutamate-co-glutamic acid), poly(tert-butyloxy-carbonylmethyl glutamate), polycaprolactone (PCL), polycaprolactone co-butylacrylate, polyhydroxybutyrate (PHBT) and copolymers of polyhydroxybutyrate, poly(phosphazene), polyphosphate ester), poly(amino acid), polydepsipeptides, maleic anhydride copolymers, polyiminocarbonates, poly [(97.5% dimethyl-trimethylene carbonate)-co-(2.5% trimethylene carbonate)], poly(orthoesters), tyrosine-derived polyarylates, tyrosine-derived polycarbonates, tyrosine-derived polyiminocarbonates, tyrosine-derived polyphosphonates, polyethylene oxide, polyethylene glycol, polyalkylene oxides, hydroxypropylmethylcellulose, polysaccharides such as hyaluronic acid, chitosan and regenerate cellulose, and proteins such as gelatin and collagen, and mixtures and copolymers thereof, among others as well as PEG derivatives or blends of any of the foregoing.


In the methods of removing or preventing biofilm formation, the surface can be a hard (for example, glass, metal, wood, chrome, plastic, vinyl or formica) or a soft surface (for example, cloth or upholstery). The methods set forth herein can be used to remove or prevent biofilm formation in vitro, ex vivo or in vivo. The methods set forth herein can also be used to remove or prevent biofilm formation on a medical device or a part thereof. For example, the methods set forth herein can be used to remove or prevent biofilm formation on an implantable medical device such as a cardiac rhythm management device (for example, a pacemaker, a defibrillator, an implantable cardioverter defibrillator (ICD) and a cardiac resynchronization therapy defibrillator (CRT device), a neurostimulator, a pulse generator, a drug pump, an infusion device, a physiological monitoring device (for example, a glucose sensor), contact lenses, a stent, a catheter, tubing or a breast implant. Mesh, bandages, and implantable devices, for example, can be coated with a compositions comprising one or more of the compounds set forth herein. Further, organs can be treated with one or more of the compounds set forth herein prior to transplantation in a subject. One or more of the compounds set forth herein can be used to inhibit biofilm formation by one or more of Staphylococcus aureus, Pseudomonas aeuroginosa, Staphylococcus epidermidis, Escherichia coli or Acinetobacter baummanii.


As utilized herein, by preventing biofilm formation is meant a method of precluding, delaying, averting, obviating, forestalling, stopping, or hindering the onset, incidence, severity, or recurrence of biofilm formation. For example, the disclosed method is considered to be prevention if there is about a 10% reduction in onset, incidence, severity, or recurrence of biofilm formation on a surface when compared to a control surface that did not receive a composition for preventing biofilm formation. Thus, the reduction in onset, incidence, severity, or recurrence of biofilm can be about a 10, 20, 30, 40, 50, 60, 70, 80, 90, 100%, or any amount of reduction in between as compared to a control surface.


A biofilm can also exist or form in a biological subject, for example, on the teeth or gums of a subject. Therefore, one or more of the compounds set forth herein can be in a toothpaste, mouth rinse, gel, foam, varnish, polish, floss, dental strip, or copolymer membrane in order to remove or prevent biofilm formation on a dental surface.


Further provided herein is a method of identifying an antimicrobial agent comprising contacting a bacterial culture with a test agent and measuring adenylate kinase release in the supernatant of the bacterial culture, wherein an increase in adenylate kinase release as compared to a control indicates that the test compound is an antimicrobial agent. The control can be a bacterial culture that was not contacted with the test compound. The bacterial culture can be a culture of any bacterial strain, for example, a culture of any of the bacteria disclosed herein. The bacterial culture can also be small colony variant bacterial culture or a biofilm associated bacterial culture. Examples of agents identified utilizing this method are provided in the Examples.


Disclosed are materials, compositions, and components that can be used for, can be used in conjunction with, can be used in preparation for, or are products of the disclosed methods and compositions. These and other materials are disclosed herein, and it is understood that when combinations, subsets, interactions, groups, etc. of these materials are disclosed that while specific reference of each various individual and collective combinations and permutations of these compounds may not be explicitly disclosed, each is specifically contemplated and described herein. For example, if a method is disclosed and discussed and a number of modifications that can be made to a number of molecules including in the method are discussed, each and every combination and permutation of the method, and the modifications that are possible are specifically contemplated unless specifically indicated to the contrary. Likewise, any subset or combination of these is also specifically contemplated and disclosed. This concept applies to all aspects of this disclosure including, but not limited to, steps in methods using the disclosed compositions. Thus, if there are a variety of additional steps that can be performed, it is understood that each of these additional steps can be performed with any specific method steps or combination of method steps of the disclosed methods, and that each such combination or subset of combinations is specifically contemplated and should be considered disclosed.


Publications cited herein and the material for which they are cited are hereby specifically incorporated by reference in their entireties.


The following examples are put forth so as to provide those of ordinary skill in the art with a complete disclosure and description of how the compounds and/or methods claimed herein are made and evaluated, and are intended to be purely exemplary of the invention and are not intended to limit the scope of what the inventors regard as their invention except as and to the extent that they are included in the accompanying claims.


Example I
Identification of Antimicrobial Compounds

Adenylate kinase (AK) is a ubiquitous intracellular enzyme that is released into the extracellular space upon cell lysis. As shown herein, AK release serves as a useful reporter of bactericidal agent activity and can be exploited for antimicrobial screening purposes. The AK assay exhibits improved sensitivity over that of growth-based assays and can detect agents that are active against bacteria in clinically relevant growth states that are difficult to screen using conventional approaches, such as small colony variants (SCV) and bacteria within established biofilms. The usefulness of the AK assay was validated by screening a library of off-patent drugs for agents that exhibit antimicrobial properties toward a variety of bacterial species, including Escherichia coli and all members of the “ESKAPE” pathogens (Enterococcus faecium, Staphylococcus aureus, Klebsiella pneumoniae, Acinetobacter baumannii, Pseudomonas aeruginosa, and Enterobacter species). The assay detected antibiotics within the library that were expected to be active against the organism screened. Moreover, 38 drugs elicited AK release. Examples include, the antihistamine, terfenadine, which was active against S. aureus planktonic, SCV population, and biofilm-associated cells, to name a few. Tamoxifen, an estrogen receptor antagonist, was active toward E. faecium in vitro and also reduced E. faecium pathogenesis in a Galleria mellonella infection model. These data demonstrate that the AK assay provides an attractive screening approach for identifying new antimicrobial agents. Further, drugs identified using this screening approach, for example, terfenadine and tamoxifen, provide novel antimicrobial drug development scaffolds.


The ESKAPE pathogens frequently cause health care-associated bacterial infections and can escape the effects of most currently available antibiotics. The most successful and widely applied method to identify agents with antibacterial activity has been whole-cell, bacterial growth assays. In this approach, libraries of small molecules or natural products are screened for agents that limit bacterial growth. However, growth-based assays have limitations. For example, the growth or no-growth readout has a limited dynamic range. This is likely to be problematic because growth assays lack the sensitivity required to detect antimicrobial molecules that are present in low concentrations within complex natural product extract libraries or compounds with limited antimicrobial activity. While the latter would obviously not represent a molecule that could be directly translated to clinical use, these low-activity hits could provide structurally novel scaffolds suitable for medicinal chemistry-based optimization. In addition, traditional growth-based assays are not readily amenable to screening for agents that target bacteria within certain clinically relevant bacterial growth states, such as established biofilms and small-colony variants.


To address these limitations, provided herein is a high-throughput screen (HTS)-compatible whole-cell assay to detect agents that directly kill bacteria. The assay is based on the release of intracellular adenylate kinase (AK) into culture medium as a reporter of bacterial cell death. As shown herein, the AK assay exhibits improved sensitivity over that of conventional whole-cell growth assays and displays specificity for bactericidal agents. Further, the assay can be used to screen for agents that kill small-colony-variant bacteria and bacteria within established biofilms.


To validate the AK assay as an HTS-compatible screening platform, the Prestwick library of off-patent drugs was screened against E. coli and each of the ESKAPE pathogens. This library contains representative examples of nearly all classes of antibiotics, and the bactericidal agents within the library that were expected to be active against the organism screened were identified. Additionally, agents with no previously reported antibiotic activity were identified. Traditional MIC testing confirmed the antimicrobial properties of many of these molecules, showing that they could be repurposed as antimicrobials or serve as lead molecules for antibiotic development. Consistent with that prediction, it was shown that one of these compounds, tamoxifen, is active against E. faecium in a Galleria mellonella model of infection. Further, it was shown that terfenadine is active against planktonic, small-colony variant, and biofilm-associated S. aureus. Taken together, these data demonstrate that the AK assay provides a general approach to screening for new antimicrobial agents active against a variety of pathogens during planktonic and other disease-associated growth states.


Bacterial Growth Conditions—


The bacterial species and strains used in these experiments are listed in Table 1. S. aureus strain UAMS-1112 (generous gift from M. Smeltzer, University of Arkansas Medical Center) is a stable small-colony variant of the common laboratory S. aureus strain 8325-4, which harbors a hemB deletion. Unless otherwise noted, bacteria were grown for 16 h in Mueller-Hinton (MB) (Becton. Dickinson. Franklin Lakes, N.J.) or brain heart infusion (BHI) (Becton, Dickinson) medium at 37° C. on a rotary shaker at 225 rotations per min (rpm) and then used to inoculate (1:100) fresh medium and processed, as described below.









TABLE 1







Bacterial Strains













Source or


Species
Strain
Relevant resistancea
referenceb






Enterococcus

824-05
Amp, Cf, Cp, Cl, Mp,
Clinical



faecium


Tmp, Sul, Erm, Kan
isolate



Staphylococcus

USA300-
Amp, Cf, Cl, Sul, Kan
6



aureus

0114



UAMS-1
ND
7



UAMS-1112
Erm
Univ. of





Arkansas



RN4220
Cl
8



Klebsiella

cKP1
Amp, Cp, Sul, Erm, Van
9



pneumoniae




Acinetobacter

98-37-09
Amp, Lz
10



baumannii




Pseudomonas

PA01
Amp, Kan, Lz, Sul, Van
11



aeruginosa




Enterobacter

PMD1001
Amp, Erm, Lz, Sul, Van
Clinical isolate



cloacae




Escherichia

8295
Erm, Lz, Sul
Clinical isolate



coli







aAbbreviations: ampicillin, Amp; colistin, Cl; ceftriaxone, Cf; ciprofloxacin, Cp; erythromycin, Erm; kanamycin, Kan; linezolid, Lz; meropenem, Mp; minocycline, Min; Sulfamethoxazole, Sul; vancomycin, Van; not determined, ND; Univ., university.




bClinical isolates were obtained from the University of Rochester School of Medicine and Dentistry.







Chemicals—


The Prestwick Chemical Library of molecules with known biological activities was acquired from Prestwick Chemical (Illkirch, France). ToxiLight BioAssay kits were obtained to from Lonza (Basel, Switzerland). Terfenadine, suloctidil, clomiphene citrate, ceftriaxone, sulfamethoxazole, erythromycin, kanamycin, ciprofloxacin, rifampin, ampicillin, minocycline, tamoxifen, and trimethoprim were purchased from Sigma-Aldrich (St. Louis, Mo.). Meropenem, linezolid, and vancomycin were purchased from Thermo Fisher (Waltham, Mass.). Colistin was purchased from APP Pharmaceuticals (Schaumburg, Ill.).


MIC Testing—


MIC testing was performed to determine the antibiotic susceptibility profile of selected bacterial strains according to Clinical and Laboratory Standards (CLSI) protocols (Hindler et al. Antimicrobial susceptibility testing, section 5. Clinical microbiology procedures handbook, Vol. 1 America Society of Microbiology. Washington, D.C. (2010). Briefly, colonies of each bacterial species were collected from MH agar plates and suspended in individual tubes of MH medium to an optical density (600 nm) of 0.8. The resulting cultures were incubated at 37° C. in a rotary shaker at 225 rpm to exponential phase (˜1×108 CFU ml−1) and then diluted in fresh MH medium to a cell density of ˜3×107 CFU ml−1. Ten microliters of the diluted cultures was added to 88 μl of MH medium in individual wells of a 96-well, round-bottom plate (Corning, Inc.), and 2 μl of a stock solution of the indicated reference antibiotic or test compound (0 to 256 μg ml−1) was added to each well. The carrier solvent was either water or dimethyl sulfoxide (DMSO); final DMSO concentrations were less than or equal to 2%. Plates were incubated at 37° C. for 24 h, and the MIC was defined as the lowest concentration of antibiotic in which there was no visible cell pellet in the wells.


Heat-Killed Bacterial AK Release Assays—


Overnight cultures of E. coli strain 8295 or S. aureus RN4220 were used to inoculate (1:100 dilution) 25 ml of fresh MH medium and grown at 37° C. on a rotary shaker at 225 rpm to exponential phase (˜1×108 CFU ml−1). Cells were pelleted by centrifugation (2,000×g) and resuspended in 2.5 ml of sterile water. One milliliter of the resulting suspension was boiled for 3 min and filter sterilized (0.45-μm filter) to remove cell debris. The filtrate was serially diluted in sterile water, and 100 μl of each dilution was added to individual wells of a white-walled, 96-well plate (Corning, Inc., Corning, N.Y.). To measure the AK activity in the supernatants at each dilution, 100 μl of ToxiLight AK reagent was added to each well, followed by incubation at room temperature for 30 min, and luminescence was measured using a SpectraMax M5 plate reader (Molecular Devices, Sunnyvale, Calif.). Cells were serially diluted and plated to enumerate CFU (CFU ml−1) before and after boiling to correlate cell lysis with viability.


AK Assay 96-Well Format—


Overnight cultures of each bacterial species were used to inoculate (1:100 dilution) 25 ml of fresh MH medium and grown at 37° C. on a rotary shaker at 225 rpm to exponential phase (˜1×108 CFU ml−1) Ninety-eight microliters of MH medium, 2 μl of the indicated antibiotic, and 5×106 bacteria were added to individual wells of a white-walled, 96-well microtiter plate. Well components were mixed by pipetting and incubated at 37° C. for 3 h. The plate was equilibrated to room temperature for 30 min. Next, 100 μl of ToxiLight AK reagent was added to each well and incubated at room temperature for 30 min, and luminescence was measured using a SpectraMax M5 plate reader.


AK Assay 384-Well Format and High-Throughput Screening—


Overnight cultures of each bacterial species were used to inoculate (1:100 dilution) 25 ml of fresh medium and grown at 37° C. on a rotary shaker at 225 rpm to exponential phase (˜1×108 CFU ml−1). In a white-walled, 384-well plate, 24 μl of MH medium, 0.3 μl (50 μM) of antibiotic or compound, and 5×106 bacteria were added to individual wells and incubated at 37° C. for 3 h. The plates were equilibrated at room temperature for 1 h. Twenty-five microliters of ToxiLight AK reagent was then added to each well, followed by incubation at room temperature for 30 min, and luminescence was measured using a SpectraMax M5 plate reader.


AK Assay of Established Biofilms—


Biofilms were grown as previously described (Beenken et al. Infect. Immun. 71: 4206-4211 (2003); Musken et al. Nat. Protoc. 5: 1460-1459 (2010); Tomaras et al. Microbiology 149: 3473-3483 (2003)). Briefly, P. aeruginosa and A. baumannii were cultured overnight in Luria-Bertani medium and then used to seed 96-well, flat-bottom plates. Plates were incubated at 37° C. in a humidified incubator for 48 h to allow the formation of static biofilms. Nonadherent cells were removed by aspiration and washing with sterile phosphate-buffered saline (PBS). Fresh LB medium supplemented with 0, 1, 10×, or 100×MIC of antibiotic was added to each well and incubated overnight at 37° C. Following treatment, 100 μl of each biofilm supernatant was transferred to 96-well, white-walled plates, 100 μl of ToxiLight AK reagent was added to each well, mixtures were incubated for 30 min at room temperature, and luminescence was measured using a SpectraMax M5 plate reader. Biofilm-associated bacteria were enumerated by resuspending each biofilm in fresh PBS and plating. For S. aureus UAMS-1 biofilms, 96-well, flat-bottom plates were first coated with 100 μl of 20% human plasma in carbonate buffer overnight at 4° C. Following coating, the plasma solution was removed and cells were inoculated in each well 1:200 in 100 μl of tryptic soy broth supplemented with 3% glucose and 0.5% NaCl. Biofilms were cultured for 48 h in a humidified incubator at 37° C. Established S. aureus biofilms were washed once with PBS and then treated with a 100 μl of ToxiLight lysis buffer for 3 h, after which the amount of AK released into supernatants was measured, as described above.


Small-Colony Variant AK Assays—


Thirty-six-hour cultures of S. aureus strain UAMS-1112 were used to inoculate (1:100 dilution) 100 ml of fresh MH medium and grown at 37° C. on a rotary shaker at 225 rpm to an optical density (600 nm) of 0.1 to 0.2, corresponding to ˜1×106 CFU ml−1. Cells were pelleted by centrifugation and resuspended in 2 ml of fresh MH medium. Ninety-eight microliters of MH medium containing 5×106 bacteria and 2 μl of the indicated antibiotic were added to individual wells of a white-walled, 96-well microtiter plate. Well components were mixed by pipetting and incubated at 37° C. for 3 h. The plate was equilibrated to room temperature for 30 min. Next, 100 μl of ToxiLight AK reagent was added to each well, followed by incubation at room temperature for 30 min, and luminescence was measured using a SpectraMax M5 plate reader.



Galleria mellonella Model of S. aureus Infection—


A Galleria mellonella model of infection was used to measure the putative antimicrobial properties of tamoxifen against E. faecium and terfenadine against S. aureus. To do so, overnight cultures of E. faecium strain 824-05 or S. aureus strain USA300-0114 were used to inoculate (1:100 dilution) 25 ml of fresh MH medium and grown at 37° C. on a rotary shaker at 225 rpm to exponential phase (˜1×108 CFU ml−1). Cultures were pelleted by centrifugation (2,000×g), washed with sterile PBS, and resuspended at ˜1×109 CFU ml−1 in fresh PBS. Galleria mellonella larvae (Vanderhorst Wholesale, Inc., St. Marys, Ohio) weighing 200 to 300 mg were inoculated with 5 μl of E. faecium or S. aureus (5×106 CFU) into the last left proleg using a 10-μl Hamilton syringe. Worms were then mock treated with either DMSO (negative control), vancomycin (20 mg kg−1 positive control) at 2 h and 24 h postinoculation. For K. faecium studies, groups were also treated with the test compound tamoxifen at 80, 160, or 320 mg kg−1, whereas groups were treated with the test compound terfenadine (80, 160, or 320 mg kg−1) for S. aureus studies. Treatments were administered in the same manner as infection, except that each injection was in the next left proleg moving toward the head of the worm. Larvae were housed in petri dishes in the dark at 37° C. and monitored for viability at the conclusion of the study (48 h postinoculation); worms were considered dead if they did not respond to physical stimuli. In addition to mock or compound treatment of infected larvae, studies included two additional noninfected negative-control groups: one group that did not receive injections and one group that was injected with PBS to control for the impact of physical trauma. All experimental groups contained 15 worms, and each experiment was repeated three times.


Rationale for Adenylate Kinase as a Reporter of Bacterial Cell Lysis—


Adenylate kinase (AK) is a ubiquitous intracellular enzyme that catalyzes the conversion of 2 ADP↔ATP+AMP and is released into the extracellular space upon cell lysis. The premise of the assay is that agents which disrupt cellular integrity, either directly through damage of the membrane/cell wall or indirectly following the death of the cell, will induce release of AK into the culture medium. Extracellular AK is subsequently detected by the addition of commercially available ToxiLight AK assay reporter cocktail (Lonza, Basel, Switzerland), which generates a luminescent signal by utilizing AK-generated ATP in the standard luciferase catalyzed reaction (see FIG. 1). As shown herein, an AK assay was developed as a high-throughput screening platform for antibacterial drug discovery.


The AK Assay Provides a Sensitive Measure of Bacterial Lysis—


As an initial test of AK release as a reporter of bacterial cell death for Gram-positive and Gram-negative organisms, the sensitivity with which the assay measures AK in the culture supernatants of heat-killed E. coli and S. aureus was determined. Each bacterial species was grown to exponential phase, harvested, and resuspended at 1×109 CFU per ml in Mueller-Hinton (MH) medium. Bacterial suspensions were heat killed, and a 10-fold dilution series of supernatants was prepared; an aliquot of each heat-killed sample was plated to ensure ≥99° % bacterial death. The AK activity of the dilution series was measured and compared to the AK activity of mock-treated (viable) bacteria by Student's t test. In comparison to untreated cells, a statistically significant increase in AK activity was detected at dilutions containing 1.7×103 or more heat-killed E. coli supernatants, compared to results for live bacteria (see FIG. 2A). AK activity increased ˜433-fold and ˜1,574-fold in cultures with 1×107 and 1×108 heat-killed E. coli supernatants, respectively, compared to results for mock-treated bacteria. A comparison of AK released from heat-killed S. aureus to that of mock-treated cells revealed a statistically significant difference in AK activity was detected at dilutions containing 1.8×104 or more heat-killed S. aureus supernatants, with a maximum 122-fold increase in AK activity observed for 1×10 lysed cells. Taken together, these results indicate that the AK assay reproducibly detects AK release following bacterial cell lysis and that the assay is extremely sensitive, allowing the identification of agents that cause lysis in 0.0001% or 0.001% of the starting inoculum of E. coli or S. aureus cells, respectively. Furthermore, the AK assay exhibited a dynamic range of nearly 3 orders of magnitude and an excellent signal-to-noise ratio.


The AK Assay Detects Bactericidal Molecules that are Active Against the ESKAPE Pathogens—


Next, ability of the AK assay to detect the activities of bactericidal antibiotics toward E. coli and each of the ESKAPE pathogens was examined. To do so, the MICs of six classes of bactericidal antibiotics (penicillin, cephalosporin, quinolone, glycopeptide, carbapenem, and polymyxin) were determined for each organism (see Table 2). An AK assay was then performed at 0, 0.125×, 0.25×, 0.5×, 1×, and 2×MIC of each antibiotic. As discussed below, AK release was detected at antibiotic concentrations below the MIC for most antibiotics tested, showing that the AK assay is more sensitive than growth-based assays for detecting bactericidal agents. As a representative example, FIG. 2B presents the AK assay measured polymyxin (colistin)-mediated killing of A. baumannii strain 98-37-09. The MIC of colistin for this strain is 4 μg ml−1, whereas AK release was robustly detected at 0.25×, 0.5×, and 1×MIC value.









TABLE 2







MIC and AK measures of bacterial species and antibiotic combinationsa









Value for agent











Treatment
Bactericidal
Bacteriostatic



















Strain and parameter
(×MIC)
Ampicillin
Ceftriaxone
Ciprofloxacin
Vancomycin
Meropenem
Colistin
Sulfamethoxazole
Minocycline
Erythromycin
Kanamycin
Linezolid























Enterococcus faecium 824-05















MIC

>256
>256
256
2
>256
>256
>256
1
>256
>256
16


Fold increase in AK signal
0.5
ND
ND
ND
1
ND
ND
ND
3
ND
ND
2



1.0
ND
ND
ND
2
ND
ND
ND
4
ND
ND
2



Staphylococcus aureus



USA300-0114


MIC

>256
>256
2
1
4
>256
>256
1
64
>256
2


Fold increase in AK signal
0.5
ND
ND
3
11
13
ND
ND
1
1
ND
1



1.0
ND
ND
5
3
17
ND
ND
1
1
ND
1


RN4220


MIC

2
2
2
2
2
>256
2
8
2
16
2


Fold increase in AK signal
0.5
4
10
8
3
11
ND
2
1
1
1
1



1.0
3
12
10
6
11
ND
3
1
1
1
1



Klebsiella pneumoniae cKP1



MIC

>256
2
>256
>256
2
8
>256
64
>256
2
>256


Fold increase in AK
0.5
ND
50
ND
ND
128
34
ND
1
ND
1
ND


signal



1.0
ND
55
ND
ND
220
33
ND
1
ND
1
ND



Acinetobacter baumannii 98-



37-09


MIC

256
8
0.0625
64
2
4
8
1
16
2
256


Fold increase in AK
0.5
ND
5
2
2
79
17
6
23
3
3
ND


signal



1.0
ND
21
2
4
134
49
5
14
12
14
ND



Pseudomonas aeruginosa PA01



MIC

>256
4
2
>256
2
4
256
32
32
256
>256


Fold increase in AK
0.5
ND
2
27
ND
45
5
ND
1
3
ND
ND


signal



1.0
ND
14
182
ND
39
12
ND
6
1
ND
ND



Enterobacter cloacae PMD1001



MIC

>256
2
<1
>256
2
2
>256
4
256
2
>256


Fold increase in AK signal
0.5
ND
20
6
ND
99
10
ND
4
ND
1
ND



1.0
ND
17
7
ND
296
32
ND
9
ND
1
ND



Escherichia coli 8295



MIC

128
2
0.125
16
2
8
>256
16
256
32
>256


Fold increase in AK signal
0.5
50
51
17
1
60
15
ND
4
ND
55
ND



1.0
74
76
39
2
85
22
ND
38
ND
70
ND


% increase expected
0.5
100
83.3
83.3
40
100
100
50
50
50
40
0



1.0
100
100
83.3
60
100
100
100
62.5
25
40
0






aShading indicates significant increase in AK signal (greater than or equal to threefold over vehicle-treated cells).







The MIC measures for each ESKAPE pathogen and each organism's corresponding fold increase in AK signal following treatment with 0.5× and 1.0×, the MIC are provided in Table 2 (bactericidal agents). For four of the six bactericidal antibiotics tested, the AK assay proved to be superior to growth-based assays with respect to detecting the killing properties of bactericidal agents at sub-MIC values. More specifically, 100% of the organisms that were determined to be susceptible to the cell wall-active antibiotics ampicillin, meropenem, and colistin exhibited a significant increase in AK signal (≥3-fold over that for vehicle-treated cells) at both 0.5× and 1.0× their MICs Eighty-three percent and 100% of ceftriaxone-susceptible species exhibited increased AK signal at 0.5× and 1× their MICs, respectively. Five of six (83%) ciprofloxacin-susceptible organisms exhibited AK signal at both 0.5× and 1.0×MIC. Interestingly, the cell wall-targeted glycopeptide, vancomycin, caused significant AK release at 0.5× and 1.0× their MICs in only 40% and 60% of susceptible species.


To evaluate the specificity of the assay for detecting bactericidal agents, measured AK release by each of the ESKAPE pathogens following exposure to five classes of bacteriostatic agents (sulfonamide, tetracycline, macrolide, aminoglycoside, and oxazolidine) was also measured. To do this, the MIC value of each bacteriostatic antibiotic/organism pair was measured by a conventional growth-based approach. AK release by each bacterial species following treatment with 0.5× or 1.0×MIC of each bacteriostatic agent was subsequently measured. As shown in FIG. 3, S. aureus strain RN4220 was susceptible to all agents tested but bacteriostatic agents generated very low AK release, whereas bactericidal antibiotics generated robust AK detection. In most instances, a similar trend was observed for the other ESKAPE pathogens, indicating that the assay enriches for the identification of bactericidal agents, which are arguably the most valuable antibiotics because they can be used to treat patients with immunological defects or rapidly lethal infections (Table 2, bacteriostatic agents). Two exceptions were noted. Surprisingly, A. baumannii generated significant AK signal in response to all the bacteriostatic agents evaluated, showing that AK release may be a feature of a more general stress response in this organism. Additionally, the bacteriostatic agent minocycline generated signal by five of the eight (63%) organisms tested.


Taken together, these results show that the AK assay provides a viable screening approach for identifying bactericidal agents at sub-MICs that could otherwise be missed by growth-based assays. Further, because the AK assay relies on bacterial killing as opposed to growth changes to generate its readout, it was hypothesized that it would provide a format to develop screens that are not readily available by conventional, growth-based approaches.


Use of the AK Assay to Identify Agents with Antimicrobial Activities Against Established Biofilms and Small Colony Variants—


Established bacterial biofilms represent a particularly problematic disease state, in part because biofilm-associated bacteria are recalcitrant to conventional antibiotic therapy. Thus, they have been a focus of antibiotic development. As a result, a number of approaches to screening for molecules with activity toward bacterial biofilms have been developed recently (Benoit et al. Environ. Microb. 76: 4136-4142; Perez et al. Lett. App. Microb. 51:331-337 (2010)). Although each has its advantages, they also have a number of limitations, including reproducibility, reliance on specialized equipment, or low throughput. It was hypothesized that the AK assay would provide a solution to some of these problems because it is rapid, sensitive, and simple to perform and it detects bactericidal molecules, the type of antibiotics required to treat established biofilms.


To determine whether the AK assay could detect agents with activity against established biofilms, S. aureus strain UAMS-1, A. baumannii strain 98-37-09, and P. aeruginosa strain PAO1 static biofilms were formed in 96-well flat-bottom plates Forty-eight hours postinoculation, one well corresponding to each organism was stained with crystal violet to verify that biofilm formation had occurred, whereas the remaining wells were treated with 10× the MIC value with either colistin (A. baumannii biofilms) or ciprofloxacin (P. aeruginosa, and S. aureus biofilms). Following overnight antibiotic treatment, biofilm-associated bacteria were enumerated by plating, and the corresponding supernatants were analyzed by the AK assay. Plating verified that 10×MIC antibiotic treatment resulted in a significant reduction in biofilm-associated P. aeruginosa (a 3.1-log decrease), S. aureus (a 0.7-log decrease), and A. baumannii (a 1.8-log decrease) compared to findings for untreated biofilms. As shown in FIG. 4A, corresponding AK measures indicated that the assay robustly detects the mild effects of these antibiotics on each bacterial species tested, showing that it represents a promising approach to identify agents that exhibit bactericidal activity toward established bacterial biofilms.


Another context in which the AK assay can be particularly valuable is in the identification of molecules that exhibit bactericidal activity toward bacterial small-colony variants (SCV). SCV are slow-growing populations of bacterial species that have been hypothesized to cause latent or recurrent infections and are tolerant of standard antibiotic treatment regimens. Based on the aberrant SCV growth characteristics, typical growth-based HTS assays would be difficult to employ. Accordingly, the ability of the AK assay to identify agents that kill S. aureus SCV strain UAMS-1112 was tested. To do so, 1×106 UAMS-1112 cells were treated with 1× or 10×MIC ciprofloxacin, meropenem, or vancomycin for 3 h. Following treatment, suspensions were plated to measure the antimicrobial properties of each antibiotic, and the AK assay was performed to measure adenylate kinase release. Plating revealed that ciprofloxacin and vancomycin had no effect on SCV viability at any concentration tested and exhibited no change in AK release in comparison to results for mock-treated cells (FIG. 4B), supporting the observation that S. aureus small-colony variants are recalcitrant to antibiotic treatment. Meropenem treatment resulted in a 0.5-log decrease in SCV viability, which corresponded to a 2.5-fold increase in AK signal compared to that for mock-treated cells (FIG. 4B). Taken together, these results show that the AK assay provides the sensitivity needed to detect the slight antimicrobial effects of antibiotics, such as meropenem, toward S. aureus SCV.


Validation of AK as an HTS-Compatible Assay of Antibacterial Activity—


To test the viability of the AK assay as a general tool in HTS-based antibacterial small-molecule discovery, optimized assay parameters, including inoculum, drug incubation time, and AK reaction time, for screening planktonic ESKAPE species as well as E. coli in a 384-well format were determined. Based on these experiments, a standardized assay, as described above, was developed. As part of this optimization process, control assays in a 384-well format were performed to measure the signal to noise and reproducibility of the assay in an HTS manner. For this, plates were seeded with E. coli or an ESKAPE pathogen. Alternating columns of the plate were then mixed with either 2% DMSO (negative control) or a bactericidal antibiotic (positive control), and AK signal was detected, a representative result for DMSO- and colistin-treated K. pneumoniae is shown in FIG. 5A. Comparisons of the variance in signal between positive- and negative-control measures indicated that the AK assay provides Z′-factor scores between 0.59 and 0.82 (depending on the specific organism), indicating that the assay is sufficiently robust for HTS.


AK-Based Screening of Library of Off-Patent Drugs and Biologically Active Molecules—


To further validate the AK assay protocol, E. coli and each of the ESKAPE pathogens was screened against the Prestwick library of FDA-approved drugs and biologically active molecules (1,120 compounds, total; 50 μM final drug concentration). The Prestwick library contains representatives of nearly all classes of antibiotics currently in clinical use, making it an ideal library for testing the ability of the AK assay to detect bactericidal agents in a high-throughput screening format. Accordingly, the library was screened for antimicrobial agents that were active against planktonic E. coli and each of the ESKAPE pathogens using the AK assay; the cutoff for positive-scoring molecules was set at a 3-fold increase in extracellular AK activity, corresponding to the detection limit of statistically significant increases in AK activity for planktonic bacteria. The hit rates for the different organisms ranged from 1.4% to 4.8%; a representative example of raw screening data for Klebsiella pneumoniae is shown in FIG. 5B. Screening results for all ESKAPE pathogens are summarized in Table 3, whereas results for all compounds within the Prestwick library are provided in Table 4.









TABLE 3







Preswick library screening results









No. of active agents for species














Compound

E. coli


E. faecium


S. aureus
a


K. pneumoniae


A. baumannii
a


P. aeruginosa


E. cloacae


















Bactericidal
45
4
25
19
17
21
16


Bacteriostatic
2
1
14
0
7
0
1


Detergent
2
2
2
2
2
1
0


Other
5
9
10
4
18
1
12


Total
54
16
51
25
44
23
29






aTetracyclines were identified.














TABLE 4







AK-based Prestwick Library Screening Results.

















E. coli


E. faecium


S. aureus


K. pneumoniae


A. baumannii


P. aeruginosa


E. cloacae

Chemical name
Mechanism
Therapeutic group



















0.4
0.8
0.6
0.3
0.3
0.3
0.3
Azaguanine-8
Purine antimetabolite
Antineoplastic


0.4
0.8
0.4
0.4
0.4
0.3
0.3
Metronidazole
Bacterial DNA damage
Antibacterial


0.4
0.7
1.4
0.4
0.4
0.3
0.3
Allantoin
Precipitate proteins
Vulnerary


0.5
0.8
0.4
0.4
0.3
0.3
0.3
Cotinine (−)

Antidepressant


0.4
0.9
0.4
0.4
0.4
0.3
0.3
Acetazolamide
Carbonic anhydrase inhibitor
Diuretic


0.4
0.8
0.4
0.5
0.4
0.4
0.3
Edrophonium chloride
Cholinergic
Myasthenia Gravis test


0.5
0.8
0.4
0.4
0.4
0.3
0.3
Metformin hydrochloride

Antidiabetic


0.5
0.8
0.4
0.4
0.4
0.3
0.3
Moroxidine hydrochloride

Antiviral


0.5
0.8
0.5
0.5
0.4
0.4
0.3
Atracurium besylate
Neuromuscular blocking agent
Curarizing agent


0.5
0.8
0.4
0.6
0.4
0.3
0.3
Baclofen (R,S)
GABAb agonist
Antispasmodic


0.5
0.9
0.4
0.5
0.4
0.4
0.4
Isoflupredone acetate

Anti-inflammatory


0.5
0.9
0.5
0.5
0.4
0.4
0.3
Acyclovir
ADN polymerase inhibitor
Antiviral


0.5
0.8
0.4
0.4
0.4
0.3
0.4
Amiloride hydrochloride dihydrate
Antialdosteron
Diuretic


0.5
0.9
0.5
0.4
0.4
0.4
0.4
Diazoxide
Activator of ATP-dependent K+ channels
Antihypertensor


0.5
0.9
0.5
0.6
0.5
0.4
0.4
Amprolium hydrochloride
Thiamine transport inhibitor
Coccidiostatic


0.5
0.9
0.4
0.5
0.4
0.4
0.4
Amidopyrine
ACTH secretor
Antipyretic


0.5
1.1
0.5
0.6
0.5
0.5
0.4
Hydrochlorothiazide
Na+ Cl− transport inhibitor
Diuretic


0.4
2.8
0.1
0.4
0.5
0.4
0.5
Ursolic acid

Diuretic


0.5
1.0
0.5
0.6
0.5
0.5
0.4
Sulfaguanidine
Inhibitor of folic acid synthesis
Antibacterial


0.5
1.0
0.5
0.6
0.5
0.4
0.4
Pindolol
Beta adrenergic antagonist
Antiarrhythmic


0.6
1.0
0.7
0.6
0.6
0.6
0.6
Isoniazid

Antibacterial


0.6
0.9
0.7
0.6
0.5
0.7
0.7
Mexiletine hydrochloride
Na+ channel blocker
Antiarrhythmic


0.6
1.0
0.7
0.5
0.6
0.7
0.6
Pentylenetetrazole
GABA antagonist
CNS stimulant


0.5
0.9
0.6
0.6
0.5
0.6
0.6
Flavoxate hydrochloride
Phosphodiesterase inhibitor
Antispasmodic


0.6
0.9
0.5
0.5
0.6
0.6
0.6
Chlorzoxazone

Muscle relaxant


0.5
0.9
0.4
0.5
0.5
0.5
0.6
Bufexamac

Antiinflammatory


0.6
0.9
0.5
0.5
0.6
0.6
0.6
Ornidazole
Bacterial DNA damage
Antibacterial


0.5
0.9
0.5
0.6
0.6
0.6
0.5
Glutethimide, para-amino
Aromatase inhibitor
Antineoplasic


0.6
0.9
0.5
0.6
0.5
0.5
0.6
Ethosuximide
Ca++ channel inhibitor
Anticonvulsant










voltage dependant


0.7
0.9
0.5
0.5
0.5
0.5
0.5
Dropropizine (R,S)

Antitussive


0.6
1.2
0.6
0.5
0.5
0.5
0.6
Mafenide hydrochloride
Inhibitor of folic acid biosynthesis
Antibacterial


0.5
0.9
0.5
0.5
0.5
0.5
0.6
Pinacidil
K+ channel Ca++ dependant activator
Vasodilatator


0.2
0.3
0.2
0.2
0.2
0.2
0.5
Riluzole hydrochloride
Glutamate antagonist
Neuroprotective


0.3
0.5
0.2
0.3
0.3
0.3
0.4
Albendazole


0.4
1.0
0.4
0.8
0.5
0.4
0.6
Nitrofurantoin
Bacterial DNA damage
Urinary antiseptic


0.5
0.9
0.5
0.5
0.6
0.5
0.6
Clonidine hydrochloride
Alpha2 agonist
Antihypertensor


0.0
0.3
0.2
0.0
0.1
0.0
0.3
Hydralazine hydrochloride
Adrenergic antagonist
Antihypertensor


0.5
1.0
0.5
0.5
0.5
0.5
0.5
Bupropion hydrochloride

Antidepressant


0.5
0.8
0.5
0.6
0.5
0.5
0.5
Phenelzine sulfate
MAO inhibitor
Antidepressant


0.6
0.9
0.6
0.5
0.7
0.5
0.4
Alprenolol hydrochloride
Beta1 antagonist
Antihypertensor


0.6
0.9
0.8
0.5
0.8
0.6
0.7
Meticrane
Na+ channel blocker
Antihypertensor


0.6
0.9
0.7
0.6
0.7
0.7
0.7
Khellin

Phototherapeutic agent


0.7
0.8
0.7
0.6
0.7
0.6
0.7
Benzonatate

Antitussive


0.7
0.9
0.8
0.5
0.7
0.6
0.8
Zimelidine dihydrochloride
5-HT uptake inhibitor
Antidepressant









monohydrate


0.7
0.9
0.5
0.5
0.7
0.5
0.7
Hydroflumethiazide
Na+ Cl− transport inhibitor
Antihypertensor


0.6
0.9
0.7
0.6
0.6
0.6
0.9
Azacyclonol
H1 antagonist
Anxiolytic


0.6
0.9
0.7
0.5
2.2
0.5
0.7
Sulfacetamide sodic hydrate

Antipsoriasic


0.6
0.8
0.7
0.5
0.7
0.6
0.8
Azathioprine
Antimetabolite
Immunosuppressant


0.8
0.9
0.7
0.5
0.6
0.5
0.7
Heptaminol hydrochloride

Antihypotensive


0.7
0.9
0.5
0.6
1.4
0.6
0.7
Lynestrenol
Antioestrogen
Progestogen


0.7
0.9
0.6
0.6
1.0
0.6
0.7
Sulfathiazole
Inhibitor of folic acid
Antibacterial










synthesis


0.7
1.0
0.5
0.4
0.8
0.6
0.7
Guanabenz acetate
Alpha agonist
Antihypertensor


0.6
0.8
0.5
0.6
0.7
0.5
0.8
Levodopa
Tyrosine aminotransferase
Antiparkinsonian










inhibitor


0.9
1.0
1.1
0.6
1.0
0.6
0.7
Disulfiram
Dopamine beta-hydroxylase
Alcohol deterrent










inhibitor


0.7
1.0
0.7
0.6
0.7
0.6
0.8
Idoxuridine
Nucleic acid synthesis
Antiviral










inhibitors


0.6
1.0
0.7
0.6
0.7
0.6
0.8
Acetylsalicylsalicylic acid
Cyclooxygenase inhibitor
Antiinflammatory


0.7
1.0
0.7
0.6
0.8
0.6
0.8
Captopril
Angiotensive converting
Antihypertensor










enzyme inhibitor


0.7
0.9
0.7
0.6
0.8
0.8
0.7
Mianserine hydrochloride
5-HT antagonist
Antidepressant


0.6
1.0
0.7
0.6
0.8
0.6
0.7
Minoxidil
K+ channel activator
Antihypertensor


0.6
0.9
0.6
0.5
0.6
0.6
0.7
Nocodazole
Microtubule poison
Antineoplastic


0.8
1.1
0.7
0.7
0.8
0.9
0.9
Tranexamic acid
Plasminogen inhibitor
Hemostatic


0.9
1.0
0.8
0.7
0.9
0.9
0.9
Chlorothiazide
Na+ Cl− transport inhibitor
Antihypertensor


0.8
1.0
0.8
0.6
0.8
0.7
0.9
Etofylline
Phosphodiesterase inhibitor
Cardiac analeptic


0.8
1.0
0.7
0.7
0.7
0.8
0.8
Diphenidol hydrochloride

Antivertigo


0.8
1.0
0.8
0.6
0.9
0.8
0.9
Tranylcypromine hydrochloride
MAO inhibitor
Antidepressant


0.7
1.0
0.8
0.7
0.7
0.8
0.9
Norethindrone

Progestogen


0.9
0.9
0.7
0.7
0.9
0.8
0.9
Alverine citrate salt
Anticholinergic
Spasmolytic


0.9
0.9
1.0
0.7
0.9
0.8
0.9
Nortriptyline hydrochloride
Norepinephrine uptake
Antidepressant










inhibitor


0.7
1.0
0.7
0.6
0.7
0.8
0.8
Aceclofenac
Cyclooxygenase inhibitor
Antiinflammatory


0.6
0.9
0.7
0.6
0.7
0.7
0.8
Niflumic acid
Prostaglandine synthesis
Analgesic










inhibitor


0.8
1.0
1.0
0.7
0.7
0.7
0.8
Iproniazide phosphate
Monoamine oxydase
Antidepressant










inhibitor (non selective)


0.7
1.0
0.6
0.6
0.7
0.8
0.9
Isotretinoin

Cystic acne


0.7
1.0
0.7
0.6
1.3
0.7
0.7
Sulfamethoxazole


0.7
1.0
0.8
0.6
0.8
0.7
0.9
Retinoic acid

Keratolytic


0.7
1.0
0.8
0.7
0.8
0.6
0.8
Mephenesin

Muscle relaxant


0.7
1.0
0.8
0.6
0.8
0.7
0.8
Antazoline hydrochloride
H1 antagonist
Antihistaminic


0.8
1.0
0.7
0.6
0.8
0.7
0.8
Phenformin hydrochloride
Neoglucogenese inhibitor
Antidiabetic


0.7
1.3
1.4
0.6
0.8
0.7
0.8
Ethacrynic acid
Na+ Cl− uptake inhibitor
Diuretic


0.7
1.0
0.4
0.6
0.7
0.8
0.7
Flutamide
Androgenic receptor
Anticancer










antagonist


0.9
1.0
0.8
0.6
0.7
0.6
0.7
Praziquantel
Modulates cell membrane
Anthelmintic










permeability


0.8
0.8
0.8
0.7
1.4
0.8
0.8
Sulfaphenazole
Inhibitor of folic acid
Antibacterial










synthesis


0.8
0.8
0.9
0.8
0.8
0.6
0.9
R(−) Apomorphine hydrochloride
D1 agonist
Emetic









hemihydrate


0.9
0.8
0.6
0.7
0.8
0.7
1.0
Panthenol (D)

Vitamin


1.0
0.9
0.7
0.8
0.8
0.9
0.9
Amoxapine
Dopamine-reuptake
Antidepressant










inhibitor


1.0
0.8
0.7
0.7
1.2
0.8
0.9
Sulfadiazine
Inhibitor of folic acid
Antibacterial










synthesis


0.9
0.9
0.6
0.6
0.9
0.9
0.9
Cyproheptadine hydrochloride
5-HT antagonist
Antipruritic


0.9
0.9
0.7
0.7
0.7
0.8
1.0
Norethynodrel

Progestogen


0.9
0.8
0.5
0.8
0.8
0.8
1.0
Famotidine
H2 histaminic antagonist
Antiulcerative


0.9
0.9
8.7
0.4
0.9
0.8
1.4
Thiamphenicol
Ribosomal protein synthesis
Antibacterial










inhibitor


0.7
0.9
0.6
0.6
0.9
0.8
0.9
Danazol
Estrogen antagonist
Antigonadotropin


0.9
0.9
0.8
0.7
0.8
0.8
1.0
Cimetidine
H2 antagonist
Antiulcer


0.9
0.9
0.6
0.8
0.8
0.7
0.9
Nicorandil

Antihypertensor


0.8
0.9
0.7
0.6
0.8
0.8
1.0
Doxylamine succinate
H1 antagonist
Antihistaminic


0.9
1.0
0.8
0.7
1.0
0.8
1.1
Tomatine

Antifungal


0.9
0.9
0.6
0.7
0.8
0.7
1.1
Ethambutol dihydrochloride
Chelating agent
Antibacterial


0.9
0.9
0.7
0.8
0.8
0.8
1.0
Nomifensine maleate
Dopamine uptake inhibitor
Antidepressant


0.9
1.0
0.7
0.7
1.0
0.8
1.0
Antipyrine

Analgesic


0.9
0.9
0.7
0.7
0.8
0.9
1.0
Dizocilpine maleate
Probe for NMDA receptors



0.9
1.0
0.7
0.7
0.8
0.8
1.0
Antipyrine, 4-hydroxy

Antipyrine metabolite


0.9
1.0
0.8
0.7
0.8
0.9
0.9
Acenocoumarol
Vitamin K antagonist
Anticoagulant


0.9
1.0
0.8
0.7
0.9
1.0
1.0
Ampyrone

Analgesic


1.0
0.9
0.8
0.8
0.9
1.0
1.1
Ethisterone

Progestogen


1.0
1.0
0.9
0.7
1.1
1.0
1.0
Levamisole hydrochloride
Alkaline phosphatase
Immunomodulator










inhibitor


1.0
1.0
0.6
0.7
0.9
1.0
1.0
Triprolidine hydrochloride
H1 antagonist
Antihistaminic


1.0
0.9
0.8
0.8
0.9
1.0
0.9
Pargyline hydrochloride
Monoamine oxidase
Antihypertensor










inhibitor


1.1
1.0
0.9
0.8
0.9
1.1
1.0
Doxepin hydrochloride
Adrenaline uptake inhibitor
Anticonvulsant


0.9
0.9
0.8
0.6
0.9
0.9
1.0
Methocarbamol

Muscle relaxant


1.0
1.0
0.9
0.7
0.9
1.0
1.1
Dyclonine hydrochloride
Na+ channel blocker
Local anesthesic


15.9
1.0
0.6
2.6
5.4
9.1
18.4
Aztreonam
Bacterial transpeptidase
Antibacterial










inhibitor


1.0
1.0
0.8
0.7
0.8
1.0
1.2
Dimenhydrinate
H1 antogonist
Antihistaminic


1.0
1.0
5.3
0.7
1.3
1.0
1.0
Cloxacillin sodium salt
Bacterial transpeptidase
Antibacterial










inhibitor


0.9
0.9
2.7
0.6
0.9
0.9
1.0
Disopyramide
Na+ channel blocker
Antiarrhythmic


1.0
1.0
0.8
0.8
0.8
0.7
1.0
Catharanthine


1.0
1.3
2.0
1.0
3.3
1.0
1.0
Clotrimazole
Specific inhibitor of Ca2+
Antibacterial










activated K+ channels


0.8
0.9
0.7
0.7
1.0
1.0
1.1
Pentolinium bitartrate
Glanglionic blocking agent
Antihypertensor


0.9
1.0
0.8
0.8
0.9
1.0
1.0
Vinpocetine
Phosphodiesterase inhibitor
Nootropic drug


0.9
0.9
0.7
0.8
0.8
0.9
1.1
Aminopurine, 6-benzyl
Inhibitor of respiratory










kinase in plants


1.1
1.1
0.8
0.7
1.0
0.9
1.0
Clomipramine hydrochloride
Noradrenaline reuptake
Antidepressant










inhibitor


0.8
1.0
0.7
0.8
0.9
0.9
1.0
Tolbutamide
K+ channel ATP dependant
Hypoglycemic










inhibitor


1.0
1.1
0.8
0.8
1.5
1.1
0.9
Fendiline hydrochloride
Ca++ channel activator
Antianginal


0.7
0.8
9.7
0.2
1.0
0.8
1.5
Chloramphenicol
Ribosomal
Antibacterial










peptidyltransferase inhibitor


0.9
0.8
0.7
0.6
0.8
0.8
1.1
Naloxone hydrochloride
Opiate antagonist
Opioate antidote


1.0
0.8
2.2
0.7
0.9
0.8
1.2
Epirizole

Antiinflammatory


0.8
0.8
0.7
0.6
0.8
0.7
1.0
Metolazone

Diuretic


1.0
0.9
0.7
0.6
0.8
0.7
1.1
Diprophylline
Phosphodiesterase inhibitor
Cardiac analeptic


33.6
1.2
1.5
0.8
2.2
29.7
4.7
Ciprofloxacin hydrochloride

Anti-bacterial


0.6
0.7
0.6
0.5
1.1
0.6
1.2
Triamterene
Non competitive
Diuretic










aldosterone antagonist


12.2
1.1
0.5
0.6
1.6
0.7
3.5
Ampicillin trihydrate

Antibacterial


0.8
0.9
0.6
0.7
1.3
0.8
1.1
Dapsone
Folic acid antagonist
Antiinflammatory


0.9
0.9
0.8
0.6
1.0
0.9
1.1
Haloperidol
Dopamine antagonist
Antipsychotic


0.9
1.0
6.5
0.6
0.8
0.7
1.1
Troleandomycin
Ribosomal protein synthesis
Antibacterial










inhibitor


0.9
1.0
0.7
0.6
0.9
0.8
1.3
Naltrexone hydrochloride
Opioid antagonist
Analgesic









dihydrate


1.4
1.0
0.7
0.7
2.5
0.9
1.3
Pyrimethamine

Antimalarial


1.0
0.9
0.8
0.7
0.9
0.8
1.1
Chlorpheniramine maleate
H1 antagonist
Antihistaminic


0.9
0.9
0.7
0.7
0.9
0.8
1.2
Hexamethonium dibromide
Ganglion blocking agent
Antihypertensor









dihydrate


0.9
0.9
0.7
0.7
0.9
0.8
1.2
Nalbuphine hydrochloride
Opioid ligand
Analgesic


0.7
0.9
0.6
0.6
0.7
0.6
1.2
Diflunisal
Cyclooxygenase inhibitor
Antiinflammatory


0.9
0.9
0.7
0.8
0.9
0.8
1.2
Picotamide monohydrate
Eicosenoid receptor
Antithrombotic










antagonist


0.1
0.1
0.4
0.1
0.2
0.1
0.5
Niclosamide
Helmintic DNA damage
Anthelmintic


1.0
1.0
0.8
0.7
0.9
0.7
1.2
Triamcinolone

Antiinflamatory


1.0
1.0
0.9
0.7
0.9
0.9
1.0
Midodrine hydrochloride
Alpha adrenergic
Hypotensor


0.9
0.9
0.7
0.7
0.9
1.0
1.2
Vincamine

Cerebral antianoxic


1.0
1.0
1.0
0.8
0.9
0.9
1.1
Thalidomide

Immunosuppressant


0.9
0.9
0.6
0.8
1.0
0.9
1.2
Indomethacin
Cyclooxygenase inhibitor
Antiinflammatory


13.1
1.1
1.0
1.6
2.3
1.0
4.3
Oxolinic acid
Topoisomerase II inhibitor
Antibacterial


0.9
0.9
0.8
0.8
1.0
1.0
1.2
Cortisone

Antiinflammatory


0.9
0.8
0.7
0.7
0.9
0.9
1.4
Nimesulide
Cyclooxygenase 2 inhibitor
Antiinflammatory


1.0
1.0
0.8
0.7
1.0
1.0
1.3
Prednisolone

Glucocorticoid


1.0
0.9
0.7
0.8
0.9
0.9
1.2
Hydrastinine hydrochloride
Dopamine receptor blocker
Cardiotonic


0.8
0.8
0.8
0.6
0.7
0.8
1.2
Fenofibrate
Lipoprotein lipase activator
Hypolipidemiant


0.8
0.9
0.8
0.7
0.9
0.8
1.1
Pentoxifylline
Phosphodiesterase inhibitor
Vasodilatator


0.9
0.9
0.7
0.7
0.8
0.8
1.3
Bumetanide
Vascular cyclooxygenase
Diuretic










activator


1.0
1.0
0.7
0.8
0.9
0.8
1.3
Metaraminol bitartrate
Adrenergic agonist
Vasoconstrictor


0.9
0.9
0.8
0.7
0.9
0.9
1.3
Labetalol hydrochloride


0.9
1.0
0.8
0.7
0.9
0.8
1.4
Salbutamol
Beta adrenergic agonist
Bronchodilatator


0.9
1.0
1.0
0.8
2.3
0.9
1.2
Cinnarizine
H1 antagonist
Antihistaminic


0.9
0.9
0.8
0.7
0.9
0.9
1.3
Prilocaine hydrochloride
Na+ channel blocker
Local anesthesic


0.8
1.0
0.8
0.7
0.9
0.9
1.3
Methylprednisolone, 6-alpha

Glucocorticoid


0.9
0.9
0.7
0.8
0.8
0.8
1.1
Camptothecine (S,+)
Topoisomerase I inhibitor
Antitumor agent


1.0
1.0
0.9
0.8
0.9
0.9
1.1
Quinidine hydrochloride
Heme polymerase inhibitor
Antiarrhythmic









monohydrate


1.2
0.9
1.2
1.0
1.1
1.0
1.4
Procaine hydrochloride
Na+ channel blocker
Local anesthesic


1.3
0.9
0.6
1.1
1.4
1.1
1.4
Bromocryptine mesylate
Prolactin inhibitor
Antiparkinsonian


1.2
0.9
1.1
1.0
1.1
1.1
1.6
Moxisylyte hydrochoride
Alpha antagonist
Vasodilatator


1.3
1.0
1.2
1.0
1.1
1.1
1.3
Metanephrine hydrochloride DL
Isoprenaline uptake inhibitor










extraneuronal


1.3
1.0
1.2
0.9
1.2
1.0
1.4
Betazole hydrochloride
Histamine analog
Gastric secretion stimulant


1.3
1.0
1.0
0.8
1.0
1.0
1.4
Dehydrocholic acid

Choleretic


1.2
1.0
1.0
1.0
1.0
1.0
1.4
Isoxicam
Cyclooxygenase inhibitor
Antiinflammatory


1.1
0.9
0.5
0.9
1.1
0.9
1.3
Hesperetin
P450 inhibitor


1.2
1.0
0.8
0.9
1.1
1.0
1.4
Naproxen
Cyclooxygenase inhibitor
Antiinflammatory


1.5
1.2
0.9
1.3
1.6
1.1
1.4
Perphenazine
Dopamine antagonist
Antipsychotic


1.3
1.1
1.0
0.8
1.1
1.0
1.5
Naphazoline hydrochloride
Adrenergic ligand
Vasoconstrictor


1.3
1.0
3.2
1.3
2.6
1.1
1.2
Mefloquine hydrochloride
Heme polymerase inhibitor
Antimalarial


1.3
1.0
0.8
1.0
1.1
1.1
2.0
Ticlopidine hydrochloride
ADP antagonist
Platelet antiaggregant


1.8
1.8
5.2
1.4
5.6
1.3
1.7
Isoconazole
Sterol 14-demethylase
Antibacterial










inhibitor


1.2
1.1
1.0
0.9
1.3
1.2
1.5
Dicyclomine hydrochloride
Anticholinergic
Antispasmodic


1.4
1.0
1.2
1.0
1.1
1.0
1.3
Spironolactone
Aldosterone antagonist
Diuretic


1.4
1.1
1.1
0.8
1.1
0.9
1.2
Amyleine hydrochloride
Na+ channel blocker
Local Anesthesic


1.4
1.1
1.0
1.0
1.1
1.0
1.4
Pirenzepine dihydrochloride
M1 antagonist
Antiulcerative


1.3
1.2
1.1
1.1
1.1
1.1
1.3
Lidocaine hydrochloride
Na+ channel blocker
Local anesthesic


1.4
1.2
1.2
1.1
1.1
1.0
1.2
Dexamethasone acetate

Antiinflammatory


1.4
1.1
1.2
0.9
1.1
1.3
1.5
Ranitidine hydrochloride
H2 antagonist
Antiulcerative


1.3
1.1
1.0
1.0
1.2
1.2
1.4
Fludrocortisone acetate

Mineralocorticoid


1.1
1.3
0.4
1.0
1.1
1.2
1.5
Tiratricol, 3,3′,5-

Hypocholesterolemic drug









triiodothyroacetic acid


1.3
1.1
1.0
0.9
1.3
1.1
1.4
Fenoterol hydrobromide
Beta adrenergic agonist
Bronchodilatator


1.0
1.0
0.5
1.0
1.3
1.1
1.8
Flufenamic acid
Cyclooxygenase inhibitor
Analgesic


1.5
1.2
1.0
1.1
1.2
1.2
1.8
Homochlorcyclizine
H1 antagonist
Antihistaminic









dihydrochloride


13.6
1.5
2.2
2.2
2.9
1.4
24.4
Flumequine
Topoisomerase II inhibitor
Antibacterial


1.3
1.2
1.1
0.9
1.1
1.1
1.7
Diethylcarbamazine citrate
Lipoxygenase inhibitor
Antihelmintic


1.0
1.1
0.5
0.8
1.4
1.2
1.6
Tolfenamic acid
Cyclooxygenase inhibitor
Antiinflammatory


1.2
1.0
1.7
0.8
1.0
1.2
1.5
Chenodiol
Detergent
Anticholelithogenic


1.1
1.2
0.6
1.0
1.2
1.2
1.4
Meclofenamic acid sodium salt
Cyclooxygenase inhibitor
Antiinflammatory









monohydrate


1.8
1.2
0.8
1.6
3.4
1.4
1.5
Perhexiline maleate
Ca2+ blocking agent
Vasodilatator


1.1
1.1
1.0
1.0
1.2
1.0
1.4
Kawain
Ca++ channel blocker
Antiaggregant


1.4
1.1
1.2
0.9
1.1
1.0
1.6
Oxybutynin chloride
Anticholinergic
Spasmolytic


1.2
1.1
1.0
0.8
3.1
1.1
7.2
Trimethoprim
Folic acid antagonist
Antibacterial


1.3
1.2
1.0
0.9
1.2
1.2
1.3
Spiperone
D2 antagonist
Antipsychotic


1.3
1.2
0.9
0.9
1.2
1.1
1.6
Metoclopramide
5-HT3 antagonist
Antiemetic









monohydrochloride


1.4
1.2
1.4
1.0
1.1
1.1
1.4
Pyrilamine maleate
H1 antagonist
Antihistaminic


0.9
0.9
0.6
0.7
0.9
0.9
1.3
Fenbendazole
Microtubule formation
Antihelmintic










inhibitor


1.3
1.1
3.5
1.0
1.2
1.0
1.2
Sulfinpyrazone

Uricosuric


1.2
0.8
1.1
1.1
0.9
1.0
1.5
Trichlorfon
Cholinesterase inhibitor
Antihelminthic


1.2
0.9
1.2
0.8
1.0
1.0
1.3
Glipizide


1.0
0.8
1.0
0.9
0.9
1.0
1.5
Carbamazepine
Cholinergic antagonist
Anticonvulsivant


1.0
0.9
1.1
1.0
1.0
0.9
1.3
Loxapine succinate
Dopamine antagonist
Anxiolytic


1.1
0.9
1.1
1.0
1.5
1.0
1.6
Triflupromazine hydrochloride
Dopaminergic antagonist ?
Antipsychotic


1.0
0.9
0.9
0.8
1.0
1.0
1.6
Hydroxyzine dihydrochloride
H1 antogonist
Antihistaminic


0.9
0.9
0.7
0.8
1.2
0.9
1.6
Mefenamic acid
Cyclooxygenase inhibitor
Antiinflammatory


1.0
0.9
0.8
1.0
1.0
0.9
1.5
Diltiazem hydrochloride
Ca2+ channel inhibitor (L-
Antianginal










Type)


1.2
0.9
1.1
0.8
1.1
1.2
1.7
Acetohexamide
Blocking of ATP-sensitive K+
Antidiabetic (type II,










channel
noninsulin-dependent)


1.1
0.8
0.9
0.8
1.0
1.0
1.3
Methotrexate


1.0
1.0
1.1
1.0
1.0
1.1
1.6
Sulpiride
D2 antagonist
Antipsychotic


1.3
1.0
2.2
1.1
1.6
1.0
1.6
Astemizole
H1 antagonist
Antihistaminic


1.3
0.9
1.0
1.0
1.1
0.9
1.4
Benoxinate hydrochloride
Na+ channel blocker
Local anesthesic


0.8
1.2
8.4
0.5
1.0
1.1
1.7
Clindamycin hydrochloride
Ribosomal protein synthesis
Antibacterial










inhibitor


1.4
1.0
1.0
1.5
4.2
1.0
1.5
Oxethazaine
Na+ channel blocker
Local anesthesic


1.7
1.5
###
1.1
3.1
1.0
1.2
Terfenadine
H1 antagonist
Antihistaminic


1.4
1.0
1.0
1.0
1.0
1.0
1.7
Pheniramine maleate
H1 antagonist
Antihistaminic


21.9
1.0
2.9
5.5
2.2
10.0
22.0
Cefotaxime sodium salt
Bacterial transpeptidase
Antibacterial










inhibitor


1.4
1.0
1.2
1.0
1.3
1.1
1.5
Tolazoline hydrochloride
Alpha antagonist
Vasodilatator


0.8
1.0
9.2
0.2
4.4
0.5
1.0
Tetracycline hydrochloride
Ribosomal protein synthesis
Antibacterial










inhibitor


1.2
1.1
1.4
1.0
1.0
1.2
1.4
Piroxicam
Cyclooxygenase inhibitor
Antiinflammatory


1.0
1.0
1.1
0.9
1.1
1.2
1.5
Dantrolene sodium salt
Blocker of Ca2+ release
Skeletal muscle relaxant


1.3
1.1
1.2
0.9
1.1
1.2
1.4
Pyrantel tartrate
Neuromuscular depolarizing
Anthelmintic










agent


0.9
1.0
0.9
1.0
1.0
1.2
1.3
Trazodone hydrochloride
5-HT uptake inhibitor
Antidepressant


1.3
1.0
1.1
1.0
1.2
1.1
1.6
Fenspiride hydrochloride
Bradykinin antagonist
Antiinflammatory


1.2
1.1
1.1
1.0
1.1
1.2
1.5
Glafenine hydrochloride

Analgesic


1.3
1.0
0.9
0.9
1.3
1.2
1.5
Gemfibrozil

Antihyperlipoproteinemic


1.4
1.1
0.9
1.2
1.1
1.1
1.4
Pimethixene maleate
Anticholinergic
Antihistaminic


1.2
1.0
0.9
0.9
1.0
1.1
1.3
Mefexamide hydrochloride

Psychoanaleptic


1.3
1.0
1.0
0.8
1.3
1.0
1.4
Pergolide mesylate
Dopaminergic agonist
Antiparkinsonian


1.4
1.1
1.0
0.9
1.1
1.2
1.5
Tiapride hydrochloride
Dopamine antagonist
Antidyskinetic


1.2
1.0
1.1
0.9
1.1
1.1
1.3
Acemetacin
Cyclooxygenase inhibitor
Antiinflammatory


0.8
0.9
0.9
0.8
0.7
0.8
1.2
Mebendazole


1.3
1.1
1.1
1.0
1.0
1.2
1.2
Benzydamine hydrochloride
5-HT receptor antagonist
Analgesic


0.8
0.8
0.7
0.8
1.0
0.8
1.6
Fenbufen
Cyclooxygenase inhibitor
Antiinflammatory


1.3
1.1
0.9
1.1
1.0
1.0
1.3
Fipexide hydrochloride
Glutamatergic
Nootropic


1.1
0.9
1.0
1.1
1.0
1.0
1.5
Ketoprofen
Cyclooxygenase inhibitor
Antiinflammatory


1.3
1.1
0.7
0.9
1.1
1.0
1.4
Mifepristone
Progesterone receptor
Abortifacient










antagonist


1.1
1.1
1.0
1.1
1.0
1.1
1.7
Indapamide

Diuretic


1.4
1.1
1.2
0.9
1.1
1.1
1.4
Diperodon hydrochloride

Local anesthesic


1.4
0.8
1.2
0.9
1.1
1.2
1.3
Morantel tartrate
Fumarate reductase
Anthelmintic










inhibitor


1.3
0.9
1.2
0.9
1.5
1.2
1.2
Verapamyl hydrochloride
Alpha1 antagonist
Antyhypertensive


1.4
0.8
1.1
0.9
1.3
1.1
1.4
Homatropine hydrobromide (R,S)
Muscarinic antagonist
Antispasmodic


1.3
0.9
0.8
0.9
1.2
1.1
1.4
Dipyridamole


1.4
0.9
0.5
0.9
1.5
1.0
1.4
Nifedipine
L-type Ca2+ channels blocker
Antihypertensor


50.1
4.0
###
18.8
12.3
23.8
1.8
Chlorhexidine
Detergent
Bacteriostatic


1.4
1.0
1.4
1.1
1.5
1.1
1.4
Chlorpromazine hydrochloride
Dopamine antagonist
Antiemetic


1.4
0.9
1.0
0.9
1.5
1.2
1.5
Loperamide hydrochloride
Ca2+ channel antagonist
Antidiarrhoeic


1.3
0.9
1.1
1.0
1.3
1.0
1.4
Diphenhydramine hydrochloride
H1 receptor antagonist
Antihistaminic


0.8
0.9
6.8
0.2
3.9
0.7
1.0
Chlortetracycline hydrochloride
Ribosomal protein synthesis
Antibacterial










inhibitor


1.3
0.8
1.0
0.9
1.3
1.1
1.3
Minaprine dihydrochloride
Dopamine agonist
Antidepressant


1.9
4.0
2.1
2.1
6.6
1.4
1.3
Tamoxifen citrate
Oestrogen receptor










antagonist


1.4
2.5
2.2
1.4
4.7
1.2
1.6
Miconazole
Sterol 14-demethylase
Antifungal










inhibitor


1.3
1.0
1.4
1.0
1.4
1.2
1.2
Nicergoline
Alpha agonist
Vasodilatator


1.1
1.0
1.1
1.0
1.5
1.1
1.5
Isoxsuprine hydrochloride
beta adrenergic agonist
Vasodilatator


1.4
1.0
1.1
0.9
1.5
1.3
1.2
Canrenoic acid potassium salt
Detergent
Antihypercholesterolemic


1.3
1.1
1.1
0.9
1.3
1.1
1.2
Acebutolol hydrochloride
Beta1 antagonist
Antianginal


1.5
1.0
1.0
1.1
1.7
1.1
1.3
Thioproperazine dimesylate
Dopamine antagonist
Antipsychotic


1.1
1.0
1.3
0.9
1.5
1.0
1.2
Tolnaftate

Antifungal


1.3
1.0
1.0
0.9
1.5
1.2
1.3
Dihydroergotamine tartrate
Serotonine antagonist
Antimigraine


33.1
1.5
1.8
0.8
3.1
31.3
3.1
Norfloxacin
Topoisomerase II inhibitor
Antibacterial


1.2
1.0
4.3
1.0
1.3
1.2
1.5
Lisinopril
Converting enzyme inhibitor
Antihypertensor


1.3
1.1
1.0
1.0
1.4
1.1
1.3
Antimycin A
Inhibitor of mitochondrial
Antifungal










electron transport


0.9
1.3
7.9
0.9
1.2
1.2
1.3
Lincomycin hydrochloride
Ribosomal protein synthesis
Antibacterial










inhibitor


1.2
1.0
1.2
0.9
1.3
1.2
1.4
Xylometazoline hydrochloride

Vasoconstrictor


1.5
1.1
1.3
1.0
1.6
1.2
1.4
Telenzepine dihydrochloride
M1 muscarinic antagonist
Antiulcerative


1.1
1.0
1.1
1.1
1.4
1.2
1.3
Oxymetazoline hydrochloride
Partial alpha2A agonist
Vasoconstrictor


1.3
1.5
3.7
1.3
6.7
1.3
1.3
Econazole nitrate
Ergosterol synthesis
Antifungal










inhibition


1.2
1.0
1.3
1.0
1.6
1.2
1.2
Nifenazone
Cyclooxygenase inhibitor
Analgesic


1.3
1.0
1.1
1.0
1.4
1.2
1.5
Bupivacaine hydrochloride
Na+ channel blocker
Local anesthesic


1.3
1.1
1.4
0.9
1.4
1.3
1.3
Griseofulvin
Enzymatic inductor
Antifungal


1.4
1.0
1.2
1.1
1.5
1.2
1.2
Clemastine fumarate
H1 antagonist
Antihistaminic


1.2
1.2
1.6
1.0
1.6
1.2
1.4
Clemizole hydrochloride
H1 antagonist
Antihistaminic


1.0
0.9
3.4
0.2
5.3
0.5
1.1
Oxytetracycline dihydrate
Ribosomal protein synthesis
Antibacterial










inhibitor


1.2
1.0
1.1
1.1
1.5
1.2
1.4
Tropicamide
Muscarinic antagonist
Mydriatic


1.7
1.3
2.3
1.3
8.7
1.3
1.2
Pimozide
Dopamine antagonist ?
Antipsychotic


1.2
1.0
1.1
0.9
1.4
1.2
1.4
Nefopam hydrochloride

Analgesic


1.2
1.1
1.3
0.9
1.5
1.2
1.4
Amodiaquin dihydrochloride
Heme polymerase inhibitor
Antimalarial









dihydrate


1.4
1.0
1.1
1.1
1.4
1.2
1.2
Phentolamine hydrochloride
Alpha adrenergic antagonist
Antihypertensor


1.3
1.0
1.1
1.0
1.4
1.1
1.3
Mebeverine hydrochloride
Antispasmodic


1.3
0.8
1.3
1.0
1.1
1.1
1.7
Todralazine hydrochloride

Antihypertensor


1.0
1.0
8.2
1.0
1.5
0.7
1.6
Erythromycin
Ribosomal protein synthesis
Antibacterial










inhibitor


1.2
0.9
1.2
1.0
1.3
1.1
1.7
Imipramine hydrochloride
5-HT transport inhibitor
Antidepressant


1.1
1.0
3.6
1.0
1.1
1.0
1.6
Oleandomycin phosphate
Ribosomal protein synthesis
Antibacterial










inhibitor


1.1
0.9
0.8
1.0
1.1
0.8
1.5
Sulindac
Cyclooxygenase inhibitor
Antiinflammatory


4.7
0.9
1.2
0.9
1.5
1.0
4.2
Didanosine
Transrcriptase inverse
Antiviral










inhibitor


1.2
1.0
1.4
1.1
1.3
1.0
1.8
Amitryptiline hydrochloride
Alpha 1 antogonist
Antidiabetic


1.3
1.0
8.4
1.0
1.1
0.9
1.4
Josamycin
Ribosomal protein synthesis
Antibacterial










inhibitor


1.2
1.0
1.3
1.0
1.3
0.9
1.5
Adiphenine hydrochloride
Anticholinergic
Local anesthesic


1.1
1.0
1.0
1.0
1.3
1.0
1.6
Paclitaxel
Tubuline inhibitor
Antineoplastic


1.3
0.9
1.3
1.1
1.3
1.1
1.7
Dibucaine
Na+ channel blocker
Local anesthesic


1.3
1.2
2.1
1.0
1.5
1.0
1.6
Ivermectin
GABA ligand
Anthelmintic


1.2
0.9
1.1
0.9
1.2
0.9
1.4
Prednisone

Glucocorticoid


1.3
1.0
1.1
1.1
1.2
1.0
1.5
Gallamine triethiodide
M2 antagonist allosteric
Muscle relaxant


1.6
1.0
1.3
1.3
2.9
1.1
1.5
Thioridazine hydrochloride
Ca2+ channel antagonist
Neuroleptic


1.2
1.0
1.1
1.0
1.4
0.9
1.3
Neomycin sulfate
Ribosomal protein synthesis
Antibacterial










inhibitor


1.2
1.1
1.5
1.1
1.3
1.0
1.6
Diphemanil methylsulfate
Anticholinergic
Bronchodilatator


1.2
1.0
1.2
0.7
1.2
0.9
1.3
Dihydrostreptomycin sulfate
Ribosomal protein synthesis
Antibacterial










inhibitor


1.2
1.1
1.2
1.1
1.2
1.0
1.3
Trimethobenzamide
D2 antagonist
Antiemetic









hydrochloride


1.3
1.0
1.1
1.0
1.5
0.9
1.4
Gentamicine sulfate
Ribosomal protein synthesis
Antibacterial










inhibitor


1.2
1.1
1.0
1.3
1.4
1.5
1.2
Etodolac
Cyclooxygenase inhibitor
Antiinflammatory


1.2
1.0
1.1
1.3
1.4
1.2
1.3
Ifenprodil tartrate
Adrenergic antagonist
Vasodilatator


1.2
1.1
1.4
1.2
1.4
1.3
1.5
Scopolamin-N-oxide
Anticholinergic
Antiparkinsonian









hydrobromide


1.7
1.3
1.1
1.4
2.6
1.3
1.6
Flunarizine dihydrochloride
Na+ channel blocker
Vasodilatator


1.3
1.0
1.2
1.2
1.4
1.2
1.5
Hyoscyamine (L)
Cholinergic
Antispasmodic


1.7
1.1
1.2
1.5
3.4
1.4
1.3
Trifluoperazine dihydrochloride
Dopamine antagonist
Psycholeptic


1.2
0.9
1.0
1.1
1.3
1.1
1.4
Chlorphensin carbamate

Muscle relaxant


1.2
1.1
1.3
1.2
1.3
1.2
1.3
Enalapril maleate
Converting enzyme inhibitor
Antihypertensor


16.8
1.6
1.3
1.0
1.1
1.3
4.3
Metampicillin sodium salt
Bacterial transpeptidase
Antibacterial










inhibitor


2.3
1.1
6.9
0.6
3.9
0.7
0.9
Minocycline hydrochloride
Ribosomal protein synthesis
Antibacterial










inhibitor


1.5
1.1
1.2
1.4
1.4
1.3
1.1
Dilazep dihydrochloride
Adenosine uptake inhibitor
Vasodilatator


1.2
1.0
0.9
1.1
1.3
1.2
1.4
Glibenclamide
ATP-dependent K+ channel
Antidiabetic










inhibitor


15.7
1.4
2.8
1.0
3.7
20.0
4.1
Ofloxacin
Topoisomerase II inhibitor
Antibacterial


1.4
1.1
1.1
1.1
1.3
1.4
1.4
Guanethidine sulfate
Catecholamine depletor
Antihypertensor


26.8
1.5
3.4
1.0
3.8
30.2
3.5
Lomefloxacin hydrochloride
Topoisomerase II inhibitor
Antibacterial


1.2
1.0
1.2
1.0
1.3
0.9
1.4
Quinacrine dihydrochloride
Monoamine oxydase
Antimalarial









dihydrate
inhibitor


1.3
1.0
1.0
1.2
1.3
1.1
1.2
Orphenadrine hydrochloride
H1 antogonist
Antihistaminic


1.5
1.4
1.2
1.5
1.6
1.3
1.2
Clofilium tosylate
K+ channel blocker
Antiarrhythmic


1.3
1.0
1.1
1.2
1.3
1.1
1.5
Proglumide
Gastrin inhibitor
Antiulcerative


1.3
1.1
1.0
1.5
1.6
1.1
1.6
Fluphenazine dihydrochloride
Dopamine antagonist
Antipsychotic


0.5
0.9
0.4
0.3
0.4
0.4
0.3
Streptomycin sulfate
Ribosomal protein synthesis
Antibacterial










inhibitor


0.5
0.9
0.3
0.4
0.5
0.4
0.3
Testosterone propionate

Androgen


0.5
0.9
0.3
0.4
0.4
0.4
0.4
Alfuzosin hydrochloride
Alpha 1-adrenergic
Antihypertensor










antagonist


0.4
0.9
0.4
0.4
0.4
0.4
0.3
Arecoline hydrobromide
Cholinergic
Anthelmintic


0.4
0.9
0.4
0.4
0.3
0.3
0.3
Chlorpropamide
Glucagon secretogen,
Antidiabetic










somatostatin secretogen


0.5
1.0
0.2
0.4
0.4
0.4
0.3
Thyroxine (L)
Thyroid hormone
Hypocholesterolemic drug


0.5
0.8
0.3
0.5
0.4
0.4
0.4
Phenylpropanolamine
Alpha adrenergic agonist
Decongestant









hydrochloride


0.6
0.9
0.4
0.4
0.4
0.4
0.4
Tocopherol (R,S)

Anti-oxidant


0.5
0.9
0.4
0.5
0.4
0.3
0.4
Ascorbic acid

Vitamin


0.5
0.8
0.4
0.5
0.4
0.4
0.4
Pepstatin A
Aspartic proteases
Antiviral










irreversible inhibitor


0.6
0.9
0.4
0.6
0.5
0.4
0.5
Methyldopa (L,−)
L-aromatic aminoacid
Antihypertensor










decarboxylase inhibitor


0.5
0.8
0.4
0.5
0.5
0.4
0.4
SR-95639A
M1 agonist receptor


16.5
0.9
0.7
2.1
0.7
5.2
12.0
Cefoperazone dihydrate
Bacterial transpeptidase
Antibacterial










inhibitor


0.5
0.9
0.4
0.5
0.5
0.4
0.4
Adamantamine fumarate
Inhibition of viral uncoating
Antiviral










and viral assembly,










alteration of dopamine










release and reuptake


0.7
0.8
0.4
0.6
0.4
0.4
0.4
Zoxazolamine
Uric acid uptake inhibitor
Muscle relaxant


0.7
3.3
0.6
0.7
2.0
0.5
0.5
Butoconazole nitrate
Ergosterol inhibitor
Antifungal


0.5
0.9
0.5
0.4
0.5
0.5
0.4
Tacrine hydrochloride hydrate
Cholinesterase inhibitor
Cognition enhancer


0.7
1.7
0.7
0.6
2.2
0.5
0.5
Amiodarone hydrochloride
Na+ channel blocker, K+
Antiarrhythmic










channel blocker, non-










competitive beta-adrenergic










blocker


0.5
0.9
0.6
0.5
0.5
0.5
0.6
Bisoprolol fumarate
Beta1 antagonist
Antihypertensor


0.5
0.9
0.5
0.7
0.5
0.4
0.5
Amphotericin B
Ergosterol ligand
Antibacterial


0.8
0.9
0.6
0.6
0.6
0.6
0.6
Serotonin hydrochloride
5-HT agonist
Neurotransmitter


0.7
0.9
0.5
0.6
0.7
0.6
0.6
Tubocurarine chloride
Curarising
Muscle relaxant









pentahydrate (+)


23.9
0.9
2.3
7.8
0.9
0.6
15.6
Cefotiam hydrochloride

Antibacterial


0.7
0.9
0.5
0.6
0.7
0.6
0.6
Dihydroergocristine mesylate
5-HT antagonist, partial
Vasodilatator










adrenergic agonist, partial










dopaminergic agonist


0.6
0.9
0.4
0.5
0.5
0.6
0.6
Azathymine, 6
Antimetabolite
Anticancer


0.6
0.9
0.5
0.5
0.6
0.5
0.6
Noscapine
Inhibitor of carbachol-
Antitussive










stimulated phosphoinositide










turnover


0.6
1.0
0.5
0.5
0.5
0.6
0.6
Benperidol
Dopamine antagonist, 5-HT
Antipsychotic










antagonist


0.6
0.9
0.3
0.5
0.6
0.5
0.6
Syrosingopine
Catecholamine depletor



10.7
0.9
0.5
2.5
1.5
0.5
0.7
Cefaclor
Bacterial transpeptidase
Antibacterial










inhibitor


0.6
0.8
0.5
0.5
0.5
0.5
0.5
Atropine sulfate monohydrate
Muscarinic antagonist
Anticholinergic


42.2
1.0
0.6
24.1
10.0
23.6
0.7
Colistin sulfate
Performs membrane
Antibacterial










ionophores


0.7
0.9
0.4
0.5
0.5
0.6
0.7
Eserine sulfate, physostigmine
Cholinesterase inhibitor
Ophtalmic agent









sulfate


0.9
2.3
2.1
0.5
0.6
0.5
0.6
Daunorubicin hydrochloride
DNA intercaling
Antineoplastic


0.6
0.9
0.5
0.5
0.6
0.5
0.6
Aconitine
Open TTX-Na+ channel
Analgesic


0.6
0.9
0.5
0.5
0.5
0.5
0.5
Dosulepin hydrochloride

Antidepressant


0.7
1.0
0.3
0.6
1.1
0.4
0.6
Rescinnamin
Catecholamine depletor
Antihypertensor


11.5
0.9
0.4
3.2
0.5
7.8
12.9
Ceftazidime pentahydrate

Antibacterial


0.6
0.8
0.4
0.5
0.5
0.4
0.6
Dihydroergotoxine mesylate
High affinity GABA A
Anticonvulsant










receptor Cl− channel,










prolactin inhibitor


0.5
0.9
0.5
0.5
0.5
0.4
0.6
Iobenguane sulfate

Antineoplastic if radiolabeled


0.5
0.9
0.5
0.6
0.5
0.5
0.5
Emetine dihydrochloride
Protein synthesis inhibitor,
Antiamebic










5-HT ligand


0.7
1.0
0.5
0.6
0.7
0.6
0.7
Tremorine dihydrochloride
Cholinergic
Convulsant


0.6
1.0
0.5
0.5
0.7
0.6
0.7
Androsterone

Antihypertensor


0.7
0.9
0.6
0.5
0.7
0.6
0.8
Practolol
Beta antagonist
Antihypertensor


0.7
1.0
0.7
0.5
0.7
0.7
0.7
Anisomycin
Acetylcholine esterase
Antiprotozoal










inhibitor


2.1
0.9
0.6
1.2
1.8
0.6
4.2
Zidovudine, AZT
Transcriptase reverse
Antiviral










inhibitor


0.6
1.0
0.6
0.5
0.6
0.6
0.7
Carbarsone

Antiamebic


0.7
0.9
0.5
0.5
1.0
0.6
0.7
Sulfisoxazole
Inhibitor of folic acid
Antibacterial










biosynthesis, Eta endothelin










receptor antagonist


0.2
0.3
0.0
0.2
0.2
0.2
0.5
Apigenin
MAP kinase inhibitor
Antiproliferative


0.7
1.0
0.6
0.5
0.6
0.7
0.8
Zaprinast
cGMP phosphodiesterase
Erectogen










inhibitor, phosphodiesterase










5 inhibitor


0.6
0.9
0.5
0.5
0.6
0.6
0.7
Aspartic acid, N-acetyl (R,S)




0.7
1.0
0.7
0.6
0.7
0.6
0.7
Chlormezanone

Skeletal muscle relaxant


11.9
1.1
0.5
0.6
1.3
0.6
0.6
Bacampicillin hydrochloride
Bacterial transpeptidase
Antibacterial










inhibitor


0.6
1.0
0.6
0.6
0.7
0.6
0.9
Procainamide hydrochloride
Alpha antagonist,
Antiarrhythmic










antinuclear antibodies,










anticholinergic


0.6
0.9
0.1
0.5
0.6
0.6
0.7
Betulinic acid
Apoptosis inducer, PLA2
Antimalarial










inhibitor


0.6
0.9
0.5
0.5
0.6
0.6
0.7
N6-methyladenosine
Antimetabolite
Anticancer


0.6
0.9
1.4
0.6
0.8
0.7
0.8
Biotin

Vitamin H


0.8
1.1
0.6
0.5
0.7
0.7
0.9
Guanfacine hydrochloride
Alpha 2A agonist
Antihypertensor


0.6
1.0
0.5
0.6
0.8
0.6
0.9
Bisacodyl
Na+ uptake inhibitor
Cathartic


0.6
0.9
0.8
0.6
0.7
0.6
0.8
Domperidone
Dopamine Antagonists
Antiemetic


0.8
0.9
0.5
0.7
0.7
0.7
0.7
Calciferol
Stimulator of calcium and
Vitamin D










phosphate absorption


0.9
1.0
0.7
0.8
1.0
0.8
0.8
Metixene hydrochloride
Anticholinergic
Antiparkinsonian


0.9
0.9
0.6
0.6
0.8
0.8
0.9
Tetracaine hydrochloride

Local anesthesic


0.7
1.0
0.5
0.2
1.0
0.8
0.8
Nitrofural
Bacterial DNA damage
Antibacterial


0.9
1.0
0.4
0.7
0.9
0.6
0.9
Mometasone furoate

Antiinflammatory


0.7
0.8
0.2
0.6
0.8
0.6
0.8
Omeprazole
Non competitive ATPase H+
Antiulcerative










pump inhibitor


0.7
1.2
0.5
0.6
0.7
0.7
1.0
Tomatidine
Cholinesterase activity
Antifungal


0.7
1.0
0.7
0.6
0.8
0.7
1.1
Propylthiouracil
Antimetabolite
Antihyperthyroid


2.0
1.1
0.7
3.8
1.6
0.9
0.8
Dacarbazine
Alkylating agent
Antineoplastic


0.9
1.0
0.6
0.7
0.8
0.8
0.9
Terconazole
Sterol 14-demethylase
Antifungal










inhibitor


0.6
0.9
0.7
0.6
0.6
0.8
0.8
Ipratropium bromide
Antimuscarinic agent
Bronchodilatator


0.6
0.8
0.5
0.5
0.7
0.6
0.8
Tiaprofenic acid
Cyclooxygenase inhibitor
Antiinflammatory


0.8
1.0
0.8
0.6
0.8
0.7
0.8
Acetopromazine maleate salt
Dopaminergic antagonist ?
Tranquilizer


1.2
1.5
###
0.8
1.1
0.9
0.9
Vancomycin hydrochloride
Bacterial mucopeptide
Antibacterial










biosynthesis inhibitor


0.7
1.0
0.7
0.6
0.8
0.6
0.8
Rauwolscine hydrochloride
Alpha2 antagonist
Antidepressant


0.5
0.9
0.5
0.6
0.7
0.6
0.7
Artemisinin
Oxidant
Antimalarial


0.7
1.0
0.7
0.6
0.6
0.7
0.8
Corynanthine hydrochloride
Alpha1-adrenoreceptor
Anti-leishmania drug










antagonist


1.0
1.0
0.7
0.6
0.7
0.7
0.8
Propafenone hydrochloride
Beta adrenergic antagonist
Antiarrhythmic


0.7
1.0
0.8
0.5
0.7
0.7
0.9
Palmatine chloride
Anticholinestrase activity
Uterine contractant


0.6
1.0
0.6
0.6
0.9
0.6
0.9
Ethamivan

Respiratory analeptic


0.8
1.2
0.6
0.7
1.0
0.7
0.8
Trimethylcolchicinic acid
Tubuline inhibitor ?
Anticancer agent


1.0
0.9
0.7
0.7
0.8
0.9
0.8
Furosemide
Na+ Cl− uptake inhibitor,
Diuretic










carbonic anhydrase inhibitor


1.9
5.4
2.0
2.5
4.1
6.8
0.9
Suloctidil

Vasodilatator


0.9
1.0
0.5
0.6
0.9
0.9
0.8
Methapyrilene hydrochloride
Histamine H1 antagonist
Antihistaminic


0.8
0.9
0.7
0.6
0.8
0.8
0.8
Carcinine

Anti-oxidant


0.9
0.8
0.7
0.7
0.7
0.9
0.8
Desipramine hydrochloride
Adrenergic transport
Antidepressant










inhibitor, 5-HT transport










inhibitor


0.9
0.9
0.7
0.6
0.8
0.9
0.8
Carisoprodol

Muscle relaxant


0.7
0.7
0.5
0.5
0.6
0.7
0.8
Clorgyline hydrochloride
Monoamine oxidase A
Antidepressant










inhibitor


0.9
0.9
0.6
0.7
0.8
0.8
0.8
Cephalosporanic acid, 7-amino
Bacterial transpeptidase
Antibacterial










inhibitor


0.8
0.9
0.7
0.7
0.8
0.8
0.9
Clenbuterol hydrochloride
Beta adrenergic agonist
Bronchodilatator


0.5
0.5
0.0
0.3
0.4
0.4
0.9
Chicago sky blue 6B
Competitive glutamate











uptake inhibitor


0.8
0.8
1.1
0.6
0.8
0.9
0.9
Maprotiline hydrochloride
Noradrenaline uptake
Antidepressant










inhibitor, 5-HT uptake










inhibitor


0.8
0.8
0.6
0.6
0.7
0.8
0.9
Buflomedil hydrochloride

Vasodilatator


0.8
0.9
0.5
0.7
0.9
0.8
0.9
Thioguanosine
Antimetabolite
Anticancer


0.8
0.9
0.5
0.7
0.8
0.7
0.8
Chlorogenic acid
Glucose-6-phosphate
Antiinflammatory










translocase inhibitor


1.0
1.0
0.6
0.8
1.2
0.9
1.0
Chlorprothixene hydrochloride
D2 dopamine receptor
Neuroleptic










antagonist, GABAA receptors










antagonist


0.8
1.0
0.6
0.7
0.8
0.7
0.9
Roxatidine Acetate HCl

Antiulcerative


0.8
0.9
0.5
0.7
0.8
0.9
0.9
Ritodrine hydrochloride
Beta2 agonist
Tocolytic


1.0
0.9
0.7
0.7
0.8
0.9
1.0
Cholecalciferol

Vitamin


0.9
0.9
0.7
0.8
0.9
1.0
1.0
Clozapine
5-HT antagonist, dopamine
Antipsychotic










antagonist, GABA ligand


0.9
0.9
0.6
0.7
1.1
0.9
0.9
Cisapride
5-HT antagonist
Peristaltic stimulant


1.0
0.9
0.7
0.8
1.1
0.9
0.8
Vigabatrin
GABA transaminase inhibitor
Anticonvulsant


0.9
1.0
0.6
0.8
1.0
0.9
0.9
Hydrastine hydrochloride
GABAa antagonist
Hypotensor


1.0
0.9
0.6
0.8
0.8
0.8
0.9
Biperiden hydrochloride
Anticholinergic
Antiparkinsonian


1.0
0.9
0.6
0.8
1.0
1.0
1.0
Lobelanidine hydrochloride
Nicotinic ligand



0.9
0.9
0.7
0.7
1.1
0.9
0.9
Cetirizine dihydrochloride
H1 antagonist
Antihistaminic


0.9
1.0
0.6
0.8
0.8
1.0
0.9
Papaverine hydrochloride
Phosphodiesterase inhibitor
Vasodilator


1.1
0.9
0.5
0.8
0.9
0.9
1.0
Etifenin
Chelating agent
Diagnostic agent


0.8
0.9
0.6
0.8
0.8
0.9
1.0
Yohimbine hydrochloride
Alpha antagonist
Mydriatic


1.0
0.9
0.6
0.7
0.9
0.9
1.0
Metaproterenol sulfate,
Beta-adrenergic agonist
Bronchodilatator









orciprenaline sulfate


1.0
0.9
0.8
0.7
0.8
0.9
1.0
Lobeline alpha (−) hydrochoride
Nicotinic receptor ligand
Respiratory stimulant


0.8
0.9
0.6
0.6
0.9
0.9
1.0
Sisomicin sulfate
Ribosomal protein synthesis
Antibacterial










inhibitor


1.0
1.0
0.7
0.7
0.9
0.9
1.1
Berberine chloride
Anti-HIV reverse
Antibacterial










transcriptase, cholinesterase










inhibitor


0.7
0.8
0.1
0.6
0.4
0.6
0.9
Quercetine dihydrate
Lipoxygenase inhibitor
Antimalarial


0.9
0.9
0.8
0.7
0.9
0.9
0.9
Cilostazol

Antithrombotic


0.0
0.0
0.0
0.0
0.0
0.0
0.1
Resveratrol

Antiinflammatory


0.9
0.9
0.8
0.8
0.8
0.8
1.0
Galanthamine hydrobromide
Cholinesterase inhibitor,
Alzheimer treatment










nicotinic receptor agonist


0.8
0.9
0.7
0.7
1.0
1.1
1.1
Bromperidol
Dopamine antagonist
Antipsychotic


0.8
0.9
0.6
0.8
0.8
0.9
0.9
Bicuculline (+)
GABAa receptor antagonist
Convulsant


0.9
1.0
0.9
0.8
1.0
0.9
0.9
Cyclizine hydrochloride
H1 antagonist
Antiemetic


0.9
0.9
0.7
0.7
0.8
0.9
0.9
Yohimbinic acid monohydrate




0.9
0.9
0.7
0.6
0.8
0.8
1.0
Chlorthalidone
Na+ uptake inhibitor,
Diuretic










carbonic anhydrase inhibitor


0.9
0.9
0.4
0.6
0.8
0.8
1.1
Coralyne chloride hydrate
Topoisomerase I inhibitor
Anti-leukemic


0.8
0.8
0.1
0.8
0.7
0.6
1.1
Dobutamine hydrochloride
Beta1, Beta2 agonist
Bronchodilatator


0.9
0.9
0.6
0.7
0.9
0.8
1.2
Corticosterone

Glucocorticoid


0.9
0.9
0.6
0.6
0.7
0.8
1.2
Moclobemide
Mono amine oxidase
Antidepressant










inhibitor (Type A)


0.8
0.8
0.5
0.6
0.8
0.7
1.2
Cyanocobalamin

Vitamin


0.8
0.9
0.7
0.7
0.8
0.8
1.0
Clopamide
Gonad stimuling agent
Antihypertensor


0.9
0.8
0.5
0.8
0.9
0.8
1.2
Cefadroxil
Bacterial transpeptidase
Antibacterial










inhibitor


0.9
1.2
0.8
0.7
0.8
0.8
1.1
Hycanthone
DNA intercaling agent
Anthelmintic


0.9
0.9
0.6
0.7
0.9
0.8
1.4
Cyclosporin A
IL 2 synthesis inhibitor,
Immunosuppressant










calcineurine phosphatase










inhibitor


0.8
0.8
0.6
0.6
0.7
0.8
1.2
Adenosine 5′-monophosphate
Ca++ channel block,
Nutrient









monohydrate
adenosine receptor










activation, activation of










outward K+ current


0.9
0.9
0.6
0.7
0.8
0.8
1.2
Digitoxigenin
Na+ K+ ATPase inhibitor
Cardiotonic


10.6
1.4
0.4
0.7
1.7
0.7
1.0
Amoxicillin
Bacterial transpeptidase
Antibacterial










inhibitor


0.8
0.9
0.8
0.7
0.9
0.8
1.2
Digoxin
Na+ K+ ATPase inhibitor
Cardiotonic


0.8
0.9
0.7
0.7
0.9
0.8
1.4
Cephalexin monohydrate
Bacterial transpeptidase
Antibacterial










inhibitor


1.0
1.7
0.9
0.7
1.0
0.6
1.2
Doxorubicin hydrochloride
DNA intercalant
Antibacterial


0.8
0.9
0.7
0.7
0.8
0.8
1.1
Dextromethorphan hydrobromide
Opioid ligand
Antitussive









monohydrate


0.8
0.9
0.6
0.7
0.8
0.7
1.2
Carbimazole
Iodine oxidazing inhibitor
Antityroidic hormone


0.9
1.0
0.9
0.7
1.0
0.7
1.2
Droperidol
Alpha adrenergic antagonist,
Antipsychotic










5-HT antagonist, dopamine










antagonist


0.9
1.0
0.6
0.7
0.8
0.8
1.1
Epiandrosterone

Anabolic steroid


1.0
0.9
1.1
0.8
1.0
0.9
1.1
Fluoxetine hydrochloride
5-HT uptake inhibitor
Antidepressant


1.0
0.9
0.7
0.7
0.9
0.9
1.3
Laudanosine (R,S)

Convulsant


1.0
0.9
0.7
0.7
0.9
0.8
1.1
Iohexol

Diagnostic aid


0.9
0.9
0.5
0.7
0.9
0.9
1.2
Ajmalicine hydrochloride
Alpha antagonist
Antihypertensor


6.3
0.8
0.6
0.9
1.1
1.0
1.3
Norcyclobenzaprine

Antiulcerative


0.9
0.9
0.8
0.7
0.9
0.8
1.2
Trigonelline
Antihyperglycaemic agent


0.9
0.8
0.7
0.8
0.9
0.8
1.2
Pyrazinamide

Antibacterial


0.9
0.9
0.8
0.7
0.8
0.9
1.2
Diclofenac sodium
Cyclooxygenase inhibitor
Antiinflammatory


1.0
0.9
0.7
0.7
0.9
0.8
1.4
Trimethadione
Ca++ channel blocker
Anticonvulsant










voltage dependant ?


0.9
0.8
0.6
0.7
0.8
0.8
1.2
Calycanthine
Calcium channel blocker


1.0
1.0
0.3
0.8
1.0
0.8
1.2
Lovastatin
HMG CoA reductase
Antihypercholesterolemic










inhibitor


1.1
0.9
0.6
0.7
1.0
0.8
1.3
Convolamine hydrochloride
Cholinergic ligand
Vasodilatator


1.0
0.8
0.7
0.8
0.9
0.8
1.4
Nystatine
Performs membrane
Antifungal










ionophores


0.9
0.9
0.7
0.7
0.9
0.8
1.3
Isocorydine (+)
Ganglioblocker
Hypotensor


0.9
0.9
0.6
0.7
0.9
0.9
1.4
Budesonide

Antiinflammatory


0.8
0.9
0.8
0.7
0.9
0.9
1.4
Xylazine
Alpha-2 adrenergic agonist
Antinociceptive


12.1
0.9
2.5
1.7
1.2
1.0
2.4
Imipenem
Bacterial transpeptidase
Antibacterial










inhibitor


0.9
0.9
0.8
0.7
0.8
0.8
1.2
Seneciphylline

Antitumor activity


0.8
0.9
0.8
0.7
1.1
0.8
1.1
Sulfasalazine
15-hydroxydehydrogenase
Treatment of ulcerative colitis










inhibitor


0.9
0.9
0.8
0.7
0.8
0.9
1.2
Boldine
Smooth muscle relaxant
Choleretic


1.3
1.1
1.2
0.9
1.0
1.2
1.2
Bambuterol hydrochloride
Beta2 adrenergic receptor
Bronchodilatator










agonist


1.1
0.9
0.8
0.8
0.8
1.0
1.3
Estradiol-17 beta

Estrogen


1.1
1.1
1.1
0.9
0.9
1.1
1.3
Betamethasone

Glucocorticoid


0.8
1.1
0.9
0.9
0.9
1.1
1.2
Fusaric acid
Dopamine beta hydroxylase
Antibacterial










inhibitor


1.2
1.0
1.0
0.9
1.0
1.0
1.1
Colchicine
Tubulin polymerisation
Antiinflammatory










inhibitor


1.0
1.1
1.1
0.8
1.1
1.0
1.3
Gabazine
Antagonist GABA


1.2
1.0
1.1
1.0
1.3
1.1
1.3
Metergoline
5-HT1 antagonist, D2
Antiprolactin










agonist, 5-HT2 antagonist


1.3
1.0
1.1
1.0
1.0
1.1
1.2
Ginkgolide A
Cholinergic antagonist
Alzheimer treatment


1.1
1.4
1.0
0.9
1.1
1.1
1.5
Brinzolamide
Carbonic anhydrase inhibitor
Antiglaucoma drug


1.3
1.0
1.0
0.9
1.2
1.1
1.2
Cyclobenzaprine hydrochloride

Muscle relaxant


1.0
1.0
1.0
1.0
1.2
1.2
1.5
Ambroxol hydrochloride

Expectorant


1.2
1.0
1.1
0.8
1.0
1.1
1.1
Carteolol hydrochloride

Antihypertensor


1.4
0.9
1.2
1.1
1.0
1.1
1.4
Benfluorex hydrochloride
Increase of glucose
Hypolipedimic










penetration and use by cells,










decrease of triglyceride










intestinal absorption


1.1
1.0
1.3
0.9
1.3
1.1
1.4
Hydrocortisone base

Glucocorticoid


1.3
1.1
1.6
1.0
1.5
1.2
1.4
Bepridil hydrochloride
Ca++ channel blocker
Antianginal


1.3
1.0
3.0
1.0
1.0
1.0
1.3
Hydroxytacrine maleate (R,S)
Acetylcholine esterase










inhibitor


1.0
0.9
2.0
0.8
0.9
0.9
1.2
Meloxicam
Cyclooxygenase inhibitor
Anti-inflammatory


1.0
1.1
1.3
0.9
1.0
1.0
1.5
Pilocarpine nitrate
Cholinergic
Antiglaucoma drug


1.1
1.2
0.4
0.9
1.4
1.5
1.4
Benzbromarone
Uric acid transport inhibitor
Coronarodilatator


1.2
1.0
7.1
0.9
1.5
1.4
1.2
Dicloxacillin sodium salt
Bacterial transpeptidase
Antibacterial










inhibitor


1.1
1.1
1.2
1.0
1.1
1.1
1.4
Glycocholic acid
Detergent
Anticholelithogenic


1.2
1.0
1.0
1.0
1.3
1.1
1.6
Scoulerine
Dopamine antagonist,
Antiemetic










alpha1 antagonist


1.3
1.0
0.4
1.0
1.1
0.9
1.4
Thiostrepton

Antibacterial


1.2
1.1
1.0
0.9
1.1
1.1
1.6
Ajmaline
Inhibitor of glucose uptake
Antihypertensor










by heart tissue


1.3
1.0
1.1
0.9
1.0
1.2
1.5
Methionine sulfoximine (L)
Glutamine synthetase











inhibitor


1.3
1.1
1.0
1.0
1.2
1.2
1.3
Monocrotaline

For inducing pulmonary











diseases in rats


0.6
0.5
0.6
0.4
0.5
0.6
1.3
Tiabendazole
Microtubule inhibitor
Anthelmintic


1.2
1.0
1.0
1.0
1.0
1.1
1.6
Piperlongumine

Antifungal


1.3
0.8
0.8
0.7
3.0
0.6
1.4
Rifampicin
RNA polymerase inhibitor
Antibacterial


1.2
1.0
1.0
0.9
1.3
1.2
1.4
Hydrocotarnine hydrobromide

Hemostatic


1.1
1.0
1.3
1.0
1.2
1.1
1.4
Ethionamide

Antibacterial


1.3
1.0
0.9
0.8
1.1
1.1
1.6
(−)-Cinchonidine

Antimalarial


1.3
1.0
1.2
0.9
1.0
1.1
1.6
Tenoxicam
Cyclooxygenase inhibitor
Antiinflammatory


1.2
1.1
1.0
1.0
1.1
1.3
1.4
Eburnamonine (−)

Cerebral vasodilatator


1.2
1.0
1.4
0.9
1.0
1.2
1.3
Triflusal
Cyclooxygenase inhibitor
Antithrombotic


1.2
1.1
1.6
1.0
1.1
1.1
1.5
Cinchonine
Heme polymerase inhibitor
Antimalarial


1.1
1.1
1.3
1.0
1.0
1.2
1.3
Mesoridazine besylate
D antagonist
Antipsychotic


1.2
1.1
1.6
0.9
1.1
1.1
1.4
Canavanine sulfate monohydrate
Nitric oxide inductible
Anticancer agent









(L,+)
synthetase inhibitor


1.1
1.1
1.6
1.1
1.1
1.1
1.6
Trolox

Vitamin E analog


1.1
1.0
1.4
0.9
1.0
1.0
1.3
Harmaline hydrochloride
Monoamine oxydase
Antihelminthic









dihydrate
inhibitor


1.3
1.0
1.1
0.9
1.1
1.1
1.7
Ketotifen fumarate
H1 antagonist
Antihistaminic


1.0
1.0
1.0
0.9
1.1
1.1
1.4
Alizapride HCl

Antiemetic


1.2
1.0
0.9
0.8
0.9
1.0
1.7
Debrisoquin sulfate
Catecholamine depletor
Antihypertensor


1.0
1.0
0.8
0.9
1.1
1.0
1.2
Lactobionic acid

Antithrombonic


1.1
0.9
1.0
0.8
0.9
1.1
1.3
Amethopterin (R,S)
Dehydrofolate reductase
Antineoplastic










inhibitor


1.1
1.0
0.9
1.0
1.2
1.1
1.4
Lumicolchicine gamma
Microtubule











depolymerizating agent


1.0
0.9
0.8
1.0
0.9
0.9
1.6
Methylergometrine maleate
5-HT antagonist, alpha
Oxytocic










adrenergic agonist


1.1
0.9
0.9
0.8
1.0
1.1
1.6
Lysergol
5-HT antagonist
Antipsychotic


1.4
1.0
1.3
1.3
1.5
1.1
1.8
Methiothepin maleate
5-HT autoreceptor











antagonist, 5-HT1c










antagonist, 5-HT release










inhibitor electrical or K+










induced


1.1
1.0
0.9
0.8
0.9
1.1
1.5
Mebhydroline 1,5-
H1 antagonist
Antihistaminic









naphtalenedisulfonate


1.2
1.0
4.6
1.1
5.0
1.0
1.8
Clofazimine

Antileprosy


0.8
1.0
4.3
0.3
3.2
0.5
2.1
Meclocycline sulfosalicylate
Ribosomal protein synthesis
Antibacterial










inhibitor


1.0
1.0
0.9
1.0
1.0
1.1
1.4
Nafronyl oxalate
Phosphodiesterase inhibitor
Vasodilatator










?, 5-HT antagonist,










bradykinine antagonist


1.2
1.2
2.1
0.9
1.9
1.2
1.4
Meclozine dihydrochloride
Histamine antagonist
Antiemetic


0.9
0.8
1.1
0.7
0.8
1.0
1.5
Bezafibrate
Lipoprotein lipase activator
Antihyperlipoproteinemic


0.9
1.0
1.3
0.8
1.2
1.1
1.4
Melatonin
Melatonin receptor ligand
Immunostimulant


1.0
1.0
1.4
0.9
0.9
1.1
1.5
Mimosine
Cell cycle blocker, apoptosis
Anticancer agent










inducer


1.0
1.1
1.4
1.0
1.0
1.2
1.5
Menadione

Vitamin K3


1.0
1.1
1.2
1.0
1.0
0.9
1.6
Clebopride maleate

Spasmolytic


1.0
1.0
1.4
1.0
1.2
1.0
1.1
Dinoprost trometamol
Protaglandin agonist
Smooth muscle activator


1.1
1.1
1.1
1.0
1.2
1.2
1.5
Pirenperone
5-HT2 antagonist


1.2
1.0
0.8
0.8
1.1
1.2
1.6
Harmalol hydrochloride dihydrate

Vasorelaxant


1.3
0.9
1.0
1.0
1.0
1.2
1.5
Isoquinoline, 6,7-dimethoxy-1-











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









hydrochloride


1.4
1.0
0.9
0.9
1.1
1.1
1.6
Harmol hydrochloride
Liver conjugation probe
Anxiolytic









monohydrate


1.2
0.9
0.8
0.9
1.1
0.9
1.4
Phenacetin
Cyclooxygenase inhibitor
Analgesic


1.1
1.1
0.9
0.7
1.0
1.2
1.5
Harmine hydrochloride
Topoisomerase II inhibitor
Antibacterial


1.1
1.0
1.2
0.8
1.2
1.0
1.4
Atovaquone

Antipneumocystic


1.3
1.3
0.8
1.0
4.1
1.2
1.8
Ellipticine
Intercaling agent
Anticancer


1.1
1.0
0.9
1.0
1.0
1.2
1.4
Methoxamine hydrochloride
Alpha adrenergic agonist
Antihypotensive


1.1
0.9
0.1
0.8
0.8
1.0
1.4
Chrysene-1,4-quinone




1.2
1.0
1.2
0.9
1.1
1.1
1.7
(S)-(−)-Atenolol
Blokage of the action of
Antihypertensor










adrenergic mediators on










beta receptors


1.4
1.0
0.8
1.0
1.1
1.3
2.0
Demecarium bromide

Cholinergic (ophtalmic)


1.1
0.9
1.0
1.0
0.9
1.1
1.4
Piracetam

Nootropic drug


1.1
1.0
1.0
0.8
1.0
1.2
1.3
Quipazine dimaleate salt
5-HT agonist, 5-HT3 ligand


1.2
0.9
1.1
1.1
1.1
0.9
1.3
Phenindione
Antivitamin K
Anticoagulant


1.3
1.0
1.1
1.0
1.0
1.0
1.7
Sparteine (−)
Ganglioplegic
Antiarrhythmic


1.0
1.1
1.2
0.8
0.9
1.0
1.7
Thiocolchicoside
GABA agonist ?
Muscle relaxant


1.1
1.1
1.1
1.0
0.9
1.0
1.4
Diflorasone Diacetate

Anti-inflammatory (topical)


1.0
1.4
1.5
1.0
1.0
1.1
1.7
Clorsulon

Anthelmintic


1.1
1.0
1.3
0.6
1.0
0.9
1.4
Harmane hydrochloride
Imidazoline receptors ligand
Vasorelaxant


1.4
1.0
1.4
1.1
2.9
1.3
1.4
Lidoflazine
Ca++ channel activator
Coronary vasodilatator


1.1
1.0
0.9
0.8
1.3
1.1
1.3
Tropisetron HCl
5 HT3 antagonist
Antiemetic


1.2
0.9
0.9
1.0
1.4
1.1
1.6
Betaxolol hydrochloride
Beta adrenergic antagonist
Antihypertensor


18.6
1.1
1.2
4.6
1.8
11.7
21.9
Cefixime

Antibacterial


1.2
1.1
0.6
1.0
1.3
1.1
1.4
Nicardipine hydrochloride
Ca2+ channel antagonist
Antihypertensor


1.2
1.0
1.2
1.0
1.3
1.2
1.3
Metrizamide

Contrasting product


1.1
0.9
0.6
0.9
1.4
1.1
1.3
Probucol

Antihyperlipoproteinemic


1.1
1.0
1.0
1.0
1.5
1.1
1.4
Muramic acid, N-acetyl
Constituent of bacterial










peptidoglycan


1.5
0.8
0.7
1.0
1.5
0.9
1.2
Mitoxantrone dihydrochloride
DNA topoisomerase II
Antineoplastic










inhibitor


0.9
0.8
0.5
0.9
0.8
0.9
1.2
Myricetin
Neutral endopeptidase











inhibitor


1.4
1.3
1.5
1.0
2.2
1.2
1.5
GBR 12909 dihydrochloride
Dopamine reuptake inhibitor
Antidepressant


1.1
0.9
0.5
0.9
1.2
1.0
1.5
Naringenine

Antiestrogenic


1.4
1.0
1.1
1.0
1.4
1.2
1.4
Carbetapentane citrate
Sigma1 receptor ligand
Antitussive


1.3
1.0
1.2
0.9
1.2
1.3
1.2
Naringin hydrate

Anti-oxidant


3.0
1.1
1.2
1.6
3.2
2.3
1.8
Dequalinium dichloride
Blocker of the apamin-
Antibacterial










sensitive small conductance










Ca2+ activated K+ channel,










detergent


1.3
1.0
1.2
1.0
1.3
1.1
1.2
Neostigmine bromide
Cholinesterase inhibitor
Spinal analgesic


1.3
0.9
1.2
1.2
1.5
1.1
1.5
Ketoconazole
Cytochrome P450c17
Antifungal










inhibitor, sterol 14-










demethylase inhibitor


13.2
1.0
1.8
6.0
1.4
1.2
6.1
Niridazole
Helminthic DNA damage
Anthelmintic


1.1
1.1
4.2
1.1
1.3
1.1
1.4
Fusidic acid sodium salt
Protein synthesis inhibitor
Antibacterial










GTPase coupled


12.2
1.0
1.8
3.1
1.8
1.2
1.9
Ceforanide

Antibacterial


1.1
1.6
0.7
0.9
1.2
1.0
1.2
Ciclopirox ethanolamine
Cell membrane proteins
Antifungal










synthesis inhibitor


1.4
1.0
0.8
1.0
1.3
1.2
1.4
Methoxy-6-harmalan
Benzodiazepine receptor
Psoriasis treatment










ligand


1.4
1.0
1.0
1.1
1.3
1.2
1.4
Probenecid
Uric acid uptake inhibitor
Uricosuric


1.4
1.0
1.0
1.1
1.4
1.2
1.5
Stachydrine hydrochloride
Potent inhibitor of










tyrosinase


1.4
0.9
0.9
1.1
1.2
1.1
1.3
Betahistine mesylate
H1 agonist, H3 antagonist
Vasodilatator


1.4
1.0
1.3
1.1
1.4
1.2
1.7
Pyridoxine hydrochloride

Vitamin


7.5
0.9
1.1
2.0
5.7
17.1
1.5
Tobramycin
Ribosomal protein synthesis
Antibacterial










inhibitor


1.3
1.0
1.0
1.2
1.4
1.2
1.5
Cytisine (−)
Partial nicotinic receptor
Antiinflammatory










antagonist


1.3
1.0
1.1
1.1
1.4
1.2
1.4
Tetramisole hydrochloride
Alkaline phosphatase
Antihelminthic










inhibitor


1.4
0.9
1.0
1.2
1.2
1.1
1.5
Pseudopelletierine hydrochloride




1.4
1.1
1.1
1.1
1.3
1.1
1.5
Pregnenolone

Estrogen


1.2
1.0
1.9
1.1
1.3
1.2
1.5
Racecadotril
Enkephalinase inhibitor
Antidiarrhoeic


1.4
0.9
0.9
1.0
1.2
1.1
1.5
Molsidomine
NO° production ?
Vasodilatator


1.3
1.1
1.0
1.0
1.3
1.1
1.3
Folic acid

Vitamin Bc or M


1.2
0.9
1.1
1.1
1.3
1.1
1.6
Chloroquine diphosphate
Heme polymerase inhibitor
Antipaludic


1.2
1.0
1.1
1.2
1.2
1.1
1.5
Salsolinol hydrobromide
Dopamine analog



1.4
1.0
1.2
1.1
1.2
1.1
1.7
Trimetazidine dihydrochloride

Antianoxic


1.2
1.0
1.3
1.0
1.3
1.1
1.5
Gramine
Cholinesterase inhibitor
Antibacterial


1.5
1.0
1.3
1.1
1.3
1.2
1.4
Parthenolide
MAP kinase inhibitor
Antiinflammatory


1.3
1.0
1.3
1.2
1.5
1.2
1.5
Dimethisoquin hydrochloride

Local anesthesic


1.2
1.0
1.1
1.3
1.1
1.1
1.4
Terbutaline hemisulfate
Beta-2 adrenergic agonist
Bronchodilatator


1.2
1.0
1.1
0.9
1.2
1.1
1.7
Strophantine octahydrate
Na+ K+ ion dependant
Cardiotonic










ATPase inhibitor


1.3
1.0
1.0
1.0
1.2
1.0
1.4
Ketanserin tartrate hydrate
5-HT1, 5-HT2, 5-HT2A
Antihypertensor










antagonist


1.1
1.1
1.1
1.0
1.1
1.0
1.4
Pantothenic acid calcium salt

Nutritional factor









monohydrate


1.1
0.9
1.0
1.0
1.2
0.9
2.0
Hemicholinium bromide
Acetylcholine stores











depleter, acetylcholine










uptake inhibitor


22.1
1.2
2.5
8.4
2.0
1.2
25.3
Cefotetan

Antibacterial


1.2
0.9
2.5
1.0
1.1
1.0
1.9
Kanamycin A sulfate
Ribosomal protein synthesis
Antibacterial










inhibitor


0.4
0.3
0.2
0.3
0.4
0.4
1.6
Piperine
Enzyme inhibitor
Antidiarrhoeic


22.1
1.0
1.3
6.2
7.6
14.2
4.9
Amikacin hydrate
Ribosomal protein synthesis
Antibacterial










inhibitor


1.4
1.0
1.1
1.1
1.2
1.1
2.0
Brompheniramine maleate
H1 Antagonist,
Antihistaminic










anticholinergic


1.2
1.1
1.4
1.0
1.2
1.0
1.4
Etoposide
Topoisomerase II inhibitor,
Antineoplastic










kinase inhibitor


1.2
0.9
2.1
1.0
1.1
1.0
1.4
Primaquine diphosphate
Heme polymerase inhibitor
Antimalarial


1.8
4.4
2.0
1.6
5.4
1.4
1.9
Clomiphene citrate (Z,E)
Antioestrogen, gonad-
Ovulation inductor










stimulating agent


1.0
1.1
1.1
1.1
1.1
1.0
1.7
Progesterone

Progestogen


1.1
1.0
1.3
1.0
1.1
1.0
1.8
Oxantel pamoate
Fumarate reductase
Anthelmintic










inhibitor, neuromuscular










depolarizing agent


1.2
1.3
2.5
1.0
3.0
1.0
1.7
Felodipine
L-type Ca2+ channels blocker
Antihypertensor


1.2
1.1
1.1
1.2
1.6
1.2
2.0
Prochlorperazine dimaleate
Dopamine antagonist
Antiemetic


1.1
1.1
1.0
0.9
1.0
1.0
1.5
Methoxy-8-psoralen
Apoptosis inducer with UV
Psoriasis treatment


1.1
1.1
1.3
1.0
1.2
1.0
1.4
Hesperidin

Anticancer


1.1
1.1
1.1
1.1
1.6
1.0
1.4
Puromycin dihydrochloride
Antimetabolite
Antiprotozoal


1.5
1.1
1.2
1.4
3.0
1.1
1.6
Hexetidine
Detergent
Antifungal


1.4
1.0
1.1
1.4
1.3
1.3
1.3
Thiamine hydrochloride

Vitamin


1.3
1.0
1.1
1.2
1.1
1.2
1.6
Selegiline hydrochloride
Monoamine B oxydase
Antiparkinsonian










inhibitor


1.4
1.0
1.2
1.3
1.4
1.3
1.6
Dipivefrin hydrochloride

Antiglaucoma drug


1.4
1.4
1.9
1.2
1.2
1.2
1.4
Pentamidine isethionate

Antiparasitic


1.2
1.0
1.3
1.3
1.2
1.2
1.5
Thiorphan
Neutral endopeptidase
Antinociceptive










inhibitor


1.5
1.0
1.0
1.4
1.2
1.4
1.6
Tolazamide
ATP-sensitive K+ ion
Antidiabetic










channels blocker


1.1
1.0
0.9
1.6
1.2
1.2
1.5
Riboflavine

Vitamin


1.2
1.0
0.7
1.8
1.1
1.2
1.5
Nifuroxazide
Bacterial DNA damage
Antibacterial


1.2
1.1
1.0
1.3
1.2
1.2
1.6
Hydroquinine hydrobromide

Preventor of muscular cramp









hydrate


1.2
1.1
1.1
1.5
1.2
1.2
1.3
Mycophenolic acid
Inosine monophosphate
Antineoplastic










dehydrogenase inhibitor


1.3
1.0
1.0
1.2
1.2
1.2
1.6
Epivincamine

Antiaggregant


1.1
1.2
2.1
1.2
1.8
0.9
1.5
Dirithromycin
Ribosomal protein synthesis
Antibacterial










inhibitor


1.3
1.0
1.2
1.2
1.2
1.2
1.5
Retrorsine

Antineoplastic


1.2
1.0
1.0
1.2
1.3
1.2
1.8
Gliclazide
K+ channel voltage
Antidiabetic










dependant inhibitor


1.5
1.1
1.2
1.2
1.4
1.2
1.6
Conessine

Antiamebic


1.4
1.0
1.1
1.3
1.2
1.3
1.7
DO 897/99
D3 antagonist



1.1
1.0
1.2
1.2
1.2
1.1
1.3
Protoveratrine A
Acetylcholinesterase release
Antihypertensor










stimulant


1.6
1.2
1.6
1.3
1.9
1.3
1.6
Prenylamine lactate
Ca++ channel activator
Vasodilatator


1.2
1.0
1.2
1.2
1.3
1.2
1.7
Solanine alpha
Butyrylcholinesterase
Antifungal










inhibitor


0.3
0.9
0.4
0.5
0.3
0.3
0.3
Sulmazole
Phosphodiesterase III
Cardiotonic










inhibitor


0.4
1.0
0.4
0.4
0.4
0.4
0.3
Althiazide
Na+ Cl− transport inhibitor
Diuretic


0.4
0.9
0.3
0.4
0.3
0.3
0.3
Epicatechin-(−)

Antidiarrhoeic


0.4
0.8
0.4
0.4
0.3
0.4
0.3
Isopyrin hydrochloride
Cyclooxygenase inhibitor
Antipyretic


0.5
0.9
0.4
0.5
0.4
0.3
0.3
Flunisolide

Glucocorticoid


0.5
1.0
0.6
0.5
0.8
0.4
0.3
Phenethicillin potassium salt
Bacterial transpeptidase
Antibacterial










inhibitor


0.5
0.8
0.4
0.4
0.4
0.3
0.7
N-Acetyl-DL-homocysteine
Disulfure bridge breaker
Expectorant









Thiolactone


0.5
0.9
0.4
0.5
0.7
0.3
0.3
Sulfamethoxypyridazine
Inhibitor of folic acid
Antibacterial










synthesis


0.5
0.8
0.4
0.5
0.5
0.4
0.3
Flurandrenolide

Glucocorticoid


0.4
0.9
0.4
0.5
0.4
0.4
0.4
Deferoxamine mesylate
Iron chelating agent


0.5
0.9
0.4
0.5
0.4
0.4
0.4
Helveticoside
Inhibitor of membrane ATP
Cardiotonic


0.5
0.8
0.4
0.5
0.4
0.4
0.4
Mephentermine hemisulfate
Alpha-adrenergic receptor
Antihypotensive










agonist


0.5
0.9
0.4
0.5
0.5
0.4
0.4
Myosmine
Cholinergic



0.4
0.7
0.2
0.5
0.5
0.4
0.4
Ergocryptine-alpha

Vasoconstrictor


0.4
0.9
0.4
0.6
0.4
0.4
0.4
Betonicine




0.6
0.9
0.5
0.5
0.9
0.4
0.4
Sulfadimethoxine
Inhibitor of folic acid
Antibacterial










biosynthesis


0.5
0.8
0.4
0.5
0.5
0.4
0.4
Etanidazole
DNA damage
Antineoplastic adjunct











(radiosensitizer)


0.5
0.9
0.4
0.6
1.5
0.5
0.4
Sulfanilamide
Inhibitor of folic acid
Antibacterial










biosynthesis


0.5
0.8
0.5
0.5
0.5
0.5
0.4
Butirosin disulfate salt
Ribosomal protein synthesis
Antibacterial










inhibitor


0.5
0.9
0.4
0.7
0.5
0.5
0.4
Balsalazide Sodium

Anti-inflammatory


0.7
0.8
0.6
0.6
0.7
0.6
0.7
Carbinoxamine maleate salt
Histamine antagonist
Antihistaminic


0.7
0.9
0.6
0.5
0.6
0.6
0.7
Niacin

Antihyperlipoproteine-mic


0.5
1.5
0.6
0.5
0.5
0.6
0.7
Methazolamide
Anhydrase carbonic inhibitor
Diuretic


0.6
0.9
0.7
0.6
0.7
0.6
0.6
Bemegride

Respiratory stimulant


0.7
0.8
0.6
0.6
0.5
0.6
0.7
Pyrithyldione

Sedative


0.7
0.8
0.6
0.6
0.6
0.5
0.7
Digoxigenin
Mainly used as a non-
Diagnosis










isotopic label for DNA


0.6
1.0
0.6
0.2
0.5
0.5
0.6
Spectinomycin dihydrochloride
Ribosomal protein synthesis
Antibacterial










inhibitor


0.5
0.8
0.5
0.7
0.5
0.5
0.6
Meglumine

Expectorant


0.6
0.9
0.7
0.6
0.5
0.5
0.6
Piromidic acid
Topoisomerase II inhibitor
Antibacterial


0.6
0.8
0.5
0.6
0.5
0.5
0.6
Cantharidin

Aphrodisiac


0.6
0.9
0.5
0.6
0.6
0.6
0.6
Trimipramine maleate salt
noradrednaline and 5-HT










uptake inhibitor, alpha










antagonist, anticholinergic,










Dopamine and Histamine










antagonist


0.5
0.9
0.2
0.6
1.1
0.4
0.5
Clioquinol

Anti-infective


0.7
0.9
0.5
0.6
0.6
0.5
0.6
Chloropyramine hydrochloride
H1 antagonist
Antihistaminic


0.5
0.7
0.4
0.4
0.4
0.5
0.6
Oxybenzone

Ultraviolet screen


0.8
0.9
0.8
3.2
0.4
0.6
0.6
Furazolidone
Monoamine oxidase
Antiinfective










inhibitor and protozoal DNA










damage


0.6
0.8
0.5
0.5
0.6
0.6
0.5
Promethazine hydrochloride

Antihistaminic


0.6
1.1
0.5
0.5
0.5
0.5
0.5
Dichlorphenamide
Carbonic anhydrase inhibitor


0.2
0.3
0.2
0.2
0.2
0.1
0.6
Chrysin
5-lipoxygenase inhibitor
Antifungal


0.8
3.5
0.7
0.9
2.6
0.5
0.6
Sulconazole nitrate
Ergosterol synthesis
Antifungal










inhibition


0.5
0.9
0.5
0.5
0.6
0.5
0.5
Proxyphylline

Vasodilator


0.5
1.4
0.5
0.7
0.7
0.7
0.9
Glimepiride

Antidiabetic


0.6
0.9
0.7
0.6
1.0
0.6
0.8
Sulfaquinoxaline sodium salt
Inhibitor of folic acid
Antibacterial










synthesis


0.6
1.0
0.6
0.6
0.7
0.6
0.7
Picrotoxinin
GABA channel blocker
Analeptic


0.7
2.6
1.2
1.4
0.7
0.7
0.7
Streptozotocin

Antineoplastic


0.6
1.0
0.6
0.6
0.7
0.6
0.7
Mepenzolate bromide
Anticholinergic and










muscarinic antagonist


0.6
0.9
0.6
0.5
0.7
0.7
7.0
Metoprolol-(+,−) (+)-tartrate salt
Beta adrenergic antagonist


0.7
0.9
0.5
0.6
0.7
0.6
0.8
Benfotiamine

Vitamin


0.6
0.9
0.6
0.6
0.7
0.7
0.8
Flumethasone

Antiinflammatory


0.6
0.9
0.6
0.5
0.7
0.7
0.8
Halcinonide

Antiinflammatory


0.6
0.9
0.7
0.6
0.8
0.6
0.7
Flecainide acetate

Antiarrhythmic


0.6
0.9
0.7
0.6
0.8
0.6
1.0
Lanatoside C
Na+ K+ ATPase inhibitor
Cardiotonic


16.5
0.9
3.1
3.6
0.5
0.7
0.9
Cefazolin sodium salt
Bacterial transpeptidase
Antibacterial










inhibitor


0.6
1.1
0.7
0.6
0.6
0.6
0.7
Benzamil hydrochloride
Na+ channel blocker and










blocker of Na+/Ca++










exchanger


0.7
0.9
0.7
0.6
0.8
0.6
0.8
Atractyloside potassium salt
Nucleotide transport
Anticancer










inhibitor


0.6
0.9
0.6
0.6
0.8
0.6
0.8
Suxibuzone

Antiinflammatory


0.7
1.0
0.7
0.6
0.7
0.6
0.7
Folinic acid calcium salt

Antianemic


0.7
0.9
0.6
0.5
0.7
0.7
0.9
6-Furfurylaminopurine

Plant growth accelerator


0.7
1.0
0.6
0.8
0.8
0.7
0.7
Levonordefrin
Adrenergic receptor agonist
Vasoconstrictor


0.8
1.2
1.7
0.6
0.8
0.6
0.9
Avermectin B1
Ligand GABA receptors
Antihelmetic


0.6
0.9
0.5
0.6
0.7
0.6
0.7
Ebselen
Cyclooxygenase inhibitor
Antiinflammatory


0.7
0.9
0.9
0.8
0.9
0.8
1.1
Bergenin monohydrate

Antiarrhythmic


0.7
0.9
0.6
0.6
0.8
0.8
1.1
3-Acetylcoumarin


0.7
0.9
0.7
0.7
0.9
0.8
1.0
Cromolyn disodium salt

Antiasthmatic


0.7
0.9
0.7
0.6
0.8
0.8
0.9
Esculin Hydrate

Skin protectant


0.7
0.9
0.7
0.6
0.8
0.8
0.9
Bucladesine sodium salt
Adenylate cyclase modulator
Cardiotonic


0.7
0.9
0.6
0.6
0.8
0.7
1.0
Felbinac

Analgesic


0.9
0.9
1.0
0.7
1.1
8.6
0.9
Cefsulodin sodium salt
Bacterial transpeptidase
Antibacterial










inhibitor


0.5
0.5
0.7
0.4
0.6
0.6
1.0
Butylparaben

Antifungal


0.7
0.9
0.7
0.6
0.8
0.7
0.8
Fosfosal
Cyclooxygenase inhibitor
Analgesic


0.7
0.9
0.6
0.6
0.7
0.7
0.8
Aminohippuric acid

Diagnostic aid (renal function)


0.7
0.9
0.6
0.7
0.8
0.7
0.9
Suprofen
Cyclooxygenase inhibitor
Analgesic


0.7
0.9
0.7
0.6
0.7
0.7
0.9
N-Acetyl-L-leucine

Vertigo


0.7
0.9
0.7
0.6
0.7
0.6
1.0
Catechin-(+,−) hydrate

Antidiarrhoeic


14.7
1.1
0.7
1.7
0.9
0.9
1.0
Pipemidic acid

Antibacterial


0.8
0.9
0.7
0.6
0.7
0.6
0.8
Nadolol
Adrenergic beta antagonist
Antihypertensor


0.8
0.8
0.5
0.7
0.6
0.7
1.0
Dioxybenzone

Ultraviolet screen


18.1
1.3
4.4
3.9
0.6
0.6
0.8
Moxalactam disodium salt
Bacterial transpeptidase
Antibacterial










inhibitor


0.7
0.9
0.6
0.6
0.8
0.6
1.2
Adrenosterone

Androgenic activity


0.6
0.9
0.6
0.6
0.7
0.8
0.8
Aminophylline
Mastocytes degranulation
Vasodilatator










inhibitor and










benzodiazepines antagonist


0.7
1.0
0.6
0.6
0.7
0.7
0.8
Methylatropine nitrate

Mydriatic


0.8
1.0
0.7
0.8
0.7
0.8
0.8
Vitexin

Antiviral


0.9
0.9
0.6
0.7
0.8
0.8
0.9
Nadide
Coenzyme nicotinamide











adenine dinucleotide


0.9
0.9
0.7
0.7
0.7
0.9
0.9
Gelsemine

Tumour inhibitor


1.0
0.9
0.7
0.7
1.4
0.8
0.9
Sulfamethizole
Inhibitor of folic acid
Antibacterial










synthesis


1.0
0.9
0.6
0.7
0.7
1.0
0.9
Solasodine

Cytotoxic


0.7
1.0
0.6
0.7
0.7
0.8
1.0
Medrysone

Glucocorticoid


0.8
0.9
0.7
0.7
0.9
0.9
1.2
Delcorine
Nicotinic ligand
Antiarrhythmic


0.6
0.6
0.5
0.5
0.5
0.6
1.0
Flunixin meglumine

Analgesic


0.7
0.8
0.6
0.7
0.7
0.8
1.1
Evoxine
Glycine receptor antagonist
Sedative


0.9
1.0
6.6
0.8
0.9
0.7
1.2
Spiramycin
Ribosomal protein synthesis
Antibacterial










inhibitor


0.9
0.9
0.4
0.7
1.4
0.8
1.0
Nisoldipine

Antihypertensive


0.9
0.9
0.7
0.8
0.8
0.9
1.1
Glycopyrrolate

Antispasmodic


0.9
0.9
0.7
0.8
0.8
0.8
1.0
Foliosidine

Anticonvulsant


10.5
0.9
1.3
2.3
0.6
0.7
0.9
Cefamandole sodium salt
Bacterial transpeptidase
Antibacterial










inhibitor


0.6
0.6
0.6
0.5
0.5
0.6
1.1
Skimmianine
5-HT ligand
Sedative


0.9
1.1
0.7
0.6
0.7
0.9
1.1
Monensin sodium salt
Performs membrane
Antibacterial










ionophores


1.0
0.9
0.6
0.8
0.8
0.9
1.0
Anabasine

Insecticide


0.9
0.9
0.6
1.4
0.8
0.6
0.9
Isoetharine mesylate salt
Beta adrenergic agonist
Bronchodilator


0.9
1.0
0.9
0.9
0.9
0.9
1.1
Tetrandrine

Analgesic


1.0
1.0
0.9
0.8
0.9
0.8
0.9
Mevalonic-D, L acid lactone
HMG CoA substrate



12.3
0.9
0.4
0.7
2.1
9.7
1.0
Azlocillin sodium salt
Bacterial transpeptidase
Antibacterial










inhibitor


0.9
1.0
1.0
0.7
0.8
1.0
1.1
Hymecromone

Antispasmodic


1.0
0.9
0.9
0.8
1.1
1.1
1.3
Clidinium bromide
Anticholinergic
Spasmolytic


1.0
0.9
0.8
0.8
0.8
0.9
1.0
Caffeic acid

Antineoplastic


0.9
0.9
0.7
0.8
1.6
1.0
1.1
Sulfamonomethoxine
Inhibitor of folic acid
Antiseptic










synthesis


1.0
0.8
0.7
0.7
0.9
1.0
1.2
Diloxanide furoate

Antiamebic


0.9
1.4
0.8
0.8
0.9
0.9
1.1
Benzthiazide
Na+ Cl− transport inhibitor
Diuretic


0.9
0.8
0.8
0.7
1.0
1.0
1.2
Metyrapone

Diagnostic aid (pituitary











function)


0.8
1.4
1.3
0.8
1.0
0.8
1.2
Trichlormethiazide
Na+ Cl− transport inhibitor
Diuretic


1.0
0.9
0.9
0.7
1.0
1.0
1.1
Urapidil hydrochloride

Antihypertensor


0.9
0.8
0.8
0.7
0.8
0.9
1.2
Oxalamine citrate salt

Antiinflammatory


1.3
1.3
1.4
1.1
6.6
0.8
1.0
Fluspirilen

Antipsychotic


0.9
0.8
0.8
0.8
1.0
0.9
1.3
Propantheline bromide
Muscarinic antagonist
Antiulcerative


0.9
0.9
0.8
0.7
0.8
0.9
1.3
S-(+)-ibuprofen

Analgesic


1.0
0.9
3.7
0.7
2.6
0.7
1.0
Lasalocid sodium salt
Membrane ionophores
Antibacterial










producer


0.8
0.9
0.5
0.7
0.9
0.9
1.1
Ethynodiol diacetate

Progestogen


0.9
0.9
0.7
0.8
0.8
0.8
1.0
Dimethadione

Anticonvulsant


0.5
0.4
0.4
0.5
0.4
0.6
1.0
Nabumetone

Analgesic


0.9
1.0
0.5
0.7
0.9
0.9
1.0
Ethaverine hydrochloride

Antispasmodic


0.9
1.0
0.7
0.7
0.8
0.9
0.9
Nisoxetine hydrochloride
Inhibitor of noradrenaline


0.9
1.0
0.7
0.8
0.8
0.9
1.2
Dydrogesterone

Progestogen


0.8
0.8
0.8
0.7
0.7
0.6
1.2
Terazosin hydrochloride
Alpha adrenergic antagonist
Treatment of benign prostatic











hyperplasia


0.8
0.9
0.7
0.7
0.9
0.8
1.3
(d,l)-Tetrahydroberberine

Sedative


0.1
0.1
0.3
0.1
0.1
0.1
1.4
Phenazopyridine hydrochloride

Analgesic


0.9
0.9
0.8
0.7
0.8
0.8
1.1
Deltaline
Nicotinic receptor ligand
Antiarrhythmic


0.5
0.9
7.1
0.2
3.4
0.4
1.3
Demeclocycline hydrochloride
Ribosomal protein synthesis
Antibacterial










inhibitor


0.8
0.8
0.7
0.6
0.8
0.8
1.2
Graveoline
topoisomerase II inhibitor?
Antihypotensive










and CNS stimulant


0.8
0.9
0.8
0.7
0.8
0.8
1.4
Fenoprofen calcium salt dihydrate
Cyclooxygenase inhibitor
Antiinflammatory


0.9
0.9
0.7
0.6
0.8
0.9
1.4
Hippeastrine hydrobromide

Hypotensor


12.6
0.9
0.4
2.3
3.3
8.7
1.3
Piperacillin sodium salt
Bacterial transpeptidase
Antibacterial










inhibitor


0.9
0.9
0.8
0.7
0.8
0.7
1.4
Beta-Escin

Peripheral vascular disorders


0.9
1.1
0.6
0.7
1.8
0.8
1.4
Diethylstilbestrol

Estrogen


0.6
1.3
0.2
0.3
0.4
0.5
1.5
Gossypol
Ca2+ uptake inhibitor
Local contraceptive


0.9
1.0
0.8
0.8
0.8
0.8
1.4
Chlorotrianisene
Nuclear receptor ligand
Non-steroidal estrogen


0.8
0.9
0.9
0.8
0.8
0.7
1.3
Ricinine


0.9
0.9
0.8
0.7
0.8
0.8
1.2
Ribostamycin sulfate salt
Ribosomal protein synthesis
Antibacterial










inhibitor


0.9
0.9
0.8
0.7
0.9
0.8
1.3
Delsoline
Nicotinic receptor antagonist










and Ganglioblocker


0.9
0.9
0.7
0.7
0.8
0.9
1.3
Methacholine chloride
Cholinergic agonist


0.9
0.9
0.8
0.7
0.9
0.8
1.4
Fluorocurarine chloride

Muscle relaxant


0.9
0.9
0.8
0.7
0.7
0.8
0.9
Pipenzolate bromide
Nicotinic receptor antagonist
Spasmolytic


0.9
0.9
0.8
0.8
0.9
1.0
1.4
Butacaine
Na+ channel blocker
Local anesthesic


0.9
0.9
0.8
1.0
0.8
0.8
1.4
(+)-Isoproterenol (+)-bitartrate

Sympathomimetic (VET)









salt


20.1
1.0
3.4
3.2
1.3
0.8
1.2
Cefoxitin sodium salt
Bacterial transpeptidase
Antibacterial










inhibitor


0.7
0.6
0.6
0.5
0.5
0.7
1.4
Monobenzone

Depigmentor


9.0
0.8
0.8
0.7
0.8
0.9
1.4
Ifosfamide

Antineoplastic


1.1
0.9
0.8
0.7
0.9
0.9
1.4
2-Aminobenzenesulfonamide
Ligand and potent inhibitor










of carbonic anhydrase B


3.2
1.5
4.5
0.7
1.1
1.0
1.6
Novobiocin sodium salt
DNA topoisomerase IV
Antibacterial










inhibitor


0.8
0.8
0.7
0.7
0.8
0.8
1.4
Estrone

Estrogen


0.9
0.9
0.8
0.8
1.1
0.9
1.3
Tetrahydroxy-1,4-quinone

Keratolytic









monohydrate


0.9
1.0
0.3
0.7
0.8
0.9
1.3
Lorglumide sodium salt
CCKa ligand


0.2
0.1
0.2
0.1
0.2
0.2
1.5
Indoprofen
Cyclooxygenase inhibitor
Analgesic


0.8
0.9
0.4
0.8
0.9
0.9
1.4
Nitrendipine

Antihypertensor


0.8
0.9
1.6
0.7
1.1
0.9
1.4
Carbenoxolone disodium salt
Mucus stimulating synthesis
Antiulcerative


0.8
0.9
0.6
0.7
0.9
0.8
1.6
Flurbiprofen

Anti-inflammatory


0.9
0.9
0.8
0.8
0.8
0.9
1.4
locetamic acid

Diagnostic aid (radiopaque











medium)


0.9
1.0
0.7
0.7
1.0
0.9
1.4
Nimodipine

Vasodilator


0.9
0.9
0.9
0.7
0.8
0.9
1.4
Ganciclovir
Antimetabolite
Antiviral


1.0
1.3
0.4
0.8
1.1
0.8
1.2
Bacitracin

Antibacterial


0.9
0.9
0.7
0.8
1.0
1.0
1.3
Ethopropazine hydrochloride
Anticholinergic
Antiparkinsonian


0.8
0.9
0.8
0.7
0.8
0.8
1.2
L(−)-vesamicol hydrochloride
Potent inhibitor of vesicular










acetylcholine storage


1.2
1.1
1.2
1.0
1.0
1.1
1.3
Austricine hydrate

Antiatherosclerotic


0.8
0.8
1.1
0.6
0.7
0.9
1.7
Butamben
Na+ channel blocker
Anesthetic


1.2
1.0
1.3
0.9
1.0
1.2
1.3
beta-Belladonnine
Muscarinic receptor and









dichloroethylate
nicotinic receptor lignad


1.2
1.0
1.4
0.9
2.2
1.1
1.6
Sulfapyridine

Antibacterial


1.1
1.0
1.1
1.0
1.1
1.1
1.5
Pempidine tartrate
Nicotinic acetylcholine
Antihypertensor










receptor antagonist


1.2
1.0
1.2
1.0
1.0
1.1
1.4
Meclofenoxate hydrochloride
Acetylcholine precursor
Cerebral stimulant


1.2
1.0
1.4
1.0
1.0
1.0
1.7
Heliotrine
Model for hepatitis and










cirrhosis in liver


0.9
1.1
0.7
2.6
1.0
1.1
1.7
Furaltadone hydrochloride
Bacterial DNA damage
Antibacterial


1.2
1.0
1.3
1.1
1.0
1.1
1.4
Nitrarine dihydrochloride

Hypotensor


1.1
0.9
1.1
0.9
0.9
1.1
1.4
Ethoxyquin

Antifungal


1.0
1.0
1.4
0.8
1.0
1.1
1.5
Lycorine hydrochloride
Inhibitor of protein
Antitumoral










translation


1.2
0.9
1.2
0.8
1.0
1.1
1.5
Tinidazole
Protozoal and bacterial DNA
Antiprotozoal










damage


1.0
1.0
1.2
0.9
1.0
1.1
1.3
Karakoline
Inhibitor of ACE
Hypotensor


1.3
1.0
1.2
0.7
1.0
1.1
1.4
Guanadrel sulfate

Antihypertensor


1.1
1.0
1.1
1.0
1.0
1.1
1.3
Estropipate

Menopause


1.1
1.1
1.5
0.7
1.0
1.0
1.8
Vidarabine
Adenosine antimetabolite
Antiviral


1.3
1.0
1.2
1.0
1.1
1.1
1.4
Ungerine nitrate
Enhancer of analgesics
Sedative


1.3
1.0
1.2
1.0
2.3
1.1
1.2
Sulfameter
Inhibitor of folic acid
Antibacterial










synthesis


1.3
1.0
1.4
1.0
1.0
1.1
3.6
Napelline
Anticholinergic agent
Antiarrhythmic


1.3
1.1
1.2
1.1
1.0
1.2
1.5
Isopropamide iodide
Anticholinergic


1.3
1.0
1.1
0.8
1.1
1.2
1.6
Securinine

CNS stimulant


1.3
1.0
1.2
0.9
1.0
1.2
1.7
Nizatidine
H2 antagonist
Antiulcerative


1.2
1.0
1.1
0.9
1.1
1.2
1.5
Trimeprazine tartrate
Histamine antagonist
Antipruritic


1.2
1.0
1.1
1.0
1.0
1.3
1.6
Thioperamide maleate
H3 antagonist
Antiemetic


1.2
1.0
6.5
1.0
1.5
1.3
1.4
Nafcillin sodium salt
Bacterial transpeptidase
Antibacterial









monohydrate
inhibitor


1.3
1.0
1.1
0.8
1.0
1.2
1.8
Xamoterol hemifumarate
beta1-Adrenoceptor
Cardiotonic










selective partial agonist


1.4
1.1
1.2
0.9
1.1
1.2
1.8
Procyclidine hydrochloride
Muscarinic antagonist
Antiparkinsonian


1.1
1.0
1.3
1.0
1.2
1.2
1.7
Rolipram

Nootropic drug


1.3
1.1
1.3
0.9
1.2
1.1
1.5
Amiprilose hydrochloride

Immunomodulator


3.2
7.5
###
4.7
5.6
1.5
1.8
Thonzonium bromide
Detergent


1.2
0.9
0.8
0.8
1.1
1.1
1.5
Ethynylestradiol 3-methyl ether

Estrogen


1.1
1.0
1.1
1.0
1.1
1.2
1.5
Idazoxan hydrochloride
Alpha2 agonist
Antiparkinsonian


1.3
1.0
1.0
1.0
1.0
1.2
1.9
(−)-Levobunolol hydrochloride
Adrenergic beta antagonist
Antiglaucoma drug


1.2
1.1
1.2
1.0
1.2
1.2
1.6
Quinapril HCl

Angiotensin


1.3
1.1
1.3
1.0
1.0
1.2
1.5
Iodixanol

Diagnostic aid (radiopaque











medium)


1.2
1.0
1.3
1.0
1.2
1.2
1.4
Nilutamide

Antineoplastic


1.1
1.0
1.1
1.0
1.2
1.1
1.7
Rolitetracycline
Ribosomal protein synthesis
Antibacterial










inhibitor


1.3
1.0
1.1
1.0
1.0
1.0
1.4
Ketorolac tromethamine

Analgesic


1.3
1.0
3.9
0.9
1.0
1.1
1.4
Equilin

Estrogen


1.2
1.0
2.8
1.1
1.1
1.2
1.4
Protriptyline hydrochloride

Antidepressant


1.2
1.0
1.0
0.8
0.9
1.2
1.8
Fillalbin




1.1
1.0
1.1
1.1
0.9
1.0
1.2
Alclometasone dipropionate
Corticoide
Anti-inflammatory


1.0
1.0
1.0
0.9
0.9
1.2
1.5
Citalopram Hydrobromide
5HT uptake inhibitor


0.8
0.7
0.6
0.6
0.8
0.8
1.5
Leflunomide
Inhibitor of T and B cell
Immunosuppressive










proliferation


1.2
1.0
1.4
0.8
0.9
1.1
1.7
Promazine hydrochloride
Dopamine receptor
Antipsychotic










antagonist


1.0
1.0
1.1
1.1
1.1
1.1
1.7
Norgestrel-(−)-D
Progestogen
Oral contraceptive


1.1
1.0
0.9
1.0
2.1
1.0
1.9
Sulfamerazine
Inhibitor of folic acid
Antibacterial










synthesis


1.0
1.0
1.1
0.9
0.9
1.2
1.7
Fluocinonide

Antiinflammatory


0.7
0.5
0.7
0.6
0.3
0.6
1.6
Acacetin
Inhibitor of glutathione
Antitumor agent










reductase and of










topoisomerase I


1.0
1.0
1.4
1.0
1.6
1.1
1.4
Sulfamethazine sodium salt
Inhibitor of folic acid
Antibacterial










synthesis


1.2
1.0
1.2
1.0
1.1
0.9
1.6
Ethotoin

Anticonvulsant


1.1
1.0
1.2
0.8
1.0
1.1
1.6
Guaifenesin

Expectorant


1.2
1.0
1.0
0.9
0.9
1.1
1.9
3-alpha-Hydroxy-5-beta-









androstan-17-one


43.3
7.4
###
23.4
12.3
19.2
1.5
Alexidine dihydrochloride
Detergent
Antibacterial


1.4
1.0
1.1
0.9
1.0
1.0
1.4
Tetrahydrozoline hydrochloride
Adrenergic
Vasoconstrictor


1.2
1.1
0.8
0.8
1.1
1.1
1.7
Proadifen hydrochloride
Cytochrome P450 mono-
Local anesthesic










oxygenases inhibitor, Na+










channel blocker


1.4
1.2
0.7
0.7
3.0
1.1
1.6
Hexestrol
Nuclear receptor ligand
Estrogen antineoplastic


1.1
1.1
0.9
1.0
1.1
0.9
1.6
Zomepirac sodium salt
Cyclooxygenase inhibitor


20.0
1.4
5.0
4.6
1.4
1.0
1.6
Cefmetazole sodium salt
Bacterial transpeptidase
Antibacterial










inhibitor


10.3
1.1
1.3
2.1
1.3
1.2
1.4
Cinoxacin
Topoisomerase II inhibitor
Antibacterial


1.4
0.9
1.4
1.2
1.3
1.3
1.6
Paroxetine Hydrochloride
5-HT uptake inhibitor


1.3
1.0
1.2
1.1
1.0
1.0
1.7
Propofol

Anesthetic (intravenous)


2.0
1.1
9.4
0.3
3.4
0.7
1.5
Doxycycline hyclate
Ribosomal protein synthesis
Antibacterial










inhibitor


0.9
1.0
1.6
1.1
1.0
1.3
1.8
S(−)Eticlopride hydrochloride


1.2
1.1
1.0
0.9
1.1
1.1
1.6
Liothyronine
Thyroid hormone
Thyroidic drug


1.0
0.9
1.3
0.9
1.2
1.2
1.8
Primidone

Anticonvulsant


0.9
1.4
2.8
1.1
1.0
0.9
1.5
Roxithromycin
Ribosomal protein synthesis
Antibacterial










inhibitor


1.1
0.9
1.1
0.8
1.2
1.1
1.8
Flucytosine

Antifungal


1.1
1.0
0.5
0.9
1.0
1.0
1.5
Beclomethasone dipropionate

Antiinflammatory


1.2
1.0
1.1
1.0
1.1
1.3
1.9
(−)-MK 801 hydrogen maleate
NMDA antagonist
Anticonvulsant


0.9
0.8
0.9
0.6
0.8
1.0
2.0
Tolmetin sodium salt dihydrate
Cyclooxygenase inhibitor
Antiinflammatory


1.2
1.0
1.2
1.0
0.9
1.0
2.0
Bephenium hydroxynaphthoate

Antihelmintic


1.2
0.9
1.3
0.9
0.9
1.2
1.5
(+)-Levobunolol hydrochloride
Beta adrenergic antagonist
Antiglaucoma drug


1.0
1.1
0.8
0.9
1.1
1.1
1.7
Dehydroisoandosterone 3-acetate

Menopausal syndrome


1.4
1.1
1.2
0.9
1.3
1.1
1.5
Doxazosin mesylate
Alpha 1 adrenergic
Antihypertensor










antagonist


1.3
0.9
1.4
1.2
1.0
1.1
1.8
Benserazide hydrochloride
Inhibitor of L-aromatic
In combination with levodopa










amino acid decarboxylase
as antiparkinsonian


1.3
1.0
1.0
0.9
0.9
1.0
1.7
Fluvastatin sodium salt
HMG CoA reductase
Anti-hyperlipoproteinemic










inhibitor


1.2
1.0
1.0
1.0
1.2
1.1
1.6
Iodipamide

Diagnostic aid (radiopaque











medium-cholecystographic)


1.4
1.1
1.3
1.0
1.0
1.1
2.0
Methylhydantoin-5-(L)




1.4
1.0
1.1
1.2
1.1
0.9
1.4
Esculetin

Antifungal


1.2
1.1
1.4
1.1
1.4
1.3
1.5
Trihexyphenidyl-D,L
Anticholinergic
Antiparkinsonian









Hydrochloride


1.2
1.0
0.9
1.0
1.3
1.1
1.3
Clobetasol propionate

Glucocorticoid


1.4
1.0
1.3
1.1
1.3
1.1
1.4
Succinylsulfathiazole
Inhibitor of folic acid
Antibacterial










synthesis


1.2
0.9
1.0
1.2
1.2
1.1
1.3
Podophyllotoxin

Antiviral


1.2
1.0
0.8
1.1
1.1
1.2
1.5
Famprofazone

Antipyretic


1.2
1.1
1.4
1.1
1.3
1.2
1.5
Clofibric acid
Lipoproteine lipase activator ?
Antihyperlipoproteinemic


1.3
0.9
1.3
1.0
1.3
1.1
1.3
Bromopride
Dopamine antagonist
Antiemetic


1.3
1.2
1.3
1.1
1.3
1.1
1.5
Bendroflumethiazide
Na+ Cl− transport inhibitor
Diuretic


5.1
7.4
###
7.4
5.8
8.9
1.3
Methyl benzethonium chloride
Detergent
Antibacterial


1.1
1.3
1.3
1.1
1.3
1.2
1.5
Dicumarol
Vitamin K antagonist
Anticoagulant


1.3
1.0
1.2
1.1
1.5
1.1
1.6
Chlorcyclizine hydrochloride
Histamine antagonist
Antihistaminic


1.2
0.9
1.0
1.0
1.4
1.0
27.1
Methimazole
Iodine oxidazing inhibitor
Antihyperthyroid


1.3
1.1
1.2
1.0
1.3
1.1
1.4
Diphenylpyraline hydrochloride
H1 antagonist
Antihistaminic


0.5
0.6
0.2
0.4
0.7
0.4
1.4
Merbromin

Antibacterial


2.9
6.2
###
5.7
5.4
5.8
1.3
Benzethonium chloride
Detergent
Antibacterial


1.2
1.0
1.3
1.0
1.3
1.1
1.4
Hexylcaine hydrochloride

Local anesthesic


1.2
0.9
0.9
1.0
1.2
1.0
1.3
Trioxsalen

Pigmentation agent











(photosensitizer)


1.5
1.0
1.5
1.2
1.3
1.2
1.5
Drofenine hydrochloride

Spasmolytic


1.4
1.0
1.3
1.1
1.3
1.1
1.3
Strophanthidin
ATPase inhibitor
Cardiotonic


1.3
1.0
1.1
1.0
1.2
1.1
0.9
Cycloheximide

Antibacterial


1.4
1.0
1.5
1.1
1.4
1.3
1.6
Gabapentin
GABA receptor ligand
Anticonvulsant


1.3
1.0
1.4
1.1
1.3
1.2
1.5
Pentetic acid
Chelating agent (iron)


1.5
0.9
1.2
1.1
1.5
1.2
1.3
Raloxifene hydrochloride


1.3
1.0
1.3
1.1
1.3
1.2
1.6
Bretylium tosylate

Antiadrenergic


1.3
1.0
1.2
1.0
1.2
1.1
1.4
Etidronic acid, disodium salt

Calcium regulator


1.3
1.0
1.3
1.0
1.4
1.2
1.5
Pralidoxime chloride


1.2
1.0
1.2
1.1
1.3
1.2
1.5
Methylhydantoin-5-(D)




1.4
0.9
1.1
1.2
1.3
1.1
1.4
Phenoxybenzamine hydrochloride
Nonselective alpha-
Antihypertensor










adrenergic blockade


1.6
1.0
0.4
1.2
2.5
1.1
1.5
Simvastatin
HMG-CoA reductase
Antihyperlipidemic










inhibitor


1.4
1.0
1.9
1.1
1.5
1.2
1.5
Salmeterol
beta 2 adrenergic
Bronchodilator










agonist


2.2
1.0
1.2
0.9
1.4
1.2
1.5
Azacytidine-5
Antimetabolite
Antineoplastic


1.3
1.0
1.1
1.0
1.3
1.2
1.4
Altretamine


1.4
0.9
1.3
1.0
1.5
1.0
1.4
Paromomycin sulfate
Ribosomal protein synthesis
Antiamebic










inhibitor


1.2
1.1
1.4
0.9
1.4
1.1
1.5
Prazosin hydrochloride

Antihypertensor


1.4
1.0
1.6
1.2
1.5
1.1
1.6
Acetaminophen
Cyclooxygenase inhibitor
Antipyretic


1.3
1.0
1.3
1.1
1.5
1.1
1.4
Timolol maleate salt

Antiglaucoma drug


1.4
1.0
1.4
1.0
1.4
1.0
1.2
Phthalylsulfathiazole
Inhibitor of folic acid
Antibacterial










synthesis


1.3
1.0
1.3
1.1
1.3
1.0
1.4
(+,−)-Octopamine hydrochloride
beta-3 Adrenergic receptor
Adrenergic










agonist


0.4
0.5
0.2
0.5
0.3
0.5
1.6
Luteolin

Expectorant


1.4
1.0
1.3
1.2
1.3
1.0
1.3
(±)-Nipecotic acid
Activates GABA-like ion










channels


1.1
1.1
1.2
1.1
2.8
1.1
1.6
Sulfabenzamide
Inhibitor of folic acid
Antibacterial










synthesis


1.1
1.0
1.0
1.0
1.1
1.0
1.7
(R)-Naproxen sodium salt
Cyclooxygenase inhibitor
Antiinflammatory


1.1
1.0
1.2
0.9
1.2
1.1
1.6
Benzocaine
Na+ channel blocker
Anesthetic


1.3
0.8
1.4
0.8
1.1
1.0
1.6
Propidium iodide
Detergent
Antibacterial


1.1
1.0
1.4
1.1
1.1
1.1
1.4
Dipyrone
Cyclooxygenase inhibitor
Antipyretic


1.2
1.1
1.3
1.2
1.4
1.2
2.0
Cloperastine hydrochloride
Histamine antagonist
Antitussive


1.1
1.0
1.2
1.0
1.1
1.0
1.8
Isosorbide dinitrate
Nitric oxide (NO) donor
Antianginal


1.2
1.1
1.3
0.9
1.1
1.1
1.6
Eucatropine hydrochloride
Anticholinergic


1.0
1.0
1.1
1.1
2.1
1.0
1.5
Sulfachloropyridazine
Inhibitor of folic acid
Antibacterial










synthesis


1.1
1.0
1.5
1.1
1.1
1.1
1.5
Isocarboxazid

Antidepressant


1.1
1.0
1.3
1.1
1.1
1.2
1.5
Pramoxine hydrochloride

Local anesthesic


0.8
1.2
1.1
0.8
1.0
1.0
1.7
Lithocholic acid
Anticholelithogenic,
Cholagogue










gastrointestinal agent


1.1
1.1
1.0
0.9
1.2
1.1
1.8
Finasteride

Antialopecia agent


1.3
1.0
1.2
1.0
1.1
1.1
1.8
Methotrimeprazine maleat salt

Analgesic


1.1
1.0
1.2
1.0
1.3
1.1
1.7
Fluorometholone

Glucocorticoid


1.1
1.3
0.4
0.9
3.2
1.1
21.9
Dienestrol
Nuclear receptor ligand
Non-steroidal estrogen


11.8
1.0
5.3
3.2
1.1
1.1
2.0
Cephalothin sodium salt
Bacterial transpeptidase
Antibacterial










inhibitor


1.1
1.1
1.2
0.9
1.1
1.1
1.6
Pridinol methanesulfonate salt
Anticholinergic
Antiparkinsonian


12.1
1.0
3.4
2.4
1.4
1.6
1.6
Cefuroxime sodium salt
Bacterial transpeptidase
Antibacterial










inhibitor


1.3
1.0
1.1
1.1
1.2
1.0
44.0
Amrinone
TNF production inhibitor


1.2
1.0
1.3
1.2
1.2
1.2
1.4
Iopamidol

Diagnostic aid (radiopaque











medium)


1.5
1.1
1.3
1.1
1.3
1.3
1.3
Crotamiton

Scabicide


1.2
1.0
1.3
1.1
1.1
1.2
1.4
Iopromide
Contrast molecule


1.2
1.1
1.4
1.1
1.2
1.2
1.4
Propranolol hydrochloride
Beta blocking agent
Antiarrhythmic


1.2
1.0
1.3
1.1
1.2
1.2
1.3
Theophylline monohydrate
Mastocyte degranulation
Bronchodilatator










inhibitor in vitro


1.3
1.0
1.2
1.2
1.3
1.2
1.3
(R)-(+)-Atenolol


1.2
1.1
1.3
1.2
1.1
1.2
1.4
Theobromine
Adenosine receptor
Cardiotonic










antagonist


1.4
1.0
1.4
1.5
1.3
1.2
1.2
Tyloxapol

Mucolytic


1.3
1.1
1.3
1.2
1.5
1.4
1.5
Reserpine


1.2
1.0
###
0.3
1.2
1.4
1.4
Florfenicol

Antibacterial


0.7
0.6
0.9
0.7
0.8
0.8
1.2
Arcaine sulfate
Lowers blood sugar


1.1
1.2
0.9
1.0
1.2
1.2
1.6
Megestrol acetate

Progestogen


1.2
1.0
1.2
1.1
1.2
1.1
1.5
Scopolamine hydrochloride
Non-selective muscarinic
Antiemetic










antagonist


1.2
1.2
1.6
1.2
1.3
1.3
1.3
Deoxycorticosterone
Corticoide
Antiinflammatory


1.2
1.0
1.2
1.2
1.3
1.2
1.4
Ioversol

Diagnostic aid (radiopaque











medium)


1.2
1.0
1.2
1.0
1.3
1.2
1.4
Urosiol

Anticholelithogenic


1.3
1.1
1.2
1.0
1.2
1.1
1.5
Capsaicin
Vanilloid receptor ligand
Topical analgesic


1.3
1.0
1.2
1.1
1.4
1.1
1.2
Proparacaine hydrochloride

Local anesthesic (VET)


1.2
1.1
1.4
1.2
1.3
1.2
1.2
Carbachol
Cholinergic agonist,
Myotic










Cholinesterase inhibitor ?


1.2
1.1
1.2
1.2
1.3
1.1
1.6
Aminocaproic acid

Antiallergic


0.5
0.9
0.4
0.4
0.3
0.4
0.4
Denatonium benzoate
Bittering agent to prevent










poisoning


0.5
0.9
0.3
0.4
0.3
0.4
0.3
Etomidate

Hypnotic


0.4
0.9
0.3
0.4
0.4
0.4
0.3
Scopoletin
Eicosanoid release inhibitor
Antispasmodic


0.4
0.8
0.4
0.4
0.4
0.4
0.3
Tridihexethyl chloride

Antispasmodic


0.5
1.1
0.4
0.5
0.4
0.4
0.4
Enilconazole

Antifungal


0.5
0.8
0.4
0.5
0.4
0.5
0.4
Penbutolol sulfate

Antiarrhythmic


3.2
0.9
1.9
0.2
4.2
0.2
0.4
Methacycline hydrochloride

Antibacterial


0.4
0.9
0.4
0.5
0.4
0.4
0.3
Prednicarbate

Glucocorticoid (topical)


0.5
0.8
0.4
0.5
0.4
0.4
0.4
Gibberellic acid

Plant growth regulator


0.7
2.8
0.7
0.7
2.4
0.5
0.4
Sertaconazole nitrate

Antibacterial


0.4
0.8
0.4
0.5
0.5
0.4
0.4
Sotalol hydrochloride
Beta-blocker


0.4
0.9
0.3
0.4
0.4
0.4
0.4
Repaglinide

Antidiabetic


0.5
0.9
0.4
0.5
0.5
0.4
0.4
6-Hydroxytropinone


0.5
0.8
0.4
0.5
0.4
0.4
0.4
Piretanide

Antihypertensor


0.5
0.9
0.4
0.5
0.5
0.4
0.5
Decamethonium bromide

Muscle relaxant (skeletal)


0.5
0.9
0.5
0.5
0.6
0.5
0.4
Piperacetazine

Antipsychotic


0.5
0.8
0.4
0.4
0.4
0.4
0.4
3-Acetamidocoumarin

Antiinflammatory


0.5
0.9
0.4
0.5
0.5
0.5
0.5
Oxyphenbutazone
Inhibition of cyclo-oxygenase
Anti-inflammatory


0.4
0.8
0.6
0.4
0.5
0.5
0.5
Roxarsone

Control of enteric infections.











To improve growth and feed











efficiency (VET)


0.6
0.9
0.4
0.6
0.5
0.5
0.4
Quinethazone

Diuretic


0.7
0.9
0.6
0.6
0.7
0.7
0.8
Remoxipride Hydrochloride
Dopaminergic antagonist
Antipsychotic


0.6
1.0
0.6
0.6
0.6
0.6
0.7
Moricizine hydrochloride

Antiarrhythmic


0.6
1.0
0.6
0.6
0.6
0.6
0.8
THIP Hydrochloride
GABAergic Agonist


0.6
0.9
0.4
0.6
0.6
0.6
9.6
Iopanoic acid
Contrast molecule


0.7
0.9
0.6
0.6
0.7
0.7
0.7
Pirlindole mesylate
Highly selective reversible
Anti depressant










inhibitor of monoamine
Seizures










oxidase type A


7.7
0.9
0.6
0.5
1.1
0.6
0.8
Pivmecillinam hydrochloride

Antibacterial


0.7
0.9
0.6
0.6
0.6
0.6
0.9
Pronethalol hydrochloride

Antihypertensor


0.6
1.0
0.6
0.6
0.7
0.7
0.7
Levopropoxyphene napsylate

Antitussive


0.9
0.8
0.5
0.6
0.7
0.7
0.9
Naftopidil dihydrochloride
Alpha1 agonist
Antihypertensor


0.7
1.0
0.6
0.6
0.6
0.7
0.7
Piperidolate hydrochloride

Antispasmodic


0.5
1.1
0.5
0.6
0.8
0.6
0.7
Tracazolate hydrochloride
GABA receptor ligand


0.9
0.9
0.7
1.1
1.1
0.6
0.7
Trifluridine

Antiviral (ophthalmic)


0.6
1.0
0.6
0.7
0.7
0.7
0.9
Zardaverine
Phosphodiesterase III & IV










inhibitor


0.7
0.9
0.6
0.6
0.6
0.6
0.9
Oxprenolol hydrochloride
Blocking beta-adrenergic
Antiarrhythmic










receptors


0.6
0.9
0.6
0.5
0.7
0.6
0.7
Memantine Hydrochloride
NMDA receptor antagonist
Altzheimer disease


0.7
1.1
0.6
0.6
0.7
0.7
0.8
Ondansetron Hydrochloride
Antagonist of 5-
Antiemetic










hydroxytryptamine










(serotonin) subtype 3 (5-HT










3) receptors


0.6
0.9
0.5
0.5
0.7
0.6
0.9
Ozagrel hydrochloride
Thromboxane synthase
Antianginal










inhibitor


0.6
1.0
0.7
0.6
0.8
0.7
0.8
Propoxycaine hydrochloride

Local anesthesic


0.6
0.9
0.6
0.5
0.7
0.6
1.0
Piribedil hydrochloride
Dopaminergic agonist
Vasodilator (peripheral)


0.6
1.1
0.5
0.6
0.7
0.7
0.9
Oxaprozin

Analgesic


0.9
0.9
0.6
0.7
0.7
0.8
1.2
Nitrocaramiphen hydrochloride

Muscarinic antagonist


1.0
0.9
0.7
0.8
0.8
0.7
1.1
Phensuximide

Anticonvulsant


0.9
1.0
0.7
0.7
0.8
0.9
1.0
Nandrolone

Anabolic


0.9
0.9
0.6
0.8
0.8
0.8
1.1
loxaglic acid
Low-osmolar, ionic contrast
Diagnostic aid (radiopaque










medium
medium)


0.8
0.9
0.7
0.7
0.8
0.8
1.0
Dimaprit dihydrochloride
Histamine H2 receptor










agonist


1.0
1.0
0.8
0.7
1.1
0.8
1.0
Naftifine hydrochloride

Antifungal


0.9
0.9
0.6
0.7
0.8
0.8
1.0
Reserpinic acid hydrochloride


0.9
0.9
0.6
0.7
0.8
0.9
0.8
Meprylcaine hydrochloride

Local anesthesic


0.8
0.9
0.7
0.8
0.8
0.8
1.1
Beta-sistosterol

Anticholesteremic


0.8
0.9
0.7
0.8
0.8
0.9
0.9
Milrinone

Cardiotonic


0.9
0.8
0.6
0.7
0.8
0.9
0.9
Proscillaridin A

Glucoside cardiotonic


0.9
0.9
0.7
0.8
0.8
0.9
1.1
Methantheline bromide

Antispasmodic


0.6
0.3
0.1
0.2
0.7
0.3
0.9
Sanguinarine
Potent cytotoxic
Antimicrobial drug


12.8
1.2
0.7
0.7
2.6
0.8
1.4
Ticarcillin sodium

Antibacterial


0.8
0.9
0.8
0.7
0.9
0.8
0.9
Harpagoside

Antiinflammatory


1.1
1.0
0.8
1.0
2.1
0.8
1.0
Thiethylperazine malate
adrenergic antagonist
Antiemetic


0.8
0.9
0.8
0.7
0.8
0.8
1.0
Asiaticoside

Antibiotic


0.9
0.9
0.7
0.7
0.9
0.9
1.0
Mesalamine

Anti-inflammatory











(gastrointestinal)


0.8
0.9
0.3
0.7
0.8
0.7
1.3
Betulin

Antineoplastic


0.8
1.0
0.9
0.7
0.8
0.9
0.9
alpha-Santonin

Anthelmintic


0.8
0.9
0.5
0.7
0.7
0.8
1.1
Gliquidone

Antidiabetic


0.9
0.9
0.7
0.7
0.8
0.8
1.2
Imidurea


1.0
1.0
0.7
0.7
0.8
0.8
1.3
Pizotifen malate

Antihistaminic


0.6
0.6
0.2
0.5
0.6
0.7
1.0
Lansoprazole

Antiulcerative


0.8
0.9
0.7
0.7
0.9
1.1
1.2
Ribavirin

Antiviral


1.0
0.9
0.7
0.7
0.8
0.7
0.9
Bethanechol chloride

Cholinergic


0.8
0.9
0.7
0.8
0.8
0.8
1.2
Cyclopenthiazide

Diuretic


0.8
1.0
0.6
0.7
0.8
0.8
1.4
Cyproterone acetate

Antiandrogen


0.9
0.8
0.7
0.7
0.9
0.8
1.1
Fluvoxamine maleate

Antidepressant


0.8
0.9
0.8
0.7
0.9
0.8
17.3
(R)-Propranolol hydrochloride
Beta-adrenergic receptor
Antihypertensor










blocking agent


16.6
0.9
1.6
3.8
1.5
0.8
1.4
Cefalonium

Prophylactic use in mastitis











and dry udder therapy


0.8
0.9
0.7
0.8
0.8
0.7
1.2
Ciprofibrate

Antihyperlipoproteine-mic


0.8
0.9
0.7
0.7
0.8
0.8
1.5
Fluticasone propionate

Anti-inflammatory


0.9
0.9
0.7
0.8
0.8
0.8
1.2
Tropine


1.2
1.0
0.7
1.0
1.9
0.9
1.3
Zuclopenthixol hydrochloride
Blocking of D1 and D2
Schizophrenia










dopaminergic receptors


11.3
1.7
0.8
0.6
2.9
0.7
1.2
Benzylpenicillin sodium

Antibacterial


0.9
0.8
0.9
0.7
0.9
0.8
1.1
Proguanil hydrochloride
Inhibition of dihydrofolate










reductase


0.9
0.9
0.8
0.7
0.9
0.8
1.2
Chlorambucil

Antineoplastic


0.8
1.0
0.7
0.7
0.8
0.7
1.2
Lymecycline

Antibiotic


0.4
0.5
1.3
0.4
0.5
0.5
1.3
Methiazole


1.2
1.1
1.0
0.9
1.0
1.0
1.4
Alfadolone acetate

In combination with alfaxalone











as anesthesic (intravenous)


1.2
1.1
1.0
1.0
1.0
1.1
1.6
(S)-propranolol hydrochloride
Beta-adrenergic blocking
Antihypertensor










agent


1.2
1.1
1.2
1.0
1.0
1.2
1.7
Alfaxalone

In combination with alfadolone











acetate as anesthetic











(intravenous)


1.0
1.1
0.9
0.9
0.9
0.8
1.4
(−)-Eseroline fumarate salt
Anti-acetylcholinesterase
Potent analgesic










activity & opiate agonist










activity


1.1
1.0
0.8
0.9
0.9
1.0
1.5
Azapropazone
Cyclooxygenase inhibitor
Analgesic


1.1
1.1
1.1
1.0
1.1
1.0
1.2
Condelphine


1.3
1.1
0.9
0.9
1.1
1.1
1.4
Meptazinol hydrochloride

Analgesic (narcotic)


1.3
1.1
0.9
1.0
1.0
1.1
1.6
Leucomisine


1.2
1.0
0.9
0.8
1.0
1.1
1.4
Apramycin

Antibacterial


1.4
1.0
2.4
0.9
1.1
1.0
1.3
Dubinidine


1.2
1.0
0.9
0.9
1.1
1.1
1.3
Epitiostanol

Antineoplastic


1.4
1.2
1.4
1.1
1.0
1.2
1.2
D-cycloserine
Competitive inhibition of










alanin racenase and D-alanin










synthase (bacterial cell wall)


1.4
1.1
1.0
1.0
1.3
1.1
1.2
Fursultiamine Hydrochloride

Altzheimer's disease


1.0
1.1
1.1
0.9
1.2
1.0
1.4
2-Chloropyrazine

Cardiotonic


1.1
1.1
1.3
0.9
1.1
1.1
1.4
Gabexate mesilate

Anticoagulant


1.3
1.1
1.0
1.0
1.1
1.1
1.3
(+,−)-Synephrine

Hypertensive


1.5
1.1
0.4
0.9
1.8
0.9
1.2
Pivampicillin

Antibacterial


1.3
1.1
1.1
1.0
1.1
1.1
1.6
(S)-(−)-Cycloserine

Tuberculosis


15.2
1.4
1.2
0.8
0.8
1.1
1.6
Talampicillin hydrochloride

Antibacterial


1.3
1.1
1.2
1.1
1.8
1.1
1.5
Homosalate
Tool for uv screen


1.3
1.0
6.1
1.1
1.5
1.2
1.3
Flucloxacillin sodium

Antibacterial


1.4
1.1
1.0
0.9
0.9
1.1
1.6
Spaglumic acid
NMDA receptor ligands


1.3
1.1
0.9
0.9
1.0
1.0
1.5
Trapidil

Vasodilator (coronary)


1.2
0.9
1.0
0.9
1.2
1.0
1.4
Ranolazine

Antianginal


1.5
1.1
1.1
0.9
1.3
1.0
1.6
Deptropine citrate

Chronic bronchitis


1.1
1.0
1.2
1.0
1.0
0.9
1.7
(−)-Quinpirole hydrochloride
D2-dopamine










receptor agonist, some










selectivity for D3 sites


1.6
1.1
1.6
1.4
2.9
1.2
1.5
Sertraline
5-HT uptake inhibitor


1.0
1.0
0.9
1.0
2.9
1.0
1.3
Sulfadoxine
Inhibition of
Antibacterial










dihydropteroate synthase


1.2
0.9
1.0
1.1
1.2
1.0
0.8
Ethamsylate

Retinopathy


1.2
1.0
1.1
1.0
1.0
1.1
1.3
Cyclopentolate hydrochloride

Mydriatic


1.1
0.9
1.0
1.1
1.1
1.1
1.8
Moxonidine
Imidazoline receptor ligand
Antihypertensor


1.1
1.1
1.2
0.8
1.2
1.0
1.4
Estriol

Estrogen


1.0
1.0
1.1
0.8
1.4
1.1
1.5
Etilefrine hydrochloride
Adrenergic agonist
Antihypotensive


1.2
0.9
0.9
1.2
0.9
1.1
2.3
(−)-Isoproterenol hydrochloride
Beta Adrenergic Agonist
Cardiovascular drug (Sick Sinus











Syndrome)


1.3
1.0
1.1
1.1
1.0
1.1
1.4
Alprostadil

Vasodilator


0.5
1.0
0.2
0.6
0.5
0.6
1.6
Kaempferol
Topoisomerase I inhibitor,
Anti-inflammatory










tyrosin kinase, xanthin










oxidase


0.9
1.1
0.6
0.9
1.7
1.1
1.5
Tribenoside

Antihaemorrhoidic drug


1.2
1.1
1.2
0.9
1.0
1.2
1.4
Nialamide

Antidepressant


0.9
0.9
1.1
0.8
0.9
1.0
4.9
Rimexolone
Corticoid
Anti-inflammatory (local)


0.9
1.0
1.8
0.8
1.1
1.1
1.6
Vitamin K2

Dietary factor for controlling











blood pressure


1.1
1.1
0.7
1.1
1.2
1.1
1.4
Isradipine

Antianginal


1.2
1.0
1.1
1.1
1.4
1.2
1.3
Perindopril

Antihypertensive


1.2
1.0
1.1
1.1
1.6
1.1
1.4
Tiletamine hydrochloride

Anesthetic


1.2
1.0
1.1
1.1
1.3
1.0
1.3
Fexofenadine HCl

Antihistaminic


1.2
1.0
1.2
1.1
1.5
1.1
1.2
Isometheptene mutate
Adrenergic
Sympathomimetic (VET)


1.2
1.0
1.2
1.3
1.4
1.1
1.2
Quinic acid


1.1
1.0
0.8
1.2
1.5
1.1
1.3
Nifurtimox

Antiprotozoal (Trypanosoma)


1.0
0.9
1.2
1.1
1.4
1.0
1.5
Clonixin Lysinate

Analgesic


1.2
1.0
1.2
1.1
1.3
1.0
1.4
Letrozole

Antineoplastic


0.7
1.2
0.5
0.8
0.9
0.8
1.6
Verteporfin

Treatment of age-related











macular degeneration


1.2
0.9
1.1
1.2
1.5
1.1
1.4
Arbutin
Tyrosinase inhibitor and
Antibacterial










Melanin biosynthesis










inhibitor


13.4
1.0
3.9
3.6
1.5
14.8
1.2
Meropenem

Antibacterial


1.2
1.0
1.1
1.1
1.6
1.1
1.4
Tocainide hydrochloride

Antiarrhythmic


1.1
1.0
1.2
1.0
1.3
1.2
1.1
Ramipril
Converting enzyme inhibitor
Antihypertensor


15.6
1.6
1.0
1.0
5.9
1.1
1.6
Benzathine benzylpenicillin

Antibacterial


1.1
1.0
1.1
1.0
1.3
1.0
1.3
Mephenytoin

Anticonvulsant


1.1
1.0
1.3
1.1
1.5
1.1
1.3
Risperidone
5-HT2 antagonist
Antipsychotic


1.3
1.2
0.7
1.3
3.3
0.6
1.6
Rifabutin
Inhibition of RNA-
Antibacterial










polymerase DNA-dependent


1.1
1.0
1.5
1.3
1.6
1.1
1.4
Torsemide

Diuretic


0.7
0.6
0.7
0.7
0.8
0.7
1.2
Parbendazole

Anthelmintic (VET)


1.0
1.0
1.2
1.1
1.3
1.1
1.3
Halofantrine hydrochloride

Antimalarial


1.4
1.1
1.4
1.0
1.2
1.1
1.6
Mecamylamine hydrochloride

Antihypertensor


1.1
1.2
1.1
1.1
1.2
1.0
1.6
Articaine hydrochloride

Local Anesthesic


1.0
1.0
1.1
1.1
1.1
0.9
1.7
Procarbazine hydrochloride
DNA depolymerization


1.1
1.2
1.0
1.1
1.1
1.1
1.5
Nomegestrol acetate

Progestin


1.0
1.0
1.3
0.9
1.1
0.9
1.6
Viomycin sulfate

Antibacterial


1.1
1.0
1.1
1.0
1.1
0.9
1.6
Pancuronium bromide
Competitive antagonist of
Neuromuscular blocking agent










autonomic cholinergic










receptors


1.3
1.2
0.9
1.1
1.5
1.0
1.8
Saquinavir mesylate
Protease inhibitor


1.1
1.0
1.1
1.0
1.1
0.9
1.7
Molindone hydrochloride

Antipsychotic


1.1
1.1
1.3
1.7
1.6
1.0
1.6
Ronidazole

Antimicrobial


1.4
1.0
1.2
1.0
1.4
1.0
2.2
Alcuronium chloride

Neuromuscular blocking agent


1.1
2.3
1.0
1.1
1.2
0.9
1.3
Dorzolamide hydrochloride

Antiglaucoma drug


1.3
1.1
1.1
1.1
1.2
1.0
1.8
Zalcitabine
Reverse transcriptase
Antiviral (HIV)










inhibitor


1.1
1.0
1.2
1.0
1.2
1.0
1.9
Azaperone

Tranquilizer


1.2
1.1
1.2
1.2
1.4
1.1
1.8
Methyldopate hydrochloride

Antihypertensor


19.3
1.0
3.1
4.9
3.4
15.6
1.9
Cefepime hydrochloride

Antibacterial


1.1
1.0
1.1
1.1
1.2
1.0
1.6
Levocabastine hydrochloride

Antihistaminic


1.0
1.1
1.1
1.0
1.2
1.0
1.6
Clocortolone pivalate

Glucocorticoid


0.8
1.5
1.4
0.8
0.9
0.7
13.2
Pyrvinium pamoate

Anthelmintic (Nematodes,











enterobiasis)


13.4
2.8
4.3
5.2
2.9
17.7
1.7
Nadifloxacin

Antibacterial









Consistent with expectations, a detailed assessment of the hits revealed that AK screening enriches for the identification of bactericidal compounds (Table 3). More specifically, 100% of the antibiotics that were identified to be active against P. aeruginosa or K. pneumoniae represented bactericidal agents. Similarly, 96%, 94%, and 80% of the antibiotics that were active against E. coli, E. cloacae, and E. faecium, respectively, were bactericidal antibiotics. The assay identified 71% and 64% bactericidal antibiotics for A. baumannii and S. aureus.


Among the bactericidal antibiotics detected, 3-lactam, cephalosporin, polymyxin, and fluoroquinolone antibiotics were active against Gram-negative pathogens (E. coli and the ESKAPE pathogens A. baumannii, P. aeruginosa, and K. pneumoniae), and penicillins, cephalosporins, quinolines, glycopeptides, and carbapenems were active toward S. aureus (see Table 4). It was also determined that clofazimine, which was initially developed as an antimycobacterial agent and was recently shown to exhibit bactericidal activity toward S. aureus, was indeed active against S. aureus. Bacteriostatic compounds, such as clindamycin, and macrolides, such as erythromycin, were not identified as being active toward any of the species tested. Interestingly, many tetracyclines were identified as killing S. aureus strain USA300-0114 and A. baumannii strain 98-37-09. In addition, the library contains membrane-active antiseptics, such as chlorhexidine, and with the exception of E. cloacae, these were also strong hits against all organisms tested. Screening results also revealed that the E. faecium strain tested proved to be resistant to most classes of antibiotics within the Prestwick library by MIC testing (Table 2), and this was also observed in the AK assay, indicating that the assay exhibits a low false-positive rate. Interestingly, the assay also detected 38 drugs with no known antimicrobial properties (denoted as “other” in Table 3) that were active against each organism; see Table 4 for a complete list of these compounds.


Antimicrobial Activities of Nonantibiotic Drugs that Induce AK Release—


Recently, the exploration of the so-called “off-target” activities of previously developed drugs has emerged as an approach to identify chemical scaffolds that could be exploited for new therapeutic indications. In that regard, Prestwick library screening results revealed that 4% to 56% (depending on the organism) of the members that generated significant AK signal were compounds with no previously reported antimicrobial activity (see Table 4).


To determine whether the 38 nonantibiotics identified in the screen have potential for repurposing as anti-infectives, 4 nonantibiotic drugs that were commercially available were further evaluated by two secondary assays. First, dose-response assays were performed to validate that they induced AK activity, and all were reconfirmed. Second, the in vitro antimicrobial activity for each drug was measured by standard MIC testing. With the exception of one drug/organism pair, all drugs exhibited in vitro activity toward each organism. More specifically, tamoxifen, suloctidil, and clomiphene exhibited MICs of 8 μg ml−1 against E. faecium. S. aureus and A. baumannii were susceptible to terfenadine (16-μg ml−1 MIC and 64-Lag ml−1 MIC, respectively). Suloctidil was also detected to be active against P. aeruginosa by both primary and confirmatory AK screens, but the drug did not elicit an antimicrobial response by MIC measures. Some strains of P. aeruginosa secrete AK at high cell density, and it is possible that suloctidil may trigger a similar response.


Terfenadine and tamoxifen, which exhibited antimicrobial properties toward planktonic S. aureus and E. faecium cells, respectively, were characterized further. Terfenadine was evaluated for activity against S. aureus biofilms and small-colony variants using the AK assays described above. Treatment of 48-h S. aureus strain UAMS-1 biofilms with 10×-MIC terfenadine elicited a modest 2.7-fold increase in AK release (see FIG. 6A); plating-based viability assays determined that this correlated with a 1.1-log reduction in biofilm cell viability, which was comparable to the activity of ciprofloxacin under the same assay conditions (see FIG. 4A). Similarly, treatment of S. aureus small-colony-variant UAMS-1112 cells with 10×MIC terfenadine elicited a 3.3-fold increase in AK signal in comparison to that for mock-treated cells (see FIG. 6A). Conventional MIC testing subsequently verified that terfenadine is active against UAMS-1112 at 2 μg ml−1.


Next, the in vivo antimicrobial properties of terfenadine and tamoxifen were evaluated using a Galleria mellonella model of S. aureus and E. faecium infection, respectively. For terfenadine, groups of larvae (n=45) were infected with 1.0×106S. aureus USA300-1114 cells. Worms were then treated at 2 h and 24 h with a range of terfenadine concentrations (20 to 160 mg kg−1), vehicle (DMSO; negative control), or 20 mg kg−1 vancomycin (positive control), and larval survival was assessed 48 h postinoculation. For tamoxifen studies, experiments were performed exactly as described above except that larvae were inoculated with 1.4×106E. faecium strain 824-05 cells and larvae were treated with either 80 or 160 mg kg−1 tamoxifen. Terfenadine-treated larvae did not reproducibly exhibit increased survival relative to vehicle-treated larvae. However, tamoxifen treatment of E. faecium-infected larvae resulted in a dose-dependent increase in survival. As shown in FIG. 6B, treatment with 80 or 160 mg kg-1 resulted in a 4.2-fold- or 7-fold-higher survival, respectively, than was found with vehicle-treated controls. Taken together, these results indicate that terfenadine exhibits in vitro activity toward S. aureus planktonic, SCV, and biofilm populations and that tamoxifen is active toward planktonic E. faecium and against the organism in a simple animal model of infection. As discussed below, these data show that tamoxifen and terfenadine represent attractive new chemical scaffolds for antibacterial optimization.


As set forth herein, Prestwick library screening revealed that each bacterial species studied was susceptible to members of the library with no previously reported antimicrobial activity. The antimicrobial properties of two of these drugs was studied in more detail: terfenadine and tamoxifen. Terfenadine is a nonsedating antihistamine based on a 4-substituted piperidine scaffold. Based on further studies, it was determined that terfenadine acts as a topoisomerase inhibitor and is structurally similar to certain topoisomerase inhibitors, including for example novel bacterial topoisomerase II inhibitor (NBTI). Based on the structural similarity between terfenadine and these molecules, it is likely that terfenadine is acting as a DNA gyrase and topoisomerase inhibitor. More specifically, terfenadine and derivatives thereof act as topoisomerase 4 inhibitors. Furthermore, it was found that terfenadine has activity against S. aureus small-colony variants and biofilms, properties not previously reported for this scaffold.


A screen of E. faecium identified two structurally related nonsteroid estrogen receptor antagonists, tamoxifen and clomiphene. Tamoxifen is used to treat some forms of estrogen-receptor-positive breast cancer, while clomiphene is used in fertility treatment regimens. These two compounds are members of the triarylethylene class of estrogen receptors.


Since the number of agents with activity toward enterococcus is quite limited, tamoxifen's in vivo activity was investigated using a Galleria model of enterococcus infection. Although it was not as active as vancomycin, tamoxifen did impart a survival benefit, indicating that it has in vivo antimicrobial activity. High-dose tamoxifen therapy has been used in experimental treatment of refractory human cancers, and dosing results in micromolar serum concentrations of tamoxifen corresponding to the levels of drug associated with antienterococcal activity observed in the studies provided herein.


In addition to providing a powerful new HTS approach to identify antimicrobial agents active against planktonic bacteria, an AK assay that is easily amenable to screening bacteria in disease states that cannot be readily screened via conventional approaches is provided herein. In that regard, the AK assay is capable of measuring the killing properties of bactericidal agents administered to biofilms formed by both Gram-negative and Gram-positive representatives of the ESKAPE pathogens. Similarly, the AK assay can detect the bactericidal properties of antibiotics toward a phenotypically stable S. aureus small-colony variant. These features can be exploited to develop corresponding high-throughput screening assays for the identification of agents that kill established biofilms and small-colony variants or provide powerful secondary assays aimed at characterizing the potential antimicrobial properties of molecules of interest.


Example II
Antimicrobial Properties of Terfenadine and Terfenadine Derivatives

Terfenadine derivatives were synthesized as described below.




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General Method A


KSC-335-007


1-(4-(tert-butyl)phenyl)-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butan-1-one

To a vial was added the diphenyl(piperidin-4-yl)methanol (1.190 g, 4.45 mmol), 1-(4-(tert-butyl)phenyl)-4-chlorobutan-1-one (1.012 g, 4.24 mmol), sodium bicarbonate (0.427 g, 5.09 mmol) with water:2-butanone (18 mL, 1:5). The reaction stirred at 85° C. for 16 h and was then cooled to rt and water (50 mL) was added. The reaction was extracted with EtOAc (3×50 mL). The EtOAc layer was dried with MgSO4, filtered, concentrated and purified by MPLC (20 min, 0-10% MeOH:DCM) to produce pure 1-(4-(tert-butyl)phenyl)-4-(4-(hydroxydiphenylmethyl) piperidin-1-yl)butan-1-one (1.37 g, 2.92 mmol, 69% yield) as a colorless oil. 1H NMR (500 MHz, CDCl3): δ 7.90 (d, J=8.4 Hz, 2H), 7.49-7.45 (m, 6H), 7.31-7.25 (m, 4H), 7.20-7.14 (m, 2H), 2.97-2.92 (m, 4H), 2.45-2.36 (m, 3H), 2.09 (br s, 1H), 2.00-1.87 (m, 4H), 1.49-1.32 (m, 4H), 1.34 (s, 9H). 13C NMR (125 MHz, CDCl3): δ 199.7, 156.5, 146.0, 134.5, 128.1, 128.0, 126.4, 125.7, 125.4, 79.4, 57.9, 43.9, 43.4, 44.1, 36.2, 35.0, 31.0, 26.2, 21.9. LCMS Retention time: 4.207 min. LCMS purity 99.5%. HRMS (ESI): m/z calcd for C32H39NO2 [M+H]+ 470.2981, found 470.3054.




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KSC-335-005


4-(4-(Hydroxydiphenylmethyl)piperidin-1-yl)-1-(4-isopropylphenyl)butan-1-one

Method




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A: diphenyl(piperidin-4-yl)methanol (0.620 g, 2.317 mmol), 4-chloro-1-(4-isopropylphenyl)butan-1-one (0.496 g, 2.207 mmol), sodium bicarbonate (0.222 g, 2.65 mmol) with water (3 mL) and 2-butanone (15 mL, Ratio: 5). to produce pure 4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)-1-(4-isopropylphenyl)butan-1-one (0.481 g, 1.056 mmol, 48% yield) as a colorless oil. 1H NMR (500 MHz, CDCl3): δ 7.89 (d, J=8.4 Hz, 2H), 7.49-7.45 (m, 4H), 7.31-7.26 (m, 6H), 7.20-7.14 (m, 2H), 2.98-2.91 (m, 4H), 2.45-2.35 (m, 1H), 2.38 (t, J=6.8 Hz, 2H), 2.08 (br s, 1H), 1.99-1.89 (m, 4H), 1.61 (br s, 1H), 1.48-1.33 (m, 4H), 1.27 (d, J=6.8 Hz, 6H).


KSC-335-006


1-(4-(tert-butyl)phenyl)-5-(4-(hydroxydiphenylmethyl)piperidin-1-yl)pentan-1-one

Method A: diphenyl(piperidin-4-yl)methanol (0.544 g, 2.035 mmol), 1-(4-(tert-butyl)phenyl)-5-chloropentan-1-one (0.490 g, 1.938 mmol), sodium bicarbonate (0.195 g, 2.326 mmol) with water:2-butanone (18 mL, 1:5) to produce pure 1-(4-(tert-butyl)phenyl)-5-(4-(hydroxydiphenylmethyl)piperidin-1-yl)pentan-1-one (0.600 g, 1.240 mmol, 64.0% yield) as a colorless oil. 1H NMR (500 MHz, CDCl3): δ 7.89 (d, J=8.4 Hz, 2H), 7.49-7.45 (m, 6H), 7.32-7.26 (m, 4H), 7.20-7.14 (m, 2H), 2.98-2.92 (m, 4H), 2.48-2.32 (m, 3H), 2.14 (br s, 1H), 1.99-1.89 (m, 2H), 1.77-1.62 (m, 2H), 1.60-1.42 (m, 6H), 1.34 (s, 9H).




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1-(4-(tert-butyl)phenyl)-3-(4-(hydroxydiphenylmethyl)piperidin-1-yl)propan-1-one

Method A: diphenyl(piperidin-4-yl)methanol (0.543 g, 2.032 mmol), 1-(4-(tert-butyl)phenyl)-3-chloropropan-1-one (0.435 g, 1.936 mmol), sodium bicarbonate (0.195 g, 2.323 mmol) with water:2-butanone (18 mL, 1:5) to produce pure 1-(4-(tert-butyl)phenyl)-3-(4-(hydroxydiphenyl methyl)piperidin-1-yl)propan-1-one (0.838 g, 1.84 mmol, 95% yield) as a colorless oil. 1H NMR (500 MHz, CDCl3): δ 7.89 (d, J=8.4 Hz, 2H), 7.50-7.45 (m, 6H), 7.32-7.25 (m, 4H), 7.21-7.14 (m, 2H), 3.15 (t, J=7.1 Hz, 2H), 3.01-2.96 (m, 2H), 2.81 (t, J=7.1 Hz, 2H), 2.49-2.42 (m, 1H), 2.15-2.04 (m, 3H), 1.56-1.46 (m, 4H), 1.33 (s, 9H). 13C NMR (125 MHz, CDCl3): δ 198.9, 171.1, 156.8, 145.8, 134.3, 128.2, 128.0, 126.5, 125.8, 125.5, 79.4, 60.4, 54.2, 53.4, 44.0, 36.3, 35.1, 31.1, 26.4, 21.1, 14.2. LCMS Retention time: 3.968 min. LCMS purity 98.1%. HRMS (ESI): m/z calcd for C31H37NO2 [M+H]+ 456.2824, found 456.2897.




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KSC-335-009


1-(4-chlorophenyl)-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butan-1-one

Method A: diphenyl(piperidin-4-yl)methanol (0.626 g, 2.341 mmol), 4-chloro-1-(4-chlorophenyl) butan-1-one (0.484 g, 2.229 mmol), sodium bicarbonate (0.225 g, 2.68 mmol) with water:2-butanone (18 mL, 1:5) to produce pure 1-(4-chlorophenyl)-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butan-1-one (0.394 g, 0.879 mmol, 39.4% yield) as a colorless oil. 1H NMR (400 MHz, CDCl3): δ 7.90 (d, J=8.4 Hz, 2H), 7.48-7.44 (m, 4H), 7.42 (d, J=8.6 Hz, 2H), 7.31-7.26 (m, 4H), 7.20-7.15 (m, 2H), 3.96-2.89 (m, 4H), 2.45-2.34 (m, 3H), 2.08 (br s, 1H), 1.99-1.87 (m, 4H), 1.50-1.30 (m, 4H).




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General Method B


KSC-335-014, Terfenadine


1-(4-(tert-butyl)phenyl)-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butan-1-ol. To a vial was added the 1-(4-(tert-butyl)phenyl)-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butan-1-one (KSC-335-007 (0.198 g, 0.422 mmol) and MeOH (2 mL). The sodium borohydride (0.032 g, 0.844 mmol) was then added and the reaction stirred at rt for 3 h. The reaction was concentrated to dryness, water (5 mL) was added and a white precipitate formed. The precipitate was filtered out and then dissolved in DCM (10 mL), dried with MgSO4, filtered and concentrated to produce pure 1-(4-(tert-butyl)phenyl)-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butan-1-ol (0.151 g, 0.320 mmol, 76% yield) as on oil. 1H NMR (400 MHz, CDCl3): δ 7.52-7.46 (m, 4H), 7.33-7.25 (m, 8H), 7.21-7.15 (m, 2H), 4.61-4.56 (m, 1H), 3.16-3.11 (br m, 1H), 3.00-2.94 (m, 1H), 2.51-2.34 (m, 4H), 2.10-1.88 (m, 4H), 1.83-1.75 (m, 1H), 1.70-1.45 (m, 6H), 1.30 (s, 9H). 13C NMR (125 MHz, CDCl3): δ 149.4, 146.1, 146.0, 142.7, 128.2, 128.1, 126.4, 126.3, 125.7, 125.6, 125.3, 125.0, 79.2, 73.4, 58.9, 54.7, 53.3, 44.2, 39.7, 34.4, 31.4, 26.0, 25.9, 24.1. LCMS Retention time: 4.137 min. LCMS purity 97.5%. HRMS (ESI): m/z calcd for C32H41NO2 [M+H]+ 472.3144, found 472.3219.




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KSC-335-012


4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)-1-(4-isopropylphenyl)butan-1-ol

Method B: 4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)-1-(4-isopropylphenyl)butan-1-one (KSC-335-005) (0.154 g, 0.338 mmol) and MeOH (2 mL) sodium borohydride (0.026 g, 0.676 mmol) to produce pure 4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)-1-(4-isopropylphenyl)butan-1-ol (0.146 g, 0.319 mmol, 94% yield) as on oil. 1H NMR (400 MHz, CDCl3): δ 7.52-7.46 (m, 4H), 7.32-7.23 (m, 6H), 7.20-7.14 (m, 4H), 4.61-4.58 (m, 1H), 3.18-3.11 (br m, 1H), 3.00-2.94 (br m, 1H), 2.87 (septet, J=6.9 Hz, 1H), 2.50-2.33 (m, 3H), 2.29 (br s, 1H), 2.10-1.89 (m, 3H), 1.82-1.44 (m, 8H), 1.22 (d, J=6.9 Hz, 6H). 13C NMR (125 MHz, CDCl3): δ 147.2, 146.1, 146.0, 128.2, 128.1, 126.5, 126.4, 126.1, 125.7, 125.7, 79.2, 73.5, 58.9, 54.7, 53.3, 44.2, 39.9, 33.7, 26.0, 25.9, 24.2, 24.1, 24.0. LCMS Retention time: 4.056 min. LCMS purity 98.6%. HRMS (ESI): m/z calcd for C31H39NO2 [M+H]+ 458.2986, found 458.3062.




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KSC-335-013


1-(4-(tert-butyl)phenyl)-5-(4-(hydroxydiphenylmethyl)piperidin-1-yl)pentan-1-ol

Method B: 1-(4-(tert-butyl)phenyl)-5-(4-(hydroxydiphenylmethyl)piperidin-1-yl)pentan-1-one (KSC-335-006) (0.204 g, 0.422 mmol) and MeOH (2 mL) and sodium borohydride (0.032 g, 0.844 mmol) to produce pure 1-(4-(tert-butyl)phenyl)-5-(4-(hydroxydiphenylmethyl)piperidin-1-yl)pentan-1-ol (0.156 g, 0.321 mmol, 76% yield) as on oil. 1H NMR (400 MHz, CDCl3): δ 7.50-7.45 (m, 4H), 7.36 (d, J=8.4 Hz, 2H), 7.31-7.24 (m, 6H), 7.19-7.14 (m, 2H), 4.65-4.60 (m, 1H), 2.98-2.90 (br m, 1H), 2.48-2.38 (m, 1H), 2.30 (t, J=7.2 Hz, 2H), 2.23 (br s, 1H), 1.97-1.87 (m, 2H), 1.84-1.60 (m, 4H), 1.55-1.35 (m, 8H), 1.31 (s, 9H). 13C NMR (125 MHz, CDCl3): δ 150.3, 146.0, 142.0, 128.1, 126.4, 125.8, 125.5, 125.3, 79.4, 74.1, 58.4, 54.1, 54.0, 44.2, 38.5, 34.5, 31.4, 31.3, 26.5, 26.3, 26.2, 23.7. LCMS Retention time: 4.254 min. LCMS purity 96.4%. HRMS (ESI): m/z calcd for C33H43NO2 [M+H]+ 486.3294, found 486.3370.




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KSC-335-015


1-(4-chlorophenyl)-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butan-1-ol

Method B: 1-(4-chlorophenyl)-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butan-1-one (KSC-335-009) (0.156 g, 0.348 mmol) and MeOH (2 mL) sodium borohydride (0.026 g, 0.696 mmol) to produce pure 1-(4-chlorophenyl)-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butan-1-ol (0.118 g, 0.262 mmol, 75% yield) as on oil. 1H NMR (400 MHz, CDCl3): δ 7.51-7.46 (m, 4H), 7.32-7.24 (m, 8H), 7.20-7.15 (m, 2H), 4.61-4.56 (m, 1H), 3.16-3.10 (br m, 1H), 2.97-2.91 (m, 1H), 2.51-2.33 (m, 4H), 2.12-1.88 (m, 3H), 1.83-1.75 (m, 1H), 1.78-1.46 (m, 8H). 13C NMR (125 MHz, CDCl3): δ 146.0, 145.9, 144.5, 139.1, 128.19, 128.18, 128.1, 127.1, 126.49, 126.45, 125.62, 125.57, 79.2, 72.9, 58.8, 54.7, 53.2, 44.2, 40.2, 26.0, 25.9, 24.1. LCMS Retention time: 3.845 min. LCMS purity 98.4%. HRMS (ESI): m/z calcd for C28H32ClNO2 [M+H]+ 450.2122, found 450.2194.




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KSC-335-016


1-(4-(tert-butyl)phenyl)-3-(4-(hydroxydiphenylmethyl)piperidin-1-yl)propan-1-ol

Method B: 1-(4-(tert-butyl)phenyl)-3-(4-(hydroxydiphenylmethyl)piperidin-1-yl)propan-1-one (KSC-335-008) (0.116 g, 0.255 mmol) and MeOH (2 mL) and sodium borohydride (0.019 g, 0.509 mmol) to produce pure 1-(4-(tert-butyl)phenyl)-3-(4-(hydroxydiphenylmethyl)piperidin-1-yl)propan-1-ol (0.106 g, 0.232 mmol, 91% yield) as on oil. 1H NMR (400 MHz, CDCl3): δ 7.49-7.44 (m, 4H), 7.36-7.25 (m, 8H), 7.22-7.16 (m, 2H), 6.72 (br s, 1H), 4.90-4.85 (m, 1H), 3.21-3.15 (br m, 1H), 3.11-3.05 (br m, 1H), 2.70-2.62 (m, 1H), 2.57-2.40 (m, 2H), 2.14-2.06 (m, 2H), 1.91-1.79 (m, 3H), 1.57-1.45 (m, 4H), 1.31 (s, 9H). 13C NMR (125 MHz, CDCl3): δ 149.6, 145.8, 145.7, 141.9, 128.2, 128.1, 126.6, 126.5, 125.8, 125.7, 125.2, 125.0, 79.4, 75.3, 57.3, 55.2, 53.2, 44.1, 34.4, 33.7, 31.4, 26.7, 26.4. LCMS Retention time: 4.006 min. LCMS purity 97.7%. HRMS (ESI): m/z calcd for C31H39NO2 [M+H]+ 458.2991, found 458.3066.




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KSC-335-018


4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)-1-phenylbutan-1-one

Method A: diphenyl(piperidin-4-yl)methanol (0.524 g, 1.961 mmol), 4-chloro-1-phenylbutan-1-one (0.300 ml, 1.868 mmol), sodium bicarbonate (0.188 g, 2.241 mmol) with water:2-butanone (18 mL, 1:5) to produce pure 4-(4-(hydroxydiphenylmethyl)piperidin-1l-yl)-1-phenylbutan-1-one (0.177 g, 0.428 mmol, 23% yield) as a colorless oil. 1H NMR (500 MHz, CDCl3): δ 7.98-7.94 (m, 2H), 7.57-7.52 (m, 1H), 7.49-7.42 (m, 6H), 7.32-7.26 (m, 4H), 7.20-7.15 (m, 2H), 3.00-2.90 (m, 4H), 2.46-2.35 (m, 3H), 2.09 (br s, 1H), 2.00-1.87 (m, 4H), 1.50-1.33 (m, 4H).




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KSC-335-020


1-(tert-butyl)-4-(4-chlorobutyl)benzene

To a vial was added the 1-(4-(tert-butyl)phenyl)-4-chlorobutan-1-one (0.266 g, 1.114 mmol) and triethylsilane (0.518 g, 0.712 ml, 4.46 mmol) with TFA (4 mL). The reaction stirred at 75° C. for 18 h, was cooled to rt and concentrated in vacuo. The residue was then dissolved in DCM (5 mL) and washed with water (4 mL). The DCM layer was collected and washed with water (1×5 mL), dried with MgSO4, filtered and adsorbed to silica and purified by Teledyne ISCO Combiflash chromatography (20 min, 0-40% EtOAc:Hex) and fractions 4 and 5 were collected to produce pure 1-(tert-butyl)-4-(4-chlorobutyl)benzene (0.155 g, 0.690 mmol, 61.9% yield) as an oil. 1H NMR (400 MHz, CDCl3): δ 7.32 (d, J=7.6 Hz, 2H), 7.12 (d, J=7.6 Hz, 2H), 3.56 (t, J=6.5 Hz, 2H), 2.62 (t, J=7.5 Hz, 2H), 1.87-1.74 (m, 4H), 1.32 (s, 9H).




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KSC-335-021


4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)-1-phenylbutan-1-ol

Method B: 4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)-1-phenylbutan-1-one (KSC-335-018) (0.065 g, 0.157 mmol) and MeOH (2 mL) and sodium borohydride (0.012 g, 0.314 mmol) to produce pure 4-(4-(hydroxydiphenylmethyl) piperidin-1-yl)-1-phenylbutan-1-ol (0.048 g, 0.116 mmol, 73% yield) as on oil. 1H NMR (400 MHz, CDCl3): δ 7.51-7.46 (m, 4H), 7.37-7.33 (m, 2H), 7.32-7.26 (m, 5H), 7.23-7.14 (m, 3H), 4.65-4.61 (m, 1H), 3.15 (d, J=11.7 Hz, 1H), 2.96 (d, J=11.7 Hz, 1H), 2.52-2.31 (m, 4H), 2.11-1.90 (m, 3H), 1.84-1.74 (m, 2H), 1.70-1.44 (m, 7H). 13C NMR (125 MHz, CDCl3): δ 146.0, 145.9, 145.8, 128.2, 128.1, 128.0, 126.6, 126.5, 126.4, 125.6, 125.6, 79.2, 73.6, 58.9, 54.7, 53.3, 44.2, 40.1, 26.0, 25.9, 24.1. LCMS Retention time: 3.711 min. LCMS purity 99.8%. HRMS (ESI): m/z calcd for C28H33NO2 [M+H]+ 416.2517, found 416.2592.




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KSC-335-022


Methyl 2-methyl-2-(4-(4-((methylsulfonyl)oxy)but-1-yn-1-yl)phenyl)propanoate

To a vial was added the methyl 2-(4-(4-hydroxybut-1-yn-1-yl)phenyl)-2-methylpropanoate (0.051 g, 0.207 mmol) and dry DCM (2 mL). The methanesulfonyl chloride (0.047 g, 0.032 mL, 0.414 mmol) and pyridine (0.147 g, 0.151 mL, 1.864 mmol) were each added and the reaction and stirred at rt for 16 h. The reaction was then diluted with DCM (5 mL) and washed with 1% w/v sulfuric acid in water (3×7 mL), saturated NaHCO3 (7 mL) and brine (7 mL). The organic layer was dried with MgSO4, filtered and concentrated to produce methyl 2-methyl-2-(4-(4-((methylsulfonyl) oxy)but-1-yn-1-yl)phenyl)propanoate (0.063 g, 0.194 mmol, 94% yield). 1H NMR (400 MHz, CDCl3): δ 7.35 (d, J=8.6 Hz, 2H), 7.26 (d, J=8.6 Hz, 2H), 4.38 (t, J=6.8 Hz, 2H), 3.64 (s, 3H), 3.06 (s, 3H), 2.87 (t, J=6.8 Hz, 2H), 1.56 (s, 6H).




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KSC-335-023


4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)-1-(4-methoxyphenyl)butan-1-one

Method A: diphenyl(piperidin-4-yl)methanol (0.490 g, 1.832 mmol), 4-chloro-1-(4-methoxyphenyl)butan-1-one (0.371 g, 1.744 mmol), sodium bicarbonate (0.176 g, 2.093 mmol) with water (3 mL) and 2-butanone (15 mL) to produce pure 4-(4-(hydroxydi phenylmethyl)piperidin-1-yl)-1-(4-methoxyphenyl)butan-1-one (0.282 g, 0.636 mmol, 36% yield) as a colorless oil. 1H NMR (400 MHz, CDCl3): δ 7.94 (d, J=9.0 Hz, 2H), 7.49-7.45 (m, 4H), 7.31-7.26 (m, 4H), 7.17 (tt, J1=7.3 Hz, J2=1.3 Hz, 2H), 6.92 (d, J=8.9 Hz, 2H), 3.87 (s, 3H), 2.97 (br s, 1H), 2.93 (t, J=7.3 Hz, 2H), 2.48-2.35 (m, 3H), 2.02-1.88 (m, 4H), 1.63-1.40 (m, 4H).




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KSC-335-024


1-(4-Fluorophenyl)-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butan-1-one

Method A: diphenyl(piperidin-4-yl)methanol (0.385 g, 1.439 mmol), 4-chloro-1-(4-fluorophenyl)butan-1-one (0.275 g, 1.371 mmol), sodium bicarbonate (0.138 g, 1.645 mmol) with water (3 mL) and 2-butanone (15 mL) to produce pure 1-(4-fluorophenyl)-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butan-1-one (0.174 g, 0.403 mmol, 29% yield) as a colorless oil. 1H NMR (400 MHz, CDCl3): δ 8.00-7.96 (m, 2H), 7.48-7.44 (m, 4H), 7.31-7.26 (m, 4H), 7.20-7.15 (m, 2H), 7.14-7.08 (m, 2H), 2.97-2.94 (m, 4H), 2.46-2.36 (m, 3H), 2.15 (br s, 1H), 2.01-1.88 (m, 4H), 1.52-1.35 (m, 4H).




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KSC-335-025


1-(4-Bromophenyl)-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butan-1-one

Method A: diphenyl(piperidin-4-yl)methanol (0.439 g, 1.642 mmol), 1-(4-bromophenyl)-4-chlorobutan-1-one (0.409 g, 1.564 mmol), sodium bicarbonate (0.158 g, 1.877 mmol) with water (3 mL) and 2-butanone (15 mL) to produce pure 1-(4-bromophenyl)-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butan-1-one (0.245 g, 0.498 mmol, 32% yield) as a colorless oil. 1H NMR (400 MHz, CDCl3): δ 7.83-7.79 (m, 2H), 7.60-7.56 (m, 2H), 7.48-7.45 (m, 4H), 7.31-7.26 (m, 4H), 7.20-7.15 (m, 2H), 2.95-2.90 (m, 4H), 2.45-2.35 (m, 3H), 2.17 (br s, 1H), 2.00-1.88 (m, 4H), 1.51-1.33 (m, 4H).




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KSC-335-030


4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)-1-(4-methoxyphenyl)butan-1-ol

Method B: 4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)-1-(4-methoxyphenyl)butan-1-one (KSC-335-023) (0.113 g, 0.255 mmol) and MeOH (2 mL) and sodium borohydride (0.019 g, 0.509 mmol) to produce pure 4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)-1-(4-methoxyphenyl)butan-1-ol (0.062 g, 0.139 mmol, 55% yield) as on oil. 1H NMR (400 MHz, CDCl3): δ 7.51-7.46 (m, 4H), 7.32-7.24 (m, 6H), 7.20-7.15 (m, 2H), 6.84 (d, J=7.0 Hz, 2H), 4.60-4.56 (m, 1H), 3.78 (s, 3H), 3.14 (d, J=11.7 Hz, 1H), 2.95 (d, J=11.7 Hz, 1H), 2.50-2.35 (m, 4H), 2.10-2.02 (m, 1H), 1.99-1.86 (m, 2H), 1.80-1.73 (m, 1H), 1.69-1.45 (m, 7H). 13C NMR (125 MHz, CDCl3): δ 158.3, 146.1, 146.0, 138.1, 128.1, 128.1, 126.7, 126.4, 126.4, 125.7, 125.6, 113.5, 79.2, 73.2, 58.9, 55.2, 54.7, 53.2, 44.2, 40.0, 26.0, 25.9, 24.1. LCMS Retention time: 3.620 min. LCMS purity 98.3%. HRMS (ESI): m/z calcd for C29H35NO3 [M+H]+ 446.2652, found 446.2728.




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KSC-335-031


1-(4-fluorophenyl)-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butan-1-ol

Method B: 1-(4-fluorophenyl)-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butan-1-one (KSC-335-024) (0.064 g, 0.148 mmol) and MeOH (2 mL) and sodium borohydride (0.011 g, 0.297 mmol) to produce pure 1-(4-fluorophenyl)-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butan-1-ol (0.059 g, 0.136 mmol, 92% yield) as on oil. 1H NMR (400 MHz, CDCl3): δ 7.51-7.46 (m, 4H), 7.33-7.25 (m, 6H), 7.20-7.14 (m, 2H), 6.96 (t, J=8.8 Hz, 2H), 4.61-4.57 (m, 1H), 3.14 (d, J=11.7 Hz, 1H), 2.94 (d, J=11.7 Hz, 1H), 2.51-2.35 (m, 4H), 2.13-2.02 (m, 1H), 2.02-1.86 (m, 2H), 1.78-1.45 (m, 7H). 13C NMR (125 MHz, CDCl3): δ 162.6, 160.7, 146.0, 145.9, 141.7, 141.6, 128.2, 128.1, 127.2, 127.1, 126.5, 126.4, 125.6, 125.5, 114.9, 114.7, 79.2, 73.0, 58.8, 54.8, 53.1, 44.2, 40.3, 30.9, 26.0, 25.9, 24.1. LCMS Retention time: 3.691 min. LCMS purity 98.5%. HRMS (ESI): m/z calcd for C28H32FNO2 [M+H]+ 434.2406, found 434.2482.




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KSC-335-032


1-(4-bromophenyl)-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butan-1-ol

Method B: 1-(4-bromophenyl)-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butan-1-one (KSC-335-025) (0.083 g, 0.169 mmol) and MeOH (2 mL) and sodium borohydride (0.013 g, 0.337 mmol) to produce pure 1-(4-bromophenyl)-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butan-1-ol (0.053 g, 0.107 mmol, 63.6% yield) as on oil. 1H NMR (400 MHz, CDCl3): δ 7.51-7.46 (m, 4H), 7.41 (d, J=6.8 Hz, 2H), 7.32-7.26 (m, 4H), 7.22 (d, J=6.6 Hz, 2H), 7.20-7.15 (m, 2H), 4.60-4.56 (m, 1H), 3.14 (d, J=11.7 Hz, 1H), 2.93 (d, J=11.7 Hz, 1H), 2.50-2.42 (m, 1H), 2.41-2.34 (m, 2H), 2.11-2.05 (m, 1H), 2.01-1.95 (m, 1H), 1.94-1.86 (m, 1H), 1.78-1.45 (m, 8H). 13C NMR (125 MHz, CDCl3): δ 146.0, 145.9, 145.1, 131.1, 128.2, 128.1, 127.5, 126.5, 126.4, 125.6, 125.6, 120.2, 79.2, 72.9, 58.8, 54.7, 53.2, 44.1, 40.1, 26.0, 25.9, 24.1. LCMS Retention time: 3.902 min. LCMS purity 99.1%. HRMS (ESI): m/z calcd for C28H32BrNO2 [M+H]+ 494.1614, found 494.1673.




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KSC-335-041


(1-(4-(4-(tert-butyl)phenyl)butyl)piperidin-4-yl)diphenylmethanol

To a vial was added the diphenyl(piperidin-4-yl)methanol (0.153 g, 0.571 mmol), 1-(tert-butyl)-4-(4-chlorobutyl)benzene (KSC-335-020) (0.154 g, 0.685 mmol) and potassium carbonate (0.473 g, 3.43 mmol) in acetonitrile. The reaction stirred overnight at 85° C. and for 18 h and was then cooled to rt and filtered. The filtrate was then diluted with brine and extracted with diethyl ether (3×15 mL). The ether layers were combined, dried with MgSO4, filtered and purified by reverse-phase MPLC (20 min, 10-100% MeCN:H2O) to produce pure (1-(4-(4-(tert-butyl)phenyl)butyl)piperidin-4-yl)diphenylmethanol (0.180 g, 0.395 mmol, 69% yield) as an oil. 1H NMR (400 MHz, CDCl3): δ 7.38-7.34 (m, 4H), 7.19-7.14 (m, 6H), 7.07-7.02 (m, 2H), 6.99-6.95 (m, 2H), 2.86-2.80 (m, 2H), 2.45 (t, J=7.3 Hz, 2H), 2.35-2.26 (m, 1H), 2.22-2.17 (m, 2H), 1.84-1.76 (m, 3H), 1.52-1.30 (m, 8H), 1.18 (s, 9H). 13C NMR (125 MHz, CDCl3): δ 171.1, 148.4, 146.0, 139.4, 128.1, 128.0, 126.4, 125.8, 125.1, 79.5, 60.4, 58.8, 54.1, 44.2, 35.2, 34.3, 31.4, 29.5, 26.8, 26.4, 21.0, 14.2. LCMS Retention time: 3.928 min. LCMS purity 97.8%. HRMS (ESI): m/z calcd for C32H41NO [M+H]+ 456.3188, found 456.3261.




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KSC-335-053


Methyl 4-(1,3-dithian-2-yl)benzoate. A flame dried vial was evaporated 3 times with argon and methyl 4-formylbenzoate (0.50 g, 3.05 mmol) was added with anhydrous DCM (8.70 mL) followed by 1,3-propanedithiol (0.339 mL, 3.35 mmol). The reaction began to stir at rt for 1.5 h. The reaction was then cooled to 0° C. and the BF3.OEt2 (0.425 ml, 3.35 mmol) was added dropwise. The reaction was then warmed slowly to rt and stirred overnight. The reaction was then diluted with DCM (15 mL) and quenched with saturated NaHCO3 (15 mL) and the DCM layer was dried with MgSO4, filtered and adsorbed to silica and purified by MPLC (20 min, 0-35% EtOAc:Hex) to produce methyl 4-(1,3-dithian-2-yl)benzoate (0.669 g, 2.63 mmol, 86% yield). 1H NMR (400 MHz, CDCl3): δ 8.01 (d, J=8.4 Hz, 2H), 7.54 (d, J=8.3 Hz, 2H), 3.91 (s, 3H), 3.12-3.03 (m, 2H), 2.96-2.90 (m, 2H), 2.23-2.16 (m, 1H), 2.01-1.89 (m, 1H), 1.55 (s, 2H).




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KSC-335-054


Methyl 2-(4-(4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)but-1-yn-1-yl)phenyl)-2-methylpropanoate

To a vial was added the diphenyl(piperidin-4-yl)methanol (0.528 g, 1.974 mmol), methyl 2-methyl-2-(4-(4-((methylsulfonyl)oxy)but-1-yn-1-yl)phenyl)propanoate (KSC-335-022) (0.582 g, 1.794 mmol) and potassium carbonate (0.744 g, 5.38 mmol) with acetonitrile (10 mL). The reaction stirred at 70° C. for 18 h and cooled to rt and filtered to remove the potassium carbonate. The filtrate was adsorbed to silica gel and purified by reverse-phase MPLC (20 min, 10-100% MeCN:H2O) to produce pure methyl 2-(4-(4-(4-(hydroxydiphenylmethyl) piperidin-1-yl)but-1-yn-1-yl)phenyl)-2-methylpropanoate (0.434 g, 0.876 mmol, 49% yield). 1H NMR (400 MHz, CDCl3): δ 7.49-7.46 (m, 4H), 7.34-7.27 (m, 6H), 7.25-7.15 (m, 4H), 3.64 (s, 3H), 3.03-2.97 (m, 2H), 2.68-2.63 (m, 2H), 2.59-2.54 (m, 2H), 2.48-2.40 (m, 1H), 2.14-2.06 (m, 2H), 1.63 (br s, 1H), 1.55 (s, 6H), 1.55-1.45 (m, 4H).




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KSC-335-056


Methyl 4-(2-(3-chloropropyl)-1,3-dithian-2-yl)benzoate

To a dry vial was added the methyl 4-(1,3-dithian-2-yl)benzoate (KSC-335-053) (0.256 g, 1.01 mmol) and this was evacuated with argon 3 times. The dry THF (7 mL) was added and the reaction was cooled to −78° C. at and the NaHMDS (1.258 mL, 1.258 mmol) was added. After 30 minutes the 1-chloro-3-iodopropane (0.531 mL, 5.03 mmol) was added. The reaction was then allowed to warm to rt overnight. The mixture was quenched with the addition of saturated NH4Cl (10 mL) at and diluted with EtOAc (15 mL) and shaken. The EtOAc layer was collected, dried with MgSO4, filtered and adsorbed to silica and purified by MPLC (20 min, −25% EtOAc:Hex) to produce pure methyl 4-(2-(3-chloropropyl)-1,3-dithian-2-yl)benzoate (0.102 g, 0.308 mmol, 31% yield). 1H NMR (400 MHz, CDCl3): δ 8.07-8.03 (m, 2H), 8.01-7.98 (m, 2H), 3.93 (s, 3H), 3.41 (t, J=6.4 Hz, 2H), 2.74-2.62 (m, 4H), 2.19-2.13 (m, 2H), 1.99-1.92 (m, 2H), 1.78-1.70 (m, 2H).




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KSC-335-059


(S)-1-(4-(tert-butyl)phenyl)-4-chlorobutan-1-ol

To a flame-dried vial was added dry THF (2 mL) and then cooled to 0° C. The 1.0 M R-5,5-Diphenyl-2-methyl-3,4-propano-1,3,2-oxazaborlidine (0.105 mL, 0.105 mmol) in THF was added followed by the 2.0 M borane-methyl sulfide complex (0.654 mL, 1.309 mmol) in THF. The reaction began to stir at 0° C. for 30 minutes. To another flame-dried vial was added the 1-(4-(tert-butyl)phenyl)-4-chlorobutan-1-one (0.250 g, 1.047 mmol) and this was evacuated with argon 3 times then dissolved in dry THF (5 mL) and the oxazaborlidine solution was added dropwise at 0° C. and the reaction was allowed to warm to rt stirred for 2 h. The reaction was quenched with MeOH (10 mL) extracted with EtOAc (20 mL) then was washed with 1.0 M HCl (3×25 mL). The EtOAc layer was dried with MgSO4, filtered and concentrated to produce pure (S)-1-(4-(tert-butyl)phenyl)-4-chlorobutan-1-ol (0.248 g, 1.030 mmol, 98% yield). [alpha]25589=−24.0° (c=10 in CHCl3). 1H NMR (400 MHz, CDCl3): δ 7.38 (d, J=8.4 Hz, 2H), 7.28 (d, J=8.4, 2H), 4.71-4.67 (m, 1H), 3.61-3.53 (m, 2H), 1.98-1.79 (m, 4H), 1.32 (s, 9H).




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KSC-335-060


(R)-1-(4-(tert-butyl)phenyl)-4-chlorobutan-1-ol

Prepared the same as KSC-335-059 with 1.0 M (S)-5,5-diphenyl-2-methyl-3,4-propano-1,3,2-oxazaborlidine (0.105 ml, 0.105 mmol), 2.0 M Borane-methyl sulfide complex (0.654 ml, 1.309 mmol) and 1-(4-(tert-butyl)phenyl)-4-chlorobutan-1-one (0.250 g, 1.047 mmol) to produce pure (R)-1-(4-(tert-butyl)phenyl)-4-chlorobutan-1-ol (0.216 g, 0.897 mmol, 86% yield). [alpha]25589=+23.1° (c=10 in CHCl3). 1H NMR (400 MHz, CDCl3): δ 7.38 (d, J=8.4 Hz, 2H), 7.28 (d, J=8.4, 2H), 4.71-4.67 (m, 1H), 3.61-3.53 (m, 2H), 1.98-1.79 (m, 4H), 1.32 (s, 9H).




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KSC-335-061


Methyl 4-(4-chlorobutanoyl)benzoate

To a vial was added the methyl 4-(2-(3-chloropropyl)-1,3-dithian-2-yl)benzoate (KSC-335-056) (0.102 g, 0.308 mmol) and acetonitrile (1.5 mL) with water (0.2 mL). The (bis(trifluoroacetoxy)iodo)benzene (0.199 g, 0.462 mmol) was then added and the reaction stirred at rt for 1 h. The reaction was quenched with saturated NaHCO3 (7 mL) then diluted with EtOAc (10 mL) and extracted. The EtOAc was collected and washed with water (2×8 mL) and then dried with MgSO4, filtered and adsorbed to silica and purified by MPLC (20 min, 0-25% EtOAc:hex to produce pure methyl 4-(4-chlorobutanoyl)benzoate (0.0512 g, 0.213 mmol, 69% yield). 1H NMR (400 MHz, CDCl3): δ 8.11 (d, J=8.00 Hz, 2H), 8.00 (d, J=8.6 Hz, 2H), 3.93 (s, 3H), 3.67 (t, J=6.1 Hz, 2H), 3.19 (t, J=6.1 Hz, 2H), 2.22 (quintet, J=6.3 Hz, 2H).




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KSC-335-062


(S)-1-(4-(tert-butyl)phenyl)-4-chlorobutyl acetate

To a vial was added the (S)-1-(4-(tert-butyl)phenyl)-4-chlorobutan-1-ol (KSC-335-059) (0.248 g, 1.030 mmol) and diethyl ether (5.15 ml). The TEA (0.215 mL, 1.545 mmol) was added followed by the acetyl chloride (0.073 mL, 1.030 mmol) and the reaction began to stir at rt for 2 h. A white precipitate formed immediately. Water (5 mL) was added the reaction after 2 h and the ether layer was extracted. The aqueous was extracted again with more ether and the combined organics were dried with MgSO4, filtered and concentrated to produce pure (S)-1-(4-(tert-butyl)phenyl)-4-chlorobutyl acetate (0.250 g, 0.884 mmol, 86% yield). [alpha]25589=−42.11, (c=10, CH2Cl2). 1H NMR (400 MHz, CDCl3): δ 7.36 (d, J=8.4 Hz, 2H), 7.25 (d, J=8.4 Hz, 2H), 5.78-5.73 (m, 1H), 3.53 (t, J=6.4 Hz, 2H), 2.06 (s, 3H), 2.02-1.68 (m, 4H), 1.31 (s, 9H).




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KSC-336-063


(R)-1-(4-(tert-butyl)phenyl)-4-chlorobutyl acetate

Prepared the same as KSC-335-062 with (R)-1-(4-(tert-butyl)phenyl)-4-chlorobutan-1-ol (KSC-335-060) (0.216 g, 0.897 mmol) and diethyl ether (4.5 mL), TEA (0.188 ml, 1.346 mmol) and acetyl chloride (0.064 ml, 0.897 mmol) to produce pure (R)-1-(4-(tert-butyl)phenyl)-4-chlorobutyl acetate (0.249 g, 0.880 mmol, 98% yield). [alpha]25589=+54.57, (c=10, CH2Cl2). H NMR (400 MHz, CDCl3): δ 7.36 (d, J=8.4 Hz, 2H), 7.25 (d, J=8.4 Hz, 2H), 5.78-5.73 (m, 1H), 3.53 (t, J=6.4 Hz, 2H), 2.06 (s, 3H), 2.02-1.68 (m, 4H), 1.31 (s, 9H).




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KSC-335-064


(S)-1-(4-(tert-butyl)phenyl)-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butyl acetate

To a vial was added the diphenyl(piperidin-4-yl)methanol (0.154 g, 0.578 mmol), (S)-1-(4-(tert-butyl)phenyl)-4-chlorobutyl acetate (0.196 g, 0.693 mmol) (KSC-335-062) and potassium carbonate (0.319 g, 2.310 mmol) in acetonitrile (10 mL). The reaction stirred overnight at 70° C. for 18 h and was then cooled to rt and filtered. The filtrate was then diluted with DCM and washed with water (10 mL) and brine (10 mL). The DCM layers were combined, dried with MgSO4, filtered and purified by reverse-phase MPLC (20 min, 10-100% MeCN:water) to produce pure (S)-1-(4-(tert-butyl)phenyl)-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butyl acetate (0.135 g, 0.263 mmol, 46% yield) as a brown oil. 1H NMR (400 MHz, CDCl3): δ 7.48-7.45 (m, 4H), 7.35-7.14 (m, 10H), 5.73-5.68 (m, 1H), 2.93-2.87 (m, 2H), 2.46-2.37 (m, 1H), 2.87 (t, J=7.7 Hz, 2H), 2.11 (br s, 1H), 2.04 (s, 3H), 1.95-1.84 (m, 3H), 1.80-1.72 (m, 1H), 1.53-1.38 (m, 6H), 1.29 (s, 9H).




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KSC-335-065


(R)-1-(4-(tert-butyl)phenyl)-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butyl acetate

Prepared the same way as KSC-335-064 with diphenyl(piperidin-4-yl)methanol (0.196 g, 0.734 mmol), (R)-1-(4-(tert-butyl)phenyl)-4-chlorobutyl acetate (KSC-335-063) (0.249 g, 0.880 mmol) and potassium carbonate (0.406 g, 2.93 mmol) in acetonitrile to produce pure (R)-1-(4-(tert-butyl)phenyl)-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butyl acetate (0.237 g, 0.461 mmol, 63% yield) as a brown oil. 1H NMR (400 MHz, CDCl3): δ 7.48-7.45 (m, 4H), 7.35-7.14 (m, 10H), 5.73-5.68 (m, 1H), 2.93-2.87 (m, 2H), 2.46-2.37 (m, 1H), 2.87 (t, J=7.7 Hz, 2H), 2.11 (br s, 1H), 2.04 (s, 3H), 1.95-1.84 (m, 3H), 1.80-1.72 (m, 1H), 1.53-1.38 (m, 6H), 1.29 (s, 9H).




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KSC-335-066


Methyl 2-(4-(4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butanoyl)phenyl)-2-methylpropanoate

To a vial was added the methyl 2-(4-(4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)but-1-yn-1-yl)phenyl)-2-methylpropanoate (KSC-335-054) (0.074 g, 0.149 mmol). The mercuric oxide (1.493 ml, 0.045 mmol) was made into a 0.03 M solution in 4% w/v sulfuric acid and added to the starting material then heated to 55° C. and stirred for 3.5 h. The reaction turned a milky white color upon addition of the mercuric oxide solution. The reaction was removed from heat and diluted with saturated NaHCO3 (10 mL) and extracted with DCM (3×10 mL). The DCM layers were combined and dried with MgSO4, filtered and concentrated then purified by reverse-phase MPLC (10-100% MeCN:water) to produce methyl 2-(4-(4-(4-(hydroxydiphenylmethyl) piperidin-1-yl)butanoyl)phenyl)-2-methylpropanoate (0.0217 g, 0.042 mmol, 28.3% yield). 1H NMR (400 MHz, CDCl3): δ 7.93-7.91 (m, 2H), 7.48-7.45 (m, 4H), 7.42-7.39 (m, 2H), 7.30-7.26 (m, 4H), 7.19-7.14 (m, 2H), 3.63 (s, 3H), 2.96-2.88 (m, 4H), 2.44-2.34 (m, 3H), 2.08 (br s, 1H), 1.60 (s, 6H), 1.62-1.56 (m, 4H), 1.46-1.30 (m, 4H).




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KSC-335-069


(S)-1-(4-(tert-butyl)phenyl)-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butan-1-ol

To a vial was added the (S)-1-(4-(tert-butyl)phenyl)-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butyl acetate (0.135 g, 0.263 mmol) and this vial was evacuated with nitrogen 3 times. The dry THF (9 mL) was then added. The 1.0 M lithium aluminum hydride (0.263 mL, 0.263 mmol) in THF was added dropwise at rt and the reaction stirred for 5 h. The reaction was quenched slowly with water (10 mL) and then extracted with diethyl ether (2×10 mL). The ether layer was dried with MgSO4, filtered, concentrated and purified by reverse-phase MPLC (20 min, 10-100%, MeCN:H2O) to produce pure (S)-1-(4-(tert-butyl)phenyl)-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butan-1-ol (0.100 g, 0.212 mmol, 81% yield). [alpha]25589=−38.8. 1H NMR (400 MHz, CDCl3): δ 7.51-7.46 (m, 4H), 7.33-7.24 (m, 8H), 7.20-7.14 (m, 2H), 4.59 (dd, J=8.2 Hz, 2.8 Hz, 1H), 3.13 (br d, J=11.2 Hz, 1H), 2.97 (br d, J=11.2 Hz, 1H), 2.50-2.34 (m, 3H), 2.10-1.88 (m, 4H), 1.84-1.74 (m, 1H), 1.68-1.44 (m, 6H), 1.30 (s, 9H). 13C NMR (125 MHz, CDCl3): δ 149.4, 146.1, 146.0, 142.7, 128.2, 128.1, 126.45, 126.43, 125.7, 125.6, 125.4, 125.0, 79.3, 73.4, 58.9, 54.7, 53.3, 44.2, 39.7, 34.4, 31.4, 26.1, 26.0, 24.1. LCMS Retention time: 4.159 min. LCMS purity 99.7%. HRMS (ESI): m/z calcd for C32H41NO2 [M+H]+ 472.3137, found 472.3210.




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KSC-335-070


(R)-1-(4-(tert-butyl)phenyl)-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butan-1-ol

To a vial was added the (R)-1-(4-(tert-butyl)phenyl)-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butyl acetate (0.237 g, 0.461 mmol) and this vial was evacuated with nitrogen 3 times. The dry THF (Volume: 4.61 ml) was added and then the 1.0 M lithium aluminum hydride (0.461 mL, 0.461 mmol) in THE was added portionwise at rt for 5 h. The reaction was quenched slowly with water (10 mL) and then extracted with diethyl ether (2×10 mL). The ether layer was dried with MgSO4, filtered, concentrated and purified by reverse-phase MPLC (20 min, 10-100%, MeCN:H2O) to produce pure (R)-1-(4-(tert-butyl)phenyl)-4-(4-(hydroxydiphenylmethyl) piperidin-1-yl)butan-1-ol (0.116 g, 0.246 mmol, 53% yield). [alpha]25589=+38.60. 1H NMR (400 MHz, CDCl3): δ 7.51-7.46 (m, 4H), 7.33-7.24 (m, 8H), 7.20-7.14 (m, 2H), 4.59 (dd, J=8.2 Hz, 2.8 Hz, 1H), 3.13 (br d, J=11.2 Hz, 1H), 2.97 (br d, J=11.2 Hz, 1H), 2.50-2.34 (m, 3H), 2.10-1.88 (m, 4H), 1.84-1.74 (m, 1H), 1.68-1.44 (m, 6H), 1.30 (s, 9H). 13C NMR (125 MHz, CDCl3): δ 149.4, 146.1, 146.0, 142.7, 128.2, 128.1, 126.45, 126.43, 125.7, 125.6, 125.4, 125.0, 79.3, 73.4, 58.9, 54.7, 53.3, 44.2, 39.7, 34.4, 31.4, 26.1, 26.0, 24.1. LCMS Retention time: 4.156 min. LCMS purity 97.8%. HRMS (ESI): m/z calcd for C32H41NO2 [M+H]+ 472.3137, found 472.3210.




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KSC-335-077


4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)-1-(p-tolyl)butan-1-ol

Method B: 4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)-1-(p-tolyl)butan-1-one (0.073 g, 0.171 mmol) and MeOH (Volume: 2 mL) and SODIUM BOROHYDRIDE (0.013 g, 0.341 mmol) to produce pure 4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)-1-(p-tolyl)butan-1-ol (0.070 g, 0.163 mmol, 95% yield) as on oil. 1H NMR (400 MHz, CDCl3): δ 7.51-7.46 (m, 4H), 7.32-7.09 (m, 10H), 4.59 (dd, J=8.0, 2.8 Hz, 1H), 3.15-3.09 (m, 1H), 2.99-2.92 (m, 1H), 2.52-2.32 (m, 6H), 2.32 (s, 3H), 2.09-1.87 (m, 3H), 1.82-1.73 (m, 1H), 1.68-1.44 (m, 6H). 13C NMR (125 MHz, CDCl3): δ 146.1, 146.0, 142.9, 136.0, 128.7, 128.11, 128.10, 128.06, 126.39, 126.37, 125.7, 125.6, 125.5, 79.2, 73.3, 58.9, 54.6, 53.4, 53.3, 44.2, 39.9, 30.9, 26.0, 25.9, 26.0, 21.0. LCMS Retention time: 3.809 min. LCMS purity 94.1%. HRMS (ESI): m/z calcd for C29H35NO2 [M+H]+430.2668, found 430.2741.




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KSC-335-080


Methyl 2-(4-(1-hydroxy-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butyl)phenyl)-2-methylpropanoate

Method B: methyl 2-(4-(4-(4-(hydroxydiphenylmethyl) piperidin-1-yl)butanoyl)phenyl)-2-methylpropanoate (KSC-335-066)(0.148 g, 0.288 mmol) and MeOH (1 mL) and sodium borohydride (0.016 g, 0.432 mmol) to produce pure methyl 2-(4-(1-hydroxy-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butyl)phenyl)-2-methylpropanoate (0.108 g, 0.209 mmol, 73% yield). 1H NMR (400 MHz, CDCl3): δ 7.54-7.49 (m, 4H), 7.35-7.27 (m, 8H), 7.23-7.17 (m, 2H), 4.62 (dd, J=8.0, 2.8 Hz, 1H), 3.65 (s, 3H), 3.16 (d, J=11.7 Hz, 1H), 2.98 (d, J=11.7 Hz, 1H), 2.53-2.40 (m, 3H), 2.29 (br s, 1H), 2.14-2.06 (m, 1H), 2.01-1.93 (m, 2H), 1.84-1.50 (m, 14H). LCMS Retention time: 3.786 min. LCMS purity 98.2%. HRMS (ESI): m/z calcd for C33H41NO4 [M+H]+ 516.3036, found 516.3108.




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KSC-335-081


2-(4-(1-hydroxy-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butyl)phenyl)-2-methylpropanoic acid

To a vial was added the methyl 2-(4-(1-hydroxy-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butyl)phenyl)-2-methylpropanoate (KSC-335-080) (0.094 g, 0.182 mmol) and THF (Volume: 3 mL,). The LiOH (0.022 g, 0.911 mmol) was dissolved in water (3.00 mL) and then added to the reaction stirred at 80° C. for 18 h. The reaction was removed from heat and cooled to rt and 1.0 M HCl in water was added to adjust to pH to 4 and a gummy off-white solid formed. DCM (5 mL) was added to the mixture and it was sonicated to break up the solid. The DCM layer was removed and the aqueous was extracted with DCM (2×5 mL). The DCM layer was concentrated and the residue was purified by reverse-phase MPLC (20 min, 10-100% MeCN:water) to produce the product with impurities. This was submitted to the purification core. The pure sample was recovered to produce 2-(4-(1-hydroxy-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butyl)phenyl)-2-methylpropanoic acid (0.0378 g, 0.075 mmol, 41% yield). 1H NMR (400 MHz, DMSO-d6): δ 8.22 (s, 1H), 7.52-7.49 (m, 4H), 7.29-7.26 (m, 8H), 7.15-7.10 (m, 2H), 4.47 (t, J=5.9 Hz, 1H), 2.94-2.86 (m, 3H), 2.35-2.30 (m, 2H), 2.05-1.95 (m, 2H), 1.60-1.35 (m, 12H), 1.28-1.22 (m, 2H). 13C NMR (125 MHz, CDCl3): δ 177.7, 163.7, 147.2, 144.4, 143.4, 127.8, 125.8, 125.7, 125.6, 125.1, 78.4, 71.8, 57.7, 53.4, 53.2, 45.5, 43.1, 37.3, 26.5, 25.6, 22.6. LCMS Retention time: 2.612 min. LCMS purity 100%. HRMS (ESI): m/z calcd for C32H39NO4 [M+H]+ 502.2879, found 502.2952.




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KSC-342-006


1-(4-(tert-butyl)phenyl)-2-(4-(hydroxydiphenylmethyl)piperidin-1-yl)ethanone

Method A: diphenyl(piperidin-4-yl)methanol (0.4 g, 1.496 mmol), 1-(4-(tert-butyl)phenyl)-2-chloroethanone (0.300 g, 1.425 mmol), sodium bicarbonate (0.144 g, 1.710 mmol) with water (3 mL) and 2-butanone (Volume: 15 mL) to produce pure 1-(4-(tert-butyl)phenyl)-2-(4-(hydroxydiphenylmethyl)piperidin-1-yl)ethanone (0.452 g, 1.024 mmol, 71.8% yield) as a colorless oil. 1H NMR (500 MHz, CDCl3): δ 7.93 (d, J=8.6 Hz, 2H), 7.50-7.43 (m, 6H), 7.32-7.26 (m, 4H), 7.20-7.15 (m, 2H), 3.78 (s, 2H), 3.07-3.01 (m, 2H), 2.47 (tt, J=11.8 Hz, 3.5 Hz, 1H), 2.26-2.18 (m, 2H), 1.66-1.45 (m, 5H), 1.33 (s, 9H). 13C NMR (125 MHz, CDCl3): δ 196.1, 157.0, 145.8, 133.5, 129.8, 128.2, 128.0, 126.5, 125.8, 125.5, 125.1, 79.5, 64.2, 54.2, 43.8, 35.1, 31.2, 31.0, 26.2. LCMS Retention time: 3.987 min. LCMS purity 98.8%. HRMS (ESI): m/z calcd for C30H35NO2 [M+H]+ 442.2668, found 442.2741.




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KSC-342-010


1-(4-(tert-butyl)phenyl)-2-(4-(hydroxydiphenylmethyl)piperidin-1-yl)ethanol

Method B: 1-(4-(tert-butyl)phenyl)-2-(4-(hydroxydiphenylmethyl)piperidin-1-yl)ethanone (0.113 g, 0.256 mmol) and MeOH (1 mL) and SODIUM BOROHYDRIDE (0.019 g, 0.512 mmol) to produce pure 1-(4-(tert-butyl)phenyl)-2-(4-(hydroxydiphenylmethyl)piperidin-1-yl)ethanol (0.106 g, 0.239 mmol, 93% yield) as a solid. 1H NMR (400 MHz, CDCl3): δ 7.50-7.46 (m, 4H), 7.37-7.26 (m, 8H), 7.22-7.17 (M, 2H), 4.67 (m, 1H), 4.01 (br s, 1H), 3.20 (m, 1H), 2.86 (m, 1H), 2.50-2.45 (m, 3H), 2.37-2.30 (m, 1H), 2.10-2.02 (m, 1H), 1.60-1.45 (m, 5H), 1.31 (s, 9H). 13C NMR (125 MHz, CDCl3): δ 150.3, 145.82, 145.78, 139.1, 128.20, 128.19, 126.59, 126.57, 125.7, 125.6, 125.2, 79.5, 68.6, 66.3, 55.8, 53.4, 52.2, 44.1, 34.5, 31.3, 26.8, 26.5. LCMS Retention time: 4.083 min. LCMS purity 94.2%. HRMS (ESI): m/z calcd for C30H37NO2 [M+H]+ 444.2824, found 444.2897.




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KSC-342-014


Methyl 4-(4-chloro-1-hydroxybutyl)benzoate

Method B: methyl 4-(4-chlorobutanoyl)benzoate (KSC-335-061) (0.042 g, 0.175 mmol) and MeOH with sodium borohydride (0.013 g, 0.349 mmol). to produce methyl 4-(4-chloro-1-hydroxybutyl)benzoate (0.037 g, 0.152 mmol, 87% yield). 1H NMR (400 MHz, CDCl3): δ 8.00 (d, J=8.4 Hz, 2H), 7.40 (d, J=8.2 Hz, 2H), 4.8-4.6 (m, 1H), 3.90 (s, 3H), 3.58-3.52 (m, 2H), 2.19 (br s, 1H), 1.96-1.78 (m, 4H)




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KSC-342-017


Methyl 4-(1-hydroxy-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butyl)benzoate

To a vial was added the methyl 4-(4-chloro-1-hydroxybutyl)benzoate (KSC-342-014) (0.037 g, 0.152 mmol), diphenyl(piperidin-4-yl)methanol (0.122 g, 0.457 mmol), SODIUM BICARBONATE (0.026 g, 0.305 mmol), SODIUM IODIDE (1.143 mg, 7.62 μmol) and the vial was evacuated with argon 3 times. Dry acetonitrile (2 ml) was added and the reaction stirred overnight at reflux and was then cooled to rt after 18 h and the solvent was concentrated. The residue was dissolved in DCM (5 mL) and washed with 0.1 N HCl (5 mL), water (5 mL) and brine (5 mL). The product was purified by MPLC (0-10% MeOH:DCM) to produce pure methyl 4-(1-hydroxy-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butyl)benzoate (0.0268 g, 0.057 mmol, 37% yield). 1H NMR (400 MHz, CDCl3): δ 7.97 (d, J=8.4 Hz, 2H), 7.52-7.47 (m, 4H), 7.42 (d, J=7.9 Hz, 2H), 7.32-7.29 (m, 4H), 7.20-7.14 (m, 2H), 4.66 (m, 1H), 3.90 (s, 3H), 3.14 (m, 1H), 2.94 (m, 1H), 2.78 (br s, 1H), 2.52-2.43 (m, 1H), 2.39 (t, J=4.8 Hz, 2H), 2.13-2.06 (m, 1H), 2.04-1.92 (m, 2H), 1.77-1.47 (m, 8H). 13C NMR (125 MHz, CDCl3): δ 167.2, 151.4, 146.0, 145.9, 129.5, 128.4, 128.2, 128.2, 126.51, 126.48, 125.64, 125.59, 79.2, 73.2, 58.8, 54.7, 51.9, 44.2, 40.0, 26.0, 25.9, 24.0. LCMS Retention time: 3.652 min. LCMS purity 100%. HRMS (ESI): m/z calcd for C30H35NO4 [M+H]+ 474.2566, found 474.2639.




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KSC-342-021


4-(1-hydroxy-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butyl)benzoic acid

To a vial was added the methyl 4-(1-hydroxy-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butyl)benzoate (0.0195 g, 0.041 mmol) and THF (1 mL). The LiOH (6.90 mg, 0.288 mmol) was dissolved in water (1 mL) and added to the reaction. The reaction stirred at overnight and was then acidified with 1.0 M HCl to pH 2-3 then extracted with DCM (3×5 mL). The DCM layer was concentrated and purified by reverse-phase MPLC (10-100% MeCN:water) to produce pure 4-(1-hydroxy-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butyl)benzoic acid (0.009 g, 0.020 mmol, 47% yield). 1H NMR (400 MHz, CD3OD): δ 7.85 (d, J=8.2 Hz, 2H), 7.53-7.49 (m, 4H), 7.34-7.26 (m, 6H), 7.19-7.14 (m, 2H), 4.70 (m, 1H), 3.46 (m, 1H), 3.35 (s, 2H), 3.01-2.96 (m, 2H), 2.92-2.77 (m, 3H), 1.84-1.64 (m, 8H). 13C NMR (125 MHz, CD3OD): δ 174.7, 148.2, 147.2, 137.6, 130.4, 129.1, 127.6, 127.0, 126.4, 79.9, 74.0, 53.9, 49.8, 36.9, 25.5, 21.8. LCMS Retention time: 2.490 min. LCMS purity 100%. HRMS (ESI): m/z calcd for C29H33NO4 [M+H]+ 460.2410, found 460.2482.




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KSC-342-074


1-(Tert-butyl)-4-(2-chloroethyl)benzene

To a vial was added the 1-(4-(tert-butyl)phenyl)-2-chloroethanone (0.171 g, 0.812 mmol) and triethylsilane (0.519 mL, 3.25 mmol) with TFA (4 mL). The reaction stirred at 75° C. for 17 h and was then concentrated in vacuo. The residue was dissolved in DCM (5 mL) and washed with water (4 mL). The DCM layer was collected and washed with water (1×5 mL), dried with MgSO4, filtered and adsorbed to silica and purified by MPLC (20 min, 0-40% EtOAc:hex) to produce pure 1-(tert-butyl)-4-(2-chloroethyl)benzene (0.114 g, 0.580 mmol, 71% yield). 1H NMR (400 MHz, CDCl3): δ 7.34 (d, J=8.3 Hz, 2H), 7.16 (d, J=8.3 Hz, 2H), 3.71 (t, J=7.5 Hz, 2H), 3.05 (t, J=7.6 Hz, 2H), 1.32 (s, 9H).




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KSC-342-080


(1-(3-(4-(Tert-butyl)phenyl)propyl)piperidin-4-yl)diphenylmethanol

To a vial was added the diphenyl(piperidin-4-yl)methanol (0.142 g, 0.530 mmol), 1-(tert-butyl)-4-(3-chloropropyl)benzene (0.134 g, 0.636 mmol) and POTASSIUM CARBONATE (0.439 g, 3.18 mmol) in acetonitrile. The reaction stirred overnight at 85° C. for 18 h and then filtered. The filtrate was then diluted with brine and extracted with diethyl ether (3×15 mL). The ether layers were combined, dried with MgSO4, filtered and purified by reverse-phase MPLC (20 min, 10-100% MeCN:water) to produce pure (1-(3-(4-(tert-butyl)phenyl)propyl)piperidin-4-yl)diphenylmethanol (0.152 g, 0.344 mmol, 65% yield) as an oil. 1H NMR (400 MHz, CDCl3): δ 7.49-7.45 (m, 4H), 7.31-7.24 (m, 6H), 7.19-7.14 (m, 2H), 7.11-7.08 (m, 2H), 2.96 (m, 2H), 2.57 (t, J=7.7 Hz, 2H), 2.48-2.32 (m, 3H), 2.22 (br s, 1H), 1.97-1.90 (m, 2H), 1.83-1.75 (m, 2H), 1.53-1.45 (m, 4H), 1.29 (s, 9H). LCMS Retention time: 2.965 min. LCMS purity 97.2%. HRMS (ESI): m/z calcd for C31H39NO [M+H]+ 442.3032, found 442.3104.




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KSC-342-081


(1-(4-(Tert-butyl)phenethyl)piperidin-4-yl)diphenylmethanol

To a vial was added the diphenyl(piperidin-4-yl)methanol (0.150 g, 0.561 mmol), 1-(tert-butyl)-4-(2-chloroethyl)benzene (KSC-342-074) (0.110 g, 0.561 mmol) and potassium carbonate (0.465 g, 3.37 mmol) in acetonitrile. The reaction stirred overnight at 85° C. for 18 h and then filtered. The filtrate was then diluted with brine and extracted with diethyl ether (3×15 mL). The ether layers were combined, dried with MgSO4, filtered and purified by reverse-phase MPLC (20 min, 10-100% MeCN:water) to produce pure (1-(4-(tert-butyl)phenethyl)piperidin-4-yl)diphenylmethanol (0.180 g, 0.421 mmol, 75% yield) as an oil. 1H NMR (400 MHz, CDCl3): δ 7.51-7.47 (m, 4H), 7.33-7.27 (m, 6H), 7.21-7.16 (m, 2H), 7.14-7.11 (m, 2H), 3.09-3.03 (m, 2H), 2.80-2.74 (m, 2H), 2.60-2.55 (m, 2H), 2.51-2.42 (m, 1H), 2.28 (br s, 1H), 2.08-2.00 (m, 2H), 1.57-1.50 (m, 4H), 1.30 (s, 9H). 13C NMR (125 MHz, CDCl3): δ 148.8, 145.9, 137.3, 128.3, 128.1, 126.5, 125.8, 125.2, 79.5, 60.8, 54.0, 44.2, 40.9, 34.3, 33.1, 31.4, 26.4. LCMS Retention time: 4.384 min. LCMS purity 99.7%. HRMS (ESI): m/z calcd for C30H37NO [M+H]+ 428.2875, found 428.2948.




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KSC-342-088


(1-(4-amino-4-(4-(tert-butyl)phenyl)butyl)piperidin-4-yl)diphenylmethanol

To a vial was added the 1-(4-(tert-butyl)phenyl)-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butan-1-one (0.200 g, 0.426 mmol), Ammonium acetate (0.328 g, 4.26 mmol) and Sodium cyanoborohydride (0.040 g, 0.639 mmol) with MeOH (Volume: 4 ml). The reaction stirred at rt at 2:56:22 PM. The reaction was stirred overnight and then concentrated and diluted with dilute aqueous ammonium hydroxide and extracted with DCM. The DCM layer was concentrated and the crude NMR showed product and starting material. The reaction then purified by reverse-phase Teledyne ISCO Combiflash chromatography (10-100% MeCN:basic water) and fractions 5 and 6 were collected. These were then subjected to normal phase purification (0-10% MeOH (5% NH3OH):DCM) to produce pure (1-(4-amino-4-(4-(tert-butyl)phenyl)butyl)piperidin-4-yl)diphenylmethanol (0.010 g, 0.021 mmol, 5% yield). 1H NMR (400 MHz, CDCl3): δ 7.48-7.44 (m, 4H), 7.34-7.26 (m, 6H), 7.22-7.14 (m, 4H), 3.84 (t, J=6.7 Hz, 1H), 2.95-2.87 (m, 2H), 2.46-2.37 (m, 1H), 2.28 (t, J=7.6 Hz, 2H), 1.95-1.85 (m, 2H), 1.70-1.60 (m, 5H), 1.55-1.40 (m, 6H), 1.30 (s, 9H). 13C NMR (125 MHz, CDCl3): δ 149.7, 146.0, 143.3, 128.1, 126.5, 125.9, 125.8, 125.3, 79.5, 58.7, 55.8, 54.2, 54.0, 44.2, 37.5, 34.4, 31.4, 26.4, 24.2. LCMS Retention time: 2.397 min. LCMS purity 100%. HRMS (ESI): m/z calcd for C32H42N2O [M+H]+471.3297, found 471.3370.




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KSC-348-001


1-([1,1′-Biphenyl]-4-yl)-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butan-1-one

To a vial was added the 1-(4-bromophenyl)-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butan-1-one (0.098 g, 0.199 mmol), 1,1′-bis(di-t-butylphosphino)ferrocene palladium dichloride, (2.71 mg, 3.98 μmol) and phenylboronic acid (0.029 g, 0.239 mmol) followed by acetonitrile (1.5 mL). The potassium carbonate (0.041 g, 0.299 mmol) was dissolved in water (1.5 mL) and added the reaction. The reaction stirred at 60° C. for 18 h. The reaction was stopped and the organic layer was diluted with EtOAc and extracted then washed with brine. The EtOAc layer was collected, dried with MgSO4, filtered and purified by reverse-phase MPLC (10-100% MeCN:water) to produce the desired 1-([1,1′-biphenyl]-4-yl)-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butan-1-one (0.035 g, 0.071 mmol, 36% yield). 1H NMR (400 MHz, CDCl3): δ 8.03 (d, J=8.6 Hz, 2H), 7.67 (d, J=8.4 Hz, 2H), 7.64-7.61 (m, 2H), 7.50-7.45 (m, 6H), 7.42-7.38 (m, 1H), 7.31-7.26 (m, 4H), 7.19-7.14 (m, 2H), 3.02-2.91 (m, 4H), 2.46-2.37 (m, 3H), 2.10 (br s, 1H), 1.97-1.92 (m, 4H), 1.50-1.35 (m, 4H).




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KSC-348-002


1-([1,1′-biphenyl]-4-yl)-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butan-1-ol

Method B: 1-([1,1′-biphenyl]-4-yl)-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butan-1-one (KSC-348-001) (0.035 g, 0.071 mmol) and MeOH (2 mL) and sodium borohydride (5.41 mg, 0.143 mmol) to produce pure 1-([1,1′-biphenyl]-4-yl)-4-(4-(hydroxydiphenylmethyl)piperidin-1-yl)butan-1-ol (0.033 g, 0.067 mmol, 94% yield) as on oil. 1H NMR (400 MHz, CDCl3): δ 7.59-7.55 (m, 2H), 7.53-7.46 (m, 6H), 7.43-7.38 (m, 4H), 7.34-7.25 (m, 5H), 7.19-7.13 (m, 2H), 4.65 (dd, J=8.2 Hz, 2.7 Hz, 1H), 3.16-3.10 (m, 1H), 2.99-2.93 (m, 1H), 2.56 (br s, 1H), 2.50-2.34 (m, 3H), 2.10-1.92 (m, 3H), 1.86-1.76 (m, 1H), 1.70-1.45 (m, 6H).). 13C NMR (125 MHz, CDCl3): δ 146.1, 146.0, 145.0, 141.1, 139.4, 128.6, 128.2, 128.1, 127.01, 126.96, 126.8, 126.44, 126.41, 126.1, 125.7, 125.6, 79.2, 73.3, 58.9, 54.7, 53.3, 44.2, 40.0, 26.0, 25.9, 24.1. LCMS Retention time: 4.049 min. LCMS purity 97.6%. HRMS (ESI): m/z calcd for C34H37NO2 [M+H]+492.2824, found 492.2897.




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KSC-348-049


(4-(tert-butyl)phenyl)(4-(hydroxydiphenylmethyl)piperidin-1-yl)methanone

To a vial was added the diphenyl(piperidin-4-yl)methanol (0.232 g, 0.868 mmol), acetonitrile (3 mL) and TEA (0.181 ml, 1.30 mmol). The 4-(tert-butyl)benzoyl chloride (0.173 mL, 0.954 mmol) was added and the reaction stirred at 70° C. for 6 h and was diluted with EtOAc (15 mL) and washed with saturated NaHCO3 (15 mL). The EtOAc was collected, dried with MgSO4, filtered and adsorbed to silica and purified by MPLC (20 min, 0-30% EtOAc:Hex) to produce pure (4-(tert-butyl)phenyl)(4-(hydroxydiphenylmethyl)piperidin-1-yl)methanone (0.304 g, 0.711 mmol, 82% yield) as a white solid. 1H NMR (400 MHz, CDCl3): δ 7.50-7.44 (m, 4H), 7.38-7.14 (m, 10H), 4.77 (br s, 1H), 3.84 (br s, 1H), 3.05-2.63 (m, 3H), 2.25-2.17 (m, 1H), 1.75-1.35 (m, 4H), 1.29 (s, 9H). 13C NMR (125 MHz, CDCl3): δ 170.4, 152.7, 145.4, 133.2, 128.3, 126.7, 125.7, 125.2, 79.5, 44.5, 34.7, 31.2. LCMS Retention time: 3.774 min. LCMS purity 100%. HRMS (ESI): m/z calcd for C29H33NO2 [M+H]+ 428.2511, found 428.2584.




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KSC-348-050


(1-(4-(tert-butyl)benzyl)piperidin-4-yl)diphenylmethanol

To a vial was added the diphenyl(piperidin-4-yl)methanol (0.085 ml, 0.393 mmol), acetonitrile (2 mL) and TEA (0.082 ml, 0.589 mmol). The p-tert-butylbenzyl bromide (0.098 g, 0.432 mmol) was then added and the reaction stirred at 70° C. and stirred for 5 h then diluted with EtOAc (15 mL) and washed with saturated NaHCO3 (15 mL). The EtOAc was collected, dried with MgSO4, filtered and adsorbed to silica and purified by reverse phase MPLC (20 min, 10-100% MeCN:water) to produce pure (1-(4-(tert-butyl)benzyl)piperidin-4-yl)diphenylmethanol (0.131 g, 0.317 mmol, 81% yield) as a brown oil. 1H NMR (400 MHz, CDCl3): δ 7.48-7.45 (m, 4H), 7.32-7.25 (m, 6H), 7.22-7.14 (m, 4H), 3.47 (s, 2H), 2.96-2.90 (m, 2H), 2.46-2.38 (m, 1H), 2.02-1.95 (m, 1H), 1.51-1.44 (m, 4H), 1.30 (s, 9H). 13C NMR (125 MHz, CDCl3): δ 149.8, 146.0, 135.1, 128.9, 128.1, 126.4, 125.8, 125.0, 79.5, 62.8, 53.9, 44.2, 34.4, 31.4, 26.5, 21.0. LCMS Retention time: 4.186 min. LCMS purity 99.7%. HRMS (ESI): m/z calcd for C29H35NO [M+H]+ 414.2719, found 414.2791.




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KSC-348-058


(1-(4-methoxyphenethyl)piperidin-4-yl)diphenylmethanol

To a vial was added the diphenyl(piperidin-4-yl)methanol (0.381 g, 1.425 mmol), acetonitrile (5 mL) and TEA (0.298 ml, 2.138 mmol). The 1-(2-bromoethyl)-4-methoxybenzene (0.245 ml, 1.568 mmol) was then added and the reaction stirred at 75° C. and the stirred for 16 h then was quenched with saturated NaHCO3, extracted with EtOAc, dried with MgSO4, filtered and adsorbed to silica. The product was purified by MPLC (20 min, 0-10% MeOH:DCM) to produce pure (1-(4methoxyphenethyl) piperidin-4-yl)diphenylmethanol (0.289 g, 0.720 mmol, 50% yield) as a sticky solid. 1H NMR (400 MHz, CDCl3): δ 7.49-7.46 (m, 4H), 7.32-7.28 (m, 4H), 7.19 (tt, J=7.3 Hz, 1.9 Hz, 2H), 7.12 (d, J=8.6 Hz, 2H), 6.82 (d, J=8.5 Hz, 2H), 3.77 (s, 3H), 3.29-3.24 (m, 2H), 2.95-2.90 (m, 2H), 2.80-2.75 (m, 2H), 2.58-2.50 (m, 1H), 2.42-2.30 (m, 3H), 1.90-1.77 (m, 2H), 1.65-1.57 (m, 2H). 13C NMR (125 MHz, CDCl3): δ 158.3, 145.5, 129.6, 128.3, 126.7, 125.6, 114.0, 79.3, 55.3, 53.6, 53.4, 43.4, 31.5, 25.1. LCMS Retention time: 3.695 min. LCMS purity 100%. HRMS (ESI): m/z calcd for C27H31NO2 [M+H]+ 402.2355, found 402.2353.




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KSC-352-055


4-(4-Benzoylpiperidin-1-yl)-1-(4-(tert-butyl)phenyl)butan-1-one

To a vial was added the 1-(4-(tert-butyl)phenyl)-4-chlorobutan-1-one (0.060 g, 0.252 mmol) and potassium iodide (0.063 g, 0.377 mmol) with acetonitrile (2 mL). The reaction stirred at 85° C. for 1 h then the phenyl(piperidin-4-yl)methanone (0.050 g, 0.264 mmol) along with potassium carbonate (0.052 g, 0.377 mmol) was added. The reaction was then heated back to 85° C. for 48 h. The reaction was cooled to rt and diluted with water then extracted with EtOAc (3×15 mL). The EtOAc layer was dried with MgSO4, filtered and adsorbed to silica. The product was purified by reverse-phase MPLC (20 min, 10-100% MeCN:water) to produce 4-(4-benzoylpiperidin-1-yl)-1-(4-(tert-butyl)phenyl)butan-1-one (0.026 g, 0.066 mmol, 26% yield). 1H NMR (400 MHz, CDCl3): δ 7.95-7.90 (m, 4H), 7.57-7.53 (m, 1H), 7.49-7.44 (m, 4H), 3.27-3.18 (m, 1H), 3.03-2.96 (m, 4H), 2.44 (t, J=7.04 Hz, 2H), 2.13-2.06 (m, 2H), 1.98-1.91 (m, 2H), 1.85-1.76 (m, 4H), 1.34 (s, 9H).




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KSC-352-060


(1-(4-nitrophenethyl)piperidin-4-yl)diphenylmethanol

To a vial was added the diphenyl(piperidin-4-yl)methanol (0.513 g, 1.919 mmol), 1-(2-bromoethyl)-4-nitrobenzene (0.401 g, 1.744 mmol) and acetonitrile (10 mL). The TEA (0.365 ml, 2.62 mmol) was then added and the reaction stirred at 85° C. for 18 h then cooled to rt. The reaction was diluted with water and extracted with EtOAc (3×15 mL). The EtOAc layer was collected and dried with MgSO4, filtered and adsorbed to silica then purified by MPLC (15 min, 0-10% MeOH:DCM). to produce pure (1-(4-nitrophenethyl)piperidin-4-yl)diphenylmethanol (0.145 g, 0.348 mmol, 20% yield). 1H NMR (400 MHz, CDCl3): δ 8.13 (d, J=8.7 Hz, 2H), 7.49-7.46 (m, 4H), 7.35 (d, J=8.7 Hz, 2H), 7.32-7.27 (m, 4H), 7.21-7.16 (m, 2H), 3.11-3.05 (m, 2H), 2.97-2.91 (m, 2H), 2.69-2.63 (m, 2H), 2.52-2.43 (m, 1H), 2.25 (br s, 1H), 2.20-2.10 (m, 2H), 1.63-1.53 (m, 4H). 13C NMR (125 MHz, CDCl3): δ 147.9, 146.5, 145.7, 129.5, 128.2, 126.6, 125.7, 123.7, 79.4, 59.4, 53.9, 43.9, 33.2, 26.1, 21.1. LCMS Retention time: 3.654 min. LCMS purity 98.8%. HRMS (ESI): m/z calcd for C26H28N2O3 [M+H]+ 417.2162, found 417.2173.




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KSC-352-061


(1-(4-bromophenethyl)piperidin-4-yl)diphenylmethanol

To a vial was added the diphenyl(piperidin-4-yl)methanol (0.496 g, 1.855 mmol), 1-bromo-4-(2-bromoethyl)benzene (0.258 ml, 1.69 mmol) and acetonitrile (10 mL). The TEA (0.353 mL, 2.53 mmol) was then added and the reaction stirred at 85° C. for 18 h then cooled to rt. The reaction was diluted with water and extracted with EtOAc (3×15 mL). The EtOAc layer was collected and dried with MgSO4, filtered and adsorbed to silica then purified by MPLC (15 min, 0-10% MeOH:DCM). to produce pure (1-(4-bromophenethyl)piperidin-4-yl)diphenylmethanol (0.488 g, 1.083 mmol, 64% yield). 1H NMR (400 MHz, CDCl3): δ 7.50-7.46 (m, 4H), 7.38 (d, J=8.3 Hz, 2H), 7.34-7.27 (m, 4H), 7.18 (tt, J=7.3 Hz, 1.8 Hz, 2H), 7.06 (d, J=8.4 Hz, 2H), 3.06-3.00 (m, 2H), 2.77-2.72 (m, 2H), 2.58-2.52 (m, 2H), 2.50-2.41 (m, 1H), 2.15-2.00 (m, 3H), 1.56-1.49 (m, 4H). 13C NMR (125 MHz, CDCl3): δ 145.8, 139.3, 131.4, 130.4, 128.2, 126.6, 125.8, 119.8, 79.5, 60.4, 54.0, 44.1, 33.1, 26.4, 21.1 LCMS Retention time: 3.969 min. LCMS purity 99.8%. HRMS (ESI): m/z calcd for C26H28BrNO [M+H]+ 450.1354, found 450.1427.




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KSC-352-063


(1-(2-([1,1′-biphenyl]-4-yl)ethyl)piperidin-4-yl)diphenylmethanol

To a vial was added the phenylboronic acid (0.019 g, 0.152 mmol), 1,1′-bis(di-tert-butylphosphino)ferrocene palladium dichloride (4.12 mg, 6.33 μmol), (1-(4-bromophenethyl)piperidin-4-yl)diphenylmethanol (KSC-352-061) (0.057 g, 0.127 mmol) and potassium carbonate (0.035 g, 0.253 mmol). The vial was then evacuated with argon 3 times and acetonitrile (1 mL) was added followed by water (1 mL). The reaction then stirred at 60° C. for 18 h then was diluted with EtOAc (5 mL) and saturated NaHCO3 (5 mL). The EtOAc layer was collected and the aqueous layer was extracted with more EtOAc (2×5 mL). The EtOAc layers were combined and dried with MgSO4, filtered and concentrated. The reaction was purified by MPLC (10-100% MeCN:water) to produce pure (1-(2-([1,1′-biphenyl]-4-yl)ethyl)piperidin-4-yl)diphenylmethanol (0.045 g, 0.101 mmol, 79% yield) as a clear oil. 1H NMR (400 MHz, CDCl3): δ 7.59-7.45 (m, 2H), 7.53-7.48 (m, 6H), 7.45-7.40 (m, 2H), 7.35-7.25 (m, 7H), 7.22-7.16 (m, 2H), 3.11-3.05 (m, 2H), 2.87-2.81 (m, 2H), 2.65-2.59 (m, 2H), 2.53-2.44 (m, 1H), 2.22 (br s, 1H), 2.12-2.04 (m, 2H), 1.59-1.52 (m, 4H). 13C NMR (125 MHz, CDCl3): δ 145.9, 141.0, 139.5, 139.0, 129.1, 128.7, 128.2, 127.1, 127.03, 126.96, 126.5, 125.8, 79.5, 60.7, 54.0, 50.8, 44.2, 33.3, 26.4. LCMS Retention time: 4.086 min. LCMS purity 99%. HRMS (ESI): m/z calcd for C32H33NO [M+H]+ 448.2562, found 448.2635.




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KSC-352-064


Diphenyl(1-(4-(pyridin-4-yl)phenethyl)piperidin-4-yl)methanol

To a vial was added the (1-(4-bromophenethyl)piperidin-4-yl)diphenylmethanol (KSC-352-061) (0.050 g, 0.111 mmol), pyridin-4-ylboronic acid (0.018 g, 0.133 mmol), 1,1′-bis(di-tert-butylphosphino)ferrocene palladium dichloride (3.62 mg, 5.55 μmol) and potassium carbonate (0.031 g, 0.222 mmol). The vial was evacuated 3 times with argon and then acetonitrile (1 mL) followed by water (1 mL) was added. The reaction stirred at 60° C. for 18 h and was then cooled to rt and diluted with EtOAc (5 mL) and saturated NaHCO3 (5 mL). The EtOAc layer was collected and the aqueous layer was extracted with more EtOAc (2×5 mL). The EtOAc layers were combined and dried with MgSO4, filtered and concentrated. The reaction was purified by reverse-phase MPLC (10-100% MeCN:water) to produce pure diphenyl(1-(4-(pyridin-4-yl)phenethyl)piperidin-4-yl)methanol (0.015 g, 0.033 mmol, 30% yield) as an oil. 1H NMR (400 MHz, CDCl3): δ 8.64-8.62 (m, 2H), 7.60 (d, J=8.2 Hz, 2H), 7.51-7.46 (m, 6H), 7.32-7.28 (m, 6H), 7.18 (tt, J=7.3 Hz, 1.8 Hz, 2H), 3.10-3.04 (m, 2H), 2.88-2.82 (m, 2H), 2.65-2.58 (m, 2H), 2.51-2.43 (m, 1H), 2.19 (br s, 1H), 2.12-2.03 (m, 2H), 1.58-1.51 (m, 4H). 13C NMR (125 MHz, CDCl3): δ 150.2, 148.1, 145.9, 141.7, 135.8, 129.5, 128.2, 127.0, 126.5, 125.8, 121.4, 79.5, 60.5, 54.1, 44.1, 41.0, 33.4, 26.4. LCMS Retention time: 3.585 min. LCMS purity 93.3%. HRMS (ESI): m/z calcd for C31H32N2O [M+H]+ 449.2515, found 449.2587.




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KSC-352-065


Diphenyl(1-(4-(pyridin-3-yl)phenethyl)piperidin-4-yl)methanol

To a vial was added the (1-(4-bromophenethyl)piperidin-4-yl)diphenylmethanol (0.057 g, 0.127 mmol), pyridin-3-ylboronic acid (0.019 g, 0.152 mmol), 1,1′-Bis(di-tert-butylphosphino)ferrocene palladium dichloride (4.12 mg, 6.33 μmol) and potassium carbonate (0.035 g, 0.253 mmol). The vial was evacuated with argon 3 times and then acetonitrile (1 mL) followed by water (1 mL) was added. The reaction stirred at 60° C. for 18 h and then cooled to rt and diluted with EtOAc (5 mL) and saturated NaHCO3 (5 mL). The EtOAc layer was collected and the aqueous layer was extracted with more EtOAc (2×5 mL). The EtOAc layers were combined and dried with MgSO4, filtered and concentrated. The reaction was purified by RP MPLC (10-100% MeCN:water) to produce pure diphenyl(1-(4-(pyridin-3-yl)phenethyl)piperidin-4-yl)methanol (0.05 g, 0.111 mmol, 88% yield) as an oil. 1H NMR (400 MHz, CDCl3): δ 8.79 (dd, J=2.4 Hz, 0.9 Hz, 1H), 8.53 (dd, J=4.8 Hz, 1.6 Hz, 1H), 7.86-7.83 (m, 1H), 7.51-7.47 (m, 6H), 7.36-7.27 (m, 7H), 7.20-7.15 (m, 2H), 3.10-3.03 (m, 2H), 2.87-2.81 (m, 2H), 2.71 (br s, 1H), 2.63-2.58 (m, 2H), 2.51-2.43 (m, 1H), 2.11-2.03 (m, 2H), 1.58-1.52 (m, 4H). 13C NMR (125 MHz, CDCl3): δ 148.04, 147.97, 146.0, 140.5, 136.5, 135.5, 134.3, 129.4, 128.1, 127.1, 126.4, 125.8, 123.5, 79.4, 60.5, 54.1, 44.1, 33.2, 26.2. LCMS Retention time: 3.582 min. LCMS purity 98.8%. HRMS (ESI): m/z calcd for C31H32N2O [M+H]+ 449.2515, found 449.2587.




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KSC-352-066


1-(4-(tert-butyl)phenyl)-4-(4-(hydroxy(phenyl)methyl)piperidin-1-yl)butan-1-ol

Method B: 4-(4-benzoylpiperidin-1-yl)-1-(4-(tert-butyl)phenyl)butan-1-one (KSC-352-055) (0.026 g, 0.066 mmol) and MeOH (2 mL) and sodium borohydride (10.05 mg, 0.266 mmol) to produce pure 1-(4-(tert-butyl)phenyl)-4-(4-(hydroxy(phenyl)methyl)piperidin-1-yl)butan-1-ol (0.019 g, 0.048 mmol, 72% yield) as a mixture of diastereomers. 1H NMR (400 MHz, CDCl3): δ 7.36-7.24 (m, 9H), 4.63-4.57 (m, 1H), 4.33 (d, J=7.6 Hz, 1H), 3.23-2.83 (m, 2H), 2.42-2.35 (m, 2H), 2.13-1.89 (m, 3H), 1.86-1.52 (m, 6H), 1.46-1.16 (m, 4H), 1.31 (s, 9H). 13C NMR (125 MHz, CDCl3): δ 149.4, 143.4, 142.8, 128.3, 127.63, 127.61, 126.6, 125.4, 125.0, 78.74, 78.67, 73.4, 58.9, 54.30, 54.26, 52.8, 52.7, 43.21, 43.2, 39.9, 34.4, 31.4, 28.4, 28.3, 28.2, 24.2, 24.1. LCMS Retention time: 3.707 min. LCMS purity 97.1%. HRMS (ESI): m/z calcd for C26H37NO2 [M+H]+ 396.2824, found 396.2897.




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KSC-352-069


(1-(4-aminophenethyl)piperidin-4-yl)diphenylmethanol

To a vial was added the (1-(4-nitrophenethyl) piperidin-4-yl)diphenylmethanol (KSC-352-060) (0.135 g, 0.324 mmol) with MeOH (1 mL) and DCM (1 mL). The reaction was cooled to 0° C. and the Raney Nickel (1.902 mg, 0.032 mmol) was added. The sodium borohydride (0.031 g, 0.810 mmol) was then added portionwise and the reaction stirred at rt for 28 h and the Raney Nickel filtered through celite. The reaction was diluted with DCM and washed with water and the DCM layer was dried with MgSO4, filtered and adsorbed to silica then purified by MPLC (0-15% MeOH:DCM) to produce pure (1-(4-aminophenethyl)piperidin-4-yl)diphenylmethanol (0.077 g, 0.199 mmol, 61% yield). H NMR (400 MHz, CDCl3): δ 7.51-7.47 (m, 4H), 7.32-7.27 (m, 4H), 7.18 (tt, J=7.3 Hz, 1.8 Hz, 2H), 6.97 (d, J=8.3 Hz, 2H), 6.61 (d, J=8.3 Hz, 2H), 3.52 (br s, 2H), 3.07-3.01 (m, 2H), 2.70-2.65 (m, 2H), 2.54-2.41 (m, 3H), 2.22 (br s, 1H), 2.07-1.98 (m, 2H), 1.56-1.49 (m, 4H). 13C NMR (125 MHz, CDCl3): δ 145.9, 144.4, 130.4, 129.4, 128.1, 126.5, 125.8, 115.2, 79.5, 61.2, 54.1, 44.2, 32.8, 26.4, 21.0. LCMS Retention time: 3.328 min. LCMS purity 93.1%. HRMS (ESI): m/z calcd for C26H30N2O [M+H]+ 387.2358, found 387.2431.




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KSC-352-075


(1-(4-(Dimethylamino)phenethyl)piperidin-4-yl)diphenylmethanol

To a vial was added the (1-(4-aminophenethyl)piperidin-4-yl)diphenylmethanol (KSC-352-069) (0.030 g, 0.078 mmol) and acetic acid (1 mL). The paraformaldehyde (0.058 mL, 0.776 mmol) solution in water followed by sodium cyanoborohydride (0.015 g, 0.233 mmol) was then added and the reaction stirred at rt for 20 h. The reaction was concentrated and diluted with saturated NaHCO3 and extracted with EtOAc (3×5 mL). The EtOAc layer was dried with MgSO4, filtered and concentrated. The product was purified by reverse-phase MPLC (10-100% MeCN:water) to produce (1-(4-(dimethylamino)phenethyl)piperidin-4-yl)diphenylmethanol (0.027 g, 0.065 mmol, 84% yield). 1H NMR (400 MHz, CDCl3): δ 7.50-7.46 (m, 4H), 7.31-7.26 (m, 4H), 7.17 (tt, J=7.3 Hz, 1.8 Hz, 2H), 7.06 (d, J=8.3 Hz, 2H), 6.68 (d, J=8.3 Hz, 2H), 3.08-3.02 (m, 2H), 2.90 (s, 6H), 2.72-2.67 (m, 2H), 2.56-2.50 (m, 2H), 2.48-2.42 (m, 1H), 2.30 (br s, 1H), 2.07-2.00 (m, 2H), 1.56-1.51 (m, 4H). 13C NMR (125 MHz, CDCl3): δ 149.1, 146.0, 129.2, 128.4, 128.1, 126.4, 125.8, 112.9, 79.4, 61.1, 54.0, 44.2, 41.0, 40.8, 32.6, 26.4. LCMS Retention time: 2.50 min. LCMS purity 96.1%. HRMS (ESI): m/z calcd for C28H34N2O [M+H]+ 415.2671, found 415.2744.




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KSC-352-082


Diphenyl(1-(4-(trifluoromethyl)phenethyl)piperidin-4-yl)methanol

To a vial was added the diphenyl(piperidin-4-yl)methanol (0.100 g, 0.374 mmol), 1-(2-bromoethyl)-4-(trifluoromethyl)benzene (0.057 ml, 0.340 mmol) and acetonitrile (10 mL). The TEA (0.071 mL, 0.510 mmol) was then added and the reaction stirred at 85° C. for 18 h. The reaction was diluted with water and extracted with EtOAc (3×15 mL). The EtOAc layer was collected and dried with MgSO4, filtered and adsorbed to silica then purified by MPLC (15 min, 0-10% MeOH:DCM) to produce pure diphenyl(1-(4-(trifluoromethyl)phenethyl)piperidin-4-yl)methanol (0.074 g, 0.168 mmol, 49% yield) as an oil. 1H NMR (400 MHz, CDCl3): δ 7.54-7.47 (m, 4H), 7.33-7.27 (m, 6H), 7.19 (tt, J=7.3 Hz, 1.8 Hz, 2H), 3.06-3.00 (m, 2H), 2.86-2.80 (m, 2H), 2.60-2.55 (m, 2H), 2.51-2.42 (m, 1H), 2.14 (br s, 1H), 2.10-2.03 (m, 2H), 1.57-1.47 (m, 4H). 13C NMR (125 MHz, CDCl3): δ 145.9, 144.6, 129.0, 128.3 (q, J=32 Hz), 128.2, 126.5, 125.8, 125.2 (q, 3.8 Hz), 124.2 (q, J=271.8 Hz), 79.5, 60.2, 54.1, 44.1, 33.6, 26.4, 21.0. LCMS Retention time: 3.877 min. LCMS purity 99.1%. HRMS (ESI): m/z calcd for C27H28F3NO [M+H]+ 440.2123, found 440.2196.




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KSC-352-088


(1-(4-Fluorophenethyl)piperidin-4-yl)diphenylmethanol

To a vial was added the diphenyl(piperidin-4-yl)methanol (0.099 g, 0.370 mmol), 1-(2-bromoethyl)-4-fluorobenzene (0.047 mL, 0.337 mmol) and acetonitrile (10 mL). The TEA (0.070 mL, 0.505 mmol) was then added and the reaction stirred at 85° C. at for 19 h and was cooled to rt. The reaction was diluted with water and extracted with EtOAc (3×15 mL). The EtOAc layer was collected and dried with MgSO4, filtered and adsorbed to silica then purified by MPLC (15 min, 0-10% MeOH:DCM) to produce pure (1-(4-fluorophenethyl)piperidin-4-yl)diphenylmethanol (0.123 g, 0.316 mmol, 94% yield). 1H NMR (400 MHz, CDCl3): δ 7.51-7.47 (m, 4H), 7.32-7.27 (m, 4H), 7.21-7.11 (m, 4H), 6.98-6.92 (m, 2H), 3.06-3.00 (m, 2H), 2.78-2.72 (m, 2H), 2.56-2.51 (m, 2H), 2.50-2.42 (m, 1H), 2.21 (br s, 1H), 2.08-1.99 (m, 2H), 1.57-1.48 (m, 4H). 13C NMR (125 MHz, CDCl3): δ 161.2 (d, J=243.6 Hz), 145.9, 136.5 (d, J=3.2 Hz), 129.9 (d, J=7.9 Hz), 128.1, 126.5, 125.8, 115.0 (d, J=21.2 Hz), 79.5, 60.8, 54.1, 44.2, 33.0, 26.4, 21.0. LCMS Retention time: 3.733 min. LCMS purity 96.8%. HRMS (ESI): m/z calcd for C26H28FNO [M+H]+ 390.2155, found 390.2228.




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KSC-352-090


2-(3-(Tert-butyl)phenyl)ethanol

To a vial was added the 1-bromo-3-(tert-butyl)benzene (0.107 g, 0.502 mmol) and dry THF. The reaction was then cooled to −78° C. and the BuLi (0.221 mL, 0.552 mmol) (2.5 M in hexanes) was added dropwise and the reaction stirred for 30 min at −78° C. and then ethylene oxide (0.502 mL, 1.255 mmol) (2.5-3.3M solution in THF) was added dropwise and the reaction stirred for 10 minutes at −78° C. then warmed to rt and stirred for 1 h. The reaction was then quenched with 1.0 M HCl (2 mL) and extracted with EtOAc (3×5 mL). The EtOAc layer was combined, concentrated and purified by reverse-phase MPLC (10-100% MeCN:water) to produce pure 2-(3-(tert-butyl)phenyl)ethanol (0.035 g, 0.196 mmol, 39% yield). 1H NMR (400 MHz, CDCl3): δ 7.31-7.27 (m, 3H), 7.10-7.07 (m, 1H), 3.90 (t, J=6.6 Hz, 2H), 2.91 (t, J=6.5 Hz, 2H), 1.52 (br s, 1H), 1.36 (s, 9H).




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KSC-352-093


3-(Tert-butyl)phenethyl 4-methylbenzenesulfonate

To a vial was added the 2-(3-(tert-butyl)phenyl)ethanol (KSC-352-090) (0.035 g, 0.196 mmol), TEA (0.082 mL, 0.589 mmol) and DCM (2 mL) followed by p-toluenesulfonyl chloride (0.056 g, 0.294 mmol). The reaction began to stir at rt for 20 h and was then diluted with saturated NaHCO3 and extracted with EtOAc. The EtOAc was then dried with MgSO4, filtered and concentrated then purified by reverse-phase MPLC (10-100% MeCN:water) to provide pure 3-(tert-butyl)phenethyl 4-methylbenzenesulfonate (0.060 g, 0.180 mmol, 92% yield). 1H NMR (400 MHz, CDCl3): δ 7.70 (d, J=8.4 Hz, 2H), 7.30-7.24 (m, 3H), 7.19 (t, J=7.52 Hz, 1H), 7.14-7.12 (m, 1H), 4.22 (t, J=7.2 Hz, 2H), 2.96 (t, J=7.2 Hz, 2H), 2.43 (s, 3H), 1.29 (s, 9H).




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KSC-352-097


(1-(3-(Tert-butyl)phenethyl)piperidin-4-yl)diphenylmethanol

To a vial was added the 3-(tert-butyl)phenethyl 4-methylbenzenesulfonate (KSC-352-093) (0.060 g, 0.180 mmol), diphenyl(piperidin-4-yl)methanol (0.048 g, 0.180 mmol) and acetonitrile (1 mL). The TEA (0.038 mL, 0.271 mmol) was added and the reaction stirred at 85° C. for 18 h and was cooled to rt then diluted with water and extracted with EtOAc. The EtOAc layer was concentrated and the crude product was purified by reverse-phase MPLC (10-100% MeCN:water) to produce the pure (1-(3-(tert-butyl)phenethyl)piperidin-4-yl)diphenylmethanol (0.065 g, 0.152 mmol, 84% yield). 1H NMR (400 MHz, CDCl3): δ 7.51-7.47 (m, 4H), 7.32-7.27 (m, 4H), 7.23-7.16 (m, 5H), 7.01-6.98 (m, 1H), 3.09-3.04 (m, 2H), 2.81-2.76 (m, 2H), 2.61-2.55 (m, 2H), 2.51-2.43 (m, 1H), 2.28 (br s, 1H), 2.10-2.02 (m, 2H), 1.30 (s, 9H), 1.32-1.26 (m, 4H). 13C NMR (125 MHz, CDCl3): δ 151.2, 145.9, 140.0, 128.1, 128.0, 126.5, 125.8, 125.71, 125.68, 123.0, 79.5, 54.1, 44.2, 34.6, 34.0, 31.6, 31.4, 26.4, 22.6. LCMS Retention time: 4.214 min. LCMS purity 96.4%. HRMS (ESI): m/z calcd for C30H37NO [M+H]+ 428.2875, found 428.2948.




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KSC-352-099


3-((Phenylsulfonyl)methylene)oxetane

To an oven-dried vial was added (methylsulfonyl)benzene (0.570 g, 3.65 mmol) and the vial was evacuated with argon 3 times. The dry THF (17 mL) was added and the reaction was cooled to 0° C. The 2.5 M BuLi in hexanes (3.21 mL, 8.03 mmol) was added dropwise and the reaction began to stir at 0° C. and stirred for 45 minutes. The diethyl chlorophosphate (0.528 mL, 3.65 mmol) was then added at 0° C. and the reaction stirred for 30 minutes. The reaction was then cooled to −78° C. and the oxetan-3-one (0.330 mL, 5.15 mmol) was then added dropwise and the reaction stirred for 2 h. The reaction was then warmed to rt and filtered through a silica plug. The reaction was then concentrated onto silica and purified by MPLC (20 min, 0-40% EtOAc:hex) to provide pure 3-((phenylsulfonyl)methylene)oxetane (0.579 g, 2.75 mmol, 75% yield). 1H NMR (400 MHz, CDCl3): δ 7.91-7.87 (m, 2H), 7.69-7.64 (m, 1H), 7.60-7.55 (m, 2H), 6.12 (quintet, J=2.3 Hz, 1H), 5.66-5.63 (m, 2H), 5.30-5.27 (m, 2H).




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KSC-367-003


2-(4-(3-((Phenylsulfonyl)methyl)oxetan-3-yl)phenyl)ethanol

To a vial was added the chloro(1,5-cyclooctadiene)rhodium(I), dimer (0.012 g, 0.025 mmol) and 1,4-dioxane (10 mL). The 1.5 M aqueous KOH (0.496 mL, 0.745 mmol) was then added and the reaction stirred for 1 minute at rt. Then the (4-(2-hydroxyethyl)phenyl)boronic acid (0.103 g, 0.621 mmol) and 3-((phenylsulfonyl)methylene)oxetane (KSC-352-099) (0.052 g, 0.248 mmol) in 1 mL dioxane was added and the reaction stirred for 30 minutes at 100° C. in waves. The reaction was then cooled to rt and diluted with EtOAc and washed with 1.0 M HCl. The water layer was extracted with EtOAc (3×15 mL). The EtOAc layer was collected and the water was extracted with EtOAc again. The EtOAc layers were combined and dried with MgSO4, filtered and concentrated then purified by reverse-phase MPLC (30 min, 10-100% MeCN:water) to produce pure 2-(4-(3-((phenylsulfonyl)methyl) oxetan-3-yl)phenyl)ethanol (0.063 g, 0.190 mmol, 76% yield). 1H NMR (400 MHz, CDCl3): δ 7.55-7.52 (m, 2H), 7.50-7.46 (m, 1H), 7.36-7.31 (m, 2H), 7.09 (d, J=8.4 Hz, 2H), 7.01 (d, J=8.3 Hz, 2H), 5.03 (d, J=6.4 Hz, 2H), 4.93 (d, J=6.4 Hz, 2H), 4.03 (s, 2H), 3.82 (t, J=7.3 Hz, 2H), 2.80 (t, J=7.3 Hz, 2H).




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KSC-367-027


4-(diphenylmethylene)piperidine

To a vial was added the diphenyl(piperidin-4-yl)methanol (0.514 g, 1.922 mmol) and TFA (4 mL). The reaction stirred at 75° C. at for 24 h and was concentrated in vacuo. The residue was then dissolved in DCM (5 mL) and washed with water (4 mL). The DCM layer was collected and washed with water (1×5 mL), dried with MgSO4, filtered concentrated then purified by reverse-phase MPLC (10-100% MeCN:Hex) to produce pure 4-(diphenylmethylene)piperidine (0.296 g, 1.187 mmol, 62% yield). 1H NMR (400 MHz, CDCl3): δ 7.34-7.28 (m, 4H), 7.25-7.20 (m, 2H), 7.18-7.14 (m, 4H), 2.96-2.92 (m, 4H), 2.37-2.33 (m, 4H), 1.75 (br s, 1H).




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KSC-367-032


4-(4-Benzylpiperidin-1-yl)-1-(4-(tert-butyl)phenyl)butan-1-one

To a vial was added the 4-benzylpiperidine (0.25 ml, 1.422 mmol), 1-(4-(tert-butyl)phenyl)-4-chlorobutan-1-one (0.407 g, 1.707 mmol), acetonitrile and TEA (0.297 mL, 2.133 mmol). The reaction stirred at 85° C. for 17 h. The reaction was cooled to rt and diluted with saturated NaHCO3 then extracted with EtOAc. The EtOAc was dried with MgSO4, filtered and concentrated. The crude material was purified by reverse-phase MPLC (10-100% MeCN:water) to produce 4-(4-benzylpiperidin-1-yl)-1-(4-(tert-butyl)phenyl)butan-1-one (0.291 g, 0.771 mmol, 54% yield). 1H NMR (400 MHz, CDCl3): δ 7.91 (d, J=8.6 Hz, 2H), 7.47 (d, J=8.5 Hz, 2H), 7.29-7.24 (m, 2H), 7.20-7.16 (m, 1H), 7.14-7.11 (m, 2H), 2.96 (t, J=7.2 Hz, 2H), 2.90-2.84 (m, 2H), 2.50 (d, J=7.0 Hz, 2H), 2.36 (t, J=7.3 Hz, 2H), 1.96-1.82 (m, 4H), 1.63-1.56 (m, 2H), 1.53-1.46 (m, 1H), 1.34 (s, 9H), 1.28-1.18 (m, 2H).




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KSC-367-033


3-(4-(Hydroxydiphenylmethyl)piperidin-1-yl)propan-1-ol

To a vial was added the diphenyl(piperidin-4-yl)methanol (0.502 g, 1.878 mmol), 3-bromopropan-1-ol (0.204 mL, 2.253 mmol), acetonitrile and TEA (0.393 mL, 2.82 mmol). The reaction stirred at 85° C. for 3 h. The reaction was cooled to rt and diluted with saturated NaHCO3 and extracted with EtOAc. The EtOAc layer was concentrated and purified by reverse-phase MPLC (10-100% MeCN:water) to provide 3-(4-(hydroxydiphenylmethyl)piperidin-1-yl)propan-1-ol (0.395 g, 1.214 mmol, 65% yield) as a white solid. 1H NMR (400 MHz, CDCl3): δ 7.48-7.44 (m, 4H), 7.31-7.27 (m, 4H), 7.20-7.15 (m, 2H), 5.45 (br s, 1H), 3.75 (t, J=5.2 Hz, 2H), 3.12-3.06 (m, 2H), 2.57 (t, J=5.7 Hz, 2H), 2.47-2.36 (m, 1H), 1.98-1.91 (m, 2H), 1.70-1.65 (m, 3H), 1.54-1.42 (m, 4H).




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KSC-367-036


3-(4-(Hydroxydiphenylmethyl)piperidin-1-yl)propyl 4-methylbenzenesulfonate

Prepared with same method at KSC-352-093 using 3-(4-(hydroxydiphenylmethyl)piperidin-1-yl)propan-1-ol (KSC-367-033) (0.395 g, 1.214 mmol), 4-methylbenzene-1-sulfonyl chloride (0.347 g, 1.821 mmol), DCM (5 mL) and TEA (0.508 mL, 3.64 mmol) to produce pure 3-(4-(hydroxydiphenylmethyl)piperidin-1-yl)propyl 4-methylbenzenesulfonate (0.193 g, 0.402 mmol, 33% yield). 1H NMR (400 MHz, CDCl3): δ 7.69-7.66 (m, 2H), 7.46-7.41 (m, 4H), 7.24-7.19 (m, 4H), 7.15-7.05 (m, 4H), 4.26-4.12 (m, 4H), 3.73-3.65 (m, 2H), 3.27-3.18 (m, 2H), 2.68-2.60 (m, 1H), 2.47-2.37 (m, 2H), 2.30 (s, 3H), 1.88-1.76 (m, 2H), 1.52-1.43 (m, 2H).




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KSC-367-039


4-(4-Benzylpiperidin-1-yl)-1-(4-(tert-butyl)phenyl)butan-1-ol

Method B: 4-(4-benzylpiperidin-1-yl)-1-(4-(tert-butyl)phenyl)butan-1-one (KSC-367-032) (0.291 g, 0.771 mmol) and MeOH (5 mL) and sodium borohydride (0.117 g, 3.08 mmol) to produce pure 4-(4-benzylpiperidin-1-yl)-1-(4-(tert-butyl)phenyl)butan-1-ol (0.232 g, 0.611 mmol, 79% yield). 1H NMR (400 MHz, CDCl3): δ 7.35-7.25 (m, 6H), 7.21-7.12 (m, 3H), 4.64-4.60 (m, 1H), 3.13-3.07 (m, 1H), 2.94-2.88 (m, 1H), 2.54 (d, J=7.0 Hz, 2H), 2.44-2.34 (m, 2H), 2.03-1.93 (m, 2H), 1.90-1.38 (m, 10H), 1.31 (s, 9H). 13C NMR (125 MHz, CDCl3): δ 149.4, 142.9, 140.7, 129.1, 128.2, 125.8, 125.4, 125.0, 73.5, 59.0, 54.6, 52.9, 42.9, 40.1, 38.0, 34.4, 31.8, 31.6, 31.4, 24.3. LCMS Retention time: 4.330 min. LCMS purity 99.1%. HRMS (ESI): m/z calcd for C26H37NO [M+H]+ 380.2875, found 380.2948.




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KSC-367-043


(1-(3-((4-(Tert-butyl)phenyl)amino)propyl)piperidin-4-yl)diphenylmethanol

To a vial was added the 3-(4-(hydroxydiphenylmethyl)piperidin-1-yl)propyl 4-methylbenzenesulfonate (KSC-367-036) (0.088 g, 0.183 mmol), 4-(tert-butyl)aniline (0.035 mL, 0.220 mmol) and TEA (0.038 mL, 0.275 mmol) with acetonitrile (3 mL). The reaction began to stir at 85° C. for 18 h and was then cooled to rt and diluted with saturated NaHCO3 then extracted with EtOAc. The EtOAc was concentrated and purified by reverse-phase MPLC (10-100% MeCN:water) to produce pure (1-(3-((4-(tert-butyl)phenyl)amino) propyl)piperidin-4-yl)diphenylmethanol (0.038 g, 0.083 mmol, 45% yield). 1H NMR (400 MHz, CDCl3): δ 7.50-7.46 (m, 4H), 7.33-7.28 (m, 4H), 7.21-7.16 (m, 4H), 6.51 (d, J=8.7 Hz, 2H), 3.13 (t, J=6.4 Hz, 2H), 3.02-2.96 (m, 2H), 2.49-2.41 (m, 3H), 2.15 (br s, 1H), 2.00-1.93 (m, 2H), 1.80-1.73 (m, 2H), 1.57-1.43 (m, 5H), 1.27 (s, 9H). 13C NMR (125 MHz, CDCl3): δ 146.4, 145.9, 139.7, 128.2, 126.5, 125.9, 125.8, 112.4, 79.6, 57.4, 54.2, 44.2, 43.7, 33.8, 31.5, 26.6, 26.2. LCMS Retention time: 4.208 min. LCMS purity 100%. HRMS (ESI): m/z calcd for C30H38N2O [M+H]+ 457.6620, found 457.3194.




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KSC-367-044


(1-(3-(4-(Tert-butyl)phenoxy)propyl)piperidin-4-yl)diphenylmethanol

To a vial was added the 3-(4-(hydroxydiphenylmethyl)piperidin-1-yl)propyl 4-methylbenzenesulfonate (KSC-367-036) (0.105 g, 0.219 mmol), 4-(tert-butyl)phenol (0.039 g, 0.263 mmol) and TEA (0.046 mL, 0.328 mmol) with acetonitrile (3 mL). The reaction stirred at 85° C. for 18 h then diluted with saturated NaHCO3 and extracted with EtOAc. The EtOAc layer was concentrated and purified by RP MPLC (10-100% MeCN:water) to produce pure (1-(3-(4-(tert-butyl)phenoxy)propyl)piperidin-4-yl)diphenylmethanol (0.015 g, 0.033 mmol, 15% yield). 1H NMR (400 MHz, CDCl3): δ 7.49-7.46 (m, 4H), 7.31-7.26 (m, 6H), 7.19-7.14 (m, 2H), 6.81 (d, J=8.8 Hz, 2H), 3.96 (t, J=6.4 Hz, 2H), 3.01-2.94 (m, 2H), 2.51-2.40 (m, 3H), 1.99-1.89 (m, 5H), 1.52-1.45 (m, 4H), 1.28 (s, 9H). 13C NMR (125 MHz, CDCl3): δ 156.7, 145.9, 143.2, 128.1, 126.5, 126.1, 125.7, 116.3, 113.9, 79.5, 66.3, 60.4, 55.4, 54.1, 44.1, 34.0, 31.5, 29.7, 27.0, 26.4. LCMS Retention time: 4.293 min. LCMS purity 95.2%. HRMS (ESI): m/z calcd for C30H37NO2 [M+H]+ 458.6470, found 458.3068.




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KSC-367-047


2-(6-(tert-butyl)pyridin-3-yl)ethanol

Prepared by same method as KSC-352-090 with 5-bromo-2-(tert-butyl)pyridine (0.303 g, 1.415 mmol), dry THF (10 mL), 2.5 M BuLi in hexanes (0.623 mL, 1.557 mmol) and ethylene oxide (1.415 ml, 3.54 mmol) (2.5-3.3M solution in THF) to produce pure 2-(6-(tert-butyl)pyridin-3-yl)ethanol (0.211 g, 1.177 mmol, 83% yield). 1H NMR (400 MHz, CDCl3): δ 8.40 (br d, J=2.4 Hz, 1H), 7.48 (dd, J=8.2 Hz, 2.4 Hz, 1H), 7.26 (dd, J=8.2 Hz, 0.8 Hz, 1H), 3.85 (br t, J=6.0 Hz, 2H), 2.82 (t, J=6.5 Hz, 2H), 2.29 (br s, 1H), 1.33 (s, 9H).




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KSC-367-049


2-(6-(tert-butyl)pyridin-3-yl)ethyl 4-methylbenzenesulfonate

Prepared by same method at KSC-352-093 with 2-(6-(tert-butyl)pyridin-3-yl)ethanol (KSC-367-047) (0.211 g, 1.177 mmol), TEA (0.492 mL, 3.53 mmol) and DCM (2 mL) followed by p-toluenesulfonyl chloride (0.337 g, 1.766 mmol) to provide pure 2-(6-(tert-butyl)pyridin-3-yl)ethyl 4-methylbenzenesulfonate (0.260 g, 0.780 mmol, 66% yield). 1H NMR (400 MHz, CDCl3): δ 8.29 (br d, J=2.4 Hz, 1H), 7.69 (d, J=8.3 Hz, 2H), 7.40 (dd, J=8.2 Hz, 2.4 Hz, 1H), 7.30-7.27 (m, 2H), 7.23 (dd, J=8.2 Hz, 0.8 Hz, 1H), 4.19 (t, J=6.9 Hz, 2H), 2.92 (t, J=6.8 Hz, 2H), 2.43 (s, 3H), 1.34 (s, 9H).




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KSC-367-052


(1-(2-(6-(Tert-butyl)pyridin-3-yl)ethyl)piperidin-4-yl)diphenylmethanol

To a vial was added the diphenyl(piperidin-4-yl)methanol (0.250 g, 0.936 mmol), 2-(6-(tert-butyl)pyridin-3-yl)ethyl 4-methylbenzenesulfonate (KSC-367-049) (0.260 g, 0.780 mmol) and acetonitrile (5 mL). The TEA (0.163 mL, 1.170 mmol) was then added and the reaction stirred at 50° C. for 20 h and was then cooled to rt and diluted with saturated NaHCO3 then extracted with DCM. The DCM layer was concentrated and purified by reverse-phase MPLC (10-100% MeCN:water) to produce pure (1-(2-(6-(tert-butyl)pyridin-3-yl)ethyl)piperidin-4-yl)diphenylmethanol (0.308 g, 0.719 mmol, 92% yield). 1H NMR (400 MHz, CDCl3): δ 8.39-8.38 (m, 1H), 7.51-7.48 (m, 4H), 7.42 (dd, J=8.1 Hz, 2.4 Hz, 1H), 7.32-7.27 (m, 4H), 7.25-7.22 (m, 1H), 7.20-7.15 (m, 2H), 3.07-3.01 (m, 2H), 2.76-2.71 (m, 2H), 2.57-2.52 (m, 2H), 2.50-2.42 (m, 1H), 2.31 (br s, 1H), 2.09-2.01 (m, 2H), 1.57-1.48 (m, 4H), 1.35 (s, 9H). 13C NMR (125 MHz, CDCl3): δ 166.9, 148.7, 145.9, 136.3, 132.3, 128.1, 126.5, 125.8, 118.6, 79.4, 60.2, 54.0, 44.1, 37.0, 30.3, 30.2, 26.4. LCMS Retention time: 3.802 min. LCMS purity 99.5%. HRMS (ESI): m/i calcd for C29H36N2O [M+H]+ 429.2828, found 429.2900.




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KSC-367-053


1-(4-(Tert-butyl)phenyl)-4-(4-(diphenylmethylene)piperidin-1-yl)butan-1-one

To a vial was added the 4-(diphenylmethylene)piperidin-1-ium 2,2,2-trifluoroacetate (KSC-367-027) (0.0475 g, 0.131 mmol), 1-(4-(tert-butyl)phenyl)-4-chlorobutan-1-one (0.037 g, 0.157 mmol) and TEA (0.046 mL, 0.327 mmol) in acetonitrile. The reaction stirred at 75° C. for 20 h. The reaction was removed from heat and diluted with saturated NaHCO3, extracted with EtOAc. The EtOAc layer was concentrated and purified by reverse-phase MPLC (10-100% MeCN:water) to produce pure 1-(4-(tert-butyl)phenyl)-4-(4-(diphenylmethylene)piperidin-1-yl)butan-1-one (0.019 g, 0.042 mmol, 32% yield). 1H NMR (400 MHz, CDCl3): δ 7.91 (d, J=8.2 Hz, 2H), 7.46 (d, J=8.3 Hz, 2H), 7.30-7.25 (m, 4H), 7.21-7.17 (m, 2H), 7.13-7.10 (m, 4H), 2.99 (t, J=7.2 Hz, 2H), 2.51-2.32 (m, 10H), 1.98-1.91 (m, 2H), 1.34 (s, 9H).




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KSC-367-055


(1-(4-Chlorophenethyl)piperidin-4-yl)diphenylmethanol

To a vial was added the diphenyl(piperidin-4-yl)methanol (0.221 g, 0.827 mmol), 1-(2-bromoethyl)-4-chlorobenzene (0.165 g, 0.752 mmol), acetonitrile (4 mL) and TEA (0.157 mL, 1.128 mmol). The reaction stirred at 75° C. for 18 h then was cooled to rt and diluted with saturated NaHCO3 and extracted with EtOAc. The EtOAc layer was concentrated and purified by reverse-phase MPLC (10-100% MeCN:water) to produce pure (1-(4-chlorophenethyl)piperidin-4-yl)diphenylmethanol (0.224 g, 0.552 mmol, 73% yield). 1H NMR (400 MHz, CDCl3): δ 7.39-7.36 (m, 4H), 7.20-7.15 (m, 4H), 7.12-7.09 (m, 2H), 7.08-7.03 (m, 2H), 6.99-6.96 (m, 2H), 2.92-2.87 (m, 2H), 2.64-2.58 (m, 2H), 2.43-2.38 (m, 2H), 2.37-2.30 (m, 1H), 2.22 (br s, 1H), 1.95-1.88 (m, 2H), 1.44-1.35 (m, 4H). 13C NMR (125 MHz, CDCl3): δ 145.9, 145.8, 138.9, 131.6, 129.9, 128.3, 128.0, 126.4, 125.7, 79.4, 79.3, 60.4, 57.0, 44.1, 33.0, 26.4. LCMS Retention time: 3.903 min. LCMS purity 99.6%. HRMS (ESI): m/z calcd for C26H28ClNO [M+H]+ 406.1859, found 406.1932.




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KSC-367-058


1-(4-(Tert-butyl)phenyl)-4-(4-(diphenylmethylene)piperidin-1-yl)butan-1-ol

Method B: 1-(4-(tert-butyl)phenyl)-4-(4-(diphenylmethylene)piperidin-1-yl)butan-1-one (KSC-367-053) (0.019 g, 0.042 mmol) and sodium borohydride (6.37 mg, 0.168 mmol) to produce pure 1-(4-(tert-butyl)phenyl)-4-(4-(diphenylmethylene)piperidin-1-yl)butan-1-ol (0.010 g, 0.022 mmol, 52% yield). 1H NMR (400 MHz, CDCl3): δ 7.35-7.26 (m, 8H), 7.23-7.18 (m, 2H), 7.13-7.10 (m, 4H), 4.68-4.65 (m, 1H), 2.66-2.60 (m, 2H), 2.55-2.42 (m, 8H), 2.00-1.94 (m, 1H), 1.90-1.81 (m, 1H), 1.73-1.63 (m, 3H), 1.30 (s, 9H). 13C NMR (125 MHz, CDCl3): δ 149.5, 142.7, 142.3, 136.4, 134.6, 129.7, 128.0, 126.4, 125.3, 125.0, 73.3, 58.7, 55.0, 39.6, 34.4, 31.6, 31.4, 31.1, 24.0, 22.6. LCMS Retention time: 4.454 min. LCMS purity 97.1%. HRMS (ESI): m/z calcd for C32H39NO [M+H]+ 454.3032, found 454.3104.




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KSC-367-066


4-(3-((phenylsulfonyl)methyl)oxetan-3-yl)phenethyl 4-methylbenzenesulfonate

Prepared by the same method as KSC-352-093 with 2-(4-(3-((phenylsulfonyl)methyl)oxetan-3-yl)phenyl)ethanol (KSC-367-003) (0.104 g, 0.313 mmol), TEA (0.131 mL, 0.939 mmol) and DCM (2 mL) followed by p-toluenesulfonyl chloride (0.089 g, 0.469 mmol) to produce 4-(3-((phenylsulfonyl)methyl)oxetan-3-yl)phenethyl 4-methylbenzenesulfonate (0.041 g, 0.084 mmol, 27% yield). 1H NMR (400 MHz, CDCl3): δ 7.75 (d, J=8.3 Hz, 2H), 7.57-7.46 (m, 4H), 7.36-7.32 (m, 4H), 7.02-6.96 (m, 3H), 5.00 (d, J=6.4 Hz, 2H), 4.93 (d, J=6.4 Hz, 2H), 4.17 (t, J=7.0 Hz, 2H), 4.01 (s, 2H), 2.90 (t, J=7.0 Hz, 2H), 2.45 (s, 3H).




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KSC-367-069


Diphenyl(1-(4-(3-((phenylsulfonyl)methyl)oxetan-3-yl)phenethyl)piperidin-4-yl)methanol

To a vial was added the 4-(3-((phenylsulfonyl)methyl)oxetan-3-yl)phenethyl 4-methylbenzenesulfonate (KSC-367-066) (0.041 g, 0.084 mmol) and diphenyl(piperidin-4-yl)methanol (0.025 g, 0.093 mmol) in acetonitrile. The TEA (0.018 ml, 0.126 mmol) was then added and the reaction stirred at 50° C. for 18 h. The reaction was removed from heat and cooled to rt then diluted with saturated NaHCO3. The reaction was then extracted with EtOAc (3×5 mL) and the EtOAc layer was dried with MgSO4, filtered and concentrated. The crude residue was purified by reverse-phase MPLC (15 min, 10-100% MeCN:water) to produce diphenyl(1-(4-(3 ((phenylsulfonyl) methyl)oxetan-3-yl)phenethyl)piperidin-4-yl)methanol (0.024 g, 0.041 mmol, 49% yield). 1H NMR (400 MHz, CDCl3): δ 7.53-7.43 (m, 6H), 7.33-7.27 (m, 7H), 7.21-7.16 (m, 2H), 7.04 (d, J=8.2 Hz, 2H), 6.96 (d, J=8.2 Hz, 2H), 5.02 (d, J=6.4 Hz, 2H), 4.92 (d, J=6.4 Hz, 2H), 4.01 (s, 2H), 3.08-3.02 (m, 2H), 2.74-2.69 (m, 2H), 2.56-2.44 (m, 3H), 2.10-2.02 (m, 2H), 1.60-1.50 (m, 5H).




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KSC-367-072


(1-(4-(3-Methyloxetan-3-yl)phenethyl)piperidin-4-yl)diphenylmethanol

To a vial was added the diphenyl(1-(4-(3-((phenylsulfonyl)methyl)oxetan-3-yl)phenethyl)piperidin-4-yl)methanol (KSC-367-069) (0.024 g, 0.041 mmol) and MeOH (10 mL) and the reaction as heated to 50° C. The magnesium was added in 3 additions (0.016 g, 0.066 mmol, 16 equiv) 1.5 h apart. The reaction was removed from heat 1.5 h after the final magnesium addition, cooled to rt and poured into 1.0 M HCl with ice. The aqueous layer was then extracted with DCM (3×10 mL) and the organic layers were combined and dried with MgSO4, filtered and concentrated then purified by reverse-phase MPLC (15 min, 10-100% MeCN:water). To produce (1-(4-(3-methyloxetan-3-yl)phenethyl)piperidin-4-yl)diphenylmethanol (0.0045 g, 10.19 μmol, 24.70% yield) as a light brown solid. 1H NMR (400 MHz, CDCl3): δ 7.51-7.47 (m, 4H), 7.32-7.27 (m, 4H), 7.21-7.16 (m, 4H), 7.13-7.10 (m, 2H), 4.95 (d, J=5.5 Hz, 2H), 4.61 (d, J=5.5 Hz, 2H), 3.09-3.02 (m, 2H), 2.81-2.75 (m, 2H), 2.59-2.54 (m, 2H), 2.50-2.42 (m, 1H), 2.16 (br s, 1H), 2.09-2.00 (m, 2H), 1.71 (s, 3H), 1.56-1.48 (m, 4H). 13C NMR (125 MHz, CDCl3): δ 145.9, 144.1, 138.4, 128.8, 128.2, 126.5, 125.8, 125.1, 83.8, 79.5, 60.7, 54.1, 44.1, 43.1, 33.3, 27.8, 26.4. LCMS Retention time: 3.652 min. LCMS purity 97.9%. HRMS (ESI): m/z calcd for C30H35NO2 [M+H]+442.2668, found 442.2741.




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KSC-367-088


2-(Tert-butyl)phenyl trifluoromethanesulfonate

To a vial was added the 2-(tert-butyl)phenol (1.0 ml, 6.51 mmol) and DCM (4 mL) followed by pyridine (1.053 mL, 13.02 mmol). The reaction was then cooled to 0° C. and the triflic anhydride (1.320 mL, 7.81 mmol) was added dropwise and the reaction stirred for 2 h. The reaction was then allowed to warm to rt and was diluted with DCM and quenched with 1.0 M HCl. The DCM layer was collected and washed with saturated NaHCO3 and brine. The organic layer was then dried (MgSO4), filtered and adsorbed to silica and purified by MPLC (0-25% EtOAc:hex) to produce pure 2-(tert-butyl)phenyl trifluoromethanesulfonate (1.66 g, 5.88 mmol, 90% yield). 1H NMR (400 MHz, CDCl3): δ 7.49-7.46 (m, 1H), 7.37-7.34 (m, 1H), 7.31-7.27 (m, 2H), 1.43 (s, 9H).




embedded image



KSC-381-009


2-(2-(Tert-butyl)phenyl)-4,4,5,5-tetramethyl-1,3,2-dioxaborolane

To a flame-dried vial was added molecular sieves and 2-(tert-butyl)phenyl trifluoromethanesulfonate (KSC-367-088) (0.475 g, 1.683 mmol) and 1,1′-Bis(diphenylphosphino)ferrocenedichloropalladium(II) (0.042 g, 0.050 mmol). The vial was evacuated with argon 3 times and then dioxane (1 mL), TEA (0.704 mL, 5.05 mmol) and 4,4,5,5-tetramethyl-1,3,2-dioxaborolane (0.732 mL, 5.05 mmol) were added via syringe. The reaction stirred at reflux (100° C.) for 2 h. The reaction was then removed from heat and diluted with water then extracted with DCM (3×5 mL). The DCM layer was then washed again with water (3×10 mL). The DCM layer was dried with MgSO4, filtered and concentrated. The residue was diluted with hexanes and filtered through MgSO4 to remove the residual Pd complex. The hexanes layer was then concentrated to produce pure 2-(2-(tert-butyl)phenyl)-4,4,5,5-tetramethyl-1,3,2-dioxaborolane (0.093 g, 0.357 mmol, 86% yield). 1H NMR (400 MHz, CDCl3): δ 7.45 (dd, J=7.2 Hz, 1.2 Hz, 1H), 7.41-7.39 (m, 1H), 7.29 (td, J=7.6 Hz, 2.0 Hz, 1H), 7.14 (td, J=7.6 Hz, 2.0 Hz, 1H), 1.41 (s, 9H), 1.38 (s, 12H).




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KSC-381-011


1-Bromo-2-(tert-butyl)benzene

To a vial was added the 2-(2-(tert-butyl)phenyl)-4,4,5,5-tetramethyl-1,3,2-dioxaborolane (KSC-381-009) (0.180 g, 0.692 mmol) and MeOH (1.5 mL). The copper (H) bromide (0.464 g, 2.075 mmol) was then dissolved in water and added to the reaction then stirred at 80° C. for 24 h. The reaction was then removed from heat and diluted with water and extracted with EtOAc. The EtOAc was dried with MgSO4, filtered and concentrated to produce 1-bromo-2-(tert-butyl)benzene (0.103 g, 0.483 mmol, 70% yield) as a brown liquid. 1H NMR (400 MHz, CDCl3): δ 7.59 (dd, J=8.0 Hz, 1.6 Hz, 1H), 7.44 (dd, J=8.0 Hz, 1.6 Hz, 1H), 7.24 (td, J=7.6 Hz, 2.0 Hz, 1H), 7.02 (td, J=7.6 Hz, 2.0 Hz, 1H), 1.51 (s, 9H).




embedded image



KSC-381-015


2-(2-(Tert-butyl)phenyl)ethanol

Prepared by same method as KSC-352-090 with 1-bromo-2-(tert-butyl)benzene (KSC-381-011) (0.147 g, 0.690 mmol), dry THF, 2.5 M BuLi in hexanes (0.303 ml, 0.759 mmol) and then ethylene oxide (0.690 ml, 1.724 mmol) (2.5-3.3M solution in THF) to produce pure 2-(2-(tert-butyl)phenyl)ethanol (0.018 g, 0.101 mmol, 14.64% yield) as a clear oil. 1H NMR (400 MHz, CDCl3): δ 7.43-7.37 (m, 1H), 7.23-7.19 (m, 1H), 7.18-7.14 (m, 2H), 3.90 (t, J=7.6 Hz, 2H), 3.19 (t, J=7.6 Hz, 2H), 1.44 (s, 9H).




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KSC-381-018


2-(Tert-butyl)phenethyl 4-methylbenzenesulfonate

Prepared according to same procedure as KSC-352-093 with 2-(2-(tert-butyl)phenyl)ethanol (KSC-381-015) (0.018 g, 0.101 mmol), TEA (0.042 mL, 0.303 mmol) and DCM (2 mL) followed by p-toluenesulfonyl chloride (0.029 g, 0.151 mmol) to provide pure 2-(tert-butyl)phenethyl 4-methylbenzenesulfonate (0.022 g, 0.066 mmol, 66% yield) and a clear oil. 1H NMR (400 MHz, CDCl3): δ 7.76 (d, J=8.0 Hz, 2H), 7.37-7.31 (m, 3H), 7.17-7.04 (m, 3H), 4.19 (t, J=7.6 Hz, 2H), 3.25 (t, J=7.6 Hz, 2H), 2.44 (s, 3H), 1.33 (s, 9H).




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KSC-381-020


(1-(2-(Tert-butyl)phenethyl)piperidin-4-yl)diphenylmethanol

To a vial was added the 2-(tert-butyl)phenethyl 4-methylbenzenesulfonate (KSC-381-018) (0.022 g, 0.066 mmol), diphenyl(piperidin-4-yl)methanol (0.018 g, 0.066 mmol) and acetonitrile. The TEA (0.014 mL, 0.099 mmol) was added and the reaction stirred at 85° C. for 20 h. The reaction was cooled to rt and diluted with water then extracted with EtOAc. The EtOAc layer was concentrated and the crude product was purified by reverse-phase MPLC (10-100% MeCN:water) to produce the pure (1-(2-(tert-butyl)phenethyl) piperidin-4-yl)diphenylmethanol (0.013 g, 0.030 mmol, 46% yield). 1H NMR (400 MHz, CDCl3): δ 7.51-7.48 (m, 4H), 7.37-7.28 (m, 5H), 7.21-7.09 (m, 5H), 3.15-3.04 (m, 4H), 2.65-2.60 (m, 2H), 2.52-2.42 (m, 1H), 2.17-2.08 (m, 3H), 1.60-1.53 (m, 4H), 1.41 (s, 9H). 13C NMR (125 MHz, CDCl3): δ 147.7, 145.9, 138.5, 132.1, 128.2, 126.5, 126.1, 125.9, 125.84, 125.79, 79.5, 61.7, 54.2, 44.2, 35.7, 31.7, 29.7, 26.4. LCMS Retention time: 4.200 min. LCMS purity 99.3%. HRMS (ESI): m/z calcd for C30H37NO [M+H]+ 428.2875, found 428.2948.


Bacterial Strains and Conditions


All strains used to evaluate the antimicrobial activity of terfenadine and corresponding structural derivatives are shown below in Table 5. S. aureus strain UAMS-1 is an osteomyelitis clinical isolate (Gillaspy et al. “Role of the accessory gene regulator (agr) in pathogenesis of staphylococcal osteomyelitis. Infect. Immun. 63:3373-3380 (1995)), whereas ciprofloxacin-resistant strains CRC118 and CRC61 are spontaneous ciprofloxacin-resistant derivatives of UAMS-1 that were selected by growth on Mueller-Hinton agar (MHA) (Becton, Dickinson & Company, Franklin Lakes, N.J.) at 1.5×MIC ciprofloxacin (0.75 μg/ml).









TABLE 5







Bacterial Strains Used in Terfenadine Study











Species
Strain
Source








S. aureus

UAMS-1
1




CRC61
Dunman Lab, URMC




CRC118
Dunman Lab, URMC











Minimum Inhibitory Concentration (MIC) Testing


Minimum Inhibitory Concentration (MIC) testing was performed to determine the minimum concentration of test compound that is necessary to inhibit visible growth of bacteria according to Clinical and Laboratory Standards (CLSI) guidelines (Clinical and Laboratory Standards Institute (CLSI). Methods for Dilution Antimicrobial Susceptibility Tests for Bacteria That Grow Aerobically; Approved Standard—Ninth Edition. CLSI document M07-A9. 2012. Clinical and Laboratory Standards Institute, 940 West Valley Road, Suite 1400, Wayne, Pa. 19087-1898 USA.) To do so, 105 colony forming units of an overnight bacterial culture were seeded into individual wells of 96-well round-bottom microtiter plates containing 88 μl of MHB medium. To the first column, 2 μl of the test compound's corresponding solvent was also added to each well (negative control). To the next ten columns, 2 μl of the test compound (dissolved in DMSO for terfenadine and its derivatives or sterile water for ciprofloxacin) was added in increasing 2-fold increments of 0.5 μg/ml to 256 μg/ml to each successive well. Each test compound was evaluated in duplicate. Plates were incubated at 37° C. incubator for 16 h at which point the minimum inhibitory concentration was determined to be the lowest concentration of test compound that inhibited bacterial growth, as judged by the unaided eye.



S. aureus DNA Gyrase Supercoiling Assay (TopoGEN)


The gyrase supercoiling assays were performed to determine if test compounds interfered with S. aureus DNA gyrase activity, following the manufacturer's recommendations (TopoGEN). Reactions (20 μl) contained kit provided assay buffer, ATP, potassium glutamate, relaxed plasmid DNA (0.4 μg/ml), 2 Units of S. aureus DNA gyrase, and various amounts of test compound. Reactions were incubated at 37° C. for 30 min and then stopped by the addition of 10% SDS, filtered through 0.025 μm Millipore membrane filters in a 10 mM Tris-HCl buffer (pH 8), and electrophoresed in a 1% agarose TAE gel. Gels were stained with 0.5 μg/ml ethidium bromide and images were analyzed using densitometry (Image J, NIH). The IC50 values for each test compound was determined to be the compound concentration that inhibited S. aureus DNA gyrase activity by 50%.



S. aureus Topoisomerase IV Decatenation Assay (Inspiralis)


A Topoisomerase IV assay was performed on test compounds to determine if they interfered with the ability of S. aureus topoisomerase IV to decatenate kDNA, according to the recommendations of the manufacturer (Inspiralis). To do so, 0.25 U S. aureus topoisomerase IV enzyme was mixed with 200 ng kDNA in kit provided reaction buffer, in the absence or presence of various concentrations of test compounds at 37° C. for 30 min. The reaction was stopped by the addition of STEB stop buffer and 30 μl of 24:1 chlorform:isoamyl alcohol (total volume 90 μl). Reaction products then electrophoresed in a 1% agarose TAE gel, stained with 0.5 μg/ml ethidium bromide and images were analyzed using densitometry (Image J, NIH). The IC50 value for each test compound was determined as the compound concentration that inhibited S. aureus topoisomerase IV activity by 50%.


The results are set forth in Table 6.















TABLE 6











Topoiso-


Com-
KUC
Molecular


Gyrase
merase iv


pound
Registry
Weight

MIC
IC50
IC50


#
Number
(g/mol)
Structure
(μg/mL)
(μg/mL)
(μg/mM)










Terfena- dine
N/Ac
471.673


embedded image


16
190.00
206.67





 1
KSC-335- 012
457.647


embedded image


16
126.67
273.33





 2
KSC-335- 013
485.7


embedded image


16
100.00
133.33

















 3
KSC-335- 014
471.673



embedded image


 8
330.00
103.33





 4
KSC-335- 015
450.012



embedded image


64
133.33
 >333





 5
KSC-335- 016
457.647



embedded image


 8
133.33
333.00





 6
KSC-335- 021
415.567



embedded image


256 
 >500
 >333





 7
KSC-335- 030
445.593



embedded image


256 
 >500
 >333





 8
KSC-335- 031
433.558



embedded image


128 
 >500
 >333





 9
KSC-335- 032
494.463



embedded image


32
 >500
 >333





10
KSC-335- 041
455.674



embedded image


 8
 93.33
320.00





11
KSC-335- 007
469.658



embedded image


 8
 93.33
110.00





12
KSC-337- 069
471.673



embedded image


16
126.67
100.00





13
KSC-335- 070
471.673



embedded image


16
410.00
110.00





14
KSC-335- 077
529.594



embedded image


128 
 >500
 >333





15
KSC-335- 080
515.683



embedded image


128 
 >500
 >333





16
KSC-335- 081
501.656c



embedded image


>256  
 >500
 >333





17
KSC-342- 010
443.62



embedded image


16
 73.33
100.00





18
KSC-342- 017
473.603 



embedded image


256 
440.00
   333
















19
KSC-342- 021
459.577 


embedded image


>256
>500
>333





20
KSC-342- 006
441.604 


embedded image


>256
73.33
246.67





21
KSC-335- 008
455.631 


embedded image


32
90.00
133.33





22
KSC-342- 080
441.647 


embedded image


8
93.33
100.00





23
KSC-342- 081
427.621 


embedded image


8
93.33
146.67





24
KSC-342- 088
470.689 


embedded image


16
>500
333





25
KSC-348- 002
491.633 


embedded image


8
13.33
100.00





26
KSC-348- 050
413.594 


embedded image


8
90.00
213.33





27
KSC-348- 049
427.578 


embedded image


>256
93.33
>333





28
KSC-348- 058
401.541 


embedded image


256
>333
>333





29
KSC-352- 060
416.512 


embedded image


64
263.33
>333





30
KSC-352- 061
450.411 


embedded image


16
246.67
260.00





31
KSC-352- 066
395.577 


embedded image


128
333
333





32
KSC-352- 063
447.611 


embedded image


8
80.00
133.33





33
KSC-352- 064
448.599 


embedded image


32
93.33
226.67





34
KSC-352- 069
386.529 


embedded image


256
93.33
>333





35
KSC-352- 065
448.599 


embedded image


32
250.00
280.00





36
KSC-352- 075
414.582 


embedded image


256
>333
>333





37
KSC-352- 082
439.513 


embedded image


16
16.67
>333





38
KSC-352- 088
389.505 


embedded image


128
>333
>333





39
KSC-352- 097
427.621 


embedded image


16
93.33
>333





40
KSC-367- 039
379.578 


embedded image


64
>333
>333





41
KSC-367- 043
456.662 


embedded image


8
193.33
250.00





42
KSC-367- 044
457.647 


embedded image


8
100.00
>333





43
KSC-367- 052
428.609 


embedded image


64
>333
>333





44
KSC-367- 055
405.96 


embedded image


32
260.00
266.67





45
KSC-367- 072
441.064 


embedded image


>256
>333
>333








Claims
  • 1. A method of treating an enterococcal infection in a subject with an enterococcal infection, the method comprising administering to the subject an effective amount of a compound of Formula III
  • 2. The method of claim 1, wherein the enterococcal infection is a respiratory infection.
  • 3. The method of claim 1, wherein the enterococcal infection is a gastrointestinal infection.
  • 4. The method of claim 1, wherein the enterococcal infection is a skin infection.
  • 5. The method of claim 1, wherein the enterococcal infection is an Enterococcus faecium infection.
  • 6. The method of claim 1, wherein the enterococcal infection is a small colony variant bacterial infection.
  • 7. The method of claim 1, wherein the compound is selected from the group consisting of clomiphene or a pharmaceutically acceptable salt thereof; tamoxifen or a pharmaceutically acceptable salt thereof; and 4-hydroxy tamoxifen or a pharmaceutically acceptable salt thereof.
CROSS REFERENCE TO RELATED APPLICATIONS

This application is a divisional of U.S. application Ser. No. 14/431,031, filed on Mar. 25, 2015, which is a U.S. national stage application under 35 U.S.C § 371 of PCT/US2013/062309, filed on Sep. 27, 2013, which claims the benefit of U.S. Provisional Application No. 61/706,492, filed on Sep. 27, 2012, all of which are incorporated by reference herein in their entirety.

STATEMENT REGARDING FEDERALLY FUNDED RESEARCH

This invention was made with government support under Grant Nos. 1R01AI1075033-03 and 5P50GM069663 awarded by the National Institutes of Health. The government has certain rights in this invention.

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Related Publications (1)
Number Date Country
20170065540 A1 Mar 2017 US
Provisional Applications (1)
Number Date Country
61706492 Sep 2012 US
Divisions (1)
Number Date Country
Parent 14431031 US
Child 15356940 US