Claims
- 1. A method of treatment of bacterial infections in humans or animals which comprises administering, in combination with a .beta.-lactam antibiotic, a therapeutically effective amount of a compound of formula (I) or a pharmaceutically acceptable salt, or solvate thereof: ##STR10## wherein: X is S, S(O).sub.n or CH.sub.2 ;
- n is 1 or 2
- R is hydrogen; a salt forming cation; an ester-forming group which is formulae (i), (ii), (iii), (iv) or (v): ##STR11## wherein R.sup.a is hydrogen, (C.sub.1-6) alkyl, (C.sub.3-7) cycloalkyl, methyl, or phenyl; R.sup.b is (C.sub.1-6)alkyl, (C.sub.1-6) alkoxy, phenyl, benzyl, (C.sub.3-7) cycloalkyl, (C.sub.3-7) cycloalkyloxy, (C.sub.1-6) alkyl(C.sub.3-7) cycloalkyl, 1-amino (C.sub.1-6) akyl, or 1-(C.sub.1-6 alkyl)amino (C.sub.1-6) alkyl; or R.sup.a and R.sup.b together form a 1,2-phenylene group unsubstituted or substituted by one or two methoxy groups; R.sup.c is (C.sub.1-6) alkylene unsubstituted or substituted with a methyl or ethyl group and R.sup.d and R.sup.e independently represent (C.sub.1-6) alkyl; R.sup.f represents (C.sub.1-6) alkyl; R.sup.g is hydrogen or phenyl unsubstituted or substituted by up to three groups selected from halogen, (C.sub.1-6) alkyl, or (C.sub.1-6 ) alkoxy; O is oxygen or NH; R.sup.h is hydrogen or (C.sub.1-6) alkyl; R.sup.i is hydrogen, (C.sub.1-6)alkyl unsubstituted or substituted by halogen, (C.sub.2-6) alkenyl, (C.sub.1-6) alkoxycarbonyl, aryl or heteroaryl: or R.sup.h and R.sup.i together form (C.sub.1-6) alkylene; R.sup.j is hydrogen. (C.sub.1-6) alkyl or (C.sub.1-6) alkoxycarbonyl; and R.sup.k is (C.sub.1-8)alkyl, (C.sub.1-8) alkoxy, (C.sub.1-6) alkoxy(C.sub.1-6)alkoxy or aryl;
- or an ester-forming group which is ##STR12## wherein R.sup.k is hydrogen, C.sub.1-6 alkyl or phenyl: R.sub.1 and R.sub.2 are each independently hydrogen, (C.sub.1-10)alkyl, aryl, heterocyclyl or substituted (C.sub.1-10)alkyl, wherein any substituent is aryl, heterocyclyl, hydroxy, (C.sub.1-6)alkoxy, (C.sub.1-6)alkanoyloxy, halogen, mercapto, (C.sub.1-6)alkylthio, heterocyclylthio, amino, (mono or di)-(C.sub.1-6)alkylamino, (C.sub.1-6)alkanoylamino, carboxy, or (C.sub.1-6)alkoxycarbonyl;
- R.sub.3 is hydrogen, (C.sub.1-6)alkyl unsubstituted or substituted by up to three halogen atoms, (C.sub.2-6)alkenyl, (C.sub.2-6)alkynyl, aryl, aryl(C.sub.1-6)alkyl, heterocyclyl or heterocyclyl(C.sub.1-6)alkyl; and
- R.sub.4 is hydrogen, lower alkylcarbonyl, substituted or unsubstituted benzoyl, or substituted or unsubstituted phenyl lower alkyl carbonyl.
- 2. The method according to claim 1 using a compound of formula (I) which is
- 3-[S-acetyl-2'(RS)-benzyl-3'-mercaptopropionyl]-4(S)-carboxy-5,5-dimethylthiazolidine;
- 3-[2'(RS)-benzyl-3'-mercaptopropionyl]-4(S)-carboxy-5,5-dimethylthiazolidine;
- N-[S-Acetyl-3'-mercapto-2'(RS)-methylpropionyl]-D-proline;
- N-[3'-Mercapto-2'(RS)-methylpropionyl]-D-proline;
- N-(S-Acetyl-3'-mercapto-2'(S)-methylpropionyl)-D-proline;
- N-(3'-mercapto-2'(S)-methylpropionyl)-D-proline;
- 3-[S-Acetyl-3'-mercaptopropionyl]-4(S)-carboxy-5,5-dimethylthiazolidine;
- 3- [3'-Mercaptopropionyl]-4(S)-carboxy-5,5-dimethylthiazolidine;
- 3-[S-Acetyl-3'-mercapto-2'(S)-methylpropionyl]-4(S)-carboxy-5,5-dimethylthiazolidine;
- 3-[3'-Mercapto-2'(S)-methylpropionyl]-4(S)-carboxy-5,5-dimethylthiazolidine
- 3-[S-Acetyl-2'(RS)-benzyl-3'-mercaptopropionyl]-4(R)-carboxy-5,5-dimethylthiazolidine;
- 3-[2'(RS)-benzyl-3'-mercaptopropionyl]-4(R)-carboxy-5,5-dirmethylthiazolidine;
- 3-[S-Acetyl-3'-mercapto-2'(RS)-methylpropionyl]-4(S)-carboxy-5,5-dimethylthiazolidine;
- 3-[3'-Mercapto-.sup.2 '(RS)-methylpropionyl]-4(S)-carboxy-5,5-dimethylthiazolidine;
- N-[S-Acetyl-2'(RS)-benzyl-3'-mercaptopropionyl]-D-proline;
- N-[2'(RS)-benzyl-3'-mercaptopropionyl]-D-proline;
- 3-[S-Acetyl-2'(RS)-benzyl-3'-mercaptopropionyl]-4(S)-carboxythiazolidine;
- 3-[2(RS)-benzyl-3'-mercaptopropionyl]-4(S)-carboxythiazolidine;
- 3-[2'(R)-benzyl-3'-mercaptopropionyl]-4(S)-carboxy-5,5-dimethylthiazolidine;
- 3-[2'(S)-benzyl-3'-mercaptopropionyl]-4(S)-carboxy-5,5-dimethylthiazolidine;
- 3-[3'-Mercapto-2'(R)-methylpropionyl]-4(S)-carboxy-5,5-dimethylthiazolidine;
- 3-[S-Acetyl-3'-mercapto-2'(S)-methylpropionyl]-4(R)-carboxy-5,5-dimethylthiazolidine;
- 3-[Mercapto-2'(S)-methylpropionyl]-4(R)-carboxy-5,5-dimethylthiazolidine;
- N-[S-Acetyl-2'(RS)-benzyl-3'-mercaptopropionyl]-L-proline;
- N-[2'(RS)-benzyl-3'-mercaptopropionyl]-L-proline;
- 3-[2'(S)-benzyl-3'-mercaptopropionyl]-4(S)-carboxy-5,5-dimethylthiazolidine- 1-oxide; (sulphoxide isomer A)
- 3-[2'(S)-benzyl-3'-mercaptopropionyl]-4(S)-carboxy-5,5-dimethylthiazolidine- 1-oxide (sulphoxide isomer B);
- 3-[2'(S)-benzyl-3'-mercaptopropionyl]-4(R)-carboxy-5,5-dimethylthiazolidine;
- 3-[2'(R)-benzyl-3'-mercaptopropionyl]-4(R)-carboxy-5,5-dimethylthiazolidine;
- 3-[2'(R or S)-benzyl-3'-mercaptopropionyl]-4(S)-carboxythiazolidine;
- 3-[2'(S or R)-benzyl-3'-mercaptopropionyl]-4(S)-carboxythiazolidine;
- 3-[2'(RS)-mercaptomethyl4'-phenylbutanoyl]-4(S)-carboxy-5,5-dimethylthiazolidine; or
- 3-[2'(RS)-mercaptomethyl-5'-phenylpentanoyl]-4(S)-carboxythiazolidine.
- 3. The composition of claim 2 wherein the .beta.-lactam antibiotic is a carbapenem selected from the group consisting of imipenem, meropenem, biapenem, BMS181139 ([4 R-[4alpha,5beta,6beta(R*)]]-4-[2-[(aminoiminomethyl)amino]ethyl]-3-[(2-cyanoethyl)thio]-6-(1-hydroxyethyl)-7-oxo-1-azabicyclo[3.2.0]hept-2-ene-2-carboxylic acid), BO2727 ([4 R-3[3 S*,5 S*(R*)],4alpha,5beta,6beta(R*)]]-6-(1-hydroxyethyl)-3-[[5-[1-hydroxy-3-(methylamino)propyl]-3-pyrrolidinyl]thio]-4-methyl-7-oxo-1-azabicyclo[3.2.0] hept-2-ene-2-carboxylic acid monohydrochloride), ER35786 ((1 R, 5 S, 6 S)-6-[1(R)-Hydroxymethyl]-2-[2(S)-[1(R)-hydroxy-1-[pyrrolidin-3(R)-yl] methyl]pyrrolidin-4(S)-ylsulfanyl]-1-methyl-1-carba-2-penem-3-carboxylic acid hydrochloride), and S4661 ((1 R,5 S,6 S)-2-[(3 S,5 S)-5-(sulfamoylaminomethyl) pyrrolidin-3-yl]thio-6-[(1 R)-1-hydroxyethyl]-1-methylcarbapen-2-em-3-carboxylic acid).
Priority Claims (2)
Number |
Date |
Country |
Kind |
9518920 |
Sep 1995 |
GBX |
|
9610902 |
May 1996 |
GBX |
|
Parent Case Info
This application is an application filed under the provisions of 35 U.S.C. .sctn.371of PCT application serial number PCT/EP 96/04014 filed Sep. 09, 1996.
PCT Information
Filing Document |
Filing Date |
Country |
Kind |
102e Date |
371c Date |
PCT/EP96/04014 |
9/9/1996 |
|
|
6/10/1998 |
6/10/1998 |
Publishing Document |
Publishing Date |
Country |
Kind |
WO97/10225 |
3/20/1997 |
|
|
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JPX |
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Entry |
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