The invention relates to a class of novel pteridines. The invention further relates to pharmaceutical compositions including a broad class of pteridines especially for the prevention and/or the treatment of pathologic conditions such as, but not limited to, immune and auto-immune disorders, organ and cells transplant rejections, cell proliferative disorders, cardiovascular disorders, allergic conditions, disorders of the central nervous system and viral diseases.
The invention further relates to combined pharmaceutical preparations comprising one or more such pteridines and one or more known immunosuppressant drugs or antineoplastic drugs or anti-viral drugs.
This invention also relates to a method for the prevention and/or treatment of pathologic conditions such as, but not limited to, immune and autoimmune disorders, organ and cells transplant rejections, cell proliferative disorders, cardiovascular disorders, disorders of the central nervous system, allergic conditions and viral diseases by the administration of an effective amount of a pteridine derivative optionally combined with one or more known immunosuppressant drugs or antineoplastic drugs or anti-viral drugs.
The present invention also relates to the treatment of side effects of various chemotherapeutic drugs and/or of irradiation in cancer therapy. The present invention also relates to the treatment of septic shock, as well as toxic side effects, disorders and diseases related to or resulting from the exposure of patients to abnormally high levels of tumor necrosis factor-alpha (hereinafter referred as TNF-α) in general, and particularly following the administration of TNF-α in cancer treatment in humans. This invention also relates to the treatment of radiotherapy-induced or chemotherapy-induced disorders such as mucositis, secondary myelodysplastic syndromes and radiation-induced graft-versus-host disease, and for the prevention and/or the treatment of injuries in cancer patients such as, but not limited to, apoptosis, radiation necrosis and nephrotoxicity following the administration of certain chemotherapeutic drugs such as cisplatin in cancer treatment. This invention also relates to the treatment of inflammatory bowel diseases such as Crohn's disease and ulcerative colitis. Additionally the invention relates to the treatment of cachexia.
Several 2,4-diaminopteridine derivatives being substituted in the 6-position and/or the 7-position of the pteridine ring (according to standard atom numbering for said ring) are known in the art, e.g. from various sources of literature including Swiss Patent No. 231,852; British Patent No. 763,044; U.S. Pat. No. 2,512,572; U.S. Pat. No. 2,581,889; U.S. Pat. No. 2,665,275; U.S. Pat. No. 2,667,486; U.S. Pat. No. 2,940,972; U.S. Pat. No. 3,081,230 and U.S. Pat. No. 5,047,405. Some of these substituted 2,4-diaminopteridine derivatives were disclosed in relationship with various medical uses, such as bacterial growth inhibitors, antineoplastic agents, anti-schistosomiasis activity, coronary dilating activity, diuretic and hypotensive activity, and anti-amnesic activity. In particular, U.S. Pat. No. 2,940,972 and EP-A-362,645 disclose very specific 2,4-diaminopteridine derivatives being substituted by piperidinyl, morpholinyl or pyrrolidinyl in the 7-position of the pteridine ring.
EP-A-185,259 discloses tri- and tetrasubstituted pteridines wherein the substituent in position 2 of the pteridine ring is N-formylpiperazino; the substituent in position 4 of the pteridine ring is selected from the group consisting of dialkylamino, phenylalkylamino, N-alkyl-phenylalkylamino, pyrrolidino, piperidino, (thio)morpholino, 1-oxidothiomorpholino and 1-oxidothioazolidino; the substituent in position 6 of the pteridine ring is selected from the group consisting of hydrogen, alkyl and phenyl; and the substituent in position 7 of the pteridine ring is selected from the group consisting of (di)alkylamino, phenylalkylamino, N-alkyl-phenylalkylamino, piperidino, (thio)morpholino and 1-oxidothiomorpholino. These com-pounds are suggested for the prophylaxy of thromboembolic disease and arteriosclerosis and for the treatment of tumor growth.
EP-A-574,906 discloses 2,7-diaminopteridines having a tert-butoxycarbonylpiperazinyl group in position 4 or in position 6 of the pteridine ring, such compounds being useful for lipid peroxidation inhibition.
Merz et al. in J. Medicinal Chem. (1998) 41:47334743 discloses 2-N-acetylpiperazino-4-pyrrolidino-6-chloro-7-benzylaminopteridine being useful for inhibiting cAMP phosphodiesterase and malignant tumor cell growth.
WO 02/32507 discloses a series of 7-aminopteridines wherein the substituent in position 2 of the pteridine ring may be, among others, SR wherein R is alkyl, cycloalkyl, alkenyl or alkynyl; the substituent in position 4 of the pteridine ring may be, among others, NR2R3 wherein R2 and R3 are each independently selected from the group consisting of hydrogen, alkyl, cycloalkyl, alkenyl and alkynyl, the latter four groups being optionally substituted; and the substituent in position 6 of the pteridine ring is selected from the group consisting of hydrogen, alkyl and phenyl. These compounds are suggested as modulators of chemokine receptors being useful e.g. for the treatment of asthma, rhinitis, rheumatoid arthritis and the like.
Nevertheless, there still is a need in the art for specific and highly therapeutically active compounds, such as, but not limited to, drugs for treating immune and autoimmune disorders, organ and cells transplant rejections, cell proliferative disorders, cardiovascular disorders, disorders of the central nervous system, allergic conditions and viral diseases. In particular, there is a need in the art to provide immunosuppressive compounds, antineoplastic drugs and anti-viral drugs which are active in a minor dose in order to replace existing drugs having significant side effects and to decrease treatment costs.
Currently used immunosuppressive drugs include antiproliferative agents, such as methotrexate (a 2,4-diaminopteridine derivative disclosed by U.S. Pat. No. 2,512,572), azathioprine, and cyclophosphamide. Since these drugs affect mitosis and cell division, they have severe toxic effects on normal cells with high turn-over rate such as bone marrow cells and the gastrointestinal tract lining. Accordingly, marrow depression and liver damage are common side effects of these antiproliferative drugs.
Anti-inflammatory compounds used to induce immunosuppression include adrenocortical steroids such as dexamethasone and prednisolone. The common side effects observed with the use of these compounds are frequent infections, abnormal metabolism, hypertension, and diabetes.
Other immunosuppressive compounds currently used to inhibit lymphocyte activation and subsequent proliferation include cyclosporine, tacrolimus and rapamycin. Cyclosporine and its relatives are among the most commonly used immunosuppressant drugs. Cyclosporine is typically used for preventing or treating organ rejection in kidney, liver, heart, pancreas, bone marrow, and heart-lung transplants, as well as for the treatment of autoimmune and inflammatory diseases such as Crohn's disease, aplastic anemia, multiple-sclerosis, myasthenia gravis, uveitis, biliary cirrhosis, etc. However, cyclosporines suffer from a small therapeutic dose window and severe toxic effects including nephrotoxicity, hepatotoxicity, hypertension, hirsutism, cancer, and neurotoxicity.
Additionally, monoclonal antibodies with immunosuppressant properties, such as OKT3, have been used to prevent and/or treat graft rejection. Introduction of such monoclonal antibodies into a patient, as with many biological materials, induces several side-effects, such as dyspnea. Within the context of many life-threatening diseases, organ transplantation is considered a standard treatment and, in many cases, the only alternative to death. The immune response to foreign cell surface antigens on the graft, encoded by the major histo-compatibility complex (hereinafter referred as MHC) and present on all cells, generally precludes successful transplantation of tissues and organs unless the transplant tissues come from a compatible donor and the normal immune response is suppressed. Other than identical twins, the best compatibility and thus, long term rates of engraftment, are achieved using MHC identical sibling donors or MHC identical unrelated cadaver donors. However, such ideal matches are difficult to achieve. Further, with the increasing need of donor organs an increasing shortage of transplanted organs currently exists. Accordingly, xenotransplantation has emerged as an area of intensive study, but faces many hurdles with regard to rejection within the recipient organism.
The host response to an organ allograft involves a complex series of cellular interactions among T and B lymphocytes as well as macrophages or dendritic cells that recognize and are activated by foreign antigen. Co-stimulatory factors, primarily cytokines, and specific cell-cell interactions, provided by activated accessory cells such as macrophages or dendritic cells are essential for T-cell proliferation. These macrophages and dendritic cells either directly adhere to T-cells through specific adhesion proteins or secrete cytokines that stimulate T-cells, such as IL-12 and IL-15. Accessory cell-derived co-stimulatory signals stimulate activation of interleukin-2 (IL-2) gene transcription and expression of high affinity IL-2 receptors in T-cells. IL-2 is secreted by T lymphocytes upon antigen stimulation and is required for normal immune responsiveness. IL-2 stimulates lymphoid cells to proliferate and differentiate by binding to IL-2 specific cell surface receptors (IL-2R). IL-2 also initiates helper T-cell activation of cytotoxic T-cells and stimulates secretion of interferon-γ which in turn activates cytodestructive properties of macrophages. Furthermore, IFN-γ and IL-4 are also important activators of MHC class II expression in the transplanted organ, thereby further expanding the rejection cascade by enhancing the immunogenicity of the grafted organ The current model of a T-cell mediated response suggests that T-cells are primed in the T-cell zone of secondary lymphoid organs, primarily by dendritic cells. The initial interaction requires cell to cell contact between antigen-loaded MHC molecules on antigen-presenting cells (hereinafter referred as APC) and the T-cell receptor/CD3 complex on T-cells. Engagement of the TCR/CD3 complex induces CD154 expression predominantly on CD4 T-cells that in turn activate the APC through CD40 engagement, leading to improved antigen presentation. This is caused partly by upregulation of CD80 and CD86 expression on the APC, both of which are ligands for the important CD28 co-stimulatory molecule on T-cells. However, engagement of CD40 also leads to prolonged surface expression of MHC-antigen complexes, expression of ligands for 4-1BB and OX-40 (potent co-stimulatory molecules expressed on activated T-cells). Furthermore, CD40 engagement leads to secretion of various cytokines (e.g., IL-12, IL-15, TNF-α, IL-1, IL-6, and IL-8) and chemokines, all of which have important effects on both APC and T-cell activation and maturation. Similar mechanisms are involved in the development of auto-immune disease, such as type I diabetes. In humans and non-obese diabetic mice, insulin-dependent diabetes mellitus results from a spontaneous T-cell dependent auto-immune destruction of insulin-producing pancreatic .beta. cells that intensifies with age. The process is preceded by infiltration of the islets with mononuclear cells (insulitis), primarily composed of T lymphocytes. A delicate balance between auto-aggressive T-cells and suppressor-type immune phenomena determines whether expression of auto-immunity is limited to insulitis or not. Therapeutic strategies that target T-cells have been successful in preventing further progress of the auto-immune disease. These include neonatal thymectomy, administration of cyclosporine, and infusion of anti-pan T-cell, anti-CD4, or anti-CD25 (IL-2R) monoclonal antibodies. The aim of all rejection prevention and auto-immunity reversal strategies is to suppress the patient's immune reactivity to the antigenic tissue or agent, with a minimum of morbidity and mortality. Accordingly, a number of drugs are currently being used or investigated for their immunosuppressive properties. As discussed above, the most commonly used immunosuppressant is cyclosporine, which however has numerous side effects. Accordingly, in view of the relatively few choices for agents effective at immunosuppression with low toxicity profiles and manageable side effects, there exists a need in the art for identification of alternative immunosuppressive agents and for agents acting as complement to calcineurin inhibition.
The metastasis of cancer cells represents the primary source of clinical morbidity and mortality in the large majority of solid tumors. Metastasis of cancer cells may result from the entry of tumor cells into either lymphatic or blood vessels. Invasion of lymphatic vessels results in metastasis to regional draining lymph nodes. From the lymph nodes, melanoma cells for example tend to metastasize to the lung, liver, and brain. For several solid tumors, including melanoma, the absence or the presence of lymph nodes metastasis is the best predictor of patient survival. Presently, to our knowledge, no treatment is capable of preventing or significantly reducing metastasis. Hence, there is a need in the art for compounds having such anti-metastasis effect for a suitable treatment of cancer patients.
In the field of allergy, IgE is well known for inducing allergy mainly by stimulating mast cells to release histamine. Also, asthma, being characterized by inflammation of airway and bronchospasm, is mainly induced by Th2 cytokines such as IL-5, IL-10 or IL-13. Therefore there is a need in the art for compounds that efficiently inhibit the release of these Th2 cytokines.
There is also a need in the art to improve therapeutic efficiency by providing pharmaceutical compositions or combined preparations exhibiting a synergistic effect as a result of combining two or more immunosuppressant drugs, or antineoplastic drugs or anti-viral drugs or anti-histamine drugs.
Septic shock is a major cause of death in intensive care units (about 150,000 estimated deaths annually in the United States of America, despite treatment with intravenous antibiotics and supportive care) for which very little effective treatment is available at present. Patients with severe sepsis often experience failures of various systems in the body, including the circulatory system, as well as kidney failure, bleeding and clotting. Lipopolysaccharide (hereinafter referred as LPS) is the primary mediator of Gramm-negative sepsis, the most common form of sepsis, by inducing the production of a whole array of macrophage-derived cytokines (such as TNF-α; interleukins such as IL-1, IL-6, IL-12; interferon-gamma (hereinafter referred IFN-γ), etc.). These cytokines may induce other cells (e.g. T cells, NK cells) to make cytokines as well (e.g. IFN-γ). In addition, other macrophage products (e.g. nitric oxide, hereinafter referred as NO) may also play a role in the pathogenesis of toxic shock. These substances (e.g. NO) may be induced directly due to microbial interactions or indirectly through the action of proinflammatory cytokines. LPS binds to a serum protein known as LPB and the LPS-LPB complex thus formed is recognized by the CD14 toll-like receptor 4 (hereinafter referred as Tlr 4) complex on mononuclear phagocytes. Tlr4 is a signal transducing unit, the activation of which results in the release of mediators such as TNF-α, IL-1α, IL-1β and IL-6. These cytokines are important for the pathogenesis of shock. Their administration produces the clinical symptoms of septic shock and their blockade partially protects against LPS-induced lethal shock.
Current therapeutic strategies for the treatment of septic shock are directed against LPS (e.g. antibodies against LPS or LBP-34-23) or against the cytokines induced by LPS (e.g. TNF antibodies) or against the receptor for LPS (e.a. CD14). Unfortunately the initial clinical data of these approaches are very disappointing and illustrate the redundancy of receptors and mediators involved in the pathogenesis of toxic shock. For instance flagellin seems to be another toxin that plays a role in Gramm-negative Salmonella shock syndrome and that cannot be prevented or treated by therapeutic strategies directed specifically at LPS.
Clinical trials in humans with TNF-α blocking antibodies (such as the IL-1 receptor antagonist or PAF receptor antagonists) have been unsuccessful yet, as have been approaches to down regulate inflammation (e.g. using prednisolone) or to block endotoxins. These products must be administered very early after the onset of the disease, which is in most cases not possible.
The only drug currently approved by health authorities for the treatment of adult patients with the most serious forms of sepsis, including septic shock, is a genetically engineered version of a naturally occurring human protein, Activated Protein C, known as Xigris® or drotecogin-alpha which shows only moderate efficacy. Furthermore, because Activated Protein C interferes with blood clotting, the most serious side effect associated with Xigris® is bleeding, including bleeding that causes stroke. Thus Xigris® is contra-indicated for patients who have active internal bleeding, or who are more likely to bleed because of certain medical conditions including recent strokes, recent head or spinal surgery or severe head trauma. Beacause treatment with Xigris® comes with potentially serious risks, the benefits and risks of treatment with Xigris® must be carefully weighed for each individual patient.
Therefore there is a strong need in the art for new medications, either alone or in combination with the currently suggested treatments, for treating the most serious forms of life-threatening illnesses caused by severe infection, such as septic shock.
TNF-α is generally considered to be the key mediator in the mammalian response to bacterial infection. It is a strong pro-inflammatory agent that will affect the function of almost any organ system, either directly or by inducing the formation of other cytokines like IL-1 or prostaglandines. TNF-α is also a potent anti-tumor agent. If administered in small quantities to humans, it causes fever, headache, anorexia, myalgia, hypotension, capillary leak syndrome, increased rates of lipolysis and skeletal muscle protein degradation (including cachexia). Its use in cancer treatment is therefore very much limited by its severe side effects.
TNF-α, a pleiotropic cytokine produced mainly by activated macro-phages, exerts an in vitro cytotoxic action against transformed cells and in vivo anti-tumor activities in animal models. However, despite the fact that TNF-α is used in cancer patients especially to treat melanoma and sarcoma, the major problem hampering its use is toxicity. Indeed, TNF-α induces shock-like symptoms such as bowel swelling and damage, liver cell necrosis, enhanced release of inflammatory cytokines such as IL-1 or IL-6, and hypo-tension probably due to the release of inducers of vessels dilatation such nitric oxide and other proinflammatory cytokines. Cardiovascular toxicity is usually dose-limiting. Hypotension can be severe with systolic blood pressure below 60 mm Hg. Respiratory compromise is common after treatment with TNF-α and may require mechanical ventilation. Upper as well as lower digestive tract symptoms are also common in this type of treatment. Nausea and vomiting can be distressing and in some cases dose-limiting. Watery diarrhea is frequently observed. Neurological sequelae of treatment with TNF-α can also occur.
Hence, compounds that inhibit the toxic effects of TNF-α but that do not inhibit TNF-α anti-tumor effect are highly desirable for the treatment of cancer patients. Presently, several clinical trials involving TNF-α are being developed for the cancer of organs such as liver, lung, kidney and pancreas, which are based on a procedure including the steps of organ isolation, injection of TNF-α into the isolated organ, and reperfusion of the treated organ. However, even for isolated organ perfusion, some TNF-α usually escapes to the general blood circulation and leads to the mortality of about 10% of the patients thus treated. Many patients treated by this procedure also require intensive care unit rescue to cope with the toxic side-effects of such TNF-α treatment.
Combined treatment of TNF-α with alkylating drugs in an isolated organ perfusion model has received considerable attention. TNF-α is currently successfully used in isolated limb perfusion of human cancer patients and, in combination with melphalan and interferon-gamma, against melanoma, sarcomas and carcinomas.
The gastrointestinal mucosa is very sensitive to chemotherapeutic drugs. Mucositis caused by chemotherapy usually begins rapidly after initiation of the treatment with inflammation and ulceration of the gastrointestinal tract and leading to diarrhea. Severe, potentially life-threatening, diarrhea may require interruption of the chemotheraputic treatment and subsequent dose reduction of the therapeutic agent. The oral cavity is often the place of severe side effects from cancer therapy that adversely affects the quality of life of the patient and its ability to tolerate the therapy. These side effects can be caused by radiotherapy as well as chemotherapy. A relationship between both serum and mucosal levels of TNF-α and IL-1 correlates with nonhematologic toxicities, including mucositis.
Radiation injuries occurring e.g. after a single high-dose irradiation include apoptosis as well as radiation necrosis. Even normal tissues protected by shielding during irradiation may be considerably damaged. It was found in experimental animal models that the radiation injuries after a single high-dose irradiation typically used for the treatment of various malignant tumors consist of radiation necrosis and apoptosis, which were correlated with the expression of TNF-α and TGF-β1.
Irradiation may induce graft-versus-host disease (hereinafter referred as GVHD) in cancer patients. This disease may occur especially in patients receiving allogeneic bone marrow transplantation as a treatment for cancers such as leukemia or lymphoma and can lead to the death of about 25% of the relevant patients. Before bone marrow transplantation, leukaemia patients for example receive either total body or total lymphoid irradiation to suppress their immune system. However, such irradiation induces not only necrosis but also the release of proinflammatory cytokines mainly TNF-α, IL-1 and IL-6 which in turn induce direct host tissues inflammation and activation of donor cells against host antigens leading to GVHD.
Cisplatin is an effective chemotherapeutic agent used in the treatment of a wide variety of both pediatric and adult malignancies, including testicular, germ cell, head and neck (cervical), bladder and lung cancer. Dose-dependent and cumulative nephrotoxicity is the major side effect of cisplatin, sometimes requiring a reduction in dose or discontinuation of the treatment. Other side effects of cisplatin include kidney damage, loss of fertility, harmful effect on a developing baby, temporary drop in bone marrow function causing drop in white blood cell count, anaemia, drop in platelets causing bleeding, loss of appetite, numbness or tingling in limbs, loss of taste, allergic reactions, and hearing disorders (difficulty in hearing some high-pitched sounds, experiencing ringing in the ears). Blurred vision may also be a side effect with high doses of cisplatin. It was shown that TNF-α is a key element in a network of proinflammatory chemokines and cytokines activated in the kidney by cisplatin. Blockade of TNF-α action would prevent the activation of this cytokine network and would provide protection against cisplatin nephrotoxicity. Hence, compounds that inhibit the toxic effects of cisplatin but that do not inhibit cisplatin anti-tumor effects are highly desirable for the treatment of cancer patients.
A surplus of TNF-α also causes a dramatic change of endothelial cells. In particular, TNF-α is an important mediator of skeletal muscle degeneration associated with cachexia, a debilitating syndrome characterized by extreme weight loss and whole-body wasting. Cachexia is usually a secondary condition whereby there is excessive tissue catabolism in combination with deficient anabolism. It is frequently seen in patients afflicted with chronic diseases such as cancer, cardiopulmonary diseases, aging, malabsortive disorders, excessive physical stress, easting disorders and acquired immmuno-deficiency syndrome (AIDS). Some authors consider that the elevated TNF-α values found in at least 50% of cancer patients in the active stage of the disease can result in cachexia. TNF-α levels in clinically healthy adults, as well as in adult cancer patients, are well documented, for instance by Nenova et al. in Archives of Hellenic Medicine (2000) 17:619-621. Serum TNF-α concentrations in healthy children as well as in children with malignancies are documented for instance by Saarinen et al. in Cancer Research (1990) 50:592-595. A very significant proportion of cancer mortalities result from cachexia rather than from tumor burden. Chronic wasting disease (cachexia) may result when excessive cellular damage results in the release of substances (TNF-α, collagenase, hyaluronidase) that further catabolize the so-called healthy tissue resulting in an inability to assimilate nutrients required for anabolic restructuring of associated tissue.
Infants infected with human immunodeficiency virus type 1 (HIV-1) show growth retardation and severe weight loss that can lead to death. The overproduction of certain cytokines has been implicated as a possible cause for this. For instance, according to Rautonen et al. in AIDS (1991) 5:1319-1325, serum IL-6 concentrations are elevated and associated with elevated TNF-α concentrations in children with HIV infection. Swapan et al. in Journal of Virology (2002) 76:11710-11714 have shown that reduction of TNF-α levels by either anti-TNF-α antibodies or human chorionic gonadotropin inhibits the expression of HIV-1 proteins and prevents cachexia and death.
Very few drugs have been suggest at present for the treatment of cachexia. Some high-dose progestins like megestrol acetate, an agent used for the treatment of metastatic breast cancer, and medroxyprogesterone acetate were shown in randomized clinical trials to provide a statistically significant advantage as regards improved appetite and body weight gain. Hence, compounds that stimulate appetite and body weight gain without inhibiting the anti-tumor effect or anti-viral effect of co-administered drugs are highly desirable for the treatment of cachexia. More specifically, there is a need in the art for treating cachexia by the administration of compounds that reduce TNF-α levels in the serum of humans.
TNF-α is also suspected to play a role, through a possible dual action in the hematopoietic environment, in the development of hematologic malignancies such as idiopathic myelodysplastic syndromes occurring most often in elderly people but also occasionally in children, these syndromes being currently regarded as the early phase of acute leukemia.
TNF-α is one of the dominant cytokines that play a key role in the cascade of reactions that cause many chronic inflammatory and rheumatic diseases, in particular Crohn's disease. On the other hand, it is known that peripheral blood mononuclear cells (herein referred as PBMC), in response to stimulation by lipopolysaccharide (hereinafter LPS), a gram-negative bacterial endotoxin, are known to produce various chemokines, in particular human TNF-α.
The cause of inflammatory bowel diseases (IBD) is not fully known, but it probably involves an autoimmune disease reaction of the body to its own intestinal tract. The two major types of inflammatory bowel diseases are ulcerative colitis and Crohn's disease. As the name suggests, ulcerative colitis is a severe inflammatory disease of the colon that produces bloody diarrhea. Crohn's disease is a well known organ-specific auto-immune disease for which very few effective therapies at available. The most common manifestations of Crohn disease are fatigue, abdominal pain and diarrhea. Not uncommonly, patients have been diagnosed with irritable bowel syndrome before being diagnosed with inflammatory bowel disease. Crohn disease can involve any segment of the gastrointestinal tract from the mouth to the anus. There is also a trend in IBD being associated with one or more other immune disorders in the same patient. For instance, people with inflammatory bowel disease are 1.5 times as likely to have asthma as individuals in the general population. Patients with IBD were also more likely to have arthritis, bronchitis, or psoriasis than people without IBD.
There is a strong need in the art to improve, or to provide alternatives to, the existing prophylactic or therapeutic solutions to all the aforesaid diseases. In particular, there is a need in the art for new therapeutic strategies providing a significant reduction of symptoms, improving function and quality of life, and reducing radiologically evident damage in patients suffering from Crohn's disease and other inflammatory bowel diseases such as ulcerative colitis. There is also a need in the art for new therapeutic strategies providing an effective treatment of Crohn's disease and other inflammatory bowel diseases such as ulcerative colitis without the risk of adverse effects associated with the presently available therapeutic treatments, or associated with the potential toxicity of certain small molecules. There is also a need in the art for new therapeutic strategies providing an effective treatment of Crohn's disease and other inflammatory bowel diseases such as ulcerative colitis without the need for infusion or injection of the medicament, but rather based on oral administration for an improved ease of use. There is also a need in the art for new therapeutic strategies providing an effective treatment of Crohn's disease and other inflammatory bowel diseases such as ulcerative colitis where treatment remains effective after long term use of the medicament. There is also a need in the art for less expensive medicaments for an effective treatment of Crohn's disease and ulcerative colitis.
Meeting these various needs in the art constitutes the main goal of the present invention.
In a first embodiment, the present invention relates to a group of novel pteridine derivatives having the structural formula (I):
wherein:
The above novel compounds of this first embodiment have in common the structural features present in the general formula (I), in particular the pteridine ring is substituted by at least one N,N-containing heterocyclic group being itself N-substituted by a carbonyl or thiocarbonyl or sulfonyl radical or by certain hydrocarbonyl radicals other than C1-7 alkyl. They also have a potential specific biological activity profile and consequent usefulness in medicinal chemistry.
In a second embodiment, the present invention relates to a group of novel 4-amino-pteridine derivatives having the general formula (V):
wherein:
The novel compounds of this second embodiment have in common the structural features present in the general formula (V), in particular they are amino-substituted at position 4 of the pteridine ring and substituted at position 2 of the pteridine ring by a radical being a nitrogen-containing or oxygen-containing or sulfur-containing nucleophile. They also have a potential specific biological activity profile and consequent usefulness in medicinal chemistry as will be detailed below. Furthermore, some of the novel compounds of this second embodiment are intermediates for making novel pteridine derivatives having the general formula (I) in the first embodiment, as shown for instance in
In a third embodiment, the present invention relates to the unexpected finding that at least one desirable biological property such as, but not limited to, the ability to decrease the proliferation of lymphocytes, or to decrease T-cell activation, or to decrease B-cell or monocytes or macrophages activation, or to inhibit the release of certain cytokines, or in inhibiting human TNF-α production is a feature which is present in the said group of novel compounds. As a consequence, the invention relates to pharmaceutical compositions comprising as an active principle at least one pteridine derivative having the general formula (I), and/or at least one 4-amino-pteridine derivative having the general formula (V) and/or a pharmaceutically acceptable addition salt thereof and/or a stereoisomer thereof and/or a mono- or a di-N-oxide thereof and/or a solvate and/or a dihydro- or tetrahydropteridine derivative thereof.
Compounds having the general formulae (I) and (V) are highly active immunosuppressive agents, antineoplastic agents, anti-allergic agents or anti-viral agents which, together with one or more pharmaceutically acceptable carriers, may be formulated into pharmaceutical compositions for the prevention or treatment of pathologic conditions such as, but not limited to, immune and autoimmune disorders, organ and cells transplant rejections, allergic conditions, cell proliferative disorders, cardiovascular disorders, disorders of the central nervous system and viral diseases. Compounds having the general formulae (I) and (V) are also useful for the prevention or treatment of a TNF-α-related disorder in a mammal, such as for instance:
In another embodiment, the present invention is based on the unexpected finding that certain 2-amino-4-(substituted piperazin-1-yl)-6-aryl-pteridine derivatives, or pharmaceutically acceptable addition salts thereof, can be safely administered orally to a mammal in need of treatment for an inlammatory bowel disease to significantly reduce symptoms of said disease, and reduce evident damage in the gastro-intestinal tract of said mammal. Together with strong remission-inducing effect in TNBS colitis, this embodiment of the invention is also based on the unexpected and advantageous finding that cell infiltration in the colon, especially infiltration of neutrophils, as shown by myeloperoxidase (MPO) activity, was significantly reduced in the treated animals. Intralesional TNF production was lower in the treated animals, while IL-18 or IFN-γ mRNA was not affected. Treatment according to the invention had no effect on anti-TNBS antibody production, thus arguing against a generalised immune suppression.
In a further embodiment, the present invention relates to combined preparations containing at least one compound of the general formula (I) or the general formula (V) and one or more drugs such as immunosuppressant and/or immunomodulator drugs, antineoplastic drugs, anti-histamines, inhibitors of agents causative of allergic conditions, or antiviral agents. In a further embodiment, the present invention relates to the prevention or treatment of the above-cited pathologic conditions by administering to the patient in need thereof an effective amount of a compound of the general formula (I) or the general formula (V), optionally in the form of a pharmaceutical composition or combined preparation with another suitable drug.
In another embodiment, the present invention relates to various processes and methods for making the novel pteridine derivatives defined in general formulae (I) and (V), as well as their pharmaceutically acceptable salts, N-oxides, solvates, enantiomers and dihydro- and tetrahydroderivatives.
In a still further embodiment, the present invention relates to a family of novel polysubstituted 6-aminopyrimidines having the general formula (IV):
wherein each of n, R0 and
are as defined hereinabove with respect to formula (II); wherein R1 is as defined hereinabove with respect to formula (II) or is hydrogen; and wherein R6 is selected from the group consisting of nitro and amino;
In another embodiment, the present invention relates to a family of novel polysubstituted 2,6-diaminopyrimidines having the general formula (VII)
wherein:
and R0, R1 and n are as defined hereinabove with respect to formula (II), and wherein R7 is selected from the group consisting of hydrogen, nitroso and amino.
The said novel polysubstituted pyrimidines having the general formulae (IV) and (VII) are useful as intermediates for making some of the pteridine derivatives of the present invention.
In another embodiment, the present invention relates to a family of novel substituted phenylglyoxalmonoximes having the general formula (VIII):
wherein m is from 0 to 5, and wherein each substituent R8 is independently selected from the group consisting of halogen, cyano, piperidino, imidazol-1-yl, hydroxy, amino, protected amino (such as acetamido), nitro, benzoxy, acetoxy, C1-7 alkoxy and C1-7 alkyl, as well as a method for making them from R8-substituted acetophenones. The said novel substituted phenylglyoxal-monoximes having the general formula (VIII) are useful as intermediates for making some of the pteridine derivatives defined in the general formulae (I) and (V) of the present invention.
In yet another embodiment, the present invention relates to a family of novel 2-substituted-4,6-diamino-5-nitrosopyrimidines and 2-substituted-4,5,6-triaminopyrimidines, as well as a method for making them, which are useful as intermediates for making some of the pteridine derivatives of the present invention.
Unless otherwise stated herein, the term “trisubstituted” means that three of the carbon atoms being in positions 2, 4 and 6 or, alternatively, in positions 2, 4 and 7 of the pteridine ring (according to standard atom numbering for the pteridine ring) are substituted with an atom or group other than hydrogen. The term “tetrasubstituted” means that all four carbon atoms being in positions 2, 4, 6 and 7 of the pteridine ring are substituted with an atom or group other than hydrogen.
As used herein with respect to a substituting radical, and unless otherwise stated, the term “C1-7 alkyl” means straight and branched chain saturated acyclic hydrocarbon monovalent radicals having from 1 to 7 carbon atoms such as, for example, methyl, ethyl, propyl, n-butyl, 1-methylethyl (isopropyl), 2-methylpropyl (isobutyl), 1,1-dimethylethyl (ter-butyl), 2-methylbutyl, n-pentyl, dimethylpropyl, n-hexyl, 2-methylpentyl, 3-methylpentyl, n-heptyl and the like.
As used herein with respect to a substituting radical, and unless otherwise stated, the term “acyl” broadly refers to a carbonyl (oxo) group adjacent to a C1-7 alkyl radical, a C3-10 cycloalkyl radical, an aryl radical, an arylalkyl radical or a heterocyclic radical, all of them being such as herein defined; representative examples include acetyl, benzoyl, naphthoyl and the like; similarly, the term thioacyl “refers to a C═S (thioxo) group adjacent to one of the said radicals.
As used herein with respect to a substituting radical, and unless otherwise stated, the term “C1-7 alkylene” means the divalent hydrocarbon radical corresponding to the above defined C1-7 alkyl, such as methylene, bis(methylene), tris(methylene), tetramethylene, hexamethylene and the like.
As used herein with respect to a substituting radical, and unless otherwise stated, the term “C3-10 cycloalkyl” means a mono- or polycyclic saturated hydrocarbon monovalent radical having from 3 to 10 carbon atoms, such as for instance cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl, cyclooctyl and the like, or a C7-10 polycyclic saturated hydrocarbon monovalent radical having from 7 to 10 carbon atoms such as, for instance, norbornyl, fenchyl, trimethyltricycloheptyl or adamantyl.
As used herein with respect to a substituting radical, and unless otherwise stated, the term “C3-10 cycloalkyl-alkyl” refers to an aliphatic saturated hydrocarbon monovalent radical (preferably a C1-7 alkyl such as defined above) to which a C3-10 cycloalkyl (such as defined above) is already linked such as, but not limited to, cyclohexylmethyl, cyclopentylmethyl and the like.
As used herein with respect to a substituting radical, and unless otherwise stated, the term “C3-10 cycloalkylene” means the divalent hydrocarbon radical corresponding to the above defined C3-10 cycloalkyl.
As used herein with respect to a substituting radical, and unless otherwise stated, the term “aryl” designate any mono- or polycyclic aromatic monovalent hydrocarbon radical having from 6 up to 30 carbon atoms such as but not limited to phenyl, naphthyl, anthracenyl, phenantracyl, fluoranthenyl, chrysenyl, pyrenyl, biphenylyl, terphenyl, picenyl, indenyl, biphenyl, indacenyl, benzocyclobutenyl, benzocyclooctenyl and the like, including fused benzo-C4-8 cycloalkyl radicals (the latter being as defined above) such as, for instance, indanyl, tetrahydronaphtyl, fluorenyl and the like, all of the said radicals being optionally substituted with one or more substituents independently selected from the group consisting of halogen, amino, trifluoromethyl, hydroxyl, sulfhydryl and nitro, such as for instance 4-fluorophenyl, 4-chlorophenyl, 3,4-dichlorophenyl, 4-cyanophenyl, 2,6-dichlorophenyl, 2-fluorophenyl, 3-chlorophenyl, 3,5-dichlorophenyl and the like.
As used herein, e.g. with respect to a substituting radical such as the combination of substituents in positions 6 and 7 of the pteridine ring together with the carbon atoms in positions 6 and 7 of the pteridine ring, and unless otherwise stated, the term “homocyclic” means a mono- or polycyclic, saturated or mono-unsaturated or polyunsaturated hydrocarbon radical having from 4 up to 15 carbon atoms but including no heteroatom in the said ring; for instance said combination of substituents in positions 6 and 7 of the pteridine ring may form a C2-6 alkylene radical, such as tetramethylene, which cyclizes with the carbon atoms in positions 6 and 7 of the pteridine ring.
As used herein with respect to a substituting radical (including the combination of substituents in positions 6 and 7 of the pteridine ring together with the carbon atoms in positions 6 and 7 of the pteridine ring), and unless otherwise stated, the term “heterocyclic” means a mono- or polycyclic, saturated or mono-unsaturated or polyunsaturated monovalent hydrocarbon radical having from 2 up to 15 carbon atoms and including one or more heteroatoms in one or more heterocyclic rings, each of said rings having from 3 to 10 atoms (and optionally further including one or more heteroatoms attached to one or more carbon atoms of said ring, for instance in the form of a carbonyl or thiocarbonyl or selenocarbonyl group, and/or to one or more heteroatoms of said ring, for instance in the form of a sulfone, sulfoxide, N-oxide, phosphate, phosphonate or selenium oxide group), each of said heteroatoms being independently selected from the group consisting of nitrogen, oxygen, sulfur, selenium and phosphorus, also including radicals wherein a heterocyclic ring is fused to one or more aromatic hydrocarbon rings for instance in the form of benzo-fused, dibenzo-fused and naphto-fused heterocyclic radicals; within this definition are included heterocyclic radicals such as, but not limited to, diazepinyl, oxadiazinyl, thiadiazinyl, dithiazinyl, triazolonyl, diazepinonyl, triazepinyl, triazepinonyl, tetrazepinonyl, benzoquinolinyl, benzothiazinyl, benzothiazinonyl, benzoxa-thiinyl, benzodioxinyl, benzodithiinyl, benzoxazepinyl, benzothiazepinyl, benzodiazepinyl, benzodioxepinyl, benzodithiepinyl, benzoxazocinyl, benzothiazocinyl, benzodiazocinyl, benzoxathiocinyl, benzo-dioxocinyl, benzotrioxepinyl, benzoxathiazepinyl, benzoxadiazepinyl, benzothia-diazepinyl, benzotriazepinyl, benzoxathiepinyl, benzotriazinonyl, benzoxazolinonyl, azetidinonyl, azaspiroundecyl, dithiaspirodecyl, selenazinyl, selenazolyl, selenophenyl, hypoxanthinyl, azahypoxanthinyl, bipyrazinyl, bipyridinyl, oxazolidinyl, diselenopyrimidinyl, benzodioxocinyl, benzopyrenyl, benzopyranonyl, benzophenazinyl, benzoquinolizinyl, dibenzocarbazolyl, dibenzoacridinyl, dibenzophenazinyl, dibenzothiepinyl, dibenzooxepinyl, dibenzopyranonyl, dibenzoquinoxalinyl, dibenzothiazepinyl, dibenzoiso-quinolinyl, tetraazaadamantyl, thiatetraazaadamantyl, oxauracil, oxazinyl, dibenzothiophenyl, dibenzofuranyl, oxazolinyl, oxazolonyl, azaindolyl, azolonyl, thiazolinyl, thiazolonyl, thiazolidinyl, thiazanyl, pyrimidonyl, thiopyrimidonyl, thiamorpholinyl, azlactonyl, naphtindazolyl, naphtindolyl, naphtothiazolyl, naphtothioxolyl, naphtoxindolyl, naphtotriazolyl, naphto-pyranyl, oxabicycloheptyl, azabenzimidazolyl, azacycloheptyl, azacyclooctyl, azacyclononyl, azabicyclononyl, tetrahydrofuryl, tetrahydropyranyl, tetrahydro-pyronyl, tetrahydroquinoleinyl, tetrahydrothienyl and dioxide thereof, dihydrothienyl dioxide, dioxindolyl, dioxinyl, dioxenyl, dioxazinyl, thioxanyl, thioxolyl, thiourazolyl, thiotriazolyl, thiopyranyl, thiopyronyl, coumarinyl, quinoleinyl, oxyquinoleinyl, quinuclidinyl, xanthinyl, dihydropyranyl, benzo-dihydrofuryl, benzothiopyronyl, benzothiopyranyl, benzoxazinyl, benzoxazolyl, benzodioxolyl, benzodioxanyl, benzothiadiazolyl, benzotriazinyl, benzo-thiazolyl, benzoxazolyl, phenothioxinyl, phenothiazolyl, phenothienyl(benzothiofuranyl), phenopyronyl, phenoxazolyl, pyridinyl, dihydropyridinyl, tetrahydropyridinyl, piperidinyl, morpholinyl, thiomorpholinyl, pyrazinyl, pyrimidinyl, pyridazinyl, triazinyl, tetrazinyl, triazolyl, benzotriazolyl, tetrazolyl, imidazolyl, pyrazolyl, thiazolyl, thiadiazolyl, isothiazolyl, oxazolyl, oxadiazolyl, pyrrolyl, furyl, dihydrofuryl, furoyl, hydantoinyl, dioxolanyl, dioxolyl, dithianyl, dithienyl, dithiinyl, thienyl, indolyl, indazolyl, benzofuryl, quinolyl, quinazolinyl, quinoxalinyl, carbazolyl, phenoxazinyl, phenothiazinyl, xanthenyl, purinyl, benzothienyl, naphtothienyl, thianthrenyl, pyranyl, pyronyl, benzopyronyl, isobenzofuranyl, chromenyl, phenoxathiinyl, indolizinyl, quinolizinyl, isoquinolyl, phthalazinyl, naphthiridinyl, cinnolinyl, pteridinyl, carbolinyl, acridinyl, perimidinyl, phenanthrolinyl, phenazinyl, phenothiazinyl, imidazolinyl, imidazolidinyl, benzimidazolyl, pyrazolinyl, pyrazolidinyl, pyrrolinyl, pyrrolidinyl, piperazinyl, uridinyl, thymidinyl, cytidinyl, azirinyl, aziridinyl, diazirinyl, diaziridinyl, oxiranyl, oxaziridinyl, dioxiranyl, thiiranyl, azetyl, dihydroazetyl, azetidinyl, oxetyl, oxetanyl, oxetanonyl, homopiperazinyl, homopiperidinyl, thietyl, thietanyl, diazabicyclooctyl, diazetyl, diaziridinonyl, diaziridinethionyl, chromanyl, chromanonyl, thiochromanyl, thiochromanonyl, thiochromenyl, benzofuranyl, benzisothiazolyl, benzo-carbazolyl, benzochromonyl, benziso-alloxazinyl, benzocoumarinyl, thiocoumarinyl, phenometoxazinyl, phenoparoxazinyl, phentriazinyl, thiodiazinyl, thiodiazolyl, indoxyl, thioindoxyl, benzodiazinyl (e.g. phtalazinyl), phtalidyl, phtalimidinyl, phtalazonyl, alloxazinyl, dibenzopyronyl (i.e. xanthonyl), xanthionyl, isatyl, isopyrazolyl, isopyrazolonyl, urazolyl, urazinyl, uretinyl, uretidinyl, succinyl, succinimido, benzylsultimyl, benzylsultamyl and the like, including all possible isomeric forms thereof, wherein each carbon atom of said heterocyclic ring may be independently substituted with a substituent selected from the group consisting of halogen, nitro, C1-7 alkyl (optionally containing one or more functions or radicals selected from the group consisting of carbonyl (oxo), alcohol (hydroxyl), ether (alkoxy), acetal, amino, imino, oximino, alkyloximino, amino-acid, cyano, carboxylic acid ester or amide, nitro, thio C1-7 alkyl, thio C3-10 cycloalkyl, C1-7 alkylamino, cycloalkylamino, alkenylamino, cycloalkenylamino, alkynylamino, arylamino, arylalkylamino, hydroxylalkylamino, mercaptoalkylamino, heterocyclic-substituted alkylamino, heterocyclic amino, heterocyclic-substituted arylamino, hydrazino, alkylhydrazino, phenylhydrazino, sulfonyl, sulfonamido and halogen), C3-7 alkenyl, C2-7 alkynyl, halo C1-7 alkyl, C3-10 cycloalkyl, aryl, arylalkyl, alkylaryl, alkylacyl, arylacyl, hydroxyl, amino, C1-7 alkylamino, cycloalkylamino, alkenylamino, cyclo-alkenylamino, alkynylamino, arylamino, arylalkylamino, hydroxyalkylamino, mercaptoalkylamino, heterocyclic-substituted alkylamino, heterocyclic amino, heterocyclic-substituted arylamino, hydrazino, alkylhydrazino, phenylhydrazino, sulfhydryl, C1-7 alkoxy, C3-10 cycloalkoxy, aryloxy, arylalkyloxy, oxyheterocyclic, heterocyclic-substituted alkyloxy, thio C1-7 alkyl, thio C3-10 cycloalkyl, thioaryl, thioheterocyclic, arylalkylthio, heterocyclic-substituted alkylthio, formyl, hydroxylamino, cyano, carboxylic acid or esters or thioesters or amides thereof, thiocarboxylic acid or esters or thioesters or amides thereof; depending upon the number of unsaturations in the 3 to 10 membered ring, heterocyclic radicals may be sub-divided into heteroaromatic (or “heteroaryl”) radicals and non-aromatic heterocyclic radicals; when a heteroatom of the said non-aromatic heterocyclic radical is nitrogen, the latter may be substituted with a substituent selected from the group consisting of C1-7 alkyl, C3-10 cycloalkyl, aryl, arylalkyl and alkylaryl.
As used herein with respect to a substituting radical, and unless otherwise stated, the terms “C1-7 alkoxy”, “C3-10 cycloalkoxy”, “aryloxy”, “arylalkyloxy”, “oxyheterocyclic”, “thio C1-7 alkyl”, “thio C3-10 cycloalkyl”, “arylthio”, “arylalkylthio” and “thioheterocyclic” refer to substituents wherein a C1-7 alkyl radical, respectively a C3-10 cycloalkyl, aryl, arylalkyl or heterocyclic radical (each of them such as defined herein), are attached to an oxygen atom or a divalent sulfur atom through a single bond, such as but not limited to methoxy, ethoxy, propoxy, butoxy, pentoxy, isopropoxy, sec-butoxy, tert-butoxy, isopentoxy, cyclopropyloxy, cyclobutyloxy, cyclopentyloxy, thiomethyl, thioethyl, thiopropyl, thiobutyl, thiopentyl, thiocyclopropyl, thiocyclobutyl, thiocyclopentyl, thiophenyl, phenyloxy, benzyloxy, mercaptobenzyl, cresoxy, and the like.
As used herein with respect to a substituting atom, and unless otherwise stated, the term halogen means any atom selected from the group consisting of fluorine, chlorine, bromine and iodine.
As used herein with respect to a substituting radical, and unless otherwise stated, the term “halo C1-7 alkyl” means a C1-7 alkyl radical (such as above defined) in which one or more hydrogen atoms are independently replaced by one or more halogens (preferably fluorine, chlorine or bromine), such as but not limited to difluoromethyl, trifluoromethyl, trifluoroethyl, octafluoropentyl, dodecafluoroheptyl, dichloromethyl and the like.
As used herein with respect to a substituting radical, and unless otherwise stated, the terms “C2-7 alkenyl” designate a straight and branched acyclic hydrocarbon monovalent radical having one or more ethylenic unsaturations and having from 2 to 7 carbon atoms such as, for example, vinyl, 1-propenyl, 2-propenyl(allyl), 1-butenyl, 2-butenyl, 2-pentenyl, 3-pentenyl, 3-methyl-2-butenyl, 3-hexenyl, 2-hexenyl, 2-heptenyl, 1,3-butadienyl, pentadienyl, hexadienyl, heptadienyl, heptatrienyl and the like, including all possible isomers thereof.
As used herein with respect to a substituting radical, and unless otherwise stated, the term “C3-10 cycloalkenyl” mean a monocyclic mono- or polyunsaturated hydrocarbon monovalent radical having from 3 to 8 carbon atoms, such as for instance cyclopropenyl, cyclobutenyl, cyclopentenyl, cyclopentadienyl, cyclohexenyl, cyclohexadienyl, cycloheptenyl, cyclohepta-dienyl, cycloheptatrienyl, cyclooctenyl, cyclooctadienyl and the like, or a C7-10 polycyclic mono- or polyunsaturated hydrocarbon mono-valent radical having from 7 to 10 carbon atoms such as dicyclopentadienyl, fenchenyl (including all isomers thereof, such as α-pinolenyl), bicyclo[2.2.1]hept-2-enyl, bicyclo[2.2.1]hepta-2,5-dienyl, cyclo-fenchenyl and the like.
As used herein with respect to a substituting radical, and unless otherwise stated, the term “C2-7 alkynyl” defines straight and branched chain hydrocarbon radicals containing one or more triple bonds and optionally at least one double bond and having from 2 to 7 carbon atoms such as, for example, acetylenyl, 1-propynyl, 2-propynyl, 1-butynyl, 2-butynyl, 2-pentynyl, 1-pentynyl, 3-methyl-2-butynyl, 3-hexynyl, 2-hexynyl, 1-penten-4-ynyl, 3-penten-1-ynyl, 1,3-hexadien-1-ynyl and the like.
As used herein with respect to a substituting radical, and unless otherwise stated, the terms “arylalkyl”, “arylalkenyl” and “heterocyclic-substituted alkyl” refer to an aliphatic saturated or ethylenically unsaturated hydrocarbon monovalent radical (preferably a C1-7 alkyl or C2-7 alkenyl radical such as defined above) onto which an aryl or heterocyclic radical (such as defined above) is already bonded, and wherein the said aliphatic radical and/or the said aryl or heterocyclic radical may be optionally substituted with one or more substituents independently selected from the group consisting of halogen, amino, hydroxyl, sulfhlydryl, C1-7 alkyl, trifluoromethyl and nitro, such as but not limited to benzyl, 4-chlorobenzyl, 4-fluorobenzyl, 2-fluorobenzyl, 3,4-dichlorobenzyl, 2,6-dichlorobenzyl, 3-methylbenzyl, 4-methylbenzyl, 4-ter-butylbenzyl, phenylpropyl, 1-naphthylmethyl, phenylethyl, 1-amino-2-phenylethyl, 1-amino-2-[4-hydroxy-phenyl]ethyl, 1-amino-2-[indol-2-yl]ethyl, styryl, pyridylmethyl (including all isomers thereof), pyridylethyl, 2-(2-pyridyl)isopropyl, oxazolylbutyl, 2-thienylmethyl, pyrrolylethyl, morpholinylethyl, imidazol-1-yl-ethyl, benzodioxolylmethyl and 2-furylmethyl.
As used herein with respect to a substituting radical, and unless otherwise stated, the term “alkylaryl” and “alkyl-substituted heterocyclic” refer to an aryl or heterocyclic radical (such as defined above) onto which are bonded one or more aliphatic saturated or unsaturated hydrocarbon mono-valent radicals, preferably one or more C1-7 alkyl, C2-7 alkenyl or C3-10 cycloalkyl radicals as defined above such as, but not limited to, o-toluyl, m-toluyl, p-toluyl, 2,3-xylyl, 2,4-xylyl, 3,4-xylyl, o-cumenyl, m-cumenyl, p-cumenyl, o-cymenyl, m-cymenyl, p-cymenyl, mesityl, ter-butylphenyl, lutidinyl (i.e. dimethylpyridyl), 2-methylaziridinyl, methylbenzimidazolyl, methylbenzo-furanyl, methylbenzothiazolyl, methylbenzotriazolyl, methylbenzoxazolyl and methylbenzselenazolyl.
As used herein with respect to a substituting radical, and unless otherwise stated, the term “alkoxyaryl” refers to an aryl radical (such as defined above) onto which is (are) bonded one or more C1-7 alkoxy radicals as defined above, preferably one or more methoxy radicals, such as, but not limited to, 2-methoxyphenyl, 3-methoxyphenyl, 4-methoxyphenyl, 3,4-dimethoxyphenyl, 2,4,6-trimethoxyphenyl, methoxynaphtyl and the like.
As used herein with respect to a substituting radical, and unless otherwise stated, the terms “alkylamino”, “cycloalkylamino”, “alkenyl-amino”, “cycloalkenylamino”, “arylamino”, “arylalkylamino”, “heterocyclic-substituted alkylamino”, “heterocyclic-substituted arylamino”, “heterocyclic amino”, “hydroxyalkylamino”, “mercaptoalkylamino” and “alkynylamino” mean that respectively one (thus monosubstituted amino) or even two (thus disubstituted amino) C1-7 alkyl, C3-10 cycloalkyl, C2-7 alkenyl, C3-10 cycloalkenyl, aryl, arylalkyl, heterocyclic-substituted alkyl, heterocyclic-substituted aryl, heterocyclic (provided in this case the nitrogen atom is attached to a carbon atom of the heterocyclic ring), mono- or polyhydroxy C1-7 alkyl, mono- or polymercapto C1-7 alkyl or C2-7 alkynyl radical(s) (each of them as defined herein, respectively) is/are attached to a nitrogen atom through a single bond such as but not limited to, anilino, benzylamino, methylamino, dimethylamino, ethylamino, diethylamino, isopropylamino, propenylamino, n-butylamino, ter-butylamino, dibutylamino, morpholinoalkylamino, 4-morpholinoanilino, hydroxymethylamino, β-hydroxyethylamino and ethynylamino; this definition also includes mixed disubstituted amino radicals wherein the nitrogen atom is attached to two such radicals belonging to two different sub-set of radicals, e.g. an alkyl radical and an alkenyl radical, or to two different radicals within the same sub-set of radicals, e.g. methylethylamino; among disubstituted amino radicals, symetrically substituted are more easily accessible and thus usually preferred.
As used herein with respect to a substituting radical, and unless otherwise stated, the terms “(thio)carboxylic acid ester”, “(thio)carboxylic acid thioester” and “(thio)carboxylic acid amide” refer to radicals wherein the carboxyl or thiocarboxyl group is directly attached to the pteridine ring (e.g. in the 6- and/or 7-position) and wherein said carboxyl or thiocarboxyl group is bonded to the hydrocarbonyl residue of an alcohol, a thiol, a polyol, a phenol, a thiophenol, a primary or secondary amine, a polyamine, an amino-alcohol or ammonia, the said hydrocarbonyl residue being selected from the group consisting of alkyl, alkenyl, alkynyl, cycloalkyl, cycloalkenyl, aryl, arylalkyl, alkylaryl, alkylamino, cycloalkylamino, alkenylamino, cycloalkenylamino, arylamino, arylalkylamino, heterocyclic-substituted alkylamino, heterocyclic amino, heterocyclic-substituted arylamino, hydroxyalkylamino, mercapto-alkylamino or alkynylamino (such as above defined, respectively).
As used herein with respect to a substituting radical, and unless otherwise stated, the term “amino-acid” refers to a radical derived from a molecule having the chemical formula H2N—CHR—COOH, wherein R is the side group of atoms characterizing the amino-acid type; said molecule may be one of the 20 naturally-occurring amino-acids or any similar non naturally-occurring amino-acid.
As used herein and unless otherwise stated, the term “stereoisomer” refers to all possible different isomeric as well as conformational forms which the compounds of formula (I), (IV) and (V) may possess, in particular all possible stereochemically and conformationally isomeric forms, all diastereo-mers, enantiomers and/or conformers of the basic molecular structure. Some compounds of the present invention may exist in different tautomeric forms, all of the latter being included within the scope of the present invention.
As used herein and unless otherwise stated, the term “enantiomer” means each individual optically active form of a compound of the invention, having an optical purity or enantiomeric excess (as determined by methods standard in the art) of at least 80% (i.e. at least 90% of one enantiomer and at most 10% of the other enantiomer), preferably at least 90% and more preferably at least 98%.
As used herein and unless otherwise stated, the term “solvate” includes any combination which may be formed by a pteridine derivative of this invention with a suitable inorganic solvent (e.g. hydrates) or organic solvent, such as but not limited to alcohols, ketones, esters and the like.
As used herein and unless otherwise stated, the terms “dihydro-pteridine derivative” and “tetrahydropteridine derivative” refer to the hydrogenation products of the pteridine derivatives having the general formula (I), i.e. derivatives wherein two hydrogen atoms are present in positions 5 and 6, or 7 and 8, of the pteridine ring, or wherein four hydrogen atoms are present in positions 5, 6, 7 and 8 of the said ring; such hydrogenated derivatives are easily accessible from the pteridine derivatives using hydrogenation methods well known in the art.
An object of the invention is to provide a pharmaceutical composition having high immunosuppressive activity. Thus, the present invention relates in particular to the medical applications of a group of pteridine derivatives, their pharmaceutically acceptable salts, N-oxides, solvates, polymorphs, dihydro- and tetrahydroderivatives and enantiomers, possessing unexpectedly desirable pharmaceutical properties, in particular which are highly active immunosuppressive agents, and as such are useful in the treatment in transplant rejection and/or in the treatment of certain inflammatory diseases.
Surprisingly, the compounds of the present invention show a broader therapeutic spectrum profile than merely immunosuppressive activity, as is evidenced by the results obtained in the diversity of test procedures disclosed hereinbelow. A further advantageous feature of the compounds of the present invention resides in their excellent oral activity.
In the first embodiment of the invention, the novel pteridine derivatives are as defined in the general formula (I), wherein each of the substituents R0, R1, R2, R3, R4 and R5 may independently correspond to any of the definitions given above, in particular with any of the individual meanings (such as illustrated above) of generic terms used for substituting radicals such as, but not limited to, “C1-7 alkyl”, “C3-10 cycloalkyl”, “C2-7 alkenyl”, “C2-7 alkynyl”, “aryl”, “homocyclic”, “heterocyclic”, “halogen”, “C3-10 cycloalkenyl”, “alkylaryl”, “arylalkyl”, “alkylamino”, “cycloalkylamino”, “alkenylamino”, “alkynylamino”, “arylamino”, “arylalkylamino”, “heterocyclic-substituted alkylamino, heterocyclic amino, heterocyclic-substituted arylamino,”, “hydroxyalkylamino”, “mercaptoalkylamino”, “alkynylamino”, “C1-7 alkoxy”, “C3-10 cycloalkoxy”, “thio C1-7 alkyl”, “thio C3-10 cycloalkyl”, “halo C1-7 alkyl”, “amino-acid” and the like.
In the second embodiment of the invention, the novel pteridine derivatives are as defined in the general formula (V), wherein each of the substituents R2, R6 and R7 may independently correspond to any of the definitions given above, in particular with any of the individual meanings (such as illustrated above) of generic terms used for substituting radicals such as, but not limited to, “C1-7 alkyl”, “C2-7 alkenyl”, “C2-7 alkynyl”, “aryl”, “homocyclic”, “heterocyclic”, “halogen”, “alkylaryl”, “arylalkyl”, “alkylamino”, “cycloalkylamino”, “alkenylamino”, “alkynylamino”, “arylamino”, “arylalkylamino”, “heterocyclic-substituted alkylamino”, “heterocyclic amino”, “heterocyclic-substituted arylamino”, “hydroxyalkylamino”, “mercaptoalkylamino”, “alkynylamino”, “C1-7 alkoxy”, “C3-10 cycloalkoxy”, “thio C1-7 alkyl”, “thio C3-10 cycloalkyl”, “halo C1-7 alkyl” and the like.
Stereoisomers of the compounds of this invention may be formed by using reactants in their single enantiomeric form wherever possible in the manufacturing process or by resolving the mixture of stereoisomers by conventional methods. One such method is liquid chromatography using one or more suitable chiral stationary phases including, for example, poly-saccharides, in particular cellulose or amylose derivatives. Commercially available polysaccharide-based chiral stationary phases are ChiralCel™ CA, OA, OB, OC, OD, OF, OG, OJ and OK, and Chiralpak™ AD, AS, OP(+) and OT(+). Appropriate eluents or mobile phases for use in combination with said polysaccharide-based chiral stationary phases are hydrocarbons such as hexane and the like, optionally admixed with an alcohol such as ethanol, isopropanol and the like. The above mixture of enantiomers may alternatively be separated by making use of microbial resolution or by resolving the diastereoisomeric salts formed with chiral acids such as mandelic acid, camphorsulfonic acid, tartaric acid, lactic acid and the like or with chiral bases such as brucine and the like. The resolving agent may be cleaved from the separated diastereoisomers, e.g. by treatment with acids or bases, in order to generate the pure enantiomers of the compounds of the invention. Conventional resolution methods were compiled e.g. by Jaques et al. in “Enantiomers, Racemates and Resolution” (Wiley Interscience, 1981).
In the general formula (II), the schematic notation (III)
preferably means a heterocyclic group selected from the group consisting of:
piperazin-1-yl,
homopiperazin-1-yl,
4-imidazolin-1-yl,
imidazolidin-1-yl,
2,3-dihydropyrazol-1-yl,
2,3,4,5-tetrahydropyrazol-1-yl,
3-pyrazolin-1-yl,
4-pyrazolin-1-yl,
pyrazolidin-1-yl,
2,3-dihydropyrazin-1-yl,
tetrahydropyrazin-1-yl,
dihydropyrimidin-1-yl,
tetrahydropyrimidin-1-yl,
dihydropyridazin-1-yl,
tetrahydropyridazin-1-yl,
hexahydropyridazin-1-yl,
dihydrofurazan-2-yl,
tetrahydrofurazan-2-yl,
dihydrophenazin-5-yl,
dihydrotriazol-1-yl,
dihydrotriazol-2-yl,
tetrahydrotriazol-1-yl,
tetrahydrotriazol-2-yl,
dihydrotriazin-1-yl,
tetrahydrotriazin-1-yl,
tetrahydrooxadiazin-2-yl,
tetrahydrothiadiazin-2-yl,
dihydroindazol-1-yl,
dihydroindazol-2-yl,
tetrahydrophtalazin-2-yl,
tetrahydrophtalazin-3-yl,
tetrahydroquinoxalin-1-yl,
tetrahydroquinazolin-1-yl,
tetrahydroquinazolin-3-yl,
dihydrocinnolin-1-yl,
dihydrocinnolin-2-yl,
tetrahydrocinnolin-1-yl,
tetrahydrocinnolin-2-yl,
dihydroperimidin-1-yl,
tetrahydrodiazepin-1-yl, and
oxides, sulfones and selenium oxides of the latter.
In the general formula (II), the said heterocyclic group may be substituted, at one or more carbon atoms, by a number n of substituents R0 wherein n is an integer from 0 to 6 and wherein, when n is at least 2, each R0 may be defined independently from the others. The presence of one or more such substituents R0 is a suitable way for introducing chirality into the pteridine derivatives having the general formula (I) as well as into the polysubstituted 6-aminopyrimidines having the general formula (IV) and the polysubstituted 2,6-diaminopyrimidines having the general formula (VII). In practice, the choice of substituents R0 may be restricted by the commercial availability of the substituted heterocyclic amine, depending upon the specific nature of the heterocyclic group.
More preferably the schematic notation (III)
represents a piperazin-1-yl group or a homopiperazin-1-yl group, in which case preferably n is 0, 1 or 2, and a representative example of the substituent R0 is methyl or phenyl (such as for instance in 2-methylpiperazin-1-yl, 2-phenylpiperazin-1-yl and 2,5-dimethyl-piperazin-1-yl).
As shown in the general formula (II) taken together with the definition of R1, a requirement of an embodiment of the invention is that one of the two nitrogen atoms of the heterocyclic ring bears a substituent R1 which has a carbonyl (oxo) or thiocarbonyl (thioxo) or sulfonyl function preferably immediately adjacent to the said nitrogen atom. In other words, this embodiment means that when R1 is selected from, respectively, acyl, thioacyl, amide, thioamide, sulfonyl, sulfinyl, carboxylate and thiocarboxylate, then R1 together with the nitrogen atom to which it is attached forms, respectively, an amide, thioamide, urea, thiourea, sulfonamido, sulfinamido, carbamato or thiocarbamato group.
As already specified above, one or more of the substituents R2, R3, R4 and R5 of the pteridine ring may be a group represented by the general formula (II) with anyone of the individual meanings of the substituent R1 and anyone of the individual meanings of the optional substituent(s) R0. As will be apparent from the synthetic routes described hereinafter, preferably one or two of the substituents R2, R3, R4 and R5 of the pteridine ring are groups independently having said general formula (II). More preferably these substituents are R4 and/or R5, i.e. the ones in positions 2 and/or 4 of the pteridine ring. When both positions 2 and 4 of the pteridine ring are substituted by groups (i.e. R4 and R5) having the general formula (II), these substituents may be the same (as shown in
As already specified above, the remaining positions of the pteridine ring, i.e. the ones which are not substituted by a group represented by the general formula (II), may either be unsubstituted (i.e. one, two or three of the relevant groups R2, R3, R4 or R5 is/are hydrogen atom) or be substituted independently from each other in the manner described hereinabove. Preferably one or two of said remaining positions, being more preferably selected from positions 2, 6 and 7, of the pteridine ring are substituted. When two such remaining positions (e.g. positions 2 and 6) of the pteridine ring are substituted in the manner described hereinabove, the relevant substituents are preferably different from each other.
Some preferred pteridine derivatives having the general formula (I) according to the invention are more specifically illustrated in the following examples and defined in the following claims. For instance, useful pteridine species disclosed below include those wherein:
Especially useful species of pteridine derivatives having the general formula (I) are those wherein one of the substituents R4 and R5 is a piperazin-1-yl group or a homopiperazin-1-yl group, said group being substituted in the 4 position with a substituent R1, wherein R1 is selected from the group consisting of:
The present invention further provides various processes and methods for making the novel pteridine derivatives having the general formula (I). As a general rule, the preparation of these compounds is based on the principle that, starting from a suitable pteridine precursor (a diaminopyrimidine), each of the substituents R2, R3, R4 and R5 may be introduced separately (except, of course, when R2 together with R3 forms a homocyclic or heterocyclic radical) without adversely influencing the presence of one or more substituents already introduced at other positions on the pteridine ring or the capacity to introduce further substituents later on.
Methods of manufacture have been developed by the present inventors which may be used alternatively to, or may be combined with, the methods of synthesis already known in the art of pteridine derivatives (depending upon the targeted final compound). For instance, methods for simultaneously introducing R2 and R3 in the form of a homocyclic or heterocyclic radical at positions 6 and 7 of the pteridine ring are already known from U.S. Pat. No. 2,581,889. The synthesis of mono- and di-N-oxides of the pteridine derivatives of this invention can easily be achieved by treating the said derivatives with an oxidizing agent such as, but not limited to, hydrogen peroxide (e.g. in the presence of acetic acid) or a peracid such as chloroperbenzoic acid. Dihydro- and tetrahydropteridine derivatives of this invention can easily be obtained by catalytic hydrogenation of the corresponding pteridine derivatives, e.g. by placing the latter in a hydrogen atmosphere in the presence of platinum oxide or platinum. The methods for making the pteridine derivatives of the present invention will now be explained in more details by reference to the appended FIGS. 1 to 9 wherein, unless otherwise stated hereinafter, each of the substituting groups or atoms R2, R3, R4 and R5 is as defined in formula (I) of the summary of the invention and, more specifically, may correspond to any of the individual meanings disclosed above. For a reason of convenience, each of FIGS. 1 to 4 shows piperazin-1-yl as a representative example of the heterocyclic ring schematically represented as
in the general formula (II), however it should be understood that the methods of the invention are not particularly limited to piperazin-1-yl but can be applied successfully to any other heterocyclic ring meeting the requirements specified hereinabove, in particular homopiperazin-1-yl.
In the description of the reaction steps involved in each figure, reference is made to the use of certain catalysts and/or certain types of solvents. It should be understood that each catalyst mentioned should be used in a catalytic amount well known to the skilled person with respect to the type of reaction involved. Solvents that may be used in the following reaction steps include various kinds of organic solvents such as protic solvents, polar aprotic solvents and non-polar solvents as well as aqueous solvents which are inert under the relevant reaction conditions. More specific examples include aromatic hydrocarbons, chlorinated hydrocarbons, ethers, aliphatic hydrocarbons, alcohols, esters, ketones, amides, water or mixtures thereof, as well as supercritical solvents such as carbon dioxide (while performing the reaction under supercritical conditions). The suitable reaction temperature and pressure conditions applicable to each kind of reaction step will not be detailed herein but do not depart from the relevant conditions already known to the skilled person with respect to the type of reaction involved and the type of solvent used (in particular its boiling point).
wherein R0 and n are as already defined above with respect to formula (II) and wherein R1 is hydrogen or is as defined above with respect to formula (II), such as, but not limited to, piperazine or an appropriate N-alkylpiperazine, N-arylpiperazine or N-alkylarylpiperazine, at room temperature in a polar aprotic solvent such as 1,4-dioxane. When piperazine is intro-duced in step (g), then in step (h), the second nitrogen atom of the piperazin-1-yl substituent in position 4 of the pteridine ring can be coupled with the desired carboxylic acid or thio-carboxylic acid chloride or sulfonyl chloride R1Cl at room temperature in a solvent such as pyridine.
Representative but non limiting examples of commercially available N-alkyl-piperazines, N-arylpiperazines and N-alkylarylpiperazines that can suitably be used in this method, as well as in some of the further methods described herein, include 1-cyclohexylpiperazine, 1-cyclopentylpiperazine, 1-(2,6-dichlorobenzyl)-piperazine, 1-(3,4-dichlorophenyl)-piperazine, 1-[2-(dimethylamino)-ethyl]-piperazine, 1-[3-(dimethylamino)-propyl]piperazine, 1-(3,4-dimethylphenyl)piperazine, 1-(2-ethoxyethyl)-piperazine, 1-isobutyl-piperazine, 1-(1-methyl-piperidin-4-yl-methyl)-piperazine, 1-(2-nitro-4-trifluoromethylphenyl)-piperazine, 1-(2-phenoxyethyl)-piperazine, 1-(1-phenylethyl)-piperazine, 2-(piperazin-1-yl)-acetic acid ethyl ester, 2-(piperazin-1-yl)-acetic acid N-methyl-N-phenyl amide, 2-(piperazin-1-yl)-acetic acid N-(2-thiazolyl)-amide, 2-[2-(piperazin-1-yl)-ethyl]-1,3-dioxolan-3-(1-piperazinyl)propionitrile, 1-[(2-pyridyl)-methyl]piperazine and 1-thiazol-2-yl-piperazine.
is for instance a piperazinyl group.
Many N-monosubstituted piperazines required for step (a) are commercially available, such as for instance:
N-acyl-, N-thioacyl- or N-sulfonyl-monosubstituted piperazines which are not commer-cially available may easily be prepared by reacting piperazine with any commercially available carboxylic acid chloride, thiocarboxylic acid chloride or sulfonyl chloride under standard acylation, thioacylation or sulfonylation conditions.
The method shown in
Introduction of a nitroso group at position 5 of the pyrimidine ring occurs in step (b) under aqueous acidic conditions in the presence of sodium nitrite, thus e.g. yielding a novel polysubstituted 2,6-diaminopyrimidine having the general formula (VII) wherein n=0, R7 is nitroso and the heterocyclic ring having the formula (III):
is for instance a piperazinyl group (as shown in
Reduction of the nitroso functionality of this intermediate into a free amino group is then effected in step (c) by means of reducing agents such as Na2S2O4 or (NH4)2S in water, or catalytically (Pt/H2) in the presence of a protic solvent, thus e.g. yielding a novel polysubstituted 2,5,6-triaminopyrimidine having the general formula (VII) wherein n=0, R7 is amino and the heterocyclic ring having the general formula (III)
is for instance a piperazinyl group (as shown in
In order to regioselectively obtain a 2,4,6-trisubstituted pteridine derivative, the substituted 5,6-diaminopyrimidine is then reacted in step (d) with an α-ketoaldoxime bearing the group R2, wherein R2 may be inter alia C1-7 alkyl, C3-10 cycloalkyl, aryl or heteroaryl, under acidic conditions in the presence of a solvent such a methanol. Alternatively, a 2,4,7-trisubstituted pteridine derivative can be obtained in step (f) by reacting the substituted 5,6-diaminopyrimidine with a monosubstituted glyoxal bearing the group R3, wherein R3 may be inter alia, C1-7 alkyl, C3-10 cycloalkyl, aryl or heteroaryl, under neutral or basic conditions. Alternatively, a 2,4,6,7-tetrasubstituted pteridine derivative can be obtained in step (e) by reacting the substituted 5,6-diaminopyrimidine with a disubstituted glyoxal bearing the groups R2 and R3, wherein each of R2 and R3 is independently selected (i.e. R2 and R3 may be identical or different) from the group consisting of C1-7 alkyl, C3-10 cycloalkyl, aryl and heteroaryl, under neutral or basic conditions.
When this nucleophile, and optionally also the nucleophile used in step (c), has a heterocyclic ring containing at least two nitrogen atoms, the second nitrogen atom of each heterocyclic ring can be acylated, thioacylated or sulfonylated in a last part of step (j) by treating the intermediate with an appropriate carboxylic acid chloride, thiocarboxylic acid chloride or sulfonyl chloride R1Cl in a aprotic solvent such as dimethyl-formamide, pyridine or dichloromethane and, if necessary, in the presence of a base such as a tertiary amine (e.g. triethylamine).
As evidenced by the above description of methods schematically shown in FIGS. 1 to 4 and FIGS. 6 to 8, α-ketoaldoximes, monosubstituted glyoxals and disubstituted glyoxals are important reagents in the performance of one or more steps of each of the corresponding methods. Suitable disubstituted glyoxals bearing groups R2 and R3 as shown in the figures include, but are not limited to, benzil, 2,3-butanedione, 1,2-cyclohexanedione (thus affording a homocyclic group on positions 6 and 7 of the pteridine ring), α-furil, 4,4′-dimethylbenzil, 4,4′-dimethoxybenzil, 1-phenyl-1,2-propanedione, 2,3-pentanedione, 3,5-dimethyl-1,2-cyclopentanedione, 3,4-dimethyl-1,2-cyclopentanedione, 3,4-hexanedione, 4,4′-dibromobenzil, 4,4′-difluorobenzil, 1,2-bis(3-methylthiophen-2-yl)ethane-1,2-dione, 4,4′-bis(dimethylamino)benzil, 1-(4-chlorophenyl)-2-(4-methylphenyl)ethane-1,2-dione, 1-(4-nitrophenyl)-2-phenyl-ethane-1,2-dione and 6-pyruvoyl-5,6,7,8-tetrahydropterin. Suitable monosubstituted glyoxals bearing a group R3 as shown in the figures include, but are not limited to, phenylglyoxal and 4-hydroxyphenylglyoxal. When a desirable substituted phenylglyoxal is not commercially available, it can be prepared from the corresponding acetophenone (e.g. 4-acetyl-2-methoxyphenol) while using the teachings of prior art such as, but not limited to, WO93/17989. Especially desirable substituted phenylglyoxals useful as intermediates for the performance of this invention are compounds having the structural formula:
HCO—COR3
wherein R3 is phenyl substituted with one or more substituents selected from the group consisting of halogen, C1-7 alkyl and C1-7 alkoxy. In one embodiment, such substituted phenylglyoxals have two substituents selected as mentioned above, preferably wherein one substituent is in para position on the phenyl ring.
When a desirable α-ketoaldoxime is not commercially available, it can be suitably prepared by reacting the corresponding substituted glyoxal with acetone oxime while using teachings well known in the art. Especially desirable α-ketoaldoximes useful as intermediates for the performance of this invention are compounds having the structural formula:
HON—COR2
wherein R2 is selected from the group consisting of aryl, C1-7 alkyl, C3-10 cycloalkyl or heteroaryl; within this group of intermediates, a specifically useful embodiment relates to compounds wherein R2 is phenyl substituted with one or more substituents selected from the group consisting of halogen, C1-7 alkyl and C1-7 alkoxy. In one more specific embodiment, R2 is phenyl substituted with two substituents selected as mentioned above, preferably wherein one substituent is in para position on the phenyl ring.
Especially useful species of pteridine derivatives having the general formula (V) are those wherein:
The preparation of such compounds is extensively described in some of the following examples, as well as in the above description of
In another particular embodiment, the invention relates to a group of pteridine derivatives, as well as pharmaceutical compositions comprising such pteridine derivatives as active principle, having the above general formula (I) or the general formula (V) and being in the form of a pharmaceutically acceptable salt. The latter include any therapeutically active non-toxic addition salt which compounds having the general formula (I) or the general formula (V) are able to form with a salt-forming agent. Such addition salts may conveniently be obtained by treating the pteridine derivatives of the invention with an appropriate salt-forming acid or base. For instance, pteridine derivatives having basic properties may be converted into the corresponding therapeutically active, non-toxic acid addition salt form by treating the free base form with a suitable amount of an appropiate acid following conventional procedures. Examples of such appropriate salt-forming acids include, for instance, inorganic acids resulting in forming salts such as but not limited to hydrohalides (e.g. hydrochloride and hydrobromide), sulfate, nitrate, phosphate, diphosphate, carbonate, bicarbonate, and the like; and organic monocarboxylic or dicarboxylic acids resulting in forming salts such as, for example, acetate, propanoate, hydroxyacetate, 2-hydroxypropanoate, 2-oxopropanoate, lactate, pyruvate, oxalate, malonate, succinate, maleate, fumarate, malate, tartrate, citrate, methanesulfonate, ethanesulfonate, benzoate, 2-hydroxybenzoate, 4-amino-2-hydroxybenzoate, benzene-sulfonate, p-toluenesulfonate, salicylate, p-aminosalicylate, pamoate, bitartrate, camphorsulfonate, edetate, 1,2-ethanedisulfonate, fumarate, glucoheptonate, gluconate, glutamate, hexylresorcinate, hydroxynaphtoate, hydroxyethanesulfonate, mandelate, methylsulfate, pantothenate, stearate, as well as salts derived from ethanedioic, propanedioic, butanedioic, (Z)-2-butenedioic, (E)2-butenedioic, 2-hydroxybutanedioic, 2,3-dihydroxybutane-dioic, 2-hydroxy-1,2,3-propanetricarboxylic and cyclohexanesulfamic acids and the like.
Pteridine derivatives of the general formula (I) or (V) having acidic properties may be converted in a similar manner into the corresponding therapeutically active, non-toxic base addition salt form. Examples of appropriate salt-forming bases include, for instance, inorganic bases like metallic hydroxides such as but not limited to those of alkali and alkaline-earth metals like calcium, lithium, magnesium, potassium and sodium, or zinc, resulting in the corresponding metal salt; organic bases such as but not limited to ammonia, alkylamines, benzathine, hydrabamine, arginine, lysine, N,N′-dibenzylethylenediamine, chloroprocaine, choline, diethanolamine, ethylene-diamine, N-methylglucamine, procaine and the like.
Reaction conditions for treating the pteridine derivatives having the general formula (I) or (V) of this invention with an appropriate salt-forming acid or base are similar to standard conditions involving the same acid or base but different organic compounds with basic or acidic properties, respectively. Preferably, in view of its use in a pharmaceutical composition or in the manufacture of medicament for treating specific diseases, the pharmaceutically acceptable salt will be designed, i.e. the salt-forming acid or base will be selected so as to impart greater water-solubility, lower toxicity, greater stability and/or slower dissolution rate to the pteridine derivative of this invention.
The present invention further provides the use of a pteridine derivative represented by the general formula (I) or the general formula (V), or a pharmaceutically acceptable salt or a solvate thereof, as a biologically-active ingredient, i.e. an active principle, especially as a medicine or a diagnostic agent or for the manufacture of a medicament or a diagnostic kit. In particular the said medicament may be for the prevention or treatment of a pathologic condition selected from the group consisting of:
The pathologic conditions and disorders concerned by the said use, and the corresponding methods of prevention or treatment, are detailed hereinbelow. Any of the uses mentioned with respect to the present invention may be restricted to a non-medical use (e.g. in a cosmetic composition), a non-therapeutic use, a non-diagnostic use, a non-human use (e.g. in a veterinary composition), or exclusively an in-vitro use, or a use with cells remote from an animal.
The invention further relates to a pharmaceutical composition comprising:
In a third embodiment, this invention provides combinations, preferably synergistic combinations, of one or more pteridine derivative represented by the general formula (I) or the general formula (V) with one or more biologically-active drugs being preferably selected from the group consisting of immunosuppressant and/or immunomodulator drugs, antineoplastic drugs, anti-histamines, inhibitors of allergy-causative agents (anti-allergic drugs) and antiviral agents. As is conventional in the art, the evaluation of a synergistic effect in a drug combination may be made by analyzing the quantification of the interactions between individual drugs, using the median effect principle described by Chou et al. in Adv. Enzyme Reg. (1984) 22:27. Briefly, this principle states that interactions (synergism, additivity, antagonism) between two drugs can be quantified using the combination index (hereinafter referred as CI) defined by the following equation:
wherein EDx is the dose of the first or respectively second drug used alone (1a, 2a), or in combination with the second or respectively first drug (1c, 2c), which is needed to produce a given effect. The said first and second drug have synergistic or additive or antagonistic effects depending upon CI<1, CI=1, or CI>1, respectively. As will be explained in more detail herein-below, this principle may be applied to a number of desirable effects such as, but not limited to, an activity against transplant rejection, an activity against immunosuppression or immunomodulation, an activity against allergy or an activity against cell proliferation.
For instance the present invention relates to a pharmaceutical composition or combined preparation having synergistic effects against immuno-suppression or immunomodulation and containing:
Suitable immunosuppressant drugs for inclusion in the synergistic compositions or combined preparations of this invention belong to a well known therapeutic class. They are preferably selected from the group consisting of cyclosporin A, substituted xanthines (e.g. methylxanthines such as pentoxyfylline), daltroban, sirolimus, tacrolimus, rapamycin (and derivatives thereof such as defined below), leflunomide (or its main active metabolite A771726, or analogs thereof called malononitrilamides), mycophenolic acid and salts thereof (including the sodium salt marketed under the trade name Mofetil®), adrenocortical steroids, azathioprine, brequinar, gusperimus, 6-mercaptopurine, mizoribine, chloroquine, hydroxychloroquine and monoclonal antibodies with immunosuppressive properties (e.g. etanercept, infliximab or kineret). Adrenocortical steroids within the meaning of this invention mainly include glucocorticoids such as but not limited to ciprocinonide, desoxycorticisterone, fludrocortisone, flumoxonide, hydrocortisone, naflocort, procinonide, timobesone, tipredane, dexamethasone, methylprednisolone, methotrexate, prednisone, prednisolone, triamcinolone and pharmaceutically acceptable salts thereof. Rapamycin derivatives as referred herein include O-alkylated derivatives, particularly 9-deoxorapamycins, 26-dihydrorapamycins, 40-O-substituted rapamycins and 28,40-O,O-disubstituted rapamycins (as disclosed in U.S. Pat. No. 5,665,772) such as 40-O-(2-hydroxy)ethyl rapamycin—also known as SDZ-RAD-, pegylated rapamycin (as disclosed in U.S. Pat. No. 5,780,462), ethers of 7-desmethylrapamycin (as disclosed in U.S. Pat. No. 6,440,991) and polyethylene glycol esters of SDZ-RAD (as disclosed in U.S. Pat. No. 6,331,547).
Suitable immunomodulator drugs for inclusion into the synergistic immunomodulating pharmaceutical compositions or combined preparations of this invention are preferably selected from the group consisting of acemannan, amiprilose, bucillamine, dimepranol, ditiocarb sodium, imiquimod, Inosine Pranobex, interferon-β, interferon-γ, lentinan, levamisole, lisophylline, pidotimod, romurtide, platonin, procodazole, propagermanium, thymomodulin, thymopentin and ubenimex.
Synergistic activity of the pharmaceutical compositions or combined preparations of this invention against immunosuppression or immuno-modulation may be readily determined by means of one or more lymphocyte activation tests. Usually activation is measured via lymphocyte proliferation. Inhibition of proliferation thus always means immunosuppression under the experimental conditions applied. There exist different stimuli for lymphocyte activation, in particular:
Determination of the immunosuppressing or immunomodulating activity of the pteridine derivatives of this invention, as well as synergistic combinations comprising them, is preferably based on the determination of one or more, preferably at least three lymphocyte activation in vitro tests, more preferably including at least one of the MLR test, CD3 assay and CD28 assay referred above. Preferably the lymphocyte activation in vitro tests used include at least two assays for two different clusters of differentiation preferably belonging to the same general type of such clusters and more preferably belonging to type I transmembrane proteins. Optionally the determination of the immuno-suppressing or immunomodulating activity may be performed on the basis of other lymphocyte activation in vitro tests, for instance by performing a TNF-α assay or an IL-1 assay or an IL-6 assay or an IL-10 assay or an IL-12 assay or an assay for a cluster of differentiation belonging to a further general type of such clusters and more preferably belonging to type II transmembrane proteins such as, but not limited to, CD69, CD 71 or CD134.
The synergistic effect may be evaluated by the median effect analysis method described herein-before. Such tests may for instance, according to standard practice in the art, involve the use of equiment, such as flow cytometer, being able to separate and sort a number of cell subcategories at the end of the analysis, before these purified batches can be analysed further.
Synergistic activity of the pharmaceutical compositions of this invention in the prevention or treatment of transplant rejection may be readily determined by means of one or more leukocyte activation tests performed in a Whole Blood Assay (hereinafter referred as WBA) described for instance by Lin et al. in Transplantation (1997) 63:1734-1738. WBA used herein is a lymphoproliferation assay performed in vitro using lymphocytes present in the whole blood, taken from animals that were previously given the pteridine derivative, and optionally the other immunosuppressant drug, in vivo. Hence this assay reflects the in vivo effect of substances as assessed by an in vitro read-out assay. The synergistic effect may be evaluated by the median effect analysis method described herein-before. Various organ transplantation models in animals are also available in vivo, which are strongly influenced by different immunogenicities, depending on the donor and recipient species used and depending on the nature of the transplanted organ. The survival time of transplanted organs can thus be used to measure the suppression of the immune response.
The pharmaceutical composition or combined preparation with synergistic activity against immunosuppression or immunomodulation according to this invention may contain the pteridine derivative of formula (I) or the general formula (V) over a broad content range depending on the contemplated use and the expected effect of the preparation. Generally, the pteridine derivative content of the combined preparation is within the range of 0.1 to 99.9% by weight, preferably from 1 to 99% by weight, more preferably from 5 to 95% by weight. The invention further relates to a composition or combined preparation having synergistic effects against cell proliferation and containing:
Suitable antineoplastic drugs for inclusion into the synergistic antiproliferative pharmaceutical compositions or combined preparations of this invention are preferably selected from the group consisting of alkaloids, alkylating agents (including but not limited to alkyl sulfonates, aziridines, ethylenimines, methylmelamines, nitrogen mustards and nitrosoureas), antibiotics, antimetabolites (including but not limited to folic acid analogs, purine analogs and pyrimidine analogs), enzymes, interferon and platinum complexes. More specific examples include acivicin; aclarubicin; acodazole; acronine; adozelesin; aldesleukin; altretamine; ambomycin; ametantrone; aminoglutethimide; amsacrine; anastrozole; anthramycin; asparaginase; asperlin; azacitidine; azetepa; azotomycin; batimastat; benzodepa; bicalutamide; bisantrene; bisnafide; bizelesin; bleomycin; brequinar; bropirimine; busulfan; cactinomycin; calusterone; caracemide; carbetimer; carboplatin; carmustine; carubicin; carzelesin; cedefingol; chlorambucil; cirolemycin; cisplatin; cladribine; crisnatol; cyclophosphamide; cytarabine; dacarbazine; dactinomycin; daunorubicin; decitabine; dexormaplatin; dezaguanine; diaziquone; docetaxel; doxorubicin; droloxifene; dromostanolone; duazomycin; edatrexate; eflomithine; elsamitrucin; enloplatin; enpromate; epipropidine; epirubicin; erbulozole; esorubicin; estramustine; etanidazole; ethiodized oil I 131; etoposide; etoprine; fadrozole; fazarabine; fenretinide; floxuridine; fludarabine; fluorouracil; flurocitabine; fosquidone; fostriecin; gemcitabine; Gold 198; hydroxyurea; idarubicin; ifosfamide; ilmofosine; interferon α-2a; interferon α-2b; interferon α-n1; interferon α-n3; interferon β-1a; interferon γ-1b; iproplatin; irinotecan; lanreotide; letrozole; leuprolide; liarozole; lometrexol; lomustine; losoxantrone; masoprocol; maytansine; mechlorethamine; megestrol; melengestrol; melphalan; menogaril; mercaptopurine; methotrexate; metoprine; meturedepa; mitindomide; mitocarcin; mitocromin; mitogillin; mitomalcin; mitomycin; mitosper; mitotane; mitoxantrone; mycophenolic acid; nocodazole; nogala-mycin; ormaplatin; oxisuran; paclitaxel; pegaspargase; peliomycin; pentamustine; peplomycin; perfosfamide; pipobroman; piposulfan; piroxantrone; plicamycin; plomestane; porfimer; porfiromycin; prednimustine; procarbazine; puromycin; pyrazofurin; riboprine; rogletimide; safingol; semustine; simtrazene; sparfosate; sparsomycin; spirogermanium; spiromustine; spiroplatin; streptonigrin; streptozocin; strontium 89 chloride; sulofenur; talisomycin; taxane; taxoid; tecogalan; tegafur; teloxantrone; temoporfin; teniposide; teroxirone; testolactone; thiamiprine; thioguanine; thiotepa; tiazofurin; tirapazamine; topotecan; toremifene; trestolone; triciribine; trimetrexate; triptorelin; tubulozole; uracil mustard; uredepa; vapreotide; verteporfin; vinblastine; vincristine; vindesine; vinepidine; vinglycinate; vinleurosine; vinorelbine; vinrosidine; vinzolidine; vorozole; zeniplatin; zinostatin; zorubicin; and their pharmaceutically acceptable salts. Other suitable anti-neoplastic compounds include 20-epi-1,25 dihydroxyvitamin D3; 5-ethynyluracil; abiraterone; aclarubicin; acylfulvene; adecypenol; adozelesin; aldesleukin; ALL-TK antagonists; altretamine; ambamustine; amidox; amifostine; aminolevulinic acid; amrubicin; amsacrine; anagrelide; anastrozole; andrographolide; angiogenesis inhibitors; antagonist D; antagonist G; antarelix; anti-dorsalizing morphogenetic protein-1; anti-androgens such as, but not limited to, benorterone, cioteronel, cyproterone, delmadinone, oxendolone, topterone, zanoterone and their pharmaceutically acceptable salts; anti-estrogens such as, but not limited to, clometherone; delmadinone; nafoxidine; nitromifene; raloxifene; tamoxifen; toremifene; trioxifene and their pharmaceutically acceptable salts; antineoplaston; antisense oligonucleotides; aphidicolin glycinate; apoptosis gene modulators; apoptosis regulators; apurinic acid; ara-CDP-DL-PTBA; arginine deaminase; asulacrine; atamestane; atrimustine; axinastatin; azasetron; azatoxin; azatyrosine; baccatin III derivatives; balanol; batimastat; BCR/ABL antagonists; benzochlorins; benzoylstaurosporine; β-lactam derivatives; β-alethine; betaclamycin B; betulinic acid; bFGF inhibitor; bicalutamide; bisantrene; bisaziridinylspermine; bisnafide; bistratene A; bizelesin; breflate; bropirimine; budotitane; buthionine sulfoximine; calcipotriol; calphostin C; camptothecin derivatives; canarypox IL-2; capecitabine; carboxamide-amino-triazole; carboxyamidotriazole; CaRest M3; CARN 700; cartilage derived inhibitor; carzelesin; casein kinase inhibitors; castanospermine; cecropin B; cetrorelix; chlorins; chloroquinoxaline sulfonamide; cicaprost; cis-porphyrin; clomifene and analogues thereof; clotrimazole; collismycin A and B; combretastatin and analogues thereof; conagenin; crambescidin 816; cryptophycin and derivatives thereof; curacin A; cyclopentanthraquinones; cycloplatam; cypemycin; cytarabine; cytolytic factor; cytostatin; dacliximab; dehydrodidemnin B; deslorelin; dexifosfamide; dexrazoxane; dexverapamil; didemnin B; didox; diethylnorspermine; dihydro-5-azacytidine; dihydrotaxol; dioxamycin; diphenyl spiromustine; docosanol; dolasetron; doxifluridine; droloxifene; dronabinol; duocarmycin SA; ebselen; ecomustine; edelfosine; edrecolomab; elemene; emitefur; epristeride; estrogen agonists and antagonists; exemestane; filgrastim; finasteride; flavopiridol; flezelastine; fluasterone; fluorodaunorunicin; forfenimex; formestane; fotemustine; gadolinium texaphyrin; gallium nitrate; galocitabine; ganirelix; gelatinase inhibitors; glutathione inhibitors; hepsulfam; heregulin; hexamethylene bisacetamide; hypericin; ibandronic acid; idoxifene; idramantone; ilomastat; imidazoacridones; imiquimod; immunostimulant peptides; insulin-like growth factor-1 receptor inhibitor; interferon agonists; iobenguane; iododoxorubicin; ipomeanol; irinotecan; iroplact; irsogladine; isobengazole; isohomohalicondrin B; itasetron; jasplakinolide; kahalalide F; lamellarin-N; leinamycin; lenograstim; lentinan; leptolstatin; leukemia inhibiting factor; leuprorelin; levamisole; liarozole; lissoclinamide; lobaplatin; lombricine; lonidamine; lovastatin; loxoribine; lurtotecan; lutetium texaphyrin; lysofylline; mannostatin A; marimastat; masoprocol; maspin; matrilysin inhibitors; matrix metalloproteinase inhibitors; merbarone; meterelin; methioninase; metoclopramide; MIF inhibitors; mifepristone; miltefosine; mirimostim; mitoguazone; mitolactol; mitonafide; mitotoxin fibroblast growth factor-saporin; mofarotene; molgramostim; human chorionic gonadotrophin monoclonal antibody; mopidamol; mycaperoxide B; myriaporone; N-acetyldinaline; N-substituted benzamides; nafarelin; nagrestip; naloxone; pentazocine; napavin; naphterpin; nartograstim; nedaplatin; nemorubicin; neridronic acid; neutral endopeptidase; nilutamide; nisamycin; nitric oxide modulators; nitroxide antioxidant; nitrullyn; octreotide; okicenone; onapristone; ondansetron; ondansetron; oracin; osaterone; oxaliplatin; oxaunomycin; palauamine; palmitoylrhizoxin; pamidronic acid; panaxytriol; panomifene; parabactin; pazelliptine; peldesine; pentosan; pentostatin; pentrozole; perflubron; perillyl alcohol; phenazinomycin; phenylacetate; phosphatase inhibitors; picibanil; pilocarpine; pirarubicin; piritrexim; placetin A and B; plasminogen activator inhibitor; propyl bis-acridone; prostaglandin J2; proteasome inhibitors; protein kinase C inhibitors; protein tyrosine phosphatase inhibitors; purine nucleoside phosphorylase inhibitors; purpurins; pyrazoloacridine; raltitrexed; ramosetron; ras farnesyl protein transferase inhibitors; ras inhibitors; ras-GAP inhibitors; retelliptine; rhenium 186 etidronate; rhizoxin; retinamide; rohitukine; romurtide; roquinimex; rubiginone B1; ruboxyl; saintopin; sarcophytol A; sargramostim; sizofiran; sobuzoxane; sodium borocaptate; sodium phenylacetate; solverol; somatomedin binding protein; sonermin; sparfosic acid; spicamycin D; splenopentin; spongistatin 1; squalamine; stem-cell division inhibitors; stipiamide; stromelysin inhibitors; sulfinosine; suradista; suramin; swainsonine; tallimustine; tamoxifen; tauromustine; tazarotene; tecogalan; tellurapyrylium; telomerase inhibitors; temozolomide; tetrachlorodecaoxide; tetrazomine; thaliblastine; thiocoraline; thrombopoietin; thymalfasin; thymopoietin receptor agonist; thymotrinan; thyroid stimulating hormone; tin ethyl etiopurpurin; titanocene; topsentin; tretinoin; triacetyluridine; tropisetron; turosteride; tyrosine kinase inhibitors; tyrphostins; ubenimex; urogenital sinus-derived growth inhibitory factor; urokinase receptor antagonists; variolin B; velaresol; veramine; verdins; verteporfin; vinxaltine; vitaxin; zanoterone; zilascorb; and their pharmaceutically acceptable salts.
The compounds of this invention may also be administered in combination with anti-cancer agents which act by arresting cells in the G2-M phases due to stabilized microtubules. In addition to Taxol (paclitaxel), and analogs and derivatives thereof, other examples of anti-cancer agents which act by this mechanism include without limitation the following marketed drugs and drugs in development: erbulozole, dolastatin, mivobulin isethionate, discodermolide, altorhyrtins, spongistatins, cemadotin hydrochloride, epothilones desoxyepothilone, 16-aza-epothilone, 21-aminoepothilone, 21-hydroxyepothilone, 26-fluoroepothilone, auristatin, soblidotin, cryptophycin, vitilevuamide, tubulysin, canadensol, centaureidin, oncocidin, fijianolide, laulimalide, narcosine, nascapine, hemiasterlin, vanadocene acetylacetonate, monsatrol, inanocine, eleutherobins, caribaeoside, caribaeolin, halichondrin, diazonamide, taccalonolide, diozostatin, phenylahistin, myoseverin, resverastatin phosphate sodium, and their pharmaceutically acceptable salts.
Synergistic activity of the pharmaceutical compositions or combined preparations of this invention against cell proliferation may be readily determined by means of one or more tests such as, but not limited to, the measurement of the radioactivity resulting from the incorporation of 3H-thymidine in culture of tumor cell lines. For instance, different tumor cell lines are selected in order to evaluate the anti-tumor effects of the test compounds, such as but not limited to:
In a specific embodiment of the synergy determination test, the tumor cell lines are harvested and a suspension of 0.27×106 cells/ml in whole medium is prepared. The suspensions (150 μl) are added to a microtiter plate in triplicate. Either complete medium (controls) or the test compounds at the test concentrations (50 μl) are added to the cell suspension in the microtiter plate. The cells are incubated at 37° C. under 5% CO2 for about 16 hours. 3H-thymidine is added, and the cells incubated for another 8 hours. The cells are harvested and radioactivity is measured in counts per minute (CPM) in a β-counter. The 3H-thymidine cell content, and thus the measured radioactivity, is proportional to the proliferation of the cell lines. The synergistic effect is evaluated by the median effect analysis method as disclosed herein-before.
The pharmaceutical composition or combined preparation with synergistic activity against cell proliferation according to this invention may contain the pteridine derivative of the general formula (I) or the general formula (V) over a broad content range depending on the contemplated use and the expected effect of the preparation. Generally, the pteridine derivative content of the combined preparation is within the range of 0.1 to 99.9% by weight, preferably from 1 to 99% by weight, more preferably from 5 to 95% by weight.
The invention further relates to a pharmaceutical composition or combined preparation having synergistic effects against a viral infection and containing:
Suitable anti-viral agents for inclusion into the synergistic antiviral compositions or combined preparations of this invention include, for instance, retroviral enzyme inhibitors belonging to categories well known in the art, such as HIV-1 IN inhibitors, nucleoside reverse transcriptase inhibitors (e.g. zidovudine, lamivudine, didanosine, stavudine, zalcitabine and the like), non-nucleoside reverse transcriptase inhibitors (e.g. nevirapine, delavirdine and the like), other reverse transcriptase inhibitors (e.g. foscamet sodium and the like), and HIV-1 protease inhibitors (e.g. saquinavir, ritonavir, indinavir, nelfinavir and the like). Other suitable antiviral agents include for instance acemannan, acyclovir, adefovir, alovudine, alvircept, amantadine, aranotin, arildone, atevirdine, avridine, cidofovir, cipamfylline, cytarabine, desciclovir, disoxaril, edoxudine, enviradene, enviroxime, famciclovir, famotine, fiacitabine, fialuridine, floxuridine, fosarilate, fosfonet, ganciclovir, idoxuridine, kethoxal, lobucavir, memotine, methisazone, penciclovir, pirodavir, somantadine, sorivudine, tilorone, trifluridine, valaciclovir, vidarabine, viroxime, zinviroxime, moroxydine, podophyllotoxin, ribavirine, rimantadine, stallimycine, statolon, tromantadine and xenazoic acid, and their pharmaceutically acceptable salts.
Especially relevant to this aspect of the invention is the inhibition of the replication of viruses selected from the group consisting of picorna-, toga-, bunya, orthomyxo-, paramyxo-, rhabdo-, retro-, arena-, hepatitis B-, hepatitis C-, hepatitis D-, adeno-, vaccinia-, papilloma-, herpes-, corona-, varicella- and zoster-virus, in particular human immunodeficiency virus (HIV). Synergistic activity of the pharmaceutical compositions or combined preparations of this invention against viral infection may be readily determined by means of one or more tests such as, but not limited to, the isobologram method, as previously described by Elion et al. in J. Biol. Chem. (1954) 208:477-488 and by Baba et al. in Antimicrob. Agents Chemother. (1984) 25:515-517, using EC50 for calculating the fractional inhibitory concentration (hereinafter referred as FIC). When the minimum FIC index corresponding to the FIC of combined compounds (e.g., FICx+FlCy) is equal to 1.0, the combination is said to be additive; when it is beween 1.0 and 0.5, the combination is defined as subsynergistic, and when it is lower than 0.5, the combination is by defined as synergistic. When the minimum FIC index is between 1.0 and 2.0, the combination is defined as subantagonistic and, when it is higher than 2.0, the combination is defined as antagonistic.
The pharmaceutical composition or combined preparation with synergistic activity against viral infection according to this invention may contain the pteridine derivative of the general formula (I) or the general formula (V) over a broad content range depending on the contemplated use and the expected effect of the preparation. Generally, the pteridine derivative content of the combined preparation is within the range of 0.1 to 99.9% by weight, preferably from 1 to 99% by weight, more preferably from 5 to 95% by weight.
The pharmaceutical compositions and combined preparations according to this invention may be administered orally or in any other suitable fashion. Oral administration is preferred and the preparation may have the form of a tablet, aqueous dispersion, dispersable powder or granule, emulsion, hard or soft capsule, syrup, elixir or gel. The dosing forms may be prepared using any method known in the art for manufacturing these pharmaceutical compositions and may comprise as additives sweeteners, flavoring agents, coloring agents, preservatives and the like. Carrier materials and excipients are detailed hereinbelow and may include, inter alia, calcium carbonate, sodium carbonate, lactose, calcium phosphate or sodium phosphate; granulating and disintegrating agents, binding agents and the like. The pharmaceutical composition or combined preparation of this invention may be included in a gelatin capsule mixed with any inert solid diluent or carrier material, or has the form of a soft gelatin capsule, in which the ingredient is mixed with a water or oil medium. Aqueous dispersions may comprise the biologically active composition or combined preparation in combination with a suspending agent, dispersing agent or wetting agent. Oil dispersions may comprise suspending agents such as a vegetable oil. Rectal administration is also applicable, for instance in the form of suppositories or gels. Injection (e.g. intramuscularly or intraperiteneously) is also applicable as a mode of administration, for instance in the form of injectable solutions or dispersions, depending upon the disorder to be treated and the condition of the patient.
Auto-immune disorders to be prevented or treated by the pharmaceutical compositions or combined preparations of this invention include both systemic auto-immune diseases such as, but not limited to, lupus erythematosus, psoriasis, vasculitis, polymyositis, scleroderma, multiple sclerosis, ankylosing spondilytis, rheumatoid arthritis and Sjögren syndrome; auto-immune endocrine disorders such as thyroiditis; and organ-specific auto-immune diseases such as but not limited to Addison disease, hemolytic or pernicious anemia, Goodpasture syndrome, Graves disease, idiopathic thrombocytopenic purpura, insulin-dependent diabetes mellitus, juvenile diabetes, uveitis, Crohn's disease, ulcerative colitis, pemphigus, atopic dermatitis, autoimmune hepatitis, primary biliary cirrhosis, autoimmune pneumonitis, autoimmune carditis, myasthenia gravis, glomerulonephritis and spontaneous infertility.
Pteridine derivatives according to this invention which are specifically useful for the manufacture of a medicament for the prevention or treatment of an inflammatory bowel disease, such as ulcerative colitis or Crohn's disease, preferably have an IC50 value, in the TNF-alpha assay specified hereinbelow, which is not above about 1 μM, more preferably not above about 0.5 μM, and most preferably not above about 0.15 μM. Such pteridine derivatives include:
Transplant rejections to be prevented or treated by the pharmaceutical compositions or combined preparations of this invention include the rejection of transplanted or grafted organs or cells (both allografts and xenografts), such as but not limited to host versus graft reaction disease. The term “organ” as used herein means all organs or parts of organs in mammals, in particular humans, such as but not limited to kidney, lung, bone marrow, hair, cornea, eye (vitreous), heart, heart valve, liver, pancreas, blood vessel, skin, muscle, bone, intestine or stomach. “Rejection” as used herein mean all reactions of the recipient body or of the transplanted organ which in the end lead to cell or tissue death in the transplanted organ or adversely affect the functional ability and viability of the transplanted organ or the recipient. In particular, this means acute and chronic rejection reactions. Also included in this invention is preventing or treating the rejection of cell transplants and xenotransplantation. The major hurdle for xenotransplantation is that even before the T lymphocytes, responsible for the rejection of allografts, are activated, the innate immune system, especially T-independent B lymphocytes and macrophages are activated. This provokes two types of severe and early acute rejection called hyper-acute rejection and vascular rejection, respectively. The present invention addresses the problem that conventional immunosuppressant drugs like cyclosporin A are ineffective in xeno-transplantation. The ability of the compounds of this invention to suppress T-independent xeno-antibody production as well as macrophage activation may be evaluated in the ability to prevent xenograft rejection in athymic, T-deficient mice receiving xenogenic hamster-heart grafts.
Cell proliferative disorders to be prevented or treated by the pharmaceutical compositions or combined preparations of this invention include any kind of tumor progression or invasion or metastasis inhibition of a cancer, preferably one selected from the group consisting of lung cancer, leukaemia, ovarian cancer, sarcoma, Kaposi's sarcoma, meningioma, colon cancer, lymp node tumor, glioblastoma multiforme, prostate cancer or skin carcinose.
CNS disorders to be prevented or treated by the pharmaceutical compositions of this invention include cognitive pathologies such as dementia, cerebral ischemia, trauma, epilepsy, schizophrenia, chronic pain and neurologic disorders such as but not limited to depression, social phobia and obsessive compulsive disorders.
Cardiovascular disorders to be prevented or treated by the pharmaceutical compositions of this invention include ischemic disorders, infarct or reperfusion damage, atherosclerosis and stroke.
Allergic conditions to be prevented or treated by the pharmaceutical compositions of this invention include those caused by the pollen of graminae, the presence of pets, as well as more severe forms, such as asthma, characterized by inflammation of airways and bronchospasm. Without wishing to be bound by theory, the antiallergic effect of the compounds of the invention may be related to their suppression of certain B-cell activation pathways, which can lead to the suppression of IgE release. It may also be related to their properties of inhibiting certain Th2 cytokines, such as IL-5, IL-13 or IL-10, involved in asthma.
TNF-α-related disorders to be prevented or treated by the pharmaceutical compositions of this invention include the following:
The medicament of this invention may be for prophylactic use, i.e. where circumstances are such that an elevation in the TNF level might be expected or alternatively, may be for use in reducing the TNF level after it has reached an undesirably high level or as the TNF level is rising.
The term “pharmaceutically acceptable carrier or excipient” as used herein in relation to pharmaceutical compositions and combined preparations means any material or substance with which the active principle, i.e. the pteridine derivative of the general formula (I) or the general formula (V), and optionally the immunosuppressant or immunomodulator or antineoplastic drug or antiviral agent, may be formulated in order to facilitate its application or dissemination to the locus to be treated, for instance by dissolving, dispersing or diffusing the said composition, and/or to facilitate its storage, transport or handling without impairing its effectiveness. The pharmaceutically acceptable carrier may be a solid or a liquid or a gas which has been compressed to form a liquid, i.e. the compositions of this invention can suitably be used as concentrates, emulsions, solutions, granulates, dusts, sprays, aerosols, pellets or powders.
Suitable pharmaceutical carriers for use in the said pharmaceutical compositions and their formulation are well known to those skilled in the art. There is no particular restriction to their selection within the present invention although, due to the usually low or very low water-solubility of the pteridine derivatives of this invention, special attention will be paid to the selection of suitable carrier combinations that can assist in properly formulating them in view of the expected time release profile. Suitable pharmaceutical carriers include additives such as wetting agents, dispersing agents, stickers, adhesives, emulsifying or surface-active agents, thickening agents, complexing agents, gelling agents, solvents, coatings, antibacterial and antifungal agents (for example phenol, sorbic acid, chlorobutanol), isotonic agents (such as sugars or sodium chloride) and the like, provided the same are consistent with pharmaceutical practice, i.e. carriers and additives which do not create permanent damage to mammals. The pharmaceutical compositions of the present invention may be prepared in any known manner, for instance by homogeneously mixing, dissolving, spray-drying, coating and/or grinding the active ingredients, in a one-step or a multi-steps procedure, with the selected carrier material and, where appropriate, the other additives such as surface-active agents. may also be prepared by micronisation, for instance in view to obtain them in the form of microspheres usually having a diameter of about 1 to 10 μm, namely for the manufacture of microcapsules for controlled or sustained release of the biologically active ingredient(s).
Suitable surface-active agents to be used in the pharmaceutical compositions of the present invention are non-ionic, cationic and/or anionic materials having good emulsifying, dispersing and/or wetting properties. Suitable anionic surfactants include both water-soluble soaps and water-soluble synthetic surface-active agents. Suitable soaps are alkaline or alkaline-earth metal salts, unsubstituted or substituted ammonium salts of higher fatty acids (C10-C22), e.g. the sodium or potassium salts of oleic or stearic acid, or of natural fatty acid mixtures obtainable form coconut oil or tallow oil. Synthetic surfactants include sodium or calcium salts of polyacrylic acids; fatty sulphonates and sulphates; sulphonated benzimidazole derivatives and alkylarylsulphonates. Fatty sulphonates or sulphates are usually in the form of alkaline or alkaline-earth metal salts, unsubstituted ammonium salts or ammonium salts substituted with an alkyl or acyl radical having from 8 to 22 carbon atoms, e.g. the sodium or calcium salt of lignosulphonic acid or dodecylsulphonic acid or a mixture of fatty alcohol sulphates obtained from natural fatty acids, alkaline or alkaline-earth metal salts of sulphuric or sulphonic acid esters (such as sodium lauryl sulphate) and sulphonic acids of fatty alcohol/ethylene oxide adducts. Suitable sulphonated benzimidazole derivatives preferably contain 8 to 22 carbon atoms. Examples of alkylarylsulphonates are the sodium, calcium or alcanolamine salts of dodecylbenzene sulphonic acid or dibutyl-naphtalenesulphonic acid or a naphtalene-sulphonic acid/formaldehyde condensation product. Also suitable are the corresponding phosphates, e.g. salts of phosphoric acid ester and an adduct of p-nonylphenol with ethylene and/or propylene oxide, or phospholipids. Suitable phospholipids for this purpose are the natural (originating from animal or plant cells) or synthetic phospholipids of the cephalin or lecithin type such as e.g. phosphatidylethanolamine, phosphatidylserine, phosphatidylglycerine, lysolecithin, cardiolipin, dioctanyl-phosphatidylcholine, dipalmitoylphoshatidylcholine and their mixtures.
Suitable non-ionic surfactants include polyethoxylated and polypropoxylated derivatives of alkylphenols, fatty alcohols, fatty acids, aliphatic amines or amides containing at least 12 carbon atoms in the molecule, alkylarenesulphonates and dialkylsulphosuccinates, such as polyglycol ether derivatives of aliphatic and cycloaliphatic alcohols, saturated and unsaturated fatty acids and alkylphenols, said derivatives preferably containing 3 to 10 glycol ether groups and 8 to 20 carbon atoms in the (aliphatic) hydrocarbon moiety and 6 to 18 carbon atoms in the alkyl moiety of the alkylphenol. Further suitable non-ionic surfactants are water-soluble adducts of polyethylene oxide with poylypropylene glycol, ethylenediaminopolypropylene glycol containing 1 to 10 carbon atoms in the alkyl chain, which adducts contain 20 to 250 ethyleneglycol ether groups and/or 10 to 100 propyleneglycol ether groups. Such compounds usually contain from 1 to 5 ethyleneglycol units per propyleneglycol unit. Representative examples of non-ionic surfactants are nonylphenol-polyethoxyethanol, castor oil polyglycolic ethers, polypropylene/polyethylene oxide adducts, tributylphenoxypolyethoxyethanol, polyethyleneglycol and octylphenoxypolyethoxyethanol. Fatty acid esters of polyethylene sorbitan (such as polyoxyethylene sorbitan trioleate), glycerol, sorbitan, sucrose and pentaerythritol are also suitable non-ionic surfactants.
Suitable cationic surfactants include quaternary ammonium salts, preferably halides, having 4 hydrocarbon radicals optionally substituted with halo, phenyl, substituted phenyl or hydroxy; for instance quaternary ammonium salts containing as N-substituent at least one C8-C22 alkyl radical (e.g. cetyl, lauryl, palmityl, myristyl, oleyl and the like) and, as further sub-stituents, unsubstituted or halogenated lower alkyl, benzyl and/or hydroxy-lower alkyl radicals.
A more detailed description of surface-active agents suitable for this purpose may be found for instance in “McCutcheon's Detergents and Emulsifiers Annual” (MC Publishing Crop., Ridgewood, N.J., 1981), “Tensid-Taschenbuch”, 2nd ed. (Hanser Verlag, Vienna, 1981) and “Encyclopaedia of Surfactants (Chemical Publishing Co., New York, 1981).
Structure-forming, thickening or gel-forming agents may be included into the pharmaceutical compositions and combined preparations of the invention. Suitable such agents are in particular highly dispersed silicic acid, such as the product commercially available under the trade name Aerosil; bentonites; tetraalkyl ammonium salts of montmorillonites (e.g., products commercially available under the trade name Bentone), wherein each of the alkyl groups may contain from 1 to 20 carbon atoms; cetostearyl alcohol and modified castor oil products (e.g. the product commercially available under the trade name Antisettle).
Gelling agents which may be included into the pharmaceutical compositions and combined preparations of the present invention include, but are not limited to, cellulose derivatives such as carboxymethylcellulose, cellulose acetate and the like; natural gums such as arabic gum, xanthum gum, tragacanth gum, guar gum and the like; gelatin; silicon dioxide; synthetic polymers such as carbomers, and mixtures thereof. Gelatin and modified celluloses represent a preferred class of gelling agents.
Other optional excipients which may be included in the pharmaceutical compositions and combined preparations of the present invention include additives such as magnesium oxide; azo dyes; organic and inorganic pigments such as titanium dioxide; UV-absorbers; stabilisers; odor masking agents; viscosity enhancers; antioxidants such as, for example, ascorbyl palmitate, sodium bisulfite, sodium metabisulfite and the like, and mixtures thereof; preservatives such as, for example, potassium sorbate, sodium benzoate, sorbic acid, propyl gallate, benzylalcohol, methyl paraben, propyl paraben and the like; sequestering agents such as ethylene-diamine tetraacetic acid; flavoring agents such as natural vanillin; buffers such as citric acid and acetic acid; extenders or bulking agents such as silicates, diatomaceous earth, magnesium oxide or aluminum oxide; densification agents such as magnesium salts; and mixtures thereof.
Additional ingredients may be included in order to control the duration of action of the biologically-active ingredient in the compositions and combined preparations of the invention. Control release compositions may thus be achieved by selecting appropriate polymer carriers such as for example polyesters, polyamino-acids, polyvinyl-pyrrolidone, ethylene-vinyl acetate copolymers, methylcellulose, carboxymethylcellulose, protamine sulfate and the like. The rate of drug release and duration of action may also be controlled by incorporating the active ingredient into particles, e.g. microcapsules, of a polymeric substance such as hydrogels, polylactic acid, hydroxymethyl-cellulose, polymethyl methacrylate and the other above-described polymers. Such methods include colloid drug delivery systems like liposomes, microspheres, microemulsions, nanoparticles, nanocapsules and so on. Depending on the route of administration, the pharmaceutical composition or combined preparation of the invention may also require protective coatings.
Pharmaceutical forms suitable for injectable use include sterile aqueous solutions or dispersions and sterile powders for the extemporaneous preparation thereof. Typical carriers for this purpose therefore include biocompatible aqueous buffers, ethanol, glycerol, propylene glycol, polyethylene glycol, complexing agents such as cyclodextrins and the like, and mixtures thereof.
Since, in the case of combined preparations including the pteridine derivative of this invention and an immunosuppressant or immunomodulator or antihistamine or antineoplastic drug or antiviral agent, both ingredients do not necessarily bring out their synergistic therapeutic effect directly at the same time in the patient to be treated, the said combined preparation may be in the form of a medical kit or package containing the two ingredients in separate but adjacent form. In the latter context, each ingredient may therefore be formulated in a way suitable for an administration route different from that of the other ingredient, e.g. one of them may be in the form of an oral or parenteral formulation whereas the other is in the form of an ampoule for intravenous injection or an aerosol.
The present invention further relates to a method for preventing or treating a disease selected from the group consisting of CNS disorders, cell proliferative disorders, allergic conditions, viral infections, immune and auto-immune disorders, transplant rejections, inflammatory bowel disorders and TNF-α-related disorders in a patient, preferably a mammal, more preferably a human being. The method of this invention consists of administering to the patient in need thereof an effective amount of a pteridine derivative having the general formula (I) or the general formula (V), optionally together with an effective amount of another immunosuppressant or immunomodulator or antineoplastic drug or antiviral agent, or a pharmaceutical composition comprising the same, such as disclosed above in extensive details. In the prophylactic or therapeutic method of this invention, the pteridine derivative is preferably used in a therapeutically effective amount with regard to the condition or disorder to be treated. By “therapeutically effective amount” is meant the amount of the compound which is required to have a therapeutic effect on the treated individual. This amount, which will be apparent to the skilled artisan, will depend upon the age and weight of the individual, the type of disease to be treated, and other factors which are routinely taken into consideration when designing a drug treatment. The effective amount is usually in the range of 0.01 mg to 20 mg, preferably 0.1 mg to 5 mg, most preferably from about 0.5 mg to about 4 mg, per day per kg bodyweight in the case of a human being. For veterinary use, this recommended range will be adapted to the animal species, based on standard practice in the art. A therapeutic effect is assessed in the individual by measuring the effect of the compound on the disease state in the animal or human being, as specified hereinbefore. Depending upon the pathologic condition to be treated and the patient's condition, the said effective amount may be divided into several sub-units per day or may be administered at more than one day intervals. The patient to be treated may be any warm-blooded animal, preferably a human being, suffering from said pathologic condition.
Another embodiment of this invention includes the various precursor or “pro-drug” forms of the compounds of the present invention. It may be desirable to formulate the compounds of the present invention in the form of a chemical species which itself is not significantly biologically-active, but which when delivered to the body of a human being or other higher mammal will undergo a chemical reaction catalyzed by the normal function of the mammal's body, inter alia, enzymes present in the stomach or in blood serum, said chemical reaction having the effect of releasing a compound as defined herein. The term “pro-drug” thus relates to these species which are converted in vivo into the active pharmaceutical ingredient.
The pro-drugs of the present invention can have any form suitable to the formulator, for example, esters are non-limiting common pro-drug forms. In the present case, however, the pro-drug may necessarily exist in a form wherein a covalent bond is cleaved by the action of an enzyme present at the target locus. For example, a C—C covalent bond may be selectively cleaved by one or more enzymes at said target locus and, therefore, a pro-drug in a form other than an easily hydrolysable precursor, inter alia an ester, an amide, and the like, may be used.
For the purposes of the present invention the term “therapeutically suitable pro-drug” is defined herein as “a compound modified in such a way as to be transformed in vivo to the therapeutically active form, whether by way of a single or by multiple biological transformations, when in contact with the tissues of humans or mammals to which the pro-drug has been administered, and without undue toxicity, irritation, or allergic response, and achieving the intended therapeutic outcome”.
The following examples are intended to illustrate several embodiments of the present invention, including the preparation of the pteridine derivatives and their pyrimidine intermediates, without limiting its scope in any way.
The following illustrates the method step (a) shown in
The following illustrates the method step (b) shown in
In a mixture of dioxane (250 ml) and water (10 ml), SeO2 (0.33 mole) was heated to 50° C. After solution of SeO2, 3,4-dimethoxyacetophenone was added and the mixture heated under reflux for 16 hours. The hot solution was filtered to remove selenium. The filtrate was evaporated, the oily residue dissolved in CHCl3 (300 ml), then washed with saturated NaHCO3 solution (100 ml) and water. The organic phase was dried over Na2S2O4, filtered and evaporated. The yellow oil was distilled in vacuum, the resulting 3,4-dimethoxyphenylglyoxal was dissolved in MeOH (50 ml) and water (200 ml), then acetonoxime (0.25 mol) was added and the pH adjusted to 4 by 2 N HCl. The solution was heated to 50° C. for 2 hours, then cooled to 0° C. and the resulting crystals collected. After washing with cold water and drying in a vacuum desiccator, 3,4-dimethoxyphenylglyoxalmonooxime was obtained with a yield of 71%. Recrystallization can be achieved from CHCl3 or acetone. The compound was further characterized by nuclear magnetic resonance spectra as follows: 1H-NMR (200 MHz, DMSO-d6): δ 3.80 (3 H, s), 3.84 (3 H, s), 7.06 (1 H, d), 7.51 (1 H, s), 7.75 (1 H, d), 8.10 (1 H, s) and 12.51 (1 H, s) ppm.
The following illustrates the method step (c) shown in
A suspension of the compound of example 4 (10.46 g, 35 mmole) in acetic anhydride (600 ml) and acetic acid (200 ml) was refluxed for 1 hour until a clear solution was formed. By cooling down the reaction mixture in a refrigerator, a precipitate was formed which was filtered off, washed with ethyl acetate and diethyl ether. The precipitate was dried over P2O5 under vacuum, yielding the title compound as a yellow powder (9.19 g, 77%). This compound was further characterized as follows:
The following illustrates the method step (f) shown in
The following illustrates the method step (g) shown in
The following illustrates the method step (h) shown in
The following illustrates the method step (a) shown in
The following illustrates the method step (b) shown in
The following illustrates the method step (c) shown in
The following illustrates the method step (d) shown in
The following illustrates the method step (g) shown in
The following illustrates the method step (a) shown in
The following illustrates the method step (b) shown in
The following illustrates the method step (e) shown in
The following illustrates the method step (f) shown in
The following illustrates the method step (a) shown in
The following illustrates the method step (b) shown in
The following illustrates the method step (c) shown in
The following illustrates the method step (d) shown in
The method of example 55 was repeated, except for using 4-methylphenylglyoxalmonoxime (4.0 mmole) instead of isonitrosoaceto-phenone. This afforded the title compound as a yellow powder (900 mg, yield 62%), which was characterized by its mass spectrum MS as follows: MS m/z (%): 362 ([M+H]+, 100).
The following illustrates the method step (d) shown in
The method of example 57 was repeated, except for using 4-chlorophenylglyoxalmonoxime (554 mg, 3.0 mmole) instead of 4-fluorophenyl-glyoxalmonoxime. This afforded the title compound as a yellow powder (924 mg, 64% yield), which was characterized by its mass spectrum MS as follows: MS m/z (%): 384 ([M+H]+, 100).
The method of example 57 was repeated, except for using 4-acetyl-benzamidophenylglyoxalmonoxime (206 mg, 3.0 mmole) instead of 4-fluoro-phenylglyoxalmonoxime, and performing silica gel flash chromato-graphy with a CH3OH/CH2Cl2 gradient from 2:98 to 10:90. This afforded the title compound as a yellow powder (871 mg, 57% yield), which was characterized by its mass spectrum MS as follows: MS m/z (%): 407 ([M+H]+, 100).
The following illustrates the method step (a) shown in
Then the said tert-butoxycarbonyl-protected intermediate (0.5 mmole) was deprotected either by being suspended in a mixture of dioxane (10 ml) and HCl 6M (20 ml) and stirred at room temperature until complete mixture or by using a solution of 20% trifluoroacetic acid in dichloromethane (10 ml). The medium treated with HCl was then neutralized with NaOH 10M and volatiles were removed, whereas the mixture treated with trifluoroacetic acid was directly evaporated to dryness. The residue was adsorbed on silica and purified by silica gel column chromatography, the mobile phase consisting of CH3OH/CH2Cl2 mixtures (in a ratio gradually ranging from 4:96 to 6:94) containing 0.5% of concentrated aqueous ammonia.
This procedure provided, with a yield ranging from 50% to 70% depending upon the tert-butoxycarbonyl-protected amino-acid used, the following pure final pteridine derivatives as yellow powders which were characterized by their mass spectrum MS as follows:
To a suspension of the compound of example 6 (196 mg, 0.5 mmole) in dioxane (10 ml) was added N-phenylpiperazine (0.23 ml, 1.5 mmole). The suspension was stirred at room temperature overnight. The precipitate was filtered off and washed with dioxane and diethylether, yielding the crude 2-acetylamino-4-(N-phenylpiperazine)-6-(3,4-dimethoxyphenylpteridine). Deprotection of the acetylamino group was achieved by dissolving this crude compound in methanol (5 ml) and a 20% K2CO3 solution in water (5 ml). The solution was stirred overnight. Solvents were evaporated in vacuo and the residue was purified by preparative TLC (silica, using a CH3OH/CH2Cl2 (5:95) mixture as an eluent), affording the title compound as a yellow powder (84 mg, yield 38%) which was characterized by its mass spectrum MS as follows: MS m/z (%): 444 ([M+H]+, 100).
Repeating the method of example 64, except for using N-benzyl-piperazine (0.26 ml, 1.5 mmole) instead of N-phenylpiperazine, afforded the title compound as a yellow powder (75 mg, yield 33%) which was characterized by its mass spectrum MS as follows: MS m/z (%): 458 ([M+H]+,100).
Repeating the method of example 64, except for using N-cinnamyl-piperazine (0.306 ml, 1.5 mmole) instead of N-phenylpiperazine, afforded the title compound as a yellow powder (99 mg, yield 41%) which was characterized by its mass spectrum MS as follows: MS m/z (%): 484 ([M+H]+, 100).
To a suspension of 4,6-diamino-2-methylmercapto-5-nitroso-pyrimidine (1 g, 5.41 mmole), which may be prepared and characterised for instance as disclosed by Baddiley et al. in J. Chem. Soc. (1943) 383, in water (25 ml) was added a large excess (162 mmole) of an appropriate amine. After heating the reaction mixture at 65° C. during 3 hours, a pink suspension was formed. The reaction mixture was then cooled down to +4° C. for 4 days. The pink precipitate was filtered off and washed with water, yielding the pure following compounds, each being characterised by its mass spectrum (MS), in yields ranging from 30 to 50%:
To a suspension of a 2-substituted-4,6-diamino-5-nitroso-pyrimidine obtained in one of examples 67 to 70 (1 mmole) in water (25 ml) was added portionwise sodium dithionite (3 mmole). The resulting suspension was refluxed until a yellow solution was formed. A sulfuric acid solution (2.5 ml of a 50% solution in water) was then added. The reaction mixture was cooled down to +4° C. for 5 hours. The white precipitate formed was filtered off, yielding the pure following compounds in yields ranging from 60% to 75%.
To a suspension of a 2-substituted-4,5,6-triamino-pyrimidine sulfate obtained in one of examples 71 to 74 (1 mmole) in water (6 ml) at 80° C. was added dropwise a solution of barium chloride dihydrate (0.9 mmole) in water (2 ml). The resulting suspension was stirred for 30 minutes at 80° C., then the reaction mixture was cooled down and barium sulfate was filtered off over Celite. The filtrate was evaporated in vacuo and co-evaporated with toluene yielding each of the following compounds as a yellow powder in yields ranging from 90% to 98%:
The following procedure is in accordance with step (e) of
To a suspension of a 2-methylmercapto-4,5,6-triamino-pyrimidine sulfate (44.3 mmole), which may be prepared and characterised for instance as disclosed by Taylor et al. in J. Am. Chem. Soc. (1952) 74:1644-1647, in water (135 ml) at 80° C. was added dropwise a solution of barium chloride dihydrate (39.8 mmole) in water (25 ml). The suspension was stirred for 30 minutes at 80° C. The reaction mixture was cooled down and barium sulfate was filtered off over Celite. The filtrate was evaporated in vacuo and co-evaporated with toluene yielding the title compound as a yellow powder (10.2 g, 94% yield).
To a suspension of 4,5,6-triamino-2-methylmercaptopyrimidine dihydrochloride (7.42 mmole, 1.81 g) in methanol (20 ml) was added a solution of 3,4-dimethoxyphenylglyoxaloxime (5.94 mmole, 1.24 g) in methanol. The resulting reaction mixture was refluxed for 3 hours. The reaction mixture was neutralised with concentrated aqueous ammonia until pH 9 was reached. The resulting precipitate was filtered off and further purified by flash chromatography (silica, using an ethyl acetate/hexane mixture in a 4:6 ratio) yielding the pure title compound as a yellow powder which was characterised as follows: MS: m/z (%) 330 ([M+H]+, 100), 681 ([2M+Na]+, 30); UV (MeOH, nm): 292, 397.
A method similar to that of example 84 was used, starting from phenylglyoxal monoxime instead of 3,4-dimethoxyphenylglyoxalmonoxime. The title compound was characterised as follows: MS: m/z (%): 270 ([M+H]+, 100); UV (MeOH, nm): 286, 379.
A solution of the compound of example 84 (100 mg, 0.304 mmole) in morpholine (12 ml) was refluxed overnight. The solvents were removed in vacuo and the residue was purified first by flash chromatography (silica, gradient from 2:98 to 3:97 CH3OH/CH2Cl2) and then by preparative TLC (silica, EtOAc/hexane 1:1) yielding the title compound as a yellow powder (70 mg, 63% yield) characterised as follows: MS: m/z (%): 369 ([M+H]+, 100), 759 ([2M+Na]+, 20); UV (MeOH, nm): 297, 315, 418.
A method similar to that of example 86 was used, starting from piperidine instead of morpholine. The title compound obtained as a yellow powder (58 mg, 52%) was characterised as follows: MS: m/z (%): 367 ([M+H]+, 100), 755 ([2M+Na]+, 10); UV (MeOH, nm): 319, 425.
Homopiperazine (1.39 g) was added to a stirred suspension of 2-amino-6-(3,4-dimethoxyphenyl)pteridine (520 mg) in pyridine (9 ml) and 1,1,1,3,3,3-hexamethyidisilazane (9.2 ml) in the presence of a catalytic amount of ammonium sulfate (54 mg) and p-toluenesulfonic acid (52 mg). The mixture was heated under reflux for 72 hours until a clear solution was obtained. The mixture was cooled down and the solvents were evaporated in vacuo. The residue was adsorbed on silica and purified by silica gel column chromatography, using a 9:1 CH2Cl2/CH3OH mixture containing 1% concentrated aqueous ammonia as eluent, affording the desired compound (305 mg, yield 46%) which was characterized by its mass spectrum as follows: m/z (%) 785 ([2M+H]+, 15), 382 ([M+H]+, 100).
To a solution of 2-amino-4-(homopiperazin-1-yl)-6-(3,4-dimethoxyphenyl)pteridine (160 mg) in DMF (20 ml) was added triethylamine (0.55 mmole) and phenoxyacetyl chloride (0.5 mmole). The solution was stirred at room temperature for 24 hours. The solution was diluted with CH2Cl2 and extracted 3 times with water. The organic solvents were evaporated in vacuo. The residue was adsorbed on silica, and purified by flash chromatography (silica, the mobile phase being CH3OH/CH2Cl2 mixtures (in a ratio gradually ranging from 2:98 to 5:95). This procedure provided with a yield of 67% the title compound as a yellow powder (145 mg) which was characterized as follows:
To a solution of 2-amino-4-(piperazin-1-yl)-6-(3,4-dimethoxyphenyl)pteridine (200 mg, 0.55 mmole) in DMF (20 ml) was added triethylamine (0.65 mmole, 92 μl) and a suitable chloroformate (0.71 mmole). The solution was stirred at room temperature for 2 to 24 hours, depending upon the chloroformate used, while monitoring the reaction by TLC. The solution was diluted with CH2Cl2 and extracted with water (3 times). The organic solvents were evaporated in vacuo. The residue was adsorbed on silica, and purified by silica gel column chromatography, the mobile phase being CH3OH/CH2Cl2 mixtures (in a ratio gradually ranging from 2:98 to 5:95). This procedure provided with a yield ranging from 60% to 80%, depending on the chloroformate used, the following pure pteridine derivatives, which were characterized by their mass spectrum (MS) and their ultraviolet spectrum (UV).
To a solution of 2-amino-4-(piperazin-1-yl)-6-(3,4-dimethoxyphenyl)pteridine (0.61 mmol, 225 mg) in DMF (30 ml) was added a suitable isocyanate (0.92 mmole). The solution was stirred at room temperature for 2 to 24 hours, depending upon the isocyanate used, the reaction being monitored by TLC. The solution was diluted with CH2Cl2 and extracted 3 times with water. The organic solvents were evaporated in vacuo. The residue was adsorbed on silica, and purified by silica gel column chromatography, the mobile phase being CH3OH/CH2Cl2 mixtures (in a ratio gradually ranging from 2:98 to 5:95). This procedure provided with a yield ranging from 60% to 80%, depending on the isocyanate used, the following pure pteridine derivatives, each as a yellow powder, which were characterized by their mass spectrum (MS) and their ultraviolet spectrum (UV):
The procedure of examples 60 to 63 was repeated while starting from different tert-butoxycarbonyl-protected amino-acids, i.e. glycine (example 110) and L-asparagine (example 111). The procedure provided the two following pure pteridine derivatives as yellow powders which were characterized by their mass spectrum MS as follows:
The compound of example 35 (0.367 g, 1 mmole) and a carboxylic acid or anhydride such as mono-methyl terephthalate (example 112), dimethylglycine (example 113), succinamic acid (example 114) or succinic anhydride (example 115) were suspended in dry DMF at room temperature under a nitrogen atmosphere and then diisopropylamine (0.418 ml, 2.4 mmole), followed by o-benzotriazol-1-yl-N,N,N′,N′-tetramethyluronium tetrafluoroborate (0.482 mg, 1.5 mmole) were added. The mixture was stirred until completion of the reaction and then diluted with dichloromethane (50 ml). The organic layer was washed with a saturated solution of sodium hydrogenocarbonate (50 ml), dried over anhydrous sodium sulfate and evaporated to dryness. The crude residue was purified by silica gel column chromatography, the mobile phase consisting of CH3OH/CH2Cl2 mixtures (in a ratio gradually ranging from 2:98 to 10:90), with 0.5% concentrated ammonia or acetic acid if needed. This procedure provided, with yields ranging from 56% to 72% depending upon the starting carboxylic acid or anhydride, the desired compounds which were characterized by their mass spectrum MS as follows:
2-amino-4-[N-[4-(methoxycarbonyl)benzoyl]-piperazin-1-yl]-6-(3,4-dimethoxyphenyl)pteridine (0.212 g, 1.4 mmole) was dissolved in THF (8 ml) and aqueous LiOH 0.1 N was added (8 ml). The mixture was stirred 24 hours at room temperature and the pH was adjusted at 3 with HCl 1 N. The precipitate was filtered, washed with H2O, EtOAc, Et2O and dried in a vacuum dessicator over P2O5, yielding the title compound as a yellow powder which was characterized by its mass spectrum: MS m/z (%) 516 ([M+H]+, 100).
The synthesis of such compounds is achieved by the three-step procedure shown in
Collagen type II (hereinafter referred as CII) induced experimental model of rheumatoid arthritis (hereinafter referred as RA) in DBA mice is widely accepted as the most relevant and predictive preclinical model for RA. In this model, DBA mice are immunized with CII, the collagen type mainly present in the joint structures, together with complete Freund Adjuvant in their tail. 2 to 3 weeks later, several of the immunized mice start to develop arthritis in the four footpaths. In order to further worsen the disease, mice are given a second CII boost at three weeks after the first immunisation, this time however in a footpath. Because the immune system is already immunised in these mice, this rapidly provokes a severe swelling of the injected footpath (named Delayed Type Hypersensitivity or DTH) which can be used as a measurement for T-cell activation. Within a few days after the booster, almost all untreated animals start developing symptoms of arthritis. RA development is scored from 0 to 16 (16 being severe clinical arthritis in all four footpaths). At the end of the study (3 weeks after the CII boost) antibody formation was determined against CII and histology performed on the footpaths.
The efficiency of the pteridine derivative of example 17 (administered in an amount of 20 mg/kg/day, started one day before the CII boost) was explored in this CII-model. All such treated animals developed significantly less severe rheumatoid arthritis (clinical scores ranging from 2 to 4), as compared to untreated control mice (clinical scores ranging from 6 to 12) and also compared to mice treated with methotrexate (clinical scores ranging from 2 to 7), the most effective compound for the treatment of RA to date.
Additionally, increasing the dose of the pteridine derivative of example 17 up to 40 mg/kg/day has no mortality or cytotoxic effect on mice in vivo, whereas increasing the dose of methotrexate (10 mg/kg/day, 3 times a week) leads to death of all animals.
As a control group, 4 sham treated (saline injection) C3H mice being injected intraperitoneously with 100 μg lipopolysaccharide (hereinafter LPS) per mouse, all died within 1 to 3 days after injection. However, when four C3H mice being injected intraperitoneously with 100 μg lipopolysaccharide (hereinafter LPS) per mouse were treated during 2 days with the pteridine derivative of example 17 (one first intraperitoneous injection of 20 mg/kg/day at the time of injection, and a second injection 24 hours later), all mice were protected from acute shock related mortality.
The following procedure is similar to that of examples 64 to 66. To a suspension of the compound of example 6 (1 mmole) in dioxane (20 ml) was added a suitable N-substituted piperazine (1.5 mmole). The suspension was stirred at room temperature for 16 hours. The solvents were evaporated in vacuo yielding crude 2-acetylamino-4-(N-substituted piperazino)-6-(3,4-dimethoxyphenyl)pteridine. Deprotection of the 2-acetylamino group was achieved by dissolving this crude compound in 20 ml of a 1:1 mixture of methanol and 20% K2CO3 in water. The solution was stirred for 16 hours at room temperature. Solvents were evaporated in vacuo and the residue was purified by preparative TLC (silica, using a CH3OH/CH2Cl2 (5:95) mixture as an eluent), affording the following compounds as yellow powders in yields ranging from 20 to 70%:
The following procedure is in accordance with the scheme shown in
A mixture of the compound of example 4 (299 mg, 1.0 mmole), 1,1,1,3,3,3-hexamethyldisilazane (1 ml, 4.7 mmole), a N-substituted piperazine (4.0 mmole), p-toluenesulfonic acid (20 mg, 0.1 mmole) and ammonium sulfate (20 mg, 0.15 mmole) in toluene (4 ml) was refluxed for 48 hours (the reaction mixture became clear when the reaction was finished). After removing the solvents under reduced pressure, the residue was purified by flash chromatography over silica (CH3OH/CH2Cl2 1:20 to 1:30). To a solution of the resulting free pteridine base in methanol (20 ml), 1.25 M HCl in MeOH (4 ml, 5.0 mmole) was slowly added. The mixture was stirred at room temperature for one hour. The precipitate (which is the trihydrochloride salt of the free pteridine base) was filtered off and washed with methanol. Drying in the vacuum over P2O5 yielded the corresponding hydrochloride salt as a yellow solid. The following salts were made according to this procedure, with yields indicated below:
While repeating the experimental procedure of examples 64-66 and 133-162, the three following compounds were obtained as yellow powders:
Pteridine derivatives were first dissolved (10 mM) in dimethylsulfoxide (hereinafter referred as DMSO) and further diluted in culture medium before use for the following in vitro experiments. The commercially available culture medium consisted of RPMI-1640+10% foetal calf serum (FCS). Some pteridine derivatives described in the previous examples (as indicated in table 1) were tested in the following mixed lymphocyte reaction (MLR) assay.
Peripheral blood mononuclear cells (hereinafter referred as PBMC) were isolated from heparinized peripheral blood by density gradient centrifugation over Lymphoprep (Nycomed, Maorstua, Norway). Allogeneic PBMC or Eppstein-Barr Virus-transformed human B cells [commercially available under the trade name RPM11788 (ATCC name CCL156)] which strongly express B7-1 and B7-2 antigens were used as stimulator cells after irradiation with 30 Gy. MLR was performed in triplicate wells. After 5 days incubation at 37° C., 1 μCi [3H]-thymidine was added to each cup. After a further 16 hours incubation, cells were harvested and counted in a 1-counter. Inhibition of proliferation by a compound (drug) described in some of the previous examples was counted using the formula:
wherein cpm is the thymidine count per minute. The MLR assay is regarded by those skilled in the art as an in vitro analogue of the transplant rejection since it is based on the recognition of allogeneic major histocompatibility antigens on the stimulator leukocytes, by responding lymphocytes.
Table 1 below shows the IC50 values for various pteridine derivatives in the MLR test. The IC50 value represents the lowest concentration of the pteridine derivative (expressed in μmole/l) that resulted in a 50% suppression of the MLR.
Peripheral blood mononuclear cells (herein referred as PBMC), in response to stimulation by lipopolysaccharide (hereinafter LPS), a gram-negative bacterial endotoxin, produce various chemokines, in particular human TNF-α. Inhibition of the activation of PBMC can therefore be measured by the level of suppression of the production of TNF-α by PBMC in response to stimulation by LPS.
Such inhibition measurement was performed as follows: PBMC were isolated from heparinized peripheral blood by density gradient centrifugation over Lymphoprep (commercially available from Nycomed, Norway). LPS was then added to the PMBC suspension in complete medium (106 cells/ml) at a final concentration of 1 μg/ml. The pteridine derivative to be tested was added at different concentrations (0.1 μM, 1 μM and 10 μM) and the cells were incubated at 37° C. for 72 hours in 5% CO2. The supernatants were collected, then TNF-α concentrations were measured with respectively an anti-TNF-α antibody in a sandwich ELISA (Duo Set ELISA human TNFα, commercially available from R&D Systems, United Kingdom). The calorimetric reading of the ELISA was measured by a Multiskan RC plate reader (commercially available from ThermoLabsystems, Finland) at 450 nm (reference wavelength: 690 nm). Data analysis was performed with Ascent software 2.6. (also from ThermoLabsystems, Finland): a standard curve (recombinant human TNFα) was drawn and the amount (pg/ml) of each sample on the standard curve was determined.
The % suppression of human TNFα production by the pteridine derivatives of the invention (drugs) was calculated using the formula:
Table 2 below shows the IC50 values (expressed in μM) of the tested pteridine derivatives in the TNF-α assay.
A model of TNF-α induced shock in C57BL/6 male mice was performed as follows. Five animals from the control group received an intravenous administration of a lethal dose of TNF-α (10 μg) in the tail. Ten animals from the test group received three intraperitoneous injections of the pteridine derivative of example 17 (20 mg/kg/day) respectively 48 hours, 24 hours and immediately before an intravenous injection of TNF-α (10 μg).
Body temperature, a clinical sign of TNF-induced shock, was followed for 40 hours in control mice and in mice receiving the pteridine derivative of example 17: the body temperature of control mice dropped significantly when compared to mice receiving the test compound of example 17.
Furthermore, all five mice from the control group died within 40 hours, the survival rate (80%) of mice that received the pteridine derivative of example 17 in addition to the TNF-α dose (10 μg) was quite substantial.
C57BL/6 mice were injected with 1.5×106 B16BL/6 melanomasarcoma cells subcutaneously in the foot path and were divided, three days later, into 4 groups:
Tumor size data (tumor size was measured as the largest diameter multiplied by the smallest diameter) show that the combined treatment in group 4 leads to a significant reduction of tumor size (120 mm2) when compared to the control group 1 (tumor size: 440 mm2). Reduction of tumor size is also true in mice of group 3, although to a lesser extent (198 mm2).
All mice of control group 2 died within the very first days of treatment, whereas mortality was 3/7 in mice of group 4.
At the end of experiment, it was looked macroscopically at black metastasis in inguinal and/or para-aortic lymphoneuds in all tumor bearing groups of mice. The proportions of mice having metastasis were:
Peripheral blood mononuclear cells (herein referred as PBMC), in response to stimulation by lipopolysaccharide (LPS), a gram-negative bacterial endotoxin, produce various chemokines, in particular human IL-1 β. Inhibition of the activation of PBMC can therefore be measured by the level of suppression of the production of IL-1 β by PBMC in response to stimulation by LPS.
Such inhibition measurement was performed as follows: PBMC were isolated from heparinized peripheral blood by density gradient centrifugation over Lymphoprep (commercially available from Nycomed, Norway). LPS was then added to the PMBC suspension in complete medium (106 cells/ml) at a final concentration of 1 μg/ml. The pteridine derivative to be tested was added at different concentrations (0.1 μM, 1 μM and 10 μM) and the cells were incubated at 37° C. for 72 hours in 5% CO2. The supernatants were collected, then IL-1 β concentrations were measured with an anti-IL-1 β antibody in a sandwich ELISA. The calorimetric reading of the ELISA was measured by a Multiskan RC plate reader (commercially available from ThermoLabsystems, Finland) at 450 nm (reference wavelength: 690 nm). Data analysis was performed with Ascent software 2.6. (also from ThermoLabsystems, Finland): a standard curve (recombinant human IL-1 β) was drawn and the amount (pg/ml) of each sample on the standard curve was determined.
The % suppression of human IL-1 β by the pteridine derivatives (drugs) of this invention was calculated using the formula:
Table 3 below shows the IC50 values (expressed in μM) of the tested pteridine derivatives in the IL-1 β assay.
To a solution of 2-amino-4-(N-piperazin-1-yl)-6-(3,4-dimethoxyphenyl)-pteridine (214 mg, 0.583 mmole) in dimethylformamide (30 ml) was added a suitable isocyanate (0.76 mmole). The solution was stirred at room temperature for 16 hours. The solvent was then evaporated in vacuo and the crude residue was purified by silica gel flash chromatography, the mobile phase being a mixture of methanol and dichloromethane (in a volume ratio gradually ranging from 2:98 to 5:95), resulting in the pure title compounds, each being characterized by its mass spectrum (MS), in yields varying from 65 to 85%, depending upon the isocyanate used. The following compounds were synthesized according to this procedure:
4-hydroxy-3-methoxy-acetophenone (1.85 g, 10.9 mmol, commercially available from Avocado Research Chemicals Ltd., Lancashire, United Kingdom) was dissolved in dichloromethane (55 ml). Triethylamine (2.0 ml, 14.2 mmole) and acetyl chloride (875 μl, 12.0 mmol) were added and the pale yellow resulting solution was stirred at room temperature for 45 minutes. The reaction was quenched with water, the layers were separated and the aqueous phase was extracted with dichloromethane. The combined organic layers were dried over MgSO4 and evaporated in vacuo thus resulting into the crude yellow title compound (2.4 g, yield 100%) which was used as such in the following reaction.
A suspension of 4-acetoxy-3-methoxy-acetophenone from example 198 (7.74 g, 37.2 mmole) and selenium(IV)dioxide (5.0 g, 44.7 mmole) in 1,4-dioxane (30 ml) and water (1.3 ml) was heated at reflux for 3.5 hours. Upon cooling, the reaction mixture was partitioned between ethyl acetate and brine. The organic layer was filtered through Celite® to remove the residual inorganics and evaporated to dryness, thus resulting in the title compound (8.3 g, yield 100%), which was used as such in the following reaction.
Acetone oxime (650 mg, 8.7 mmole) was added to a suspension of 4-acetoxy-3-methoxy-phenylglyoxal from example 199 (1.95 g, 8.8 mmole) in water (28 ml) and methanol (7 ml). The resulting mixture (pH-4) was heated at 60° C. for 2 hours until a clear yellow solution was obtained. On cooling, a white precipitate formed, the mixture was kept at 4° C. overnight and the precipitate was filtered off, washed with cold water and dried, thus resulting in the title product (1.17 g, yield 56%).
To a suspension of 4-hydroxy-3-methoxy-acetophenone (1.06 g, 6.3 mmole) in acetone (60 ml) was added 2-iodopropane (2.55 ml, 25.1 mmole) and potassium carbonate (1.83 g, 13.2 mmole). The mixture was heated at reflux for 24 hours under a N2 atmosphere. Upon cooling, the suspension was concentrated under reduced pressure and partitioned between ethyl acetate and water. The aqueous layer was extracted two times with a small volume of ethyl acetate. The combined organic layers were dried over MgSO4 and evaporated to dryness to yield the title compound as a crude amber coloured oil (1.26 g, 96%) which was used as such in the following reaction.
A suspension of 4-isopropoxy-3-methoxy-acetophenone from example 201 (1.30 g, 6.3 mmole) and selenium(IV)-dioxide (830 mg, 7.4 mmole) in 1,4-dioxane (5 ml) and water (200 μl) was heated at reflux for 2 hours. Upon cooling, the reaction mixture was partitioned between ethyl acetate and brine. The organic layer was filtered through Celite® to remove the residual inorganics and evaporated to dryness, thus resulting in the crude title compound (1.4 g, yield 100%), which was used as such in the following reaction.
Acetone oxime (490 mg, 6.5 mmole) was added to a suspension of 4-isopropoxy-3-methoxy-phenylglyoxal from example 202 (1.4 g, 6.3 mmole) in of water (16 ml) and of methanol (4 ml). The resulting mixture (pH-4) was heated at 60° C. for 1 hour. The mixture was cooled and kept at 4° C. overnight. The precipitate formed was filtered off, washed with cold water and dried to provide the title compound (1.22 g, yield 82%), which was used for further reaction without any further purification.
A purple suspension of 2,4-diamino-6-hydroxy-5-nitrosopyrimidine (5.05 g, 31.6 mmole, commercially available from Alfa Aesar) in water (80 ml) and NH4OH (6.4 ml of a 30% aqueous solution) was stirred at room temperature for 20 minutes. Then, sodium dithionite (16.6 g, 82 mmole, technical grade 86%) was added under vigorous stirring and the reaction mixture was stirred at 80° C. for 16 hours. The mixture was filtered while still hot, the filtrate was allowed to cool down to room temperature and then placed at 4° C. overnight. The precipitate formed was filtered off, washed respectively with cold water, methanol and diethyl ether, and dried to provide the crude title product (3.72 g, yield 83%) which was used as such for the following reactions.
To a suspension of 2,4,5-triamino-6-hydroxy-pyrimidine from example 204 (4.09 g, 17.2 mmole) and 4-acetoxy-3-methoxyphenylglyoxalmonoxime from example 200 (2.43 g, 17.2 mmole) in methanol (400 ml) was added a 1.25 M solution of HCl in methanol (28 ml, 35.0 mmole). The mixture was heated at reflux and the reaction was monitored by thin layer chromatography (TLC) for disappearance of both starting materials. After 5 days, another aliquot of the HCl solution was added. After an additional 5 days, the reaction mixture was allowed to cool down to room temperature. The precipitate was filtered off, washed with methanol and dried, thus providing the crude title compound (2.01 g, yield 41%), which was used as such for the next reaction and characterized by its mass spectrum as follows: MS (m/z): 286 ([M+H]+, 100).
A suspension of 2-amino-4-hydroxy-6-(4-hydroxy-3-methoxy-phenyl)pteridine from example 205 (288 mg, 1.0 mmole), 1-(4-methylphenyl)piperazine (817 mg, 4.6 mmole), p-toluenesulfonic acid monohydrate (25 mg, 0.13 mmole), ammonium sulfate (27 mg, 0.20 mmole), and 1,1,1,3,3,3-hexamethyldisilazane (1.1 ml, 5.1 mmole) in pyridine (15 ml) was heated at reflux for 2 days. Upon cooling, the reaction mixture was evaporated with silica gel and purified first by flash chromatography on a silica gel column (5% methanol in dichloromethane with 1% triethylamine), followed by preparative TLC (using the same solvent as for the flash chromatography) to afford, with a purity of 98.2%, the title compound (53 mg, yield 12%) which was characterized by its mass spectrum as follows: MS (m/z): 444 ([M+H]+, 100).
To a suspension of 4-isopropoxy-3-methoxy-phenylglyoxalmonoxime from example 203 (1.04 g, 4.38 mmole) and 2,4,5-triamino-6-hydroxy-pyrimidine from example 204 (620 mg, 4.39 mmole) in methanol (100 ml) was added a 5 M solution of HCl in isopropanol (1.6 ml, 8.8 mmole). The red reaction mixture was heated at reflux. After 3 days, TLC of the yellow suspension revealed almost complete consumption of the starting materials. Upon cooling, the reaction mixture was kept at 4° C. for several days. The precipitate was filtered off, washed respectively with methanol (3 times), diethyl ether (2 times) and dried to provide the crude title product (670 mg, yield 47%) which was used as such in the following reaction.
A suspension of 2-amino-4-hydroxy-6-(4-isopropoxy-3-methoxy-phenyl)pteridine (580 mg, 1.8 mmole), 1-(4-methylphenyl)piperazine (1.64 g, 9.2 mmole), p-toluenesulfonic acid monohydrate (41 mg, 0.21 mmol), ammonium sulfate (50 mg, 0.38 mmole) and 1,1,1,3,3,3-hexamethyidisilazane (1.94 ml, 9.0 mmole) in toluene (30 ml) was heated at reflux for 2 days. Upon cooling, the reaction mixture was evaporated with silica gel and purified twice on a silica gel column (10% methanol in dichloromethane with 1% triethylamine) to afford the pure title compound (445 mg, yield 51%) which was characterized by its mass spectrum as follows: MS (m/z): 486 ([M+H]+, 100).
C57 BL/6 mice (4-5 weeks) were obtained from M&B (Denmark), bred under standard pathogen-free conditions and maintained in the certified animal facility of the University Hospital Gasthuisberg, Catholic University of Leuven (Belgium). Experiments were approved by the local Ethical Committee of Animal Experimentation. Mice were sensitized twice 10 days and 5 days before rectal challenge. For sensitization, a 2×2 cm field of the abdominal skin was shaved, and 100 μl of 5 mg trinitrobenzenesulfonate (hereinafter referred as TNBS) in 50% ethanol solution was applied. On the day of challenge, mice were first lightly anesthetized with metofane. Subsequently TNBS (1 mg in 50% ethanol) was administered per rectum via a round-tip needle equipped with a 1-ml syringe. The tip of the needle was inserted so that the tip was about 3.5 to 4 cm proximal to the anal verge and TNBS was injected with a total volume of 100 μl. To ensure distribution of TNBS within the entire colon and cecum, mice were held in a vertical position for 1 minute after the injection.
The compound of example 176 (2-amino-6-(3,4-dimethoxyphenyl)-4-[N-(4-methyl-phenyl)-piperazin-1-yl]pteridine) was given to the mice by daily gavage at the dose of 20 mg/kg (400 μg in 100 μl H2O). Control mice were treated with 100 μl H2O only. Body weights of all animals were recorded daily in order to follow the development of inflammatory colitis over a period of 10 days.
The plasma levels of the tested compound (example 176) was evaluated in C57BL/6 mice 8-10 weeks old Harlan, weighing 18.6-22.0 g after oral administration of 20, 10, 5 and 1 mg/kg, respectively (n=6 per dose). The tested compound (example 176) was dissolved in water to the appropriate concentration in order to deliver a constant gavage volume of 10 μl/g of body weight. Blood was collected by eye bleeding with heparinized capillaries at 1, 3, and 5 hours after dosing from each animal. The plasma fraction was immediately separated by centrifugation for 2 minutes at 12,000 g and stored at −80° C. until analysis. Each plasma sample was spiked with internal standard followed by the addition of 4 volumes of methanol. The samples were kept for 30 minutes on ice prior to centrifugation (10 minutes at 12,000 g) in order to remove precipitated proteins. The supernatant was analyzed for the presence of the tested compound (example 176), using LC/MS/MS. As standard for the bio-analysis, the tested compound (example 176) was diluted stepwise; each dilution was added to control plasma; additionally spiked with internal standard, giving rise to standard curves from 200 to 40,000 nM.
Both macroscopic and microscopic histology evaluations were performed as follows. Mice were sacrificed at day 2 by cervical translocation, the colon was excised and was immediately examined visually, and damage was scored on a 0-12 scale. Colon sections were then fixed in 6% formalin and embedded in paraffin, cut into sections, and then stained with hematoxylin and eosin. Stained sections were examined for evidence of colitis using as criteria the presence of cell infiltration, elongation and/or distortion of crypts, crypt abscesses, reduction in goblet cell number, frank ulceration, and oedema formation.
MPO activity was measured as follows. Two days after intracolonic injection of TNBS, 50 mg colon was removed, homogenised and sonicated on ice. Samples were frozen in liquid nitrogen and subsequently thawed in a water bath at 37° C., each step lasted 3 minutes and the procedure was repeated for two cycles. After centrifugation, an aliquot of the supernatant was then allowed to react with a solution of tetra-methyl-benzidine (1.6 mM) and 0.1 mM H2O2. The rate of change in absorbance was measured spectrophotometrically at 460 nm. MPO activity was defined as the quantity of enzyme degrading 1 μmole of peroxide/minute at 37° C. and was expressed in units per gram weight of wet tissue. Sample enzyme activity was measured from a standard curve of known MPO unit activity (assay sensitivity 5×10−7 units per well).
Quantitative Reverse Transcriptase (RT)-PCR for cytokine mRNA was performed as follows: part of the colon tissues, removed on day 2 after TNBS application, was immediately frozen in liquid nitrogen after dissection and stored at −70° C. until extraction of total RNA using a method well known in the art. A constant amount of 1 μg of total RNA was used for oligo-(dT)-primed cDNA synthesis (Ready-to-go-kit, commercially available from Pharmacia, Sweden). After 90 minutes at 37° C., the reverse transcriptase was inactivated by incubating the cDNA samples for 5 minutes at 95° C. The amount of cDNA was quantified by real-time RT-PCR using specific primers for β-actin and TNF, with the ABI Prism 7700 Sequence Detectin System (SDS) commercially available from Applied Biosystems (California). PCR was performed in a total volume of 25 μl, containing 5 μl cDNA and 20 μl mix with the TaqMan® Universal PCR Master Mix (2×) (Applied Biosystems) combined with 300 nM of the primer and 100 nM of the probe. They were performed in the following conditions: 10 minutes at 95° C. followed by 40 cycles of 15 seconds at 95° C. and 1 minute at 60° C. The sequence of the primers is listed in the article of Shen et al. in Journal of Interferon & Cytokine Research (2006), the content of which is incorporated by reference. The sequence of the primers and probes for IFN-γ, IL-18 and β-actin are as listed by Shen et al. in Int. Immunopharmacol. (2004) 4:939-951. Levels of cytokines mRNA expression were presented as a ratio after normalization to the housekeeping gene β-actin.
Serum levels of antibodies generated against TNBS were measured in the mouse sera on 10th day after disease induction by enzyme-linked immunosorbent assay (ELISA). The ELISA method used herein is as reported in detail by Shen et al. in Int. Immunopharmacol. (2004) 4:939-951.
For the purpose of statistical analysis, all results were expressed as mean±SEM and shown accordingly in the appended figures. The one-way Anova test was conducted in order to check whether the differences among the various groups were significant. The unpaired-t test was conducted to identify differences between two experimental treatments. In both cases, P<0.05 was considered to be significant.
Results of the above in vivo tests were as follows:
From all above data, the activity of the tested compound (example 176) can be considered as strong because efficacy was already observed by using 20 mg/kg once a day. This dose results in serum concentrations that are in the range of the in vitro IC50 concentration for TNF inhibition for this compound. We observed less oedema, goblet cell loss, cell infiltration and wall thickness in treated mice, which recovered more rapidly their original body weight than the control mice. From these data, it is clear that the tested compound (example 176) inhibits a pathogenic reaction in TNBS-induced colitis. The reduction of lesional TNF in the colon of treated mice further points to TNF inhibition as an important anti-inflammatory mechanism of this compound, which may also exert its anti-inflammatory effect via effects on neutrophils, since MPO content was significant lower in the treated mice, consistently with severity scores. Since TNF is essential for inflammatory cell recruitment, this effect on neutrophils can also result from TNF inhibition. It is important to note that the serum concentrations of the tested compound (example 10) were insufficient to inhibit IL-1β production or T cell activation, since the in vitro IC50 concentrations for these activities were much higher. Furthermore we found that after in vivo treatment, mRNA levels in affected tissue for IL-18 and for IFN-γ were not decreased by the treatment, also suggesting a rather selective effect on TNF. Finally, since antibody levels to TNBS were not reduced by the treatment, it is indeed unlikely for the tested compound (example 176) to have an immuno-suppressive activity.
As a whole, the above data highly suggest that TNF inhibition explains the anti-inflammatory activity of the tested compound. In the experimental model used here, it has been assumed that TNBS drives colitis, after recognition and degradation of TNBS modified proteins. However, TNBS is administrated with ethanol, a vehicle that disrupts the mucosal barrier and thus also causes increased exposure of the mucosa to the microflora. This experimental model was used to investigate efficacy of the compounds of the invention, since TNF is necessary for both the initiation and persistence of the Th1 response, possibly by acting as a proximal cofactor for IL-12 or IL-18 production. Elevated lesional TNF was found and anti-TNF was proved to attenuate colitis.
The tested compound, which efficiently inhibits TNF production in vitro, effectively reduces immuno-pathology in the gut in a hapten-induced colitis model. Down-regulation of the pro-inflammatory cytokine TNF in vivo and of leukocyte infiltration probably explains colitis remission. These observations support the view that the tested compound (example 176), as a new TNF-α antagonist, is of significant benefit for Crohn's disease therapy.
C57 BL/6 male mice (4-5 weeks) were obtained from M&B (Denmark), bred under standard pathogen-free conditions and maintained in the certified animal facility of the University Hospital Gasthuisberg, Catholic University of Leuven (Leuven, Belgium). Experiments were approved by the local Ethical Committee of Animal Experimentation. Colitis was induced by rectal administration of 1 mg trinitrobenzenesulphonate (hereinafter referred as TNBS) in 50% ethanol with 2 times pre-sensitization. Briefly, mice were sensitized twice 10 days and 5 days before challenge. For sensitization, a 2×2 cm field of the abdominal skin was shaved, and 100 μl of 5 mg TNBS in 50% ethanol solution was applied. On the day of challenge, mice were first lightly anesthetized with metofane, subsequently TNBS was administered per rectum via a round-tip needle equipped with a 1-ml syringe. The tip of the needle was inserted so that the tip was 3.5 to 4 cm proximal to the anal verge and TNBS was injected with a total volume of 100 μl. To ensure distribution of TNBS within the entire colon and cecum, mice were held in a vertical position for 1 minute after the injection.
The compound of example 17 (2-amino-4-[(N-phenoxyacetyl)-piperazin-1-yl]-6-(3,4-dimethoxy-phenyl)pteridine) was given by daily intra-peritoneal injection at the dose of 20 mg/kg (400 μg dissolved in 100 μl PBS with 10% DMSO). Control mice were treated with vehicle only. Body weights of all animals were recorded daily in order to follow the development of inflammatory colitis over a period of 10 days.
Both macroscopic and microscopic histology evaluations were performed as follows. Briefly, mice were sacrificed at day 2 by cervical translocation, the colon was excised and was immediately examined visually, and damage was scored on a 0-12 scale, as described previously by Shen et al. in Int. Immunopharmacol. (2004), 4:939-951. Colon sections were then fixed in 6% formalin and embedded in paraffin, cut into sections, and then stained with hematoxylin and eosin. Stained sections were examined for evidence of colitis using as criteria the presence of cell infiltration, elongation and/or distortion of crypts, crypt abscesses, reduction in goblet cell number, frank ulceration, and edema formation.
Myeloperoxidase (MPO) activity was measured as described previously by Shen et al. (cited supra). Briefly, two days after intracolonic injection of TNBS, 50 mg colon was removed, homogenised and sonicated on ice. Samples were frozen in liquid nitrogen and subsequently thawed in a water bath at 37° C., each step lasted 3 minutes and the procedure was repeated for two cycles. After centrifugation an aliquot of the supernatant was then allowed to react with a solution of tetra-methyl-benzidine (1.6 mM) and 0.1 mM H2O2. The rate of change in absorbance was measured spectrophotometrically at 460 nm. MPO activity was defined as the quantity of enzyme degrading 1 μmol of peroxide/minute at 37° C. and was expressed in units per gram weight of wet tissue. Sample enzyme activity was measured from a standard curve of known MPO unit activity (assay sensitivity 5×10−7 units per well).
Serum levels of antibodies generated against TNBS were measured in the mouse sera on the 10th day after disease induction by enzyme-linked immunosorbent assay (ELISA). The ELISA method used herein is as reported in detail by Shen et al (cited supra).
Quantitative Reverse Transcriptase (RT)-PCR for cytokine mRNA was performed as follows: part of the colon removed on day 2 after TNBS application was immediately frozen in liquid nitrogen after dissection and stored at −70° C. until extraction of total RNA using the method of Shen et al (cited supra). A constant amount of 1 μg of total RNA was used for oligo-(dT)-primed cDNA synthesis (Ready-to-go-kit, Pharmacia, Uppsala, Sweden). After 90 minutes at 37° C., the reverse transcriptase was inactivated by incubating the cDNA samples for 5 minutes at 95° C. The amount of cDNA was quantified by real-time RT-PCR using specific primers for β-actine, TNF-α, IFN-γ, IL-10 and IL-18, with the ABI Prism 7700 Sequence Detectin System (SDS) from Applied Biosystems (Foster City, Calif.). PCR was performed in a total volume of 25 μl, containing 5 μl cDNA and 20 μl mix with the TaqMan® Universal PCR Master Mix (2×) (Applied Biosystems) combined with 300 nM of the primer and 100 nM of the probe. They were performed in the following conditions: 10 minutes at 95° C. followed by 40 cycles of 15 seconds at 95° C. and 1 minute at 60° C. The sequence of the primers is listed in the article of Shen et al. in Journal of Interferon & Cytokine Research (2006), the content of which is incorporated by reference. The sequence of IFN-γ, IL-18 and β-actin were listed in Shen et al, 2004 (cited supra). Levels of cytokines mRNA expression were presented as a ratio after normalization to the housekeeping gene β-actin.
For the purpose of statistical analysis, the results are expressed as mean ±SEM. The one-way anova test was conducted to check whether the difference among the various groups were significant. The unpaired-t test was conducted to identify differences between two experimental treatments. In both cases P<0.05 was considered to be significant.
The results of the above in vivo tests were as follows:
From all the data mentioned above, it can be concluded that mice treated with the compound of example 17 had less severe signs of colitis and recovered more rapidly, as evidenced by more rapid weight recovery, and histologically by a reduction of inflammatory lesions, less edema, a reduction of goblet cells loss and reduced wall thickness. Cell infiltration, especially infiltration of neutrophils, as shown by myeloperoxidase (MPO) activity, was reduced in the treated animals. Intralesional IFN-γ, TNF-α and IL-18 production was lower in mice of the treated groups. Furthermore anti-TNBS antibody responses were completely inhibited by treatment with the compound of example 17.
Number | Date | Country | Kind |
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0324324.3 | Oct 2003 | GB | national |
0408955.3 | Apr 2004 | GB | national |
0603585.1 | Feb 2006 | GB | national |
This application is a continuation-in-part of International Application No. PCT/EP2004/011836, filed on Oct. 18, 2004, which was published in English under PCT Article 21(2), and which claims the benefit of British patent application No. 0324324.3 filed on Oct. 17, 2003 and of British patent application No. 0408955.3 filed on Apr. 22, 2004, the disclosures of which are incorporated by reference in their entirety. This application also claims the benefit of British patent application No. 0603585.1 filed on Feb. 23, 2006, the disclosure of which is incorporated by reference in its entirety.
Number | Date | Country | |
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Parent | PCT/EP04/11836 | Oct 2004 | US |
Child | 11402423 | Apr 2006 | US |